The AHA Coding Clinic for HCPCS includes: Thank you for choosing Find-A-Code, please Sign In to remove ads. Each pair of codes is differentiated by the tumor size. More than 10 years later, however, questions continue to arise about appropriate code selection and separately reportable services. The AHA Coding Clinic for HCPCS includes: Thank you for choosing Find-A-Code, please Sign In to remove ads. The margins refer to the most narrow margin required to adequately excise the tumor based on the physicians judgment. A patient is seen at our facility for an excisional debridement of severe gouty tophi of the left index and long finger of the proximal interphalangeal and distal interphalangeal joints. *Dual diagnosis requirement: ICD-10-CM code Q85.83 must be billed with ICD-10-CM code C25.4, C64.1, C64.2, C65.1, C65.2, C66.1, C66.2, C67.0, C67.1, C67.2, C67.3, C67.4, C67.5, C67.6, C67.7, C67.8, C68.0, C68.1, C68.8, C7A.093, D13.7, D18.02, D32.0, D32.1, D33.0, D33.1, D33.3, D33.4 OR D33.7. Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. End User Point and Click Amendment: There are multiple ways to create a PDF of a document that you are currently viewing. 2023 ICD-10-CM Diagnosis Code M1A.0321 Idiopathic chronic gout, left wrist, with tophus (tophi) 2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code M1A.0321 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. However, some of the coders feel this procedure should be coded to an excision of lesion. A patient is seen at our facility for an excisional debridement of severe gouty tophi of the left index and long finger of the proximal interphalangeal and distal "JavaScript" disabled. Billing and Coding articles provide guidance for the related Local Coverage Determination (LCD) and assist providers in submitting correct claims for payment. If you need more information on coverage, contact the Medicare Administrative Contractor (MAC) who published the document. Webexcision of gouty tophi from a left first metatarsal-phalangeal joint, and the interphalangeal joint the left great toe? The following ICD-10-CM code supports medical necessity and provides coverage for CPT code: 81401. The price is still only $125 including shipping! You can use the Contents side panel to help navigate the various sections. If this is your first visit, be sure to check out the. Here are some hints to help you find more information: 1) Check out the Beneficiary card on the MCD Search page. *Report ICD-10 code K31.84 with an ICD-10 code for diabetes mellitus (E08.43, E09.43, E10.43, E11.43, or E13.43). You should probably query the surgeon, I will bet you that he irrigated the joint but didnt document, especially when there is gout expressed from the joint. Should be 26080. oh, I see - so did the doc do an "incision" into the joint or an "excision" of the lump on the patients toe due to gouty arthritis? CMS has defined "not usually self-administered" according to how the Medicare population as a whole uses the drug, not how an individual patient or physician may choose to use a particular drug. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Many offices across the country consider this to be their Bible when it comes to coding, billing and documentation. No, he does not say that he has gone into the joint, but says that upon incision gouty tissue was immediately encountered from the PIP joint and was removed by rongeur and scissors. The only other alternatives seem to be 26115, 26210 or debridement. Are all soft tissue tumor excision codes located in one subsection of the CPT codebook? Coding InformationWhen more than two codes from this list are submitted for the same beneficiary on the same date of service, the claims processing system will deny every code submitted after the first two services. Excision subcutaneous soft tissue tumor; upper arm or elbow (24075) Excision, tumor, upper arm or elbow area; deep, subfascial Intramuscular); 1.5 cm or greater The following ICD-10-CM codes support medical necessity and provide coverage for CPT code: 81283. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 7500 Security Boulevard, Baltimore, MD 21244. of the Medicare program. If that doesnt work please contact, Technical issues include things such as a link is broken, a report fails to run, a page is not displaying correctly, a search is taking an unexpectedly long time to complete. Table 1 is from CPIC and Table 2 is from FDA sources.Table 1. The following ICD-10-CM codes support medical necessity and provide coverage for CPT codes: 81226 and 81418. Before sharing sensitive information, make sure you're on a federal government site. The Review Committee has now identified defined case categories (listed here on the following pages) as appropriate for the focused education of foot and ankle orthopaedic surgery fellows; the ACGME Case Log System for Foot and Ankle Orthopaedic Surgery has been revised to identify the CPT codes tracked to each defined case category. Contractors may specify Bill Types to help providers identify those Bill Types typically Draft articles have document IDs that begin with "DA" (e.g., DA12345). Joint sites such as elbow, PIP toe, MIP toe etc. Articles often contain coding or other guidelines that are related to a Local Coverage Determination (LCD). Code of Federal Register (CFR) References. The following ICD-10-CM codes support medical necessity and provide coverage for CPT code: 81227. It should not be a life altering event. WebTophaceous gout is characterised by nodular masses of deposited monosodium urate crystals (MSU) due to untreated or partially treated hyperuricaemia with associated CPT SOFT TISSUE TUMOR EXCISION CODES, # denotes CPT code number is out of numerical sequence Work RVU = Physician work RVU Total RVUnf = Total RVU in a nonfacility setting (eg, office) Total RVUfac = Total RVU in a facility setting (eg, hospital). An asterisk (*) indicates a Report code 81479 and gene test CYP2B6 in the claim narrative/remarks. Applications are available at the American Dental Association web site. To read the full article, sign in and subscribe to the AHA Coding Clinic for HCPCS. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. Get timely coding industry updates, webinar notices, product discounts and special offers. resale and/or to be used in any product or publication; creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions; Idiopathic chronic gout, left elbow, with tophus (tophi) 2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code M1A.0221 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Billing and Coding articles typically include CPT/HCPCS procedure codes, ICD-10-CM diagnosis codes, as well as Bill Type, Revenue, and CPT/HCPCS Modifier codes. No charge. WebGouty Tophus removal is very similar to a Cyst popping. Cardiothoracic SurgeryDiagnostic & Interventional CardiovascularDiagnostic RadiologyInterventional RadiologyPain ManagementVascular & Endovascular Surgery. The AMA does not directly or indirectly practice medicine or dispense medical services. The following ICD-10-CM codes support medical necessity and provide coverage for CPT codes: 81226, 81418, 0070U, 0071U, 0072U, 0073U, 0074U, 0075U, and 0076U. All codes include simple or intermediate repair. Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Article revised and published on 12/09/2021 effective for dates of service on and after 12/12/2021. article does not apply to that Bill Type. Every page of the record must be legible and include appropriate patient identification information (e.g., complete name, dates of service[s]). Learn how to get the most out of your subscription. The following drugs and associated genes and CPT codes were added to Table 1 (CPIC): fosphenytoin, fluvastatin (CYP2C9/81227), fosphenytoin (HLA-B/81381, 81374), tramadol (CYP2D6/81226, 0070U, 0071U, 0072U, 0073U, 0074U, 0075U, 0076U), peginterferon alfa-2a, peginterferon alfa-2b (IFNL4/81479), pravastatin, atorvastatin, lovastatin, rosuvastatin, fluvastatin, pitavastatin (SLCO1B1/81328), gentamicin, amikacin, paromomycin, streptomycin, plazomicin, tobramycin (MT-RNR1/81401), and rosuvastatin (ABCG2/0193U). Excision of fascial or subfascial soft tissue tumors involves the resection of tumors confined to the tissue within or below the deep fascia but not involving the bone. The contractor information can be found at the top of the document in the, Please use the Reset Search Data function, found in the top menu under the Settings (gear) icon. An asterisk note has also been added to ICD-10-CM Code Group 4 for ICD-10 code R11.2*. As clinical or administrative codes change or system or policy requirements dictate, CR instructions are updated to ensure the systems are applying the most appropriate claims processing instructions applicable to the policy. Sometimes, a large group can make scrolling thru a document unwieldy. Find out your status before you are audited by your Medicare carrier. WebExcision of gouty tophi - numerous sites over two separate episodes of care (February and May 2004). No, he does not say that he has gone into the joint, but says that upon incision gouty tissue was immediately encountered from the PIP joint and was removed by rongeur and scissors. No credit card? Report code 81479 and gene test BCHE in the claim narrative/remarks. Please refer to the CMS IOM Publication 100-03, Medicare National Coverage Determinations (NCD) Manual, Chapter 1, Part 2, Section 90.1 Pharmacogenomic Testing to Predict Warfarin Responsiveness.If a treating clinician orders a single gene test or a test for a particular allele(s), but as a matter of operational practicality, the laboratory tests that single gene or allele on a platform that looks for variants in other genes/alleles as well, that particular test done in that particular instance is considered a single gene/allele test for coverage purposes. Article revised and published on 04/27/2023 effective for dates of service on and after 01/01/2022 to remove CPT codes 0289U through 0294U from the CPT/HCPCS Code Group 25 that were erroneously added in January 2022. apply equally to all claims. However, if a lab runs more than two distinct procedural services from this list on a single date of service, then the lab must use the 59 modifier with each additional service billed as an attestation that it is a distinct procedural service. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. *Dual diagnosis requirement: ICD-10 code R45.851 must be reported with one of the following ICD-10 codes to identify schizophrenia: F20.0, F20.1, F20.2, F20.3, F20.5, F20.81, or F20.89 (these ICD-10 codes for schizophrenia may also be reported as stand-alone codes). The following ICD-10-CM codes support medical necessity and provide coverage for CPT code: 81406. accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the The views and/or positions Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. If the soft tissue mass was located within the foot and it appeared to be a gouty tophus and it was affecting a joint, the appropriate CPT codes to consider would be the following: CPT 28020 Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint, CPT 28022 Arthrotomy, including exploration, drainage, or removal of loose or foreign body; metatarsophalangeal joint, CPT 28024 Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal joint. that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes. Please Note: For Durable Medical Equipment (DME) MACs only, CPT/HCPCS codes remain located in LCDs. The CPT/HCPCS Codes and ICD-10-CM Codes that Support Medical Necessity sections were revised to add the following new groups effective for dates of service on and after 02/07/2022: Group 15 for CPT code 81401, Group 21 for CPT code 81479 and gene test IFNL4, and Group 24 for CPT code 0193U and all subsequent groups were renumbered accordingly in both sections. This page displays your requested Article. Tophi are a symptom of gout, a condition where uric acid crystallizes in joints like presented in the material do not necessarily represent the views of the AHA. The diagnosis was gouty tophus of the interphalangeal joint of the little finger and the op report states a longitudinal incision over the PIP joint and the tophaceous material was removed by rongeur and scissors. Report code 81479 and gene test CACNA1S in the claim narrative/remarks. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. When billing for non-covered services, use the appropriate modifier. NCDs do not contain claims processing information like diagnosis or procedure codes nor do they give instructions to the provider on how to bill Medicare for the service or item. What is the difference between excision of subcutaneous/subfascial tumors and radical resection of soft connective tissue tumors? 26080 would be the appropriate code if you can get that clarified. See our privacy policy. You can use your browser's Print function (Ctrl-P on a PC or Command-P on a Mac) to view a print preview and then select PDF as the output. To read the full article, sign in and subscribe to the AHA Coding Clinic for HCPCS. Radical resection of soft connective tissue tumors involves the resection of the tumor with wide margins of normal tissue. preparation of this material, or the analysis of information provided in the material. Reproduced with permission. These tumors are usually benign and are resected without removing a significant amount of surrounding normal tissue. If the soft tissue mass was located in the foot and it appeared to a gouty tophus and it was not affecting a joint, the appropriate CPT codes to consider would be the following: CPT 28039 Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater, CPT 28041 Excision, tumor, soft tissue of foot or toe, subfascial (eg. *Report ICD-10 code E11.8 or E11.9 with ICD-10 code(s) to indicate multiple risk factors for cardiovascular heart disease (e.g., E78.2, E78.49, I10, Z68.25-Z68.45, Z72.0, Z82.49). No charge. Report code 81479 and gene test IFNL4 in the claim narrative/remarks. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Federal government websites often end in .gov or .mil. Learn how to get the most out of your subscription. The patient is a 47 year old with a soft tissue mass over the distal fibula. Medicaid and the State Children's Health Insurance Programs, contracts with certain organizations to assist in the administration For example, code 22902, Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm, can be found in the musculoskeletal system subsection for abdomen-excision. Gout attacks can last for numerous days and also also months. Revenue Codes are equally subject to this coverage determination. Minor formatting changes have been made throughout the coding section. Appreciable vessel exploration and/or neuroplasty may also be reported separately when performed. Try entering any of this type of information provided in your denial letter. The contractor information can be found at the top of the document in the Contractor Information section (expand the section to see the details). Also, the Affected Subgroups in Table 2 was updated for pantoprazole, irinotecan and tramadol. The following ICD-10-CM code supports medical necessity and provides coverage for CPT code: Group 8 Medical Necessity ICD-10-CM Codes Asterisk Explanation, Group 9 Medical Necessity ICD-10-CM Codes Asterisk Explanation, Group 11 Medical Necessity ICD-10-CM Codes Asterisk Explanation, Group 12 Medical Necessity ICD-10-CM Codes Asterisk Explanation, Group 13 Medical Necessity ICD-10-CM Codes Asterisk Explanation, Group 14 Medical Necessity ICD-10-CM Codes Asterisk Explanation, Group 21 Medical Necessity ICD-10-CM Codes Asterisk Explanation, Article - Billing and Coding: Pharmacogenomics Testing (A58801). Some articles contain a large number of codes. Tagged as: CPT codes, soft tissue tumor codes, surgical care coding, Bulletin of the American College of Surgeons WebDeep Soft Tissue Tumor excision CPT Codes. You must log in or register to reply here. Learn more at our National Coding and Reimbursement CMS and its products and services are not endorsed by the AHA or any of its affiliates. If your session expires, you will lose all items in your basket and any active searches. CPT code 81355 was added to the CPT codes Non-Covered for pharmacogenomic testing (Group 22). of every MCD page. The most appropriate CPT code to consider would be the following: It is the providers responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted. This column responds to these questions and offers clarity to coding confusion for this set of codes. Draft articles are articles written in support of a Proposed LCD. *Dual diagnosis requirement: ICD-10 code B18.0, B18.1, B18.2 or K73.9 must be reported with ICD-10 code K76.9 to indicate compensated liver disease. Genes assayed on the same date of service are considered to be assayed in parallel if the result of one assay does not affect the decision to complete the assay on another gene, and the two genes are being tested for the same indication. Enter the CPT/HCPCS code in the MCD Search and select your state from the drop down. not endorsed by the AHA or any of its affiliates. Was your Medicare claim denied? No problem! Germline testing, including panels containing some genetic content already tested in the same Medicare beneficiary, may be considered medically reasonable and necessary if there is established clinical utility in the remaining, non-duplicative genetic components of the test.Coding GuidanceNotice: It is not appropriate to bill Medicare for services that are not covered (as described by the entire LCD) as if they are covered. HOWEVER, WHAN ANOTHER ALREADY ESTABLISHED MODIFIER IS APPROPRIATE IT SHOULD BE USED RATHER THAN MODIFIER -59. For this supplementary claims processing information we rely on other CMS publications, namely Change Requests (CR) Transmittals and inclusions in the Medicare Fee-For-Service Claims Processing Manual (CPM). You are using an out of date browser. The following ICD-10-CM codes support medical necessity and provide coverage for CPT codes: 81377 and 81383. dmaec True Blue Messages 1,130 WebCpt Code For Excision Of Gouty Tophi Finger Gout is a sort of joint inflammation created because of high uric acid levels in the body. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. Helping you with HIPAA Security Solutions. In December 2007, the American Medical Association Current Procedural Terminology (CPT*) Editorial Panel Soft Tissue Tumor Workgroup finalized a consensus proposal related to reporting excision of soft tissue tumors. authorized with an express license from the American Hospital Association. *Report ICD-10 code C50.919 with ICD-10 codes Z15.01, Z17.0, and Z79.890. Local Coverage Articles are a type of educational document published by the Medicare Administrative Contractors (MACs). The submitted CPT/HCPCS code must describe the service performed. Medicare contractors are required to develop and disseminate Articles. Gout arthritis and joint inflammation are linked due to the fact that several way of living aspects, such as excess weight, high blood pressure, bad diet and absence of exercise, can bring about the growth of the joint problem. WebExcision CPT Codes. Try using the MCD Search to find what you're looking for. If you do not agree with all terms and conditions set forth herein, click below on the button labeled "I do not accept" and exit from this computer screen. The most appropriate CPT code to consider would be the following: CPT 27620 Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body. If no CPT code is available for the gene(s) being tested, the unlisted molecular pathology procedure code 81479 should be used as indicated below.Utilization ParametersGermline testing may be performed once in a lifetime per beneficiary.Documentation Requirements. The following drugs were deleted from Table 1: aspirin, diclofenac, aceclofenac, indomethacin, lumiracoxib, metamizole, nabumetone, naproxen, tegafur, and ribavirin. If the soft tissue mass was not located within the ankle, the appropriate CPT codes to consider are the following: CPT 27618 Excision, tumor, soft tissue of leg or ankle area; subcutaneous; less than 3 cm, CPT 27619 Excision, tumor, soft tissue of leg or ankle area; subfascial (e.g. The AMA assumes no liability for data contained or not contained herein. National Correct Coding Initiative (NCCI): Social Security Act (Title XVIII) Standard References: Code of Federal Register (CFR) References: This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L39063 Pharmacogenomics Testing. *This response is based on the best information available as of 12/16/21. *Dual diagnosis requirement: ICD-10 code F52.0 must be reported with ICD-10 code N95.8. CPT 27620 Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body, In the above post, the soft tissue mass is located over the distal fibula and it appeared to be a gouty tophus. View all the articles associated with any code, right from the code page. This is the American ICD-10-CM version of M10.041 - other international versions of ICD-10 M10.041 may differ. Definitions in the musculoskeletal system introductory guidelines describe excision of each type of tumor: Excision of subcutaneous soft connective tissue tumors involves the simple or marginal resection of tumors confined to subcutaneous tissue below the skin but above the deep fascia. No. Article revised and published on 08/04/2022 in response to an inquiry to update the article from CPIC and FDA sources. Cystic fibrosis with other manifestations, Malignant neoplasm of right kidney, except renal pelvis, Malignant neoplasm of left kidney, except renal pelvis, Malignant neoplasm of lateral wall of bladder, Malignant neoplasm of anterior wall of bladder, Malignant neoplasm of posterior wall of bladder, Malignant neoplasm of overlapping sites of bladder, Malignant neoplasm of paraurethral glands, Malignant neoplasm of overlapping sites of urinary organs, Benign neoplasm of other specified parts of central nervous system, Multiple endocrine neoplasia [MEN] syndrome, unspecified, Major depressive disorder, single episode, moderate, Major depressive disorder, single episode, severe without psychotic features, Major depressive disorder, single episode, severe with psychotic features, Major depressive disorder, single episode, in partial remission, Major depressive disorder, single episode, unspecified, Major depressive disorder, recurrent, moderate, Major depressive disorder, recurrent severe without psychotic features, Major depressive disorder, recurrent, severe with psychotic symptoms, Major depressive disorder, recurrent, in partial remission, Major depressive disorder, recurrent, unspecified, Panic disorder [episodic paroxysmal anxiety], Obsessive-compulsive personality disorder, Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, with status epilepticus, Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, without status epilepticus, Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, with status epilepticus, Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, without status epilepticus, Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, with status epilepticus, Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, without status epilepticus, Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, with status epilepticus, Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, without status epilepticus, Lennox-Gastaut syndrome, not intractable, with status epilepticus, Lennox-Gastaut syndrome, not intractable, without status epilepticus, Lennox-Gastaut syndrome, intractable, with status epilepticus, Lennox-Gastaut syndrome, intractable, without status epilepticus, ST elevation (STEMI) myocardial infarction involving left main coronary artery, ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery, ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall, ST elevation (STEMI) myocardial infarction involving right coronary artery, ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall, ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery, ST elevation (STEMI) myocardial infarction involving other sites, Non-ST elevation (NSTEMI) myocardial infarction, Subsequent ST elevation (STEMI) myocardial infarction of anterior wall, Subsequent ST elevation (STEMI) myocardial infarction of inferior wall, Subsequent non-ST elevation (NSTEMI) myocardial infarction, Subsequent ST elevation (STEMI) myocardial infarction of other sites, Unspecified sequelae of cerebral infarction, Gastro-esophageal reflux disease with esophagitis, without bleeding, Gastro-esophageal reflux disease with esophagitis, with bleeding, Gastro-esophageal reflux disease without esophagitis, Gastric ulcer, unspecified as acute or chronic, without hemorrhage or perforation, Chronic or unspecified duodenal ulcer with both hemorrhage and perforation, Chronic duodenal ulcer without hemorrhage or perforation, Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits, Malignant neoplasm of unspecified site of unspecified female breast, Malignant neoplasm of unspecified site of unspecified male breast, Attention-deficit hyperactivity disorder, predominantly hyperactive type, Attention-deficit hyperactivity disorder, combined type, Attention-deficit hyperactivity disorder, other type, Malignant neoplasm of unspecified part of unspecified bronchus or lung, Bipolar disorder, current episode hypomanic, Bipolar disorder, current episode manic without psychotic features, mild, Bipolar disorder, current episode manic without psychotic features, moderate, Bipolar disorder, current episode manic without psychotic features, severe, Bipolar disorder, current episode manic severe with psychotic features, Bipolar disorder, current episode depressed, mild, Bipolar disorder, current episode depressed, moderate, Bipolar disorder, current episode depressed, severe, without psychotic features, Bipolar disorder, current episode depressed, severe, with psychotic features, Bipolar disorder, current episode mixed, mild, Bipolar disorder, current episode mixed, moderate, Bipolar disorder, current episode mixed, severe, without psychotic features, Bipolar disorder, current episode mixed, severe, with psychotic features, Bipolar disorder, in partial remission, most recent episode hypomanic, Bipolar disorder, in partial remission, most recent episode manic, Bipolar disorder, in partial remission, most recent episode depressed, Bipolar disorder, in partial remission, most recent episode mixed, Longstanding persistent atrial fibrillation, Unspecified systolic (congestive) heart failure, Unspecified diastolic (congestive) heart failure, Unspecified combined systolic (congestive) and diastolic (congestive) heart failure, Generalized idiopathic epilepsy and epileptic syndromes, not intractable, with status epilepticus, Generalized idiopathic epilepsy and epileptic syndromes, not intractable, without status epilepticus, Generalized idiopathic epilepsy and epileptic syndromes, intractable, with status epilepticus, Generalized idiopathic epilepsy and epileptic syndromes, intractable, without status epilepticus, Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus, Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus, Other generalized epilepsy and epileptic syndromes, intractable, with status epilepticus, Other generalized epilepsy and epileptic syndromes, intractable, without status epilepticus, Atherosclerotic heart disease of native coronary artery without angina pectoris, Other specified rheumatoid arthritis, other specified site, Primary osteoarthritis, other specified site, Secondary osteoarthritis, other specified site, Adverse effect of insulin and oral hypoglycemic [antidiabetic] drugs, initial encounter, Encounter for surgical aftercare following surgery on the nervous system, Personal history of other diseases of the circulatory system, Malignant neoplasm of stomach, unspecified, Malignant neoplasm of rectosigmoid junction, Malignant neoplasm of pancreas, unspecified, Plasmodium vivax malaria with rupture of spleen, Plasmodium vivax malaria with other complications, Plasmodium vivax malaria without complication, Disorder of purine and pyrimidine metabolism, unspecified, Idiopathic chronic gout, right shoulder, without tophus (tophi), Idiopathic chronic gout, right shoulder, with tophus (tophi), Idiopathic chronic gout, left shoulder, without tophus (tophi), Idiopathic chronic gout, left shoulder, with tophus (tophi), Idiopathic chronic gout, right elbow, without tophus (tophi), Idiopathic chronic gout, right elbow, with tophus (tophi), Idiopathic chronic gout, left elbow, without tophus (tophi), Idiopathic chronic gout, left elbow, with tophus (tophi), Idiopathic chronic gout, right wrist, without tophus (tophi), Idiopathic chronic gout, right wrist, with tophus (tophi), Idiopathic chronic gout, left wrist, without tophus (tophi), Idiopathic chronic gout, left wrist, with tophus (tophi), Idiopathic chronic gout, right hand, without tophus (tophi), Idiopathic chronic gout, right hand, with tophus (tophi), Idiopathic chronic gout, left hand, without tophus (tophi), Idiopathic chronic gout, left hand, with tophus (tophi), Idiopathic chronic gout, right hip, without tophus (tophi), Idiopathic chronic gout, right hip, with tophus (tophi), Idiopathic chronic gout, left hip, without tophus (tophi), Idiopathic chronic gout, left hip, with tophus (tophi), Idiopathic chronic gout, right knee, without tophus (tophi), Idiopathic chronic gout, right knee, with tophus (tophi), Idiopathic chronic gout, left knee, without tophus (tophi), Idiopathic chronic gout, left knee, with tophus (tophi), Idiopathic chronic gout, right ankle and foot, without tophus (tophi), Idiopathic chronic gout, right ankle and foot, with tophus (tophi), Idiopathic chronic gout, left ankle and foot, without tophus (tophi), Idiopathic chronic gout, left ankle and foot, with tophus (tophi), Idiopathic chronic gout, vertebrae, without tophus (tophi), Idiopathic chronic gout, vertebrae, with tophus (tophi), Idiopathic chronic gout, multiple sites, without tophus (tophi), Idiopathic chronic gout, multiple sites, with tophus (tophi), Lead-induced chronic gout, right shoulder, without tophus (tophi), Lead-induced chronic gout, right shoulder, with tophus (tophi), Lead-induced chronic gout, left shoulder, without tophus (tophi), Lead-induced chronic gout, left shoulder, with tophus (tophi), Lead-induced chronic gout, right elbow, without tophus (tophi), Lead-induced chronic gout, right elbow, with tophus (tophi), Lead-induced chronic gout, left elbow, without tophus (tophi), Lead-induced chronic gout, left elbow, with tophus (tophi), Lead-induced chronic gout, right wrist, without tophus (tophi), Lead-induced chronic gout, right wrist, with tophus (tophi), Lead-induced chronic gout, left wrist, without tophus (tophi), Lead-induced chronic gout, left wrist, with tophus (tophi), Lead-induced chronic gout, right hand, without tophus (tophi), Lead-induced chronic gout, right hand, with tophus (tophi), Lead-induced chronic gout, left hand, without tophus (tophi), Lead-induced chronic gout, left hand, with tophus (tophi), Lead-induced chronic gout, right hip, without tophus (tophi), Lead-induced chronic gout, right hip, with tophus (tophi), Lead-induced chronic gout, left hip, without tophus (tophi), Lead-induced chronic gout, left hip, with tophus (tophi), Lead-induced chronic gout, right knee, without tophus (tophi), Lead-induced chronic gout, right knee, with tophus (tophi), Lead-induced chronic gout, left knee, without tophus (tophi), Lead-induced chronic gout, left knee, with tophus (tophi), Lead-induced chronic gout, right ankle and foot, without tophus (tophi), Lead-induced chronic gout, right ankle and foot, with tophus (tophi), Lead-induced chronic gout, left ankle and foot, without tophus (tophi), Lead-induced chronic gout, left ankle and foot, with tophus (tophi), Lead-induced chronic gout, vertebrae, without tophus (tophi), Lead-induced chronic gout, vertebrae, with tophus (tophi), Lead-induced chronic gout, multiple sites, without tophus (tophi), Lead-induced chronic gout, multiple sites, with tophus (tophi), Drug-induced chronic gout, right shoulder, without tophus (tophi), Drug-induced chronic gout, right shoulder, with tophus (tophi), Drug-induced chronic gout, left shoulder, without tophus (tophi), Drug-induced chronic gout, left shoulder, with tophus (tophi), Drug-induced chronic gout, right elbow, without tophus (tophi), Drug-induced chronic gout, right elbow, with tophus (tophi), Drug-induced chronic gout, left elbow, without tophus (tophi), Drug-induced chronic gout, left elbow, with tophus (tophi), Drug-induced chronic gout, right wrist, without tophus (tophi), Drug-induced chronic gout, right wrist, with tophus (tophi), Drug-induced chronic gout, left wrist, without tophus (tophi), Drug-induced chronic gout, left wrist, with tophus (tophi), Drug-induced chronic gout, right hand, without tophus (tophi), Drug-induced chronic gout, right hand, with tophus (tophi), Drug-induced chronic gout, left hand, without tophus (tophi), Drug-induced chronic gout, left hand, with tophus (tophi), Drug-induced chronic gout, right hip, without tophus (tophi), Drug-induced chronic gout, right hip, with tophus (tophi), Drug-induced chronic gout, left hip, without tophus (tophi), Drug-induced chronic gout, left hip, with tophus (tophi), Drug-induced chronic gout, right knee, without tophus (tophi), Drug-induced chronic gout, right knee, with tophus (tophi), Drug-induced chronic gout, left knee, without tophus (tophi), Drug-induced chronic gout, left knee, with tophus (tophi), Drug-induced chronic gout, right ankle and foot, without tophus (tophi), Drug-induced chronic gout, right ankle and foot, with tophus (tophi), Drug-induced chronic gout, left ankle and foot, without tophus (tophi), Drug-induced chronic gout, left ankle and foot, with tophus (tophi), Drug-induced chronic gout, vertebrae, without tophus (tophi), Drug-induced chronic gout, vertebrae, with tophus (tophi), Drug-induced chronic gout, multiple sites, without tophus (tophi), Drug-induced chronic gout, multiple sites, with tophus (tophi), Chronic gout due to renal impairment, right shoulder, without tophus (tophi), Chronic gout due to renal impairment, right shoulder, with tophus (tophi), Chronic gout due to renal impairment, left shoulder, without tophus (tophi), Chronic gout due to renal impairment, left shoulder, with tophus (tophi), Chronic gout due to renal impairment, right elbow, without tophus (tophi), Chronic gout due to renal impairment, right elbow, with tophus (tophi), Chronic gout due to renal impairment, left elbow, without tophus (tophi), Chronic gout due to renal impairment, left elbow, with tophus (tophi), Chronic gout due to renal impairment, right wrist, without tophus (tophi), Chronic gout due to renal impairment, right wrist, with tophus (tophi), Chronic gout due to renal impairment, left wrist, without tophus (tophi), Chronic gout due to renal impairment, left wrist, with tophus (tophi), Chronic gout due to renal impairment, right hand, without tophus (tophi), Chronic gout due to renal impairment, right hand, with tophus (tophi), Chronic gout due to renal impairment, left hand, without tophus (tophi), Chronic gout due to renal impairment, left hand, with tophus (tophi), Chronic gout due to renal impairment, right hip, without tophus (tophi), Chronic gout due to renal impairment, right hip, with tophus (tophi), Chronic gout due to renal impairment, left hip, without tophus (tophi), Chronic gout due to renal impairment, left hip, with tophus (tophi), Chronic gout due to renal impairment, right knee, without tophus (tophi), Chronic gout due to renal impairment, right knee, with tophus (tophi), Chronic gout due to renal impairment, left knee, without tophus (tophi), Chronic gout due to renal impairment, left knee, with tophus (tophi), Chronic gout due to renal impairment, right ankle and foot, without tophus (tophi), Chronic gout due to renal impairment, right ankle and foot, with tophus (tophi), Chronic gout due to renal impairment, left ankle and foot, without tophus (tophi), Chronic gout due to renal impairment, left ankle and foot, with tophus (tophi), Chronic gout due to renal impairment, vertebrae, without tophus (tophi), Chronic gout due to renal impairment, vertebrae, with tophus (tophi), Chronic gout due to renal impairment, multiple sites, without tophus (tophi), Chronic gout due to renal impairment, multiple sites, with tophus (tophi), Other secondary chronic gout, right shoulder, without tophus (tophi), Other secondary chronic gout, right shoulder, with tophus (tophi), Other secondary chronic gout, left shoulder, without tophus (tophi), Other secondary chronic gout, left shoulder, with tophus (tophi), Other secondary chronic gout, right elbow, without tophus (tophi), Other secondary chronic gout, right elbow, with tophus (tophi), Other secondary chronic gout, left elbow, without tophus (tophi), Other secondary chronic gout, left elbow, with tophus (tophi), Other secondary chronic gout, right wrist, without tophus (tophi), Other secondary chronic gout, right wrist, with tophus (tophi), Other secondary chronic gout, left wrist, without tophus (tophi), Other secondary chronic gout, left wrist, with tophus (tophi), Other secondary chronic gout, right hand, without tophus (tophi), Other secondary chronic gout, right hand, with tophus (tophi), Other secondary chronic gout, left hand, without tophus (tophi), Other secondary chronic gout, left hand, with tophus (tophi), Other secondary chronic gout, right hip, without tophus (tophi), Other secondary chronic gout, right hip, with tophus (tophi), Other secondary chronic gout, left hip, without tophus (tophi), Other secondary chronic gout, left hip, with tophus (tophi), Other secondary chronic gout, right knee, without tophus (tophi), Other secondary chronic gout, right knee, with tophus (tophi), Other secondary chronic gout, left knee, without tophus (tophi), Other secondary chronic gout, left knee, with tophus (tophi), Other secondary chronic gout, right ankle and foot, without tophus (tophi), Other secondary chronic gout, right ankle and foot, with tophus (tophi), Other secondary chronic gout, left ankle and foot, without tophus (tophi), Other secondary chronic gout, left ankle and foot, with tophus (tophi), Other secondary chronic gout, vertebrae, without tophus (tophi), Other secondary chronic gout, vertebrae, with tophus (tophi), Other secondary chronic gout, multiple sites, without tophus (tophi), Other secondary chronic gout, multiple sites, with tophus (tophi), Chronic viral hepatitis B with delta-agent, Chronic viral hepatitis B without delta-agent, Malignant melanoma of right upper eyelid, including canthus, Malignant melanoma of right lower eyelid, including canthus, Malignant melanoma of left upper eyelid, including canthus, Malignant melanoma of left lower eyelid, including canthus, Malignant melanoma of right ear and external auricular canal, Malignant melanoma of left ear and external auricular canal, Malignant melanoma of other parts of face, Malignant melanoma of other part of trunk, Malignant melanoma of right upper limb, including shoulder, Malignant melanoma of left upper limb, including shoulder, Malignant melanoma of right lower limb, including hip, Malignant melanoma of left lower limb, including hip, Malignant melanoma of overlapping sites of skin, Acute lymphoblastic leukemia not having achieved remission, Acute lymphoblastic leukemia, in remission, Acute myeloblastic leukemia, not having achieved remission, Acute myeloblastic leukemia, in remission, Other specified rheumatoid arthritis, multiple sites, Type 2 diabetes mellitus with unspecified complications, Type 2 diabetes mellitus without complications, Personal history of other endocrine, nutritional and metabolic disease, Human immunodeficiency virus [HIV] disease, Malignant neoplasm of connective and soft tissue, unspecified, Malignant neoplasm of nipple and areola, right female breast, Malignant neoplasm of nipple and areola, left female breast, Malignant neoplasm of nipple and areola, right male breast, Malignant neoplasm of nipple and areola, left male breast, Malignant neoplasm of central portion of right female breast, Malignant neoplasm of central portion of left female breast, Malignant neoplasm of central portion of right male breast, Malignant neoplasm of central portion of left male breast, Malignant neoplasm of upper-inner quadrant of right female breast, Malignant neoplasm of upper-inner quadrant of left female breast, Malignant neoplasm of upper-inner quadrant of right male breast, Malignant neoplasm of upper-inner quadrant of left male breast, Malignant neoplasm of lower-inner quadrant of right female breast, Malignant neoplasm of lower-inner quadrant of left female breast, Malignant neoplasm of lower-inner quadrant of right male breast, Malignant neoplasm of lower-inner quadrant of left male breast, Malignant neoplasm of upper-outer quadrant of right female breast, Malignant neoplasm of upper-outer quadrant of left female breast, Malignant neoplasm of upper-outer quadrant of right male breast, Malignant neoplasm of upper-outer quadrant of left male breast, Malignant neoplasm of lower-outer quadrant of right female breast, Malignant neoplasm of lower-outer quadrant of left female breast, Malignant neoplasm of lower-outer quadrant of right male breast, Malignant neoplasm of lower-outer quadrant of left male breast, Malignant neoplasm of axillary tail of right female breast, Malignant neoplasm of axillary tail of left female breast, Malignant neoplasm of axillary tail of right male breast, Malignant neoplasm of axillary tail of left male breast, Malignant neoplasm of overlapping sites of right female breast, Malignant neoplasm of overlapping sites of left female breast, Malignant neoplasm of overlapping sites of right male breast, Malignant neoplasm of overlapping sites of left male breast, Malignant neoplasm of unspecified kidney, except renal pelvis, Malignant neoplasm of bladder, unspecified, Peripheral T-cell lymphoma, not elsewhere classified, unspecified site, Peripheral T-cell lymphoma, not elsewhere classified, lymph nodes of multiple sites, Chronic myeloid leukemia, BCR/ABL-positive, not having achieved remission, Chronic myeloid leukemia, BCR/ABL-positive, in relapse, Encounter for follow-up examination after completed treatment for malignant neoplasm, Personal history of malignant carcinoid tumor of large intestine, Personal history of other malignant neoplasm of large intestine, Personal history of malignant carcinoid tumor of rectum, Other epilepsy, not intractable, with status epilepticus, Other epilepsy, not intractable, without status epilepticus, Other epilepsy, intractable, with status epilepticus, Other epilepsy, intractable, without status epilepticus, Idiopathic chronic gout, unspecified site, without tophus (tophi), Idiopathic chronic gout, unspecified site, with tophus (tophi), Other secondary chronic gout, unspecified site, without tophus (tophi), Other secondary chronic gout, unspecified site, with tophus (tophi), Chronic gout, unspecified, without tophus (tophi), Chronic gout, unspecified, with tophus (tophi), Personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissues, Personal history of malignant neoplasm, unspecified, Personal history of immunosuppression therapy, Adverse effect of aminoglycosides, initial encounter, Adverse effect of inhaled anesthetics, initial encounter, Adverse effect of inhaled anesthetics, subsequent encounter, Adverse effect of inhaled anesthetics, sequela, Underdosing of inhaled anesthetics, initial encounter, Underdosing of inhaled anesthetics, subsequent encounter, Underdosing of inhaled anesthetics, sequela, Adverse effect of intravenous anesthetics, initial encounter, Adverse effect of intravenous anesthetics, subsequent encounter, Adverse effect of intravenous anesthetics, sequela, Underdosing of intravenous anesthetics, initial encounter, Underdosing of intravenous anesthetics, subsequent encounter, Underdosing of intravenous anesthetics, sequela, Subsequent ST elevation (STEMI) myocardial infarction of unspecified site, Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction, Saddle embolus of pulmonary artery with acute cor pulmonale, Other pulmonary embolism with acute cor pulmonale, Saddle embolus of pulmonary artery without acute cor pulmonale, Single subsegmental pulmonary embolism without acute cor pulmonale, Multiple subsegmental pulmonary emboli without acute cor pulmonale, Other pulmonary embolism without acute cor pulmonale, Intracardiac thrombosis, not elsewhere classified, Acute embolism and thrombosis of other specified veins, Chronic embolism and thrombosis of other specified veins, Embolism due to cardiac prosthetic devices, implants and grafts, initial encounter, Embolism due to cardiac prosthetic devices, implants and grafts, subsequent encounter, Embolism due to cardiac prosthetic devices, implants and grafts, sequela, Embolism due to vascular prosthetic devices, implants and grafts, initial encounter, Embolism due to vascular prosthetic devices, implants and grafts, subsequent encounter, Embolism due to vascular prosthetic devices, implants and grafts, sequela, Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter, Thrombosis due to cardiac prosthetic devices, implants and grafts, subsequent encounter, Thrombosis due to cardiac prosthetic devices, implants and grafts, sequela, Thrombosis due to vascular prosthetic devices, implants and grafts, initial encounter, Thrombosis due to vascular prosthetic devices, implants and grafts, subsequent encounter, Thrombosis due to vascular prosthetic devices, implants and grafts, sequela, Long term (current) use of anticoagulants, Long term (current) use of antithrombotics/antiplatelets, Personal history of other venous thrombosis and embolism, Presence of other heart-valve replacement, Lambert-Eaton syndrome in disease classified elsewhere, Other intestinal Escherichia coli infections, Tuberculosis of nervous system, unspecified, Tuberculosis of genitourinary system, unspecified, Tuberculosis of other male genital organs, Tuberculous female pelvic inflammatory disease, Tuberculosis of other female genital organs, Tuberculosis of skin and subcutaneous tissue, Tuberculosis of digestive tract organs, not elsewhere classified, Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere, Otitis media, unspecified, unspecified ear, Pneumoconiosis due to other dust containing silica, Chronic or unspecified peptic ulcer, site unspecified, with hemorrhage, Chronic or unspecified peptic ulcer, site unspecified, with perforation, Chronic or unspecified peptic ulcer, site unspecified, with both hemorrhage and perforation, Chronic peptic ulcer, site unspecified, without hemorrhage or perforation, Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation, Ulcerative colitis, unspecified, without complications, Ulcerative colitis, unspecified with other complication, Ulcerative colitis, unspecified with unspecified complications, Urinary tract infection, site not specified, Contact with and (suspected) exposure to tuberculosis, Contact with and (suspected) exposure to human immunodeficiency virus [HIV], Asymptomatic human immunodeficiency virus [HIV] infection status, Personal history of malignant neoplasm of unspecified site of lip, oral cavity, and pharynx, Personal history of systemic steroid therapy, Some older versions have been archived.
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