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					                                                                         CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                         HCC         HCC         HCC         HCC         HCC         HCC
                                                     CMS-                Model       Model       Model       Model       Model       Model
                                                     HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment

0031      Salmonella Septicemia            1/1/1991      2               Yes         Yes         Yes         Yes         Yes         Yes
00322     Salmonella Pneumonia             1/1/1991     112              Yes         Yes         Yes         Yes         Yes         Yes
00323     Salmonella Arthritis             1/1/1991     37        39     Yes         Yes         Yes         Yes         Yes         Yes
00324     Salmonella Osteomyelitis         1/1/1991     37        39     Yes         Yes         Yes         Yes         Yes         Yes
0064      Amebic Lung Abscess              1/1/1991     112       112    Yes         Yes         Yes         Yes         Yes         Yes
0066      Amebic Skin Ulceration           1/1/1991               159    No          No          No          No          No          No
0074      Cryptosporidiosis               10/1/1998      5         2     Yes         Yes         Yes         Yes         Yes         Yes
0201      Cellulocutaneous Plague          1/1/1991               159    No          No          No          No          No          No
0202      Septicemic Plague                1/1/1991      2               Yes         Yes         Yes         Yes         Yes         Yes
0203      Primary Pneumonic Plague         1/1/1991     112              Yes         Yes         Yes         Yes         Yes         Yes
0204      Secondary Pneumon Plague         1/1/1991     112              Yes         Yes         Yes         Yes         Yes         Yes
0205      Pneumonic Plague Nos             1/1/1991     112              Yes         Yes         Yes         Yes         Yes         Yes
0212      Pulmonary Tularemia              1/1/1991     112              Yes         Yes         Yes         Yes         Yes         Yes
0220      Cutaneous Anthrax                1/1/1991               159    No          No          No          No          No          No
0221      Pulmonary Anthrax                1/1/1991     112              Yes         Yes         Yes         Yes         Yes         Yes
0223      Anthrax Septicemia               1/1/1991      2               Yes         Yes         Yes         Yes         Yes         Yes
0310      Pulmonary Mycobacteria           1/1/1991      5         2     Yes         Yes         Yes         Yes         Yes         Yes
0311      Cutaneous Mycobacteria           1/1/1991               159    No          No          No          No          No          No
0312      Dmac Bacteremia                 10/1/1998      5         2     Yes         Yes         Yes         Yes         Yes         Yes
03283     Diphtheritic Peritonitis         1/1/1991     31               Yes         Yes         Yes         Yes         Yes         Yes
03285     Cutaneous Diphtheria             1/1/1991               159    No          No          No          No          No          No
035       Erysipelas                       1/1/1991               159    No          No          No          No          No          No
0362      Meningococcemia                  1/1/1991      2               Yes         Yes         Yes         Yes         Yes         Yes
0363      Meningococc Adrenal Synd         1/1/1991                20    No          No          No          No          No          No
03682     Meningococc Arthropathy          1/1/1991     37         39    Yes         Yes         Yes         Yes         Yes         Yes
038       Septicemia*                      1/1/1991      2               Yes         Yes         Yes         Yes         Yes         No
0380      Streptococcal Septicemia         1/1/1991      2               Yes         Yes         Yes         Yes         Yes         Yes
0381      Staphylococc Septicemia*         1/1/1991      2               Yes         Yes         Yes         Yes         Yes         No
03810     Staphylcocc Septicem Nos        10/1/1998      2               Yes         Yes         Yes         Yes         Yes         Yes
03811     Staph Aureus Septicemia         10/1/1998      2               Yes         Yes         Yes         Yes         Yes         Yes
03812     MRSA SEPTICEMIA                 10/1/2008      2               No          No          No          No          Yes         Yes
03819     Staphylcocc Septicem Nec        10/1/1998      2               Yes         Yes         Yes         Yes         Yes         Yes
0382      Pneumococcal Septicemia          1/1/1991      2               Yes         Yes         Yes         Yes         Yes         Yes
0383      Anaerobic Septicemia             1/1/1991      2               Yes         Yes         Yes         Yes         Yes         Yes
0384      Gram-Neg Septicemia Nec*         1/1/1991      2               Yes         Yes         Yes         Yes         Yes         No
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
03840     Gram-Neg Septicemia Nos            1/1/1991        2              Yes         Yes         Yes         Yes         Yes         Yes
03841     H. Influenae Septicemia            1/1/1991        2              Yes         Yes         Yes         Yes         Yes         Yes
03842     E Coli Septicemia                  1/1/1991        2              Yes         Yes         Yes         Yes         Yes         Yes
03843     Pseudomonas Septicemia             1/1/1991        2              Yes         Yes         Yes         Yes         Yes         Yes
03844     Serratia Septicemia                1/1/1991        2              Yes         Yes         Yes         Yes         Yes         Yes
03849     Gram-Neg Septicemia Nec            1/1/1991        2              Yes         Yes         Yes         Yes         Yes         Yes
0388      Septicemia Nec                     1/1/1991        2              Yes         Yes         Yes         Yes         Yes         Yes
0389      Septicemia Nos                     1/1/1991        2              Yes         Yes         Yes         Yes         Yes         Yes
0390      Cutaneous Actinomycosis            1/1/1991                159    No          No          No          No          No          No
0391      Pulmonary Actinomycosis            1/1/1991      112              Yes         Yes         Yes         Yes         Yes         Yes
0400      Gas Gangrene                       1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         Yes
0402      Whipple'S Disease                  1/1/1991      32         31    Yes         Yes         Yes         Yes         Yes         Yes
04082     Toxic Shock Syndrome             10/1/2002        2               Yes         Yes         Yes         Yes         Yes         Yes
042       Human Immuno Virus Dis             1/1/1991       1          1    Yes         Yes         Yes         Yes         Yes         Yes
046       Cns Slow Virus Infection*          1/1/1991                 60    No          No          No          No          No          No
0460      Kuru                               1/1/1991                 60    No          No          No          No          No          No
0461      Jakob-Creutzfeldt Dis              1/1/1991                 60    No          No          No          No          No          No
04611     VARNT CREUTZFELDT-JAKOB          10/1/2008                  60    No          No          No          No          No          No
04619     CREUTZFLDT-JAKOB NEC/NOS         10/1/2008                  60    No          No          No          No          No          No
0462      Subac Scleros Panenceph            1/1/1991                 60    No          No          No          No          No          No
0463      Prog Multifoc Leukoencep           1/1/1991                 60    No          No          No          No          No          No
04671     GERSTMN-STRAUS-SCHNK SYN         10/1/2008                  60    No          No          No          No          No          No
04672     FATAL FAMILIAL INSOMNIA          10/1/2008                  60    No          No          No          No          No          No
04679     PRION DIS OF CNS NEC/NOS         10/1/2008                  60    No          No          No          No          No          No
0468      Cns Slow Virus Infec Nec           1/1/1991                 60    No          No          No          No          No          No
0469      Cns Slow Virus Infec Nos           1/1/1991                 60    No          No          No          No          No          No
0522      Postvaricella myelitis           10/1/2006                  87                                        No          No          No
0531      Oth H Zoster Nerv Syst*            1/1/1991                 86    No          No          No          No          No          No
05310     H Zoster Nerv Syst Nos             1/1/1991                 86    No          No          No          No          No          No
05311     Geniculate Herpes Zoster           1/1/1991                 86    No          No          No          No          No          No
05312     Postherpes Trigem Neural           1/1/1991                 86    No          No          No          No          No          No
05313     Postherpes Polyneuropath           1/1/1991                 86    No          No          No          No          No          No
05314     Herpes zoster myelitis           10/1/2006                  87                                        No          No          No
05319     H Zoster Nerv Syst Nec             1/1/1991                 86    No          No          No          No          No          No
054       Herpes Simplex*                    1/1/1991                  3    No          No          No          No          No          No
                                                                         CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                         HCC         HCC         HCC         HCC         HCC         HCC
                                                     CMS-                Model       Model       Model       Model       Model       Model
                                                     HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
0540      Eczema Herpeticum                 1/1/1991                3    No          No          No          No          No          No
0541      Genital Herpes*                   1/1/1991                3    No          No          No          No          No          No
05410     Genital Herpes Nos                1/1/1991                3    No          No          No          No          No          No
05411     Herpetic Vulvovaginitis           1/1/1991                3    No          No          No          No          No          No
05412     Herpetic Ulcer Of Vulva           1/1/1991                3    No          No          No          No          No          No
05413     Herpetic Infect Of Penis          1/1/1991                3    No          No          No          No          No          No
05419     Genital Herpes Nec                1/1/1991                3    No          No          No          No          No          No
0542      Herpetic Gingivostomat            1/1/1991                3    No          No          No          No          No          No
0544      Herpes Simplex Of Eye*            1/1/1991                3    No          No          No          No          No          No
05440     Herpes Simplex Eye Nos            1/1/1991                3    No          No          No          No          No          No
05441     Herpes Simplex Of Eyelid          1/1/1991                3    No          No          No          No          No          No
05442     Dendritic Keratitis               1/1/1991                3    No          No          No          No          No          No
05443     H Simplex Keratitis               1/1/1991                3    No          No          No          No          No          No
05449     Herpes Simplex Eye Nec            1/1/1991                3    No          No          No          No          No          No
0545      Herpetic Septicemia               1/1/1991      2              Yes         Yes         Yes         Yes         Yes         Yes
0546      Herpetic Whitlow                  1/1/1991                3    No          No          No          No          No          No
0547      Oth Complicat H Simplex*          1/1/1991                3    No          No          No          No          No          No
05471     Visceral Herpes Simplex           1/1/1991                3    No          No          No          No          No          No
05473     H Simplex Otitis Externa          1/1/1991                3    No          No          No          No          No          No
05474     Herpes simplex myelitis         10/1/2006                87                                        No          No          No
05479     H Simplex Complicat Nec           1/1/1991                3    No          No          No          No          No          No
0548      H Simplex Complicat Nos           1/1/1991                3    No          No          No          No          No          No
0549      Herpes Simplex Nos                1/1/1991                3    No          No          No          No          No          No
05671     Arthritis Due To Rubella          1/1/1991     37        39    Yes         Yes         Yes         Yes         Yes         Yes
07022     Hpt B Chrn Coma Wo Dlta           1/1/1991     27        24    Yes         Yes         Yes         Yes         Yes         Yes
07023     Hpt B Chrn Coma W Dlta            1/1/1991     27        24    Yes         Yes         Yes         Yes         Yes         Yes
07032     Hpt B Chrn Wo Cm Wo Dlta          1/1/1991     27        24    Yes         Yes         Yes         Yes         Yes         Yes
07033     Hpt B Chrn Wo Cm W Dlta           1/1/1991     27        24    Yes         Yes         Yes         Yes         Yes         Yes
07044     Chrnc Hpt C W Hepat Coma          1/1/1991     27        24    Yes         Yes         Yes         Yes         Yes         Yes
07054     Chrnc Hpt C Wo Hpat Coma          1/1/1991     27        24    Yes         Yes         Yes         Yes         Yes         Yes
0723      Mumps Pancreatitis                1/1/1991     32              Yes         Yes         Yes         Yes         Yes         Yes
0785      Cytomegaloviral Disease           1/1/1991      5         2    Yes         Yes         Yes         Yes         Yes         Yes
0786      Hem Nephrosonephritis             1/1/1991    132       135    Yes         Yes         Yes         Yes         Yes         Yes
07953     Hiv-2 Infection Oth Dis           1/1/1991      1         1    Yes         Yes         Yes         Yes         Yes         Yes
09487     Syph Rupt Cereb Aneurysm          1/1/1991     95       102    Yes         Yes         Yes         Yes         Yes         Yes
                                                                           CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                           HCC         HCC         HCC         HCC         HCC         HCC
                                                       CMS-                Model       Model       Model       Model       Model       Model
                                                       HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
0985      Gonococcal Infect Joint*          1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         No
09850     Gonococcal Arthritis              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
09851     Gonococcal Synovitis              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
09852     Gonococcal Bursitis               1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
09853     Gonococcal Spondylitis            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
09859     Gc Infect Joint Nec               1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
09886     Gonococcal Peritonitis            1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
1026      Yaws Of Bone & Joint              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
1120      Thrush                            1/1/1991                  3    No          No          No          No          No          No
1121      Candidal Vulvovaginitis           1/1/1991                144    No          No          No          No          No          No
1124      Candidiasis Of Lung               1/1/1991       5          2    Yes         Yes         Yes         Yes         Yes         Yes
1125      Disseminated Candidiasis          1/1/1991       5          2    Yes         Yes         Yes         Yes         Yes         Yes
11284     Candidal Esophagitis              1/1/1991       5          2    Yes         Yes         Yes         Yes         Yes         Yes
114       Coccidioidomycosis*               1/1/1991                  3    No          No          No          No          No          No
1140      Primary Coccidioidomycos          1/1/1991      112       112    Yes         Yes         Yes         Yes         Yes         Yes
1141      Prim Cutan Coccidioid             1/1/1991                  3    No          No          No          No          No          No
1143      Progress Coccidioid Nec           1/1/1991                  3    No          No          No          No          No          No
1144      Ch Pl Coccidioidomycosis          1/1/1991      112       112    Yes         Yes         Yes         Yes         Yes         Yes
1145      Pl Cocidioidomycosis Nos          1/1/1991      112       112    Yes         Yes         Yes         Yes         Yes         Yes
1149      Coccidioidomycosis Nos            1/1/1991                  3    No          No          No          No          No          No
115       Histoplasmosis*                   1/1/1991                  3    No          No          No          No          No          No
1150      Histoplasma Capsulatum*           1/1/1991                  3    No          No          No          No          No          No
11500     Histoplasma Capsulat Nos          1/1/1991                  3    No          No          No          No          No          No
11502     Histoplasm Capsul Retina          1/1/1991                  3    No          No          No          No          No          No
11505     Histoplasm Caps Pneumon           1/1/1991      112       112    Yes         Yes         Yes         Yes         Yes         Yes
11509     Histoplasma Capsulat Nec          1/1/1991                  3    No          No          No          No          No          No
1151      Histoplasma Duboisii*             1/1/1991                  3    No          No          No          No          No          No
11510     Histoplasma Duboisii Nos          1/1/1991                  3    No          No          No          No          No          No
11512     Histoplasm Dubois Retina          1/1/1991                  3    No          No          No          No          No          No
11515     Histoplasm Dub Pneumonia          1/1/1991      112       112    Yes         Yes         Yes         Yes         Yes         Yes
11519     Histoplasma Duboisii Nec          1/1/1991                  3    No          No          No          No          No          No
1159      Histoplasmosis, Unspec*           1/1/1991                  3    No          No          No          No          No          No
11590     Histoplasmosis Nos                1/1/1991                  3    No          No          No          No          No          No
11592     Histoplasmosis Retinitis          1/1/1991                  3    No          No          No          No          No          No
11595     Histoplasmosis Pneumonia          1/1/1991      112       112    Yes         Yes         Yes         Yes         Yes         Yes
                                                                         CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                         HCC         HCC         HCC         HCC         HCC         HCC
                                                     CMS-                Model       Model       Model       Model       Model       Model
                                                     HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
11599     Histoplasmosis Nec                1/1/1991                3    No          No          No          No          No          No
116       Blastomycotic Infection*          1/1/1991                3    No          No          No          No          No          No
1160      Blastomycosis                     1/1/1991                3    No          No          No          No          No          No
1161      Paracoccidioidomycosis            1/1/1991                3    No          No          No          No          No          No
1162      Lobomycosis                       1/1/1991                3    No          No          No          No          No          No
1173      Aspergillosis                     1/1/1991      5         2    Yes         Yes         Yes         Yes         Yes         Yes
1175      Cryptococcosis                    1/1/1991      5         2    Yes         Yes         Yes         Yes         Yes         Yes
1177      Zygomycosis                       1/1/1991      5         2    Yes         Yes         Yes         Yes         Yes         Yes
1212      Paragonimiasis                    1/1/1991    112       112    Yes         Yes         Yes         Yes         Yes         Yes
1221      Echinococc Granul Lung            1/1/1991    112       112    Yes         Yes         Yes         Yes         Yes         Yes
1300      Toxoplasm Meningoenceph           1/1/1991      5         2    Yes         Yes         Yes         Yes         Yes         Yes
1304      Toxoplasma Pneumonitis            1/1/1991    112       112    Yes         Yes         Yes         Yes         Yes         Yes
1308      Multisystem Toxoplasmos           1/1/1991      5         2    Yes         Yes         Yes         Yes         Yes         Yes
131       Trichomoniasis*                   1/1/1991              144    No          No          No          No          No          No
1310      Urogenital Trichomonias*          1/1/1991              144    No          No          No          No          No          No
13100     Urogenital Trichomon Nos          1/1/1991              144    No          No          No          No          No          No
13101     Trichomonal Vaginitis             1/1/1991              144    No          No          No          No          No          No
13102     Trichomonal Urethritis            1/1/1991              144    No          No          No          No          No          No
13103     Trichomonal Prostatitis           1/1/1991              144    No          No          No          No          No          No
13109     Urogenital Trichomon Nec          1/1/1991              144    No          No          No          No          No          No
1318      Trichomoniasis Nec                1/1/1991              144    No          No          No          No          No          No
1319      Trichomoniasis Nos                1/1/1991              144    No          No          No          No          No          No
135       Sarcoidosis                       1/1/1991              110    No          No          No          No          No          No
1361      Behcet'S Syndrome                 1/1/1991     38        40    Yes         Yes         Yes         Yes         Yes         Yes
1363      Pneumocystosis                    1/1/1991      5         2    Yes         Yes         Yes         Yes         Yes         Yes
1371      Late Effect Cns Tb                1/1/1991                3    No          No          No          No          No          No
138       Late Effect Acute Polio           1/1/1991                3    No          No          No          No          No          No
1390      Late Eff Viral Encephal           1/1/1991                3    No          No          No          No          No          No
141       Malig Neo Tongue*                 1/1/1991      9              Yes         Yes         Yes         Yes         Yes         No
1410      Mal Neo Tongue Base               1/1/1991      9              Yes         Yes         Yes         Yes         Yes         Yes
1411      Mal Neo Dorsal Tongue             1/1/1991      9              Yes         Yes         Yes         Yes         Yes         Yes
1412      Mal Neo Tip/Lat Tongue            1/1/1991      9              Yes         Yes         Yes         Yes         Yes         Yes
1413      Mal Neo Ventral Tongue            1/1/1991      9              Yes         Yes         Yes         Yes         Yes         Yes
1414      Mal Neo Ant 2/3 Tongue            1/1/1991      9              Yes         Yes         Yes         Yes         Yes         Yes
1415      Mal Neo Tongue Junction           1/1/1991      9              Yes         Yes         Yes         Yes         Yes         Yes
                                                                           CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                           HCC         HCC         HCC         HCC         HCC         HCC
                                                       CMS-                Model       Model       Model       Model       Model       Model
                                                       HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
1416      Mal Neo Lingual Tonsil            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1418      Malig Neo Tongue Nec              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1419      Malig Neo Tongue Nos              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
142       Mal Neo Major Salivary*           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
1420      Malig Neo Parotid                 1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1421      Malig Neo Submandibular           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1422      Malig Neo Sublingual              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1428      Mal Neo Maj Salivary Nec          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1429      Mal Neo Salivary Nos              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
143       Malignant Neoplasm Gum*           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
1430      Malig Neo Upper Gum               1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1431      Malig Neo Lower Gum               1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1438      Malig Neo Gum Nec                 1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1439      Malig Neo Gum Nos                 1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
144       Malig Neo Mouth Floor*            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
1440      Mal Neo Ant Floor Mouth           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1441      Mal Neo Lat Floor Mouth           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1448      Mal Neo Mouth Floor Nec           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1449      Mal Neo Mouth Floor Nos           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
145       Malig Neo Mouth Nec/Nos*          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
1450      Mal Neo Cheek Mucosa              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1451      Mal Neo Mouth Vestibule           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1452      Malig Neo Hard Palate             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1453      Malig Neo Soft Palate             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1454      Malignant Neoplasm Uvula          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1455      Malignant Neo Palate Nos          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1456      Malig Neo Retromolar              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1458      Malig Neoplasm Mouth Nec          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1459      Malig Neoplasm Mouth Nos          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
146       Malig Neo Oropharynx*             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
1460      Malignant Neopl Tonsil            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1461      Mal Neo Tonsillar Fossa           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1462      Mal Neo Tonsil Pillars            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1463      Malign Neopl Vallecula            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1464      Mal Neo Ant Epiglottis            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
1465      Mal Neo Epiglottis Junct           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1466      Mal Neo Lat Oropharynx             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1467      Mal Neo Post Oropharynx            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1468      Mal Neo Oropharynx Nec             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1469      Malig Neo Oropharynx Nos           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
147       Malig Neo Nasopharynx*             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
1470      Mal Neo Super Nasopharyn           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1471      Mal Neo Post Nasopharynx           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1472      Mal Neo Lat Nasopharynx            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1473      Mal Neo Ant Nasopharynx            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1478      Mal Neo Nasopharynx Nec            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1479      Mal Neo Nasopharynx Nos            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
148       Malig Neopl Hypopharynx*           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
1480      Mal Neo Postcricoid                1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1481      Mal Neo Pyriform Sinus             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1482      Mal Neo Aryepiglott Fold           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1483      Mal Neo Post Hypopharynx           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1488      Mal Neo Hypopharynx Nec            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1489      Mal Neo Hypopharynx Nos            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
149       Oth Malig Neo Oropharynx*          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
1490      Mal Neo Pharynx Nos                1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1491      Mal Neo Waldeyer'S Ring            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1498      Mal Neo Oral/Pharynx Nec           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1499      Mal Neo Orophryn Ill-Def           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
150       Malignant Neo Esophagus*           1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         No
1500      Mal Neo Cervical Esophag           1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1501      Mal Neo Thoracic Esophag           1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1502      Mal Neo Abdomin Esophag            1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1503      Mal Neo Upper 3Rd Esoph            1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1504      Mal Neo Middle 3Rd Esoph           1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1505      Mal Neo Lower 3Rd Esoph            1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1508      Mal Neo Esophagus Nec              1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1509      Mal Neo Esophagus Nos              1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
151       Malignant Neo Stomach*             1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         No
1510      Mal Neo Stomach Cardia             1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
1511      Malignant Neo Pylorus              1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1512      Mal Neo Pyloric Antrum             1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1513      Mal Neo Stomach Fundus             1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1514      Mal Neo Stomach Body               1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1515      Mal Neo Stom Lesser Curv           1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1516      Mal Neo Stom Great Curv            1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1518      Malig Neopl Stomach Nec            1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1519      Malig Neopl Stomach Nos            1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
152       Malig Neo Small Bowel*             1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         No
1520      Malignant Neopl Duodenum           1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1521      Malignant Neopl Jejunum            1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1522      Malignant Neoplasm Ileum           1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1523      Mal Neo Meckel'S Divert            1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1528      Mal Neo Small Bowel Nec            1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1529      Mal Neo Small Bowel Nos            1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
153       Malignant Neoplasm Colon*          1/1/1991       10              Yes         Yes         Yes         Yes         Yes         No
1530      Mal Neo Hepatic Flexure            1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1531      Mal Neo Transverse Colon           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1532      Mal Neo Descend Colon              1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1533      Mal Neo Sigmoid Colon              1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1534      Malignant Neoplasm Cecum           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1535      Malignant Neo Appendix             1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1536      Malig Neo Ascend Colon             1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1537      Mal Neo Splenic Flexure            1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1538      Malignant Neo Colon Nec            1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1539      Malignant Neo Colon Nos            1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
154       Malig Neo Rectum/Anus*             1/1/1991       10              Yes         Yes         Yes         Yes         Yes         No
1540      Mal Neo Rectosigmoid Jct           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1541      Malignant Neopl Rectum             1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1542      Malig Neopl Anal Canal             1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1543      Malignant Neo Anus Nos             1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1548      Mal Neo Rectum/Anus Nec            1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
155       Malignant Neoplasm Liver*          1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         No
1550      Mal Neo Liver, Primary             1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
1551      Mal Neo Intrahepat Ducts           1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
1552      Malignant Neo Liver Nos            1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
156       Mal Neo Gb/Extrahepatic*           1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         No
1560      Malig Neo Gallbladder              1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1561      Mal Neo Extrahepat Ducts           1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1562      Mal Neo Ampulla Of Vater           1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1568      Malig Neo Biliary Nec              1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1569      Malig Neo Biliary Nos              1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
157       Malignant Neo Pancreas*            1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         No
1570      Mal Neo Pancreas Head              1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1571      Mal Neo Pancreas Body              1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1572      Mal Neo Pancreas Tail              1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1573      Mal Neo Pancreatic Duct            1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1574      Mal Neo Islet Langerhans           1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1578      Malig Neo Pancreas Nec             1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1579      Malig Neo Pancreas Nos             1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
158       Malig Neo Peritoneum*              1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         No
1580      Mal Neo Retroperitoneum            1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1588      Mal Neo Peritoneum Nec             1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1589      Mal Neo Peritoneum Nos             1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
159       Oth Malig Neo Gi/Periton*          1/1/1991       10              Yes         Yes         Yes         Yes         Yes         No
1590      Malig Neo Intestine Nos            1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1591      Malignant Neo Spleen Nec           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1598      Mal Neo Gi/Intra-Abd Nec           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1599      Mal Neo Gi Tract Ill-Def           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
160       Mal Neo Nasal Cav/Sinus*           1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         No
1600      Mal Neo Nasal Cavities             1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1601      Malig Neo Middle Ear               1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1602      Mal Neo Maxillary Sinus            1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1603      Mal Neo Ethmoidal Sinus            1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1604      Malig Neo Frontal Sinus            1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1605      Mal Neo Sphenoid Sinus             1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1608      Mal Neo Access Sinus Nec           1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1609      Mal Neo Access Sinus Nos           1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
161       Malignant Neo Larynx*              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
1610      Malignant Neo Glottis              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
1611      Malig Neo Supraglottis             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1612      Malig Neo Subglottis               1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1613      Mal Neo Cartilage Larynx           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1618      Malignant Neo Larynx Nec           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1619      Malignant Neo Larynx Nos           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
162       Mal Neo Trachea/Lung*              1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         No
1620      Malignant Neo Trachea              1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1622      Malig Neo Main Bronchus            1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1623      Mal Neo Upper Lobe Lung            1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1624      Mal Neo Middle Lobe Lung           1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1625      Mal Neo Lower Lobe Lung            1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1628      Mal Neo Bronch/Lung Nec            1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1629      Mal Neo Bronch/Lung Nos            1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
163       Malignant Neopl Pleura*            1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         No
1630      Mal Neo Parietal Pleura            1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1631      Mal Neo Visceral Pleura            1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1638      Malig Neopl Pleura Nec             1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
1639      Malig Neopl Pleura Nos             1/1/1991        8        10    Yes         Yes         Yes         Yes         Yes         Yes
164       Mal Neo Thymus/Mediastin*          1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         No
1640      Malignant Neopl Thymus             1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1641      Malignant Neopl Heart              1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1642      Mal Neo Ant Mediastinum            1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1643      Mal Neo Post Mediastinum           1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1648      Mal Neo Mediastinum Nec            1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1649      Mal Neo Mediastinum Nos            1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
165       Oth/Ill-Def Mal Neo Resp*          1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         No
1650      Mal Neo Upper Resp Nos             1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1658      Mal Neo Thorax/Resp Nec            1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1659      Mal Neo Resp System Nos            1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
170       Mal Neo Bone/Artic Cart*           1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         No
1700      Mal Neo Skull/Face Bone            1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
1701      Malignant Neo Mandible             1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
1702      Malig Neo Vertebrae                1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
1703      Mal Neo Ribs/Stern/Clav            1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
1704      Mal Neo Long Bones Arm             1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
                                                                           CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                           HCC         HCC         HCC         HCC         HCC         HCC
                                                       CMS-                Model       Model       Model       Model       Model       Model
                                                       HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
1705      Mal Neo Bones Wrist/Hand          1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
1706      Mal Neo Pelvic Girdle             1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
1707      Mal Neo Long Bones Leg            1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
1708      Mal Neo Bones Ankle/Foot          1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
1709      Malig Neopl Bone Nos              1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
171       Mal Neo Soft Tissue*              1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         No
1710      Mal Neo Soft Tissue Head          1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
1712      Mal Neo Soft Tissue Arm           1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
1713      Mal Neo Soft Tissue Leg           1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
1714      Mal Neo Soft Tis Thorax           1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
1715      Mal Neo Soft Tis Abdomen          1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
1716      Mal Neo Soft Tis Pelvis           1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
1717      Mal Neopl Trunk Nos               1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
1718      Mal Neo Soft Tissue Nec           1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
1719      Mal Neo Soft Tissue Nos           1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
172       Malignant Melanoma Skin*          1/1/1991       10              Yes         Yes         Yes         Yes         Yes         No
1720      Malig Melanoma Lip                1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1721      Malig Melanoma Eyelid             1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1722      Malig Melanoma Ear                1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1723      Mal Melanom Face Nec/Nos          1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1724      Mal Melanoma Scalp/Neck           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1725      Malig Melanoma Trunk              1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1726      Malig Melanoma Arm                1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1727      Malig Melanoma Leg                1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1728      Malig Melanoma Skin Nec           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1729      Malig Melanoma Skin Nos           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
174       Malig Neo Female Breast*          1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         No
1740      Malig Neo Nipple                  1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
1741      Mal Neo Breast-Central            1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
1742      Mal Neo Breast Up-Inner           1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
1743      Mal Neo Breast Low-Inner          1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
1744      Mal Neo Breast Up-Outer           1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
1745      Mal Neo Breast Low-Outer          1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
1746      Mal Neo Breast-Axillary           1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
1748      Malign Neopl Breast Nec           1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
1749      Malign Neopl Breast Nos            1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
175       Malig Neo Male Breast*             1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         No
1750      Mal Neo Male Nipple                1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
1759      Mal Neo Male Breast Nec            1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
176       Ras Assigned                       1/1/2001        9         9    Yes         Yes         Yes         Yes         Yes         No
1760      Skin - Kaposi'S Sarcoma            1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
1761      Sft Tisue - Kpsi'S Srcma           1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
1762      Palate - Kpsi'S Sarcoma            1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
1763      Gi Sites - Kpsi'S Srcoma           1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
1764      Lung - Kaposi'S Sarcoma            1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
1765      Lym Nds - Kpsi'S Sarcoma           1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
1768      Spf Sts - Kpsi'S Sarcoma           1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
1769      Kaposi'S Sarcoma Nos               1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
179       Malig Neopl Uterus Nos             1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
180       Malig Neopl Cervix Uteri*          1/1/1991       10              Yes         Yes         Yes         Yes         Yes         No
1800      Malig Neo Endocervix               1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1801      Malig Neo Exocervix                1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1808      Malig Neo Cervix Nec               1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1809      Mal Neo Cervix Uteri Nos           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
181       Malignant Neopl Placenta           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
182       Malig Neopl Uterus Body*           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         No
1820      Malig Neo Corpus Uteri             1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1821      Mal Neo Uterine Isthmus            1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1828      Mal Neo Body Uterus Nec            1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
183       Mal Neo Uterine Adnexa*            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
1830      Malign Neopl Ovary                 1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1832      Mal Neo Fallopian Tube             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1833      Mal Neo Broad Ligament             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1834      Malig Neo Parametrium              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1835      Mal Neo Round Ligament             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1838      Mal Neo Adnexa Nec                 1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
1839      Mal Neo Adnexa Nos                 1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
184       Mal Neo Fem Gen Nec/Nos*           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         No
1840      Malign Neopl Vagina                1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1841      Mal Neo Labia Majora               1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
1842      Mal Neo Labia Minora               1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1843      Malign Neopl Clitoris              1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1844      Malign Neopl Vulva Nos             1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1848      Mal Neo Female Genit Nec           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1849      Mal Neo Female Genit Nos           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
185       Malign Neopl Prostate              1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
186       Malign Neopl Testis*               1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         No
1860      Mal Neo Undescend Testis           1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
1869      Malig Neo Testis Nec               1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
187       Mal Neo Male Genital Nec*          1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         No
1871      Malign Neopl Prepuce               1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
1872      Malig Neo Glans Penis              1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
1873      Malig Neo Penis Body               1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
1874      Malig Neo Penis Nos                1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
1875      Malig Neo Epididymis               1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
1876      Mal Neo Spermatic Cord             1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
1877      Malign Neopl Scrotum               1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
1878      Mal Neo Male Genital Nec           1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
1879      Mal Neo Male Genital Nos           1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
188       Malign Neopl Bladder*              1/1/1991       10              Yes         Yes         Yes         Yes         Yes         No
1880      Mal Neo Bladder-Trigone            1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1881      Mal Neo Bladder-Dome               1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1882      Mal Neo Bladder-Lateral            1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1883      Mal Neo Bladder-Anterior           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1884      Mal Neo Bladder-Post               1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1885      Mal Neo Bladder Neck               1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1886      Mal Neo Ureteric Orifice           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1887      Malig Neo Urachus                  1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1888      Malig Neo Bladder Nec              1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1889      Malig Neo Bladder Nos              1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
189       Mal Neo Urinary Nec/Nos*           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         No
1890      Malig Neopl Kidney                 1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1891      Malig Neo Renal Pelvis             1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1892      Malign Neopl Ureter                1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1893      Malign Neopl Urethra               1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
1894      Mal Neo Paraurethral               1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1898      Mal Neo Urinary Nec                1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1899      Mal Neo Urinary Nos                1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
190       Malignant Neoplasm Eye*            1/1/1991       10              Yes         Yes         Yes         Yes         Yes         No
1900      Malign Neopl Eyeball               1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1901      Malign Neopl Orbit                 1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1902      Mal Neo Lacrimal Gland             1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1903      Mal Neo Conjunctiva                1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1904      Malign Neopl Cornea                1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1905      Malign Neopl Retina                1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1906      Malign Neopl Choroid               1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1907      Mal Neo Lacrimal Duct              1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1908      Malign Neopl Eye Nec               1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1909      Malign Neopl Eye Nos               1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
191       Malignant Neoplasm Brain*          1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         No
1910      Malign Neopl Cerebrum              1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1911      Malig Neo Frontal Lobe             1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1912      Mal Neo Temporal Lobe              1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1913      Mal Neo Parietal Lobe              1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1914      Mal Neo Occipital Lobe             1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1915      Mal Neo Cereb Ventricle            1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1916      Mal Neo Cerebellum Nos             1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1917      Mal Neo Brain Stem                 1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1918      Malig Neo Brain Nec                1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1919      Malig Neo Brain Nos                1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
192       Mal Neo Nerve Nec/Nos*             1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         No
1920      Mal Neo Cranial Nerves             1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1921      Mal Neo Cerebral Mening            1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1922      Mal Neo Spinal Cord                1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1923      Mal Neo Spinal Meninges            1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1928      Mal Neo Nervous Syst Nec           1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1929      Mal Neo Nervous Syst Nos           1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
193       Malign Neopl Thyroid               1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
194       Mal Neo Other Endocrine*           1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         No
1940      Malign Neopl Adrenal               1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
1941      Malig Neo Parathyroid              1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
1943      Malig Neo Pituitary                1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1944      Malign Neo Pineal Gland            1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
1945      Mal Neo Carotid Body               1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
1946      Mal Neo Paraganglia Nec            1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
1948      Mal Neo Endocrine Nec              1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
1949      Mal Neo Endocrine Nos              1/1/1991       10        10    Yes         Yes         Yes         Yes         Yes         Yes
195       Mal Neo Oth/Ill-Def Site*          1/1/1991       10              Yes         Yes         Yes         Yes         Yes         No
1950      Mal Neo Head/Face/Neck             1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1951      Malign Neopl Thorax                1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1952      Malig Neo Abdomen                  1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1953      Malign Neopl Pelvis                1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1954      Malign Neopl Arm                   1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1955      Malign Neopl Leg                   1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1958      Malig Neo Site Nec                 1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
196       Malig Neo Lymph Nodes*             1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         No
1960      Mal Neo Lymph-Head/Neck            1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1961      Mal Neo Lymph-Intrathor            1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1962      Mal Neo Lymph Intra-Abd            1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1963      Mal Neo Lymph-Axilla/Arm           1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1965      Mal Neo Lymph-Inguin/Leg           1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1966      Mal Neo Lymph-Intrapelv            1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1968      Mal Neo Lymph Node-Mult            1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1969      Mal Neo Lymph Node Nos             1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
197       Secondry Mal Neo Gi/Resp*          1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         No
1970      Secondary Malig Neo Lung           1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1971      Sec Mal Neo Mediastinum            1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1972      Second Malig Neo Pleura            1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1973      Sec Malig Neo Resp Nec             1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1974      Sec Malig Neo Sm Bowel             1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1975      Sec Malig Neo Lg Bowel             1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1976      Sec Mal Neo Peritoneum             1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1977      Second Malig Neo Liver             1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1978      Sec Mal Neo Gi Nec                 1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
198       Sec Malig Neo Oth Sites*           1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         No
                                                                           CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                           HCC         HCC         HCC         HCC         HCC         HCC
                                                       CMS-                Model       Model       Model       Model       Model       Model
                                                       HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
1980      Second Malig Neo Kidney           1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1981      Sec Malig Neo Urin Nec            1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1982      Secondary Malig Neo Skin          1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1983      Sec Mal Neo Brain/Spine           1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1984      Sec Malig Neo Nerve Nec           1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1985      Secondary Malig Neo Bone          1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1986      Second Malig Neo Ovary            1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1987      Second Malig Neo Adrenal          1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1988      Oth Secondary Malig Neo*          1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         No
19881     Second Malig Neo Breast           1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
19882     Second Malig Neo Genital          1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
19889     Secondary Malig Neo Nec           1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
199       Malignant Neoplasm Nos*           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         No
1990      Malig Neo Disseminated            1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
1991      Malignant Neoplasm Nos            1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
1992      MALIG NEOPL-TRANSP ORGAN        10/1/2008        10              No          No          No          No          Yes         Yes
200       Lymphosarc/Reticulosarc*          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
2000      Reticulosarcoma*                  1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
20000     Retclsrc Unsp Xtrndl Org          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20001     Reticulosarcoma Head              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20002     Reticulosarcoma Thorax            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20003     Reticulosarcoma Abdom             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20004     Reticulosarcoma Axilla            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20005     Reticulosarcoma Inguin            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20006     Reticulosarcoma Pelvic            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20007     Reticulosarcoma Spleen            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20008     Reticulosarcoma Mult              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
2001      Lymphosarcoma*                    1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
20010     Lymphsrc Unsp Xtrndl Org          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20011     Lymphosarcoma Head                1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20012     Lymphosarcoma Thorax              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20013     Lymphosarcoma Abdom               1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20014     Lymphosarcoma Axilla              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20015     Lymphosarcoma Inguin              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20016     Lymphosarcoma Pelvic              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
20017     Lymphosarcoma Spleen               1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20018     Lymphosarcoma Mult                 1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
2002      Burkitt'S Tumor/Lymphoma*          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
20020     Brkt Tmr Unsp Xtrndl Org           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20021     Burkitt'S Tumor Head               1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20022     Burkitt'S Tumor Thorax             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20023     Burkitt'S Tumor Abdom              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20024     Burkitt'S Tumor Axilla             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20025     Burkitt'S Tumor Inguin             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20026     Burkitt'S Tumor Pelvic             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20027     Burkitt'S Tumor Spleen             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20028     Burkitt'S Tumor Mult               1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20030     MARGNL ZONE LYM XTRNDL           10/1/2007         9                                                              Yes         Yes
20031     MARGIN ZONE LYM HEAD             10/1/2007         9                                                              Yes         Yes
20032     MARGIN ZONE LYM THORAX           10/1/2007         9                                                              Yes         Yes
20033     MARGIN ZONE LYM ABDOM            10/1/2007         9                                                              Yes         Yes
20034     MARGIN ZONE LYM AXILLA           10/1/2007         9                                                              Yes         Yes
20035     MARGIN ZONE LYM INGUIN           10/1/2007         9                                                              Yes         Yes
20036     MARGIN ZONE LYM PELVIC           10/1/2007         9                                                              Yes         Yes
20037     MARGIN ZONE LYMPH SPLEEN         10/1/2007         9                                                              Yes         Yes
20038     MARGIN ZONE LYMPH MULTIP         10/1/2007         9                                                              Yes         Yes
20040     MANTLE CELL LYM XTRRNDL          10/1/2007         9                                                              Yes         Yes
20041     MANTLE CELL LYMPH HEAD           10/1/2007         9                                                              Yes         Yes
20042     MANTLE CELL LYMPH THORAX         10/1/2007         9                                                              Yes         Yes
20043     MANTLE CELL LYMPH ABDOM          10/1/2007         9                                                              Yes         Yes
20044     MANTLE CELL LYMPH AXILLA         10/1/2007         9                                                              Yes         Yes
20045     MANTLE CELL LYMPH INGUIN         10/1/2007         9                                                              Yes         Yes
20046     MANTLE CELL LYMPH PELVIC         10/1/2007         9                                                              Yes         Yes
20047     MANTLE CELL LYMPH SPLEEN         10/1/2007         9                                                              Yes         Yes
20048     MANTLE CELL LYMPH MULTIP         10/1/2007         9                                                              Yes         Yes
20050     PRIMARY CNS LYMPH XTRNDL         10/1/2007         9                                                              Yes         Yes
20051     PRIMARY CNS LYMPH HEAD           10/1/2007         9                                                              Yes         Yes
20052     PRIMARY CNS LYMPH THORAX         10/1/2007         9                                                              Yes         Yes
20053     PRIMARY CNS LYMPH ABDOM          10/1/2007         9                                                              Yes         Yes
20054     PRIMARY CNS LYMPH AXILLA         10/1/2007         9                                                              Yes         Yes
                                                                           CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                           HCC         HCC         HCC         HCC         HCC         HCC
                                                       CMS-                Model       Model       Model       Model       Model       Model
                                                       HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
20055     PRIMARY CNS LYM INGUIN          10/1/2007         9                                                              Yes         Yes
20056     PRIMARY CNS LYMPH PELVIC        10/1/2007         9                                                              Yes         Yes
20057     PRIMARY CNS LYMPH SPLEEN        10/1/2007         9                                                              Yes         Yes
20058     PRIMARY CNS LYMPH MULTIP        10/1/2007         9                                                              Yes         Yes
20060     ANAPLASTIC LYMPH XTRNDL         10/1/2007         9                                                              Yes         Yes
20061     ANAPLASTIC LYMPH HEAD           10/1/2007         9                                                              Yes         Yes
20062     ANAPLASTIC LYMPH THORAX         10/1/2007         9                                                              Yes         Yes
20063     ANAPLASTIC LYMPH ABDOM          10/1/2007         9                                                              Yes         Yes
20064     ANAPLASTIC LYMPH AXILLA         10/1/2007         9                                                              Yes         Yes
20065     ANAPLASTIC LYMPH INGUIN         10/1/2007         9                                                              Yes         Yes
20066     ANAPLASTIC LYMPH PELVIC         10/1/2007         9                                                              Yes         Yes
20067     ANAPLASTIC LYMPH SPLEEN         10/1/2007         9                                                              Yes         Yes
20068     ANAPLASTIC LYMPH MULTIP         10/1/2007         9                                                              Yes         Yes
20070     LARGE CELL LYMPH XTRNDL         10/1/2007         9                                                              Yes         Yes
20071     LARGE CELL LYMPHOMA HEAD        10/1/2007         9                                                              Yes         Yes
20072     LARGE CELL LYMPH THORAX         10/1/2007         9                                                              Yes         Yes
20073     LARGE CELL LYMPH ABDOM          10/1/2007         9                                                              Yes         Yes
20074     LARGE CELL LYMPH AXILLA         10/1/2007         9                                                              Yes         Yes
20075     LARGE CELL LYMPH INGUIN         10/1/2007         9                                                              Yes         Yes
20076     LARGE CELL LYMPH PELVIC         10/1/2007         9                                                              Yes         Yes
20077     LARGE CELL LYMPH SPLEEN         10/1/2007         9                                                              Yes         Yes
20078     LARGE CELL LYMPH MULTIP         10/1/2007         9                                                              Yes         Yes
2008      Mixed Lymphosarcoma*              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
20080     Oth Varn Unsp Xtrndl Org          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20081     Mixed Lymphosarc Head             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20082     Mixed Lymphosarc Thorax           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20083     Mixed Lymphosarc Abdom            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20084     Mixed Lymphosarc Axilla           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20085     Mixed Lymphosarc Inguin           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20086     Mixed Lymphosarc Pelvic           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20087     Mixed Lymphosarc Spleen           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20088     Mixed Lymphosarc Mult             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
201       Hodgkin'S Disease*                1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
2010      Hodgkin'S Paragranuloma*          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
20100     Hdgk Prg Unsp Xtrndl Org          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
20101     Hodgkins Paragran Head             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20102     Hodgkins Paragran Thorax           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20103     Hodgkins Paragran Abdom            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20104     Hodgkins Paragran Axilla           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20105     Hodgkins Paragran Inguin           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20106     Hodgkins Paragran Pelvic           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20107     Hodgkins Paragran Spleen           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20108     Hodgkins Paragran Mult             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
2011      Hodgkin'S Granuloma*               1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
20110     Hdgk Grn Unsp Xtrndl Org           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20111     Hodgkins Granulom Head             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20112     Hodgkins Granulom Thorax           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20113     Hodgkins Granulom Abdom            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20114     Hodgkins Granulom Axilla           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20115     Hodgkins Granulom Inguin           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20116     Hodgkins Granulom Pelvic           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20117     Hodgkins Granulom Spleen           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20118     Hodgkins Granulom Mult             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
2012      Hodgkin'S Sarcoma*                 1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
20120     Hdgk Src Unsp Xtrndl Org           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20121     Hodgkins Sarcoma Head              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20122     Hodgkins Sarcoma Thorax            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20123     Hodgkins Sarcoma Abdom             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20124     Hodgkins Sarcoma Axilla            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20125     Hodgkins Sarcoma Inguin            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20126     Hodgkins Sarcoma Pelvic            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20127     Hodgkins Sarcoma Spleen            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20128     Hodgkins Sarcoma Mult              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
2014      Hodgkins Lymph-Histiocyt*          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
20140     Lym-Hst Unsp Xtrndl Orgn           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20141     Hodg Lymph-Histio Head             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20142     Hodg Lymph-Histio Thorax           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20143     Hodg Lymph-Histio Abdom            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20144     Hodg Lymph-Histio Axilla           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20145     Hodg Lymph-Histio Inguin           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
20146     Hodg Lymph-Histio Pelvic           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20147     Hodg Lymph-Histio Spleen           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20148     Hodg Lymph-Histio Mult             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
2015      Hodgkins Nodular Scleros*          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
20150     Ndr Sclr Unsp Xtrndl Org           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20151     Hodg Nodul Sclero Head             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20152     Hodg Nodul Sclero Thorax           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20153     Hodg Nodul Sclero Abdom            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20154     Hodg Nodul Sclero Axilla           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20155     Hodg Nodul Sclero Inguin           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20156     Hodg Nodul Sclero Pelvic           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20157     Hodg Nodul Sclero Spleen           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20158     Hodg Nodul Sclero Mult             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
2016      Hodgkins Mix Cellularity*          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
20160     Mxd Celr Unsp Xtrndl Org           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20161     Hodgkins Mix Cell Head             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20162     Hodgkins Mix Cell Thorax           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20163     Hodgkins Mix Cell Abdom            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20164     Hodgkins Mix Cell Axilla           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20165     Hodgkins Mix Cell Inguin           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20166     Hodgkins Mix Cell Pelvic           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20167     Hodgkins Mix Cell Spleen           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20168     Hodgkins Mix Cell Mult             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
2017      Hodg Lymphocytic Deplet*           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
20170     Lym Dplt Unsp Xtrndl Org           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20171     Hodg Lymph Deplet Head             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20172     Hodg Lymph Deplet Thorax           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20173     Hodg Lymph Deplet Abdom            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20174     Hodg Lymph Deplet Axilla           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20175     Hodg Lymph Deplet Inguin           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20176     Hodg Lymph Deplet Pelvic           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20177     Hodg Lymph Deplet Spleen           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20178     Hodg Lymph Deplet Mult             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
2019      Hodgkins Disease Nos*              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
20190     Hdgk Dis Unsp Xtrndl Org           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
20191     Hodgkins Dis Nos Head              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20192     Hodgkins Dis Nos Thorax            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20193     Hodgkins Dis Nos Abdom             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20194     Hodgkins Dis Nos Axilla            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20195     Hodgkins Dis Nos Inguin            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20196     Hodgkins Dis Nos Pelvic            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20197     Hodgkins Dis Nos Spleen            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20198     Hodgkins Dis Nos Mult              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
202       Oth Mal Neo Lymph/Histio*          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
2020      Nodular Lymphoma*                  1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
20200     Ndlr Lym Unsp Xtrndl Org           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20201     Nodular Lymphoma Head              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20202     Nodular Lymphoma Thorax            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20203     Nodular Lymphoma Abdom             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20204     Nodular Lymphoma Axilla            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20205     Nodular Lymphoma Inguin            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20206     Nodular Lymphoma Pelvic            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20207     Nodular Lymphoma Spleen            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20208     Nodular Lymphoma Mult              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
2021      Mycosis Fungoides*                 1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
20210     Mycs Fng Unsp Xtrndl Org           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20211     Mycosis Fungoides Head             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20212     Mycosis Fungoides Thorax           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20213     Mycosis Fungoides Abdom            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20214     Mycosis Fungoides Axilla           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20215     Mycosis Fungoides Inguin           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20216     Mycosis Fungoides Pelvic           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20217     Mycosis Fungoides Spleen           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20218     Mycosis Fungoides Mult             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
2022      Sezary'S Disease*                  1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
20220     Szry Dis Unsp Xtrndl Org           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20221     Sezary'S Disease Head              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20222     Sezary'S Disease Thorax            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20223     Sezary'S Disease Abdom             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20224     Sezary'S Disease Axilla            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
                                                                           CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                           HCC         HCC         HCC         HCC         HCC         HCC
                                                       CMS-                Model       Model       Model       Model       Model       Model
                                                       HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
20225     Sezary'S Disease Inguin           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20226     Sezary'S Disease Pelvic           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20227     Sezary'S Disease Spleen           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20228     Sezary'S Disease Mult             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
2023      Malignant Histiocytosis*          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
20230     Mlg Hist Unsp Xtrndl Org          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20231     Mal Histiocytosis Head            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20232     Mal Histiocytosis Thorax          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20233     Mal Histiocytosis Abdom           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20234     Mal Histiocytosis Axilla          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20235     Mal Histiocytosis Inguin          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20236     Mal Histiocytosis Pelvic          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20237     Mal Histiocytosis Spleen          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20238     Mal Histiocytosis Mult            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
2024      Leukem Reticuloendothel*          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
20240     Lk Rtctl Unsp Xtrndl Org          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20241     Hairy-Cell Leukem Head            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20242     Hairy-Cell Leukem Thorax          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20243     Hairy-Cell Leukem Abdom           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20244     Hairy-Cell Leukem Axilla          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20245     Hairy-Cell Leukem Inguin          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20246     Hairy-Cell Leukem Pelvic          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20247     Hairy-Cell Leukem Spleen          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20248     Hairy-Cell Leukem Mult            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
2025      Letterer-Siwe Disease*            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
20250     Ltr-Siwe Unsp Xtrndl Org          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20251     Letterer-Siwe Dis Head            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20252     Letterer-Siwe Dis Thorax          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20253     Letterer-Siwe Dis Abdom           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20254     Letterer-Siwe Dis Axilla          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20255     Letterer-Siwe Dis Inguin          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20256     Letterer-Siwe Dis Pelvic          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20257     Letterer-Siwe Dis Spleen          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20258     Letterer-Siwe Dis Mult            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
2026      Malig Mast Cell Tumors*           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
20260     Mlg Mast Unsp Xtrndl Org           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20261     Mal Mastocytosis Head              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20262     Mal Mastocytosis Thorax            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20263     Mal Mastocytosis Abdom             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20264     Mal Mastocytosis Axilla            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20265     Mal Mastocytosis Inguin            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20266     Mal Mastocytosis Pelvic            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20267     Mal Mastocytosis Spleen            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20268     Mal Mastocytosis Mult              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20270     PERIPH T CELL LYM XTRNDL         10/1/2007         9                                                              Yes         Yes
20271     PERIPH T CELL LYMPH HEAD         10/1/2007         9                                                              Yes         Yes
20272     PERIPH T CELL LYM THORAX         10/1/2007         9                                                              Yes         Yes
20273     PERIPH T CELL LYM ABDOM          10/1/2007         9                                                              Yes         Yes
20274     PERIPH T CELL LYM AXILLA         10/1/2007         9                                                              Yes         Yes
20275     PERIPH T CELL LYM INGUIN         10/1/2007         9                                                              Yes         Yes
20276     PERIPH T CELL LYM PELVIC         10/1/2007         9                                                              Yes         Yes
20277     PERIPH T CELL LYM SPLEEN         10/1/2007         9                                                              Yes         Yes
20278     PERIPH T CELL LYM MULTIP         10/1/2007         9                                                              Yes         Yes
2028      Lymphomas Nec*                     1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
20280     Oth Lymp Unsp Xtrndl Org           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20281     Lymphomas Nec Head                 1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20282     Lymphomas Nec Thorax               1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20283     Lymphomas Nec Abdom                1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20284     Lymphomas Nec Axilla               1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20285     Lymphomas Nec Inguin               1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20286     Lymphomas Nec Pelvic               1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20287     Lymphomas Nec Spleen               1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20288     Lymphomas Nec Mult                 1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
2029      Mal Neo Lym/Hist Tis Nec*          1/1/1991        9              Yes         Yes         Yes         Yes         Yes         No
20290     Unsp Lym Unsp Xtrndl Org           1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20291     Lymphoid Mal Nec Head              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20292     Lymphoid Mal Nec Thorax            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20293     Lymphoid Mal Nec Abdom             1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20294     Lymphoid Mal Nec Axilla            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20295     Lymphoid Mal Nec Inguin            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
20296     Lymphoid Mal Nec Pelvic            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20297     Lymphoid Mal Nec Spleen            1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
20298     Lymphoid Mal Nec Mult              1/1/1991        9              Yes         Yes         Yes         Yes         Yes         Yes
203       Multiple Myeloma Et Al*            1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         No
2030      Multiple Myeloma*                  1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         No
20300     Mult Myelm W/O Remission           1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
20301     Mult Myelm W Remission             1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
20302     MULT MYELOMA IN RELAPSE          10/1/2008         9         9    No          No          No          No          Yes         Yes
2031      Plasma Cell Leukemia*              1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         No
20310     Plsm Cell Leuk W/O Rmson           1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
20311     Plsm Cell Leuk W Rmson             1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
20312     PLSM CEL LEUK IN RELAPSE         10/1/2008         9         9    No          No          No          No          Yes         Yes
2038      Immunoproliferat Neo Nec*          1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         No
20380     Oth Imnprfl Npl W/O Rmsn           1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
20381     Oth Imnprfl Npl W Rmsn             1/1/1991        9         9    Yes         Yes         Yes         Yes         Yes         Yes
20382     OTH IMNPRLF NEO-RELAPSE          10/1/2008         9         9    No          No          No          No          Yes         Yes
204       Lymphoid Leukemia*                 1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         No
2040      Acute Lymphoid Leukemia*           1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         No
20400     Act Lym Leuk W/O Rmsion            1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
20401     Act Lym Leuk W Rmsion              1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
20402     ACT LYMP LEUK IN RELAPSE         10/1/2008         7         9    No          No          No          No          Yes         Yes
2041      Chr Lymphoid Leukemia*             1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         No
20410     Chr Lym Leuk W/O Rmsion            1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
20411     Chr Lym Leuk W Rmsion              1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
20412     CHR LYMP LEUK IN RELAPSE         10/1/2008         9        10    No          No          No          No          Yes         Yes
2042      Subac Lymphoid Leukemia*           1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         No
20420     Sbac Lym Leuk W/O Rmsion           1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
20421     Sbac Lym Leuk W Rmsion             1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
20422     SBAC LYM LEUK IN RELAPSE         10/1/2008         9        10    No          No          No          No          Yes         Yes
2048      Lymphoid Leukemia Nec*             1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         No
20480     Oth Lym Leuk W/O Rmsion            1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
20481     Oth Lym Leuk W Rmsion              1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
20482     OTH LYM LEUK IN RELAPSE          10/1/2008         9        10    No          No          No          No          Yes         Yes
2049      Lymphoid Leukemia Nos*             1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         No
20490     Uns Lym Leuk W/O Rmsion            1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
20491     Uns Lym Leuk W Rmsion              1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
20492     LYMP LEUK NOS RELAPSE            10/1/2008         9        10    No          No          No          No          Yes         Yes
205       Myeloid Leukemia*                  1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         No
2050      Acute Myeloid Leukemia*            1/1/1991        7         8    Yes         Yes         Yes         Yes         Yes         No
20500     Act Myl Leuk W/O Rmsion            1/1/1991        7         8    Yes         Yes         Yes         Yes         Yes         Yes
20501     Act Myl Leuk W Rmsion              1/1/1991        7         8    Yes         Yes         Yes         Yes         Yes         Yes
20502     ACT MYEL LEUK IN RELAPSE         10/1/2008         7         8    No          No          No          No          Yes         Yes
2051      Chronic Myeloid Leukemia*          1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         No
20510     Chr Myl Leuk W/O Rmsion            1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
20511     Chr Myl Leuk W Rmsion              1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
20512     CHR MYEL LEUK IN RELAPSE         10/1/2008         8         9    No          No          No          No          Yes         Yes
2052      Subacut Myeloid Leukemia*          1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         No
20520     Sbac Myl Leuk W/O Rmsion           1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
20521     Sbac Myl Leuk W Rmsion             1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
20522     SBAC MYL LEUK IN RELAPSE         10/1/2008         8         9    No          No          No          No          Yes         Yes
2053      Myeloid Sarcoma*                   1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         No
20530     Myl Srcoma W/O Rmsion              1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
20531     Myl Srcoma W Rmsion                1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
20532     MYEL SARCOMA IN RELAPSE          10/1/2008         8         9    No          No          No          No          Yes         Yes
2058      Myeloid Leukemia Nec*              1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         No
20580     Oth Myl Leuk W/O Rmsion            1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
20581     Oth Myl Leuk W Rmsion              1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
20582     OTH MYEL LEUK IN RELAPSE         10/1/2008         8         9    No          No          No          No          Yes         Yes
2059      Myeloid Leukemia Nos*              1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         No
20590     Uns Myl Leuk W/O Rmsion            1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
20591     Uns Myl Leuk W Rmsion              1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
20592     MYEL LEUK NOS IN RELAPSE         10/1/2008         8         9    No          No          No          No          Yes         Yes
206       Monocytic Leukemia*                1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         No
2060      Acute Monocytic Leukemia*          1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         No
20600     Act Mono Leuk W/O Rmsion           1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
20601     Act Mono Leuk W Rmsion             1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
20602     ACT MONO LEUK IN RELAPSE         10/1/2008         7         9    No          No          No          No          Yes         Yes
2061      Chr Monocytic Leukemia*            1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         No
20610     Chr Mono Leuk W/O Rmsion           1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
20611     Chr Mono Leuk W Rmsion             1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
20612     CHR MONO LEUK IN RELAPSE         10/1/2008         8         9    No          No          No          No          Yes         Yes
2062      Subac Monocytic Leukemia*          1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         No
20620     Sbac Mono Leuk W/O Rmson           1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
20621     Sbac Mono Leuk W Rmsion            1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
20622     SBAC MONO LEU IN RELAPSE         10/1/2008         8         9    No          No          No          No          Yes         Yes
2068      Monocytic Leukemia Nec*            1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         No
20680     Oth Mono Leuk W/O Rmsion           1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
20681     Oth Mono Leuk W Rmsion             1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
20682     OTH MONO LEUK IN RELAPSE         10/1/2008         8         9    No          No          No          No          Yes         Yes
2069      Monocytic Leukemia Nos*            1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         No
20690     Uns Mono Leuk W/O Rmsion           1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
20691     Uns Mono Leuk W Rmsion             1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
20692     MONO LEUK NOS RELAPSE            10/1/2008         8         9    No          No          No          No          Yes         Yes
207       Other Specified Leukemia*          1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         No
2070      Acute Erythremia*                  1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         No
20700     Act Erth/Erylk W/O Rmson           1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
20701     Act Erth/Erylk W Rmson             1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
20702     AC ERTH/ERYLK IN RELAPSE         10/1/2008         7         9    No          No          No          No          Yes         Yes
2071      Chronic Erythremia*                1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         No
20710     Chr Erythrm W/O Remision           1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
20711     Chr Erythrm W Remision             1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
20712     CHR ERYTHRMIA IN RELAPSE         10/1/2008         8         9    No          No          No          No          Yes         Yes
2072      Megakaryocytic Leukemia*           1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         No
20720     Mgkrycyt Leuk W/O Rmsion           1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
20721     Mgkrycyt Leuk W Rmsion             1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
20722     MGKRYCYT LEUK IN RELAPSE         10/1/2008         8         9    No          No          No          No          Yes         Yes
2078      Specified Leukemia Nec*            1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         No
20780     Oth Spf Leuk W/O Remsion           1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
20781     Oth Spf Leuk W Remsion             1/1/1991        8         9    Yes         Yes         Yes         Yes         Yes         Yes
20782     OTH SPF LEUK IN RELAPSE          10/1/2008         8         9    No          No          No          No          Yes         Yes
208       Leukemia-Unspecif Cell*            1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         No
2080      Act Leuk Uns Cl W/O Rmsn*          1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         No
20800     Act Leuk Uns Cl W/O Rmsn           1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
20801     Act Leuk Uns Cl W Rmson            1/1/1991        7         9    Yes         Yes         Yes         Yes         Yes         Yes
20802     AC LEUK UNS CL RELAPSE           10/1/2008         7         9    No          No          No          No          Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
2081      Chronic Leukemia Nos*              1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         No
20810     Chr Leuk Uns Cl W/O Rmsn           1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
20811     Chr Leuk Uns Cl W Rmson            1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
20812     CH LEU UNS CL IN RELAPSE         10/1/2008         9         9    No          No          No          No          Yes         Yes
2082      Subacute Leukemia Nos*             1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         No
20820     Sbac Leuk Uns Cl W/O Rms           1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
20821     Sbac Leuk Uns Cl W Rmson           1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
20822     SBAC LEU UNS CL-RELAPSE          10/1/2008         9        10    No          No          No          No          Yes         Yes
2088      Leukemia-Unspec Cell Nec*          1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         No
20880     Oth Leuk Uns Cl W/O Rmsn           1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
20881     Oth Leuk Uns Cl W Rmson            1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
20882     OTH LEUK UNS CL-RELAPSE          10/1/2008         9        10    No          No          No          No          Yes         Yes
2089      Leukemia-Unspec Cell Nos*          1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         No
20890     Leukemia Nos W/O Remsion           1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
20891     Leukemia Nos W Remission           1/1/1991        9        10    Yes         Yes         Yes         Yes         Yes         Yes
20892     LEUKEMIA NOS IN RELAPSE          10/1/2008         9        10    No          No          No          No          Yes         Yes
20900     MAL CRCNOID SM INTST NOS         10/1/2008        10              No          No          No          No          Yes         Yes
20901     MALIG CARCINOID DUODENUM         10/1/2008        10              No          No          No          No          Yes         Yes
20902     MALIG CARCINOID JEJUNUM          10/1/2008        10              No          No          No          No          Yes         Yes
20903     MALIG CARCINOID ILEUM            10/1/2008        10              No          No          No          No          Yes         Yes
20910     MAL CRCNOID LG INTST NOS         10/1/2008        10              No          No          No          No          Yes         Yes
20911     MALIG CARCINOID APPENDIX         10/1/2008        10              No          No          No          No          Yes         Yes
20912     MALIG CARCINOID CECUM            10/1/2008        10              No          No          No          No          Yes         Yes
20913     MAL CRCNOID ASCEND COLON         10/1/2008        10              No          No          No          No          Yes         Yes
20914     MAL CRCNOID TRANSV COLON         10/1/2008        10              No          No          No          No          Yes         Yes
20915     MAL CARCINOID DESC COLON         10/1/2008        10              No          No          No          No          Yes         Yes
20916     MAL CARCINOID SIG COLON          10/1/2008        10              No          No          No          No          Yes         Yes
20917     MALIG CARCINOID RECTUM           10/1/2008        10              No          No          No          No          Yes         Yes
20920     MAL CRCND PRIM SITE UNKN         10/1/2008        10              No          No          No          No          Yes         Yes
20921     MAL CARCINOID BRONC/LUNG         10/1/2008        10              No          No          No          No          Yes         Yes
20922     MALIG CARCINOID THYMUS           10/1/2008        10              No          No          No          No          Yes         Yes
20923     MALIG CARCINOID STOMACH          10/1/2008        10              No          No          No          No          Yes         Yes
20924     MALIG CARCINOID KIDNEY           10/1/2008        10              No          No          No          No          Yes         Yes
20925     MAL CARCNOID FOREGUT NOS         10/1/2008        10              No          No          No          No          Yes         Yes
20926     MAL CARCINOID MIDGUT NOS         10/1/2008        10              No          No          No          No          Yes         Yes
                                                                           CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                           HCC         HCC         HCC         HCC         HCC         HCC
                                                       CMS-                Model       Model       Model       Model       Model       Model
                                                       HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
20927     MAL CARCNOID HINDGUT NOS        10/1/2008        10              No          No          No          No          Yes         Yes
20929     MALIG CARCINOID OTH SITE        10/1/2008        10              No          No          No          No          Yes         Yes
20930     MALIG NEUROENDO CA NOS          10/1/2008        10              No          No          No          No          Yes         Yes
20931     Merkel cell ca-face             10/1/2009        10        10    No          No          No          No          No          No
20932     Merkel cell ca-sclp/neck        10/1/2009        10        10    No          No          No          No          No          No
20933     Merkel cell ca-up limb          10/1/2009        10        10    No          No          No          No          No          No
20934     Merkel cell ca-low limb         10/1/2009        10        10    No          No          No          No          No          No
20935     Merkel cell ca-trunk            10/1/2009        10        10    No          No          No          No          No          No
20936     Merkel cell ca-oth sites        10/1/2009        10        10    No          No          No          No          No          No
20970     Sec neuroendo tumor NOS         10/1/2009         7         9    No          No          No          No          No          No
20971     Sec neuroend tu dist lym        10/1/2009         7         9    No          No          No          No          No          No
20972     Sec neuroend tumor-liver        10/1/2009         7         9    No          No          No          No          No          No
20973     Sec neuroendo tumor-bone        10/1/2009         7         9    No          No          No          No          No          No
20974     Sec neuroendo tu-periton        10/1/2009         7         9    No          No          No          No          No          No
20975     Secondary Merkel cell ca        10/1/2009         7         9    No          No          No          No          No          No
20979     Sec neuroend tu oth site        10/1/2009         7         9    No          No          No          No          No          No
225       Benign Neo Nervous Syst*          1/1/1991       10              Yes         Yes         Yes         Yes         Yes         No
2250      Benign Neoplasm Brain             1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
2251      Benign Neo Cranial Nerve          1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
2252      Ben Neo Cerebr Meninges           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
2253      Benign Neo Spinal Cord            1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
2254      Ben Neo Spinal Meninges           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
2258      Benign Neo Nerv Sys Nec           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
2259      Benign Neo Nerv Sys Nos           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
2273      Benign Neo Pituitary              1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
2274      Ben Neopl Pineal Gland            1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
22802     Hemangioma Intracranial           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
2370      Unc Behav Neo Pituitary           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
2371      Unc Behav Neo Pineal              1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
2373      Unc Behav Neo Paragang            1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
2375      Unc Beh Neo Brain/Spinal          1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
2376      Unc Behav Neo Meninges            1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
2377      Neurofibromatosis*                1/1/1991       10              Yes         Yes         Yes         Yes         Yes         No
23770     Neurofibromatosis Nos             1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
23771     Neurofibromatosis Type I          1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
23772     Neurofibromatosis Typ Ii           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
2379      Unc Beh Neo Nerv Sys Nec           1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
2384      Polycythemia Vera                  1/1/1991                 54    No          No          No          No          No          No
2387      Lymphoproliferat Dis Nos           1/1/1991       44        51    Yes         Yes         Yes         Yes         Yes         No
23871     Essential thrombocythemia        10/1/2006                  55                                        No          No          No
23872     Low grade myelodysplastic        10/1/2006        44        51    No          No          No          Yes         Yes         Yes
23873     High grade myelodysplasti        10/1/2006        44        51    No          No          No          Yes         Yes         Yes
23874     Myelodysplastic syndrome         10/1/2006        44        51    No          No          No          Yes         Yes         Yes
23875     Myelodysplastic syndrome,        10/1/2006        44        51    No          No          No          Yes         Yes         Yes
23876     Myelofibrosis with myeloi        10/1/2006                  51    No          No          No          No          No          No
23879     Other lymphatic and hemat        10/1/2006                  51    No          No          No          No          No          No
2396      Brain Neoplasm Nos                 1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
240       Goiter, Simple/Nos*                1/1/1991                 21    No          No          No          No          No          No
2400      Simple Goiter                      1/1/1991                 21    No          No          No          No          No          No
2409      Goiter Nos                         1/1/1991                 21    No          No          No          No          No          No
241       Nontoxic Nodular Goiter*           1/1/1991                 21    No          No          No          No          No          No
2410      Nontox Uninodular Goiter           1/1/1991                 21    No          No          No          No          No          No
2411      Nontox Multinodul Goiter           1/1/1991                 21    No          No          No          No          No          No
2419      Nontox Nodul Goiter Nos            1/1/1991                 21    No          No          No          No          No          No
242       Thyrotoxicosis*                    1/1/1991                 21    No          No          No          No          No          No
2420      Toxic Diffuse Goiter*              1/1/1991                 21    No          No          No          No          No          No
24200     Tox Dif Goiter No Crisis           1/1/1991                 21    No          No          No          No          No          No
24201     Tox Dif Goiter W Crisis            1/1/1991                 21    No          No          No          No          No          No
2421      Toxic Uninodular Goiter*           1/1/1991                 21    No          No          No          No          No          No
24210     Tox Uninod Goit No Cris            1/1/1991                 21    No          No          No          No          No          No
24211     Tox Uninod Goit W Crisis           1/1/1991                 21    No          No          No          No          No          No
2422      Toxic Multinodul Goiter*           1/1/1991                 21    No          No          No          No          No          No
24220     Tox Multnod Goit No Cris           1/1/1991                 21    No          No          No          No          No          No
24221     Tox Multnod Goit W Cris            1/1/1991                 21    No          No          No          No          No          No
2423      Toxic Nodular Goiter Nos*          1/1/1991                 21    No          No          No          No          No          No
24230     Tox Nod Goiter No Crisis           1/1/1991                 21    No          No          No          No          No          No
24231     Tox Nod Goiter W Crisis            1/1/1991                 21    No          No          No          No          No          No
2424      Thyrotox D/T Ectop Nodul*          1/1/1991                 21    No          No          No          No          No          No
24240     Thyrotox-Ect Nod No Cris           1/1/1991                 21    No          No          No          No          No          No
24241     Thyrotox-Ect Nod W Cris            1/1/1991                 21    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
2428      Thyrotox Spec Origin Nec*          1/1/1991               21    No          No          No          No          No          No
24280     Thyrtox Orig Nec No Cris           1/1/1991               21    No          No          No          No          No          No
24281     Thyrotox Orig Nec W Cris           1/1/1991               21    No          No          No          No          No          No
2429      Thyrotoxicosis Nos*                1/1/1991               21    No          No          No          No          No          No
24290     Thyrotox Nos No Crisis             1/1/1991               21    No          No          No          No          No          No
24291     Thyrotox Nos W Crisis              1/1/1991               21    No          No          No          No          No          No
243       Congenital Hypothyroidsm           1/1/1991               21    No          No          No          No          No          No
244       Acquired Hypothyroidism*           1/1/1991               21    No          No          No          No          No          No
2440      Postsurgical Hypothyroid           1/1/1991               21    No          No          No          No          No          No
2441      Postablat Hypothyr Nec             1/1/1991               21    No          No          No          No          No          No
2442      Iodine Hypothyroidism              1/1/1991               21    No          No          No          No          No          No
2443      Iatrogen Hypothyroid Nec           1/1/1991               21    No          No          No          No          No          No
2448      Acquired Hypothyroid Nec           1/1/1991               21    No          No          No          No          No          No
2449      Hypothyroidism Nos                 1/1/1991               21    No          No          No          No          No          No
245       Thyroiditis*                       1/1/1991               21    No          No          No          No          No          No
2450      Acute Thyroiditis                  1/1/1991               21    No          No          No          No          No          No
2451      Subacute Thyroiditis               1/1/1991               21    No          No          No          No          No          No
2452      Chr Lymphocyt Thyroidit            1/1/1991               21    No          No          No          No          No          No
2453      Chr Fibrous Thyroiditis            1/1/1991               21    No          No          No          No          No          No
2454      Iatrogenic Thyroiditis             1/1/1991               21    No          No          No          No          No          No
2458      Chr Thyroiditis Nec/Nos            1/1/1991               21    No          No          No          No          No          No
2459      Thyroiditis Nos                    1/1/1991               21    No          No          No          No          No          No
246       Oth Disorders Of Thyroid*          1/1/1991               21    No          No          No          No          No          No
2460      Dis Thyrocalciton Secret           1/1/1991               21    No          No          No          No          No          No
2461      Dyshormonogenic Goiter             1/1/1991               21    No          No          No          No          No          No
2462      Cyst Of Thyroid                    1/1/1991               21    No          No          No          No          No          No
2463      Hemorr/Infarc Thyroid              1/1/1991               21    No          No          No          No          No          No
2468      Disorders Of Thyroid Nec           1/1/1991               21    No          No          No          No          No          No
2469      Disorder Of Thyroid Nos            1/1/1991               21    No          No          No          No          No          No
24900     SEC DM WO CMP NT ST UNCN         10/1/2008      19        18    No          No          No          No          Yes         Yes
24901     SEC DM WO COMP UNCONTRLD         10/1/2008      19        18    No          No          No          No          Yes         Yes
24910     SEC DM KETO NT ST UNCNTR         10/1/2008      17        17    No          No          No          No          Yes         Yes
24911     SEC DM KETOACD UNCNTRLD          10/1/2008      17        17    No          No          No          No          Yes         Yes
24920     SEC DM HPROS NT ST UNCNR         10/1/2008      17        17    No          No          No          No          Yes         Yes
24921     SEC DM HPROSMLR UNCNTRLD         10/1/2008      17        17    No          No          No          No          Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
24930     SEC DM OT CMA NT ST UNCN         10/1/2008        17        17    No          No          No          No          Yes         Yes
24931     SEC DM OTH COMA UNCNTRLD         10/1/2008        17        17    No          No          No          No          Yes         Yes
24940     SEC DM RENL NT ST UNCNTR         10/1/2008        15        17    No          No          No          No          Yes         Yes
24941     SEC DM RENAL UNCONTRLD           10/1/2008        15        17    No          No          No          No          Yes         Yes
24950     SEC DM OPHTH NT ST UNCN          10/1/2008        18        17    No          No          No          No          Yes         Yes
24951     SEC DM OPHTH UNCONTRLD           10/1/2008        18        17    No          No          No          No          Yes         Yes
24960     SEC DM NEURO NT ST UNCN          10/1/2008        16        17    No          No          No          No          Yes         Yes
24961     SEC DM NEURO UNCONTRLD           10/1/2008        16        17    No          No          No          No          Yes         Yes
24970     SEC DM CIRC NT ST UNCNTR         10/1/2008        15        17    No          No          No          No          Yes         Yes
24971     SEC DM CIRC UNCONTRLD            10/1/2008        15        17    No          No          No          No          Yes         Yes
24980     SEC DM OTH NT ST UNCONTR         10/1/2008        16        17    No          No          No          No          Yes         Yes
24981     SEC DM OTHER UNCONTRLD           10/1/2008        16        17    No          No          No          No          Yes         Yes
24990     SEC DM UNSP NT ST UNCON          10/1/2008        18        17    No          No          No          No          Yes         Yes
24991     SEC DM UNSP UNCONTROLD           10/1/2008        18        17    No          No          No          No          Yes         Yes
250       Diabetes Mellitus*                 1/1/1991       19        18    Yes         Yes         Yes         Yes         Yes         No
2500      Diabetes Mellitus Uncomp*          1/1/1991       19        18    Yes         Yes         Yes         Yes         Yes         No
25000     Dmii Wo Cmp Nt St Uncntr           1/1/1991       19        18    Yes         Yes         Yes         Yes         Yes         Yes
25001     Dmi Wo Cmp Nt St Uncntrl           1/1/1991       19        18    Yes         Yes         Yes         Yes         Yes         Yes
25002     Dmii Wo Cmp Uncntrld               1/1/1991       19        18    Yes         Yes         Yes         Yes         Yes         Yes
25003     Dmi Wo Cmp Uncntrld                1/1/1991       19        18    Yes         Yes         Yes         Yes         Yes         Yes
2501      Diabetes W Ketoacidosis*           1/1/1991       17        17    Yes         Yes         Yes         Yes         Yes         No
25010     Dmii Keto Nt St Uncntrld           1/1/1991       17        17    Yes         Yes         Yes         Yes         Yes         Yes
25011     Dmi Keto Nt St Uncntrld            1/1/1991       17        17    Yes         Yes         Yes         Yes         Yes         Yes
25012     Dmii Ketoacd Uncontrold            1/1/1991       17        17    Yes         Yes         Yes         Yes         Yes         Yes
25013     Dmi Ketoacd Uncontrold             1/1/1991       17        17    Yes         Yes         Yes         Yes         Yes         Yes
2502      Diab W Hyperosmolar Coma*          1/1/1991       17        17    Yes         Yes         Yes         Yes         Yes         No
25020     Dmii Hprsm Nt St Uncntrl           1/1/1991       17        17    Yes         Yes         Yes         Yes         Yes         Yes
25021     Dmi Hprsm Nt St Uncntrld           1/1/1991       17        17    Yes         Yes         Yes         Yes         Yes         Yes
25022     Dmii Hprosmlr Uncontrold           1/1/1991       17        17    Yes         Yes         Yes         Yes         Yes         Yes
25023     Dmi Hprosmlr Uncontrold            1/1/1991       17        17    Yes         Yes         Yes         Yes         Yes         Yes
2503      Diabetes With Coma Nec*            1/1/1991       17        17    Yes         Yes         Yes         Yes         Yes         No
25030     Dmii O Cm Nt St Uncntrld           1/1/1991       17        17    Yes         Yes         Yes         Yes         Yes         Yes
25031     Dmi O Cm Nt St Uncntrld            1/1/1991       17        17    Yes         Yes         Yes         Yes         Yes         Yes
25032     Dmii Oth Coma Uncontrold           1/1/1991       17        17    Yes         Yes         Yes         Yes         Yes         Yes
25033     Dmi Oth Coma Uncontrold            1/1/1991       17        17    Yes         Yes         Yes         Yes         Yes         Yes
                                                                           CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                           HCC         HCC         HCC         HCC         HCC         HCC
                                                       CMS-                Model       Model       Model       Model       Model       Model
                                                       HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
2504      Diab W Renal Manifest*            1/1/1991       15        17    Yes         Yes         Yes         Yes         Yes         No
25040     Dmii Renl Nt St Uncntrld          1/1/1991       15        17    Yes         Yes         Yes         Yes         Yes         Yes
25041     Dmi Renl Nt St Uncntrld           1/1/1991       15        17    Yes         Yes         Yes         Yes         Yes         Yes
25042     Dmii Renal Uncntrld               1/1/1991       15        17    Yes         Yes         Yes         Yes         Yes         Yes
25043     Dmi Renal Uncntrld                1/1/1991       15        17    Yes         Yes         Yes         Yes         Yes         Yes
2505      Diab W Ophthalmic Manif*          1/1/1991       18        17    Yes         Yes         Yes         Yes         Yes         No
25050     Dmii Ophth Nt St Uncntrl          1/1/1991       18        17    Yes         Yes         Yes         Yes         Yes         Yes
25051     Dmi Ophth Nt St Uncntrld          1/1/1991       18        17    Yes         Yes         Yes         Yes         Yes         Yes
25052     Dmii Ophth Uncntrld               1/1/1991       18        17    Yes         Yes         Yes         Yes         Yes         Yes
25053     Dmi Ophth Uncntrld                1/1/1991       18        17    Yes         Yes         Yes         Yes         Yes         Yes
2506      Diab W Neurologic Manif*          1/1/1991       16        17    Yes         Yes         Yes         Yes         Yes         No
25060     Dmii Neuro Nt St Uncntrl          1/1/1991       16        17    Yes         Yes         Yes         Yes         Yes         Yes
25061     Dmi Neuro Nt St Uncntrld          1/1/1991       16        17    Yes         Yes         Yes         Yes         Yes         Yes
25062     Dmii Neuro Uncntrld               1/1/1991       16        17    Yes         Yes         Yes         Yes         Yes         Yes
25063     Dmi Neuro Uncntrld                1/1/1991       16        17    Yes         Yes         Yes         Yes         Yes         Yes
2507      Diabetes W Circulat Dis*          1/1/1991       15        17    Yes         Yes         Yes         Yes         Yes         No
25070     Dmii Circ Nt St Uncntrld          1/1/1991       15        17    Yes         Yes         Yes         Yes         Yes         Yes
25071     Dmi Circ Nt St Uncntrld           1/1/1991       15        17    Yes         Yes         Yes         Yes         Yes         Yes
25072     Dmii Circ Uncntrld                1/1/1991       15        17    Yes         Yes         Yes         Yes         Yes         Yes
25073     Dmi Circ Uncntrld                 1/1/1991       15        17    Yes         Yes         Yes         Yes         Yes         Yes
2508      Diabetes W Manifest Nec*          1/1/1991       16        17    Yes         Yes         Yes         Yes         Yes         No
25080     Dmii Oth Nt St Uncntrld           1/1/1991       16        17    Yes         Yes         Yes         Yes         Yes         Yes
25081     Dmi Oth Nt St Uncntrld            1/1/1991       16        17    Yes         Yes         Yes         Yes         Yes         Yes
25082     Dmii Oth Uncntrld                 1/1/1991       16        17    Yes         Yes         Yes         Yes         Yes         Yes
25083     Dmi Oth Uncntrld                  1/1/1991       16        17    Yes         Yes         Yes         Yes         Yes         Yes
2509      Diabetes W Complic Nos*           1/1/1991       18        17    Yes         Yes         Yes         Yes         Yes         No
25090     Dmii Unspf Nt St Uncntrl          1/1/1991       18        17    Yes         Yes         Yes         Yes         Yes         Yes
25091     Dmi Unspf Nt St Uncntrld          1/1/1991       18        17    Yes         Yes         Yes         Yes         Yes         Yes
25092     Dmii Unspf Uncntrld               1/1/1991       18        17    Yes         Yes         Yes         Yes         Yes         Yes
25093     Dmi Unspf Uncntrld                1/1/1991       18        17    Yes         Yes         Yes         Yes         Yes         Yes
2510      Hypoglycemic Coma                 1/1/1991                 20    No          No          No          No          No          No
2514      Abn Secretion Glucagon            1/1/1991       32        31    Yes         Yes         Yes         Yes         Yes         Yes
2515      Abnorm Secretion Gastrin          1/1/1991       32        31    Yes         Yes         Yes         Yes         Yes         Yes
2518      Pancreatic Disorder Nec           1/1/1991       32        31    Yes         Yes         Yes         Yes         Yes         Yes
2519      Pancreatic Disorder Nos           1/1/1991       32        31    Yes         Yes         Yes         Yes         Yes         Yes
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
252       Parathyroid Disorder*              1/1/1991               20    No          No          No          No          No          No
2520      Hyperparathyroidism                1/1/1991               20    No          No          No          No          No          No
25200     Hyperparathyroidism Nos          10/1/2004                20    No          No          No          No          No          No
25201     Primary Hyperparathyroid         10/1/2004                20    No          No          No          No          No          No
25202     Sec Hyprprthyrd Nonrenal         10/1/2004                20    No          No          No          No          No          No
25208     Hyperparathyroidism Nec          10/1/2004                20    No          No          No          No          No          No
2521      Hypoparathyroidism                 1/1/1991               20    No          No          No          No          No          No
2528      Parathyroid Disorder Nec           1/1/1991               20    No          No          No          No          No          No
2529      Parathyroid Disorder Nos           1/1/1991               20    No          No          No          No          No          No
253       Pituitary/Hypothalm Dis*           1/1/1991               20    No          No          No          No          No          No
2530      Acromegaly And Gigantism           1/1/1991               20    No          No          No          No          No          No
2531      Ant Pituit Hyperfunc Nec           1/1/1991               20    No          No          No          No          No          No
2532      Panhypopituitarism                 1/1/1991               20    No          No          No          No          No          No
2533      Pituitary Dwarfism                 1/1/1991               20    No          No          No          No          No          No
2534      Anter Pituitary Dis Nec            1/1/1991               20    No          No          No          No          No          No
2535      Diabetes Insipidus                 1/1/1991               20    No          No          No          No          No          No
2536      Neurohypophysis Dis Nec            1/1/1991               20    No          No          No          No          No          No
2537      Iatrogenic Pituitary Dis           1/1/1991               20    No          No          No          No          No          No
2538      Pituitary Disorder Nec             1/1/1991               20    No          No          No          No          No          No
2539      Pituitary Disorder Nos             1/1/1991               20    No          No          No          No          No          No
254       Diseases Of Thymus Gland*          1/1/1991               20    No          No          No          No          No          No
2540      Persist Hyperplas Thymus           1/1/1991               20    No          No          No          No          No          No
2541      Abscess Of Thymus                  1/1/1991               20    No          No          No          No          No          No
2548      Diseases Of Thymus Nec             1/1/1991               20    No          No          No          No          No          No
2549      Disease Of Thymus Nos              1/1/1991               20    No          No          No          No          No          No
255       Adrenal Gland Disorders*           1/1/1991               20    No          No          No          No          No          No
2550      Cushing'S Syndrome                 1/1/1991               20    No          No          No          No          No          No
2551      Hyperaldosteronism                 1/1/1991               20    No          No          No          No          No          No
25510     Primary Aldosteronism            10/1/2003                20    No          No          No          No          No          No
25511     Glucrtcod-Rem Aldsternsm         10/1/2003                20    No          No          No          No          No          No
25512     Conn'S Syndrome                  10/1/2003                20    No          No          No          No          No          No
25513     Bartter'S Syndrome               10/1/2003                20    No          No          No          No          No          No
25514     Secondry Aldosternsm Nec         10/1/2003                20    No          No          No          No          No          No
2552      Adrenogenital Disorders            1/1/1991               20    No          No          No          No          No          No
2553      Corticoadren Overact Nec           1/1/1991               20    No          No          No          No          No          No
                                                                         CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                         HCC         HCC         HCC         HCC         HCC         HCC
                                                     CMS-                Model       Model       Model       Model       Model       Model
                                                     HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
2554      Corticoadrenal Insuffic           1/1/1991               20    No          No          No          No          No          No
25541     GLUCOCORTICOID DEFICIENT        10/1/2007                20                                                    No          No
25542     MINERALCORTICOID DEFCNT         10/1/2007                20                                                    No          No
2555      Adrenal Hypofunction Nec          1/1/1991               20    No          No          No          No          No          No
2556      Medulloadrenal Hyperfunc          1/1/1991               20    No          No          No          No          No          No
2558      Adrenal Disorder Nec              1/1/1991               20    No          No          No          No          No          No
2559      Adrenal Disorder Nos              1/1/1991               20    No          No          No          No          No          No
256       Ovarian Dysfunction*              1/1/1991               21    No          No          No          No          No          No
2560      Hyperestrogenism                  1/1/1991               21    No          No          No          No          No          No
2561      Ovarian Hyperfunc Nec             1/1/1991               21    No          No          No          No          No          No
2562      Postablativ Ovarian Fail          1/1/1991               21    No          No          No          No          No          No
2563      Ovarian Failure Nec*              1/1/1991               21    No          No          No          No          No          No
25631     Premature Menopause             10/1/2002                21    No          No          No          No          No          No
25639     Ovarian Failure Nec             10/1/2002                21    No          No          No          No          No          No
2564      Polycystic Ovaries                1/1/1991               21    No          No          No          No          No          No
2568      Ovarian Dysfunction Nec           1/1/1991               21    No          No          No          No          No          No
2569      Ovarian Dysfunction Nos           1/1/1991               21    No          No          No          No          No          No
257       Testicular Dysfunction*           1/1/1991               20    No          No          No          No          No          No
2570      Testicular Hyperfunction          1/1/1991               20    No          No          No          No          No          No
2571      Postablat Testic Hypofun          1/1/1991               20    No          No          No          No          No          No
2572      Testicular Hypofunc Nec           1/1/1991               20    No          No          No          No          No          No
2578      Testicular Dysfunct Nec           1/1/1991               20    No          No          No          No          No          No
2579      Testicular Dysfunct Nos           1/1/1991               20    No          No          No          No          No          No
258       Polyglandular Dysfunct*           1/1/1991               20    No          No          No          No          No          No
2580      Wermer'S Syndrome                 1/1/1991               20    No          No          No          No          No          No
25801     MULT ENDO NEOPLAS TYPE I        10/1/2007                20                                                    No          No
25802     MULT ENDO NEOP TYPE IIA         10/1/2007                20                                                    No          No
25803     MULT ENDO NEOP TYPE IIB         10/1/2007                20                                                    No          No
2581      Comb Endocr Dysfunct Nec          1/1/1991               20    No          No          No          No          No          No
2588      Polyglandul Dysfunc Nec           1/1/1991               20    No          No          No          No          No          No
2589      Polyglandul Dysfunc Nos           1/1/1991               20    No          No          No          No          No          No
2592      Carcinoid Syndrome                1/1/1991     10        10    Yes         Yes         Yes         Yes         Yes         Yes
260       Kwashiorkor                       1/1/1991     21              Yes         Yes         Yes         Yes         Yes         Yes
261       Nutritional Marasmus              1/1/1991     21              Yes         Yes         Yes         Yes         Yes         Yes
262       Oth Severe Malnutrition           1/1/1991     21              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
263       Prot-Cal Malnutr Nec/Nos*          1/1/1991       21              Yes         Yes         Yes         Yes         Yes         No
2630      Malnutrition Mod Degree            1/1/1991       21              Yes         Yes         Yes         Yes         Yes         Yes
2631      Malnutrition Mild Degree           1/1/1991       21              Yes         Yes         Yes         Yes         Yes         Yes
2632      Arrest Devel D/T Malnutr           1/1/1991       21              Yes         Yes         Yes         Yes         Yes         Yes
2638      Protein-Cal Malnutr Nec            1/1/1991       21              Yes         Yes         Yes         Yes         Yes         Yes
2639      Protein-Cal Malnutr Nos            1/1/1991       21              Yes         Yes         Yes         Yes         Yes         Yes
270       Dis Amin-Acid Metabolism*          1/1/1991                 20    No          No          No          No          No          No
2700      Amino-Acid Transport Dis           1/1/1991                 20    No          No          No          No          No          No
2701      Phenylketonuria - Pku              1/1/1991                 20    No          No          No          No          No          No
2702      Arom Amin-Acid Metab Nec           1/1/1991                 20    No          No          No          No          No          No
2703      Bran-Chain Amin-Acid Dis           1/1/1991                 20    No          No          No          No          No          No
2704      Sulph Amino-Acid Met Dis           1/1/1991                 20    No          No          No          No          No          No
2705      Dis Histidine Metabolism           1/1/1991                 20    No          No          No          No          No          No
2706      Dis Urea Cycle Metabol             1/1/1991                 20    No          No          No          No          No          No
2707      Straig Amin-Acid Met Nec           1/1/1991                 20    No          No          No          No          No          No
2708      Dis Amino-Acid Metab Nec           1/1/1991                 20    No          No          No          No          No          No
2709      Dis Amino-Acid Metab Nos           1/1/1991                 20    No          No          No          No          No          No
2710      Glycogenosis                       1/1/1991                 20    No          No          No          No          No          No
2711      Galactosemia                       1/1/1991                 20    No          No          No          No          No          No
2714      Renal Glycosuria                   1/1/1991                 20    No          No          No          No          No          No
2718      Dis Carbohydr Metab Nec            1/1/1991                 20    No          No          No          No          No          No
2719      Dis Carbohydr Metab Nos            1/1/1991                 20    No          No          No          No          No          No
272       Dis Of Lipoid Metabolism*          1/1/1991                 19    No          No          No          No          No          No
2720      Pure Hypercholesterolem            1/1/1991                 19    No          No          No          No          No          No
2721      Pure Hyperglyceridemia             1/1/1991                 19    No          No          No          No          No          No
2722      Mixed Hyperlipidemia               1/1/1991                 19    No          No          No          No          No          No
2723      Hyperchylomicronemia               1/1/1991                 19    No          No          No          No          No          No
2724      Hyperlipidemia Nec/Nos             1/1/1991                 19    No          No          No          No          No          No
2725      Lipoprotein Deficiencies           1/1/1991                 19    No          No          No          No          No          No
2726      Lipodystrophy                      1/1/1991                 19    No          No          No          No          No          No
2727      Lipidoses                          1/1/1991                 20    No          No          No          No          No          No
2728      Lipoid Metabol Dis Nec             1/1/1991                 19    No          No          No          No          No          No
2729      Lipoid Metabol Dis Nos             1/1/1991                 19    No          No          No          No          No          No
2732      Paraproteinemia Nec                1/1/1991                 20    No          No          No          No          No          No
2733      Macroglobulinemia                  1/1/1991                 20    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
2734      Alpha-1-Antitrypsin Def          10/1/2004                20    No          No          No          No          No          No
274       Gout*                              1/1/1991               48    No          No          No          No          No          No
2740      Gouty Arthropathy                  1/1/1991               48    No          No          No          No          No          No
27400     Gouty arthropathy NOS            10/1/2009      43        48    No          No          No          No          No          No
27401     Acute gouty arthropathy          10/1/2009      43        48    No          No          No          No          No          No
27402     Chr gouty atrph wo tophi         10/1/2009      43        48    No          No          No          No          No          No
27403     Chr gouty atroph w tophi         10/1/2009      43        48    No          No          No          No          No          No
2741      Gouty Nephropathy*                 1/1/1991               48    No          No          No          No          No          No
27410     Gouty Nephropathy Nos              1/1/1991               48    No          No          No          No          No          No
27411     Uric Acid Nephrolithias            1/1/1991               48    No          No          No          No          No          No
27419     Gouty Nephropathy Nec              1/1/1991               48    No          No          No          No          No          No
2748      Gout W Oth Manifestation*          1/1/1991               48    No          No          No          No          No          No
27481     Gouty Tophi Of Ear                 1/1/1991               48    No          No          No          No          No          No
27482     Gouty Tophi Site Nec               1/1/1991               48    No          No          No          No          No          No
27489     Gout W Manifestation Nec           1/1/1991               48    No          No          No          No          No          No
2749      Gout Nos                           1/1/1991               48    No          No          No          No          No          No
275       Dis Mineral Metabolism*            1/1/1991               21    No          No          No          No          No          No
2750      Dis Iron Metabolism                1/1/1991               20    No          No          No          No          No          No
2751      Dis Copper Metabolism              1/1/1991               20    No          No          No          No          No          No
2752      Dis Magnesium Metabolism           1/1/1991               21    No          No          No          No          No          No
2753      Dis Phosphorus Metabol             1/1/1991               20    No          No          No          No          No          No
2754      Dis Calcium Metabolism*            1/1/1991               21    No          No          No          No          No          No
27540     Dis Calcium Metablsm Nos         10/1/1998                21    No          No          No          No          No          No
27541     Hypocalcemia                     10/1/1998                21    No          No          No          No          No          No
27542     Hypercalcemia                    10/1/1998                21    No          No          No          No          No          No
27549     Dis Calcium Metablsm Nec         10/1/1998                21    No          No          No          No          No          No
2755      HUNGRY BONE SYNDROME             10/1/2008                21    No          No          No          No          No          No
2758      Dis Mineral Metabol Nec            1/1/1991               21    No          No          No          No          No          No
2759      Dis Mineral Metabol Nos            1/1/1991               21    No          No          No          No          No          No
276       Fluid/Electrolyte Dis*             1/1/1991               21    No          No          No          No          No          No
2760      Hyperosmolality                    1/1/1991               21    No          No          No          No          No          No
2761      Hyposmolality                      1/1/1991               21    No          No          No          No          No          No
2762      Acidosis                           1/1/1991               21    No          No          No          No          No          No
2763      Alkalosis                          1/1/1991               21    No          No          No          No          No          No
2764      Mixed Acid-Base Bal Dis            1/1/1991               21    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
2765      Hypovolemia                        1/1/1991               21    No          No          No          No          No          No
27650     Volume Depletion NOS             10/1/2005                21    No          No          No          No          No          No
27651     Dehydration                      10/1/2005                21    No          No          No          No          No          No
27652     Hypovolemia                      10/1/2005                21    No          No          No          No          No          No
2766      Fluid Overload                     1/1/1991               21    No          No          No          No          No          No
2767      Hyperpotassemia                    1/1/1991               21    No          No          No          No          No          No
2768      Hypopotassemia                     1/1/1991               21    No          No          No          No          No          No
2769      Electrolyt/Fluid Dis Nec           1/1/1991               21    No          No          No          No          No          No
2770      Cystic Fibrosis*                   1/1/1991    107       108    Yes         Yes         Yes         Yes         Yes         No
27700     Cystic Fibros W/O Ileus            1/1/1991    107       108    Yes         Yes         Yes         Yes         Yes         Yes
27701     Cystic Fibrosis W Ileus            1/1/1991    107       108    Yes         Yes         Yes         Yes         Yes         Yes
27702     Cystic Fibros W Pul Man          10/1/2002     107       108    Yes         Yes         Yes         Yes         Yes         Yes
27703     Cystic Fibrosis W Gi Man         10/1/2002     107       108    Yes         Yes         Yes         Yes         Yes         Yes
27709     Cystic Fibrosis Nec              10/1/2002     107       108    Yes         Yes         Yes         Yes         Yes         Yes
2771      Dis Porphyrin Metabolism           1/1/1991               20    No          No          No          No          No          No
2772      Purine/Pyrimid Dis Nec             1/1/1991               20    No          No          No          No          No          No
2773      Amyloidosis                        1/1/1991               20    No          No          No          No          No          No
27730     Amyloidosis, unspecified         10/1/2006                20    No          No          No          No          No          No
27731     Familial Mediterranean fe        10/1/2006                20    No          No          No          No          No          No
27739     Other amyloidosis                10/1/2006                20    No          No          No          No          No          No
2775      Mucopolysaccharidosis              1/1/1991               20    No          No          No          No          No          No
2776      Defic Circul Enzyme Nec            1/1/1991               20    No          No          No          No          No          No
2777      Dysmetabolic Syndrome X          10/1/2002                20    No          No          No          No          No          No
2778      Metabolism Disorder Nec            1/1/1991               20    No          No          No          No          No          No
27781     Primary Carnitine Defncy         10/1/2003                20    No          No          No          No          No          No
27782     Crnitne Def D/T Nb Met           10/1/2003                20    No          No          No          No          No          No
27783     Iatrogenic Carnitine Def         10/1/2003                20    No          No          No          No          No          No
27784     Sec Carnitine Defncy Nec         10/1/2003                20    No          No          No          No          No          No
27785     Disorders Acid Oxidation         10/1/2004                20    No          No          No          No          No          No
27786     Peroxisomal Disorders            10/1/2004                20    No          No          No          No          No          No
27787     Dis Mitochondrial Metab          10/1/2004                20    No          No          No          No          No          No
27788     Tumor lysis syndrome             10/1/2009      23        21    No          No          No          No          No          No
27789     Metabolism Disorder Nec          10/1/2003                20    No          No          No          No          No          No
279       Dis Immune Mechanism*              1/1/1991     45        52    Yes         Yes         Yes         Yes         Yes         No
2790      Defic Humoral Immunity*            1/1/1991     45        52    Yes         Yes         Yes         Yes         Yes         No
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
27900     Hypogammaglobulinem Nos            1/1/1991       45        52    Yes         Yes         Yes         Yes         Yes         Yes
27901     Selective Iga Immunodef            1/1/1991       45        52    Yes         Yes         Yes         Yes         Yes         Yes
27902     Selective Igm Immunodef            1/1/1991       45        52    Yes         Yes         Yes         Yes         Yes         Yes
27903     Selective Ig Defic Nec             1/1/1991       45        52    Yes         Yes         Yes         Yes         Yes         Yes
27904     Cong Hypogammaglobulinem           1/1/1991       45        52    Yes         Yes         Yes         Yes         Yes         Yes
27905     Immunodefic W Hyper-Igm            1/1/1991       45        52    Yes         Yes         Yes         Yes         Yes         Yes
27906     Common Variabl Immunodef           1/1/1991       45        52    Yes         Yes         Yes         Yes         Yes         Yes
27909     Humoral Immunity Def Nec           1/1/1991       45        52    Yes         Yes         Yes         Yes         Yes         Yes
2791      Defic Cellular Immunity*           1/1/1991       45        52    Yes         Yes         Yes         Yes         Yes         No
27910     Immundef T-Cell Def Nos            1/1/1991       45        52    Yes         Yes         Yes         Yes         Yes         Yes
27911     Digeorge'S Syndrome                1/1/1991       45        52    Yes         Yes         Yes         Yes         Yes         Yes
27912     Wiskott-Aldrich Syndrome           1/1/1991       45        52    Yes         Yes         Yes         Yes         Yes         Yes
27913     Nezelof'S Syndrome                 1/1/1991       45        52    Yes         Yes         Yes         Yes         Yes         Yes
27919     Defic Cell Immunity Nos            1/1/1991       45        52    Yes         Yes         Yes         Yes         Yes         Yes
2792      Combined Immunity Defic            1/1/1991       45        52    Yes         Yes         Yes         Yes         Yes         Yes
2793      Immunity Deficiency Nos            1/1/1991       45        52    Yes         Yes         Yes         Yes         Yes         Yes
2794      Autoimmune Disease Nec             1/1/1991       45        52    Yes         Yes         Yes         Yes         Yes         Yes
27941     Autoimmun lymphprof synd         10/1/2009        45        52    No          No          No          No          No          No
27949     Autoimmune disease NEC           10/1/2009        45        52    No          No          No          No          No          No
27950     GRAFT-VERSUS-HOST NOS            10/1/2008        45        52    No          No          No          No          Yes         Yes
27951     AC GRAFT-VERSUS-HOST DIS         10/1/2008        45        52    No          No          No          No          Yes         Yes
27952     CHRONC GRAFT-VS-HOST DIS         10/1/2008        45        52    No          No          No          No          Yes         Yes
27953     AC ON CHRN GRFT-VS-HOST          10/1/2008        45        52    No          No          No          No          Yes         Yes
2798      Immune Mechanism Dis Nec           1/1/1991       45        52    Yes         Yes         Yes         Yes         Yes         Yes
2799      Immune Mechanism Dis Nos           1/1/1991       45        52    Yes         Yes         Yes         Yes         Yes         Yes
282       Heredit Hemolytic Anemia*          1/1/1991                 55    No          No          No          No          No          No
2820      Hereditary Spherocytosis           1/1/1991                 55    No          No          No          No          No          No
2821      Heredit Elliptocytosis             1/1/1991                 55    No          No          No          No          No          No
2822      Glutathione Dis Anemia             1/1/1991                 55    No          No          No          No          No          No
2823      Enzyme Defic Anemia Nec            1/1/1991                 55    No          No          No          No          No          No
2824      Thalassemias                       1/1/1991                 55    No          No          No          No          No          No
28241     Thlasema Hb-S W/O Crisis         10/1/2003        44        51    Yes         Yes         Yes         Yes         Yes         Yes
28242     Thlassemia Hb-S W Crisis         10/1/2003        44        51    Yes         Yes         Yes         Yes         Yes         Yes
28249     Thalassemia Nec                  10/1/2003                  55    No          No          No          No          No          No
2825      Sickle-Cell Trait                  1/1/1991                 55    No          No          No          No          No          No
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
2826      Sickle-Cell Anemia*                1/1/1991       44        51    Yes         Yes         Yes         Yes         Yes         No
28260     Sickle Cell Disease Nos            1/1/1991       44        51    Yes         Yes         Yes         Yes         Yes         Yes
28261     Hb-Ss Disease W/O Crisis           1/1/1991       44        51    Yes         Yes         Yes         Yes         Yes         Yes
28262     Hb-Ss Disease W Crisis             1/1/1991       44        51    Yes         Yes         Yes         Yes         Yes         Yes
28263     Hb-Ss/Hb-C Dis W/O Crsis           1/1/1991       44        51    Yes         Yes         Yes         Yes         Yes         Yes
28264     Hb-S/Hb-C Dis W Crisis           10/1/2003        44        51    Yes         Yes         Yes         Yes         Yes         Yes
28268     Hb-S Dis W/O Crisis Nec          10/1/2003        44        51    Yes         Yes         Yes         Yes         Yes         Yes
28269     Hb-Ss Dis Nec W Crisis             1/1/1991       44        51    Yes         Yes         Yes         Yes         Yes         Yes
2827      Hemoglobinopathies Nec             1/1/1991                 55    No          No          No          No          No          No
2828      Hered Hemolytic Anem Nec           1/1/1991                 55    No          No          No          No          No          No
2829      Hered Hemolytic Anem Nos           1/1/1991                 55    No          No          No          No          No          No
283       Acq Hemolytic Anemia*              1/1/1991       44        51    Yes         Yes         Yes         Yes         Yes         No
2830      Autoimmun Hemolytic Anem           1/1/1991       44        51    Yes         Yes         Yes         Yes         Yes         Yes
2831      Nonautoimmu Hemolyt Anem*          1/1/1991       44        51    Yes         Yes         Yes         Yes         Yes         No
28310     Nonauto Hem Anemia Nos             1/1/1991       44        51    Yes         Yes         Yes         Yes         Yes         Yes
28311     Hemolytic Uremic Synd              1/1/1991       44        51    Yes         Yes         Yes         Yes         Yes         Yes
28319     Oth Nonauto Hem Anemia             1/1/1991       44        51    Yes         Yes         Yes         Yes         Yes         Yes
2832      Hemolytic Hemoglobinuria           1/1/1991       44        51    Yes         Yes         Yes         Yes         Yes         Yes
2839      Acq Hemolytic Anemia Nos           1/1/1991       44        51    Yes         Yes         Yes         Yes         Yes         Yes
284       Aplastic Anemia*                   1/1/1991       44        51    Yes         Yes         Yes         Yes         Yes         No
2840      Congen Aplastic Anemia             1/1/1991       44        51    Yes         Yes         Yes         Yes         Yes         No
28401     Constitutional red blood         10/1/2006        44        51    No          No          No          Yes         Yes         Yes
28409     Other constitutional apla        10/1/2006        44        51    No          No          No          Yes         Yes         Yes
2841      Pancytopenia                     10/1/2006        44        51    No          No          No          Yes         Yes         Yes
2842      Myelophthisis                    10/1/2006        44        51    No          No          No          Yes         Yes         Yes
2848      Aplastic Anemias Nec               1/1/1991       44        51    Yes         Yes         Yes         Yes         Yes         No
28481     RED CELL APLASIA                 10/1/2007        44        51                                                    Yes         Yes
28489     APLASTIC ANEMIAS NEC             10/1/2007        44        51                                                    Yes         Yes
2849      Aplastic Anemia Nos                1/1/1991       44        51    Yes         Yes         Yes         Yes         Yes         Yes
2850      Sideroblastic Anemia               1/1/1991                 55    No          No          No          No          No          No
286       Coagulation Defects*               1/1/1991                 55    No          No          No          No          No          No
2860      Cong Factor Viii Diord             1/1/1991       44        51    Yes         Yes         Yes         Yes         Yes         Yes
2861      Cong Factor Ix Disorder            1/1/1991       44        51    Yes         Yes         Yes         Yes         Yes         Yes
2862      Cong Factor Xi Disorder            1/1/1991                 55    No          No          No          No          No          No
2863      Cong Def Clot Factor Nec           1/1/1991                 55    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
2864      Von Willebrand'S Disease           1/1/1991               55    No          No          No          No          No          No
2865      Intr Circul Anticoag Dis           1/1/1991               55    No          No          No          No          No          No
2866      Defibrination Syndrome             1/1/1991               55    No          No          No          No          No          No
2867      Acq Coagul Factor Defic            1/1/1991               55    No          No          No          No          No          No
2869      Coagulat Defect Nec/Nos            1/1/1991               55    No          No          No          No          No          No
287       Purpura & Oth Hemor Cond*          1/1/1991               55    No          No          No          No          No          No
2870      Allergic Purpura                   1/1/1991               55    No          No          No          No          No          No
2871      Thrombocytopathy                   1/1/1991               55    No          No          No          No          No          No
2872      Purpura Nos                        1/1/1991               55    No          No          No          No          No          No
2873      Primary Thrombocytopenia           1/1/1991               55    No          No          No          No          No          No
28730     Prim Thrombocytopen Nos          10/1/2005                55    No          No          No          No          No          No
28731     Immune Thrombocyt Purpra         10/1/2005                55    No          No          No          No          No          No
28732     Evans' Syndrome                  10/1/2005                55    No          No          No          No          No          No
28733     Cong/Herid Thromb Purpra         10/1/2005                55    No          No          No          No          No          No
28739     Prim Thrombocytopen Nec          10/1/2005                55    No          No          No          No          No          No
2874      Second Thrombocytopenia            1/1/1991               55    No          No          No          No          No          No
2875      Thrombocytopenia Nos               1/1/1991               55    No          No          No          No          No          No
2878      Hemorrhagic Cond Nec               1/1/1991               55    No          No          No          No          No          No
2879      Hemorrhagic Cond Nos               1/1/1991               55    No          No          No          No          No          No
2880      Agranulocytosis                    1/1/1991     45              Yes         Yes         Yes         Yes         Yes         No
28800     Neutropenia, unspecified         10/1/2006      45        51    No          No          No          Yes         Yes         Yes
28801     Congenital neutropenia           10/1/2006      45        51    No          No          No          Yes         Yes         Yes
28802     Cyclic neutropenia               10/1/2006      45        51    No          No          No          Yes         Yes         Yes
28803     Drug induced neutropenia         10/1/2006      45        51    No          No          No          Yes         Yes         Yes
28804     Neutropenia due to infect        10/1/2006      45        51    No          No          No          Yes         Yes         Yes
28809     Other neutropenia                10/1/2006      45        51    No          No          No          Yes         Yes         Yes
2881      Function Dis Neutrophils           1/1/1991     45              Yes         Yes         Yes         Yes         Yes         Yes
2882      Genetic Anomaly Leukocyt           1/1/1991     45              Yes         Yes         Yes         Yes         Yes         Yes
2884      Hemophagocytic syndromes         10/1/2006      45        51    No          No          No          Yes         Yes         Yes
28850     Leukocytopenia, unspecifi        10/1/2006                51    No          No          No          No          No          No
28851     Lymphocytopenia                  10/1/2006                51    No          No          No          No          No          No
28859     Other decreased white blo        10/1/2006                51    No          No          No          No          No          No
28860     Leukocytosis, unspecified        10/1/2006                51    No          No          No          No          No          No
28861     Lymphocytosis (symptomati        10/1/2006                51    No          No          No          No          No          No
28862     Leukemoid reaction               10/1/2006                51    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
28863     Monocytosis (symptomatic)        10/1/2006                51    No          No          No          No          No          No
28864     Plasmacytosis                    10/1/2006                51    No          No          No          No          No          No
28865     Basophilia                       10/1/2006                51    No          No          No          No          No          No
28869     Other elevated white bloo        10/1/2006                51    No          No          No          No          No          No
28952     Splenic Sequestration            10/1/2003      44        51    Yes         Yes         Yes         Yes         Yes         Yes
28953     Neutropenic splenomegaly         10/1/2006                51    No          No          No          No          No          No
2898      Blood Diseases Nec                 1/1/1991               55    No          No          No          No          No          No
28981     Prim Hypercoagulable St          10/1/2003                55    No          No          No          No          No          No
28982     Sec Hypercoagulable St           10/1/2003                55    No          No          No          No          No          No
28983     Myelofibrosis                    10/1/2006                51    No          No          No          No          No          No
28989     Blood Diseases Nec               10/1/2003                55    No          No          No          No          No          No
290       Senile/Presenile Psychos*          1/1/1991               60    No          No          No          No          No          No
2900      Senile Dementia Uncomp             1/1/1991               60    No          No          No          No          No          No
2901      Presenile Dementia*                1/1/1991               60    No          No          No          No          No          No
29010     Presenile Dementia                 1/1/1991               60    No          No          No          No          No          No
29011     Presenile Delirium                 1/1/1991               60    No          No          No          No          No          No
29012     Presenile Delusion                 1/1/1991               60    No          No          No          No          No          No
29013     Presenile Depression               1/1/1991               59    No          No          No          No          No          No
2902      Senile Delusion/Depress*           1/1/1991               59    No          No          No          No          No          No
29020     Senile Delusion                    1/1/1991               60    No          No          No          No          No          No
29021     Senile Depressive                  1/1/1991               59    No          No          No          No          No          No
2903      Senile Delirium                    1/1/1991               60    No          No          No          No          No          No
2904      Arteriosclerot Dementia*           1/1/1991               60    No          No          No          No          No          No
29040     Vascular Dementia,Uncomp           1/1/1991               60    No          No          No          No          No          No
29041     Vasc Dementia W Delirium           1/1/1991               60    No          No          No          No          No          No
29042     Vasc Dementia W Delusion           1/1/1991               60    No          No          No          No          No          No
29043     Vasc Dementia W Depressn           1/1/1991               59    No          No          No          No          No          No
2908      Senile Psychosis Nec               1/1/1991               60    No          No          No          No          No          No
2909      Senile Psychot Cond Nos            1/1/1991               60    No          No          No          No          No          No
291       Alcoholic Psychoses*               1/1/1991     51              Yes         Yes         Yes         Yes         Yes         No
2910      Delirium Tremens                   1/1/1991     51              Yes         Yes         Yes         Yes         Yes         Yes
2911      Alcohol Amnestic Disordr           1/1/1991     51              Yes         Yes         Yes         Yes         Yes         Yes
2912      Alcohol Persist Dementia           1/1/1991     51              Yes         Yes         Yes         Yes         Yes         Yes
2913      Alcoh Psy Dis W Hallucin           1/1/1991     51              Yes         Yes         Yes         Yes         Yes         Yes
2914      Pathologic Alcohol Intox           1/1/1991     51              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
2915      Alcoh Psych Dis W Delus            1/1/1991       51              Yes         Yes         Yes         Yes         Yes         Yes
2918      Alcoholic Psychosis Nec*           1/1/1991       51              Yes         Yes         Yes         Yes         Yes         No
29181     Alcohol Withdrawal               10/1/1997        51              Yes         Yes         Yes         Yes         Yes         Yes
29182     Alcoh Induce Sleep Disor         10/1/2005        51              No          No          Yes         Yes         Yes         Yes
29189     Alcohol Mental Disor Nec         10/1/1997        51              Yes         Yes         Yes         Yes         Yes         Yes
2919      Alcohol Mental Disor Nos           1/1/1991       51              Yes         Yes         Yes         Yes         Yes         Yes
292       Drug Psychoses*                    1/1/1991       51              Yes         Yes         Yes         Yes         Yes         No
2920      Drug Withdrawal                    1/1/1991       51              Yes         Yes         Yes         Yes         Yes         Yes
2921      Drug Paranoid/Hallucinos*          1/1/1991       51              Yes         Yes         Yes         Yes         Yes         No
29211     Drug Psych Disor W Delus           1/1/1991       51              Yes         Yes         Yes         Yes         Yes         Yes
29212     Drug Psy Dis W Hallucin            1/1/1991       51              Yes         Yes         Yes         Yes         Yes         Yes
2922      Pathologic Drug Intox              1/1/1991       51              Yes         Yes         Yes         Yes         Yes         Yes
2928      Other Drug Mental Dis*             1/1/1991       51              Yes         Yes         Yes         Yes         Yes         No
29281     Drug-Induced Delirium              1/1/1991       51              Yes         Yes         Yes         Yes         Yes         Yes
29282     Drug Persisting Dementia           1/1/1991       51              Yes         Yes         Yes         Yes         Yes         Yes
29283     Drug Persist Amnestc Dis           1/1/1991       51              Yes         Yes         Yes         Yes         Yes         Yes
29284     Drug-Induced Mood Disord           1/1/1991       51              Yes         Yes         Yes         Yes         Yes         Yes
29285     Drug Induced Sleep Disor         10/1/2005        51              No          No          Yes         Yes         Yes         Yes
29289     Drug Mental Disorder Nec           1/1/1991       51              Yes         Yes         Yes         Yes         Yes         Yes
2929      Drug Mental Disorder Nos           1/1/1991       51              Yes         Yes         Yes         Yes         Yes         Yes
294       Other Organic Psych Cond*          1/1/1991                 60    No          No          No          No          No          No
2940      Amnestic Disord Oth Dis            1/1/1991                 60    No          No          No          No          No          No
2941      Dementia In Oth Diseases*          1/1/1991                 60    No          No          No          No          No          No
29410     Dementia W/O Behav Dist          10/1/2001                  60    No          No          No          No          No          No
29411     Dementia W Behavior Dist         10/1/2001                  59    No          No          No          No          No          No
2948      Mental Disor Nec Oth Dis           1/1/1991                 60    No          No          No          No          No          No
2949      Mental Disor Nos Oth Dis           1/1/1991                 60    No          No          No          No          No          No
295       Schizophrenic Disorders*           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         No
2950      Simple Schizophrenia*              1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         No
29500     Simpl Schizophren-Unspec           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29501     Simpl Schizophren-Subchr           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29502     Simple Schizophren-Chr             1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29503     Simp Schiz-Subchr/Exacer           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29504     Simpl Schizo-Chr/Exacerb           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29505     Simpl Schizophren-Remiss           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
2951      Hebephrenia*                       1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         No
29510     Hebephrenia-Unspec                 1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29511     Hebephrenia-Subchronic             1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29512     Hebephrenia-Chronic                1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29513     Hebephren-Subchr/Exacerb           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29514     Hebephrenia-Chr/Exacerb            1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29515     Hebephrenia-Remission              1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
2952      Catatonic Schizophrenia*           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         No
29520     Catatonia-Unspec                   1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29521     Catatonia-Subchronic               1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29522     Catatonia-Chronic                  1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29523     Catatonia-Subchr/Exacerb           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29524     Catatonia-Chr/Exacerb              1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29525     Catatonia-Remission                1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
2953      Paranoid Schizophrenia*            1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         No
29530     Paranoid Schizo-Unspec             1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29531     Paranoid Schizo-Subchr             1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29532     Paranoid Schizo-Chronic            1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29533     Paran Schizo-Subchr/Exac           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29534     Paran Schizo-Chr/Exacerb           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29535     Paranoid Schizo-Remiss             1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
2954      Ac Schizophrenic Episode*          1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         No
29540     Schizophreniform Dis Nos           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29541     Schizophrenic Dis-Subchr           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29542     Schizophren Dis-Chronic            1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29543     Schizo Dis-Subchr/Exacer           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29544     Schizophr Dis-Chr/Exacer           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29545     Schizophrenic Dis-Remiss           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
2955      Latent Schizophrenia*              1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         No
29550     Latent Schizophren-Unsp            1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29551     Lat Schizophren-Subchr             1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29552     Latent Schizophren-Chr             1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29553     Lat Schizo-Subchr/Exacer           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29554     Latent Schizo-Chr/Exacer           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29555     Lat Schizophren-Remiss             1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
2956      Residual Schizophrenia*            1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         No
29560     Schizophr Dis Resid Nos            1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29561     Schizoph Dis Resid-Subch           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29562     Schizophr Dis Resid-Chr            1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29563     Schizo Resid Subchr/Exac           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29564     Schizoph Resid-Chro/Exac           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29565     Schizoph Dis Resid-Remis           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
2957      Schizoaffective Type*              1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         No
29570     Schizoaffective Dis Nos            1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29571     Schizoaffectv Dis-Subchr           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29572     Schizoaffective Dis-Chr            1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29573     Schizoaff Dis-Subch/Exac           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29574     Schizoafftv Dis-Chr/Exac           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29575     Schizoaffectve Dis-Remis           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
2958      Schizophrenia Nec*                 1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         No
29580     Schizophrenia Nec-Unspec           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29581     Schizophrenia Nec-Subchr           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29582     Schizophrenia Nec-Chr              1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29583     Schizo Nec-Subchr/Exacer           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29584     Schizo Nec-Chr/Exacerb             1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29585     Schizophrenia Nec-Remiss           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
2959      Schizophrenia Nos*                 1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         No
29590     Schizophrenia Nos-Unspec           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29591     Schizophrenia Nos-Subchr           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29592     Schizophrenia Nos-Chr              1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29593     Schizo Nos-Subchr/Exacer           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29594     Schizo Nos-Chr/Exacerb             1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
29595     Schizophrenia Nos-Remiss           1/1/1991       54        65    Yes         Yes         Yes         Yes         Yes         Yes
296       Affective Psychoses*               1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         No
2960      Manic Dis, Singl Episode*          1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         No
29600     Bipol I Single Manic Nos           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29601     Bipol I Single Manc-Mild           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29602     Bipol I Single Manic-Mod           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29603     Bipol I Sing-Sev W/O Psy           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29604     Bipo I Sin Man-Sev W Psy           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
29605     Bipol I Sing Man Rem Nos           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29606     Bipol I Single Manic Rem           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
2961      Manic, Recurrent Episode*          1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         No
29610     Recur Manic Dis-Unspec             1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29611     Recur Manic Dis-Mild               1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29612     Recur Manic Dis-Mod                1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29613     Recur Manic Dis-Severe             1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29614     Recur Manic-Sev W Psycho           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29615     Recur Manic-Part Remiss            1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29616     Recur Manic-Full Remiss            1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
2962      Depr Psych, Singl Episod*          1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         No
29620     Depress Psychosis-Unspec           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29621     Depress Psychosis-Mild             1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29622     Depressive Psychosis-Mod           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29623     Depress Psychosis-Severe           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29624     Depr Psychos-Sev W Psych           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29625     Depr Psychos-Part Remiss           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29626     Depr Psychos-Full Remiss           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
2963      Depr Psych, Recur Episod*          1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         No
29630     Recurr Depr Psychos-Unsp           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29631     Recurr Depr Psychos-Mild           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29632     Recurr Depr Psychos-Mod            1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29633     Recur Depr Psych-Severe            1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29634     Rec Depr Psych-Psychotic           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29635     Recur Depr Psyc-Part Rem           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29636     Recur Depr Psyc-Full Rem           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
2964      Bipolar Affective, Manic*          1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         No
29640     Bipol I Currnt Manic Nos           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29641     Bipol I Curnt Manic-Mild           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29642     Bipol I Currnt Manic-Mod           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29643     Bipol I Manc-Sev W/O Psy           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29644     Bipol I Manic-Sev W Psy            1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29645     Bipol I Cur Man Part Rem           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29646     Bipol I Cur Man Full Rem           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
2965      Bipolar Affect, Depress*           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         No
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
29650     Bipol I Cur Depres Nos             1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29651     Bipol I Cur Depress-Mild           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29652     Bipol I Cur Depress-Mod            1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29653     Bipol I Curr Dep W/O Psy           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29654     Bipol I Currnt Dep W Psy           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29655     Bipol I Cur Dep Rem Nos            1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29656     Bipol I Currnt Dep Remis           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
2966      Bipolar Affective, Mixed*          1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         No
29660     Bipol I Currnt Mixed Nos           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29661     Bipol I Currnt Mix-Mild            1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29662     Bipol I Currnt Mixed-Mod           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29663     Bipol I Cur Mix W/O Psy            1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29664     Bipol I Cur Mixed W Psy            1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29665     Bipol I Cur Mix-Part Rem           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29666     Bipol I Cur Mixed Remiss           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
2967      Bipolor I Current Nos              1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
2968      Manic-Depressive Nec/Nos*          1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         No
29680     Bipolar Disorder Nos               1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29681     Atypical Manic Disorder            1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29682     Atypical Depressive Dis            1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29689     Bipolar Disorder Nec               1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
2969      Affect Psychoses Nec/Nos*          1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         No
29690     Episodic Mood Disord Nos           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
29699     Episodic Mood Disord Nec           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
297       Paranoid States*                   1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         No
2970      Paranoid State, Simple             1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
2971      Delusional Disorder                1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
2972      Paraphrenia                        1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
2973      Shared Psychotic Disord            1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
2978      Paranoid States Nec                1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
2979      Paranoid State Nos                 1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
298       Oth Nonorganic Psychoses*          1/1/1991                 66    No          No          No          No          No          No
2980      React Depress Psychosis            1/1/1991                 66    No          No          No          No          No          No
2981      Excitativ Type Psychosis           1/1/1991                 66    No          No          No          No          No          No
2982      Reactive Confusion                 1/1/1991                 66    No          No          No          No          No          No
                                                                         CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                         HCC         HCC         HCC         HCC         HCC         HCC
                                                     CMS-                Model       Model       Model       Model       Model       Model
                                                     HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
2983      Acute Paranoid Reaction           1/1/1991               66    No          No          No          No          No          No
2984      Psychogen Paranoid Psych          1/1/1991               66    No          No          No          No          No          No
2988      React Psychosis Nec/Nos           1/1/1991               66    No          No          No          No          No          No
2989      Psychosis Nos                     1/1/1991               66    No          No          No          No          No          No
300       Neurotic Disorders*               1/1/1991               66    No          No          No          No          No          No
3000      Anxiety States*                   1/1/1991               66    No          No          No          No          No          No
30000     Anxiety State Nos                 1/1/1991               66    No          No          No          No          No          No
30009     Anxiety State Nec                 1/1/1991               66    No          No          No          No          No          No
30014     Dissociatve Identity Dis          1/1/1991               66    No          No          No          No          No          No
3004      Dysthymic Disorder                1/1/1991               66    No          No          No          No          No          No
3005      Neurasthenia                      1/1/1991               66    No          No          No          No          No          No
3008      Neurotic Disorders Nec*           1/1/1991               66    No          No          No          No          No          No
30089     Somatoform Disorders Nec          1/1/1991               66    No          No          No          No          No          No
3009      Nonpsychotic Disord Nos           1/1/1991               66    No          No          No          No          No          No
301       Personality Disorders*            1/1/1991               66    No          No          No          No          No          No
3010      Paranoid Personality              1/1/1991               66    No          No          No          No          No          No
3011      Affective Personality*            1/1/1991               66    No          No          No          No          No          No
30110     Affectiv Personality Nos          1/1/1991               66    No          No          No          No          No          No
30111     Chronic Hypomanic Person          1/1/1991               66    No          No          No          No          No          No
30112     Chr Depressive Person             1/1/1991               66    No          No          No          No          No          No
30113     Cyclothymic Disorder              1/1/1991               66    No          No          No          No          No          No
3012      Schizoid Personality*             1/1/1991               66    No          No          No          No          No          No
30120     Schizoid Personality Nos          1/1/1991               66    No          No          No          No          No          No
30121     Introverted Personality           1/1/1991               66    No          No          No          No          No          No
30122     Schizotypal Person Dis            1/1/1991               66    No          No          No          No          No          No
3013      Explosive Personality             1/1/1991               66    No          No          No          No          No          No
3014      Obsessive-Compulsive Dis          1/1/1991               66    No          No          No          No          No          No
3015      Histrionic Personality*           1/1/1991               66    No          No          No          No          No          No
30150     Histrionic Person Nos             1/1/1991               66    No          No          No          No          No          No
30151     Chr Factitious Illness            1/1/1991               66    No          No          No          No          No          No
30159     Histrionic Person Nec             1/1/1991               66    No          No          No          No          No          No
3016      Dependent Personality             1/1/1991               66    No          No          No          No          No          No
3017      Antisocial Personality            1/1/1991               66    No          No          No          No          No          No
3018      Other Personality Dis*            1/1/1991               66    No          No          No          No          No          No
30181     Narcissistic Personality          1/1/1991               66    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
30182     Avoidant Personality Dis           1/1/1991               66    No          No          No          No          No          No
30183     Borderline Personality             1/1/1991               66    No          No          No          No          No          No
30184     Passive-Aggressiv Person           1/1/1991               66    No          No          No          No          No          No
30189     Personality Disorder Nec           1/1/1991               66    No          No          No          No          No          No
3019      Personality Disorder Nos           1/1/1991               66    No          No          No          No          No          No
303       Alcohol Dependence Syndr*          1/1/1991     52              Yes         Yes         Yes         Yes         Yes         No
3030      Ac Alcohol Intoxication*           1/1/1991     52              Yes         Yes         Yes         Yes         Yes         No
30300     Ac Alcohol Intox-Unspec            1/1/1991     52              Yes         Yes         Yes         Yes         Yes         Yes
30301     Ac Alcohol Intox-Contin            1/1/1991     52              Yes         Yes         Yes         Yes         Yes         Yes
30302     Ac Alcohol Intox-Episod            1/1/1991     52              Yes         Yes         Yes         Yes         Yes         Yes
30303     Ac Alcohol Intox-Remiss            1/1/1991     52              Yes         Yes         Yes         Yes         Yes         Yes
3039      Alcohol Depend Nec/Nos*            1/1/1991     52              Yes         Yes         Yes         Yes         Yes         No
30390     Alcoh Dep Nec/Nos-Unspec           1/1/1991     52              Yes         Yes         Yes         Yes         Yes         Yes
30391     Alcoh Dep Nec/Nos-Contin           1/1/1991     52              Yes         Yes         Yes         Yes         Yes         Yes
30392     Alcoh Dep Nec/Nos-Episod           1/1/1991     52              Yes         Yes         Yes         Yes         Yes         Yes
30393     Alcoh Dep Nec/Nos-Remiss           1/1/1991     52              Yes         Yes         Yes         Yes         Yes         Yes
304       Drug Dependence*                   1/1/1991     52              Yes         Yes         Yes         Yes         Yes         No
3040      Opioid Type Dependence*            1/1/1991     52              Yes         Yes         Yes         Yes         Yes         No
30400     Opioid Dependence-Unspec           1/1/1991     52              Yes         Yes         Yes         Yes         Yes         Yes
30401     Opioid Dependence-Contin           1/1/1991     52              Yes         Yes         Yes         Yes         Yes         Yes
30402     Opioid Dependence-Episod           1/1/1991     52              Yes         Yes         Yes         Yes         Yes         Yes
30403     Opioid Dependence-Remiss           1/1/1991     52              Yes         Yes         Yes         Yes         Yes         Yes
3041      Barbiturate Dependence*            1/1/1991     52              Yes         Yes         Yes         Yes         Yes         No
30410     Sed,Hyp,Anxiolyt Dep-Nos           1/1/1991     52              Yes         Yes         Yes         Yes         Yes         Yes
30411     Sed,Hyp,Anxiolyt Dep-Con           1/1/1991     52              Yes         Yes         Yes         Yes         Yes         Yes
30412     Sed,Hyp,Anxiolyt Dep-Epi           1/1/1991     52              Yes         Yes         Yes         Yes         Yes         Yes
30413     Sed,Hyp,Anxiolyt Dep-Rem           1/1/1991     52              Yes         Yes         Yes         Yes         Yes         Yes
3042      Cocaine Dependence*                1/1/1991     52              Yes         Yes         Yes         Yes         Yes         No
30420     Cocaine Depend-Unspec              1/1/1991     52              Yes         Yes         Yes         Yes         Yes         Yes
30421     Cocaine Depend-Contin              1/1/1991     52              Yes         Yes         Yes         Yes         Yes         Yes
30422     Cocaine Depend-Episodic            1/1/1991     52              Yes         Yes         Yes         Yes         Yes         Yes
30423     Cocaine Depend-Remiss              1/1/1991     52              Yes         Yes         Yes         Yes         Yes         Yes
3043      Cannabis Dependence*               1/1/1991     52              Yes         Yes         Yes         Yes         Yes         No
30430     Cannabis Depend-Unspec             1/1/1991     52              Yes         Yes         Yes         Yes         Yes         Yes
30431     Cannabis Depend-Contin             1/1/1991     52              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
30432     Cannabis Depend-Episodic           1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
30433     Cannabis Depend-Remiss             1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
3044      Amphetamine Dependence*            1/1/1991       52              Yes         Yes         Yes         Yes         Yes         No
30440     Amphetamin Depend-Unspec           1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
30441     Amphetamin Depend-Contin           1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
30442     Amphetamin Depend-Episod           1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
30443     Amphetamin Depend-Remiss           1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
3045      Hallucinogen Dependence*           1/1/1991       52              Yes         Yes         Yes         Yes         Yes         No
30450     Hallucinogen Dep-Unspec            1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
30451     Hallucinogen Dep-Contin            1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
30452     Hallucinogen Dep-Episod            1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
30453     Hallucinogen Dep-Remiss            1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
3046      Drug Dependence Nec*               1/1/1991       52              Yes         Yes         Yes         Yes         Yes         No
30460     Drug Depend Nec-Unspec             1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
30461     Drug Depend Nec-Contin             1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
30462     Drug Depend Nec-Episodic           1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
30463     Drug Depend Nec-In Rem             1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
3047      Opioid/Other Drug Depend*          1/1/1991       52              Yes         Yes         Yes         Yes         Yes         No
30470     Opioid/Other Dep-Unspec            1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
30471     Opioid/Other Dep-Contin            1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
30472     Opioid/Other Dep-Episod            1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
30473     Opioid/Other Dep-Remiss            1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
3048      Comb Drug Dependence Nec*          1/1/1991       52              Yes         Yes         Yes         Yes         Yes         No
30480     Comb Drug Dep Nec-Unspec           1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
30481     Comb Drug Dep Nec-Contin           1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
30482     Comb Drug Dep Nec-Episod           1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
30483     Comb Drug Dep Nec-Remiss           1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
3049      Drug Dependence Nos*               1/1/1991       52              Yes         Yes         Yes         Yes         Yes         No
30490     Drug Depend Nos-Unspec             1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
30491     Drug Depend Nos-Contin             1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
30492     Drug Depend Nos-Episodic           1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
30493     Drug Depend Nos-Remiss             1/1/1991       52              Yes         Yes         Yes         Yes         Yes         Yes
307       Special Symptom Nec*               1/1/1991                 67    No          No          No          No          No          No
3070      Stuttering                         1/1/1991                 67    No          No          No          No          No          No
3072      Tics*                              1/1/1991                 67    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
30720     Tic Disorder Nos                   1/1/1991               67    No          No          No          No          No          No
30721     Transient Tic Disorder             1/1/1991               67    No          No          No          No          No          No
30722     Chr Motor/Vocal Tic Dis            1/1/1991               67    No          No          No          No          No          No
30723     Tourette'S Disorder                1/1/1991               66    No          No          No          No          No          No
3073      Stereotypic Movement Dis           1/1/1991               67    No          No          No          No          No          No
3074      Nonorganic Sleep Disord*           1/1/1991               67    No          No          No          No          No          No
30740     Nonorganic Sleep Dis Nos           1/1/1991               67    No          No          No          No          No          No
30741     Transient Insomnia                 1/1/1991               67    No          No          No          No          No          No
30742     Persistent Insomnia                1/1/1991               67    No          No          No          No          No          No
30743     Transient Hypersomnia              1/1/1991               67    No          No          No          No          No          No
30744     Persistent Hypersomnia             1/1/1991               67    No          No          No          No          No          No
30745     Nonorganic Circadian Rhy           1/1/1991               67    No          No          No          No          No          No
30746     Sleep Arousal Disorder             1/1/1991               67    No          No          No          No          No          No
30747     Sleep Stage Dysfunc Nec            1/1/1991               67    No          No          No          No          No          No
30748     Repetit Sleep Intrusion            1/1/1991               67    No          No          No          No          No          No
30749     Nonorganic Sleep Dis Nec           1/1/1991               67    No          No          No          No          No          No
3075      Eating Disorders Nec/Nos*          1/1/1991               67    No          No          No          No          No          No
30750     Eating Disorder Nos                1/1/1991               67    No          No          No          No          No          No
30752     Pica                               1/1/1991               67    No          No          No          No          No          No
30753     Rumination Disorder                1/1/1991               67    No          No          No          No          No          No
30754     Psychogenic Vomiting               1/1/1991               67    No          No          No          No          No          No
30759     Eating Disorder Nec                1/1/1991               67    No          No          No          No          No          No
3076      Enuresis                           1/1/1991               67    No          No          No          No          No          No
3077      Encopresis                         1/1/1991               67    No          No          No          No          No          No
3078      Psychalgia*                        1/1/1991               67    No          No          No          No          No          No
30780     Psychogenic Pain Nos               1/1/1991               67    No          No          No          No          No          No
30789     Psychogenic Pain Nec               1/1/1991               67    No          No          No          No          No          No
3079      Special Symptom Nec/Nos            1/1/1991               67    No          No          No          No          No          No
3091      Prolong Depressive React           1/1/1991               66    No          No          No          No          No          No
311       Depressive Disorder Nec            1/1/1991               66    No          No          No          No          No          No
314       Hyperkinetic Syndrome*             1/1/1991               75    No          No          No          No          No          No
3140      Attention Deficit Dis*             1/1/1991               75    No          No          No          No          No          No
31400     Attn Defic Nonhyperact             1/1/1991               75    No          No          No          No          No          No
31401     Attn Deficit W Hyperact            1/1/1991               75    No          No          No          No          No          No
3141      Hyperkinet W Devel Delay           1/1/1991               75    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
3142      Hyperkinetic Conduct Dis           1/1/1991               75    No          No          No          No          No          No
3148      Other Hyperkinetic Synd            1/1/1991               75    No          No          No          No          No          No
3149      Hyperkinetic Synd Nos              1/1/1991               75    No          No          No          No          No          No
316       Psychic Factor W Oth Dis           1/1/1991               67    No          No          No          No          No          No
3210      Cryptococcal Meningitis            1/1/1991      5         2    Yes         Yes         Yes         Yes         Yes         Yes
32301     Encephalitis and encephal        10/1/2006                87    No          No          No          No          No          No
32302     Myelitis in viral disease        10/1/2006                87    No          No          No          No          No          No
32341     Other encephalitis and en        10/1/2006                87    No          No          No          No          No          No
32342     Other myelitis due to inf        10/1/2006                87    No          No          No          No          No          No
32351     Encephalitis and encephal        10/1/2006                87    No          No          No          No          No          No
32352     Myelitis following immuni        10/1/2006                87    No          No          No          No          No          No
32361     Infectious acute dissemin        10/1/2006                87    No          No          No          No          No          No
32362     Other postinfectious ence        10/1/2006                87    No          No          No          No          No          No
32363     Postinfectious myelitis          10/1/2006                87    No          No          No          No          No          No
32371     Toxic encephalitis and en        10/1/2006                87    No          No          No          No          No          No
32372     Toxic myelitis                   10/1/2006                87    No          No          No          No          No          No
32381     Other causes of encephali        10/1/2006                87    No          No          No          No          No          No
32382     Other causes of myelitis         10/1/2006                87    No          No          No          No          No          No
326       Late Eff Cns Abscess               1/1/1991                3    No          No          No          No          No          No
330       Cerebral Degen In Child*           1/1/1991               60    No          No          No          No          No          No
3300      Leukodystrophy                     1/1/1991               60    No          No          No          No          No          No
3301      Cerebral Lipidoses                 1/1/1991               60    No          No          No          No          No          No
3302      Cereb Degen In Lipidosis           1/1/1991               60    No          No          No          No          No          No
3303      Cerb Deg Chld In Oth Dis           1/1/1991               60    No          No          No          No          No          No
3308      Cereb Degen In Child Nec           1/1/1991               60    No          No          No          No          No          No
3309      Cereb Degen In Child Nos           1/1/1991               60    No          No          No          No          No          No
331       Cerebral Degeneration*             1/1/1991               60    No          No          No          No          No          No
3310      Alzheimer'S Disease                1/1/1991               60    No          No          No          No          No          No
3311      Pick'S Disease                     1/1/1991               60    No          No          No          No          No          No
33111     Pick'S Disease                   10/1/2003                60    No          No          No          No          No          No
33119     Frontotemp Dementia Nec          10/1/2003                60    No          No          No          No          No          No
3312      Senile Degenerat Brain             1/1/1991               60    No          No          No          No          No          No
3313      Communicat Hydrocephalus           1/1/1991               60    No          No          No          No          No          No
3314      Obstructiv Hydrocephalus           1/1/1991               60    No          No          No          No          No          No
3315      NORML PRESSURE HYDROCEPH         10/1/2007                60                                                    No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
3317      Cereb Degen In Oth Dis             1/1/1991               60    No          No          No          No          No          No
3318      Cereb Degeneration Nec*            1/1/1991               60    No          No          No          No          No          No
33181     Reye'S Syndrome                    1/1/1991               60    No          No          No          No          No          No
33182     Dementia W Lewy Bodies           10/1/2003                60    No          No          No          No          No          No
33183     Mild cognitive impairment        10/1/2006                60    No          No          No          No          No          No
33189     Cereb Degeneration Nec             1/1/1991               60    No          No          No          No          No          No
3319      Cereb Degeneration Nos             1/1/1991               60    No          No          No          No          No          No
332       Parkinson'S Disease*               1/1/1991     73        81    Yes         Yes         Yes         Yes         Yes         No
3320      Paralysis Agitans                  1/1/1991     73        81    Yes         Yes         Yes         Yes         Yes         Yes
3321      Secondary Parkinsonism             1/1/1991     73        81    Yes         Yes         Yes         Yes         Yes         Yes
333       Extrapyramidal Dis Nec*            1/1/1991               86    No          No          No          No          No          No
3330      Degen Basal Ganglia Nec            1/1/1991     73        82    Yes         Yes         Yes         Yes         Yes         Yes
3331      Tremor Nec                         1/1/1991               86    No          No          No          No          No          No
3332      Myoclonus                          1/1/1991               86    No          No          No          No          No          No
3333      Tics Of Organic Origin             1/1/1991               86    No          No          No          No          No          No
3334      Huntington'S Chorea                1/1/1991     73        82    Yes         Yes         Yes         Yes         Yes         Yes
3335      Chorea Nec                         1/1/1991               86    No          No          No          No          No          No
3336      Idiopat Torsion Dystonia           1/1/1991               86    No          No          No          No          No          No
3337      Symptom Torsion Dystonia           1/1/1991               86    No          No          No          No          No          No
33371     Athetoid cerebral palsy          10/1/2006     101        86    No          No          No          Yes         Yes         Yes
33372     Acute dystonia due to dru        10/1/2006                86    No          No          No          No          No          No
33379     Other acquired torsion dy        10/1/2006                86    No          No          No          No          No          No
3338      Fragmnt Torsion Dystonia*          1/1/1991               86    No          No          No          No          No          No
33381     Blepharospasm                      1/1/1991               86    No          No          No          No          No          No
33382     Orofacial Dyskinesia               1/1/1991               86    No          No          No          No          No          No
33383     Spasmodic Torticollis              1/1/1991               86    No          No          No          No          No          No
33384     Organic Writers' Cramp             1/1/1991               86    No          No          No          No          No          No
33385     Subacute dyskinesia due t        10/1/2006                86    No          No          No          No          No          No
33389     Fragm Torsion Dyston Nec           1/1/1991               86    No          No          No          No          No          No
3339      Extrpyrmidal Dis Nec/Nos*          1/1/1991               86    No          No          No          No          No          No
33390     Extrapyramidal Dis Nos             1/1/1991               86    No          No          No          No          No          No
33391     Stiff-Man Syndrome                 1/1/1991               86    No          No          No          No          No          No
33392     Neuroleptic Malgnt Synd            1/1/1991               86    No          No          No          No          No          No
33393     Bnign Shuddering Attacks           1/1/1991               86    No          No          No          No          No          No
33394     Restless Legs Syndrome           10/1/2006                86    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
33399     Extrapyramidal Dis Nec             1/1/1991               86    No          No          No          No          No          No
334       Spinocerebellar Disease*           1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         No
3340      Friedreich'S Ataxia                1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
3341      Hered Spastic Paraplegia           1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
3342      Primary Cerebellar Degen           1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
3343      Cerebellar Ataxia Nec              1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
3344      Cerebel Atax In Oth Dis            1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
3348      Spinocerebellar Dis Nec            1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
3349      Spinocerebellar Dis Nos            1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
335       Ant Horn Cell Disease*             1/1/1991     67        76    Yes         Yes         Yes         Yes         Yes         No
3350      Werdnig-Hoffmann Disease           1/1/1991     67        76    Yes         Yes         Yes         Yes         Yes         Yes
3351      Spinal Muscular Atrophy*           1/1/1991     67        76    Yes         Yes         Yes         Yes         Yes         No
33510     Spinal Muscl Atrophy Nos           1/1/1991     67        76    Yes         Yes         Yes         Yes         Yes         Yes
33511     Kugelberg-Welander Dis             1/1/1991     67        76    Yes         Yes         Yes         Yes         Yes         Yes
33519     Spinal Muscl Atrophy Nec           1/1/1991     67        76    Yes         Yes         Yes         Yes         Yes         Yes
3352      Motor Neuron Disease*              1/1/1991     67        76    Yes         Yes         Yes         Yes         Yes         No
33520     Amyotrophic Sclerosis              1/1/1991     67        76    Yes         Yes         Yes         Yes         Yes         Yes
33521     Prog Muscular Atrophy              1/1/1991     67        76    Yes         Yes         Yes         Yes         Yes         Yes
33522     Progressive Bulbar Palsy           1/1/1991     67        76    Yes         Yes         Yes         Yes         Yes         Yes
33523     Pseudobulbar Palsy                 1/1/1991     67        76    Yes         Yes         Yes         Yes         Yes         Yes
33524     Prim Lateral Sclerosis             1/1/1991     67        76    Yes         Yes         Yes         Yes         Yes         Yes
33529     Motor Neuron Disease Nec           1/1/1991     67        76    Yes         Yes         Yes         Yes         Yes         Yes
3358      Ant Horn Cell Dis Nec              1/1/1991     67        76    Yes         Yes         Yes         Yes         Yes         Yes
3359      Ant Horn Cell Dis Nos              1/1/1991     67        76    Yes         Yes         Yes         Yes         Yes         Yes
336       Spinal Cord Disease Nec*           1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         No
3360      Syringomyelia                      1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
3361      Vascular Myelopathies              1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
3362      Comb Deg Cord In Oth Dis           1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
3363      Myelopathy In Oth Dis              1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
3368      Myelopathy Nec                     1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
3369      Spinal Cord Disease Nos            1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
337       Autonomic Nerve Disorder*          1/1/1991     71        79    Yes         Yes         Yes         Yes         Yes         No
3370      Idiopath Auto Neuropathy           1/1/1991     71        79    Yes         Yes         Yes         Yes         Yes         Yes
33700     IDIO PERPH AUTO NEUR NOS         10/1/2008      71        79    No          No          No          No          Yes         Yes
33701     CAROTID SINUS SYNDROME           10/1/2008                79    No          No          No          No          No          No
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
33709     IDIO PERPH AUTO NEUR NEC         10/1/2008        71        79    No          No          No          No          Yes         Yes
3371      Aut Neuropthy In Oth Dis           1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
3372      Reflex Sympth Dystrophy*           1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         No
33720     Unsp Rflx Sympth Dystrph           1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
33721     Rflx Sym Dystrph Up Limb           1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
33722     Rflx Sym Dystrph Lwr Lmb           1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
33729     Rflx Sym Dystrph Oth St            1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
3373      Autonomic Dysreflexia            10/1/1999        71        79    Yes         Yes         Yes         Yes         Yes         Yes
3379      Autonomic Nerve Dis Nec            1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
33900     CLUSTER HEADACHE SYN NOS         10/1/2008                  85    No          No          No          No          No          No
33901     EPISODC CLUSTER HEADACHE         10/1/2008                  85    No          No          No          No          No          No
33902     CHRONIC CLUSTER HEADACHE         10/1/2008                  85    No          No          No          No          No          No
33903     EPISDC PAROXYML HEMICRAN         10/1/2008                  85    No          No          No          No          No          No
33904     CHR PAROXYSML HEMICRANIA         10/1/2008                  85    No          No          No          No          No          No
33905     SHRT LST UNI NRAL HDACHE         10/1/2008                  85    No          No          No          No          No          No
33909     TRIGEM AUTONMC CEPHL NEC         10/1/2008                  85    No          No          No          No          No          No
340       Multiple Sclerosis                 1/1/1991       72        80    Yes         Yes         Yes         Yes         Yes         Yes
341       Other Cns Demyelination*           1/1/1991       72        80    Yes         Yes         Yes         Yes         Yes         No
3410      Neuromyelitis Optica               1/1/1991       72        80    Yes         Yes         Yes         Yes         Yes         Yes
3411      Schilder'S Disease                 1/1/1991       72        80    Yes         Yes         Yes         Yes         Yes         Yes
34120     Acute (transverse) myelit        10/1/2006                  87    No          No          No          No          No          No
34121     Acute (transverse) myelit        10/1/2006                  87    No          No          No          No          No          No
34122     Idiopathic transverse mye        10/1/2006                  87    No          No          No          No          No          No
3418      Cns Demyelination Nec              1/1/1991      72         80    Yes         Yes         Yes         Yes         Yes         Yes
3419      Cns Demyelination Nos              1/1/1991      72         80    Yes         Yes         Yes         Yes         Yes         Yes
342       Hemiplegia*                        1/1/1991      100       102    Yes         Yes         Yes         Yes         Yes         No
3420      Flaccid Hemiplegia*                1/1/1991      100       102    Yes         Yes         Yes         Yes         Yes         No
34200     Flccd Hmiplga Unspf Side           1/1/1991      100       102    Yes         Yes         Yes         Yes         Yes         Yes
34201     Flccd Hmiplga Domnt Side           1/1/1991      100       102    Yes         Yes         Yes         Yes         Yes         Yes
34202     Flccd Hmiplg Nondmnt Sde           1/1/1991      100       102    Yes         Yes         Yes         Yes         Yes         Yes
3421      Spastic Hemiplegia*                1/1/1991      100       102    Yes         Yes         Yes         Yes         Yes         No
34210     Spstc Hmiplga Unspf Side           1/1/1991      100       102    Yes         Yes         Yes         Yes         Yes         Yes
34211     Spstc Hmiplga Domnt Side           1/1/1991      100       102    Yes         Yes         Yes         Yes         Yes         Yes
34212     Spstc Hmiplg Nondmnt Sde           1/1/1991      100       102    Yes         Yes         Yes         Yes         Yes         Yes
3428      Ras Assigned                       1/1/2001      100       102    Yes         Yes         Yes         Yes         Yes         No
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
34280     Ot Sp Hmiplga Unspf Side           1/1/1991      100       102    Yes         Yes         Yes         Yes         Yes         Yes
34281     Ot Sp Hmiplga Domnt Side           1/1/1991      100       102    Yes         Yes         Yes         Yes         Yes         Yes
34282     Ot Sp Hmiplg Nondmnt Sde           1/1/1991      100       102    Yes         Yes         Yes         Yes         Yes         Yes
3429      Hemiplegia Nos*                    1/1/1991      100       102    Yes         Yes         Yes         Yes         Yes         No
34290     Unsp Hemiplga Unspf Side           1/1/1991      100       102    Yes         Yes         Yes         Yes         Yes         Yes
34291     Unsp Hemiplga Domnt Side           1/1/1991      100       102    Yes         Yes         Yes         Yes         Yes         Yes
34292     Unsp Hmiplga Nondmnt Sde           1/1/1991      100       102    Yes         Yes         Yes         Yes         Yes         Yes
343       Infantile Cerebral Palsy*          1/1/1991      101       102    Yes         Yes         Yes         Yes         Yes         No
3430      Congenital Diplegia                1/1/1991       68        77    Yes         Yes         Yes         Yes         Yes         Yes
3431      Congenital Hemiplegia              1/1/1991      100       102    Yes         Yes         Yes         Yes         Yes         Yes
3432      Congenital Quadriplegia            1/1/1991       67        77    Yes         Yes         Yes         Yes         Yes         Yes
3433      Congenital Monoplegia              1/1/1991      101       102    Yes         Yes         Yes         Yes         Yes         Yes
3434      Infantile Hemiplegia               1/1/1991      100       102    Yes         Yes         Yes         Yes         Yes         Yes
3438      Cerebral Palsy Nec                 1/1/1991      101       102    Yes         Yes         Yes         Yes         Yes         Yes
3439      Cerebral Palsy Nos                 1/1/1991      101       102    Yes         Yes         Yes         Yes         Yes         Yes
3440      Quadriplegia Nos*                  1/1/1991       67        77    Yes         Yes         Yes         Yes         Yes         No
34400     Quadriplegia, Unspecifd            1/1/1991       67        77    Yes         Yes         Yes         Yes         Yes         Yes
34401     Quadrplg C1-C4, Complete           1/1/1991       67        77    Yes         Yes         Yes         Yes         Yes         Yes
34402     Quadrplg C1-C4, Incomplt           1/1/1991       67        77    Yes         Yes         Yes         Yes         Yes         Yes
34403     Quadrplg C5-C7, Complete           1/1/1991       67        77    Yes         Yes         Yes         Yes         Yes         Yes
34404     Quadrplg C5-C7, Incomplt           1/1/1991       67        77    Yes         Yes         Yes         Yes         Yes         Yes
34409     Other Quadriplegia                 1/1/1991       67        77    Yes         Yes         Yes         Yes         Yes         Yes
3441      Paraplegia Nos                     1/1/1991       68        77    Yes         Yes         Yes         Yes         Yes         Yes
3442      Diplegia Of Upper Limbs            1/1/1991      101       102    Yes         Yes         Yes         Yes         Yes         Yes
3443      Monoplegia Of Lower Limb*          1/1/1991      101       102    Yes         Yes         Yes         Yes         Yes         No
34430     Monplga Lwr Lmb Unsp Sde           1/1/1991      101       102    Yes         Yes         Yes         Yes         Yes         Yes
34431     Monplga Lwr Lmb Dmnt Sde           1/1/1991      101       102    Yes         Yes         Yes         Yes         Yes         Yes
34432     Mnplg Lwr Lmb Nondmnt Sd           1/1/1991      101       102    Yes         Yes         Yes         Yes         Yes         Yes
3444      Monoplegia Of Upper Limb*          1/1/1991      101       102    Yes         Yes         Yes         Yes         Yes         No
34440     Monplga Upr Lmb Unsp Sde           1/1/1991      101       102    Yes         Yes         Yes         Yes         Yes         Yes
34441     Monplga Upr Lmb Dmnt Sde           1/1/1991      101       102    Yes         Yes         Yes         Yes         Yes         Yes
34442     Mnplg Upr Lmb Nondmnt Sd           1/1/1991      101       102    Yes         Yes         Yes         Yes         Yes         Yes
3445      Monoplegia Nos                     1/1/1991      101       102    Yes         Yes         Yes         Yes         Yes         Yes
3446      Cauda Equina Syndrome*             1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         No
34460     Cauda Equina Synd Nos              1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
34461     Neurogenic Bladder                 1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
3448      Paralytic Syndromes Nec*           1/1/1991      101       102    Yes         Yes         Yes         Yes         Yes         No
34481     Locked-In State                    1/1/1991       67        77    Yes         Yes         Yes         Yes         Yes         Yes
34489     Oth Spcf Paralytic Synd            1/1/1991      101       102    Yes         Yes         Yes         Yes         Yes         Yes
3449      Paralysis Nos                      1/1/1991      101       102    Yes         Yes         Yes         Yes         Yes         Yes
345       Epilepsy*                          1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         No
3450      Gen Nonconvuls Epilepsy*           1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         No
34500     Gen Noncv Ep W/O Intr Ep           1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         Yes
34501     Gen Nonconv Ep W Intr Ep           1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         Yes
3451      Gen Convulsive Epilepsy*           1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         No
34510     Gen Cnv Epil W/O Intr Ep           1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         Yes
34511     Gen Cnv Epil W Intr Epil           1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         Yes
3452      Petit Mal Status                   1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         Yes
3453      Grand Mal Status                   1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         Yes
3454      Psychomotor Epilepsy*              1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         No
34540     Psymotr Epil W/O Int Epi           1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         Yes
34541     Psymotr Epil W Intr Epil           1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         Yes
3455      Partial Epilepsy Nec*              1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         No
34550     Part Epil W/O Intr Epil            1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         Yes
34551     Part Epil W Intr Epil              1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         Yes
3456      Infantile Spasms*                  1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         No
34560     Inf Spasm W/O Intr Epil            1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         Yes
34561     Inf Spasm W Intract Epil           1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         Yes
3457      Epileps Partial Continua*          1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         No
34570     Epil Par Cont W/O Int Ep           1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         Yes
34571     Epil Par Cont W Intr Epi           1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         Yes
3458      Epilepsy Nec*                      1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         No
34580     Epilep Nec W/O Intr Epil           1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         Yes
34581     Epilepsy Nec W Intr Epil           1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         Yes
3459      Epilepsy Nos*                      1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         No
34590     Epilep Nos W/O Intr Epil           1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         Yes
34591     Epilepsy Nos W Intr Epil           1/1/1991       74        83    Yes         Yes         Yes         Yes         Yes         Yes
346       Migraine*                          1/1/1991                 85    No          No          No          No          No          No
3460      Classical Migraine*                1/1/1991                 85    No          No          No          No          No          No
34600     Clsc Migrne Wo Ntrc Mgrn           1/1/1991                 85    No          No          No          No          No          No
                                                                         CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                         HCC         HCC         HCC         HCC         HCC         HCC
                                                     CMS-                Model       Model       Model       Model       Model       Model
                                                     HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
34601     Clsc Mgrn W Ntrc Mgr Std          1/1/1991               85    No          No          No          No          No          No
34602     MGRN W AUR WO NTRC MGRN         10/1/2008                85    No          No          No          No          No          No
34603     MGRN W AURA W NTRC MGRN         10/1/2008                85    No          No          No          No          No          No
3461      Common Migraine*                  1/1/1991               85    No          No          No          No          No          No
34610     Comn Migrne Wo Ntrc Mgrn          1/1/1991               85    No          No          No          No          No          No
34611     Comn Mgrn W Ntrc Mgr Std          1/1/1991               85    No          No          No          No          No          No
34612     MGRN WO AURA WO NTRC MGR        10/1/2008                85    No          No          No          No          No          No
34613     MGRN WO AURA W NTRC MGRN        10/1/2008                85    No          No          No          No          No          No
3462      Variants Of Migraine*             1/1/1991               85    No          No          No          No          No          No
34620     Vrnt Migrne Wo Ntrc Mgrn          1/1/1991               85    No          No          No          No          No          No
34621     Vrnt Mgrn W Ntrc Mgr Std          1/1/1991               85    No          No          No          No          No          No
34622     VAR MGR NEC WO NTC MGR          10/1/2008                85    No          No          No          No          No          No
34623     VAR MGRN NEC W NTRC MGR         10/1/2008                85    No          No          No          No          No          No
34630     HMPLG MGR WO NTRC WO ST         10/1/2008                85    No          No          No          No          No          No
34631     HMPLG MGRN W NTRC WO ST         10/1/2008                85    No          No          No          No          No          No
34632     HEMPLG MGR WO NTRC W ST         10/1/2008                85    No          No          No          No          No          No
34633     HMPLG MGRN W NTRC W ST          10/1/2008                85    No          No          No          No          No          No
34640     MENST MGR WO NTRC WO ST         10/1/2008                85    No          No          No          No          No          No
34641     MENSTL MGRN W NTRC WO ST        10/1/2008                85    No          No          No          No          No          No
34642     MENSTL MGR WO NTRC W ST         10/1/2008                85    No          No          No          No          No          No
34643     MENSTL MGRN W NTRC W ST         10/1/2008                85    No          No          No          No          No          No
34650     PRST AURA WO INF/NTR/ST         10/1/2008                85    No          No          No          No          No          No
34651     PRS ARA W NTR WO INF/ST         10/1/2008                85    No          No          No          No          No          No
34652     PRS ARA WO INF/NTR W ST         10/1/2008                85    No          No          No          No          No          No
34653     PRS ARA WO INF W NTR/ST         10/1/2008                85    No          No          No          No          No          No
34660     PRS ARA W INF WO NTR/ST         10/1/2008                85    No          No          No          No          No          No
34661     PRS ARA W/INF/NTR WO ST         10/1/2008                85    No          No          No          No          No          No
34662     PRS ARA WO NTR W INF/ST         10/1/2008                85    No          No          No          No          No          No
34663     PRST ARA W INF W NTR/ST         10/1/2008                85    No          No          No          No          No          No
34670     CH MGR WO AR WO NT WO ST        10/1/2008                85    No          No          No          No          No          No
34671     CH MGR WO ARA W NT WO ST        10/1/2008                85    No          No          No          No          No          No
34672     CH MGR WO ARA WO NT W ST        10/1/2008                85    No          No          No          No          No          No
34673     CH MGR WO ARA W NTR W ST        10/1/2008                85    No          No          No          No          No          No
3468      Migraine Nec*                     1/1/1991               85    No          No          No          No          No          No
34680     Othr Migrne Wo Ntrc Mgrn          1/1/1991               85    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
34681     Othr Mgrn W Ntrc Mgr Std           1/1/1991               85    No          No          No          No          No          No
34682     OTH MGR WO NTRC W ST MGR         10/1/2008                85    No          No          No          No          No          No
34683     OTH MGR W NTRC W ST MGR          10/1/2008                85    No          No          No          No          No          No
3469      Migraine Nos*                      1/1/1991               85    No          No          No          No          No          No
34690     Migrne Unsp Wo Ntrc Mgrn           1/1/1991               85    No          No          No          No          No          No
34691     Mgrn Unsp W Ntrc Mgr Std           1/1/1991               85    No          No          No          No          No          No
34692     MGR NOS WO NTRC W ST MGR         10/1/2008                85    No          No          No          No          No          No
34693     MGRN NOS W NTRC W ST MGR         10/1/2008                85    No          No          No          No          No          No
3481      Anoxic Brain Damage                1/1/1991     75              Yes         Yes         Yes         Yes         Yes         Yes
3484      Compression Of Brain               1/1/1991     75              Yes         Yes         Yes         Yes         Yes         Yes
3485      Cerebral Edema                     1/1/1991     75              Yes         Yes         Yes         Yes         Yes         Yes
3491      Complication Cns Device            1/1/1991    164              Yes         Yes         Yes         Yes         Yes         Yes
350       Trigeminal Nerv Disorder*          1/1/1991               87    No          No          No          No          No          No
3501      Trigeminal Neuralgia               1/1/1991               87    No          No          No          No          No          No
3502      Atypical Face Pain                 1/1/1991               87    No          No          No          No          No          No
3508      Trigeminal Nerve Dis Nec           1/1/1991               87    No          No          No          No          No          No
3509      Trigeminal Nerve Dis Nos           1/1/1991               87    No          No          No          No          No          No
351       Facial Nerve Disorders*            1/1/1991               87    No          No          No          No          No          No
3510      Bell'S Palsy                       1/1/1991               87    No          No          No          No          No          No
3511      Geniculate Ganglionitis            1/1/1991               87    No          No          No          No          No          No
3518      Facial Nerve Dis Nec               1/1/1991               87    No          No          No          No          No          No
3519      Facial Nerve Dis Nos               1/1/1991               87    No          No          No          No          No          No
352       Disorder Cran Nerve Nec*           1/1/1991               86    No          No          No          No          No          No
3520      Olfactory Nerve Disorder           1/1/1991               86    No          No          No          No          No          No
3521      Glossopharyng Neuralgia            1/1/1991               86    No          No          No          No          No          No
3522      Glossophar Nerve Dis Nec           1/1/1991               86    No          No          No          No          No          No
3523      Pneumogastric Nerve Dis            1/1/1991               86    No          No          No          No          No          No
3524      Accessory Nerve Disorder           1/1/1991               86    No          No          No          No          No          No
3525      Hypoglossal Nerve Dis              1/1/1991               86    No          No          No          No          No          No
3526      Mult Cranial Nerve Palsy           1/1/1991               86    No          No          No          No          No          No
3529      Cranial Nerve Dis Nos              1/1/1991               86    No          No          No          No          No          No
353       Nerve Root/Plexus Dis*             1/1/1991               87    No          No          No          No          No          No
3530      Brachial Plexus Lesions            1/1/1991               87    No          No          No          No          No          No
3531      Lumbosacral Plex Lesion            1/1/1991               87    No          No          No          No          No          No
3532      Cervical Root Lesion Nec           1/1/1991               87    No          No          No          No          No          No
                                                                         CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                         HCC         HCC         HCC         HCC         HCC         HCC
                                                     CMS-                Model       Model       Model       Model       Model       Model
                                                     HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
3533      Thoracic Root Lesion Nec          1/1/1991               87    No          No          No          No          No          No
3534      Lumbsacral Root Les Nec           1/1/1991               87    No          No          No          No          No          No
3535      Neuralgic Amyotrophy              1/1/1991               87    No          No          No          No          No          No
3536      Phantom Limb (Syndrome)           1/1/1991    177              Yes         Yes         Yes         Yes         Yes         Yes
3538      Nerv Root/Plexus Dis Nec          1/1/1991               87    No          No          No          No          No          No
3539      Nerv Root/Plexus Dis Nos          1/1/1991               87    No          No          No          No          No          No
354       Mononeuritis Upper Limb*          1/1/1991               87    No          No          No          No          No          No
3540      Carpal Tunnel Syndrome            1/1/1991               87    No          No          No          No          No          No
3541      Median Nerve Lesion Nec           1/1/1991               87    No          No          No          No          No          No
3542      Ulnar Nerve Lesion                1/1/1991               87    No          No          No          No          No          No
3543      Radial Nerve Lesion               1/1/1991               87    No          No          No          No          No          No
3544      Causalgia Upper Limb              1/1/1991               87    No          No          No          No          No          No
3545      Mononeuritis Multiplex            1/1/1991               87    No          No          No          No          No          No
3548      Mononeuritis Arm Nec              1/1/1991               87    No          No          No          No          No          No
3549      Mononeuritis Arm Nos              1/1/1991               87    No          No          No          No          No          No
355       Mononeuritis Leg*                 1/1/1991               86    No          No          No          No          No          No
3550      Sciatic Nerve Lesion              1/1/1991               86    No          No          No          No          No          No
3551      Meralgia Paresthetica             1/1/1991               86    No          No          No          No          No          No
3552      Femoral Nerve Lesion Nec          1/1/1991               86    No          No          No          No          No          No
3553      Lat Popliteal Nerve Les           1/1/1991               86    No          No          No          No          No          No
3554      Med Popliteal Nerve Les           1/1/1991               86    No          No          No          No          No          No
3555      Tarsal Tunnel Syndrome            1/1/1991               86    No          No          No          No          No          No
3556      Plantar Nerve Lesion              1/1/1991               86    No          No          No          No          No          No
3557      Mononeuritis Leg Nec*             1/1/1991               86    No          No          No          No          No          No
35571     Causalgia Lower Limb              1/1/1991               86    No          No          No          No          No          No
35579     Oth Mononeur Lower Limb           1/1/1991               86    No          No          No          No          No          No
3558      Mononeuritis Leg Nos              1/1/1991               86    No          No          No          No          No          No
3559      Mononeuritis Nos                  1/1/1991               86    No          No          No          No          No          No
356       Hered Periph Neuropathy*          1/1/1991     71        79    Yes         Yes         Yes         Yes         Yes         No
3560      Hered Periph Neuropathy           1/1/1991     71        79    Yes         Yes         Yes         Yes         Yes         Yes
3561      Peroneal Muscle Atrophy           1/1/1991     71        79    Yes         Yes         Yes         Yes         Yes         Yes
3562      Hered Sensory Neuropathy          1/1/1991     71        79    Yes         Yes         Yes         Yes         Yes         Yes
3563      Refsum'S Disease                  1/1/1991     71        79    Yes         Yes         Yes         Yes         Yes         Yes
3564      Idio Prog Polyneuropathy          1/1/1991     71        79    Yes         Yes         Yes         Yes         Yes         Yes
3568      Idio Periph Neurpthy Nec          1/1/1991     71        79    Yes         Yes         Yes         Yes         Yes         Yes
                                                                           CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                           HCC         HCC         HCC         HCC         HCC         HCC
                                                       CMS-                Model       Model       Model       Model       Model       Model
                                                       HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
3569      Idio Periph Neurpthy Nos          1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
357       Inflam/Toxic Neuropathy*          1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         No
3570      Ac Infect Polyneuritis            1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
3571      Neurpthy In Col Vasc Dis          1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
3572      Neuropathy In Diabetes            1/1/1991       71        17    Yes         Yes         Yes         Yes         Yes         Yes
3573      Neuropathy In Malig Dis           1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
3574      Neuropathy In Other Dis           1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
3575      Alcoholic Polyneuropathy          1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
3576      Neuropathy Due To Drugs           1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
3577      Neurpthy Toxic Agent Nec          1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
3578      Inflam/Tox Neuropthy Nec          1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         No
35781     Chr Inflam Polyneuritis         10/1/2002        71        79    Yes         Yes         Yes         Yes         Yes         Yes
35782     Crit Illness Neuropathy         10/1/2002        71        79    Yes         Yes         Yes         Yes         Yes         Yes
35789     Inflam/Tox Neuropthy Nec        10/1/2002        71        79    Yes         Yes         Yes         Yes         Yes         Yes
3579      Inflam/Tox Neuropthy Nos          1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
358       Myoneural Disorders*              1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         No
3580      Myasthenia Gravis                 1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         No
35800     Mysthna Grvs W/O Ac Exac        10/1/2003        71        79    Yes         Yes         Yes         Yes         Yes         Yes
35801     Myasthna Gravs W Ac Exac        10/1/2003        71        79    Yes         Yes         Yes         Yes         Yes         Yes
3581      Myasthenia In Oth Dis             1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
3582      Toxic Myoneural Disorder          1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
3588      Myoneural Disorders Nec           1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
3589      Myoneural Disorders Nos           1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
359       Muscular Dystrophies*             1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         No
3590      Cong Hered Musc Dystrphy          1/1/1991       70        78    Yes         Yes         Yes         Yes         Yes         Yes
3591      Hered Prog Musc Dystrphy          1/1/1991       70        78    Yes         Yes         Yes         Yes         Yes         Yes
3592      Myotonic Disorders                1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         No
35921     MYOTONIC MUSCLR DYSTRPHY        10/1/2007        70        78                                                    Yes         Yes
35922     MYOTONIA CONGENITA              10/1/2007        71        79                                                    Yes         Yes
35923     MYOTONIC CHONDRODYSTRPHY        10/1/2007        71        79                                                    Yes         Yes
35924     DRUG INDUCED MYOTONIA           10/1/2007        71        79                                                    Yes         Yes
35929     MYOTONIC DISORDER NEC           10/1/2007        71        79                                                    Yes         Yes
3593      Famil Periodic Paralysis          1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
3594      Toxic Myopathy                    1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
3595      Myopathy In Endocrin Dis          1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
3596      Infl Myopathy In Oth Dis           1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
35971     Inclusion body myositis          10/1/2009        71        79    No          No          No          No          No          No
35979     Inflm/immune myopath NEC         10/1/2009        71        79    No          No          No          No          No          No
3598      Myopathy Nec                       1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         No
35981     Critical Illness Myopthy         10/1/2002        71        79    Yes         Yes         Yes         Yes         Yes         Yes
35989     Myopathies Nec                   10/1/2002        71        79    Yes         Yes         Yes         Yes         Yes         Yes
3599      Myopathy Nos                       1/1/1991       71        79    Yes         Yes         Yes         Yes         Yes         Yes
361       Retinal Detachment*                1/1/1991                121    No          No          No          No          No          No
3611      Retinoschisis*                     1/1/1991                121    No          No          No          No          No          No
36110     Retinoschisis Nos                  1/1/1991                121    No          No          No          No          No          No
36111     Flat Retinoschisis                 1/1/1991                121    No          No          No          No          No          No
36112     Bullous Retinoschisis              1/1/1991                121    No          No          No          No          No          No
36113     Primary Retinal Cysts              1/1/1991                121    No          No          No          No          No          No
36114     Secondary Retinal Cysts            1/1/1991                121    No          No          No          No          No          No
36119     Retinoshisis Or Cyst Nec           1/1/1991                121    No          No          No          No          No          No
3613      Retina Defect W/O Detach*          1/1/1991                121    No          No          No          No          No          No
36130     Retinal Defect Nos                 1/1/1991                121    No          No          No          No          No          No
36131     Round Hole Of Retina               1/1/1991                121    No          No          No          No          No          No
36132     Horseshoe Tear Of Retina           1/1/1991                121    No          No          No          No          No          No
36133     Mult Defects Of Retina             1/1/1991                121    No          No          No          No          No          No
362       Retinal Disorders Nec*             1/1/1991                121    No          No          No          No          No          No
3620      Diabetic Retinopathy*              1/1/1991                 17    No          No          No          No          No          No
36201     Diabetic Retinopathy Nos           1/1/1991                 17    No          No          No          No          No          No
36202     Prolif Diab Retinopathy            1/1/1991      119        17    Yes         Yes         Yes         Yes         Yes         Yes
36203     Nonprolf Db Retnoph Nos          10/1/2005                  17    No          No          No          No          No          No
36204     Mild Nonprolf Db Retnoph         10/1/2005                  17    No          No          No          No          No          No
36205     Mod Nonprolf Db Retinoph         10/1/2005                  17    No          No          No          No          No          No
36206     Sev Nonprolf Db Retinoph         10/1/2005                  17    No          No          No          No          No          No
3621      Backgrnd Retinopathy Nec*          1/1/1991                120    No          No          No          No          No          No
36210     Backgrnd Retinopathy Nos           1/1/1991                120    No          No          No          No          No          No
36211     Hypertensive Retinopathy           1/1/1991                120    No          No          No          No          No          No
36212     Exudative Retinopathy              1/1/1991                120    No          No          No          No          No          No
36213     Retinal Vascular Changes           1/1/1991                120    No          No          No          No          No          No
36214     Retina Microaneurysm Nos           1/1/1991                120    No          No          No          No          No          No
36215     Retinal Telangiectasia             1/1/1991                120    No          No          No          No          No          No
                                                                         CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                         HCC         HCC         HCC         HCC         HCC         HCC
                                                     CMS-                Model       Model       Model       Model       Model       Model
                                                     HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
36216     Retinal Neovascular Nos           1/1/1991              120    No          No          No          No          No          No
36217     Retinal Varices                   1/1/1991              120    No          No          No          No          No          No
36218     Retinal Vasculitis                1/1/1991              120    No          No          No          No          No          No
3622      Oth Prolif Retinopathy*           1/1/1991              120    No          No          No          No          No          No
36221     Retrolental Fibroplasia           1/1/1991              120    No          No          No          No          No          No
36229     Prolif Retinopathy Nec            1/1/1991              120    No          No          No          No          No          No
3623      Retinal Vasc Occlusion*           1/1/1991              120    No          No          No          No          No          No
36230     Retinal Vasc Occlus Nos           1/1/1991              120    No          No          No          No          No          No
36231     Cent Retina Artery Occlu          1/1/1991              120    No          No          No          No          No          No
36232     Arterial Branch Occlus            1/1/1991              120    No          No          No          No          No          No
36233     Part Arterial Occlusion           1/1/1991              120    No          No          No          No          No          No
36234     Transient Arterial Occlu          1/1/1991              120    No          No          No          No          No          No
36235     Cent Retinal Vein Occlus          1/1/1991              120    No          No          No          No          No          No
36236     Venous Tributary Occlus           1/1/1991              120    No          No          No          No          No          No
36237     Retina Venous Engorgemnt          1/1/1991              120    No          No          No          No          No          No
3624      Retina Layer Separation*          1/1/1991              121    No          No          No          No          No          No
36240     Retina Layer Separat Nos          1/1/1991              121    No          No          No          No          No          No
36241     Cent Serous Retinopathy           1/1/1991              121    No          No          No          No          No          No
36242     Serous Detach Pigm Epith          1/1/1991              121    No          No          No          No          No          No
36243     Hem Detach Pigmnt Epith           1/1/1991              121    No          No          No          No          No          No
3625      Degeneration Of Macula*           1/1/1991              121    No          No          No          No          No          No
36250     Macular Degeneration Nos          1/1/1991              121    No          No          No          No          No          No
36251     Nonexudat Macular Degen           1/1/1991              121    No          No          No          No          No          No
36252     Exudative Macular Degen           1/1/1991              121    No          No          No          No          No          No
36253     Cystoid Macular Degen             1/1/1991              121    No          No          No          No          No          No
36254     Macular Cyst Or Hole              1/1/1991              121    No          No          No          No          No          No
36255     Toxic Maculopathy                 1/1/1991              121    No          No          No          No          No          No
36256     Macular Puckering                 1/1/1991              121    No          No          No          No          No          No
36257     Drusen (Degenerative)             1/1/1991              121    No          No          No          No          No          No
3626      Periph Retina Degen*              1/1/1991              121    No          No          No          No          No          No
36260     Periph Retina Degen Nos           1/1/1991              121    No          No          No          No          No          No
36261     Paving Stone Degenerat            1/1/1991              121    No          No          No          No          No          No
36262     Microcystoid Degenerat            1/1/1991              121    No          No          No          No          No          No
36263     Lattice Degeneration              1/1/1991              121    No          No          No          No          No          No
36264     Senile Reticular Degen            1/1/1991              121    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
36265     Secondry Pigment Degen             1/1/1991              121    No          No          No          No          No          No
36266     Sec Vitreoretina Degen             1/1/1991              121    No          No          No          No          No          No
3627      Hered Retinal Dystrophy*           1/1/1991              121    No          No          No          No          No          No
36270     Hered Retin Dystrphy Nos           1/1/1991              121    No          No          No          No          No          No
36271     Ret Dystrph In Lipidoses           1/1/1991              121    No          No          No          No          No          No
36272     Ret Dystrph In Syst Dis            1/1/1991              121    No          No          No          No          No          No
36273     Vitreoretinal Dystrophy            1/1/1991              121    No          No          No          No          No          No
36274     Pigment Retina Dystrophy           1/1/1991              121    No          No          No          No          No          No
36275     Sensory Retina Dystrophy           1/1/1991              121    No          No          No          No          No          No
36276     Vitelliform Dystrophy              1/1/1991              121    No          No          No          No          No          No
36277     Bruch Membrane Dystrophy           1/1/1991              121    No          No          No          No          No          No
3628      Other Retinal Disorders*           1/1/1991              121    No          No          No          No          No          No
36281     Retinal Hemorrhage                 1/1/1991              120    No          No          No          No          No          No
36282     Retina Exudates/Deposits           1/1/1991              121    No          No          No          No          No          No
36283     Retinal Edema                      1/1/1991              120    No          No          No          No          No          No
36284     Retinal Ischemia                   1/1/1991              121    No          No          No          No          No          No
36285     Retinal Nerv Fiber Defec           1/1/1991              121    No          No          No          No          No          No
36289     Retinal Disorders Nec              1/1/1991              121    No          No          No          No          No          No
3629      Retinal Disorder Nos               1/1/1991              121    No          No          No          No          No          No
365       Glaucoma*                          1/1/1991              123    No          No          No          No          No          No
3651      Open-Angle Glaucoma*               1/1/1991              122    No          No          No          No          No          No
36510     Open-Angle Glaucoma Nos            1/1/1991              122    No          No          No          No          No          No
36511     Prim Open Angle Glaucoma           1/1/1991              122    No          No          No          No          No          No
36512     Low Tension Glaucoma               1/1/1991              122    No          No          No          No          No          No
36513     Pigmentary Glaucoma                1/1/1991              122    No          No          No          No          No          No
36514     Glaucoma Of Childhood              1/1/1991              122    No          No          No          No          No          No
36515     Residual Opn Ang Glaucma           1/1/1991              122    No          No          No          No          No          No
3652      Prim Angl-Closure Glauc*           1/1/1991              123    No          No          No          No          No          No
36520     Prim Angl-Clos Glauc Nos           1/1/1991              123    No          No          No          No          No          No
36521     Intermit Angl-Clos Glauc           1/1/1991              123    No          No          No          No          No          No
36522     Acute Angl-Clos Glaucoma           1/1/1991              123    No          No          No          No          No          No
36523     Chr Angle-Clos Glaucoma            1/1/1991              123    No          No          No          No          No          No
36524     Residual Angl-Clos Glauc           1/1/1991              123    No          No          No          No          No          No
3653      Steroid-Induced Glaucoma*          1/1/1991              123    No          No          No          No          No          No
36531     Glauc Stage-Ster Induced           1/1/1991              123    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
36532     Glauc Resid-Ster Induced           1/1/1991              123    No          No          No          No          No          No
3654      Glaucom W Congen Anomaly*          1/1/1991              123    No          No          No          No          No          No
36541     Glauc W Chamb Angle Anom           1/1/1991              123    No          No          No          No          No          No
36542     Glaucoma W Iris Anomaly            1/1/1991              123    No          No          No          No          No          No
36543     Glauc W Ant Seg Anom Nec           1/1/1991              123    No          No          No          No          No          No
36544     Glaucoma W Systemic Synd           1/1/1991              123    No          No          No          No          No          No
3655      Glaucoma W Lens Disorder*          1/1/1991              123    No          No          No          No          No          No
36551     Phacolytic Glaucoma                1/1/1991              123    No          No          No          No          No          No
36552     Pseudoexfoliat Glaucoma            1/1/1991              123    No          No          No          No          No          No
36559     Glaucoma W Lens Dis Nec            1/1/1991              123    No          No          No          No          No          No
3656      Glauc W Ocular Dis Nec*            1/1/1991              123    No          No          No          No          No          No
36560     Glauc W Ocular Dis Nos             1/1/1991              123    No          No          No          No          No          No
36561     Glauc W Pupillary Block            1/1/1991              123    No          No          No          No          No          No
36562     Glaucoma W Ocular Inflam           1/1/1991              123    No          No          No          No          No          No
36563     Glaucoma W Vascular Dis            1/1/1991              123    No          No          No          No          No          No
36564     Glaucoma W Tumor Or Cyst           1/1/1991              123    No          No          No          No          No          No
36565     Glaucoma W Ocular Trauma           1/1/1991              123    No          No          No          No          No          No
3658      Other Glaucoma*                    1/1/1991              123    No          No          No          No          No          No
36581     Hypersecretion Glaucoma            1/1/1991              123    No          No          No          No          No          No
36582     Glauc W Inc Episcl Press           1/1/1991              123    No          No          No          No          No          No
36583     Aqueous Misdirection             10/1/2002               123    No          No          No          No          No          No
36589     Glaucoma Nec                       1/1/1991              123    No          No          No          No          No          No
3659      Glaucoma Nos                       1/1/1991              123    No          No          No          No          No          No
36816     Psychophysic Visual Dist           1/1/1991               57    No          No          No          No          No          No
3716      Keratoconus*                       1/1/1991              123    No          No          No          No          No          No
37160     Keratoconus Nos                    1/1/1991              123    No          No          No          No          No          No
37161     Keratoconus, Stable                1/1/1991              123    No          No          No          No          No          No
37162     Keratoconus, Ac Hydrops            1/1/1991              123    No          No          No          No          No          No
37923     Vitreous Hemorrhage                1/1/1991    119       120    Yes         Yes         Yes         Yes         Yes         Yes
401       Essential Hypertension*            1/1/1991               98    No          No          No          No          No          No
4010      Malignant Hypertension             1/1/1991               98    No          No          No          No          No          No
4011      Benign Hypertension                1/1/1991               98    No          No          No          No          No          No
4019      Hypertension Nos                   1/1/1991               98    No          No          No          No          No          No
402       Hypertensive Heart Dis*            1/1/1991               98    No          No          No          No          No          No
4020      Mal Hypertensive Hrt Dis*          1/1/1991               98    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
40200     Mal Hyp Ht Dis W/O Hf              1/1/1991               98    No          No          No          No          No          No
40201     Mal Hypert Hrt Dis W Hf            1/1/1991     80        91    Yes         Yes         Yes         Yes         Yes         Yes
4021      Benign Hyperten Hrt Dis*           1/1/1991               98    No          No          No          No          No          No
40210     Benign Hyp Ht Dis W/O Hf           1/1/1991               98    No          No          No          No          No          No
40211     Benign Hyp Ht Dis W Hf             1/1/1991     80        91    Yes         Yes         Yes         Yes         Yes         Yes
4029      Hypertensive Hrt Dis Nos*          1/1/1991               98    No          No          No          No          No          No
40290     Hyp Hrt Dis Nos W/O Hf             1/1/1991               98    No          No          No          No          No          No
40291     Hyp Ht Dis Nos W Ht Fail           1/1/1991     80        91    Yes         Yes         Yes         Yes         Yes         Yes
403       Hypertensive Renal Dis*            1/1/1991               98    No          No          No          No          No          No
4030      Mal Hypertens Renal Dis*           1/1/1991               98    No          No          No          No          No          No
40300     Mal Hyp Kidny W/O Cr Kid           1/1/1991               98    No          No          No          No          No          No
40301     Mal Hyp Kidney W Chr Kid           1/1/1991    131       134    Yes         Yes         Yes         Yes         Yes         Yes
4031      Benign Hypert Renal Dis*           1/1/1991               98    No          No          No          No          No          No
40310     Ben Hyp Kid W/O Chr Kid            1/1/1991               98    No          No          No          No          No          No
40311     Ben Hyp Kidney W Chr Kid           1/1/1991    131       134    Yes         Yes         Yes         Yes         Yes         Yes
4039      Hypertens Renal Dis Nos*           1/1/1991               98    No          No          No          No          No          No
40390     Hyp Kidny Nos W/O Cr Kid           1/1/1991               98    No          No          No          No          No          No
40391     Hyp Kidney Nos W Chr Kid           1/1/1991    131       134    Yes         Yes         Yes         Yes         Yes         Yes
404       Hyperten Heart/Renal Dis*          1/1/1991               98    No          No          No          No          No          No
4040      Mal Hypert Hrt/Renal Dis*          1/1/1991               98    No          No          No          No          No          No
40400     Mal Hy Ht/Kid W/O Hf/Kid           1/1/1991               98    No          No          No          No          No          No
40401     Mal Hyp Hrt/Kidney W Hf            1/1/1991     80        91    Yes         Yes         Yes         Yes         Yes         Yes
40402     Mal Hy Hrt/Kid W Chr Kid           1/1/1991    131       134    Yes         Yes         Yes         Yes         Yes         Yes
40403     Mal Hyp Hrt/Kid W Hf/Kid           1/1/1991    131       134    Yes         Yes         Yes         Yes         Yes         Yes
40403     Mal Hyp Hrt/Kid W Hf/Kid           1/1/1991     80       134    Yes         Yes         Yes         Yes         Yes         Yes
4041      Ben Hypert Hrt/Renal Dis*          1/1/1991               98    No          No          No          No          No          No
40410     Ben Hy Ht/Kid W/O Hf/Kid           1/1/1991               98    No          No          No          No          No          No
40411     Ben Hyp Hrt/Kid W Hf               1/1/1991     80        91    Yes         Yes         Yes         Yes         Yes         Yes
40412     Ben Hyp Ht/Kid W Chr Kid           1/1/1991    131       134    Yes         Yes         Yes         Yes         Yes         Yes
40413     Ben Hyp Ht/Kid W Hf/Kid            1/1/1991    131       134    Yes         Yes         Yes         Yes         Yes         Yes
40413     Ben Hyp Ht/Kid W Hf/Kid            1/1/1991     80       134    Yes         Yes         Yes         Yes         Yes         Yes
4049      Hypert Hrt/Renal Dis Nos*          1/1/1991               98    No          No          No          No          No          No
40490     Hy Ht/Kid Nos W/O Hf/Kid           1/1/1991               98    No          No          No          No          No          No
40491     Hyp Hrt/Kid Nos W Hf               1/1/1991     80        91    Yes         Yes         Yes         Yes         Yes         Yes
40492     Hyp Ht/Kid Nos W Chr Kid           1/1/1991    131       134    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
40493     Hyp Hrt/Kid Nos W Hf/Kid           1/1/1991      131       134    Yes         Yes         Yes         Yes         Yes         Yes
40493     Hyp Hrt/Kid Nos W Hf/Kid           1/1/1991       80       134    Yes         Yes         Yes         Yes         Yes         Yes
405       Secondary Hypertension*            1/1/1991                 98    No          No          No          No          No          No
4050      Mal Second Hypertension*           1/1/1991                 98    No          No          No          No          No          No
40501     Mal Renovasc Hypertens             1/1/1991                 98    No          No          No          No          No          No
40509     Mal Second Hyperten Nec            1/1/1991                 98    No          No          No          No          No          No
4051      Benign Second Hypertens*           1/1/1991                 98    No          No          No          No          No          No
40511     Benign Renovasc Hyperten           1/1/1991                 98    No          No          No          No          No          No
40519     Benign Second Hypert Nec           1/1/1991                 98    No          No          No          No          No          No
4059      Second Hypertension Nos*           1/1/1991                 98    No          No          No          No          No          No
40591     Renovasc Hypertension              1/1/1991                 98    No          No          No          No          No          No
40599     Second Hypertension Nec            1/1/1991                 98    No          No          No          No          No          No
410       Acute Myocardial Infarct*          1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         No
4100      Ami Anterolateral Wall*            1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         No
41000     Ami Anterolateral,Unspec           1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
41001     Ami Anterolateral, Init            1/1/1991       81        92    Yes         Yes         Yes         Yes         Yes         Yes
41002     Ami Anterolateral,Subseq           1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
4101      Ami Anterior Wall Nec*             1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         No
41010     Ami Anterior Wall,Unspec           1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
41011     Ami Anterior Wall, Init            1/1/1991       81        92    Yes         Yes         Yes         Yes         Yes         Yes
41012     Ami Anterior Wall,Subseq           1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
4102      Ami Inferolateral Wall*            1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         No
41020     Ami Inferolateral,Unspec           1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
41021     Ami Inferolateral, Init            1/1/1991       81        92    Yes         Yes         Yes         Yes         Yes         Yes
41022     Ami Inferolateral,Subseq           1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
4103      Ami Inferoposterior Wall*          1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         No
41030     Ami Inferopost, Unspec             1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
41031     Ami Inferopost, Initial            1/1/1991       81        92    Yes         Yes         Yes         Yes         Yes         Yes
41032     Ami Inferopost, Subseq             1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
4104      Ami Inferior Wall Nec*             1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         No
41040     Ami Inferior Wall,Unspec           1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
41041     Ami Inferior Wall, Init            1/1/1991       81        92    Yes         Yes         Yes         Yes         Yes         Yes
41042     Ami Inferior Wall,Subseq           1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
4105      Ami Lateral Wall Nec*              1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         No
41050     Ami Lateral Nec, Unspec            1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
41051     Ami Lateral Nec, Initial           1/1/1991       81        92    Yes         Yes         Yes         Yes         Yes         Yes
41052     Ami Lateral Nec, Subseq            1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
4106      True Posterior Infarct*            1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         No
41060     True Post Infarct,Unspec           1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
41061     True Post Infarct, Init            1/1/1991       81        92    Yes         Yes         Yes         Yes         Yes         Yes
41062     True Post Infarct,Subseq           1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
4107      Subendocardial Infarct*            1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         No
41070     Subendo Infarct, Unspec            1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
41071     Subendo Infarct, Initial           1/1/1991       81        92    Yes         Yes         Yes         Yes         Yes         Yes
41072     Subendo Infarct, Subseq            1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
4108      Myocardial Infarct Nec*            1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         No
41080     Ami Nec, Unspecified               1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
41081     Ami Nec, Initial                   1/1/1991       81        92    Yes         Yes         Yes         Yes         Yes         Yes
41082     Ami Nec, Subsequent                1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
4109      Myocardial Infarct Nos*            1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         No
41090     Ami Nos, Unspecified               1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
41091     Ami Nos, Initial                   1/1/1991       81        92    Yes         Yes         Yes         Yes         Yes         Yes
41092     Ami Nos, Subsequent                1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
411       Oth Ac Ischemic Hrt Dis*           1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         No
4110      Post Mi Syndrome                   1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
4111      Intermed Coronary Synd             1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
4118      Ac Ischemic Hrt Dis Nec*           1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         No
41181     Acute Cor Occlsn W/O Mi            1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
41189     Ac Ischemic Hrt Dis Nec            1/1/1991       82        92    Yes         Yes         Yes         Yes         Yes         Yes
412       Old Myocardial Infarct             1/1/1991       83        92    Yes         Yes         Yes         Yes         Yes         Yes
413       Angina Pectoris*                   1/1/1991       83        92    Yes         Yes         Yes         Yes         Yes         No
4130      Angina Decubitus                   1/1/1991       83        92    Yes         Yes         Yes         Yes         Yes         Yes
4131      Prinzmetal Angina                  1/1/1991       83        92    Yes         Yes         Yes         Yes         Yes         Yes
4139      Angina Pectoris Nec/Nos            1/1/1991       83        92    Yes         Yes         Yes         Yes         Yes         Yes
414       Oth Chr Ischemic Hrt Dis*          1/1/1991                 92    No          No          No          No          No          No
4140      Coronary Atherosclerosis*          1/1/1991                 92    No          No          No          No          No          No
41400     Cor Ath Unsp Vsl Ntv/Gft           1/1/1991                 92    No          No          No          No          No          No
41401     Crnry Athrscl Natve Vssl           1/1/1991                 92    No          No          No          No          No          No
41402     Crn Ath Atlg Vn Bps Grft           1/1/1991                 92    No          No          No          No          No          No
41403     Crn Ath Nonatlg Blg Grft           1/1/1991                 92    No          No          No          No          No          No
                                                                         CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                         HCC         HCC         HCC         HCC         HCC         HCC
                                                     CMS-                Model       Model       Model       Model       Model       Model
                                                     HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
41404     Cor Ath Artry Bypas Grft        10/1/1997                92    No          No          No          No          No          No
41405     Cor Ath Bypass Graft Nos        10/1/1997                92    No          No          No          No          No          No
41406     Cor Ath Natv Art Tp Hrt         10/1/2002                92    No          No          No          No          No          No
41407     Cor Ath Bps Graft Tp Hrt        10/1/2003                92    No          No          No          No          No          No
4141      Aneurysm Of Heart*                1/1/1991               92    No          No          No          No          No          No
41410     Aneurysm Of Heart                 1/1/1991               92    No          No          No          No          No          No
41411     Aneurysm Coronary Vessel          1/1/1991               92    No          No          No          No          No          No
41412     Dissection Cor Artery           10/1/2002                92    No          No          No          No          No          No
41419     Aneurysm Of Heart Nec             1/1/1991               92    No          No          No          No          No          No
4142      CHR TOT OCCLUS COR ARTRY        10/1/2007                92                                                    No          No
4143      COR ATH D/T LPD RCH PLAQ        10/1/2008                92    No          No          No          No          No          No
4148      Chr Ischemic Hrt Dis Nec          1/1/1991               92    No          No          No          No          No          No
4149      Chr Ischemic Hrt Dis Nos          1/1/1991               92    No          No          No          No          No          No
4150      Acute Cor Pulmonale               1/1/1991     80        91    Yes         Yes         Yes         Yes         Yes         Yes
4151      Pulmon Embolism/Infarct*          1/1/1991    104       105    Yes         Yes         Yes         Yes         Yes         No
41511     Iatrogen Pulm Emb/Infarc          1/1/1991    104       105    Yes         Yes         Yes         Yes         Yes         Yes
41512     SEPTIC PULMONARY EMBOLSM        10/1/2007     104       105                                                    Yes         Yes
41519     Pulm Embol/Infarct Nec            1/1/1991    104       105    Yes         Yes         Yes         Yes         Yes         Yes
416       Chr Pulmonary Heart Dis*          1/1/1991     80        91    Yes         Yes         Yes         Yes         Yes         No
4160      Prim Pulm Hypertension            1/1/1991     80        91    Yes         Yes         Yes         Yes         Yes         Yes
4161      Kyphoscoliotic Heart Dis          1/1/1991     80        91    Yes         Yes         Yes         Yes         Yes         Yes
4162      Chr pulmonary embolism          10/1/2009      104      105    No          No          No          No          No          No
4168      Chr Pulmon Heart Dis Nec          1/1/1991     80        91    Yes         Yes         Yes         Yes         Yes         Yes
4169      Chr Pulmon Heart Dis Nos          1/1/1991     80        91    Yes         Yes         Yes         Yes         Yes         Yes
417       Oth Pulmon Circulat Dis*          1/1/1991     80        91    Yes         Yes         Yes         Yes         Yes         No
4170      Arterioven Fistu Pul Ves          1/1/1991     80        91    Yes         Yes         Yes         Yes         Yes         Yes
4171      Pulmon Artery Aneurysm            1/1/1991     80        91    Yes         Yes         Yes         Yes         Yes         Yes
4178      Pulmon Circulat Dis Nec           1/1/1991     80        91    Yes         Yes         Yes         Yes         Yes         Yes
4179      Pulmon Circulat Dis Nos           1/1/1991     80        91    Yes         Yes         Yes         Yes         Yes         Yes
425       Cardiomyopathy*                   1/1/1991     80        91    Yes         Yes         Yes         Yes         Yes         No
4250      Endomyocardial Fibrosis           1/1/1991     80        91    Yes         Yes         Yes         Yes         Yes         Yes
4251      Hypertr Obstr Cardiomyop          1/1/1991     80        91    Yes         Yes         Yes         Yes         Yes         Yes
4252      Obsc Afric Cardiomyopath          1/1/1991     80        91    Yes         Yes         Yes         Yes         Yes         Yes
4253      Endocard Fibroelastosis           1/1/1991     80        91    Yes         Yes         Yes         Yes         Yes         Yes
4254      Prim Cardiomyopathy Nec           1/1/1991     80        91    Yes         Yes         Yes         Yes         Yes         Yes
                                                                           CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                           HCC         HCC         HCC         HCC         HCC         HCC
                                                       CMS-                Model       Model       Model       Model       Model       Model
                                                       HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
4255      Alcoholic Cardiomyopathy          1/1/1991       80        91    Yes         Yes         Yes         Yes         Yes         Yes
4257      Metabolic Cardiomyopathy          1/1/1991       80        91    Yes         Yes         Yes         Yes         Yes         Yes
4258      Cardiomyopath In Oth Dis          1/1/1991       80        91    Yes         Yes         Yes         Yes         Yes         Yes
4259      Second Cardiomyopath Nos          1/1/1991       80        91    Yes         Yes         Yes         Yes         Yes         Yes
4260      Atriovent Block Complete          1/1/1991       92        99    Yes         Yes         Yes         Yes         Yes         Yes
4270      Parox Atrial Tachycardia          1/1/1991       92        99    Yes         Yes         Yes         Yes         Yes         Yes
4271      Parox Ventric Tachycard           1/1/1991       92        99    Yes         Yes         Yes         Yes         Yes         Yes
4272      Parox Tachycardia Nos             1/1/1991       92        99    Yes         Yes         Yes         Yes         Yes         Yes
4273      Atrial Fibrill/Flutter*           1/1/1991       92        99    Yes         Yes         Yes         Yes         Yes         No
42731     Atrial Fibrillation               1/1/1991       92        99    Yes         Yes         Yes         Yes         Yes         Yes
42732     Atrial Flutter                    1/1/1991       92        99    Yes         Yes         Yes         Yes         Yes         Yes
4274      Ventric Fibrill/Flutter*          1/1/1991       79              Yes         Yes         Yes         Yes         Yes         No
42741     Ventricular Fibrillation          1/1/1991       79              Yes         Yes         Yes         Yes         Yes         Yes
42742     Ventricular Flutter               1/1/1991       79              Yes         Yes         Yes         Yes         Yes         Yes
4275      Cardiac Arrest                    1/1/1991       79              Yes         Yes         Yes         Yes         Yes         Yes
42781     Sinoatrial Node Dysfunct          1/1/1991       92        99    Yes         Yes         Yes         Yes         Yes         Yes
428       Heart Failure*                    1/1/1991       80        91    Yes         Yes         Yes         Yes         Yes         No
4280      Chf Nos                           1/1/1991       80        91    Yes         Yes         Yes         Yes         Yes         Yes
4281      Left Heart Failure                1/1/1991       80        91    Yes         Yes         Yes         Yes         Yes         Yes
4282      Ras Assigned                      1/1/2001       80        91    Yes         Yes         Yes         Yes         Yes         No
42820     Systolic Hrt Failure Nos        10/1/2002        80        91    Yes         Yes         Yes         Yes         Yes         Yes
42821     Ac Systolic Hrt Failure         10/1/2002        80        91    Yes         Yes         Yes         Yes         Yes         Yes
42822     Chr Systolic Hrt Failure        10/1/2002        80        91    Yes         Yes         Yes         Yes         Yes         Yes
42823     Ac On Chr Syst Hrt Fail         10/1/2002        80        91    Yes         Yes         Yes         Yes         Yes         Yes
4283      Ras Assigned                      1/1/2001       80        91    Yes         Yes         Yes         Yes         Yes         No
42830     Diastolc Hrt Failure Nos        10/1/2002        80        91    Yes         Yes         Yes         Yes         Yes         Yes
42831     Ac Diastolic Hrt Failure        10/1/2002        80        91    Yes         Yes         Yes         Yes         Yes         Yes
42832     Chr Diastolic Hrt Fail          10/1/2002        80        91    Yes         Yes         Yes         Yes         Yes         Yes
42833     Ac On Chr Diast Hrt Fail        10/1/2002        80        91    Yes         Yes         Yes         Yes         Yes         Yes
4284      Ras Assigned                      1/1/2001       80        91    Yes         Yes         Yes         Yes         Yes         No
42840     Syst/Diast Hrt Fail Nos         10/1/2002        80        91    Yes         Yes         Yes         Yes         Yes         Yes
42841     Ac Syst/Diastol Hrt Fail        10/1/2002        80        91    Yes         Yes         Yes         Yes         Yes         Yes
42842     Chr Syst/Diastl Hrt Fail        10/1/2002        80        91    Yes         Yes         Yes         Yes         Yes         Yes
42843     Ac/Chr Syst/Dia Hrt Fail        10/1/2002        80        91    Yes         Yes         Yes         Yes         Yes         Yes
4289      Heart Failure Nos                 1/1/1991       80        91    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
4290      Myocarditis Nos                    1/1/1991       80        91    Yes         Yes         Yes         Yes         Yes         Yes
4291      Myocardial Degeneration            1/1/1991       80        91    Yes         Yes         Yes         Yes         Yes         Yes
4295      Chordae Tendinae Rupture           1/1/1991       81        92    Yes         Yes         Yes         Yes         Yes         Yes
4296      Papillary Muscle Rupture           1/1/1991       81        92    Yes         Yes         Yes         Yes         Yes         Yes
42983     Takotsubo syndrome               10/1/2006                  92    No          No          No          No          No          No
430       Subarachnoid Hemorrhage            1/1/1991       95       102    Yes         Yes         Yes         Yes         Yes         Yes
431       Intracerebral Hemorrhage           1/1/1991       95       102    Yes         Yes         Yes         Yes         Yes         Yes
432       Intracranial Hem Nec/Nos*          1/1/1991       95       102    Yes         Yes         Yes         Yes         Yes         No
4320      Nontraum Extradural Hem            1/1/1991       95       102    Yes         Yes         Yes         Yes         Yes         Yes
4321      Subdural Hemorrhage                1/1/1991       95       102    Yes         Yes         Yes         Yes         Yes         Yes
4329      Intracranial Hemorr Nos            1/1/1991       95       102    Yes         Yes         Yes         Yes         Yes         Yes
433       Precerebral Occlusion*             1/1/1991                102    No          No          No          No          No          No
4330      Basilar Artery Occlusion*          1/1/1991                102    No          No          No          No          No          No
43300     Ocl Bslr Art Wo Infrct             1/1/1991                102    No          No          No          No          No          No
43301     Ocl Bslr Art W Infrct              1/1/1991       96       102    Yes         Yes         Yes         Yes         Yes         Yes
4331      Carotid Artery Occlusion*          1/1/1991                102    No          No          No          No          No          No
43310     Ocl Crtd Art Wo Infrct             1/1/1991                102    No          No          No          No          No          No
43311     Ocl Crtd Art W Infrct              1/1/1991       96       102    Yes         Yes         Yes         Yes         Yes         Yes
4332      Vertebral Art Occlusion*           1/1/1991                102    No          No          No          No          No          No
43320     Ocl Vrtb Art Wo Infrct             1/1/1991                102    No          No          No          No          No          No
43321     Ocl Vrtb Art W Infrct              1/1/1991       96       102    Yes         Yes         Yes         Yes         Yes         Yes
4333      Mult Precereb Occlusion*           1/1/1991                102    No          No          No          No          No          No
43330     Ocl Mlt Bi Art Wo Infrct           1/1/1991                102    No          No          No          No          No          No
43331     Ocl Mlt Bi Art W Infrct            1/1/1991       96       102    Yes         Yes         Yes         Yes         Yes         Yes
4338      Precereb Occlusion Nec*            1/1/1991                102    No          No          No          No          No          No
43380     Ocl Spcf Art Wo Infrct             1/1/1991                102    No          No          No          No          No          No
43381     Ocl Spcf Art W Infrct              1/1/1991       96       102    Yes         Yes         Yes         Yes         Yes         Yes
4339      Precereb Occlusion Nos*            1/1/1991                102    No          No          No          No          No          No
43390     Ocl Art Nos Wo Infrct              1/1/1991                102    No          No          No          No          No          No
43391     Ocl Art Nos W Infrct               1/1/1991       96       102    Yes         Yes         Yes         Yes         Yes         Yes
434       Cerebral Artery Occlus*            1/1/1991                102    No          No          No          No          No          No
4340      Cerebral Thrombosis*               1/1/1991                102    No          No          No          No          No          No
43400     Crbl Thrmbs Wo Infrct              1/1/1991                102    No          No          No          No          No          No
43401     Crbl Thrmbs W Infrct               1/1/1991       96       102    Yes         Yes         Yes         Yes         Yes         Yes
4341      Cerebral Embolism*                 1/1/1991                102    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
43410     Crbl Emblsm Wo Infrct              1/1/1991              102    No          No          No          No          No          No
43411     Crbl Emblsm W Infrct               1/1/1991     96       102    Yes         Yes         Yes         Yes         Yes         Yes
4349      Cerebr Artery Occlus Nos*          1/1/1991              102    No          No          No          No          No          No
43490     Crbl Art Oc Nos Wo Infrc           1/1/1991              102    No          No          No          No          No          No
43491     Crbl Art Ocl Nos W Infrc           1/1/1991     96       102    Yes         Yes         Yes         Yes         Yes         Yes
435       Transient Cereb Ischemia*          1/1/1991              102    No          No          No          No          No          No
4350      Basilar Artery Syndrome            1/1/1991              102    No          No          No          No          No          No
4351      Vertebral Artery Syndrom           1/1/1991              102    No          No          No          No          No          No
4352      Subclavian Steal Syndrom           1/1/1991              102    No          No          No          No          No          No
4353      Vertbrobaslr Artery Synd           1/1/1991              102    No          No          No          No          No          No
4358      Trans Cereb Ischemia Nec           1/1/1991              102    No          No          No          No          No          No
4359      Trans Cereb Ischemia Nos           1/1/1991              102    No          No          No          No          No          No
436       Cva                                1/1/1991     96       102    Yes         Yes         Yes         Yes         Yes         Yes
4370      Cerebral Atherosclerosis           1/1/1991              102    No          No          No          No          No          No
4371      Ac Cerebrovasc Insuf Nos           1/1/1991              102    No          No          No          No          No          No
4372      Hypertens Encephalopathy           1/1/1991               98    No          No          No          No          No          No
4374      Cerebral Arteritis                 1/1/1991              102    No          No          No          No          No          No
4375      Moyamoya Disease                   1/1/1991              102    No          No          No          No          No          No
4376      Nonpyogen Thrombos Sinus           1/1/1991              102    No          No          No          No          No          No
438       Late Eff Cerebrovasc Dis*          1/1/1991              102    No          No          No          No          No          No
4382      Ras Assigned                       1/1/2001    100       102    Yes         Yes         Yes         Yes         Yes         No
43820     Late Ef-Hemplga Side Nos         10/1/1998     100       102    Yes         Yes         Yes         Yes         Yes         Yes
43821     Late Ef-Hemplga Dom Side         10/1/1998     100       102    Yes         Yes         Yes         Yes         Yes         Yes
43822     Late Ef-Hemiplga Non-Dom         10/1/1998     100       102    Yes         Yes         Yes         Yes         Yes         Yes
4383      Ras Assigned                       1/1/2001    101       102    Yes         Yes         Yes         Yes         Yes         No
43830     Late Ef-Mplga Up Lmb Nos         10/1/1998     101       102    Yes         Yes         Yes         Yes         Yes         Yes
43831     Late Ef-Mplga Up Lmb Dom         10/1/1998     101       102    Yes         Yes         Yes         Yes         Yes         Yes
43832     Lt Ef-Mplga Uplmb Nondom         10/1/1998     101       102    Yes         Yes         Yes         Yes         Yes         Yes
4384      Ras Assigned                       1/1/2001    101       102    Yes         Yes         Yes         Yes         Yes         No
43840     Lte Ef-Mplga Low Lmb Nos         10/1/1998     101       102    Yes         Yes         Yes         Yes         Yes         Yes
43841     Lte Ef-Mplga Low Lmb Dom         10/1/1998     101       102    Yes         Yes         Yes         Yes         Yes         Yes
43842     Lt Ef-Mplga Lowlmb Nondm         10/1/1998     101       102    Yes         Yes         Yes         Yes         Yes         Yes
4385      Ras Assigned                       1/1/2001    101       102    Yes         Yes         Yes         Yes         Yes         No
43850     Lt Ef Oth Paral Side Nos         10/1/1998     101       102    Yes         Yes         Yes         Yes         Yes         Yes
43851     Lt Ef Oth Paral Dom Side         10/1/1998     101       102    Yes         Yes         Yes         Yes         Yes         Yes
                                                                           CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                           HCC         HCC         HCC         HCC         HCC         HCC
                                                       CMS-                Model       Model       Model       Model       Model       Model
                                                       HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
43852     Lt Ef Oth Parals Non-Dom        10/1/1998       101       102    Yes         Yes         Yes         Yes         Yes         Yes
43853     Lt Ef Oth Parals-Bilat          10/1/1999       101       102    Yes         Yes         Yes         Yes         Yes         Yes
4388      Late Eff Cv Dis-Unspec*           1/1/1991                102    No          No          No          No          No          No
43882     Late Ef Cv Dis Dysphagia        10/1/1998                 102    No          No          No          No          No          No
43889     Late Effect Cv Dis Nec          10/1/1998                 102    No          No          No          No          No          No
4389      Late Effect Cv Dis Nos          10/1/1998                 102    No          No          No          No          No          No
4400      Aortic Atherosclerosis            1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4401      Renal Artery Atheroscler          1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4402      Atheroscleros-Extremity*          1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         No
44020     Athscl Extrm Ntv Art Nos          1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
44021     Ath Ext Ntv At W Claudct          1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
44022     Ath Ext Ntv At W Rst Pn           1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
44023     Ath Ext Ntv Art Ulcrtion          1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         Yes
44024     Ath Ext Ntv Art Gngrene           1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         Yes
44029     Athrsc Extrm Ntv Art Oth          1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4403      Ras Assigned                      1/1/2001      105       106    Yes         Yes         Yes         Yes         Yes         No
44030     Athscl Extrm Bps Gft Nos          1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
44031     Ath Ext Autologs Bps Gft          1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
44032     Ath Ext Nonautlg Bps Gft          1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4404      CHR TOT OCCL ART EXTREM         10/1/2007       105       106                                                    Yes         Yes
441       Aortic Aneurysm*                  1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         No
4410      Dissecting Aneurysm*              1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         No
44100     Dsct Of Aorta Unsp Site           1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         Yes
44101     Dsct Of Thoracic Aorta            1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         Yes
44102     Dsct Of Abdominal Aorta           1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         Yes
44103     Dsct Of Thoracoabd Aorta          1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         Yes
4411      Ruptur Thoracic Aneurysm          1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         Yes
4412      Thoracic Aortic Aneurysm          1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4413      Rupt Abd Aortic Aneurysm          1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         Yes
4414      Abdom Aortic Aneurysm             1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4415      Rupt Aortic Aneurysm Nos          1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         Yes
4416      Thoracoabd Aneurysm Rupt          1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         Yes
4417      Thracabd Anurysm Wo Rupt          1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4419      Aortic Aneurysm Nos               1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
442       Other Aneurysm*                   1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         No
                                                                           CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                           HCC         HCC         HCC         HCC         HCC         HCC
                                                       CMS-                Model       Model       Model       Model       Model       Model
                                                       HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
4420      Upper Extremity Aneurysm          1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4421      Renal Artery Aneurysm             1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4422      Iliac Artery Aneurysm             1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4423      Lower Extremity Aneurysm          1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4428      Aneurysm Nec*                     1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         No
44281     Aneurysm Of Neck                  1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
44282     Subclavian Aneurysm               1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
44283     Splenic Artery Aneurysm           1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
44284     Visceral Aneurysm Nec             1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
44289     Aneurysm Nec                      1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4429      Aneurysm Nos                      1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4431      Thromboangiit Obliterans          1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4432      Ras Assigned                      1/1/2001      104       106    Yes         Yes         Yes         Yes         Yes         No
44321     Dissect Carotid Artery          10/1/2002       104       106    Yes         Yes         Yes         Yes         Yes         Yes
44322     Dissection Iliac Artery         10/1/2002       104       106    Yes         Yes         Yes         Yes         Yes         Yes
44323     Dissection Renal Artery         10/1/2002       104       106    Yes         Yes         Yes         Yes         Yes         Yes
44324     Dissect Vertebral Artery        10/1/2002       104       106    Yes         Yes         Yes         Yes         Yes         Yes
44329     Dissection Artery Nec           10/1/2002       104       106    Yes         Yes         Yes         Yes         Yes         Yes
4438      Periph Vascular Dis Nec*          1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         No
44381     Angiopathy In Other Dis           1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
44382     Erythromelalgia                 10/1/2005       105              No          No          Yes         Yes         Yes         Yes
44389     Periph Vascular Dis Nec           1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4439      Periph Vascular Dis Nos           1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
444       Arterial Embolism*                1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         No
4440      Abd Aortic Embolism               1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         Yes
4441      Thoracic Aortic Embolism          1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         Yes
4442      Embolism Of Extremity*            1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         No
44421     Upper Extremity Embolism          1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         Yes
44422     Lower Extremity Embolism          1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         Yes
4448      Arterial Embolism Nec*            1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         No
44481     Iliac Artery Embolism             1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         Yes
44489     Arterial Embolism Nec             1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         Yes
4449      Arterial Embolism Nos             1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         Yes
445       Atheroembolism                  10/1/2003       104       106    Yes         Yes         Yes         Yes         Yes         No
44501     Atheroembolism,Upper Ext        10/1/2002       104       106    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
44502     Atheroembolism,Lower Ext         10/1/2002       104       106    Yes         Yes         Yes         Yes         Yes         Yes
44581     Atheroembolism, Kidney           10/1/2002       104       106    Yes         Yes         Yes         Yes         Yes         Yes
44589     Atheroembolism, Site Nec         10/1/2002       104       106    Yes         Yes         Yes         Yes         Yes         Yes
446       Polyarterit Nodosa Et Al*          1/1/1991       38        40    Yes         Yes         Yes         Yes         Yes         No
4460      Polyarteritis Nodosa               1/1/1991       38        40    Yes         Yes         Yes         Yes         Yes         Yes
4461      Mucocutan Lymph Node Syn           1/1/1991       38        40    Yes         Yes         Yes         Yes         Yes         Yes
4462      Hypersensitiv Angiitis*            1/1/1991       38        40    Yes         Yes         Yes         Yes         Yes         No
44620     Hypersensit Angiitis Nos           1/1/1991       38        40    Yes         Yes         Yes         Yes         Yes         Yes
44621     Goodpasture'S Syndrome             1/1/1991       38        40    Yes         Yes         Yes         Yes         Yes         Yes
44629     Hypersensit Angiitis Nec           1/1/1991       38        40    Yes         Yes         Yes         Yes         Yes         Yes
4463      Lethal Midline Granuloma           1/1/1991       38        40    Yes         Yes         Yes         Yes         Yes         Yes
4464      Wegener'S Granulomatosis           1/1/1991       38        40    Yes         Yes         Yes         Yes         Yes         Yes
4465      Giant Cell Arteritis               1/1/1991       38        40    Yes         Yes         Yes         Yes         Yes         Yes
4466      Thrombot Microangiopathy           1/1/1991       38        40    Yes         Yes         Yes         Yes         Yes         Yes
4467      Takayasu'S Disease                 1/1/1991       38        40    Yes         Yes         Yes         Yes         Yes         Yes
447       Other Arterial Disease*            1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         No
4470      Acq Arterioven Fistula             1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4471      Stricture Of Artery                1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4472      Rupture Of Artery                  1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4473      Renal Artery Hyperplasia           1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4474      Celiac Art Compress Syn            1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4475      Necrosis Of Artery                 1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4476      Arteritis Nos                      1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4478      Arterial Disease Nec               1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4479      Arterial Disease Nos               1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
4480      Heredit Hemorr Telangiec           1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
449       SEPTIC ARTERIAL EMBOLISM         10/1/2007       104       106                                                    Yes         Yes
4511      Deep Phlebitis-Leg*                1/1/1991      105       105    Yes         Yes         Yes         Yes         Yes         No
45111     Femoral Vein Phlebitis             1/1/1991      105       105    Yes         Yes         Yes         Yes         Yes         Yes
45119     Deep Phlebitis-Leg Nec             1/1/1991      105       105    Yes         Yes         Yes         Yes         Yes         Yes
45181     Iliac Thrombophlebitis             1/1/1991      105       105    Yes         Yes         Yes         Yes         Yes         Yes
45183     Phlbts Deep Vn Up Extrm            1/1/1991      105       105    Yes         Yes         Yes         Yes         Yes         Yes
4530      Budd-Chiari Syndrome               1/1/1991      105       105    Yes         Yes         Yes         Yes         Yes         Yes
4532      Vena Cava Thrombosis               1/1/1991      105       105    Yes         Yes         Yes         Yes         Yes         Yes
4533      Renal Vein Thrombosis              1/1/1991      105       105    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
45340     Dvt/Emblsm Lower Ext Nos         10/1/2004       105       105    No          Yes         Yes         Yes         Yes         Yes
45341     Dvt/Emb Prox Lower Ext           10/1/2004       105       105    No          Yes         Yes         Yes         Yes         Yes
45342     Dvt/Emb Distal Lower Ext         10/1/2004       105       105    No          Yes         Yes         Yes         Yes         Yes
45350     Ch DVT/embl low ext NOS          10/1/2009        105      105    No          No          No          No          No          No
45351     Ch DVT/embl prox low ext         10/1/2009        105      105    No          No          No          No          No          No
45352     Ch DVT/embl dstl low ext         10/1/2009        105      105    No          No          No          No          No          No
45372     Ch DVT/embl up ext               10/1/2009        105      105    No          No          No          No          No          No
45374     Ch emblsm axillary veins         10/1/2009        105      105    No          No          No          No          No          No
45375     Ch emblsm subclav veins          10/1/2009        105      105    No          No          No          No          No          No
45376     Ch embl internl jug vein         10/1/2009        105      105    No          No          No          No          No          No
45377     Ch embl thorac vein NEC          10/1/2009        105      105    No          No          No          No          No          No
4538      Venous Thrombosis Nec              1/1/1991      105       105    Yes         Yes         Yes         Yes         Yes         Yes
45382     Ac DVT/embl up ext               10/1/2009        105      105    No          No          No          No          No          No
45384     Ac emblsm axillary veins         10/1/2009        105      105    No          No          No          No          No          No
45385     Ac embl subclav veins            10/1/2009        105      105    No          No          No          No          No          No
45386     Ac embl internl jug vein         10/1/2009        105      105    No          No          No          No          No          No
45387     Ac embl thorac vein NEC          10/1/2009        105      105    No          No          No          No          No          No
4560      Esophag Varices W Bleed            1/1/1991       25              Yes         Yes         Yes         Yes         Yes         Yes
4561      Esoph Varices W/O Bleed            1/1/1991       25              Yes         Yes         Yes         Yes         Yes         Yes
4562      Esoph Varices In Oth Dis*          1/1/1991       25              Yes         Yes         Yes         Yes         Yes         No
45620     Bleed Esoph Var Oth Dis            1/1/1991       25              Yes         Yes         Yes         Yes         Yes         Yes
45621     Esoph Varice Oth Dis Nos           1/1/1991       25              Yes         Yes         Yes         Yes         Yes         Yes
466       Ac Bronchitis/Bronchiol*           1/1/1991                113    No          No          No          No          No          No
4660      Acute Bronchitis                   1/1/1991                113    No          No          No          No          No          No
4661      Acute Bronchiolitis*               1/1/1991                113    No          No          No          No          No          No
46611     Acu Broncholitis D/T Rsv         10/1/1997                 113    No          No          No          No          No          No
46619     Acu Brnchlts D/T Oth Org         10/1/1997                 113    No          No          No          No          No          No
470       Deviated Nasal Septum              1/1/1991                129    No          No          No          No          No          No
471       Nasal Polyps*                      1/1/1991                129    No          No          No          No          No          No
4710      Polyp Of Nasal Cavity              1/1/1991                129    No          No          No          No          No          No
4711      Polypoid Sinus Degen               1/1/1991                129    No          No          No          No          No          No
4718      Nasal Sinus Polyp Nec              1/1/1991                129    No          No          No          No          No          No
4719      Nasal Polyp Nos                    1/1/1991                129    No          No          No          No          No          No
472       Chr Pharyng/Nasopharyng*           1/1/1991                129    No          No          No          No          No          No
4720      Chronic Rhinitis                   1/1/1991                129    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
4721      Chronic Pharyngitis                1/1/1991              129    No          No          No          No          No          No
4722      Chronic Nasopharyngitis            1/1/1991              129    No          No          No          No          No          No
473       Chronic Sinusitis*                 1/1/1991              129    No          No          No          No          No          No
4730      Chr Maxillary Sinusitis            1/1/1991              129    No          No          No          No          No          No
4731      Chr Frontal Sinusitis              1/1/1991              129    No          No          No          No          No          No
4732      Chr Ethmoidal Sinusitis            1/1/1991              129    No          No          No          No          No          No
4733      Chr Sphenoidal Sinusitis           1/1/1991              129    No          No          No          No          No          No
4738      Chronic Sinusitis Nec              1/1/1991              129    No          No          No          No          No          No
4739      Chronic Sinusitis Nos              1/1/1991              129    No          No          No          No          No          No
474       Chr T & A Dis*                     1/1/1991              129    No          No          No          No          No          No
4740      Chronic Tonsillitis*               1/1/1991              129    No          No          No          No          No          No
47400     Chronic Tonsillitis              10/1/1998               129    No          No          No          No          No          No
47401     Chronic Adenoiditis              10/1/1998               129    No          No          No          No          No          No
47402     Chronic Tonsils&Adenoids         10/1/1998               129    No          No          No          No          No          No
4741      T & A Hypertrophy*                 1/1/1991              129    No          No          No          No          No          No
47410     Hypertrophy T And A                1/1/1991              129    No          No          No          No          No          No
47411     Hypertrophy Tonsils                1/1/1991              129    No          No          No          No          No          No
47412     Hypertrophy Adenoids               1/1/1991              129    No          No          No          No          No          No
4742      Adenoid Vegetations                1/1/1991              129    No          No          No          No          No          No
4748      Chr T & A Dis Nec                  1/1/1991              129    No          No          No          No          No          No
4749      Chr T & A Dis Nos                  1/1/1991              129    No          No          No          No          No          No
476       Chr Laryng/Laryngotrach*           1/1/1991              126    No          No          No          No          No          No
4760      Chronic Laryngitis                 1/1/1991              126    No          No          No          No          No          No
4761      Chr Laryngotracheitis              1/1/1991              126    No          No          No          No          No          No
477       Allergic Rhinitis*                 1/1/1991              129    No          No          No          No          No          No
4770      Rhinitis Due To Pollen             1/1/1991              129    No          No          No          No          No          No
4771      Allergic Rhinitis-Food           10/1/2001               129    No          No          No          No          No          No
4772      Allerg Rhinitis-Cat/Dog          10/1/2004               129    No          No          No          No          No          No
4778      Allergic Rhinitis Nec              1/1/1991              129    No          No          No          No          No          No
4779      Allergic Rhinitis Nos              1/1/1991              129    No          No          No          No          No          No
478       Oth Uppr Respiratory Dis*          1/1/1991              129    No          No          No          No          No          No
4780      Hypertrph Nasal Turbinat           1/1/1991              129    No          No          No          No          No          No
4781      Nasal & Sinus Dis Nec              1/1/1991              129    No          No          No          No          No          No
47811     Nasal mucositis (ulcerati        10/1/2006               129    No          No          No          No          No          No
47819     Other disease of nasal ca        10/1/2006               129    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
4782      Disease Of Pharynx Nec*            1/1/1991              129    No          No          No          No          No          No
47820     Disease Of Pharynx Nos             1/1/1991              129    No          No          No          No          No          No
47821     Cellulitis Of Pharynx              1/1/1991              129    No          No          No          No          No          No
47822     Parapharyngeal Abscess             1/1/1991              129    No          No          No          No          No          No
47824     Retropharyngeal Abscess            1/1/1991              129    No          No          No          No          No          No
47825     Edema Pharynx/Nasopharyx           1/1/1991              129    No          No          No          No          No          No
47826     Cyst Pharynx/Nasopharynx           1/1/1991              129    No          No          No          No          No          No
47829     Disease Of Pharynx Nec             1/1/1991              129    No          No          No          No          No          No
4784      Vocal Cord/Larynx Polyp            1/1/1991              126    No          No          No          No          No          No
4785      Vocal Cord Disease Nec             1/1/1991              126    No          No          No          No          No          No
4786      Edema Of Larynx                    1/1/1991              126    No          No          No          No          No          No
4787      Other Disease Of Larynx*           1/1/1991              126    No          No          No          No          No          No
47870     Disease Of Larynx Nos              1/1/1991              126    No          No          No          No          No          No
47871     Laryngeal Cellulitis               1/1/1991              126    No          No          No          No          No          No
47874     Stenosis Of Larynx                 1/1/1991              126    No          No          No          No          No          No
47875     Laryngeal Spasm                    1/1/1991              126    No          No          No          No          No          No
47879     Disease Of Larynx Nec              1/1/1991              126    No          No          No          No          No          No
4788      Urt Hypersens React Nos            1/1/1991              129    No          No          No          No          No          No
4789      Upper Resp Dis Nec/Nos             1/1/1991              129    No          No          No          No          No          No
481       Pneumococcal Pneumonia             1/1/1991    112              Yes         Yes         Yes         Yes         Yes         Yes
4820      K. Pneumoniae Pneumonia            1/1/1991    111       111    Yes         Yes         Yes         Yes         Yes         Yes
4821      Pseudomonal Pneumonia              1/1/1991    111       111    Yes         Yes         Yes         Yes         Yes         Yes
4822      H.Influenzae Pneumonia             1/1/1991    112              Yes         Yes         Yes         Yes         Yes         Yes
4823      Streptococcal Pneumonia*           1/1/1991    112              Yes         Yes         Yes         Yes         Yes         No
48230     Streptococcal Pneumn Nos           1/1/1991    112              Yes         Yes         Yes         Yes         Yes         Yes
48231     Pneumonia Strptococcus A           1/1/1991    112              Yes         Yes         Yes         Yes         Yes         Yes
48232     Pneumonia Strptococcus B           1/1/1991    112              Yes         Yes         Yes         Yes         Yes         Yes
48239     Pneumonia Oth Strep                1/1/1991    112              Yes         Yes         Yes         Yes         Yes         Yes
4824      Staphylococcal Pneumonia*          1/1/1991    111       111    Yes         Yes         Yes         Yes         Yes         No
48240     Staphylococcal Pneu Nos          10/1/1999     111       111    Yes         Yes         Yes         Yes         Yes         Yes
48241     Staph Aureus Pneumonia           10/1/1999     111       111    Yes         Yes         Yes         Yes         Yes         Yes
48242     METH RES PNEU D/T STAPH          10/1/2008      111      111    No          No          No          No          Yes         Yes
48249     Staph Pneumonia Nec              10/1/1999     111       111    Yes         Yes         Yes         Yes         Yes         Yes
4828      Bacterial Pneumonia Nec*           1/1/1991    111       111    Yes         Yes         Yes         Yes         Yes         No
48281     Pneumonia Anaerobes                1/1/1991    111       111    Yes         Yes         Yes         Yes         Yes         Yes
                                                                           CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                           HCC         HCC         HCC         HCC         HCC         HCC
                                                       CMS-                Model       Model       Model       Model       Model       Model
                                                       HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
48282     Pneumonia E Coli                  1/1/1991      111       111    Yes         Yes         Yes         Yes         Yes         Yes
48283     Pneumo Oth Grm-Neg Bact           1/1/1991      111       111    Yes         Yes         Yes         Yes         Yes         Yes
48284     Legionnaires' Disease           10/1/1998       111       111    Yes         Yes         Yes         Yes         Yes         Yes
48289     Pneumonia Oth Spcf Bact           1/1/1991      111       111    Yes         Yes         Yes         Yes         Yes         Yes
4841      Pneum W Cytomeg Incl Dis          1/1/1991        5         2    Yes         Yes         Yes         Yes         Yes         Yes
4846      Pneum In Aspergillosis            1/1/1991      112       112    Yes         Yes         Yes         Yes         Yes         Yes
4847      Pneum In Oth Sys Mycoses          1/1/1991      112       112    Yes         Yes         Yes         Yes         Yes         Yes
490       Bronchitis Nos                    1/1/1991                113    No          No          No          No          No          No
491       Chronic Bronchitis*               1/1/1991      108       109    Yes         Yes         Yes         Yes         Yes         No
4910      Simple Chr Bronchitis             1/1/1991      108       109    Yes         Yes         Yes         Yes         Yes         Yes
4911      Mucopurul Chr Bronchitis          1/1/1991      108       109    Yes         Yes         Yes         Yes         Yes         Yes
4912      Obstruct Chr Bronchitis*          1/1/1991      108       109    Yes         Yes         Yes         Yes         Yes         No
49120     Obst Chr Bronc W/O Exac           1/1/1991      108       109    Yes         Yes         Yes         Yes         Yes         Yes
49121     Obs Chr Bronc W(Ac) Exac          1/1/1991      108       109    Yes         Yes         Yes         Yes         Yes         Yes
49122     Obs Chr Bronc W Ac Bronc        10/1/2004       108       109    No          Yes         Yes         Yes         Yes         Yes
4918      Chronic Bronchitis Nec            1/1/1991      108       109    Yes         Yes         Yes         Yes         Yes         Yes
4919      Chronic Bronchitis Nos            1/1/1991      108       109    Yes         Yes         Yes         Yes         Yes         Yes
492       Emphysema*                        1/1/1991      108       109    Yes         Yes         Yes         Yes         Yes         No
4920      Emphysematous Bleb                1/1/1991      108       109    Yes         Yes         Yes         Yes         Yes         Yes
4928      Emphysema Nec                     1/1/1991      108       109    Yes         Yes         Yes         Yes         Yes         Yes
493       Asthma*                           1/1/1991                109    No          No          No          No          No          No
4930      Extrinsic Asthma*                 1/1/1991                109    No          No          No          No          No          No
49300     Extrinsic Asthma Nos              1/1/1991                109    No          No          No          No          No          No
49301     Ext Asthma W Status Asth          1/1/1991                109    No          No          No          No          No          No
49302     Ext Asthma W(Acute) Exac        10/1/2001                 109    No          No          No          No          No          No
4931      Intrinsic Asthma*                 1/1/1991                109    No          No          No          No          No          No
49310     Intrinsic Asthma Nos              1/1/1991                109    No          No          No          No          No          No
49311     Int Asthma W Status Asth          1/1/1991                109    No          No          No          No          No          No
49312     Int Asthma W (Ac) Exac          10/1/2001                 109    No          No          No          No          No          No
4932      Ras Assigned                      1/1/2001      108       109    Yes         Yes         Yes         Yes         Yes         No
49320     Chronic Obst Asthma Nos           1/1/1991      108       109    Yes         Yes         Yes         Yes         Yes         Yes
49321     Ch Ob Asthma W Stat Asth          1/1/1991      108       109    Yes         Yes         Yes         Yes         Yes         Yes
49322     Ch Obst Asth W (Ac) Exac        10/1/2001       108       109    Yes         Yes         Yes         Yes         Yes         Yes
4938      Asthma, Other*                    1/1/1991                109    No          No          No          No          No          No
49381     Exercse Ind Bronchospasm        10/1/2003                 109    No          No          No          No          No          No
                                                                         CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                         HCC         HCC         HCC         HCC         HCC         HCC
                                                     CMS-                Model       Model       Model       Model       Model       Model
                                                     HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
49382     Cough Variant Asthma            10/1/2003               109    No          No          No          No          No          No
4939      Asthma Nos*                       1/1/1991              109    No          No          No          No          No          No
49390     Asthma Nos                        1/1/1991              109    No          No          No          No          No          No
49391     Asthma W Status Asthmat           1/1/1991              109    No          No          No          No          No          No
49392     Asthma Nos W (Ac) Exac          10/1/2001               109    No          No          No          No          No          No
494       Bronchiectasis*                   1/1/1991              110    No          No          No          No          No          No
4940      Bronchiectas W/O Ac Exac        10/1/2001               110    No          No          No          No          No          No
4941      Bronchiectasis W Ac Exac        10/1/2001               110    No          No          No          No          No          No
495       Ext Allergic Alveolitis*          1/1/1991              110    No          No          No          No          No          No
4950      Farmers' Lung                     1/1/1991              110    No          No          No          No          No          No
4951      Bagassosis                        1/1/1991              110    No          No          No          No          No          No
4952      Bird-Fanciers' Lung               1/1/1991              110    No          No          No          No          No          No
4953      Suberosis                         1/1/1991              110    No          No          No          No          No          No
4954      Malt Workers' Lung                1/1/1991              110    No          No          No          No          No          No
4955      Mushroom Workers' Lung            1/1/1991              110    No          No          No          No          No          No
4956      Mapl Bark-Stripprs' Lung          1/1/1991              110    No          No          No          No          No          No
4957      "Ventilation" Pneumonit           1/1/1991              110    No          No          No          No          No          No
4958      Allerg Alveol/Pneum Nec           1/1/1991              110    No          No          No          No          No          No
4959      Allerg Alveol/Pneum Nos           1/1/1991              110    No          No          No          No          No          No
496       Chr Airway Obstruct Nec           1/1/1991    108       109    Yes         Yes         Yes         Yes         Yes         Yes
500       Coal Workers' Pneumocon           1/1/1991              110    No          No          No          No          No          No
501       Asbestosis                        1/1/1991              110    No          No          No          No          No          No
502       Silica Pneumocon Nec              1/1/1991              110    No          No          No          No          No          No
503       Inorg Dust Pneumocon Nec          1/1/1991              110    No          No          No          No          No          No
504       Dust Pneumonopathy Nec            1/1/1991              110    No          No          No          No          No          No
505       Pneumoconiosis Nos                1/1/1991              110    No          No          No          No          No          No
506       Fum/Vapor Resp Diseases*          1/1/1991              110    No          No          No          No          No          No
5060      Fum/Vapor Bronc/Pneumon           1/1/1991              110    No          No          No          No          No          No
5061      Fum/Vapor Ac Pulm Edema           1/1/1991              110    No          No          No          No          No          No
5062      Fum/Vapor Up Resp Inflam          1/1/1991              110    No          No          No          No          No          No
5063      Fum/Vap Ac Resp Cond Nec          1/1/1991              110    No          No          No          No          No          No
5064      Fum/Vapor Chr Resp Cond           1/1/1991              110    No          No          No          No          No          No
5069      Fum/Vapor Resp Cond Nos           1/1/1991              110    No          No          No          No          No          No
507       Solid/Liq Pneumonitis*            1/1/1991    111       111    Yes         Yes         Yes         Yes         Yes         No
5070      Food/Vomit Pneumonitis            1/1/1991    111       111    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
5071      Oil/Essence Pneumonitis            1/1/1991      111       111    Yes         Yes         Yes         Yes         Yes         Yes
5078      Solid/Liq Pneumonit Nec            1/1/1991      111       111    Yes         Yes         Yes         Yes         Yes         Yes
508       Resp Cond D/T Ext Agent*           1/1/1991                110    No          No          No          No          No          No
5080      Ac Pul Manif D/T Radiat            1/1/1991                110    No          No          No          No          No          No
5081      Chr Pul Manif D/T Radiat           1/1/1991                110    No          No          No          No          No          No
5088      Resp Cond: Ext Agent Nec           1/1/1991                110    No          No          No          No          No          No
5089      Resp Cond: Ext Agent Nos           1/1/1991                110    No          No          No          No          No          No
510       Empyema*                           1/1/1991      112       112    Yes         Yes         Yes         Yes         Yes         No
5100      Empyema With Fistula               1/1/1991      112       112    Yes         Yes         Yes         Yes         Yes         Yes
5109      Empyema W/O Fistula                1/1/1991      112       112    Yes         Yes         Yes         Yes         Yes         Yes
513       Lung/Mediastinum Abscess*          1/1/1991      112       112    Yes         Yes         Yes         Yes         Yes         No
5130      Abscess Of Lung                    1/1/1991      112       112    Yes         Yes         Yes         Yes         Yes         Yes
5131      Abscess Of Mediastinum             1/1/1991      112       112    Yes         Yes         Yes         Yes         Yes         Yes
515       Postinflam Pulm Fibrosis           1/1/1991                110    No          No          No          No          No          No
516       Oth Alveol Pneumonopathy*          1/1/1991                110    No          No          No          No          No          No
5160      Pul Alveolar Proteinosis           1/1/1991                110    No          No          No          No          No          No
5161      Idio Pulm Hemosiderosis            1/1/1991                110    No          No          No          No          No          No
5162      Pulm Alveolar Microlith            1/1/1991                110    No          No          No          No          No          No
5163      Idio Fibros Alveolitis             1/1/1991                110    No          No          No          No          No          No
5168      Alveol Pneumonopathy Nec           1/1/1991                110    No          No          No          No          No          No
5169      Alveol Pneumonopathy Nos           1/1/1991                110    No          No          No          No          No          No
517       Lung Involv W Oth Cond*            1/1/1991                110    No          No          No          No          No          No
5171      Rheumatic Pneumonia                1/1/1991                110    No          No          No          No          No          No
5172      Syst Sclerosis Lung Dis            1/1/1991                110    No          No          No          No          No          No
5173      Acute Chest Syndrome             10/1/2003        44        51    Yes         Yes         Yes         Yes         Yes         Yes
5178      Lung Involv In Oth Dis             1/1/1991                110    No          No          No          No          No          No
5181      Interstitial Emphysema             1/1/1991      108       109    Yes         Yes         Yes         Yes         Yes         Yes
5182      Compensatory Emphysema             1/1/1991      108       109    Yes         Yes         Yes         Yes         Yes         Yes
5183      Pulmonary Eosinophilia             1/1/1991                110    No          No          No          No          No          No
5184      Acute Lung Edema Nos               1/1/1991       79              Yes         Yes         Yes         Yes         Yes         Yes
5185      Post Traum Pulm Insuffic           1/1/1991       79              Yes         Yes         Yes         Yes         Yes         Yes
5186      Alrgc Brncpul Asprglosis         10/1/1998                 110    No          No          No          No          No          No
51881     Acute Respiratry Failure           1/1/1991       79              Yes         Yes         Yes         Yes         Yes         Yes
51882     Other Pulmonary Insuff             1/1/1991       79              Yes         Yes         Yes         Yes         Yes         Yes
51883     Chronic Respiratory Fail         10/1/1999        79              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
51884     Acute & Chronc Resp Fail         10/1/1999        79              Yes         Yes         Yes         Yes         Yes         Yes
5190      Tracheostomy Complic*              1/1/1991       77              Yes         Yes         Yes         Yes         Yes         No
51900     Tracheostomy Comp Nos            10/1/1999        77              Yes         Yes         Yes         Yes         Yes         Yes
51901     Tracheostomy Infection           10/1/1999        77              Yes         Yes         Yes         Yes         Yes         Yes
51902     Tracheostomy - Mech Comp         10/1/1999        77              Yes         Yes         Yes         Yes         Yes         Yes
51909     Tracheostomy Comp Nec            10/1/1999        77              Yes         Yes         Yes         Yes         Yes         Yes
51911     Acute bronchospasm               10/1/2006                 109    No          No          No          No          No          No
51919     Other diseases of trachea        10/1/2006                 110    No          No          No          No          No          No
527       Salivary Gland Diseases*           1/1/1991                130    No          No          No          No          No          No
5270      Salivary Gland Atrophy             1/1/1991                130    No          No          No          No          No          No
5271      Salivary Glnd Hyprtrophy           1/1/1991                130    No          No          No          No          No          No
5272      Sialoadenitis                      1/1/1991                130    No          No          No          No          No          No
5273      Salivary Gland Abscess             1/1/1991                130    No          No          No          No          No          No
5274      Salivary Gland Fistula             1/1/1991                130    No          No          No          No          No          No
5275      Sialolithiasis                     1/1/1991                130    No          No          No          No          No          No
5276      Salivary Gland Mucocele            1/1/1991                130    No          No          No          No          No          No
5277      Salivary Secretion Dis             1/1/1991                130    No          No          No          No          No          No
5278      Salivary Gland Dis Nec             1/1/1991                130    No          No          No          No          No          No
5279      Salivary Gland Dis Nos             1/1/1991                130    No          No          No          No          No          No
530       Diseases Of Esophagus*             1/1/1991                 37    No          No          No          No          No          No
5300      Achalasia & Cardiospasm            1/1/1991                 37    No          No          No          No          No          No
5301      Esophagitis*                       1/1/1991                 37    No          No          No          No          No          No
53010     Esophagitis, Unspecified           1/1/1991                 37    No          No          No          No          No          No
53011     Reflux Esophagitis                 1/1/1991                 37    No          No          No          No          No          No
53012     Acute Esophagitis                10/1/2002                  37    No          No          No          No          No          No
53013     EOSINOPHILIC ESOPHAGITIS         10/1/2008                  37    No          No          No          No          No          No
53019     Other Esophagitis                  1/1/1991                 37    No          No          No          No          No          No
5302      Ulcer Of Esophagus                 1/1/1991                 34    No          No          No          No          No          No
53020     Ulc Esophagus W/O Bleed          10/1/2003                  34    No          No          No          No          No          No
53021     Ulcer Esophagus W Bleed          10/1/2003                  34    No          No          No          No          No          No
5303      Esophageal Stricture               1/1/1991                 37    No          No          No          No          No          No
5304      Perforation Of Esophagus           1/1/1991                 37    No          No          No          No          No          No
5305      Dyskinesia Of Esophagus            1/1/1991                 37    No          No          No          No          No          No
5306      Acq Esophag Diverticulum           1/1/1991                 37    No          No          No          No          No          No
5307      Mallory-Weiss Syndrome             1/1/1991                 34    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
5308      Esophageal Disorder Nec*           1/1/1991               37    No          No          No          No          No          No
53081     Esophageal Reflux                  1/1/1991               37    No          No          No          No          No          No
53082     Esophageal Hemorrhage              1/1/1991               34    No          No          No          No          No          No
53083     Esophageal Leukoplakia             1/1/1991               37    No          No          No          No          No          No
53084     Tracheoesophageal Fstula           1/1/1991               37    No          No          No          No          No          No
53085     Barrett'S Esophagus              10/1/2003                37    No          No          No          No          No          No
53086     Esophagostomy Infection          10/1/2004     176              No          Yes         Yes         Yes         Yes         Yes
53087     Mech Comp Esophagostomy          10/1/2004     176              No          Yes         Yes         Yes         Yes         Yes
53089     Other Dsrders Esophagus            1/1/1991               37    No          No          No          No          No          No
5309      Esophageal Disorder Nos            1/1/1991               37    No          No          No          No          No          No
531       Gastric Ulcer*                     1/1/1991               34    No          No          No          No          No          No
5310      Ac Stomach Ulcer W Hem*            1/1/1991               34    No          No          No          No          No          No
53100     Ac Stomach Ulcer W Hem             1/1/1991               34    No          No          No          No          No          No
53101     Ac Stomac Ulc W Hem-Obst           1/1/1991               34    No          No          No          No          No          No
5311      Ac Stomach Ulcer W Perf*           1/1/1991     31              Yes         Yes         Yes         Yes         Yes         No
53110     Ac Stomach Ulcer W Perf            1/1/1991     31              Yes         Yes         Yes         Yes         Yes         Yes
53111     Ac Stom Ulc W Perf-Obst            1/1/1991     31              Yes         Yes         Yes         Yes         Yes         Yes
5312      Ac Stomac Ulc W Hem/Perf*          1/1/1991     31              Yes         Yes         Yes         Yes         Yes         No
53120     Ac Stomac Ulc W Hem/Perf           1/1/1991     31              Yes         Yes         Yes         Yes         Yes         Yes
53121     Ac Stom Ulc Hem/Perf-Obs           1/1/1991     31              Yes         Yes         Yes         Yes         Yes         Yes
5313      Acute Stomach Ulcer Nos*           1/1/1991               34    No          No          No          No          No          No
53130     Acute Stomach Ulcer Nos            1/1/1991               34    No          No          No          No          No          No
53131     Ac Stomach Ulc Nos-Obstr           1/1/1991               34    No          No          No          No          No          No
5314      Chr Stomach Ulc W Hem*             1/1/1991               34    No          No          No          No          No          No
53140     Chr Stomach Ulc W Hem              1/1/1991               34    No          No          No          No          No          No
53141     Chr Stom Ulc W Hem-Obstr           1/1/1991               34    No          No          No          No          No          No
5315      Chr Stomach Ulcer W Perf*          1/1/1991     31              Yes         Yes         Yes         Yes         Yes         No
53150     Chr Stomach Ulcer W Perf           1/1/1991     31              Yes         Yes         Yes         Yes         Yes         Yes
53151     Chr Stom Ulc W Perf-Obst           1/1/1991     31              Yes         Yes         Yes         Yes         Yes         Yes
5316      Chr Stomach Ulc Hem/Perf*          1/1/1991     31              Yes         Yes         Yes         Yes         Yes         No
53160     Chr Stomach Ulc Hem/Perf           1/1/1991     31              Yes         Yes         Yes         Yes         Yes         Yes
53161     Chr Stom Ulc Hem/Perf-Ob           1/1/1991     31              Yes         Yes         Yes         Yes         Yes         Yes
5317      Chr Stomach Ulcer Nos*             1/1/1991               34    No          No          No          No          No          No
53170     Chr Stomach Ulcer Nos              1/1/1991               34    No          No          No          No          No          No
53171     Chr Stomach Ulc Nos-Obst           1/1/1991               34    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
5319      Stomach Ulcer Nos*                 1/1/1991               34    No          No          No          No          No          No
53190     Stomach Ulcer Nos                  1/1/1991               34    No          No          No          No          No          No
53191     Stomach Ulcer Nos-Obstr            1/1/1991               34    No          No          No          No          No          No
532       Duodenal Ulcer*                    1/1/1991               34    No          No          No          No          No          No
5320      Ac Duodenal Ulcer W Hem*           1/1/1991               34    No          No          No          No          No          No
53200     Ac Duodenal Ulcer W Hem            1/1/1991               34    No          No          No          No          No          No
53201     Ac Duoden Ulc W Hem-Obst           1/1/1991               34    No          No          No          No          No          No
5321      Ac Duodenal Ulcer W Perf*          1/1/1991     31              Yes         Yes         Yes         Yes         Yes         No
53210     Ac Duodenal Ulcer W Perf           1/1/1991     31              Yes         Yes         Yes         Yes         Yes         Yes
53211     Ac Duoden Ulc Perf-Obstr           1/1/1991     31              Yes         Yes         Yes         Yes         Yes         Yes
5322      Ac Duoden Ulc W Hem/Perf*          1/1/1991     31              Yes         Yes         Yes         Yes         Yes         No
53220     Ac Duoden Ulc W Hem/Perf           1/1/1991     31              Yes         Yes         Yes         Yes         Yes         Yes
53221     Ac Duod Ulc Hem/Perf-Obs           1/1/1991     31              Yes         Yes         Yes         Yes         Yes         Yes
5323      Acute Duodenal Ulcer Nos*          1/1/1991               34    No          No          No          No          No          No
53230     Acute Duodenal Ulcer Nos           1/1/1991               34    No          No          No          No          No          No
53231     Ac Duodenal Ulc Nos-Obst           1/1/1991               34    No          No          No          No          No          No
5324      Chr Duoden Ulcer W Hem*            1/1/1991               34    No          No          No          No          No          No
53240     Chr Duoden Ulcer W Hem             1/1/1991               34    No          No          No          No          No          No
53241     Chr Duoden Ulc Hem-Obstr           1/1/1991               34    No          No          No          No          No          No
5325      Chr Duoden Ulcer W Perf*           1/1/1991     31              Yes         Yes         Yes         Yes         Yes         No
53250     Chr Duoden Ulcer W Perf            1/1/1991     31              Yes         Yes         Yes         Yes         Yes         Yes
53251     Chr Duoden Ulc Perf-Obst           1/1/1991     31              Yes         Yes         Yes         Yes         Yes         Yes
5326      Chr Duoden Ulc Hem/Perf*           1/1/1991     31              Yes         Yes         Yes         Yes         Yes         No
53260     Chr Duoden Ulc Hem/Perf            1/1/1991     31              Yes         Yes         Yes         Yes         Yes         Yes
53261     Chr Duod Ulc Hem/Perf-Ob           1/1/1991     31              Yes         Yes         Yes         Yes         Yes         Yes
5327      Chr Duodenal Ulcer Nos*            1/1/1991               34    No          No          No          No          No          No
53270     Chr Duodenal Ulcer Nos             1/1/1991               34    No          No          No          No          No          No
53271     Chr Duoden Ulc Nos-Obstr           1/1/1991               34    No          No          No          No          No          No
5329      Duodenal Ulcer Nos*                1/1/1991               34    No          No          No          No          No          No
53290     Duodenal Ulcer Nos                 1/1/1991               34    No          No          No          No          No          No
53291     Duodenal Ulcer Nos-Obstr           1/1/1991               34    No          No          No          No          No          No
533       Peptic Ulcer, Site Nos*            1/1/1991               34    No          No          No          No          No          No
5330      Ac Peptic Ulcer W Hemorr*          1/1/1991               34    No          No          No          No          No          No
53300     Ac Peptic Ulcer W Hemorr           1/1/1991               34    No          No          No          No          No          No
53301     Ac Peptic Ulc W Hem-Obst           1/1/1991               34    No          No          No          No          No          No
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
5331      Ac Peptic Ulcer W Perfor*          1/1/1991       31              Yes         Yes         Yes         Yes         Yes         No
53310     Ac Peptic Ulcer W Perfor           1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
53311     Ac Peptic Ulc W Perf-Obs           1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
5332      Ac Peptic Ulc W Hem/Perf*          1/1/1991       31              Yes         Yes         Yes         Yes         Yes         No
53320     Ac Peptic Ulc W Hem/Perf           1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
53321     Ac Pept Ulc Hem/Perf-Obs           1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
5333      Acute Peptic Ulcer Nos*            1/1/1991                 34    No          No          No          No          No          No
53330     Acute Peptic Ulcer Nos             1/1/1991                 34    No          No          No          No          No          No
53331     Ac Peptic Ulcer Nos-Obst           1/1/1991                 34    No          No          No          No          No          No
5334      Chr Peptic Ulcer W Hem*            1/1/1991                 34    No          No          No          No          No          No
53340     Chr Peptic Ulcer W Hem             1/1/1991                 34    No          No          No          No          No          No
53341     Chr Peptic Ulc W Hem-Obs           1/1/1991                 34    No          No          No          No          No          No
5335      Chr Peptic Ulcer W Perf*           1/1/1991       31              Yes         Yes         Yes         Yes         Yes         No
53350     Chr Peptic Ulcer W Perf            1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
53351     Chr Peptic Ulc Perf-Obst           1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
5336      Chr Pept Ulc W Hem/Perf*           1/1/1991       31              Yes         Yes         Yes         Yes         Yes         No
53360     Chr Pept Ulc W Hem/Perf            1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
53361     Chr Pept Ulc Hem/Perf-Ob           1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
5337      Chronic Peptic Ulcer Nos*          1/1/1991                 34    No          No          No          No          No          No
53370     Chronic Peptic Ulcer Nos           1/1/1991                 34    No          No          No          No          No          No
53371     Chr Peptic Ulcer Nos-Obs           1/1/1991                 34    No          No          No          No          No          No
5339      Peptic Ulcer Nos*                  1/1/1991                 34    No          No          No          No          No          No
53390     Peptic Ulcer Nos                   1/1/1991                 34    No          No          No          No          No          No
53391     Peptic Ulcer Nos-Obstruc           1/1/1991                 34    No          No          No          No          No          No
534       Gastrojejunal Ulcer*               1/1/1991                 34    No          No          No          No          No          No
5340      Ac Marginal Ulcer W Hem*           1/1/1991                 34    No          No          No          No          No          No
53400     Ac Marginal Ulcer W Hem            1/1/1991                 34    No          No          No          No          No          No
53401     Ac Margin Ulc W Hem-Obst           1/1/1991                 34    No          No          No          No          No          No
5341      Ac Marginal Ulcer W Perf*          1/1/1991       31              Yes         Yes         Yes         Yes         Yes         No
53410     Ac Marginal Ulcer W Perf           1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
53411     Ac Margin Ulc W Perf-Obs           1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
5342      Ac Margin Ulc W Hem/Perf*          1/1/1991       31              Yes         Yes         Yes         Yes         Yes         No
53420     Ac Margin Ulc W Hem/Perf           1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
53421     Ac Marg Ulc Hem/Perf-Obs           1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
5343      Ac Marginal Ulcer Nos*             1/1/1991                 34    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
53430     Ac Marginal Ulcer Nos              1/1/1991               34    No          No          No          No          No          No
53431     Ac Marginal Ulc Nos-Obst           1/1/1991               34    No          No          No          No          No          No
5344      Chr Marginal Ulcer W Hem*          1/1/1991               34    No          No          No          No          No          No
53440     Chr Marginal Ulcer W Hem           1/1/1991               34    No          No          No          No          No          No
53441     Chr Margin Ulc W Hem-Obs           1/1/1991               34    No          No          No          No          No          No
5345      Chr Marginal Ulc W Perf*           1/1/1991     31              Yes         Yes         Yes         Yes         Yes         No
53450     Chr Marginal Ulc W Perf            1/1/1991     31              Yes         Yes         Yes         Yes         Yes         Yes
53451     Chr Margin Ulc Perf-Obst           1/1/1991     31              Yes         Yes         Yes         Yes         Yes         Yes
5346      Chr Margin Ulc Hem/Perf*           1/1/1991     31              Yes         Yes         Yes         Yes         Yes         No
53460     Chr Margin Ulc Hem/Perf            1/1/1991     31              Yes         Yes         Yes         Yes         Yes         Yes
53461     Chr Marg Ulc Hem/Perf-Ob           1/1/1991     31              Yes         Yes         Yes         Yes         Yes         Yes
5347      Chr Marginal Ulcer Nos*            1/1/1991               34    No          No          No          No          No          No
53470     Chr Marginal Ulcer Nos             1/1/1991               34    No          No          No          No          No          No
53471     Chr Marginal Ulc Nos-Obs           1/1/1991               34    No          No          No          No          No          No
5349      Gastrojejunal Ulcer Nos*           1/1/1991               34    No          No          No          No          No          No
53490     Gastrojejunal Ulcer Nos            1/1/1991               34    No          No          No          No          No          No
53491     Gastrojejun Ulc Nos-Obst           1/1/1991               34    No          No          No          No          No          No
53501     Acute Gastritis W Hmrhg            1/1/1991               34    No          No          No          No          No          No
53511     Atrph Gastritis W Hmrhg            1/1/1991               34    No          No          No          No          No          No
53521     Gstr Mcsl Hyprt W Hmrg             1/1/1991               34    No          No          No          No          No          No
53531     Alchl Gstritis W Hmrhg             1/1/1991               34    No          No          No          No          No          No
53541     Oth Spf Gastrt W Hmrhg             1/1/1991               34    No          No          No          No          No          No
53551     Gstr/Ddnts Nos W Hmrhg             1/1/1991               34    No          No          No          No          No          No
53561     Duodenitis W Hmrhg                 1/1/1991               34    No          No          No          No          No          No
53571     EOSINOPHILC GASTRT W HEM         10/1/2008                34    No          No          No          No          No          No
5364      Gastrostomy Comp*                10/1/1999     176              Yes         Yes         Yes         Yes         Yes         No
53640     Gastrostomy Comp Nos             10/1/1999     176              Yes         Yes         Yes         Yes         Yes         Yes
53641     Gastrostomy Infection            10/1/1999     176              Yes         Yes         Yes         Yes         Yes         Yes
53642     Gastrostomy Comp - Mech          10/1/1999     176              Yes         Yes         Yes         Yes         Yes         Yes
53649     Gastrostomy Comp Nec             10/1/1999     176              Yes         Yes         Yes         Yes         Yes         Yes
53783     Angio Stm/Dudn W Hmrhg             1/1/1991               34    No          No          No          No          No          No
53784     Dieulafoy Les,Stom&Duod          10/1/2002                34    No          No          No          No          No          No
538       Gastrointestinal mucositi        10/1/2006                34    No          No          No          No          No          No
555       Regional Enteritis*                1/1/1991     33        33    Yes         Yes         Yes         Yes         Yes         No
5550      Reg Enteritis, Sm Intest           1/1/1991     33        33    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
5551      Reg Enteritis, Lg Intest           1/1/1991       33        33    Yes         Yes         Yes         Yes         Yes         Yes
5552      Reg Enterit Sm/Lg Intest           1/1/1991       33        33    Yes         Yes         Yes         Yes         Yes         Yes
5559      Regional Enteritis Nos             1/1/1991       33        33    Yes         Yes         Yes         Yes         Yes         Yes
556       Idiopathic Proctocolitis*          1/1/1991       33        33    Yes         Yes         Yes         Yes         Yes         No
5560      Ulcerative Enterocolitis           1/1/1991       33        33    Yes         Yes         Yes         Yes         Yes         Yes
5561      Ulcerative Ileocolitis             1/1/1991       33        33    Yes         Yes         Yes         Yes         Yes         Yes
5562      Ulcerative Proctitis               1/1/1991       33        33    Yes         Yes         Yes         Yes         Yes         Yes
5563      Ulcertve Prctosigmoidtis           1/1/1991       33        33    Yes         Yes         Yes         Yes         Yes         Yes
5564      Pseudopolyposis Colon              1/1/1991       33        33    Yes         Yes         Yes         Yes         Yes         Yes
5565      Lftsded Ulcertve Colitis           1/1/1991       33        33    Yes         Yes         Yes         Yes         Yes         Yes
5566      Univrsl Ulcertve Colitis           1/1/1991       33        33    Yes         Yes         Yes         Yes         Yes         Yes
5568      Other Ulcerative Colitis           1/1/1991       33        33    Yes         Yes         Yes         Yes         Yes         Yes
5569      Ulceratve Colitis Unspcf           1/1/1991       33        33    Yes         Yes         Yes         Yes         Yes         Yes
557       Vasc Insuff Intestine*             1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         No
5570      Ac Vasc Insuff Intestine           1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         Yes
5571      Chr Vasc Insuff Intest             1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
5579      Vasc Insuff Intest Nos             1/1/1991      105       106    Yes         Yes         Yes         Yes         Yes         Yes
560       Intestinal Obstruction*            1/1/1991       31              Yes         Yes         Yes         Yes         Yes         No
5600      Intussusception                    1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
5601      Paralytic Ileus                    1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
5602      Volvulus Of Intestine              1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
5603      Impaction Of Intestine*            1/1/1991       31              Yes         Yes         Yes         Yes         Yes         No
56030     Impaction Intestine Nos            1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
56031     Gallstone Ileus                    1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
56039     Impaction Intestine Nec            1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
5608      Oth Intestinal Obstruct*           1/1/1991       31              Yes         Yes         Yes         Yes         Yes         No
56081     Intestinal Adhes W Obstr           1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
56089     Intestinal Obstruct Nec            1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
5609      Intestinal Obstruct Nos            1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
56202     Dvrtclo Sml Int W Hmrhg            1/1/1991                 34    No          No          No          No          No          No
56203     Dvrtcli Sml Int W Hmrhg            1/1/1991                 34    No          No          No          No          No          No
56212     Dvrtclo Colon W Hmrhg              1/1/1991                 34    No          No          No          No          No          No
56213     Dvrtcli Colon W Hmrhg              1/1/1991                 34    No          No          No          No          No          No
567       Peritonitis*                       1/1/1991       31              Yes         Yes         Yes         Yes         Yes         No
5670      Peritonitis In Infec Dis           1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
                                                                           CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                           HCC         HCC         HCC         HCC         HCC         HCC
                                                       CMS-                Model       Model       Model       Model       Model       Model
                                                       HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
5671      Pneumococcal Peritonitis          1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
5672      Suppurat Peritonitis Nec          1/1/1991       31              Yes         Yes         Yes         Yes         Yes         No
56721     Peritonitis (Acute) Gen         10/1/2005        31              No          No          Yes         Yes         Yes         Yes
56722     Peritoneal Abscess              10/1/2005        31              No          No          Yes         Yes         Yes         Yes
56723     Spontan Bact Peritonitis        10/1/2005        31              No          No          Yes         Yes         Yes         Yes
56729     Suppurat Peritonitis Nec        10/1/2005        31              No          No          Yes         Yes         Yes         Yes
56731     Psoas Muscle Abscess            10/1/2005        31              No          No          Yes         Yes         Yes         Yes
56738     Retroperiton Abscess Nec        10/1/2005        31              No          No          Yes         Yes         Yes         Yes
56739     Retroperiton Infect Nec         10/1/2005        31              No          No          Yes         Yes         Yes         Yes
5678      Peritonitis Nec                   1/1/1991       31              Yes         Yes         Yes         Yes         Yes         No
56781     Choleperitonitis                10/1/2005        31              No          No          Yes         Yes         Yes         Yes
56782     Sclerosing Mesenteritis         10/1/2005        31              No          No          Yes         Yes         Yes         Yes
56789     Peritonitis Nec                 10/1/2005        31              No          No          Yes         Yes         Yes         Yes
5679      Peritonitis Nos                   1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
5696      Enterostomy Malfunction*          1/1/1991      176              Yes         Yes         Yes         Yes         Yes         No
56960     Colstomy/Enter Comp Nos           1/1/1991      176              Yes         Yes         Yes         Yes         Yes         Yes
56961     Colosty/Enterost Infectn          1/1/1991      176              Yes         Yes         Yes         Yes         Yes         Yes
56962     Colosty/Enter Comp-Mech         10/1/1999       176              Yes         Yes         Yes         Yes         Yes         Yes
56969     Colstmy/Enteros Comp Nec          1/1/1991      176              Yes         Yes         Yes         Yes         Yes         Yes
56971     Pouchitis                       10/1/2009        176             No          No          No          No          No          No
56979     Comp intest pouch NEC           10/1/2009        176             No          No          No          No          No          No
56982     Ulceration Of Intestine           1/1/1991                 34    No          No          No          No          No          No
56983     Perforation Of Intestine          1/1/1991       31              Yes         Yes         Yes         Yes         Yes         Yes
56985     Angio Intes W Hmrhg               1/1/1991                 34    No          No          No          No          No          No
56986     Dieulafoy Les, Intestine        10/1/2002                  34    No          No          No          No          No          No
5712      Alcohol Cirrhosis Liver           1/1/1991       26              Yes         Yes         Yes         Yes         Yes         Yes
5713      Alcohol Liver Damage Nos          1/1/1991       26              Yes         Yes         Yes         Yes         Yes         Yes
5714      Chronic Hepatitis*                1/1/1991       27              Yes         Yes         Yes         Yes         Yes         No
57140     Chronic Hepatitis Nos             1/1/1991       27              Yes         Yes         Yes         Yes         Yes         Yes
57141     Chr Persistent Hepatitis          1/1/1991       27              Yes         Yes         Yes         Yes         Yes         Yes
57142     AUTOIMMUNE HEPATITIS            10/1/2008        27              No          No          No          No          Yes         Yes
57149     Chronic Hepatitis Nec             1/1/1991       27              Yes         Yes         Yes         Yes         Yes         Yes
5715      Cirrhosis Of Liver Nos            1/1/1991       26              Yes         Yes         Yes         Yes         Yes         Yes
5716      Biliary Cirrhosis                 1/1/1991       26              Yes         Yes         Yes         Yes         Yes         Yes
5722      Hepatic Coma                      1/1/1991       25              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
5723      Portal Hypertension                1/1/1991       25              Yes         Yes         Yes         Yes         Yes         Yes
5724      Hepatorenal Syndrome               1/1/1991       25              Yes         Yes         Yes         Yes         Yes         Yes
5728      Oth Sequela, Chr Liv Dis           1/1/1991       25              Yes         Yes         Yes         Yes         Yes         Yes
577       Diseases Of Pancreas*              1/1/1991       32        31    Yes         Yes         Yes         Yes         Yes         No
5770      Acute Pancreatitis                 1/1/1991       32              Yes         Yes         Yes         Yes         Yes         Yes
5771      Chronic Pancreatitis               1/1/1991       32        31    Yes         Yes         Yes         Yes         Yes         Yes
5772      Pancreat Cyst/Pseudocyst           1/1/1991       32        31    Yes         Yes         Yes         Yes         Yes         Yes
5778      Pancreatic Disease Nec             1/1/1991       32        31    Yes         Yes         Yes         Yes         Yes         Yes
5779      Pancreatic Disease Nos             1/1/1991       32        31    Yes         Yes         Yes         Yes         Yes         Yes
578       Gastrointestinal Hemorr*           1/1/1991                 34    No          No          No          No          No          No
5780      Hematemesis                        1/1/1991                 34    No          No          No          No          No          No
5781      Blood In Stool                     1/1/1991                 34    No          No          No          No          No          No
5789      Gastrointest Hemorr Nos            1/1/1991                 34    No          No          No          No          No          No
579       Intestinal Malabsorption*          1/1/1991      32         31    Yes         Yes         Yes         Yes         Yes         No
5790      Celiac Disease                     1/1/1991      32         31    Yes         Yes         Yes         Yes         Yes         Yes
5791      Tropical Sprue                     1/1/1991      32         31    Yes         Yes         Yes         Yes         Yes         Yes
5792      Blind Loop Syndrome                1/1/1991      32         31    Yes         Yes         Yes         Yes         Yes         Yes
5793      Intest Postop Nonabsorb            1/1/1991      32         31    Yes         Yes         Yes         Yes         Yes         Yes
5794      Pancreatic Steatorrhea             1/1/1991      32         31    Yes         Yes         Yes         Yes         Yes         Yes
5798      Intest Malabsorption Nec           1/1/1991      32         31    Yes         Yes         Yes         Yes         Yes         Yes
5799      Intest Malabsorption Nos           1/1/1991      32         31    Yes         Yes         Yes         Yes         Yes         Yes
580       Acute Nephritis*                   1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         No
5800      Ac Proliferat Nephritis            1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
5804      Ac Rapidly Progr Nephrit           1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
5808      Ac Nephritis W Oth Les*            1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         No
58081     Ac Nephritis In Oth Dis            1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
58089     Acute Nephritis Nec                1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
5809      Acute Nephritis Nos                1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
581       Nephrotic Syndrome*                1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         No
5810      Nephrotic Syn, Prolifer            1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
5811      Epimembranous Nephritis            1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
5812      Membranoprolif Nephrosis           1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
5813      Minimal Change Nephrosis           1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
5818      Nephrotic Syn W Oth Les*           1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         No
58181     Nephrotic Syn In Oth Dis           1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
                                                                           CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                           HCC         HCC         HCC         HCC         HCC         HCC
                                                       CMS-                Model       Model       Model       Model       Model       Model
                                                       HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
58189     Nephrotic Syndrome Nec            1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
5819      Nephrotic Syndrome Nos            1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
582       Chronic Nephritis*                1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         No
5820      Chr Proliferat Nephritis          1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
5821      Chr Membranous Nephritis          1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
5822      Chr Membranoprolif Nephr          1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
5824      Chr Rapid Progr Nephrit           1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
5828      Chr Nephritis W Oth Les*          1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         No
58281     Chr Nephritis In Oth Dis          1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
58289     Chronic Nephritis Nec             1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
5829      Chronic Nephritis Nos             1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
583       Nephritis Nos*                    1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         No
5830      Proliferat Nephritis Nos          1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
5831      Membranous Nephritis Nos          1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
5832      Membranoprolif Nephr Nos          1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
5834      Rapidly Prog Nephrit Nos          1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
5836      Renal Cort Necrosis Nos           1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
5837      Nephr Nos/Medull Necros           1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
5838      Nephritis Nos W Oth Les*          1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         No
58381     Nephritis Nos In Oth Dis          1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
58389     Nephritis Nec                     1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
5839      Nephritis Nos                     1/1/1991      132       135    Yes         Yes         Yes         Yes         Yes         Yes
584       Acute Renal Failure*              1/1/1991      131              Yes         Yes         Yes         Yes         Yes         No
5845      Lower Nephron Nephrosis           1/1/1991      131              Yes         Yes         Yes         Yes         Yes         Yes
5846      Ac Renal Fail, Cort Necr          1/1/1991      131              Yes         Yes         Yes         Yes         Yes         Yes
5847      Ac Ren Fail, Medull Necr          1/1/1991      131              Yes         Yes         Yes         Yes         Yes         Yes
5848      Ac Renal Failure Nec              1/1/1991      131              Yes         Yes         Yes         Yes         Yes         Yes
5849      Acute Renal Failure Nos           1/1/1991      131              Yes         Yes         Yes         Yes         Yes         Yes
585       Chronic Renal Failure             1/1/1991      131       134    Yes         Yes         Yes         Yes         Yes         No
5851      Chro Kidney Dis Stage I         10/1/2005       131       140    No          No          Yes         Yes         Yes         Yes
5852      Chro Kidney Dis Stage Ii        10/1/2005       131       140    No          No          Yes         Yes         Yes         Yes
5853      Chr Kidney Dis Stage Iii        10/1/2005       131       140    No          No          Yes         Yes         Yes         Yes
5854      Chr Kidney Dis Stage Iv         10/1/2005       131       134    No          No          Yes         Yes         Yes         Yes
5855      Chron Kidney Dis Stage V        10/1/2005       131       134    No          No          Yes         Yes         Yes         Yes
5856      End Stage Renal Disease         10/1/2005       131       134    No          No          Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
5859      Chronic Kidney Dis Nos           10/1/2005       131       140    No          No          Yes         Yes         Yes         Yes
586       Renal Failure Nos                  1/1/1991      131              Yes         Yes         Yes         Yes         Yes         Yes
587       Renal Sclerosis Nos                1/1/1991                140    No          No          No          No          No          No
588       Impaired Renal Function*           1/1/1991                140    No          No          No          No          No          No
5880      Renal Osteodystrophy               1/1/1991                140    No          No          No          No          No          No
5881      Nephrogen Diabetes Insip           1/1/1991                140    No          No          No          No          No          No
5888      Impaired Renal Funct Nec           1/1/1991                140    No          No          No          No          No          No
58881     Sec Hyperparathyrd-Renal         10/1/2004                  20    No          No          No          No          No          No
58889     Impair Ren Funct Dis Nec         10/1/2004                 140    No          No          No          No          No          No
5889      Impaired Renal Funct Nos           1/1/1991                140    No          No          No          No          No          No
589       Small Kidney*                      1/1/1991                140    No          No          No          No          No          No
5890      Unilateral Small Kidney            1/1/1991                140    No          No          No          No          No          No
5891      Bilateral Small Kidneys            1/1/1991                140    No          No          No          No          No          No
5899      Small Kidney Nos                   1/1/1991                140    No          No          No          No          No          No
591       Hydronephrosis                     1/1/1991                137    No          No          No          No          No          No
592       Renal/Ureteral Calculus*           1/1/1991                137    No          No          No          No          No          No
5920      Calculus Of Kidney                 1/1/1991                137    No          No          No          No          No          No
5921      Calculus Of Ureter                 1/1/1991                137    No          No          No          No          No          No
5929      Urinary Calculus Nos               1/1/1991                137    No          No          No          No          No          No
593       Oth Renal & Ureteral Dis*          1/1/1991                140    No          No          No          No          No          No
5930      Nephroptosis                       1/1/1991                140    No          No          No          No          No          No
5931      Hypertrophy Of Kidney              1/1/1991                140    No          No          No          No          No          No
5933      Stricture Of Ureter                1/1/1991                137    No          No          No          No          No          No
5934      Ureteric Obstruction Nec           1/1/1991                137    No          No          No          No          No          No
5935      Hydroureter                        1/1/1991                137    No          No          No          No          No          No
5936      Postural Proteinuria               1/1/1991                140    No          No          No          No          No          No
5937      Vesicoureteral Reflux*             1/1/1991                137    No          No          No          No          No          No
59370     Vescouretrl Rflux Unspcf           1/1/1991                137    No          No          No          No          No          No
59371     Vscurt Rflx Npht Uniltrl           1/1/1991                137    No          No          No          No          No          No
59372     Vscourtl Rflx Npht Bltrl           1/1/1991                137    No          No          No          No          No          No
59373     Vscourtl Rflx W Npht Nos           1/1/1991                137    No          No          No          No          No          No
5938      Oth Renal & Ureteral Dis*          1/1/1991                140    No          No          No          No          No          No
59381     Renal Vascular Disorder            1/1/1991      104       106    Yes         Yes         Yes         Yes         Yes         Yes
59382     Ureteral Fistula                   1/1/1991                140    No          No          No          No          No          No
59389     Renal & Ureteral Dis Nec           1/1/1991                140    No          No          No          No          No          No
                                                                         CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                         HCC         HCC         HCC         HCC         HCC         HCC
                                                     CMS-                Model       Model       Model       Model       Model       Model
                                                     HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
5939      Renal & Ureteral Dis Nos          1/1/1991              140    No          No          No          No          No          No
594       Lower Urin Tract Calcul*          1/1/1991              137    No          No          No          No          No          No
5940      Blad Diverticulum Calcul          1/1/1991              137    No          No          No          No          No          No
5941      Bladder Calculus Nec              1/1/1991              137    No          No          No          No          No          No
5942      Urethral Calculus                 1/1/1991              137    No          No          No          No          No          No
5948      Lower Urin Calcul Nec             1/1/1991              137    No          No          No          No          No          No
5949      Lower Urin Calcul Nos             1/1/1991              137    No          No          No          No          No          No
596       Other Bladder Disorders*          1/1/1991              140    No          No          No          No          No          No
5960      Bladder Neck Obstruction          1/1/1991              137    No          No          No          No          No          No
5961      Intestinovesical Fistula          1/1/1991              140    No          No          No          No          No          No
5962      Vesical Fistula Nec               1/1/1991              140    No          No          No          No          No          No
5963      Diverticulum Of Bladder           1/1/1991              140    No          No          No          No          No          No
5964      Atony Of Bladder                  1/1/1991              137    No          No          No          No          No          No
5965      Bladder Dysfunction Nec*          1/1/1991              140    No          No          No          No          No          No
59651     Hypertonicity Of Bladder          1/1/1991              140    No          No          No          No          No          No
59652     Low Bladder Compliance            1/1/1991              140    No          No          No          No          No          No
59653     Paralysis Of Bladder              1/1/1991              137    No          No          No          No          No          No
59654     Neurogenic Bladder Nos            1/1/1991              137    No          No          No          No          No          No
59655     Detrusr Sphinc Dyssnrgia          1/1/1991              140    No          No          No          No          No          No
59659     Oth Func Dsdr Bladder             1/1/1991              140    No          No          No          No          No          No
5966      Bladder Rupt, Nontraum            1/1/1991              140    No          No          No          No          No          No
5967      Bladder Wall Hemorrhage           1/1/1991              140    No          No          No          No          No          No
5968      Bladder Disorder Nec              1/1/1991              140    No          No          No          No          No          No
5969      Bladder Disorder Nos              1/1/1991              140    No          No          No          No          No          No
598       Urethral Stricture*               1/1/1991              137    No          No          No          No          No          No
5980      Urethral Strict:Infect*           1/1/1991              137    No          No          No          No          No          No
59800     Urethr Strict:Infect Nos          1/1/1991              137    No          No          No          No          No          No
59801     Ureth Strict:Oth Infect           1/1/1991              137    No          No          No          No          No          No
5981      Traum Urethral Stricture          1/1/1991              137    No          No          No          No          No          No
5982      Postop Urethral Strictur          1/1/1991              137    No          No          No          No          No          No
5988      Urethral Stricture Nec            1/1/1991              137    No          No          No          No          No          No
5989      Urethral Stricture Nos            1/1/1991              137    No          No          No          No          No          No
599       Oth Urinary Tract Disor*          1/1/1991              140    No          No          No          No          No          No
5991      Urethral Fistula                  1/1/1991              140    No          No          No          No          No          No
5992      Urethral Diverticulum             1/1/1991              140    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
5993      Urethral Caruncle                  1/1/1991              140    No          No          No          No          No          No
5994      Urethral False Passage             1/1/1991              140    No          No          No          No          No          No
5995      Prolapse Urethral Mucosa           1/1/1991              140    No          No          No          No          No          No
5996      Urinary Obstruction Nos            1/1/1991              137    No          No          No          No          No          No
59960     Urinary Obstruction Nos          10/1/2005               140    No          No          No          No          No          No
5997      Hematuria                          1/1/1991              140    No          No          No          No          No          No
5998      Urinary Tract Dis Nec*             1/1/1991              140    No          No          No          No          No          No
59981     Urethral Hypermobility             1/1/1991              140    No          No          No          No          No          No
59982     Intrinsc Sphnctr Dficncy           1/1/1991              140    No          No          No          No          No          No
59983     Urethral Instability               1/1/1991              140    No          No          No          No          No          No
59984     Oth Spcf Dsdr Urethra              1/1/1991              140    No          No          No          No          No          No
59989     Oth Spcf Dsdr Urnry Trct           1/1/1991              140    No          No          No          No          No          No
5999      Urinary Tract Dis Nos              1/1/1991              140    No          No          No          No          No          No
6160      Cervicitis                         1/1/1991              144    No          No          No          No          No          No
6161      Vaginitis*                         1/1/1991              144    No          No          No          No          No          No
61610     Vaginitis Nos                      1/1/1991              144    No          No          No          No          No          No
61611     Vaginitis In Oth Disease           1/1/1991              144    No          No          No          No          No          No
61681     Mucositis (ulcerative) of        10/1/2006               144    No          No          No          No          No          No
61689     Other inflammatory diseas        10/1/2006               144    No          No          No          No          No          No
61884     Cervical stump prolapse          10/1/2006               144    No          No          No          No          No          No
622       Noninflamm Dis Cervix*             1/1/1991              144    No          No          No          No          No          No
6220      Erosion/Ectropion Cervix           1/1/1991              144    No          No          No          No          No          No
6221      Dysplasia Of Cervix                1/1/1991              144    No          No          No          No          No          No
62210     Dysplasia Of Cervix Nos          10/1/2004               144    No          No          No          No          No          No
62211     Mild Dysplasia Of Cervix         10/1/2004               144    No          No          No          No          No          No
62212     Mod Dysplasia Of Cervix          10/1/2004               144    No          No          No          No          No          No
6222      Leukoplakia Of Cervix              1/1/1991              144    No          No          No          No          No          No
6223      Old Laceration Of Cervix           1/1/1991              144    No          No          No          No          No          No
6224      Stricture Of Cervix                1/1/1991              144    No          No          No          No          No          No
6225      Incompetence Of Cervix             1/1/1991              144    No          No          No          No          No          No
6226      Hypertrophic Elong Cervx           1/1/1991              144    No          No          No          No          No          No
6227      Mucous Polyp Of Cervix             1/1/1991              144    No          No          No          No          No          No
6228      Noninflam Dis Cervix Nec           1/1/1991              144    No          No          No          No          No          No
6229      Noninflam Dis Cervix Nos           1/1/1991              144    No          No          No          No          No          No
624       Noninflamm Dis Vulva*              1/1/1991              144    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
6240      Dystrophy Of Vulva                 1/1/1991              144    No          No          No          No          No          No
62401     VULVAR INTRAEPH NEOPL I          10/1/2007               144                                                    No          No
62402     VULVR INTRAEPTH NEOPL II         10/1/2007               144                                                    No          No
62409     DYSTROPHY OF VULVA NEC           10/1/2007               144                                                    No          No
6241      Atrophy Of Vulva                   1/1/1991              144    No          No          No          No          No          No
6242      Hypertrophy Of Clitoris            1/1/1991              144    No          No          No          No          No          No
6243      Hypertrophy Of Labia               1/1/1991              144    No          No          No          No          No          No
6244      Old Laceration Of Vulva            1/1/1991              144    No          No          No          No          No          No
6245      Hematoma Of Vulva                  1/1/1991              144    No          No          No          No          No          No
6246      Polyp Of Labia And Vulva           1/1/1991              144    No          No          No          No          No          No
6248      Noninflam Dis Vulva Nec            1/1/1991              144    No          No          No          No          No          No
6249      Noninflam Dis Vulva Nos            1/1/1991              144    No          No          No          No          No          No
6256      Fem Stress Incontinence            1/1/1991              145    No          No          No          No          No          No
62570     VULVODYNIA NOS                   10/1/2008               144    No          No          No          No          No          No
62571     VULVAR VESTIBULITIS              10/1/2008               144    No          No          No          No          No          No
62579     OTHER VULVODYNIA                 10/1/2008               144    No          No          No          No          No          No
64930     Coagulation defects compl        10/1/2006                55    No          No          No          No          No          No
64931     Coagulation defects compl        10/1/2006                55    No          No          No          No          No          No
64932     Coagulation defects compl        10/1/2006                55    No          No          No          No          No          No
64933     Coagulation defects compl        10/1/2006                55    No          No          No          No          No          No
64934     Coagulation defects compl        10/1/2006                55    No          No          No          No          No          No
64940     Epilepsy complicating pre        10/1/2006                83    No          No          No          No          No          No
64941     Epilepsy complicating pre        10/1/2006                83    No          No          No          No          No          No
64942     Epilepsy complicating pre        10/1/2006                83    No          No          No          No          No          No
64943     Epilepsy complicating pre        10/1/2006                83    No          No          No          No          No          No
64944     Epilepsy complicating pre        10/1/2006                83    No          No          No          No          No          No
681       Cellulitis, Finger/Toe*            1/1/1991              159    No          No          No          No          No          No
6810      Cellulitis Of Finger*              1/1/1991              159    No          No          No          No          No          No
68100     Cellulitis, Finger Nos             1/1/1991              159    No          No          No          No          No          No
68101     Felon                              1/1/1991              159    No          No          No          No          No          No
68102     Onychia Of Finger                  1/1/1991              159    No          No          No          No          No          No
6811      Cellulitis Of Toe*                 1/1/1991              159    No          No          No          No          No          No
68110     Cellulitis, Toe Nos                1/1/1991              159    No          No          No          No          No          No
68111     Onychia Of Toe                     1/1/1991              159    No          No          No          No          No          No
6819      Cellulitis Of Digit Nos            1/1/1991              159    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
682       Other Cellulitis/Abscess*          1/1/1991              159    No          No          No          No          No          No
6820      Cellulitis Of Face                 1/1/1991              159    No          No          No          No          No          No
6821      Cellulitis Of Neck                 1/1/1991              159    No          No          No          No          No          No
6822      Cellulitis Of Trunk                1/1/1991              159    No          No          No          No          No          No
6823      Cellulitis Of Arm                  1/1/1991              159    No          No          No          No          No          No
6824      Cellulitis Of Hand                 1/1/1991              159    No          No          No          No          No          No
6825      Cellulitis Of Buttock              1/1/1991              159    No          No          No          No          No          No
6826      Cellulitis Of Leg                  1/1/1991              159    No          No          No          No          No          No
6827      Cellulitis Of Foot                 1/1/1991              159    No          No          No          No          No          No
6828      Cellulitis, Site Nec               1/1/1991              159    No          No          No          No          No          No
6829      Cellulitis Nos                     1/1/1991              159    No          No          No          No          No          No
683       Acute Lymphadenitis                1/1/1991              159    No          No          No          No          No          No
686       Oth Local Skin Infection*          1/1/1991              159    No          No          No          No          No          No
6860      Pyoderma*                          1/1/1991              159    No          No          No          No          No          No
68600     Pyoderma Nos                     10/1/1998               159    No          No          No          No          No          No
68601     Pyoderma Gangrenosum             10/1/1998               159    No          No          No          No          No          No
68609     Pyoderma Nec                     10/1/1998               159    No          No          No          No          No          No
6861      Pyogenic Granuloma                 1/1/1991              159    No          No          No          No          No          No
6868      Local Skin Infection Nec           1/1/1991              159    No          No          No          No          No          No
6869      Local Skin Infection Nos           1/1/1991              159    No          No          No          No          No          No
694       Bullous Dermatoses*                1/1/1991              160    No          No          No          No          No          No
6940      Dermatitis Herpetiformis           1/1/1991              160    No          No          No          No          No          No
6941      Subcorneal Pust Dermatos           1/1/1991              160    No          No          No          No          No          No
6942      Juven Dermat Herpetiform           1/1/1991              160    No          No          No          No          No          No
6943      Impetigo Herpetiformis             1/1/1991              160    No          No          No          No          No          No
6944      Pemphigus                          1/1/1991              160    No          No          No          No          No          No
6945      Pemphigoid                         1/1/1991              160    No          No          No          No          No          No
6946      Ben Mucous Memb Pemphig*           1/1/1991              160    No          No          No          No          No          No
69460     Bn Mucous Memb Pemph Nos           1/1/1991              160    No          No          No          No          No          No
69461     Ocular Pemphigus                   1/1/1991              160    No          No          No          No          No          No
6948      Bullous Dermatoses Nec             1/1/1991              160    No          No          No          No          No          No
6949      Bullous Dermatoses Nos             1/1/1991              160    No          No          No          No          No          No
6950      Toxic Erythema                     1/1/1991              160    No          No          No          No          No          No
69510     ERYTHEMA MULTIFORME NOS          10/1/2008               160    No          No          No          No          No          No
69511     ERYTHMA MULTIFORME MINOR         10/1/2008               160    No          No          No          No          No          No
                                                                         CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                         HCC         HCC         HCC         HCC         HCC         HCC
                                                     CMS-                Model       Model       Model       Model       Model       Model
                                                     HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
69512     ERYTHEMA MULTIFORME MAJ         10/1/2008               160    No          No          No          No          No          No
69513     STEVENS-JOHNSON SYNDROME        10/1/2008               160    No          No          No          No          No          No
69514     STEVENS-JOHNSON-TEN SYN         10/1/2008               160    No          No          No          No          No          No
69515     TOXIC EPIDRML NECROLYSIS        10/1/2008               160    No          No          No          No          No          No
69519     ERYTHEMA MULTIFORME NEC         10/1/2008               160    No          No          No          No          No          No
6952      Erythema Nodosum                  1/1/1991              160    No          No          No          No          No          No
69550     EXFOL D/T ERYTH <10% BDY        10/1/2008               160    No          No          No          No          No          No
69551     EXFL D/T ERYTH 10-19 BDY        10/1/2008               160    No          No          No          No          No          No
69552     EXFL D/T ERYTH 20-29 BDY        10/1/2008               160    No          No          No          No          No          No
69553     EXFL D/T ERYTH 30-39 BDY        10/1/2008               160    No          No          No          No          No          No
69554     EXFL D/T ERYTH 40-49 BDY        10/1/2008               160    No          No          No          No          No          No
69555     EXFL D/T ERYTH 50-59 BDY        10/1/2008               160    No          No          No          No          No          No
69556     EXFL D/T ERYTH 60-69 BDY        10/1/2008               160    No          No          No          No          No          No
69557     EXFL D/T ERYTH 70-79 BDY        10/1/2008               160    No          No          No          No          No          No
69558     EXFL D/T ERYTH 80-89 BDY        10/1/2008               160    No          No          No          No          No          No
69559     EXFL D/T ERYTH >=90% BDY        10/1/2008               160    No          No          No          No          No          No
6958      Oth Erythematous Cond*            1/1/1991              160    No          No          No          No          No          No
69581     Ritter'S Disease                  1/1/1991              160    No          No          No          No          No          No
69589     Erythematous Cond Nec             1/1/1991              160    No          No          No          No          No          No
6960      Psoriatic Arthropathy             1/1/1991               44    No          No          No          No          No          No
6961      Other Psoriasis                   1/1/1991              158    No          No          No          No          No          No
6962      Parapsoriasis                     1/1/1991              158    No          No          No          No          No          No
702       Other Dermatoses*                 1/1/1991              160    No          No          No          No          No          No
7020      Actinic Keratosis                 1/1/1991              160    No          No          No          No          No          No
7021      Seborrheic Keratosis*             1/1/1991              160    No          No          No          No          No          No
70211     Inflamed Sbrheic Keratos          1/1/1991              160    No          No          No          No          No          No
70219     Other Sborheic Keratosis          1/1/1991              160    No          No          No          No          No          No
7028      Other Specf Dermatoses            1/1/1991              160    No          No          No          No          No          No
707       Chronic Ulcer Of Skin*            1/1/1991    149       157    Yes         Yes         Yes         Yes         Yes         No
7070      Decubitus Ulcer                   1/1/1991    148              Yes         Yes         Yes         Yes         Yes         No
70700     Decubitus Ulcer Site Nos        10/1/2004     148              No          Yes         Yes         Yes         Yes         Yes
70701     Decubitus Ulcer,Elbow           10/1/2004     148              No          Yes         Yes         Yes         Yes         Yes
70702     Decubitus Ulcer,Up Back         10/1/2004     148              No          Yes         Yes         Yes         Yes         Yes
70703     Decubitus Ulcer,Low Back        10/1/2004     148              No          Yes         Yes         Yes         Yes         Yes
70704     Decubitus Ulcer,Hip             10/1/2004     148              No          Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
70705     Decubitus Ulcer,Buttock          10/1/2004       148              No          Yes         Yes         Yes         Yes         Yes
70706     Decubitus Ulcer,Ankle            10/1/2004       148              No          Yes         Yes         Yes         Yes         Yes
70707     Decubitus Ulcer,Heel             10/1/2004       148              No          Yes         Yes         Yes         Yes         Yes
70709     Decubitus Ulcer,Site Nec         10/1/2004       148              No          Yes         Yes         Yes         Yes         Yes
7071      Chronic Ulcer Of Leg*              1/1/1991      149       157    Yes         Yes         Yes         Yes         Yes         No
70710     Ulcer Of Lower Limb Nos          10/1/2001       149       157    Yes         Yes         Yes         Yes         Yes         Yes
70711     Ulcer Of Thigh                   10/1/2001       149       157    Yes         Yes         Yes         Yes         Yes         Yes
70712     Ulcer Of Calf                    10/1/2001       149       157    Yes         Yes         Yes         Yes         Yes         Yes
70713     Ulcer Of Ankle                   10/1/2001       149       157    Yes         Yes         Yes         Yes         Yes         Yes
70714     Ulcer Of Heel & Midfoot          10/1/2001       149       157    Yes         Yes         Yes         Yes         Yes         Yes
70715     Ulcer Other Part Of Foot         10/1/2001       149       157    Yes         Yes         Yes         Yes         Yes         Yes
70719     Ulcer Oth Part Low Limb          10/1/2001       149       157    Yes         Yes         Yes         Yes         Yes         Yes
70720     PRESSURE ULCER,STAGE NOS         10/1/2008        148             No          No          No          No          Yes         Yes
70721     PRESSURE ULCER, STAGE I          10/1/2008        148             No          No          No          No          Yes         Yes
70722     PRESSURE ULCER, STAGE II         10/1/2008        148             No          No          No          No          Yes         Yes
70723     PRESSURE ULCER,STAGE III         10/1/2008        148             No          No          No          No          Yes         Yes
70724     PRESSURE ULCER, STAGE IV         10/1/2008        148             No          No          No          No          Yes         Yes
70725     PRESSURE ULCER,UNSTAGEBL         10/1/2008        148             No          No          No          No          Yes         Yes
7078      Chronic Skin Ulcer Nec             1/1/1991      149       157    Yes         Yes         Yes         Yes         Yes         Yes
7079      Chronic Skin Ulcer Nos             1/1/1991      149       157    Yes         Yes         Yes         Yes         Yes         Yes
710       Diff Connective Tiss Dis*          1/1/1991       38        40    Yes         Yes         Yes         Yes         Yes         No
7100      Syst Lupus Erythematosus           1/1/1991       38        40    Yes         Yes         Yes         Yes         Yes         Yes
7101      Systemic Sclerosis                 1/1/1991       38        40    Yes         Yes         Yes         Yes         Yes         Yes
7102      Sicca Syndrome                     1/1/1991       38        40    Yes         Yes         Yes         Yes         Yes         Yes
7103      Dermatomyositis                    1/1/1991       38        40    Yes         Yes         Yes         Yes         Yes         Yes
7104      Polymyositis                       1/1/1991       38        40    Yes         Yes         Yes         Yes         Yes         Yes
7105      Eosinophilia Myalgia Snd           1/1/1991       38        40    Yes         Yes         Yes         Yes         Yes         Yes
7108      Diff Connect Tis Dis Nec           1/1/1991       38        40    Yes         Yes         Yes         Yes         Yes         Yes
7109      Diff Connect Tis Dis Nos           1/1/1991       38        40    Yes         Yes         Yes         Yes         Yes         Yes
711       Arthropathy W Infection*           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         No
7110      Pyogenic Arthritis*                1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         No
71100     Pyogen Arthritis-Unspec            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71101     Pyogen Arthritis-Shlder            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71102     Pyogen Arthritis-Up/Arm            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71103     Pyogen Arthritis-Forearm           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
71104     Pyogen Arthritis-Hand              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71105     Pyogen Arthritis-Pelvis            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71106     Pyogen Arthritis-L/Leg             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71107     Pyogen Arthritis-Ankle             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71108     Pyogen Arthritis Nec               1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71109     Pyogen Arthritis-Mult              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
7111      Arthritis In Reiters Dis*          1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         No
71110     Reiter Arthritis-Unspec            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71111     Reiter Arthritis-Shlder            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71112     Reiter Arthritis-Up/Arm            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71113     Reiter Arthritis-Forearm           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71114     Reiter Arthritis-Hand              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71115     Reiter Arthritis-Pelvis            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71116     Reiter Arthritis-L/Leg             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71117     Reiter Arthritis-Ankle             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71118     Reiter Arthritis Nec               1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71119     Reiter Arthritis-Mult              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
7112      Arthritis In Behcets Syn*          1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         No
71120     Behcet Arthritis-Unspec            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71121     Behcet Arthritis-Shlder            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71122     Behcet Arthritis-Up/Arm            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71123     Behcet Arthritis-Forearm           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71124     Behcet Arthritis-Hand              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71125     Behcet Arthritis-Pelvis            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71126     Behcet Arthritis-L/Leg             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71127     Behcet Arthritis-Ankle             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71128     Behcet Arthritis Nec               1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71129     Behcet Arthritis-Mult              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
7113      Postdysenteric Arthritis*          1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         No
71130     Dysenter Arthrit-Unspec            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71131     Dysenter Arthrit-Shlder            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71132     Dysenter Arthrit-Up/Arm            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71133     Dysenter Arthrit-Forearm           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71134     Dysenter Arthrit-Hand              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71135     Dysenter Arthrit-Pelvis            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
                                                                           CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                           HCC         HCC         HCC         HCC         HCC         HCC
                                                       CMS-                Model       Model       Model       Model       Model       Model
                                                       HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
71136     Dysenter Arthrit-L/Leg            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71137     Dysenter Arthrit-Ankle            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71138     Dysenter Arthrit Nec              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71139     Dysenter Arthrit-Mult             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
7114      Arthrit In Oth Bact Dis*          1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         No
71140     Bact Arthritis-Unspec             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71141     Bact Arthritis-Shlder             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71142     Bact Arthritis-Up/Arm             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71143     Bact Arthritis-Forearm            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71144     Bact Arthritis-Hand               1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71145     Bact Arthritis-Pelvis             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71146     Bact Arthritis-L/Leg              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71147     Bact Arthritis-Ankle              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71148     Bact Arthritis Nec                1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71149     Bact Arthritis-Mult               1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
7115      Arthritis In Viral Dis*           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         No
71150     Viral Arthritis-Unspec            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71151     Viral Arthritis-Shlder            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71152     Viral Arthritis-Up/Arm            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71153     Viral Arthritis-Forearm           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71154     Viral Arthritis-Hand              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71155     Viral Arthritis-Pelvis            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71156     Viral Arthritis-L/Leg             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71157     Viral Arthritis-Ankle             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71158     Viral Arthritis Nec               1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71159     Viral Arthritis-Mult              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
7116      Mycotic Arthritis*                1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         No
71160     Mycotic Arthritis-Unspec          1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71161     Mycotic Arthritis-Shlder          1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71162     Mycotic Arthritis-Up/Arm          1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71163     Mycotic Arthrit-Forearm           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71164     Mycotic Arthritis-Hand            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71165     Mycotic Arthritis-Pelvis          1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71166     Mycotic Arthritis-L/Leg           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71167     Mycotic Arthritis-Ankle           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
71168     Mycotic Arthritis Nec              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71169     Mycotic Arthritis-Mult             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
7117      Arthrit In Helminthiasis*          1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         No
71170     Helminth Arthrit-Unspec            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71171     Helminth Arthrit-Shlder            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71172     Helminth Arthrit-Up/Arm            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71173     Helminth Arthrit-Forearm           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71174     Helminth Arthrit-Hand              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71175     Helminth Arthrit-Pelvis            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71176     Helminth Arthrit-L/Leg             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71177     Helminth Arthrit-Ankle             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71178     Helminth Arthrit Nec               1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71179     Helminth Arthrit-Mult              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
7118      Arthrit In Oth Infec Dis*          1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         No
71180     Inf Arthritis Nec-Unspec           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71181     Inf Arthritis Nec-Shlder           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71182     Inf Arthritis Nec-Up/Arm           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71183     Inf Arthrit Nec-Forearm            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71184     Inf Arthritis Nec-Hand             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71185     Inf Arthritis Nec-Pelvis           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71186     Inf Arthritis Nec-L/Leg            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71187     Inf Arthritis Nec-Ankle            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71188     Inf Arthrit Nec-Oth Site           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71189     Inf Arthritis Nec-Mult             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
7119      Infective Arthritis Nos*           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         No
71190     Inf Arthritis Nos-Unspec           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71191     Inf Arthritis Nos-Shlder           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71192     Inf Arthritis Nos-Up/Arm           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71193     Inf Arthrit Nos-Forearm            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71194     Inf Arthrit Nos-Hand               1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71195     Inf Arthrit Nos-Pelvis             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71196     Inf Arthrit Nos-L/Leg              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71197     Inf Arthrit Nos-Ankle              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71198     Inf Arthrit Nos-Oth Site           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
71199     Inf Arthritis Nos-Mult             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
712       Crystal Arthropathies*             1/1/1991               48    No          No          No          No          No          No
7121      Chondrocalc-Dicalc Phos*           1/1/1991               48    No          No          No          No          No          No
71210     Dicalc Phos Cryst-Unspec           1/1/1991               48    No          No          No          No          No          No
71211     Dicalc Phos Cryst-Shlder           1/1/1991               48    No          No          No          No          No          No
71212     Dicalc Phos Cryst-Up/Arm           1/1/1991               48    No          No          No          No          No          No
71213     Dicalc Phos Crys-Forearm           1/1/1991               48    No          No          No          No          No          No
71214     Dicalc Phos Cryst-Hand             1/1/1991               48    No          No          No          No          No          No
71215     Dicalc Phos Cryst-Pelvis           1/1/1991               48    No          No          No          No          No          No
71216     Dicalc Phos Cryst-L/Leg            1/1/1991               48    No          No          No          No          No          No
71217     Dicalc Phos Cryst-Ankle            1/1/1991               48    No          No          No          No          No          No
71218     Dicalc Phos Cry-Site Nec           1/1/1991               48    No          No          No          No          No          No
71219     Dicalc Phos Cryst-Mult             1/1/1991               48    No          No          No          No          No          No
7122      Chondrocalcin-Pyrophosph*          1/1/1991               48    No          No          No          No          No          No
71220     Pyrophosph Cryst-Unspec            1/1/1991               48    No          No          No          No          No          No
71221     Pyrophosph Cryst-Shlder            1/1/1991               48    No          No          No          No          No          No
71222     Pyrophosph Cryst-Up/Arm            1/1/1991               48    No          No          No          No          No          No
71223     Pyrophosph Cryst-Forearm           1/1/1991               48    No          No          No          No          No          No
71224     Pyrophosph Cryst-Hand              1/1/1991               48    No          No          No          No          No          No
71225     Pyrophosph Cryst-Pelvis            1/1/1991               48    No          No          No          No          No          No
71226     Pyrophosph Cryst-L/Leg             1/1/1991               48    No          No          No          No          No          No
71227     Pyrophosph Cryst-Ankle             1/1/1991               48    No          No          No          No          No          No
71228     Pyrophos Cryst-Site Nec            1/1/1991               48    No          No          No          No          No          No
71229     Pyrophos Cryst-Mult                1/1/1991               48    No          No          No          No          No          No
7123      Chondrocalcinosis Nos*             1/1/1991               48    No          No          No          No          No          No
71230     Chondrocalcin Nos-Unspec           1/1/1991               48    No          No          No          No          No          No
71231     Chondrocalcin Nos-Shlder           1/1/1991               48    No          No          No          No          No          No
71232     Chondrocalcin Nos-Up/Arm           1/1/1991               48    No          No          No          No          No          No
71233     Chondrocalc Nos-Forearm            1/1/1991               48    No          No          No          No          No          No
71234     Chondrocalcin Nos-Hand             1/1/1991               48    No          No          No          No          No          No
71235     Chondrocalcin Nos-Pelvis           1/1/1991               48    No          No          No          No          No          No
71236     Chondrocalcin Nos-L/Leg            1/1/1991               48    No          No          No          No          No          No
71237     Chondrocalcin Nos-Ankle            1/1/1991               48    No          No          No          No          No          No
71238     Chondrocalc Nos-Oth Site           1/1/1991               48    No          No          No          No          No          No
71239     Chondrocalcin Nos-Mult             1/1/1991               48    No          No          No          No          No          No
7128      Crystal Arthropathy Nec*           1/1/1991               48    No          No          No          No          No          No
                                                                         CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                         HCC         HCC         HCC         HCC         HCC         HCC
                                                     CMS-                Model       Model       Model       Model       Model       Model
                                                     HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
71280     Cryst Arthrop Nec-Unspec          1/1/1991               48    No          No          No          No          No          No
71281     Cryst Arthrop Nec-Shlder          1/1/1991               48    No          No          No          No          No          No
71282     Cryst Arthrop Nec-Up/Arm          1/1/1991               48    No          No          No          No          No          No
71283     Crys Arthrop Nec-Forearm          1/1/1991               48    No          No          No          No          No          No
71284     Cryst Arthrop Nec-Hand            1/1/1991               48    No          No          No          No          No          No
71285     Cryst Arthrop Nec-Pelvis          1/1/1991               48    No          No          No          No          No          No
71286     Cryst Arthrop Nec-L/Leg           1/1/1991               48    No          No          No          No          No          No
71287     Cryst Arthrop Nec-Ankle           1/1/1991               48    No          No          No          No          No          No
71288     Cry Arthrop Nec-Oth Site          1/1/1991               48    No          No          No          No          No          No
71289     Cryst Arthrop Nec-Mult            1/1/1991               48    No          No          No          No          No          No
7129      Crystal Arthropathy Nos*          1/1/1991               48    No          No          No          No          No          No
71290     Cryst Arthrop Nos-Unspec          1/1/1991               48    No          No          No          No          No          No
71291     Cryst Arthrop Nos-Shldr           1/1/1991               48    No          No          No          No          No          No
71292     Cryst Arthrop Nos-Up/Arm          1/1/1991               48    No          No          No          No          No          No
71293     Crys Arthrop Nos-Forearm          1/1/1991               48    No          No          No          No          No          No
71294     Cryst Arthrop Nos-Hand            1/1/1991               48    No          No          No          No          No          No
71295     Cryst Arthrop Nos-Pelvis          1/1/1991               48    No          No          No          No          No          No
71296     Cryst Arthrop Nos-L/Leg           1/1/1991               48    No          No          No          No          No          No
71297     Cryst Arthrop Nos-Ankle           1/1/1991               48    No          No          No          No          No          No
71298     Cry Arthrop Nos-Oth Site          1/1/1991               48    No          No          No          No          No          No
71299     Cryst Arthrop Nos-Mult            1/1/1991               48    No          No          No          No          No          No
713       Arthropath In Other Dis*          1/1/1991               48    No          No          No          No          No          No
7130      Arthrop W Endocr/Met Dis          1/1/1991               48    No          No          No          No          No          No
7131      Arthrop W Noninf Gi Dis           1/1/1991               48    No          No          No          No          No          No
7132      Arthropath W Hematol Dis          1/1/1991               48    No          No          No          No          No          No
7133      Arthropathy W Skin Dis            1/1/1991               48    No          No          No          No          No          No
7134      Arthropathy W Resp Dis            1/1/1991               48    No          No          No          No          No          No
7135      Arthropathy W Nerve Dis           1/1/1991               48    No          No          No          No          No          No
7136      Arthrop W Hypersen React          1/1/1991               48    No          No          No          No          No          No
7137      Arthrop W System Dis Nec          1/1/1991               48    No          No          No          No          No          No
7138      Arthrop W Oth Dis Nec             1/1/1991               48    No          No          No          No          No          No
714       Oth Inflamm Polyarthrop*          1/1/1991     38        41    Yes         Yes         Yes         Yes         Yes         No
7140      Rheumatoid Arthritis              1/1/1991     38        41    Yes         Yes         Yes         Yes         Yes         Yes
7141      Felty'S Syndrome                  1/1/1991     38        41    Yes         Yes         Yes         Yes         Yes         Yes
7142      Syst Rheum Arthritis Nec          1/1/1991     38        41    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
7143      Juv Chron Polyarthritis*           1/1/1991       38        41    Yes         Yes         Yes         Yes         Yes         No
71430     Juv Rheum Arthritis Nos            1/1/1991       38        41    Yes         Yes         Yes         Yes         Yes         Yes
71431     Polyart Juv Rheum Arthr            1/1/1991       38        41    Yes         Yes         Yes         Yes         Yes         Yes
71432     Pauciart Juv Rheum Arthr           1/1/1991       38        41    Yes         Yes         Yes         Yes         Yes         Yes
71433     Monoart Juv Rheum Arthr            1/1/1991       38        41    Yes         Yes         Yes         Yes         Yes         Yes
7144      Chr Postrheum Arthritis            1/1/1991       38        41    Yes         Yes         Yes         Yes         Yes         Yes
7148      Inflam Polyarthrop Nec*            1/1/1991       38        41    Yes         Yes         Yes         Yes         Yes         No
71481     Rheumatoid Lung                    1/1/1991       38        41    Yes         Yes         Yes         Yes         Yes         Yes
71489     Inflamm Polyarthrop Nec            1/1/1991       38        41    Yes         Yes         Yes         Yes         Yes         Yes
7149      Inflamm Polyarthrop Nos            1/1/1991       38        41    Yes         Yes         Yes         Yes         Yes         Yes
715       Osteoarthrosis Et Al*              1/1/1991                 48    No          No          No          No          No          No
7150      General Osteoarthrosis*            1/1/1991                 48    No          No          No          No          No          No
71500     General Osteoarthrosis             1/1/1991                 48    No          No          No          No          No          No
71504     Gen Osteoarthros-Hand              1/1/1991                 48    No          No          No          No          No          No
71509     General Osteoarthrosis             1/1/1991                 48    No          No          No          No          No          No
7151      Loc Primary Osteoarthros*          1/1/1991                 48    No          No          No          No          No          No
71510     Loc Prim Osteoart-Unspec           1/1/1991                 48    No          No          No          No          No          No
71511     Loc Prim Osteoart-Shlder           1/1/1991                 48    No          No          No          No          No          No
71512     Loc Prim Osteoart-Up/Arm           1/1/1991                 48    No          No          No          No          No          No
71513     Loc Prim Osteoart-Forarm           1/1/1991                 48    No          No          No          No          No          No
71514     Loc Prim Osteoarth-Hand            1/1/1991                 48    No          No          No          No          No          No
71515     Loc Prim Osteoart-Pelvis           1/1/1991                 45    No          No          No          No          No          No
71516     Loc Prim Osteoart-L/Leg            1/1/1991                 45    No          No          No          No          No          No
71517     Loc Prim Osteoarth-Ankle           1/1/1991                 48    No          No          No          No          No          No
71518     Loc Prim Osteoarthr Nec            1/1/1991                 48    No          No          No          No          No          No
7152      Local 2Ndry Osteoarthros*          1/1/1991                 48    No          No          No          No          No          No
71520     Loc 2Nd Osteoarth-Unspec           1/1/1991                 48    No          No          No          No          No          No
71521     Loc 2Nd Osteoarth-Shlder           1/1/1991                 48    No          No          No          No          No          No
71522     Loc 2Nd Osteoarth-Up/Arm           1/1/1991                 48    No          No          No          No          No          No
71523     Loc 2Nd Osteoart-Forearm           1/1/1991                 48    No          No          No          No          No          No
71524     Loc 2Nd Osteoarthro-Hand           1/1/1991                 48    No          No          No          No          No          No
71525     Loc 2Nd Osteoarth-Pelvis           1/1/1991                 45    No          No          No          No          No          No
71526     Loc 2Nd Osteoarthr-L/Leg           1/1/1991                 45    No          No          No          No          No          No
71527     Loc 2Nd Osteoarthr-Ankle           1/1/1991                 48    No          No          No          No          No          No
71528     Loc 2Nd Osteoarthros Nec           1/1/1991                 48    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
7153      Local Osteoarthrosis Nos*          1/1/1991               48    No          No          No          No          No          No
71530     Loc Osteoarth Nos-Unspec           1/1/1991               48    No          No          No          No          No          No
71531     Loc Osteoarth Nos-Shlder           1/1/1991               48    No          No          No          No          No          No
71532     Loc Osteoarth Nos-Up/Arm           1/1/1991               48    No          No          No          No          No          No
71533     Loc Osteoart Nos-Forearm           1/1/1991               48    No          No          No          No          No          No
71534     Loc Osteoarth Nos-Hand             1/1/1991               48    No          No          No          No          No          No
71535     Loc Osteoarth Nos-Pelvis           1/1/1991               45    No          No          No          No          No          No
71536     Loc Osteoarth Nos-L/Leg            1/1/1991               45    No          No          No          No          No          No
71537     Loc Osteoarth Nos-Ankle            1/1/1991               48    No          No          No          No          No          No
71538     Loc Osteoar Nos-Site Nec           1/1/1991               48    No          No          No          No          No          No
7158      Osteoarthrosis-Mult Site*          1/1/1991               48    No          No          No          No          No          No
71580     Osteoarthrosis-Mult Site           1/1/1991               48    No          No          No          No          No          No
71589     Osteoarthrosis-Mult Site           1/1/1991               48    No          No          No          No          No          No
7159      Osteoarthrosis Nos*                1/1/1991               48    No          No          No          No          No          No
71590     Osteoarthros Nos-Unspec            1/1/1991               48    No          No          No          No          No          No
71591     Osteoarthros Nos-Shlder            1/1/1991               48    No          No          No          No          No          No
71592     Osteoarthros Nos-Up/Arm            1/1/1991               48    No          No          No          No          No          No
71593     Osteoarthros Nos-Forearm           1/1/1991               48    No          No          No          No          No          No
71594     Osteoarthros Nos-Hand              1/1/1991               48    No          No          No          No          No          No
71595     Osteoarthros Nos-Pelvis            1/1/1991               45    No          No          No          No          No          No
71596     Osteoarthros Nos-L/Leg             1/1/1991               45    No          No          No          No          No          No
71597     Osteoarthros Nos-Ankle             1/1/1991               48    No          No          No          No          No          No
71598     Osteoarthro Nos-Oth Site           1/1/1991               48    No          No          No          No          No          No
716       Arthropathies Nec/Nos*             1/1/1991               48    No          No          No          No          No          No
7160      Kaschin-Beck Disease*              1/1/1991               48    No          No          No          No          No          No
71600     Kaschin-Beck Dis-Unspec            1/1/1991               48    No          No          No          No          No          No
71601     Kaschin-Beck Dis-Shlder            1/1/1991               48    No          No          No          No          No          No
71602     Kaschin-Beck Dis-Up/Arm            1/1/1991               48    No          No          No          No          No          No
71603     Kaschin-Beck Dis-Forearm           1/1/1991               48    No          No          No          No          No          No
71604     Kaschin-Beck Dis-Hand              1/1/1991               48    No          No          No          No          No          No
71605     Kaschin-Beck Dis-Pelvis            1/1/1991               48    No          No          No          No          No          No
71606     Kaschin-Beck Dis-L/Leg             1/1/1991               48    No          No          No          No          No          No
71607     Kaschin-Beck Dis-Ankle             1/1/1991               48    No          No          No          No          No          No
71608     Kaschin-Beck Dis Nec               1/1/1991               48    No          No          No          No          No          No
71609     Kaschin-Beck Dis-Mult              1/1/1991               48    No          No          No          No          No          No
                                                                         CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                         HCC         HCC         HCC         HCC         HCC         HCC
                                                     CMS-                Model       Model       Model       Model       Model       Model
                                                     HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
7161      Traumatic Arthropathy*            1/1/1991               48    No          No          No          No          No          No
71610     Traum Arthropathy-Unspec          1/1/1991               48    No          No          No          No          No          No
71611     Traum Arthropathy-Shlder          1/1/1991               48    No          No          No          No          No          No
71612     Traum Arthropathy-Up/Arm          1/1/1991               48    No          No          No          No          No          No
71613     Traum Arthropath-Forearm          1/1/1991               48    No          No          No          No          No          No
71614     Traum Arthropathy-Hand            1/1/1991               48    No          No          No          No          No          No
71615     Traum Arthropathy-Pelvis          1/1/1991               48    No          No          No          No          No          No
71616     Traum Arthropathy-L/Leg           1/1/1991               48    No          No          No          No          No          No
71617     Traum Arthropathy-Ankle           1/1/1991               48    No          No          No          No          No          No
71618     Traum Arthropathy Nec             1/1/1991               48    No          No          No          No          No          No
71619     Traum Arthropathy-Mult            1/1/1991               48    No          No          No          No          No          No
7162      Allergic Arthritis*               1/1/1991               48    No          No          No          No          No          No
71620     Allerg Arthritis-Unspec           1/1/1991               48    No          No          No          No          No          No
71621     Allerg Arthritis-Shlder           1/1/1991               48    No          No          No          No          No          No
71622     Allerg Arthritis-Up/Arm           1/1/1991               48    No          No          No          No          No          No
71623     Allerg Arthritis-Forearm          1/1/1991               48    No          No          No          No          No          No
71624     Allerg Arthritis-Hand             1/1/1991               48    No          No          No          No          No          No
71625     Allerg Arthritis-Pelvis           1/1/1991               48    No          No          No          No          No          No
71626     Allerg Arthritis-L/Leg            1/1/1991               48    No          No          No          No          No          No
71627     Allerg Arthritis-Ankle            1/1/1991               48    No          No          No          No          No          No
71628     Allerg Arthritis Nec              1/1/1991               48    No          No          No          No          No          No
71629     Allerg Arthritis-Mult             1/1/1991               48    No          No          No          No          No          No
7163      Climacteric Arthritis*            1/1/1991               48    No          No          No          No          No          No
71630     Climact Arthritis-Unspec          1/1/1991               48    No          No          No          No          No          No
71631     Climact Arthritis-Shlder          1/1/1991               48    No          No          No          No          No          No
71632     Climact Arthritis-Up/Arm          1/1/1991               48    No          No          No          No          No          No
71633     Climact Arthrit-Forearm           1/1/1991               48    No          No          No          No          No          No
71634     Climact Arthritis-Hand            1/1/1991               48    No          No          No          No          No          No
71635     Climact Arthritis-Pelvis          1/1/1991               48    No          No          No          No          No          No
71636     Climact Arthritis-L/Leg           1/1/1991               48    No          No          No          No          No          No
71637     Climact Arthritis-Ankle           1/1/1991               48    No          No          No          No          No          No
71638     Climact Arthritis Nec             1/1/1991               48    No          No          No          No          No          No
71639     Climact Arthritis-Mult            1/1/1991               48    No          No          No          No          No          No
7164      Transient Arthropathy*            1/1/1991               48    No          No          No          No          No          No
71640     Trans Arthropathy-Unspec          1/1/1991               48    No          No          No          No          No          No
                                                                         CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                         HCC         HCC         HCC         HCC         HCC         HCC
                                                     CMS-                Model       Model       Model       Model       Model       Model
                                                     HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
71641     Trans Arthropathy-Shlder          1/1/1991               48    No          No          No          No          No          No
71642     Trans Arthropathy-Up/Arm          1/1/1991               48    No          No          No          No          No          No
71643     Trans Arthropath-Forearm          1/1/1991               48    No          No          No          No          No          No
71644     Trans Arthropathy-Hand            1/1/1991               48    No          No          No          No          No          No
71645     Trans Arthropathy-Pelvis          1/1/1991               48    No          No          No          No          No          No
71646     Trans Arthropathy-L/Leg           1/1/1991               48    No          No          No          No          No          No
71647     Trans Arthropathy-Ankle           1/1/1991               48    No          No          No          No          No          No
71648     Trans Arthropathy Nec             1/1/1991               48    No          No          No          No          No          No
71649     Trans Arthropathy-Mult            1/1/1991               48    No          No          No          No          No          No
7165      Polyarthritis Nos*                1/1/1991               48    No          No          No          No          No          No
71650     Polyarthritis Nos-Unspec          1/1/1991               48    No          No          No          No          No          No
71651     Polyarthritis Nos-Shlder          1/1/1991               48    No          No          No          No          No          No
71652     Polyarthritis Nos-Up/Arm          1/1/1991               48    No          No          No          No          No          No
71653     Polyarthrit Nos-Forearm           1/1/1991               48    No          No          No          No          No          No
71654     Polyarthritis Nos-Hand            1/1/1991               48    No          No          No          No          No          No
71655     Polyarthritis Nos-Pelvis          1/1/1991               48    No          No          No          No          No          No
71656     Polyarthritis Nos-L/Leg           1/1/1991               48    No          No          No          No          No          No
71657     Polyarthritis Nos-Ankle           1/1/1991               48    No          No          No          No          No          No
71658     Polyarthrit Nos-Oth Site          1/1/1991               48    No          No          No          No          No          No
71659     Polyarthritis Nos-Mult            1/1/1991               48    No          No          No          No          No          No
7166      Monoarthritis Nos*                1/1/1991               48    No          No          No          No          No          No
71660     Monoarthritis Nos-Unspec          1/1/1991               48    No          No          No          No          No          No
71661     Monoarthritis Nos-Shlder          1/1/1991               48    No          No          No          No          No          No
71662     Monoarthritis Nos-Up/Arm          1/1/1991               48    No          No          No          No          No          No
71663     Monoarthrit Nos-Forearm           1/1/1991               48    No          No          No          No          No          No
71664     Monoarthritis Nos-Hand            1/1/1991               48    No          No          No          No          No          No
71665     Monoarthritis Nos-Pelvis          1/1/1991               48    No          No          No          No          No          No
71666     Monoarthritis Nos-L/Leg           1/1/1991               48    No          No          No          No          No          No
71667     Monoarthritis Nos-Ankle           1/1/1991               48    No          No          No          No          No          No
71668     Monoarthrit Nos-Oth Site          1/1/1991               48    No          No          No          No          No          No
7168      Arthropathy Nec*                  1/1/1991               48    No          No          No          No          No          No
71680     Arthropathy Nec-Unspec            1/1/1991               48    No          No          No          No          No          No
71681     Arthropathy Nec-Shlder            1/1/1991               48    No          No          No          No          No          No
71682     Arthropathy Nec-Up/Arm            1/1/1991               48    No          No          No          No          No          No
71683     Arthropathy Nec-Forearm           1/1/1991               48    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
71684     Arthropathy Nec-Hand               1/1/1991               48    No          No          No          No          No          No
71685     Arthropathy Nec-Pelvis             1/1/1991               48    No          No          No          No          No          No
71686     Arthropathy Nec-L/Leg              1/1/1991               48    No          No          No          No          No          No
71687     Arthropathy Nec-Ankle              1/1/1991               48    No          No          No          No          No          No
71688     Arthropathy Nec-Oth Site           1/1/1991               48    No          No          No          No          No          No
71689     Arthropathy Nec-Mult               1/1/1991               48    No          No          No          No          No          No
7169      Arthropathy Nos*                   1/1/1991               48    No          No          No          No          No          No
71690     Arthropathy Nos-Unspec             1/1/1991               48    No          No          No          No          No          No
71691     Arthropathy Nos-Shlder             1/1/1991               48    No          No          No          No          No          No
71692     Arthropathy Nos-Up/Arm             1/1/1991               48    No          No          No          No          No          No
71693     Arthropathy Nos-Forearm            1/1/1991               48    No          No          No          No          No          No
71694     Arthropathy Nos-Hand               1/1/1991               48    No          No          No          No          No          No
71695     Arthropathy Nos-Pelvis             1/1/1991               48    No          No          No          No          No          No
71696     Arthropathy Nos-L/Leg              1/1/1991               48    No          No          No          No          No          No
71697     Arthropathy Nos-Ankle              1/1/1991               48    No          No          No          No          No          No
71698     Arthropathy Nos-Oth Site           1/1/1991               48    No          No          No          No          No          No
71699     Arthropathy Nos-Mult               1/1/1991               48    No          No          No          No          No          No
717       Internal Derangemnt Knee*          1/1/1991               48    No          No          No          No          No          No
7170      Old Bucket Tear Med Men            1/1/1991               48    No          No          No          No          No          No
7171      Derang Ant Med Meniscus            1/1/1991               48    No          No          No          No          No          No
7172      Derang Post Med Meniscus           1/1/1991               48    No          No          No          No          No          No
7173      Derang Med Meniscus Nec            1/1/1991               48    No          No          No          No          No          No
7174      Derangement Lat Meniscus*          1/1/1991               48    No          No          No          No          No          No
71740     Derang Lat Meniscus Nos            1/1/1991               48    No          No          No          No          No          No
71741     Old Bucket Tear Lat Men            1/1/1991               48    No          No          No          No          No          No
71742     Derange Ant Lat Meniscus           1/1/1991               48    No          No          No          No          No          No
71743     Derang Post Lat Meniscus           1/1/1991               48    No          No          No          No          No          No
71749     Derang Lat Meniscus Nec            1/1/1991               48    No          No          No          No          No          No
7175      Derangement Meniscus Nec           1/1/1991               48    No          No          No          No          No          No
7176      Loose Body In Knee                 1/1/1991               48    No          No          No          No          No          No
7177      Chondromalacia Patellae            1/1/1991               48    No          No          No          No          No          No
7178      Oth Int Derangement Knee*          1/1/1991               48    No          No          No          No          No          No
71781     Old Disrupt Lat Collat             1/1/1991               48    No          No          No          No          No          No
71782     Old Disrupt Med Collat             1/1/1991               48    No          No          No          No          No          No
71783     Old Disrupt Ant Cruciate           1/1/1991               48    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
71784     Old Disrupt Post Cruciat           1/1/1991               48    No          No          No          No          No          No
71785     Old Disrupt Knee Lig Nec           1/1/1991               48    No          No          No          No          No          No
71789     Int Derangement Knee Nec           1/1/1991               48    No          No          No          No          No          No
7179      Int Derangement Knee Nos           1/1/1991               48    No          No          No          No          No          No
718       Other Joint Derangement*           1/1/1991               48    No          No          No          No          No          No
7180      Articular Cartilage Dis*           1/1/1991               48    No          No          No          No          No          No
71800     Artic Cartil Dis-Unspec            1/1/1991               48    No          No          No          No          No          No
71801     Artic Cartil Dis-Shlder            1/1/1991               48    No          No          No          No          No          No
71802     Artic Cartil Dis-Up/Arm            1/1/1991               48    No          No          No          No          No          No
71803     Artic Cartil Dis-Forearm           1/1/1991               48    No          No          No          No          No          No
71804     Artic Cartil Dis-Hand              1/1/1991               48    No          No          No          No          No          No
71805     Artic Cartil Dis-Pelvis            1/1/1991               48    No          No          No          No          No          No
71807     Artic Cartil Dis-Ankle             1/1/1991               48    No          No          No          No          No          No
71808     Artic Cartil Dis-Jt Nec            1/1/1991               48    No          No          No          No          No          No
71809     Artic Cartil Dis-Mult Jt           1/1/1991               48    No          No          No          No          No          No
7181      Loose Body In Joint*               1/1/1991               48    No          No          No          No          No          No
71810     Loose Body-Unspec                  1/1/1991               48    No          No          No          No          No          No
71811     Loose Body-Shlder                  1/1/1991               48    No          No          No          No          No          No
71812     Loose Body-Up/Arm                  1/1/1991               48    No          No          No          No          No          No
71813     Loose Body-Forearm                 1/1/1991               48    No          No          No          No          No          No
71814     Loose Body-Hand                    1/1/1991               48    No          No          No          No          No          No
71815     Loose Body-Pelvis                  1/1/1991               48    No          No          No          No          No          No
71817     Loose Body-Ankle                   1/1/1991               48    No          No          No          No          No          No
71818     Loose Body-Joint Nec               1/1/1991               48    No          No          No          No          No          No
71819     Loose Body-Mult Joints             1/1/1991               48    No          No          No          No          No          No
7182      Pathological Dislocation*          1/1/1991               48    No          No          No          No          No          No
71820     Pathol Dislocat-Unspec             1/1/1991               48    No          No          No          No          No          No
71821     Pathol Dislocat-Shlder             1/1/1991               48    No          No          No          No          No          No
71822     Pathol Dislocat-Up/Arm             1/1/1991               48    No          No          No          No          No          No
71823     Pathol Dislocat-Forearm            1/1/1991               48    No          No          No          No          No          No
71824     Pathol Dislocat-Hand               1/1/1991               48    No          No          No          No          No          No
71825     Pathol Dislocat-Pelvis             1/1/1991               48    No          No          No          No          No          No
71826     Pathol Dislocat-L/Leg              1/1/1991               48    No          No          No          No          No          No
71827     Pathol Dislocat-Ankle              1/1/1991               48    No          No          No          No          No          No
71828     Pathol Dislocat-Jt Nec             1/1/1991               48    No          No          No          No          No          No
                                                                         CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                         HCC         HCC         HCC         HCC         HCC         HCC
                                                     CMS-                Model       Model       Model       Model       Model       Model
                                                     HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
71829     Pathol Dislocat-Mult Jts          1/1/1991               48    No          No          No          No          No          No
7183      Recurrent Dislocation*            1/1/1991               48    No          No          No          No          No          No
71830     Recur Dislocat-Unspec             1/1/1991               48    No          No          No          No          No          No
71831     Recur Dislocat-Shlder             1/1/1991               48    No          No          No          No          No          No
71832     Recur Dislocat-Up/Arm             1/1/1991               48    No          No          No          No          No          No
71833     Recur Dislocat-Forearm            1/1/1991               48    No          No          No          No          No          No
71834     Recur Dislocat-Hand               1/1/1991               48    No          No          No          No          No          No
71835     Recur Dislocat-Pelvis             1/1/1991               48    No          No          No          No          No          No
71836     Recur Dislocat-L/Leg              1/1/1991               48    No          No          No          No          No          No
71837     Recur Dislocat-Ankle              1/1/1991               48    No          No          No          No          No          No
71838     Recur Dislocat-Jt Nec             1/1/1991               48    No          No          No          No          No          No
71839     Recur Dislocat-Mult Jts           1/1/1991               48    No          No          No          No          No          No
7184      Contracture Of Joint*             1/1/1991               48    No          No          No          No          No          No
71840     Jt Contracture-Unspec             1/1/1991               48    No          No          No          No          No          No
71841     Jt Contracture-Shlder             1/1/1991               48    No          No          No          No          No          No
71842     Jt Contracture-Up/Arm             1/1/1991               48    No          No          No          No          No          No
71843     Jt Contracture-Forearm            1/1/1991               48    No          No          No          No          No          No
71844     Jt Contracture-Hand               1/1/1991               48    No          No          No          No          No          No
71845     Jt Contracture-Pelvis             1/1/1991               48    No          No          No          No          No          No
71846     Jt Contracture-L/Leg              1/1/1991               48    No          No          No          No          No          No
71847     Jt Contracture-Ankle              1/1/1991               48    No          No          No          No          No          No
71848     Jt Contracture-Jt Nec             1/1/1991               48    No          No          No          No          No          No
71849     Jt Contracture-Mult Jts           1/1/1991               48    No          No          No          No          No          No
7185      Ankylosis Of Joint*               1/1/1991               48    No          No          No          No          No          No
71850     Ankylosis-Unspec                  1/1/1991               48    No          No          No          No          No          No
71851     Ankylosis-Shoulder                1/1/1991               48    No          No          No          No          No          No
71852     Ankylosis-Upper/Arm               1/1/1991               48    No          No          No          No          No          No
71853     Ankylosis-Forearm                 1/1/1991               48    No          No          No          No          No          No
71854     Ankylosis-Hand                    1/1/1991               48    No          No          No          No          No          No
71855     Ankylosis-Pelvis                  1/1/1991               48    No          No          No          No          No          No
71856     Ankylosis-Lower/Leg               1/1/1991               48    No          No          No          No          No          No
71857     Ankylosis-Ankle                   1/1/1991               48    No          No          No          No          No          No
71858     Ankylosis-Joint Nec               1/1/1991               48    No          No          No          No          No          No
71859     Ankylosis-Mult Joints             1/1/1991               48    No          No          No          No          No          No
7186      Protrusio Acetabuli Nos*          1/1/1991               48    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
71860     Protrusio Acetab-Unspec            1/1/1991               48    No          No          No          No          No          No
71865     Protrusio Acetabuli Nos            1/1/1991               48    No          No          No          No          No          No
7187      Dev Dislocat Jt Site Unsp          1/1/1991               48    No          No          No          No          No          No
71870     Dev Dislocat Jt Site Nos         10/1/2002                48    No          No          No          No          No          No
71871     Dev Dislocat Joint-Shldr         10/1/2002                48    No          No          No          No          No          No
71872     Dev Dislocat Jt-Up/Arm           10/1/2002                48    No          No          No          No          No          No
71873     Dev Dislocat Jt-Forearm          10/1/2002                48    No          No          No          No          No          No
71874     Dev Dislocat Joint-Hand          10/1/2002                48    No          No          No          No          No          No
71876     Dev Disloc Jt-Lower Leg          10/1/2002                48    No          No          No          No          No          No
71877     Dev Disloc Jt-Ankle/Foot         10/1/2002                48    No          No          No          No          No          No
71878     Dev Disloc Jt-Site Nec           10/1/2002                48    No          No          No          No          No          No
71879     Dev Disloc Jt-Mult Sites         10/1/2002                48    No          No          No          No          No          No
7188      Joint Derangement Nec*             1/1/1991               48    No          No          No          No          No          No
71880     Jt Derangmnt Nec-Unsp Jt           1/1/1991               48    No          No          No          No          No          No
71881     Jt Derangment Nec-Shlder           1/1/1991               48    No          No          No          No          No          No
71882     Jt Derangment Nec-Up/Arm           1/1/1991               48    No          No          No          No          No          No
71883     Jt Derangmnt Nec-Forearm           1/1/1991               48    No          No          No          No          No          No
71884     Jt Derangement Nec-Hand            1/1/1991               48    No          No          No          No          No          No
71885     Jt Derangment Nec-Pelvis           1/1/1991               48    No          No          No          No          No          No
71886     Jt Derangement Nec-L/Leg           1/1/1991               48    No          No          No          No          No          No
71887     Jt Derangement Nec-Ankle           1/1/1991               48    No          No          No          No          No          No
71888     Jt Derangment Nec-Oth Jt           1/1/1991               48    No          No          No          No          No          No
71889     Jt Derangement Nec-Mult            1/1/1991               48    No          No          No          No          No          No
7189      Derangement Of Joint Nos*          1/1/1991               48    No          No          No          No          No          No
71890     Jt Derangmnt Nos-Unsp Jt           1/1/1991               48    No          No          No          No          No          No
71891     Jt Derangment Nos-Shlder           1/1/1991               48    No          No          No          No          No          No
71892     Jt Derangment Nos-Up/Arm           1/1/1991               48    No          No          No          No          No          No
71893     Jt Derangmnt Nos-Forearm           1/1/1991               48    No          No          No          No          No          No
71894     Jt Derangement Nos-Hand            1/1/1991               48    No          No          No          No          No          No
71895     Jt Derangment Nos-Pelvis           1/1/1991               48    No          No          No          No          No          No
71897     Jt Derangement Nos-Ankle           1/1/1991               48    No          No          No          No          No          No
71898     Jt Derangment Nos-Oth Jt           1/1/1991               48    No          No          No          No          No          No
71899     Jt Derangement Nos-Mult            1/1/1991               48    No          No          No          No          No          No
719       Joint Disorder Nec & Nos*          1/1/1991               48    No          No          No          No          No          No
7190      Effusion Of Joint*                 1/1/1991               48    No          No          No          No          No          No
                                                                         CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                         HCC         HCC         HCC         HCC         HCC         HCC
                                                     CMS-                Model       Model       Model       Model       Model       Model
                                                     HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
71900     Joint Effusion-Unspec             1/1/1991               48    No          No          No          No          No          No
71901     Joint Effusion-Shlder             1/1/1991               48    No          No          No          No          No          No
71902     Joint Effusion-Up/Arm             1/1/1991               48    No          No          No          No          No          No
71903     Joint Effusion-Forearm            1/1/1991               48    No          No          No          No          No          No
71904     Joint Effusion-Hand               1/1/1991               48    No          No          No          No          No          No
71905     Joint Effusion-Pelvis             1/1/1991               48    No          No          No          No          No          No
71906     Joint Effusion-L/Leg              1/1/1991               48    No          No          No          No          No          No
71907     Joint Effusion-Ankle              1/1/1991               48    No          No          No          No          No          No
71908     Joint Effusion-Jt Nec             1/1/1991               48    No          No          No          No          No          No
71909     Joint Effusion-Mult Jts           1/1/1991               48    No          No          No          No          No          No
7191      Hemarthrosis*                     1/1/1991               48    No          No          No          No          No          No
71910     Hemarthrosis-Unspec               1/1/1991               48    No          No          No          No          No          No
71911     Hemarthrosis-Shlder               1/1/1991               48    No          No          No          No          No          No
71912     Hemarthrosis-Up/Arm               1/1/1991               48    No          No          No          No          No          No
71913     Hemarthrosis-Forearm              1/1/1991               48    No          No          No          No          No          No
71914     Hemarthrosis-Hand                 1/1/1991               48    No          No          No          No          No          No
71915     Hemarthrosis-Pelvis               1/1/1991               48    No          No          No          No          No          No
71916     Hemarthrosis-L/Leg                1/1/1991               48    No          No          No          No          No          No
71917     Hemarthrosis-Ankle                1/1/1991               48    No          No          No          No          No          No
71918     Hemarthrosis-Jt Nec               1/1/1991               48    No          No          No          No          No          No
71919     Hemarthrosis-Mult Jts             1/1/1991               48    No          No          No          No          No          No
7192      Villonodular Synovitis*           1/1/1991               48    No          No          No          No          No          No
71920     Villonod Synovit-Unspec           1/1/1991               48    No          No          No          No          No          No
71921     Villonod Synovit-Shlder           1/1/1991               48    No          No          No          No          No          No
71922     Villonod Synovit-Up/Arm           1/1/1991               48    No          No          No          No          No          No
71923     Villonod Synovit-Forearm          1/1/1991               48    No          No          No          No          No          No
71924     Villonod Synovit-Hand             1/1/1991               48    No          No          No          No          No          No
71925     Villonod Synovit-Pelvis           1/1/1991               48    No          No          No          No          No          No
71926     Villonod Synovit-L/Leg            1/1/1991               48    No          No          No          No          No          No
71927     Villonod Synovit-Ankle            1/1/1991               48    No          No          No          No          No          No
71928     Villonod Synovit-Jt Nec           1/1/1991               48    No          No          No          No          No          No
71929     Villonod Synovit-Mult Jt          1/1/1991               48    No          No          No          No          No          No
7193      Palindromic Rheumatism*           1/1/1991               48    No          No          No          No          No          No
71930     Palindrom Rheum-Unspec            1/1/1991               48    No          No          No          No          No          No
71931     Palindrom Rheum-Shlder            1/1/1991               48    No          No          No          No          No          No
                                                                         CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                         HCC         HCC         HCC         HCC         HCC         HCC
                                                     CMS-                Model       Model       Model       Model       Model       Model
                                                     HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
71932     Palindrom Rheum-Up/Arm            1/1/1991               48    No          No          No          No          No          No
71933     Palindrom Rheum-Forearm           1/1/1991               48    No          No          No          No          No          No
71934     Palindrom Rheum-Hand              1/1/1991               48    No          No          No          No          No          No
71935     Palindrom Rheum-Pelvis            1/1/1991               48    No          No          No          No          No          No
71936     Palindrom Rheum-L/Leg             1/1/1991               48    No          No          No          No          No          No
71937     Palindrom Rheum-Ankle             1/1/1991               48    No          No          No          No          No          No
71938     Palindrom Rheum-Jt Nec            1/1/1991               48    No          No          No          No          No          No
71939     Palindrom Rheum-Mult Jts          1/1/1991               48    No          No          No          No          No          No
7194      Pain In Joint*                    1/1/1991               48    No          No          No          No          No          No
71940     Joint Pain-Unspec                 1/1/1991               48    No          No          No          No          No          No
71941     Joint Pain-Shlder                 1/1/1991               48    No          No          No          No          No          No
71942     Joint Pain-Up/Arm                 1/1/1991               48    No          No          No          No          No          No
71943     Joint Pain-Forearm                1/1/1991               48    No          No          No          No          No          No
71944     Joint Pain-Hand                   1/1/1991               48    No          No          No          No          No          No
71945     Joint Pain-Pelvis                 1/1/1991               48    No          No          No          No          No          No
71946     Joint Pain-L/Leg                  1/1/1991               48    No          No          No          No          No          No
71947     Joint Pain-Ankle                  1/1/1991               48    No          No          No          No          No          No
71948     Joint Pain-Jt Nec                 1/1/1991               48    No          No          No          No          No          No
71949     Joint Pain-Mult Jts               1/1/1991               48    No          No          No          No          No          No
7195      Stiffness Of Joint Nec*           1/1/1991               48    No          No          No          No          No          No
71950     Jt Stiffness Nec-Unspec           1/1/1991               48    No          No          No          No          No          No
71951     Jt Stiffness Nec-Shlder           1/1/1991               48    No          No          No          No          No          No
71952     Jt Stiffness Nec-Up/Arm           1/1/1991               48    No          No          No          No          No          No
71953     Jt Stiffnes Nec-Forearm           1/1/1991               48    No          No          No          No          No          No
71954     Jt Stiffness Nec-Hand             1/1/1991               48    No          No          No          No          No          No
71955     Jt Stiffness Nec-Pelvis           1/1/1991               48    No          No          No          No          No          No
71956     Jt Stiffness Nec-L/Leg            1/1/1991               48    No          No          No          No          No          No
71957     Jt Stiffness Nec-Ankle            1/1/1991               48    No          No          No          No          No          No
71958     Jt Stiffness Nec-Oth Jt           1/1/1991               48    No          No          No          No          No          No
71959     Jt Stiffness Nec-Mult Jt          1/1/1991               48    No          No          No          No          No          No
7196      Joint Symptoms Nec*               1/1/1991               48    No          No          No          No          No          No
71960     Joint Sympt Nec-Unsp Jt           1/1/1991               48    No          No          No          No          No          No
71961     Joint Symptom Nec-Shlder          1/1/1991               48    No          No          No          No          No          No
71962     Joint Symptom Nec-Up/Arm          1/1/1991               48    No          No          No          No          No          No
71963     Joint Sympt Nec-Forearm           1/1/1991               48    No          No          No          No          No          No
                                                                         CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                         HCC         HCC         HCC         HCC         HCC         HCC
                                                     CMS-                Model       Model       Model       Model       Model       Model
                                                     HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
71964     Joint Symptom Nec-Hand            1/1/1991               48    No          No          No          No          No          No
71965     Joint Symptom Nec-Pelvis          1/1/1991               48    No          No          No          No          No          No
71966     Joint Symptom Nec-L/Leg           1/1/1991               48    No          No          No          No          No          No
71967     Joint Symptom Nec-Ankle           1/1/1991               48    No          No          No          No          No          No
71968     Joint Symptom Nec-Oth Jt          1/1/1991               48    No          No          No          No          No          No
71969     Joint Sympt Nec-Mult Jts          1/1/1991               48    No          No          No          No          No          No
7197      Difficulty In Walking             1/1/1991               48    No          No          No          No          No          No
71970     Difficult Walk-Unspec             1/1/1991               48    No          No          No          No          No          No
71977     Difficult Walk-Foot               1/1/1991               48    No          No          No          No          No          No
71978     Difficult Walk Nec                1/1/1991               48    No          No          No          No          No          No
71979     Difficult Walk-Mult               1/1/1991               48    No          No          No          No          No          No
7198      Joint Disorders Nec*              1/1/1991               48    No          No          No          No          No          No
71980     Joint Dis Nec-Unspec              1/1/1991               48    No          No          No          No          No          No
71981     Joint Dis Nec-Shlder              1/1/1991               48    No          No          No          No          No          No
71982     Joint Dis Nec-Up/Arm              1/1/1991               48    No          No          No          No          No          No
71983     Joint Dis Nec-Forearm             1/1/1991               48    No          No          No          No          No          No
71984     Joint Dis Nec-Hand                1/1/1991               48    No          No          No          No          No          No
71985     Joint Dis Nec-Pelvis              1/1/1991               48    No          No          No          No          No          No
71986     Joint Dis Nec-L/Leg               1/1/1991               48    No          No          No          No          No          No
71987     Joint Dis Nec-Ankle               1/1/1991               48    No          No          No          No          No          No
71988     Joint Dis Nec-Oth Jt              1/1/1991               48    No          No          No          No          No          No
71989     Joint Dis Nec-Mult Jts            1/1/1991               48    No          No          No          No          No          No
7199      Joint Disorder Nos*               1/1/1991               48    No          No          No          No          No          No
71990     Joint Dis Nos-Unspec Jt           1/1/1991               48    No          No          No          No          No          No
71991     Joint Dis Nos-Shlder              1/1/1991               48    No          No          No          No          No          No
71992     Joint Dis Nos-Up/Arm              1/1/1991               48    No          No          No          No          No          No
71993     Joint Dis Nos-Forearm             1/1/1991               48    No          No          No          No          No          No
71994     Joint Dis Nos-Hand                1/1/1991               48    No          No          No          No          No          No
71995     Joint Dis Nos-Pelvis              1/1/1991               48    No          No          No          No          No          No
71996     Joint Dis Nos-L/Leg               1/1/1991               48    No          No          No          No          No          No
71997     Joint Dis Nos-Ankle               1/1/1991               48    No          No          No          No          No          No
71998     Joint Dis Nos-Oth Jt              1/1/1991               48    No          No          No          No          No          No
71999     Joint Dis Nos-Mult Jts            1/1/1991               48    No          No          No          No          No          No
720       Inflam Spondylopathies*           1/1/1991     38        42    Yes         Yes         Yes         Yes         Yes         No
7200      Ankylosing Spondylitis            1/1/1991     38        42    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
7201      Spinal Enthesopathy                1/1/1991       38        42    Yes         Yes         Yes         Yes         Yes         Yes
7202      Sacroiliitis Nec                   1/1/1991       38        42    Yes         Yes         Yes         Yes         Yes         Yes
7208      Oth Inflam Spondylopathy*          1/1/1991       38        42    Yes         Yes         Yes         Yes         Yes         No
72081     Spondylopathy In Oth Dis           1/1/1991       38        42    Yes         Yes         Yes         Yes         Yes         Yes
72089     Inflam Spondylopathy Nec           1/1/1991       38        42    Yes         Yes         Yes         Yes         Yes         Yes
7209      Inflam Spondylopathy Nos           1/1/1991       38        42    Yes         Yes         Yes         Yes         Yes         Yes
721       Spondylosis Et Al*                 1/1/1991                 45    No          No          No          No          No          No
7210      Cervical Spondylosis               1/1/1991                 45    No          No          No          No          No          No
7211      Cerv Spondyl W Myelopath           1/1/1991                 45    No          No          No          No          No          No
7212      Thoracic Spondylosis               1/1/1991                 45    No          No          No          No          No          No
7213      Lumbosacral Spondylosis            1/1/1991                 45    No          No          No          No          No          No
7214      Thor/Lum Spondyl W Myelo*          1/1/1991                 45    No          No          No          No          No          No
72141     Spond Compr Thor Sp Cord           1/1/1991                 45    No          No          No          No          No          No
72142     Spond Compr Lumb Sp Cord           1/1/1991                 45    No          No          No          No          No          No
7215      Kissing Spine                      1/1/1991                 45    No          No          No          No          No          No
7216      Ankyl Vert Hyperostosis            1/1/1991                 45    No          No          No          No          No          No
7217      Traumatic Spondylopathy            1/1/1991                 45    No          No          No          No          No          No
7218      Spinal Disorders Nec               1/1/1991                 45    No          No          No          No          No          No
7219      Spondylosis Nos*                   1/1/1991                 45    No          No          No          No          No          No
72190     Spondylos Nos W/O Myelop           1/1/1991                 45    No          No          No          No          No          No
72191     Spondylosis Nos W Myelop           1/1/1991                 45    No          No          No          No          No          No
722       Intervertebral Disc Dis*           1/1/1991                 45    No          No          No          No          No          No
7220      Cervical Disc Displacmnt           1/1/1991                 45    No          No          No          No          No          No
7221      Thorac/Lumb Disc Displac*          1/1/1991                 45    No          No          No          No          No          No
72210     Lumbar Disc Displacement           1/1/1991                 45    No          No          No          No          No          No
72211     Thoracic Disc Displacmnt           1/1/1991                 45    No          No          No          No          No          No
7222      Disc Displacement Nos              1/1/1991                 45    No          No          No          No          No          No
7223      Schmorl'S Nodes*                   1/1/1991                 45    No          No          No          No          No          No
72230     Schmorl'S Nodes Nos                1/1/1991                 45    No          No          No          No          No          No
72231     Schmorls Node-Thoracic             1/1/1991                 45    No          No          No          No          No          No
72232     Schmorls Node-Lumbar               1/1/1991                 45    No          No          No          No          No          No
72239     Schmorls Node-Region Nec           1/1/1991                 45    No          No          No          No          No          No
7224      Cervical Disc Degen                1/1/1991                 45    No          No          No          No          No          No
7225      Thorac/Lumbar Disc Degen*          1/1/1991                 45    No          No          No          No          No          No
72251     Thoracic Disc Degen                1/1/1991                 45    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
72252     Lumb/Lumbosac Disc Degen           1/1/1991               45    No          No          No          No          No          No
7226      Disc Degeneration Nos              1/1/1991               45    No          No          No          No          No          No
7227      Disc Dis W Myelopathy*             1/1/1991               45    No          No          No          No          No          No
72270     Disc Dis W Myelopath Nos           1/1/1991               45    No          No          No          No          No          No
72271     Cerv Disc Dis W Myelopat           1/1/1991               45    No          No          No          No          No          No
72272     Thor Disc Dis W Myelopat           1/1/1991               45    No          No          No          No          No          No
72273     Lumb Disc Dis W Myelopat           1/1/1991               45    No          No          No          No          No          No
7228      Postlaminectomy Syndrome*          1/1/1991               45    No          No          No          No          No          No
72280     Postlaminectomy Synd Nos           1/1/1991               45    No          No          No          No          No          No
72281     Postlaminect Synd-Cerv             1/1/1991               45    No          No          No          No          No          No
72282     Postlaminect Synd-Thorac           1/1/1991               45    No          No          No          No          No          No
72283     Postlaminect Synd-Lumbar           1/1/1991               45    No          No          No          No          No          No
7229      Disc Disorder Nec/Nos*             1/1/1991               45    No          No          No          No          No          No
72290     Disc Dis Nec/Nos-Unspec            1/1/1991               45    No          No          No          No          No          No
72291     Disc Dis Nec/Nos-Cerv              1/1/1991               45    No          No          No          No          No          No
72292     Disc Dis Nec/Nos-Thorac            1/1/1991               45    No          No          No          No          No          No
72293     Disc Dis Nec/Nos-Lumbar            1/1/1991               45    No          No          No          No          No          No
723       Other Cervical Spine Dis*          1/1/1991               48    No          No          No          No          No          No
7230      Cervical Spinal Stenosis           1/1/1991               45    No          No          No          No          No          No
7231      Cervicalgia                        1/1/1991               48    No          No          No          No          No          No
7232      Cervicocranial Syndrome            1/1/1991               48    No          No          No          No          No          No
7233      Cervicobrachial Syndrome           1/1/1991               48    No          No          No          No          No          No
7234      Brachial Neuritis Nos              1/1/1991               48    No          No          No          No          No          No
7235      Torticollis Nos                    1/1/1991               48    No          No          No          No          No          No
7236      Panniculitis Of Neck               1/1/1991               48    No          No          No          No          No          No
7237      Ossification Cerv Lig              1/1/1991               48    No          No          No          No          No          No
7238      Cervical Syndrome Nec              1/1/1991               48    No          No          No          No          No          No
7239      Neck Disorder/Sympt Nos            1/1/1991               48    No          No          No          No          No          No
724       Back Disorder Nec & Nos*           1/1/1991               48    No          No          No          No          No          No
7240      Spinal Stenosis Nec*               1/1/1991               45    No          No          No          No          No          No
72400     Spinal Stenosis Nos                1/1/1991               45    No          No          No          No          No          No
72401     Spinal Stenosis-Thoracic           1/1/1991               45    No          No          No          No          No          No
72402     Spinal Stenosis-Lumbar             1/1/1991               45    No          No          No          No          No          No
72409     Spinal Stenosis-Oth Site           1/1/1991               45    No          No          No          No          No          No
7241      Pain In Thoracic Spine             1/1/1991               48    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
7242      Lumbago                            1/1/1991               48    No          No          No          No          No          No
7243      Sciatica                           1/1/1991               48    No          No          No          No          No          No
7244      Lumbosacral Neuritis Nos           1/1/1991               48    No          No          No          No          No          No
7245      Backache Nos                       1/1/1991               48    No          No          No          No          No          No
7246      Disorders Of Sacrum                1/1/1991               48    No          No          No          No          No          No
7247      Disorders Of Coccyx*               1/1/1991               48    No          No          No          No          No          No
72470     Disorder Of Coccyx Nos             1/1/1991               48    No          No          No          No          No          No
72471     Hypermobility Of Coccyx            1/1/1991               48    No          No          No          No          No          No
72479     Disorder Of Coccyx Nec             1/1/1991               48    No          No          No          No          No          No
7248      Other Back Symptoms                1/1/1991               48    No          No          No          No          No          No
7249      Back Disorder Nos                  1/1/1991               48    No          No          No          No          No          No
725       Polymyalgia Rheumatica             1/1/1991     38        43    Yes         Yes         Yes         Yes         Yes         Yes
726       Periph Enthesopathies*             1/1/1991               48    No          No          No          No          No          No
7260      Adhesive Capsulit Shlder           1/1/1991               48    No          No          No          No          No          No
7261      Rotator Cuff Syndr Et Al*          1/1/1991               48    No          No          No          No          No          No
72610     Rotator Cuff Synd Nos              1/1/1991               48    No          No          No          No          No          No
72611     Calcif Tendinitis Shlder           1/1/1991               48    No          No          No          No          No          No
72612     Bicipital Tenosynovitis            1/1/1991               48    No          No          No          No          No          No
72619     Rotator Cuff Dis Nec               1/1/1991               48    No          No          No          No          No          No
7262      Shoulder Region Dis Nec            1/1/1991               48    No          No          No          No          No          No
7263      Enthesopathy Of Elbow*             1/1/1991               48    No          No          No          No          No          No
72630     Elbow Enthesopathy Nos             1/1/1991               48    No          No          No          No          No          No
72631     Medial Epicondylitis               1/1/1991               48    No          No          No          No          No          No
72632     Lateral Epicondylitis              1/1/1991               48    No          No          No          No          No          No
72633     Olecranon Bursitis                 1/1/1991               48    No          No          No          No          No          No
72639     Elbow Enthesopathy Nec             1/1/1991               48    No          No          No          No          No          No
7264      Enthesopathy Of Wrist              1/1/1991               48    No          No          No          No          No          No
7265      Enthesopathy Of Hip                1/1/1991               48    No          No          No          No          No          No
7266      Enthesopathy Of Knee*              1/1/1991               48    No          No          No          No          No          No
72660     Enthesopathy Of Knee Nos           1/1/1991               48    No          No          No          No          No          No
72661     Pes Anserinus Tendinitis           1/1/1991               48    No          No          No          No          No          No
72662     Tibial Coll Lig Bursitis           1/1/1991               48    No          No          No          No          No          No
72663     Fibula Coll Lig Bursitis           1/1/1991               48    No          No          No          No          No          No
72664     Patellar Tendinitis                1/1/1991               48    No          No          No          No          No          No
72665     Prepatellar Bursitis               1/1/1991               48    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
72669     Enthesopathy Of Knee Nec           1/1/1991               48    No          No          No          No          No          No
7267      Enthesopathy Of Ankle*             1/1/1991               48    No          No          No          No          No          No
72670     Ankle Enthesopathy Nos             1/1/1991               48    No          No          No          No          No          No
72671     Achilles Tendinitis                1/1/1991               48    No          No          No          No          No          No
72672     Tibialis Tendinitis                1/1/1991               48    No          No          No          No          No          No
72673     Calcaneal Spur                     1/1/1991               48    No          No          No          No          No          No
72679     Ankle Enthesopathy Nec             1/1/1991               48    No          No          No          No          No          No
7268      Periph Enthesopathy Nec            1/1/1991               48    No          No          No          No          No          No
7269      Enthesopathy Nos*                  1/1/1991               48    No          No          No          No          No          No
72690     Enthesopathy, Site Nos             1/1/1991               48    No          No          No          No          No          No
72691     Exostosis, Site Nos                1/1/1991               48    No          No          No          No          No          No
727       Oth Dis Synov/Tend/Bursa*          1/1/1991               48    No          No          No          No          No          No
7270      Synovitis/Tenosynovitis*           1/1/1991               48    No          No          No          No          No          No
72700     Synovitis Nos                      1/1/1991               48    No          No          No          No          No          No
72701     Synovitis In Oth Dis               1/1/1991               48    No          No          No          No          No          No
72702     Giant Cell Tumor Tendon            1/1/1991               48    No          No          No          No          No          No
72703     Trigger Finger                     1/1/1991               48    No          No          No          No          No          No
72704     Radial Styloid Tenosynov           1/1/1991               48    No          No          No          No          No          No
72705     Tenosynov Hand/Wrist Nec           1/1/1991               48    No          No          No          No          No          No
72706     Tenosynovitis Foot/Ankle           1/1/1991               48    No          No          No          No          No          No
72709     Synovitis Nec                      1/1/1991               48    No          No          No          No          No          No
7271      Bunion                             1/1/1991               48    No          No          No          No          No          No
7272      Occupational Bursitis              1/1/1991               48    No          No          No          No          No          No
7273      Bursitis Nec                       1/1/1991               48    No          No          No          No          No          No
7274      Joint Or Tendon Ganglion*          1/1/1991               48    No          No          No          No          No          No
72740     Synovial Cyst Nos                  1/1/1991               48    No          No          No          No          No          No
72741     Ganglion Of Joint                  1/1/1991               48    No          No          No          No          No          No
72742     Ganglion Of Tendon                 1/1/1991               48    No          No          No          No          No          No
72743     Ganglion Nos                       1/1/1991               48    No          No          No          No          No          No
72749     Bursal Cyst Nec                    1/1/1991               48    No          No          No          No          No          No
7275      Rupture Of Synovium*               1/1/1991               48    No          No          No          No          No          No
72750     Rupture Of Synovium Nos            1/1/1991               48    No          No          No          No          No          No
72751     Popliteal Synovial Cyst            1/1/1991               48    No          No          No          No          No          No
72759     Rupture Of Synovium Nec            1/1/1991               48    No          No          No          No          No          No
7276      Nontraum Tendon Rupture*           1/1/1991               48    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
72760     Nontraum Tendon Rupt Nos           1/1/1991               48    No          No          No          No          No          No
72761     Rotator Cuff Rupture               1/1/1991               48    No          No          No          No          No          No
72762     Biceps Tendon Rupture              1/1/1991               48    No          No          No          No          No          No
72763     Rupt Exten Tendon Hand             1/1/1991               48    No          No          No          No          No          No
72764     Rupt Flexor Tendon Hand            1/1/1991               48    No          No          No          No          No          No
72765     Rupture Quadricep Tendon           1/1/1991               48    No          No          No          No          No          No
72766     Rupture Patellar Tendon            1/1/1991               48    No          No          No          No          No          No
72767     Rupture Achilles Tendon            1/1/1991               48    No          No          No          No          No          No
72768     Rupture Tendon Foot Nec            1/1/1991               48    No          No          No          No          No          No
72769     Nontraum Tendon Rupt Nec           1/1/1991               48    No          No          No          No          No          No
7278      Dis Synov/Tend/Bursa Nec*          1/1/1991               48    No          No          No          No          No          No
72781     Contracture Of Tendon              1/1/1991               48    No          No          No          No          No          No
72782     Calcium Deposit Tendon             1/1/1991               48    No          No          No          No          No          No
72783     Plica Syndrome                   10/1/2001                48    No          No          No          No          No          No
72789     Synov/Tend/Bursa Dis Nec           1/1/1991               48    No          No          No          No          No          No
7279      Synov/Tend/Bursa Dis Nos           1/1/1991               48    No          No          No          No          No          No
728       Dis Of Muscle/Lig/Fascia*          1/1/1991               48    No          No          No          No          No          No
7280      Infective Myositis                 1/1/1991               48    No          No          No          No          No          No
7281      Muscular Calcification*            1/1/1991               48    No          No          No          No          No          No
72810     Muscular Calcificat Nos            1/1/1991               48    No          No          No          No          No          No
72811     Prog Myositis Ossificans           1/1/1991               48    No          No          No          No          No          No
72812     Traum Myositis Ossifican           1/1/1991               48    No          No          No          No          No          No
72813     Postop Heterotopic Calc            1/1/1991               48    No          No          No          No          No          No
72819     Muscular Calcificat Nec            1/1/1991               48    No          No          No          No          No          No
7282      Musc Disuse Atrophy Nec            1/1/1991               48    No          No          No          No          No          No
7283      Muscle Disorders Nec               1/1/1991               48    No          No          No          No          No          No
7284      Laxity Of Ligament                 1/1/1991               48    No          No          No          No          No          No
7285      Hypermobility Syndrome             1/1/1991               48    No          No          No          No          No          No
7286      Contracted Palmar Fascia           1/1/1991               48    No          No          No          No          No          No
7287      Other Fibromatoses*                1/1/1991               48    No          No          No          No          No          No
72871     Plantar Fibromatosis               1/1/1991               48    No          No          No          No          No          No
72879     Fibromatoses Nec                   1/1/1991               48    No          No          No          No          No          No
7288      Oth Muscle/Ligament Dis*           1/1/1991               48    No          No          No          No          No          No
72881     Interstitial Myositis              1/1/1991               48    No          No          No          No          No          No
72882     Fb Granuloma Of Muscle             1/1/1991               48    No          No          No          No          No          No
                                                                         CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                         HCC         HCC         HCC         HCC         HCC         HCC
                                                     CMS-                Model       Model       Model       Model       Model       Model
                                                     HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
72883     Nontraum Muscle Rupture           1/1/1991               48    No          No          No          No          No          No
72884     Diastasis Of Muscle               1/1/1991               48    No          No          No          No          No          No
72885     Spasm Of Muscle                   1/1/1991               48    No          No          No          No          No          No
72886     Necrotizing Fasciitis             1/1/1991     37        39    Yes         Yes         Yes         Yes         Yes         Yes
72889     Muscle/Ligament Dis Nec           1/1/1991               48    No          No          No          No          No          No
7289      Muscle/Ligament Dis Nos           1/1/1991               48    No          No          No          No          No          No
729       Other Soft Tissue Dis*            1/1/1991               48    No          No          No          No          No          No
7290      Rheumatism Nos                    1/1/1991               48    No          No          No          No          No          No
7291      Myalgia And Myositis Nos          1/1/1991               48    No          No          No          No          No          No
7292      Neuralgia/Neuritis Nos            1/1/1991               48    No          No          No          No          No          No
7293      Panniculitis Nos*                 1/1/1991               48    No          No          No          No          No          No
72930     Panniculitis, Unsp Site           1/1/1991               48    No          No          No          No          No          No
72931     Hypertrophy Of Fat Pad            1/1/1991               48    No          No          No          No          No          No
72939     Panniculitis, Site Nec            1/1/1991               48    No          No          No          No          No          No
7294      Fasciitis Nos                     1/1/1991               48    No          No          No          No          No          No
7295      Pain In Limb                      1/1/1991               48    No          No          No          No          No          No
7296      Old Fb In Soft Tissue             1/1/1991               48    No          No          No          No          No          No
72971     Nontraumatic compartment        10/1/2006                48    No          No          No          No          No          No
72972     Nontraumatic compartment        10/1/2006                48    No          No          No          No          No          No
72973     Nontraumatic compartment        10/1/2006                48    No          No          No          No          No          No
72979     Nontraumatic compartment        10/1/2006                48    No          No          No          No          No          No
7298      Oth Muscskel Sympt Limb*          1/1/1991               48    No          No          No          No          No          No
72981     Swelling Of Limb                  1/1/1991               48    No          No          No          No          No          No
72982     Cramp In Limb                     1/1/1991               48    No          No          No          No          No          No
72989     Muscskel Sympt Limb Nec           1/1/1991               48    No          No          No          No          No          No
7299      Soft Tissue Dis Nec/Nos           1/1/1991               48    No          No          No          No          No          No
730       Osteomyelitis*                    1/1/1991     37        39    Yes         Yes         Yes         Yes         Yes         No
7300      Acute Osteomyelitis*              1/1/1991     37        39    Yes         Yes         Yes         Yes         Yes         No
73000     Ac Osteomyelitis-Unspec           1/1/1991     37        39    Yes         Yes         Yes         Yes         Yes         Yes
73001     Ac Osteomyelitis-Shlder           1/1/1991     37        39    Yes         Yes         Yes         Yes         Yes         Yes
73002     Ac Osteomyelitis-Up/Arm           1/1/1991     37        39    Yes         Yes         Yes         Yes         Yes         Yes
73003     Ac Osteomyelitis-Forearm          1/1/1991     37        39    Yes         Yes         Yes         Yes         Yes         Yes
73004     Ac Osteomyelitis-Hand             1/1/1991     37        39    Yes         Yes         Yes         Yes         Yes         Yes
73005     Ac Osteomyelitis-Pelvis           1/1/1991     37        39    Yes         Yes         Yes         Yes         Yes         Yes
73006     Ac Osteomyelitis-L/Leg            1/1/1991     37        39    Yes         Yes         Yes         Yes         Yes         Yes
                                                                           CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                           HCC         HCC         HCC         HCC         HCC         HCC
                                                       CMS-                Model       Model       Model       Model       Model       Model
                                                       HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
73007     Ac Osteomyelitis-Ankle            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73008     Ac Osteomyelitis Nec              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73009     Ac Osteomyelitis-Mult             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
7301      Chronic Osteomyelitis*            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         No
73010     Chr Osteomyelitis-Unsp            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73011     Chr Osteomyelit-Shlder            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73012     Chr Osteomyelit-Up/Arm            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73013     Chr Osteomyelit-Forearm           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73014     Chr Osteomyelit-Hand              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73015     Chr Osteomyelit-Pelvis            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73016     Chr Osteomyelit-L/Leg             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73017     Chr Osteomyelit-Ankle             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73018     Chr Osteomyelit Nec               1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73019     Chr Osteomyelit-Mult              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
7302      Osteomyelitis Nos*                1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         No
73020     Osteomyelitis Nos-Unspec          1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73021     Osteomyelitis Nos-Shlder          1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73022     Osteomyelitis Nos-Up/Arm          1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73023     Osteomyelit Nos-Forearm           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73024     Osteomyelitis Nos-Hand            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73025     Osteomyelitis Nos-Pelvis          1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73026     Osteomyelitis Nos-L/Leg           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73027     Osteomyelitis Nos-Ankle           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73028     Osteomyelit Nos-Oth Site          1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73029     Osteomyelitis Nos-Mult            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
7303      Periostitis*                      1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         No
73030     Periostitis-Unspec                1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73031     Periostitis-Shlder                1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73032     Periostitis-Up/Arm                1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73033     Periostitis-Forearm               1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73034     Periostitis-Hand                  1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73035     Periostitis-Pelvis                1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73036     Periostitis-L/Leg                 1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73037     Periostitis-Ankle                 1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73038     Periostitis Nec                   1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
                                                                           CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                           HCC         HCC         HCC         HCC         HCC         HCC
                                                       CMS-                Model       Model       Model       Model       Model       Model
                                                       HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
73039     Periostitis-Mult                  1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
7307      Polio Osteopathy*                 1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         No
73070     Polio Osteopathy-Unspec           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73071     Polio Osteopathy-Shlder           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73072     Polio Osteopathy-Up/Arm           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73073     Polio Osteopathy-Forearm          1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73074     Polio Osteopathy-Hand             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73075     Polio Osteopathy-Pelvis           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73076     Polio Osteopathy-L/Leg            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73077     Polio Osteopathy-Ankle            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73078     Polio Osteopathy Nec              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73079     Polio Osteopathy-Mult             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
7308      Bone Infect In Oth Dis*           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         No
73080     Bone Infect Nec-Unspec            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73081     Bone Infect Nec-Shlder            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73082     Bone Infect Nec-Up/Arm            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73083     Bone Infect Nec-Forearm           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73084     Bone Infect Nec-Hand              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73085     Bone Infect Nec-Pelvis            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73086     Bone Infect Nec-L/Leg             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73087     Bone Infect Nec-Ankle             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73088     Bone Infect Nec-Oth Site          1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73089     Bone Infect Nec-Mult              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
7309      Bone Infection Nos*               1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         No
73090     Bone Infec Nos-Unsp Site          1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73091     Bone Infect Nos-Shlder            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73092     Bone Infect Nos-Up/Arm            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73093     Bone Infect Nos-Forearm           1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73094     Bone Infect Nos-Hand              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73095     Bone Infect Nos-Pelvis            1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73096     Bone Infect Nos-L/Leg             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73097     Bone Infect Nos-Ankle             1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73098     Bone Infect Nos-Oth Site          1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
73099     Bone Infect Nos-Mult              1/1/1991       37        39    Yes         Yes         Yes         Yes         Yes         Yes
7313      Major osseous defects           10/1/2006                  48    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
7330      Osteoporosis*                      1/1/1991               47    No          No          No          No          No          No
73300     Osteoporosis Nos                   1/1/1991               47    No          No          No          No          No          No
73301     Senile Osteoporosis                1/1/1991               47    No          No          No          No          No          No
73302     Idiopathic Osteoporosis            1/1/1991               47    No          No          No          No          No          No
73303     Disuse Osteoporosis                1/1/1991               47    No          No          No          No          No          No
73309     Osteoporosis Nec                   1/1/1991               47    No          No          No          No          No          No
73313     Path Fx Vertebrae                  1/1/1991    157        47    Yes         Yes         Yes         Yes         Yes         Yes
73314     Path Fx Neck Of Femur              1/1/1991    158              Yes         Yes         Yes         Yes         Yes         Yes
73315     Path Fx Oth Spcf Prt Fmr           1/1/1991    158              Yes         Yes         Yes         Yes         Yes         Yes
7334      Aseptic Necrosis Of Bone*          1/1/1991     37        39    Yes         Yes         Yes         Yes         Yes         No
73340     Asept Necrosis Bone Nos            1/1/1991     37        39    Yes         Yes         Yes         Yes         Yes         Yes
73341     Aseptic Necrosis Humerus           1/1/1991     37        39    Yes         Yes         Yes         Yes         Yes         Yes
73342     Aseptic Necrosis Femur             1/1/1991     37        39    Yes         Yes         Yes         Yes         Yes         Yes
73343     Asept Necro Femur Condyl           1/1/1991     37        39    Yes         Yes         Yes         Yes         Yes         Yes
73344     Aseptic Necrosis Talus             1/1/1991     37        39    Yes         Yes         Yes         Yes         Yes         Yes
73345     ASEPTIC NECROSIS OF JAW          10/1/2007      37        39                                                    Yes         Yes
73349     Asept Necrosis Bone Nec            1/1/1991     37        39    Yes         Yes         Yes         Yes         Yes         Yes
737       Curvature Of Spine*                1/1/1991               45    No          No          No          No          No          No
7370      Adoles Postural Kyphosis           1/1/1991               45    No          No          No          No          No          No
7371      Kyphosis*                          1/1/1991               45    No          No          No          No          No          No
73710     Kyphosis Nos                       1/1/1991               45    No          No          No          No          No          No
73711     Radiation Kyphosis                 1/1/1991               45    No          No          No          No          No          No
73712     Postlaminectomy Kyphosis           1/1/1991               45    No          No          No          No          No          No
73719     Kyphosis Nec                       1/1/1991               45    No          No          No          No          No          No
7372      Lordosis*                          1/1/1991               45    No          No          No          No          No          No
73720     Lordosis Nos                       1/1/1991               45    No          No          No          No          No          No
73721     Postlaminectomy Lordosis           1/1/1991               45    No          No          No          No          No          No
73722     Oth Postsurgery Lordosis           1/1/1991               45    No          No          No          No          No          No
73729     Lordosis Nec                       1/1/1991               45    No          No          No          No          No          No
7373      Scoliosis*                         1/1/1991               45    No          No          No          No          No          No
73730     Idiopathic Scoliosis               1/1/1991               45    No          No          No          No          No          No
73731     Resolv Idiopath Scolios            1/1/1991               45    No          No          No          No          No          No
73732     Progr Idiopath Scoliosis           1/1/1991               45    No          No          No          No          No          No
73733     Radiation Scoliosis                1/1/1991               45    No          No          No          No          No          No
73734     Thoracogenic Scoliosis             1/1/1991               45    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
73739     Scoliosis Nec                      1/1/1991               45    No          No          No          No          No          No
7374      Spinal Curvat In Oth Dis*          1/1/1991               45    No          No          No          No          No          No
73740     Spin Curv Nos In Oth Dis           1/1/1991               45    No          No          No          No          No          No
73741     Kyphosis In Oth Dis                1/1/1991               45    No          No          No          No          No          No
73742     Lordosis In Oth Dis                1/1/1991               45    No          No          No          No          No          No
73743     Scoliosis In Oth Dis               1/1/1991               45    No          No          No          No          No          No
7378      Curvature Of Spine Nec             1/1/1991               45    No          No          No          No          No          No
7379      Curvature Of Spine Nos             1/1/1991               45    No          No          No          No          No          No
7384      Acq Spondylolisthesis              1/1/1991               45    No          No          No          No          No          No
7385      Other Acq Back Deformity           1/1/1991               45    No          No          No          No          No          No
740       Anencephalus/Simil Anom*           1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         No
7400      Anencephalus                       1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
7401      Craniorachischisis                 1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
7402      Iniencephaly                       1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
741       Spina Bifida*                      1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         No
7410      Spina Bif W Hydrocephal*           1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         No
74100     Spin Bif W Hydroceph Nos           1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
74101     Spin Bif W Hydrceph-Cerv           1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
74102     Spin Bif W Hydrceph-Dors           1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
74103     Spin Bif W Hydrceph-Lumb           1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
7419      Spina Bifida*                      1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         No
74190     Spina Bifida                       1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
74191     Spina Bifida-Cerv                  1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
74192     Spina Bifida-Dorsal                1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
74193     Spina Bifida-Lumbar                1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
742       Oth Nervous System Anom*           1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         No
7420      Encephalocele                      1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
7421      Microcephalus                      1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
7422      Reduction Deform, Brain            1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
7423      Congenital Hydrocephalus           1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
7424      Brain Anomaly Nec                  1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
7425      Spinal Cord Anomaly Nec*           1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         No
74251     Diastematomyelia                   1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
74253     Hydromyelia                        1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
74259     Spinal Cord Anomaly Nec            1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
7428      Nervous System Anom Nec            1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
7429      Nervous System Anom Nos            1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
7482      Laryngeal Web                      1/1/1991                113    No          No          No          No          No          No
7483      Laryngotrach Anomaly Nec           1/1/1991                113    No          No          No          No          No          No
7484      Congenital Cystic Lung             1/1/1991                113    No          No          No          No          No          No
7486      Other Anomalies Of Lung*           1/1/1991                113    No          No          No          No          No          No
74860     Lung Anomaly Nos                   1/1/1991                113    No          No          No          No          No          No
74861     Congen Bronchiectasis              1/1/1991                113    No          No          No          No          No          No
74869     Lung Anomaly Nec                   1/1/1991                113    No          No          No          No          No          No
7488      Respiratory Anomaly Nec            1/1/1991                113    No          No          No          No          No          No
7489      Respiratory Anomaly Nos            1/1/1991                113    No          No          No          No          No          No
75314     Polycyst Kid-Autosom Rec           1/1/1991      131       134    Yes         Yes         Yes         Yes         Yes         Yes
7532      Congen Ureteral Obstruct*          1/1/1991                137    No          No          No          No          No          No
75320     Obs Dfct Ren Plv&Urt Nos         10/1/1997                 137    No          No          No          No          No          No
75321     Congen Obst Urtroplv Jnc         10/1/1997                 137    No          No          No          No          No          No
75322     Cong Obst Ureteroves Jnc         10/1/1997                 137    No          No          No          No          No          No
75323     Congenital Ureterocele           10/1/1997                 137    No          No          No          No          No          No
75329     Obst Def Ren Plv&Urt Nec         10/1/1997                 137    No          No          No          No          No          No
7536      Congen Urethral Stenosis           1/1/1991                137    No          No          No          No          No          No
7542      Cong Postural Deformity            1/1/1991                 45    No          No          No          No          No          No
7561      Anomalies Of Spine*                1/1/1991                 45    No          No          No          No          No          No
75610     Anomaly Of Spine Nos               1/1/1991                 45    No          No          No          No          No          No
75611     Lumbosacr Spondylolysis            1/1/1991                 45    No          No          No          No          No          No
75612     Spondylolisthesis                  1/1/1991                 45    No          No          No          No          No          No
75613     Cong Absence Of Vertebra           1/1/1991                 45    No          No          No          No          No          No
75614     Hemivertebra                       1/1/1991                 45    No          No          No          No          No          No
75615     Congen Fusion Of Spine             1/1/1991                 45    No          No          No          No          No          No
75616     Klippel-Feil Syndrome              1/1/1991                 45    No          No          No          No          No          No
75617     Spina Bifida Occulta               1/1/1991                 45    No          No          No          No          No          No
75619     Anomaly Of Spine Nec               1/1/1991                 45    No          No          No          No          No          No
7595      Tuberous Sclerosis                 1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
7596      Hamartoses Nec                     1/1/1991       10              Yes         Yes         Yes         Yes         Yes         Yes
77181     Nb Septicemia [Sepsis]           10/1/2002         2              Yes         Yes         Yes         Yes         Yes         Yes
78001     Coma                               1/1/1991       75              Yes         Yes         Yes         Yes         Yes         Yes
78003     Persistent Vegtv State             1/1/1991       75              Yes         Yes         Yes         Yes         Yes         Yes
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
7801      Hallucinations                     1/1/1991               57    No          No          No          No          No          No
7803      Convulsions*                       1/1/1991     74        83    Yes         Yes         Yes         Yes         Yes         No
78031     Febrile Convulsions              10/1/1998      74        83    Yes         Yes         Yes         Yes         Yes         Yes
78032     Complex febrile convulsio        10/1/2006      74        83    No          No          No          Yes         Yes         Yes
78039     Convulsions Nec                  10/1/1998      74        83    Yes         Yes         Yes         Yes         Yes         Yes
78072     FUNCTIONAL QUADRIPLEGIA          10/1/2008      67              No          No          No          No          Yes         Yes
78096     Generalized pain                 10/1/2006                87    No          No          No          No          No          No
78097     Altered mental status            10/1/2006                57    No          No          No          No          No          No
7810      Abn Involun Movement Nec           1/1/1991               86    No          No          No          No          No          No
7817      Tetany                             1/1/1991               86    No          No          No          No          No          No
78491     Postnasal drip                   10/1/2006               129    No          No          No          No          No          No
78499     Other symptoms involving         10/1/2006               129    No          No          No          No          No          No
7854      Gangrene                           1/1/1991    104       106    Yes         Yes         Yes         Yes         Yes         Yes
7855      Shock Without Trauma*              1/1/1991     79              Yes         Yes         Yes         Yes         Yes         No
78550     Shock Nos                          1/1/1991     79              Yes         Yes         Yes         Yes         Yes         Yes
78551     Cardiogenic Shock                  1/1/1991     79              Yes         Yes         Yes         Yes         Yes         Yes
78552     Septic Shock                     10/1/2003       2              Yes         Yes         Yes         Yes         Yes         Yes
78559     Shock W/O Trauma Nec               1/1/1991      2              Yes         Yes         Yes         Yes         Yes         Yes
7876      Incontinence Of Feces              1/1/1991              138    No          No          No          No          No          No
7882      Retention Of Urine*                1/1/1991              137    No          No          No          No          No          No
78820     Retention Urine Nos                1/1/1991              137    No          No          No          No          No          No
78821     Incmplet Bldder Emptying           1/1/1991              137    No          No          No          No          No          No
78829     Oth Spcf Retention Urine           1/1/1991              137    No          No          No          No          No          No
7883      Incontinence Of Urine*             1/1/1991              139    No          No          No          No          No          No
78830     Urinary Incontinence Nos           1/1/1991              139    No          No          No          No          No          No
78831     Urge Incontinence                  1/1/1991              139    No          No          No          No          No          No
78832     Stress Incontinence Male           1/1/1991              139    No          No          No          No          No          No
78833     Mixed Incontinence                 1/1/1991              139    No          No          No          No          No          No
78834     Incontnce Wo Sensr Aware           1/1/1991              139    No          No          No          No          No          No
78835     Post-Void Dribbling                1/1/1991              139    No          No          No          No          No          No
78836     Nocturnal Enuresis                 1/1/1991              139    No          No          No          No          No          No
78837     Continuous Leakage                 1/1/1991              139    No          No          No          No          No          No
78838     Overflow Incontinence            10/1/2004               139    No          No          No          No          No          No
78839     Oth Urinry Incontinence            1/1/1991              139    No          No          No          No          No          No
78864     Urinary hesitancy                10/1/2006               137    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
78865     Straining on urination           10/1/2006               137    No          No          No          No          No          No
7887      Urethral Discharge                 1/1/1991              139    No          No          No          No          No          No
79503     Pap Smear Cervix W Lgsil         10/1/2004               144    No          No          No          No          No          No
79504     Pap Smear Cervix W Hgsil         10/1/2004               144    No          No          No          No          No          No
79505     Cervical (Hpv) Dna Pos           10/1/2004               144    No          No          No          No          No          No
79506     Papanicolaou smear of cer        10/1/2006               144    No          No          No          No          No          No
798       Sudden Death Cause Unknw*          1/1/1991     79              Yes         Yes         Yes         Yes         Yes         No
7980      Sudden Infant Death Synd           1/1/1991     79              Yes         Yes         Yes         Yes         Yes         Yes
7981      Instantaneous Death                1/1/1991     79              Yes         Yes         Yes         Yes         Yes         Yes
7982      Death Within 24 Hr Sympt           1/1/1991     79              Yes         Yes         Yes         Yes         Yes         Yes
7989      Unattended Death                   1/1/1991     79              Yes         Yes         Yes         Yes         Yes         Yes
7990      Asphyxia                           1/1/1991     79              Yes         Yes         Yes         Yes         Yes         No
79901     Asphyxia                         10/1/2005      79              No          No          Yes         Yes         Yes         Yes
79902     Hypoxemia                        10/1/2005      79              No          No          Yes         Yes         Yes         Yes
7991      Respiratory Arrest                 1/1/1991     78              Yes         Yes         Yes         Yes         Yes         Yes
7992      Nervousness                        1/1/1991               66    No          No          No          No          No          No
7994      Cachexia                           1/1/1991     21              Yes         Yes         Yes         Yes         Yes         Yes
800       Skull Vault Fracture*              1/1/1991    155              Yes         Yes         Yes         Yes         Yes         No
8000      Closed Skull Vault Fx*             1/1/1991    155              Yes         Yes         Yes         Yes         Yes         No
80000     Closed Skull Vault Fx              1/1/1991    155              Yes         Yes         Yes         Yes         Yes         Yes
80001     Cl Skull Vlt Fx W/O Coma           1/1/1991    155              Yes         Yes         Yes         Yes         Yes         Yes
80002     Cl Skull Vlt Fx-Brf Coma           1/1/1991    155              Yes         Yes         Yes         Yes         Yes         Yes
80003     Cl Skull Vlt Fx-Mod Coma           1/1/1991    154              Yes         Yes         Yes         Yes         Yes         Yes
80004     Cl Skl Vlt Fx-Proln Coma           1/1/1991    154              Yes         Yes         Yes         Yes         Yes         Yes
80005     Cl Skul Vlt Fx-Deep Coma           1/1/1991    154              Yes         Yes         Yes         Yes         Yes         Yes
80006     Cl Skull Vlt Fx-Coma Nos           1/1/1991    155              Yes         Yes         Yes         Yes         Yes         Yes
80009     Cl Skl Vlt Fx-Concus Nos           1/1/1991    155              Yes         Yes         Yes         Yes         Yes         Yes
8001      Cl Skl Vlt Fx/Cerebr Lac*          1/1/1991    155              Yes         Yes         Yes         Yes         Yes         No
80010     Cl Skl Vlt Fx/Cerebr Lac           1/1/1991    155              Yes         Yes         Yes         Yes         Yes         Yes
80011     Cl Skull Vlt Fx W/O Coma           1/1/1991    155              Yes         Yes         Yes         Yes         Yes         Yes
80012     Cl Skull Vlt Fx-Brf Coma           1/1/1991    155              Yes         Yes         Yes         Yes         Yes         Yes
80013     Cl Skull Vlt Fx-Mod Coma           1/1/1991    154              Yes         Yes         Yes         Yes         Yes         Yes
80014     Cl Skl Vlt Fx-Proln Coma           1/1/1991    154              Yes         Yes         Yes         Yes         Yes         Yes
80015     Cl Skul Vlt Fx-Deep Coma           1/1/1991    154              Yes         Yes         Yes         Yes         Yes         Yes
80016     Cl Skull Vlt Fx-Coma Nos           1/1/1991    155              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
80019     Cl Skl Vlt Fx-Concus Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8002      Cl Skl Vlt Fx/Mening Hem*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80020     Cl Skl Vlt Fx/Mening Hem           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80021     Cl Skull Vlt Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80022     Cl Skull Vlt Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80023     Cl Skull Vlt Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80024     Cl Skl Vlt Fx-Proln Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80025     Cl Skul Vlt Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80026     Cl Skull Vlt Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80029     Cl Skl Vlt Fx-Concus Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8003      Cl Skull Vlt Fx/Hem Nec*           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80030     Cl Skull Vlt Fx/Hem Nec            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80031     Cl Skull Vlt Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80032     Cl Skull Vlt Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80033     Cl Skull Vlt Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80034     Cl Skl Vlt Fx-Proln Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80035     Cl Skul Vlt Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80036     Cl Skull Vlt Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80039     Cl Skl Vlt Fx-Concus Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8004      Cl Skl Vlt Fx/Br Inj Nec*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80040     Cl Skl Vlt Fx/Br Inj Nec           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80041     Cl Skull Vlt Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80042     Cl Skull Vlt Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80043     Cl Skull Vlt Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80044     Cl Skl Vlt Fx-Proln Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80045     Cl Skul Vlt Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80046     Cl Skull Vlt Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80049     Cl Skl Vlt Fx-Concus Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8005      Opn Skull Vault Fracture*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80050     Opn Skull Vault Fracture           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80051     Opn Skul Vlt Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80052     Opn Skul Vlt Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80053     Opn Skul Vlt Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80054     Opn Skl Vlt Fx-Proln Com           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80055     Opn Skl Vlt Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
80056     Opn Skul Vlt Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80059     Op Skl Vlt Fx-Concus Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8006      Opn Skl Vlt Fx/Cereb Lac*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80060     Opn Skl Vlt Fx/Cereb Lac           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80061     Opn Skul Vlt Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80062     Opn Skul Vlt Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80063     Opn Skul Vlt Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80064     Opn Skl Vlt Fx-Proln Com           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80065     Opn Skl Vlt Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80066     Opn Skul Vlt Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80069     Op Skl Vlt Fx-Concus Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8007      Opn Skl Vlt Fx/Menin Hem*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80070     Opn Skl Vlt Fx/Menin Hem           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80071     Opn Skul Vlt Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80072     Opn Skul Vlt Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80073     Opn Skul Vlt Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80074     Opn Skl Vlt Fx-Proln Com           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80075     Opn Skl Vlt Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80076     Opn Skul Vlt Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80079     Op Skl Vlt Fx-Concus Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8008      Opn Skull Vlt Fx/Hem Nec*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80080     Opn Skull Vlt Fx/Hem Nec           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80081     Opn Skul Vlt Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80082     Opn Skul Vlt Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80083     Opn Skul Vlt Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80084     Opn Skl Vlt Fx-Proln Com           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80085     Opn Skl Vlt Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80086     Opn Skul Vlt Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80089     Op Skl Vlt Fx-Concus Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8009      Op Skl Vlt Fx/Br Inj Nec*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80090     Op Skl Vlt Fx/Br Inj Nec           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80091     Opn Skul Vlt Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80092     Opn Skul Vlt Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80093     Opn Skul Vlt Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80094     Opn Skl Vlt Fx-Proln Com           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
80095     Op Skul Vlt Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80096     Opn Skul Vlt Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80099     Op Skl Vlt Fx-Concus Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
801       Skull Base Fracture*               1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
8010      Clos Skull Base Fracture*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80100     Clos Skull Base Fracture           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80101     Cl Skul Base Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80102     Cl Skul Base Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80103     Cl Skul Base Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80104     Cl Skl Base Fx-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80105     Cl Skl Base Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80106     Cl Skul Base Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80109     Cl Skull Base Fx-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8011      Cl Skl Base Fx/Cereb Lac*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80110     Cl Skl Base Fx/Cereb Lac           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80111     Cl Skul Base Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80112     Cl Skul Base Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80113     Cl Skul Base Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80114     Cl Skl Base Fx-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80115     Cl Skl Base Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80116     Cl Skul Base Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80119     Cl Skull Base Fx-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8012      Cl Skl Base Fx/Menin Hem*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80120     Cl Skl Base Fx/Menin Hem           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80121     Cl Skul Base Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80122     Cl Skul Base Fx/Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80123     Cl Skul Base Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80124     Cl Skl Base Fx-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80125     Cl Skl Base Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80126     Cl Skul Base Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80129     Cl Skull Base Fx-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8013      Cl Skull Base Fx/Hem Nec*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80130     Cl Skull Base Fx/Hem Nec           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80131     Cl Skul Base Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80132     Cl Skul Base Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
80133     Cl Skul Base Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80134     Cl Skl Base Fx-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80135     Cl Skl Base Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80136     Cl Skul Base Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80139     Cl Skull Base Fx-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8014      Cl Sk Base Fx/Br Inj Nec*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80140     Cl Sk Base Fx/Br Inj Nec           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80141     Cl Skul Base Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80142     Cl Skul Base Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80143     Cl Skul Base Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80144     Cl Skl Base Fx-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80145     Cl Skl Base Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80146     Cl Skul Base Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80149     Cl Skull Base Fx-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8015      Open Skull Base Fracture*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80150     Open Skull Base Fracture           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80151     Opn Skl Base Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80152     Opn Skl Base Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80153     Opn Skl Base Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80154     Op Skl Base Fx-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80155     Op Skl Base Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80156     Opn Skl Base Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80159     Opn Skul Base Fx-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8016      Op Skl Base Fx/Cereb Lac*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80160     Op Skl Base Fx/Cereb Lac           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80161     Opn Skl Base Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80162     Opn Skl Base Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80163     Opn Skl Base Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80164     Op Skl Base Fx-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80165     Op Skl Base Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80166     Opn Skl Base Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80169     Opn Skul Base Fx-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8017      Op Skl Base Fx/Menin Hem*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80170     Op Skl Base Fx/Menin Hem           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80171     Opn Skl Base Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
80172     Opn Skl Base Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80173     Opn Skl Base Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80174     Op Skl Base Fx-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80175     Op Skl Base Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80176     Opn Skl Base Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80179     Opn Skul Base Fx-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8018      Opn Skul Base Fx/Hem Nec*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80180     Opn Skul Base Fx/Hem Nec           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80181     Opn Skl Base Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80182     Opn Skl Base Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80183     Opn Skl Base Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80184     Op Skl Base Fx-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80185     Op Skl Base Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80186     Opn Skl Base Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80189     Opn Skul Base Fx-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8019      Op Sk Base Fx/Br Inj Nec*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80190     Op Sk Base Fx/Br Inj Nec           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80191     Op Skul Base Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80192     Opn Skl Base Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80193     Opn Skl Base Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80194     Op Skl Base Fx-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80195     Op Skl Base Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80196     Opn Skl Base Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80199     Opn Skul Base Fx-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8022      Mandible Fracture-Closed*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80220     Mandible Fx Nos-Closed             1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80221     Fx Condyl Proc Mandib-Cl           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80222     Subcondylar Fx Mandib-Cl           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80223     Fx Coron Proc Mandib-Cl            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80224     Fx Ramus Nos-Closed                1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80225     Fx Angle Of Jaw-Closed             1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80226     Fx Symphy Mandib Body-Cl           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80227     Fx Alveolar Bord Mand-Cl           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80228     Fx Mandible Body Nec-Cl            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80229     Mult Fx Mandible-Closed            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
8023      Mandible Fracture-Open*            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80230     Mandible Fx Nos-Open               1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80231     Fx Condyl Proc Mand-Open           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80232     Subcondyl Fx Mandib-Open           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80233     Fx Coron Proc Mandib-Opn           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80234     Fx Ramus Nos-Open                  1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80235     Fx Angle Of Jaw-Open               1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80236     Fx Symphy Mandib Bdy-Opn           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80237     Fx Alv Bord Mand Bdy-Opn           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80238     Fx Mandible Body Nec-Opn           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80239     Mult Fx Mandible-Open              1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8024      Fx Malar/Maxillary-Close           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8025      Fx Malar/Maxillary-Open            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8026      Fx Orbital Floor-Closed            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8027      Fx Orbital Floor-Open              1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8028      Fx Facial Bone Nec-Close           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8029      Fx Facial Bone Nec-Open            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
803       Other Skull Fracture*              1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
8030      Close Skull Fracture Nec*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80300     Close Skull Fracture Nec           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80301     Cl Skull Fx Nec W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80302     Cl Skull Fx Nec-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80303     Cl Skull Fx Nec-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80304     Cl Skl Fx Nec-Proln Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80305     Cl Skul Fx Nec-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80306     Cl Skull Fx Nec-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80309     Cl Skull Fx Nec-Concuss            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8031      Cl Skl Fx Nec/Cerebr Lac*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80310     Cl Skl Fx Nec/Cerebr Lac           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80311     Cl Skull Fx Nec W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80312     Cl Skull Fx Nec-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80313     Cl Skull Fx Nec-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80314     Cl Skl Fx Nec-Proln Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80315     Cl Skul Fx Nec-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80316     Cl Skull Fx Nec-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
80319     Cl Skull Fx Nec-Concuss            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8032      Cl Skl Fx Nec/Mening Hem*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80320     Cl Skl Fx Nec/Mening Hem           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80321     Cl Skull Fx Nec W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80322     Cl Skull Fx Nec-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80323     Cl Skull Fx Nec-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80324     Cl Skl Fx Nec-Proln Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80325     Cl Skul Fx Nec-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80326     Cl Skull Fx Nec-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80329     Cl Skull Fx Nec-Concuss            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8033      Cl Skull Fx Nec/Hem Nec*           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80330     Cl Skull Fx Nec/Hem Nec            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80331     Cl Skull Fx Nec W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80332     Cl Skull Fx Nec-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80333     Cl Skull Fx Nec-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80334     Cl Skl Fx Nec-Proln Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80335     Cl Skul Fx Nec-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80336     Cl Skull Fx Nec-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80339     Cl Skull Fx Nec-Concuss            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8034      Cl Skl Fx Nec/Br Inj Nec*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80340     Cl Skl Fx Nec/Br Inj Nec           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80341     Cl Skull Fx Nec W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80342     Cl Skull Fx Nec-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80343     Cl Skull Fx Nec-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80344     Cl Skl Fx Nec-Proln Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80345     Cl Skul Fx Nec-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80346     Cl Skull Fx Nec-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80349     Cl Skull Fx Nec-Concuss            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8035      Open Skull Fracture Nec*           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80350     Open Skull Fracture Nec            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80351     Opn Skul Fx Nec W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80352     Opn Skul Fx Nec-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80353     Opn Skul Fx Nec-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80354     Opn Skl Fx Nec-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80355     Opn Skl Fx Nec-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
80356     Opn Skul Fx Nec-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80359     Opn Skull Fx Nec-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8036      Opn Skl Fx Nec/Cereb Lac*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80360     Opn Skl Fx Nec/Cereb Lac           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80361     Opn Skul Fx Nec W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80362     Opn Skul Fx Nec-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80363     Opn Skul Fx Nec-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80364     Opn Skl Fx Nec-Proln Com           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80365     Opn Skl Fx Nec-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80366     Opn Skul Fx Nec-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80369     Opn Skull Fx Nec-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8037      Opn Skl Fx Nec/Menin Hem*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80370     Opn Skl Fx Nec/Menin Hem           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80371     Opn Skul Fx Nec W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80372     Opn Skul Fx Nec-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80373     Opn Skul Fx Nec-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80374     Opn Skl Fx Nec-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80375     Opn Skl Fx Nec-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80376     Opn Skul Fx Nec-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80379     Opn Skull Fx Nec-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8038      Opn Skull Fx Nec/Hem Nec*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80380     Opn Skull Fx Nec/Hem Nec           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80381     Opn Skul Fx Nec W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80382     Opn Skul Fx Nec-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80383     Opn Skul Fx Nec-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80384     Opn Skl Fx Nec-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80385     Opn Skl Fx Nec-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80386     Opn Skul Fx Nec-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80389     Opn Skull Fx Nec-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8039      Op Skl Fx Nec/Br Inj Nec*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80390     Op Skl Fx Nec/Br Inj Nec           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80391     Opn Skul Fx Nec W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80392     Opn Skul Fx Nec-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80393     Opn Skul Fx Nec-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80394     Opn Skl Fx Nec-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
80395     Opn Skl Fx Nec-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80396     Opn Skul Fx Nec-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80399     Opn Skull Fx Nec-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
804       Mult Fx Skull W Oth Bone*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
8040      Cl Skul Fx W Oth Bone Fx*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80400     Cl Skul Fx W Oth Bone Fx           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80401     Cl Skl W Oth Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80402     Cl Skl W Oth Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80403     Cl Skl W Oth Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80404     Cl Skl/Oth Fx-Proln Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80405     Cl Skul/Oth Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80406     Cl Skl W Oth Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80409     Cl Skul W Oth Fx-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8041      Cl Sk W Oth Fx/Cereb Lac*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80410     Cl Sk W Oth Fx/Cereb Lac           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80411     Cl Skl W Oth Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80412     Cl Skl W Oth Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80413     Cl Skl W Oth Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80414     Cl Skl/Oth Fx-Proln Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80415     Cl Skul/Oth Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80416     Cl Skl W Oth Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80419     Cl Skul W Oth Fx-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8042      Cl Skl/Oth Fx/Mening Hem*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80420     Cl Skl/Oth Fx/Mening Hem           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80421     Cl Skl W Oth Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80422     Cl Skl W Oth Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80423     Cl Skl W Oth Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80424     Cl Skl/Oth Fx-Proln Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80425     Cl Skul/Oth Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80426     Cl Skl W Oth Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80429     Cl Skul W Oth Fx-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8043      Cl Skul W Oth Fx/Hem Nec*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80430     Cl Skul W Oth Fx/Hem Nec           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80431     Cl Skl W Oth Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80432     Cl Skl W Oth Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
80433     Cl Skl W Oth Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80434     Cl Skl/Oth Fx-Proln Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80435     Cl Skul/Oth Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80436     Cl Skl W Oth Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80439     Cl Skul W Oth Fx-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8044      Cl Skl/Oth Fx/Br Inj Nec*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80440     Cl Skl/Oth Fx/Br Inj Nec           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80441     Cl Skl W Oth Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80442     Cl Skl W Oth Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80443     Cl Skl W Oth Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80444     Cl Skl/Oth Fx-Proln Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80445     Cl Skul/Oth Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80446     Cl Skl W Oth Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80449     Cl Skul W Oth Fx-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8045      Opn Skull Fx/Oth Bone Fx*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80450     Opn Skull Fx/Oth Bone Fx           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80451     Opn Skul/Oth Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80452     Opn Skul/Oth Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80453     Opn Skul/Oth Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80454     Opn Skl/Oth Fx-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80455     Opn Skl/Oth Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80456     Opn Skul/Oth Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80459     Opn Skull/Oth Fx-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8046      Opn Skl/Oth Fx/Cereb Lac*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80460     Opn Skl/Oth Fx/Cereb Lac           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80461     Opn Skul/Oth Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80462     Opn Skul/Oth Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80463     Opn Skul/Oth Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80464     Opn Skl/Oth Fx-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80465     Opn Skl/Oth Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80466     Opn Skul/Oth Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80469     Opn Skull/Oth Fx-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8047      Opn Skl/Oth Fx/Menin Hem*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80470     Opn Skl/Oth Fx/Menin Hem           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80471     Opn Skul/Oth Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
80472     Opn Skul/Oth Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80473     Opn Skul/Oth Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80474     Opn Skl/Oth Fx-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80475     Opn Skl/Oth Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80476     Opn Skul/Oth Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80479     Opn Skull/Oth Fx-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8048      Opn Skl W Oth Fx/Hem Nec*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80480     Opn Skl W Oth Fx/Hem Nec           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80481     Opn Skul/Oth Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80482     Opn Skul/Oth Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80483     Opn Skul/Oth Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80484     Opn Skl/Oth Fx-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80485     Opn Skl/Oth Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80486     Opn Skul/Oth Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80489     Opn Skull/Oth Fx-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8049      Op Skl/Oth Fx/Br Inj Nec*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
80490     Op Skl/Oth Fx/Br Inj Nec           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80491     Opn Skul/Oth Fx W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80492     Opn Skul/Oth Fx-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80493     Opn Skul/Oth Fx-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80494     Opn Skl/Oth Fx-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80495     Opn Skl/Oth Fx-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
80496     Opn Skul/Oth Fx-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
80499     Opn Skull/Oth Fx-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
805       Vertebrl Fx W/O Cord Inj*          1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         No
8050      Fx Cervical Vertebra-Cl*           1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         No
80500     Fx Cervical Vert Nos-Cl            1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
80501     Fx C1 Vertebra-Closed              1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
80502     Fx C2 Vertebra-Closed              1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
80503     Fx C3 Vertebra-Closed              1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
80504     Fx C4 Vertebra-Closed              1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
80505     Fx C5 Vertebra-Closed              1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
80506     Fx C6 Vertebra-Closed              1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
80507     Fx C7 Vertebra-Closed              1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
80508     Fx Mult Cervical Vert-Cl           1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
8051      Fx Cervical Vertebra-Opn*          1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         No
80510     Fx Cervical Vert Nos-Opn           1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
80511     Fx C1 Vertebra-Open                1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
80512     Fx C2 Vertebra-Open                1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
80513     Fx C3 Vertebra-Open                1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
80514     Fx C4 Vertebra-Open                1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
80515     Fx C5 Vertebra-Open                1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
80516     Fx C6 Vertebra-Open                1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
80517     Fx C7 Vertebra-Open                1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
80518     Fx Mlt Cervical Vert-Opn           1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
8052      Fx Dorsal Vertebra-Close           1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
8053      Fx Dorsal Vertebra-Open            1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
8054      Fx Lumbar Vertebra-Close           1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
8055      Fx Lumbar Vertebra-Open            1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
8056      Fx Sacrum/Coccyx-Closed            1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
8057      Fx Sacrum/Coccyx-Open              1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
8058      Vertebral Fx Nos-Closed            1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
8059      Vertebral Fx Nos-Open              1/1/1991      157       165    Yes         Yes         Yes         Yes         Yes         Yes
806       Vertebral Fx W Cord Inj*           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         No
8060      Clos Cerv Fx W Cord Inj*           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         No
80600     C1-C4 Fx-Cl/Cord Inj Nos           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80601     C1-C4 Fx-Cl/Com Cord Les           1/1/1991       67        77    Yes         Yes         Yes         Yes         Yes         Yes
80602     C1-C4 Fx-Cl/Ant Cord Syn           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80603     C1-C4 Fx-Cl/Cen Cord Syn           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80604     C1-C4 Fx-Cl/Cord Inj Nec           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80605     C5-C7 Fx-Cl/Cord Inj Nos           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80606     C5-C7 Fx-Cl/Com Cord Les           1/1/1991       67        77    Yes         Yes         Yes         Yes         Yes         Yes
80607     C5-C7 Fx-Cl/Ant Cord Syn           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80608     C5-C7 Fx-Cl/Cen Cord Syn           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80609     C5-C7 Fx-Cl/Cord Inj Nec           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
8061      Open Cerv Fx W Cord Inj*           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         No
80610     C1-C4 Fx-Op/Cord Inj Nos           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80611     C1-C4 Fx-Op/Com Cord Les           1/1/1991       67        77    Yes         Yes         Yes         Yes         Yes         Yes
80612     C1-C4 Fx-Op/Ant Cord Syn           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80613     C1-C4 Fx-Op/Cen Cord Syn           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
80614     C1-C4 Fx-Op/Cord Inj Nec           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80615     C5-C7 Fx-Op/Cord Inj Nos           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80616     C5-C7 Fx-Op/Com Cord Les           1/1/1991       67        77    Yes         Yes         Yes         Yes         Yes         Yes
80617     C5-C7 Fx-Op/Ant Cord Syn           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80618     C5-C7 Fx-Op/Cen Cord Syn           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80619     C5-C7 Fx-Op/Cord Inj Nec           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
8062      Cl Dorsal Fx W Cord Inj*           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         No
80620     T1-T6 Fx-Cl/Cord Inj Nos           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80621     T1-T6 Fx-Cl/Com Cord Les           1/1/1991       68        77    Yes         Yes         Yes         Yes         Yes         Yes
80622     T1-T6 Fx-Cl/Ant Cord Syn           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80623     T1-T6 Fx-Cl/Cen Cord Syn           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80624     T1-T6 Fx-Cl/Cord Inj Nec           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80625     T7-T12 Fx-Cl/Crd Inj Nos           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80626     T7-T12 Fx-Cl/Com Crd Les           1/1/1991       68        77    Yes         Yes         Yes         Yes         Yes         Yes
80627     T7-T12 Fx-Cl/Ant Crd Syn           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80628     T7-T12 Fx-Cl/Cen Crd Syn           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80629     T7-T12 Fx-Cl/Crd Inj Nec           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
8063      Opn Dorsal Fx W Cord Inj*          1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         No
80630     T1-T6 Fx-Op/Cord Inj Nos           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80631     T1-T6 Fx-Op/Com Cord Les           1/1/1991       68        77    Yes         Yes         Yes         Yes         Yes         Yes
80632     T1-T6 Fx-Op/Ant Cord Syn           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80633     T1-T6 Fx-Op/Cen Cord Syn           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80634     T1-T6 Fx-Op/Cord Inj Nec           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80635     T7-T12 Fx-Op/Crd Inj Nos           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80636     T7-T12 Fx-Op/Com Crd Les           1/1/1991       68        77    Yes         Yes         Yes         Yes         Yes         Yes
80637     T7-T12 Fx-Op/Ant Crd Syn           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80638     T7-T12 Fx-Op/Cen Crd Syn           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80639     T7-T12 Fx-Op/Crd Inj Nec           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
8064      Cl Lumbar Fx W Cord Inj            1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
8065      Opn Lumbar Fx W Cord Inj           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
8066      Fx Sacrum-Cl W Cord Inj*           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         No
80660     Fx Sacrum-Cl/Crd Inj Nos           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80661     Fx Sacr-Cl/Cauda Equ Les           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80662     Fx Sacr-Cl/Cauda Inj Nec           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80669     Fx Sacrum-Cl/Crd Inj Nec           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
8067      Fx Sacrum-Opn W Cord Inj*          1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         No
80670     Fx Sacrum-Op/Crd Inj Nos           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80671     Fx Sacr-Op/Cauda Equ Les           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80672     Fx Sacr-Op/Cauda Inj Nec           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
80679     Fx Sacrum-Op/Crd Inj Nec           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
8068      Vert Fx Nos-Cl W Crd Inj           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
8069      Vert Fx Nos-Op W Crd Inj           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
808       Pelvic Fracture*                   1/1/1991      158       166    Yes         Yes         Yes         Yes         Yes         No
8080      Fracture Acetabulum-Clos           1/1/1991      158       166    Yes         Yes         Yes         Yes         Yes         Yes
8081      Fracture Acetabulum-Open           1/1/1991      158       166    Yes         Yes         Yes         Yes         Yes         Yes
8082      Fracture Of Pubis-Closed           1/1/1991      158       166    Yes         Yes         Yes         Yes         Yes         Yes
8083      Fracture Of Pubis-Open             1/1/1991      158       166    Yes         Yes         Yes         Yes         Yes         Yes
8084      Oth Pelvic Fracture-Clos*          1/1/1991      158       166    Yes         Yes         Yes         Yes         Yes         No
80841     Fracture Of Ilium-Closed           1/1/1991      158       166    Yes         Yes         Yes         Yes         Yes         Yes
80842     Fracture Ischium-Closed            1/1/1991      158       166    Yes         Yes         Yes         Yes         Yes         Yes
80843     Pelv Fx-Clos/Pelv Disrup           1/1/1991      158       166    Yes         Yes         Yes         Yes         Yes         Yes
80849     Pelvic Fracture Nec-Clos           1/1/1991      158       166    Yes         Yes         Yes         Yes         Yes         Yes
8085      Oth Pelvic Fracture-Open*          1/1/1991      158       166    Yes         Yes         Yes         Yes         Yes         No
80851     Fracture Of Ilium-Open             1/1/1991      158       166    Yes         Yes         Yes         Yes         Yes         Yes
80852     Fracture Of Ischium-Open           1/1/1991      158       166    Yes         Yes         Yes         Yes         Yes         Yes
80853     Pelv Fx-Open/Pelv Disrup           1/1/1991      158       166    Yes         Yes         Yes         Yes         Yes         Yes
80859     Pelvic Fracture Nec-Open           1/1/1991      158       166    Yes         Yes         Yes         Yes         Yes         Yes
8088      Pelvic Fracture Nos-Clos           1/1/1991      158       166    Yes         Yes         Yes         Yes         Yes         Yes
8089      Pelvic Fracture Nos-Open           1/1/1991      158       166    Yes         Yes         Yes         Yes         Yes         Yes
820       Fracture Neck Of Femur*            1/1/1991      158              Yes         Yes         Yes         Yes         Yes         No
8200      Transcerv Fx Femur-Close*          1/1/1991      158              Yes         Yes         Yes         Yes         Yes         No
82000     Fx Femur Intrcaps Nos-Cl           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
82001     Fx Up Femur Epiphy-Clos            1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
82002     Fx Femur, Midcervic-Clos           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
82003     Fx Base Femoral Nck-Clos           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
82009     Fx Femur Intrcaps Nec-Cl           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
8201      Transcerv Fx Femur-Open*           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         No
82010     Fx Femur Intrcap Nos-Opn           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
82011     Fx Up Femur Epiphy-Open            1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
82012     Fx Femur, Midcervic-Open           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
82013     Fx Base Femoral Nck-Open           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
82019     Fx Femur Intrcap Nec-Opn           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
8202      Pertrochanteric Fx-Clos*           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         No
82020     Trochanteric Fx Nos-Clos           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
82021     Intertrochanteric Fx-Cl            1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
82022     Subtrochanteric Fx-Close           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
8203      Pertrochanteric Fx-Open*           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         No
82030     Trochanteric Fx Nos-Open           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
82031     Intertrochanteric Fx-Opn           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
82032     Subtrochanteric Fx-Open            1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
8208      Fx Neck Of Femur Nos-Cl            1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
8209      Fx Neck Of Femur Nos-Opn           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
821       Other Femoral Fracture*            1/1/1991      158              Yes         Yes         Yes         Yes         Yes         No
8210      Fx Femur Shaft/Nos-Close*          1/1/1991      158              Yes         Yes         Yes         Yes         Yes         No
82100     Fx Femur Nos-Closed                1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
82101     Fx Femur Shaft-Closed              1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
8211      Fx Femur Shaft/Nos-Open*           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         No
82110     Fx Femur Nos-Open                  1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
82111     Fx Femur Shaft-Open                1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
8212      Fx Lower End Femur-Close*          1/1/1991      158              Yes         Yes         Yes         Yes         Yes         No
82120     Fx Low End Femur Nos-Cl            1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
82121     Fx Femoral Condyle-Close           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
82122     Fx Low Femur Epiphy-Clos           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
82123     Supracondyl Fx Femur-Cl            1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
82129     Fx Low End Femur Nec-Cl            1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
8213      Fx Lower End Femur-Open*           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         No
82130     Fx Low End Femur Nos-Opn           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
82131     Fx Femoral Condyle-Open            1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
82132     Fx Low Femur Epiphy-Open           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
82133     Supracondyl Fx Femur-Opn           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
82139     Fx Low End Femur Nec-Opn           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
835       Dislocation Of Hip*                1/1/1991      158              Yes         Yes         Yes         Yes         Yes         No
8350      Dislocation Hip-Closed*            1/1/1991      158              Yes         Yes         Yes         Yes         Yes         No
83500     Dislocat Hip Nos-Closed            1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
83501     Posterior Disloc Hip-Cl            1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
83502     Obturator Disloc Hip-Cl            1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
83503     Ant Disloc Hip Nec-Clos            1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
8351      Dislocation Hip-Open*              1/1/1991      158              Yes         Yes         Yes         Yes         Yes         No
83510     Dislocation Hip Nos-Open           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
83511     Posterior Disloc Hip-Opn           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
83512     Obturator Disloc Hip-Opn           1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
83513     Ant Disloc Hip Nec-Open            1/1/1991      158              Yes         Yes         Yes         Yes         Yes         Yes
8502      Concussion-Moderate Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8503      Concussion-Prolong Coma            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8504      Concussion-Deep Coma               1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
851       Cerebral Lacer/Contusion*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
8510      Cortex Contusion*                  1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
85100     Cerebral Cortx Contusion           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85101     Cortex Contusion-No Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85102     Cortex Contus-Brief Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85103     Cortex Contus-Mod Coma             1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85104     Cortx Contus-Prolng Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85105     Cortex Contus-Deep Coma            1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85106     Cortex Contus-Coma Nos             1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85109     Cortex Contus-Concus Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8511      Cortex Contusion/Opn Wnd*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
85110     Cortex Contusion/Opn Wnd           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85111     Opn Cortx Contus-No Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85112     Opn Cort Contus-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85113     Opn Cort Contus-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85114     Opn Cort Contu-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85115     Opn Cort Contu-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85116     Opn Cort Contus-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85119     Opn Cortx Contus-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8512      Cerebral Cortex Lacerat*           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
85120     Cerebral Cortex Lacerat            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85121     Cortex Lacerat W/O Coma            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85122     Cortex Lacera-Brief Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85123     Cortex Lacerat-Mod Coma            1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85124     Cortex Lacerat-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
85125     Cortex Lacerat-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85126     Cortex Lacerat-Coma Nos            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85129     Cortex Lacerat-Concuss             1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8513      Cortex Lacer W Opn Wound*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
85130     Cortex Lacer W Opn Wound           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85131     Opn Cortex Lacer-No Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85132     Opn Cortx Lac-Brief Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85133     Opn Cortx Lacer-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85134     Opn Cortx Lac-Proln Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85135     Opn Cortex Lac-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85136     Opn Cortx Lacer-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85139     Opn Cortx Lacer-Concuss            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8514      Cerebel/Brain Stm Contus*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
85140     Cerebel/Brain Stm Contus           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85141     Cerebell Contus W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85142     Cerebell Contus-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85143     Cerebell Contus-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85144     Cerebel Contus-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85145     Cerebel Contus-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85146     Cerebell Contus-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85149     Cerebell Contus-Concuss            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8515      Cerebel Contus W Opn Wnd*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
85150     Cerebel Contus W Opn Wnd           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85151     Opn Cerebe Cont W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85152     Opn Cerebe Cont-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85153     Opn Cerebe Cont-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85154     Opn Cerebe Cont-Prol Com           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85155     Opn Cerebe Cont-Deep Com           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85156     Opn Cerebe Cont-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85159     Opn Cerebel Cont-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8516      Cerebel/Brain Stem Lacer*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
85160     Cerebel/Brain Stem Lacer           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85161     Cerebel Lacerat W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85162     Cerebel Lacer-Brief Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85163     Cerebel Lacerat-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
85164     Cerebel Lacer-Proln Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85165     Cerebell Lacer-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85166     Cerebel Lacerat-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85169     Cerebel Lacer-Concussion           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8517      Cerebel Lacer W Open Wnd*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
85170     Cerebel Lacer W Open Wnd           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85171     Opn Cerebel Lac W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85172     Opn Cerebel Lac-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85173     Opn Cerebel Lac-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85174     Opn Cerebe Lac-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85175     Opn Cerebe Lac-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85176     Opn Cerebel Lac-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85179     Opn Cerebell Lac-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8518      Cerebral Laceration Nec*           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
85180     Brain Laceration Nec               1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85181     Brain Lacer Nec W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85182     Brain Lac Nec-Brief Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85183     Brain Lacer Nec-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85184     Brain Lac Nec-Proln Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85185     Brain Lac Nec-Deep Coma            1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85186     Brain Lacer Nec-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85189     Brain Lacer Nec-Concuss            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8519      Brain Lac Nec W Open Wnd*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
85190     Brain Lac Nec W Open Wnd           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85191     Opn Brain Lacer W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85192     Opn Brain Lac-Brief Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85193     Opn Brain Lacer-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85194     Opn Brain Lac-Proln Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85195     Open Brain Lac-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85196     Opn Brain Lacer-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85199     Open Brain Lacer-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
852       Meningeal Hem Follow Inj*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
8520      Traum Subarachnoid Hem*            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
85200     Traum Subarachnoid Hem             1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85201     Subarachnoid Hem-No Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
85202     Subarach Hem-Brief Coma            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85203     Subarach Hem-Mod Coma              1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85204     Subarach Hem-Prolng Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85205     Subarach Hem-Deep Coma             1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85206     Subarach Hem-Coma Nos              1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85209     Subarach Hem-Concussion            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8521      Subarach Hem W Opn Wound*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
85210     Subarach Hem W Opn Wound           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85211     Opn Subarach Hem-No Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85212     Op Subarach Hem-Brf Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85213     Op Subarach Hem-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85214     Op Subarach Hem-Prol Com           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85215     Op Subarach Hem-Deep Com           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85216     Op Subarach Hem-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85219     Opn Subarach Hem-Concuss           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8522      Traumatic Subdural Hem*            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
85220     Traumatic Subdural Hem             1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85221     Subdural Hem W/O Coma              1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85222     Subdural Hem-Brief Coma            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85223     Subdural Hemorr-Mod Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85224     Subdural Hem-Prolng Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85225     Subdural Hem-Deep Coma             1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85226     Subdural Hemorr-Coma Nos           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85229     Subdural Hem-Concussion            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8523      Subdural Hem W Opn Wound*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
85230     Subdural Hem W Opn Wound           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85231     Open Subdur Hem W/O Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85232     Opn Subdur Hem-Brf Coma            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85233     Opn Subdur Hem-Mod Coma            1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85234     Opn Subdur Hem-Prol Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85235     Opn Subdur Hem-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85236     Opn Subdur Hem-Coma Nos            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85239     Opn Subdur Hem-Concuss             1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8524      Traumatic Extradural Hem*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
85240     Traumatic Extradural Hem           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
85241     Extradural Hem W/O Coma            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85242     Extradur Hem-Brief Coma            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85243     Extradural Hem-Mod Coma            1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85244     Extradur Hem-Proln Coma            1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85245     Extradural Hem-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85246     Extradural Hem-Coma Nos            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85249     Extadural Hem-Concuss              1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8525      Extradural Hem W Opn Wnd*          1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
85250     Extradural Hem W Opn Wnd           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85251     Extradural Hemor-No Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85252     Extradur Hem-Brief Coma            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85253     Extradural Hem-Mod Coma            1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85254     Extradur Hem-Proln Coma            1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85255     Extradur Hem-Deep Coma             1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85256     Extradural Hem-Coma Nos            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85259     Extradural Hem-Concuss             1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
853       Oth Traumatic Brain Hem*           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
8530      Traumatic Brain Hem Nec*           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
85300     Traumatic Brain Hem Nec            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85301     Brain Hem Nec W/O Coma             1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85302     Brain Hem Nec-Brief Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85303     Brain Hem Nec-Mod Coma             1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85304     Brain Hem Nec-Proln Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85305     Brain Hem Nec-Deep Coma            1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85306     Brain Hem Nec-Coma Nos             1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85309     Brain Hem Nec-Concussion           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8531      Brain Hem Nec W Opn Wnd*           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
85310     Brain Hem Nec W Opn Wnd            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85311     Brain Hem Opn W/O Coma             1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85312     Brain Hem Opn-Brf Coma             1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85313     Brain Hem Open-Mod Coma            1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85314     Brain Hem Opn-Proln Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85315     Brain Hem Open-Deep Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85316     Brain Hem Open-Coma Nos            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85319     Brain Hem Opn-Concussion           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
854       Other Brain Injury*                1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
8540      Brain Injury Nec*                  1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
85400     Brain Injury Nec                   1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85401     Brain Injury Nec-No Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85402     Brain Inj Nec-Brief Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85403     Brain Inj Nec-Mod Coma             1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85404     Brain Inj Nec-Proln Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85405     Brain Inj Nec-Deep Coma            1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85406     Brain Inj Nec-Coma Nos             1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85409     Brain Inj Nec-Concussion           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
8541      Brain Inj Nec W Opn Wnd*           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         No
85410     Brain Injury W Opn Wnd             1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85411     Opn Brain Inj W/O Coma             1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85412     Opn Brain Inj-Brief Coma           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85413     Opn Brain Inj-Mod Coma             1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85414     Opn Brain Inj-Proln Coma           1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85415     Opn Brain Inj-Deep Coma            1/1/1991      154              Yes         Yes         Yes         Yes         Yes         Yes
85416     Open Brain Inj-Coma Nos            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
85419     Opn Brain Inj-Concussion           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
887       Traumatic Amput Arm/Hand*          1/1/1991      161              Yes         Yes         Yes         Yes         Yes         No
8870      Amput Below Elb, Unilat            1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
8871      Amp Below Elb, Unil-Comp           1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
8872      Amput Abv Elbow, Unilat            1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
8873      Amput Abv Elb, Unil-Comp           1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
8874      Amputat Arm, Unilat Nos            1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
8875      Amput Arm, Unil Nos-Comp           1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
8876      Amputation Arm, Bilat              1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
8877      Amputat Arm, Bilat-Compl           1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
895       Traumatic Amputation Toe*          1/1/1991      161              Yes         Yes         Yes         Yes         Yes         No
8950      Amputation Toe                     1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
8951      Amputation Toe-Complicat           1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
896       Traumatic Amputat Foot*            1/1/1991      161              Yes         Yes         Yes         Yes         Yes         No
8960      Amputation Foot, Unilat            1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
8961      Amput Foot, Unilat-Compl           1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
8962      Amputation Foot, Bilat             1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
8963      Amputat Foot, Bilat-Comp           1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
897       Traumatic Amputation Leg*          1/1/1991      161              Yes         Yes         Yes         Yes         Yes         No
8970      Amput Below Knee, Unilat           1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
8971      Amputat Bk, Unilat-Compl           1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
8972      Amput Above Knee, Unilat           1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
8973      Amput Abv Kn, Unil-Compl           1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
8974      Amputat Leg, Unilat Nos            1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
8975      Amput Leg, Unil Nos-Comp           1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
8976      Amputation Leg, Bilat              1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
8977      Amputat Leg, Bilat-Compl           1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
9050      Late Effec Skull/Face Fx           1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
9059      Late Eff Traumat Amputat           1/1/1991      177              Yes         Yes         Yes         Yes         Yes         Yes
9070      Lt Eff Intracranial Inj            1/1/1991      155              Yes         Yes         Yes         Yes         Yes         Yes
9072      Late Eff Spinal Cord Inj           1/1/1991       69        77    Yes         Yes         Yes         Yes         Yes         Yes
94811     10-19% Bdy Brn/10-19% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94821     20-29% Bdy Brn/10-19% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94822     20-29% Bdy Brn/20-29% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94831     30-39% Bdy Brn/10-19% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94832     30-39% Bdy Brn/20-29% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94833     30-39% Bdy Brn/30-39% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94841     40-49% Bdy Brn/10-19% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94842     40-49% Bdy Brn/20-29% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94843     40-49% Bdy Brn/30-39% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94844     40-49% Bdy Brn/40-49% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94851     50-59% Bdy Brn/10-19% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94852     50-59% Bdy Brn/20-29% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94853     50-59% Bdy Brn/30-39% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94854     50-59% Bdy Brn/40-49% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94855     50-59% Bdy Brn/50-59% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94861     60-69% Bdy Brn/10-19% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94862     60-69% Bdy Brn/20-29% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94863     60-69% Bdy Brn/30-39% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94864     60-69% Bdy Brn/40-49% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94865     60-69% Bdy Brn/50-59% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94866     60-69% Bdy Brn/60-69% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
94871     70-79% Bdy Brn/10-19% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94872     70-79% Bdy Brn/20-29% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94873     70-79% Bdy Brn/30-39% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94874     70-79% Bdy Brn/40-49% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94875     70-79% Bdy Brn/50-59% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94876     70-79% Bdy Brn/60-69% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94877     70-79% Bdy Brn/70-79% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94881     80-89% Bdy Brn/10-19% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94882     80-89% Bdy Brn/20-29% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94883     80-89% Bdy Brn/30-39% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94884     80-89% Bdy Brn/40-49% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94885     80-89% Bdy Brn/50-59% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94886     80-89% Bdy Brn/60-69% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94887     80-89% Bdy Brn/70-79% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94888     80-89% Bdy Brn/80-89% 3D           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94891     90% + Bdy Brn/10-19% 3Rd           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94892     90% + Bdy Brn/20-29% 3Rd           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94893     90% + Bdy Brn/30-39% 3Rd           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94894     90% + Bdy Brn/40-49% 3Rd           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94895     90% + Bdy Brn/50-59% 3Rd           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94896     90% + Bdy Brn/60-69% 3Rd           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94897     90% + Bdy Brn/70-79% 3Rd           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94898     90% + Bdy Brn/80-89% 3Rd           1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
94899     90% + Bdy Brn/90% + 3Rd            1/1/1991      150              Yes         Yes         Yes         Yes         Yes         Yes
950       Inj Optic Nerv/Pathways*           1/1/1991                 87    No          No          No          No          No          No
9500      Optic Nerve Injury                 1/1/1991                 87    No          No          No          No          No          No
9501      Injury To Optic Chiasm             1/1/1991                 87    No          No          No          No          No          No
9502      Injury To Optic Pathways           1/1/1991                 87    No          No          No          No          No          No
9503      Injury To Visual Cortex            1/1/1991                 87    No          No          No          No          No          No
9509      Inj Optic Nerv/Path Nos            1/1/1991                 87    No          No          No          No          No          No
951       Cranial Nerve Injury Nec*          1/1/1991                 87    No          No          No          No          No          No
9510      Injury Oculomotor Nerve            1/1/1991                 87    No          No          No          No          No          No
9511      Injury Trochlear Nerve             1/1/1991                 87    No          No          No          No          No          No
9512      Injury Trigeminal Nerve            1/1/1991                 87    No          No          No          No          No          No
9513      Injury Abducens Nerve              1/1/1991                 87    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
9514      Injury To Facial Nerve             1/1/1991               87    No          No          No          No          No          No
9515      Injury To Acoustic Nerve           1/1/1991               87    No          No          No          No          No          No
9516      Injury Accessory Nerve             1/1/1991               87    No          No          No          No          No          No
9517      Injury Hypoglossal Nerve           1/1/1991               87    No          No          No          No          No          No
9518      Injury Cranial Nerve Nec           1/1/1991               87    No          No          No          No          No          No
9519      Injury Cranial Nerve Nos           1/1/1991               87    No          No          No          No          No          No
952       Spinal Cord Inj W/O Fx*            1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         No
9520      Cervical Spinal Cord Inj*          1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         No
95200     C1-C4 Spin Cord Inj Nos            1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
95201     Complete Les Cord/C1-C4            1/1/1991     67        77    Yes         Yes         Yes         Yes         Yes         Yes
95202     Anterior Cord Synd/C1-C4           1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
95203     Central Cord Synd/C1-C4            1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
95204     C1-C4 Spin Cord Inj Nec            1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
95205     C5-C7 Spin Cord Inj Nos            1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
95206     Complete Les Cord/C5-C7            1/1/1991     67        77    Yes         Yes         Yes         Yes         Yes         Yes
95207     Anterior Cord Synd/C5-C7           1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
95208     Central Cord Synd/C5-C7            1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
95209     C5-C7 Spin Cord Inj Nec            1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
9521      Dorsal Spinal Cord Injur*          1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         No
95210     T1-T6 Spin Cord Inj Nos            1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
95211     Complete Les Cord/T1-T6            1/1/1991     68        77    Yes         Yes         Yes         Yes         Yes         Yes
95212     Anterior Cord Synd/T1-T6           1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
95213     Central Cord Synd/T1-T6            1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
95214     T1-T6 Spin Cord Inj Nec            1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
95215     T7-T12 Spin Cord Inj Nos           1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
95216     Complete Les Cord/T7-T12           1/1/1991     68        77    Yes         Yes         Yes         Yes         Yes         Yes
95217     Anterior Cord Syn/T7-T12           1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
95218     Central Cord Syn/T7-T12            1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
95219     T7-T12 Spin Cord Inj Nec           1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
9522      Lumbar Spinal Cord Injur           1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
9523      Sacral Spinal Cord Injur           1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
9524      Cauda Equina Injury                1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
9528      Spin Cord Inj-Mult Site            1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
9529      Spinal Cord Injury Nos             1/1/1991     69        77    Yes         Yes         Yes         Yes         Yes         Yes
953       Inj Nerve Root/Spin Plex*          1/1/1991               87    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
9530      Cervical Root Injury               1/1/1991               87    No          No          No          No          No          No
9531      Dorsal Root Injury                 1/1/1991               87    No          No          No          No          No          No
9532      Lumbar Root Injury                 1/1/1991               87    No          No          No          No          No          No
9533      Sacral Root Injury                 1/1/1991               87    No          No          No          No          No          No
9534      Brachial Plexus Injury             1/1/1991               87    No          No          No          No          No          No
9535      Lumbosacral Plex Injury            1/1/1991               87    No          No          No          No          No          No
9538      Mult Nerve Root/Plex Inj           1/1/1991               87    No          No          No          No          No          No
9539      Inj Nerve Root/Plex Nos            1/1/1991               87    No          No          No          No          No          No
954       Injury Oth Trunk Nerve*            1/1/1991               87    No          No          No          No          No          No
9540      Inj Cerv Sympath Nerve             1/1/1991               87    No          No          No          No          No          No
9541      Inj Sympath Nerve Nec              1/1/1991               87    No          No          No          No          No          No
9548      Injury Trunk Nerve Nec             1/1/1991               87    No          No          No          No          No          No
9549      Injury Trunk Nerve Nos             1/1/1991               87    No          No          No          No          No          No
955       Inj Periph Nerv Shld/Arm*          1/1/1991               87    No          No          No          No          No          No
9550      Injury Axillary Nerve              1/1/1991               87    No          No          No          No          No          No
9551      Injury Median Nerve                1/1/1991               87    No          No          No          No          No          No
9552      Injury Ulnar Nerve                 1/1/1991               87    No          No          No          No          No          No
9553      Injury Radial Nerve                1/1/1991               87    No          No          No          No          No          No
9554      Inj Musculocutan Nerve             1/1/1991               87    No          No          No          No          No          No
9555      Inj Cutan Senso Nerv/Arm           1/1/1991               87    No          No          No          No          No          No
9556      Injury Digital Nerve               1/1/1991               87    No          No          No          No          No          No
9557      Inj Nerve Shldr/Arm Nec            1/1/1991               87    No          No          No          No          No          No
9558      Inj Mult Nerve Shldr/Arm           1/1/1991               87    No          No          No          No          No          No
9559      Inj Nerve Shldr/Arm Nos            1/1/1991               87    No          No          No          No          No          No
956       Inj Periph Nerv Pelv/Leg*          1/1/1991               87    No          No          No          No          No          No
9560      Injury Sciatic Nerve               1/1/1991               87    No          No          No          No          No          No
9561      Injury Femoral Nerve               1/1/1991               87    No          No          No          No          No          No
9562      Inj Posterior Tib Nerve            1/1/1991               87    No          No          No          No          No          No
9563      Injury Peroneal Nerve              1/1/1991               87    No          No          No          No          No          No
9564      Inj Cutan Senso Nerv/Leg           1/1/1991               87    No          No          No          No          No          No
9565      Inj Nerve Pelv/Leg Nec             1/1/1991               87    No          No          No          No          No          No
9568      Inj Mult Nerve Pelv/Leg            1/1/1991               87    No          No          No          No          No          No
9569      Inj Nerve Pelv/Leg Nos             1/1/1991               87    No          No          No          No          No          No
957       Injury To Nerve Nec/Nos*           1/1/1991               87    No          No          No          No          No          No
9570      Inj Superf Nerv Head/Nck           1/1/1991               87    No          No          No          No          No          No
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
9571      Injury To Nerve Nec                1/1/1991               87    No          No          No          No          No          No
9578      Injury To Mult Nerves              1/1/1991               87    No          No          No          No          No          No
9579      Injury To Nerve Nos                1/1/1991               87    No          No          No          No          No          No
958       Early Complic Of Trauma*           1/1/1991    164              Yes         Yes         Yes         Yes         Yes         No
9580      Air Embolism                       1/1/1991    164              Yes         Yes         Yes         Yes         Yes         Yes
9581      Fat Embolism                       1/1/1991    164              Yes         Yes         Yes         Yes         Yes         Yes
9582      Secondary/Recur Hemorr             1/1/1991    164              Yes         Yes         Yes         Yes         Yes         Yes
9583      Posttraum Wnd Infec Nec            1/1/1991    164              Yes         Yes         Yes         Yes         Yes         Yes
9584      Traumatic Shock                    1/1/1991    164              Yes         Yes         Yes         Yes         Yes         Yes
9585      Traumatic Anuria                   1/1/1991    164              Yes         Yes         Yes         Yes         Yes         Yes
9586      Volkmann'S Isch Contract           1/1/1991    164              Yes         Yes         Yes         Yes         Yes         Yes
9587      Traum Subcutan Emphysema           1/1/1991    164              Yes         Yes         Yes         Yes         Yes         Yes
9588      Early Complic Trauma Nec           1/1/1991    164              Yes         Yes         Yes         Yes         Yes         Yes
95890     Compartment syndrome, uns        10/1/2006     164        48    No          No          No          Yes         Yes         Yes
95891     Traumatic compartment syn        10/1/2006     164        48    No          No          No          Yes         Yes         Yes
95892     Traumatic compartment syn        10/1/2006     164        48    No          No          No          Yes         Yes         Yes
95893     Traumatic compartment syn        10/1/2006     164        48    No          No          No          Yes         Yes         Yes
95899     Traumatic compartment syn        10/1/2006     164        48    No          No          No          Yes         Yes         Yes
99523     Unspecified adverse effec        10/1/2006                18    No          No          No          No          No          No
9960      Malfunc Card Devic/Graft*          1/1/1991    164              Yes         Yes         Yes         Yes         Yes         No
99600     Malfunc Card Dev/Grf Nos           1/1/1991    164              Yes         Yes         Yes         Yes         Yes         Yes
99601     Malfunc Cardiac Pacemake           1/1/1991    164              Yes         Yes         Yes         Yes         Yes         Yes
99602     Malfunc Prosth Hrt Valve           1/1/1991    164              Yes         Yes         Yes         Yes         Yes         Yes
99603     Malfunc Coron Bypass Grf           1/1/1991    164              Yes         Yes         Yes         Yes         Yes         Yes
99604     Mch Cmp Autm Mplnt Dfbrl           1/1/1991    164              Yes         Yes         Yes         Yes         Yes         Yes
99609     Malfunc Card Dev/Grf Nec           1/1/1991    164              Yes         Yes         Yes         Yes         Yes         Yes
9961      Malfunc Vasc Device/Graf           1/1/1991    164              Yes         Yes         Yes         Yes         Yes         Yes
9962      Malfun Neuro Device/Graf           1/1/1991    164              Yes         Yes         Yes         Yes         Yes         Yes
9963      Malfunc Gu Device/Graft*           1/1/1991    164              Yes         Yes         Yes         Yes         Yes         No
99630     Malfunc Gu Dev/Graft Nos           1/1/1991    164              Yes         Yes         Yes         Yes         Yes         Yes
99631     Malfunc Urethral Cath              1/1/1991    164              Yes         Yes         Yes         Yes         Yes         Yes
99632     Malfunction Iud                    1/1/1991    164              Yes         Yes         Yes         Yes         Yes         Yes
99639     Malfunc Gu Dev/Graft Nec           1/1/1991    164              Yes         Yes         Yes         Yes         Yes         Yes
9964      Malf Int Orthped Dev/Grf           1/1/1991    164              Yes         Yes         Yes         Yes         Yes         No
99640     Cmp Int Orth Dev/Gft Nos         10/1/2005     164              No          No          Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
99641     Mech Loosening Pros Jt           10/1/2005       164              No          No          Yes         Yes         Yes         Yes
99642     Dislocate Prosthetic Jt          10/1/2005       164              No          No          Yes         Yes         Yes         Yes
99643     Prosthtc Jt Implant Fail         10/1/2005       164              No          No          Yes         Yes         Yes         Yes
99644     Periprosthetc Fx-Pros Jt         10/1/2005       164              No          No          Yes         Yes         Yes         Yes
99645     Periprosthetc Osteolysis         10/1/2005       164              No          No          Yes         Yes         Yes         Yes
99646     Articular Wear Prosth Jt         10/1/2005       164              No          No          Yes         Yes         Yes         Yes
99647     Mech Com Pros Jt Implant         10/1/2005       164              No          No          Yes         Yes         Yes         Yes
99649     Mech Com Orth Dev Nec            10/1/2005       164              No          No          Yes         Yes         Yes         Yes
9965      Ras Assigned                       1/1/2001      164              Yes         Yes         Yes         Yes         Yes         No
99651     Corneal Grft Malfunction           1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
99652     Oth Tissue Graft Malfunc           1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
99653     Lens Prosthesis Malfunc            1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
99654     Breast Prosth Malfunc              1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
99655     Comp-Artificial Skin Grf         10/1/1999       164              Yes         Yes         Yes         Yes         Yes         Yes
99656     Comp-Periton Dialys Cath         10/1/1999       130              Yes         Yes         Yes         Yes         Yes         Yes
99657     Complcation-Insulin Pump         10/1/2003       164              Yes         Yes         Yes         Yes         Yes         Yes
99659     Malfunc Oth Device/Graft           1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
9966      Infec/Inflam-Devic/Graft*          1/1/1991      164              Yes         Yes         Yes         Yes         Yes         No
99660     Reaction-Unsp Devic/Grft           1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
99661     React-Cardiac Dev/Graft            1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
99662     React-Oth Vasc Dev/Graft           1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
99663     React-Nerv Sys Dev/Graft           1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
99664     React-Indwell Urin Cath            1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
99665     React-Oth Genitourin Dev           1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
99666     React-Inter Joint Prost            1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
99667     React-Oth Int Ortho Dev            1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
99668     React-Periton Dialy Cath         10/1/1999       130              Yes         Yes         Yes         Yes         Yes         Yes
99669     React-Int Pros Devic Nec           1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
9967      Complic Device/Graft Nec*          1/1/1991      164              Yes         Yes         Yes         Yes         Yes         No
99670     Comp-Unsp Device/Graft             1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
99671     Comp-Heart Valve Prosth            1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
99672     Comp-Oth Cardiac Device            1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
99673     Comp-Ren Dialys Dev/Grft           1/1/1991      130              Yes         Yes         Yes         Yes         Yes         Yes
99674     Comp-Oth Vasc Dev/Graft            1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
99675     Comp-Nerv Sys Dev/Graft            1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
                                                                           CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                           HCC         HCC         HCC         HCC         HCC         HCC
                                                       CMS-                Model       Model       Model       Model       Model       Model
                                                       HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
99676     Comp-Genitourin Dev/Grft          1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
99677     Comp-Internal Joint Pros          1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
99678     Comp-Oth Int Ortho Devic          1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
99679     Comp-Int Prost Devic Nec          1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
9968      Ras Assigned                      1/1/2001                187    No          No          No          No          No          No
99680     Comp Organ Transplnt Nos          1/1/1991                187    No          No          No          No          No          No
99681     Compl Kidney Transplant           1/1/1991                132    No          No          No          No          No          No
99682     Compl Liver Transplant            1/1/1991      174       186    Yes         Yes         Yes         Yes         Yes         Yes
99683     Compl Heart Transplant            1/1/1991      174       186    Yes         Yes         Yes         Yes         Yes         Yes
99684     Compl Lung Transplant             1/1/1991      174       186    Yes         Yes         Yes         Yes         Yes         Yes
99685     Compl Marrow Transplant           1/1/1991      174       186    Yes         Yes         Yes         Yes         Yes         Yes
99686     Compl Pancreas Transplnt          1/1/1991      174       186    Yes         Yes         Yes         Yes         Yes         Yes
99687     Comp Intestine Transplnt        10/1/2001       174       186    Yes         Yes         Yes         Yes         Yes         Yes
99689     Comp Oth Organ Transplnt          1/1/1991                187    No          No          No          No          No          No
9969      Compl Reattached Part*            1/1/1991      161              Yes         Yes         Yes         Yes         Yes         No
99690     Comp Reattach Extrem Nos          1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
99691     Compl Reattached Forearm          1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
99692     Compl Reattached Hand             1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
99693     Compl Reattached Finger           1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
99694     Compl Reattached Arm Nec          1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
99695     Compl Reattached Foot             1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
99696     Compl Reattached Leg Nec          1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
99699     Compl Reattach Part Nec           1/1/1991      161              Yes         Yes         Yes         Yes         Yes         Yes
9970      Surg Complication-Cns*            1/1/1991      164              Yes         Yes         Yes         Yes         Yes         No
99700     Nervous Syst Complc Nos           1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
99701     Surg Complication - Cns           1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
99702     Iatrogen Cv Infarc/Hmrhg          1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
99709     Surg Comp Nerv Systm Nec          1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
9971      Surg Compl-Heart                  1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
9972      Surg Comp-Peri Vasc Syst          1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
9973      Surg Complic-Respir Syst          1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
99731     VENTLTR ASSOC PNEUMONIA         10/1/2008       164              No          No          No          No          Yes         Yes
99739     RESPIRATORY COMP NEC            10/1/2008       164              No          No          No          No          Yes         Yes
9974      Surg Comp-Digestv System          1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
9975      Surg Compl-Urinary Tract          1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
9976      Late Amputation Complic*           1/1/1991      177              Yes         Yes         Yes         Yes         Yes         No
99760     Amputat Stump Compl Nos            1/1/1991      177              Yes         Yes         Yes         Yes         Yes         Yes
99761     Neuroma Amputation Stump           1/1/1991      177              Yes         Yes         Yes         Yes         Yes         Yes
99762     Infection Amputat Stump            1/1/1991      177              Yes         Yes         Yes         Yes         Yes         Yes
99769     Amputat Stump Compl Nec            1/1/1991      177              Yes         Yes         Yes         Yes         Yes         Yes
9977      Ras Assigned                       1/1/2001      164              Yes         Yes         Yes         Yes         Yes         No
99771     Vasc Comp Mesenteric Art         10/1/2002       164              Yes         Yes         Yes         Yes         Yes         Yes
99772     Vasc Comp Renal Artery           10/1/2002       164              Yes         Yes         Yes         Yes         Yes         Yes
99779     Vascular Comp Vessel Nec         10/1/2002       164              Yes         Yes         Yes         Yes         Yes         Yes
9980      Postoperative Shock                1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
9986      Persist Postop Fistula             1/1/1991      164              Yes         Yes         Yes         Yes         Yes         Yes
E95       Ras Assigned                       1/1/2001       55        66    Yes         Yes         Yes         Yes         Yes         No
E950      Suic/Self-Pois W Sol/Liq*          1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         No
E9500     Poison-Analgesics                  1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9501     Poison-Barbiturates                1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9502     Poison-Sedat/Hypnotic              1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9503     Poison-Psychotropic Agt            1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9504     Poison-Drug/Medicin Nec            1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9505     Poison-Drug/Medicin Nos            1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9506     Poison-Agricult Agent              1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9507     Poison-Corrosiv/Caustic            1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9508     Poison-Arsenic                     1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9509     Poison-Solid/Liquid Nec            1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E951      Poison-Utility Gas*                1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         No
E9510     Poison-Piped Gas                   1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9511     Poison-Gas In Container            1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9518     Poison-Utility Gas Nec             1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E952      Poison-Gas/Vapor Nec*              1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         No
E9520     Poison-Exhaust Gas                 1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9521     Poison-Co Nec                      1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9528     Poison-Gas/Vapor Nec               1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9529     Poison-Gas/Vapor Nos               1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E953      Injury-Strangul/Suffoc*            1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         No
E9530     Injury-Hanging                     1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9531     Injury-Suff W Plas Bag             1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
                                                                           CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                           HCC         HCC         HCC         HCC         HCC         HCC
                                                       CMS-                Model       Model       Model       Model       Model       Model
                                                       HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
E9538     Injury-Strang/Suff Nec            1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9539     Injury-Strang/Suff Nos            1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E954      Injury-Submersion                 1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E955      Injury-Firearm/Explosiv*          1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         No
E9550     Injury-Handgun                    1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9551     Injury-Shotgun                    1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9552     Injury-Hunting Rifle              1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9553     Injury-Military Firearm           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9554     Injury-Firearm Nec                1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9555     Injury-Explosives                 1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9556     Self Inflict Acc-Air Gun        10/1/1998        55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9557     Self Inj-Paintball Gun          10/1/2002        55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9559     Injury-Firearm/Expl Nos           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E956      Injury-Cut Instrument             1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E957      Inju-Jump From Hi Place*          1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         No
E9570     Injury-Jump Fm Residence          1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9571     Injury-Jump Fm Struc Nec          1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9572     Injury-Jump Fm Natur Sit          1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9579     Injury-Jump Nec                   1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E958      Injury/Self-Inj Nec/Nos*          1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         No
E9580     Injury-Moving Object              1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9581     Injury-Burn, Fire                 1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9582     Injury-Scald                      1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9583     Injury-Extreme Cold               1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9584     Injury-Electrocution              1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9585     Injury-Motor Veh Crash            1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9586     Injury-Aircraft Crash             1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9587     Injury-Caustic Substance          1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9588     Injury-Nec                        1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E9589     Injury-Nos                        1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
E959      Late Eff Of Self-Injury           1/1/1991       55        66    Yes         Yes         Yes         Yes         Yes         Yes
V08       Asymp Hiv Infectn Status          1/1/1991        1         1    Yes         Yes         Yes         Yes         Yes         Yes
V42       Organ Transplant Status*          1/1/1991                187    No          No          No          No          No          No
V420      Kidney Transplant Status          1/1/1991                132    No          No          No          No          No          No
V421      Heart Transplant Status           1/1/1991      174       186    Yes         Yes         Yes         Yes         Yes         Yes
                                                                          CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                          HCC         HCC         HCC         HCC         HCC         HCC
                                                      CMS-                Model       Model       Model       Model       Model       Model
                                                      HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
V423      Skin Transplant Status             1/1/1991              187    No          No          No          No          No          No
V424      Bone Transplant Status             1/1/1991              187    No          No          No          No          No          No
V425      Cornea Transplant Status           1/1/1991              187    No          No          No          No          No          No
V426      Lung Transplant Status             1/1/1991    174       186    Yes         Yes         Yes         Yes         Yes         Yes
V427      Liver Transplant Status            1/1/1991    174       186    Yes         Yes         Yes         Yes         Yes         Yes
V428      Transplant Status Nec*             1/1/1991              187    No          No          No          No          No          No
V4281     Trnspl Status-Bne Marrow         10/1/1998     174       186    Yes         Yes         Yes         Yes         Yes         Yes
V4282     Trspl Sts-Perip Stm Cell         10/1/1998     174       186    Yes         Yes         Yes         Yes         Yes         Yes
V4283     Trnspl Status-Pancreas           10/1/1998     174       186    Yes         Yes         Yes         Yes         Yes         Yes
V4284     Trnspl Status-Intestines         10/1/2001     174       186    Yes         Yes         Yes         Yes         Yes         Yes
V4289     Trnspl Status Organ Nec          10/1/1998               187    No          No          No          No          No          No
V429      Transplant Status Nos              1/1/1991              187    No          No          No          No          No          No
V43       Organ Replacement Nec*             1/1/1991              187    No          No          No          No          No          No
V430      Eye Replacement Nec                1/1/1991              187    No          No          No          No          No          No
V432      Heart Replacement Nec              1/1/1991    174       186    Yes         Yes         Yes         Yes         Yes         No
V4321     Heart Assist Dev Replace         10/1/2003     174       186    Yes         Yes         Yes         Yes         Yes         Yes
V4322     Artficial Heart Replace          10/1/2003     174       186    Yes         Yes         Yes         Yes         Yes         Yes
V434      Blood Vessel Replac Nec            1/1/1991              187    No          No          No          No          No          No
V435      Bladder Replacement Nec            1/1/1991              187    No          No          No          No          No          No
V437      Limb Replacement Nec               1/1/1991              187    No          No          No          No          No          No
V438      Organ Replacement Nec*             1/1/1991              187    No          No          No          No          No          No
V4381     Larynx Replacement                 1/1/1991              187    No          No          No          No          No          No
V4382     Breast Replacement                 1/1/1991              187    No          No          No          No          No          No
V4383     Artific Skin Repl Status         10/1/1999               187    No          No          No          No          No          No
V4389     Organ/Tiss Replacmnt Nec           1/1/1991              187    No          No          No          No          No          No
V44       Artificial Opning Status*          1/1/1991    176              Yes         Yes         Yes         Yes         Yes         No
V440      Tracheostomy Status                1/1/1991     77              Yes         Yes         Yes         Yes         Yes         Yes
V441      Gastrostomy Status                 1/1/1991    176              Yes         Yes         Yes         Yes         Yes         Yes
V442      Ileostomy Status                   1/1/1991    176              Yes         Yes         Yes         Yes         Yes         Yes
V443      Colostomy Status                   1/1/1991    176              Yes         Yes         Yes         Yes         Yes         Yes
V444      Enterostomy Status Nec             1/1/1991    176              Yes         Yes         Yes         Yes         Yes         Yes
V445      Cystostomy Status*                 1/1/1991    176              Yes         Yes         Yes         Yes         Yes         No
V4450     Cystostomy Status Nos            10/1/1999     176              Yes         Yes         Yes         Yes         Yes         Yes
V4451     Cutaneous-Vesicos Status         10/1/1999     176              Yes         Yes         Yes         Yes         Yes         Yes
V4452     Appendico-Vesicos Status         10/1/1999     176              Yes         Yes         Yes         Yes         Yes         Yes
                                                                            CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                            HCC         HCC         HCC         HCC         HCC         HCC
                                                        CMS-                Model       Model       Model       Model       Model       Model
                                                        HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                                Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description             Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
V4459     Cystostomy Status Nec            10/1/1999       176              Yes         Yes         Yes         Yes         Yes         Yes
V446      Urinostomy Status Nec              1/1/1991      176              Yes         Yes         Yes         Yes         Yes         Yes
V448      Artif Open Status Nec              1/1/1991      176              Yes         Yes         Yes         Yes         Yes         Yes
V449      Artif Open Status Nos              1/1/1991      176              Yes         Yes         Yes         Yes         Yes         Yes
V451      Renal Dialysis Status              1/1/1991      130              Yes         Yes         Yes         Yes         Yes         Yes
V4511     RENAL DIALYSIS STATUS            10/1/2008        130             No          No          No          No          Yes         Yes
V4512     NONCMPLNT W RENAL DIALYS         10/1/2008        130             No          No          No          No          Yes         Yes
V46       Other Machine Dependence*          1/1/1991                187    No          No          No          No          No          No
V460      Dependence On Aspirator            1/1/1991                187    No          No          No          No          No          No
V461      Dependence On Respirator           1/1/1991       77              Yes         Yes         Yes         Yes         Yes         No
V4611     Respirator Depend Status         10/1/2004        77              No          Yes         Yes         Yes         Yes         Yes
V4612     Resp Depend-Powr Failure         10/1/2004        77              No          Yes         Yes         Yes         Yes         Yes
V4613     Weaning From Respirator          10/1/2005        77              No          No          Yes         Yes         Yes         Yes
V4614     Mech Comp Respirator             10/1/2005        77              No          No          Yes         Yes         Yes         Yes
V468      Machine Dependence Nec             1/1/1991                187    No          No          No          No          No          No
V469      Machine Dependence Nos             1/1/1991                187    No          No          No          No          No          No
V497      Ras Assigned                       1/1/2001      177              Yes         Yes         Yes         Yes         Yes         No
V4970     Status Amput Lwr Lmb Nos           1/1/1991      177              Yes         Yes         Yes         Yes         Yes         Yes
V4971     Status Amput Great Toe             1/1/1991      177              Yes         Yes         Yes         Yes         Yes         Yes
V4972     Status Amput Othr Toe(S)           1/1/1991      177              Yes         Yes         Yes         Yes         Yes         Yes
V4973     Status Amput Foot                  1/1/1991      177              Yes         Yes         Yes         Yes         Yes         Yes
V4974     Status Amput Ankle                 1/1/1991      177              Yes         Yes         Yes         Yes         Yes         Yes
V4975     Status Amput Below Knee            1/1/1991      177              Yes         Yes         Yes         Yes         Yes         Yes
V4976     Status Amput Above Knee            1/1/1991      177              Yes         Yes         Yes         Yes         Yes         Yes
V4977     Status Amput Hip                   1/1/1991      177              Yes         Yes         Yes         Yes         Yes         Yes
V521      Fitting Artificial Leg             1/1/1991      177              Yes         Yes         Yes         Yes         Yes         Yes
V55       Atten To Artificial Open*          1/1/1991      176              Yes         Yes         Yes         Yes         Yes         No
V550      Atten To Tracheostomy              1/1/1991      77               Yes         Yes         Yes         Yes         Yes         Yes
V551      Atten To Gastrostomy               1/1/1991      176              Yes         Yes         Yes         Yes         Yes         Yes
V552      Atten To Ileostomy                 1/1/1991      176              Yes         Yes         Yes         Yes         Yes         Yes
V553      Atten To Colostomy                 1/1/1991      176              Yes         Yes         Yes         Yes         Yes         Yes
V554      Atten To Enterostomy Nec           1/1/1991      176              Yes         Yes         Yes         Yes         Yes         Yes
V555      Atten To Cystostomy                1/1/1991      176              Yes         Yes         Yes         Yes         Yes         Yes
V556      Atten To Urinostomy Nec            1/1/1991      176              Yes         Yes         Yes         Yes         Yes         Yes
V558      Attn To Artif Open Nec             1/1/1991      176              Yes         Yes         Yes         Yes         Yes         Yes
                                                                           CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                           HCC         HCC         HCC         HCC         HCC         HCC
                                                       CMS-                Model       Model       Model       Model       Model       Model
                                                       HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                               Diagnosis Code    Model      Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description            Effective Date   Category   Category Payment     Payment     Payment     Payment     Payment     Payment
V559      Attn To Artif Open Nos            1/1/1991      176              Yes         Yes         Yes         Yes         Yes         Yes
V56       Dialysis Encounter*               1/1/1991      130              Yes         Yes         Yes         Yes         Yes         No
V560      Renal Dialysis Encounter          1/1/1991      130              Yes         Yes         Yes         Yes         Yes         Yes
V561      Ft/Adj Xtrcorp Dial Cath          1/1/1991      130              Yes         Yes         Yes         Yes         Yes         Yes
V562      Fit/Adj Perit Dial Cath         10/1/1999       130              Yes         Yes         Yes         Yes         Yes         Yes
V563      Ras Assigned                      1/1/2001      130              Yes         Yes         Yes         Yes         Yes         No
V5631     Hemodialysis Testing            10/1/2001       130              Yes         Yes         Yes         Yes         Yes         Yes
V5632     Peritoneal Dialysis Test        10/1/2001       130              Yes         Yes         Yes         Yes         Yes         Yes
V568      Dialysis Encounter, Nec           1/1/1991      130              Yes         Yes         Yes         Yes         Yes         Yes
V5844     Aftercare Organ Transplt        10/1/2004                 187    No          No          No          No          No          No
V5867     Long-Term Use Of Insulin        10/1/2004        19        18    No          Yes         Yes         Yes         Yes         Yes
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Model       Model    Year 2004   Year 2005   Year 2006   Year 2007   Year 2008   Year 2009
CM Code   ICD9_Description    Effective Date Category   Category Payment     Payment     Payment     Payment     Payment     Payment
                                                                 CMS-        CMS-        CMS-        CMS-        CMS-        CMS-
                                                                 HCC         HCC         HCC         HCC         HCC         HCC
                                             CMS-                Model       Model       Model       Model       Model       Model
                                             HCC        RxHCC Calendar       Calendar    Calendar    Calendar    Calendar    Calendar
ICD-9-                       Diagnosis Code Mo