Family Practice Management Superbill Template From the

Document Sample
scope of work template
							Family Practice Management Superbill Template
From the American Academy of Family Practice (AAFP) Family Practice Management Toolkit
(http://www.aafp.org/fpm/20060900/43inse.html)
Date of service:                                          Waiver? l 
Patient name:                                             Insurance:
                                                          Subscriber name:
Address:                                                  Group #:                                                         Previous balance:
                                                          Copay:                                                           Today’s charges:
Phone:                                                    Account #:                                                       Today’s payment: check#
DOB:                      Age:          Sex:              Physician name:                                                  Balance due:

RANK   Office visit                        New     Est    RANK   Office procedures                                           RANK   Laboratory
       Minimal                                    99211          Anoscopy                                         46600             Venipuncture                                36415
       Problem focused                    99201   99212          Audiometry                                       92551             Blood glucose, monitoring device            82962
       Expanded problem focused           99202   99213          Cerumen removal                                  69210             Blood glucose, visual dipstick              82948
       Detailed                           99203   99214          Colposcopy                                       57452             CBC, w/ auto differential                   85025
       Comprehensive                      99204   99215          Colposcopy w/biopsy                              57455             CBC, w/o auto differential                  85027
       Comprehensive (new patient)        99205                  ECG, w/interpretation                            93000             Cholesterol                                 82465
       Significant, separate service        -25    -25           ECG, rhythm strip                                93040             Hemoccult, guaiac                           82270
       Well visit                          New     Est           Endometrial biopsy                               58100             Hemoccult, immunoassay                      82274
       <1y                                99381   99391          Flexible sigmoidoscopy                           45330             Hemoglobin A1C                              85018
       1-4 y                              99382   99392          Flexible sigmoidoscopy w/biopsy                  45331             Lipid panel                                 80061
       5-11 y                             99383   99393          Fracture care, cast/splint                      29_____            Liver panel                                 80076




                                                                                             E
       12-17 y                            99384   99394          Site: ____________________                                         KOH prep (skin, hair, nails)                87220
       18-39 y                            99385   99395          Nebulizer                                       94640              Metabolic panel, basic                      80048
       40-64 y                            99386   99396          Nebulizer demo                                  94664              Metabolic panel, comprehensive              80053
       65 y +                             99387   99397          Spirometry                                      94010              Mononucleosis                               86308
       Medicare preventive services                              Spirometry, pre and post                        94060              Pregnancy, blood                            84703
       Pap                                        Q0091          Tympanometry                                    92567              Pregnancy, urine                            81025
       Pelvic & breast
       Prostate/PSA
       Tobacco counseling/3-10 min
       Tobacco counseling/>10 min
       Welcome to Medicare exam
       ECG w/Welcome to Medicare exam
       Flexible sigmoidoscopy
                                                      PL
                                                  G0101
                                                  G0103
                                                  99406
                                                  99407
                                                  G0344
                                                  G0366
                                                  G0104
                                                                 Vasectomy
                                                                 Skin procedures
                                                                 Burn care, initial
                                                                 Foreign body, skin, simple
                                                                 Foreign body, skin, complex
                                                                 I&D, abscess
                                                                 I&D, hematoma/seroma
                                                                                                        16000
                                                                                                        10120
                                                                                                        10121
                                                                                                        10060
                                                                                                        10140
                                                                                                                 55250
                                                                                                                 Units
                                                                                                                                    Renal panel
                                                                                                                                    Sedimentation rate
                                                                                                                                    Strep, rapid
                                                                                                                                    Strep culture
                                                                                                                                    Strep A
                                                                                                                                    TB
                                                                                                                                    UA, complete, non-automated
                                                                                                                                                                                80069
                                                                                                                                                                                85651
                                                                                                                                                                                86403
                                                                                                                                                                                87081
                                                                                                                                                                                87880
                                                                                                                                                                                86580
                                                                                                                                                                                81000
       Hemoccult, guaiac                          G0107          Laceration repair, simple             120____                      UA, w/o micro, non-automated                81002
       Flu shot                                   G0008          Site: __________ Size: _____                                       UA, w/ micro, non-automated                 81003
       Pneumonia shot                             G0009          Laceration repair, layered            120____                      Urine colony count                          87086
  M
       Consultation/preop clearance                              Site: __________ Size: _____                                       Urine culture, presumptive                  87088
       Expanded problem focused                   99242          Lesion, biopsy, one                    11100                       Wet mount/KOH                               87210
       Detailed                                   99243          Lesion, biopsy, each add’l             11101                       Vaccines
       Comprehensive/mod complexity               99244          Lesion, destruct., benign, 1-14 17110                              DT, <7 y                                    90702
       Comprehensive/high complexity              99245          Lesion, destruct., premal., single 17000                           DTP                                         90701
       Other services                                            Lesion, destruct., premal., ea. add’l 17003                        DtaP, <7 y                                  90700
       After posted hours                         99050          Lesion, excision, benign              114____                      Flu, 6-35 months                            90657
SA

       Evening/weekend appointment                99051          Site: __________ Size: _____                                       Flu, 3 y +                                  90658
       Home health certification                  G0180          Lesion, excision, malignant           116____                      Hep A, adult                                90632
       Home health recertification                G0179          Site: __________ Size: _____                                       Hep A, ped/adol, 2 dose                     90633
       Post-op follow-up                          99024          Lesion, paring/cutting, one            11055                       Hep B, adult                                90746
       Prolonged/30-74 min                        99354          Lesion, paring/cutting, 2-4            11056                       Hep B, ped/adol 3 dose                      90744
       Special reports/forms                      99080          Lesion, shave                         113____                      Hep B-Hib                                   90748
       Disability/Workers comp                    99455          Site: __________ Size: _____                                       Hib, 4 dose                                 90645
       Radiology                                                 Nail removal, partial                  11730                       HPV                                         90649
                                                                 Nail removal, w/matrix                 11750                       IPV                                         90713
                                                                 Skin tag, 1-15                         11200                       MMR                                         90707
      Diagnoses                                                  Medications                                      Units             Pneumonia, >2 y                             90732
 1                                                               Ampicillin, up to 500mg                J0290                       Pneumonia conjugate, <5 y                   90669
 2                                                               B-12, up to 1,000 mcg                  J3420                       Td, >7 y                                    90718
 3                                                               Epinephrine, up to 1ml                 J0170                       Varicella                                   90716
 4                                                               Kenalog, 10mg                          J3301                       Immunizations & Injections                  Units
Next office visit                                                Lidocaine, 10mg                        J2001                       Allergen, one                       95115
Recheck       Prev      PRN      _______ D W      M   Y          Normal saline, 1000cc                  J7030                       Allergen, multiple                  95117
Instructions:                                                    Phenergan, up to 50mg                  J2550                       Imm admin, one                      90471
                                                                 Progesterone, 150mg                    J1055                       Imm admin, each add’l               90472
                                                                 Rocephin, 250mg                        J0696                       Imm admin, intranasal, one          90473
                                                                 Testosterone, 200mg                    J1080                       Imm admin, intranasal, each add’l   90474
Referral                                                         Tigan, up to 200 mg                    J3250                       Injection, joint, small             20600
To:                                                              Toradol, 15mg                          J1885                       Injection, joint, intermediate      20605
                                                                 Miscellaneous services                                             Injection, joint, major             20610
Instructions:
                                                                                                                                    Injection, ther/proph/diag          90772
                                                                                                                                    Injection, trigger point            20552
Physician signature                                                                                                                 Supplies


X ____________________________________________________
Infectious & Parasitic Diseases                    Mental Disorders                                    H66.006 Acute suppurative otitis media without
B00.9    Herpesviral infection, unspecified        F41.9   Anxiety disorder, unspecified                       spontaneous rupture of ear drum,
A60.9    Anogenital herpesviral infection          F90.0   Attention-deficit hyperactivity disorder,           recurrent, bilateral
B02.9    Zoster without complications                      predominantly inattentive type              H66.007 Acute suppurative otitis media without
B27.00 Gammaherpesviral mononucleosis              F90.9   Attention-deficit hyperactivity disorder,           spontaneous rupture of ear drum,
         without complication                              unspecified type                                    recurrent, unspecified ear
B27.01 Gammaherpesviral mononucleosis with         F03     Unspecified dementia                        H66.009 Acute suppurative otitis media without
         polyneuropathy                            F33.9   Major depressive disorder, recurrent,               spontaneous rupture of ear drum,
B27.02 Gammaherpesviral mononucleosis with                 unspecified                                         unspecified ear
         meningitis                                Nervous System & Sense Organ Disorders
B27.09 Gammaherpesviral mononucleosis with                                                             Circulatory System
         other complications                       Nervous System Diseases                             Arrythmias
B27.10 Cytomegaloviral mononucleosis without       G56.00 Carpal tunnel syndrome, unspecified          I48.0    Atrial fibrillation
         complications                                     side
B27.11 Cytomegaloviral mononucleosis with          G56.01 Carpal tunnel syndrome, right side           Cardiac
         polyneuropathy                            G56.02 Carpal tunnel syndrome, left side            I20.8   Other forms of angina pectoris
B27.12 Cytomegaloviral mononucleosis with          G40.90 Epilepsy, unspecified, not intractable       I20.9   Angina pectoris, unspecified
         meningitis                                G40.901 Epilepsy, unspecified, not intractable,     I25.701 Atherosclerosis of coronary artery
B27.19 Cytomegaloviral mononucleosis with                  with status epilepticus                             bypass graft(s), unspecified, with
         other complication                        G40.909 Epilepsy, unspecified, not intractable,             angina pectoris with documented
B27.80 Other infectious mononucleosis without              without status epilepticus                          spasm




                                                                                   E
         complication                              G43.90 Migraine, unspecified, not intractable       I25.111 Atherosclerotic heart disease of native
B27.81 Other infectious mononucleosis with         G44.039 Episodic paroxysmal hemicrania, not                 coronary artery with angina pectoris
         polyneuropathy                                    intractable Episodic paroxysmal                     with documented spasm
B27.82 Other infectious mononucleosis with                 hemicrania NOS                              I25.118 Atherosclerotic heart disease of native
         meningitis                                G44.049 Chronic paroxysmal hemicrania, not                  coronary artery with other forms of
B27.89 Other infectious mononucleosis with                 intractable Chronic paroxysmal                      angina pectoris
         other complication                                hemicrania NOS                              I25.119 Atherosclerotic heart disease of native
B27.90 Infectious mononucleosis, unspecified                                                                   coronary artery with unspecified angina
         without complication
B27.91 Infectious mononucleosis, unspecified




J02.0



J02.0
         with polyneuropathy
B27.92 Infectious mononucleosis, unspecified
         with meningitis
B27.99 Infectious mononucleosis, unspecified
         with other complication
         Streptococcal pharyngitis
J03.00 Acute streptococcal tonsillitis,
         unspecified
J03.01 Acute recurrent streptococcal tonsillitis
         Streptococcal sore throat
                                                   PL
                                                   Eye Diseases
                                                   H10.9   Unspecified conjunctivitis
                                                   H53.10 Unspecified subjective visual
                                                           disturbances
                                                   H53.11 Day blindness

                                                   Ear Diseases
                                                   H61.20 Impacted cerumen, unspecified ear
                                                   H61.21 Impacted cerumen, right ear
                                                   H61.22 Impacted cerumen, left ear
                                                   H61.23 Impacted cerumen, bilateral
                                                   H60.00 Abscess of external ear, unspecified
                                                                                                               pectoris
                                                                                                       I25.708 Atherosclerosis of coronary artery
                                                                                                               bypass graft(s), unspecified, with other
                                                                                                               forms of angina pectoris
                                                                                                       I25.709 Atherosclerosis of coronary artery
                                                                                                               bypass graft(s), unspecified, with
                                                                                                               unspecified angina pectoris
                                                                                                       I25.711 Atherosclerosis of autologous vein
                                                                                                               coronary artery bypass graft(s) with
                                                                                                               angina pectoris with documented
                                                                                                               spasm
                                                                                                       I25.718 Atherosclerosis of autologous vein
B97.8    Other viral agents as the cause of                 ear                                                coronary artery bypass graft(s) with
         diseases classified elsewhere             H60.01 Abscess of right external ear                        other forms of angina pectoris
                              M
B07      Viral warts                               H60.02 Abscess of left external ear                 I25.719 Atherosclerosis of autologous vein
                                                   H60.03 Abscess of external ear, bilateral                   coronary artery bypass graft(s) with
Neoplasms                                          H60.10 Cellulitis of external ear, unspecified              unspecified angina pectoris
Benign Neoplasms                                            ear                                        I25.721 Atherosclerosis of autologous artery
D49.2   Neoplasm of unspecified behavior of        H60.11 Cellulitis of right external ear                     coronary artery bypass graft(s) with
        bone, soft tissue, and skin                H60.12 Cellulitis of left external ear                      angina pectoris with documented
D23.9   Other benign neoplasm of skin,             H60.13 Cellulitis of external ear, bilateral                spasm
        unspecified                                H60.311 Diffuse otitis externa, right ear           I25.728 Atherosclerosis of autologous artery
                                                   H60.312 Diffuse otitis externa, left ear                    coronary artery bypass graft(s) with
SA

Endocrine, Nutritional & Metabolic Disorders       H60.313 Diffuse otitis externa, bilateral                   other forms of angina pectoris
                                                   H60.319 Diffuse otitis externa, unspecified ear     I25.729 Atherosclerosis of autologous artery
Endocrine                                          H60.32 Hemorrhagic otitis externa                           coronary artery bypass graft(s) with
E10.8   Type 1 diabetes mellitus with              H60.321 Hemorrhagic otitis externa, right ear               unspecified angina pectoris
        unspecified complications                  H60.322 Hemorrhagic otitis externa, left ear        I25.731 Atherosclerosis of nonautologous
E10.9   Type 1 diabetes mellitus without           H60.323 Hemorrhagic otitis externa, bilateral               biological coronary artery bypass
        complications                              H60.329 Hemorrhagic otitis externa, unspecified             graft(s) with angina pectoris with
E11.8   Type 2 diabetes mellitus with                       ear                                                documented spasm
        unspecified complications                  H60.391 Other infective otitis externa, right ear   I25.738 Atherosclerosis of nonautologous
E11.9   Type 2 diabetes mellitus without           H60.392 Other infective otitis externa, left ear            biological coronary artery bypass
        complications                              H60.393 Other infective otitis externa, bilateral           graft(s) with other forms of angina
E05.90 Thyrotoxicosis, unspecified without         H60.399 Other infective otitis externa,                     pectoris
        thyrotoxic crisis or storm                          unspecified ear                            I25.739 Atherosclerosis of nonautologous
E03.9   Hypothyroidism, unspecified                H66.001 Acute suppurative otitis media without              biological coronary artery bypass
                                                            spontaneous rupture of ear drum, right             graft(s) with unspecified angina pectoris
Metabolic/Other                                             ear                                        I25.751 Atherosclerosis of native coronary
M10.9 Gout, unspecified                            H66.002 Acute suppurative otitis media without              artery of transplanted heart with angina
E78.0    Pure hypercholesterolemia                          spontaneous rupture of ear drum, left              pectoris with documented spasm
E78.2    Mixed hyperlipidemia                               ear                                        I25.758 Atherosclerosis of native coronary
E66.1    Drug-induced obesity                      H66.003 Acute suppurative otitis media without              artery of transplanted heart with other
E66.9    Obesity, unspecified                               spontaneous rupture of ear drum,                   forms of angina pectoris
E66.3    Overweight                                         bilateral                                  I25.759 Atherosclerosis of native coronary
E66.09 Other obesity due to excess calories        H66.004 Acute suppurative otitis media without              artery of transplanted heart with
                                                            spontaneous rupture of ear drum,                   unspecified angina pectoris
Blood Diseases                                              recurrent, right ear                       I25.761 Atherosclerosis of bypass graft of
D64.9   Anemia, unspecified                        H66.005 Acute suppurative otitis media without              coronary artery of transplanted heart
                                                            spontaneous rupture of ear drum,                   with angina pectoris with documented
                                                            recurrent, left ear                                spasm




                                                                           2
I25.768 Atherosclerosis of bypass graft of         Digestive System                                       F52.21   Male erectile disorder
        coronary artery of transplanted heart      K92.1    Melena                                        N41.9    Inflammatory disease of prostate,
        with other forms of angina pectoris        K59.00 Constipation, unspecified                                unspecified
I25.769 Atherosclerosis of bypass graft of         K57.30 Diverticulosis of large intestine without
        coronary artery of transplanted heart              perforation or abscess without bleeding        Breast Diseases
        with unspecified angina pectoris           K57.50 Diverticulosis of both small and large          N63      Unspecified lump in breast
I25.791 Atherosclerosis of other coronary artery           intestine without perforation or abscess
        bypass graft(s) with angina pectoris               without bleeding                               Female Genital Organ Diseases
        with documented spasm                      K57.90 Diverticulosis of intestine, part               Z87.44 Personal history of cervical dysplasia
I25.798 Atherosclerosis of other coronary artery           unspecified, without perforation or            N72     Inflammatory disease of cervix uteri
        bypass graft(s) with other forms of                abscess without bleeding                       N87.9   Dysplasia of cervix uteri, unspecified
        angina pectoris                            K57.20 Diverticulitis of large intestine with          N76.0   Acute vaginitis
I25.799 Atherosclerosis of other coronary artery           perforation and abscess without                N76.1   Subacute and chronic vaginitis
        bypass graft(s) with unspecified angina            bleeding                                       N76.2   Acute vulvitis
        pectoris                                   K57.40 Diverticulitis of both small and large          N76.3   Subacute and chronic vulvitis
I50.9   Heart failure, unspecified                         intestine with perforation and abscess         N76.4   Abscess of vulva
I35.0   Nonrheumatic aortic (valve) stenosis               without bleeding
I35.1   Nonrheumatic aortic (valve)                K57.52 Diverticulitis of both small and large          Disorders of Menstruation
        insufficiency                                      intestine without perforation or abscess       N91.0    Primary amenorrhea
I35.2   Nonrheumatic aortic (valve) stenosis               without bleeding                               N91.1    Secondary amenorrhea
        with insufficiency                         K57.80 Diverticulitis of intestine, part               N91.2    Amenorrhea, unspecified




                                                                                    E
I35.8   Other nonrheumatic aortic valve                    unspecified, with perforation and              N95.9    Unspecified menopausal and
        disorders                                          abscess without bleeding                                perimenopausal disorder
I35.9   Nonrheumatic aortic valve disorder,        K57.92 Diverticulitis of intestine, part               N92.0    Excessive and frequent menstruation
        unspecified                                        unspecified, without perforation or                     with regular cycle
I39     Endocarditis and heart valve disorders             abscess without bleeding                       N92.1    Excessive and frequent menstruation
        in diseases classified elsewhere           K29.70 Gastritis, unspecified, without bleeding                 with irregular cycle
I25.9   Chronic ischemic heart disease,            K29.90 Gastroduodenitis, unspecified, without          N94.4    Primary dysmenorrhea
        unspecified                                        bleeding                                       N94.5    Secondary dysmenorrhea

Vascular
R03.0

I10
I95.1
I73.9

I80.9

I87.2
         Elevated blood-pressure reading,
         without diagnosis of hypertension
         Essential (primary) hypertension
         Orthostatic hypotension
         Peripheral vascular disease,
         unspecified
         Phlebitis and thrombophlebitis of
         unspecified site
         Venous insufficiency (chronic)
         (peripheral)
                                                   PL
                                                   K52.8

                                                   K52.9

                                                   K21.9



                                                   K58.0
                                                   K58.9
                                                            Other specified noninfective
                                                           gastroenteritis and colitis
                                                            Noninfective gastroenteritis and colitis,
                                                           unspecified
                                                            Gastro-esophageal reflux disease
                                                           without esophagitis
                                                   I84.20 Unspecified hemorrhoids without
                                                           complication
                                                            Irritable bowel syndrome with diarrhea
                                                            Irritable bowel syndrome without
                                                           diarrhea
                                                                                                          N94.6
                                                                                                          N92.1
                                                                                                                   Dysmenorrhea, unspecified
                                                                                                                   Excessive and frequent menstruation
                                                                                                                   with irregular cycle

                                                                                                          Pregnancy, Childbirth
                                                                                                          O46.90 Antepartum hemorrhage, unspecified,

                                                                                                          Z39.2

                                                                                                          Z33.1
                                                                                                                  unspecified trimester
                                                                                                                  Encounter for routine postpartum
                                                                                                                  follow-up
                                                                                                                  Pregnant state, incidental
                                                                                                          Z34.00 Encounter for supervision of normal
                                                                                                                  first pregnancy, unspecified trimester
I87.9    Disorder of vein, unspecified             Genitourinary System                                   Z34.01 Encounter for supervision of normal
                                                   Urinary System Diseases                                        first pregnancy, unspecified trimester
                             M
Respiratory System                                 N20.2    Calculus of kidney with calculus of           Z34.02 Encounter for supervision of normal
Lower Respiratory Tract                                     ureter                                                first pregnancy, second trimester
J45.909 Unspecified asthma, uncomplicated          N20.9    Urinary calculus, unspecified                 Z34.03 Encounter for supervision of normal
J45.998 Other asthma                               N30.00 Acute cystitis without hematuria                        first pregnancy, third trimester
J20.0   Acute bronchitis due to Mycoplasma         N30.01 Acute cystitis with hematuria                   V22.1   Prenatal care, normal, other pregnancy
        pneumoniae                                 R31.0    Gross hematuria                               Z34.80 Encounter for supervision of other
J20.1   Acute bronchitis due to Hemophilus         R31.1    Benign essential microscopic hematuria                normal pregnancy, unspecified
        influenzae                                 R31.2    Other microscopic hematuria                           trimester
J20.2   Acute bronchitis due to streptococcus      R31.9    Hematuria, unspecified                        Z34.81 Encounter for supervision of other
SA

J20.3   Acute bronchitis due to coxsackievirus     N28.9    Disorder of kidney and ureter,                        normal pregnancy, first trimester
J20.4   Acute bronchitis due to parainfluenza               unspecified                                   Z34.82 Encounter for supervision of other
        virus                                      N29      Other disorders of kidney and ureter in               normal pregnancy, second trimester
J20.5   Acute bronchitis due to respiratory                 diseases classified elsewhere                 Z34.83 Encounter for supervision of other
        syncytial virus                            N39.0    Urinary tract infection, site not specified           normal pregnancy, third trimester
J20.6   Acute bronchitis due to rhinovirus                                                                Z34.90 Encounter for supervision of normal
J20.7   Acute bronchitis due to echovirus          Male Genital Organ Diseases                                    pregnancy, unspecified, unspecified
J20.8   Acute bronchitis due to other specified    N52.01 Erectile dysfunction due to arterial                    trimester
        organisms                                          insufficiency                                  Z34.91 Encounter for supervision of normal
J20.9   Acute bronchitis, unspecified              N52.02 Corporo-venous occlusive erectile                       pregnancy, unspecified, first trimester
J44.9   Chronic obstructive pulmonary disease,             dysfunction                                    Z34.92 Encounter for supervision of normal
        unspecified                                N52.03 Combined arterial insufficiency and                     pregnancy, unspecified, second
J18.8   Other pneumonia, unspecified                       corporo-venous occlusive erectile                      trimester
        organism                                           dysfunction                                    Z34.93 Encounter for supervision of normal
J18.9   Pneumonia, unspecified organism            N52.1   Erectile dysfunction due to diseases                   pregnancy, unspecified, third trimester
                                                           classified elsewhere
Upper Respiratory Tract                            N52.2   Drug-induced erectile dysfunction              Skin, Subcutaneous Tissue
J02.8   Acute pharyngitis due to other specified   N52.31 Erectile dysfunction following radical          L70.0   Acne vulgaris
        organisms                                          prostatectomy                                  L70.1   Acne conglobata
J02.9   Acute pharyngitis, unspecified             N52.32 Erectile dysfunction following radical          L70.3   Acne tropica
J30.0   Vasomotor rhinitis                                 cystectomy                                     L70.4   Infantile acne
J30.9   Allergic rhinitis, unspecified             N52.33 Erectile dysfunction following urethral         L70.5   Acné excoriée des jeunes filles
J01.90 Acute sinusitis, unspecified                        surgery                                        L70.8   Other acne
J01.91 Acute recurrent sinusitis, unspecified      N52.34 Erectile dysfunction following simple           L70.9   Acne, unspecified
J01.80 Other acute sinusitis                               prostatectomy                                  L73.0   Acne keloid
J01.81 Other acute recurrent sinusitis             N52.39 Other post-surgical erectile dysfunction        L57.0   Actinic keratosis
J06.9   Acute upper respiratory infection,         N53.8   Other male sexual dysfunction                  L03.90 Cellulitis, unspecified
        unspecified                                N53.9   Unspecified male sexual dysfunction            L03.91 Acute lymphangitis, unspecified




                                                                            3
L03.129 Acute lymphangitis of unspecified part     M60.859 Other myositis, unspecified thigh           M05.76 Rheumatoid arthritis with rheumatoid
        of limb                                    M60.861 Other myositis, right lower leg                     factor of knee without organ or systems
L03.119 Cellulitis of unspecified part of limb     M60.862 Other myositis, left lower leg                      involvement
L98.3   Eosinophilic cellulitis [Wells]            M60.869 Other myositis, unspecified lower leg       M05.761 Rheumatoid arthritis with rheumatoid
L23.9   Allergic contact dermatitis, unspecified   M60.871 Other myositis, right ankle and foot                factor of right knee without organ or
        cause                                      M60.872 Other myositis, left ankle and foot                 systems involvement
L24.9   Irritant contact dermatitis, unspecified   M60.879 Other myositis, unspecified ankle and       M05.762 Rheumatoid arthritis with rheumatoid
        cause                                              foot                                                factor of left knee without organ or
L25.9   Unspecified contact dermatitis,            M60.88 Other myositis, Other site                           systems involvement
        unspecified cause                          M60.89 Other myositis, multiple sites               M05.769 Rheumatoid arthritis with rheumatoid
L30.0   Nummular dermatitis                        M60.9 Myositis, unspecified                                 factor of unspecified knee without
L30.2   Cutaneous autosensitization                M79.1 Myalgia                                               organ or systems involvement
L30.8   Other specified dermatitis                 M79.7 Fibromyalgia                                  M05.77 Rheumatoid arthritis with rheumatoid
L30.9   Dermatitis, unspecified                    M15.9 Polyosteoarthritis, unspecified                       factor of ankle and foot without organ or
L20.8   Other atopic dermatitis                    M19.90 Unspecified osteoarthritis, unspecified              systems involvement
L20.81 Atopic neurodermatitis                              site                                        M05.771 Rheumatoid arthritis with rheumatoid
L20.82 Flexural eczema                             M81.8 Other osteoporosis without current                    factor of right ankle and foot without
L20.83 Infantile (acute) (chronic) eczema                  pathological fracture                               organ or systems involvement
L20.84 Intrinsic (allergic) eczema                 M05.70 Rheumatoid arthritis with rheumatoid         M05.772 Rheumatoid arthritis with rheumatoid
L20.89 Other atopic dermatitis                             factor of unspecified site without organ            factor of left ankle and foot without
L20.9   Atopic dermatitis, unspecified                     or systems involvement                              organ or systems involvement




                                                                                  E
L21.8   Other seborrheic dermatitis                M05.71 Rheumatoid arthritis with rheumatoid         M05.779 Rheumatoid arthritis with rheumatoid
L60.0   Ingrowing nail                                     factor of shoulder without organ or                 factor of unspecified ankle and foot
B35.1   Tinea unguium                                      systems involvement                                 without organ or systems involvement
L44.9   Papulosquamous disorder, unspecified       M05.711 Rheumatoid arthritis with rheumatoid        M05.79 Rheumatoid arthritis with rheumatoid
L45     Papulosquamous disorders in diseases               factor of right shoulder without organ or           factor of multiple sites without organ or
        classified elsewhere                               systems involvement                                 systems involvement
L98.9   Disorder of the skin and subcutaneous      M05.712 Rheumatoid arthritis with rheumatoid        M05.80 Other rheumatoid arthritis with
        tissue, unspecified                                factor of left shoulder without organ or            rheumatoid factor of unspecified site
L40.0
L40.1
L40.2
L40.3
L40.4
L40.8
L40.9
L71.0
L71.1
L71.8
L71.9
L72.0
        Psoriasis vulgaris
        Generalized pustular psoriasis
        Acrodermatitis continua
        Pustulosis palmaris et plantaris
        Guttate psoriasis
        Other psoriasis
        Psoriasis, unspecified
        Perioral dermatitis
        Rhinophyma
        Other rosacea
        Rosacea, unspecified
        Epidermal cyst
                                                   PL      systems involvement
                                                   M05.719 Rheumatoid arthritis with rheumatoid
                                                           factor of unspecified shoulder without
                                                           organ or systems involvement
                                                   M05.721 Rheumatoid arthritis with rheumatoid
                                                           factor of right elbow without organ or
                                                           systems involvement
                                                   M05.722 Rheumatoid arthritis with rheumatoid
                                                           factor of left elbow without organ or
                                                           systems involvement
                                                   M05.729 Rheumatoid arthritis with rheumatoid
                                                           factor of unspecified elbow without
                                                                                                       M05.811 Other rheumatoid arthritis with
                                                                                                               rheumatoid factor of right shoulder
                                                                                                       M05.812 Other rheumatoid arthritis with
                                                                                                               rheumatoid factor of left shoulder
                                                                                                       M05.819 Other rheumatoid arthritis with
                                                                                                               rheumatoid factor of unspecified
                                                                                                               shoulder
                                                                                                       M05.82 Other rheumatoid arthritis with
                                                                                                               rheumatoid factor of elbow
                                                                                                       M05.821 Other rheumatoid arthritis with
                                                                                                               rheumatoid factor of right elbow
                                                                                                       M05.822 Other rheumatoid arthritis with
L72.1   Trichodermal cyst                                  organ or systems involvement                        rheumatoid factor of left elbow
L72.2   Steatocystoma multiplex                    M05.73 Rheumatoid arthritis with rheumatoid         M05.829 Other rheumatoid arthritis with
                             M
L72.8   Other follicular cysts of the skin and             factor of wrist without organ or systems            rheumatoid factor of unspecified elbow
        subcutaneous tissue                                involvement                                 M05.83 Other rheumatoid arthritis with
L72.9   Follicular cyst of the skin and            M05.731 Rheumatoid arthritis with rheumatoid                rheumatoid factor of wrist
        subcutaneous tissue, unspecified                   factor of right wrist without organ or      M05.831 Other rheumatoid arthritis with
L82.0   Inflamed seborrheic keratosis                      systems involvement                                 rheumatoid factor of right wrist
L82.1   Other seborrheic keratosis                 M05.732 Rheumatoid arthritis with rheumatoid        M05.832 Other rheumatoid arthritis with
L98.491 Non-pressure chronic ulcer of skin of              factor of left wrist without organ or               rheumatoid factor of left wrist
        other sites limited to breakdown of skin           systems involvement                         M05.839 Other rheumatoid arthritis with
L98.492 Non-pressure chronic ulcer of skin of      M05.739 Rheumatoid arthritis with rheumatoid                rheumatoid factor of unspecified wrist
SA

        other sites with fat layer exposed                 factor of unspecified wrist without organ   M05.84 Other rheumatoid arthritis with
L98.493 Non-pressure chronic ulcer of skin of              or systems involvement                              rheumatoid factor of hand
        other sites with necrosis of muscle        M05.74 Rheumatoid arthritis with rheumatoid         M05.841 Other rheumatoid arthritis with
L98.494 Non-pressure chronic ulcer of skin of              factor of hand without organ or systems             rheumatoid factor of right hand
        other sites with necrosis of bone                  involvement                                 M05.842 Other rheumatoid arthritis with
L98.499 Non-pressure chronic ulcer of skin of      M05.741 Rheumatoid arthritis with rheumatoid                rheumatoid factor of left hand
        other sites with unspecified severity              factor of right hand without organ or       M05.849 Other rheumatoid arthritis with
L50.9   Urticaria, unspecified                             systems involvement                                 rheumatoid factor of unspecified hand
                                                   M05.742 Rheumatoid arthritis with rheumatoid        M05.85 Other rheumatoid arthritis with
Musculoskeletal & Connective Tissue                        factor of left hand without organ or                rheumatoid factor of hip
                                                           systems involvement                         M05.851 Other rheumatoid arthritis with
General                                            M05.749 Rheumatoid arthritis with rheumatoid                rheumatoid factor of right hip
M12.9 Arthropathy, unspecified                             factor of unspecified hand without          M05.852 Other rheumatoid arthritis with
M60.80 Other myositis, unspecified site                    organ or systems involvement                        rheumatoid factor of left hip
M60.811 Other myositis, right shoulder             M05.75 Rheumatoid arthritis with rheumatoid         M05.859 Other rheumatoid arthritis with
M60.812 Other myositis, left shoulder                      factor of hip without organ or systems              rheumatoid factor of unspecified hip
M60.819 Other myositis, unspecified shoulder               involvement                                 M05.86 Other rheumatoid arthritis with
M60.821 Other myositis, right upper arm            M05.751 Rheumatoid arthritis with rheumatoid                rheumatoid factor of knee
M60.822 Other myositis, left upper arm                     factor of right hip without organ or        M05.861 Other rheumatoid arthritis with
M60.829 Other myositis, unspecified upper arm              systems involvement                                 rheumatoid factor of right knee
M60.831 Other myositis, right forearm              M05.752 Rheumatoid arthritis with rheumatoid        M05.862 Other rheumatoid arthritis with
M60.832 Other myositis, left forearm                       factor of left hip without organ or                 rheumatoid factor of left knee
M60.839 Other myositis, unspecified forearm                systems involvement                         M05.869 Other rheumatoid arthritis with
M60.841 Other myositis, right hand                 M05.759 Rheumatoid arthritis with rheumatoid                rheumatoid factor of unspecified knee
M60.842 Other myositis, left hand                          factor of unspecified hip without organ     M05.87 Other rheumatoid arthritis with
M60.849 Other myositis, unspecified hand                   or systems involvement                              rheumatoid factor of ankle and foot
M60.851 Other myositis, right thigh
M60.852 Other myositis, left thigh




                                                                          4
M05.871 Other rheumatoid arthritis with            M06.219 Rheumatoid bursitis, unspecified             M06.83 Other specified rheumatoid arthritis,
        rheumatoid factor of right ankle and               shoulder                                             wrist
        foot                                       M06.22 Rheumatoid bursitis, elbow                    M06.831 Other specified rheumatoid arthritis,
M05.872 Other rheumatoid arthritis with            M06.221 Rheumatoid bursitis, right elbow                     right wrist
        rheumatoid factor of left ankle and foot   M06.222 Rheumatoid bursitis, left elbow              M06.832 Other specified rheumatoid arthritis, left
M05.879 Other rheumatoid arthritis with            M06.229 Rheumatoid bursitis, unspecified elbow               wrist
        rheumatoid factor of unspecified ankle     M06.23 Rheumatoid bursitis, wrist                    M06.839 Other specified rheumatoid arthritis,
        and foot                                   M06.231 Rheumatoid bursitis, right wrist                     unspecified wrist
M05.89 Other rheumatoid arthritis with             M06.232 Rheumatoid bursitis, left wrist              M06.84 Other specified rheumatoid arthritis,
        rheumatoid factor of multiple sites        M06.239 Rheumatoid bursitis, unspecified wrist               hand
M05.9 Rheumatoid arthritis with rheumatoid         M06.24 Rheumatoid bursitis, hand                     M06.841 Other specified rheumatoid arthritis,
        factor, unspecified                        M06.241 Rheumatoid bursitis, right hand                      right hand
M06.00 Rheumatoid arthritis without                M06.242 Rheumatoid bursitis, left hand               M06.842 Other specified rheumatoid arthritis, left
        rheumatoid factor, unspecified site        M06.249 Rheumatoid bursitis, unspecified hand                hand
M06.01 Rheumatoid arthritis without                M06.25 Rheumatoid bursitis, hip                      M06.849 Other specified rheumatoid arthritis,
        rheumatoid factor, shoulder                M06.251 Rheumatoid bursitis, right hip                       unspecified hand
M06.011 Rheumatoid arthritis without               M06.252 Rheumatoid bursitis, left hip                M06.85 Other specified rheumatoid arthritis, hip
        rheumatoid factor, right shoulder          M06.259 Rheumatoid bursitis, unspecified hip         M06.851 Other specified rheumatoid arthritis,
M06.012 Rheumatoid arthritis without               M06.26 Rheumatoid bursitis, knee                             right hip
        rheumatoid factor, left shoulder           M06.261 Rheumatoid bursitis, right knee              M06.852 Other specified rheumatoid arthritis, left
M06.019 Rheumatoid arthritis without               M06.262 Rheumatoid bursitis, left knee                       hip




                                                                                   E
        rheumatoid factor, unspecified shoulder    M06.269 Rheumatoid bursitis, unspecified knee        M06.859 Other specified rheumatoid arthritis,
M06.021 Rheumatoid arthritis without               M06.27 Rheumatoid bursitis, ankle and foot                   unspecified hip
        rheumatoid factor, right elbow             M06.271 Rheumatoid bursitis, right ankle and         M06.86 Other specified rheumatoid arthritis,
M06.022 Rheumatoid arthritis without                       foot                                                 knee
        rheumatoid factor, left elbow              M06.272 Rheumatoid bursitis, left ankle and foot     M06.861 Other specified rheumatoid arthritis,
M06.029 Rheumatoid arthritis without               M06.279 Rheumatoid bursitis, unspecified ankle               right knee
        rheumatoid factor, unspecified elbow               and foot                                     M06.862 Other specified rheumatoid arthritis, left
M06.03 Rheumatoid arthritis without                M06.28 Rheumatoid bursitis, vertebrae                        knee
        rheumatoid factor, wrist
M06.031 Rheumatoid arthritis without
        rheumatoid factor, right wrist
M06.032 Rheumatoid arthritis without
        rheumatoid factor, left wrist
M06.039 Rheumatoid arthritis without
        rheumatoid factor, unspecified wrist
M06.04 Rheumatoid arthritis without
        rheumatoid factor, hand
M06.041 Rheumatoid arthritis without
        rheumatoid factor, right hand
M06.042 Rheumatoid arthritis without
                                                   PL
                                                   M06.29 Rheumatoid bursitis, multiple sites
                                                   M06.30 Rheumatoid nodule, unspecified site
                                                   M06.31 Rheumatoid nodule, shoulder
                                                   M06.311 Rheumatoid nodule, right shoulder
                                                   M06.312 Rheumatoid nodule, left shoulder
                                                   M06.319 Rheumatoid nodule, unspecified
                                                           shoulder
                                                   M06.32 Rheumatoid nodule, elbow
                                                   M06.321 Rheumatoid nodule, right elbow
                                                   M06.322 Rheumatoid nodule, left elbow
                                                   M06.329 Rheumatoid nodule, unspecified elbow
                                                   M06.33 Rheumatoid nodule, wrist
                                                                                                        M06.869 Other specified rheumatoid arthritis,

                                                                                                        M06.87




                                                                                                        M06.88
                                                                                                        M06.89
                                                                                                                unspecified knee
                                                                                                                  Other specified rheumatoid arthritis,
                                                                                                                  ankle and foot
                                                                                                        M06.871 Other specified rheumatoid arthritis,
                                                                                                                  right ankle and foot
                                                                                                        M06.872 Other specified rheumatoid arthritis,
                                                                                                                  left ankle and foot
                                                                                                        M06.879 Other specified rheumatoid arthritis,
                                                                                                                  unspecified ankle and foot
                                                                                                                  Other specified rheumatoid arthritis,
                                                                                                                  Other specified rheumatoid arthritis,
        rheumatoid factor, left hand               M06.331 Rheumatoid nodule, right wrist                         multiple sites
M06.049 Rheumatoid arthritis without               M06.332 Rheumatoid nodule, left wrist                M06.9     Rheumatoid arthritis, unspecified
                             M
        rheumatoid factor, unspecified hand        M06.339 Rheumatoid nodule, unspecified wrist         M65.9     Synovitis and tenosynovitis,
M06.05 Rheumatoid arthritis without                M06.34 Rheumatoid nodule, hand                                 unspecified
        rheumatoid factor, hip                     M06.341 Rheumatoid nodule, right hand
M06.051 Rheumatoid arthritis without               M06.342 Rheumatoid nodule, left hand                 Lower Extremity
        rheumatoid factor, right hip               M06.349 Rheumatoid nodule, unspecified hand          M79.601 Pain in right arm
M06.052 Rheumatoid arthritis without               M06.352 Rheumatoid nodule, left hip                  M79.602 Pain in left arm
        rheumatoid factor, left hip                M06.359 Rheumatoid nodule, unspecified hip           M79.603 Pain in arm, unspecified
M06.059 Rheumatoid arthritis without               M06.36 Rheumatoid nodule, knee                       M79.604 Pain in right leg
        rheumatoid factor, unspecified hip         M06.361 Rheumatoid nodule, right knee                M79.605 Pain in left leg
SA

M06.06 Rheumatoid arthritis without                M06.362 Rheumatoid nodule, left knee                 M79.606 Pain in leg, unspecified
        rheumatoid factor, knee                    M06.369 Rheumatoid nodule, unspecified knee          M79.609 Pain in unspecified limb
M06.061 Rheumatoid arthritis without               M06.37 Rheumatoid nodule, ankle and foot             M79.621 Pain in right upper arm
        rheumatoid factor, right knee              M06.371 Rheumatoid nodule, right ankle and           M79.622 Pain in left upper arm
M06.062 Rheumatoid arthritis without                       foot                                         M79.629 Pain in unspecified upper arm
        rheumatoid factor, left knee               M06.372 Rheumatoid nodule, left ankle and foot       M79.631 Pain in right forearm
M06.069 Rheumatoid arthritis without               M06.379 Rheumatoid nodule, unspecified ankle         M79.632 Pain in left forearm
        rheumatoid factor, unspecified knee                and foot                                     M79.639 Pain in unspecified forearm
M06.07 Rheumatoid arthritis without                M06.38 Rheumatoid nodule, vertebrae                  M79.641 Pain in right hand
        rheumatoid factor, ankle and foot          M06.39 Rheumatoid nodule, multiple sites             M79.642 Pain in left hand
M06.071 Rheumatoid arthritis without               M06.80 Other specified rheumatoid arthritis,         M79.643 Pain in unspecified hand
        rheumatoid factor, right ankle and foot            unspecified site                             M79.644 Pain in right finger(s)
M06.072 Rheumatoid arthritis without               M06.81 Other specified rheumatoid arthritis,         M79.645 Pain in left finger(s)
        rheumatoid factor, left ankle and foot             shoulder                                     M79.646 Pain in unspecified (s)
M06.079 Rheumatoid arthritis without               M06.811 Other specified rheumatoid arthritis,        M79.651 Pain in right thigh
        rheumatoid factor, unspecified ankle               right shoulder                               M79.652 Pain in left thigh
        and foot                                   M06.812 Other specified rheumatoid arthritis, left   M79.659 Pain in unspecified thigh
M06.08 Rheumatoid arthritis without                        shoulder                                     M79.661 Pain in right lower leg
        rheumatoid factor, vertebrae               M06.819 Other specified rheumatoid arthritis,        M79.662 Pain in left lower leg
M06.09 Rheumatoid arthritis without                        unspecified shoulder                         M79.669 Pain in unspecified lower leg
        rheumatoid factor, multiple sites          M06.82 Other specified rheumatoid arthritis,         M79.671 Pain in right foot
M06.1 Adult-onset Still's disease                          elbow                                        M79.672 Pain in left foot
M06.2 Rheumatoid bursitis                          M06.821 Other specified rheumatoid arthritis,        M79.673 Pain in unspecified foot
M06.20 Rheumatoid bursitis, unspecified site               right elbow                                  M79.674 Pain in right toe(s)
M06.21 Rheumatoid bursitis, shoulder               M06.822 Other specified rheumatoid arthritis, left   M79.675 Pain in left toe(s)
M06.211 Rheumatoid bursitis, right shoulder                elbow                                        M79.676 Pain in unspecified toe(s)
M06.212 Rheumatoid bursitis, left shoulder         M06.829 Other specified rheumatoid arthritis,
                                                           unspecified elbow




                                                                           5
Spine/Torso                                           G44.321 Chronic post-traumatic headache,         S93.409A Sprain of unspecified ligament of
M54.14    Radiculopathy, thoracic region                      intractable                                       unspecified ankle; initial encounter
M54.15    Radiculopathy, thoracolumbar region         G44.329 Chronic post-traumatic headache, not     S93.409D Sprain of unspecified ligament of
M54.16    Radiculopathy, lumbar region                        intractable                                       unspecified ankle; subsequent
M54.17    Radiculopathy, lumbosacral region           G44.40  Drug-induced headache, not                        encounter
M51.14    Intervertebral disc disorders with                  elsewhere classified, not intractable    S96.919A Strain of unspecified muscle and
          radiculopathy, thoracic region              G44.41  Drug-induced headache, not                        tendon at ankle and foot level,
M51.15    Intervertebral disc disorders with                  elsewhere classified, intractable                 unspecified side; initial encounter
          radiculopathy, thoracolumbar region         G44.51  Hemicrania continua                      S96.919D Strain of unspecified muscle and
M51.16    Intervertebral disc disorders with          G44.52  New daily persistent headache                     tendon at ankle and foot level,
          radiculopathy, lumbar region                        (NDPH)                                            unspecified side; subsequent
M51.17    Intervertebral disc disorders with          G44.53  Primary thunderclap headache                      encounter
          radiculopathy, lumbosacral region           G44.59  Other complicated headache               S93.609A Unspecified sprain of unspecified foot;
M53.9     Dorsopathy, unspecified                             syndrome                                          initial encounter
                                                      G44.81  Hypnic headache                          S93.609D Unspecified sprain of unspecified foot;
Upper Extremity                                       G44.82  Headache associated with sexual                   subsequent encounter
M75.10    Rotator cuff syndrome, unspecified                  activity                                 S63.90A Initial encounter; Sprain of
          shoulder                                    G44.83  Primary cough headache                            unspecified part of unspecified wrist
M75.11    Rotator cuff syndrome, right shoulder       G44.84  Primary exertional headache                       and hand
M75.12    Rotator cuff syndrome, left shoulder        G44.85  Primary stabbing headache                S63.90D Subsequent encounter; Sprain of
                                                      G44.89  Other headache syndrome                           unspecified part of unspecified wrist




                                                                                        E
Perinatal (Infant)                                    R32     Unspecified urinary incontinence                  and hand
P92.0      Vomiting of newborn                        R22.0   Localized swelling, mass and lump,       S63.509A Initial encounter; Unspecified sprain
P92.1      Regurgitation and rumination of                    head                                              of unspecified wrist
           newborn                                    R22.1   Localized swelling, mass and lump,       S63.509D Subsequent encounter; Unspecified
P92.2      Slow feeding of newborn                            neck                                              sprain of unspecified wrist
P92.3      Underfeeding of newborn                    R22.2   Localized swelling, mass and lump,       S66.919A Strain of unspecified muscle, fascia
P92.4      Overfeeding of newborn                             trunk                                             and tendon at wrist and hand level of
P92.5      Neonatal difficulty in feeding at breast   R22.30  Localized swelling, mass and lump,                unspecified side; Initial encounter
P92.8
P92.9


Signs & Symptoms
R10.0
R10.83
R10.9
R87.619 Unspecified abnormal cytological


M25.50
           Other feeding problems of newborn
           Feeding problem of newborn,
           unspecified


         Acute abdomen
         Colic
         Unspecified abdominal pain

         findings in specimens from cervix
         uteri
         Pain in unspecified joint
                                                      PL
                                                      R22.31

                                                      R22.32

                                                      R22.33

                                                      R22.40

                                                      R22.41

                                                      R22.42
                                                              upper limb, unspecified side
                                                              Localized swelling, mass and lump,
                                                              right upper limb
                                                              Localized swelling, mass and lump,
                                                              left upper limb
                                                              Localized swelling, mass and lump,
                                                              upper limb, bilateral
                                                              Localized swelling, mass and lump,
                                                              lower limb, unspecified side
                                                              Localized swelling, mass and lump,
                                                              right lower limb
                                                              Localized swelling, mass and lump,
                                                                                                       S66.919D Strain of unspecified muscle, fascia
                                                                                                                and tendon at wrist and hand level of
                                                                                                                unspecified side; Subsequent
                                                                                                                encounter
                                                                                                       S83.90A Initial encounter; Sprain of
                                                                                                                unspecified site of knee, unspecified
                                                                                                                side
                                                                                                       S83.90D Subsequent encounter; Sprain of
                                                                                                                unspecified site of knee, unspecified
                                                                                                       S86.919A Initial encounter; Strain of
                                                                                                                unspecified muscle(s) and tendon(s)
                                                                                                                at lower leg level, unspecified leg
K62.5    Hemorrhage of anus and rectum                        left lower limb                          S86.919D Subsequent encounter; Strain of
R07.81   Pleurodynia                                  R22.43  Localized swelling, mass and lump,                unspecified muscle(s) and tendon(s)
                               M
R07.82   Intercostal pain                                     lower limb, bilateral                             at lower leg level, unspecified leg
R07.89   Other chest pain                             R22.9   Localized swelling, mass and lump,       S16.1A   Initial encounter; Strain of muscle,
R07.9    Chest pain, unspecified                              unspecified                                       fascia and tendon at neck level
R05      Cough                                        R59.0   Localized enlarged lymph nodes           S16.1D   Subsequent encounter; Strain of
R19.7    Diarrhea, unspecified                        R59.1   Generalized enlarged lymph nodes                  muscle, fascia and tendon at neck
R42      Dizziness and giddiness                      R59.9   Enlarged lymph nodes, unspecified                 level
R13.10   Dysphagia, unspecified                       R53.0   Neoplastic (malignant) related fatigue   S13.4A   Initial encounter; Sprain of ligaments
R13.11   Dysphagia, oral phase                        R53.1   Weakness                                          of cervical spine
R13.12   Dysphagia, oropharyngeal phase               R53.2   Functional quadriplegia                  S13.4D   Subsequent encounter; Sprain of
SA

R13.13   Dysphagia, pharyngeal phase                  R53.81  Other malaise                                     ligaments of cervical spine
R13.14   Dysphagia, pharyngoesophageal                R53.83  Other fatigue                            S13.8A   Initial encounter; Sprain of joints and
         phase                                        G93.3   Postviral fatigue syndrome                        ligaments of other parts of neck
R13.19   Other dysphagia                              R11.1   Nausea alone                             S13.8D   Subsequent encounter; Sprain of
R30.0    Dysuria                                      R11.0   Nausea with vomiting                              joints and ligaments of other parts of
R30.9    Painful micturition, unspecified             M25.561 Pain in right knee                                neck
R60.0    Localized edema                              M25.562 Pain in left knee                        S43.409A Initial encounter; Unspecified sprain
R60.1    Generalized edema                            M25.569 Pain in unspecified knee                          of unspecified shoulder joint
R60.9    Edema, unspecified                           M54.5   Low back pain                            S43.409D Subsequent encounter; Unspecified
R63.3    Feeding difficulties                         R00.2   Palpitations                                      sprain of unspecified shoulder joint
R50.2    Drug induced fever                           R35.8   Other polyuria                           S43.90A Initial encounter; Sprain of
R50.8    Other specified fever                        R21     Rash and other nonspecific skin                   unspecified parts of shoulder girdle,
R50.9    Fever, unspecified                                   eruption                                          unspecified side
E74.9    Disorder of carbohydrate metabolism,         R20.1   Hypoesthesia of skin                     S43.90D Subsequent encounter; Sprain of
         unspecified                                  R20.2   Paresthesia of skin                               unspecified parts of shoulder girdle,
G44.10   Vascular headache, not elsewhere             R20.3   Hyperesthesia                                     unspecified side
         classified, not intractable                  R20.8   Other disturbances of skin sensation     S46.919A Strain of unspecified muscle, fascia
G44.11   Vascular headache, not elsewhere             R20.9   Unspecified disturbances of skin                  and tendon at shoulder and upper
         classified, intractable                              sensation                                         arm level, unspecified arm; Initial
G44.301 Post-traumatic headache,                      R06.02  Shortness of breath                               encounter
         unspecified, intractable                     R55     Syncope and collapse                     S46.919D Strain of unspecified muscle, fascia
G44.309 Post-traumatic headache,                      R35.0   Frequency of micturition                          and tendon at shoulder and upper
         unspecified, not intractable                 R11.2   Projectile vomiting                               arm level, unspecified arm;
G44.311 Acute post-traumatic headache,                R11.3   Other vomiting without nausea                     Subsequent encounter
         intractable                                  R63.4   Abnormal weight loss
G44.319 Acute post-traumatic headache, not                                                             Other Trauma, Adverse Effects
         Intractable                                  Injuries & Adverse Effects                       S00.01A Abrasion of scalp; Initial encounter
                                                      Dislocations, Sprains & Strains




                                                                             6
S00.01D Abrasion of scalp; Subsequent              S30.817D Abrasion of anus; Subsequent               S00.531D Contusion of lip; Subsequent
         encounter                                          encounter                                           encounter
S00.219A Abrasion of unspecified eyelid and        S40.219A Abrasion of unspecified shoulder;          S00.532A Contusion of oral cavity; Initial
         periocular area; Initial encounter                 Initial encounter                                   encounter
S00.219D Abrasion of unspecified eyelid and        S40.219D Abrasion of unspecified shoulder;          S00.532D Contusion of oral cavity; Subsequent
         periocular area; Subsequent                        Subsequent encounter                                encounter
         encounter                                 S40.819A Abrasion of unspecified upper arm;         S10.0A   Contusion of throat; Initial encounter
S00.31A Abrasion of nose; Initial encounter                 Initial encounter                          S10.0D   Contusion of throat; Subsequent
S00.31D Abrasion of nose; Subsequent               S40.819D Abrasion of unspecified upper arm;                  encounter
         encounter                                          Subsequent encounter                       S10.83A Contusion of other part of neck; Initial
S00.419A Abrasion of unspecified ear; Initial      S50.319A Abrasion of unspecified elbow; Initial              encounter
         encounter                                          encounter                                  S10.83D Contusion of other part of necks;
S00.419D Abrasion of unspecified ear;              S50.319D Abrasion of unspecified elbow;                      Subsequent encounter
         Subsequent encounter                               Subsequent encounter                       S10.93A Contusion of unspecified part of neck;
S00.511A Abrasion of lip; Initial encounter        S50.819A Abrasion of unspecified forearm;                    Initial encounter
S00.511D Abrasion of lip; Subsequent                        Initial encounter                          S10.93D Contusion of unspecified part of neck;
         encounter                                 S50.819D Abrasion of unspecified forearm;                    Subsequent encounter
S00.512A Abrasion of oral cavity; Initial                   Subsequent encounter                       S20.00A Contusion of breast, unspecified
         encounter                                 S60.319A Abrasion of unspecified thumb; Initial              breast; Initial encounter
S00.512D Abrasion of oral cavity; Subsequent                encounter                                  S20.00D Contusion of breast, unspecified
         encounter                                 S60.319D Abrasion of unspecified thumb;                      breast; Subsequent encounter




                                                                                  E
S10.11A Abrasion of throat; Initial encounter               Subsequent encounter                       S20.219A Contusion of unspecified front wall of
S10.11D Abrasion of throat; Subsequent             S60.419A Abrasion of unspecified finger; Initial             thorax; Initial encounter
         encounter                                          encounter                                  S20.219D Contusion of unspecified front wall of
S10.81A Abrasion of other part of neck; Initial    S60.419D Abrasion of unspecified finger;                     thorax; Subsequent encounter
         encounter                                          Subsequent encounter                       S20.229A Contusion of unspecified back wall of
S10.81S Abrasion of other part of necks            S60.519A Abrasion of unspecified hand; Initial               thorax; Initial encounter
         subsequent encounter                               encounter                                  S20.229D Contusion of unspecified back wall of
S10.91A Abrasion of unspecified part of neck;      S60.519D Abrasion of unspecified hand;                       thorax; Subsequent encounter
         Initial encounter
S10.91D Abrasion of unspecified part of neck;
         Subsequent encounter
S20.119A Abrasion of breast, unspecified
         breast; Initial encounter
S20.119D Abrasion of breast, unspecified
         breast; Subsequent encounter
S20.319A Abrasion of unspecified front wall of
         thorax; Initial encounter
S20.319D Abrasion of unspecified front wall of
         thorax; Subsequent encounter
S20.419A Abrasion of unspecified back wall of
                                                   PL       Subsequent encounter
                                                   S60.819A Abrasion of unspecified wrist; Initial
                                                            encounter
                                                   S60.819D Abrasion of unspecified wrist;
                                                            Subsequent encounter
                                                   S70.219A Abrasion, unspecified hip; Initial
                                                            encounter
                                                   S70.219D Abrasion, unspecified hip;
                                                            Subsequent encounter
                                                   S70.319A Abrasion, unspecified thigh; Initial
                                                            encounter
                                                   S70.319D Abrasion, unspecified thigh;
                                                                                                       S30.00A Contusion of lower back and pelvis;




                                                                                                       S30.1D
                                                                                                                Initial encounter
                                                                                                       S30.00D Contusion of lower back and pelvis;

                                                                                                       S30.1A
                                                                                                                Subsequent encounter
                                                                                                                Contusion of abdominal wall; Initial
                                                                                                                encounter
                                                                                                                Contusion of abdominal wall;
                                                                                                                Subsequent encounter
                                                                                                       S30.21A Contusion of penis; Initial encounter
                                                                                                       S30.21D Contusion of penis; Subsequent
                                                                                                                encounter
                                                                                                       S30.22A Contusion of scrotum and testes;
         thorax; Initial encounter                          Subsequent encounter                                Initial encounter
S20.419D Abrasion of unspecified back wall of      S80.219A Abrasion, unspecified knee; Initial        S30.22D Contusion of scrotum and testes;
                             M
         thorax; Subsequent encounter                       encounter                                           Subsequent encounter
S20.91A Abrasion of unspecified parts of           S80.219D Abrasion, unspecified knee;                S30.23A Contusion of vagina and vulva; Initial
         thorax; Initial encounter                          Subsequent encounter                                encounter
S20.91D Abrasion of unspecified parts of           S90.413A Abrasion, unspecified great toe; Initial   S30.23D Contusion of vagina and vulva;
         thorax; Subsequent encounter                       encounter                                           Subsequent encounter
S30.810A Abrasion of lower back and pelvis;        S90.413D Abrasion, unspecified great toe;           S30.201A Contusion of unspecified external
         Initial encounter                                  Subsequent encounter                                genital organs, male; Initial encounter
S30.810D Abrasion of lower back and pelvis;        S90.416A Abrasion, unspecified lesser toe(s);       S30.201D Contusion of unspecified external
         Subsequent encounter                               Initial encounter                                   genital organs, male; Subsequent
SA

S30.811A Abrasion of abdominal wall; Initial       S90.416D Abrasion, unspecified lesser toe(s);                encounter
         encounter                                          Subsequent encounter                       S30.202A Contusion of unspecified external
S30.811D Abrasion of abdominal wall;               S90.519A Abrasion, unspecified ankle; Initial                genital organs, female; Initial
         Subsequent encounter                               encounter                                           encounter
S30.812A Abrasion of penis; Initial encounter      S90.519D Abrasion, unspecified ankle;               S30.202D Contusion of unspecified external
S30.812D Abrasion of penis; Subsequent                      Subsequent encounter                                genital organs, female; Subsequent
         encounter                                 S90.819A Abrasion, unspecified foot; Initial                 encounter
S30.813A Abrasion of scrotum and testes; Initial            encounter                                  S30.3A   Contusion of anus; Initial encounter
         encounter                                 S90.819D Abrasion, unspecified foot;                S30.3D   Contusion of anus; Subsequent
S30.813D Abrasion of scrotum and testes;                    Subsequent encounter                                encounter
         Subsequent encounter                      S00.03A Contusion of scalp; Initial encounter       S40.019A Contusion of unspecified shoulder;
S30.814A Abrasion of vagina and vulva; Initial     S00.03D Contusion of scalp; Subsequent                       Initial encounter
         encounter                                          encounter                                  S40.019D Contusion of unspecified shoulder;
S30.814D Abrasion of vagina and vulva;             S00.19A Contusion of unspecified eyelid and                  Subsequent encounter
         Subsequent encounter                               periocular area; Initial encounter         S40.029A Contusion of unspecified upper arm;
S30.815A Abrasion of unspecified external          S00.19D Contusion of unspecified eyelid and                  Initial encounter
         genital organs, male; Initial encounter            periocular area; Subsequent                S40.029D Contusion of unspecified upper arm;
S30.815D Abrasion of unspecified external                   encounter                                           Subsequent encounter
         genital organs, male; Subsequent          S00.33A Contusion of nose; Initial encounter        S50.00A Contusion of unspecified elbow; Initial
         encounter                                 S00.33D Contusion of nose; Subsequent                        encounter
S30.816A Abrasion of unspecified external                   encounter                                  S50.00D Contusion of unspecified elbow;
         genital organs, female; Initial           S00.439A Contusion of unspecified ear; Initial               Subsequent encounter
         encounter                                          encounter                                  S50.10A Contusion of unspecified forearm;
S30.816D Abrasion of unspecified external          S00.439D Contusion of unspecified ear;                       Initial encounter
         genital organs, female; Subsequent                 Subsequent encounter                       S50.10D Contusion of unspecified forearm;
         encounter                                 S00.531A Contusion of lip; Initial encounter                 Subsequent encounter
S30.817A Abrasion of anus; Initial encounter                                                           S60.019 Contusion of unspecified thumb; Initial
                                                                                                                encounter




                                                                          7
S60.019    Contusion of unspecified thumb;              S10.96D Insect bite of unspecified part of neck;       S40.269D Insect bite of unspecified shoulder;
           Subsequent encounter                                  Subsequent encounter                                   Subsequent encounter
S60.00A    Contusion of unspecified finger              S20.161A Insect bite of breast, right breast;          S40.869A Insect bite of unspecified upper arm;
           without damage to nail; Initial                       Initial encounter                                      Initial encounter
           encounter                                    S20.161D Insect bite of breast, right breast;          S40.869D Insect bite of unspecified upper arm;
S60.00D    Contusion of unspecified finger                       Subsequent encounter                                   Subsequent encounter
           without damage to nail; Subsequent           S20.162A Insect bite of breast, left breast; Initial   S50.369A Insect bite of unspecified elbow; Initial
           encounter                                             encounter                                              encounter
S60.229A   Contusion of unspecified hand; Initial       S20.162D Insect bite of breast, left breast;           S50.369D Insect bite of unspecified elbow;
           encounter                                             Subsequent encounter                                   Subsequent encounter
S60.229D   Contusion of unspecified hand;               S20.169A Insect bite of breast, unspecified            S50.869A Insect bite of unspecified forearm;
           Subsequent encounter                                  breast; Initial encounter                              Initial encounter
S60.211A   Contusion of right wrist; Initial            S20.169D Insect bite of breast, unspecified            S50.869D Insect bite of unspecified forearm;
           encounter                                             breast; Subsequent encounter                           Subsequent encounter
S60.211D   Contusion of right wrist; Subsequent         S20.361A Insect bite of right front wall of thorax;    S60.369A Insect bite of unspecified thumb;
           encounter                                             Initial encounter                                      Initial encounter
S60.212A   Contusion of left wrist; Initial             S20.361D Insect bite of right front wall of thorax;    S60.369D Insect bite of unspecified thumb;
           encounter                                             Subsequent encounter                                   Subsequent encounter
S60.212D   Contusion of left wrist; Subsequent          S20.361S Insect bite of right front wall of thorax;    S60.468A Insect bite of other finger; Initial
           encounter                                             Subsequent encounter                                   encounter
S60.219A   Contusion of unspecified wrist; Initial      S20.362A Insect bite of left front wall of thorax;     S60.468D Insect bite of other finger; Subsequent




                                                                                         E
           encounter                                             Initial encounter                                      encounter
S60.219D   Contusion of unspecified wrist;              S20.362D Insect bite of left front wall of thorax;     S60.469A Insect bite of unspecified finger; Initial
           Subsequent encounter                                  Subsequent encounter                                   encounter
S70.00A    Contusion, unspecified hip; Initial          S20.369A Insect bite of unspecified front wall of      S60.469D Insect bite of unspecified finger;
           encounter                                             thorax; Initial encounter                              Subsequent encounter
S70.00D    Contusion, unspecified hip;                  S20.369D Insect bite of unspecified front wall of      S60.569A Insect bite of unspecified hand; Initial
           Subsequent encounter                                  thorax; Subsequent encounter                           encounter
S70.10A    Contusion, unspecified thigh; Initial        S20.461A Insect bite of right back wall of thorax;     S60.569D Insect bite of unspecified hand;

S70.10D

S80.00A

S80.00D

S90.11A

S90.11D

S90.129A
           encounter
           Contusion, unspecified thigh;
           Subsequent encounter
           Contusion, unspecified knee; Initial
           encounter
           Contusion, unspecified knee;
           Subsequent encounter
           Contusion, unspecified great toe;
           Initial encounter
           Contusion, unspecified great toe;
           Subsequent encounter
           Contusion, unspecified lesser toe(s);
                                                        PL       Initial encounter
                                                        S20.461D Insect bite of right back wall of thorax;
                                                                 Subsequent encounter
                                                        S20.462A Insect bite of left back wall of thorax;
                                                                 Initial encounter
                                                        S20.462D Insect bite of left back wall of thorax;
                                                                 Subsequent encounter
                                                        S20.469A Insect bite of unspecified back wall of
                                                                 thorax; Initial encounter
                                                        S20.469D Insect bite of unspecified back wall of
                                                                 thorax; Subsequent encounter
                                                        S20.96A Insect bite of unspecified parts of
                                                                                                                        Subsequent encounter
                                                                                                               S60.869A Insect bite of unspecified wrist; Initial
                                                                                                                        encounter
                                                                                                               S60.869D Insect bite of unspecified wrist;
                                                                                                                        Subsequent encounter
                                                                                                               S70.269A Insect bite, unspecified hip; Initial
                                                                                                                        encounter
                                                                                                               S70.269D Insect bite, unspecified hip;
                                                                                                                        Subsequent encounter
                                                                                                               S70.369A Insect bite, unspecified thigh; Initial
                                                                                                                        encounter
                                                                                                               S70.369D Insect bite, unspecified thigh;
           Initial encounter                                     thorax; Initial encounter                              Subsequent encounter
S90.129D   Contusion, unspecified lesser toe(s);        S20.96D Insect bite of unspecified parts of            S80.269A Insect bite, unspecified knee; Initial
                                M
           Subsequent encounter                                  thorax; Subsequent encounter                           encounter
S90.00A    Contusion, unspecified ankle; Initial        S30.860A Insect bite of lower back and pelvis;         S80.269D Insect bite, unspecified knee;
           encounter                                             Initial encounter                                      Subsequent encounter
S90.00D    Contusion, unspecified ankle;                S30.860D Insect bite of lower back and pelvis;         S90.463A Insect bite, unspecified great toe;
           Subsequent encounter                                  Subsequent encounter                                   Initial encounter
S00.06A    Insect bite of scalp; Initial encounter      S30.861A Insect bite of abdominal wall; Initial        S90.463D Insect bite, unspecified great toe;
S00.06D    Insect bite of scalp; Subsequent                      encounter                                              Subsequent encounter
           encounter                                    S30.861D Insect bite of abdominal wall;                S90.466A Insect bite, unspecified lesser toe(s);
S00.269A   Insect bite of unspecified eyelid and                 Subsequent encounter                                   Initial encounter
SA

           periocular area; Initial encounter           S30.862A Insect bite of penis; Initial encounter       S90.466D Insect bite, unspecified lesser toe(s);
S00.269D   Insect bite of unspecified eyelid and        S30.862D Insect bite of penis; Subsequent                       Subsequent encounter
           periocular area; Subsequent                           encounter                                     S90.569A Insect bite, unspecified ankle; Initial
           encounter                                    S30.863A Insect bite of scrotum and testes;                     encounter
S00.36A    Insect bite of nose; Initial encounter                Initial encounter                             S90.569D Insect bite, unspecified ankle;
S00.36D    Insect bite of nose; Subsequent              S30.863D Insect bite of scrotum and testes;                     Subsequent encounter
           encounter                                             Subsequent encounter                          S90.869A Insect bite, unspecified foot; Initial
S00.469A   Insect bite of unspecified ear; Initial      S30.864A Insect bite of vagina and vulva; Initial               encounter
           encounter                                             encounter                                     S90.869D Insect bite, unspecified foot;
S00.469D   Insect bite of unspecified ear;              S30.864D Insect bite of vagina and vulva;                       Subsequent encounter
           Subsequent encounter                                  Subsequent encounter                          S71.009A Unspecified open wound, unspecified
S00.561A   Insect bite of lip; Initial encounter        S30.865A Insect bite of unspecified external                    hip; Initial encounter
S00.561D   Insect bite of lip; Subsequent                        genital organs, male; Initial encounter       S71.009D Unspecified open wound, unspecified
           encounter                                    S30.865D Insect bite of unspecified external                    hip; Subsequent encounter
S00.562A   Insect bite of oral cavity; Initial                   genital organs, male; Subsequent              S71.109A Unspecified open wound, unspecified
           encounter                                             encounter                                              thigh; Initial encounter
S00.562D   Insect bite of oral cavity; Subsequent       S30.866A Insect bite of unspecified external           S71.109D Unspecified open wound, unspecified
           encounter                                             genital organs, female; Initial                        thigh; Subsequent encounter
S10.16A    Insect bite of throat; Initial encounter              encounter                                     S41.009A Unspecified open wound of
S10.16D    Insect bite of throat; Subsequent            S30.866D Insect bite of unspecified external                    unspecified shoulder; Initial encounter
           encounter                                             genital organs, female; Subsequent            S41.009D Unspecified open wound of
S10.86A    Insect bite of other part of neck; Initial            encounter                                              unspecified shoulder; Subsequent
           encounter                                    S30.867A Insect bite of anus; Initial encounter                 encounter
S10.86S    Insect bite of other part of necks;          S30.867D Insect bite of anus; Subsequent               S41.109A Unspecified open wound of
           subsequent encounter                                  encounter                                              unspecified upper arm; Initial
S10.96A    Insect bite of unspecified part of neck;     S40.269A Insect bite of unspecified shoulder;                   encounter
           Initial encounter                                     Initial encounter




                                                                                 8
S41.109D Unspecified open wound of
         unspecified upper arm; Subsequent
         encounter
S51.009A Unspecified open wound of
         unspecified elbow; Initial encounter
S51.009D Unspecified open wound of
         unspecified elbow; Subsequent
         encounter
S51.809A Unspecified open wound of
         unspecified forearm; Initial encounter
S51.809D Unspecified open wound of
         unspecified forearm; Subsequent
         encounter

Supplemental Classification
Z30.011 Encounter for initial prescription of
        contraceptive pills
Z30.013 Encounter for initial prescription of
        injectable contraceptive
Z30.018 Encounter for initial prescription of
        other contraceptives




                                                      E
Z30.019 Encounter for initial prescription of
        contraceptives, unspecified
Z48.01  Encounter for change or removal of
        surgical wound dressing
Z20.9   Contact with and exposure to
        unspecified communicable disease
Z01.411 Encounter for gynecological
        examination (general) (routine) with

Z01.419 Encounter for gynecological


Z01.42



Z23
Z30.2
Z00.00
        abnormal findings

        examination (general) (routine)
        without abnormal findings
        Encounter for cervical smear to
        confirm findings of recent normal
        smear following initial abnormal
        smear
        Encounter for immunization
        Encounter for sterilization
        Encounter for general adult medical
        examination without abnormal
                                                  PL
        findings
Z00.01  Encounter for general adult medical
                             M
        examination with abnormal findings
Z00.10  Encounter for routine child health
        examination without abnormal
        findings
Z00.11  Encounter for routine child health
        examination with abnormal findings
SA



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