0000
|
20
|
None Established (No Medical Evidence in File)
|
0110
|
03
|
Pulmonary Tuberculosis
|
0420
|
13
|
Cancer Treated by Bone Marrow or Stem Cell Transplantation
|
0430
|
14
|
Symptomatic Human Immunodeficiency Virus (HIV) Infection
|
0440
|
14
|
Asymptomatic Human Immunodeficiency Virus (HIV) Infection
|
0460
|
14
|
Progressive Multifocal Leukoencephalopathy
|
0930
|
04
|
Cardiovascular Syphilis
|
1170
|
08
|
Chronic Infections of the Skin or Mucous Membranes
|
1180
|
03
|
Mycotic (Fungal) Infections
|
1350
|
03
|
Sarcoidosis
|
1380
|
11
|
Post-polio Syndrome
|
1390
|
14
|
Opportunistic Infections Associated with HIV Infection
|
1410
|
13
|
Cancer of Tongue
|
1420
|
13
|
Cancer of Salivary Glands
|
1500
|
13
|
Cancer of Esophagus
|
1510
|
13
|
Cancer of Stomach
|
1520
|
13
|
Cancer of Small Intestine, Including Duodenum
|
1530
|
13
|
Cancer of Colon, Rectum or Anus
|
1550
|
13
|
Cancer of Liver and Intrahepatic Bile Ducts
|
1560
|
13
|
Cancer of Gallbladder and Extrahepatic Bile Ducts
|
1570
|
13
|
Cancer of Pancreas
|
1590
|
13
|
Cancer of Other and Ill-Defined Sites Within the Digestive Organs and Peritoneum (Abdomen)
|
1620
|
13
|
Cancer of Trachea, Bronchus, or Lung
|
1630
|
13
|
Cancer of Pleura
|
1640
|
13
|
Cancer of Mediastinum
|
1700
|
13
|
Cancer of Maxilla, Orbit, or Temporal Fossa
|
1710
|
13
|
Cancer of Connective and Other Soft Tissue
|
1720
|
13
|
Malignant Melanoma
|
1730
|
13
|
Cancer of Skin
|
1740
|
13
|
Cancer of Breast
|
1760
|
14
|
Pulmonary Kaposi Sarcoma
|
1780
|
13
|
Cancer of Skeletal System
|
1790
|
13
|
Cancer of Uterus
|
1800
|
13
|
Carcinoma of the Cervix
|
1830
|
13
|
Cancer of Ovary and Other Uterine Adnexa
|
1840
|
13
|
Cancer of Vulva or Vagina
|
1850
|
13
|
Cancer of Prostate
|
1860
|
13
|
Cancer of Testis
|
1870
|
13
|
Cancer of Penis
|
1880
|
13
|
Cancer of Bladder
|
1890
|
13
|
Cancer of Kidney, Adrenal Glands, or Ureters
|
1900
|
13
|
Cancer of Eye
|
1910
|
13
|
Cancer of Nervous System
|
1920
|
13
|
Neuroblastoma
|
1930
|
13
|
Cancer of Thyroid Gland
|
1940
|
13
|
Cancer of Other Endocrine Glands and Related Structures
|
1950
|
13
|
Soft Tissue Tumors of Head and Neck
|
1980
|
13
|
Metastatic Cancer from Unknown Primary Site
|
1990
|
13
|
Cancer of Unspecified Site
|
2000
|
14
|
Primary Effusion Lymphoma
|
2020
|
13
|
Lymphoma
|
2030
|
13
|
Multiple Myeloma
|
2070
|
13
|
Leukemia
|
2250
|
11
|
Benign Neoplasm of Brain and Other Parts of Nervous System
|
2380
|
14
|
Multicentric Castleman Disease
|
2390
|
13
|
Cancer of Unspecified or Unknown Nature
|
2460
|
09
|
All Disorders of Thyroid Gland (Except Cancer)
|
2480
|
20
|
Diagnosis Established – No Predetermined List Code of Medical Nature Applicable
|
2500
|
09
|
Diabetes Mellitus
|
2520
|
09
|
All Disorders of Parathyroid Gland (Except Cancer)
|
2530
|
09
|
All Disorders of Pituitary Gland (Except Cancer)
|
2550
|
09
|
All Disorders of Adrenal Glands (Except Cancer)
|
2630
|
05
|
Growth Failure Due to Any Digestive Disorder
|
2630
|
14
|
HIV Wasting Syndrome (Secondary Diagnosis for HIV-0430)
|
2720
|
04
|
Hyperlipidemia
|
2730
|
13
|
Macroglobulinemia or Heavy Chain Disease
|
2740
|
14
|
Gout
|
2770
|
03
|
Cystic Fibrosis
|
2780
|
20
|
Obesity
|
2820
|
07
|
Hemolytic Anemias (Including Sickle Cell Thalassemia, and Variants)
|
2840
|
07
|
Hematological Disorders with Bone Marrow/Stem Cell Transplantation
|
2850
|
14
|
Pulmonary Lymphoid Hyperplasia (PLH)
|
2860
|
07
|
Thrombosis and Hemostasis Disorder (Including Hemophilia)
|
2890
|
07
|
Bone Marrow Failure (Including Myelofibrosis and Granulocytopenia)
|
2940
|
12
|
Neurocognitive Disorders
|
2950
|
12
|
Schizophrenic, Paranoid and Other Psychotic Disorders
|
2960
|
12
|
Depressive, Bipolar and Related Disorders
|
2990
|
12
|
Autism Spectrum Disorders
|
3000
|
12
|
Anxiety and Obsessive-Compulsive Disorders
|
3010
|
12
|
Personality Disorders
|
3030
|
12
|
Substance Addiction Disorders (Alcohol)
|
3040
|
12
|
Substance Addiction Disorders (Drugs)
|
3060
|
12
|
Somatic Symptom Disorders
|
3070
|
12
|
Eating Disorders
|
3090
|
12
|
Trauma- and Stress-Related Disorders
|
3120
|
12
|
Impulse Control Disorders
|
3138
|
12
|
Oppositional Defiant Disorder
|
3140
|
12
|
Attention Deficit/Hyperactivity Disorder
|
3150
|
12
|
Development and Emotional Disorders of Infants and Toddlers
|
3152
|
12
|
Learning Disorder
|
3153
|
12
|
Speech and Language Impairment
|
3180
|
12
|
Intellectual Disorder
|
3195
|
12
|
Borderline Intellectual Functioning
|
3210
|
01
|
Arachnoiditis
|
3220
|
14
|
Meningitis
|
3250
|
03
|
Lung Transplant
|
3300
|
10
|
Cerebral Degenerations Usually Manifest in Childhood
|
3300
|
11
|
Cerebral Degenerations Usually Manifest in Childhood
|
3310
|
11
|
Cerebral Degenerations
|
3320
|
11
|
Parkinson's Disease
|
3330
|
11
|
Huntington Disease
|
3350
|
11
|
Amyotrophic Lateral Sclerosis
|
3358
|
11
|
Motor Neuron Disorders Other than ALS
|
3360
|
11
|
Spinal Cord Disorders
|
3370
|
11
|
Disorders of Autonomic Nervous System
|
3400
|
11
|
Multiple Sclerosis
|
3430
|
11
|
Cerebral Palsy
|
3450
|
11
|
Epilepsy
|
3460
|
11
|
Primary Headache Disorder (Including Migraine)
|
3480
|
11
|
Coma or Persistent Vegetative State
|
3490
|
11
|
Other Disorders of the Nervous System
|
3540
|
11
|
Carpal Tunnel Syndrome
|
3570
|
11
|
Peripheral Neuropathy
|
3580
|
11
|
Myoneural Disorders
|
3590
|
11
|
Muscular Dystrophies and Other Myopathies
|
3610
|
02
|
Retinal Detachments and Defects
|
3620
|
02
|
Other Retinal Disorders (Including Diabetic Retinopathy)
|
3650
|
02
|
Glaucoma
|
3660
|
02
|
Cataract
|
3680
|
02
|
Visual Disturbances
|
3690
|
02
|
Low Vision
|
3694
|
02
|
Statutory Blindness
|
3750
|
04
|
Heart Transplant
|
3780
|
02
|
Strabismus and Other Disorders of Eye Movements
|
3860
|
02
|
Disorders of Vestibular System
|
3880
|
02
|
Other Disorders of Ear
|
3890
|
02
|
Hearing Loss Not Treated with Cochlear Implantation
|
3910
|
04
|
Acute Rheumatic Heart Disease
|
3950
|
04
|
Diseases of Aortic Valve
|
3980
|
04
|
Chronic Rheumatic Heart Disease
|
4010
|
04
|
Essential Hypertension
|
4020
|
04
|
Hypertensive Cardiovascular Disease
|
4030
|
04
|
Hypertensive Vascular and Renal Disease
|
4100
|
04
|
Acute Myocardial Infarction
|
4130
|
04
|
Angina Pectoris Without Ischemic Heart Disease
|
4140
|
04
|
Chronic Ischemic Heart Disease With or Without Angina
|
4160
|
03
|
Chronic Pulmonary Hypertension
|
4160
|
04
|
Chronic Pulmonary Hypertension
|
4240
|
04
|
Valvular Heart Disease or Other Stenotic Defects or Valvular Regurgitation
|
4240
|
14
|
Valvular Heart Disease or Other Stenotic Defects or Valvular Regurgitation
|
4250
|
04
|
Cardiomyopathy
|
4270
|
04
|
Cardiac Dysrhythmias (Arrhythmias)
|
4280
|
04
|
Heart Failure
|
4380
|
11
|
Vascular Insult to the Brain
|
4410
|
04
|
Aneurysm of Aorta or Major Branches
|
4430
|
04
|
Peripheral Vascular (Arterial) Disease
|
4460
|
14
|
Systemic Vasculitis (Periarteritis Nodosa and Allied Conditions)
|
4510
|
04
|
Phlebitis and Thrombophlebitis
|
4540
|
04
|
Varicose Veins of Lower Extremities
|
4590
|
04
|
Other Diseases of Circulatory System (Venous Insufficiency)
|
4690
|
05
|
Small Intestine Transplantation
|
4750
|
05
|
Liver Transplantation
|
4860
|
14
|
Pneumonia
|
4910
|
03
|
Chronic Bronchitis
|
4920
|
03
|
Emphysema
|
4930
|
03
|
Asthma
|
4940
|
03
|
Bronchiectasis
|
4960
|
03
|
Chronic Respiratory Disorders
|
5010
|
03
|
Asbestosis
|
5050
|
03
|
Pneumoconiosis
|
5160
|
14
|
Lymphoid Interstitial Pneumonia (LIP)
|
5180
|
03
|
Respiratory Failure
|
5190
|
03
|
Other Disorders of the Respiratory System
|
5280
|
05
|
Pancreas Transplantation
|
5300
|
05
|
Diseases of Esophagus
|
5330
|
05
|
Peptic Ulcer (Gastric or Duodenal)
|
5350
|
05
|
Gastritis and Duodenitis
|
5530
|
05
|
Hernias
|
5550
|
05
|
Inflammatory Bowel Disease (IBD)
|
5690
|
05
|
Other Disorders of Gastrointestinal System
|
5710
|
05
|
Chronic Liver Disease
|
5780
|
05
|
Gastrointestinal Hemorrhage
|
5793
|
05
|
Intestinal Failure
|
5799
|
05
|
Need for Supplemental Daily Enteral Feeding via Gastrostomy, Duodenostomy, or Jejunostomy
(Under Age 3)
|
5810
|
06
|
Nephrotic Syndrome
|
5830
|
06
|
Complications of Chronic Kidney Disease
|
5850
|
06
|
Chronic Kidney Disease with Dialysis
|
5880
|
06
|
Chronic Kidney Disease
|
5950
|
06
|
Interstitial Cystitis
|
5990
|
06
|
Other Disorders of the Urinary Tract
|
6080
|
06
|
Disorders of the Male Genital Organs
|
6290
|
06
|
Disorders of the Female Genital Organs
|
6490
|
20
|
None Established (Medical Evidence in File But Insufficient to Establish Diagnosis)
|
6940
|
08
|
Bullous Disease
|
6950
|
08
|
Ichthyosis
|
6960
|
08
|
Dermatitis
|
7050
|
08
|
Hidradenitis Suppurativa
|
7090
|
08
|
Other Disorders of the Skin and Subcutaneous Tissues
|
7100
|
14
|
Diffuse Diseases of Connective Tissue (Including Systemic Lupus Erythematosus, Systemic
Sclerosis (Scleroderma), Polymyositis and Dermatomyositis, Undifferentiated and Mixed
Connective Tissue Disease, Sjögren’s Syndrome)
|
7140
|
14
|
Inflammatory Arthritis
|
7150
|
01
|
Osteoarthrosis and Allied Disorders
|
7160
|
01
|
Other and Unspecified Arthropathies
|
7200
|
14
|
Ankylosing Spondylitis or Other Spondyloarthropathies
|
7240
|
01
|
Disorders of the Skeletal Spine
|
7280
|
01
|
Disorders of Muscle, Ligament and Fascia
|
7300
|
01
|
Osteomyelitis, Periostitis and Other Infections Involving Bone
|
7330
|
01
|
Other Disorders of Bone and Cartilage (Osteoporosis)
|
7370
|
01
|
Curvature of Spine
|
7400
|
10
|
Anencephalus and Catastrophic Congenital Abnormality or Disease
|
7410
|
11
|
Spina Bifida (Meningomyelocele)
|
7420
|
14
|
Microcephaly
|
7460
|
04
|
Symptomatic Congenital Heart Disease
|
7500
|
05
|
Congenital Anomalies of Upper Alimentary Tract
|
7530
|
06
|
Congenital Anomalies of Urinary System
|
7590
|
08
|
Genetic Photosensitivity Disorders
|
7580
|
10
|
Down Syndrome
|
7590
|
20
|
Other Congenital Anomalies
|
7649
|
19
|
Low Birth Weight – Weight 1200 - 2000 grams
|
7650
|
19
|
Low Birth Weight – Weight under 1200 grams
|
7800
|
03
|
Sleep-Related Breathing Disorders
|
7810
|
12
|
Tic Disorders
|
7830
|
19
|
Failure to Thrive (Growth Disorder)
|
7840
|
02
|
Speech Disorder
|
7840
|
11
|
Speech Disorder
|
7850
|
04
|
Growth Failure Due to Any Chronic Cardiovascular Disorder
|
7860
|
03
|
Growth Failure Due to Any Chronic Respiratory Disorder
|
7870
|
05
|
Growth Failure Due to Any Digestive Disorder
|
7880
|
06
|
Growth Failure Due to Any Chronic Renal Disease
|
7950
|
14
|
Absolute CD4 Count 50 or Less
|
7960
|
20
|
Disabling Impairment Previously Established – Current Evidence Insufficient to Establish
Impairment
|
8030
|
01
|
Fracture of Skull Without Intracranial Injury
|
8060
|
11
|
Fracture of Vertebral Column with Spinal Cord Lesion
|
8180
|
01
|
Fractures of Upper Limb
|
8270
|
01
|
Fractures of Lower Limb
|
8290
|
01
|
Other Fractures of Bones
|
8390
|
01
|
Dislocations – All Types
|
8480
|
01
|
Sprains and Strains – All Types
|
8540
|
11
|
Traumatic Brain Injury
|
8690
|
20
|
Internal Injury
|
8790
|
20
|
Other Open Wounds, Except Limbs
|
8840
|
01
|
Open Wound of Upper Limb (Soft Tissue Injury)
|
8940
|
01
|
Open Wound of Lower Limb (Soft Tissue Injury)
|
9050
|
01
|
Amputation Due to Any Cause
|
9070
|
11
|
Late Effects of Injuries to the Nervous System
|
9330
|
20
|
Chronic Fatigue Syndrome
|
9480
|
08
|
Burns
|
9490
|
01
|
Burns (NOS)
|
9620
|
02
|
Hearing Loss Treated with Cochlear Implantation
|
9960
|
06
|
Kidney Transplant
|