To read the full article, sign in and subscribe to the AHA Coding Clinic for HCPCS. What is the difference between excision of subcutaneous/subfascial tumors and radical resection of soft connective tissue tumors? Drmikethecoder special: Have 5 dates of service audited for $250 (new clients only). If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. For a better experience, please enable JavaScript in your browser before proceeding. The 2023 edition of ICD-10-CM M1A.0221 became effective on October 1, 2022. To of every MCD page. Our coders were instructed to code this procedure to an excision of tumor. Extensive undermining or other techniques to close a defect created by skin excision may require a complex repair, which may be reported separately if all the requirements for reporting complex repair are performed. DISTINCT PROCEDURAL SERVICE: UNDER CERTAIN CIRCUMSTANCES, THE PHYSICIAN MAY NEED TO INDICATE THAT A PROCEDURE OR SERVICE WAS DISTINCT OR INDEPENDENT FROM OTHER SERVICES PERFORMED ON THE SAME DAY. 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. recipient email address(es) you enter. WebCpt Code Excision Gouty Tophi Hand. Deep Soft Tissue Tumor excision CPT Codes - eatonhand.com CPT 28041 Excision, tumor, soft tissue of foot or toe, subfascial (eg. The following ICD-10-CM codes support medical necessity and provide coverage for CPT code: 81227. Article revised and published on 12/09/2021 effective for dates of service on and after 12/12/2021. WebWe would like to show you a description here but the site wont allow us. 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). apply equally to all claims. To read the full article, sign in and subscribe to the AHA Coding Clinic for HCPCS. Tagged as: CPT codes, soft tissue tumor codes, surgical care coding, Bulletin of the American College of Surgeons These tumors are usually benign and are resected without removing a significant amount of surrounding normal tissue. Gout attacks can last for numerous days and also also months. All those not listed under the ICD-10-CM Codes that Support Medical Necessity section of this article. Superficial Skin Lesion; Skin Lesion - Benign; Skin Lesion - Malignant; Bursa / Ganglion/Synov; Deep Soft Tissue Tumor; Deep Skeletal Tumor; In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. In most instances Revenue Codes are purely advisory. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not Excisional debridement of gouty tophi - AHA Coding The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. If you dont find the Article you are looking for, contact your MAC. Table 1 is from CPIC and Table 2 is from FDA sources.Table 1. The following CPT code has been added to the Article: 81418 in Code Groups 2, 3, and 4. not endorsed by the AHA or any of its affiliates. 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. In order for CMS to change billing and claims processing systems to accommodate the coverage conditions within the NCD, we instruct contractors and system maintainers to modify the claims processing systems at the national or local level through CR Transmittals. The AMA is a third party beneficiary to this Agreement. For purpose of this exclusion, "the term 'usually' means more than 50 percent of the time for all Medicare beneficiaries who use the drug. CPT 28039 Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available. MACs are Medicare contractors that develop LCDs and Articles along with processing of Medicare claims. If your session expires, you will lose all items in your basket and any active searches. CRs are not policy, rather CRs are used to relay instructions regarding the edits of the various claims processing systems in very descriptive, technical language usually employing the codes or code combinations likely to be encountered with claims subject to the policy in question. intramuscular); less than 5 cm, Webinar : Understanding the 8 Exceptions to the 21st Century Cures Act, TLD Systems Cybersecurity Series : Dec 14 Your Web Site and Cybersecurity. WebExcision of gouty tophi - numerous sites over two separate episodes of care (February and May 2004). Contractors may specify Bill Types to help providers identify those Bill Types typically Digital (for example, fingers and toes) subfascial tumors are defined as those tumors involving the tendons, tendon sheaths, or joints of the digit. Medicaid and the State Children's Health Insurance Programs, contracts with certain organizations to assist in the administration Radical resection of soft tissue tumors is most commonly used for malignant connective tissue tumors or very aggressive benign connective tissue tumors. For the following ICD-10-CM codes the code description has changed: C84.40 and C84.48 in Group 12. *This response is based on the best information available as of 12/16/21. an effective method to share Articles that Medicare contractors develop. Every page of the record must be legible and include appropriate patient identification information (e.g., complete name, dates of service[s]). Please enable "JavaScript" and revisit this page or proceed with browsing CMS.gov with Tophi removal involves the removal of the painful, infected, or swollen growths. A paragraph was added to the Coding Guidance section to address CPT codes 81355 (VKORC1) and 81227 (CYP2C9) not considered medically reasonable and necessary for warfarin testing with reference to NCD 90.1. AHA copyrighted materials including the UB‐04 codes and Local Coverage Articles are a type of educational document published by the Medicare Administrative Contractors (MACs). The only other alternatives seem to be 26115, 26210 or debridement. You will find them in the Billing & Coding Articles. intramuscular); less than 5 cm. The following ICD-10-CM codes support medical necessity and provide coverage for CPT code: Group 7 Medical Necessity ICD-10-CM Codes Asterisk Explanation. List the names of the specific genes that are tested in addition to genes CYP2C19 and CYP2D6 in the comment/narrative field for the following claim field/types: Loop SV202-7 for the 837I electronic claim. Discover how to save hours each week. presented in the material do not necessarily represent the views of the AHA. *Report ICD-10 code C49.9 with ICD-10 code Z92.21 to indicate prior chemotherapy. Cpt If you are looking for a specific code, use your browser's Find function (Ctrl-F) to quickly locate the code in the article. However, some of the coders feel this procedure should be coded to an excision of lesion. Consistent with the LCD, the following CPT codes are Non-Covered for pharmacogenomic testing: 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.The following ICD-10-CM code supports medical necessity and provides coverage for CPT code: 81220. Is it appropriate to report the excision of soft tissue codes in the musculoskeletal system subsection for lesions or tumors that are cutaneous in origin? The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. 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. damages arising out of the use of such information, product, or process. *Report ICD-10 code E79.9 with ICD-10 code to identify leukemia, lymphoma, or solid tumor malignancy (C80.1, C95.90, C95.91, C95.92, C96.Z, C96.9, Z85.6, Z85.79, or Z85.9, as applicable) AND an ICD-10 code to identify anti-cancer therapy used (Z92.21, Z92.25, Z92.29, or Z92.3, as applicable). CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. If the soft tissue mass that appeared to be a gouty tophus was located in the ankle on the lateral aspect, clearly it would be affecting the joint. MODIFIER -59 IS USED TO IDENTIFY PROCEDURES/SERVICES THAT ARE NOT NORMALLY REPORTED TOGETHER, BUT ARE APPROPRIATE UNDER THE CIRCUMSTANCES. Our coders were instructed to code this procedure to an excision of tumor. The submitted medical record must support the use of the selected ICD-10-CM code(s). Excision subcutaneous soft tissue tumor; upper arm or elbow (24075) Excision, tumor, upper arm or elbow area; deep, subfascial 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. The patient is a 47 year old with a soft tissue mass over the distal fibula. Back to Local Coverage What's New Report Results, ICD-10-CM Codes that Support Medical Necessity, ICD-10-CM Codes that DO NOT Support Medical Necessity, A52986 - Billing and Coding: Biomarkers for Oncology, A56541 - Billing and Coding: Biomarkers Overview, A58929 - Response to Comments: Pharmacogenomics Testing. Article revised and published on 01/26/2023 effective for dates of service on and after 01/01/2023 to reflect the Annual HCPCS/CPT Code Updates. and/or making any commercial use of UB‐04 Manual or any portion thereof, including the codes and/or descriptions, is only Learn how to get the most out of your subscription. www2-stage.aapc.com 26080 would be the appropriate code if you can get that clarified. Instructions for enabling "JavaScript" can be found here. These courses are an opportunity to sharpen your coding skills. This page displays your requested Article. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. 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. I am going to query and if he DID remove bone with this my bigger question is, would 26262 be more appropriate than 26236 (CPT Lay describes 26262 "The bone and surrounding tissues are resected."). that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes. The following ICD-10-CM codes support medical necessity and provide coverage for CPT codes: 81225 and 81418. argh! GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION, PRODUCT, OR PROCESSES The tophi are resulting in joint deformities that interfere with the This is the American ICD-10-CM version of M10.041 - other international versions of ICD-10 M10.041 may differ. I had "toe" in my head! *Report ICD-10 code C50.011, C50.012, C50.021, C50.022, C50.111, C50.112, C50.121, C50.122, C50.211, C50.212, C50.221, C50.222, C50.311, C50.312, C50.321, C50.322, C50.411, C50.412, C50.421, C50.422, C50.511, C50.512, C50.521, C50.522, C50.611, C50.612, C50.621, C50.622, C50.811, C50.812, C50.821, or C50.822 with an ICD-10 code to identify anti-cancer therapy used (Z92.21, Z92.25, Z92.29, or Z92.3, as applicable). A CPT/HCPCS Modifier Table was added to include modifier 59. Revenue Codes are equally subject to this coverage determination. It may not display this or other websites correctly. Lesions, and Masses, andTd Tumors Oh M !!Oh My!! - AAPC Report code 81479 and gene test IFNL4 in the claim narrative/remarks. Radical resection of soft connective tissue tumors involves the resection of the tumor with wide margins of normal tissue. Current CPIC guidelines as of October 26, 2022: PPIs (class): omeprazole, lansoprazole, pantoprazole, dexlansoprazole, SSRIs (class): citalopram, escitalopram, fluvoxamine, paroxetine, sertraline, Tricyclic antidepressants (class): amitriptyline, clomipramine, desipramine, doxepin, imipramine, nortriptyline, trimipramine, Anafranil, Norpramin, Silenor,Pamelor, Surmontil, NSAIDs (class): celecoxib, flurbiprofen, ibuprofen, lornoxicam, meloxicam, piroxicam, tenoxicam, Celebrex, Ocufen, Chlortenoxicam, Mobic, Feldene, Mobiflex, abacavir, allopurinol, oxcarbazepine, phenytoin, carbamazepine, fosphenytoin, Ziagen, Zyloprim, Aloprim, Trileptal, Oxtellar, Dilantin, Tegretol, Cerebyx, 81226, 81418, 0070U, 0071U, 0072U, 0073U, 0074U, 0075U, 0076U, atomoxetine, codeine, ondansetron, tropisetron, tamoxifen, tramadol, hydrocodone, Fluoropyrimidines (class): fluorouracil, capecitabine, dapsone, methylene blue, nitrofurantoin, pegloticase, primaquine, tafenoquine, Aczone, Provayblue, Furadantin, Macrobid, Macrodantin, Krystexxa, Primaquine, Arakoda, Krintafel, peginterferon alfa-2a, peginterferon alfa-2b, Volatile anesthetics (class): desflurane, enflurane, halothane, isoflurane, methoxyflurane, sevoflurane, succinylcholine, Suprane, Ethrane, Fluothane, Forane, Penthrox, Ultane, Anectine, Quelicin, Statins (class): simvastatin, pravastatin, atorvastatin, lovastatin, rosuvastatin, fluvastatin, pitavastatin, Zocor, FloLipid, Pravachol, Lipitor, Altoprev, Crestor, Lescol, Livalo, Thiopurines (class): mercaptopurine, azathioprine, thioguanine, Aminoglycosides (class): gentamicin, amikacin, paromomycin, streptomycin, plazomicin, tobramycin. *Dual diagnosis requirement: ICD-10 code F52.0 must be reported with ICD-10 code N95.8. Report code 81479 and gene test NAT2 in the claim narrative/remarks. The measurement of the tumor plus margin is made at the time of the excision. The American Hospital Association ("the AHA") has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. Table of PHARMACOGENOMIC associations from the FDA for which the data support therapeutic recommendations or a potential impact on safety or response (last updated October 26, 2022): ultrarapid metabolizers, poor metabolizers, ultrarapid, normal, intermediate, or poor metabolizers, ultrarapid, intermediate, or poor metabolizers, ultrarapid metabolizers, or poor metabolizers, 521 TC or 521 CC (intermediate or poor function transporters), *1/*6, *1/*28 (intermediate metabolizers) or *6/*6, *6/*28, *28/*28 (poor metabolizers), The CPT codes relevant to the related LCD are listed in the coding section below. 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. The clinical record must clearly show the use of or intent to prescribe a drug that has known drug-gene interactions that require a PGx test to be ordered to define the safe use of that drug in that patient. Article revised and published on 03/09/2023 effective for dates of service on and after 10/26/2022 to update the article from CPIC and FDA sources. This Agreement will terminate upon notice if you violate its terms. To purchase, access the websitedrmikethecoder.com. DISCLOSED HEREIN. The ICD-10-CM Codes that Support Medical Necessity section has been revised to add ICD-10 codes as follows effective for dates of service on and after 12/12/2021: Group 2 for 81225 (B48.8* with an associated asterisk note), Group 3 for 81226, 0070U, 0071U, 0072U, 0073U, 0074U, 0075U, and 0076U (G47.411 and G47.419), Group 5 for 81227 (E78.00, E78.01, E78.1, E78.2, I25.10, M06.8A, M19.09, M19.29, Z86.73, and Z86.79, Group 9 for 81283 (B18.0*, B18.1*, B18.2*, C43.0*, C43.111*, C43.112*, C43.121*, C43.122*, C43.21*, C43.22*, C43.31*, C43.39*, C43.4*, C43.51*, C43.52*, C43.59*, C43.61*, C43.62*, C43.71*, C43.72*, C43.8*, and C43.9* with associated asterisk notes), Group 11 for 81328 (E11.8*, E11.9*, I25.10, and associated asterisk note), and Group 12 for 81350 (C50.011*, C50.012*, C50.021*, C50.022*, C50.111*, C50.112*, C50.121*, C50.122*, C50.211*, C50.212*, C50.221*, C50.222*, C50.311*, C50.312*, C50.321*, C50.322*, C50.411*, C50.412*, C50.421*, C50.422*, C50.511*, C50.512*, C50.521*, C50.522*, C50.611*, C50.612*, C50.621*, C50.622*, C50.811*, C50.812*, C50.821*, C50.822*, 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*, C67.9*, C68.0*, and C68.8* with associated asterisk notes). No. 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. 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. All rights reserved. M10.041 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Unless specified in the article, services reported under other 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. Clinicians who order germline testing may wish to be aware of whether the test that they are ordering is covered under Medicare and may wish to verify that they are not ordering repeat germline testing. The page could not be loaded. Get timely coding industry updates, webinar notices, product discounts and special offers. The following drugs and associated genes and CPT codes were added to Table 2 (FDA): voriconazole (CYP2C19/81225), fosphenytoin, meloxicam, phenytoin (CYP2C9/81227), oliceridine, pitolisant (CYP2D6/81226, 0070U, 0071U, 0072U, 0073U, 0074U, 0075U, 0076U), fosphenytoin, phenytoin (HLA-B/81381, 81374), and sacituzumab govitecan-hziy (UGT1A1/81350). Enjoy a guided tour of FindACode's many features and tools. Also, you can decide how often you want to get updates. You also will be provided online access to the KZA alumni site, where you will find additional resources and frequently asked questions about correct coding. Applicable FARS\DFARS Restrictions Apply to Government Use. Your information could include a keyword or topic you're interested in; a Local Coverage Determination (LCD) policy or Article ID; or a CPT/HCPCS procedure/billing code or an ICD-10-CM diagnosis code. Appreciable vessel exploration and/or neuroplasty may also be reported separately when performed. The Medicare program provides limited benefits for outpatient prescription drugs. This group was also revised to add ICD-10 codes in relation to Gene/Test CYP2C9 for phenytoin. 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; The following ICD-10-CM codes support medical necessity and provide coverage for CPT code: 81479 and Gene Test NAT2. Please review and accept the agreements in order to view Medicare Coverage documents, which may include licensed information and codes. *Report ICD-10 code 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, C67.9, C68.0, or C68.8 with an ICD-10 code to identify anti-cancer therapy used (Z92.21, Z92.25 and/or Z92.29, as applicable). An asterisk note has also been added to ICD-10-CM Code Group 4 for ICD-10 code R11.2*. 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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