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AD-A250 950

UNITED STATES ARMY

IIIII 11111111lIi

HEALTH CARE STUDIES AND

DATA DICTIONARY CARE DATA EASE MM/4UIkTORY SEQUENTIAL II OF PHASE FILES (ACDB)

LTC JAMES N. GEORGOULAKIS, PhD, M GS- 12 DAVID R. BOLLI14G REPORT #HR92-006 S APRIL 1992

FThis 'document has been aprovecd

" MM

ifzr Public release and sale; its

I

, distribution is unlimited.

0 44 18ARMY 5 92 UNITED STATES HEALTH SERVICES COMMAND FORT SAM HOUSTONE TEXAS 78234

(

D

NOTICE The findings in this report are not to be construed as an official Department of the Army position unless so designated by other authorized documents.

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All other requests for these reports will be directed to the following: U.S. Department of Commerce National Technical Information Services (NTIS) 5285 Port Royal Road Springfield, VA 22161 Telephone:

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i

U SECURITY CLA.SiFICATION OF THIS PAI~E

REPORT DOCUMENTATION PAGE Ia. REPORT SECURITY CLASSIFICATION

lb. RESTRICTIVE MARKINGS

UnclassifiedI Za. SECURITY CLASSIFICATION AUTHORITY

3. DISTRIUIiNotI AVAILABILITY

jApproved

SCHEDULE

2b. DECLASSIFICATION /DOWNGRADING

4. PERFORMING ORGANIZATION REPORT NUMBER(S)

OF

REPORT

For public releasI~e;

5. MONITORING ORGANIZAFION REPORT NUMBER(S)

HR 92-006 Ga. NAME OF PERFORMING ORGANIZATION

6b. OFFICE SYMBOL

U.S.,Army Health Care Sttidie. &. Clinical

Tnpgint

ion

Actv

HqIHN-H

I

6c. ADDRESS (City, State, and ZIP Code) FT. Sam Houston, TX 78234-6060

Ba. NAME OF FUNDING/ SPONSORING ORGANIZATION

HQDA

7a- NAME OF MONITORING ORGANIZATION

OASID(HA)

OIf applicable) _____________________

7b ADDRESS (City, State, and ZIP Code) The Pentagon Washington, D).C. 20310-2300 8ab. OFFICE SYMBOL

9.

PROCUREMENT INSTRUMENT IDENTIFICATION NUMBER

(if applicable)

IDASC-RMP

Sc ADDRESS (City, State, and ZIP Code)

10 SOURCE OF FUNDING NUMBERS

5109 Leesburg Pike Falls Church, VA 22041-3258

PROGRAM ELEMENT NO.

PROJECT INO

WORK UNIT ACCESSION NO.

TASK NO-

11. TITLE (include Security Classification)

(U)

Ambulatory Care Data Base (ACDB)

Data Dictionary Sequ~entia

F:1ilesc of Plhatw

11

12. PERSONAL AUTHOR(S)

Mr. David R. Bolling and LTC James M. Georgotitakis 13a. TYPE OF REPORT

114. DATE OF REPORT (YearMonth,y)

13b. TIME COVERED

Initial Report

IFROM Nov 91

115 PAGE COUNT

To Mar 92~ 92 Apr 1

210

16. SUPPLEMENTARY NOTATION

17.

COSATI CODES

FIELD

I

GROUP

ISUB-GROUP

18 SUBJECT TERMS (Continue on reverse if necessary and identify by block number) Codes; Ambulatory Care; Data Di)ct ionary; Data Bn!;e; I IgInos i Procedure C'odes; IICA Codes and Record Format

19. ABSTRACT (Continue on reverse if necessaiy and identify by block number)

This document provide. a guide to the structure and description of the current sequential Each record contains 58 fields files contained in the Ambulatory Care Data base (ACDB). Details concerning the ACDB data. and provider data that includes encounter data, patient Study may be found in the initial report on the study, the Ambulatory care data Base (ACDB) Study: Implementation and Preliminary Data Report No. KRSS-0023. ADA202741.

20. DISTRIBUTION /AVAILABILITY OF ABSTRACT 0 SAME AS RPT. tMUNCLASSIFIEDIUNLIMITED 22a. NAME OF RESPONSIOLE INDIVIDUAL

Mr. David R. Balling DO FORMI 1473, 84 MAR

21. ABSTRACT SECURITY CLASSIFICATION 0OVIC USERS

Unclassiried 22b. TELEPHONE (include Are,, Code)

1(301) 663 -7291 83 APR edition may be used until exhiusted. All other editions ire obsolete.

22c. OFFICE SYMBOL

1ASNlI-1111SFCITY CLASSIFICATION OF -

-

H15IIPAGE

TABLE OF CONTENTS INTRODUCTION

....

RECORD FORMAT

. .

DATA ELEMENT DESCRIPTION

APPENDIX A.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

..

.

.

1.

.

2

.

4

.

. 63

LISTING OF INPATIENT REFERRAL CODES AND

UCA CLINIC CODES

.

.

APPENDIX B.

DIAGNOSIS CODE LISTING

APPENDIX C.

PROCEDURE CODE LISTING

.

APPENDIX D.

OTHER CODES LISTINGS

.

APPENDIX E.

ADDITIONAL INFORMATION ..

.

.

.

.

.....

69

..

.

.

....

162 204

.........

.

209

Accesion For NTIS" CRAil DTIC TAB Ul.alnounced

u

Justification

Dist. ibutlon I...........

Avail8ability Codes Dist

Avai and or

Special

i-i'

. .. ..

!

INTRODUCTION Revision of the ACDB forms used to collect the data were made in early 1987. The primary purpose of the revision was to make the forms easier to fill out and modify procedure and diagnosis menus. The new forms went into production on May 1, 1987 and data collected during this period was called Phase 2. While many fields on the forms remained the same, some fields were eliminated while other fields were added. This manual describes the layout and definitions of the fields used on the forms in Phase 2. See Ambulatory Care Data Base ACDB) Dictionary, Sequential Files of Phase 1 for Phase 1 field descriptions. Financial support for the ACDB study was discontinued shortly after Phase 2 collection began. As a result, some sites ceased collecting the data after two months while one site continued collecting data for five months. Patient and Provider demographic data were collected separately from the visit data and was incomplete because of the study shut down. The Ambulatory Care Data Base (ACDB) was originally structured in a hierarchical data base called FOCUS. The data were restructured into sequential files where each record contained encounter data, patient data and provider data for a single patient visit. There were two types of forms used in collecting the data, long forms and short forms. Short forms were designed to collect information on groups and various procedures such as immunizations. The short forms contained an abbreviated list of fields and often did not include time nor diagnosis. The data described in this manual was taken from the long forms. There was a total of 305,148 visits collected on long forms. Of these, 191,579 records have both patient and demographic information available. 8290 records have neither patient nor provider information. The number of visits by site are BAMC, 49873; Ft. Bragg, 20355; Ft. Campbell, 81228; Ft. Jackson, 41916; Ft. Polk, 99548; and Redstone Arsenal, 12228. Two appendices (B and C) provide listings of the diagnosis and procedure code descriptions. These listings are taken from the diagnoses and procedures found on the forms that were used to record each encounter. A provider could have written in codes that were not on the form and therefore would not appear in the appendices. Descriptions for codes which were written-in may be found in International Classification of Diseases. 9th Revision, Clinical Modification Publication or a Physicians'Procedural Terminology. Fourth Edition. ---

ACDB PHASE 2 FILE LAYOVI'

NOV 1991 POSITION

SIZE 4 4 6 5 6 2 8 2 1 3 5 3 1 1 1 4 1 1 1 1 1 1 1 1 1 1 5 30 65 13 30 3 3 3 6 6 3 1 1 2 2 4 6 1 1

TYPE NO FIELD A4 1 SITE A4 2 CLINIC 16 3 VISIT-DATE A5 4 PROV-ID A6 5 PATIENT-ID A2 6 FNP is 7 LITHO-CODE A2 8 FORM-NUN Il 9 VISIT-CNT 13 10 PROV1-TINE A5 11 PROVIDER-2 13 12 PROV2-TIME Al 13 PROV2-RESON Al 14 APPT-STAT 15 PLACE-OF-VISIT Al A4 16 INP-REFERAL Al 17 JOB-REL Al 18 NIL-DUTY Al 19 NIL-QTR Al 20 NIL-PROF Al 21 NOT-AVAIL Al 22 ADMITTED Al 23 INFIELD Al 24 INJURIES Al 25 PURP-VIS Al 26 DIAG1-RULE A5 27 DIAGi-CODE A5 28 DIAG2-CODE AS 29 PROC-CODE Al 30 PR-PR2 A5 31 OTHER-CODE Al 32 SP-PRE-CODE Al 33 SPEC-PROG Al 34 ASSESSMENT A2 35 DISPOSITION 16 36 PT-DOE A3 37 PT-CATEGORY Al 38 PT-GENDER Al 39 PT-RACE A2 40 PT-PREFIX A2 41 PT-PAY-GRADE A4 42 PT-JOB-CODE A6 43 PT-WOCATION Al 44 PT-TRN-TDY Al 45 PT-VAELIG -2-

FREQ

6 13 13 6 3 3 3 3

BEG 1 5 9 15 20 26 28 36 38 39 42 47 50 51 52 53 57 58 59 60 61 62 63 64 65 66 67 72 102 167 180 210 213 216 219 225 231 234 235 236 238 240 244 250 251

END 4 8 14 19 25 27 35 37 38 41 46 49 50 51 52 56 57 58 59 60 61 62 63 64 65 66 71 101 166 179 209 212 215 218 224 230 233 234 235 237 239 243 249 250 251

4

48 49 50 51 52 53 54 55 56 57 58

PT-DUAL-SSN PROy-STAT PROV-CATEG PROV-PRPOS PROV-PAYGR PROV-JOBCODE PROV2-STAT PROV2-CATEG PROV2-PRPOS PROV2-PAYGR PROV2-JOBCODE

A6 Al A2 A2 A2 A7 Al A2 A2 A2 A7

6 1 2 2 2 7 1 2 2 2 7

-3-

258 264 265 267 269 271 278 279 281 283 285

263 264 266 268 270 277 278 280 282 284 291

U8 RM ACDD PHASE II DATA ELEMENT DESCRIPTION

MNEMONIC

DATA ELEMENT N0M

Site

Facility Location

DATA ELEMENT NUMBER 1

FORMAT Char

RECORD POSITION 1-4

OCCURRENCES

1I DEFINITION Location where ambulatory care visits were collected. CODES AMD VALUES 0001 0060 0064 0089 0105 0109

Redstone arsenal, Alabama Ft. Campbell, Kentucky Ft. Polk, Louisiana Ft. Bragg, North Carolina Ft. Jackson, South Carolina BANC, Fort San Houston, Texas

US ARMY ACDB PHASE 11 DATA ELEMENT DESCRIPTION

j

DATA ELEMENT KAM Clinic code

MNEMONIC

Clinic

DATA ELEMENT iNUBER

IFORMAT

2

Char 4

RECORD POSIITION 5-8

OCCURRENCES 1 DEFINITION

Uniform Chart of Accounts (UCA) clinic code.

CODES AD VALUES

Some codes are specific to the site. See Appendix A for a complete list of codes.

-5-

US ARnY ACDD PEASE 11 DESCRIPTION DATA MLD MOIWOIC

DATA ZLUM31T NAM

VDATE

Visit Date FORMAT

DATA ELEMUT NUMBER

Num

3

6 OCCURRENCES

1

DEFINITION

Date visit encounter occurred.

CODES AD VALUES Coded as YYMMDD.

-6-

RECORD POSITION

9-14

US ARMY ACDB PHASE II DATA ELEMENT DESCRIPTION

I

DATA ELEMENT NAME

WEMONIC

Primary Provider Identification DATA ELEMENT NUMBER

FORMAT

4 1

Char 5

PROV1 RECORD POSITION

15-19

OCCURRENCES 1 DEFINITION

The primary provider identification code.

CODES AND VALUES

The code is an alphabetic character followed by four digits. The code represents the initial of the provider's last name followed by the last four digits of the provider's social security number.

-7-

US ARMY ACDB PEASE II DATA ELDIENT DESCRIPTION

DATA ELEMENT NAME

MNIMONIC PATID

Patient Identification

DATA ELEDT NUMBER

FORMAT

5

Char

6

RECORD POSITION 20-25

OCURRENCES

DEFINITION A unique identification code encrypted from the sponsor's social security number. CODES AND VALUES Six alpha-numeric characters. See element 6. (Family member prefix) which is often used as part of the patient's identification.

-8-

US ARMY ACDB PHASZ UX DATA ELEMENT DESCRIPTION N

DATA ELEMENT NAME

ONIC FMP

Family member prefix FORMAPT

DATA ELEMENT NUMBER 6

NUM 1

RECORD POSITION 26-27

2

OCCURRENCES

DEZPNXTXON A code number that designates the patient's relationship to the sponsor. CODES AND VALUES 1-19 20

30-39 40-44 45-49 50-54 55-59 60-69

Child of sponsor Sponsor

Spouse Mother Father Mother-in-law Father-in-law Other

-9-

77

US ARKY ACDB PHASE II DATA ELUEMET DESCRIPTION IFDKONIC

DATA ELMNT NAME

LITHO

Litho code DATA ELEMENT NUMBER

FORMAT

Num 8

7

RECORD POSITION

28-35

OCCURRENCES DEFINITION

The serial number on each data collection form.

CODES AND VALUES A number up to 8 digits. The number was intended to be unique but some batches of forms contained overlapping serial numbers. A relatively safe method for obtaining unique records is to combine the patient's ID with the litho code.

-10-

US ARMY ACDB PEASE I DATA ELEMENT DESCRIPTION DATA ELEMENT NAME

NNMDONIC FORM

Form number DATA 3LEMENT NUMBER

FORMAT

8

NuM 2

RECORD POSITION 36-37

OCCURRENCES 1 DZFINITION

A code to indicate the type of form on which the visit information was recorded. CODES AND VALUES

40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61

Adolescent Medicine Allergy Audiology/Speech Cardiology Cardiothoracic Surg Dermatology Endocrine ENT Family Practice Gastroenterology General Surgery Gynecology Infectious Disease Internal Medicine Nephrology Neurology Neurosurgery Nuclear Medicine Nutrition Care Obstetrics Oncology/Hematology Ophthamology

62 Optometry

64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 82 83 88 90

Orthopedics Occupational Therapy Pain/Physical Med Pediatrics Physical Therapy Plastic Surgery Podiatry Preventive Med/CHN Primary Care Psychiatry Psychology Pulmonary Radiotherapy Rheumatology Social Work Urology BAS/TMC EKG Emergency Room Inhalation Therapy Occupational Health

Note: Code numbers are

63 Ortho Appliance/Cast

-11-

different from Phase 1.

US ARMY ACDB PHASE 11 DATA ELUIET DESCRIPTION DATA ELUTM Visit

DATA

MIMUOIC

XWE

VCOUNT

count

ELUIENT

NUMBER

FORMAT

9

Num

RECORD POSITION 38

OCCURRENCES

DEFINITION

The number of visit counts authorized for this encounter. This field is normally 1. CODES AMD VALUES 0-9

-12-

US ARY &CDB PEASE 11 DATA LLU1iT DESCRIPTION DATA ELEMENT NAM

MIEMONIC

Time of primary provider DATA ELIMENT NUMBER

PODNAT

Num

10

TIMI RECORD POSITION

39-41

OCURRINCES 1

DEPINXTXON Time in minutes of primary provider.

CODES AND VALUES A value greater than zero should be present in every record.

'13-

us JLlU AMDI PRASE 1Z DATA ULMDT DESCRIPTION

DATA

ELUUIIT

[

NNE

amusoNZC

Secondary provider code DATA ELMNT NUMBER

PROV2

FORMAT

Num 5

11

RECORD POSITION

42-46

OCCURRNCES DEFINITION The secondary provider identification code.

CODES AND VALUES The code is an alphabetic character followed by four digits. The code represents the initial of the provider's last name followed by the last four digits of the provider's social security number. This code is present only when a secondary provider contributed to the patient's visit.

-14-

US ARMY ACDB 13153 X DATA ULMINKT DRSCRZPTXON DATA ELUMT

MM

MDINOXIC

Time of secondary provider

TIM2

DATA BLWENT NUBER

WORNAKT

12 1

NUm 3

RECORD POBITION 47-49

OCCURRENCES 1 DEPINITON

Time in minutes of secondary provider.

CODES AND VILUES No time is present unless a secondary provider contributed to the patient's visit.

-15-

USA ur ACDB PRUSE

II

DATA NLUNT DESCRIPTION DATA ELxUI

NAME

Reason for secondary provider DATA ELDMENT NUMBER

FORMAT

13

Num 1

REAS2 RECORD POSITION 50

OCCURRENCES

1

DEFINITION

Code for reason for secondary provider.

CODES AND VALUES

1 2 3 4 5 6

C

U

Teaching/Supervision Consultation Procedure/Treatment Other, may be site specific. Other, may be site specific. Other, may be site specific.

-16-

us ARMY AMCDDM 3153 DATA ELEMENT DESCRIPION

I

DRAh ELEMEWNA MEIO

Appointment status DATA ELEMMENT NUNDER

NO JfAT

14

Nun

OCCURRENCES 1 DEFINITION Appointment status code.

CODES AND VILUMS 1 Scheduled 2 Unscheduled 3 Emergency

-17-

STATUS

RECORD POD ITXON

51

us

ARY AMD

PHASE I I

DATA ELEMENT DESCRIPTION DATA ELEMENIT NAKE

MNEMONUIC

Place of visit DATA ELEMENT NUMBER 15

PLACE FORMAT NUM 1

OCURRENCES]] DEFINITION Place of visit code.

CODES AND VALUES

1 2 3 4

Clinic/office Ward Telephone Home

5-7

Other

RECORD POSITION 52

US ARMY ACDD PHAE 1 DATA ELEMENT DESCRIPTION DATA ELEMENT

ANIE

MNMONIC

Inpatient referral

INPREF

DATA ELEMENT NUMBER

16

FORMAT

Char -14

RECORD POSITION

53-56

OCCURRENCES 1

DEFINITION UCA inpatient code.

CODES AND VALUES

See Appendix A for a list of UCA inpatient codes and their descriptions.

-19-

US ARMY ACDB PHASE II DATA E33MT DESCRIPTION

MNEONIC

DATA ELDMENT NAME

JOBREL

Job related DATA ELEMENT NUMBER

FORMAT Char

17

RECORD POSITION 57

1

OCCURRENCES 1 DEFINITION

Is the reason for visit job related?

CODES AND VALUES Y Yes N No

-20-

US ARNT ACDB PHASE 11 DATA ELEMENT DESCRIPTION

DATA ELEMENT NAME

MNEMONIC

Military duty DATA ELEMENT NUMBER 18

MDUTY

j

FORMAT

Nun

RECORD POSITION

58

OCCURRENCES DEFINITION

Code for military duty. If the patient was not admitted, duty was assigned as the default. CODES AND VALUES

1 Duty 2 Limited duty

US ARMY ACDB PHASE I I DATA ELEMENT DESCRIPTION DATA ELEMENT NAME

MNEMONIC MQTR

Military Duty - Quarters

DATA ELE5ENT NUMBER

FORMAT

19

Num

RECORD POSITION 59

1

OCCURRENCES 1

DEFINITION Code for Quarters when military duty is coded.

CODES AND VALUES 1 2 3

24 48 72

hours hours hours

-22-

US ARMY ACDB PHASE II DATA ELEMENT DESCRIPTION DATA ELEMENT NAM Military duty

-

IDIEONIC Profile

DATA ELEMENT NUMBER

FOMT

20

NUN

MPROF RECORD POSITION 60

OCURRENCES DEJINITION Code for Profile when military C.*.y is coded.

CODES AND VALUES 1 2 3 4

1-3 days 4-7 days 8-14 days >14 days

-23-

US ARMY ACDB PHASE II DATA ELDME1T DESCRIPTION

DATA ELE3ENT NAME

JNDTINIC

Data not available DATA ELENENT NUMBER

NAVAIL FORMAT

21

Num 1

RECORD POSITION 61

OCCURRENCES

1

DEFINITION

Code indicating that medical records or test results were not available at the time of visit. CODES AND VALUES

1 2

Medical record Lab results

3

X-rays

-24-

US ARMY ACDB PRUBI I DATA ELMIENT DESCRIPTION DATA ULIXUNT MNK

MNEMONIC

Admitted

ADMIT

FORMAT

DATA ELEMENT NUMBER

22

Char

RECORD POSITION

62

OCCURRENCES 1

DEFINITION Identifies a patient as admitted as the result of the visit. CODES AND VALUES

Y N

Admitted Not admitted

-25-

US ARKM ADB PRUE iX DATA EL UT DESCRIPTIOU DATA ELEMENT NAME

MNEIONIC

INFIELD

Illness (Purpose of Visit) FORMAT

DATA ELEMENT NUMBER

Char 1

23

RECORD POSITION 63

OCCURRENCES DEFINITION Illness code under Purpose of Visit from the Occupational Health form. CODES AND VALUES N R

New Revisit

-26-

US ARMT LCDD PHASE 11 DATA ELEMENT DESCRIPTION

I

DATA ELEMENT NAM injury (Purpose of Visit) FORMAT

DATA ELEMENT NUMER

;Char

24

NEMONIC

-INJURIES

j

RECORD POSITION

64

OCCURRENCES 1 DEFINITION Injury code under Purpose of Visit on the occupational Health form. CODES AND VALUES N R

New Revisit

-27-

US ARMY ACDD PHASE 1I DATA EZLUZNT DESCRIPTION

MIaUOIC

DATA ELEMENT NAME Purpose of visit

PURP

DATA ELE1ENT NUMBER

FORMAT

25

Char 1

RECORD POSITION

65

OCCURRENCES

DEFINITION Purpose of visit code. This field is used on the Occupational Health form only. CODES AND VALUES

A B C D E F G H I J K L M

Preplacement/preassign Periodic Termination Baseline hlth assess (lt. duty) Pregnancy surveil Chronic disease surv Voluntary hlth screen Follow-up Fitness for duty Disab retirement Illness abs monitor Medical eval (claim cont) Medical eval of employee (abs 2 or more weeks-job related)

-28-

US ARMY ]CDB PHSE 11 DATA ELEME J DESRXPTION DATA ELEME

]NZ]ONXC

NIAE

Follow-up/Rule out DATA ELEMENT NUMBER

ROUT FORMAT

26

Num

RECORD POSTTION 66

OCCURRENCES

DEIINXTTON

Follow-up or Rule out code for primary reason of visit. CODES AND VILUES 1 2

Follow-up Rule out

-29-

US ARMY ACDB PHASE 11 DATA ELDOIT DESCRIPTION NEMONIC

DATA ELDN3TT NAM

DX1

Primary diagnosis code

DATA ELEMENT NUMBER

FORMAT Char 5

27

RECORD POSITION 67-71

OCCURRENCES DEFINITION Primary diagnosis code taken from ICD-9-CM manual or codes modified for the study. CODES AND VALUES

See Appendix B for a listing of diagnosis codes as used on form menus.

-30-

US ARMY ACDB PHASE II DATA ELEMENT DESCRIPTION

DATA ELEMENT NAM

MNEMONIC

Secondary diagnosis

DX2

DATA ELEMENT NUMBER

FORMAT

28 1

Char 5

RECORD POSITION 72-101

OCCURRENCES 6 DEFINITION Secondary diagnosis codes taken from the ICD-9-CM manual or codes modified for the study.

CODES AND VALUES See Appendix B for a listing of diagnosis codes as used on form menus.

-31

-

US ARMY ACDB PHASE II DATA ELDIENT DESCRIPTION

DATA ELEMENT NAME

MNMIONIC

Procedure codes

PROC

DATA ELEMENT NUMBER

29

FORMAT

Num

RECORD POSITION

102-166

5

OCCURRENCES 13 DEFINITION

Procedure codes as taken from the CPT-4 manual. Modified codes for the study are included. CODES AND VALUES See appendix C for a listing of procedure codes.

-32-

US ARMY ACDB PHASE II DATA ELEMENT DESCRIPTION

DATA ELEMENT NAKE

MNEMONIC

Procedure indicator DATA ELEMENT NUMBER 30

PRIND FORMAT Char

1

RECORD POSITION 167-179

OCCURRENCES

13 DEFINITION A code corr-s onding to the procedure codes indicating the procedure was done by the secondary provider. CODES AND VALUES 1

Done by secondary provider

-33-

US ARMY ACDB PHASE II DATA ELEMENT DESCRIPTION

DATA ELENT NAME

MEONIC

Other codes

OTHER

DATA ELEMENT NUMBER 31

FORMAT Char

5

RECORD POSITION 180-209

OCCURRENCES

6

DEFINITION

A special procedure code given to additional information collected on some forms. CODES AND VALUES The following forms provided information for other codes. Nephrology/Dialysis Neurosurgery Occupational Health Optometry Physical Therapy Psychiatry Psychology Rheumatology Social Work

(patient times) (neoplasm histology) (body part injured) (types of lens) (area of complaint) (axis II, III, IV and V) (axis II, III, IV and V) (lab data) (consultation received)

See Appendix D. for descriptions of these codes.

-34-

US ARMY ACDB PHASE II DATA ELEMENT DESCRIPTXON DATA ELEMENT NAME

j

Specific Preassigned Codes DATA ELEMENT NUMBER

32

FORMAT

MNWEONIC

SPC

RECORD PO8ITION

Char 1

210-212

OCCURRENCES 3 DEFINITION Specific preassigned codes that were usually site specific in nature. CODES AND VALUES 1-9

No definitions are available.

-35-

US ARMY ACDB PHASE I I DATA ELEMENT DESCRIPTION MNEMONIC

DATA ELEMENT NAME

SPECP

Special Programs DATA ELEMENT NUMBER

33

FORMAT

Char

RECORD POSITION

213-215

1 OCCURRENCES 3 DEFINITION

Special program codes from psychology, psychiatry and social work forms. CODES AND VALUES 1 2 3 4 5 6 7

FAP (Family Advocacy Program) ADAPCP (Army Drug and Alcohol Prevention and Control Program) PRP (Personal Reliability Program) Adoption Other Other Other

-36-

US ARMY ACDB PHASE II DATA ELEMENT DESCRIPTION

DATA ELEMENT NAME

MNEMONIC

Psychometric assessments DATA ELEMENT NUMBER

ASSESM

FORMAT

34

Char

1

RECORD POSITION 216-218

OCCURRENCES 3 DEFINITION Psychometric assessment codes found on Psychology forms. CODES AND VALUES

1 2 3 4

Personality Intellectual Neuropsychological Other

-37-

US ARMY ACDB PHASE II DATA ELDE3T DESCRIPTION DATA ELEMENT NAME

MNIWONIC

Disposition DATA ELEMENT NUMBER 35

DISP FORMAT Char

RECORD POSITION 219-224

2 OCCURRENCES

3 DEFINITION

Disposition code on Occupational Health form.

CODES AND VALUES

1 2 3 4 5 6 7 8 9 10 11 12 13

Discharged from clinic Return PRN Return appointment Refer to other clinic Refer to Federal Facility Refer to private MD Home (Non-military) Work with limitations Report sub to CPO Admitted Expired Light duty assignment Temp job reassignment

US ARMY ACDB PEASE II DATA ELEMENT DESCRIPTION

DATA ELEMENT NAME

MNEONIC

Patient Date of Birth DATA ELEMENT NUMBER

DOB FORMAT

36

Num

6

OCCURRENCES 11 DEFINITION

Date of birth of patient.

CODES AND VALUES

YYMMDD

-39-

RECORD POSITION 225-230

US ARMY ACDB PHASE II DATA ELENUT DESCRIPTION

38hfIOIC

DATA ELEMENT NAME

CAT

Patient category DATA ELMENT NUMBER

FORMAT Char

37

RECORD POSITION 231-233

3

OCCURRENCES DEFINITION

Patient category codes. Some data provided by Defense Eligibility Enrollment System (DEERS) did not have a patient category and were given a code of DEE. CODES AND VALUES A partial list of category codes are AIO Army Active Duty A21 Army Reserve Trn A23 Army Reserve IDT/AT/ADT (Inactive Duty Trn.) A24 Army NG (National guard) Trn. A26 Army NG IDT/AT/ADT (Annual Trn./Active Duty for Trn.) A30 Army Retired A50 Army Depn Active duty A60 Army Depn Retired/dec. A70 Army USMA Cadet A80 Army ROTC Cadet/Applicants CIO Coast Guard (CG) Active Duty C20 CG Reserve/NG C30 CG Retired C50 CG Depn Active Duty C60 CG Depn Retired/dec. C70 CG Academy Cadet F10 Air Force (AF) Active Duty F20 AF Reserve/NG F30 AF Retired F50 AF Depn Active Duty F60 AF Depn Retired/dec. F70 AF Academy Cadet (continued) F80 AF ROTC Cadet/Applicants

-40-

Us ARMY ACDB PEASE II DATA ELEMENT DESCRIPTION DATA ELEMENT NAME

MNEMONIC

Patient category (continued) DATA ELEMENT NUMBER

FORMAT

RECORD POSITION

OCCURRENCES

DEFINITION

CODES AND VALUES

H26 M10 M20 M30 M50 M60 Nl0 N20 N30 N50 N60 N80 PlO P20 P30 P50 P60 Xl0 X20 X40

Civilian Marine Active Duty Marine Reserve/National Guard Marine Retired Marine Depn Active Duty Marine Depn Retired/dec. Navy Active Duty Navy Reserve/National Guard Navy Retired Navy Depn Active Duty Navy Depn Retired/dec. Navy ROTC Cadet/Applicants US Public Health Service (USPHS) Active Duty USPHS Reserve USPHS Retired USPHS Depn Active Duty USPHS Depn Retired/dec. Applicants/Registrants Designees of the Secretary of Defense Other Authorized Patient Categories

-41-

US ARMY ACDB PRSE II DATA ELEMENT DESCRIPTION MNDMONIC

DATA ELENT NAME

SEX

Patient Gender DATA ELDMENT NUMBER

FORMAT Char 1

38

OCCURRENCES DEFINITION

Gender of patient.

CODES AND VALUES

M F

Male Female

-42-

RECORD POSITION 234

US ARMY ACDB PKEAS

11

DATA ELEMENT DESCRIPTION MNEMONIC

DATA ELEMENT MANMN I

Patient Race

DATA ELEMNT NUMBER

]FORMAT

RECORD POSITION

Nun

39 OCCURRItC18_

DEFINITION Race of patient.

CODEB AND VALUES

1 2 3

American Indian/Alaskan Native Asian/Pacific Islander Black/Not Hispanic Origin

4 Black/Hispanic Origin 5 White/Not Hispanic Origin 6 White/Hispanic Origin 7

Unknown

-43-

RACE

235

US ARMY ACDB PHASE II DATA ZLZIT DESCRIPTION M036fIC

DATA ELEMENT NAME

PREFIX

Patient Prefix FORMAT

DATA ELEMENT NUMBER

RECORD POSITION

Char

40

236-237

2 OCCURRENCES

1I DEFINITION Prefix of patient's employment status.

CODES AD VALUES E 0 W GS GM WG WL WS NF CT OT

Enlisted Officer Warrant Officer Civilian Civilian Civilian Civilian Civilian NAP (Non-Appropiated Position) Contract Other

-44-

US ARMY ACDB PHASE II DATA ELEMENT DESCRIPTION

DATA ELEMENT MAKE

MNEMIONIC

Patient Pay Grade

PAYGR

DATA ELEMENT NUMBER

FORMAT Num

41

1 2 OCCURRENCES 1 DEFINITION

Pay grade level of patient.

CODES AND VALUES 01-16

-45-

REORD POSITION 238-239

US ARMY ACD8 PHASE II DATA ELEMENT DESCRIPTION 30I(ONIC

DATA ELEMENT NAME

JOBC

Patient Job Code DATA ELEMENT NUMBER

42

FORMAT

Char

4

RECORD POSITION

240-243

OCCURRENCES DEFINITION

Duty MOS/SSI (Military Occupation Speciality/ Speciality Skill identifier) or civilian occupation series. CODES AND VALUES See AR611-101 Officers and AR611-201 Enlisted for explanations of military job codes. Civilian job codes may be referenced in the Position Classification Standards and Job Grading Standards published by United States Office of Personnel Management(USOPM).

US ARKY ACDB PHASE II

DATA ELEMENT DESCRIPTION DATA ELEMENT NAME

RNMONIC

Patient Location

LOC FORMAT

DATA ELEMENT NUMBER

43

1

Char 6

RCORD POSITION

244-249

OCCURRENCES

1

DEFINITION

Unit ID code or building number.

CODES AND VALUES

Information about Unit Identification Codes (UIC) may be obtained by contacting the UIC-IO (Information Office) at the Standard Installation/Division Personnel Office (SIDPERS) at the site where the visit occurred. Army-wide lists are classified information.

-47-

US ARMY ACDB PHASE II DATA ELEMENT DESCRIPTION

MINONIC

DATA ELEMENT NAME

TRN

Patient Training or TDY (Temporary Duty) DATA ELEMENT NUMBER

FORMAT Char 1

44

RECORD POSITION 250

OCCURRENCES DEFINITION

Is patient on a training or TDY assignment?

CODES AND VALUES Y N

Yes No

-48-

US ARMY ACDB PHASE II DATA ELEMENT DESCRIPTION

MNEMONIC

DATA ELEMENT NAME

VAELIG

Patient Eligibility for VA (Veterans Administration)

DATA ELEMENT NUMBER

FORMAT

Char

45

I

RECORD POSITION

251

OCCURRENCES 1

DEFINITION Is patient eligible for VA benefits?

CODES AND VALUES Y

Yes

N

No

-49-

US ARMY ACDB PHASE II DATA ELEMENT DESCRIPTION

MNEMONIC

DATA ELEMENT NAME

Patient Health Care Insurance DATA ELEMENT NUMBER

FORMAT

46

Char 1

HCI RECORD POSITION 252

OCCURRENCES

DEFINITION

Does patient have health care insurance?

CODES AND VALUES

Y N

Yes No

-50-

US ARMY ACDB PHASE II DATA ELEMENT DESCRIPTION

DATA ELEMENT NAME

MNEMONIC

Patient Zip Code

ZIP

DATA ELEMENT NUMBER

FORMAT

47

Num

5

RECORD POSITION

253-257

OCCURRENCES 1 DEFINITION Postal zip code of patient's residence.

CODES AND VALUES Zip code directories may be purchased at any post office. Most libraries also have copies.

-51-

US ARMY ACDB PHASE 11 DATA ELEMNT DESCRIPTION

]

DATA ELEMENT NAME

Patient Dual SSN DATA ELEMENT NUMBER

Char 6

OCCURRENCES DEFINITION

Civilian social security number.

CODES AND VALUES Encrypted

-52-

DUALSSN

RECORD POSITION

FORMAT

48

MNEMWONIC

258-263 _

_

_

US ARKY ACDB PEASE I DATA ELEMENT DESCRIPTION

DATA ELEMENT NAME

MNEMONIC

Primary Provider Status

DATA ELEMENT NUMBER

PR1STAT

FORMAT

49

Num

1 OCCURRENCES 1 DEFINITION Status of primary provider.

CODES AND VALUES 1 2

Permanent staff at MTF All others

-53-

RECORD POSITION

264

US ARMY ACDB PHASE I I DATA ELEMENT DESCRIPTION DATA ELEMENT NAME

RUD(OMIC

Primary Provider Category FORMAT

DATA ELEMENT NUMBER

Num

50

2

PRICAT RECORD POSITION 265-266

OCCURRENCES DEFINITION

Category of primary provider.

CODES AND VALUES First digit 1 Army 2 Air Force 3 Navy 4 Marines 5 Coast Guard 6 PHS (Public Health Service) 7 Other Second digit 1 Officer 2 Warrant Officer 3 Enlisted 4 Civilian DAC (Department of Army Civilian) 5 Contract 6 Consultant 7 Other

-54-

US ARMY ACDB ZSABE 11 DATA ELEMENT DESCRIPTION

DATA ELEMENT MN

MNEMONIC

Primary Provider Position DATA ELEMENT NUMBER 51

FORMAT NuN

2

PRIPOS RECORD POSITION 267-268

OCCURRENCES 1

DEFINITION Primary provider position at the health facility.

CODES AND VALUES

1 2 3 4 5 6 7 8 9 10

CDR/DCCS (Commander/Deputy Commander Clinical Services) Chief Dept./Svc. Fellow Resident Intern Nurse Pract. Nurse Clin. NCOIC (Noncommissioned Officer In Charge) Student All others

-55-

US ARM!f ACDB PHASE 11 DATA ELEMENT DESCRIPTION DATA ELEMENT NAME

MNIEMONIC

Primary Provider Pay Grade

DATA ELEMENT NBM3ER

FORMAT

52

Char

DEFINITION

I

Primary provider's pay grade.

CODES AND VALUES

E1-E9 01-09 W1-W4 01-16

Enlisted Officer Warrant Officer Civilian

-56-

PR1PAYGR

RECORD POSITION 269-270

US ARMY ACDB PHASE II DATA LEMENT DESCRIPTION

1MNUEMONIC

DATA ELEMENT NAME Primary Provider Job Code

DATA ELEMENT NUMBER

FORMAT

53

Char

PR1JC RECORD POSITION

271-277

7 OCCURRENCES 1 DEFINITION

Primary provider's job code.

CODES AND VALUES

Army Position 1-3 4 5,6 7

MOS (Military Occupational Spec) SSI (Spec. Skill Identifier) ASI (Additional Skill Ident.) blank

Air Force Position 1-7

AFSC (Air Force specialty Code)

Navy Position 1-6 7

NOBC/NEC (Navy Officer Billet Code/Navy Enlisted Code) blank

Other branches 7 blanks

-57-

US ANff ACDB PEASE II DATA ELEMNT DESCRIPTION MNbOfIC

DATA ELEMENT NAME

PR2STAT

Secondary Provider Status DATA ELU(ENT NUMBER 54

RECORD POSITION

FORMAT

278

Num 1

OCCURRENCES DEFINITION

Status of secondary provider.

CODES AND VALUES

1 2

Permanent staff at MTF All others

-5

-

US ARMY ACDB PESE 11 DATA ELEMENT DESCRIPTION DATA ELEMENT NAME

IENONIC

Secondary Provider Category DATA ELEMENT NUMBER

FORMAT

55

Num 1 2

PR2CAT RECORD POSITION

279-280

OCCURRENCES

DEFINITION Category of secondary provider.

CODES AD VALUES

First digit 1 Army 2 Air Force 3 Navy 4 Marines 5 Coast Guard 6 PHS (Public Health Service) 7 Other Second digit 1 Officer 2 Warrant Officer 3 Enlisted 4 Civilian DAC (Department of Army Civilian) 5 Contract 6 Consultant 7 Other

-59-

US ARMY ACDB PHASE I I DATA ELEMENT DESCRIPTION DATA ELEMENT NAME

IDIU(OKIC

Secondary Provider Position DATA ELEMENT NUMBER

FORMAT Num

56

2

PR2POS RECORD POSITION 281-282

OCCURRENCES

1

DEFINITION Secondary provider position at the health facility. CODES AND VALUES 1 2 3 4 5 6 7 8 9 10

CDR/DCCS (Commander/Deputy Commander Clinical Services) Chief Dept./Svc. Fellow Resident Intern Nurse Pract. Nurse Clin. NCOIC (Noncommissioned Officer In Charge) Student All others

-60-

US AIN YACDB PEASE II DATA ELEMENT DESCRIPTION DATA ULUMRUT11AM

MEMONIC

Secondary Provider Pay Grade DATA ELEMENT NUMBER

ORKACT

57

1

Char

2

OCCURRENCES DEFINITION Secondary provider's pay grade.

CODES AND VALUES

EI-E9 01-09 WI-W4 01-16

Enlisted Officer Warrant Officer Civilian

-61-

PR2PAYGR RECORD POSITION 283-284

US ARMY ACDB PRASE II LEIMT DESCRIPTION DATA

DATA ELEKMENT NAME

MIOIONIC

Secondary Provider Job Code DATA ELEMENT NUMBER

58

FORMAT

Char

PR2JC RECORD POSITION

285-291

7

OCCURRENCES 1

DEFINITION

Secondary provider's job code.

CODES AND VALUES

Army Position 1-3 4 5,6 7

MOS (Military Occupational Spec) SSI (Spec. Skill Identifier) ASI (Additional Skill Ident.) blank

Air Force Position 1-7

AFSC (Air Force specialty Code)

Navy Position 1-6 7

NOBC/NEC (Navy Officer Billet Code/Navy Enlisted Code) blank

Other branches 7 blanks

-62-

APPENDIX A. LISTING OF INPATIENT REFERRAL. CODES AND UCA CLINIC CODES

-63-

UCA CODES AAAA AAAF AAAB AAAC AABA AABF AACA AACF AADA AADF AAEA AAFA AAGA AAHA AAHF AAIA AAJA AAJF AAKA AALA AAMA ABAA ABBA ABBB ABCA ABCB ABCF ABDA ABEA ABFA ABGA ABGF ABHA ABIA ABJA ABKA ABZB ACAA ACAF ACBA ACBF ADAA ADAF ADBA ADBF ADCA AEAA AEAF AEBA AEBF AFYA AFYC

INPATIENT WARDS

INTERNAL MEDICINE INT MED FAMILY PRACTICE INFECTIOUS DISEASE ALLERGY CARDIOLOGY CARDIOLOGY FAMILY PRACTICE CCU CORONARY CARE CCU FAMILY PRACTICE DERMATOLOGY DERMATOLOGY FAMILY PRACTICE ENDOCRINOLOGY GASTROENTEROLOGY HEMATOLOGY INTENSIVE CARE UNIT (MED) MED INTENSIVE CARE UNIT (MICU) FAMILY PRACTICE NEPHROLOGY NEUROLOGY NEUROLOGY FAMILY PRACTICE ONCOLOGY PULMONARY RESPIRATORY DISEASE RHEUMATOLOGY GENERAL SURGERY CARDIOVASCULAR & THORACIC SURGERY PERIPHERAL VASCULAR INTENSIVE CARE UNIT (SURG) TRAUMA SURG INTENSIVE CARE UNIT (SICU) FAMILY PRACTICE NEUROSURGERY OPHTHALMOLOGY ORAL SURGERY OTORHINOLARYNGOLOGY OTORHINOLARYNGOLOGY (ENT) FAMILY PRACTICE PEDIATRIC SURGERY PLASTIC SURGERY PROCTOLOGY UROLOGY USAISR (US ARMY INSTITUTE OF SURGICAL RESEARCH) GYNECOLOGY GYNECOLOGY FAMILY PRACTICE OBSTETRICS OBSTETRICS FAMILY PRACTICE PEDIATRICS PEDIATRICS FAMILY PRACTICE NURSERY NURSERY FAMILY PRACTICE NEONATAL CARE ICU ORTHOPEDICS ORTHOPEDIC FAMILY PRACTICE PODIATRY PODIATRY FAMILY PRACTICE PSYCHIATRY PIP PROGRAM (Personal Improvement Program) -64-

CODES BAAA BABA BACA BAEA BAFA BAGA BAHA BAIA BAJA BAKA BALA BAMA BANA BAOA BAPA BAQA BBAA BBAB BBBA BBCA BBDA BBFA BBGA BBHA BBIA BBJA BCAA BCBA BCCA BCCB BCCC BDAA BDBA BDCA BDZA BEAA BEBA BECA BEDA BEEA BEFA BFAA BFBA BFCA BFDA BFEA BGYA BGYN BHAA BHAB BHAC

AMBULATORY CARE CLINICS INTERNAL MEDICINE CLINIC ALLERGY CLINIC CARDIOLOGY CLINIC DIABETIC CLINIC ENDOCRINOLOGY CLINIC GASTROENTEROLOGY CLINIC HEMATOLOGY CLINIC HYPERTENSION CLINIC NEPHROLOGY CLINIC NEUROLOGY CLINIC NUTRITION CLINIC ONCOLOGY CLINIC PULMONARY DISEASE CLINIC RHEUMATOLOGY CLINIC DERMATOLOGY CLINIC INFECTIOUS DISEASE CLINIC GENERAL SURGERY CLINIC PAIN CONTROL CLINIC CARDIOVASCULAR/THORACIC SURGERY NEUROSURGERY CLINIC OPHTHALMOLOGY CLINIC OTORHINOLARYNGOLOGY (ENT) CLINIC PLASTIC SURGERY CLINIC PROCTOLOGY CLINIC UROLOGY CLINIC PEDIATRIC SURGERY CLINIC FAMILY PLANNING CLINIC GYNECOLOGY CLINIC OBSTETRICS CLINIC ANTEPARTUM CLINIC MIDWIFERY SERVICES (FT CAMPBELL) PEDIATRIC CLINIC ADOLESCENT CLINIC WELL BABY CLINIC EXCEPTIONAL FAMILY MEMBER PROGRAM ORTHOPEDIC CLINIC CAST CLINIC HAND SURGERY CLINIC NEUROMUSCULOSKELETAL CLINIC ORTHOPEDIC APPLIANCE (BRACE) CLINIC PODIATRY CLINIC PSYCHIATRY CLINIC PSYCHOLOGY CLINIC CHILD GUIDANCE CLINIC MENTAL HEALTH/COMMUNITY MENTAL HEALTH SOCIAL WORK SERVICES FAMILY PRACTICE CLINIC FT BRAGG) FAMILY PRACTICE (TMC 21, PRIMARY CARE (ACC/AMIC) CLINIC WELLNESS-FITNESS CLINIC PES-SICK CALL -65-

BHAE BHAE BHAF BHAF BHAF BHAF BHAG BRAG BHAG BHAH BHAH BHAI BHAI BHAJ BHAJ BHAK BHAK BHAL BHAL BHAM BHAQ BHBA BHBE BHCA BHCH BHCI BHDA BHEA BIYA BJYA BJYA

TROOP MEDICAL CLINIC TMC 3 (PRIM CARE) (FT BRAGG) FIRST AID STATION-CAMP BULLIS TMC IST BDE (FT JACKSON) TMC 2 (FT CAMPBELL, FT POLK) "MC 9 (PRIM CARE) (FT BRAGG) TMC 3 (FT CAMPBELL, FT POLK) TMC 4TH BDE (FT JACKSON) TMC 10 (PRIM CARE) (FT BRAGG) TMC 4 (FT CAMPBELL, FT POLK) TMC 1i (PRIM CARE) (FT BRAGG) TMC 5 (FT CAMPBELL) TMC 12 (PRIM CARE) (FT BRAGG) TMC 6 (FT CAMPBELL) TMC 13 (PRIM CARE) (FT BRAGG) TMC 7 (FT CAMPBELL) TMC 14 (PRIM CARE) (FT BRAGG) TMC 8 (FT CAMPBELL) TMC 15 (PRIM CARE) (FT BRAGG) TMC 17 (PRIM CARE) (FT BRAGG) SUNNY POINT (PRIM CARE) (FT BRAGG) MEDICAL EXAMINATION CLINIC PHYSICAL EXAM CLINIC/TMC (REDSTONE) OPTOMETRY CLINIC TMC II (OPTOMETRYj (FT BRAGG) TMC 5/DIV OPTOMETRY (FT CAMPBELL) AUDIOLOGY CLINIC SPEECH PATHOLOGY CLINIC EMERGENCY ROOM FLIGHT MEDICINE CARE TMC 22 (FLIGHT MED) (FT BRAGG) ANCILLARY SERVICES CODES

CLINICS UCA CODES DCBA RADIOTHERAPY DHBA OCCUPATIONAL THERPAY DHDA PHYSICAL THERAPY SUPPORT SERVICES (SPECIAL PROGRAMS) CODES CLINICS UCA CODES FAEA UCA ADAPCP/USM MTF MAIN CLINIC FAFA UCA-DRUG SCNG TEST/USM MN CLIN (FT CAMPBELL, JACKSON) FBAA COMMUN HEALTH SERVICES (ARMY HS, FT JACKSON) FBAJ FLIGHT PHYS EXAMS (FT JACKSON) FBBA PREVENTIVE MED FBGA OCCUP HEALTH FBGC PES-OCC PHYS EXAMS (FT JACKSON) FBGX RECEPTEE PHYS EXAMS (FT JACKSON) FBIA IMMUNIZATIONS FBIA IMMUNIZATIONS ADULT (FT BRAGG) -66-

FCCA FCDA FCEA FEAA

CODES

CHAMPUS SUPPORT SUPPORT PATIENT

(FT BRAGG) OTHER MILT (FT BRAGG) OTHER FEDERAL (FT BRAGG) TRANSPORTATION

BATTALION AID STATION

SBAE SBAG SBAH SBAK SBAL SBAL SBBE SBBF SBBF SBBG SBBG SBBG SBBH SBBH SBBH SBBL SBBL SBCE SBCG SBCG SBCG SBCH SBCH SBCK SBCL SBCL SBCO SBDE

20TH ENG (FT CAMPBELL) 504 TH (FT BRAGG) 1/505 TH (FT BRAGG) 1/502 INF (FT CAMPBELL) HHB 5/8 FLD ART (FT BRAGG) 1/327 INF (FT CAMPBELL) 1/40TH ARMOR BTN (FT POLK) 1/325 TH (FT BRAGG) 3/6 INF BTN (FT POLK) 4/68 TH (FT BRAGG) 4/187 BN (FT CAMPBELL) 5TH ID (FT POLK) 2/505 TH (FT BRAGG) 3/319 (FT CAMPBELL) 588 ENG BTN (FT POLK) HHB 1/39 FLD ART (FT BRAGG) 2/327 INF (FT CAMPBELL) 1/61 INF BTN (FT POLK) 2/50 TH (FT BRAGG) 5/187 BN (FT CAMPBELL) 2/21 FA (FT POLK) 307 ENG (FT BRAGG) 2/31 (FT CAMPBELL) 3/502 INF (FT CAMPBELL) HHB CORE ART (FT BRAGG) 3/327 INF (FT CAMPBELL) 82 C.A.B. (FT BRAGG) 3/77 ARMOR BTN (FT POLK)

SBDG

1/50 TH (FT BRAGG)

SBDG SBDG SBDH SBDH SBEE SBEG SBEG SBEH SBFG SBFG SBGG SBHG

326 ENG (FT CAMPBELL) 3/19 FA (FT POLK) 1/508 TH (FT BRAGG) 2/320 (FT CAMPBELL) DISCOM HHB (FT BRAGG) 3/21 FA (FT POLK) 3/4 TH ADA (FT BRAGG) 2/321 ST (FT BRAGG) 1/55 ADA (FT POLK) 1/319 TH (FT BRAGG) 2/508 (FT BRAGG)

CODES SCAA

BATTALION AID FLIGHT MEDICAL STATIONS 4/12 CAV (FT POLK)

-67-

The codes described in this appendix were collected from the Phase 2 ACDB. The number of diagnotic codes appearing in the forms exceeds the number on this list because only those diagnostic which were utilized by providers are included. Only codes utilized in the study are included in the appendix. Any code found in the data and not in this appendix are probable errors.

See elements 27 and 28 for use of the codes.

-68-

APPENDIX B. LISTING OF DIAGNOSIS CODES

-69-

000

NO DIAGNOSIS/REASON FOR VISIT RECORDED BY PRO

001 0020 0030 0049 0058 0069 0070 0071 0078 0080 0088 00881 00882 009 0090 00901 0091 0092 0093 010 0100 0108 0109 01100 0119 0120 013 01320 015 0150 0159 016 0160 018 019 020 021 022 023 0269 0270 0271 0309 03191 0320 03284 0329 033 0340 0341 035

ENTERITIS, CHOLERA TYPHOID FEVER ENTERITIS, SALMONELLA DYSENTERY, BAC/SHIGELLA FOOD POISONING, BACTERIAL AMEBIASIS BALANTIDIASIS GIARDIASIS INTESTINAL DISEASE, OTHER SPEC PROTOZOAL ENTERITIS, E. COLI INTESTINAL DISEASE, OTHER ORGANISM, NEC ENTERITIS, VIRAL DIARRHEA/GASTROENTERITIS INFECTION, INTESTINAL, ILL-DEFINED INTESTINAL DISEASE, PROVEN INFECTIOUS COLITIS, PROVEN INFECTIOUS COLITIS, PRESUMED INFECTIOUS DIARRHEA, INFECTIOUS INTESTINAL DISEASE, PRESUMED INFECTIOUS TUBERCULOSIS INFECTION TUBERCULOUS COMPLEX, PRIMARY OTHER PRIMARY PROGRESSIVE TUBERCULOSIS TUBERCULIN CONVERTER TUBERCULOSIS OF LUNG, INFILTRATIVE, UNSPEC TUBERCULOSIS, PULMONARY TUBERCULOSIS, EFFUSION, PLEURAL TUBERCULOSIS, MENINGES & CENTRAL NERVOUS SYST TUBERCULOMA, BRAIN, UNSPEC TUBERCULOSIS, BONES & JOINTS TUBERCULOSIS, VERTEBRAL ARTHRITIS, MYCOBACTERIAL TUBERCULOSIS OF GENITOURINARY SYSTEM TUBERCULOSIS, RENAL TUBERCULOSIS, MILIARY, DISSEMINATED TUBERCULOSIS, NONPULMONARY PLAGUE TULAREMIA ANTHRAX BRUCELLOSIS RAT BITE FEVER LISTERIOSIS ERYSIPELOTHRIX LEPROSY INFECTION, ATYPICAL MYCOBACTERIAL DIPHTHERIA, FAUCIAL DIPHTHERITIC CYSTITIS DIPHTHERIA WHOOPING COUGH PHARYNGITIS W/STREPTOCOCCAL SCARLET FEVER ERYSIPELAS -70 -

0360 0362 0363 037 038 0382 03842 0389 0390 03981 03990 03991 0400 0402 04082 0411 0419 042 045 0451 04590 046 0463 0479 0499 052 0528 0529 0530 05310 05311 05319 05321 05371 0539 054 0540 05410 05411 0542 0543 05430 055 0559 0569 057 0570 0578 0579 060 0621 0629

MENINGITIS, MENINGOCOCCAL MENINGOCOCCEMIA WATERHOUSE- FRIDERICHSEN SYNDROME TETANUS SEPTICEMIA PNEUMOCOCCAL SEPTICEMIA ESCHERICHIA COLI SEPTICEMIA, UNSPEC INFECTION, ACTINOMYCOTIC, CUTANEOUS NOCARDIA ACTINOMYCOSIS NOCARDIOSIS GANGRENE, GAS WHIPPLE'S DISEASE TOXIC SHOCK SYNDROME STAPHYLOCOCCUS, UNSPEC SITE INFECTIOUS DISEASE, BACTERIAL IMMUNODEFICIENCY, AQUIRED POLIOMYELITIS, ACUTE POLIOMYELITIS, ACUTE W/OTHER PARALYSIS POLIO, NOS SLOW VIRUS INFECTION OF CENTRAL NERVOUS SYSTE LEUKOENCEPHALOPATHY, PROGRESSIVE MULTIFOLD MENINGITIS, VIRAL (ASEPTIC) ENCEPHALITIS, ENTEROVIRUS VARICELLA (CHICKENPOX) CHICKEN POX W/UNSPEC COMPLICATION VARICELLA W/O MENTION OF COMPLICATION HERPES ZOSTER WITH MENINGITIS NEURALGIA, POST-HERPETIC RAMSAY HUNT SYNDROME HERPES ZOSTER, W/OTHER NERVOUS SYS COMP HERPES ZOSTER, KERATOCONJUNCTIVITIS HERPES ZOSTER OTITIS HERPES ZOSTER HERPES SIMPLEX ECZEMA HERPETICUM HERPES GENITALIS VULVOVAGINITIS, HERPETIC GINGIVOSTOMATITIS, HERPETIC ENCEPHALITIS, HERPETIC HERPETIC MENINGOENCEPHALITIS RUBEOLA MEASLES W/O COMPLICATION RUBELLA VIRAL EXANTHEMATA, OTHER ERYTHEMA INFECTIOSUM (FIFTH DISEASE) ROSEOLA EXANTHEM, VIRAL YELLOW FEVER ENCEPHALITIS, WESTERN EQUINE ENCEPHALITIS, MOSQUITO-BORNE -71-

0639 0661 070 0701 0703 0705 071 0729 0739 0740 07421 0743 075 0761 0771 0779 078 0780 0781 07811 07812 07813 07814 07815 07816 0783 0785 07882 07889 079 0790 0791 0792 0798 07981 0799 082 0839 0846 0848 0859 087 0871 0900 0910 0913 0929 094 0949 0979 098 0980

ENCEPHALITIS, TICK-BORNE FEVER, TICK-BORNE HEPATITIS, VIRAL, NOS HEPATITIS A HEPATITIS B HEPATITIS, NON A NON B RABIES MUMPS W/O COMPLICATION PSITTACOSIS (ORNITHOSIS) HERPANGINA COXSACKIE PERICARDITIS DISEASE, HAND, FOOT & MOUTH DUE TO COXSACKIE INFECTIOUS MONONUCLEOSIS TRACHOMA, ACTIVE STAGE KERATOCONJUNCTIVITIS, EPIDEMIC CONJUNCTIVA DISEASE, DUE TO VIR/CHLAM UNSPEC DISEASE DUE TO VIRUSES & CHLAMYDIAE, OTHER MOLLUSCUM CONTAGIOSUM WART, VIRAL CONDYLOMA, ACUMINATUM CONDYLOMA, VAGINA WARTS, PLANTAR CONDYLOMA, VULVA CONDYLOMA, CERVIX URETHRAL CONDYLOMATA CAT-SCRATCH FEVER CYTOMEGALIC INCLUSION DISEASE VOMITING SYNDROME, EPIDEMIC OTH SPECIFIED DIS DUE TO VIRUSES & CHLAMYDIAE (OTH) INFECTION, VIRAL, IN CONDITIONS CLASS ELSEWHERE ADENOVIRUS ECHO VIRUS INFECTION, VIRAL, COXSACKIE INFECTION, VIRAL, OTHER, SPEC CHLAMYDIA VIRAL SYNDROME NOS RICKETTSIOSIS TICK BORNE PNEUMONIA/INFECTIOUS RICKETTSIOSIS, UNSPEC MALARIA FEVER, BLACKWATER LEISHMANIASIS FEVER, RELAPSING FEVER, RELAPSING, TICK-BORNE SYPHILIS, EARLY, CONGENITAL, SYMPTOMATIC SYPHILIS, PRIMARY SYPHILIS, SKIN/MUCOUS MEMBRANES, SECONDARY SYPHILIS, EARLY, LATENT, UNSPEC NEUROSYPHILIS SYPHILIS OF CNS (EXCEPT GENERAL PARALYSIS) SYPHILIS, ALL SITES & STAGES GONORRHEA GONORRHEA, GU -72-

09801 09815 0982 0989 099 0990 0991 0992 0993 0994 09941 *0999

100 101 *1026 110 1100 1101 1102 1103 1104 1105 il1 1110 1111 1119 112 1129 1121 1122 1123 1125 1129 114 1140 1141 1149 115 11502 11505 *11592 11595 1160 1171 1173 1175 1177 1179 11791 121 1212 122

URETHRITIS, GONOCOCCAL CERVICITIS, GONOCOCCAL GONOCOCCAL INFECTION, LOWER GI, CHRONIC PPNG VENEREAL DISEASE, OTHER CHANCROID LYMPHOGRANULOMA. VENEREUM GRANULOMA, INGUINALE REITER'S DISEASE URETHRITIS, NONSPECIFIC URETHRITIS, CHLAMYDIA SEXUALLY TRANSM DIS (STD) NOS LEPTOSPIROSIS VINCENT'S ANGINA BONE AND JOINT LESIONS DERMATOPHYTOS IS DERMATOPHYTOSIS (TINEA) CAPITIS DERMATOPHYTOSIS (TINEA) UNGUIUM DERMATOPHYTOSIS, HAND DERMATOPHYTOSIS (TINEA) CRURIS DERMATOPHYTOSIS (TINBA) PEDIS DERMATOPHYTOSIS (TINRA) CORPORIS DERMATOMYCOSIS, OTHER, UNSPEC TINEA VERSICOLOR TINRA NIGRA DERMATOMYCOS IS CANDIDIASIS THRUSH MONILIASIS, VULVA & VAGINA CANDIDIASIS, UROGENITAL CANDIDIASIS, SKIN AND NAILS CANDIDIASIS, DISSEMINATED CANDIDIASIS, NOS COCCIDIOIDOMYCOSIS PNEUMONIA/INFECTIOUS COCCIDIQIDOMYCOSIS COCCIDIOIDOMYCOSIS, EXTRAPULMONARY, PRIMARY COCCIDIOIDOMYCOSIS, UNSPECIFIED HISTOPLASMOSIS OCULAR HISTOPLASMOSIS INFECTION, HISTOPLASMA. CAPSULATUM, PNEUMONIA HISTOPLASMOSIS, RETINITIS, UNSPEC PNEUMONIA, HISTOPLASMOSIS BLASTOMYCOSIS SPOROTRICHOSIS ASPERGILLOSIS, BRONCHO-PULMONARY CRYPTOCOCCOSIS ZYGOMYCOSIS MYCOSES, UNSPEC PNEUMONIA, FUNGAL, NOT HISTO/COCCID TREMATODE INFECTION, OTHER PARAGONIMIASIS ECHINOCOCCOSIS -73-

1228 1231 1259 1269 1270 1274 1280 129 1307 1309 1310 13101 1319 132 1320 1322 1329 133 1330 1338 1339 135 1361 1363 1369 13691 138 1409 141 1429 143 144 1450 1452 1453 1456 1459 1460 1461 1462 1464 1469 1479 1489 149 1503 1504 1505 1509 1513 1515 1516

ECHINOCOCCOSIS, UNSPECIFIED, OF LIVER CYSTICERCOSIS, CEREBRAL FILARIASIS, UNSPEC ANCYLOSTOMIASIS AND NECATORIASIS, UNSPEC ASCARIASIS PINWORMS (ENTEROBIASIS) TOXOCARIASIS PARASITE, INTESTINE NOS TOXOPLASMOSIS, OTHER SPEC SITES TOXOPLASMOSIS TRICHOMONIASIS, UROGEN TRICHOMONIASIS, VAGINALIS TRICHOMONIASIS, UNSPECIFIED PEDICULOSIS/PHTHIRUS INFESTATION PEDICULOSIS CAPITIS CRAB LICE PEDICULOSIS, NOS ACARIASIS SCABIES ACARIASIS, OTHER MITES SARCOIDOSIS BEHCET'S SYNDROME PNEUMONIA, PNEUMOCYSTIS CARINII, PARASITIC INFECTIOUS & PARASITIC DISEASES, UNSPEC INFECTIOUS DISEASE, UNSPEC LATE EFFECTS OF ACUTE POLIOMYELITIS NEOPLASM, MALIGNANT, LIP NEOPLASM, MALIGNANT, TONGUE NEOPLASM, MALIGNANT, SALIVARY GLANDS NEOPLASM, MALIGNANT, GUM NEOPLASM, MALIGNANT, FLOOR OF MOUTH NEOPLASM, MALIGNANT, CHEEK MUCOSA NEOPLASM, MALIGNANT, HARD PALATE NEOPLASM, MALIGNANT, SOFT PALATE NEOPLASM, MALIGNANT, RETROMOLAR TRIGONE NEOPLASM, MALIGNANT, ORAL CAVITY NEOPLASM, MALIGNANT, TONSIL NEOPLASM, MALIGNANT, TONSILLAR FOSSA NEOPLASM, MALIG, TONSILLAR/PILLARS (ANTER/POS NEOPLASM, MALIGNANT, ANTERIOR ASPECT OF EPIGL NEOPLASM, MALIGNANT, OROPHARYNX NEOPLASM, MALIGNANT, NASOPHARYNX NEOPLASM, MALIGNANT, HYPOPHARYNX NEOPLASM, MALIG, ILL DEFINE SITE LIP/ORAL CAV NEOPLASM, MALIGNANT, UPPER 1/3 ESOPH NEOPLASM, MALIGNANT, MIDDLE 1/3 ESOPH NEOPLASM, MALIGNANT, LOWER 1/3 ESOPH NEOPLASM, MALIGNANT, ESOPH, UNSPEC NEOPLASM, MALIGNANT, STOMACH, FUNDUS NEOPLASM, MALIG, STOMACH, LESS CURVA, UNSPEC NEOPLASM, MALIG, STOMACH, GREATER CURVA, UNSP -74-

1519 152 1522 153 1530 1531 1532 1533 1534 1535 1536 1537 1539 154 1540 1541 1542 1543 1544 155 1550 1551 156 1560 1561 1562 1569 157 1570 1571 1572 1573 1574 1578 1579 158 159 1590 160 1601 1609 1612 1619 162 1620 1622 1623 1624 1625 16281 1629 16290

NEOPLASM, MALIGNANT, STOMACH NEOPLASM, MALIGNANT, SMALL INTEST (INCL DUODE MALIG NEOPLASM OF SM INTEST INCL DUODENUM (ILEUM) NEOPLASM, MALIGNANT, COLON NEOPLASM, MALIGNANT, HEPATIC FLEXURE NEOPLASM, MALIGNANT, TRANSVERSE COLON NEOPLASM, MALIGNANT, DESCENDING COLON NEOPLASM, MALIGNANT, SIGMOID COLON NEOPLASM, MALIGNANT, CECUM NEOPLASM, MALIGNANT, APPENDIX NEOPLASM, MALIGNANT, ASCENDING COLON NEOPLASM, MALIGNANT, SPLENIC FLEXURE NEOPLASM, MALIGNANT, COLON (NOT RECTUM) NEOPLASM, MALIG, RECTUM, RECTOSIGMOID JUNCT & NEOPLASM, MALIGNANT, COLON W/RECTUM NEOPLASM, MALIGNANT, RECTUM NEOPLASM, MALIGNANT, ANAL CANAL NEOPLASM, MALIGNANT, ANUS NEOPLASM, MALIGNANT, RECTOSIGMOID JUNCTION NEOPLASM, MALIG, LIVER, & INTRAHEPATIC BILE D NEOPLASM, MALIGNANT, LIVER, PRIMARY NEOPLASM, MALIGNANT, INTRAHEPATIC BILE DUCTS NEOPLASM, MALIG, GALLBLAD & EXTRAHEPAT BILE D NEOPLASM, MALIGNANT, GALLBLADDER NEOPLASM, MALIGNANT, EXTRAHEPATIC BILE DUCTS NEOPLASM, MALIGNANT, AMPULLA OF VATER NEOPLASM, MALIGNANT, BILIARY TRACT, PART UNSP NEOPLASM, MALIGNANT, PANCREAS NEOPLASM, MALIGNANT, PANCREAS, HEAD NEOPLASM, MALIGNANT, PANCREAS, BODY NEOPLASM, MALIGNANT, PANCREAS, TAIL NEOPLASM, MALIGNANT, PANCREATIC DUCT NEOPLASM, MALIGNANT, ISLETS OF LANGERHANS NEOPLASM, MALIGNANT, OTHER SPEC SITE OF PANCR NEOPLASM, MALIGNANT, PANCREAS, PART UNSPEC NEOPLASM, MALIGNANT, RETROPERITONEUM & PERITO NEOPLASM, MALIG, DIGEST SYST/PERITONM, OTHER NEOPLASM, MALIG, GASTROINTEST TRACT, UNSPEC NEOPLASM, MALIG, NASAL CAV/MIDDLE EAR/ACCESS NEOPLASM, MALIG, AUD TUBE/MIDDLE EAR/MAST/AIR NEOPLASM, MALIGNANT, SINUS UNSPEC NEOPLASM, MALIGNANT, SUBGLOTTIS NEOPLASM, MALIGNANT, LARYNX, UNSPEC NEOPLASM, MALIGNANT, TRACHEA, BRONCHUS & LUNG NEOPLASM, MALIGNANT, TRACHEA NEOPLASM, MALIGNANT, MAIN BRONCHUS NEOPLASM, MALIGNANT, UPPER LOBE, BRONCHUS OR NEOPLASM, MALIGNANT, MIDDLE LOBE, BRONCHUS OR NEOPLASM, MALIGNANT, LOWER LOBE, BRONCHUS OR ADENOMA, BRONCHIAL, CARCINOID NEOPLASM, MALIGNANT, BRONCHUS AND LUNG NEOPLASM, MALIGNANT, BRONCHOGENIC, PRIMARY -75-

16291 16292 16293 16294 16295 16296 16297 16298 163 164 1640 1641 1642 1643 1649 165 1658 17000 17001 17020 1703 1709 1713 1714 1719 17192 17193 172 1722 1725 1729 173 1731 17311 1732 1733 1735 1736 1739 17391 17392 174 1748 1749 1759 17647 180 1809 181 1811 1820 1828

NEOPLASM, MALIGNANT, LUNG POORLY DIFFERENTI NEOPLASM, MALIGNANT, LUNG UNDIFFERENTIATED CYLINDROMA NEOPLASM, MALIGNANT, BRONCHOGENIC, LARGE CELL NEOPLASM, MALIGNANT, BRONCHOGENIC, SMALL CELL NEOPLASM, MALIGNANT, BRONCHOGENIC, SQUAMOUS C NEOPLASM, MALIGNANT, LUNG, NODULES, PARENCHYM ADENOCARCINOMA, LUNG NEOPLASM, MALIGNANT, PLEURA NEOPLASM, MALIGNANT, THYMUS, HEART & MEDIASTI NEOPLASM, MALIGNANT, THYMUS NEOPLASM, MALIGNANT, HEART NEOPLASM, MALIGNANT, ANTERIOR MEDIASTINUM NEOPLASM, MALIGNANT, POSTERIOR MEDIASTINUM NEOPLASM, MALIGNANT, MEDIASTINUM NEOPLASM, MALIG, RESPIR SYS & INTRATHOR ORGN NEOPLASM, MALIGNANT, RESP-THOR (UNSPEC) NEOPLASM, MALIGNANT, TEMPORAL BONE, EAR NEOPLASM, MALIGNANT, SKULL NEOPLASM, MALIGNANT, VERTEBRAL COLUMN MALIG NEOPL OF VERTEBRAL COL, EXCL SACRUM & COCCYX NEOPLASM, MALIGNANT, BONE, PRIMARY NEOPLASM, MALIGNANT, LOWER LIMB NEOPLASM, MALIGNANT, THORAX NEOPLASM, MALIG, CONNECT/OTH SFT TISS SITE UN NEOPLASM, MALIGNANT, CONNECTIVE TISSUE NEOPLASM, MALIGNANT, LYMPH, BLOOD, SOFT TISSU MELANOMA, MALIGNANT, SKIN MELANOMA, MALIG, EAR & EXTERNAL AUDITORY CANA MELANOMA, MALIG, TRUNK, EXCEPT SCROTUM MELANOMA OF SKIN, SITE UNSPECIFIED NEOPLASM, MALIGNANT, SKIN, NOS NEOPLASM, MALIGNANT, EYELID BASAL CELL CARCINOMA OF EYELID NEOPLASM, MALIG, SKIN, EAR/EXTERN AUDITRY CAN NEOPLASM, MALIG, SKIN, FACE, 0TH & UNSPEC PAR NEOPLASM, MALIGNANT, SKIN, TRUNK NEOPLASM, MALIGNANT, SKIN, UPPER LIMB NEOPLASM, MALIGNANT, SKIN, SITE UNSPEC NEOPLASM, MALIGNANT, SKIN, BASAL CELL NEOPLASM, MALIGNANT, SQUAMOUS CELL NEOPLASM, MALIG, FEMALE NEOPLASM, MALIG, BREAST, FEMALE, OTH SPEC SIT NEOPLASM, MALIGNANT, BREAST, FEMALE, NOS NEOPLASM, MALIGNANT, BREAST, MALE, NOS DEFORMITY OF ORBIT DUE TO TRAUMA OR SURGERY NEOPLASM, MALIG, CERVIX, UTERI NEOPLASM, MALIGNANT, CERVIX UTERI, UNSPEC NEOPLASM, MALIGNANT, PLACENTA CHORIOCARCINOMA NEOPLASM, MALIG, CORPUS UTERI, EXCEPT ISTHMUS NEOPLASM, MALIGNANT, UTERUS, BODY, NOS -76-

183 1830 1832 1840 1841 1844 1848 1849 185 186 1860 1869 187 1876 188 1886 1889 189 1890 1891 1892 1893 1895 1896 1899 190 19001 1901 1902 1903 1905 19051 1906 19061 191.0 19100 1911 1912 1913 1914 1915 1916 1917 1919 1920 1922 1923 1929 19291 193 194 1940

NEOPLASM, MALIGNANT, OVARY & OTHER UTERINE AD NEOPLASM, MALIGNANT, OVARY, NOS NEOPLASM, MALIGNANT, FALLOPIAN TUBE NEOPLASM, MALIGNANT, VAGINA NEOPLASM, MALIGNANT, LABIA MAJORA NEOPLASM, MALIGNANT, VULVA, NOS NEOPLASM, MALIG, FEM GENITAL ORGAN, SITE UNSP NEOPLASM, MALIGNANT, GYN, UNSPEC NEOPLASM, MALIGNANT, PROSTATE NEOPLASM, MALIGNANT, TESTES NEOPLASM, MALIGNANT, UNDESCENDED TESTIS NEOPLASM, MALIGNANT, TESTIS, OTHER NEOPLASM, MALIGNANT, MALE GENITALIA, NOS NEOPLASM, MALIGNANT, SPERMATIC CORD NEOPLASM, MALIG, BLADDER NEOPLASM, MALIGNANT, URETERIC ORIFICE NEOPLASM, MALIGNANT, BLADDER, NOS NEOPLASM, MALIG, KIDNEY/OTH & UNSPEC URIN ORG NEOPLASM, MALIGNANT, KIDNEY, EXCEPT PELVIS NEOPLASM, MALIGNANT, RENAL PELVIS NEOPLASM, MALIGNANT, URETER NEOPLASM, MALIGNANT, URETHRA NEOPLASM, MALIGNANT, KIDNEY NEOPLASM, MALIGNANT, GENITALIA, UNSPEC NEOPLASM, MALIGNANT, URINARY SYSTEM NEOPLASM, MALIGNANT, EYE NEOPLASM, MALIGNANT, EYE/ORBIT NEOPLASM, MALIGNANT, ORBIT NEOPLASM, MALIGNANT, LACRIMAL GLAND NEOPLASM, MALIGNANT, CONJUNCTIVA NEOPLASM, MALIGNANT, RETINA RETINOBLASTOMA NEOPLASM, MALIGNANT, CHOROID MELANOMA OF CHOROID NEOPLASM, MALIGNANT, BRAIN, INTRACEREBRAL, PR NEOPLASM, MALIGNANT, CEREBRUM, EXCEPT LOBES/V NEOPLASM, MALIGNANT, FRONTAL LOBE NEOPLASM, MALIGNANT, TEMPORAL LOBE NEOPLASM, MALIGNANT, PARIETAL LOBE NEOPLASM, MALIGNANT, OCCIPITAL LOBE NEOPLASM, MALIGNANT, VENTRICLES NEOPLASM, MALIGNANT, CEREBELLUM NEOPLASM, MALIGNANT, BRAIN STEM NEOPLASM, MALIGNANT, BRAIN, UNSPEC NEOPLASM, MALIG, CRANIAL NERVE (INCLUD OPTIC) NEOPLASM, MALIGNANT, SPINAL CORD NEOPLASM, MALIGNANT, SPINAL MENINGES NEOPLASM, MALIGNANT, NERVOUS SYSTEM, OTHER NEOPLASM, MALIGNANT, PERIPHERAL NERVES NEOPLASM, MALIGNANT, THYROID GLAND NEOPLASM, MALIG, ENDO GLAND & RELATED STRUCT NEOPLASM, MALIGNANT, ADRENAL GLAND -77-

1941 1943 1944 19440 1945 1946 1950 19501 1951 1952 1958 1960 1961 1962 1963 1965 1966 1968 1969 197 1970 1971 1972 1975 1976 1977 198 1980 1981 1982 19821 1983 19831 19832 1984 1985 1986 1987 19883 19889 19901 19912 19913 19914 19915 1995 200 2000 20000 2001 2002 2008

NEOPLASM, MALIGNANT, PARATHYROID GLAND NEOPLASM, MALIG, PIT GLAND/CRANIOPHARYNGEAL D NEOPLASM, MALIGNANT, PINEAL GLAND NEOPLASM, MALIGNANT, PINEAL REGION NEOPLASM, MALIGNANT, CAROTID BODY NEOPLASM, MALIG, AORTIC BODY & OTHER PARAGANG NEOPLASM, MALIGNANT, HEAD, FACE, NECK NEOPLASM, MALIGNANT, NOSE NEOPLASM, MALIGNANT, THORAX NEOPLASM, MALIGNANT, ABDOMEN NEOPLASM, MALIGNANT, OTHER SPECIFIED SITES NEOPLASM, MALIG, LYMPH NOD, HEAD, FACE/NECK, NEOPLASM, MALIG, LYMPH NOD, INTRATHORACIC, SE NEOPLASM, MALIGNANT, LYMPH NOD, INTRA-ABDOMI, NEOPLASM, MALIG, LYMPH NOD, AXILLA/UPP LIMB, NEOPLASM, MALIG, LYMPH NOD, ING REG/LOW LIMB NEOPLASM, MALIG, LYMPH NOD, INTRAPELVIC, SECO NEOPLASM, MALIG, LYMPH NOD, MULTIPLE SITES, S NEOPLASM, MALIG, LYMPH NOD, UNSPEC SECON NEOPLASM, MALIG, RESPIR/DISGEST SYSTEMS, SECO NEOPLASM, MALIGNANT, LUNG/BRONCHUS, SECONDARY NEOPLASM, MALIGNANT, MEDIASTINUM, SECONDARY NEOPLASM, MALIGNANT, PLEURA, SECONDARY NEOPLASM, MALIG, LARGE INTEST/RECTUM, SECON NEOPLASM, MALIG, PERITON/RETROPERITON, SECON NEOPLASM, MALIGNANT, LIVER, SECONDARY NEOPLASM, MALIG, OTHER SPECIFIED SITES, SECON NEOPLASM, MALIGNANT, KIDNEY, SECONDARY NEOPLASM, MALIG, OTHER URINARY ORGANS, SECON NEOPLASM, MALIG, DERMATOLOGICAL (SKIN), SECON NEOPLASM, MALIGNANT, MASTECTOMY SITE, SECONDA NEOPLASM, MALIG, BRAIN & SPINAL CORD, SECON NEOPLASM, MALIGNANT, BRAIN, SECONDARY NEOPLASM, MALIGNANT, SPINE, SECONDARY NEOPLASM, MALIGNANT, MENINGES, SECONDARY NEOPLASM, MALIGNANT, BONE & BONE MARROW, SECO NEOPLASM, MALIGNANT, OVARY, SECONDARY NEOPLASM, MALIGNANT, ADRENAL GLAND, SECONDARY NEOPLASM, MALIGNANT, HEAD & NECK, SECONDARY SECONDARY MALIGNANT NEOPLASM (OTH SPECIFIED SITES) NEOPLASM, MALIGNANT, SECONDARY, UNSPECIFIED SITE NEOPLASM, MALIGNANT, NOS PARANEOPLASTIC SYNDROME NEOPLASM, MALIGNANT, MAJOR ORGAN, UNSPEC REMOTE EFFECT OF NEOPLASMS COMPLICATION, CANCER, ALL SITES LYMPHOSARCOMA & RETICULOSARCOMA RETICULOSARCOMA LYMPHOMA, HISTIOCYTIC LYMPHOSARCOMA BURKITT'S TUMOR OR LYMPHOMA OTH VARIANTS LYMPHOSARCOMA/RETICULOSARCOMA -78-

201 2014 2015 2016 2017 202 2020 2021 2022 2023 20231 2024 2025 2026 2028 20281 20282 20283 2030 2031 2038 204 2040 2041 2049 205 2050 20501 2051 20511 206 2070 208 2089 2102 2104 2107 2108 211 2110 2111 2112 21121 2113 2114 2115 21210 21211 2125 2126 2127 2130

HODGKIN'S DISEASE LYMPHOCYTIC- HYSTIOCYTIC PREDOMINANCE NODULAR SCLEROSIS MIXED CELLULARITY LYMPHOCYTIC DEPLETION NEOPLASM, MALIG, OTH LYMPHOID/HISTIOCYTIC TIS NODULAR LYMPHOMA MYCOSIS FUNGIODES SEZARY'S DISEASE MALIGNANT HISTIOCYTOSIS RETICULOENDOTHELIOSES, MALIGNANT LEUKEMIC RETICULOENDOTHELIOSIS LETTERER-SIWE DISEASE MALIGNANT, MAST CELL TUMORS NEOPLASM, MALIGNANT, LYMPHOMAS, OTHER LYMPHOMA, CUTANEOUS LYMPHOMA, LYMPHOCYTIC, MALIGNANT, NOS LYMPHOMA/LEUKEMIA, PRIMARY OF LUNG MYELOMA, MULTIPLE LEUKEMIA, PLASMA CELL NEOPLASM, OTHER IMMUNOPROLIFERATIVE LYMPHOCYTIC LEUKEMIA LEUKEMIA, LYMPHOCYTIC, ACUTE LEUKEMIA, LYMPHOCYTIC, CHRONIC LYMPHOCYTIC LEUKEMIA, UNSPEC LEUKEMIA, MYELOID LEUKEMIA, MYELOID, ACUTE LEUKEMIA, MYELOCYTIC, ACUTE LEUKEMIA, MYELOID, CHRONIC LEUKEMIA, MYELOCYTIC, CHRONIC LEUKEMIA, MONOCYTIC ERYTHREMIA AND ERYTHROLEUKEMIA, ACUTE LEUKEMIA, UNSPEC CELL TYPE UNSPECIFIED LEUKEMIA NEOPLASM, BENIGN, MAJOR SALIVARY GLANDS PAPILLOMA, SQUAMOUS, ORAL CAVITY ANGIOFIBROMA, NASO/PHARYNGEAL NEOPLASM, BENIGN, HYPOPHARYNX NEOPLASM, BENIGN, DIGESTIVE SYSTEM NEOPLASM, BENIGN, ESOPHAGUS NEOPLASM, BENIGN, STOMACH NEOPLASM, BENIGN, DUODENUM, JEJUNUM & ILEUM NEOPLASM, BENIGN, SMALL INTESTINE NEOPLASM, BENIGN, COLON, (POLYP) NEOPLASM, BENIGN, RECTUM & ANUS NEOPLASM, BENIGN, LIVER & BILE DUCTS PAPILLOMA, LARYNGEAL PAPILLOMA, VOCAL NEOPLASM, BENIGN, MEDIASTINUM THYMOMA NEOPLASM, BENIGN, CARDIAC, MYXOMA NEOPLASM, BENIGN, BONES OF SKULL & FACE

-79-

21300 21321 2137 2138 2139 214 2140 2141 2142 2143 2148 2149 21500 21501 2153 2158 2159 21593 216 2161 2162 2163 2164 2165 2166 2167 2169 21691 21692 21693 21694 21695 217 2171 2172 218 2189 220 221 222 2222 2223 2232 2233 2234 22381 2239 2241 2242 2243 2244 2245

NEOPLASM, BENIGN, SKULL NEOPLASM, BENIGN, SPINE NEOPLASM, BENIGN, LONG BONES, LOWER LIMBS NEOPLASM, BENIGN, SHORT BONES, LOWER LIMB OSTEOCHONDROMA LIPOMA LIPOMA, SKIN & SUBCUTANEOUS TISSUE, FACE LIPOMA (SKIN) LIPOMA, INTRATHORACIC ORGANS LIPOMA, INTRA-ABDOMINAL ORGANS LIPOMA, OTHER SPEC SITE LIPOMA, UNSPECIFIED SITE NEOPLASM, BENIGN NEUROMA, NECK NEOPLASM, BENIGN, LOWER LIMB NEOPLASM, BENIGN, CONNECT/SOF TISSUE, UNSPE S NEOPLASM, BENIGN, PERIPHERAL NERVE NEUROMA, UNSPEC NEOPLASM, BENIGN, SKIN NEOPLASM, BENIGN, EYELID NEOPLASM, BENIGN, EAR & EXTERNAL AUDITORY CAN NEOPLASM, BENIGN, SKIN (CHECK,CHIN) NEOPLASM, BENIGN, SCALP & SKIN OF NECK NEOPLASM, BENIGN, SKIN OF TRUNK NEOPLASM, BENIGN, SKIN, UPPR LIMB, INCL SHLDE NEOPLASM, BENIGN, SKIN, LOWER LIMB NEOPLASM, BENIGN, SKIN, SITE UNSPEC ACROCHORDON DERMATOFIBROMA NEVUS, MELANOCYTIC, BENIGN NEOPLASM, BENIGN, SKIN/SUBCUTANEOUS TISSUE NEVUS, DYSPLASTIC NEOPLASM, BENIGN, BREAST PAPILLOMA, INTRADUCTAL FIBROADENOMA, BREAST UTERINE LEIOMYOMA LEIOMYOMATA, UTERUS NEOPLASM, BENIGN, OVARY NEOPLASM, BENIGN, FEMALE GENITALIA NEOPLASM, BENIGN, MALE GENITALIA NEOPLASM, BENIGN, PROSTATE NEOPLASM, BENIGN, EDIDIDYMIS NEOPLASM, BENIGN, URETER NEOPLASM, BENIGN, BLADDER NEOPLASM, BENIGN, KIDNEY NEOPLASM, BENIGN, URETHRA NEOPLASM, BENIGN, URINARY, NOS NEOPLASM, BENIGN, ORBIT NEOPLASM, BENIGN, LACRIMAL GLAND NEOPLASM, BENIGN, CONJUNCTIVA NEOPLASM, BENIGN, CORNEA NEOPLASM, BENIGN, RETINA

-80-

2246 22461 225 2251 22511 2252 2253 2254 2258 2259 226 227 2270 22701 22702 2273 22731 22740 2276 2280 22800 22801 22809 2281 229 2298 2299 22991 22994 2303 231 2312 2320 2323 2325 2327 2329 23291 23292 23293 2331 2332 23331 23332 234 2349 2354 23571 2377 238 2382 23821

NEOPLASM, BENIGN, CHOROID NEVUS, CHOROID MENINGIOMA, INTRACRANIAL OR SPINAL NEOPLASM, BENIGN, CRANIAL NERVES NEUROMA, ACOUSTIC NEOPLASM, BENIGN, CEREBRAL MENINGES NEOPLASM, BENIGN, SPINAL CORD NEOPLASM, BENIGN, SPINAL MENINGES NEOPLASM, BENIGN, OTHER SITES, CNS BENIGN NEOPLASM OF NERVOUS SYSTEM, PART UNSPECIFIED NEOPLASM, BENIGN, THYROID GLANDS NEOPLASM, BENIGN, OTH ENDO GLANDS & REL STRUC BENIGN NEOPLASM (ADRENAL GLAND) PHEOCHROMOCYTOMA ADENOMA, ADRENAL GLAND ADENOMA, PITUITARY NEOPLASM, BENIGN, SELLAR/SUPRASELLAR NEOPLASM, BENIGN, PINEAL REGION GLOMUS JUGULARE HEMANGIOMA HEMANGIOMA, UNSPEC SITE HEMANGIOMA, SKIN/SUBCUTANEOUS HEMANGIOMA, OTHER SITES LYMPHANGIOMA NEOPLASM, BENIGN, OTHER & UNSPEC SITE NEOPLASM, BENIGN, OTHER SPEC SITE NEOPLASM, BENIGN, UNSPEC SITE LYMPHOMA, BENIGN NEOPLASM, MESOTHELIOMA CARCINOMA, IN SITU, COLON CARCINOMA, IN SITU, RESPIRATORY SYSTEM CARCINOMA, IN SITU, BRONCHUS AND LUNG CARCINOMA, IN SITU, SKIN OF LIP CARCINOMA, IN SITU, SKIN OF FACE, UNSPEC PART CARCINOMA, IN SITU, SKIN OF TRUNK CARCINOMA, IN SITU, SKIN OF LOWER LIMB CARCINOMA, IN SITU, SKIN, SITE UNSPEC BOWEN'S DISEASE, SITE UNSPEC MELANOMA, IN SITU KERATOSIS, ACTINIC CARCINOMA, IN-SITU, CERVIX, CIS CARCINOMA, IN SITU, OTH & UNSPEC PARTS OF UTE CARCINOMA, IN-SITU, VULVA, CIS CARCINOMA, IN-SITU, VAGINA, CIS CARCINOMA, IN SITU, OTHER & UNSPEC SITE CARCINOMA, IN SITU, SITE UNSPEC NEOPLASM, UNCERT BEHAV, RETROPERI & PERITONEU ADENOMA, BRONCHIAL NEUROFIBROMATOSIS NEOPLASM, UNCERT BEHAV, OTH & UNSPEC SITE/TIS NEOPLASM, SKIN, UNCERTAIN BEHAVIOR, UNSPEC SI KERATOACANTHOMA -81-

2384 2386 23861 239 23900 23901 23902 23903 23904 23905 23906 23907 23908 23909 2391 23911 23912 2392 23921 23922 23923 23924 23926 23927 23929 2394 2395 23951 23952 23953 23954 23955 23956 23957 23958 2396 23963 23970 23971 23975 23976 23977 23978 23979 2398 23980 23981 23982 23983 23984 2399 2400

POLYCYTHEMIA, VERA NEOPLASM, PLASMA CELL, UNCERT BEHAV/UNSPC SIT PLASMACYTOMA NEOPLASM, UNSPEC NATURE NEOPLASM, NASOPHARYNX, UNSPEC NATURE NEOPLASM, ESOPHAGUS, UNSPEC NATURE NEOPLASM, STOMACH, UNSPEC NATURE NEOPLASM, BILIARY TRACT, UNSPEC NATURE NEOPLASM, LIVER, UNSPEC NATURE NEOPLASM, PANCREAS, UNSPEC NATURE NEOPLASM, GALLBLADDER, UNSPEC NATURE NEOPLASM, SMALL INTESTINE, UNSPEC NATURE NEOPLASM, COLON, UNSPEC NATURE NEOPLASM, SIGMOID, UNSPEC NATURE NEOPLASM, RESPIRATORY SYSTEM, UNSPEC NATURE NEOPLASM, LARYNX, UNSPEC NATURE NEOPLASM, PLEURA, UNSPEC NATURE NEOPLASM, SKIN, UNSPEC NATURE NEOPLASM, EPIDERMAL, UNSPEC NATURE NEOPLASM, DERMAL, UNSPEC NATURE NEOPLASM, SUBCUTANEOUS, UNSPEC NATURE NEOPLASM, SPINAL COLUMN, UNSPEC NATURE TUMOR OF SHOULDER TUMOR OF KNEE/LEG TUMOR OF HIP/THIGH NEOPLASM, BLADDER, UNSPEC NATURE NEOPLASM, OTH GENITOURINARY ORGAN, UNSPEC NAT NEOPLASM, CERVIX, UNSPEC NATURE NEOPLASM, KIDNEY, UNSPEC NATURE NEOPLASM, OVARY, UNSPEC NATURE NEOPLASM, PENIS, UNSPEC NATURE NEOPLASM, PROSTATE, UNSPEC NATURE NEOPLASM, TESTICLE, UNSPEC NATURE NEOPLASM, UTERUS, UNSPEC NATURE TUMOR (VULVA) NEOPLASM, BRAIN, UNSPEC NATURE NEOPLASM, BRAIN TUMOR, UNSPEC NATURE NEOPLASM, SPINAL CORD, UNSPEC NATURE NEOPLASM, MULTIPLE ENDOCRINE NEOPLASIA SYNDRO NEOPLASM, SPINAL MENINGES, UNSPEC NATURE NEOPLASM, ADRENAL, UNSPEC NATURE NEOPLASM, NERVOUS SYSTEM, UNSPEC NATURE NEOPLASM, PITUITARY, UNSPEC NATURE NEOPLASM, THYROID, UNSPEC NATURE NEOPLASM, OTH SPEC SITE, UNSPEC NATURE ORBITAL MASS NEOPLASM, SALIVARY GLAND, UNSPEC NATURE NEOPLASM, TONGUE, UNSPEC NATURE NEOPLASM, TONSILS, UNSPEC NATURE NEOPLASM, RECTUM/ANUS, UNSPEC NATURE NEOPLASM, UNSPEC GOITER, SPECIFIED AS SIMPLE

-82-

2409 24091 241 2410 2411 2419 242 2420 2423 2429 243 244 2440 2441 2449 24490 2450 2451 2452 24521 2462 24621 2469 250 2500 25000 25001 2505 2506 2.507 2508 2509 2510 2511 2512 252 2520 2521 2529 2530 25300 2531 25311 25312 2532 25320 2535 2536 25370 2539 2550 2551

GOITER, UNSPEC GOITER, DIFFUSE NONTOXIC GOITER, NONTOXIC, NODULAR NODULE, THYROID GOITER, MULTINODULAR GOITER, NONTOXIC, NODULAR, UNSPEC THYROTOXICOSIS, WITH OR WITHOUT GOITER GOITER, DIFFUSE TOXIC GOITER, TOXIC, NODULAR, UNSPEC HYPERTHYROIDISM CONGENITAL HYPOTHYROIDISM HYPOTHYROIDISM, ACQUIRED HYPOTHYROIDISM, POSTSURGICAL HYPOTHYROIDISM, OTHER POSTABLATIVE HYPOTHYROIDISM HYPOTHYROIDISM, ACQUIRED THYROIDITIS, ACUTE THYROIDITIS, SUBACUTE THYROIDITIS, LYMPHOCYTIC, CHRONIC THYROIDITIS, HASHIMOTO'S CYST, THYROID MASS, THYROID THYROID DISORDER, UNSPEC DIABETES MELLITUS DIABETES MELLITUS W/O COMPLICATION DIABETES MELLITUS, TYPE II NID DIABETES MELLITUS, TYPE I ID DIABETES MELLITUS W/OPHTHALMIC MANIFESTATIONS NEUROPATHY, DIABETIC DIABETES W/PERIPHERAL CIRCULATORY DISORDERS DIABETES W/OTHER SPEC MANIFESTATIONS DIABETIC COMPLICATION, NOS DIABETIC COMA, INSULIN HYPERINSULINISM, OTHER HYPOGLYCEMIA PARATHYROID GLAND DISORDER HYPERPARATHYROIDISM HYPOPARATHYROIDISM PARATHYROID DISORDER, NOS ACROMEGALY ACROMEGALY & GIGANTISM PITUITARY HYPERFUNCTION, ANTERIOR, OTH & UNSP HYPERPROLACTINEMIA ANT PIT HYPERFUNCT AMENORRHEA/GALACTORRHEA ANT PIT HYPERFUNCT HYPOPITUITARISM PANHYPOPITUITARISM DIABETES INSIPIDUS SIADH HYPOPITUITARISM, IATROGENIC PITUITARY DISORDER, UNSPEC CUSHING'S SYNDROME ALDOSTERONISM -83-

2552 2554 25541 25581 2559 2563 25631 2564 2568 25721 2578 2579 25881 2589 259 2590 2591 2592 2599 260 2639 265 2662 2680 2682 2699 2701 2702 2709 2713 27131 2719 272 2720 2721 2722 2724 2726 27260 27261 27262 27263 27264 2727 2728 2730 2732 2738 274 2740 27481 27482

VIRILIZATION CORTICOADRENAL INSUFFICIENCY ADDISON'S DISEASE ADRENAL HYPERPLASIA ADRENAL DISORDER, UNSPEC PREMATURE MENOPAUSE HYPOGONADISM, FEMALE POLYCYSTIC OVARIES OTHER OVARIAN DYSFUNCTION HYPOGONADISM, MALE TESTICULAR DYSFUNCTION, OTHER TESTICULAR DYSFUNCTION, UNSPEC POLYGLANDULAR FAILURE, AUTOIMUNE DYSFUNCTION, POLYGLANDULAR, NEC ENDOCRINE DISORDER, OTHER DELAYED SEXUAL DEVELOP & PUBERTY, NEC PRECOCIOUS SEXUAL DEVELOPMENT & PUBERTY, NEC CARCINOID SYNDROME ENDOCRINE DISORDER, UNSPEC KWASHIORKOR MALNUTRITION, PROTEIN/CALORIE THIAMINE & NIACIN DEFICIENCY STATES DEFICIENCIES, B-COMPLEX, OTHER RICKETS, ACTIVE OSTEOMALACIA NUTRITION DEFICIENCY, UNSPEC PHENYLKETONURIA (PKU) DISORDER, AROMATIC AMINO-ACID METABOLISM METABOLIC DISORDER, AMINO ACIDS INTOLERANCE, LACTOSE INTOLERANCE, LACTOSE PEDIATRIC METABOLIC DISORDER, CARBOHYDRATES METABOLIC DISORDER, LIPID HYPERCHOLESTEROLEMIA HYPERGLYCERIDEMIA, PURE XANTHOMATOSIS HYPERLIPIDEMIA, UNSPEC LIPODYSTROPHY, THIGHS LIPODYSTROPHY (THIGHS) LIPODYSTROPHY (ANKLES) LIPODYSTROPHY (ARMS) LIPODYSTROPHY (FLANKS) LIPODYSTROPHY (KNEES) LIPIDOSES RETICULOHISTOCYTOSIS, MULTICENTRIC PURPURA, HYPERGAMMAGLOBULINEMIC CRYOGLOBULINEMIA OTHER DISORDERS OF PLASMA PROTEIN METABOLISM GOUT ARTHROPATHY, GOUTY TOPHI GOUTY, EAR TOPHI GOUTY, OTHER SITES -84-

2749 275 2750 27501 2751 2754 27541 27542 27581 2760 2761 2764 27642 2765 2766 2767 2769 27690 27691 277 2770 27700 2771 2772 2773 27741 2776 2778 27781 2779 278 2780 27801 27811 2782 279 27901 27902 27903 27904 27906 2791 27910 27913 27914 27916 27917 27918 2792 27922 2794 2798

GOUT, UNSPEC DISORDERS OF MINERAL METABOLISM HEMOCHROMATOS IS HEMOCHROMATOS IS DISORDERS OF COPPER METABOLISM (WILSON'S DISE CALCIUM DISORDER HYPERCALCEMIA HYPOCALCEMIA METABOLIC BONE DISEASE HYPERNATREMIA HYPONATREMIA ACID-BASE DISORDER METABOLIC ACID-BASE DISORDER VOLUME DISORDERS (DEPLETION) VOLUME OVERLOAD/EDEMA HYPERPOTASSEMIA ELECTROLYTE DISORDER, NOS FLUID/ELECTROLYTE ABNORMALITY POTASSIUM DISORDERS, OTHER METABOLISM DISORDER, OTHER, UNSPEC CYSTIC FIBROSIS CYSTIC FIBROSIS W/O MENTION OF MECONIUM ILEUS PORPHYRIA DEFICIENCY, HG-PRT AMYLOIDOSIS BILIRUBIN METABOLISM, ABNORMAL ANGIOEDEMA, HERIDITARY METABOLIC DISORDER, OTHER SPECIFIED GRANULOMA, EOSINOPHILIC METABOLIC DISORDER, UNSPEC OBESITY AND OTHER HYPERALIMENTATION OBESITY OBESITY, PEDIATRIC REDUNDANT FAT (ABDOMEN) HYPERVITAMINOSIS, A IMMUNE MECHANISM DISORDER IMMUNODEFICIENCY, IGA IMMUNODEFICIENCY, IGM IMMUNODEFICIENCY, IGG HYPOGAMMAGLOBULINEMIA, CONGENITAL IMMUNODEFICIENCY, COMMON VARIABLE DEFICIENCY, CELL-MEDIATED IMMUNITY IMMUNODEFICIENCY, T-CELL DEFECT IMMUNODEFICIENCY, CELLULAR (NEZELOF'S) INFEC HTLV-II TYPE (AIDS SECONDARY TO RETROVIRUS) HTLV III POSITIVITY AIDS RELATED COMPLEX (ARC) IMMUNODEFICIENCY, ACQUIRED (AIDS) IMMUNODEFICIENCY, COMBINED IMMUNODEFICIENCY, HEREDITARY AUTOIMMUNE DISEASE, NEC DEFICIENCY STATES, COMPLEMENT -85-

280 2809 281 2810 2811 2812 2819 28220 2824 2825 2826 28261 28262 28263 2827 2829 2830 2838 2839 284 28481 285 2850 2851 2860 2861 2863 2864 2865 2866 2869 287 2870 28711 2873 2874 2875 2880 2883 2888 2890 28901 2891 2892 2893 2894 2897 28981 28982 2899 28991 28992

ANEMIA, DEFICIENCY, IRON ANEMIA, DEFICIENCY, IRON, UNSPEC ANEMIA, DEFICIENCY, UNSPEC ANEMIA, PERNICIOUS ANEMIA, DEFICIENCY, VITAMIN B-12 ANEMIA, DEFICIENCY, FOLATE UNSPECIFIED DEFICIENCY ANEMIA ANEMIA, DEFICIENCY, G-6PD ANEMIA, THALASSEMIAS SICKLE CELL TRAIT ANEMIA, SICKLE CELL DISEASE, HB-S W/O MENTION OF CRISIS Hb-S DISEASE WITH MENTION OF CRISIS SICKLE CELL/HB-C DISEASE HEMOGLOBINOPATHY ANEMIA, HEMOLYTIC, HEREDITARY ANEMIA, HEMOLYTIC, AUTOINMUNE ANEMIA, HEMOLYTIC, TOXIC ANEMIA, HEMOLYTIC, ACQUIRED ANEMIA, APLASTIC ANEMIA, APLASTIC, DUE TO CHRONIC DISEASE ANEMIA, UNSPEC ANEMIA, SIDEROBLASTIC ANEMIA, BLOOD LOSS, ACUTE COAGULOPATHY, DEFICIENCY, FACTOR VIII COAGULOPATHY, DEFICIENCY, FACTOR IX COAGULOPATHY, DEFICIENCY, FACTOR, OTHER COAGULOPATHY, PLATELET HEREDITARY COAGULOPATHY, DUE TO CIRCULATING INHIBITORS COAGULOPATHY, INTRAVASCULAR DISSEMINATED COAGUILOPATHY, OTHER PURPURA PURPURA, ALLERGIC (SCHONLEIN-HENOCH) COAGULOPATHY, PLATELET DEFECTS ACQUIRED PURPURA, THROMBOCYTOPENIC THROMBOCYTOPENIA, DRUG RELATED THROMBOCYTOPENIA, UNSPEC LEUKOPENIA (AGRANULOCYTOSIS) EOSINOPHILIA LEUKOCYTOSIS POLYCYTHEMIA, SECONDARY POLYCYTHEMIA, SPURIOUS LYMPHADENITIS, CHRONIC ADENITIS, MESENTERIC LYMPHADENITIS, UNSPEC, EXCEPT MESENTERIC HYPERSPLENISM METHEMOGLOBINEMIA MACROCYTOSIS MYELOFIBROSIS BLOOD DISEASES, UNSPEC THROMBOCYTOSIS, ESSENTIAL THROMBOCYTOSIS, OTHER -86-

2900 29000 29010 29011 29012 29013 29020 29021 29030 2904 29040 29041 29042 29043 2905 2909 291 29100 29101 29110 29120 29121 29122 29123 29130 29140 29180 292 2922 29300 29301 29381 29382 29383 29391 29400 29410 2942 2943 29480 29510 29511 29512 29513 29514 29515 29520 29521 29522 29523 29524 29525

DEMENTIA, SENILE, UNCOMPLICATED DEMENTIA, PRI DEGEN SENILE ONSET, UNCOMPLI DEMENTIA, PRI DEGEN PRESEN ONSET, UNCOMPLICAT DEMENTIA, PRI DEGEN PRESEN ONSET, W/DELIRIUM DEMENTIA, PRI DEGEN PRESEN ONSET, W/DELUSIONS DEMENTIA, PRESENILE DEPRESSIVE DEMENTIA, SENILE, W/DELUSIONS DEMENTIA, SENILE, W/DEPRESSION DEMENTIA, SENILE, W/DELIRIUM ARTERIOSCLEROTIC DEMENTIA DEMENTIA, MULTI-INF.RCT, UNCOMPLICATED DEMENTIA, MULTI-INFARCT, W/DELIRIUM DEMENTIA, MULTI-INFARCT, W/DELUSION DEMENTIA, MULTI-INFARCT, W/DEPRESSION ORGANIC MENTAL DISORD, UNCOMPLICATED DEMENTIA, SENILE, PSYCHOTIC PSYCHOSIS, ALCOHOLIC ALCOHOL, WITHDRAWAL DELIRIUM DELERIUM TREMENS ALCOHOL, AMNESTIC DISORDER DEMENTIA, ALCOHOLIC, UNSPEC DEMENTIA, ALCOHOL, MILD DEMENTIA, ALCOHOL, MODERATE DEMENTIA, ALCOHOL, SEVERE ALCOHOL, HALLUCINOSIS ALCOHOL, IDIOSYNCRATIC INTOXICATION ALCOHOL WITHDRAWAL PSYCHOSIS, DRUG PATHOLOGICAL DRUG INTOXICATION OBS W/DELIRIUM CONFUSIONAL STATE, ACUTE, ORGANIC ORGANIC DELUSIONAL SYND ORGANIC HALLUCINOSIS ORGANIC AFFECTIVE SYND PSYCHOSIS, TOXIC/METABOLIC AMNESTIC SYNDROME, OBS W/ADD DX OR UNKNOWN ET DEMENTIA, OBS W/ADD DX OR UNKNOWN ETIOL ORGANIC PSYCHOSES EXCL ALCOHOLIC DEMENTIA, POST-TRAUMATIC ORGANIC BRAIN SYNDROME ATYPICAL OR MIXED SCHIZOPHRENIC DISORDER, DISORGANIZED, UNSPECI SCHIZOPHRENIC DISORDER, DISORGANIZED, SUBCHRO SCHIZOPHRENIC DISORDER, DISORGANIZED, CHRONIC SCHIZOPHRENIC DIS, DISOR, SUBCHRON W/ACUTE EX SCHIZOPHRENIC DIS, DISOR, CHRONIC W/ACUTE EXA SCHIZOPHRENIC DISORDER, DISORGANIZED, IN REM SCHIZOPHRENIC DISORDER, CATATONIC, UNSPEC SCHIZOPHRENIC DISORDER, CATATONIC, SUBCHRONIC SCHIZOPHRENIC DISORDER, CATATONIC, CHRONIC SCHIZOPHRENIC DIS, CATATON, SUBCHRON W/ACUTE SCHIZOPHRENIC DIS, CATATON, CHRONIC W/ACUTE E SCHIZOPHRENIC DISORDER, CATATONIC, IN REMISSI -87-

2953 29530 29531 29532 29533 29534 29535 29540 29560 29561 29562 29563 29564 29565 29570 2959 29590 29591 29592 29593 29594 29595 29600 2962 29620 29621 29622 29623 29624 29626 29627 2963 29630 29632 29633 29634 29636 29637 29640 29642 29643 29644 29646 29647 2965 29650 29652 29654 29656 29657 29660 29662

PARANOID TYPE DISORDER SCHIZOPHRENIC DISORDER, PARANOID, UNSPECIFIED SCHIZOPHRENIC DISORDER, PARANOID, SUBCHRONIC SCHIZOPHRENIC DISORDER, PARANOID, CHRONIC SCHIZOPHRENIC DIS, PARANO, SUBCHRON W/ACUTE B SCHIZOPHRENIC DIS, PARANO, SUBCHRON W/ACUTE E SCHIZOPHRENIC DISORDER, PARANOID, IN REMISSIO SCHIZOPHRENIFORM DISORDER SCHIZOPHRENIC DISORDER RESIDUAL, UNSPECIFIED SCHIZOPHRENIC DISORDER RESIDUAL, SUBCHRONIC SCHIZOPHRENIC DISORDER RESIDUAL, CHRONIC SCHIZOPHRENIC DIS RESID, SUBCHRON W/ACUTE EXA SCHIZOPHRENIC DIS RESID, CHRON W/ACUTE EXAC SCHIZOPHRENIC DISORDER RESIDUAL, IN REMISSION SCHIZOAFFECTIVE DISORDER SCHIZOPHRENIA, UNSPEC SCHIZOPHRENIA, UNDIFFERENTIATED, UNSPECIFIED SCHIZOPHRENIA, UNDIFFERENTIATED, SUBCHRONIC SCHIZOPHRENIA, UNDIFFERENTIATED, CHRONIC SCHIZOPHRENIA, UNDIF, SUBCHRON W/ACUTE EXACER SCHIZOPHRENIA, UNDIF, CHRONIC W/ACUTE EXACER SCHIZOPHRENIA, UNDIFFERENTIATED, IN REMISSION MANIC STATE, UNSPEC DEPRESSIVE PSYCHOSIS DEPRESSION, MAJOR, SINGLE EPISODE, UNSPECIFIE MAJOR DEPRESSIVE DISORDER, SINGLE EPISODE, MILD DEPRESSION, MAJOR, SINGLE EPISODE, W/O MELANC DEPRESSION, MAJOR, SINGLE EPISODE, W/MELANCHO DEPRESSION, MAJOR, SINGLE EPI, W/PSYCHOT FEAT DEPRESSION, MAJOR, SINGLE EPI, IN REMISSION DEPRESSION, MAJ, SIN EPI, W/PSY FEAT MOOD INC DEPRESSION, MAJOR, RECURRENT EPISODE DEPRESSION, MAJOR, RECURRENT, UNSPECIFIED DEPRESSION, MAJOR, RECURRENT, W/O MELANCHOLIA DEPRESSION, MAJOR, RECURRENT, W/MELANCHOLIA DEPRESSION, MAJOR, RECURRENT, W/PSYCHOTIC FEA DEPRESSION, MAJOR, RECURRENT, IN REMISSION DEPRESSION, MAJ, RECURR, W/PSY FEAT MOOD INCO BIPOLAR DISORDER, MANIC, UNSPEC BIPOLAR DISORDER, MANIC, W/O PSYCHOTIC FEATUR BIPOLAR AFFECT DISOR, MANIC, SEVERE W/O PSYCH BIPOLAR DISORDER, MANIC, W/PSYCHOTIC FEATURES BIPOLAR DISORDER, MANIC, IN REMISSION BIPOLAR DIS, MANIC, W/PSYCH FEAT MOOD INCONG BIPOLAR AFFECTIVE DISORDER, DEPRESSED BIPOLAR DISORDER, DEPRESSED, UNSPEC BIPOLAR DISORDER, DEPRESSED, W/O PSYCHOTIC FE BIPOLAR DISORDER, DEPRESSED, W/PSYCHOTIC FEAT BIPOLAR DISORDER, DEPRESSED, IN REMISSION BIPOLAR DISOR, DEPRESS, W/PSY FEAT MOOD INCON BIPOLAR DISORDER, MIXED, UNSPEC BIPOLAR DISORDER, MIXED, W/O PSYCHOTIC FEATUR -88-

29664 29666 29667 29670 29680 29682 29690 29710 29730 2979 29790 298 2983 29830 2988 29880 2989 29890 299 2990 29900 29901 29990 29991 300 3000 30000 30001 30002 30003 30011 30012 30013 30014 30015 30016 30017 30019 30020 30021 30022 30023 30029 30030 3004 30040 30060 30070 30071 30072 30081 3009

BIPOLAR DISORDER, MIXED, W/PSYCHOTIC FEATURES BIPOLAR DISORDER, MIXED, IN REMISSION BIPOLAR DIS, MIXED, W/PSYCH FEAT MOOD INCONG BIPOLAR DISORDER, ATYPICAL MANIC-DEPRESSIVE PSYCHOSIS, UNSPECIFIED ATYPICAL DEPRESSION AFFECTIVE DISORDER PARANOIA PARANOID DISORDER, SHARED PARANOID STATE, UNSPEC PARANOID DISORDER, ATYPICAL PSYCHOSIS, NONORGANIC, OTHER PARANOID REACTION, ACUTE PARANOID DISORDER, ACUTE PSYCHOSIS, REACTIVE, OTHER & UNSPEC PSYCHOSIS, BRIEF REACTIVE PSYCHOSIS, UNSPEC PSYCHOSIS, ATYPICAL PSYCHOSIS W/ORIGIN SPECIFIC TO CHILDHOOD AUTISM INFANTILE AUTISM, FULL SYNDROME PRESENT INFANTILE AUTISM, RESIDUAL STATE CHILD ONSET PERVAS DEV DIS, FULL SYNDROME PRE CHILD ONSET PERVAS DEV DIS, RESIDUAL STATE NEUROTIC DISORDER ANXIETY DISORDER ANXIETY DISORDER, ATYPICAL PANIC DISORDER ANXIETY DISORDER, GENERALIZED ANXIETY/TENSION NOS CONVERSION DISORDER PSYCHOGENIC AMNESIA PSYCHOGENIC FUGUE MULTIPLE PERSONALITY DISSOCIATIVE DISORDER, ATYPICAL FACTITIOUS DISORDER, W/PSYCH SYMP COMPENSATION NEUROSIS FACTITIOUS DISORDER, ATYPIC W/PHYS SYMP PHOBIA, UNSPEC AGORAPHOBIA W/PANIC ATTACK AGORAPHOBIA W/O PANIC ATTACK SOCIAL PHOBIA SIMPLE PHOBIA OBSESSIVE COMPULSIVE DISORDER NEUROTIC DEPRESSION DYSTHYMIC DISORDER (DEPRESSIVE NEUROSIS) DEPERSONALIZATION DISORDER HYPOCHONDRIASIS SOMATOFORM DIS, ATYPICAL PHANTOM LUMP SOMATIZATION DISORDER NEUROSIS, UNSPEC -89-

30090 30093 301 30100 3011 30113 30120 30122 3013 30140 30150 30151 30160 30170 30181 30182 30183 30184 30189 3019 30200 30210 30220 30230 30240 3025 30250 30251 30252 30253 30260 3027 30270 30271 30272 30273 30274 30275 30276 30278 30281 30282 30283 30284 30289 3029 303 30300 3039 30390 30391 30392

UNSPEC MENT DIS NONPSYCHO SUICIDE GESTURE PERSONALITY DISORDER PERSONALITY DISORDER, PARANOID AFFECTIVE PERSONALITY DISORDER CYCLOTHYMIC DISORDER PERSONALITY DISORDER, SCHIZOID PERSONALITY DISORDER, SCHIZOTYPAL EXPLOSIVE PERSONALITY DISORDER PERSONALITY DISORDER, COMPULSIVE PERSONALITY DISORDER, HISTRIONIC CHRONIC FACT DIS W/PHYS SYMP PERSONALITY DISORDER, DEPENDENT PERSONALITY DISORDER, ANTISOCIAL PERSONALITY DISORDER, NARCISSISTIC PERSONALITY DISORDER, AVOIDANT PERSONALITY DISORDER, BORDERLINE PERSONALITY DISORDER, PASSIVE-AGGRESSIVE PERSONALITY DISORDER, ATYP MIXED/OTHER PERSONALITY DISORDER, UNSPECIFIED EGO-DYSTONIC HOMOSEXUALITY ZOOPHILIA PEDOPHILIA TRANSVESTISM EXHIBITIONISM TRANSEXUALISM TRANSSEXUALISM, UNSPEC TRANSSEXUALISM, ASEXUAL TRANSSEXUALISM, HOMOSEXUAL TRANSSEXUALISM, HETEROSEXUAL GENDER IDENTITY DIS CHILD PSYCHOSEXUAL DYSFUNCTION ATYPICAL PSYCHOSEX DYSFUNCTION INHIBITED SEXUAL DESIRE INHIBITED SEXUAL EXCITEMENT INHIBITED FEMALE ORGASM INHIBITED MALE ORGASM PREMATURE EJACULATION FUNCTIONAL DYSPAREUNIA IMPOTENCE, PSYCOGENIC FETISHISM VOYEURISM SEXUAL MASOCHISM SEXUAL SADISM SEXUAL DEVIATION/DISORDER, OTHER PSYCHOSEXUAL DISORDER, UNSPEC ALCOHOL DEPENDENCE SYNDROME INTOXICATION ALCOHOL ALCOHOL DEPENDENCE, OTHER & UNSPEC ALCOHOL DEPENDENCE, UNSPECIFIED ALCOHOL DEPENDENCE, CONTINUOUS ALCOHOL DEPENDZNCE, EPISODIC -90-

30393 304 30400 30401 30402 30403 30410 30411 30412 30413 30430 30431 30432 30433 30440 30441 30442 30443 30460 30461 30462 30463 30470 30471 30472 30473 30480 30481 30482 30483 3049 30490 30491 30492 30493 305 3050 30500 30501 30502 30503 3051 30510 30511 30520 30521 30522 30523 3053 30530 30531 30532

ALCOHOL DEPENDENCE, IN REMISSION DRUG DEPENDENCE OPIOID DEPENDENCE, UNSPEC OPIOID DEPENDENCE, CONTINUOUS OPIOID DEPENDENCE, EPISODIC OPIOID DEPENDENCE, IN REMISSION BARB SIM ACT SED/HYP DEP, UNSPEC BARB SIM ACT SED/HYP DEP, CONTINUOUS BARB SIM ACT SED/HYP DEP, EPISODIC BARB SIM ACT SED/HYP DEP, IN REMISSION CANNABIS DEPENDENCE, UNSPEC CANNABIS DEPENDENCE, CONTINUOUS CANNABIS DEPENDENCE, EPISODIC CANNABIS DEPENDENCE, IN REMISSION AMPHET SIM ACT SYMPATH, DEP UNSPEC AMPHET SIM ACT SYMPATH, DEP CONTINUOUS AMPHET SIM ACT SYMPATH, DEP EPISODIC AMPHET SIM ACT SYMPATH, DEP IN REMISSION OTHER SPECIFIED SUBS DEPEND, UNSPEC OTHER SPECIFIED SUBS DEPEND, CONTINUOUS OTHER SPEC SUBS DEP, EPISODIC OTHER SPEC SUBS DEP, IN REMISSION DEP COMB OPIOID/NON ALC SUBS, UNSPEC DEP COMB OPIOID/NON ALC SUBS, CONTINUOUS DEP COMB OPIOID/NON ALC SUBS, EPISODIC DEP COMB OPIOID/NON ALC SUBS, IN REMISSION DEP COMB SUBS EXCL OPIOIDS/ALC, UNSPEC DEP COMB SUBS EXCL OPIOIDS/ALC, CONTINUOUS DEP COMB SUBS EXCL OPIOIDS/ALC, EPISODIC DEP COMB SUBS EXCL OPIOIDS/ALC, IN REMISSION UNSPECIFIED DRUG DEPENDENCE SUBS DEPEN, UNSPEC, UNSPEC SUBS DEPEN, UNSPEC, CONTINUOUS SUBS DEPEN, UNSPEC, EPISODIC SUBS DEPEN, UNSPEC, IN REMISSION DRUG ABUSE, NONDEPENDENT ALCOHOL ABUSE ALCOHOL ABUSE, UNSPEC ALCOHOL ABUSE, CONTINUOUS ALCOHOL ABUSE, EPISODIC ALCOHOL ABUSE, IN REMISSION TOBACCO USE DISORDER SMOKING EXCESS/TOBACCO DEPENDENCE TOBACCO USE DISORDER, CONTINUOUS CANNABIS ABUSE, UNSPEC CANNABIS ABUSE, CONTINUOUS CANNABIS ABUSE, EPISODIC CANNABIS ABUSE, IN REMISSION HALLUCINOGEN ABUSE HALLUCINOGEN ABUSE, UNSPEC HALLUCINOGEN ABUSE, CONTINUOUS HALLUCINOGEN ABUSE, EPISODIC -91-

30533 30540 30541 30542 30543 30550 30551 30552 30553 3056 30560 30561 30562 30563 30570 30571 30572 30573 30590 30591 30592 30593 306 3060 30601 30602 3061 30610 3062 3064 30651 3069 30700 3071 30710 30720 30721 30722 30723 3073 30746 30749 30750 30751 30753 30760 30770 3078 30780 30781 30789 308

HALLUCINOGEN ABUSE, IN REMISSION BARB SIM ACT SED/HYP ABUSE, UNSPEC BARB SIM ACT SED/HYP ABUSE, CONTINUOUS BARB SIM ACT SED/HYP ABUSE, EPISODIC BARB SIM ACT SED/HYP ABUSE, IN REMISSION OPIOID ABUSE, UNSPEC OPIOID ABUSE, CONTINUOUS OPIOID ABUSE, EPISODIC OPIOID ABUSE, IN REMISSION NONDEPENDENT ABUSE OF COCAINE COCAINE ABUSE, UNSPEC COCAINE ABUSE, CONTINUOUS COCAINE ABUSE, EPISODIC COCAINE ABUSE, IN REMISSION AMPHET SIM ACT SYMPATH ABUSE, UNSPECIFIED AMPHET SIM ACT SYMPATH ABUSE, CONTINUOUS AMPHET SIM ACT SYMPATH ABUSE, EPISODIC AMPHET SIM ACT SYMPATH ABUSE, IN REMISSION OTHER/MIX UNSPEC SUBS ABUSE, UNSPEC OTHER/MIX UNSPEC SUB ABUSE, CONTINUOUS OTHER/MIX UNSPEC SUB ABUSE, EPISODIC OTHER/MIX UNSPEC SUB ABUSE, IN REMISSION PHYSIOLOGICAL MALFUNCTION, MENTAL FACTOR CAUS MUSCULOSKELETAL PROBLEM, MENTAL FACTOR CAUSED PSYCHOPHYSIOLOGICAL MUSCULOSKELETAL DISORDER MUSCULOSKELETAL PAIN, SECONDARY TO STRESS RESPIR (PSYSIOLOGICAL MALFUNCT FROM MENTAL FACTORS) HYPERVENTILATION SYNDROME CARDIOVASCULAR NEUROSIS PHYSIOLOGICAL MALFUNCTION, GASTROINTESTINAL VAGINISMUS, PSYCHOGENIC PSYCHOPHYSIOLOGIC DISORDER, UNSPEC STUTTERING ANOREXIA NEROSA ANOREXIA NERVOSA TIC DISORDER, UNSPEC TRANSIENT TIC DIS CHRONIC MOTOR TIC DIS TOURETTES' S SYNDROME REPETITIVE MOVEMENTS, STEREOTYPED SLEEPWALKING DISORDER SLEEP TERROR DISORDER EATING DISORDER, ATYPICAL BULIMIA RUMINATION, PSYCHOGENIC ENEURESIS, FUNCTIONAL ENCOPRESIS, FUNCTIONAL PSYCHALGIA PSYCHOGENIC PAIN DISORDER HEADACHE, TENSION PSYCHALGIA, OTHER ACUTE REACTION TO STRESS -92-

3080 30830 3089 309 30900 3092 30921 30923 30924 30928 30930 30940 3098 30981 30983 3099 30990 3101 31010 3102 3109 311 312 3120 31200 31210 31221 31223 31230 31231 31232 31233 31234 31235 31239 3128 3129 31290 31300 31321 31322 31323 31381 31382 31383 31389 3139 3140 31400 31401 31480 3149

PREDOMINANT DISTURBANCE OF EMOTIONS POST TRAUMATIC STRESS DISORDER, ACUTE ACUTE REACTION TO STRESS, UNSPEC ADJUSTMENT REACTION ADJUSTMENT DISORDER W/DEPRESSED MOOD ADJUSTMENT REACTION W/PREDOM DISTURB OTH EMOT SEPARATION ANXIETY DISORDER ADJUSTMENT DIS W/WORK OR ACAD INHIB ADJUSTMENT DIS W/ANXIOUS MOOD ADJUSTMENT DIS W/MIXED EMOTIONAL FEATURE ADJUSTMENT DIS W/DISTURB OF CONDUCT ADJUSTMENT DIS W/MIX DISTURB EMOTION/CONDUCT ADJUSTMENT REACTIONS, OTHER SPEC POST TRAUMATIC STRESS DISORDER, CHRONIC OR DE ADJUSTMENT DISORDER, W/WITHDRAWAL ADJUSTMENT REACTION, NOS ADJUSTMENT REACTION, W/ATYPICAL FEATURES ORGANIC PERSONALITY SYNDROME ORGANIC PERSONALITY SYND POST-CONCUSSION SYNDROME ORGANIC BRAIN SYNDROME NONPSYCHOTIC DEPRESSION NOS CONDUCT DISORDER, NEC UNDERSOCIALIZED CONDUCT DISORDER, AGGRESSIVE TYPE CONDUCT DISORDER, UNDERSOCIAL, AGGRES COND DIS, UNDERSOCIAL, NON-AGGRES COND DIS, SOCIALIZED, NON-AGGRES COND DIS, SOCIALIZED, AGGRES IMPULSE CONTROL DISORDER PATHOLOGICAL GAMBLING KLEPTOMANIA PYROMANIA INTERMITTENT EXPLOSIVE DISORDER ISOLATED EXPLOSIVE DISORDER ATYPICAL IMPULSE CONTROL DISORDER DISTURBANCE OF CONDUCT NEC CONDUCT DISORDER, UNSPEC CONDUCT DISORDER, ATYPICAL OVERANXIOUS DISORDER, CHILDHOOD/ADOL AVOIDANT DISORDER, CHILD, ADOL SCHIZOID DISORDER, CHILD, ADOL ELECTIVE MUTISM OPPOSITIONAL DISORDER IDENTITY DISORDER ACAD UNDERACHIEVEMENT DISOR EMOTION DISTURBANCE, OTHER OR MIXED, CHILD, A EMOTIONAL/RELATIONSHIP DIST ATTENTION DEFICIT DISORDER ATTENTION DEFICIT DISORDER (W/O HYPERACTIVITY ATTENTION DEFICIT DISORDER (W/HYPERACTIVITY) ATTENTION DEFICIT DISORDER, RESIDUAL TYPE HYPERKINETIC SYNDROME -93-

31491 315 3150 31500 31510 3152 3153 31531 31539 3154 3155 3158 3159 31591 31600 31700 31701 3180 31800 31801 31810 31811 319 320 32110 3212 322 3220 3222 3229 32291 323 3237 3239 32390 32391 3240 32401 32411 3251 3260 32700 32701 32702 32704 32710 32711 32720 32730 32731 32732 32735

MINIMAL BRAIN DYSFUNCTION DELAY IN DEVELOPMENT, SPECIFIC READING DISORDER DEVELOPMENTAL READING DISORDER DEVELOPMENTAL ARITHMETIC DISORDER LEARNING DISABILITY, OTHER SPECIFIC DEVELOPMENTAL SPEECH/LANGUAGE DISORDER DEVELOPMENTAL LANGUAGE DISORDER DEVELOPMENTAL SPEECH/LANGUAGE DISORDER, OTHER COORDINATION DISORDER MIXED DEVELOPMENT DISORDER DELAYED MILESTONES DELAY IN DEVELOPMENT, UNSPEC DELAYED EMOTIONAL MATURATION PSYCH FACT AFFECT PHYS COND MENTAL RETARDATION, MILD W/O OTHER BEHAV SYMP MENTAL RETARDATION, MILD W/OTHER BEHAV SYMPTO MENTAL RETARDATION, MODERATE MENTAL RETARDATION, MOD W/O OTH BEHAV SYMPT MENTAL RETARDATION, MOD W/OTH BEHAV SYMPT MENTAL RETARDATION, SEVERE W/O OTH BEHAV SYMP MENTAL RETARDATION, SEVERE W/OTH BEHAV SYMPT MENTAL RETARDATION, UNSPEC MENINGITIS, BACTERIAL NOS MENINGITIS, FUNGAL MENINGITIS, VIRAL NOS MENINGITIS, UNSPEC CAUSE MENINGITIS, NONPYOGENIC MENINGITIS, CHRONIC MENINGITIS, UNSPEC MENINGITIS, PRESUMED BACTERIAL ENCEPHALITIS/MYELITIS ENCEPHALITIS, TOXIC ENCEPHALITIS, UNSPEC MYELITIS, ACUTE TRANSVERSE ENCEPHALOMYELITIS ABSCESS, INTRACRANIAL INTRACRANIAL ABSCESS/EMPYEMA INTRASPINAL ABSCESS/EMPYEMA THROMBOSIS, CAVERNOUS SINUS LATE EFFECTS OF MYELITIS, ACUTE TRANSVERSE BARB SIM ACT SED/HYP INTOXICATION BARB SIM ACT SED/HYP WITHDRAWAL BARB SIM ACT SED/HYP WITHDRAWAL DELERIUM BARB SIM ACT SED/HYP AMNESTIC DISORDER OPIOID INTOXICATION OPIOID WITHDRAWAL COCAINE INTOXICATION AMPHET SIM ACT SYMPATH INTOXICATION AMPHET SIM ACT SYMPATH WITHDRAWAL AMPHET SIM ACT SYMPATH DELERIUM AMPHET SIM ACT SYMPATH DELUSIONAL DISORDER -94-

32740 32742 32749 32755 32756 32757 32760 32765 32790 32791 32792 32793 32794 32795 32796 32797 32798 32840 32841 32842 32843 3300 3310 3312 3313 3314 3315 332 3320 3321 333 3331 3332 33320 33321 3333 3334 3335 3336 33381 33382 33383 33389 33390 334 3340 3349 335 33520 33524 33529 3358

PCP/SIM ACT ARYLCYCLON INTOXICATION PCP/SIM ACT ARYLCYCLOH DELIRIUM PCP/SIM ACT ARYLCYCLOH MIXED ORGAN MENT DIS HALLUCINOGEN DELUSIONAL DISORDER HALLUCINOGEN HALLUCINOSIS HALLUCINOGEN AFFECTIVE DISORDER CANNABIS INTOXICATION CANNABIS DELUSIONAL DISORDER INTOXICATION, SUBS, UNSPEC WITHDRAWAL, SUBS, UNSPEC DELERIUM, SUBS UNSPEC DEMENTIA, DRUG INDUCED, SUBS UNSPEC AMNESTIC DISORDER, DRUG INDUCED, SUBS, UNSPEC DELUSIONAL DISORDER, SUBS, UNSPEC HALLUCINOSIS, DRUG INDUCED, SUBS, UNSPEC AFFECTIVE DISORDER, DRUG INDUCED, SUBS,UNSPEC PERSONALITY DISORDER, DRUG INDUCED, SUBS, UNS PCP/SIM ACT ARYLCYCLOH ABUSE, UNSPEC PCP/SIN ACT ARYLCYCLOR ABUSE, CONTINUOUS PCP/SIM ACT ARYLCYCLOR ABUSE, EPISODIC PCP/SIM ACT ARYLCYCLOH ABUSE, IN REMISSION LEUKODYSTROPHY, METACHROMATIC ALZHEIMER'S DISEASE SENILE OR PRESENILE BRAIN DISEASE HYDROCEPHALUS, COMMUNICATING HYDROCEPHALUS, OBSTRUCTIVE HYDROCEPHALUS, ACQUIRED PARKINSON'S DISEASE PARKINSONISM, DISEASE, PRIMARY PARKINSONISM, DISEASE, SECONDARY OTHER MOVEMENT DISORDERS (EXTRAPYRAMIDAL) TREMOR, BENIGN, ESSENTIAL MYOCLONUS MYOCLONUS, HEREDITARY MYOCLONUS, TOXIC-METABOLIC TICS OF ORGANIC ORIGIN CHOREA, HUNTINGTON' S CHOREA, OTHER DYSTONIA, GENERALIZED BLEPHAROSPASM DYSKINESIA, TARDIVE (OROFACIAL) TORTICOLLIS, SPASMODIC DYSTONIA, FOCAL MOVEMENT DISORDER, OTHER SPINOCEREBELLAR DISEASE FRIEDREICH'S ATAXIA SPINOCEREBELLAR DEGENERATION, HEREDITARY ANTERIOR HORN CELL DISEASE SCLEROSIS, AMYOTROPHIC LATERAL SCLEROSIS, PRIMARY LATERAL MOTOR NEURON DISEASE, OTHER ANTERIOR HORN CELL DISEASE, OTHER -95-

3360 33600 3369 33691 33700 33701 3379 33790 33791 33792 340 3400 3401 3419 342 3429 3430 3431 3432 3439 3440 3441 34461 3448 3449 345 3450 34500 3451 34510 3454 34542 3455 34550 3456 3457 3458 3459 34591 34592 346 3461 3462 34621 3468 3469 347 348 3480 3481 3482 34820

SYRINGOMELIA SYRINGOMYELIA & SYRINGOBULBIA SPINAL CORD DISEASE, NOS LESION, SPINAL CORD, W/O VERTEBRAL INJURY CAROTIDYNIA CAROTID SINUS SYNDROME NERVOUS SYSTEM DISORDER, AUTONOMIC, UNSPEC HORNER'S SYNDROME DYSTROPHY, REFLEX SYMPATHETIC SHOULDER-HAND SYNDROME MULTIPLE SCLEROSIS MULTIPLE SCLEROSIS, ACUTE MULTIPLE SCLEROSIS, CHRONIC DEMYELINATING/DEGENERATION DISORDER HEMIPLEGIA HEMIPLEGIA, UNSPEC PARAPLEGIA, HEREDITARY HEMIPLEGIC INFANTILE CEREBRAL PALSY QUADRIPLEGIC, INFANTILE CEREBRAL PALSY CEREBRAL PALSY QUADRIPLEGIA PARAPLEGIA DYSFUNCTION, PARAPLEGIA NEUROGENIC BLADDER PARALYTIC SYNDROMES, OTHER SPEC PARALYSIS/PARESIS EPILEPSY SEIZURE, PETIT MAL EPILEPSY, GENERALIZED, NONCONVULSIVE SEIZURE, GRAND MAL EPILEPSY, GENERALIZED, CONVULSIVE EPILEPSY, PARTIAL W/IMPAIRMENT OF CONSCIOUSNE EPILEPSY, COMPLEX PARTIAL (TEMPORAL LOBE) EPILEPSY, FOCAL MOTOR EPILEPSY, PARTIAL, SIMPLE INFANTILE SPASMS EPILEPSIA PARTIALIS CONTINUA OTHER FORMS OF EPILEPSY EPILEPSY, UNSPECIFIED EPILEPSY, GENERALIZED TONIC-CLONIC EPILEPSY, FOCAL ONSET W/SECONDARY GENERALIZ HEADACHE, MIGRAINE COMMHON MIGRAINE MIGRAINE, VARIANTS HEADACHE, CLUSTER HEADACHE, RHINOGENIC MIGRAINE, UNSPEC NARCOLEPSY/CATAPLEXY BRAIN CONDITIONS, OTHER CEREBRAL CYSTS BRAIN DAMAGE, ANOXIC PSEUDOTUMOR CEREBRI BENIGN INTRACRANIAL HYPERTENSION -96-

3483 34831 3488 34881 349 34900 34982 34989 3499 350 3501 35010 3502 351

ENCEPHALOPATHY, UNSPEC CEREBRAL DYSFUNCTION, POSTOPERATIVELY BRAIN CONDITIONS, OTHER, SPEC BRAIN DISEASE, ACQUIRED NERVOUS SYSTEM DISORDER, OTHER & UNSPEC HEADACHE, LUMBAR PUNCTURE TOXIC ENCEPHALOPATHY CNS DEGENERATIVE DISEASE CNS DISORDER, UNSPEC TRIGEMINAL NERVE DISORDER (STH) TRIGEMINAL NEURALGIA & NEURITIS TRIGEMINAL NEURALGIA ATYPICAL FACIAL PAIN FACIAL NERVE PALSY (7TH)

3510

PARALYSIS, FACIAL (BELL'S PALSY)

3512 3518 3521 35291 35292 3530 35301 3532 35322

SPASM, HEMIFACIAL NERVE DISORDER, FACIAL, OTHER GLOSSOPHARYNGRAL NEURALGIA PALSEY, THIRD CRANIAL NERVE PALSEY, SIXTH CRAINAL NERVE THORACIC OUTLET SYNDROME (BRACHIAL PLEXUS) RUCKSACK PALSY LESIONS, CERVICAL ROOT, NEC DISORDER OF GLOSSOPHARYNGEAL NERVE (9TH CN)

35351

PARSONAGE-TURNER SYNDROME

3538 3539 354 3540 3542 35420 3543 3544 3545 3548 3549 35491 35492 355 3551 3553 3555 35551 3556 3557 3558 3559 35591 35592 35593 35594 35595

NERVE ROOT & PLEXUS DISORDER, OTHER NERVE ROOT & PLEXUS DISORDER, UNSPEC MONONEURITIS, UPPER LIMB AND MULTIPLEX CARPAL TUNNEL SYNDROME (MEDIAN NERVE ENTRAPME PALSY, ULNAR NERVE (TUNNEL OF GUYON SYNDROME) LESION OF ULNAR NERVE PALSY, RADIAL NERVE CAUSALGIA MONONEURITIS MULTIPLEX OTHER MONONEURITIS OF UPPER LIMB MONONEURITIS, UPPER LIMB, UNSPEC NERVE COMPRESSION/CARPAL TUNNEL PALSY, NERVE, UPPER EXTREMITY MONONEURITIS, LOWER LIMB MERALGIA PARESTHETICA PALSY, PERONEAL NERVE TARSAL TUNNEL SYNDROME NERVE COMPRESSION FOOT/ANKLE NEUROMA, MORTON'S (PLANTAR NERVE) MONONEURITIS, LOWER LIMB, OTHER MONONEURITIS, LOWER LIMB, UNSPEC MONONEURITIS, UNSPEC SITE DYSFUNCTION, NERVE, OTHER NEUROPATHY, OTHER PERIPHERAL/SPINAL NERVE DISORDER PALSY, POSTERIOR INTERROSSEOUS NERVE NERVE ENTRAPMENT SYNDROME -97-

35596 3560 35681 3569 357 3570 3572

PALSY, ANTERIOR INTERROSSEOUS NERVE NEUROPATHY, HEREDITARY PALSY, PROGRESSIVE SUPRANUCLEAR NEUROPATHY, PERIPHERAL, UNSPEC NEUROPATHY, INFLAMMATORY & TOXIC POLYNEURITIS, ACUTE INFECTIVE (GUILLAIN-BARRE POLYNEUROPATHY IN DIABETES

3574 3575 3577 358 3580 35800 3581 3585 3588 3589 359 3590 3591 35910 35911 35912 35913 35914 3592 3593 35981 35982 35983 35984

POLYNEUROPATHY IN MALIGNANT DISEASE POLYNEUROPATHY, ALCOHOLIC POLYNEUROPATHY, TOXIC METABOLIC MYONEURAL DISORDER MYASTHENIA GRAVIS, GENERALIZED MYASTHENIA GRAVIS, OCULAR MYASTHENIC SYNDROME OF EATON-LAMBERT NEUROMUSCULAR BLOCKAGE, NON-MYASTHENIC SENSORIMOTOR DELAY NEUROMUSCULAR DISORDER, OTHER MUSCULAR DYSTROPHY & OTHER MYOPHATHY MYOPATHY, BENIGN CONGENITAL MUSCULAR DYSTROPHY, HEREDITARY, PROGRESSIVE DYSTROPHY, MUSCULAR NOT OTHERWISE SPECIFIED DYSTROPHY, MUSCULAR, DUCHENNE'S DYSTROPHY, MUSCULAR, BECKER'S DYSTROPHY, MUSCULAR, LIMB GIRDLE DYSTROPHY, MUSCULAR, FACIOSCAPULOHUMERAL DYSTROPHY, MUSCULAR, MYOTONIC PARALYSIS, PERIODIC, FAMILIAL MYOPATHY, GLYCOGEN STORAGE MYOPATHY, LIPID'S STORAGE MYOPATHY, INFECTIOUS MYOPATHY, TRAUMATIC

3599 3600 3602 3603 36041 36042

MYOPATHY, UNSPECIFIED ENDOPHTHALMITIS, PURULENT DEGENERATIVE DISORDERS OF GLOBE HYPOTONY OF EYE PHTHISIS BULBI ABSOLUTE GLAUCOMA

36083

LOSS OF EYE,

3610 3611 36110 3612

RETINAL DETACHMENT W/RETINAL DEFECT RETINOSCHISIS & RETINAL CYSTS RETINOSCHISIS SEROUS RETINAL DETACHMENT

36121 36130 3618 3619

RETINAL DETACHMENT W/O BREAK RETINAL BREAKS OTHER FORMS OF RETINAL DETACHMENT UNSPECIFIED RETINAL DETACHMENT

362 3620

OTHER RETINAL DISORDERS DIABETIC RETINOPATHY

3621 3622 36221 36232

OTHER BACKGRD RETINOPATHY & RETIN VAS CHANGES OTHER PROLIFERATIVE RETINOPATHY (NON-DIABETIC FIBROPLASIA, RETROLENTAL RETINAL VASCULAR OCCLUSION, ARTERIAL BRANCH

AFTERCARE

-98-

(INCL TRACT

36241 36250 3626 36263 3627 36274 36279 3628 36281 36283 36300 363 10 3633 3634 3635 3640 36400 36402 36405 36410 36411 36421 3643 36441 36442 3645 3646 3647 3648 365 3650 36504 36511 3652 3654 3656 3659 366 36605 3661 3662 3663 3665 36700 3671 36720 36723 36724 36725 36731 3674 36741

CENTRAL SEROUS RETINOPATHY MACULAR DEGENERATION RETINAL DEGENERATION, PERIPHERAL PERIPHERAL RETINAL DEGENERATION, LATTICE DEGEN HEREDITARY RETINAL DYSTROPHIES RETINITIS PIGMENTOSA HEREDITARY RETINAL DYSTROPHY, MACULAR DYSTROPHY OTHER RETINAL DISORDERS HEMORRHAGE, RETINAL EDEMA, RETINAL CHORIORETINITIS, FOCAL CHORIORETINITIS, DISSEMINATED CHORIORETINAL SCARS CHOROIDAL DEGENERATIONS HEREDITARY CHOROIDAL DYSTROPHIES IRIDOCYCLITIS IRIDOCYCLITIS, ACUTE & SUBACUTE, UNSPEC IRIDOCYCLITIS, RECURRENT HYPOPYON IRIDOCYCLITIS, CHRONIC CHRONIC IRIDOCYCLITIS IN DIS CLASSIFIED ELSEWHERE CYCLITIS, FUCH'S HETEROCHROMIC IRIDOCYCLITIS, UNSPEC HYPHEMA RUBEOSIS IRIDIS DEGENERATIONS OF IRIS & CILIARY BODY CYSTS OF IRIS, CILIARY BODY & ANTERIOR CHAMBE ADHESIONS & DISRUPTIONS OF IRIS & CILIARY BOD IRIS/CILIARY BODY DISORDER, OTHER GLAUCOMA GLAUCOMA SUSPECT (BORDERLINE GLAUCOMA) HYPERTENSION, OCULAR PRIMARY OPEN-ANGLE GLAUCOMA PRIMARY ANGLE-CLOSURE GLAUCOMA GLAUCOMA W/CONGEN ANOMAL, DYSTROPH & SYS SYND GLAUCOMA W/OTHER OCULAR DISORDERS (SECONDARY) GLAUCOMA, UNSPEC CATARACT CATARACT, INFANTILE CATARACT, SENILE CATARACT, TRAUMATIC CATARACT, SECONDARY TO OCULAR DISORDERS POST CATARACT OPACIFICATION HYPEROPIA MYOPIA ASTIGMATISM, UNSPEC ASTIGMATISM, HYPEROPIC ASTIGMATISM, MIXED ASTIGMATISM, MYOPIC ANISOMETROPIA PRESBYOPIA ACCOMMODATIVE DISORDER

-99-

3678 3679 36791 36800 36803 3681 36810 36813 36816 36817 36818 3682 36830 36840 36841 36843 3685 36860 3688 3690 36920 36976 3699 3700 37001 3702 37024 3703 37031 3705 37050 3706 3710 3711 37111 3712 37123 3713 3714 37150 3716 3719 3720 37202 3721 37213 37214 3722 37230 37239 3724 37245

REFRACTION & ACCOMODATION DISORDER, OTHER REFRACTION/ACCOMMODATION DISORDER, UNSPEC REFRACTIVE ERROR AMBLYOPIA, UNSPEC AMBLYOPIA SUBJECTIVE VISUAL DISTURBANCE SUBJECTIVE VISUAL DISTURBANCE, UNSPEC VISUAL DISCOMFORT PSYCHOPHYSICAL VISUAL DISTURBANCE PHOTOPHOBIA VISUAL/PERCEPTUAL MOTOR DYSFUNCTION DIPLOPIA BINOCULAR VISION DISORDER, UNSPEC VISUAL 2IELD DEFECT, UNSPEC SCOTOMA INVOLVING CENTRAL AREA VISUAL FIELD DEFECT, SECTOR OR ARCUATE COLOR VISION DEFICIENCIES NIGHT BLINDNESS, UNSPEC VISUAL DISTURBANCE, OTHER SPEC PROFOUND VISUAL IMPAIRMENT (BOTH EYES) DECREASED VISION IMPAIRMENT, MODERATE, ONE EYE, OTH NORMAL VIS VISUAL IMPAIRMENT CORNEAL ULCER ULCER, CORNEAL, MARGINAL SUPERFICIAL KERATITIS WITHOUT CONJUNCTIVITIS PHOTOKERATITIS KERATOCONJUNCTIVITIS KERATOCONJUNCTIVITIS, PHLYCTENULAR INTERSTITIAL & DEEP KERATITIS KERATITIS, INTERSTITIAL, UNSPEC CORNEAL NEOVASCULARIZATION CORNEAL SCARS & OPACITIES CORNEAL PIGMENTATIONS & DEPOSITS CORNEAL PIGMENTATIONS, ANTERIOR CORNEAL EDEMA KERATOPATHY, BULLOUS CHANGES IN CORNEAL MEMBRANE CORNEAL DEGENERATION CORNEAL DYSTROPHY, UNSPEC KERATOCONUS OTHER CORNEAL DISORDER CONJUNCTIVITIS, ACUTE CONJUNCTIVITIS, FOLLICULAR, ACUTE CONJUNCTIVITIS, CHRONIC CONJUNCTIVITIS, VERNAL CONJUNCTIVITIS, ALLERGIC BLEPHAROCONJUCTIVITIS CONJUNCTIVITIS CONJUNCTIVITIS, NONALLERGIC PTERYGIUM PTERYGIUM, RECURRENT -100-

37250 37251 3727 37272 3728 3730 37300 3731 37311 37312 3732 3733 3735 3739 3740 37405 3741 3743 37430 37431 37434 37435 37436 37437 3744 37450 37482 3749 37490 37491 375 3750 37515 3752 3753 37530 37531 3754 3755 37555 37556 37558 3760 37601 3761 3762 37623 37630 37650 37681 37690 377

CONJUNCTIVAL DEGENERATION, UNSPEC PINGUECULA (CONJUNCTIVA) CONJUNCTIVAL VASCULAR DISORDERS & CYSTS CONJUNCTIVAL HERMORRHAGE CONJUNCTIVA DISORDER, OTHER BLEPHARITIS BLEPHARITIS, UNSPEC HORDEOLUM HORDEOLUM EXTERNUM HORDEOLUM INTERNUM CHALAZION NON-INFECTIOUS DERMATOSIS OF EYELID INFECTIVE DERMATITIS OF EYELID, OTHER INFLAMMATION OF LID UNSPEC ENTROPION TRICHIASIS ECTROPION PTOSIS, EYELID PTOSIS, EYELID, UNSPEC PTOSIS, PARALYTIC BLEPHAROCHALSIS PTOSIS OF EYEBROW DEFORMITY, EYEBROW, ACQUIRED DEFORMITY, EYEBROW, LEVATOR SENSORIMOTOR DISORDERS OF EYELID DEGENERATIVE DISORDER OF EYELID, UNSPEC EDEMA, EYELID EYELID, DISORDER, UNSPEC OTHER (OCCULOPLASTY) EXCESS SKIN, ORBIT, ACQUIRED LACRIMAL SYSTEM DISEASE DACRYOADENITIS, UNSPEC INSUFFICIENCY, TEAR FILM, UNSPEC EPIPHORA ACUTE & UNSPEC INFLAMMATION OF LACRIMAL PASSA DACRYOCYSTITIS, UNSPEC CANALICULITIS, LACRIMAL, ACUTE CHRONIC INFLAMMATION OF LACRIMAL PASSAGES STENOSIS & INSUFFICIENCY OF LACRIMAL PASSAGES OBSTRUCT, NASOLACRIMAL DUCT, NEONATAL STENOSIS, NASOLACRIMAL DUCT, ACQUIRED LACRIMAL OBSTRUCTION ACUTE INFLAMMATION OF ORBIT CELLULITIS, ORBITAL CHRONIC INFLAMMATORY DISORDERS OF ORBIT EXOPHTHALMOS, ENDOCRINE GRAVE'S DISEASE EXOPHTHALMOS, UNSPEC ENOPHTHALMOS, UNSPEC ORBITAL CYST ORBITAL VASCULAR ANOMALIES DISORDERS OF OPTIC NERVE AND VISUAL PATHWAYS -lo-

3770 37700 3771 3772 3773 37731 3774 37741 3775 3776 3777 3779 3780 37800 37809 3781 37819 37831 37832 37834 37835 37841 37842 37846 3785 37852 37853 37854 3786 3787 37871 3788 37887 37891 37893 37895 37896 37900 37907 37908 3791 37921 37923 37924 37931 37932 37940 37950 37951 3799 37990 3800

PAPILLEDEMA (OPTIC DISC EDEMA) PAPILLEDEMA, UNSPEC ATROPHY, OPTIC OPTIC DISC DISORDERS, OTHERS NEURITIS, OPTIC PAPILLITIS, OPTIC DISORDERS OF OPTIC NERVE, OTHER ISCHEMIC NEUROPATHY, OPTIC, DISORDERS OF OPTIC CHIASM DISORDERS OF OTHER VISUAL PATHWAYS DISORDERS OF VISUAL CORTEX OTHER DISORDER OF OPTIC NERVE ESOTROPIA ESOTROPIA, UNSPEC CONVERGENCE INSUFFICIENCY EXOTROPIA DIVERGENCE INSUFFICIENCY HYPERTROPIA HYPOTROPIA MONOFIXATION SYNDROME ACCOMMODATIVE COMPONENT IN ESOTROPIA ESOPHORIA, FAR/NEAR EXOPHORIA, FAR/NEAR HYPERPHORIA STRABISMUS, PARALYTIC THIRD NERVE PALSY FOURTH NERVE PALSY SIXTH NERVE PALSY STRABISMUS, MECHANICAL STRABISMUS, OTHER SPECIFIED DUANE'S SYNDROME BINOCULAR EYE MOVEMENTS DISORDERS, OTHER DISASSOCIATED VERT. DEVIATION OF EYE MOVEMENT STRABISMUS OPHTHALMOPLEGIC SYNDROME CONVERGENCE EXCESS DIVERGENCE EXCESS SCLERITIS, UNSPEC POSTERIOR SCLEROSIS EPISCLERITIS SCLERA DISORDERS, OTHER VITREOUS DEGENERATION/DETACHMENT VITREOUS HEMORRHAGE VITREOUS OPACITIES, OTHER APHAKIA SUBLUXATION OF LENS ABNORMAL PUPILLARY FUNCTION, UNSPEC NYSTAGMUS NYSTAGMUS, CONGENITAL EYE AND ADNEXA DISORDER, UNSPEC EYE DISORDER, UNSPEC PERICHRONDRITIS, AURICLE

-102-

38000 3801 38010 38011 38014 3802 38022 3803 38031 38032 3804 38110 3812 3813 3814 38150 38181 382 3820 38201 3823 3824 3829 38300 3831 3832 3839 38391 3840 38401 38420 38426 3849 38501 38503 3851 38530 38531 38589 3860 38600 38610 38611 38612 38618 38621 3863 38630 38635 3864 38641 38642

PERICHRONDRITIS OF PINNA OTITIS EXTERNA CELLULITIS, EAR INFECTION OF PINNA, ACUTE OTITIS EXTERNA, MALIGNANT OTITIS EXTERNA, OTHER OTITIS EXTERNA, OTHER, ACUTE NONINFECTIOUS DISORDERS OR PINNA HEMATOMA, AURICLE OR PINNA AQUIRED DEFORMITIES OF AURICLE OR PINNA CERUMEN IMPACTION OTITIS MEDIA, SEROUS, CHRONIC OTITIS MEDIA, MUCOID OTITIS MEDIA, NONSUPP, CHRONIC, UNSPEC OTITIS MEDIA, SEROUS EUSTACHIAN TUBE BLOCKAGE DYSFUNCTION, EUSTACHIAN TUBE OTITIS MEDIA, SUPPRATIVE & UNSPEC OTITIS MEDIA, SUPPURATIVE, ACUTE OTITIS MEDIA, SUPP W/SPONTAN RUPT EAR DRUM OTITIS MEDIA, SUPPURATIVE, CHRONIC OTITIS MEDIA, SUPPURATIVE, UNSPEC OTITIS MEDIA, NOS MASTOIDITIS (ACUTE) MASTOIDITIS (CHRONIC) OSTEOMASTOIDITIS MASTOIDITIS, UNSPEC MASTOIDITIS (COALESCENT) MYRINGITIS, ACUTE W/O OTITIS MEDIA BULLOUS MYRINGITIS PERFORATION, TYMPANIC MEMBRANE, UNSPEC PERFORATED TYMPANIC MEMBRANE, NONTRAUMATIC TYMPANIC MEMBRANE DISORDER, UNSPEC TYMPANOSCLEROSIS, W/O MIDDLE EAR INVOLVEMENT TYMPANOSCLEROSIS, W/MIDDLE EAR INVOLVEMENT OTITIS MEDIA, ADHESIVE CHOLESTEATOMA (UNSPEC) ATTIC RETRACTIVE EAR DISEASE W/CHOLESTEATOMA ATTIC RETRACTIVE EAR DISEASE W/O CHOLESTEATOM MENIERE'S SYNDROME MENIERE'S DISEASE, UNSPEC VERTIGO, PERIPHERIAL, UNSPEC VERTIGO, BENIGN PAROXYSMAL POSITIONAL NEURONITIS, VESTIBULAR PERIPHERAL (VESTIBULAR DISORDER) CENTRAL NERVOUS SYSTEM (VESTIBULAR DISORDER) LABYRINTHITIS LABYRINTHITIS, UNSPECIFIED LABYRINTHITIS, VIRAL FISTULA, LABYRINTHINE WINDOW FISTULA, ROUND WINDOW FISTULA, OVAL -103-

3869 3871 3879 3881 38812 3883 38830 38832 38850 38860 38861 38869 38870 3888 3889 3890 3891 38911 38912 38914 3892 3898 3899 390 391 392 3940 3941 3949 3959 3970 39701 3971 39890 401 4010 4011 4019 402 4029 403 4030 4039 405 4059 40591 40592 410 4109 4110 412 413

VERTIGINOUS SYNDROMES OTOSCLEROSIS INVOLVING OVAL WINDOW, OBLITERAT OTOSCLEROSIS/OTOSPONGIOSIS NOISE EFFECTS OF INNER EAR HEARING LOSS, NOISE-INDUCED TINNITUS TINNITUS, UNSPEC TINNITUS, OBJECTIVE RETROCOCHLEAR (HEARING LOSS) OTORRHEA OTORRHEA, CEREBROSPINAL FLUID OTORRHEA, OTHER OTALGIA, UNSPEC EAR DRAINAGE/PAIN/DISCOMFORT EAR DISORDER, UNSPEC HEARING LOSS, CONDUCTIVE HEARING LOSS, SENSORINEURAL HEARING LOSS, SENSORY HEARING LOSS, NEURAL HEARING LOSS, CENTRAL HEARING LOSS, MIXED HEARING LOSS, NONORGANIC HEARING LOSS NOS (DEAFNESS) RHEUMATIC FEVER W/O HEART INVOLVEMENT RHEUMATIC FEVER W/HEART INVOLVEMENT CHOREA, SYDENHAM'S MITRAL STENOSIS (RHEUMATIC) MITRAL INSUFFICIENCY, RHEUMATIC FEVER ENDOCARDITIS, MITRAL VALVE AORTIC VALVE DISEASE, RHEUMATIC FEVER ENDOCARDITIS, TRICUSPID VALVE RHEUMATIC HEART DISEASE, TRICUSPID VALVE PULMONARY VALVE, RHEUMATIC DISEASE RHEUMATIC HEART DISEASE NOS HYPERTENSION, ESSENTIAL HYPERTENSION, MALIGNANT ACCELERATED HYPERTENSION, ESSENTIAL, BENIGN HYPERTENSION, ESSENTIAL, UNSPEC HYPERTENSION W/CARDIOVASCULAR DISEASE HYPERTENSIVE HEART DISEASE, UNSPEC HYPERTENSION W/RENAL DYSFUNCTION RENAL DISEASE, HYPERTENSIVE, MALIGNANT PERIPHERAL VASCULAR DISEASE, RENOVASCULAR HYPERTENSION, SECONDARY HYPERTENSION RENOVASCULAR HYPERTENSION HYPERTENSION, RENOVASCULAR ACUTE MYOCARDIAL INFARCTION MYOCARDIAL INFARCTION, ACUTE, UNSPEC SITE POST MI SYNDROME MYOCARDIAL INFARCTION, OLD ANGINA PECTORIS -104-

4139 41391 414 4140 41401 41402 41406 41407 41408 41409 41410 41419 4148 4149 4151 4160 4162 4168 4169 4170 4178 41781 420 42090 42091 42099 4211 4229 4231 4232 4238 4239 4240 42401 42402 42403 4241 42411 42412 42414 42415 4242 42421 42422 42423 4243 42431 42432 42433 42434 42490 42491

ANGINA PECTORIS, OTHER, UNSPEC CORONARY ARTERY SPASM HEART DISEASE, ISCHEMIC, CHRONIC, OTHER FORMS HEART DISEASE, ATHEROSCLEROTIC, STABLE HEART DISEASE, ATHEROSCLEROTIC, POST CABG ARTERITIS, CORONARY HEART DISEASE HEART DIS, ATHEROSCLER, NORM LV FUNCTION (EF> HEART DIS, ATHEROSCLER, ABNORM, LV FUNCT (EF> HEART DISEASE, ATHEROSCLEROTIC, POST PTCA HEART DISEASE, ATHEROSCLEROTIC, UNSTABLE HEART DISEASE, ATHEROSCLEROTIC, LV ANEURYSM FISTULA, A-V, ACQUIRED HEART DISEASE, ISCHEMIC, CHRONIC, OTHER SPEC HEART DISEASE, CHRONIC ISCHEMIC PULMONARY EMBOLISM & INFARCTION HYPERTENSION, PULMONARY, PRIMARY HYPERTENSION, PULMONARY, PRIMARY, RV DYSFUNCT HYPERTENSION, PULMONARY, SECONDARY COR PULMONALE ARTERIOVENOUS FISTULA, PULMONARY PULMONARY CIRCULATION DISEASE, OTHER SPEC VASCULITIS, PULMONARY, ACUTE, UNSPEC PERICARDITIS, ACUTE PERICARDITIS, ACUTE PERICARDITIS, VIRAL PERICARDITIS, BACTERIAL ENDOCARDITIS, ACUTE/SUBACUTE INFECTIVE MYOCARDITIS, ACUTE PERICARDITIS, ADHESIVE PERICARDITIS, CONSTRICTIVE PERICARDITIS, CHRONIC PERICARDIUM DISEASE, UNSPEC MITRAL VALVE DISEASE, NON RHEUMATIC MITRAL ANNULAR CALCIFICATION MITRAL VALVE REGURGITATION PROLAPSE, MITRAL VALVE AORTIC VALVE DISORDERS REGURGITATION, ACRTIC STENOSIS, AORTIC, VALVULAR HEART (NON RHEUMAT ENDOCARDITIS, AORTIC VALVE STENOSIS, AORTIC STENOSIS, TRICUSPID, NON RHEUMATIC TRICUSPID VALVE, REGURGITATION (NON RHEUMATIC TRICUSPID VALVE, REGURGITATION, PRIMARY TRICUSPID VALVE, REGURGITATION, SECONDARY PULMONARY VALVE DISEASE, NON RHEUMATIC STENOSIS, VALVULAR PULMONIC ENDOCARDITIS, PULMONARY VALVE REGURGITATION, PULMONIC, PRIMARY REGURGITATION, PULMONIC, SECONDARY VALVULAR DISEASE NOS ENDOCARDITIS NOS -105-

425 4251 4254 4256 426 4260 42611 42612 42613 4262 42620 42621 4263 4264 42650 4267 42681 42689 4269 42690 427 4270 4271 42731 42732 42741 42761 42769 42781 42789 4279 42791 42792 42793 428 4280 42801 42802 4281 4289 42891 4290 4291 4293 42931 4295 42981 4299 42990 42991 430 431

CARDIOMYOPATHY CARDIOMYOPATHY, HYPERTROPH SUBAORT STEN IDIOP CARDIOMYOPATHY, RESTRICTIVE (LVH) CARDIOMYOPATHY, DILATED CONDUCTION DISORDER 3RD DEGREE AV BLOCK 1ST DEGREE AV BLOCK ELECTROCARDIOGRAPHIC CONDUCTION DEFECTS MOBIT ELECTROCARDIOGRAPHIC CONDUCTION DEFECTS MOBIT LEFT BUNDLE BRANCH HEMIBLOCK LEFT ANTERIOR FASCICULAR BLOCK, LAFB LEFT POSTERIOR FASCICULAR BLOCK, LPFB LEFT BUNDLE BRANCH BLOCK, LBBB RIGHT BUNDLE BRANCH BLOCK, RBBB BUNDLE BRANCH BLOCK NOS PREEXCITATION SYNDROME, WPW, WOLFF-PARKINSONPREEXCITATION SYNDROME, LGL (LOWN-GANONG-LEVI ATRIOVENTRICULAR DISSOCIATION CONDUCTION DISORDER PROLONGED QT CARDIAC DYSRHYTHMIAS TACHYCARDIA, PAROXYSMAL ATRIAL (PAT) TACHYCARDIA, VENTRICULAR, PAROXYSMAL ATRIAL FIBRILLATION ATRIAL FLUTTER FIBRILLATION, VENTRICULAR ARRHYTHMIA, SUPRAVENTRICULAR CONTRACTIONS, PREMATURE VENTRICULAR SICK SINUS SYNDROME RHYTHM DISTURBANCE, UNSPECIFIED CARDIAC DYSRYTHMIA, UNSPECIFIED ARRHYTHMIA, CARDIAC TACHYCARDIA, MULTIFOCAL ATRIAL BRADYCARDIA HEART FAILURE HEART FAILURE, CONGESTIVE HEART FAILURE, CONGESTIVE, SECONDARY TO ASHD HEART FAIL, CONGESTIVE, SECOND TO ENDOCARDITI VENTRICULAR FAILURE, LEFT HEART FAILURE, NOS HEART FAILURE, IDIOPATHIC MYOCARDITIS, CHRONIC MYOCARDIAL DEGENERATION CARDIOMEGALY HYPERTROPHY, LEFT VENTRICULAR RUPTURE OF CHORDAE TENDINES DYSFUNCTION, PAPILLARY MUSCLE HEART DISEASE, UNSPEC CARDIAC DISEASE, UNSPEC ARRHYTHMIA, ATRIAL & VENTRICULAR, OTHER HEMORRHAGE, SUBARACHNOID INTRACEREBRAL HEMORRHAGE -106-

43210 433 4331 434 4340 43491 435 4359 43591 436 4361 4362 4363 4364 4371 4372 4373 4374 4378 43781 438 440 4400 4401 4402 44021 4405 4409 441 4410 4411 4412 4413 4414 4419 4420 4423 4430 4431 4438 44389 4439 44391 44392 444 4440 4441 4442 44421 44422 4443 4448

HEMORRHAGE, CEREBRAL, SUBDURAL W/O PARALYSIS OCCLUSION & STENOSIS OF PRECEREBRAL ARTERIES OCCLUSION/STENOSIS, CAROTID ARTERY OCCLUSION OF CEREBRAL ARTERIES CEREBRAL THROMBOSIS STROKE, ISCHEMIC TRANSIENT CEREBRAL ISCHEMIA TRANSIENT ISCHEMIC ATTACK (TIA) TRANS ISCHEMIC ATTACK W/PERSIST NEURO DEF (RI CEREBROVASCULAR ACCIDENT (CVA) CEREBROVASCULAR ACCIDENT (CVA) LEFT CEREBROVASCULAR ACCIDENT (CVA) RIGHT CEREBROVASCULAR ACCIDENT, MULTIPLE LACUNAR STROKE, HEMORRHAGIC GENERALIZED ISCHEMIC CEREBROVASCULAR DISEASE CEREBROVASCULAR HYPERTENSIVE CRISIS ANEURYSM, CEREBRAL, NONRUPTURED ARTERITIS, CEREBRAL CEREBROVASCULAR DISEASE, OTHER ILL-DEFINED STROKE, LACUNAR LATE EFFECTS OF CEREBROVASCULAR DISEASE ATHEROSCLEROSIS AORTIC SCLEROSIS STENOSIS, RENAL ARTERIOSCLEROSIS, ARTERIES OF EXTREMITIES GANGRENE, ARTERIOSCLEROTIC ISCHEMIC VASCULAR DISEASE, GENERALIZED ARTERIOSCLEROSIS, GENERALIZED, UNSPEC ANEURYSM, AORTIC ANEURYSM, DISSECTING (ANY PART) ANEURYSM, THORACIC W/RUPTURE ANEURYSM, THORACIC W/O RUPTURE ANEURYSM, ABDOMINAL AORTIC W/RUPTURE ANEURYSM, ABDOMINAL AORTIC W/O RUPTURE ANEURYSM, AORTIC W/O RUPTURE, UNSPEC ANEURYSM, UPPER EXTREMITY ANEURYSM, LOWER EXTREMITY RAYNAUD' S SYNDROME BUERGER'S DISEASE PERIPHERAL VASCULAR DISEASE, EXTREMITIES VASCULAR DISEASE, PERIPHERAL, OTHER PERIPHERAL VASCULAR DISEASE, UNSPEC INTERMITTENT CLAUDICATION INSUFFICIENCY, PERIPHERAL VASCULAR ARTERIAL EMBOLISM AND THROMBOSIS ARTERIAL EMBOLISM/THROMBOSIS, ABDOMINAL, AORT ARTERIAL EMBOLISM/THROMBOSIS, THORACIC, AORTA ARTERIAL EMBOLISM/THROMBOSIS, ARTERIES OF EXT EMBOLISM/THROMBOSIS, ARTERIAL, UPPER EXTREMIT EMBOLISM/THROMBOSIS, ARTERIAL, LOWER EXTREMIT ARTERIAL EMBOLISM/THROMBOSIS, SYSTEMIC ARTERIAL EMBOLISM/THROMBOSIS, OTHER SPEC ARTE -107-

44490 446 4460 44601 44602 4461 44621 4463 4464 4465 44651 4466 4467 447 4473 4476 44760 44761 44782 44783 44784 4479 4489 451 4510 4511 45111 45119 45189 4530 4538 4539 454 4540 45400 4541 4542 4549 4550 4551 4552 4554 4556 4557 4558 4559 4560 4561 45620 4564 4568 4570

THROMBOEMBOLISM (SYSTEMIC ILLNESS) POLYARTERITIS NODOSA & ALLIED CONDITIONS POLYARTERITIS NODOSA VASCULITIS, BOSINOPHILIC (CHURG-STRAUSS) ANGIITIS, NECROTIZING SARCOIDAL KAWASAKI'S (MCLS) GOODPASTURE'S SYNDROME GRANULOMA, MIDLINE, LETHAL GRANULOMATOSIS WEGENER' S ARTERITIS, GIANT CELL ARTERITIS, TEMPORAL PURPURA, THROMBOTIC THROMBOCYTOPENIC ARTHRITIS, TAKAYASU'S ARTERIES/ARTERIOLES DISORDER, OTHER HYPERPLASIA, FIBROMUSCULAR RENAL ARTERY ARTERITIS, UNSPEC VASCULITIS, CUTANEOUS ARTERITIS, UNSPEC HYPERLASIA, FIBROMUSCULAR-CAROTID VASCULITIS, KIDNEY DYSPLASIA, FIBROMUSCULAR UNSPECIFIED DISORDERS OF ARTERIES AND ARTERIOLES TELANGIECTASIA PHLEBITIS/THROMBOPHLEBITIS PHLEBITIS/THROMBO, SUPERFIC LOW EXTREM PHLEBITIS, DEEP, LOWER EXTREMITY PHLEBITIS/THROMBO, FEMORAL VEIN PHLEBITIS/THROMBO, OTHER DEEP VESSEL OF LE PHLEBITIS AND THROMBOPHLEBITIS OF OTH SITES (OTHER) BUDD-CHIARI SYNDROME EMBOLISM/THROMBOSIS, VENOUS, OTHER SPEC VEINS EMBOLISM/THROMBOSIS, VENOUS, SITE UNSPEC VARICOSE VEINS, LOWER EXTREMTY VARICOSE VEINS, LOWER EXTREMITIES W/ULCER ULCER, LE, VENOUS STATIS DERMATITIS, STASIS, NO ULCER VARICOSE VEINS OF LOWER EXTREM W/ ULCERAT & INFLAN VARICOSE VEINS, LE W/O ULCER/INFLAMMATION HEMORRHOIDS, INTERNAL W/O COMPLICATIONS HEMORRHOIDS, INTERNAL, THROMBOSED HEMORRHOIDS, INTERNAL W/OTH COMPLICATION HEMORRHOIDS, EXTERNAL, THROMBOSED HEMORRHOIDS W/O COMPLICATIONS HEMORRHOIDS, THROMBOSED HEMORRHOIDS, BLEEDING HEMORRHOIDAL, SKIN TAGS, RESIDUAL VARICOSE VEINS, ESOPHAGUS W/HEMORRHAGE VARICOSE VEINS, ESOPHAGUS, W/O HEMORRHAGE CIRRHOSIS W/BLEEDING VARICES VARICOCELE VARICES, OTHER LYMPHATIC SYNDROME, POSTMASTECTOMY -108-

4571 4572 4578 4579 4580 4581 4589 459 4590 45901 4591 4592 45981 45989 4599 460 4601 4602 461 4610 4611 4612 4618 462 463 4631 4640 4641 4642 4643 4644 4658 4659 466 4660 4661 470 471 4718 472 4720 47202 47203 47204 4721 473 4730 4731 4732 4738 47380 474

LYMPHEDEMA LYMPHANGITIS LYMPHATIC CHANNEL DISORDER, OTHER, NONINFECTI LYMPHATIC DISORDER, NONINFECTIOUS, UNSPEC HYPOTENSION, ORTHOSTATIC HYPOTENSION, CHRONIC HYPOTENSION, ACUTE CIRCULATORY SYSTEM DISORDERS, OTHER HEMORRHAGE, UNSPEC DRUG EXTRAVASATION POSTPHLEBITIC SYNDROME OBSTRUCTION, VENA CAVA INSUFFICIENCY, VENOUS (PERIPHERAL) CIRCULATORY SYSTEM DISORDERS, OTHER SPEC VASCULAR DISEASE, UNSPEC NASOPHARYNGITIS, ACUTE (COMMON COLD) CORYZA URI ACUTE (COLD) SINUSITIS, ACUTE SINUSITIS, MAXILLARY, ACUTE SINUSITIS, FRONTAL, ACUTE SINUSITIS, ETHMOIDAL, ACUTE PANSINUSITIS, ACUTE PHARYNGITIS, ACUTE TONSILLITIS, ACUTE ADENOTONSILLITIS, ACUTE LARYNGITIS, ACUTE TRACHEITIS, ACUTE ACUTE LARYNGITIS & TRACHEITIS EPIGLOTTITIS CROUP URI, OTHER MULTIPLE SITES INFECTION, UPPER RESPIRATORY, ACUTE BRONCHITIS & BRONCHIOLITIS BRONCHITIS, ACUTE BRONCHIOLITIS SEPTAL DEFORMITY, NASAL ACQUIRED POLYP, NASAL, (NASAL/SINUS) OTHER POLYP OF SINUS PHARYNGITIS & NASOPHARYNGITIS, CHRONIC RHINITIS RHINITIS, SICCA RHINITIS, MEDICAMENTOSA NASOPHARYNGITIS, PURULENT, CHRONIC PHARYNGITIS, CHRONIC SINUSITIS, CHRONIC SINUSITIS, MAXILLARY, CHRONIC SINUSITIS, FRONTAL, CHRONIC SINUSITIS, ETHMOIDAL, CHRONIC PANSINUSITIS, CHRONIC DRAINAGE, POSTNASAL TONSILS/ADENOIDS DISEASE, CHRONIC -109-

4740 4741 47412 4748 47480 47481 4749 475 4760 477 47780 47781 47782 47783 47784 47785 47786 47787 47788 47789 4779 47790 47791 4780 47810 47812 47814 47821 47824 47826 47827 47829 4783 47835 47836 4784 4785 47878 47879 4789 47891 480 481 4824 48281 4829 483 486 4870 4871 4878 490

TONSILLITIS, CHRONIC HYPERTROPHY, TONSILS, ADENOIDS HYPERTROPHY, ADENOIDS ALONE TONSIL/ADENOID DISEASE, CHRONIC, OTHER CYST, TONSIL TONSILLAR TAG TONSIL/ADENOID DISEASE, CHRONIC ABSCESS, PERITONSILLAR LARYNGITIS, CHRONIC RHINITIS, ALLERGIC RHINITIS, NONSPEC RHINITIS, ALLERGIC, TREES RHINITIS, ALLERGIC, GRASS RHINITIS, ALLERGIC, WEEDS RHINITIS, ALLERGIC, MOLD RHINITIS, ALLERGIC, PET RHINITIS, ALLERGIC, DUST RHINITIS, ALLERGIC, MITES RHINITIS, ALLERGIC, SEASONAL RHINITIS, ALLERGIC, PERENNIAL RHINITIS, ALLERGIC, CAUSE UNSPEC RHINITIS, NON-ALLERGIC W/EOSINOPHILIA RHINITIS, VASOMOTOR HYPERTROPHIC TURBINATES ABSCESS, NASAL SEPTAL PERFORATION, SEPTAL NASAL DISORDER, OTHER CELLULITIS OF PHARYNX OR NASOPHARYNX ABSCESS, RETROPHARYNGEAL CYST, NASOPHARYNX CYST, HYPOPHARYNX PHARNYX DISEASE, OTHER, NEC PARALYSIS, VOCAL CORD PARALYSIS, VOCAL CORD, IATROGENIC PARALYSIS, VOCAL CORD, CHRONIC POLYPS, VOCAL CORD NODULE, VOCAL CORD OBSTRUCTION, LARYNGEAL LEUKOPLAKIA (LARYNX) GRANULOMATA (THROAT) UPPER AIRWAY DYSFUNCTION, NOS PNEUMONIA, VIRAL PNEUMONIA, PNEUMOCOCCAL PNEUMONIA, STAPHYLOCOCCAL PNEUMONIA, MYCOBACTERIAL-NON-TUBERCULOSIS PNEUMONIA, BACTERIAL PNEMNIA, MYCOPLASMA, PPLO PNEUMONIA, UNSPEC INFLUENZA W/PNEUMONIA INFLUENZA NOS INFLUENZA W/OTHER MANIFESTATIONS BRONCHITIS, NOS -110-

777

491 49100 49181 492 493 4930 4931 49310 4939 49391 49392 49393 49394 49395 49396 49397 49398 49399 494 495 4950 49521 4958 49591 496 4961 500 501 5011 502 503 504 505 5050 5060 5070 5071 50781 508 5081 5088 5089 510 5109 511 5110 5111 5117 51181 51182 51183

BRONCHITIS, CHRONIC CIGARETTE ABUSE BRONCHIOLITIS OBLITERANS EMPHYSEMA ASTHMA ASTHMA, EXTRINSIC ASTHMA, INTRINSIC ASTHMA, INTRINSIC W/MENTION OF STATUS ASTHMAT ASTHMA, ALLERGIC ASTHMA, W/STAT ASTHMATICUS ASTHMA, NON-ALLERGIC ASTHMA, EPISODIC/CONFINING ASTHMA, FULLY REVERSIBLE ASTHMA, PARTIALLY REVERSIBLE ASTHMA, BRONCHODILATOR DEP ASTHMA, STERIOD DEP ASTHMA, EXERCISE INDUCED ASTHMA, OCCUPATIONAL BRONCHI ECTAS IS ALVEOLITIS, ALLERGIC, EXTRINSIC FARMER' S LUNG PIGEON BREEDER'S LUNG ALLERGIC ALVEOLITIS & PNEUMONITIS PNEUMONITIS , HYPERSENSITIVITY COPD IMPACTION, MUCOID, TRACHEOBRONCHEAL PNEUMOCONIOSES, COAL MINER'S ASBESTOS I S EFFUSION, PLEURAL, SECONDARY TO ASBESTOS PNEUMOCONIOSES, SILICA PNEUMOCONIOSIS DUE TO OTHER INORGANIC DUSTS PNEUMONOPATHY DUE TO INHILATION OP OTHER DUST PNEUMOCONIOSES, OTHER, UNSPEC PNEUMOCONIOSIS, CHEMICAL INJURY BRONCHITIS, CHEMICAL PNEOCNITIS, ASPIRATION PNEUMONIA, LIPOID PNEUMONITIS, INTERSTITIAL, DRUG INDUCED RESPIRATORY COND DUE TO OTHER UNSPEC EXTER AG FIBROSIS, INTERSTITIAL, RADIATION INJURY RESPIRATORY COND DUE TO OTHER SPEC EXT AGENTS RESPIRATORY CONDITION, UNSPEC EXTERNAL AGENTS EMPYEMA EMPYEMA, LUNG PLEURISY PLEURISY W/O MENTION OF EFFUSION OR CUER TUBERCULOS EFFUSION, PLEURAL, SECONDARY TO BACTERIA EFFUSION, PLEURAL, SECONDARY TO CE NIOSI EFFUSION, PLEURAL, SECONDARY TO MALIGNANCY EFFUSION, PULMONARY, SECONDARY TO MESOTHELIO EFFUSION, PLEURAL, SECONDARY TO FUNGAL

51190

EFFUSION, PLEURAL, UNSPEC -111-

512 5120 5128 5130 514 5150 5151 516

PNEUMOTHORAX PNEUMOTHORAX, SPONTANEOUS TENSION OTHER SPONTANEOUS PNEUMOTHORAX PNEUMONIA, INFECTIOUS, LUNG ABSCESS EDEMA, PULMONARY PNEUMONITIS, INTERSTITIAL PNEUMONITIS, INTERSTITIAL, DESQUAMATIVE PNEUMONOPATHY, OTHER ALVEOLAR/PARIETOALVEOLAR

5160

PROTEINOSIS, ALVEOLAR

5163 51681 5171 5178

FIBROSIS, INTERSTITIAL, IDIOPATHIC PNEUMONITIS, INTERSTITIAL, LYMPHOCYTIC INTERSTIT FIBROSIS, SECOND TO COLL VAS DIS LUNG INVOLMT IN OTH DISEASE CLASSIFIED ELSEWH

518 5181 5183 5188 51880 51881 51911 5193

LUNG DISEASE, OTHER INTERSTITIAL EMPHYSEMA PNEUMONIA, EOSINOPHILIC LUNG DISEASE, OTHER, NEC ASPERGILLOSIS, ALLERGIC BRONCHOPULMONARY NODULE, PULMONARY STENOSIS, TRACHEAL OTH DISEASES OF MEDIASTINUM, NOT ELSEWHERE CLASSIF

5198

RESPIRATORY SYSTEM DISEASE,

51981 5199

OBSTRUCTION, UPPER AIRWAY RESPIRATORY DISEASE NOS

5207

TEETHING SYNDROME

5209 5210 5212 5213 5216 5225 5229 5231 5238 52400 52401 52410 52411 5242 52441 5245 5246 5248 5251 5258 5259 5269 5272 52721 52722 5275 5276

TOOTH DEVEL/ERUPTION DISORD DENTAL CARIES ABRASION, TEETH EROSION OF TEETH, OCCUP WIRED JAW PERIAPICAL ABSCESS W/O SINUS INFECTION, DENTAL GINGIVITIS OTHER SPECIFIED PERIODONTAL DISEASES MICROGENIA RECEDING CHIN (CONGENITAL) RETROGNATHISM ASYMMETRY OF MANDIBLE ANOMALIES, DENTAL ARCH RELATIONSHIP CONGENITAL MALOCCLUSION DENTOFACIAL FUNCTIONAL ABNORMALITIES TEMPOROMANDIBULAR JOINT SYNDROME ANOMALIES, DENTOFACIAL ENDENTIA OTH SPEC DISORD OF THE TEETH AND SUPPRTNG STRUCTURES TEETH & SUPPORT STRUCTURE DISEASE JAW DISEASE, UNSPEC S IALOADENITIS PAROTITIS, ACUTE PAROTITIS, CHRONIC SIALOLITHIASIS RANULA -112-

OTHER, NEC

Wwl

52761 5279 5280 5282 5283 5284 5285 5289 5290 5291 5295 5299 530 5300 5301 53010 53012 53020 5303 5304

MUCOCELE, LIP SALIVARY GLAND DISEASE STOMATITIS ULCER, APHTHOUS CELLULITIS/ABSCESS, ORAL SOFT TISSUES CYST, ORAL CAVITY DISEASES OF LIPS LESIONS, ORAL GLOSSITIS GEOGRAPHIC TONGUE TONGUE, PLICATED TONGUE DISEASE ESOPHAGUS DISEASE ACHALASIA ESOPHAGITIS, REFLUX ESOPHAGITIS, INFECTIOUS ESOPHAGITIS, CAUSTIC BARRET'S ESOPHAGUS ESOPHAGEAL STRICTURE ESOPHAGEAL RUPTURE

5305

FUNCTIONAL DISORDERS-ESOPHAGUS

53051 5306 5307 5309 531 5311 5313 5314 53142 5315 532 5320 5324 5325 5329 53291 533 53321 5339 5350 53501 5351 5354 5355 5356 53561 5362 5368 53680 53681 5369

MOTOR DISORDER, NON-SPECIFIC (ESOPHAGUS) ZENKER' S DIVERTICULUM GASTROESOPHAGEAL HEMORRHAGE, MALLORY/WEISS TE ESOPHAGUS DISORDER, NOS ULCER, GASTRIC ULCER, GASTRIC, ACUTE W/PERFORATION ACUTE GASTRIC ULCER W/O MENTION OF HEMOR OR PERFOR ULCER, GASTRIC, W/HEMORRHAGE ULCER, STOMACH, W/HEMORRH ONLY ULCER, STOMACH, W/PERFOR ONLY ULCER, DUODENAL ACUTE DUODENAL ULCER WITH HEMORRHAGE AND PERFORATION ULCER, DUODENUM (W/HEMORRH ONLY) ULCER, DUODENUM (W/PERFOR ONLY) DUODENAL ULCER W/O HEMORRHAGE OR PERFORATION ULCER, DUODENUM W/OBSTRUCTION ULCER, PEPTIC, UNSPEC SITE ACUTE PEPTIC ULCER W/ HEMORRHAGE, PERFOR & OBST PEPTIC ULCER DIS NOS GASTRITIS, ACUTE GASTRITIS W/HEMORRHAGE GASTRITIS, ATROPHIC GASTRITIS, OTHER, SPEC GASTRITIS DUODENITIS DUODENITIS W/HEMORRHAGE PERSISTENT VOMITING DYSPEPSIA & OTH SPEC DISORDER, STOMACH FUNCTI STASIS/RETENTION ACID PEPTIC DISEASE FUNCTIONAL DISORDER, STOMACH -113-

pA

53691 5376 53789 5379 540 5409 541 542 5439 550 5501 5509 55090 55091 55092 55100 55300 55301 5531 5532 55320 55321 55329 5533 55380 5539 555 5551 5559 556 5561 5570 5589 55890 55891 55892 5600 5601 5602 56031 56039 56081 5609 562 5620 56210 56211 564 5640 5641 5642 5647

FUNCTIONAL DISORDERS GI STRICTURE, PEPTIC STOMACH/DUODENUM DISORDER, OTHER SPEC STOMACH & DUODENUM DIS/DISORD, OTHER APPENDICITIS, ACUTE APPENDICITIS W/O PERITONITIS APPENDICITIS, UNQUALIFIED OTHER APPENDICITIS APPENDIX DISEASE, UNSPEC, OTHER HERNIA, INGUINAL HERNIA, INGUINAL W/OBSTRUCTION W/O GANGRENE HERNIA, INGUINAL W/O OBSTRUCTION/GANGRENE HERNIA, INGUINAL W/O OBSTRN/GANGRENE, UNILATE HERNIA, INGUINAL W/O OBSTRUCTION UNILATERAL HERNIA, INGUINAL W/O OBSTRUCTION BILATERAL UNILATERAL OR UNSPECIFIED FEMORAL HERNIA W/GANGRMIE HERNIA, FEMORAL, ABDOMINAL CAVITY W/O OBSTRUC HERNIA, FEMORAL, UNILATERAL OR UNSPEC HERNIA, UMBILICAL HERNIA, VENTRAL HERNIA, VENTRAL, UNSPEC HERNIA, VENTRAL, INCISIONAL VENTRAL HERNIA (OTHER)W/O MENTION OF OBSTR OR GANGR HERNIA, HIATAL HERNIA, ABDOMINAL HERNIA, UNSPEC SITE ENTERITIS/ILEITIS REGIONAL COLITIS, GRANULOMATOUS (CROHN'S) CROHN'S DISEASE PROCTOCOLITIS, IDIOPATHIC COLITIS, ULCERATIVE EMBOLISM/THROMBOSIS ARTERIAL MESENTERIC ARTER GASTROENTERITIS/COLITIS, OTH & UNSPEC, NONINF GASTROENTERITIS DIARRHEA COLITIS, IDIOPATHIC INTUSSUSCEPTION PARALYTIC ILEUS VOLVULUS GALLSTONE ILEUS INTESTINE IMPACTION, OTHER ADHESIONS, INTESTINAL/PERITONEAL W/OBSTRUCTIO OBSTRUCTION, INTESTINAL DIVERTICULA OF INTESTINE DIVERTICULUM, SMALL INTESTINE, NOS DIVERTICULOSIS, COLON DIVERTICULITIS, COLON DIGESTIVE DISORDER, FUNCTIONAL, NEC CONSTIPATION IRRITABLE BOWEL SYNDROME POST-GASTRECTOMY SYNDROME MEGACOLON OTHER THAN HIRSCHSPRUNG'S -114-

5649 56490

FUNCTIONAL DISORDER, INTESTINES MOTILITY DISORDER, SMALL BOWEL

56491 565 5650 5651

GI DISORDER, UNSPEC FISSURE/FISTULA, ANAL FISSURE, ANAL FISTULA, ANAL

566 567 5672 5680 5688

ABSCESS, ANAL AND RECTAL REGION PERITONITIS PERITONITIS, SUPPURATIVE, OTHER ADHESIONS, PERITONEAL HEMOPERITONEUM

569 5690 5691 5693 56941

INTESTINE DISORDERS, OTHER POLYP, ANAL/RECTAL PROLAPSE, RECTUM BLEEDING PER RECTUM NOS ULCER, ANUS/RECTUM

56942 56948

PAIN, RECTAL & ANAL, NOS PROCTITIS, NOS

56949 5696 56982 56989

RECTUM/ANUS DISORDER, OTHER COLOSTOMY/ENTEROSTOMY MALFUNCTION ULCERATION OF INTESTINE INTESTINE DISORDER, OTHER, SPEC

570 5701 571

NECROSIS, ACUTE & SUBACUTE, LIVER HEPATIC FAILURE, ACUTE CHRONIC LIVER DISEASE & CIRRHOSIS

5710 5711

ALCOHOLIC FATTY LIVER HEPATITIS, ALCOHOLIC, ACUTE

5712 5713 5714

CIRRHOSIS, ALCOHOLIC ALCOHOLIC LIVER DISEASE HEPATITIS, CHRONIC

57140 57141

HEPATITIS, CHRONIC, UNSPECIFIED HEPATITIS, CHRONIC, PERSISTANT

57142

HEPATITIS, CHRONIC, ACTIVE, VIRAL

5715 5716

CIRRHOSIS W/O ALCOHOL MENTIONED CIRRHOSIS, PRIMARY BILIARY

5718 5720 57221 5723 5724 5730 5733 57331 57332 5739 57391 5740

FATTY LIVER, W/O ALCOHOL ABSCESS, LIVER ENCEPHALOPATHY, HEPATIC CIRRHOSIS, W/PORTAL HYPERTENSION/ASCITIES HEPATORENAL SYNDROME LIVER, CHRONIC PASSIVE CONGESTION HEPATITIS, UNSPEC HEPATITIS, DRUG INDUCED HEPATITIS, TOXIC DYSFUNCTION, LIVER DYSFUNCTION, LIVER, ANTIBIOTIC ASSOCIATED CHOLELITHIASIS W/CHOLECYSTITIS

5742

CHOLELITHIASIS W/O CHOLECYSTITIS

5745 575 5750

CHOLEDOCHOLITHIASIS W/O CHOLECYSTITIS GALL BLADDER DISORDER, OTHER CHOLECYSTITIS, ACUTE

5751

CHOLECYSTITIS, OTHER -115-

57510 5759 57610 57611 5762 5769 577 5770 5771 5772 57781 5779 5780 5781 5789 57890 57891 57894 57895 57896 5790 5791 5792 5798 5799 5804 58089 5809 5810 5811 5812 5813 5819 5820 5822 58289 5829 58382 58391 584 5841 5846 585 5851 5852 586 5860 5861 5880 58801 5889 589

CHOLECYSTITIS, CHRONIC GALLBLADDER DISORDER CHOLANGITIS, ACUTE CHOLANGITIS, CHRONIC SCLEROSING BILE DUCT OBSTRUCTION BILIARY TRACT DISORDER, UNSPEC PANCREAS DISEASE PANCREATITIS, ACUTE PANCREATITIS, CHRONIC PANCREATITIS W/PSEUDOCYST/COMPLICATION INSUFFICIENCY, PANCREATIC PANCREATIC DISEASES, UNSPEC HEMATEMESIS MELENA HEMORRHAGE, GASTROINTESTINAL TRACT, UNSPECIFI BLEEDING, UPPER GI BLEEDING, LOWER GI ANOMALY, VASCULAR W/HEMORRHAGE BLEEDING, OCCULT GI BLEEDING, GI NOS CELIAC DISEASE TROPICAL SPRUE SHORT BOWEL SYNDROME FOOD INTOLERANCE MALABSORPTION DISORDER ACUTE GLOMERULONEPHRITIS (W/LES OF RAPID PROG GLOM) NEPHRITIS, INTERSTITIAL, ACUTE GLOMERULONEPHRITIS, ACUTE NEPHROTIC SYND W/PROLIFERTVE GLOMERULONEPHRIT NEPHROTIC SYND W/LESION OF GLOMERULONEPHRITIS NEPHROTIC SYND W/LESN MEMBRNOPROLIF GLMNEPHRI NEPHROTIC SYND W/LESION OF MIN CHG GLOMNEPHRI NEPHROTIC SYNDROME GLOMERULONEPHRITIS, CHRON W/LESION, PROLIF GL GLOMERULONEPHRITIS, CHR W/LSN MEMBRNOPROLF, G NEPHRITIS, INTERSTITIAL, CHRONIC GLOMERULONEPHRITIS, CHRONIC OTHER ASSOCIATED SYSTEMIC DISEASE (NEPROLOGY) OTHER HEREDITARY RENAL DISEASE RENAL FAILURE, ACUTE ACUTE RENAL FAILURE WITHOUT DIALYSIS RENAL FAILURE, ACUTE W/LESN RENAL CORT NECROS RENAL FAILURE, CHRONIC CHRONIC RENAL FAILURE WITHOUT DIALYSIS CHRONIC RENAL FAILURE WITH DIALYSIS RENAL FAILURE, UNSPEC END STAGE RENAL DISEASE RENAL FAILURE, W/UREMIA OSTEODYSTROPHY, RENAL OSTEITIS FIBROSIS OTHER UNSPECIFIED RENAL DISORDER KIDNEY, SMALL, UNKNOWN CAUSE -116-

5900 59000 5901 59010 5902 59080 591 592 5920 5921 5929 5934 5937 59389 5939 59390 59392 59393 59394 59395 59396 5942 595 5950 5952 5959 5960 5961 5962 59780 59781 59789 5989 599 5990 59901 5991 5992 5993 59951 5997 5998 600 601 6010 6011 6019 603 6039 604 6040 60490

PYELONEPHRITIS, CHRONIC PYELONEPHRITIS, CHRONIC, W/O RENAL MEDUL NECR PYELONEPHRITIS, ACUTE PYELONEPHRITIS, W/O RENAL MEDUL NECROSIS ABSCESS, KIDNEY (PERIRENAL) PYELONEPHRITIS, UNSPEC HYDRONEPHROSIS CALCULUS OF KIDNEY AND URETER NEPHROLITHIASIS URETEROLITHIASIS URINARY CALCULUS, UNSPEC OBSTRUCTION, URETER, OTHER VESICOURETERAL REFLUX OTHER SPECIFIED DISORDER OF KIDNEY AND URETER KIDNEY & URETER DISORDR, UNSPEC KIDNEY DISEASE NOS RENAL DISORDER, UNSPEC RENAL DISORDER, OBSTRUCTIVE RENAL INSUFFICIENCY RENAL MASS SOLITARY KIDNEY URETHRA, CALCULUS CYSTITIS CYSTITIS, ACUTE CYSTITIS, CHRONIC CYSTITIS, NOS STENOSIS, BLADDER NECK FISTULA, INTESTINOVESICAL FISTULA, VESICAL URETHRITIS, UNSPEC URETHRAL SYNDROME, NOS URETHRITIS, OTHER STENOSIS, URETHRAL URETHRA/URINARY TRACT DISORDER, OTHER INFECTION, URINARY TRACT INFECTION, URINARY TRACT, CHRONIC FISTULA, URINARY, NOS DIVERTICULUM URETHRAL CARUNCLE URETHRAL URETHROCELE/CYSTOCELE, MALE HEMATURIA GU DISORDER BENIGN PROSTATIC HYPERTROPHY PROSTATITIS PROSTATITIS, ACUTE PROSTATITIS, CHRONIC PROSTATITIS, UNSPECIFIED HYDROCELE HYDROCELE, UNSPEC ORCHITIS & EPIDIDYMITIS ORCHITIS/EPIDIDYMITIS/EPID-ORCHITIS W/ABSCESS ORCHITIS/EPIDIDYMITIS, UNSPEC -117-

605 606 6069 6070 6071 6072 6073 6078 60781 60783 60784 60789 608 6080 6081 6082 6084 60883 60884 60886 60888 60889 6089 60892 610 6100 6101 61010 61011 6102 611 6110 61101 61102 61103 6111 61112 61113 61114 6116 6117 61171 61172 61179 61180 61181 6119 61191 6140 6141 6143 6146

REDUNDANT PREPUCE & PHIMOSIS INFERTILITY, MALE INFERTILITY, MALE, UNSPEC LEUKOPLAKIA OF PENIS BALANITIS DISORDER, PENIS, INFLAMMATORY, OTHER PRIAPISM DISORDERS, PENIS, OTHER SPEC PEYRONIE'S DISEASE EDEMA, PENIS IMPOTENCE, ORGANIC DISORDER, PENIS, OTHER GENITAL ORGAN DISORDER, MALE, OTHER VESICULITIS, SEMINAL SPERMATOCELE TORSION OF TESTES DISORDERS, MALE GENITAL ORGANS, INFLAMMATORY VASCULAR DISORDER OF MALE GENITAL ORGAN CHYLOCELE, TUNICA VAGINALIS EDEMA, MALE GENITAL ORGANS MASS, SCROTAL DISORDERS, MALE GENITAL ORGANS, OTHER TESTICULAR CONDITION, NOS PAIN, TESTICULAR DYSPLASIA, MAMMARY, BENIGN CYST, SOLITARY BREAST DIFFUSE CYSTIC MASTOPATHY MASTITIS (CYSTIC), CHRONIC FIBROCYSTIC DISEASE, BREAST FIBROADENOSIS, BREAST BREAST DISORDER, OTHER BREAST, INFLAMMATORY DISEASE MASTITIS ABSCESS, BREAST LOCALIZED BREAST INFECTION GYNECOMASTIA HYPERPLASIA, BREAST HYPERTROPHY, BREAST MACROMASTIA GALACTORRHEA, NOT ASSOCIATED W/CHILDBIRTH MASTODYNIA MASTODYNIA MASS, BREAST DISCHARGE, NIPPLE DEFORMITY, BREAST PTOSIS, BREAST BREAST DISEASES NOS IMPLANTS/AUGMENTATION BREAST SALPINGITIS & OOPHORITIS, ACUTE SALPINGITIS & OOPHORITIS, CHRONIC ACUTE PARAMETRITIS AND PELVIC CELLULITIS ADHESIONS, PELVIC PERITONEAL

6149 6150 6151 6159 6160 6161 61610 61611 61612 61613 61614 61615 6162 6163 6164 617 6170 6171 6172 6173 6179 6180 6181 6186 6188 6190 6191 620 6200 6201 6202 6204 6210 6211 62131 62132 6215 6218 6220 6221 6224 6227 6229 6230 6234 6235 6238 6239 6240 62401 6248 6249

INFLAMMATORY DISEASE, PELVIC INFLAMMATORY DISEASE, UTERUS, ACUTE INFLAMMATORY DISEASE, UTERUS, CHRONIC UNSPECIFIED INFLAMMATORY DISEASE OF UTERUS CERVICITIS & ENDOCERVICITIS VAGINITIS/VULVOVAGINITIS VAGINITIS/VULVITIS NOS VAGINITIS/VULVOVAGINITIS, IN DIS ELSE CLASS VAGINITIS, NOS VULVOVAGINITIS VAGINITIS, GARDNERELLA VAGINITIS, BACTERIAL CYST, BARTHOLIN GLAND ABSCESS, BARTHOLIN GLAND ABSCESS, VULVA NOS ENDOMETRIOSIS ENDOMETRIOSIS, UTERUS, (ADENOMYOSIS) ENDOMETRIOSIS, OVARY ENDOMETRIOSIS, FALLOPIAN TUBE ENDOMETRIOSIS, PELVIC PERITONEUM ENDOMETRIOSIS, UNSPEC SITE PROLAPSE, VAGINAL, CYSTO, RECTO, OR URETHROCE PROLAPSE UTERINE ENTEROCELE PELVIC RELAXATION FISTULA, URINARY-GENITAL TRACT FISTULA, RECTO VAGINAL OVARY/FALLOPIAN TUBE/BROAD LIG DISORD, NONINF CYST, FOLLICULAR, OVARY CYST, CORPUS LUTEUM CYST, OVARIAN, UNSPEC PROLAPSE/HERNIA, OVARY/FALLOPIAN TUBE POLYP, ENDOMETRIAL UTERUS, SUBINVOLUTION, CHRONIC HYPERPLASIA, ENDOMETRIAL ADENOMATOUS HYPERPLASIA, ENDOMETRIAL CYSTIC INTRAUTERINE SYNECHIAE UTERUS DISORDERS, OTHER SPECIFIED, NEC EROSION/ECTROPION, CERVIX DYSPLASIA, CERVIX STRICTURE & STENOSIS, CERVIX POLYP, CERVICAL DISORDER OF CERVIX, NONINFLAMMATORY, UNSPEC DYSPLASIA, VAGINA LACERATION, VAGINAL, OLD DISCHARGE, VAGINAL NOS BLEEDING, VAGINAL ITCHING/IRRITATION, VAGINAL DYSTROPHY, VULVA KRAUROSIS (VULVA) VULVA & PERINEUM DISORDER, NONINFLAMM, OTH SP VULVA & PERINEUM DISORDER, NONINFLAMM, UNSPC -119-

625 6250 6252 6253 6254 6255 6256 6258 6259 62591 626 6260 62601 62602 6261 6262 6263 6264 6266 6267 6268 62681 62682 62683 6269 6271 62711 62712 6272 6273 6279 628 6280 6281 6282 6284 6288 6289 62981 6299 630 631 632 6320 633 634 6341 63471 63492 635 6373 640

PAIN, PELVIC DYSPAREUNIA MITTELSCHMERZ DYSMENORRHEA PREMENSTRUAL TENSION SYNDROME PELVIC CONGESTION SYNDROME INCONTINENCE, STRESS, FEMALE MASS/LUMP, VAGINAL FEMALE GENITAL ORGANS SYMPTOMS, UNSPEC PAIN, VAGINAL MENSTRUATION & OTH BLEEDING DISORDER AMENORRHEA AMENORRHEA, PRIMARY AMENORRHEA, SECONDARY HYPOMENORRHEA, OLIGOMENORRHEA MENOMETRORRHAGIA, MENORRHAGIA, POLYMENORRHEA DYSFUNCTIONAL UTERINE BLEEDING (PUBERTY BLEED IRREGULAR MENSTRUAL CYCLE METRORRHAGIA BLEEDING, POSTCOITAL DISORDERS OF MENSTRUATION/OTH ABNORMAL BLEEDI DYSFUNCTION, MENSTRUAL BREAKTHROUGH BLEEDING, PILL DYSFUNCTIONAL UTERINE BLEEDING DISORDERS OF MENSTRUATION POSTMENOPAUSAL BLEEDING BLEEDING, POSTMENOPAUSAL W/HORMONAL THERAPY BLEEDING, POSTMENOPAUSAL W/O HORMONAL THERAPY MENOPAUSAL SYMPTOMS VAGINITIS, SENILE MENOPAUSAL SYNDROME INFERTILITY, FEMALE ANOVULATION INFERTILITY, FEMALE, PITUITARY-HYPOTHALAMIC 0 INFERTILITY, FEMALE, TUBAL ORIGIN INFERTILITY, FEMALE, CERVICAL/VAGINAL ORIGIN INFERTILITY, FEMALE, OTHER SPEC ORIGIN INFERTILITY, FEMALE, UNSPEC ORIGIN FUNCTIONAL CYST FEMALE GENITAL ORGAN DISORDER, UNSPEC HYDATIDIFORM MOLE ABNORMAL PRODUCT OF CONCEPTION, OTHER ABORTION, MISSED FETAL DEATH IN UTERO 22 WKS POOR FETAL GROWTH INTRAUTERINE GROWTH RETARDATION FETAL GROWTH, EXCESSIVE POLYHYDRAMNIOS/HYDRAMNIOS OLIGOHYDRAMNIOUS PREMATURE RUPTURE OF MEMBRANES GRAND MULTIPARITY GRAND MULTIPARITY, UNSPEC DELAYED & SECONDARY, POSTPARTUM HEMORRHAGE ANESTHESIA COMPLICATN, DELIVRY 1/POSTPARTUM C THROMBOPHLEBITIS, SUPERFICIAL, PREG/PUERPERIU VASCULAR COMPLICATION IN PREGNANCY, INCL PHLEBITIS PREGNANCY, COMPLICATION, THROMBOEMBOLISM COMPLICATIONS OF PUERPERIUM DISRUPTION, CESAREAN WOUND COMPLICATION, OB SURGICAL WOUNDS, OTHER BREAST & NIPPLE INFECTIONS ASSOC W/CHILDBIRTH MASTITIS, NONPURULENT MASTITIS, PUERPERAL BREAST DISORDER, OTHER GALACTORRHEA BOIL/CARBUNCLE ABSCESS, PYODERMA BOIL/CARBUNCLE/FURUNCLE FURUNCLE CELLULITIS/ABSCESS, FINGER/TOE CELLULITIS, FINGER CELLULITIS/ABSCESS, UNSPEC, FINGER FELON, FINGER ONYCHIA/PARONCHIA, FINGER CELLULITIS, TOE CELLULITIS/ABSCESS, UNSPEC, TOE ONYCHIA/PARONYCHIA, TOE PARONYCHIA TOE PARONYCHIA CELLULITIS/ABSCESS CELLULITIS, FACE CELLULITIS, NECK CELLULITIS/ABSCESS, TRUNK CELLULITIS/ABSCESS, UPPER ARM & FOREARM CELLULITIS/ABSCESS, HAND, EXCEPT FINGERS & TH CELLULITIS, BUTTOCK CELLULITIS/ABSCESS, LEG, EXCEPT FOOT CELLULITIS, FOOT (EXCEPT TOE) CELLULITIS/ABSCESS, OTHER SPEC SITE CELLULITIS ABSCESS LYMPHADENITIS, ACUTE -122-

684 6850

IMPETIGO CYST, PILONIDAL

6851 6854 6860 6861 68611 6868 6869 690

CYST, PILONIDAL W/O MENTION OF ABSCESS NECROSIS, SKIN PYODERMA GRANULOMA, PYOGENIC GRANULOMA, NOS INFECTION, LOCAL, SKIN/SUBCUTANEOUS, OTHER INFECTION, SKIN/SUBCUTANEOUS, NOS DERMATITIS, SEBORRHEIC

691 6910 6918

DERMATITIS, ATOPIC RASH, DIAPER OR NAPKIN NEURODERMATITIS, GENERALIZED

692 6920 6921 6922 6923 6924 6925 6926 6927 69270

DERMATITIS, DERMATITIS, DERMATITIS, DERMATITIS, DERMATITIS, DERMATITIS, DERMATITIS, DERMATITIS, DERMATITIS, DERMATITIS,

69271

SUNBURN

69272 69273 69274 69279 69281 69282 69289 6929 69291 69292 69293 69294 69295 6930 6931 6940 6944 6945 6949 6950

PHOTOSENSITIVE DISEASES, PHOTOALLERGIC PHOTOSENSITIVE DISEASES, PHOTOTOXIC PHOTOSENSITIVE DISEASES, POLYMORPHOUS LIGHT DERMATITIS, PHOTOSENSITIVE, OTHER DERMATITIS, CONTACT, COSMETICS SENSITIVITY, DYES, PRESERVATIVES & ADDITIVES DERMATITIS, CONTACT, OTHER SPEC AGENTS ECZEMA DERMATITIS, CONTACT, ALLERGIC DERMATITIS, NOS ECZEMA (NUMWJLAR) DERMATITIS, CONTACT, UNSPEC CAUSE DERMATITIS, CONTACT, VULVA DRUG ERUPTION DERMATITIS, DUE TO FOOD DERMATITIS, HERPETIFORMIS PEMPHIGUS PEMPHIGOID DERMATOSES, BULLOUS, UNSPEC ERTHEMA, TOXIC

6951

ERYTHEMA MULTIFORME

6952 6953 69530 69531 69532 6954 69540

ERYTHEMA NODOSUM ROSACRA ROSACEA/PERIORAL DERMATITIS RHINOPHYMA PERIORAL DERMATITIS LUPUS ERTHEMATOSUS LUPUS ERYTHEMATOSUS, DISCOID

CONTACT, NOS CONTACT, DETERGENTS CONTACT, OILS & GREASES CONTACT, SOLVENTS CONTACT, DRUGS & MEDS IN CONT W/S CONTACT, OTHER CHEMICAL PRODUCTS CONTACT, FOOD IN CONTACT W/SKIN CONTACT, PLANTS, EXCEPT FOOD CONTACT, SOLAR RADIATION DUE TO SUN, UNSPEC

-123-

69541 69587 69589 6959 696 6960 6961 6962 69621 6963 6964 6965 6968 69681 6970 6971 6978 698 6980 6981 6982 6983 69830 69831 6984 6989 700 7010 70101 70102 70103 7011 7012 7013 7014 70141 7015 7018 70180 70181 70182 70183 70184 70185 7019 70190 70191 70192 70193 702 7020 7021

LUPUS ERYTHEMATOSUS, SUBACUTE GRANULOMA, ANNULARE INTERTRIGO DERMATITIS, EXFOLIATIVE PSORIASIS, NOS ARTHROPATHY, PSORIATIC PSORIASIS, OTHER PARAPSORIASIS MUCHA HABERMAN (PLEVA) PITYRIASIS ROSEA PITYRIASIS RUBRA PILARIS PITYRIASIS ALBA PSORIASIS & SIMILAR DISORDER, OTHER ECZEMA, HAND LICHEN PLANUS LICHEN NITIDUS LICHEN, OTHER, NEC PRURITUS & RELATED CONDITIONS PRURITIS, ANI PRURITIS, GENITAL ORGANS PRURIGO LICHENIFICATION/LICHEN SIMPLEX CHRONICUS LICHEN SIMPLEX, CHRONICUS NEURODERMATITIS, LOCAL DERMATITIS, FACTITIA PRURITIS, UNSPEC CORNS, CALLOSITIES SCLERODERMA, CIRCUMSCRIBED LICHEN SCLEROSUS ET ATROPHICUS MORPHEA SCLERODERMA, LINEAR KERATODERMA, ACQUIRED ACANTHOSIS NIGRICANS, ACQUIRED STRIAE, ATROPHIC KELOID SCAR, HYPERTROPHIC SKIN CONDITION, ABNORMAL GRANULATION TISSUE, SKIN CONDITION, HYPERTROPHIC/ATROPHIC, OTHER AGING FACE, DERMATOCHALASIS CUTIS LAXA, SENILIS ELASTOSIS SENILIS RHYTIDOSIS FACIALIS CUTIS LAXA ABDOMEN RHYTIDOSIS, PERIORAL HYPERTROPHIC/ATROPHIC CONDITION, SKIN, UNSPEC FLACID ATROPHY, CONGENITAL, FACE FLACID ATROPHY, ACQUIRED, FACE EXCESS OR REDUNDANT SKIN, EXTREMITIES EXCESS SKIN (ABDOMEN) DERMATOSES, OTHER KERATOSIS, SEBORRHEIC KERATOSIS, OTHER -124-

703 7030 7038

NAIL DISEASE NBC INGROWN TOENAIL ONYCHOLYSIS

70381 7039 704 7040 70400 70401 7041 7042 7048 70480 70481 7049 70490 705 7050 7051 7058 70581 70583 7060 7061 70610 7062 70621 70622 70623 70624 70625 7063 7065 7068 7069 7070 7071 7072 7072 7073 7073 7078 7079 708 7080 7081 7083 7085 7088 70881 70882 70883

ONYCHAUXIS NAIL DISEASE, UNSPEC HAIR/HAIR FOLLICLE DISEASE ALOPECIA ALOPECIA, NOT AA ALOPECIA AREATA HIRSUTISM HAIR ABNORMALITIES HAIR/HAIR FOLLICLES DISEASE, OTHER SPEC FOLLICULITIS PSEUDOFOLLICULITIS BARBAE HAIR/HAIR FOLLICLES DISEASE, UNSPEC KERATOSIS PILARIS SWEAT GLAND DISORDER ANHIDROSIS MILIARIA (PRICKLY HEAT) SWEAT GLAND DISORDER, OTHER DYSHIDROSIS HIDRADENITIS SUPPURATIVA ACNE VARIOLIFORMIS ACNE CYST, ACNE CYST, SEBACEOUS CYST, PILAR CYST, SEBACEOUS TORRE SYNDROME (MULT SEBACEOUS TUMOR) CYST, MUCOUS CYST, EPIDERMAL, INCL MILIA SEBORRHEA CYST XEROSIS SEBACEOUS GLAND DISEASE, UNSPEC ULCER, DECUBITUS LEG ULCER (LOWER LIMB) ULCERATION OF FOOT, DIABETIC ASSOCIATED ULCERATION OF FOOT, DIABETIC ASSOCIATED ULCERATION OF TOE, DIABETIC ASSOCIATED ULCERATION OF TOE, DIABETIC ASSOCIATED ULCER, CHRONIC, OTHER SPEC SITE SKIN ULCER, CHRONIC URTICARIA URTICARIA, FOOD OR DRUG URTICARIA, IDIOPATHIC DERMATOGRAPHIA URTICARIA, CHOLINERGIC URTICARIA, OTHER, SPEC URTICARIA, CHOLINERGIC URTICARIA, RECURRENT URTICARIA, ACUTE -125-

70884 70885 70886 7089 709 7090 70901 70902 70903 70904 70905 70906 7091 70911 7092 70921 70922 70923 70924 70925 70926 70927 7093 7094 7098 70981 7099 70991 70993 70994 70996 710 7100 7101 71012 7102 7103 7104 7109 71091 7110 71100 71104 71105 7115 7116 7119 71194 7122 7128 .71294 71295

URTICARIA, CHRONIC URTICARIA, PHYSICAL URTICARIA, INFECTIOUS URTICARIA, UNSPEC SKIN/SUBCUTANEOUS TISSUE DISORDER, OTHER DYSCHROMIA CHLOASMA (MELASMA) LENTIGO PIGMENTATION, HYPER PIGMENTATION, HYPO TATTOO VITILIGO CAPILLARITIS ANGIOKERATOMA SCAR/FIBROSIS, SKIN SCAR, ADHERENT SCAR, ATROPHIC CAPSULAR SCARRING, CAPSULAR (POST-AUGENTATIO SCAR, CONTRACTED SCAR, PAINFUL SCAR, FACE, NOS DEFORMITY, FACIAL, COSMETIC, ACNE SKIN DISORDER, DEGENERATIVE GRANULOMA, FOREIGN BODY, SKIN & SUBCUT TISS SKIN DISORDER, OTHER SPEC CHAPPED SKIN SKIN DISORDER NOS LYMPHOCYTOMA CUTIS IRREGULAR SCARS RAISED SCARS WIDE SCARS CONNECTIVE TISSUE DISEASE, DIFFUSE LUPUS ERYTHEMATOSUS, SYSTEMIC SCLERODERMA, SYSTEMIC SCLERODERMA, CREST SJOGREN'S SYNDROME DERMATOMYOSITIS POLYMYOSITIS COLLAGEN DISEASE MCTD/OVERLAP SYNDROMES ARTHRITIS, SEPTIC SEPTIC ARTHRISIS ARTHRITIS, SEPTIC, HAND ARTHRITIS, SEPTIC, HIP ARTHRITIS, VIRAL ARTHRITIS, FUNGAL ARTHRITIS, INFECTIOUS, UNSPFeARTHRITIS, INFECTIVE, HAND, UNSPEC PSEUDOGOUT ARTHROPATHY, HYDROXYAPETITE ARTHROPATHY, CRYSTAL, UNSPEC, HAND ARTHROPATHY, CRYSTAL, UNSPEC, PELVIC RUG/THIG -126-

"7,-

71296 7130 7131 71321 71322 71323 7135 7137 714 7140 71401 7141 7143 71430 71432 71434 71451 7149 71491 71492 71544 7159 71590 71591 71592 71593 71594 71595 71596 71597 71599 7161 7165 7166 71664 71668 71680 7169 71690 71694 71696 717 7172 7175 7176 7177 7178 71786 71789 7181 71812 71817

ARTHROPATHY, CRYSTAL, UNSPEC, LOWER LEG ARTHROPATHY, ENDOCRINE ARTHRITIS, ENTEROPATHIC ARTHROPATHY, RED0GLOBINOPATHY ARTHROPATHY, HEMOPHILIA ARTHROPATHY, SICKLE CELL CHARCOT JOINT ARTHRITIS, SARCOID RHEUMATOID ARTHRITIS & OTH INFLAM POLYARTHROPATHIES ARTHRITIS, RHEUMATOID RHEUMATOID NODULES FELTY'S SYNDROME POLYARTHRITIS, CHRONIC, JUVENILE ARTHRITIS, JUVENILE RHEUMATOID PAUCIARTICULAR JRA ARTHRITIS, JUVENILE RHEUMATOID, ADULT RHEUMATOID VASCULITIS UNSPECIFIED INFLAMMATORY POLYARTHROPATHY RHEUMATOID/INFLAMATORY ARTHRITIS OF HAND/WRIST RHEMTOID/INFLAMMATORY ARTHRITIS OF FOOT/ANKLE HEBERDEN'S ARTHRITIS OSTEOARTHROSIS, UNSPEC OSTEOARTHRITIS (DJD) OSTEOARTHROSIS, SHOULDER OSTEOARTHROSIS, UPPER ARM OSTEOARTHRITIS, THORACIC, LUMBAR SPINE OSTEOARTHRITIS, ELBOW OSTEOARTHRITIS, HIP OSTEOARTHRITIS, KNEE OSTEOARTHRITIS, ANKLE, FOOT ARTHROSIS, BASAL JOINT ARTHRITIS, TRAUMATIC ARTHRITIS, POLYARTICULAR, UNSPEC ARTHRITIS, MONOARTICULAR, UNSPEC MONOARTHRITIS, UNSPEC, HAND MONOARTHRITIS, UNSPEC, OTHER SPEC SITE ARTHROPATHY, OTHER SPEC, SITE UNSPEC ARTHROPATHY, UNSPEC ARTHRITIS, UNSPEC ARTHRITIS OF HAND/WRIST ARTHRITIS OF KNEE/LEG DERANGEMENT, INTERNAL KNEE DERANGEMENT, POSTERIOR HORN OF MEDIAL MENISCU DERANGEMENT, MENISCUS, NEC LOOSE BODIES, KNEE CHONDROMALACIA, PATELLA DERANGEMENT, INTERNAL KNEE, OTHER KNEE/LEG LIGAMENT INJURY DERANGEMENT, INTERNAL KNEE, OTHER, SPEC JOINT, LOOSE BODY JOINT, LOOSE BODY, UPPER ARM JOINT, LOOSE BODY, ANKLE AND FOOT -127-

7184 71840 71844 71854 7187 71870 71876 71880 71884 71886 71887 71888 7189 7190 71902 71906 7191 71910 71916 7192 71925 71926 71929 7193 7194 71940 71941 71945 71946 71947 71948 71949 7195 71962 71964 71968 7197 7198 71984 7199 71992 71993 71995 71996 71997 71998 720 7200 7201 7202 7209 721

CONTRACTURE, JOINT CONTRACTURE CONTRACTURE, JOINT, HAND ANKYLOSIS, FINGER INSTABILITY OF KNEE INSTABILITY (ORTHOPEDIC) INSTABILITY, KNEE, CHRONIC JOINT INSTABILITY DERANGEMENT, JOINT, HAND, OTHER INSTABILITY, KNEE, ACUTE INSTABILITY, ANKLE DERANGEMENT, JOINT, OTHER SPEC SITES, NEC DERANGEMENT, JOINT, UNSPEC HYDRARTHROSIS EFFUSION JOINT, SHOULDER EFFUSION, JOINT, LOWER LEG HEMARTHROSIS HEMARTHROSIS, SITE UNSPEC HEMARTHROSIS, KNEE SYNOVITIS, VILLONODULAR SYNOVITIS VILLONODULAR, HIP SYNOVITIS VILLONODULAR, KNEE VILLONODULAR SYNOVITIS, MULTIPLE SITES PALINDROMIC RHEUMATISM ARTHRALGIA PAIN, JOINT, SITE UNSPEC PAIN, SHOULDER PAIN, JOINT, PELVIC REGION & THIGH PAIN, KNEE PAIN, JOINT, ANKLE & FOOT PAIN, JOINT, BACK PAIN, JOINT, MULTIPLE SITES JOINT STIFFNESS JOINT SYMPTOMS, OTHER, UPPER ARM JOINT SYMPTOMS, OTHER, HAND JOINT SYMPTOMS, OTHER SPEC SITE DIFFICULTY IN WALKING JOINT DISORDER, OTHER SPECIFIED JOINT DISORDER, OTHER SPEC, HAND JOINT DISORDER JOINT DISORDER, UNSPEC, UPPER ARM JOINT DISORDER, UNSPEC, FOREARM HIP DISORDER, UNSPEC PATELLA SYNDROME JOINT DISORDER, UNSPEC, ANKLE/FOOT JOINT DISORDER, UNSPEC, OTHER SPEC SITES SPONDYLITIS, INFLAMMATORY, UNSPEC SPONDYLITIS ANKYLOSING ENTHESOPATHY, SPINAL SACROIILITIS NEC SPONDYLITIS NOS SPONDYLOSIS -128-

7210 72101 7211 7212 7213 72131 7214 7216 7219 72190 722 7220 72201 72202 72203 72204 72205 7221 72212 72213 72214 72215 72216 72217 7222 7224 7225 7227 72280 72283 7229 72292 72293 723 7230 7231 7232 7234 72341 72342 72343 72344 72346 7235 7238 72381 724 7240 72400 72402 72403 7241

ARTHRITIS, CERVICAL SPONDYLOSIS, CERVICAL CERVICAL SPONDYLOSIS W/MYELOPATHY THORACIC SPONDYLOSIS SPONDYLOSIS, LUMBAR SPONDYLOSIS, LUMBOSACRAL SPONDYLOSIS, THORACIC/LUMBAR W/MYELOPATHY ANKLOSING VERTEBRAL HYPEROSTOSIS SPONDYLOSIS, UNSPEC SITE SPONDYLOSIS, NOS INTERVERTEBRAL DISORDER DISPLACEMENT, CERVICAL DISC HERNIATED NUCLEUS PULPOSUS, C4-5 HERNIATED NUCLEUS PULPOSUS, CS-6 HERNIATED NUCLEUS PULPOSUS, C6-7 HERNIATED NUCLEUS PULPOSUS, OTHER HNP, CERVICAL DISPLACEMENT, THORACIC/LUMBAR DISC W/O MYELOP DISPLACEMENT, LUMBAR/SACRAL DISC HERNIATED NUCLEUS PULPOSUS, L3-4 HERNIATED NUCLEUS PULPOSUS, L4-5 HERNIATED NUCLEUS PULPOSUS, L5-SI HERNIATED NUCLEUS PULPOSUS, OTHER LUMBAR HERNIATED NUCLEUS PULPOSUS, RECURRENT HERNIATED NUCLEUS PULPOSUS W/RADICULOPATHY CERVICAL DISC DEGENERATION LUMBODORSAL DISC DEGENERATION INTERVERTEBRAL DISC DISORDER W/MYELOPATHY POST LAMINECTOMY SYNDROME, NOS POSTLAMINECTOMY/HNP SYNDROME (LUMBAR) DISC DISORDER, OTHER & UNSPEC DISC DISORDER, OTHER & UNSPEC, THORACIC REGIO LUMBAR DISCITIS CERVICAL REGION DISORDER, OTHER SPINAL STENOSIS, CERVICAL REGION PAIN, CERVICAL CERVICOCRANIAL SYNDROME RADICULITIS, CERVICAL RADICULOPATHY, C5 RADICULOPATHY, C6 RADICULOPATHY, C7 RADICULOPATHY, OTHER CERVICOTHORACIC NECK/ARM PAIN TORTICOLLIS CERVICAL SYNDROME, NEC CERVICAL FACET SYNDROME BACK DISORDER, OTHER & UNSPEC STENOSIS, SPINAL, OTHER THAN CERVICAL STENOSIS, SPINAL LUMBAR SPINAL STENOSIS LATERAL RECESS SYNDROME PAIN, THORACIC -129-

72411 7242 72421 72422 72423 7243 7244 72441 72442 72443 72444 72445 7245 72451 7246 72461 72471 72479 7248 725 726 7260 7261 72610 72611 72619 7262 7263 72631 72632 72633 72638 72639 7264 72641 7265 72656 72660 72661 72662 72664 72665 72666 72668 72669 7267 72670 72671 72672 72673 72678 72679

PAIN IN THORACIC SPINE PAIN, LUMBAR/SACRAL PAIN, LOW BACK W/O RADIATING SYMPTOMS PAIN, LOW BACK W/RADIATING SYMPTOMS PAIN, LOW BACK SCIATICA PAIN, BACK, W/RADIATING SYMPTOMS RADICULITIS, THORACIC RADICULOPATHY, L4 RADICULOPATHY, L5 RADICULOPATHY, S1 RADICULOPATHY, OTHER L-S PAIN, BACK, NOS BACK PAIN W/O RADIATING SYMPTOMS SACRUM DISORDER SACROILIAC DYSFUNCTION COCCYX HYPERMOBILITY COCCYGODYNIA BACK SYMPTOMS, OTHER POLYMYALGIA RHEUMATICA PERIPHERAL ENTHESOPATH & ALLIED SYNDROMES ADHESIVE CAPSULITIS, SHOULDER ROTATOR CUFF SYNDROME DISORDER, BURSAE/TENDONS, SHOULDER REG, UNSPE TENDINITIS, CALCIFYING, SHOULDER ROTATOR CUFF, OTHER SPECIFIED DISORDERS SHOULDER REGION AFFECTIONS, OTHER, NEC ENTHESOPATHY, ELBOW REGION EPICONDYLITIS MEDIAL TENNIS ELBOW, EPICONDYLITIS, LATERAL BURSITIS, OLECRANON EPICONDYLITIS/BURSITIS (ELBOW/FOREARM) OTHER ENTHESOPATHY OF ELBOW/FOREARM PERIARTHRITIS, WRIST BURSITIS, HAND OR WRIST BURSITIS, TROCHANTERIC OTHER ENTHESOPATHY OF HIP/THIGH BURSITIS, KNEE TENDINITIS/BURSITIS, PES ANSERINUS BURSITIS, LIGAMENT, TIBIAL COLLATERAL TENDINITIS, PATELLAR BURSITIS, PREPATELLAR OTHER ENTHESOPATHY OF KNEE/LEG ILIOTIBIAL BAND SYNDROME ENTHESOPATHY, KNEE, OTHER ENTHESOPATHY, ANKLE & TARSUS METATARSALGIA BURSITIS/TENDINITIS, ACHILLES TENDINITIS, TIBIALIS HEEL SPUR OTHER ENTHESOPATHY OF FOOT/ANKLE ENTHESOPATHY, ANKLE & TARSUS, OTHER -130-

7268 7269 72690 72691 72692 72693 727 7270 72700 72701 72703 72704 72705 72706 72707 72708 72709 7271 72710 72711 7272 7273 7274 72740 72741 72742 72743 72751 7276 72760 72762 72763 72764 72765 72767 72789 728 7280 7281 72813 7282 7284 7285 72851 7286 7287 72871 72882 72883 72884 72885 72886

ENTHESOPATHIES, PERIPHERAL, OTHER ENTHESOPATHY, UNSPEC CAPSULITIS EXOSTOSIS, UNSPEC SITE TENDINITIS TENDINITIS, BICIPITAL SYNOVIUM/TENDON/BURSA DISORDER, OTHER SYNOVITIS/TENOSYNOVITIS SYNOVITIS SYNOVITUS & TENOSYNOVITUS IN DIS CLASSIF ELSEWHERE TRIGGER FINGER/THUMB DEQUERVAIN'S SYNDROME TENOSYNOVITIS, HAND & WRIST TENOSYNOVITIS, FOOT & ANKLE TENOSYNOVITIS SYNOVITIS/TENOSYNOVITIS, ELBOW SYNOVITIS/TENOSYNOVITIS, KNEE BUNION BUNION, 1ST METATARSAL BUNION, 5TH METATARSAL BURSITIDES, OFTEN OF OCCUPATION, ORIGIN BURSITIS, NOS CYST, MYXOID SYNOVIAL CYST GANGLION, JOINT GANGLION, TENDON SHEATH CYST, GANGLION CYST, BAKER'S, KNEE RUPTURE OF TENDON, NONTRAUMATIC RUPTURE, UNSPEC TENDON, NONTRAUMATIC RUPTURE, BICEPS TENDON RUPTURE, HAND/WRIST EXTENSOR TENDON, NONTRAUM RUPTURE, HAND TENDON (FLEXOR) RUPTURE, QUADRICEPS RUPTURE, ACHILLES TENDON SYNOVIUM, TENDON & BURSA DISORDERS, OTHER MUSCLE/LIGAMENT/FASCIA DISORDER MYOSITIS, INFECTIVE MYOSITIS OSSIFICANS HETEROTOPIC OSSIFICATON ATROPHY, MUSCULAR WASTE/DISUSE, NEC LIGAMENT LAXITY HYPERMOBILITY SYNDROME SUBLUXING/HYPERMOBILE SHOULDER DUPUYTREN'S CONTRACTURE FIBROMATOSES, OTHER PLANTAR FASCITIS GRANU'LOMA, FOREIGN BODY, MUSCLE RUPTURE, MUSCLE, NONTRAUMATIC DIASTASIS RECTI MUSCLE SPASM OVERUSE SYNDROME (SOFT TISSUE), LOWER LEG -131-

72889 7289

MUSCLE/LIGAMENT/FASCIA DISORDER, OTHER MUSCLE WEAKNESS

72891 72892 729 7290

INJURY, GAMEKEEPERS, THUMB LIGAMENT INJURY SOFT TISSUE DISORDER, OTHER FIBROSITIS, NOS

7291

MYALGIA

7292 7293 72930 7294 7295 7296

RADICULITIS/RADICULOPATHY PANNICULITIS, UNSPECIFIED PANNICULITIS, WEBER-CHRISTIAN FASCIITIS, UNSPEC PAIN, EXTREMITY FOREIGN BODY, RESIDUAL, SOFT TISSUE

72961

RETAINED HARDWARE, KNEE

7298 72981

PAIN, EXTREMITY (NOT JOINT) SWELLING OF LIMB

72982

CRAMP, LIMBS

72983 72984 72989 7299 72991

UPPER EXTREMITY DISORDER LOWER EXTREMITY DISORDER MUSCULOSKELETAL PROBLEM, OTHER SOFT TISSUE DISORDER, OTHER & UNSPEC MUSCULOSKELETAL SYNDROMES ASSOC W/MALIGNANCY

72992 72993

SOFT TISSUE DISORDERS OTHER SOFT TISSUE DISORDER OF HAND/WRIST

72994 72995 7300 73008

OTHER CONNECTIVE TISSUE DISORDER SOFT TISSUE INJURY OSTEOMYELITIS, ACUTE OSTEOMYELITIS, ACUTE (OTHER SPECIFIED SITES)

7301 73018 7302 73020 73078 73089 7310 73100

OSTEOMYELITIS, CHRONIC OSTEOMYELITIS, CHRONIC (OTHER SPECIFIED SITES OSTEOMYELITIS NOS OSTEOMYELITIS OSTEOPATHY RESULTING FROM POLIO, OTH SPEC SIT BONE INFECT IN DISEAS CLASSFD ELSEWHER, MUL S PAGET'S DISEASE PAGET'S (PARATHYROID)

7312

OSTEOARTHROPATHY, HYPERTROPHIC PULMONARY

7320 7321 7322 73220 7323 7324

OSTEOCHONDROSIS, JUVENILE, SPINE LEGG-PERTHES DISEASE EPIPHYSIS, SLIPPED, CAPITAL EPIPHYSIS, UPPER FEMORAL SLIPPED OSTEOCHONDROSIS, JUVENILE, UPPER EXTRIMTY OSGOOD-SCHLATTER KNEE

7325

APOPHYSITIS CALCANEAL

7326

OSTEOCHONDROSIS, JUVENILE

7327

OSTEOCHRONDRITIS DISSECANS

73276 73277 7329 733 7330 73300

OSTEOCHONDRITIS DISSECANS, KNEE OSTEOCHONDRITIS DISSECANS, ANKLE OSTEOCHONDROPATHY, UNSPEC BONE & CARTILAGE DISORDER, OTHER OSTEOPOROSIS OSTEOPOROSIS, UNSPEC -132-

73302 7331 73311 73312 73313 73314 73315 73316 73317 73318 7332 73320 73329 73340 73345 73349 7335 7336 7337 73381 73382 73383 73384 7339 73390 73391 73392 73393 73396 73397 73398 73399 734 735 7350 7354 736 73600 7361 73620 73621 73622 73639 73642 7367 73672 73675 73678 73679 73681 73689 73691

OSTEOPOROSIS, IDIOPATHIC FRACTURE, PATHOLOGICAL FRACTURE, PATHOLOGIC, FEMORAL SHAFT FRACTURE, HIP, STRESS FRACTURE, FOOT, STRESS FRACTURE, LEG, STRESS STRESS FRACTURE, BOOT TOP STRESS FRACTURE, PUBIC RAMI STRESS FRACTURE, FEMUR, MID-SHAFT STRESS FRACTURE, FEMUR, DISTAL BONE CYST CYST, BONE, LOCALIZED, UNSPEC DYSPLASIA, FIBROUS NECROSIS, ASEPTIC ASEPTIC NECROSIS (HIP/THIGH) NECROSIS OF BONE, ASEPTIC, OTHER OSTEITIS CONDENSANS TIETZE'S DISEASE ATHOPHY, SUDECK'S MALUNION, LOWER LEG NON UNION, LOWER LEG DELAYED UNION, LOWER LEG PSEUDOARTHROSIS BONE/CARTILAGE DISORDER, OTHER & UNSPEC BONE/CARTILAGE DISORDER, UNSPEC ARREST OF BONE DEVELOPMENT OR GROWTH CHONDROMALCIA, KNEE OSTEOPENIA OTHER ORTHOPEDIC DYSFUNCTION COSTOCHONDRITIS SESAMOIDITIS POLYCHONDRITIS FOOT, FLAT TOE DEFORMITIES HALLUXVALGUS HAMMER TOE, ACQUIRED OTHER AQUIRED DEFORMITIES OF LIMBS DEFORMITY, FOREARM, ACQUIRED, UNSPEC MALLET FINGER DEFORMITY, FINGER, UNSPEC DEFORMITY, BOUTONNIERE DEFORMITIES, SWAN NECK DEFORMITY, ROTATIONAL HIP GENU VARUM, ACQUIRED DEFORMITY, ANKLE/FOOT, ACQUIRED, OTHER EQUINUS DEFORMITY OF FOOT, ACQUIRED DEFORMITY, FOOT, CAVOVARUS, ACQUIRED PODIATRIC CONDITIONS ANKLE/FOOT DEFORMITY, OTHER, ACQUIRED LIMB LENGTH DISCREPANCY TIBIAL TORSION DEFORMITY, EPIPHYSEAL -133-

73696 73697 737 7370 7371 73710 73720 73728 7373 73730 7379 7380 73802 73811 73812 7383 7384 73841 73842 73881 7389 73891 739 7396 7397 741 7410 74100 74103 7412 7419 74190 74191 7420 7421 7423 7424 7425 74255 74258 7429 74291 74292 74310 74320 7434 74346 74349 7435 7436 74361 74366

DEFORMITY, ROTATIONAL KNEE DEFORMITY, ROTATIONAL LOWER LEG CURVATURE OF SPINE KYPHOSIS, POSTURAL, ADOLESCENT KYPHOSIS, ACQUIRED KYPHOSIS LORDOSIS, ACQUIRED, POSTURAL HYPERLORDOSIS SCOLIOSIS/KYPHOSCOLIOSIS SCOLIOSIS, ADOLESCENT CURVATURE OF SPINE, UNSPEC DEFORMITY, NOSE, ACQUIRED DEFORMITY, NOSE, DEVELOPMENTAL DEFORMITY, FACE, ACQUIRED DEFORMITY, LIP, ACQUIRED DEFORMITY, CHEST/RIB, ACQUIRED AQUIRED SPONDYLOLISTHESIS SPONDYLOLISTHESIS, DEGEN SPONDYLOLISTHESIS W/O LYSIS DEFORMITY, ANGULAR KNEE ANATOMIC DEFORMITY (BUNION, SPUR) DEFORMITY (ORTHOPEDIC) LESION, NONALLOPATHIC, NEC LESIONS, NONALLOPATHIC, LOWER EXTREMITIES LESION, NONALLOPATHIC, UPPER EXTREMITIES SPINA BIFIDA SPINA BIFIDA W/HYDROCEPHALUS ARNOLD-CHIARI SYNDROME SPINA BIFIDA W/HYDROCEPHALUS, LUMBAR REGION NEURAL TUBE DEFECTS SPINA BIFIDA W/O HYDROCEPHALUS SPINA BIFIDA MENINGOMYELOCELE ENCEPHALOCELE MICROCEPHALUS HYDROCEPHALUS, CONGENITAL OTHER BRAIN ANOMALIES ANOMALY, SPINAL CORD, OTHER SPEC TETHERED CORD MYELODYSPLASIA ANOMALY, BRAIN/SPINAL CORD/NERVOUS SYS, UNSPE ANOMALIES, NERVOUS SYSTEM, CONGENITAL ANOMALY, BRAIN, CONGENITAL NOS MICROPHTHALMOS, UNSPEC BUPHTHALMOS, UNSPEC CONGENITAL ANOMALIES OF ANTERIOR SEGMENT ANOMALIES, IRIS/CILIARY BODY, OTHER SPEC COLOBOMA/OTH ANOMALIES, ANT SEG EYE, OTHER CONGENITAL ANOMALIES OF POSTERIOR SEGMENT CONGENITAL ANOMAL, EYELIDS, LACRIMAL SYS & OR PTOSIS, CONGENITAL ANOMALY, ORBIT, CONGENITAL, SPECIFIED -134-

74391 74402 74403 74408 74409 7441 74422 74423 74428 74429 7443 74442 74447 74488 74491 745 7450 74510 7452 7454 74541 7455 7456 74561 74569 7459 7462 7463 7464 74652 7467 74681 74683 74685 74687 74688 74689 7469 7470 7471 7472 74721 74722 74741 74742 7476 7478 74780 74781 74782 74783 74784

ESOTROPIA, CONGENITAL ATRESIA, AURAL, CONGENITAL DEFORMITY, MIDDLE EAR, CONGENITAL ATRESIA, AURAL, ACQUIRED ABSENCE OF EAR, CONGENITAL ACCESSORY AURICLE MACROTIA, EAR MICROTIA, EAR PROTRUDING EARS, CONGENITAL ANOMALIES, EAR, OTHER SPEC DEFORMITY, EAR, CONGENITAL, NOS CYST, BRANCHIAL CLEFT CYST, PREAURICULAR ANOMALIES, MAXILLOFACIAL, NEC DEFORMITY, FACE, CONGENITAL, NOS ANOMALIES, BULBUS CORDIS & CARDIAC SEPTAL CLO COMMON TRUNCUS TRANSPOSITION OF THE GREAT VESSELS TETRALOGY OF FALLOT DEFECT, VENTRICULAR SEPTAL EISENMENGER'S SYNDROME DEFECT, ATRIAL SEPTAL (OSTIUM SECUNDUM) DEFECT, ENDOCARDIAL CUSHION DEFECT, ATRIAL SEPTAL, PRIMUM DEFECT, ATRIAL SEPTAL, AV CANAL DEFECT, SEPTAL CLOSURE, UNSPEC ANOMALY, EBSTEIN'S STENOSIS, AORTIC VALVE, CONGENITAL BICUSPID AORTIC VALVE PROLAPSE, MITRAL VALVE W/REGURGITATION HYPOPLASTIC LEFT HEART SYNDROME SUBAORTIC STENOSIS STENOSIS, INFUNDIBULAR PULMONIC ANOMALY, CORONARY ARTERY DEXTROCARDIA MITRAL ATRESIA ANOMALIES, HEART, OTHER SPEC HEART DISEASE, CONGENITAL, UNSPEC PATENT DUCTUS ARTERIOUSUS COARCTATION OF AORTA ANOMALIES, AORTA, OTHER ANOMALY, AORTIC ARCH SUPRAVALVULAR AORTIC STENOSIS ANOMALOUS PULMONARY VENOUS DRAINAGE (TOTAL) ANOMALOUS PULMONARY VENOUS DRAINAGE (PARTIAL) ANOMALY, PERIPHERAL VASCULAR SYSTEM ANOMALY, CIRC SYS, CONG, OTHER SPEC ANEURYSM, MULTIPLE ANEURYSM, INTRACRANIAL ANEURYSM, ANTERIOR COMM ART ANEURYSM, POSTERIOR COMM ART ANEURYSM, MID CEREBRAL ART -135-

74785 74786 74787 74788 7479 7480 7481 7483 7490 74900 74904 7491 74910 7492 74920 74921 74924 74925 7500 7501 75028 7503 7505 75091 75092 7513 7517 7523 75240 75243 75249 7525 7526 7528 75291 753 7530 7531 75311 7532 7534 7536 75361 75362 7537 7539 75391 7540 7542 7543 75431 75432

ANEURYSM, ANT CEREBRAL ART ANEURYSM, OTHER ICA ANEURYSM, BASILAR TIP ANEURYSM, OTHER POST CIRC MALFORMATION, ARTERIOVENOUS CHOANAL ATRESIA DEFORMITY, NASAL, CONGENITAL ANOMALY, LARYNX/TRACHEA/BRONCHUS, OTHER CLEFT PALATE CLEFT PALATE, UNSPEC CLEFT PALATE, BILATERAL, INCOMPLETE CLEFT LIP CLEFT LIP, UNSPEC CLEFT PALATE/LIP CLEFT PALATE W/CLEFT LIP, UNSPEC CLEFT PALATE W/CLEFT LIP, UNILATERAL, COMPLET CLEFT PALATE WITH CLEFT LIP, BILATERAL, INCOMPLETi CLEFT PALATE W/CLEFT LIP, OTHER COMBINATIONS TONGUE TIE ANOMALIES, TONGUE, OTHER VELOPHARYNGEAL INCOMPETENCE FISTULA, TRACHEOESOPHAG/ESOPH ATRESIA & STENO STENOSIS, PYLORIC ANOMALIES, OROPHARYNGRAL, NOS DEFORMITY, LIP, CONGENITAL, NOS HIRSCHSPRUNG'S DIS/OTH CONGEN FUNC DISORD COL ANOMALIES OF PANCREAS ANOMALY, UTERUS, CONGENITAL ANOMALY, VAGINA, CONGENITAL ANOMALY, CERVIX, CONGENITAL ANOMALY, GENITALIA FEMALE, CONGENITAL, NOS UNDESCENDED TESTICLE HYPOSPADIAS/EPISPADIAS ANOMALIES, GENITAL ORGANS, OTHER SPEC ANOMALIES, GENITALIA, MALE, CONGENITAL, NOS ANOMALIES, URINARY SYSTEM, CONGENITAL AGENESIS/DYSGENESIS, RENAL KIDNEY DISEASE, CYSTIC POLYCYSTIC KIDNEY DISEASE DEFECT, URETER, OBSTRUCTIVE ANOMALIES, URETER, OTHER SPEC ATRESIA/STENOSIS, URETHRA & BLADDER NECK ATRESIA, CONGENITAL, BLADDER & NECK ATRESIA, CONGENITAL, URETHRA ANOMALIES, URACHUS ANOMALIES, URINARY TRACT, CONGENITAL, NOS ANOMALIES, KIDNEY, CONGENITAL, NOS DEVIATED SEPTUM, CONGENITAL SCOLIOSIS, CONGENITAL DISLOCATION, HIP, CONGENITAL DISLOCATION, HIP, CONGENITAL, BILATERAL DEFORMITY, ROTATIONAL, HIP, CONGENITAL -136-

75436 7545 75450 75451 75453 75454 7546 75460 75461 75462 75470 75471 75478 75481 75482 75489 75501 75502 75510 75511 75520 75529 75550 75556 75559 7556 75560 75561 75563 75566 75567 75568 75569 75570 7558 7559 75590 75591 756 7560 75601 75602 75604 7561 75611 75612 75618 75619 7562 7563 7564 75651

SUBLUXATION, HIP, CONGENITAL VARUS DEFORMITY OF FOOT TALIPES VARUS (SUB-TALAR VARUS) TALIPES EQUINOVARUS METATARSUS VARUS (FOREFOOT VARUS) CLUB FOOT VALGUS DEFORMITY OF FOOT TALIPES VALGUS (FOREFOOT VALGUS) PES PLANUS, CONGENITAL (PRONATORY COMPENSATIO TALIPES CALCANEOVALGUS (SUB-TALAR VALGUS) CLUBFOOT, CONGENITAL TALIPES (PES) CAVUS EQUINUS PECTUS EXCAVATUM PECTUS CARINATUM ANOMALIES, NONTERATOGENIC, OTHER, SPEC ANOMALIES, CONGENITAL, FINGERS ANOMALIES, CONGENITAL, TOES SYNDACTYLY, MULTIPLE & UNSPEC SITES SYNDACTYLY, FINGERS W/O FUSION OF BONE DEFORMITY, REDUCTION, UPPER LIMB, UNSPEC LONGITUDNL DEF, PHALANGES, COMPLETE OR PARTIA ANOMALY, UPPER LIMB, UNSPEC ANOMALIES, ACCESSORY CARPAL BONES DEFORMITY, UPPER LIMB, OTHER ANOMALIES, LOWER LIMB ANOMALIES, LOWER LIMB, INCL PELVIC GIRDLE, UN COXA VALGA, CONGENITAL JOINT DEFORMITY, HIP, CONGENITAL, OTHER HAMMER TOES, CONGENITAL ANOMALIES, FOOT, NEC DISLOCATION, PATELLA, CONGENITAL ANOMALY, LOWER LIMB, INCL PELVIC GIRDLE, OTHE TARSAL COALITIONS ANOMALY, OTHER SPEC, UNSPEC LIMB ANOMALY, UNSPEC, UNSPEC LIMB DEFORMITY, JOINT CONGENITAL ANOMALY OF HAND/WRIST ANOMALIES, MUSCULOSKETEL, OTH CONGENT ANOMALIES, SKULL & FACE BONES PSEUDO HYPERTELORISM HYPERTELORISM OTHER CRANIOFACIAL ANOMALIES ANOMALIES, SPINE SPONDYLOLYSIS W/O LISTHESIS SPONDYLOLISTHESIS, CONGENITAL SPONDYLOLISTHESIS W/LYSIS OTHER SPINAL ANOMALY CERVICAL RIB ANOMALIES, RIBS & STERNUM CHONDRODYS TROPHY OSTEOGENESIS IMPERFECTA -137-

75659 7566

OSTEODYSTROPHIES, OTHER ANOMALIES, DIAPHRAGM

75683

EHLERS-DANLOS SYNDROME

7569 7571 75732 75733 75736 75737 75738 75739 7575 7576 75761 75762 75763 7579 75791 758 7580 7585 7586 7587 7589 7592 75921 7595 7596 75961 7597 7598 75980 75981 7599 75991 7611 7614 7621 7631 7640 7651 76510 76511 7671 7676 7678 7689 7700 7701 7704 7706 7707

ANOMALIES, MUSCULOSKELETAL, CONGENITAL ICHTHYOSIS STRAWBERRY NEVUS ANOMALIES, SKIN, CONGENITAL, PIGMENTARY POROKERATOSIS HAILEY- HAILEY DISEASE DARIER'S DISEASE EPIDERMOLYSIS BULLOSA ANOMALIES, NAILS, SPEC ASYMMETRY, BREAST HYPOPLASIA, BREAST BREAST ASYMMETRY BREAST APLASIA ANOMALIES, INTEGUMENT, CONGENITAL, NOS NEVUS (NOT NEVOCELLULAR), NOS ANOMALIES, CHROMOSOMAL DOWN'S SYNDROME OTHER AUTOSOMAL ANOMALIES GONADAL DYSGENESIS (TURNER'S SYNDROME) KLINEFELTER'S SYNDROME ANOMALIES, CHROMOSOMAL, CONGENITAL CYST, THYROGLOSSAL DUCT LINGUAL THYROID SCLEROSIS, TUBEROUS STURGE-WEBER'S SYNDROME NEUROCUTANEOUS SYNDROME ANOMALIES, CONGENITAL, MULTIPLE, SO DESCRIBED ANOMALY, CONGENITAL, 0TH SPEC MARFAN'S SYNDROME DEFECT, BIOCHEMICAL, HEREDITARY ANOMALY, CONGENITAL, NOS CONGENITAL DISFORMITY MEMBRANE RUPTURE, PREMATURE PREGNANCY, ECTOPIC PLACENTAL SEPARATION & HEMORRHAGE, OTHER FORM MALPRESENT/MALPOSITION/DISPROPORT DURING L&D, LIGHT FOR DATES W/O MENTION OF FETAL MALNUTRI DISORDERS REL TO SHORT GEST & UNSPEC LOW BRTH PREMATURITY (VISUAL CONDITION SECONDARY TO) PREMATURITY BIRTH TRAUMA, INJURIES TO SCALP BIRTH TRAUMA, INJURY, BRACHIAL PLEXUS BIRTH TRAUMA, OTHER, SPEC BIRTH ASPHYXIA, UNSPEC, IN LIVEBORN INFANT PNEUMONIA, CONGENITAL- FETUS/NEWBORN IMPACTION MUCOID, NEWBORN ATELECTASIS, PRIMARY TACHYPNEA, NEWBORN, TRANSITORY RESP DISEASE, CHRONIC, ARISE IN PERINATAL PER -138-

7708 7711 7714 7721 7722 7732 7742 7746 7759 776 7760 777 7773 7775 778 7781 77841 7787 7788 7790 7791 7793 780 7800 7802 78020 7803 78031 7804 78042 7805 78u30 ?:51 78052 78053 7806 7807 7808 7809 78092 78094 78095 78096 78097 781 7810 7811 7812 7813 78131 78191 78192

OTHER RESPIRATORY PROBLEMS AFTER BIRTH CYTOMEGALOVIRUS INFECTION, CONGENITAL GRANULOMA, UMBILICUS, NEWBORN HEMORRHAGE, INTRAVENTRICULAR, PERINATAL HEMORRHAGE, SUBARACHNOID HEMOLYTIC DISEASE DUE TO UNSPEC ISOIMMUNIZATI JAUNDICE, NEONATAL, ASSOC W/PRETERM DELIVERY JAUNDICE, NEONATAL, UNSPEC ENDOCR & METABOLIC DISTURB SPEC TO FETUS/NEWB HEMATOLOGICAL DISORDER, FETUS & NEWBORN HEMORRHAGIC DISEASE, NEWBORN PERINATAL DISORDERS OF DIGESTIVE SYSTEM HEMATEMESIS & MELENA DUE TO SWALLOWED MATERN NECROTIZING ENTEROCOLITIS IN FETUS OR NEWBORN INTEGUMNT & TEMP REG CONDITION- FETUS/NEWBORN SCLEREMA NEONATORUM FEVER, < 3 MOS OF AGE BREAST ENGORGEMENT, NEWBORN INTEGUMENT OF FETUS & NEWBORN CONDITION CONVULSIONS IN NEWBORN CEREBRAL IRRITABILITY IN NEWBORN, OTHER FEEDING PROBLEMS IN NEWBORN GENERAL SYMPTOMS COMA, ALTERED MENTAL STATE SYNCOPE & COLLAPSE VASOVAGAL SYNCOPE SEIZURE DISORDER, NOS CONVULSION, FEBRILE DIZZINESS & GIDDINESS VERTIGO SLEEP DISTURBANCE SLEEP DISORDER, NOS INSOMNIA, SLEEP APNEA INSOMNIA, NOS HYPERSOMNIA W/SLEEP APNEA SYNDROME FEVER OF UNKNOWN ORIGIN FATIGUE/MALAISE HYPERHIDROSIS CHILLS PAIN, CHRONIC AMNESIA, TRANSIENT GLOBAL AMNESIA, NOS PAIN, SECONDARY TO MALIGNANCY ORTHOPEDIC PAIN NERVOUS/MUSCULOSKELETAL SYSTEM SYMPTOM TREMOR, NOS SMELL AND TASTE SENSATION DISTURBANCE ABNORMAL GAIT LACK OF COORDINATION HANDWRITING PROBLEM DEFICIT, SENSORY, NEC NEUROLOGICAL DISORDR NEC -139-

78193 78194 782 7820 78201 78202 7821 7822 78220 7823 7824 7826 7827 7829 7830 7831 7832 7833 7834 78341 78342 7839 78391 7840 78401 78403 7841 7842 78421 78422 7843 78431 78432 78433 78434 78435 78436 7844 78440 78441 78442 78443 78447 78448 78449 7845 78451 78452 78453 78454 78455 78456

NEUROLOGIC SYMPTOMS, ILL DEFINED DEFICIT, CORTICAL, NOS SKIN SYMPTOMS SKIN SENSATION DISTURBANCE PARESTHESIA HYPERESTHESIA RASH (EXANTHEMS), NOS MASS & LOCALIZED SWELLING NOS NODULE (INTEGUMENT) EDEMA JAUNDICE, UNSPEC, NOT OF NEWBORN PALLOR OR FLUSHING ECCHYMOSES, SPONTANEOUS SKIN/INTEGUMENTARY TISSUE SYMPTOMS, OTHER ANOREXIA WEIGHT GAIN, ABNORMAL WEIGHT LOSS, ABNORMAL FEEDING PROBLEM DELAYED DEVELOPMENT FAILURE TO GROW/THRIVE SHORT STATURE NUTRITION/METABOLISM/DEVELOPMENT SYMPTOMS TALL STATURE (ENDO/META/NUTRI DISORDERS) HEADACHE HEADACHE, MUSCULOSKELETAL HEADACHE, POST-TRAUMATIC THROAT PAIN HEAD/NECK, SWELLING/MASS/LUMP MASS, NECK, CYSTIC MASS, NECK, NOS APHASIA APHASIA, BROCA'S APHASIA, WERNICKE'S APHASIA, CONDUCTION APHASIA, GLOBAL APHASIA, NOS MUTISM VOICE DISORDER NEC VOICE DISTURBANCE, UNSPEC APHONIA RESONATORY PROBLEM VOICE DISORDER, POSTOP DYSPHONIA HOARSENESS VOICE DISTURBANCE, OTHER SPEECH DISORDER, NEC DYSARTHRIA RATE PROBLEMS ARTICULATION DISORDER FOREIGN ACCENT DEPRESSED LANGUAGE SKILLS DEAF SPEECH -140-

78457 78460 78462 78468 7847 7848 7849 78491 7850 7851 7852 7853 7854 78540 78541 78542 78543 78551 78559 7856 78561 78562 7859 786 7860 78600 78601 78604 78609 7862 78620 7863 78631 7865 78650 78651 78652 78653 7866 7867 7869 7870 7871 7872 78720 7873 7874 7876 788 7880 78801 7881

DYSPHASIA DYSFUNCTION, SYMBOLIC, UNSPEC DYSLEXIA APRAXIA EPISTAXIS HEMORRHAGE FROM THROAT HEAD/NECK SYMPTOMS, OTHER TONGUE THRUSTING TACHYCARDIA PALPITATIONS HEART MURMUR, FUNCTIONAL OTHER ABNORMAL HEART SOUNDS GANGRENE GANGRENE, DRY, NON-DIABETIC GANGRENE, DRY, DIABETIC GANGRENE, MOIST, NON-DIABETIC GANGRENE, MOIST, DIABETIC SHOCK, CARDIOGENIC, CONGESTIVE HEART FAILURE SHOCK, ENDOTOXIC, SEPTIC LYMPHADENOPATHY LYMPHADENOPATHY, CERVICAL LYMPHADENOPATHY, INGUINAL BRUIT RESPIRATORY SYSTEM & OTHER CHEST SYMPTOMS DYSPNEA REACTIVE AIRWAY DISEASE HYPERVENTILATION WHEEZE APNEA COUGH CHRONIC COUGH HEMOPTYSIS HEMORRHAGE, PULMONARY PAIN, CHEST PAIN, CHEST, UNSPEC PAIN, PRECORDIAL PAIN, CHEST WALL, NOS PRECORDIAL CATCH CHEST, SWELLING/MASS/LUMP ABNORMAL CHEST SOUNDS RESPIRATORY SYSTEM & CHEST SYMPTOMS, OTHER NAUSEA/VOMITING HEARTBURN DYSPHAGIA DYSPHAGIA, POSTOPERATIVELY FLATULENCE, BLOATING, ERUCTATION PERISTALSIS, VISIBLE ENCOPRESIS URINARY SYSTEM SYMPTOMS RENAL COLIC URETERAL COLIC DYSURIA -141-

7882 7883 78831 78832 7884 7885 7886 7887 7889 789 7890 78901 7892 7893 78931 78932 7895 7899 7904 7906 79060 79061 7908 7910 7911 7913 7919 79191 7921 7931 7932 7939 79431 7950 7955 79551 79570 796 7962 7963 798 7980 7981 7982 79901 7991 7992 79931 7995 7998 79981 79982

RETENTION OF URINE INCONTINENCE, URINARY, NOS ENURESIS INCONTINENCE, STRESS, MALE FREQUENCY OF URINATION OLIGURIA & ANURIA DIFFICULTY VOIDING URETHRAL DISCHARGE, MALE URINARY TRACT SYMPTOMS, OTHER ABDOMEN/PELVIS SYMPTOMS PAIN, ABDOMINAL COLIC, INFANTILE SPLENOMEGALY MASS, ABDOMINAL MASS, ADNEXAL MASS, PELVIC ASCITES ABDOMINAL & PELVIC SYMPTOMS, OTHER NONSPEC ELEV LEVELS OF TRASAMINASE OR LDH BLOOD CHEMISTRY, ABNORMAL, OTHER HYPERGLYCEMIA HYPERURICEMIA VIREMIA, UNSPEC PROTEINURIA CHYLURIA MYOGLOBINURIA OTHER NONSPECIFIC FINDINGS ON EXAMINATION OF URINE URINE TEST, SEDIMENT ABNORMALITY ABNORMAL STOOL CONTENTS LUNG, X-RAY ABNORMALITY NOS ABN FINDINGS, EXAM OF INTRATHORACIC ORGAN, OT ABN FINDINGS, RADIOL/OTH EXAM-BODY STRUCTURE EKG, ABNORMALITY PAP SMEAR, ABNORMAL, NON-SPEC TUBERCULIN REACTOR, NONSPEC TUBERCULOSIS CONTACT IMUNOSUPPRESSION, NOS CLINICAL FINDINGS, ABNORMAL, NON-SPEC ELEVATED BLOOD PRESSURE W/O HYPERTENSION BLOOD PRESSURE READING, LOW, NONSPEC SUDDEN DEATH, CAUSE UNKNOWN SUDDEN INFANT DEATH SYNDROME DEATH, INSTANTANEOUS, CAUSE UNKNOWN DEATH OCC 24 HRS FRACTURE, SKULL BASE FRACTURE, SKULL, BASE W/O INTRACRANIAL INJUR FRACTURE, FACIAL BONES FRACTURE, NASAL BONE (CLOSED) FRACTURE, MANDIBLE FRACTURE, MAXILLA FRACTURE, MALAR BONE FRACTURE, ZYGOMA ORBITAL FLOOR (BLOW-OUT), CLOSED FRACTURE, OTHER FACIAL BONES, CLOSED FRACTURE, ORBIT FRACTURE, SKULL NOS FRACTURE, SKULL, NON-DEPRESSED FRACTURE, SKULL, DEPRESSED (CLOSED) FRACTURE, SKULL, DEPRESSED (OPEN) SPINAL FRACTURE W/O NEUROL INJURY FRACTURE, VERT COL W/O SPIN CORD INJ CERV CLO FRACTURE, VERT COL W/O SPIN CORD INJ THORAC C FRACTURE, VERT COL W/O SPIN CORD INJ LUMBAR C FRACTURE OF VERTEBRAL COL (SACRUM AND COCCYX CLOSED) FRACTURE, SPINE (CLOSED) NOS SPINAL FRACTURE W/NEUROL INJURY FRACTURE, VERT COL W/SPIN CODE INJ CERVIC CLO FRACTURE, VERT COL W/SPIN CODE INJ THORAC CLO FRACTURE, VERT COL W/SPIN CODE INJ LUMBAR CLO FRACTURE, RIBS, CHEST TRAUMA (CLOSED) FRACTURE, RIBS, CLOSED, (ONE RIB) FRACTURE, STERNUM, CHEST TRAUMA (CLOSED) FRACTURE, PELVIS FRACTURE(S) PELVIS, DISPLACED FRACTURE, PELVIS (CLOSED) FRACTURE, BONES OF TRUNK, CLOSED FRACTURE, CLAVICLE (CLOSED) FRACTURE, CLAVICLE, CLOSED, UNSPEC PART FRACTURE, CLAVICLE SHAFT, CLOSED FRACTURE, CLAVICLE (OPEN) FRACTURE, SCAPULA FRACTURE, SCAPULA (CLOSED) FRACTURE SCAPULA FRACTURE, SCAPULA, OPEN FRACTURE, HUMERUS, PROXIMAL END FRACTURE, SHOULDER, CLOSED FRACTURE, HUMERUS, NOS (CLOSED) FRACTURE, HUMERAL SHAFT (CLOSED) FRACTURE, HUMERUS, LOWER (CLOSED) FRACTURE, SUPRACONDYLAR, HUMERUS, (CLOSED) -143-

81242 81243 81244 8130 81301 81303 81307 81323 81331 81332 8134 81341 81351 81381 81382 81383 8140 81400 81401 81402 81403 81406 81500 81501 81503 81509 81510 8160 81600 81603 81611 81613 820 8200 82021 82022 8208 82081 821 8210 82100 82101 82102 82103 82104 8211 82111 8212 82120 82122 82123 82131

FRACTURE, LATERAL CONDYLAR, HUMERUS (CLOSED) FRACTURE, MEDIAL CONDYLAR, HUMERUS (CLOSED) FRACTURE, LOWER EPIPHYSIS, HUMERUS FRACTURE, RADIUS/ULNA, UPPER END, CLOSED FRACTURE, OLECRANON PROCESS OF ULNA FRACTURE, MONTEGGIA'S FRACTURE, RADIUS, PROXIMAL (CLOSED) FRACTURE, RADIUS AND ULNA SHAFT (CLOSED) FRACTURE, RADIUS (OPEN) FRACTURE, ULNA (OPEN) FRACTURE, RADIUS, DISTAL THIRD (CLOSED) FRACTURE, COLLES (CLOSED) FRACTURE, COLLES (OPEN) FRACTURE, RADIUS (CLOSED) NOS FRACTURE, ULNA (CLOSED) FRACTURE, RADIUS/ULNA (CLOSED) FRACTURE, CARPAL BONES, CLOSED FRACTURE, CARPAL BONES, WRIST (CLOSED) FRACTURE, NAVICULAR (CLOSED) FRACTURE, LUNATE/SEMILUNAR BONE OF WRIST, CLO FRACT TRIQUETRAL [CUNIEFORM] BONE OF WRIST, CLOSED FRACTURE, TRAPEZOID BONE/SM MULTANGULAR, CLOS FRACTURE, METACARPAL (S), CLOSED FRACTURE, BENNETT'S, (CLOSED) FRACTURE, METACARPAL SHAFT, CLOSED FRACTURE, METACARPAL, MULTIPLE SITE (CLOSED) FRACTURE, METACARPAL (S), OPEN FRACTURE, ONE OR MORE PHALANGES OF HAND, CLOS FRACTURE, FINGER (S) (CLOSED) FRACTURE, MULT, FINGER (CLOSED) MUL SITE FRAC OF 1 OR MORE PHALANGES OF HAND, OPEN FRACTURE, MULT, FINGER (OPEN) FRACTURE, FEMORAL NECK TRANSCERVICAL FRACTURE, CLOSED FRACTURE, INTERTROCHANTERIC (CLOSED) FRACTURE, FEMUR, SUBTROCHANTERIC (CLOSED) FRACTURE, HIP FRACTURE HIP, CLOSED FRACTURE, FEMUR, OTHER & UNSPEC PARTS FRACTURE, FEMUR (CLOSED) FRACTURE, FEMUR, CLOSED, UNSPEC PART FRACTURE, FEMORAL SHAFT (CLOSED) FRACTURE, FEMORAL SHAFT, PROXIMAL (CLOSED) FRACTURE, FEMORAL SHAFT, MID, (CLOSED) FRACTURE, FEMORAL SHAFT, COMMINUTED (CLOSED) FRACTURE, FEMORAL SHAFT OR UNSPEC PART, OPEN FRACTURE, FEMORAL SHAFT (OPEN) FRACTURE, FEMUR, LOWER END, CLOSED FRACTURE, FEMORAL SHAFT, DISTAL (CLOSED) FRACTURE, EPIPHYSEAL (CLOSED) FRACTURE, DISTAL SUPRACONDYLAR (CLOSED) FRACTURE, CONDYLE, FEMORAL, OPEN -144-

FRACTURE, FRACTURE, FRACTURE, FRACTURE, FRACTURE, FRACTURE, FRACTURE, FRACTURE, FRACTURE, FRACTURE, FRACTURE, FRACTURE, FRACTURE, FRACTURE, FRACTURE, FRACTURE, FRACTURE, FRACTURE, FRACTURE, FRACTURE, FRACTURE, FRACTURE, FRACTURE, FRACTURE, FRACTURE, FRACTURE, FRACTURE,

LOWER EPIPHYSIS, FEMUR (OPEN) FEMUR, UNSPEC PATELLA (CLOSED) PATELLA (OPEN) TIBIAL SPINE (CLOSED) UPPER FIBULA, CLOSED FIBULA SHAFT (CLOSED) TIBIA MIDSHAFT (CLOSED) SESAMOID, FIBULAR SESAMOID, TIBIAL LOWER LEG, NOS (CLOSED) TIBIA, W/INTACT FIBULA (CLOSED) TIBIA/FIBULA (CLOSED) ANKLE MEDIAL MALLEOLUS (CLOSED) MEDIAL MALLEOLUS, OPEN LATERAL MALLEOLUS (CLOSED) BIMALLEOLAR (CLOSED) TRIMALLEOLAR, CLOSED ANKLE (CLOSED) ONE OR MORE TARSAL AND METATARSAL B OS CALCIS (CLOSED) FOOT, NOS (CLOSED) TALUS (CLOSED) NAVICULAR/SCAPHOID, FOOT, CLOSED CUBOID, CLOSED METATARSAL (CLOSED)

82526

FRACTURE,

TRANS - TALUS DOME

82527 82529 82530 826 8260 8261 827 828 829 8291 830 831 83104 832 833 83300 834 83400 83401 835 836 8360 8361 8362

JONES-STYLOID FX 5TH MET FRACTURE, TARSAL (CLOSED) FRACTURE, FOOT, OPEN, NOS FRACTURE, ONE OR MORE PHALANGES OF FOOT FRACTURE, TOE(S) (CLOSED) FRACTURE, TOE (S) (OPEN) FRACTURE, MULTI, OTH & ILL-DEFINED, LOWER LIM FRACTURE, MULTI, BOTH LE,LE&UE,LE W/RIBS & ST FRACTURE, NOS (CLOSED) FRACTURE, NOS (OPEN) DISLOCATION, JAW DISLOCATION, SHOULDER AC SEPARATION-NON-OP DISLOCATION, ELBOW DISLOCATION, WRIST DISLOCATION, WRIST, CLOSED DISLOCATION, FINGER DISLOCATION, FINGER, UNSPEC PART, CLOSED DISLOCATION, METACARPAL DISLOCATION, HIP DISLOCATION, KNEE TEAR, CARTILAGE, MEDIAL MENISCUS TEAR, CARTILAGE, LATERAL MENISCUS TEAR, CARTILAGE/MENISCUS, OTHER, CURRENT

82132 8215 8220 8221 8230 82301 82321 82330 8234 8235 8238 82380 82382 824 8240 8241 8242 8244 8246 8248 825 8250 82520 82521 82522 82523 82525

-145-

83621 83622 8363 8364 83659 8366 837 8370 8371 838 83800 83809 839 8390 83900 8392 83961 83969 83971 8398 83981 840 8405 8408 8409 84091 84092 841 8410 8411 8418 8419 84191 8420 84200 8421 84210 8439 84392 84393 844 8440 8441 8444 8444 8448 8449 84491 84492 845 8450 84500

TEAR LIGAMENT, ANT CRUCIATE TEAR LIGAMENT, POST CRUCIATE DISLOCATION, PATELLA (CLOSED) DISLOCATION, PATELLA (OPEN) DISLOCATION, KNEE, OTHER, CLOSED DISLOCATION, KNEE, OTHER, OPEN DISLOCATION OF ANKLE DISLOCATION, ANKLE, (CLOSED) DISLOCATION, ANKLE, OPEN DISLOCATION, FOOT DISLOCATION, FOOT, (CLOSED) DISLOCATION, TOE DISLOCATION, SITE, NOS (CLOSED) DISLOCATION, CERVICAL, CLOSED SUBLUXATION, CERVICAL VERTEBRA DISLOCATION, THORACOLUMBAR, CLOSED DISLOCATION, STERNUM, OTHER, CLOSED DISLOCATION, OTHER LOCATION, CLOSED, OTHER DISLOCATION, STERNUM, OTHER, OPEN DISLOCATION/SUBLUXATION, MULT, SITE, ILL DEFI DISLOCATION, ARM SPRAIN/STRAIN, SHOULDER/UPPER ARM SPRAIN/STRAIN, SUBSCAPULARIS (MUSCLE) SPRAIN/STRAIN, SHOULDER & UPR ARM, OTH SPEC S SPRAIN/STRAIN, SHOULDER & UPPER ARM, UNSPEC S STRAIN, UPPER ARM STRAIN/OVERUSE, SHOULDER SPRAIN/STRAIN, ELBOW/FOREARM SPRAIN/STRAIN, RADIAL COLLATERAL LIGAMENT SPRAIN/STRAIN, ULNAR COLLATERAL LIGAMENT SPRAIN/STRAIN, ELBOW & FOREARM, OTHER SPEC SI SPRAIN, ELBOW STRAIN, FOREARM SPRAIN, WRIST SPRAIN/STRAIN WRIST, UNSPECIFIED SITE SPRAIN, HAND SPRAIN/STRAIN, HAND, UNSPEC SITE SPRAIN/STRAIN, HIP & THIGH, UNSPEC SITE STRAIN, HIP STRAIN, THIGH SPRAIN/STRAIN, KNEE/LEG SPRAIN, KNEE LIGAMENT, LATERAL SPRAIN, KNEE LIGAMENT, MEDIAL SHIN SPLINTS SHIN SPLINTS SPRAIN/STRAIN, KNEE & LEG, OTHER SPEC SITE SPRAIN/STRAIN, UNSPEC SITE, KNEE/LEG STRAIN, LOWER LEG SPRAIN, KNEE SPRAIN/STRAIN, ANKLE/FOOT SPRAIN/STRAIN, ANKLE SPRAIN/STRAIN, rANKLE, UNSPEC SITE -146-

84508 84509 8451 84510 84519 8453 8460 8461 8462 8470 8471 8479 848 8480 8481 8482 8483 84841 84842 8485 8487 8489 84891 84892 84893 850 8500 8501 8506 8509 851 8510 8518 8520 8522 8524 8526 8527 8530 8532 854 8540 8541 8542 8543 860 8600 8602 8604 8605 86121 86400

ACHILLES TENDON INJURY STRAIN/SPRAIN, ANKLE, OTHER SPRAIN/STRAIN, FOOT SPRAIN/SRTAIN, FOOT, UNSPEC SITE STRAIN/SPRAIN, FOOT, OTHER HEAD TRAUMA STRAIN, LUMBOSACRAL SPRAIN/STRAIN, SACROILIAC LIGAMENT SPRAIN/STRAIN, SACROSPINATUS, LIGAMENT SPRAIN/STRAIN, CERVICAL SPRAIN/STRAIN, THORACIC SPRAIN/STRAIN, BACK SPRAIN/STRAIN, SITE NOS SPRAIN/STRAIN, SEPTAL CARTILAGE OF NOSE SPRAIN/STRAIN, JAW SPRAIN/STRAIN, THYROID REGION SPRAIN/STRAIN, RIBS SPRAIN/STRAIN, STERNOCLAVICULAR, JOINT/LIGAME STRAIN/STRAIN, CHONDROSTERNAL, JOINT SPRAIN/STRAIN, PELVIS LACERATION, TENDON STRAIN/SPRAIN, BACK, UNSPEC SITE SPRAIN/STRAIN, JOINT (LIGAMENTS) SPRAIN/STRAIN, MUSCLES & TENDONS TENDON/MUSCLE RUPTURE CONCUSSION, ACUTE, NOS CONCUSSION, W/NO LOSS OF CONSCIOUSNESS CONCUSSION, W/BRIEF LOSS OF CONSCIOUSNESS CONCUSSION, CEREBRAL CONCUSSION, UNSPEC CEREBRAL CONTUSION/LACERATION CONTUSION, CEREBRAL LACERATION & CONTUSION, CEREBRAL W/O IC WOUND HEMORRHAGE FOLLOWING INJURY, SUBARACHNOID, CL HEMORRHAGE FOLLOWING INJURY, SUBDURAL (HEMATO HEMORRHAGE FOLLOWING INJURY, EPIDURAL, (HEMAT HEMATOMA, SUBDURAL HEMATOMA, EPIDURAL HEMATOMA, INTRACRANIAL FOLLOWING INJURY (CLOS HEMATOMA, INTRACEREBRAL INTRACRANIAL INJURY, UNSPEC INJURY, INTRACRANIAL, CLOSED INJURY, HEAD (OPEN) CRANIOCEREBRAL GUNSHOT WOUND HEAD TRAUMA (CLOSED) PNEUMOTHORAX/HEMOTHORAX, TRAUMATIC, NOS PNEUMOTHORAX, TRAUMATIC, NOS HEMOTHORAX (CLOSED) PNEUMOHEMOTHORAX, TRAUMATIC, (CLOSED) PNEUMOHEMOTHORAX TRAUMATIC, W/OPEN WOUND CONTUSION, LUNG, CLOSED CHEST TRAUMA INJURY, LIVER, CLOSED TRAUMA -147-

86401 8650 86500 8660 869 8700 8702 8711 8713 87141 8717 8719 8720 87200 87201 87202 87203 8721 87210 87261 8730 8732 87320 87321 87363 87400 8748 8750 876 8760 878 8792 8798 87981 87982 87987 87988 87989 8799 87991 87995 87996 8800 88000 881 8810 88100 88101 88102 88110 88111 88112

INJURY, LIVER, HEMATOMA/CONTUSION, CLOSED INJURY, SPLEEN W/O OPEN WOUND INTO CAVITY INJURY, SPLEEN, CLOSED TRAUMA INJURY, KIDNEY W/O OPEN WOUND INTO CAVITY MULTIPLE TRAUMA, EXTREME, INTERNAL LACERATION OF SKIN OF EYELID & PERIOCULAR ARE LACERATION, LACRIMAL PASSAGE LACERATION, OCULAR W/PROLAPSE/EXPOSE INTRAOC OCULAR AVULSION CORNEAL/SCLERAL LACERATION PENETRATION OF EYE, UNSPEC OPEN WOUND OF EYE, UNSPEC WOUND, OPEN, EXTERNAL EAR W/O COMPLICATION WOUND, OPEN, EXTERNAL EAR, UNSPEC SITE LACERATION, AURICULAR LACERATION, AUDITORY CANAL AMPUTATION, AURICULAR WOUND, OPEN, EXTERNAL EAR, COMPLICATED EXTERNAL EAR, UNSPECIFIED SITE (OPEN WOUND) PERFORATED TYMPANIC MEMBRANE, TRAUMATIC SCALP WOUND LACERATION, NOSE TRAUMA, NOSE, OPEN DEVIATED SEPTUM, TRAUMATIC TOOTH BROKEN WOUND, OPEN, LARYNX W/TRACHEA OPEN WOUND OF NECK, UNSPEC PART, W/O COMPLICATION WOUND, OPEN, CHEST WALL W/O COMPLICATION OPEN WOUND OF BACK WOUND, OPEN, BACK W/O COMPLICATION WOUND, OPEN, GENITAL ORGANS, EXTERNAL WOUND, OPEN, ABDOMINAL WALL, ANT W/O COMPLICA LACERATION W/O COMPLICATIONS LACERATION, SIMPLE (2 INCH) WOUND, PUNCTURE WOUND, STAB WOUND, GUNSHOT LACERATION, COMPLEX AMPUTATION, TRAUMATIC, OPEN WOUND BITE, ANIMAL BITE, HUMAN WOUND, OPEN, SHOULDER & UPPER ARM W/O COMPL WOUND, OPEN, SHOULDER REGION W/O COMPLICATION WOUND, OPEN, ELBOW/FOREARM/WRIST WOUND, OPEN, ELBOW/FOREARM/WRIST W/O COMPLICA WOUND, OPEN, FOREARM W/O COMPLICATION WOUND, OPEN, ELBOW W/O COMPLICATION WOUND, OPEN, WRIST W/O COMPLICATION WOUND, OPEN, FOREARM, COMPLICATED WOUND, OPEN, ELBOW, COMPLICATED WOUND, OPEN, WRIST, COMPLICATED -148-

882 8820 8821 8822 8830 8831 8832 8835 8840 8841 8842 885 8850 886 88751 88752 88753 8878 8879 890 8900 8901 8902 8910 8911 8912 8920 8921 8922 8930 8931 8932 8940 8942 8950 8960 8972 8974 900 9000 90001 90002 90220 9044 90440 9050 9059 9060 9062 9089 910 9103

WOUND, OPEN, HAND, EXCEPT FINGER(S) ALONE WOUND, OPEN, HAND, EXCEPT FINGER W/O COMPLICA WOUND, OPEN, HAND, EXCEPT FINGER, COMPLICATED WOUND, OPEN, HAND, EXCEPT FINGER W/TENDON INV INJURY, SOFT TISSUE, FINGER WOUND, OPEN, FINGER(S), COMPLICATED WOUND, OPEN, FINGER(S) W/TENDON INVOLVEMENT INJURY, SOFT TISSUE, FINGERNAIL WOUND, OPEN, UPPER LIMB, UNSPEC, W/O COMPLICA WOUND, OPEN, UPPER LIMB, UNSPEC, COMPLICATED WOUND, OPEN, UPPER LIMB, UNSPEC, TENDON INVOL AMPUTATION, THUMB, TRAUMATIC AMPUTATION, THUMB, TRAUMATIC, W/O COMPLICATIO AMPUTATION FINGER(S) TRAUMATIC AMPUTATION OF ARM AMPUTATION OF ELBOW/FOREARM AMPUTATION OF HAND/WRIST AMPUTATION, HAND, TRAUMATIC AMPUTATION, ARM, TRAUMATIC WOUND, OPEN, HIP/THIGH WOUND, OPEN, HIP/THIGH W/O COMPLICATION WOUND, OPEN, HIP & THIGH, COMPLICATED WOUND, OPEN, HIP & THIGH, W/TENDON INVOLVEMEN WOUND, OPEN, KNEE/LEG W/O COMPLICATION WOUND, OPEN, KNEE/LEG, COMPLICATED WOUND, OPEN, KNEE/LEG W/TENDON INVOLVEMENT LACERATION, FOOT, W/0 COMPLICATION LACERATION, FOOT, W/COMPLICATION LACERATION, FOOT, W/TENDON INVOLVEMENT LACERATION, TOE, W/O COMPLICATION LACERATION, TOE, W/COMPLICATION LACERATION, TOE, W/TENDON INVOLVEMENT WOUND, OPEN, UNSPEC, LOWER LIMB W/O COMPLICAT WOUND, OPEN, UNSPEC, LOWER LIMB W/TENDON INVO AMPUTATION, TOE, TRAUMATIC AMPUTATION, FOOT, TRAUMATIC UNILATERAL AMPUT OF LEG AT OR ABOVE KNEE W/O COMPL AMPUTATION, LEG, TRAUMATIC INJURY, BLOOD VESSELS, HEAD/NECK INJURY, CAROTID ARTERY INJURY, COMMON CAROTID ARTERY INJURY, EXTERNAL CAROTID ARTERY INJURY, ARTERIES, CELIAC AND MESENTERIC, UNSP INJURY, POPLITEAL BLOOD VESSELS INJURY, POPLITEAL BLOOD VESSELS, UNSPEC FRACTURE, LATE EFFECT, SKULL & FACE BONES LATE EFFECT OF TRAUMATIC AMPUTATION WOUND, OPEN, LATE EFFECT, HEAD, NECK, TRUNK LATE EFFECT OF SUPERFICIAL INJ (TO SKIN & SUB TIS) LATE EFFECT OF TRAUMA INJURY, SUPERFICIAL, FACE/NECK/SCALP BLISTER, INFECTED, FACE/NECK/SCALP

-149-

9104 9108 911 91181 9124 913 914 916 9160 9165 9169 917 9170 9171 9172 9173 918 9181 91811 919 9190 9191 9194 9195 9196 9198 9199 920 9200 921 9213 9219 9220 9224 92241 923 92302 92303 9231 92310 92311 9232 92320 92321 9233 924 92400 92410 92411 9242 92420 92421

INSECT BITE, NONVEN W/O INFECT, FACE/NECK/SCA MAXILLOFACIAL TRAUMA INJURY, SUPERFICIAL, TRUNK SUPERFICIAL INJURY, PERINEUM INSECT BITE, NONVEN W/O INFECT, SHLDER & UPR INJURY, SUPERFICIAL, ELBOW/FOREARM/WRIST INJURY, SUPERFICIAL, HAND, EXCEPT FINGER ALON INJURY, SUPERFICIAL, HIP, THIGH, LEG, ANKLE ABRAS OR FRICTION BURN W/O INFECT HIP/THIGH/LEG/ANK INSECT BITE, NONVENOMOUS, INFECTED, LOWER EXT BITE, NON-VENOMOUS SNAKE INJURY, SUPERFICIAL, FOOT & TOE(S) ABRASION, W/O INFECTION ABRASION, W/INFECTION FRICTION BLISTER, FEET BLISTER, W/INFECTION SUPERFICIAL INJURY, EYE & ADNEXA INJURY, SUPERFICIAL, CORNEA ABRASION, CORNEAL INJURY, SUPERFICIAL (INCL ABRASION, BLISTER) ABRASION/FRICTION BURN W/O INFECTION ABRASION/FRICTION BURN W/INFECTION INSECT BITE, W/O INFECTION, MULT INSECT BITE, NONVENOMOUS, INFECTED, MULT SITE FOREIGN BODY (SPLINTER) W/O OPEN WOUND/INFECT INJURY, SUPERFICIAL W/O INFECTION OTHER AND UNSPECIFIED SUPERFICIAL INJURY, INFECTED CONTUSION, FACE/SCALP/NECK, EXCEPT EYE(S) HEMATOMA, NASAL SEPTAL CONTUSION OF EYE AND ADNEXA CONTUSION, EYEBALL INJURY, EYE NOS CONTUSION, BREAST CONTUSION, GENITAL ORGANS CONTUSION, VULVA CONTUSION, UPPER LIMB CONTUSION, AXILLARY REGION CONTUSION, UPPER ARM CONTUSION, ELBOW/FOREARM CONTUSION, FOREARM CONTUSION, ELBOW CONTUSION, UPPER LIMB, WRIST/HAND CONTUSION, HAND CONTUSION, WRIST CONTUSION, FINGERNAIL CONTUSION, LOWER LIMB & UNSPEC SITES CONTUSION, THIGH CONTUSION, LOWER LEG CONTUSION, KNEE CONTUSION, ANKLE & FOOT, EXCLUDING TOE(S) CONTUSION, FOOT CONTUSION, ANKLE -150-

9248 9249 9299 930 9300 9301 931 932 9330 9331 9340 9349 9350 9351 937 938 9392 9399 940 94100 94106 94120 94127 94150 94200 94300 94314 9432 94321 9440 94400 94420 94422 94423 94430 94437 94438 94440 945 94500 94520 94522 94532 94550 9462 949 9490 9492 9496 9497 94971 94972

CONTUSION, LOWER LIMB, MULTIPLE SITES CONTUSION, NOS INJURY, CRUSHING, NOS FOREIGN BODY, EYE, EXTERNAL FOREIGN BODY, EYE, CORNEAL FOREIGN BODY, EYE, CONJUNCTIVAL SAC FOREIGN BODY, EAR FOREIGN BODY, NOSE FOREIGN BODY, THROAT FOREIGN BODY, LARYNX FOREIGN BODY, TRACHEA FOREIGN BODY, RESPIRATORY TRACT NOS FOREIGN BODY, MOUTH FOREIGN BODY, ESOPHAGUS FOREIGN BODY, ANUS/RECTUM FOREIGN BODY, DIGESTIVE TRACT NOS FOREIGN BODY, VULVA/VAGINA FOREIGN BODY, GU TRACT, UNSPEC SITE BURN CONFINED TO EYE & ADNEXA BURN, FACIAL BURN, SCALP, UNSPEC DEGREE BURN W/BLISTER, EPIDER LOSS, FACE/HEAD UNSP S BURN W/BLISTER, EPIDRM LOSS, FOREHEAD/CHEEK DEEP THIRD DEG BURN-FACE & HEAD, LOSS OF BODY PART BURN, TRUNK BURN, UPPER EXTREMITY ERYTHEMA, AXILLA BLISTER, SECOND DEGREE, UPPER LIMB BURN W/BLISTER, EPIDERMAL LOSS, FOREARM BURN, WRIST/HANDS, UNSPEC DEGREE BURN, HAND, UNSPEC SITE, UNSPEC DEGREE BURN W/BLISTER, HAND, 2ND DEGREE BURN W/BLISTER, THUMB, 2ND DEGREE BLISTER, 2ND DEGREE, TWO OR MORE DIGITS BURN W/FULL THICKNESS SKIN LOSS, HAND BURN W/FULL THICKNESS SKIN LOSS, WRIST BURN W/FULL THICKNESS SKIN LOSS, MULT SITE, H BURN W/DEEP NECROSIS OF TISSUE, HAND BURN, LOWER LIMB BURN, LOWER EXTREMITY BURN, LOWER LIMB, SECOND DEGREE SECOND DEGREE BURN OF FOOT, BLISTERS, EPIDERMAL LOSS BURN W/FULL THICKNESS SKIN LOSS, FOOT BURN, LOWER LIMB, DEEP 3 DEG W/LOSS BODY PART BURN W/BLISTER, EPIDERMAL LOSS, MULTIPLE SITE BURN, NOS BURN, UNSPECIFIED, UNSPECIFIED DEGREE BLISTER, EPIDERMAL LOSS, SECOND DEGREE BURN, CHEMICAL THERMAL BURNS BURN, THERMAL,