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AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics PROCEDURES TRACKED THROUGHOUT TRAINING ENDOTRACHEAL INTUBATION CPT Code Description 31500 Intubation, endotracheal, emergency procedure UMBILICAL ARTERY CATHETER PLACEMENT CPT Code Description 36660 Catheterization, umbilical artery, newborn, for diagnosis or therapy UMBILICAL VEIN CATHETER PLACEMENT CPT Code Description 36510 Catheterization of umbilical vein for diagnosis or therapy, newborn LUMBAR PUNCTURE CPT Code Description 62270 Spinal puncture, lumbar, diagnostic 62272 Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter) PROCEDURES TRACKED UNTIL COMPETENT ARTERIAL PUNCTURE CPT Code Description 36600 Arterial puncture, withdrawal of blood for diagnosis PLACEMENT OF INTRAVENOUS LINE CPT Code Description 36000 Introduction of needle or intracatheter, vein 36400 Venipuncture, younger than age 3 years, necessitating physician's skill, not to be used for routine venipuncture; femoral or jugular vein 36405 Venipuncture, younger than age 3 years, necessitating physician's skill, not to be used for routine venipuncture; scalp vein 36406 Venipuncture, younger than age 3 years, necessitating physician's skill, not to be used for routine venipuncture; other vein 36415 Collection of venous blood by venipuncture VENIPUNCTURE CPT Code Description 36400 Venipuncture, younger than age 3 years, necessitating physician's skill, not to be used for routine venipuncture; femoral or jugular vein 6/8/201011:02:34AM 1 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics PROCEDURES TRACKED UNTIL COMPETENT VENIPUNCTURE CPT Code Description 36405 Venipuncture, younger than age 3 years, necessitating physician's skill, not to be used for routine venipuncture; scalp vein 36406 Venipuncture, younger than age 3 years, necessitating physician's skill, not to be used for routine venipuncture; other vein 36410 Venipuncture, age 3 years or older, necessitating physician's skill (separate procedure), for diagnostic or therapeutic purposes (not to be used for routine venipuncture) 36415 Collection of venous blood by venipuncture SUTURING OF LACERATION CPT Code Description 12001 Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less 12002 Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm 12011 Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less 12013 Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm 12031 Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less 12032 Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm 12041 Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less 12042 Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm REDUCTION AND SPLINTING OF SIMPLE DISLOCATION CPT Code Description 29105 Application of long arm splint (shoulder to hand) 29125 Application of short arm splint (forearm to hand); static 29130 Application of finger splint; static 29505 Application of long leg splint (thigh to ankle or toes) 29515 Application of short leg splint (calf to foot) BLADDER CATHETERIZATION CPT Code Description 51701 Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ADDITIONAL PROCEDURES 6/8/201011:02:34AM 2 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics ADDITIONAL PROCEDURES GYNECOLOGIC EVALUATION ICD9 Code Description V72.3 Gynecological examination SUBCUTANEOUS INJECTION CPT Code Description 96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular INTRADERMAL INJECTION CPT Code Description 90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); one vaccine (single or combination vaccine/toxoid) INTRAMUSCULAR INJECTION CPT Code Description 90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); one vaccine (single or combination vaccine/toxoid) DEVELOPMENTAL SCREENING TEST CPT Code Description 96110 Developmental testing; limited (eg, Developmental Screening Test II, Early Language Milestone Screen), with interpretation and report TYMPANOMETRY INTERPRETATION CPT Code Description 92567 Tympanometry (impedance testing) VISION SCREENING CPT Code Description 99173 Screening test of visual acuity, quantitative, bilateral HEARING SCREENING/EVALUATION CPT Code Description 92551 Screening test, pure tone, air only 92552 Pure tone audiometry (threshold); air only 92553 Pure tone audiometry (threshold); air and bone 6/8/201011:02:34AM 3 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics ADDITIONAL PROCEDURES SIMPLE REMOVAL OF FOREIGN BODY CPT Code Description 10120 Incision and removal of foreign body, subcutaneous tissues; simple 30300 Removal foreign body, intranasal; office type procedure 65205 Removal of foreign body, external eye; conjunctival superficial 69200 Removal foreign body from external auditory canal; without general anesthesia INCISION AND DRAINAGE OF SUPERFICIAL ABSCESS CPT Code Description 10060 Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single PAIN MANAGEMENT CPT Code Description 96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour 96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) 96367 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion, up to 1 hour (List separately in addition to code for primary procedure) 96368 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure) CIRCUMCISION CPT Code Description 54150 Circumcision, using clamp or other device with regional dorsal penile or ring block OTHER (PROCEDURES) CPT Code Description 10040 Acne surgery (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules) 10140 Incision and drainage of hematoma, seroma or fluid collection 10160 Puncture aspiration of abscess, hematoma, bulla, or cyst 11100 Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; single lesion 11200 Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions 11300 Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less 11301 Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm 6/8/201011:02:34AM 4 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics ADDITIONAL PROCEDURES OTHER (PROCEDURES) CPT Code Description 11305 Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less 11310 Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less 11720 Debridement of nail(s) by any method(s); 1 to 5 11730 Avulsion of nail plate, partial or complete, simple; single 11740 Evacuation of subungual hematoma 12001 Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less 12011 Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less 17000 Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion 17110 Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions 30901 Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method 31622 Bronchoscopy, rigid or flexible, with or without fluoroscopic guidance; diagnostic, with or without cell washing (separate procedure) 31623 Bronchoscopy, rigid or flexible, with or without fluoroscopic guidance; with brushing or protected brushings 31624 Bronchoscopy, rigid or flexible, with or without fluoroscopic guidance; with bronchial alveolar lavage 32421 Thoracentesis, puncture of pleural cavity for aspiration, initial or subsequent 32422 Thoracentesis with insertion of tube, includes water seal (eg, for pneumothorax), when performed (separate procedure) 32551 Tube thoracostomy, includes water seal (eg, for abscess, hemothorax, empyema), when performed (separate procedure) 36430 Transfusion, blood or blood components 36440 Push transfusion, blood, 2 years or younger 36620 Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous 38220 Bone marrow; aspiration only 38221 Bone marrow; biopsy, needle or trocar 43246 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with directed placement of percutaneous gastrostomy tube 43752 Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) 47700 Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography 49420 Insertion of intraperitoneal cannula or catheter for drainage or dialysis; temporary 50200 Renal biopsy; percutaneous, by trocar or needle 51100 Aspiration of bladder; by needle 51102 Aspiration of bladder; with insertion of suprapubic catheter 61000 Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial 61001 Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps 6/8/201011:02:34AM 5 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics ADDITIONAL PROCEDURES OTHER (PROCEDURES) CPT Code Description 61070 Puncture of shunt tubing or reservoir for aspiration or injection procedure 69090 Ear piercing 69210 Removal impacted cerumen (separate procedure), 1 or both ears 86580 Skin test; tuberculosis, intradermal 94200 Maximum breathing capacity, maximal voluntary ventilation 94642 Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis 94664 Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device 94760 Noninvasive ear or pulse oximetry for oxygen saturation; single determination 99211 Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services. 99212 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 10 minutes face-to-face with the patient and/or family. 99213 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 15 minutes face-to-face with the patient and/or family. 99214 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 25 minutes face-to-face with the patient and/or family. 99215 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 40 minutes face-to-face with the patient and/or family. 99381 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; infant (age younger than 1 year) 6/8/201011:02:34AM 6 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics ADDITIONAL PROCEDURES OTHER (PROCEDURES) CPT Code Description 99382 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; early childhood (age 1 through 4 years) 99383 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; late childhood (age 5 through 11 years) 99384 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; adolescent (age 12 through 17 years) 99385 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years 99460 Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant 99461 Initial care, per day, for evaluation and management of normal newborn infant seen in other than hospital or birthing center 99462 Subsequent hospital care, per day, for evaluation and management of normal newborn 99463 Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and discharged on the same date 99464 Attendance at delivery (when requested by the delivering physician) and initial stabilization of newborn 99465 Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output 99468 Initial inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or less 99469 Subsequent inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or less 99478 Subsequent intensive care, per day, for the evaluation and management of the recovering very low birth weight infant (present body weight less than 1500 grams) CONSCIOUS SEDATION CPT Code Description 99148 Moderate sedation services (other than those services described by codes 00100-01999), provided by a physician other than the health care professional performing the diagnostic or therapeutic service that the sedation supports; younger than 5 years of age, first 30 minutes intra-service time 99149 Moderate sedation services (other than those services described by codes 00100-01999), provided by a physician other than the health care professional performing the diagnostic or therapeutic service that the sedation supports; age 5 years or older, first 30 minutes intra-service time DIAGNOSES 6/8/201011:02:34AM 7 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INFECTIOUS AND PARASITIC DISEASES ICD9 Code Description 002 Typhoid and paratyphoid fevers 002.0 Typhoid fever 002.9 Paratyphoid fever unspecified 003.0 Salmonella gastroenteritis 003.1 Salmonella septicemia 003.22 Salmonella pneumonia 003.8 Other specified salmonella infections 004 Shigellosis 004.0 Shigella dysenteriae 004.3 Shigella sonnei 004.9 Shigellosis unspecified 005.1 Botulism food poisoning 005.8 Other bacterial food poisoning 005.9 Food poisoning unspecified 006.0 Acute amebic dysentery without abscess 006.3 Amebic liver abscess 006.6 Amebic skin ulceration 007.1 Giardiasis 007.4 Cryptosporidiosis 008.0 Intestinal infection due to escherichia coli [e. coli] 008.00 Intestinal infection due to e. coli unspecified 008.01 Intestinal infection due to enteropathogenic e. coli 008.02 Intestinal infection due to enterotoxigenic e. coli 008.04 Intestinal infection due to enterohemorrhagic e. coli 008.43 Intestinal infection due to campylobacter 008.45 Intestinal infection due to clostridium difficile 008.5 Bacterial enteritis unspecified 008.61 Enteritis due to rotavirus 008.62 Enteritis due to adenovirus 008.69 Enteritis due to other viral enteritis 008.8 Intestinal infection due to other organism not elsewhere classified 009 Ill-defined intestinal infections 009.0 Infectious colitis enteritis and gastroenteritis 009.2 Infectious diarrhea 009.3 Diarrhea of presumed infectious origin 010 Primary tuberculous infection 011 Pulmonary tuberculosis 011.8 Other specified pulmonary tuberculosis 011.82 Other specified pulmonary tuberculosis bacteriological or histological examination results unknown (at present) 011.9 Unspecified pulmonary tuberculosis 011.90 Unspecified pulmonary tuberculosis confirmation unspecified 012 Other respiratory tuberculosis 012.10 Tuberculosis of intrathoracic lymph nodes confirmation unspecified 6/8/201011:02:34AM 8 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INFECTIOUS AND PARASITIC DISEASES ICD9 Code Description 012.23 Isolated tracheal or bronchial tuberculosis tubercle bacilli found (in sputum) by microscopy 013.00 Tuberculous meningitis unspecified examination 013.62 Tuberculous encephalitis or myelitis bacteriological or histological examination results unknown (at present) 015.0 Tuberculosis of vertebral column 017.1 Erythema nodosum with hypersensitivity reaction in tuberculosis 017.20 Tuberculosis of peripheral lymph nodes unspecified examination 018 Miliary tuberculosis 018.00 Acute miliary tuberculosis unspecified examination 018.03 Acute miliary tuberculosis tubercle bacilli found (in sputum) by microscopy 022.0 Cutaneous anthrax 022.1 Pulmonary anthrax 022.2 Gastrointestinal anthrax 023 Brucellosis 027.0 Listeriosis 031.2 Disseminated mycobacterium 033 Whooping cough 033.0 Whooping cough due to bordetella pertussis (b. pertussis) 033.1 Whooping cough due to bordetella parapertussis (b. parapertussis) 033.9 Whooping cough unspecified organism 034 Streptococcal sore throat and scarlet fever 034.0 Streptococcal sore throat 034.1 Scarlet fever 035 Erysipelas 036 Meningococcal infection 036.0 Meningococcal meningitis 036.2 Meningococcemia 036.9 Meningococcal infection unspecified 038 Septicemia 038.0 Streptococcal septicemia 038.1 Staphylococcal septicemia 038.10 Staphylococcal septicemia unspecified 038.11 Staphylococcus aureus septicemia 038.19 Other staphylococcal septicemia 038.2 Pneumococcal septicemia 038.3 Septicemia due to anaerobes 038.4 Septicemia due to other gram-negative organisms 038.40 Septicemia due to gram-negative organism unspecified 038.41 Septicemia due to hemophilus influenzae (h. influenzae) 038.42 Septicemia due to escherichia coli (e. coli) 038.43 Septicemia due to pseudomonas 038.44 Septicemia due to serratia 038.49 Other septicemia due to gram-negative organisms 038.8 Other specified septicemias 6/8/201011:02:34AM 9 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INFECTIOUS AND PARASITIC DISEASES ICD9 Code Description 038.9 Unspecified septicemia 039.1 Pulmonary actinomycotic infection 041 Bacterial infection in conditions classified elsewhere and of unspecified site 041.0 Streptococcus infection in conditions classified elsewhere and of unspecified site 041.00 Streptococcus infection in conditions classified elsewhere and of unspecified site streptococcus unspecified 041.01 Streptococcus infection in conditions classified elsewhere and of unspecified site streptococcus group a 041.02 Streptococcus infection in conditions classified elsewhere and of unspecified site streptococcus group b 041.04 Streptococcus infection in conditions classified elsewhere and of unspecified site streptococcus group d [enterococcus] 041.09 Streptococcus infection in conditions classified elsewhere and of unspecified site other streptococcus 041.1 Staphylococcus infection in conditions classified elsewhere and of unspecified site 041.10 Staphylococcus infection in conditions classified elsewhere and of unspecified site staphylococcus unspecified 041.11 Staphylococcus infection in conditions classified elsewhere and of unspecified site staphylococcus aureus 041.19 Staphylococcus infection in conditions classified elsewhere and of unspecified site other staphylococcus 041.2 Pneumococcus infection in conditions classified elsewhere and of unspecified site 041.3 Friedlander's bacillus infection in conditions classified elsewhere and of unspecified site 041.4 Escherichia coli (e. coli) infection in conditions classified elsewhere and of unspecified site 041.5 Hemophilus influenzae (h. influenzae) infection in conditions classified elsewhere and of unspecified site 041.6 Proteus (mirabilis) (morganii) infection in conditions classified elsewhere and of unspecified site 041.7 Pseudomonas infection in conditions classified elsewhere and of unspecified site 041.8 Other specified bacterial infections in conditions classified elsewhere and of unspecified site 041.81 Other specified bacterial infections in conditions classified elsewhere and of unspecified site mycoplasma 041.82 Other specified bacterial infections in conditions classified elsewhere and of unspecified site bacteroides fragilis 041.84 Other specified bacterial infections in conditions classified elsewhere and of unspecified site other anaerobes 041.85 Other specified bacterial infections in conditions classified elsewhere and of unspecified site other gram-negative organisms 041.86 Helicobacter pylori (h. pylori) infection 041.89 Other specified bacterial infections in conditions classified elsewhere and of unspecified site other specified bacteria 041.9 Bacterial infection unspecified in conditions classified elsewhere and of unspecified site 042 Human immunodeficiency virus (hiv) disease 047 Meningitis due to enterovirus 047.0 Meningitis due to coxsackie virus 047.8 Other specified viral meningitis 6/8/201011:02:34AM 10 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INFECTIOUS AND PARASITIC DISEASES ICD9 Code Description 047.9 Unspecified viral meningitis 048 Other enterovirus diseases of central nervous system 049.8 Other specified non-arthropod-borne viral diseases of central nervous system 049.9 Unspecified non-arthropod-borne viral diseases of central nervous system 052 Chickenpox 052.9 Varicella without complication 053 Herpes zoster 053.19 Herpes zoster with other nervous system complications 053.7 Herpes zoster with other specified complications 053.79 Herpes zoster with other specified complications 053.9 Herpes zoster without complication 054 Herpes simplex 054.1 Genital herpes 054.10 Genital herpes unspecified 054.2 Herpetic gingivostomatitis 054.3 Herpetic meningoencephalitis 054.4 Herpes simplex with ophthalmic complications 054.41 Herpes simplex dermatitis of eyelid 054.43 Herpes simplex disciform keratitis 054.6 Herpetic whitlow 054.7 Herpes simplex with other specified complications 054.71 Visceral herpes simplex 054.72 Herpes simplex meningitis 054.9 Herpes simplex without complication 055 Measles 055.9 Measles without complication 056.9 Rubella without complication 057 Other viral exanthemata 057.0 Erythema infectiosum (fifth disease) 057.8 Other specified viral exanthemata 057.9 Viral exanthem unspecified 061 Dengue 062.2 Eastern equine encephalitis 062.3 St. louis encephalitis 062.5 California virus encephalitis 065.0 Crimean hemorrhagic fever (chf congo virus) 065.4 Mosquito-borne hemorrhagic fever 066.3 Other mosquito-borne fever 070 Viral hepatitis 070.1 Viral hepatitis a without hepatic coma 070.22 Chronic viral hepatitis b with hepatic coma without hepatitis delta 070.30 Viral hepatitis b without hepatic coma acute or unspecified without hepatitis delta 070.32 Chronic viral hepatitis b without hepatic coma without hepatitis delta 070.51 Acute hepatitis c without mention of hepatic coma 6/8/201011:02:34AM 11 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INFECTIOUS AND PARASITIC DISEASES ICD9 Code Description 070.54 Chronic hepatitis c without hepatic coma 070.9 Unspecified viral hepatitis without hepatic coma 071 Rabies 072 Mumps 072.9 Mumps without complication 074 Specific diseases due to coxsackie virus 074.0 Herpangina 074.3 Hand foot and mouth disease 074.8 Other specified diseases due to coxsackie virus 075 Infectious mononucleosis 077 Other diseases of conjunctiva due to viruses and chlamydiae 077.2 Pharyngoconjunctival fever 077.98 Unspecified diseases of conjunctiva due to chlamydiae 077.99 Unspecified diseases of conjunctiva due to viruses 078.0 Molluscum contagiosum 078.1 Viral warts 078.10 Viral warts unspecified 078.11 Condyloma acuminatum 078.19 Other specified viral warts 078.3 Cat-scratch disease 078.5 Cytomegaloviral disease 078.82 Epidemic vomiting syndrome 078.89 Other specified diseases due to viruses 079.0 Adenovirus infection in conditions classified elsewhere and of unspecified site 079.1 Echo virus infection in conditions classified elsewhere and of unspecified site 079.2 Coxsackie virus infection in conditions classified elsewhere and of unspecified site 079.3 Rhinovirus infection in conditions classified elsewhere and of unspecified site 079.53 Human immunodeficiency virus type 2 [hiv-2] 079.6 Respiratory syncytial virus (rsv) 079.88 Other specified chlamydial infection 079.89 Other specified viral infection 079.98 Unspecified chlamydial infection 079.99 Unspecified viral infection 082.0 Spotted fevers 082.40 Unspecified ehrlichiosis 084 Malaria 084.0 Falciparum malaria (malignant tertian) 084.1 Vivax malaria (benign tertian) 084.6 Malaria unspecified 087.0 Relapsing fever louse-borne 088.81 Lyme disease 090 Congenital syphilis 090.2 Early congenital syphilis unspecified 090.9 Congenital syphilis unspecified 6/8/201011:02:34AM 12 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INFECTIOUS AND PARASITIC DISEASES ICD9 Code Description 091 Early syphilis symptomatic 091.0 Genital syphilis (primary) 091.2 Other primary syphilis 094.1 General paresis 097 Other and unspecified syphilis 097.1 Latent syphilis unspecified 097.9 Syphilis unspecified 098.0 Gonococcal infection (acute) of lower genitourinary tract 098.10 Gonococcal infection (acute) of upper genitourinary tract site unspecified 098.15 Gonococcal cervicitis (acute) 098.17 Gonococcal salpingitis specified as acute 098.30 Chronic gonococcal infection of upper genitourinary tract site unspecified 098.40 Gonococcal conjunctivitis (neonatorum) 098.82 Gonococcal meningitis 099.40 Other nongonococcal urethritis unspecified 099.41 Other nongonococcal urethritis chlamydia trachomatis 099.5 Other venereal diseases due to chlamydia trachomatis 099.53 Other venereal diseases due to chlamydia trachomatis lower genitourinary sites 099.54 Other venereal diseases due to chlamydia trachomatis other genitourinary sites 099.55 Other venereal diseases due to chlamydia trachomatis unspecified genitourinary site 099.9 Venereal disease unspecified 10061 Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple 10180 Incision and drainage, complex, postoperative wound infection 110.0 Dermatophytosis of scalp and beard 110.3 Dermatophytosis of groin and perianal area 110.4 Dermatophytosis of foot 110.5 Dermatophytosis of the body 110.9 Dermatophytosis of unspecified site 111.0 Pityriasis versicolor 112 Candidiasis 112.0 Candidiasis of mouth 112.1 Candidiasis of vulva and vagina 112.3 Candidiasis of skin and nails 112.5 Disseminated candidiasis 112.8 Candidiasis of other specified sites 112.82 Candidal otitis externa 112.84 Candidal esophagitis 112.89 Other candidiasis of other specified sites 112.9 Candidiasis of unspecified site 114.2 Coccidioidal meningitis 115.0 Infection by histoplasma capsulatum 115.05 Histoplasma capsulatum pneumonia 117.3 Aspergillosis 6/8/201011:02:34AM 13 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INFECTIOUS AND PARASITIC DISEASES ICD9 Code Description 120.3 Cutaneous schistosomiasis 123.0 Taenia solium infection intestinal form 123.1 Cysticercosis 123.3 Taeniasis unspecified 127.0 Ascariasis 127.4 Enterobiasis 129 Intestinal parasitism unspecified 130.9 Toxoplasmosis unspecified 131.01 Trichomonal vulvovaginitis 131.02 Trichomonal urethritis 131.09 Other urogenital trichomoniasis 132 Pediculosis and phthirus infestation 132.0 Pediculus capitis (head louse) 132.1 Pediculus corporis (body louse) 132.2 Phthirus pubis (pubic louse) 132.3 Mixed pediculosis infestation 132.9 Pediculosis unspecified 133 Acariasis 133.0 Scabies 135 Sarcoidosis 136.1 Behcet's syndrome 20000 Incision of soft tissue abscess (eg, secondary to osteomyelitis); superficial 21501 Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; 25028 Incision and drainage, forearm and/or wrist; deep abscess or hematoma 26010 Drainage of finger abscess; simple 27301 Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region 27603 Incision and drainage, leg or ankle; deep abscess or hematoma 289.1 Chronic lymphadenitis 31720 Catheter aspiration (separate procedure); nasotracheal 320 Bacterial meningitis 320.0 Hemophilus meningitis 320.1 Pneumococcal meningitis 320.2 Streptococcal meningitis 320.3 Staphylococcal meningitis 320.8 Meningitis due to other specified bacteria 320.82 Meningitis due to gram-negative bacteria not elsewhere classified 320.89 Meningitis due to other specified bacteria 320.9 Meningitis due to unspecified bacterium 321 Meningitis due to other organisms 321.2 Meningitis due to viruses not elsewhere classified 321.8 Meningitis due to other nonbacterial organisms classified elsewhere 322 Meningitis of unspecified cause 322.9 Meningitis unspecified 323.4 Other encephalitis myelitis and encephalomyelitis due to infection classified elsewhere 6/8/201011:02:34AM 14 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INFECTIOUS AND PARASITIC DISEASES ICD9 Code Description 323.6 Postinfectious encephalitis myelitis and encephalomyelitis 324.0 Intracranial abscess 372.0 Acute conjunctivitis 372.03 Other mucopurulent conjunctivitis 372.3 Other and unspecified conjunctivitis 372.30 Conjunctivitis unspecified 380.1 Infective otitis externa 380.2 Other otitis externa 381 Nonsuppurative otitis media and eustachian tube disorders 381.02 Acute mucoid otitis media 381.1 Chronic serous otitis media 381.3 Other and unspecified chronic nonsuppurative otitis media 381.4 Nonsuppurative otitis media not specified as acute or chronic 382 Suppurative and unspecified otitis media 382.02 Acute suppurative otitis media in diseases classified elsewhere 382.4 Unspecified suppurative otitis media 383.0 Acute mastoiditis 383.1 Chronic mastoiditis 383.2 Petrositis 383.9 Unspecified mastoiditis 38300 Drainage of lymph node abscess or lymphadenitis; simple 390 Rheumatic fever without heart involvement 391.9 Acute rheumatic heart disease unspecified 42320 Drainage of abscess; submaxillary, external 446.1 Acute febrile mucocutaneous lymph node syndrome (mcls) 457.2 Lymphangitis 46040 Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) 46045 Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia 46050 Incision and drainage, perianal abscess, superficial 46060 Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton 461 Acute sinusitis 461.1 Acute frontal sinusitis 461.2 Acute ethmoidal sinusitis 461.8 Other acute sinusitis 464 Acute laryngitis and tracheitis 464.1 Acute tracheitis 464.2 Acute laryngotracheitis 465.0 Acute laryngopharyngitis 465.8 Acute upper respiratory infections of other multiple sites 466 Acute bronchitis and bronchiolitis 466.11 Acute bronchiolitis due to respiratory syncytial virus (rsv) 472 Chronic pharyngitis and nasopharyngitis 6/8/201011:02:34AM 15 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INFECTIOUS AND PARASITIC DISEASES ICD9 Code Description 473 Chronic sinusitis 473.0 Chronic maxillary sinusitis 473.1 Chronic frontal sinusitis 473.8 Other chronic sinusitis 474.0 Chronic tonsillitis and adenoiditis 474.02 Chronic tonsillitis and adenoiditis 476.1 Chronic laryngotracheitis 478.71 Cellulitis and perichondritis of larynx 480.0 Pneumonia due to adenovirus 480.1 Pneumonia due to respiratory syncytial virus 480.2 Pneumonia due to parainfluenza virus 482 Other bacterial pneumonia 482.0 Pneumonia due to klebsiella pneumoniae 482.1 Pneumonia due to pseudomonas 482.3 Pneumonia due to streptococcus 482.31 Pneumonia due to streptococcus group a 482.32 Pneumonia due to streptococcus group b 482.39 Pneumonia due to other streptococcus 482.4 Pneumonia due to staphylococcus 482.49 Other staphylococcus pneumonia 482.81 Pneumonia due to anaerobes 482.82 Pneumonia due to escherichia coli [e.coli] 482.83 Pneumonia due to other gram-negative bacteria 482.89 Pneumonia due to other specified bacteria 483 Pneumonia due to other specified organism 483.8 Pneumonia due to other specified organism 484.3 Pneumonia in whooping cough 487 Influenza 487.8 Influenza with other manifestations 491.8 Other chronic bronchitis 507 Pneumonitis due to solids and liquids 510 Empyema 510.9 Empyema without fistula 51101 Aspiration of bladder; by trocar or intracatheter 51102 Aspiration of bladder; with insertion of suprapubic catheter 513 Abscess of lung and mediastinum 513.0 Abscess of lung 519.01 Infection of tracheostomy 523.1 Chronic gingivitis 527.3 Abscess of salivary gland 528.0 Stomatitis and mucositis (ulcerative) 567.0 Peritonitis in infectious diseases classified elsewhere 567.2 Other suppurative peritonitis 567.8 Other specified peritonitis 6/8/201011:02:34AM 16 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INFECTIOUS AND PARASITIC DISEASES ICD9 Code Description 569.5 Abscess of intestine 571.49 Other chronic hepatitis 572.0 Abscess of liver 590.80 Pyelonephritis unspecified 598.8 Other specified causes of urethral stricture 614.5 Acute or unspecified pelvic peritonitis female 647.00 Syphilis of mother complicating pregnancy childbirth or the puerperium unspecified as to episode of care 647.01 Syphilis of mother complicating pregnancy with delivery 647.03 Antepartum syphilis 647.33 Antepartum tuberculosis 658.4 Infection of amniotic cavity 675.10 Abscess of breast associated with childbirth unspecified as to episode of care 675.11 Abscess of breast associated with childbirth delivered with or without antepartum condition 675.13 Antepartum abscess of breast 680 Carbuncle and furuncle 680.5 Carbuncle and furuncle of buttock 680.6 Carbuncle and furuncle of leg except foot 681 Cellulitis and abscess of finger and toe 681.0 Cellulitis and abscess of finger 681.00 Unspecified cellulitis and abscess of finger 681.1 Cellulitis and abscess of toe 681.10 Unspecified cellulitis and abscess of toe 681.9 Cellulitis and abscess of unspecified digit 682 Other cellulitis and abscess 682.0 Cellulitis and abscess of face 682.1 Cellulitis and abscess of neck 682.2 Cellulitis and abscess of trunk 682.3 Cellulitis and abscess of upper arm and forearm 682.4 Cellulitis and abscess of hand except fingers and thumb 682.5 Cellulitis and abscess of buttock 682.6 Cellulitis and abscess of leg except foot 682.7 Cellulitis and abscess of foot except toes 682.8 Cellulitis and abscess of other specified sites 685.0 Pilonidal cyst with abscess 686 Other local infections of skin and subcutaneous tissue 686.8 Other specified local infections of skin and subcutaneous tissue 694.3 Impetigo herpetiformis 698 Pruritus and related conditions 711.0 Pyogenic arthritis 711.06 Pyogenic arthritis involving lower leg 711.81 Arthropathy involving shoulder region associated with other infectious and parasitic diseases 711.9 Unspecified infective arthritis 6/8/201011:02:34AM 17 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INFECTIOUS AND PARASITIC DISEASES ICD9 Code Description 711.96 Unspecified infective arthritis involving lower leg 730 Osteomyelitis periostitis and other infections involving bone 730.0 Acute osteomyelitis 730.01 Acute osteomyelitis involving shoulder region 730.04 Acute osteomyelitis involving hand 730.05 Acute osteomyelitis involving pelvic region and thigh 730.06 Acute osteomyelitis involving lower leg 730.07 Acute osteomyelitis involving ankle and foot 730.08 Acute osteomyelitis involving other specified sites 730.13 Chronic osteomyelitis involving forearm 730.14 Chronic osteomyelitis involving hand 730.15 Chronic osteomyelitis involving pelvic region and thigh 730.16 Chronic osteomyelitis involving lower leg 730.17 Chronic osteomyelitis involving ankle and foot 730.18 Chronic osteomyelitis involving other specified sites 730.26 Unspecified osteomyelitis involving lower leg 730.28 Unspecified osteomyelitis involving other specified sites 730.39 Periostitis without osteomyelitis involving multiple sites 730.87 Other infections involving ankle and foot bone in diseases classified elsewhere 759.5 Tuberous sclerosis 771 Infections specific to the perinatal period 771.0 Congenital rubella 771.2 Other congenital infections specific to the perinatal period 771.6 Neonatal conjunctivitis and dacryocystitis 771.7 Neonatal candida infection 771.8 Other infections specific to the perinatal period 774.4 Perinatal jaundice due to hepatocellular damage 778.4 Other disturbances of temperature regulation of newborn 780.6 Fever 785.4 Gangrene 785.59 Other shock without trauma 790.8 Unspecified viremia 795.5 Nonspecific reaction to tuberculin skin test without active tuberculosis 795.71 Nonspecific serologic evidence of human immunodeficiency virus (hiv) 80202 Vancomycin 81007 Urinalysis; bacteriuria screen, except by culture or dipstick 86063 Antistreptolysin 0; screen 86592 Syphilis test; qualitative (eg, VDRL, RPR, ART) 86593 Syphilis test; quantitative 86611 Antibody; Bartonella 86618 Antibody; Borrelia burgdorferi (Lyme disease) 86619 Antibody; Borrelia (relapsing fever) 86635 Antibody; Coccidioides 86663 Antibody; Epstein-Barr (EB) virus, early antigen (EA) 6/8/201011:02:34AM 18 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INFECTIOUS AND PARASITIC DISEASES CPT Code Description 86671 Antibody; fungus, not elsewhere specified 86674 Antibody; Giardia Lamblia 86689 Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) 86694 Antibody; herpes simplex, non-specific type test 86701 Antibody; HIV-1 86738 Antibody; Mycoplasma 86747 Antibody; parvovirus 86803 Hepatitis C antibody; 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) 87045 Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species 87046 Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate 87070 Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates 87071 Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool 87073 Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool 87075 Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates 87077 Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate 87081 Culture, presumptive, pathogenic organisms, screening only; 87086 Culture, bacterial; quantitative colony count, urine 87088 Culture, bacterial; with isolation and presumptive identification of each isolate, urine 87101 Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail 87102 Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) 87103 Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood 87106 Culture, fungi, definitive identification, each organism; yeast 87110 Culture, chlamydia, any source 87116 Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates 87140 Culture, typing; immunofluorescent method, each antiserum 87158 Culture, typing; other methods 87177 Ova and parasites, direct smears, concentration and identification 87207 Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) 87210 Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) 87220 Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) 6/8/201011:02:34AM 19 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INFECTIOUS AND PARASITIC DISEASES CPT Code Description 87252 Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect 87255 Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) 87265 Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis 87270 Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis 87273 Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 87274 Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 87275 Infectious agent antigen detection by immunofluorescent technique; Influenza B virus 87276 Infectious agent antigen detection by immunofluorescent technique; influenza A virus 87279 Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type 87281 Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii 87290 Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus 87301 Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple-step method; adenovirus enteric types 40/41 87332 Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple-step method; cytomegalovirus 87340 Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple-step method; hepatitis B surface antigen (HBsAg) 87341 Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple-step method; hepatitis B surface antigen (HBsAg) neutralization 87430 Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple-step method; Streptococcus, group A 87485 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique 87529 Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique 87530 Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification 87535 Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique 87651 Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique 87803 Infectious agent antigen detection by immunoassay with direct optical observation; Clostridium difficile toxin A 87880 Infectious agent antigen detection by immunoassay with direct optical observation; Streptococcus, group A 90379 Respiratory syncytial virus immune globulin (RSV-IgIV), human, for intravenous use 90396 Varicella-zoster immune globulin, human, for intramuscular use 90636 Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use 90655 Influenza virus vaccine, split virus, preservative free, when administered to children 6-35 months of age, for intramuscular use 90675 Rabies vaccine, for intramuscular use 6/8/201011:02:34AM 20 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INFECTIOUS AND PARASITIC DISEASES ICD9 Code Description 958.3 Posttraumatic wound infection not elsewhere classified 996.6 Infection and inflammatory reaction due to internal prosthetic device implant and graft 996.62 Infection and inflammatory reaction due to other vascular device implant and graft 998.5 Postoperative infection not elsewhere classified 999.3 Other infection due to medical care not elsewhere classified 999.9 Other and unspecified complications of medical care not elsewhere classified E879.8 Other specified procedures as the cause of abnormal reaction of patient or of later complication without misadventure at time of procedure V01.1 Contact with or exposure to tuberculosis V01.4 Contact with or exposure to rubella V01.5 Contact with or exposure to rabies V01.6 Contact with or exposure to venereal diseases V01.7 Contact with or exposure to other viral diseases V01.8 Contact with or exposure to other communicable diseases V02.51 Carrier or suspected carrier of group b streptococcus V02.52 Carrier or suspected carrier of other streptococcus V02.59 Carrier or suspected carrier of other specified bacterial diseases V02.6 Carrier or suspected carrier of viral hepatitis V02.60 Carrier or suspected carrier of viral hepatitis unspecified V02.61 Carrier or suspected carrier of hepatitis b V02.62 Carrier or suspected carrier of hepatitis c V02.7 Carrier or suspected carrier of gonorrhea V02.8 Carrier or suspected carrier of other venereal diseases V02.9 Carrier or suspected carrier of other specified infectious organism V08 Asymptomatic human immunodeficiency virus (hiv) infection status V09.0 Infection with microorganisms resistant to penicillins V09.1 Infection with microorganisms resistant to cephalosporins and other b-lactam antibiotics V09.80 Infection with microorganisms resistant to other specified drugs without resistance to multiple drugs V09.81 Infection with microorganisms resistant to other specified drugs with resistance to multiple drugs V09.9 Infection with drug-resistant microorganisms unspecified V09.90 Infection with drug-resistant microorganisms unspecified without multiple drug resistance V12.00 Personal history of unspecified infectious and parasitic disease V12.01 Personal history of tuberculosis V29.0 Observation for suspected infectious condition V58.62 Long-term (current) use of antibiotics V65.44 Human immunodeficiency virus (hiv) counseling V71.2 Observation for suspected tuberculosis V71.89 Observation for other specified suspected conditions V73 Special screening examination for viral and chlamydial diseases V73.88 Other specified chlamydial diseases V73.89 Other specified viral diseases V74.4 Screening examination for bacterial conjunctivitis 6/8/201011:02:34AM 21 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INFECTIOUS AND PARASITIC DISEASES ICD9 Code Description V75.4 Screening examination for mycotic infections NEOPLASMS ICD9 Code Description 155 Malignant neoplasm of liver and intrahepatic bile ducts 155.0 Malignant neoplasm of liver primary 162.8 Malignant neoplasm of other parts of bronchus or lung 170 Malignant neoplasm of bone and articular cartilage 170.7 Malignant neoplasm of long bones of lower limb 170.9 Malignant neoplasm of bone and articular cartilage site unspecified 171 Malignant neoplasm of connective and other soft tissue 171.3 Malignant neoplasm of connective and other soft tissue of lower limb including hip 171.5 Malignant neoplasm of connective and other soft tissue of abdomen 171.6 Malignant neoplasm of connective and other soft tissue of pelvis 171.7 Malignant neoplasm of connective and other soft tissue of trunk unspecified 186 Malignant neoplasm of testis 186.9 Malignant neoplasm of other and unspecified testis 189 Malignant neoplasm of kidney and other and unspecified urinary organs 189.0 Malignant neoplasm of kidney except pelvis 190 Malignant neoplasm of eye 190.5 Malignant neoplasm of retina 190.6 Malignant neoplasm of choroid 191.0 Malignant neoplasm of cerebrum except lobes and ventricles 191.2 Malignant neoplasm of temporal lobe 191.3 Malignant neoplasm of parietal lobe 191.5 Malignant neoplasm of ventricles 191.6 Malignant neoplasm of cerebellum not otherwise specified 191.7 Malignant neoplasm of brain stem 191.9 Malignant neoplasm of brain unspecified site 192.9 Malignant neoplasm of nervous system part unspecified 194 Malignant neoplasm of other endocrine glands and related structures 194.0 Malignant neoplasm of adrenal gland 194.6 Malignant neoplasm of aortic body and other paraganglia 194.9 Malignant neoplasm of endocrine gland site unspecified 195.3 Malignant neoplasm of pelvis 195.5 Malignant neoplasm of lower limb 195.8 Malignant neoplasm of other specified sites 197.2 Secondary malignant neoplasm of pleura 198 Secondary malignant neoplasm of other specified sites 198.0 Secondary malignant neoplasm of kidney 198.3 Secondary malignant neoplasm of brain and spinal cord 199 Malignant neoplasm without specification of site 199.0 Disseminated malignant neoplasm 6/8/201011:02:34AM 22 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES NEOPLASMS ICD9 Code Description 199.1 Other malignant neoplasm of unspecified site 200 Lymphosarcoma and reticulosarcoma and other specified malignant tumors of lymphatic tissue 200.03 Reticulosarcoma involving intra-abdominal lymph nodes 200.1 Lymphosarcoma 200.10 Lymphosarcoma unspecified site 200.2 Burkitt's tumor or lymphoma 200.20 Burkitt's tumor or lymphoma unspecified site 200.23 Burkitt's tumor or lymphoma involving intra-abdominal lymph nodes 200.25 Burkitt's tumor or lymphoma involving lymph nodes of inguinal region and lower limb 201 Hodgkin's disease 201.5 Hodgkin's disease nodular sclerosis 201.50 Hodgkin's disease nodular sclerosis unspecified site 201.52 Hodgkin's disease nodular sclerosis involving intrathoracic lymph nodes 201.9 Hodgkin's disease unspecified type 201.90 Hodgkin's disease unspecified type unspecified site 202 Other malignant neoplasms of lymphoid and histiocytic tissue 202.0 Nodular lymphoma 202.01 Nodular lymphoma involving lymph nodes of head face and neck 202.03 Nodular lymphoma involving intra-abdominal lymph nodes 202.08 Nodular lymphoma involving lymph nodes of multiple sites 202.80 Other malignant lymphomas unspecified site 202.81 Other malignant lymphomas involving lymph nodes of head face and neck 202.82 Other malignant lymphomas involving intrathoracic lymph nodes 202.83 Other malignant lymphomas involving intra-abdominal lymph nodes 202.88 Other malignant lymphomas involving lymph nodes of multiple sites 202.9 Other and unspecified malignant neoplasms of lymphoid and histiocytic tissue 204.00 Lymphoid leukemia acute without remission 204.01 Lymphoid leukemia acute in remission 205.00 Myeloid leukemia acute without remission 205.01 Myeloid leukemia acute in remission 205.3 Myeloid sarcoma 211.3 Benign neoplasm of colon 212.7 Benign neoplasm of heart 214.1 Lipoma of other skin and subcutaneous tissue 216.9 Benign neoplasm of skin site unspecified 228.00 Hemangioma of unspecified site 228.01 Hemangioma of skin and subcutaneous tissue 230.3 Carcinoma in situ of colon 230.5 Carcinoma in situ of anal canal 234.9 Carcinoma in situ site unspecified 237.0 Neoplasm of uncertain behavior of pituitary gland and craniopharyngeal duct 237.2 Neoplasm of uncertain behavior of adrenal gland 237.70 Neurofibromatosis unspecified 6/8/201011:02:34AM 23 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES NEOPLASMS ICD9 Code Description 238.7 Neoplasm of uncertain behavior of other lymphatic and hematopoietic tissues 239.2 Neoplasm of unspecified nature of bone soft tissue and skin 239.9 Neoplasm of unspecified nature site unspecified 49215 Excision of presacral or sacrococcygeal tumor 569.0 Anal and rectal polyp 608.89 Other specified disorders of male genital organs 611.72 Lump or mass in breast 625.8 Other specified symptoms associated with female genital organs 731.0 Osteitis deformans without bone tumor 782.2 Localized superficial swelling mass or lump 784.2 Swelling mass or lump in head and neck 789.30 Abdominal or pelvic swelling mass or lump unspecified site 96423 Chemotherapy administration, intra-arterial; infusion technique, each additional hour (List separately in addition to code for primary procedure) V07.39 Need for other prophylactic chemotherapy V10.43 Personal history of malignant neoplasm of ovary V10.52 Personal history of malignant neoplasm of kidney V10.61 Personal history of lymphoid leukemia V10.62 Personal history of myeloid leukemia V10.63 Personal history of monocytic leukemia V10.71 Personal history of lymphosarcoma and reticulosarcoma V10.72 Personal history of hodgkin's disease V10.81 Personal history of malignant neoplasm of bone V10.84 Personal history of malignant neoplasm of eye V10.85 Personal history of malignant neoplasm of brain V10.88 Personal history of malignant neoplasm of other endocrine glands and related structures V58.1 Encounter for antineoplastic chemotherapy and immunotherapy V66.2 Convalescence following chemotherapy V67.2 Follow-up examination following chemotherapy V67.5 Follow-up examination following other treatment V76.11 Screening mammogram for high-risk patient V76.47 Special screening for malignant neoplasms vagina V76.9 Screening for unspecified malignant neoplasms ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES, AND ICD9 Code Description 240 Simple and unspecified goiter 240.0 Goiter specified as simple 240.9 Goiter unspecified 242 Thyrotoxicosis with or without goiter 242.0 Toxic diffuse goiter 242.3 Toxic nodular goiter unspecified type 242.40 Thyrotoxicosis from ectopic thyroid nodule without thyrotoxic crisis or storm 6/8/201011:02:34AM 24 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES, AND ICD9 Code Description 242.9 Thyrotoxicosis without mention of goiter or other cause 242.90 Thyrotoxicosis without goiter or other cause and without thyrotoxic crisis or storm 243 Congenital hypothyroidism 244 Acquired hypothyroidism 244.0 Postsurgical hypothyroidism 244.3 Other iatrogenic hypothyroidism 244.8 Other specified acquired hypothyroidism 244.9 Unspecified acquired hypothyroidism 245.0 Acute thyroiditis 245.1 Subacute thyroiditis 245.2 Chronic lymphocytic thyroiditis 245.9 Thyroiditis unspecified 246 Other disorders of thyroid 250 Diabetes mellitus 250.0 Diabetes mellitus without mention of complication 250.00 Diabetes mellitus without mention of complication type ii or unspecified type not stated as uncontrolled 250.01 Diabetes mellitus without mention of complication type i [juvenile type] not stated as uncontrolled 250.02 Diabetes mellitus without mention of complication type ii or unspecified type uncontrolled 250.03 Diabetes mellitus without mention of complication type i [juvenile type] uncontrolled 250.1 Diabetes with ketoacidosis 250.10 Diabetes with ketoacidosis type ii or unspecified type not stated as uncontrolled 250.11 Diabetes with ketoacidosis type i [juvenile type] not stated as uncontrolled 250.12 Diabetes with ketoacidosis type ii or unspecified type uncontrolled 250.13 Diabetes with ketoacidosis type i [juvenile type] uncontrolled 250.2 Diabetes with hyperosmolarity 250.20 Diabetes with hyperosmolarity type ii or unspecified type not stated as uncontrolled 250.23 Diabetes with hyperosmolarity type i [juvenile type] uncontrolled 250.3 Diabetes with other coma 250.43 Diabetes with renal manifestations type i [juvenile type] uncontrolled 250.5 Diabetes with ophthalmic manifestations 250.53 Diabetes with ophthalmic manifestations type i [juvenile type] uncontrolled 250.61 Diabetes with neurological manifestations type i [juvenile type] not stated as uncontrolled 250.63 Diabetes with neurological manifestations type i [juvenile type] uncontrolled 250.8 Diabetes with other specified manifestations 250.81 Diabetes with other specified manifestations type i [juvenile type] not stated as uncontrolled 250.82 Diabetes with other specified manifestations type ii or unspecified type uncontrolled 250.83 Diabetes with other specified manifestations type i [juvenile type] uncontrolled 250.9 Diabetes with unspecified complication 250.92 Diabetes with unspecified complication type ii or unspecified type uncontrolled 250.93 Diabetes with unspecified complication type i [juvenile type] uncontrolled 251.1 Other specified hypoglycemia 251.2 Hypoglycemia unspecified 6/8/201011:02:34AM 25 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES, AND ICD9 Code Description 252.0 Hyperparathyroidism 252.1 Hypoparathyroidism 253 Disorders of the pituitary gland and its hypothalamic control 253.0 Acromegaly and gigantism 253.2 Panhypopituitarism 253.3 Pituitary dwarfism 253.4 Other anterior pituitary disorders 253.5 Diabetes insipidus 253.6 Other disorders of neurohypophysis 253.7 Iatrogenic pituitary disorders 253.8 Other disorders of the pituitary and other syndromes of diencephalohypophyseal origin 255 Disorders of adrenal glands 255.0 Cushing's syndrome 255.1 Hyperaldosteronism 255.2 Adrenogenital disorders 255.4 Corticoadrenal insufficiency 255.5 Other adrenal hypofunction 256.4 Polycystic ovaries 257.8 Other testicular dysfunction 258.0 Polyglandular activity in multiple endocrine adenomatosis 259 Other endocrine disorders 259.0 Delay in sexual development and puberty not elsewhere classified 259.1 Precocious sexual development and puberty not elsewhere classified 259.4 Dwarfism not elsewhere classified 259.8 Other specified endocrine disorders 259.9 Unspecified endocrine disorder 262 Other severe protein-calorie malnutrition 263 Other and unspecified protein-calorie malnutrition 263.0 Malnutrition of moderate degree 263.2 Arrested development following protein-calorie malnutrition 263.8 Other protein-calorie malnutrition 263.9 Unspecified protein-calorie malnutrition 268 Vitamin d deficiency 268.0 Rickets active 268.1 Rickets late effect 268.9 Unspecified vitamin d deficiency 269 Other nutritional deficiencies 269.3 Mineral deficiency not elsewhere classified 269.8 Other nutritional deficiency 269.9 Unspecified nutritional deficiency 270 Disorders of amino-acid transport and metabolism 270.1 Phenylketonuria (pku) 270.2 Other disturbances of aromatic amino-acid metabolism 270.3 Disturbances of branched-chain amino-acid metabolism 6/8/201011:02:34AM 26 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES, AND ICD9 Code Description 270.7 Other disturbances of straight-chain amino-acid metabolism 270.8 Other specified disorders of amino-acid metabolism 270.9 Unspecified disorder of amino-acid metabolism 271.0 Glycogenosis 271.3 Intestinal disaccharidase deficiencies and disaccharide malabsorption 272 Disorders of lipoid metabolism 272.0 Pure hypercholesterolemia 272.1 Pure hyperglyceridemia 272.2 Mixed hyperlipidemia 272.4 Other and unspecified hyperlipidemia 272.7 Lipidoses 272.8 Other disorders of lipoid metabolism 272.9 Unspecified disorder of lipoid metabolism 273.8 Other disorders of plasma protein metabolism 274 Gout 274.11 Uric acid nephrolithiasis 275 Disorders of mineral metabolism 275.0 Disorders of iron metabolism 275.2 Disorders of magnesium metabolism 275.3 Disorders of phosphorus metabolism 275.4 Disorders of calcium metabolism 275.41 Hypocalcemia 275.42 Hypercalcemia 275.49 Other disorders of calcium metabolism 276 Disorders of fluid electrolyte and acid-base balance 276.0 Hyperosmolality and/or hypernatremia 276.1 Hyposmolality and/or hyponatremia 276.2 Acidosis 276.3 Alkalosis 276.5 Volume depletion 276.7 Hyperpotassemia 276.8 Hypopotassemia 276.9 Electrolyte and fluid disorders not elsewhere classified 277 Other and unspecified disorders of metabolism 277.00 Cystic fibrosis without meconium ileus 277.01 Cystic fibrosis with meconium ileus 277.2 Other disorders of purine and pyrimidine metabolism 277.4 Disorders of bilirubin excretion 277.5 Mucopolysaccharidosis 277.6 Other deficiencies of circulating enzymes 277.7 Dysmetabolic syndrome x 277.8 Other specified disorders of metabolism 277.9 Unspecified disorder of metabolism 278 Overweight, obesity and other hyperalimentation 6/8/201011:02:34AM 27 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES, AND ICD9 Code Description 278.00 Obesity unspecified 278.01 Morbid obesity 278.1 Localized adiposity 278.8 Other hyperalimentation 279.00 Hypogammaglobulinemia unspecified 279.01 Selective iga immunodeficiency 279.04 Congenital hypogammaglobulinemia 279.11 Digeorge's syndrome 279.12 Wiskott-aldrich syndrome 279.2 Combined immunity deficiency 279.3 Unspecified immunity deficiency 279.4 Autoimmune disease not elsewhere classified 280.9 Iron deficiency anemia unspecified 288.1 Functional disorders of polymorphonuclear neutrophils 459.2 Compression of vein 579.8 Other specified intestinal malabsorption 648.00 Diabetes mellitus of mother complicating pregnancy childbirth or the puerperium unspecified as to episode of care 648.01 Diabetes mellitus of mother with delivery 733.91 Arrest of bone development or growth 76536 Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation 77072 Bone age studies 772.5 Adrenal hemorrhage of fetus or newborn 775 Endocrine and metabolic disturbances specific to the fetus and newborn 775.1 Neonatal diabetes mellitus 775.4 Hypocalcemia and hypomagnesemia of newborn 775.5 Other transitory neonatal electrolyte disturbances 775.6 Neonatal hypoglycemia 775.9 Unspecified endocrine and metabolic disturbances specific to the fetus and newborn 779.3 Feeding problems in newborn 783 Symptoms concerning nutrition metabolism and development 783.1 Abnormal weight gain 783.2 Abnormal loss of weight and underweight 783.21 Loss of weight 783.22 Underweight 783.3 Feeding difficulties and mismanagement 783.40 Unspecified lack of normal physiological development 783.41 Failure to thrive 783.42 Delayed milestones 783.43 Short stature 783.5 Polydipsia 783.6 Polyphagia 783.9 Other symptoms concerning nutrition metabolism and development 6/8/201011:02:34AM 28 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES, AND ICD9 Code Description 790.2 Abnormal glucose 790.6 Other abnormal blood chemistry 791.5 Glycosuria 791.6 Acetonuria 794.6 Nonspecific abnormal results of other endocrine function study 80048 Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520) 80051 Electrolyte panel This panel must include the following: Carbon dioxide (82374) Chloride (82435) Potassium (84132) Sodium (84295) 80422 Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) 80428 Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) 82009 Acetone or other ketone bodies, serum; qualitative 82010 Acetone or other ketone bodies, serum; quantitative 82140 Ammonia 82310 Calcium; total 82331 Calcium; after calcium infusion test 82465 Cholesterol, serum or whole blood, total 82670 Estradiol 83001 Gonadotropin; follicle stimulating hormone (FSH) 83002 Gonadotropin; luteinizing hormone (LH) 83003 Growth hormone, human (HGH) (somatotropin) 84132 Potassium; serum, plasma or whole blood 84443 Thyroid stimulating hormone (TSH) 84479 Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) 84588 Vasopressin (antidiuretic hormone, ADH) 84597 Vitamin K 995.52 Child neglect (nutritional) E932.0 Adrenal cortical steroids causing adverse effects in therapeutic use V12.1 Personal history of nutritional deficiency V12.2 Personal history of endocrine metabolic and immunity disorders V21.1 Puberty V26.3 Genetic counseling and testing V29.3 Observation for suspected genetic or metabolic condition V58.69 Long-term (current) use of other medications V71.89 Observation for other specified suspected conditions V77 Special screening for endocrine nutritional metabolic and immunity disorders V77.2 Screening for malnutrition V77.7 Screening for other inborn errors of metabolism V77.91 Screening for lipoid disorders 6/8/201011:02:34AM 29 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS CPT Code Description 01112 Anesthesia for bone marrow aspiration and/or biopsy, anterior or posterior iliac crest 075 Infectious mononucleosis 201.90 Hodgkin's disease unspecified type unspecified site 204 Lymphoid leukemia 204.0 Lymphoid leukemia acute 204.00 Lymphoid leukemia acute without remission 204.11 Lymphoid leukemia chronic in remission 204.20 Lymphoid leukemia subacute without remission 204.91 Unspecified lymphoid leukemia in remission 205 Myeloid leukemia 205.0 Myeloid leukemia acute 205.00 Myeloid leukemia acute without remission 205.1 Myeloid leukemia chronic 205.11 Myeloid leukemia chronic in remission 206.0 Monocytic leukemia acute 206.00 Monocytic leukemia acute without remission 207 Other specified leukemia 207.8 Other specified leukemia 207.80 Other specified leukemia without remission 207.81 Other specified leukemia in remission 208 Leukemia of unspecified cell type 208.0 Leukemia of unspecified cell type acute 208.00 Leukemia of unspecified cell type acute without remission 208.01 Leukemia of unspecified cell type acute in remission 208.1 Leukemia of unspecified cell type chronic 208.9 Unspecified leukemia 280 Iron deficiency anemias 280.0 Iron deficiency anemia secondary to blood loss (chronic) 280.1 Iron deficiency anemia secondary to inadequate dietary iron intake 280.8 Other specified iron deficiency anemias 281 Other deficiency anemias 281.3 Other specified megaloblastic anemias not elsewhere classified 281.8 Anemia associated with other specified nutritional deficiency 281.9 Unspecified deficiency anemia 282.0 Hereditary spherocytosis 282.1 Hereditary elliptocytosis 282.2 Anemias due to disorders of glutathione metabolism 282.3 Other hemolytic anemias due to enzyme deficiency 282.4 Thalassemias 282.5 Sickle-cell trait 282.6 Sickle-cell disease 282.60 Sickle-cell disease unspecified 282.61 Hb-ss disease without crisis 282.62 Hb-ss disease with crisis 6/8/201011:02:34AM 30 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS ICD9 Code Description 282.63 Sickle-cell/hb-c disease without crisis 282.69 Other sickle-cell disease with crisis 282.7 Other hemoglobinopathies 282.9 Hereditary hemolytic anemia unspecified 283 Acquired hemolytic anemias 283.0 Autoimmune hemolytic anemias 283.1 Non-autoimmune hemolytic anemias 283.11 Hemolytic-uremic syndrome 283.9 Acquired hemolytic anemia unspecified 284 Aplastic anemia and other bone marrow failure syndromes 284.0 Constitutional aplastic anemia 284.8 Other specified aplastic anemias 284.9 Aplastic anemia unspecified 285 Other and unspecified anemias 285.0 Sideroblastic anemia 285.1 Acute posthemorrhagic anemia 285.21 Anemia in chronic kidney disease 285.22 Anemia in neoplastic disease 285.29 Anemia of other chronic disease 285.8 Other specified anemias 285.9 Anemia unspecified 286 Coagulation defects 286.0 Congenital factor viii disorder 286.1 Congenital factor ix disorder 286.3 Congenital deficiency of other clotting factors 286.4 Von willebrand's disease 286.6 Defibrination syndrome 286.7 Acquired coagulation factor deficiency 286.9 Other and unspecified coagulation defects 287 Purpura and other hemorrhagic conditions 287.0 Allergic purpura 287.1 Qualitative platelet defects 287.2 Other nonthrombocytopenic purpuras 287.3 Primary thrombocytopenia 287.4 Secondary thrombocytopenia 287.5 Thrombocytopenia unspecified 287.9 Unspecified hemorrhagic conditions 288 Diseases of white blood cells 288.0 Neutropenia 288.1 Functional disorders of polymorphonuclear neutrophils 288.3 Eosinophilia 288.8 Other specified disease of white blood cells 289 Other diseases of blood and blood-forming organs 289.0 Polycythemia secondary 6/8/201011:02:34AM 31 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS ICD9 Code Description 289.2 Nonspecific mesenteric lymphadenitis 289.3 Lymphadenitis unspecified except mesenteric 289.4 Hypersplenism 289.51 Chronic congestive splenomegaly 289.59 Other diseases of spleen 289.7 Methemoglobinemia 289.8 Other specified diseases of blood and blood-forming organs 289.9 Unspecified diseases of blood and blood-forming organs 36455 Exchange transfusion, blood; other than newborn 38100 Splenectomy; total (separate procedure) 38120 Laparoscopy, surgical, splenectomy 38240 Bone marrow or blood-derived peripheral stem cell transplantation; allogenic 38241 Bone marrow or blood-derived peripheral stem cell transplantation; autologous 38242 Bone marrow or blood-derived peripheral stem cell transplantation; allogeneic donor lymphocyte infusions 537.0 Acquired hypertrophic pyloric stenosis 719.10 Hemarthrosis site unspecified 772.6 Cutaneous hemorrhage of fetus or newborn 773 Hemolytic disease of fetus or newborn due to isoimmunization 773.2 Hemolytic disease of fetus or newborn due to other and unspecified isoimmunization 773.5 Late anemia of fetus or newborn due to isoimmunization 774.0 Perinatal jaundice from hereditary hemolytic anemias 774.1 Perinatal jaundice from other excessive hemolysis 776 Hematological disorders of fetus and newborn 776.1 Transient neonatal thrombocytopenia 776.5 Congenital anemia 776.6 Anemia of prematurity 776.7 Transient neonatal neutropenia 776.8 Other specified transient hematological disorders of fetus or newborn 776.9 Unspecified hematological disorder specific to fetus or newborn 778.0 Hydrops fetalis not due to isoimmunization 790 Nonspecific findings on examination of blood 83036 Hemoglobin; glycosylated (A1C) 85002 Bleeding time 85007 Blood count; blood smear, microscopic examination with manual differential WBC count 85008 Blood count; blood smear, microscopic examination without manual differential WBC count 85013 Blood count; spun microhematocrit 85018 Blood count; hemoglobin (Hgb) 85032 Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each 85045 Blood count; reticulocyte, automated 85060 Blood smear, peripheral, interpretation by physician with written report 85097 Bone marrow, smear interpretation 85247 Clotting; factor VIII, von Willebrand factor, multimetric analysis 85300 Clotting inhibitors or anticoagulants; antithrombin III, activity 6/8/201011:02:34AM 32 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS CPT Code Description 85390 Fibrinolysins or coagulopathy screen, interpretation and report 85610 Prothrombin time; 85730 Thromboplastin time, partial (PTT); plasma or whole blood 86353 Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis 86900 Blood typing; ABO 996.85 Complications of transplanted bone marrow 999.6 Abo incompatibility reaction not elsewhere classified 999.7 Rh incompatibility reaction not elsewhere classified V12.3 Personal history of diseases of blood and blood-forming organs V42.81 Bone marrow replaced by transplant V58.2 Blood transfusion without reported diagnosis V78.1 Screening for other and unspecified deficiency anemia V83.01 Asymptomatic hemophilia a carrier V83.02 Symptomatic hemophilia a carrier MENTAL CONGNITIVE DISORDERS ICD9 Code Description 290.11 Presenile dementia with delirium 293.9 Unspecified transient mental disorders due to conditions classified elsewhere 294.9 Unspecified persistent mental disorders due to conditions classified elsewhere 295.5 Latent schizophrenia 295.7 Schizoaffective disorder 295.70 Schizoaffective disorder unspecified state 295.9 Unspecified schizophrenia 296.1 Manic disorder recurrent episode 296.2 Major depressive disorder single episode 296.20 Major depressive affective disorder single episode unspecified degree 296.3 Major depressive disorder recurrent episode 296.34 Major depressive affective disorder recurrent episode severe degree specified as with psychotic behavior 296.4 Bipolar i disorder most recent episode (or current) manic 296.40 Bipolar i disorder most recent episode (or current) manic unspecified 296.42 Bipolar i disorder most recent episode (or current) manic moderate 296.5 Bipolar i disorder most recent episode (or current) depressed 296.50 Bipolar i disorder most recent episode (or current) depressed unspecified 296.51 Bipolar i disorder most recent episode (or current) depressed mild 296.52 Bipolar i disorder most recent episode (or current) depressed moderate 296.53 Bipolar i disorder most recent episode (or current) depressed severe without mention of psychotic behavior 296.54 Bipolar i disorder most recent episode (or current) depressed severe specified as with psychotic behavior 296.55 Bipolar i disorder most recent episode (or current) depressed in partial or unspecified remission 6/8/201011:02:34AM 33 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES MENTAL CONGNITIVE DISORDERS ICD9 Code Description 296.6 Bipolar i disorder most recent episode (or current) mixed 296.60 Bipolar i disorder most recent episode (or current) mixed unspecified 296.63 Bipolar i disorder most recent episode (or current) mixed severe without mention of psychotic behavior 296.7 Bipolar i disorder most recent episode (or current) unspecified 296.90 Unspecified episodic mood disorder 298.0 Depressive type psychosis 298.8 Other and unspecified reactive psychosis 298.9 Unspecified psychosis 299 Pervasive developmental disorders 299.0 Autistic disorder 299.00 Autistic disorder current or active state 299.8 Other specified pervasive developmental disorders 299.80 Other specified pervasive developmental disorders current or active state 299.9 Unspecified pervasive developmental disorders 299.90 Unspecified pervasive developmental disorders current or active state 300.0 Anxiety states 300.00 Anxiety state unspecified 300.01 Panic disorder without agoraphobia 300.02 Generalized anxiety disorder 300.09 Other anxiety states 300.10 Hysteria unspecified 300.11 Conversion disorder 300.15 Dissociative disorder or reaction unspecified 300.16 Factitious disorder with predominantly psychological signs and symptoms 300.19 Other and unspecified factitious illness 300.2 Phobic disorders 300.20 Phobia unspecified 300.21 Agoraphobia with panic disorder 300.23 Social phobia 300.29 Other isolated or specific phobias 300.3 Obsessive-compulsive disorders 300.4 Dysthymic disorder 300.7 Hypochondriasis 300.81 Somatization disorder 300.9 Unspecified nonpsychotic mental disorder 301.12 Chronic depressive personality disorder 301.89 Other personality disorders 301.9 Unspecified personality disorder 302.2 Pedophilia 302.52 Trans-sexualism with homosexual history 302.6 Gender identity disorder in children 302.70 Psychosexual dysfunction unspecified 302.9 Unspecified psychosexual disorder 6/8/201011:02:34AM 34 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES MENTAL CONGNITIVE DISORDERS ICD9 Code Description 303.00 Acute alcoholic intoxication in alcoholism unspecified drinking behavior 303.9 Other and unspecified alcohol dependence 303.90 Other and unspecified alcohol dependence unspecified drinking behavior 304.0 Opioid type dependence 304.03 Opioid type dependence in remission 304.20 Cocaine dependence unspecified use 304.3 Cannabis dependence 304.30 Cannabis dependence unspecified use 304.40 Amphetamine and other psychostimulant dependence unspecified use 304.71 Combinations of opioid type drug with any other drug dependence continuous use 304.80 Combinations of drug dependence excluding opioid type drug unspecified use 304.90 Unspecified drug dependence unspecified use 304.91 Unspecified drug dependence continuous use 305.00 Nondependent alcohol abuse unspecified drinking behavior 305.20 Nondependent cannabis abuse unspecified use 305.21 Nondependent cannabis abuse continuous use 305.6 Nondependent cocaine abuse 305.60 Nondependent cocaine abuse unspecified use 305.61 Nondependent cocaine abuse continuous use 305.70 Nondependent amphetamine or related acting sympathomimetic abuse unspecified use 305.9 Nondependent other mixed or unspecified drug abuse 305.90 Other mixed or unspecified drug abuse unspecified use 305.91 Nondependent other mixed or unspecified drug abuse continuous use 305.92 Nondependent other mixed or unspecified drug abuse episodic use 305.93 Nondependent other mixed or unspecified drug abuse in remission 306.1 Respiratory malfunction arising from mental factors 306.4 Gastrointestinal malfunction arising from mental factors 306.53 Psychogenic dysuria 307.0 Stuttering 307.1 Anorexia nervosa 307.20 Tic disorder unspecified 307.23 Tourette's disorder 307.3 Stereotypic movement disorder 307.4 Specific disorders of sleep of nonorganic origin 307.5 Other and unspecified disorders of eating 307.51 Bulimia nervosa 307.52 Pica 307.53 Rumination disorder 307.54 Psychogenic vomiting 307.59 Other disorders of eating 307.6 Enuresis 307.7 Encopresis 307.80 Psychogenic pain site unspecified 307.81 Tension headache 6/8/201011:02:34AM 35 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES MENTAL CONGNITIVE DISORDERS ICD9 Code Description 307.9 Other and unspecified special symptoms or syndromes not elsewhere classified 308 Acute reaction to stress 308.3 Other acute reactions to stress 309 Adjustment reaction 309.0 Adjustment disorder with depressed mood 309.1 Adjustment reaction with prolonged depressive reaction 309.21 Separation anxiety disorder 309.22 Emancipation disorder of adolescence and early adult life 309.24 Adjustment disorder with anxiety 309.28 Adjustment disorder with mixed anxiety and depressed mood 309.4 Adjustment disorder with mixed disturbance of emotions and conduct 309.8 Other specified adjustment reactions 309.81 Posttraumatic stress disorder 309.82 Adjustment reaction with physical symptoms 309.89 Other specified adjustment reactions 309.9 Unspecified adjustment reaction 311 Depressive disorder not elsewhere classified 312 Disturbance of conduct not elsewhere classified 312.0 Undersocialized conduct disorder aggressive type 312.00 Undersocialized conduct disorder aggressive type unspecified degree 312.01 Undersocialized conduct disorder aggressive type mild degree 312.1 Undersocialized conduct disorder unaggressive type 312.10 Undersocialized conduct disorder unaggressive type unspecified degree 312.30 Impulse control disorder unspecified 312.34 Intermittent explosive disorder 312.4 Mixed disturbance of conduct and emotions 312.81 Conduct disorder childhood onset type 312.82 Conduct disorder adolescent onset type 312.9 Unspecified disturbance of conduct 313.0 Overanxious disorder specific to childhood and adolescence 313.1 Misery and unhappiness disorder specific to childhood and adolescence 313.2 Sensitivity shyness and social withdrawal disorder specific to childhood and adolescence 313.21 Shyness disorder of childhood 313.22 Introverted disorder of childhood 313.23 Selective mutism 313.81 Oppositional defiant disorder 313.83 Academic underachievement disorder of childhood or adolescence 314.0 Attention deficit disorder of childhood 314.00 Attention deficit disorder of childhood without hyperactivity 314.01 Attention deficit disorder of childhood with hyperactivity 314.1 Hyperkinesis of childhood with developmental delay 314.2 Hyperkinetic conduct disorder of childhood 314.9 Unspecified hyperkinetic syndrome of childhood 315 Specific delays in development 6/8/201011:02:34AM 36 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES MENTAL CONGNITIVE DISORDERS ICD9 Code Description 315.0 Developmental reading disorder 315.00 Developmental reading disorder unspecified 315.02 Developmental dyslexia 315.09 Other specific developmental reading disorder 315.1 Mathematics disorder 315.2 Other specific developmental learning difficulties 315.31 Expressive language disorder 315.32 Mixed receptive-expressive language disorder 315.39 Other developmental speech disorder 315.4 Developmental coordination disorder 315.5 Mixed development disorder 315.8 Other specified delays in development 315.9 Unspecified delay in development 317 Mild mental retardation 318 Other specified mental retardation 318.0 Moderate mental retardation 318.1 Severe mental retardation 318.2 Profound mental retardation 319 Unspecified mental retardation 368.16 Psychophysical visual disturbances 438.0 Cognitive deficits 438.1 Speech and language deficits 438.10 Speech and language deficit unspecified 438.19 Other speech and language deficits 648.44 Postpartum mental disorders of mother 698.4 Dermatitis factitia (artefacta) 780.50 Unspecified sleep disturbance 783.40 Unspecified lack of normal physiological development 783.42 Delayed milestones 784.5 Other speech disturbance 784.61 Alexia and dyslexia 784.69 Other symbolic dysfunction 799.2 Nervousness 90801 Psychiatric diagnostic interview examination 90862 Pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy 90870 Electroconvulsive therapy (includes necessary monitoring) 96111 Developmental testing; extended (includes assessment of motor, language, social, adaptive and/or cognitive functioning by standardized developmental instruments) with interpretation and report 969.9 Poisoning by unspecified psychotropic agent 977.9 Poisoning by unspecified drug or medicinal substance 989.89 Toxic effect of other substance chiefly nonmedicinal as to source not elsewhere classified 995.51 Child emotional/psychological abuse 6/8/201011:02:34AM 37 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES MENTAL CONGNITIVE DISORDERS ICD9 Code Description E855.9 Accidental poisoning by unspecified drug acting on central and autonomic nervous systems E858.9 Accidental poisoning by unspecified drug E950 Suicide and self-inflicted poisoning by solid or liquid substances E950.3 Suicide and self-inflicted poisoning by tranquilizers and other psychotropic agents E950.4 Suicide and self-inflicted poisoning by other specified drugs and medicinal substances E950.9 Suicide and self-inflicted poisoning by other and unspecified solid and liquid substances E953.8 Suicide and self-inflicted injury by other specified means E956 Suicide and self-inflicted injury by cutting and piercing instrument V11.9 Personal history of unspecified mental disorder V15.41 Personal history of physical abuse V15.42 Personal history of emotional abuse V15.49 Personal history of d11506other psychological trauma V40 Mental and behavioral problems V40.0 Mental and behavioral problems with learning V40.1 Mental and behavioral problems with communication (including speech) V40.2 Other mental problems V40.3 Other behavioral problems V40.9 Unspecified mental or behavioral problem V61.0 Family disruption V61.10 Unspecified counseling for marital and partner problems V61.12 Counseling for perpetrator of spousal and partner abuse V61.20 Counseling for parent-child problem unspecified V61.21 Counseling for victim of child abuse V61.22 Counseling for perpetrator of parent child abuse V61.41 Alcoholism in family V62 Other psychosocial circumstances V62.4 Social maladjustment V62.83 Counseling for perpetrator of physical/sexual abuse V65.2 Person feigning illness V65.49 Other specified counseling V70.2 General psychiatric examination other and unspecified V71.02 Observation of childhood or adolescent antisocial behavior V71.09 Observation of other suspected mental condition V79.0 Screening for depression V79.8 Screening for other specified mental disorders and developmental handicaps V79.9 Screening for unspecified mental disorder and developmental handicap DISEASES OF THE NERVOUS SYSTEM ICD9 Code Description 002 Typhoid and paratyphoid fevers 00220 Anesthesia for intracranial procedures; cerebrospinal fluid shunting procedures 036.0 Meningococcal meningitis 047.9 Unspecified viral meningitis 6/8/201011:02:34AM 38 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE NERVOUS SYSTEM ICD9 Code Description 049.9 Unspecified non-arthropod-borne viral diseases of central nervous system 053.13 Postherpetic polyneuropathy 191 Malignant neoplasm of brain 191.5 Malignant neoplasm of ventricles 191.6 Malignant neoplasm of cerebellum not otherwise specified 225.0 Benign neoplasm of brain 225.8 Benign neoplasm of other specified sites of nervous system 228.02 Hemangioma of intracranial structures 253.0 Acromegaly and gigantism 299.01 Autistic disorder residual state 303.00 Acute alcoholic intoxication in alcoholism unspecified drinking behavior 305.00 Nondependent alcohol abuse unspecified drinking behavior 305.20 Nondependent cannabis abuse unspecified use 305.60 Nondependent cocaine abuse unspecified use 305.70 Nondependent amphetamine or related acting sympathomimetic abuse unspecified use 305.9 Nondependent other mixed or unspecified drug abuse 307.2 Tics 307.20 Tic disorder unspecified 307.21 Transient tic disorder 307.3 Stereotypic movement disorder 307.46 Sleep arousal disorder 307.81 Tension headache 310.2 Postconcussion syndrome 314 Hyperkinetic syndrome of childhood 322.0 Nonpyogenic meningitis 323 Encephalitis myelitis and encephalomyelitis 323.8 Other causes of encephalitis myelitis and encephalomyelitis 323.9 Unspecified causes of encephalitis myelitis and encephalomyelitis 330.0 Leukodystrophy 330.8 Other specified cerebral degenerations in childhood 330.9 Unspecified cerebral degeneration in childhood 331.1 Frontotemporal dementia 331.3 Communicating hydrocephalus 331.4 Obstructive hydrocephalus 331.9 Cerebral degeneration unspecified 333.2 Myoclonus 333.5 Other choreas 333.7 Acquired torsion dystonia 333.82 Orofacial dyskinesia 333.83 Spasmodic torticollis 333.9 Other and unspecified extrapyramidal diseases and abnormal movement disorders 333.99 Other extrapyramidal diseases and abnormal movement disorders 334.2 Primary cerebellar degeneration 334.3 Other cerebellar ataxia 6/8/201011:02:34AM 39 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE NERVOUS SYSTEM ICD9 Code Description 334.4 Cerebellar ataxia in diseases classified elsewhere 334.8 Other spinocerebellar diseases 335.0 Werdnig-hoffmann disease 335.1 Spinal muscular atrophy 335.2 Motor neuron disease 336.0 Syringomyelia and syringobulbia 336.3 Myelopathy in other diseases classified elsewhere 336.8 Other myelopathy 33750 Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation) 340 Multiple sclerosis 341.9 Demyelinating disease of central nervous system unspecified 342 Hemiplegia and hemiparesis 342.01 Flaccid hemiplegia and hemiparesis affecting dominant side 342.02 Flaccid hemiplegia and hemiparesis affecting nondominant side 342.1 Spastic hemiplegia 342.11 Spastic hemiplegia and hemiparesis affecting dominant side 342.80 Other specified hemiplegia and hemiparesis affecting unspecified side 342.82 Other specified hemiplegia and hemiparesis affecting nondominant side 342.9 Hemiplegia unspecified 343 Infantile cerebral palsy 343.0 Congenital diplegia 343.1 Congenital hemiplegia 343.2 Congenital quadriplegia 343.8 Other specified infantile cerebral palsy 344.0 Quadraplegia and quadraparesis 344.09 Other quadriplegia 344.2 Diplegia of upper limbs 344.61 Cauda equina syndrome with neurogenic bladder 344.89 Other specified paralytic syndrome 344.9 Paralysis unspecified 345 Epilepsy and recurrent seizures 345.0 Generalized nonconvulsive epilepsy 345.00 Generalized nonconvulsive epilepsy without intractable epilepsy 345.1 Generalized convulsive epilepsy 345.10 Generalized convulsive epilepsy without intractable epilepsy 345.11 Generalized convulsive epilepsy with intractable epilepsy 345.2 Petit mal status epileptic 345.3 Grand mal status epileptic 345.4 Localization-related epilepsy and epileptic syndromes with complex partial seizures 345.40 Localization-related (focal) (partial) epilepsy and epileptic syndromes with complex partial seizures without mention of intractable epilepsy 345.5 Localization-related epilepsy and epileptic syndromes with simple partial seizures 345.50 Localization-related (focal) (partial) epilepsy and epileptic syndromes with simple partial seizures without mention of intractable epilepsy 6/8/201011:02:34AM 40 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE NERVOUS SYSTEM ICD9 Code Description 345.51 Localization-related (focal) (partial) epilepsy and epileptic syndromes with simple partial seizures with intractable epilepsy 345.6 Infantile spasms 345.60 Infantile spasms without intractable epilepsy 345.61 Infantile spasms with intractable epilepsy 345.7 Epilepsia partialis continua 345.8 Other forms of epilepsy and recurrent seizures 345.80 Other forms of epilepsy and recurrent seizures without mention of intractable epilepsy 345.81 Other forms of epilepsy and recurrent seizures with intractable epilepsy 345.9 Epilepsy unspecified 345.90 Epilepsy unspecified without intractable epilepsy 345.91 Epilepsy unspecified with intractable epilepsy 346 Migraine 346.0 Classical migraine 346.00 Classical migraine without intractable migraine 346.01 Classical migraine with intractable migraine so stated 346.1 Common migraine 346.10 Common migraine without intractable migraine 346.11 Common migraine with intractable migraine so stated 346.2 Variants of migraine 346.81 Other forms of migraine with intractable migraine so stated 346.9 Migraine unspecified 346.90 Migraine unspecified without intractable migraine 346.91 Migraine unspecified with intractable migraine so stated 348 Other conditions of brain 348.0 Cerebral cysts 348.1 Anoxic brain damage 348.2 Benign intracranial hypertension 348.3 Encephalopathy not elsewhere classified 348.5 Cerebral edema 348.9 Unspecified condition of brain 349.0 Reaction to spinal or lumbar puncture 349.81 Cerebrospinal fluid rhinorrhea 350.2 Atypical face pain 350.8 Other specified trigeminal nerve disorders 351 Facial nerve disorders 351.0 Bell's palsy 352.9 Unspecified disorder of cranial nerves 356.0 Hereditary peripheral neuropathy 356.4 Idiopathic progressive polyneuropathy 356.8 Other specified idiopathic peripheral neuropathy 356.9 Unspecified idiopathic peripheral neuropathy 357.3 Polyneuropathy in malignant disease 357.4 Polyneuropathy in other diseases classified elsewhere 6/8/201011:02:34AM 41 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE NERVOUS SYSTEM ICD9 Code Description 357.6 Polyneuropathy due to drugs 357.9 Unspecified inflammatory and toxic neuropathies 358.0 Myasthenia gravis 358.8 Other specified myoneural disorders 359 Muscular dystrophies and other myopathies 359.0 Congenital hereditary muscular dystrophy 359.2 Myotonic disorders 359.9 Myopathy unspecified 377.01 Papilledema associated with increased intracranial pressure 377.1 Optic atrophy 377.3 Optic neuritis 377.75 Cortical blindness 378.54 Sixth or abducens nerve palsy 378.81 Palsy of conjugate gaze 379.51 Congenital nystagmus 386.0 Meniere's disease 386.11 Benign paroxysmal positional vertigo 386.12 Vestibular neuronitis 386.2 Vertigo of central origin 388.5 Disorders of acoustic nerve 389.11 Sensory hearing loss bilateral 389.12 Neural hearing loss bilateral 389.18 Sensorineural hearing loss bilateral 412 Old myocardial infarction 430 Subarachnoid hemorrhage 431 Intracerebral hemorrhage 432 Other and unspecified intracranial hemorrhage 432.1 Subdural hemorrhage 432.9 Unspecified intracranial hemorrhage 434.01 Cerebral thrombosis with cerebral infarction 434.10 Cerebral embolism without cerebral infarction 434.11 Cerebral embolism with cerebral infarction 434.90 Cerebral artery occlusion unspecified without cerebral infarction 434.91 Cerebral artery occlusion unspecified with cerebral infarction 435.9 Unspecified transient cerebral ischemia 436 Acute but ill-defined cerebrovascular disease 437.1 Other generalized ischemic cerebrovascular disease 437.2 Hypertensive encephalopathy 437.6 Nonpyogenic thrombosis of intracranial venous sinus 437.8 Other ill-defined cerebrovascular disease 438.12 Dysphasia 438.2 Hemiplegia/hemiparesis 438.21 Hemiplegia affecting dominant side 438.22 Hemiplegia affecting nondominant side 6/8/201011:02:34AM 42 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE NERVOUS SYSTEM ICD9 Code Description 438.81 Apraxia cerebrovascular disease 61020 Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection 61108 Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma 61154 Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural 61314 Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural 61340 Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) 61343 Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) 61500 Craniectomy; with excision of tumor or other bone lesion of skull 61510 Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma 61520 Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor 61543 Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy 61552 Craniectomy for craniosynostosis; multiple cranial sutures 61557 Craniotomy for craniosynostosis; bifrontal bone flap 61690 Surgery of intracranial arteriovenous malformation; dural, simple 61708 Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis 61796 Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion 61797 Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) 61798 Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion 61799 Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) 61800 Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) 62160 Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) 62200 Ventriculocisternostomy, third ventricle; 62220 Creation of shunt; ventriculo-atrial, -jugular, -auricular 62223 Creation of shunt; ventriculo-peritoneal, -pleural, other terminus 62230 Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system 62256 Removal of complete cerebrospinal fluid shunt system; without replacement 63200 Laminectomy, with release of tethered spinal cord, lumbar 63300 Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical 63620 Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion 63621 Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) 6/8/201011:02:34AM 43 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE NERVOUS SYSTEM CPT Code Description 64614 Chemodenervation of muscle(s); extremity(s) and/or trunk muscle(s) (eg, for dystonia, cerebral palsy, multiple sclerosis) 70450 Computed tomography, head or brain; without contrast material 70552 Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) 710.4 Polymyositis 720 Ankylosing spondylitis and other inflammatory spondylopathies 724.3 Sciatica 740 Anencephalus and similar anomalies 741.00 Spina bifida unspecified region with hydrocephalus 741.03 Spina bifida lumbar region with hydrocephalus 741.90 Spina bifida unspecified region without hydrocephalus 741.93 Spina bifida lumbar region without hydrocephalus 742 Other congenital anomalies of nervous system 742.0 Encephalocele 742.2 Congenital reduction deformities of brain 742.3 Congenital hydrocephalus 742.4 Other specified congenital anomalies of brain 742.51 Diastematomyelia 742.9 Unspecified congenital anomaly of brain spinal cord and nervous system 756.0 Congenital anomalies of skull and face bones 76506 Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated 767.6 Injury to brachial plexus due to birth trauma 772.2 Subarachnoid hemorrhage of newborn 774.7 Kernicterus of fetus or newborn not due to isoimmunization 779.0 Convulsions in newborn 779.1 Other and unspecified cerebral irritability in newborn 779.7 Preventricular leukomalacia 780.0 Alteration of consciousness 780.01 Coma 780.03 Persistent vegetative state 780.09 Alteration of consciousness other 780.1 Hallucinations 780.3 Convulsions 780.31 Febrile convulsions (simple) unspecified 780.39 Other convulsions 781 Symptoms involving nervous and musculoskeletal systems 781.3 Lack of coordination 782.0 Disturbance of skin sensation 783.40 Unspecified lack of normal physiological development 783.42 Delayed milestones 6/8/201011:02:34AM 44 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE NERVOUS SYSTEM ICD9 Code Description 784.0 Headache 784.3 Aphasia 784.4 Voice disturbance 784.60 Symbolic dysfunction unspecified 790.99 Other abnormal findings on examination of blood 794.00 Unspecified abnormal function study of brain and central nervous system 794.02 Nonspecific abnormal electroencephalogram (eeg) 794.15 Nonspecific abnormal auditory function studies 796.1 Abnormal reflex 80156 Carbamazepine; total 83874 Myoglobin 850 Concussion 850.0 Concussion with no loss of consciousness 850.1 Concussion with brief loss of consciousness 850.5 Concussion with loss of consciousness of unspecified duration 851.80 Other and unspecified cerebral laceration and contusion without open intracranial wound with state of consciousness unspecified 852.00 Subarachnoid hemorrhage following injury without open intracranial wound with state of consciousness unspecified 852.20 Subdural hemorrhage following injury without open intracranial wound with state of consciousness unspecified 853.00 Other and unspecified intracranial hemorrhage following injury without open intracranial wound with state of consciousness unspecified 952.00 C1-c4 level spinal cord injury unspecified 952.05 C5-c7 level spinal cord injury unspecified 952.06 C5-c7 level with complete lesion of spinal cord 952.9 Unspecified site of spinal cord injury without spinal bone injury 953.4 Injury to brachial plexus 95875 Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) 959.01 Other and unspecified injury to head 95937 Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any one method 95951 Monitoring for localization of cerebral seizure focus by cable or radio, 16 or more channel telemetry, combined electroencephalographic (EEG) and video recording and interpretation (eg, for presurgical localization), each 24 hours 95953 Monitoring for localization of cerebral seizure focus by computerized portable 16 or more channel EEG, electroencephalographic (EEG) recording and interpretation, each 24 hours 95956 Monitoring for localization of cerebral seizure focus by cable or radio, 16 or more channel telemetry, electroencephalographic (EEG) recording and interpretation, each 24 hours 95961 Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; initial hour of physician attendance 95962 Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; each additional hour of physician attendance (List separately in addition to code for primary procedure) 6/8/201011:02:34AM 45 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE NERVOUS SYSTEM ICD9 Code Description 966.1 Poisoning by hydantoin derivatives 969.4 Poisoning by benzodiazepine-based tranquilizers 97112 Therapeutic procedure, one or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities 984.9 Toxic effect of unspecified lead compound 989.3 Toxic effect of organophosphate and carbamate 989.5 Toxic effect of venom 995.55 Shaken baby syndrome 996.2 Mechanical complication of nervous system device implant and graft E853.2 Accidental poisoning by benzodiazepine-based tranquilizers E855.0 Accidental poisoning by anticonvulsant and anti-parkinsonism drugs E863.1 Accidental poisoning by insecticides of organophosphorus compounds E866.0 Accidental poisoning by lead and its compounds and fumes E950.3 Suicide and self-inflicted poisoning by tranquilizers and other psychotropic agents E950.4 Suicide and self-inflicted poisoning by other specified drugs and medicinal substances E950.6 Suicide and self-inflicted poisoning by agricultural and horticultural chemical and pharmaceutical preparations other than plant foods and fertilizers V12.41 Personal history of benign neoplasm of the brain V12.49 Personal history of other disorders of nervous system and sense organs V29.1 Observation for suspected neurological conditions V45.2 Postsurgical presence of cerebrospinal fluid drainage device V48.6 Disfigurements of head V49.2 Motor problems with limbs V53 Fitting and adjustment of other device V53.01 Fitting and adjustment of cerebral ventricular (communicating) shunt DISEASES OF THE EYE CPT Code Description 00140 Anesthesia for procedures on eye; not otherwise specified 077.8 Other viral conjunctivitis 077.98 Unspecified diseases of conjunctiva due to chlamydiae 077.99 Unspecified diseases of conjunctiva due to viruses 098.40 Gonococcal conjunctivitis (neonatorum) 224.1 Benign neoplasm of orbit 224.5 Benign neoplasm of retina 352.6 Multiple cranial nerve palsies 360.12 Panuveitis 361.0 Retinal detachment with retinal defect 361.2 Serous retinal detach 361.31 Round hole of retina without detach 362.1 Other background retinopathy and retinal vascular changes 362.10 Background retinopathy unspecified 6/8/201011:02:34AM 46 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE EYE ICD9 Code Description 362.2 Other proliferative retinopathy 362.21 Retrolental fibroplasia 362.29 Other nondiabetic proliferative retinopathy 362.61 Paving stone degeneration of retina 362.70 Hereditary retinal dystrophy unspecified 362.75 Other dystrophies primarily involving the sensory retina 362.76 Dystrophies primarily involving the retinal pigment epithelium 362.81 Retinal hemorrhage 363.20 Chorioretinitis unspecified 364.10 Chronic iridocyclitis unspecified 364.41 Hyphema of iris and ciliary body 364.76 Iridodialysis 365.14 Glaucoma of childhood 365.4 Glaucoma associated with congenital anomalies dystrophies and systemic syndromes 366 Cataract 366.00 Nonsenile cataract unspecified 366.21 Localized traumatic opacities 366.41 Diabetic cataract 366.44 Cataract associated with other syndromes 366.9 Unspecified cataract 367.1 Myopia 367.2 Astigmatism 367.9 Unspecified disorder of refraction and accommodation 368.00 Amblyopia unspecified 368.01 Strabismic amblyopia 368.10 Subjective visual disturbance unspecified 368.15 Other visual distortions and entoptic phenomena 368.2 Diplopia 368.34 Abnormal retinal correspondence 368.8 Other specified visual disturbances 368.9 Unspecified visual disturbance 369 Blindness and low vision 369.00 Blindness of both eyes impairment level not further specified 369.10 Blindness one eye; low vision other eye 369.20 Low vision both eyes not otherwise specified 369.25 Better eye: moderate vision impairment; lesser eye: moderate vision impairment 369.4 Legal blindness as defined in u.s.a. 369.60 Blindness one eye not otherwise specified 369.75 One eye: moderate vision impairment; other eye: near-normal vision 369.76 One eye: moderate vision impairment; other eye: normal vision 369.8 Unqualified visual loss one eye 369.9 Unspecified visual loss 370.0 Corneal ulcer 370.33 Keratoconjunctivitis sicca not specified as sjogren's 6/8/201011:02:34AM 47 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE EYE ICD9 Code Description 371.0 Corneal scars and opacities 371.30 Corneal membrane change unspecified 371.7 Other corneal deformities 371.82 Corneal disorder due to contact lens 371.9 Unspecified corneal disorder 372 Disorders of conjunctiva 372.00 Acute conjunctivitis unspecified 372.05 Acute atopic conjunctivitis 372.1 Chronic conjunctivitis 372.14 Other chronic allergic conjunctivitis 372.2 Blepharoconjunctivitis 372.72 Conjunctival hemorrhage 373 Inflammation of eyelids 373.0 Blepharitis 373.00 Blepharitis unspecified 373.1 Hordeolum and other deep inflammation of eyelid 373.11 Hordeolum externum 373.12 Hordeolum internum 373.13 Abscess of eyelid 373.2 Chalazion 374.3 Ptosis of eyelid 374.30 Ptosis of eyelid unspecified 374.46 Blepharophimosis 374.82 Edema of eyelid 374.84 Cysts of eyelids 375.30 Dacryocystitis unspecified 375.5 Stenosis and insufficiency of lacrimal passages 375.54 Stenosis of lacrimal sac 375.55 Obstruction of nasolacrimal duct neonatal 375.56 Stenosis of nasolacrimal duct acquired 376.0 Acute inflammation of orbit 376.00 Acute inflammation of orbit unspecified 376.01 Orbital cellulitis 376.1 Chronic inflammatory disorders of orbit 376.12 Orbital myositis 376.36 Lateral displacement of globe 376.47 Deformity of orbit due to trauma or surgery 376.9 Unspecified disorder of orbit 377.00 Papilledema unspecified 378 Strabismus and other disorders of binocular eye movements 378.0 Esotropia 378.00 Esotropia unspecified 378.01 Monocular esotropia 378.1 Exotropia 6/8/201011:02:34AM 48 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE EYE ICD9 Code Description 378.10 Exotropia unspecified 378.30 Heterotropia unspecified 378.41 Esophoria 378.6 Mechanical strabismus 378.7 Other specified strabismus 378.9 Unspecified disorder of eye movements 379 Other disorders of eye 379.1 Other disorders of sclera 379.41 Anisocoria 379.5 Nystagmus and other irregular eye movements 379.50 Nystagmus unspecified 379.90 Disorder of eye unspecified 379.92 Swelling or mass of eye 379.93 Redness or discharge of eye 380.16 Other chronic infective otitis externa 65220 Removal of foreign body, external eye; corneal, without slit lamp 65272 Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization 67318 Strabismus surgery, any procedure, superior oblique muscle 67800 Excision of chalazion; single 67930 Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness 67935 Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness 68200 Subconjunctival injection 743.20 Buphthalmos unspecified 743.30 Congenital cataract unspecified 743.4 Coloboma and other anomalies of anterior segment 743.46 Other specified congenital anomalies of iris and ciliary body 743.61 Congenital ptosis of eyelid 743.65 Specified congenital anomalies of lacrimal passages 743.9 Unspecified anomaly of eye congenital 771.6 Neonatal conjunctivitis and dacryocystitis 802.6 Closed fracture of orbital floor (blow-out) 870.1 Laceration of eyelid full-thickness not involving lacrimal passages 871.4 Unspecified laceration of eye 918.1 Superficial injury of cornea 92283 Color vision examination, extended, eg, anomaloscope or equivalent 930.0 Corneal foreign body 930.1 Foreign body in conjunctival sac V41.0 Problems with sight V45.69 Other states following surgery of eye and adnexa V72.0 Examination of eyes and vision 6/8/201011:02:34AM 49 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE EAR ICD9 Code Description 380 Disorders of external ear 380.10 Infective otitis externa unspecified 380.12 Acute swimmers' ear 380.21 Cholesteatoma of external ear 380.22 Other acute otitis externa 380.23 Other chronic otitis externa 380.3 Noninfectious disorders of pinna 380.4 Impacted cerumen 381.0 Acute nonsuppurative otitis media 381.00 Acute nonsuppurative otitis media unspecified 381.01 Acute serous otitis media 381.03 Acute sanguinous otitis media 381.04 Acute allergic serous otitis media 381.10 Chronic serous otitis media simple or unspecified 381.19 Other chronic serous otitis media 381.2 Chronic mucoid otitis media 381.20 Chronic mucoid otitis media simple or unspecified 381.81 Dysfunction of eustachian tube 381.9 Unspecified eustachian tube disorder 382.0 Acute suppurative otitis media 382.00 Acute suppurative otitis media without spontaneous rupture of eardrum 382.01 Acute suppurative otitis media with spontaneous rupture of eardrum 382.1 Chronic tubotympanic suppurative otitis media 382.3 Unspecified chronic suppurative otitis media 382.9 Unspecified otitis media 384 Other disorders of tympanic membrane 384.0 Acute myringitis without mention of otitis media 384.00 Acute myringitis unspecified 384.01 Bullous myringitis 384.2 Perforation of tympanic membrane 384.20 Perforation of tympanic membrane unspecified 384.8 Other specified disorders of tympanic membrane 385.30 Cholesteatoma unspecified 385.32 Cholesteatoma of middle ear 385.33 Cholesteatoma of middle ear and mastoid 385.82 Cholesterin granuloma of middle ear 385.83 Retained foreign body of middle ear 385.9 Unspecified disorder of middle ear and mastoid 386.1 Other and unspecified peripheral vertigo 386.10 Peripheral vertigo unspecified 386.3 Labyrinthitis 386.30 Labyrinthitis unspecified 387 Otosclerosis 387.9 Otosclerosis unspecified 6/8/201011:02:34AM 50 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE EAR ICD9 Code Description 388 Other disorders of ear 388.2 Sudden hearing loss unspecified 388.3 Tinnitus 388.30 Tinnitus unspecified 388.6 Otorrhea 388.60 Otorrhea unspecified 388.7 Otalgia 388.70 Otalgia unspecified 388.71 Otogenic pain 388.72 Referred otogenic pain 389 Hearing loss 389.0 Conductive hearing loss 389.00 Conductive hearing loss unspecified 389.01 Conductive hearing loss external ear 389.02 Conductive hearing loss tympanic membrane 389.03 Conductive hearing loss middle ear 389.08 Conductive hearing loss of combined types 389.1 Sensorineural hearing loss 389.10 Sensorineural hearing loss unspecified 389.2 Mixed conductive and sensorineural hearing loss 389.9 Unspecified hearing loss 69300 Otoplasty, protruding ear, with or without size reduction 69320 Reconstruction external auditory canal for congenital atresia, single stage 69420 Myringotomy including aspiration and/or eustachian tube inflation 69421 Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia 69433 Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia 69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 69636 Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction 69637 Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP]) 69645 Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction 69660 Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; 744.0 Congenital anomalies of ear causing impairment of hearing 744.47 Preauricular cyst 780.4 Dizziness and giddiness 872.00 Open wound of external ear unspecified site uncomplicated 872.61 Open wound of ear drum uncomplicated 92556 Speech audiometry threshold; with speech recognition 92560 Bekesy audiometry; screening 6/8/201011:02:34AM 51 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE EAR CPT Code Description 92585 Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous system; comprehensive 92593 Hearing aid check; binaural 92604 Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming 931 Foreign body in ear 94761 Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise) 994.6 Motion sickness V41.2 Problems with hearing V72.1 Examination of ears and hearing DISEASES OF THE CIRCULATORY SYSTEM ICD9 Code Description 212.7 Benign neoplasm of heart 33010 Pericardiocentesis; initial 33406 Replacement, aortic valve, with cardiopulmonary bypass; with allograft valve (freehand) 33416 Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis (eg, asymmetric septal hypertrophy) 33430 Replacement, mitral valve, with cardiopulmonary bypass 33619 Repair of single ventricle with aortic outflow obstruction and aortic arch hypoplasia (hypoplastic left heart syndrome) (eg, Norwood procedure) 33641 Repair atrial septal defect, secundum, with cardiopulmonary bypass, with or without patch 33681 Closure of single ventricular septal defect, with or without patch; 33692 Complete repair tetralogy of Fallot without pulmonary atresia; 33694 Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch 33767 Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure) 33770 Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; without surgical enlargement of ventricular septal defect 33771 Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; with surgical enlargement of ventricular septal defect 33820 Repair of patent ductus arteriosus; by ligation 33935 Heart-lung transplant with recipient cardiectomy-pneumonectomy 35021 Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, innominate, subclavian artery, by thoracic incision 36593 Declotting by thrombolytic agent of implanted vascular access device or catheter 37617 Ligation, major artery (eg, post-traumatic, rupture); abdomen 390 Rheumatic fever without heart involvement 391 Rheumatic fever with heart involvement 391.2 Acute rheumatic myocarditis 391.9 Acute rheumatic heart disease unspecified 394 Diseases of mitral valve 394.1 Rheumatic mitral insufficiency 6/8/201011:02:34AM 52 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE CIRCULATORY SYSTEM ICD9 Code Description 394.2 Mitral stenosis with insufficiency 394.9 Other and unspecified mitral valve diseases 395.1 Rheumatic aortic insufficiency 396.3 Mitral valve insufficiency and aortic valve insufficiency 397.0 Diseases of tricuspid valve 398 Other rheumatic heart disease 398.90 Rheumatic heart disease unspecified 401.9 Unspecified essential hypertension 402.00 Malignant hypertensive heart disease without heart failure 402.9 Unspecified hypertensive heart disease 402.90 Unspecified hypertensive heart disease without heart failure 411.89 Other acute and subacute forms of ischemic heart disease other 413.9 Other and unspecified angina pectoris 414.11 Aneurysm of coronary vessels 414.9 Chronic ischemic heart disease unspecified 415.0 Acute cor pulmonale 415.1 Pulmonary embolism and infarction 416 Chronic pulmonary heart disease 416.8 Other chronic pulmonary heart diseases 417 Other diseases of pulmonary circulation 417.8 Other specified diseases of pulmonary circulation 420 Acute pericarditis 420.90 Acute pericarditis unspecified 420.91 Acute idiopathic pericarditis 421 Acute and subacute endocarditis 421.0 Acute and subacute bacterial endocarditis 421.9 Acute endocarditis unspecified 422 Acute myocarditis 422.9 Other and unspecified acute myocarditis 422.90 Acute myocarditis unspecified 423.9 Unspecified disease of pericardium 424.0 Mitral valve disorders 424.1 Aortic valve disorders 424.2 Tricuspid valve disorders specified as nonrheumatic 424.3 Pulmonary valve disorders 425 Cardiomyopathy 425.1 Hypertrophic obstructive cardiomyopathy 425.4 Other primary cardiomyopathies 425.8 Cardiomyopathy in other diseases classified elsewhere 425.9 Secondary cardiomyopathy unspecified 426.0 Atrioventricular block complete 426.3 Other left bundle branch block 426.4 Right bundle branch block 426.6 Other heart block 6/8/201011:02:34AM 53 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE CIRCULATORY SYSTEM ICD9 Code Description 426.7 Anomalous atrioventricular excitation 426.9 Conduction disorder unspecified 427 Cardiac dysrhythmias 427.0 Paroxysmal supraventricular tachycardia 427.1 Paroxysmal ventricular tachycardia 427.2 Paroxysmal tachycardia unspecified 427.31 Atrial fibrillation 427.32 Atrial flutter 427.5 Cardiac arrest 427.6 Premature beats 427.60 Premature beats unspecified 427.61 Supraventricular premature beats 427.69 Other premature beats 427.81 Sinoatrial node dysfunction 427.89 Other specified cardiac dysrhythmias 427.9 Cardiac dysrhythmia unspecified 428 Heart failure 428.0 Congestive heart failure unspecified 429 Ill-defined descriptions and complications of heart disease 429.3 Cardiomegaly 429.8 Other ill-defined heart diseases 429.9 Heart disease unspecified 430 Subarachnoid hemorrhage 431 Intracerebral hemorrhage 432.9 Unspecified intracranial hemorrhage 434.90 Cerebral artery occlusion unspecified without cerebral infarction 435.9 Unspecified transient cerebral ischemia 437.2 Hypertensive encephalopathy 437.5 Moyamoya disease 441.4 Abdominal aneurysm without rupture 441.9 Aortic aneurysm of unspecified site without rupture 44128 Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) 443 Other peripheral vascular disease 443.89 Other peripheral vascular disease 444.2 Embolism and thrombosis of arteries of the extremities 446.1 Acute febrile mucocutaneous lymph node syndrome (mcls) 446.6 Thrombotic microangiopathy 447.6 Arteritis unspecified 447.8 Other specified disorders of arteries and arterioles 451 Phlebitis and thrombophlebitis 451.1 Phlebitis and thrombophlebitis of deep veins of lower extremities 451.19 Phlebitis and thrombophlebitis of other 6/8/201011:02:34AM 54 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE CIRCULATORY SYSTEM ICD9 Code Description 451.2 Phlebitis and thrombophlebitis of lower extremities unspecified 451.82 Phlebitis and thrombophlebitis of superficial veins of upper extremities 451.9 Phlebitis and thrombophlebitis of unspecified site 453 Other venous embolism and thrombosis 453.2 Embolism and thrombosis of vena cava 453.3 Embolism and thrombosis of renal vein 453.8 Embolism and thrombosis of other specified veins 453.9 Embolism and thrombosis of unspecified site 455.6 Unspecified hemorrhoids without complication 455.8 Unspecified hemorrhoids with other complication 456 Varicose veins of other sites 456.4 Scrotal varices 458.0 Orthostatic hypotension 458.9 Hypotension unspecified 459.81 Venous (peripheral) insufficiency unspecified 459.9 Unspecified circulatory system disorder 659.7 Abnormality in fetal heart rate or rhythm 745 Bulbus cordis anomalies and anomalies of cardiac septal closure 745.0 Common truncus 745.1 Transposition of great vessels 745.10 Complete transposition of great vessels 745.11 Double outlet right ventricle 745.12 Corrected transposition of great vessels 745.2 Tetralogy of fallot 745.3 Common ventricle 745.4 Ventricular septal defect 745.5 Ostium secundum type atrial septal defect 745.6 Endocardial cushion defects 745.60 Endocardial cushion defect unspecified type 745.69 Other endocardial cushion defects 745.8 Other bulbus cordis anomalies and anomalies of cardiac septal closure 746 Other congenital anomalies of heart 746.01 Atresia of pulmonary valve congenital 746.02 Stenosis of pulmonary valve congenital 746.09 Other congenital anomalies of pulmonary valve 746.1 Tricuspid atresia and stenosis congenital 746.2 Ebstein's anomaly 746.3 Congenital stenosis of aortic valve 746.4 Congenital insufficiency of aortic valve 746.6 Congenital mitral insufficiency 746.7 Hypoplastic left heart syndrome 746.8 Other specified congenital anomalies of heart 746.81 Subaortic stenosis congenital 746.83 Infundibular pulmonic stenosis congenital 6/8/201011:02:34AM 55 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE CIRCULATORY SYSTEM ICD9 Code Description 746.84 Congenital obstructive anomalies of heart not elsewhere classified 746.85 Coronary artery anomaly congenital 746.86 Congenital heart block 746.87 Malposition of heart and cardiac apex 746.89 Other specified congenital anomalies of heart 746.9 Unspecified congenital anomaly of heart 747 Other congenital anomalies of circulatory system 747.0 Patent ductus arteriosus 747.1 Coarctation of aorta 747.10 Coarctation of aorta (preductal) (postductal) 747.11 Interruption of aortic arch 747.2 Other congenital anomalies of aorta 747.21 Congenital anomalies of aortic arch 747.22 Congenital atresia and stenosis of aorta 747.3 Congenital anomalies of pulmonary artery 747.41 Total anomalous pulmonary venous connection 747.49 Other anomalies of great veins 747.6 Other congenital anomalies of peripheral vascular system 747.8 Other specified congenital anomalies of circulatory system 747.81 Congenital anomalies of cerebrovascular system 747.9 Unspecified congenital anomaly of circulatory system 763.81 Abnormality in fetal heart rate or rhythm before the onset of labor 763.83 Abnormality in fetal heart rate or rhythm unspecified as to time of onset 76825 Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; 76827 Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete 76930 Ultrasonic guidance for pericardiocentesis, imaging supervision and interpretation 782.5 Cyanosis 785 Symptoms involving cardiovascular system 785.0 Tachycardia unspecified 785.1 Palpitations 785.2 Undiagnosed cardiac murmurs 785.50 Shock unspecified 785.51 Cardiogenic shock 785.59 Other shock without trauma 785.9 Other symptoms involving cardiovascular system 786.5 Chest pain 786.50 Unspecified chest pain 794.3 Nonspecific abnormal results of function study of cardiovascular system 794.31 Nonspecific abnormal electrocardiogram (ecg) (ekg) 796.2 Elevated blood pressure reading without diagnosis of hypertension 80162 Digoxin 92960 Cardioversion, elective, electrical conversion of arrhythmia; external 6/8/201011:02:34AM 56 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE CIRCULATORY SYSTEM CPT Code Description 92992 Atrial septectomy or septostomy; transvenous method, balloon (eg, Rashkind type) (includes cardiac catheterization) 92993 Atrial septectomy or septostomy; blade method (Park septostomy) (includes cardiac catheterization) 93000 Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report 93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 93224 Wearable electrocardiographic rhythm derived monitoring for 24 hours by continuous original waveform recording and storage, with visual superimposition scanning; includes recording, scanning analysis with report, physician review and interpretation 93230 Wearable electrocardiographic rhythm derived monitoring for 24 hours by continuous original waveform recording and storage without superimposition scanning utilizing a device capable of producing a full miniaturized printout; includes recording, microprocessor-based analysis with report, physician review and interpretation 93307 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography 93314 Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); image acquisition, interpretation and report only 93325 Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography) 93503 Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes 93580 Percutaneous transcatheter closure of congenital interatrial communication (ie, fontan fenestration, atrial septal defect) with implant 93923 Noninvasive physiologic studies of upper or lower extremity arteries, multiple levels or with provocative functional maneuvers, complete bilateral study (eg, segmental blood pressure measurements, segmental Doppler waveform analysis, segmental volume plethysmography, segmental transcutaneous oxygen tension measurements, measurements with postural provocative tests, measurements with reactive hyperemia) 958.4 Traumatic shock 95819 Electroencephalogram (EEG); including recording awake and asleep 95950 Monitoring for identification and lateralization of cerebral seizure focus, electroencephalographic (eg, 8 channel EEG) recording and interpretation, each 24 hours 95957 Digital analysis of electroencephalogram (EEG) (eg, for epileptic spike analysis) 972.1 Poisoning by cardiotonic glycosides and drugs of similar action 99090 Analysis of clinical data stored in computers (eg, ECGs, blood pressures, hematologic data) 995.0 Other anaphylactic shock not elsewhere classified 995.62 Anaphylactic shock due to crustaceans 996.83 Complications of transplanted heart 998.1 Hemorrhage or hematoma complicating a procedure not elsewhere classified 998.12 Hematoma complicating a procedure 999.4 Anaphylactic shock due to serum not elsewhere classified E858.3 Accidental poisoning by agents primarily affecting cardiovascular system E950.4 Suicide and self-inflicted poisoning by other specified drugs and medicinal substances V12.50 Personal history of unspecified circulatory disease V12.51 Personal history of venous thrombosis and embolism 6/8/201011:02:34AM 57 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE CIRCULATORY SYSTEM ICD9 Code Description V12.59 Personal history of other diseases of circulatory system not elsewhere classified V15.1 Personal history of surgery to heart and great vessels presenting hazards to health V42.1 Heart replaced by transplant V42.2 Heart valve replaced by transplant V43.3 Heart valve replaced by other means V45.01 Cardiac pacemaker in situ V58.81 Fitting and adjustment of vascular catheter V71.7 Observation for suspected cardiovascular disease DISEASES OF THE THROAT AND SINUS ICD9 Code Description 034.0 Streptococcal sore throat 212.1 Benign neoplasm of larynx 231.0 Carcinoma in situ of larynx 31502 Tracheotomy tube change prior to establishment of fistula tract 31515 Laryngoscopy direct, with or without tracheoscopy; for aspiration 31520 Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn 31560 Laryngoscopy, direct, operative, with arytenoidectomy; 31603 Tracheostomy, emergency procedure; transtracheal 31820 Surgical closure tracheostomy or fistula; without plastic repair 42700 Incision and drainage abscess; peritonsillar 42815 Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx 42820 Tonsillectomy and adenoidectomy; younger than age 12 42821 Tonsillectomy and adenoidectomy; age 12 or over 42825 Tonsillectomy, primary or secondary; younger than age 12 42826 Tonsillectomy, primary or secondary; age 12 or over 42961 Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization 42999 Unlisted procedure, pharynx, adenoids, or tonsils 43246 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with directed placement of percutaneous gastrostomy tube 460 Acute nasopharyngitis (common cold) 461.0 Acute maxillary sinusitis 461.9 Acute sinusitis unspecified 462 Acute pharyngitis 463 Acute tonsillitis 464.0 Acute laryngitis 464.10 Acute tracheitis without obstruction 464.11 Acute tracheitis with obstruction 464.20 Acute laryngotracheitis without obstruction 464.21 Acute laryngotracheitis with obstruction 464.30 Acute epiglottitis without obstruction 6/8/201011:02:34AM 58 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE THROAT AND SINUS ICD9 Code Description 464.31 Acute epiglottitis with obstruction 465.9 Acute upper respiratory infections of unspecified site 470 Deviated nasal septum 471 Nasal polyps 471.0 Polyp of nasal cavity 472.0 Chronic rhinitis 472.1 Chronic pharyngitis 473.9 Unspecified sinusitis (chronic) 474 Chronic disease of tonsils and adenoids 474.00 Chronic tonsillitis 474.01 Chronic adenoiditis 474.1 Hypertrophy of tonsils and adenoids 474.10 Hypertrophy of tonsil with adenoids 474.11 Hypertrophy of tonsils alone 474.12 Hypertrophy of adenoids alone 474.9 Unspecified chronic disease of tonsils and adenoids 475 Peritonsillar abscess 477.0 Allergic rhinitis due to pollen 477.1 Allergic rhinitis due to food 477.8 Allergic rhinitis due to other allergen 478.0 Hypertrophy of nasal turbinates 478.1 Other diseases of nasal cavity and sinuses 478.24 Retropharyngeal abscess 478.3 Paralysis of vocal cords or larynx 478.30 Unspecified paralysis of vocal cords 478.33 Partial bilateral paralysis of vocal cords 478.5 Other diseases of vocal cords 478.6 Edema of larynx 478.70 Unspecified disease of larynx 478.74 Stenosis of larynx 478.8 Upper respiratory tract hypersensitivity reaction site unspecified 519.0 Tracheostomy complications 519.09 Other tracheostomy complications 526.9 Unspecified disease of the jaws 527.7 Disturbance of salivary secretion 528 Diseases of the oral soft tissues excluding lesions specific for gingiva and tongue 528.3 Cellulitis and abscess of oral soft tissues 529.2 Median rhomboid glossitis 529.6 Glossodynia 60280 Excision of thyroglossal duct cyst or sinus; 70220 Radiologic examination, sinuses, paranasal, complete, minimum of 3 views 744.42 Branchial cleft cyst 748.0 Choanal atresia 748.2 Web of larynx 6/8/201011:02:34AM 59 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE THROAT AND SINUS ICD9 Code Description 749.00 Cleft palate unspecified 749.10 Cleft lip unspecified 784 Symptoms involving head and neck 784.1 Throat pain 784.49 Other voice disturbance 784.7 Epistaxis 784.9 Other symptoms involving head and neck 802.0 Closed fracture of nasal bones 873.20 Open wound of nose unspecified site uncomplicated 92610 Evaluation of oral and pharyngeal swallowing function 932 Foreign body in nose 933.0 Foreign body in pharynx 935 Foreign body in mouth esophagus and stomach 935.0 Foreign body in mouth V15.01 Personal history of allergy to peanuts V15.02 Personal history of allergy to milk products V15.03 Personal history of allergy to eggs V15.05 Personal history of allergy to other foods V15.09 Personal history of other allergy other than to medicinal agents V44.0 Tracheostomy status V55.0 Attention to tracheostomy V64.4 Laparoscopic surgical procedure converted to open procedure DISEASES OF THE RESPIRATORY SYSTEM ICD9 Code Description 136.3 Pneumocystosis 277.0 Cystic fibrosis 306.1 Respiratory malfunction arising from mental factors 31630 Bronchoscopy, rigid or flexible, with or without fluoroscopic guidance; with tracheal/bronchial dilation or closed reduction of fracture 31635 Bronchoscopy, rigid or flexible, with or without fluoroscopic guidance; with removal of foreign body 32095 Thoracotomy, limited, for biopsy of lung or pleura 32405 Biopsy, lung or mediastinum, percutaneous needle 32421 Thoracentesis, puncture of pleural cavity for aspiration, initial or subsequent 32940 Pneumonolysis, extraperiosteal, including filling or packing procedures 464.4 Croup 465.9 Acute upper respiratory infections of unspecified site 466.0 Acute bronchitis 466.1 Acute bronchiolitis 466.11 Acute bronchiolitis due to respiratory syncytial virus (rsv) 466.19 Acute bronciolitis due to other infectious organisms 478 Other diseases of upper respiratory tract 6/8/201011:02:34AM 60 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE RESPIRATORY SYSTEM ICD9 Code Description 478.9 Other and unspecified diseases of upper respiratory tract 480 Viral pneumonia 480.9 Viral pneumonia unspecified 481 Pneumococcal pneumonia [streptococcus pneumoniae pneumonia] 482.40 Pneumonia due to staphylococcus unspecified 482.41 Pneumonia due to staphylococcus aureus 482.8 Pneumonia due to other specified bacteria 482.9 Bacterial pneumonia unspecified 483.0 Pneumonia due to mycoplasma pneumoniae 483.1 Pneumonia due to chlamydia 485 Bronchopneumonia organism unspecified 486 Pneumonia organism unspecified 487.0 Influenza with pneumonia 487.1 Influenza with other respiratory manifestations 490 Bronchitis not specified as acute or chronic 491 Chronic bronchitis 491.21 Obstructive chronic bronchitis with (acute) exacerbation 492 Emphysema 492.8 Other emphysema 493 Asthma 493.0 Extrinsic asthma 493.00 Extrinsic asthma unspecified 493.01 Extrinsic asthma with status asthmaticus 493.02 Extrinsic asthma with (acute) exacerbation 493.1 Intrinsic asthma 493.10 Intrinsic asthma unspecified 493.11 Intrinsic asthma with status asthmaticus 493.12 Intrinsic asthma with (acute) exacerbation 493.2 Chronic obstructive asthma 493.20 Chronic obstructive asthma unspecified 493.21 Chronic obstructive asthma with status asthmaticus 493.22 Chronic obstructive asthma with (acute) exacerbation 493.9 Asthma unspecified 493.90 Asthma unspecified 493.91 Asthma unspecified type with status asthmaticus 493.92 Asthma unspecified with (acute) exacerbation 494 Bronchiectasis 494.0 Bronchiectasis without acute exacerbation 495.7 Ventilation pneumonitis 495.9 Unspecified allergic alveolitis and pneumonitis 496 Chronic airway obstruction not elsewhere classified 506.1 Acute pulmonary edema due to fumes and vapors 507.0 Pneumonitis due to inhalation of food or vomitus 507.8 Pneumonitis due to other solids and liquids 6/8/201011:02:34AM 61 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE RESPIRATORY SYSTEM ICD9 Code Description 511 Pleurisy 511.0 Pleurisy without effusion or current tuberculosis 511.1 Pleurisy with effusion with a bacterial cause other than tuberculosis 511.8 Other specified forms of pleural effusion except tuberculous 511.9 Unspecified pleural effusion 512 Pneumothorax 512.0 Spontaneous tension pneumothorax 512.1 Iatrogenic pneumothorax 512.8 Other spontaneous pneumothorax 514 Pulmonary congestion and hypostasis 516.1 Idiopathic pulmonary hemosiderosis 516.8 Other specified alveolar and parietoalveolar pneumonopathies 517 Lung involvement in conditions classified elsewhere 518 Other diseases of lung 518.0 Pulmonary collapse 518.1 Interstitial emphysema 518.3 Pulmonary eosinophilia 518.4 Acute edema of lung unspecified 518.6 Allergic bronchopulmonary aspergilliosis 518.8 Other diseases of lung 518.81 Acute respiratory failure 518.82 Other pulmonary insufficiency not elsewhere classified 518.83 Chronic respiratory failure 518.84 Acute and chronic respiratory failure 518.89 Other diseases of lung not elsewhere classified 519.1 Other diseases of trachea and bronchus not elsewhere classified 519.4 Disorders of diaphragm 519.8 Other diseases of respiratory system not elsewhere classified 519.9 Unspecified disease of respiratory system 748 Congenital anomalies of respiratory system 748.3 Other congenital anomalies of larynx trachea and bronchus 748.4 Congenital cystic lung 748.5 Congenital agenesis hypoplasia and dysplasia of lung 748.6 Other congenital anomalies of lung 748.9 Unspecified congenital anomaly of respiratory system 750.3 Congenital tracheoesophageal fistula esophageal atresia and stenosis 770.7 Chronic respiratory disease arising in the perinatal period 780.57 Unspecified sleep apnea 781.5 Clubbing of fingers 782.5 Cyanosis 786 Symptoms involving respiratory system and other chest symptoms 786.0 Dyspnea and respiratory abnormalities 786.00 Respiratory abnormality unspecified 786.03 Apnea 6/8/201011:02:34AM 62 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE RESPIRATORY SYSTEM ICD9 Code Description 786.04 Cheyne-stokes respiration 786.05 Shortness of breath 786.06 Tachypnea 786.07 Wheezing 786.09 Respiratory abnormality other 786.1 Stridor 786.2 Cough 786.3 Hemoptysis 786.4 Abnormal sputum 786.52 Painful respiration 786.59 Other chest pain 786.9 Other symptoms involving respiratory system and chest 793.1 Nonspecific abnormal findings on radiological and other examination of lung field 799.0 Asphyxia and hypoxemia 799.1 Respiratory arrest 807.4 Flail chest 82803 Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); 82805 Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry 860 Traumatic pneumothorax and hemothorax 860.0 Traumatic pneumothorax without open wound into thorax 861.21 Contusion of lung without open wound into thorax 933.1 Foreign body in larynx 934.9 Foreign body in respiratory tree unspecified 93720 Plethysmography, total body; with interpretation and report 94002 Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day 94003 Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day 94004 Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; nursing facility, per day 94010 Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration 94070 Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine) 94375 Respiratory flow volume loop 944.1 Erythema due to burn (first degree) of wrist(s) and hand(s) 94450 Breathing response to hypoxia (hypoxia response curve) 94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes (eg, with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing [IPPB] device) 94660 Continuous positive airway pressure ventilation (CPAP), initiation and management 6/8/201011:02:34AM 63 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE RESPIRATORY SYSTEM ICD9 Code Description 958.7 Traumatic subcutaneous emphysema 975.7 Poisoning by antiasthmatics 986 Toxic effect of carbon monoxide 987.1 Toxic effect of other hydrocarbon gas 994.7 Asphyxiation and strangulation 99503 Home visit for respiratory therapy care (eg, bronchodilator, oxygen therapy, respiratory assessment, apnea evaluation) E858.6 Accidental poisoning by agents primarily acting on the smooth and skeletal muscles and respiratory system E868.8 Accidental poisoning by carbon monoxide from other sources E869.8 Accidental poisoning by other specified gases and vapors E911 Inhalation and ingestion of food causing obstruction of respiratory tract or suffocation E912 Inhalation and ingestion of other object causing obstruction of respiratory tract or suffocation E941.1 Parasympatholytics (anticholinergics and antimuscarinics) and spasmolytics causing adverse effects in therapeutic use E950.4 Suicide and self-inflicted poisoning by other specified drugs and medicinal substances E952.1 Suicide and self-inflicted poisoning by other carbon monoxide E952.8 Suicide and self-inflicted poisoning by other specified gases and vapors V12.6 Personal history of diseases of respiratory system DISEASE OF THE DIGESTIVE SYSTEM ICD9 Code Description 003.0 Salmonella gastroenteritis 005.9 Food poisoning unspecified 006.0 Acute amebic dysentery without abscess 00702 Anesthesia for procedures on upper anterior abdominal wall; percutaneous liver biopsy 00796 Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; liver transplant (recipient) 008.00 Intestinal infection due to e. coli unspecified 008.01 Intestinal infection due to enteropathogenic e. coli 008.02 Intestinal infection due to enterotoxigenic e. coli 008.04 Intestinal infection due to enterohemorrhagic e. coli 008.43 Intestinal infection due to campylobacter 008.61 Enteritis due to rotavirus 009.0 Infectious colitis enteritis and gastroenteritis 009.1 Colitis enteritis and gastroenteritis of presumed infectious origin 009.2 Infectious diarrhea 022.2 Gastrointestinal anthrax 041.86 Helicobacter pylori (h. pylori) infection 054.2 Herpetic gingivostomatitis 112.0 Candidiasis of mouth 112.84 Candidal esophagitis 6/8/201011:02:34AM 64 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASE OF THE DIGESTIVE SYSTEM ICD9 Code Description 112.85 Candidal enteritis 127.4 Enterobiasis 129 Intestinal parasitism unspecified 211.3 Benign neoplasm of colon 251.8 Other specified disorders of pancreatic internal secretion 251.9 Unspecified disorder of pancreatic internal secretion 271.3 Intestinal disaccharidase deficiencies and disaccharide malabsorption 289.2 Nonspecific mesenteric lymphadenitis 307.50 Eating disorder unspecified 307.51 Bulimia nervosa 307.7 Encopresis 43215 Esophagoscopy, rigid or flexible; with removal of foreign body 43239 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with biopsy, single or multiple 43255 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with control of bleeding, any method 43324 Esophagogastric fundoplasty (eg, Nissen, Belsey IV, Hill procedures) 43325 Esophagogastric fundoplasty; with fundic patch (Thal-Nissen procedure) 43456 Dilation of esophagus, by balloon or dilator, retrograde 43510 Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) 43520 Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) 43760 Change of gastrostomy tube, percutaneous, without imaging or endoscopic guidance 43761 Repositioning of the gastric feeding tube, through the duodenum for enteric nutrition 438.82 Dysphagia cerebrovascular disease 43831 Gastrostomy, open; neonatal, for feeding 43832 Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) 44055 Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) 44120 Enterectomy, resection of small intestine; single resection and anastomosis 44136 Intestinal allotransplantation; from living donor 44141 Colectomy, partial; with skin level cecostomy or colostomy 44155 Colectomy, total, abdominal, with proctectomy; with ileostomy 44310 Ileostomy or jejunostomy, non-tube 44314 Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) 44376 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) 44389 Colonoscopy through stoma; with biopsy, single or multiple 44500 Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) 44950 Appendectomy; 44955 Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure) 44960 Appendectomy; for ruptured appendix with abscess or generalized peritonitis 44970 Laparoscopy, surgical, appendectomy 6/8/201011:02:34AM 65 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASE OF THE DIGESTIVE SYSTEM CPT Code Description 45380 Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple 45383 Colonoscopy, flexible, proximal to splenic flexure; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique 45386 Colonoscopy, flexible, proximal to splenic flexure; with dilation by balloon, 1 or more strictures 455 Hemorrhoids 455.6 Unspecified hemorrhoids without complication 455.8 Unspecified hemorrhoids with other complication 455.9 Residual hemorrhoidal skin tags 46600 Anoscopy; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) 47100 Biopsy of liver, wedge 47136 Liver allotransplantation; heterotopic, partial or whole, from cadaver or living donor, any age 48511 External drainage, pseudocyst of pancreas; percutaneous 49000 Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) 49080 Peritoneocentesis, abdominal paracentesis, or peritoneal lavage (diagnostic or therapeutic); initial 49081 Peritoneocentesis, abdominal paracentesis, or peritoneal lavage (diagnostic or therapeutic); subsequent 49500 Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible 49501 Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated 49505 Repair initial inguinal hernia, age 5 years or older; reducible 49525 Repair inguinal hernia, sliding, any age 49580 Repair umbilical hernia, younger than age 5 years; reducible 49605 Repair of large omphalocele or gastroschisis; with or without prosthesis 49606 Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room 49610 Repair of omphalocele (Gross type operation); first stage 520.7 Teething syndrome 521.0 Dental caries 521.8 Other specified diseases of hard tissues of teeth 522.5 Periapical abscess without sinus 523.0 Acute gingivitis 523.8 Other specified periodontal diseases 524.04 Major anomalies of jaw size mandibular hypoplasia 524.2 Anomalies of dental arch relationship 524.4 Malocclusion unspecified 524.60 Temporomandibular joint disorders unspecified 525.1 Loss of teeth due to accident extraction or local periodontal disease 526.0 Developmental odontogenic cysts 527.2 Sialoadenitis 528.2 Oral aphthae 6/8/201011:02:34AM 66 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASE OF THE DIGESTIVE SYSTEM ICD9 Code Description 528.3 Cellulitis and abscess of oral soft tissues 528.5 Diseases of lips 528.9 Other and unspecified diseases of the oral soft tissues 529.0 Glossitis 529.1 Geographic tongue 530 Diseases of esophagus 530.0 Achalasia and cardiospasm 530.1 Esophagitis 530.10 Esophagitis unspecified 530.11 Reflux esophagitis 530.12 Acute esophagitis 530.3 Stricture and stenosis of esophagus 530.8 Other specified disorders of esophagus 530.81 Esophageal reflux 531.00 Acute gastric ulcer with hemorrhage without obstruction 532.0 Acute duodenal ulcer with hemorrhage 533.90 Peptic ulcer of unspecified site unspecified as acute or chronic without hemorrhage or perforation without obstruction 535 Gastritis and duodenitis 535.0 Acute gastritis 535.00 Acute gastritis (without hemorrhage) 535.01 Acute gastritis with hemorrhage 535.4 Other specified gastritis 535.40 Other specified gastritis (without hemorrhage) 535.41 Other specified gastritis with hemorrhage 535.5 Unspecified gastritis and gastroduodenitis 535.50 Unspecified gastritis and gastroduodenitis (without hemorrhage) 535.51 Unspecified gastritis and gastroduodenitis with hemorrhage 535.60 Duodenitis (without hemorrhage) 536 Disorders of function of stomach 536.2 Persistent vomiting 536.4 Gastrostomy complications 536.8 Dyspepsia and other specified disorders of function of stomach 536.9 Unspecified functional disorder of stomach 537.3 Other obstruction of duodenum 537.4 Fistula of stomach or duodenum 537.81 Pylorospasm 537.9 Unspecified disorder of stomach and duodenum 540 Acute appendicitis 540.0 Acute appendicitis with generalized peritonitis 540.1 Acute appendicitis with peritoneal abscess 540.9 Acute appendicitis without peritonitis 541 Appendicitis unqualified 542 Other appendicitis 6/8/201011:02:34AM 67 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASE OF THE DIGESTIVE SYSTEM ICD9 Code Description 543.9 Other and unspecified diseases of appendix 550 Inguinal hernia 550.1 Inguinal hernia with obstruction without mention of gangrene 550.10 Unilateral or unspecified inguinal hernia with obstruction without gangrene 550.12 Bilateral inguinal hernia with obstruction without gangrene 550.9 Inguinal hernia without mention of obstruction or gangrene 550.90 Unilateral or unspecified inguinal hernia without obstruction or gangrene 550.92 Bilateral inguinal hernia without obstruction or gangrene 553 Other hernia of abdominal cavity without mention of obstruction or gangrene 553.1 Umbilical hernia without obstruction or gangrene 553.2 Ventral hernia without mention of obstruction or gangrene 553.20 Unspecified ventral hernia without obstruction or gangrene 553.21 Incisional hernia without obstruction or gangrene 553.29 Other ventral hernia without obstruction or gangrene 553.3 Diaphragmatic hernia without obstruction or gangrene 553.8 Hernia of other specified sites without obstruction or gangrene 555 Regional enteritis 555.0 Regional enteritis of small intestine 555.1 Regional enteritis of large intestine 555.9 Regional enteritis of unspecified site 556 Ulcerative enterocolitis 556.0 Ulcerative (chronic) enterocolitis 556.1 Ulcerative (chronic) ileocolitis 556.5 Left-sided ulcerative (chronic) colitis 556.6 Universal ulcerative (chronic) colitis 556.8 Other ulcerative colitis 556.9 Ulcerative colitis unspecified 557 Vascular insufficiency of intestine 557.0 Acute vascular insufficiency of intestine 558 Other and unspecified noninfectious gastroenteritis and colitis 558.1 Gastroenteritis and colitis due to radiation 558.2 Toxic gastroenteritis and colitis 558.3 Allergic gastroenteritis and colitis 558.9 Other and unspecified noninfectious gastroenteritis and colitis 560 Intestinal obstruction without mention of hernia 560.0 Intussusception 560.1 Paralytic ileus 560.2 Volvulus of intestine 560.3 Impaction of intestine 560.30 Impaction of intestine unspecified 560.31 Gallstone ileus 560.39 Other impaction of intestine 560.8 Other specified intestinal obstruction 560.81 Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) 6/8/201011:02:34AM 68 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASE OF THE DIGESTIVE SYSTEM ICD9 Code Description 560.89 Other specified intestinal obstruction 562.10 Diverticulosis of colon (without hemorrhage) 562.11 Diverticulitis of colon (without hemorrhage) 564 Functional digestive disorders not elsewhere classified 564.0 Constipation 564.00 Unspecified constipation 564.01 Slow transit constipation 564.02 Outlet dysfunction constipation 564.09 Other constipation 564.1 Irritable bowel syndrome 564.2 Postgastric surgery syndromes 564.3 Vomiting following gastrointestinal surgery 564.5 Functional diarrhea 564.7 Megacolon other than hirschsprung's 565 Anal fissure and fistula 565.0 Anal fissure 565.1 Anal fistula 566 Abscess of anal and rectal regions 567 Peritonitis and retroperitoneal infections 567.9 Unspecified peritonitis 568.0 Peritoneal adhesions (postoperative) (postinfection) 569.0 Anal and rectal polyp 569.1 Rectal prolapse 569.3 Hemorrhage of rectum and anus 569.4 Other specified disorders of rectum and anus 569.42 Anal or rectal pain 569.49 Other specified disorders of rectum and anus 569.62 Mechanical complication of colostomy and enterostomy 569.83 Perforation of intestine 569.89 Other specified disorders of intestines 570 Acute and subacute necrosis of liver 571 Chronic liver disease and cirrhosis 571.0 Alcoholic fatty liver 571.40 Chronic hepatitis unspecified 571.49 Other chronic hepatitis 571.5 Cirrhosis of liver without alcohol 571.6 Biliary cirrhosis 571.8 Other chronic nonalcoholic liver disease 572.3 Portal hypertension 572.4 Hepatorenal syndrome 572.8 Other sequelae of chronic liver disease 573 Other disorders of liver 573.1 Hepatitis in viral diseases classified elsewhere 573.3 Hepatitis unspecified 6/8/201011:02:34AM 69 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASE OF THE DIGESTIVE SYSTEM ICD9 Code Description 573.4 Hepatic infarction 573.8 Other specified disorders of liver 573.9 Unspecified disorder of liver 574 Cholelithiasis 574.0 Calculus of gallbladder with acute cholecystitis 574.20 Calculus of gallbladder without cholecystitis without obstruction 574.8 Calculus of gallbladder and bile duct with acute and chronic cholecystitis 575.0 Acute cholecystitis 575.10 Cholecystitis unspecified 575.12 Acute and chronic cholecystitis 576.1 Cholangitis 576.2 Obstruction of bile duct 576.8 Other specified disorders of biliary tract 576.9 Unspecified disorder of biliary tract 577 Diseases of pancreas 577.0 Acute pancreatitis 577.2 Cyst and pseudocyst of pancreas 578 Gastrointestinal hemorrhage 578.0 Hematemesis 578.1 Blood in stool 578.9 Hemorrhage of gastrointestinal tract unspecified 579 Intestinal malabsorption 579.0 Celiac disease 579.3 Other and unspecified postsurgical nonabsorption 579.4 Pancreatic steatorrhea 579.8 Other specified intestinal malabsorption 579.9 Unspecified intestinal malabsorption 596.8 Other specified disorders of bladder 698.0 Pruritus ani 728.84 Diastasis of muscle 74247 Radiological examination, gastrointestinal tract, upper, air contrast, with specific high density barium, effervescent agent, with or without glucagon; with or without delayed films, with KUB 74283 Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) 750.0 Tongue tie 750.5 Congenital hypertrophic pyloric stenosis 751.0 Meckel's diverticulum 751.1 Congenital atresia and stenosis of small intestine 751.2 Congenital atresia and stenosis of large intestine rectum and anal canal 751.3 Hirschsprung's disease and other congenital functional disorders of colon 751.5 Other congenital anomalies of intestine 751.61 Biliary atresia congenital 751.62 Congenital cystic disease of liver 6/8/201011:02:34AM 70 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASE OF THE DIGESTIVE SYSTEM ICD9 Code Description 751.69 Other congenital anomalies of gallbladder bile ducts and liver 751.9 Unspecified congenital anomaly of digestive system 756.6 Congenital anomalies of diaphragm 756.79 Other congenital anomalies of abdominal wall 777.4 Transitory ileus of newborn 777.6 Perinatal intestinal perforation 78262 Gastroesophageal reflux study 78264 Gastric emptying study 783.0 Anorexia 783.1 Abnormal weight gain 783.21 Loss of weight 783.22 Underweight 787 Symptoms involving digestive system 787.0 Nausea and vomiting 787.01 Nausea with vomiting 787.02 Nausea alone 787.03 Vomiting alone 787.1 Heartburn 787.2 Dysphagia 787.3 Flatulence eructation and gas pain 787.5 Abnormal bowel sounds 787.6 Incontinence of feces 787.9 Other symptoms involving digestive system 787.91 Diarrhea 787.99 Other symptoms involving digestive system 789.0 Abdominal pain 789.00 Abdominal pain unspecified site 789.01 Abdominal pain right upper quadrant 789.02 Abdominal pain left upper quadrant 789.03 Abdominal pain right lower quadrant 789.04 Abdominal pain left lower quadrant 789.05 Abdominal pain periumbilic 789.06 Abdominal pain epigastric 789.07 Abdominal pain generalized 789.09 Abdominal pain other specified site 789.1 Hepatomegaly 789.2 Splenomegaly 789.30 Abdominal or pelvic swelling mass or lump unspecified site 789.5 Ascites 789.6 Abdominal tenderness 789.60 Abdominal tenderness unspecified site 789.66 Abdominal tenderness epigastric 789.9 Other symptoms involving abdomen and pelvis 792.1 Nonspecific abnormal findings in stool contents 6/8/201011:02:34AM 71 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASE OF THE DIGESTIVE SYSTEM ICD9 Code Description 793.6 Nonspecific abnormal findings on radiological and other examination of abdominal area including retroperitoneum 80074 Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HbcAb), IgM antibody (86705) Hepatitis B surface antigen (HbsAg) (87340) Hepatitis C antibody (86803) 80076 Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) 82270 Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection) 848.1 Jaw sprain 865.02 Capsular tears to spleen without major disruption of parenchyma without open wound into cavity 869.0 Internal injury to unspecified or ill-defined organs without open wound into cavity 873.43 Open wound of lip uncomplicated 873.60 Open wound of mouth unspecified site uncomplicated 873.74 Open wound of tongue and floor of mouth complicated 89055 Leukocyte assessment, fecal, qualitative or semiquantitative 91000 Esophageal intubation and collection of washings for cytology, including preparation of specimens (separate procedure) 91105 Gastric intubation, and aspiration or lavage for treatment (eg, for ingested poisons) 92526 Treatment of swallowing dysfunction and/or oral function for feeding 935.1 Foreign body in esophagus 935.2 Foreign body in stomach 936 Foreign body in intestine and colon 937 Foreign body in anus and rectum 938 Foreign body in digestive system unspecified 95075 Ingestion challenge test (sequential and incremental ingestion of test items, eg, food, drug or other substance such as metabisulfite) 964.0 Poisoning by iron and its compounds 965.1 Poisoning by salicylates 965.4 Poisoning by aromatic analgesics not elsewhere classified 981 Toxic effect of petroleum products 983.2 Toxic effect of caustic alkalis 988.1 Toxic effect of mushrooms eaten as food 989.89 Toxic effect of other substance chiefly nonmedicinal as to source not elsewhere classified 99170 Anogenital examination with colposcopic magnification in childhood for suspected trauma 996.82 Complications of transplanted liver E850.3 Accidental poisoning by salicylates E850.4 Accidental poisoning by aromatic analgesics not elsewhere classified E858.2 Accidental poisoning by agents primarily affecting blood constituents E862.1 Accidental poisoning by petroleum fuels and cleaners E864.2 Accidental poisoning by caustic alkalis not elsewhere classified 6/8/201011:02:34AM 72 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASE OF THE DIGESTIVE SYSTEM ICD9 Code Description E865.5 Accidental poisoning from mushrooms and other fungi E866.8 Accidental poisoning by other specified solid or liquid substances E878.0 Surgical operation with transplant of whole organ causing abnormal patient reaction or later complication without misadventure at time of operation E950.0 Suicide and self-inflicted poisoning by analgesics antipyretics and antirheumatics E950.4 Suicide and self-inflicted poisoning by other specified drugs and medicinal substances E950.7 Suicide and self-inflicted poisoning by corrosive and caustic substances E950.9 Suicide and self-inflicted poisoning by other and unspecified solid and liquid substances V12.7 Personal history of digestive disease V12.71 Personal history of peptic ulcer disease V12.72 Personal history of colonic polyps V14.5 Personal history of allergy to narcotic agent V14.6 Personal history of allergy to analgesic agent V14.7 Personal history of allergy to serum or vaccine V42.7 Liver replaced by transplant V42.83 Pancreas replaced by transplant V42.84 Organ or tissue replaced by transplant intestines V44 Artificial opening status V44.1 Gastrostomy status V44.2 Ileostomy status V44.3 Colostomy status V45.3 Postsurgical intestinal bypass or anastomosis status V45.72 Acquired absence of intestine (large) (small) V45.79 Other acquired absence of organ V45.89 Other postsurgical status V55.1 Attention to gastrostomy V55.2 Attention to ileostomy V55.3 Attention to colostomy V55.4 Attention to other artificial opening of digestive tract DISEASES OF THE GENITOURNINARY SYSTEM CPT Code Description 00920 Anesthesia for procedures on male genitalia (including open urethral procedures); not otherwise specified 065.1 Omsk hemorrhagic fever 079.9 Unspecified viral and chlamydial infections 079.98 Unspecified chlamydial infection 091.0 Genital syphilis (primary) 098.0 Gonococcal infection (acute) of lower genitourinary tract 098.15 Gonococcal cervicitis (acute) 098.17 Gonococcal salpingitis specified as acute 099.40 Other nongonococcal urethritis unspecified 099.41 Other nongonococcal urethritis chlamydia trachomatis 6/8/201011:02:34AM 73 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE GENITOURNINARY SYSTEM ICD9 Code Description 099.55 Other venereal diseases due to chlamydia trachomatis unspecified genitourinary site 099.9 Venereal disease unspecified 110.6 Deep seated dermatophytosis 112.1 Candidiasis of vulva and vagina 112.2 Candidiasis of other urogenital sites 131.01 Trichomonal vulvovaginitis 131.02 Trichomonal urethritis 131.09 Other urogenital trichomoniasis 132.2 Phthirus pubis (pubic louse) 189.0 Malignant neoplasm of kidney except pelvis 194.0 Malignant neoplasm of adrenal gland 223 Benign neoplasm of kidney and other urinary organs 233.3 Carcinoma in situ of other and unspecified female genital organs 256 Ovarian dysfunction 256.4 Polycystic ovaries 259.0 Delay in sexual development and puberty not elsewhere classified 259.1 Precocious sexual development and puberty not elsewhere classified 307.6 Enuresis 357.0 Acute infective polyneuritis 403 Hypertensive chronic kidney disease 403.0 Malignant hypertensive kidney disease 403.9 Unspecified hypertensive kidney disease 403.91 Hypertensive chronic kidney disease unspecified with chronic kidney disease stage v or end stage renal disease 405.01 Malignant renovascular hypertension 405.09 Other malignant secondary hypertension 405.11 Benign renovascular hypertension 405.91 Unspecified renovascular hypertension 45120 Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) 453.3 Embolism and thrombosis of renal vein 456.4 Scrotal varices 50220 Nephrectomy, including partial ureterectomy, any open approach including rib resection; 50234 Nephrectomy with total ureterectomy and bladder cuff; through same incision 50545 Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) 51596 Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder 51600 Injection procedure for cystography or voiding urethrocystography 51702 Insertion of temporary indwelling bladder catheter; simple (eg, Foley) 51703 Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) 51798 Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging 51865 Cystorrhaphy, suture of bladder wound, injury or rupture; complicated 6/8/201011:02:34AM 74 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE GENITOURNINARY SYSTEM CPT Code Description 51980 Cutaneous vesicostomy 52330 Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus 52400 Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds 54450 Foreskin manipulation including lysis of preputial adhesions and stretching 54550 Exploration for undescended testis (inguinal or scrotal area) 54560 Exploration for undescended testis with abdominal exploration 54670 Suture or repair of testicular injury 550.90 Unilateral or unspecified inguinal hernia without obstruction or gangrene 56405 Incision and drainage of vulva or perineal abscess 56420 Incision and drainage of Bartholin's gland abscess 56441 Lysis of labial adhesions 57120 Colpocleisis (Le Fort type) 580 Acute glomerulonephritis 580.81 Acute glomerulonephritis in diseases classified elsewhere 580.9 Acute glomerulonephritis with unspecified pathological lesion in kidney 581 Nephrotic syndrome 581.1 Nephrotic syndrome with lesion of membranous glomerulonephritis 581.2 Nephrotic syndrome with lesion of membranoproliferative glomerulonephritis 581.3 Nephrotic syndrome with lesion of minimal change glomerulonephritis 581.8 Nephrotic syndrome with other specified pathological lesion in kidney 581.81 Nephrotic syndrome in diseases classified elsewhere 581.89 Other nephrotic syndrome with specified pathological lesion in kidney 581.9 Nephrotic syndrome with unspecified pathological lesion in kidney 582.0 Chronic glomerulonephritis with lesion of proliferative glomerulonephritis 582.4 Chronic glomerulonephritis with lesion of rapidly progressive glomerulonephritis 582.81 Chronic glomerulonephritis in diseases classified elsewhere 583 Nephritis and nephropathy not specified as acute or chronic 583.8 Nephritis and nephropathy not specified as acute or chronic with other specified pathological lesion in kidney 583.81 Nephritis and nephropathy not specified as acute or chronic in diseases classified elsewhere 583.89 Other nephritis and nephropathy not specified as acute or chronic with specified pathological lesion in kidney 583.9 Nephritis and nephropathy not specified as acute or chronic with unspecified pathological lesion in kidney 584 Acute renal failure 584.5 Acute renal failure with lesion of tubular necrosis 584.7 Acute renal failure with lesion of renal medullary (papillary) necrosis 584.8 Acute renal failure with other specified pathological lesion in kidney 584.9 Acute renal failure unspecified 585 Chronic kidney disease (ckd) 586 Renal failure unspecified 587 Renal sclerosis unspecified 6/8/201011:02:34AM 75 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE GENITOURNINARY SYSTEM CPT Code Description 58720 Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) 588 Disorders resulting from impaired renal function 588.0 Renal osteodystrophy 588.1 Nephrogenic diabetes insipidus 588.9 Unspecified disorder resulting from impaired renal function 589.1 Bilateral small kidneys 58925 Ovarian cystectomy, unilateral or bilateral 590.0 Chronic pyelonephritis 590.00 Chronic pyelonephritis without lesion of renal medullary necrosis 590.01 Chronic pyelonephritis with lesion of renal medullary necrosis 590.1 Acute pyelonephritis 590.10 Acute pyelonephritis without lesion of renal medullary necrosis 590.11 Acute pyelonephritis with lesion of renal medullary necrosis 590.2 Renal and perinephric abscess 590.8 Other pyelonephritis or pyonephrosis not specified as acute or chronic 591 Hydronephrosis 592 Calculus of kidney and ureter 592.0 Calculus of kidney 592.1 Calculus of ureter 592.9 Urinary calculus unspecified 593 Other disorders of kidney and ureter 593.2 Cyst of kidney acquired 593.4 Other ureteric obstruction 593.5 Hydroureter 593.6 Postural proteinuria 593.7 Vesicoureteral reflux 593.70 Vesicoureteral reflux unspecified or without reflux nephropathy 593.71 Vesicoureteral reflux with reflux nephropathy unilateral 593.72 Vesicoureteral reflux with reflux nephropathy bilateral 593.73 Other vesicoureteral reflux with reflux nephropathy not otherwise specified 593.89 Other specified disorders of kidney and ureter 593.9 Unspecified disorder of kidney and ureter 595 Cystitis 595.0 Acute cystitis 595.2 Other chronic cystitis 595.8 Other specified types of cystitis 595.9 Cystitis unspecified 596.0 Bladder neck obstruction 596.51 Hypertonicity of bladder 596.54 Neurogenic bladder not otherwise specified 596.8 Other specified disorders of bladder 597 Urethritis not sexually transmitted and urethral syndrome 597.8 Other urethritis 597.80 Urethritis unspecified 6/8/201011:02:34AM 76 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE GENITOURNINARY SYSTEM ICD9 Code Description 597.89 Other urethritis 598.9 Urethral stricture unspecified 599 Other disorders of urethra and urinary tract 599.0 Urinary tract infection site not specified 599.1 Urethral fistula 599.5 Prolapsed urethral mucosa 599.6 Urinary obstruction 599.7 Hematuria 599.84 Other specified disorders of urethra 599.9 Unspecified disorder of urethra and urinary tract 601.0 Acute prostatitis 603 Hydrocele 603.9 Hydrocele unspecified 604 Orchitis and epididymitis 604.90 Orchitis and epididymitis unspecified 605 Redundant prepuce and phimosis 607 Disorders of penis 607.1 Balanoposthitis 607.2 Other inflammatory disorders of penis 607.3 Priapism 607.8 Other specified disorders of penis 607.81 Balanitis xerotica obliterans 607.83 Edema of penis 607.9 Unspecified disorder of penis 608.1 Spermatocele 608.2 Torsion of testis 608.3 Atrophy of testis 608.86 Edema of male genital organs 608.89 Other specified disorders of male genital organs 608.9 Unspecified disorder of male genital organs 611.0 Inflammatory disease of breast 611.1 Hypertrophy of breast 611.6 Galactorrhea not associated with childbirth 611.71 Mastodynia 611.72 Lump or mass in breast 611.79 Other signs and symptoms in breast 614 Inflammatory disease of ovary fallopian tube pelvic cellular tissue and peritoneum 614.0 Acute salpingitis and oophoritis 614.2 Salpingitis and oophoritis not specified as acute subacute or chronic 614.8 Other specified inflammatory disease of female pelvic organs and tissues 614.9 Unspecified inflammatory disease of female pelvic organs and tissues 616.0 Cervicitis and endocervicitis 616.1 Vaginitis and vulvovaginitis 616.10 Vaginitis and vulvovaginitis unspecified 6/8/201011:02:34AM 77 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE GENITOURNINARY SYSTEM ICD9 Code Description 616.11 Vaginitis and vulvovaginitis in diseases classified elsewhere 616.2 Cyst of bartholin's gland 616.3 Abscess of bartholin's gland 616.4 Other abscess of vulva 617 Endometriosis 618.1 Uterine prolapse without vaginal wall prolapse 619.0 Urinary-genital tract fistula female 619.9 Unspecified fistula involving female genital tract 620 Noninflammatory disorders of ovary fallopian tube and broad ligament 620.0 Follicular cyst of ovary 620.2 Other and unspecified ovarian cyst 620.5 Torsion of ovary ovarian pedicle or fallopian tube 620.6 Broad ligament laceration syndrome 621.0 Polyp of corpus uteri 622.1 Dysplasia of cervix (uteri) 623.2 Stricture or atresia of vagina 623.4 Old vaginal laceration 623.5 Leukorrhea not specified as infective 623.8 Other specified noninflammatory disorders of vagina 624.5 Hematoma of vulva 624.9 Unspecified noninflammatory disorder of vulva and perineum 625 Pain and other symptoms associated with female genital organs 625.2 Mittelschmerz 625.3 Dysmenorrhea 625.4 Premenstrual tension syndromes 625.8 Other specified symptoms associated with female genital organs 625.9 Unspecified symptom associated with female genital organs 626 Disorders of menstruation and other abnormal bleeding from female genital tract 626.0 Absence of menstruation 626.2 Excessive or frequent menstruation 626.3 Puberty bleeding 626.4 Irregular menstrual cycle 626.5 Ovulation bleeding 626.6 Metrorrhagia 626.7 Postcoital bleeding 626.8 Other disorders of menstruation and other abnormal bleeding from female genital tract 626.9 Unspecified disorders of menstruation and other abnormal bleeding from female genital tract 627.0 Premenopausal menorrhagia 628.0 Infertility female associated with anovulation 633.0 Abdominal pregnancy 634 Spontaneous abortion 634.0 Spontaneous abortion complicated by genital tract and pelvic infection 634.11 Spontaneous abortion incomplete complicated by delayed or excessive hemorrhage 637.91 Legally unspecified abortion incomplete without complication 6/8/201011:02:34AM 78 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE GENITOURNINARY SYSTEM ICD9 Code Description 639 Complications following abortion and ectopic and molar pregnancies 639.1 Delayed or excessive hemorrhage following abortion or ectopic and molar pregnancies 698.1 Pruritus of genital organs 752.3 Other congenital anomalies of uterus 752.4 Congenital anomalies of cervix vagina and external female genitalia 752.42 Imperforate hymen 752.49 Other congenital anomalies of cervix vagina and external female genitalia 752.5 Undescended and retractile testicle 752.51 Undescended testis 752.52 Retractile testis 752.62 Epispadias 752.63 Congenital chordee 752.64 Micropenis 752.65 Hidden penis 752.69 Other penile anomalies 752.7 Indeterminate sex and pseudohermaphroditism 752.9 Unspecified congenital anomaly of genital organs 753.0 Renal agenesis and dysgenesis 753.1 Cystic kidney disease 753.10 Cystic kidney disease unspecified 753.11 Congenital single renal cyst 753.12 Polycystic kidney unspecified type 753.13 Polycystic kidney autosomal dominant 753.14 Polycystic kidney autosomal recessive 753.15 Renal dysplasia 753.19 Other specified cystic kidney disease 753.22 Congenital obstruction of ureterovesical junction 753.23 Congenital ureterocele 753.29 Other obstructive defect of renal pelvis and ureter 753.3 Other specified anomalies of kidney 753.5 Exstrophy of urinary bladder 753.9 Unspecified congenital anomaly of urinary system 759.89 Other specified congenital anomalies 76775 Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited 76776 Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation 772.8 Other specified hemorrhage of fetus or newborn 778.6 Congenital hydrocele 78708 Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) 78740 Ureteral reflux study (radiopharmaceutical voiding cystogram) 788.0 Renal colic 788.1 Dysuria 788.2 Retention of urine 6/8/201011:02:34AM 79 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE GENITOURNINARY SYSTEM ICD9 Code Description 788.21 Incomplete bladder emptying 788.3 Urinary incontinence 788.30 Urinary incontinence unspecified 788.36 Nocturnal enuresis 788.39 Other urinary incontinence 788.4 Frequency of urination and polyuria 788.41 Urinary frequency 788.42 Polyuria 788.5 Oliguria and anuria 788.6 Other abnormality of urination 788.7 Urethral discharge 788.9 Other symptoms involving urinary system 789.31 Abdominal or pelvic swelling mass or lump right upper quadrant 789.32 Abdominal or pelvic swelling mass or lump left upper quadrant 789.37 Abdominal or pelvic swelling mass or lump generalized 791 Nonspecific findings on examination of urine 791.0 Proteinuria 791.2 Hemoglobinuria 791.9 Other nonspecific findings on examination of urine 792.5 Cloudy (hemodialysis) (peritoneal) dialysis effluent 794.4 Nonspecific abnormal results of function study of kidney 795.0 Abnormal papanicolaou smear of cervix and cervical hpv 80069 Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520) 81001 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy 81003 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy 81005 Urinalysis; qualitative or semiquantitative, except immunoassays 82565 Creatinine; blood 82575 Creatinine; clearance 866.00 Unspecified injury to kidney without open wound into cavity 878.6 Open wound of vagina without complication 88147 Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision 90937 Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription 90947 Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated physician evaluations, with or without substantial revision of dialysis prescription 6/8/201011:02:34AM 80 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE GENITOURNINARY SYSTEM CPT Code Description 90954 End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face physician visits per month 90955 End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2-3 face-to-face physician visits per month 90956 End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face physician visit per month 90957 End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face physician visits per month 90958 End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2-3 face-to-face physician visits per month 90959 End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face physician visit per month 90964 End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents 90965 End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents 90968 End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 2-11 years of age 90969 End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 12-19 years of age 939.2 Foreign body in vulva and vagina 959.1 Other and unspecified injury to trunk 995.53 Child sexual abuse 996.64 Infection and inflammatory reaction due to indwelling urinary catheter 996.73 Other complications due to renal dialysis device implant and graft 996.81 Complications of transplanted kidney E879.6 Urinary catheterization as the cause of abnormal reaction of patient or of later complication without misadventure at time of procedure V01.6 Contact with or exposure to venereal diseases V13.00 Personal history of unspecified urinary disorder V13.09 Personal history of other specified urinary system disorders V25.8 Other specified contraceptive management V25.9 Unspecified contraceptive management V26.2 Procreative investigation and testing V42.0 Kidney replaced by transplant V44.50 Cystostomy unspecified V45.73 Acquired absence of kidney V47.5 Other genital problems 6/8/201011:02:34AM 81 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE GENITOURNINARY SYSTEM ICD9 Code Description V50.2 Routine or ritual circumcision V56 Encounter for dialysis and dialysis catheter care V56.8 Aftercare involving other dialysis V67.59 Other follow-up examination V71.5 Observation following alleged rape or seduction V72.3 Gynecological examination V81.5 Screening for nephropathy COMPLICATIONS OF PREGNANCY, CHILDBIRTH AND THE PU CPT Code Description 54162 Lysis or excision of penile post-circumcision adhesions 59409 Vaginal delivery only (with or without episiotomy and/or forceps); 632 Missed abortion 633.1 Tubal pregnancy 640.03 Threatened abortion antepartum 640.93 Unspecified hemorrhage in early pregnancy antepartum 641 Antepartum hemorrhage abruptio placentae and placenta previa 641.2 Premature separation of placenta 642 Hypertension complicating pregnancy childbirth and the puerperium 642.31 Transient hypertension of pregnancy with delivery 642.4 Mild or unspecified pre-eclampsia 642.5 Severe pre-eclampsia 644.21 Early onset of delivery delivered with or without antepartum condition 646.8 Other specified complications of pregnancy 646.82 Other specified complications of pregnancy with delivery with postpartum complication 648.02 Diabetes mellitus of mother with delivery with postpartum complication 648.03 Antepartum diabetes mellitus 648.23 Antepartum anemia 648.3 Drug dependence complicating pregnancy childbirth or the puerperium 648.30 Drug dependence of mother complicating pregnancy childbirth or the puerperium unspecified as to episode of care 648.31 Drug dependence of mother with delivery 652.2 Breech presentation without mention of version 652.20 Breech presentation without version unspecified as to episode of care 653.5 Unusually large fetus causing disproportion 653.51 Unusually large fetus causing disproportion delivered 656.31 Fetal distress affecting management of mother delivered 658.0 Oligohydramnios 658.1 Premature rupture of membranes 658.10 Premature rupture of membranes unspecified as to episode of care 658.11 Premature rupture of membranes delivered 658.2 Delayed delivery after spontaneous or unspecified rupture of membranes 659.21 Unspecified type maternal pyrexia during labor delivered 6/8/201011:02:34AM 82 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES COMPLICATIONS OF PREGNANCY, CHILDBIRTH AND THE PU ICD9 Code Description 659.31 Generalized infection during labor delivered 659.60 Other advanced maternal age unspecified as to episode of care or not applicable 659.73 Abnormality in fetal heart rate or rhythm antepartum condition or complication 659.8 Other specified indications for care or intervention related to labor and delivery 659.80 Other specified indications for care or intervention related to labor and delivery unspecified as to episode of care 659.81 Other specified indications for care or intervention related to labor and delivery delivered 659.9 Unspecified indication for care or intervention related to labor and delivery 660.41 Shoulder (girdle) dystocia with delivery 661.31 Precipitate labor with delivery 662.0 Prolonged first stage of labor 663.0 Prolapse of cord complicating labor and delivery 663.1 Cord around neck with compression complicating labor and delivery 663.11 Cord around neck with compression complicating labor and delivery delivered 663.60 Vascular lesions of cord complicating labor and delivery unspecified as to episode of care 663.61 Vascular lesions of cord complicating labor and delivery delivered 663.81 Other umbilical cord complications during labor and delivery delivered 663.83 Other umbilical cord complications during labor and delivery antepartum 665.9 Unspecified obstetrical trauma 668.12 Cardiac complications of anesthesia or other sedation in labor and delivery delivered with postpartum complication 668.2 Central nervous system complications of anesthesia or other sedation in labor and delivery 668.20 Central nervous system complications of anesthesia or other sedation in labor and delivery unspecified as to episode of care 668.9 Unspecified complication of anesthesia or other sedation in labor and delivery 668.92 Unspecified complication of anesthesia or other sedation in labor and delivery delivered with postpartum complication 669 Other complications of labor and delivery not elsewhere classified 669.32 Acute renal failure with delivery with postpartum complication 669.5 Forceps or vacuum extractor delivery without mention of indication 669.6 Breech extraction without mention of indication 669.7 Cesarean delivery without mention of indication 669.71 Cesarean delivery without indication delivered with or without antepartum condition 672.00 Puerperal pyrexia of unknown origin unspecified as to episode of care 675.24 Postpartum nonpurulent mastitis 676.54 Suppressed lactation postpartum condition or complication 676.6 Galactorrhea 676.8 Other disorders of lactation 760 Fetus or newborn affected by maternal conditions which may be unrelated to present pregnancy 760.7 Noxious influences affecting fetus or newborn via placenta or breast milk 760.8 Other specified maternal conditions affecting fetus or newborn 760.9 Unspecified maternal condition affecting fetus or newborn 761 Fetus or newborn affected by maternal complications of pregnancy 6/8/201011:02:34AM 83 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES COMPLICATIONS OF PREGNANCY, CHILDBIRTH AND THE PU ICD9 Code Description 762 Fetus or newborn affected by complications of placenta cord and membranes 762.5 Other compression of umbilical cord affecting fetus or newborn 762.6 Other and unspecified conditions of umbilical cord affecting fetus or newborn 763 Fetus or newborn affected by other complications of labor and delivery 763.82 Abnormality in fetal heart rate or rhythm during labor 763.9 Unspecified complication of labor and delivery affecting fetus or newborn 765 Disorders relating to short gestation and unspecified low birthweight 765.04 Disorders relating to extreme immaturity of infant 1000-1249 grams 765.1 Disorders relating to other preterm infants 765.10 Disorders relating to other preterm infants unspecified weight 767 Birth trauma 767.9 Unspecified birth trauma 76700 Ultrasound, abdominal, real time with image documentation; complete 768 Intrauterine hypoxia and birth asphyxia 768.2 Fetal distress before onset of labor in liveborn infant 768.3 Fetal distress first noted during labor and delivery in liveborn infant 768.9 Unspecified severity of birth asphyxia in liveborn infant 76812 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure) 770.8 Other respiratory problems after birth 779.9 Unspecified condition originating in the perinatal period V22.2 Pregnant state incidental V23.7 Supervision of high-risk pregnancy with insufficient prenatal care V24 Postpartum care and examination V25.01 General counseling on prescription of oral contraceptives V25.02 General counseling on initiation of other contraceptive measures V25.09 Other general counseling and advice on contraceptive management V25.40 Contraceptive surveillance unspecified V25.41 Surveillance of contraceptive pill V25.42 Surveillance of intrauterine contraceptive device V26.4 General counseling and advice on procreative management DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE ICD9 Code Description 035 Erysipelas 053.9 Herpes zoster without complication 054.0 Eczema herpeticum 057.9 Viral exanthem unspecified 078.0 Molluscum contagiosum 078.10 Viral warts unspecified 078.19 Other specified viral warts 088.81 Lyme disease 6/8/201011:02:34AM 84 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE ICD9 Code Description 110 Dermatophytosis 110.0 Dermatophytosis of scalp and beard 110.1 Dermatophytosis of nail 110.3 Dermatophytosis of groin and perianal area 110.4 Dermatophytosis of foot 110.5 Dermatophytosis of the body 110.8 Dermatophytosis of other specified sites 110.9 Dermatophytosis of unspecified site 11040 Debridement; skin, partial thickness 111 Dermatomycosis other and unspecified 111.0 Pityriasis versicolor 111.1 Tinea nigra 111.2 Tinea blanca 112.3 Candidiasis of skin and nails 11750 Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal; 11765 Wedge excision of skin of nail fold (eg, for ingrown toenail) 120.3 Cutaneous schistosomiasis 132.0 Pediculus capitis (head louse) 132.1 Pediculus corporis (body louse) 133.0 Scabies 15781 Dermabrasion; segmental, face 17004 Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions 17111 Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; 15 or more lesions 172.9 Melanoma of skin site unspecified 173.7 Other malignant neoplasm of skin of lower limb including hip 17340 Cryotherapy (CO2 slush, liquid N2) for acne 17360 Chemical exfoliation for acne (eg, acne paste, acid) 210 Benign neoplasm of lip oral cavity and pharynx 214.1 Lipoma of other skin and subcutaneous tissue 214.9 Lipoma unspecified site 215.7 Other benign neoplasm of connective and other soft tissue of trunk unspecified 216.7 Benign neoplasm of skin of lower limb including hip 216.9 Benign neoplasm of skin site unspecified 228.00 Hemangioma of unspecified site 228.01 Hemangioma of skin and subcutaneous tissue 229.0 Benign neoplasm of lymph nodes 237.70 Neurofibromatosis unspecified 272.2 Mixed hyperlipidemia 287.0 Allergic purpura 287.2 Other nonthrombocytopenic purpuras 6/8/201011:02:34AM 85 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE ICD9 Code Description 307.9 Other and unspecified special symptoms or syndromes not elsewhere classified 373.32 Contact and allergic dermatitis of eyelid 38500 Biopsy or excision of lymph node(s); open, superficial 38720 Cervical lymphadenectomy (complete) 40799 Unlisted procedure, lips 40819 Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) 42440 Excision of submandibular (submaxillary) gland 443.89 Other peripheral vascular disease 448.1 Nevus non-neoplastic 64788 Excision of neurofibroma or neurolemmoma; cutaneous nerve 680.2 Carbuncle and furuncle of trunk 680.7 Carbuncle and furuncle of foot 680.9 Carbuncle and furuncle of unspecified site 681.01 Felon 681.02 Onychia and paronychia of finger 681.11 Onychia and paronychia of toe 682.9 Cellulitis and abscess of unspecified sites 683 Acute lymphadenitis 684 Impetigo 685.1 Pilonidal cyst without abscess 686.00 Pyoderma unspecified 686.01 Pyoderma gangrenosum 686.1 Pyogenic granuloma of skin and subcutaneous tissue 686.9 Unspecified local infection of skin and subcutaneous tissue 690 Erythematosquamous dermatosis 690.1 Seborrheic dermatitis 690.10 Seborrheic dermatitis unspecified 690.11 Seborrhea capitis 690.12 Seborrheic infantile dermatitis 690.18 Other seborrheic dermatitis 691.0 Diaper or napkin rash 691.8 Other atopic dermatitis and related conditions 692 Contact dermatitis and other eczema 692.0 Contact dermatitis and other eczema due to detergents 692.1 Contact dermatitis and other eczema due to oils and greases 692.3 Contact dermatitis and other eczema due to drugs and medicines in contact with skin 692.4 Contact dermatitis and other eczema due to other chemical products 692.6 Contact dermatitis and other eczema due to plants (except food) 692.71 Sunburn 692.76 Sunburn of second degree 692.77 Sunburn of third degree 692.79 Other dermatitis due to solar radiation 692.8 Contact dermatitis and other eczema due to other specified agents 692.81 Dermatitis due to cosmetics 6/8/201011:02:34AM 86 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE ICD9 Code Description 692.82 Dermatitis due to other radiation 692.83 Dermatitis due to metals 692.89 Contact dermatitis and other eczema due to other specified agents 692.9 Contact dermatitis and other eczema unspecified cause 693.0 Dermatitis due to drugs and medicines taken internally 693.1 Dermatitis due to food taken internally 693.9 Dermatitis due to unspecified substance taken internally 694.4 Pemphigus 694.9 Unspecified bullous dermatoses 695.0 Toxic erythema 695.1 Erythema multiforme 695.2 Erythema nodosum 695.81 Ritter's disease 695.89 Other specified erythematous conditions 696 Psoriasis and similar disorders 696.1 Other psoriasis and similar disorders 696.3 Pityriasis rosea 696.5 Other and unspecified pityriasis 697 Lichen 697.1 Lichen nitidus 697.8 Other lichen not elsewhere classified 698.0 Pruritus ani 698.1 Pruritus of genital organs 698.3 Lichenification and lichen simplex chronicus 698.4 Dermatitis factitia (artefacta) 698.9 Unspecified pruritic disorder 700 Corns and callosities 701.0 Circumscribed scleroderma 701.1 Keratoderma acquired 701.2 Acquired acanthosis nigricans 701.4 Keloid scar 701.5 Other abnormal granulation tissue 701.9 Unspecified hypertrophic and atrophic conditions of skin 702 Other dermatoses 702.0 Actinic keratosis 702.1 Seborrheic keratosis 703 Diseases of nail 703.0 Ingrowing nail 703.8 Other specified diseases of nail 704 Diseases of hair and hair follicles 704.0 Alopecia 704.00 Alopecia unspecified 704.01 Alopecia areata 704.09 Other alopecia 6/8/201011:02:34AM 87 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE ICD9 Code Description 704.1 Hirsutism 704.2 Abnormalities of the hair 704.3 Variations in hair color 704.8 Other specified diseases of hair and hair follicles 705 Disorders of sweat glands 705.0 Anhidrosis 705.1 Prickly heat 705.81 Dyshidrosis 705.83 Hidradenitis 706 Diseases of sebaceous glands 706.0 Acne varioliformis 706.1 Other acne 706.2 Sebaceous cyst 706.3 Seborrhea 706.8 Other specified diseases of sebaceous glands 707 Chronic ulcer of skin 707.0 Decubitus ulcer 707.13 Ulcer of ankle 707.9 Chronic ulcer of unspecified site 708 Urticaria 708.0 Allergic urticaria 708.1 Idiopathic urticaria 708.2 Urticaria due to cold and heat 708.3 Dermatographic urticaria 708.8 Other specified urticaria 708.9 Unspecified urticaria 709 Other disorders of skin and subcutaneous tissue 709.00 Dyschromia unspecified 709.01 Vitiligo 709.09 Other dyschromia 709.2 Scar conditions and fibrosis of skin 709.3 Degenerative skin disorders 709.4 Foreign body granuloma of skin and subcutaneous tissue 709.9 Unspecified disorder of skin and subcutaneous tissue 710 Diffuse diseases of connective tissue 710.0 Systemic lupus erythematosus 710.3 Dermatomyositis 756.83 Ehlers-danlos syndrome 757.1 Ichthyosis congenita 757.31 Congenital ectodermal dysplasia 757.32 Vascular hamartomas 757.39 Other specified congenital anomalies of skin 757.6 Specified congenital anomalies of breast 757.9 Unspecified congenital anomaly of the integument 6/8/201011:02:34AM 88 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE ICD9 Code Description 772.6 Cutaneous hemorrhage of fetus or newborn 778.1 Sclerema neonatorum 778.8 Other specified conditions involving the integument of fetus and newborn 778.9 Unspecified condition involving the integument and temperature regulation of fetus and newborn 780.8 Generalized hyperhidrosis 782 Symptoms involving skin and other integumentary tissue 782.1 Rash and other nonspecific skin eruption 782.2 Localized superficial swelling mass or lump 782.3 Edema 782.61 Pallor 782.7 Spontaneous ecchymoses 782.8 Changes in skin texture 785.6 Enlargement of lymph nodes 873.0 Open wound of scalp without complication 873.40 Open wound of face unspecified site uncomplicated 874.8 Open wound of other and unspecified parts of neck without complication 879.6 Open wound of other and unspecified parts of trunk without complication 880.02 Open wound of axillary region without complication 882.0 Open wound of hand except fingers alone without complication 883.0 Open wound of fingers without complication 884.0 Multiple and unspecified open wound of upper limb without complication 892.0 Open wound of foot except toe(s) alone without complication 893.0 Open wound of toe(s) without complication 894.0 Multiple and unspecified open wound of lower limb without complication 913.2 Blister of elbow forearm and wrist without infection 915.2 Blister of fingers without infection 917.2 Blister of foot and toe(s) without infection 919.4 Insect bite nonvenomous of other multiple and unspecified sites without infection 919.5 Insect bite nonvenomous of other multiple and unspecified sites infected 919.6 Superficial foreign body (splinter) of other multiple and unspecified sites without major open wound and without infection 919.7 Superficial foreign body (splinter) of other multiple and unspecified sites without major open wound infected 919.8 Other and unspecified superficial injury of other multiple and unspecified sites without infection 922.31 Contusion of back 922.32 Contusion of buttock 924.9 Contusion of unspecified site 929.0 Crushing injury of multiple sites not elsewhere classified 941.00 Burn of unspecified degree of unspecified site of face and head 942.00 Burn of unspecified degree of unspecified site of trunk 943.00 Burn of unspecified degree of unspecified site of upper limb 944.00 Burn of unspecified degree of unspecified site of hand 6/8/201011:02:34AM 89 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE ICD9 Code Description 945.00 Burn of unspecified degree of unspecified site of lower limb (leg) 949.0 Burn of unspecified site unspecified degree 949.1 Erythema due to burn (first degree) unspecified site 949.2 Blisters with epidermal loss due to burn (second degree) unspecified site 949.3 Full-thickness skin loss due to burn (third degree) unspecified site 989.5 Toxic effect of venom 995.1 Angioneurotic edema not elsewhere classified 995.2 Other and unspecified adverse effect of drug medicinal and biological substance not elsewhere classified 995.3 Allergy unspecified not elsewhere classified DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECT ICD9 Code Description 170.7 Malignant neoplasm of long bones of lower limb 20600 Arthrocentesis, aspiration and/or injection; small joint or bursa (eg, fingers, toes) 20605 Arthrocentesis, aspiration and/or injection; intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa) 20610 Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa) 213.9 Benign neoplasm of bone and articular cartilage site unspecified 22224 Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar 22800 Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments 22830 Exploration of spinal fusion 23931 Incision and drainage, upper arm or elbow area; bursa 24152 Radical resection for tumor, radial head or neck; 25316 Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer 259.4 Dwarfism not elsewhere classified 26160 Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger 26236 Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); distal phalanx of finger 268.2 Osteomalacia unspecified 26951 Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure 26989 Unlisted procedure, hands or fingers 27065 Excision of bone cyst or benign tumor; superficial (wing of ilium, symphysis pubis, or greater trochanter of femur) with or without autograft 27176 Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ 27323 Biopsy, soft tissue of thigh or knee area; superficial 27372 Removal of foreign body, deep, thigh region or knee area 27455 Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus [bowleg] or genu valgus [knock-knee]); before epiphyseal closure 6/8/201011:02:34AM 90 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECT CPT Code Description 27645 Radical resection of tumor, bone; tibia 277.5 Mucopolysaccharidosis 27745 Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, tibia 28001 Incision and drainage, bursa, foot 28280 Syndactylization, toes (eg, webbing or Kelikian type procedure) 28304 Osteotomy, tarsal bones, other than calcaneus or talus; 28360 Reconstruction, cleft foot 28810 Amputation, metatarsal, with toe, single 29000 Application of halo type body cast (see 20661-20663 for insertion) 29240 Strapping; shoulder (eg, Velpeau) 29280 Strapping; hand or finger 29405 Application of short leg cast (below knee to toes); 29435 Application of patellar tendon bearing (PTB) cast 29450 Application of clubfoot cast with molding or manipulation, long or short leg 29540 Strapping; ankle and/or foot 29750 Wedging of clubfoot cast 29799 Unlisted procedure, casting or strapping 29819 Arthroscopy, shoulder, surgical; with removal of loose body or foreign body 29822 Arthroscopy, shoulder, surgical; debridement, limited 342.00 Flaccid hemiplegia and hemiparesis affecting unspecified side 342.10 Spastic hemiplegia and hemiparesis affecting unspecified side 342.90 Unspecified hemiplegia and hemiparesis affecting unspecified side 343.9 Infantile cerebral palsy unspecified 344.00 Quadriplegia unspecified 344.1 Paraplegia 354.0 Carpal tunnel syndrome 354.4 Causalgia of upper limb 355.0 Lesion of sciatic nerve 355.71 Causalgia of lower limb 358.9 Myoneural disorders unspecified 359.1 Hereditary progressive muscular dystrophy 471.9 Unspecified nasal polyp 524.04 Major anomalies of jaw size mandibular hypoplasia 524.60 Temporomandibular joint disorders unspecified 710.0 Systemic lupus erythematosus 710.3 Dermatomyositis 710.5 Eosinophilia myalgia syndrome 711 Arthropathy associated with infections 711.00 Pyogenic arthritis site unspecified 713.6 Arthropathy associated with hypersensitivity reaction 713.8 Arthropathy associated with other conditions classifiable elsewhere 714 Rheumatoid arthritis and other inflammatory polyarthropathies 714.0 Rheumatoid arthritis 6/8/201011:02:34AM 91 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECT ICD9 Code Description 714.3 Juvenile chronic polyarthritis 714.30 Chronic or unspecified polyarticular juvenile rheumatoid arthritis 714.31 Acute polyarticular juvenile rheumatoid arthritis 714.32 Pauciarticular juvenile rheumatoid arthritis 714.33 Monoarticular juvenile rheumatoid arthritis 714.9 Unspecified inflammatory polyarthropathy 716.10 Traumatic arthropathy site unspecified 716.2 Allergic arthritis 716.5 Unspecified polyarthropathy or polyarthritis 716.59 Unspecified polyarthropathy or polyarthritis involving multiple sites 716.66 Unspecified monoarthritis involving lower leg 716.90 Unspecified arthropathy site unspecified 716.94 Unspecified arthropathy involving hand 717 Internal derangement of knee 717.7 Chondromalacia of patella 718.10 Loose body in joint site unspecified 718.4 Contracture of joint 718.43 Contracture of forearm joint 718.46 Contracture of lower leg joint 718.49 Contracture of joint of multiple sites 718.75 Developmental dislocation of joint pelvic region and thigh 719.0 Effusion of joint 719.02 Effusion of upper arm joint 719.03 Effusion of forearm joint 719.06 Effusion of lower leg joint 719.07 Effusion of ankle and foot joint 719.10 Hemarthrosis site unspecified 719.15 Hemarthrosis involving pelvic region and thigh 719.16 Hemarthrosis involving lower leg 719.17 Hemarthrosis involving ankle and foot 719.25 Villonodular synovitis involving pelvic region and thigh 719.4 Pain in joint 719.40 Pain in joint site unspecified 719.41 Pain in joint involving shoulder region 719.42 Pain in joint involving upper arm 719.43 Pain in joint involving forearm 719.44 Pain in joint involving hand 719.45 Pain in joint involving pelvic region and thigh 719.46 Pain in joint involving lower leg 719.47 Pain in joint involving ankle and foot 719.48 Pain in joint involving other specified sites 719.49 Pain in joint involving multiple sites 719.5 Stiffness of joint not elsewhere classified 719.52 Stiffness of joint not elsewhere classified involving upper arm 6/8/201011:02:34AM 92 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECT ICD9 Code Description 719.53 Stiffness of joint not elsewhere classified involving forearm 719.56 Stiffness of joint not elsewhere classified involving lower leg 719.57 Stiffness of joint not elsewhere classified involving ankle and foot 719.69 Other symptoms referable to joint of multiple sites 719.7 Difficulty in walking 719.84 Other specified disorders of hand joint 719.85 Other specified disorders of joint of pelvic region and thigh 719.86 Other specified disorders of lower leg joint 719.96 Unspecified disorder of lower leg joint 72090 Radiologic examination, spine; scoliosis study, including supine and erect studies 722.6 Degeneration of intervertebral disc site unspecified 722.9 Other and unspecified disc disorder 723.1 Cervicalgia 723.5 Torticollis unspecified 724.1 Pain in thoracic spine 724.2 Lumbago 724.5 Backache unspecified 724.79 Other disorders of coccyx 724.9 Other unspecified back disorders 726.33 Olecranon bursitis 726.61 Pes anserinus tendinitis or bursitis 726.62 Tibial collateral ligament bursitis 726.64 Patellar tendinitis 726.65 Prepatellar bursitis 726.71 Achilles bursitis or tendinitis 726.72 Tibialis tendinitis 726.90 Enthesopathy of unspecified site 726.91 Exostosis of unspecified site 727.0 Synovitis and tenosynovitis 727.00 Synovitis and tenosynovitis unspecified 727.02 Giant cell tumor of tendon sheath 727.05 Other tenosynovitis of hand and wrist 727.09 Other synovitis and tenosynovitis 727.1 Bunion 727.3 Other bursitis disorders 727.42 Ganglion of tendon sheath 727.43 Ganglion unspecified 727.51 Synovial cyst of popliteal space 727.81 Contracture of tendon (sheath) 727.9 Unspecified disorder of synovium tendon and bursa 728 Disorders of muscle ligament and fascia 728.0 Infective myositis 728.11 Progressive myositis ossificans 728.3 Other specific muscle disorders 6/8/201011:02:34AM 93 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECT ICD9 Code Description 728.4 Laxity of ligament 728.5 Hypermobility syndrome 728.71 Plantar fascial fibromatosis 728.8 Other disorders of muscle ligament and fascia 728.81 Interstitial myositis 728.82 Foreign body granuloma of muscle 728.83 Rupture of muscle nontraumatic 728.84 Diastasis of muscle 728.85 Spasm of muscle 728.86 Necrotizing fasciitis 728.89 Other disorders of muscle ligament and fascia 728.9 Unspecified disorder of muscle ligament and fascia 729.1 Myalgia and myositis unspecified 729.4 Fasciitis unspecified 729.5 Pain in limb 729.8 Other musculoskeletal symptoms referable to limbs 729.82 Cramp of limb 730.00 Acute osteomyelitis site unspecified 730.30 Periostitis without osteomyelitis involving unspecified site 73030 Radiologic examination, shoulder; complete, minimum of 2 views 731.0 Osteitis deformans without bone tumor 73120 Radiologic examination, hand; 2 views 732.1 Juvenile osteochondrosis of hip and pelvis 732.2 Nontraumatic slipped upper femoral epiphysis 732.4 Juvenile osteochondrosis of lower extremity excluding foot 732.5 Juvenile osteochondrosis of foot 732.9 Unspecified osteochondropathy 733 Other disorders of bone and cartilage 733.03 Disuse osteoporosis 733.1 Pathologic fracture 733.14 Pathological fracture of neck of femur 733.20 Cyst of bone (localized) unspecified 733.22 Aneurysmal bone cyst 733.4 Aseptic necrosis of bone 733.42 Aseptic necrosis of head and neck of femur 733.6 Tietze's disease 733.91 Arrest of bone development or growth 733.93 Stress fracture of tibia or fibula 733.94 Stress fracture of the metatarsals 733.95 Stress fracture of other bone 734 Flat foot 735.0 Hallux valgus (acquired) 735.5 Claw toe (acquired) 73560 Radiologic examination, knee; 1 or 2 views 6/8/201011:02:34AM 94 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECT ICD9 Code Description 736.1 Mallet finger 736.3 Acquired deformities of hip 736.41 Genu valgum (acquired) 736.42 Genu varum (acquired) 736.71 Acquired equinovarus deformity 736.73 Cavus deformity of foot acquired 736.75 Cavovarus deformity of foot acquired 736.81 Unequal leg length (acquired) 736.89 Other acquired deformity of other parts of limb 737 Curvature of spine 737.0 Adolescent postural kyphosis 737.20 Lordosis (acquired) (postural) 737.3 Kyphoscoliosis and scoliosis 737.30 Scoliosis (and kyphoscoliosis) idiopathic 737.32 Progressive infantile idiopathic scoliosis 737.34 Thoracogenic scoliosis 737.43 Scoliosis associated with other conditions 737.9 Unspecified curvature of spine associated with other conditions 73722 Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) 738.10 Other acquired deformity of head unspecified deformity 739.4 Nonallopathic lesions of sacral region not elsewhere classified 754.1 Congenital musculoskeletal deformities of sternocleidomastoid muscle 754.2 Congenital musculoskeletal deformities of spine 754.3 Congenital dislocation of hip 754.30 Congenital dislocation of hip unilateral 754.31 Congenital dislocation of hip bilateral 754.32 Congenital subluxation of hip unilateral 754.33 Congenital subluxation of hip bilateral 754.4 Congenital genu recurvatum and bowing of long bones of leg 754.43 Congenital bowing of tibia and fibula 754.50 Congenital talipes varus 754.51 Congenital talipes equinovarus 754.60 Congenital talipes valgus 754.61 Congenital pes planus 754.7 Other congenital deformities of feet 754.70 Talipes unspecified 754.71 Talipes cavus 754.81 Pectus excavatum 754.82 Pectus carinatum 754.89 Other specified nonteratogenic anomalies 755 Other congenital anomalies of limbs 755.01 Polydactyly of fingers 755.02 Polydactyly of toes 6/8/201011:02:34AM 95 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECT ICD9 Code Description 755.10 Syndactyly of multiple and unspecified sites 755.11 Syndactyly of fingers without fusion of bone 755.14 Syndactyly of toes with fusion of bone 755.2 Reduction deformities of upper limb congenital 755.20 Unspecified reduction deformity of upper limb congenital 755.30 Unspecified reduction deformity of lower limb congenital 755.34 Longitudinal deficiency femoral complete or partial (with or without distal deficiencies incomplete) 755.50 Unspecified anomaly of upper limb congenital 755.55 Acrocephalosyndactyly 755.6 Other congenital anomalies of lower limb including pelvic girdle 755.60 Unspecified congenital anomaly of lower limb 755.63 Other congenital deformity of hip (joint) 756 Other congenital musculoskeletal anomalies 756.1 Congenital anomalies of spine 756.11 Congenital spondylolysis lumbosacral region 756.12 Spondylolisthesis congenital 756.3 Other congenital anomalies of ribs and sternum 756.4 Chondrodystrophy 756.51 Osteogenesis imperfecta 756.52 Osteopetrosis 756.7 Congenital anomalies of abdominal wall 756.89 Other specified congenital anomalies of muscle tendon fascia and connective tissue 756.9 Other and unspecified congenital anomalies of musculoskeletal system 757 Congenital anomalies of the integument 757.0 Hereditary edema of legs 759.82 Marfan syndrome 759.89 Other specified congenital anomalies 767.2 Fracture of clavicle due to birth trauma 76885 Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician manipulation) 772.9 Unspecified hemorrhage of newborn 781.2 Abnormality of gait 781.99 Other symptoms involving nervous and musculoskeletal systems 791.3 Myoglobinuria 802.20 Closed fracture of unspecified site of mandible 805.00 Closed fracture of cervical vertebra unspecified level 807.00 Closed fracture of rib(s) unspecified 808.8 Unspecified closed fracture of pelvis 810.00 Closed fracture of clavicle unspecified part 812.20 Fracture of unspecified part of humerus closed 813.80 Closed fracture of unspecified part of forearm 814.00 Closed fracture of carpal bone unspecified 815.00 Closed fracture of metacarpal bone(s) site unspecified 6/8/201011:02:34AM 96 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECT ICD9 Code Description 816.00 Closed fracture of phalanx or phalanges of hand unspecified 821.00 Fracture of unspecified part of femur closed 823.82 Closed fracture of unspecified part of fibula with tibia 824.8 Unspecified fracture of ankle closed 825.20 Fracture of unspecified bone(s) of foot (except toes) closed 826.0 Closed fracture of one or more phalanges of foot 832.00 Closed dislocation of elbow unspecified site 834.00 Closed dislocation of finger unspecified part 836.3 Dislocation of patella closed 836.50 Closed dislocation of knee unspecified part 840.4 Rotator cuff (capsule) sprain 841.9 Sprain of unspecified site of elbow and forearm 842.00 Sprain of unspecified site of wrist 842.10 Sprain of unspecified site of hand 844.9 Sprain of unspecified site of knee and leg 845 Sprains and strains of ankle and foot 845.00 Unspecified site of ankle sprain 845.10 Unspecified site of foot sprain 846.0 Lumbosacral (joint) (ligament) sprain 847.0 Sprain of neck 927.3 Crushing injury of finger(s) 96567 Photodynamic therapy by external application of light to destroy premalignant and/or malignant lesions of the skin and adjacent mucosa (eg, lip) by activation of photosensitive drug(s), each phototherapy exposure session 97005 Athletic training evaluation 995.54 Child physical abuse V13.4 Personal history of arthritis V43.62 Elbow joint replacement V49.75 Below knee amputation status V54.9 Unspecified orthopedic aftercare V71.89 Observation for other specified suspected conditions CONGENITAL ANOMALIES CPT Code Description 11201 Removal of skin tags, multiple fibrocutaneous tags, any area; each additional 10 lesions, or part thereof (List separately in addition to code for primary procedure) 228 Hemangioma and lymphangioma any site 228.0 Hemangioma any site 228.09 Hemangioma of other sites 228.1 Lymphangioma any site 22802 Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments 237.7 Neurofibromatosis 237.71 Neurofibromatosis type 1 von recklinghausen's disease 6/8/201011:02:34AM 97 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES CONGENITAL ANOMALIES ICD9 Code Description 237.72 Neurofibromatosis type 2 acoustic neurofibromatosis 243 Congenital hypothyroidism 26587 Reconstruction of polydactylous digit, soft tissue and bone 352.6 Multiple cranial nerve palsies 362.75 Other dystrophies primarily involving the sensory retina 39503 Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia 42200 Palatoplasty for cleft palate, soft and/or hard palate only 46715 Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) 46716 Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula 46730 Repair of high imperforate anus without fistula; perineal or sacroperineal approach 46740 Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach 530.84 Tracheoesophageal fistula 685 Pilonidal cyst 741 Spina bifida 741.0 Spina bifida with hydrocephalus 741.9 Spina bifida without mention of hydrocephalus 741.90 Spina bifida unspecified region without hydrocephalus 741.93 Spina bifida lumbar region without hydrocephalus 742.1 Microcephalus 742.2 Congenital reduction deformities of brain 742.3 Congenital hydrocephalus 742.4 Other specified congenital anomalies of brain 742.9 Unspecified congenital anomaly of brain spinal cord and nervous system 743.20 Buphthalmos unspecified 743.30 Congenital cataract unspecified 743.46 Other specified congenital anomalies of iris and ciliary body 743.47 Specified congenital anomalies of sclera 743.61 Congenital ptosis of eyelid 743.9 Unspecified anomaly of eye congenital 744 Congenital anomalies of ear face and neck 744.02 Other congenital anomalies of external ear with impairment of hearing 744.2 Other specified congenital anomalies of ear 744.3 Unspecified congenital anomaly of ear 744.5 Webbing of neck 744.9 Unspecified congenital anomalies of face and neck 745.0 Common truncus 745.10 Complete transposition of great vessels 745.2 Tetralogy of fallot 745.4 Ventricular septal defect 745.5 Ostium secundum type atrial septal defect 745.60 Endocardial cushion defect unspecified type 745.69 Other endocardial cushion defects 6/8/201011:02:34AM 98 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES CONGENITAL ANOMALIES ICD9 Code Description 746.02 Stenosis of pulmonary valve congenital 746.3 Congenital stenosis of aortic valve 746.7 Hypoplastic left heart syndrome 746.9 Unspecified congenital anomaly of heart 747.0 Patent ductus arteriosus 747.10 Coarctation of aorta (preductal) (postductal) 747.3 Congenital anomalies of pulmonary artery 747.41 Total anomalous pulmonary venous connection 747.5 Absence or hypoplasia of umbilical artery 748.0 Choanal atresia 748.1 Other congenital anomalies of nose 748.3 Other congenital anomalies of larynx trachea and bronchus 748.5 Congenital agenesis hypoplasia and dysplasia of lung 748.9 Unspecified congenital anomaly of respiratory system 749 Cleft palate and cleft lip 749.0 Cleft palate 749.00 Cleft palate unspecified 749.02 Cleft palate unilateral incomplete 749.1 Cleft lip 749.10 Cleft lip unspecified 749.11 Cleft lip unilateral complete 749.13 Cleft lip bilateral complete 749.2 Cleft palate with cleft lip 749.20 Cleft palate with cleft lip unspecified 749.21 Cleft palate with cleft lip unilateral complete 749.23 Cleft palate with cleft lip bilateral complete 749.25 Other combinations of cleft palate with cleft lip 750 Other congenital anomaly of upper alimentary tract 750.0 Tongue tie 750.15 Macroglossia 750.3 Congenital tracheoesophageal fistula esophageal atresia and stenosis 750.4 Other specified congenital anomalies of esophagus 750.5 Congenital hypertrophic pyloric stenosis 750.6 Congenital hiatus hernia 751 Other congenital anomalies of digestive system 751.0 Meckel's diverticulum 751.1 Congenital atresia and stenosis of small intestine 751.2 Congenital atresia and stenosis of large intestine rectum and anal canal 751.3 Hirschsprung's disease and other congenital functional disorders of colon 751.4 Congenital anomalies of intestinal fixation 751.61 Biliary atresia congenital 751.69 Other congenital anomalies of gallbladder bile ducts and liver 751.9 Unspecified congenital anomaly of digestive system 752 Congenital anomalies of genital organs 6/8/201011:02:34AM 99 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES CONGENITAL ANOMALIES ICD9 Code Description 752.49 Other congenital anomalies of cervix vagina and external female genitalia 752.51 Undescended testis 752.52 Retractile testis 752.61 Hypospadias 752.62 Epispadias 752.63 Congenital chordee 752.64 Micropenis 752.9 Unspecified congenital anomaly of genital organs 753.10 Cystic kidney disease unspecified 753.11 Congenital single renal cyst 753.12 Polycystic kidney unspecified type 753.15 Renal dysplasia 753.21 Congenital obstruction of ureteropelvic junction 753.22 Congenital obstruction of ureterovesical junction 753.23 Congenital ureterocele 753.29 Other obstructive defect of renal pelvis and ureter 753.5 Exstrophy of urinary bladder 753.9 Unspecified congenital anomaly of urinary system 754.0 Congenital musculoskeletal deformities of skull face and jaw 754.1 Congenital musculoskeletal deformities of sternocleidomastoid muscle 754.30 Congenital dislocation of hip unilateral 754.32 Congenital subluxation of hip unilateral 754.5 Congenital varus deformities of feet 754.53 Congenital metatarsus varus 754.61 Congenital pes planus 754.70 Talipes unspecified 754.81 Pectus excavatum 754.82 Pectus carinatum 754.89 Other specified nonteratogenic anomalies 755.0 Polydactyly 755.00 Polydactyly unspecified digits 755.01 Polydactyly of fingers 755.02 Polydactyly of toes 755.1 Syndactyly 755.10 Syndactyly of multiple and unspecified sites 755.12 Syndactyly of fingers with fusion of bone 755.13 Syndactyly of toes without fusion of bone 755.20 Unspecified reduction deformity of upper limb congenital 755.30 Unspecified reduction deformity of lower limb congenital 755.5 Other congenital anomalies of upper limb including shoulder girdle 755.50 Unspecified anomaly of upper limb congenital 755.55 Acrocephalosyndactyly 755.60 Unspecified congenital anomaly of lower limb 755.63 Other congenital deformity of hip (joint) 6/8/201011:02:34AM 100 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES CONGENITAL ANOMALIES ICD9 Code Description 755.67 Congenital anomalies of foot not elsewhere classified 756.0 Congenital anomalies of skull and face bones 756.12 Spondylolisthesis congenital 756.13 Absence of vertebra congenital 756.16 Klippel-feil syndrome 756.17 Spina bifida occulta 756.51 Osteogenesis imperfecta 756.6 Congenital anomalies of diaphragm 756.71 Prune belly syndrome 756.79 Other congenital anomalies of abdominal wall 756.83 Ehlers-danlos syndrome 756.9 Other and unspecified congenital anomalies of musculoskeletal system 757.32 Vascular hamartomas 757.39 Other specified congenital anomalies of skin 757.6 Specified congenital anomalies of breast 757.9 Unspecified congenital anomaly of the integument 758 Chromosomal anomalies 758.0 Down's syndrome 758.3 Autosomal deletion syndromes 758.4 Balanced autosomal translocation in normal individual 758.5 Other conditions due to autosomal anomalies 758.6 Gonadal dysgenesis 758.7 Klinefelter's syndrome 758.8 Other conditions due to chromosome anomalies 758.81 Other conditions due to sex chromosome anomalies 758.89 Other conditions due to chromosome anomalies 758.9 Conditions due to anomaly of unspecified chromosome 759.0 Anomalies of spleen congenital 759.1 Anomalies of adrenal gland congenital 759.2 Anomalies of other endocrine glands congenital 759.3 Situs inversus 759.6 Other congenital hamartoses not elsewhere classified 759.7 Multiple congenital anomalies so described 759.8 Other specified congenital anomalies 759.81 Prader-willi syndrome 759.82 Marfan syndrome 759.83 Fragile x syndrome 759.89 Other specified congenital anomalies 759.9 Congenital anomaly unspecified 76830 Ultrasound, transvaginal 795.2 Nonspecific abnormal findings on chromosomal analysis 88248 Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) 88262 Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding 6/8/201011:02:34AM 101 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES CONGENITAL ANOMALIES CPT Code Description 88285 Chromosome analysis; additional cells counted, each study V13.6 Personal history of congenital malformations V13.69 Personal history of other congenital malformations V29.3 Observation for suspected genetic or metabolic condition V82.3 Screening for congenital dislocation of hip CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PE ICD9 Code Description 041.02 Streptococcus infection in conditions classified elsewhere and of unspecified site streptococcus group b 090.2 Early congenital syphilis unspecified 098.40 Gonococcal conjunctivitis (neonatorum) 244.8 Other specified acquired hypothyroidism 273.8 Other disorders of plasma protein metabolism 277.01 Cystic fibrosis with meconium ileus 289.7 Methemoglobinemia 333.1 Essential and other specified forms of tremor 36450 Exchange transfusion, blood; newborn 519.4 Disorders of diaphragm 655 Known or suspected fetal abnormality affecting management of mother 655.53 Suspected damage to fetus from drugs affecting management of mother antepartum 655.93 Unspecified suspected fetal abnormality affecting management of mother antepartum condition or complication 656 Other fetal and placental problems affecting management of mother 656.8 Other specified fetal and placental problems affecting management of mother 658.01 Oligohydramnios delivered 659.71 Abnormality in fetal heart rate or rhythm delivered with or without antepartum condition 663.11 Cord around neck with compression complicating labor and delivery delivered 695.81 Ritter's disease 747.5 Absence or hypoplasia of umbilical artery 760.0 Maternal hypertensive disorders affecting fetus or newborn 760.2 Maternal infections affecting fetus or newborn 760.3 Other chronic maternal circulatory and respiratory diseases affecting fetus or newborn 760.4 Maternal nutritional disorders affecting fetus or newborn 760.70 Noxious influences affecting fetus or newborn via placenta or breast milk unspecified noxious substance 760.71 Noxious influences affecting fetus or newborn via placenta or breast milk alcohol 760.75 Noxious influences affecting fetus or newborn via placenta or breast milk cocaine 760.79 Noxious influences affecting fetus or newborn via placenta or breast milk other 761.0 Incompetent cervix affecting fetus or newborn 761.1 Premature rupture of membranes affecting fetus or newborn 761.2 Oligohydramnios affecting fetus or newborn 761.7 Malpresentation before labor affecting fetus or newborn 6/8/201011:02:34AM 102 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PE ICD9 Code Description 761.8 Other specified maternal complications of pregnancy affecting fetus or newborn 761.9 Unspecified maternal complication of pregnancy affecting fetus or newborn 762.0 Placenta previa affecting fetus or newborn 762.1 Other forms of placental separation and hemorrhage affecting fetus or newborn 762.2 Other and unspecified morphological and functional abnormalities of placenta affecting fetus or newborn 762.3 Placental transfusion syndromes affecting fetus or newborn 762.4 Prolapsed umbilical cord affecting fetus or newborn 762.5 Other compression of umbilical cord affecting fetus or newborn 762.7 Chorioamnionitis affecting fetus or newborn 763.0 Breech delivery and extraction affecting fetus or newborn 763.1 Other malpresentation malposition and disproportion during labor and delivery affecting fetus or newborn 763.2 Forceps delivery affecting fetus or newborn 763.3 Delivery by vacuum extractor affecting fetus or newborn 763.4 Cesarean delivery affecting fetus or newborn 763.5 Maternal anesthesia and analgesia affecting fetus or newborn 763.83 Abnormality in fetal heart rate or rhythm unspecified as to time of onset 763.89 Other specified complications of labor and delivery affecting fetus or newborn 764 Slow fetal growth and fetal malnutrition 764.0 Light-for-dates infant without mention of fetal malnutrition 764.00 Light-for-dates infant without fetal malnutrition unspecified weight 764.07 Light-for-dates infant without fetal malnutrition 1750- 1999 grams 764.1 Light-for-dates infant with signs of fetal malnutrition 764.10 Light-for-dates infant with signs of fetal malnutrition unspecified weight 764.9 Fetal growth retardation unspecified 764.90 Fetal growth retardation unspecified weight 764.92 Fetal growth retardation 500-749 grams 764.97 Fetal growth retardation 1750-1999 grams 764.98 Fetal growth retardation 2000-2499 grams 765.0 Disorders relating to extreme immaturity of infant 765.01 Disorders relating to extreme immaturity of infant less than 500 grams 765.02 Disorders relating to extreme immaturity of infant 500-749 grams 765.03 Disorders relating to extreme immaturity of infant 750-999 grams 765.06 Disorders relating to extreme immaturity of infant 1500-1749 grams 765.08 Disorders relating to extreme immaturity of infant 2000-2499 grams 765.12 Disorders relating to other preterm infants 500-749 grams 765.13 Disorders relating to other preterm infants 750-999 grams 765.14 Disorders relating to other preterm infants 1000-1249 grams 765.15 Disorders relating to other preterm infants 1250-1499 grams 765.16 Disorders relating to other preterm infants 1500-1749 grams 765.17 Disorders relating to other preterm infants 1750-1999 grams 765.18 Disorders relating to other preterm infants 2000-2499 grams 765.19 Disorders relating to other preterm infants 2500 grams and over 6/8/201011:02:34AM 103 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PE ICD9 Code Description 766.0 Exceptionally large baby relating to long gestation 766.1 Other 'heavy-for-dates' infants not related to gestation period 766.2 Post-term infant not 'heavy-for-dates' 767.0 Subdural and cerebral hemorrhage due to birth trauma 767.1 Injuries to scalp due to birth trauma 767.2 Fracture of clavicle due to birth trauma 767.3 Other injuries to skeleton due to birth trauma 767.5 Facial nerve injury due to birth trauma 767.6 Injury to brachial plexus due to birth trauma 767.8 Other specified birth trauma 768.4 Fetal distress unspecified as to time of onset in liveborn infant 768.5 Severe birth asphyxia 768.6 Mild or moderate birth asphyxia 769 Respiratory distress syndrome in newborn 770 Other respiratory conditions of fetus and newborn 770.0 Congenital pneumonia 770.1 Fetal and newborn aspiration 770.2 Interstitial emphysema and related conditions of newborn 770.3 Pulmonary hemorrhage of fetus or newborn 770.4 Primary atelectasis of newborn 770.5 Other and unspecified atelectasis of newborn 770.6 Transitory tachypnea of newborn 770.7 Chronic respiratory disease arising in the perinatal period 770.9 Unspecified respiratory condition of fetus and newborn 771.0 Congenital rubella 771.1 Congenital cytomegalovirus infection 771.2 Other congenital infections specific to the perinatal period 771.4 Omphalitis of the newborn 771.5 Neonatal infective mastitis 771.6 Neonatal conjunctivitis and dacryocystitis 771.7 Neonatal candida infection 772.0 Fetal blood loss 772.1 Intraventricular hemorrhage of fetus or newborn 772.10 Intraventricular hemorrhage unspecified grade 772.11 Intraventricular hemorrhage grade i 772.12 Intraventricular hemorrhage grade ii 772.13 Intraventricular hemorrhage grade iii 772.14 Intraventricular hemorrhage grade iv 772.3 Umbilical hemorrhage after birth 772.8 Other specified hemorrhage of fetus or newborn 773.0 Hemolytic disease of fetus or newborn due to rh isoimmunization 773.1 Hemolytic disease of fetus or newborn due to abo isoimmunization 774 Other perinatal jaundice 774.2 Neonatal jaundice associated with preterm delivery 6/8/201011:02:34AM 104 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PE ICD9 Code Description 774.3 Neonatal jaundice due to delayed conjugation from other causes 774.30 Neonatal jaundice due to delayed conjugation cause unspecified 774.31 Neonatal jaundice due to delayed conjugation in diseases classified elsewhere 774.39 Other neonatal jaundice due to delayed conjugation from other causes 774.4 Perinatal jaundice due to hepatocellular damage 774.5 Perinatal jaundice from other causes 774.6 Unspecified fetal and neonatal jaundice 775.0 Syndrome of 'infant of a diabetic mother' 775.4 Hypocalcemia and hypomagnesemia of newborn 775.5 Other transitory neonatal electrolyte disturbances 775.6 Neonatal hypoglycemia 775.7 Late metabolic acidosis of newborn 776.2 Disseminated intravascular coagulation in newborn 776.4 Polycythemia neonatorum 776.6 Anemia of prematurity 777.1 Meconium obstruction in fetus or newborn 777.3 Hematemesis and melena of newborn due to swallowed maternal blood 777.5 Necrotizing enterocolitis in fetus or newborn 778 Conditions involving the integument and temperature regulation of fetus and newborn 778.1 Sclerema neonatorum 778.3 Other hypothermia of newborn 778.4 Other disturbances of temperature regulation of newborn 778.6 Congenital hydrocele 778.7 Breast engorgement in newborn 778.8 Other specified conditions involving the integument of fetus and newborn 779 Other and ill-defined conditions originating in the perinatal period 779.0 Convulsions in newborn 779.2 Cerebral depression coma and other abnormal cerebral signs in fetus or newborn 779.3 Feeding problems in newborn 779.5 Drug withdrawal syndrome in newborn 779.8 Other specified conditions originating in the perinatal period 798.0 Sudden infant death syndrome 80055 Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762) Syphilis test, qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901) 82247 Bilirubin; total V13.7 Personal history of perinatal problems V21.30 Unspecified low birth weight status V21.31 Low birth weight status less than 500 grams V21.32 Low birth weight status 500-999 grams V21.33 Low birth weight status 1000-1499 grams 6/8/201011:02:34AM 105 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PE ICD9 Code Description V21.34 Low birth weight status 1500-1999 grams V21.35 Low birth weight status 2000-2500 grams V22.1 Supervision of other normal pregnancy V23.5 Supervision of high-risk pregnancy with other poor reproductive history V28.6 Antenatal screening for streptococcus b V29 Observation and evaluation of newborns for suspected conditions not found V29.0 Observation for suspected infectious condition V29.1 Observation for suspected neurological conditions V29.2 Observation and evaluation of newborn for suspected respiratory condition V29.8 Observation for other specified suspected conditions V30.00 Single liveborn born in hospital delivered without cesarean section V30.01 Single liveborn born in hospital delivered by cesarean section V30.1 Single liveborn born before admission to hospital V31.00 Twin birth mate liveborn born in hospital delivered without cesarean section V31.01 Twin birth mate liveborn born in hospital delivered by cesarean section V31.1 Twin birth mate liveborn born before admission to hospital V37.00 Other multiple birth (three or more) unspecified whether mates liveborn or stillborn born in hospital delivered without cesarean section V37.01 Other multiple birth (three or more) unspecified whether mates liveborn or stillborn born in hospital delivered by cesarean section SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS ICD9 Code Description 078.2 Sweating fever 087.9 Relapsing fever unspecified 10021 Fine needle aspiration; without imaging guidance 279.8 Other specified disorders involving the immune mechanism 285.9 Anemia unspecified 300.7 Hypochondriasis 300.9 Unspecified nonpsychotic mental disorder 306.1 Respiratory malfunction arising from mental factors 307.40 Nonorganic sleep disorder unspecified 307.41 Transient disorder of initiating or maintaining sleep 307.42 Persistent disorder of initiating or maintaining sleep 307.47 Other dysfunctions of sleep stages or arousal from sleep 307.80 Psychogenic pain site unspecified 313.1 Misery and unhappiness disorder specific to childhood and adolescence 354.4 Causalgia of upper limb 355.71 Causalgia of lower limb 358.9 Myoneural disorders unspecified 36420 Venipuncture, cutdown; younger than age 1 year 368.9 Unspecified visual disturbance 369.9 Unspecified visual loss 6/8/201011:02:34AM 106 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS ICD9 Code Description 380.4 Impacted cerumen 388.70 Otalgia unspecified 401 Essential hypertension 401.0 Malignant essential hypertension 401.1 Benign essential hypertension 405 Secondary hypertension 405.1 Benign secondary hypertension 405.19 Other benign secondary hypertension 405.9 Unspecified secondary hypertension 405.99 Other unspecified secondary hypertension 416.0 Primary pulmonary hypertension 427.9 Cardiac dysrhythmia unspecified 458 Hypotension 458.8 Other specified hypotension 459.0 Hemorrhage unspecified 459.9 Unspecified circulatory system disorder 480.8 Pneumonia due to other virus not elsewhere classified 480.9 Viral pneumonia unspecified 482.9 Bacterial pneumonia unspecified 521.00 Unspecified dental caries 521.8 Other specified diseases of hard tissues of teeth 528.9 Other and unspecified diseases of the oral soft tissues 536.2 Persistent vomiting 536.8 Dyspepsia and other specified disorders of function of stomach 560.9 Unspecified intestinal obstruction 564.1 Irritable bowel syndrome 564.9 Unspecified functional disorder of intestine 579.8 Other specified intestinal malabsorption 579.9 Unspecified intestinal malabsorption 608.9 Unspecified disorder of male genital organs 610.0 Solitary cyst of breast 611.7 Signs and symptoms in breast 611.79 Other signs and symptoms in breast 623.5 Leukorrhea not specified as infective 625.9 Unspecified symptom associated with female genital organs 626.8 Other disorders of menstruation and other abnormal bleeding from female genital tract 682.9 Cellulitis and abscess of unspecified sites 686.9 Unspecified local infection of skin and subcutaneous tissue 692.9 Contact dermatitis and other eczema unspecified cause 698.9 Unspecified pruritic disorder 703.8 Other specified diseases of nail 71020 Radiologic examination, chest, 2 views, frontal and lateral; 716.10 Traumatic arthropathy site unspecified 716.90 Unspecified arthropathy site unspecified 6/8/201011:02:34AM 107 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS ICD9 Code Description 719.42 Pain in joint involving upper arm 719.43 Pain in joint involving forearm 719.45 Pain in joint involving pelvic region and thigh 719.46 Pain in joint involving lower leg 719.47 Pain in joint involving ankle and foot 724.5 Backache unspecified 728.85 Spasm of muscle 729 Other disorders of soft tissues 729.1 Myalgia and myositis unspecified 729.5 Pain in limb 729.81 Swelling of limb 729.82 Cramp of limb 729.9 Other and unspecified disorders of soft tissue 730.00 Acute osteomyelitis site unspecified 780 General symptoms 780.01 Coma 780.02 Transient alteration of awareness 780.03 Persistent vegetative state 780.09 Alteration of consciousness other 780.1 Hallucinations 780.2 Syncope and collapse 780.31 Febrile convulsions (simple) unspecified 780.39 Other convulsions 780.4 Dizziness and giddiness 780.5 Sleep disturbances 780.50 Unspecified sleep disturbance 780.51 Insomnia with sleep apnea unspecified 780.52 Insomnia unspecified 780.53 Hypersomnia with sleep apnea unspecified 780.55 Disruption of 24 hour sleep wake cycle unspecified 780.56 Dysfunctions associated with sleep stages or arousal from sleep 780.57 Unspecified sleep apnea 780.59 Other sleep disturbances 780.6 Fever 780.7 Malaise and fatigue 780.71 Chronic fatigue syndrome 780.79 Other malaise and fatigue 780.9 Other general symptoms 781.0 Abnormal involuntary movements 781.2 Abnormality of gait 781.3 Lack of coordination 781.6 Meningismus 781.92 Abnormal posture 781.99 Other symptoms involving nervous and musculoskeletal systems 6/8/201011:02:34AM 108 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS ICD9 Code Description 782.1 Rash and other nonspecific skin eruption 782.2 Localized superficial swelling mass or lump 782.3 Edema 782.4 Jaundice unspecified not of newborn 782.5 Cyanosis 782.61 Pallor 782.7 Spontaneous ecchymoses 783.0 Anorexia 783.1 Abnormal weight gain 783.3 Feeding difficulties and mismanagement 783.40 Unspecified lack of normal physiological development 783.41 Failure to thrive 783.42 Delayed milestones 783.43 Short stature 783.5 Polydipsia 783.9 Other symptoms concerning nutrition metabolism and development 784.0 Headache 784.1 Throat pain 784.49 Other voice disturbance 784.5 Other speech disturbance 784.61 Alexia and dyslexia 784.7 Epistaxis 784.9 Other symptoms involving head and neck 785.0 Tachycardia unspecified 785.1 Palpitations 785.2 Undiagnosed cardiac murmurs 785.5 Shock without mention of trauma 785.50 Shock unspecified 785.51 Cardiogenic shock 785.59 Other shock without trauma 785.6 Enlargement of lymph nodes 785.9 Other symptoms involving cardiovascular system 786.03 Apnea 786.04 Cheyne-stokes respiration 786.06 Tachypnea 786.07 Wheezing 786.1 Stridor 786.2 Cough 786.3 Hemoptysis 786.50 Unspecified chest pain 786.6 Swelling mass or lump in chest 786.7 Abnormal chest sounds 786.9 Other symptoms involving respiratory system and chest 787.01 Nausea with vomiting 6/8/201011:02:34AM 109 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS ICD9 Code Description 787.02 Nausea alone 787.03 Vomiting alone 787.1 Heartburn 787.2 Dysphagia 787.3 Flatulence eructation and gas pain 787.6 Incontinence of feces 787.91 Diarrhea 787.99 Other symptoms involving digestive system 788.0 Renal colic 788.1 Dysuria 788.30 Urinary incontinence unspecified 788.36 Nocturnal enuresis 788.41 Urinary frequency 788.42 Polyuria 788.5 Oliguria and anuria 788.7 Urethral discharge 788.9 Other symptoms involving urinary system 789 Other symptoms involving abdomen and pelvis 789.00 Abdominal pain unspecified site 789.1 Hepatomegaly 789.2 Splenomegaly 789.30 Abdominal or pelvic swelling mass or lump unspecified site 789.5 Ascites 789.60 Abdominal tenderness unspecified site 789.9 Other symptoms involving abdomen and pelvis 790.1 Elevated sedimentation rate 790.2 Abnormal glucose 790.3 Excessive blood level of alcohol 790.6 Other abnormal blood chemistry 790.7 Bacteremia 790.91 Abnormal arterial blood gases 790.92 Abnormal coagulation profile 791.0 Proteinuria 791.2 Hemoglobinuria 791.5 Glycosuria 792.1 Nonspecific abnormal findings in stool contents 793.9 Other nonspecific abnormal findings on radiological and other examination of other sites of body structure 795.4 Other nonspecific abnormal histological findings 795.5 Nonspecific reaction to tuberculin skin test without active tuberculosis 795.71 Nonspecific serologic evidence of human immunodeficiency virus (hiv) 795.79 Other and unspecified nonspecific immunological findings 796 Other nonspecific abnormal findings 796.2 Elevated blood pressure reading without diagnosis of hypertension 6/8/201011:02:34AM 110 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS ICD9 Code Description 796.3 Nonspecific low blood pressure reading 798 Sudden death cause unknown 798.0 Sudden infant death syndrome 798.2 Death occurring in less than 24 hours from onset of symptoms not otherwise explained 798.9 Unattended death 799 Other ill-defined and unknown causes of morbidity and mortality 799.0 Asphyxia and hypoxemia 799.1 Respiratory arrest 799.9 Other unknown and unspecified cause of morbidity or mortality 80502 Clinical pathology consultation; comprehensive, for a complex diagnostic problem, with review of patient's history and medical records 81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy 82040 Albumin; serum, plasma or whole blood 85025 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) 86235 Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody 88720 Bilirubin, total, transcutaneous 95028 Intracutaneous (intradermal) tests with allergenic extracts, delayed type reaction, including reading, specify number of tests 991.6 Hypothermia 99201 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 10 minutes face-to-face with the patient and/or family. 99202 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 20 minutes face-to-face with the patient and/or family. 99242 Office consultation for a new or established patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low severity. Physicians typically spend 30 minutes face-to-face with the patient and/or family. 6/8/201011:02:34AM 111 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS CPT Code Description 99244 Office consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 60 minutes face-to-face with the patient and/or family. 99254 Inpatient consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 80 minutes at the bedside and on the patient's hospital floor or unit. 995 Certain adverse effects not elsewhere classified 995.2 Other and unspecified adverse effect of drug medicinal and biological substance not elsewhere classified 995.3 Allergy unspecified not elsewhere classified 997.91 Complications affecting other specified body systems not elsewhere classified hypertension 998 Other complications of procedures not elsewhere classified E904.2 Accident due to lack of water V07.8 Need for other specified prophylactic measure V13.8 Personal history of other specified diseases V13.9 Personal history of unspecified disease V29.9 Observation for unspecified suspected conditions V45.8 Other postprocedural status V48.9 Unspecified problem with head neck or trunk V58 Encounter for other and unspecified procedures and aftercare V58.83 Encounter for therapeutic drug monitoring V58.89 Other specified aftercare V65.0 Healthy person accompanying sick person V65.5 Person with feared complaint in whom no diagnosis was made V65.9 Unspecified reason for consultation V67.6 Follow-up examination following combined treatment V68 Encounters for administrative purposes V70.4 Examination for medicolegal reasons V70.9 Unspecified general medical examination V71 Observation and evaluation for suspected conditions not found V71.8 Observation and evaluation for other specified suspected conditions V71.9 Observation for unspecified suspected condition V72.5 Radiological examination not elsewhere classified V72.6 Laboratory examination V82 Special screening for other conditions V82.9 Screening for unspecified condition 6/8/201011:02:34AM 112 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INJURY AND POISONING CPT Code Description 01991 Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is performed by a different provider); other than the prone position 10121 Incision and removal of foreign body, subcutaneous tissues; complicated 11042 Debridement; skin, and subcutaneous tissue 11044 Debridement; skin, subcutaneous tissue, muscle, and bone 12004 Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm 12005 Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm 12014 Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm 12021 Treatment of superficial wound dehiscence; with packing 12034 Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm 13131 Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm 13132 Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm 15786 Abrasion; single lesion (eg, keratosis, scar) 16020 Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area) 20102 Exploration of penetrating wound (separate procedure); abdomen/flank/back 20520 Removal of foreign body in muscle or tendon sheath; simple 21310 Closed treatment of nasal bone fracture without manipulation 21325 Open treatment of nasal fracture; uncomplicated 21337 Closed treatment of nasal septal fracture, with or without stabilization 21421 Closed treatment of palatal or maxillary fracture (LeFort I type), with interdental wire fixation or fixation of denture or splint 21450 Closed treatment of mandibular fracture; without manipulation 21451 Closed treatment of mandibular fracture; with manipulation 21453 Closed treatment of mandibular fracture with interdental fixation 21470 Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdental fixation, and/or wiring of dentures or splints 21800 Closed treatment of rib fracture, uncomplicated, each 22315 Closed treatment of vertebral fracture(s) and/or dislocation(s) requiring casting or bracing, with and including casting and/or bracing, with or without anesthesia, by manipulation or traction 23545 Closed treatment of acromioclavicular dislocation; with manipulation 23600 Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation 23650 Closed treatment of shoulder dislocation, with manipulation; without anesthesia 23655 Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia 24500 Closed treatment of humeral shaft fracture; without manipulation 24530 Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; without manipulation 6/8/201011:02:34AM 113 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INJURY AND POISONING CPT Code Description 24545 Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without intercondylar extension 24546 Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with intercondylar extension 24565 Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation 24576 Closed treatment of humeral condylar fracture, medial or lateral; without manipulation 24577 Closed treatment of humeral condylar fracture, medial or lateral; with manipulation 24600 Treatment of closed elbow dislocation; without anesthesia 24640 Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation 24655 Closed treatment of radial head or neck fracture; with manipulation 25248 Exploration with removal of deep foreign body, forearm or wrist 25415 Repair of nonunion or malunion, radius AND ulna; without graft (eg, compression technique) 25520 Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation) 25530 Closed treatment of ulnar shaft fracture; without manipulation 25560 Closed treatment of radial and ulnar shaft fractures; without manipulation 25565 Closed treatment of radial and ulnar shaft fractures; with manipulation 25575 Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna 25600 Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; without manipulation 25605 Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation 26605 Closed treatment of metacarpal fracture, single; with manipulation, each bone 26735 Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each 26740 Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; without manipulation, each 27240 Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with or without skin or skeletal traction 27245 Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage 27252 Closed treatment of hip dislocation, traumatic; requiring anesthesia 27256 Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; without anesthesia, without manipulation 27295 Disarticulation of hip 27500 Closed treatment of femoral shaft fracture, without manipulation 27501 Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, without manipulation 27508 Closed treatment of femoral fracture, distal end, medial or lateral condyle, without manipulation 27530 Closed treatment of tibial fracture, proximal (plateau); without manipulation 27532 Closed treatment of tibial fracture, proximal (plateau); with or without manipulation, with skeletal traction 27560 Closed treatment of patellar dislocation; without anesthesia 6/8/201011:02:34AM 114 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INJURY AND POISONING CPT Code Description 27752 Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction 27814 Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed 27840 Closed treatment of ankle dislocation; without anesthesia 28190 Removal of foreign body, foot; subcutaneous 28495 Closed treatment of fracture great toe, phalanx or phalanges; with manipulation 29086 Application, cast; finger (eg, contracture) 291.4 Idiosyncratic alcohol intoxication 29126 Application of short arm splint (forearm to hand); dynamic 29131 Application of finger splint; dynamic 292 Drug-induced mental disorders 292.0 Drug withdrawal 292.2 Pathological drug intoxication 292.81 Drug-induced delirium 303.0 Acute alcoholic intoxication 305 Nondependent abuse of drugs 305.1 Nondependent tobacco use disorder 305.2 Nondependent cannabis abuse 40830 Closure of laceration, vestibule of mouth; 2.5 cm or less 41010 Incision of lingual frenum (frenotomy) 41250 Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue 518.1 Interstitial emphysema 623.4 Old vaginal laceration 64450 Injection, anesthetic agent; other peripheral nerve or branch 65286 Repair of laceration; application of tissue glue, wounds of cornea and/or sclera 716.13 Traumatic arthropathy involving forearm 716.16 Traumatic arthropathy involving lower leg 716.17 Traumatic arthropathy involving ankle and foot 729.6 Residual foreign body in soft tissue 733.93 Stress fracture of tibia or fibula 733.94 Stress fracture of the metatarsals 733.95 Stress fracture of other bone 754.30 Congenital dislocation of hip unilateral 760.72 Noxious influences affecting fetus or newborn via placenta or breast milk narcotics 767.2 Fracture of clavicle due to birth trauma 767.3 Other injuries to skeleton due to birth trauma 779.4 Drug reactions and intoxications specific to newborn 790.99 Other abnormal findings on examination of blood 800 Fracture of vault of skull 800.00 Closed fracture of vault of skull without intracranial injury with state of consciousness unspecified 800.01 Closed fracture of vault of skull without intracranial injury with no loss of consciousness 800.09 Closed fracture of vault of skull without intracranial injury with concussion unspecified 6/8/201011:02:34AM 115 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INJURY AND POISONING ICD9 Code Description 800.13 Closed fracture of vault of skull with cerebral laceration and contusion with moderate (1-24 hours) loss of consciousness 800.20 Closed fracture of vault of skull with subarachnoid subdural and extradural hemorrhage with state of consciousness unspecified 800.26 Closed fracture of vault of skull with subarachnoid subdural and extradural hemorrhage with loss of consciousness of unspecified duration 800.49 Closed fracture of vault of skull with intracranial injury of other and unspecified nature with concussion unspecified 801.0 Closed fracture of base of skull without mention of intracranial injury 801.01 Closed fracture of base of skull without intra cranial injury with no loss of consciousness 801.02 Closed fracture of base of skull without intra cranial injury with brief (less than one hour) loss of consciousness 801.06 Closed fracture of base of skull without intra cranial injury with loss of consciousness of unspecified duration 801.09 Closed fracture of base of skull without intra cranial injury with concussion unspecified 801.1 Closed fracture of base of skull with cerebral laceration and contusion 801.19 Closed fracture of base of skull with cerebral laceration and contusion with concussion unspecified 801.3 Closed fracture of base of skull with other and unspecified intracranial hemorrhage 801.7 Open fracture of base of skull with subarachnoid subdural and extradural hemorrhage 80184 Phenobarbital 802 Fracture of face bones 802.0 Closed fracture of nasal bones 802.2 Closed fracture of mandible 802.20 Closed fracture of unspecified site of mandible 802.25 Closed fracture of angle of jaw 802.35 Open fracture of angle of jaw 802.39 Open fracture of multiple sites of mandible 802.4 Closed fracture of malar and maxillary bones 802.6 Closed fracture of orbital floor (blow-out) 802.8 Closed fracture of other facial bones 803.0 Other closed skull fracture without mention of intracranial injury 803.01 Other closed skull fracture without intracranial injury with no loss of consciousness 803.09 Other closed skull fracture without intracranial injury with concussion unspecified 803.1 Other closed skull fracture with cerebral laceration and contusion 803.3 Closed skull fracture with other and unspecified intracranial hemorrhage 803.39 Other closed skull fracture with other and unspecified intracranial hemorrhage with concussion unspecified 803.4 Closed skull fracture with intracranial injury of other and unspecified nature 803.40 Other closed skull fracture with intracranial injury of other and unspecified nature with state of consciousness unspecified 804.0 Closed fractures involving skull or face with other bones without mention of intracranial injury 804.09 Closed fractures involving skull of face with other bones without intracranial injury with concussion unspecified 6/8/201011:02:34AM 116 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INJURY AND POISONING ICD9 Code Description 804.19 Closed fractures involving skull or face with other bones with cerebral laceration and contusion with concussion unspecified 804.61 Open fractures involving skull or face with other bones with cerebral laceration and contusion with no loss of consciousness 805 Fracture of vertebral column without mention of spinal cord injury 805.00 Closed fracture of cervical vertebra unspecified level 805.6 Closed fracture of sacrum and coccyx without spinal cord injury 806.00 Closed fracture of c1-c4 level with unspecified spinal cord injury 806.04 Closed fracture of c1-c4 level with other specified spinal cord injury 807.00 Closed fracture of rib(s) unspecified 807.03 Closed fracture of three ribs 807.04 Closed fracture of four ribs 808.0 Closed fracture of acetabulum 808.4 Closed fracture of other specified part of pelvis 808.42 Closed fracture of ischium 808.43 Multiple closed pelvic fractures with disruption of pelvic circle 808.8 Unspecified closed fracture of pelvis 809 Ill-defined fractures of bones of trunk 810 Fracture of clavicle 810.0 Closed fracture of clavicle 810.00 Closed fracture of clavicle unspecified part 810.02 Closed fracture of shaft of clavicle 810.03 Closed fracture of acromial end of clavicle 812 Fracture of humerus 812.02 Fracture of anatomical neck of humerus closed 812.03 Fracture of greater tuberosity of humerus closed 812.12 Fracture of anatomical neck of humerus open 812.2 Closed fracture of shaft or unspecified part of humerus 812.20 Fracture of unspecified part of humerus closed 812.4 Fracture of lower end of humerus closed 812.41 Supracondylar fracture of humerus closed 812.42 Fracture of lateral condyle of humerus closed 812.43 Fracture of medial condyle of humerus closed 812.49 Other closed fractures of lower end of humerus 812.5 Fracture of lower end of humerus open 813 Fracture of radius and ulna 813.00 Closed fracture of upper end of forearm unspecified 813.01 Fracture of olecranon process of ulna closed 813.05 Fracture of head of radius closed 813.06 Fracture of neck of radius closed 813.08 Fracture of radius with ulna upper end (any part) closed 813.2 Fracture of shaft of radius and ulna closed 813.21 Fracture of shaft of radius (alone) closed 813.22 Fracture of shaft of ulna (alone) closed 6/8/201011:02:34AM 117 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INJURY AND POISONING ICD9 Code Description 813.23 Fracture of shaft of radius with ulna closed 813.33 Fracture of shaft of radius with ulna open 813.4 Fracture of lower end of radius and ulna closed 813.40 Closed fracture of lower end of forearm unspecified 813.41 Colles' fracture closed 813.42 Other closed fractures of distal end of radius (alone) 813.44 Fracture of lower end of radius with ulna closed 813.5 Fracture of lower end of radius and ulna open 813.8 Fracture of unspecified part of radius with ulna closed 813.80 Closed fracture of unspecified part of forearm 813.81 Fracture of unspecified part of radius (alone) closed 814.00 Closed fracture of carpal bone unspecified 814.01 Closed fracture of navicular (scaphoid) bone of wrist 814.09 Closed fracture of other bone of wrist 815.0 Closed fracture of metacarpal bones 815.00 Closed fracture of metacarpal bone(s) site unspecified 815.01 Closed fracture of base of thumb (first) metacarpal 815.02 Closed fracture of base of other metacarpal bone(s) 815.03 Closed fracture of shaft of metacarpal bone(s) 815.04 Closed fracture of neck of metacarpal bone(s) 815.10 Open fracture of metacarpal bone(s) site unspecified 816 Fracture of one or more phalanges of hand 816.0 Closed fracture of one or more phalanges of hand 816.00 Closed fracture of phalanx or phalanges of hand unspecified 816.01 Closed fracture of middle or proximal phalanx or phalanges of hand 816.02 Closed fracture of distal phalanx or phalanges of hand 816.03 Closed fracture of multiple sites of phalanx or phalanges of hand 816.1 Open fracture of one or more phalanges of hand 818 Ill-defined fractures of upper limb 819 Multiple fractures involving both upper limbs and upper limb with rib(s) and sternum 819.1 Multiple open fractures involving both upper limbs and upper limb with rib(s) and sternum 820 Fracture of neck of femur 820.01 Fracture of epiphysis (separation) (upper) of neck of femur closed 820.03 Fracture of base of neck of femur closed 820.11 Fracture of epiphysis (separation) (upper) of neck of femur open 820.12 Fracture of midcervical section of femur open 820.21 Fracture of intertrochanteric section of femur closed 820.31 Fracture of intertrochanteric section of femur open 820.8 Fracture of unspecified part of neck of femur closed 82003 Acetaminophen 821 Fracture of other and unspecified parts of femur 821.0 Fracture of shaft or unspecified part of femur closed 821.00 Fracture of unspecified part of femur closed 821.01 Fracture of shaft of femur closed 6/8/201011:02:34AM 118 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INJURY AND POISONING ICD9 Code Description 821.11 Fracture of shaft of femur open 821.2 Fracture of lower end of femur closed 821.20 Fracture of lower end of femur unspecified part closed 821.21 Fracture of femoral condyle closed 821.23 Supracondylar fracture of femur closed 821.3 Fracture of lower end of femur open 821.30 Fracture of lower end of femur unspecified part open 822 Fracture of patella 822.0 Closed fracture of patella 823 Fracture of tibia and fibula 823.00 Closed fracture of upper end of tibia 823.02 Closed fracture of upper end of fibula with tibia 823.1 Fracture of upper end of tibia and fibula open 823.12 Open fracture of upper end of fibula with tibia 823.2 Fracture of shaft of tibia and fibula closed 823.20 Closed fracture of shaft of tibia 823.21 Closed fracture of shaft of fibula 823.22 Closed fracture of shaft of fibula with tibia 823.3 Fracture of shaft of tibia and fibula open 823.32 Open fracture of shaft of fibula with tibia 823.8 Fracture of unspecified part of tibia and fibula closed 823.80 Closed fracture of unspecified part of tibia 823.81 Closed fracture of unspecified part of fibula 823.82 Closed fracture of unspecified part of fibula with tibia 824 Fracture of ankle 824.2 Fracture of lateral malleolus closed 824.4 Bimalleolar fracture closed 824.8 Unspecified fracture of ankle closed 825 Fracture of one or more tarsal and metatarsal bones 825.20 Fracture of unspecified bone(s) of foot (except toes) closed 825.25 Fracture of metatarsal bone(s) closed 825.29 Other fracture of tarsal and metatarsal bones closed 825.3 Fracture of other tarsal and metatarsal bones open 825.35 Fracture of metatarsal bone(s) open 825.39 Other fractures of tarsal and metatarsal bones open 826.1 Open fracture of one or more phalanges of foot 828 Multiple fractures involving both lower limbs lower with upper limb and lower limb(s) with rib(s) and sternum 830.0 Closed dislocation of jaw 831.0 Closed dislocation of shoulder 831.00 Closed dislocation of shoulder unspecified site 831.09 Closed dislocation of other site of shoulder 832.0 Closed dislocation of elbow 832.00 Closed dislocation of elbow unspecified site 6/8/201011:02:34AM 119 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INJURY AND POISONING ICD9 Code Description 832.01 Closed anterior dislocation of elbow 833.04 Closed dislocation of carpometacarpal (joint) 834 Dislocation of finger 834.0 Closed dislocation of finger 834.00 Closed dislocation of finger unspecified part 835 Dislocation of hip 835.0 Closed dislocation of hip 836.2 Other tear of cartilage or meniscus of knee current 836.3 Dislocation of patella closed 836.5 Other dislocation of knee closed 836.50 Closed dislocation of knee unspecified part 83655 Lead 837 Dislocation of ankle 838.06 Closed dislocation of interphalangeal (joint) foot 838.09 Closed dislocation of other part of foot 83925 Opiate(s), drug and metabolites, each procedure 840 Sprains and strains of shoulder and upper arm 840.0 Acromioclavicular (joint) (ligament) sprain 840.4 Rotator cuff (capsule) sprain 840.8 Sprain of other specified sites of shoulder and upper arm 841.9 Sprain of unspecified site of elbow and forearm 842 Sprains and strains of wrist and hand 842.0 Wrist sprain 842.00 Sprain of unspecified site of wrist 842.09 Other wrist sprain 842.1 Hand sprain 842.10 Sprain of unspecified site of hand 843 Sprains and strains of hip and thigh 843.8 Sprain of other specified sites of hip and thigh 844 Sprains and strains of knee and leg 844.0 Sprain of lateral collateral ligament of knee 844.1 Sprain of medial collateral ligament of knee 844.8 Sprain of other specified sites of knee and leg 844.9 Sprain of unspecified site of knee and leg 845.0 Ankle sprain 845.00 Unspecified site of ankle sprain 845.01 Deltoid (ligament) ankle sprain 845.02 Calcaneofibular (ligament) ankle sprain 845.1 Foot sprain 845.10 Unspecified site of foot sprain 846.0 Lumbosacral (joint) (ligament) sprain 847 Sprains and strains of other and unspecified parts of back 847.0 Sprain of neck 847.1 Sprain thoracic region 6/8/201011:02:34AM 120 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INJURY AND POISONING ICD9 Code Description 847.2 Sprain lumbar region 847.9 Sprain of unspecified site of back 848.0 Sprain of septal cartilage of nose 848.1 Jaw sprain 848.3 Sprain of ribs 848.8 Other specified sites of sprains and strains 848.9 Unspecified site of sprain and strain 850.0 Concussion with no loss of consciousness 850.2 Concussion with moderate loss of consciousness 850.5 Concussion with loss of consciousness of unspecified duration 850.9 Concussion unspecified 851 Cerebral laceration and contusion 851.0 Cortex (cerebral) contusion without mention of open intracranial wound 851.42 Cerebellar or brain stem contusion without open intracranial wound with brief (less than one hour) loss of consciousness 851.70 Cerebellar or brain stem laceration with open intracranial wound with state of consciousness unspecified 851.80 Other and unspecified cerebral laceration and contusion without open intracranial wound with state of consciousness unspecified 851.89 Other and unspecified cerebral laceration and contusion without open intracranial wound with concussion unspecified 852 Subarachnoid subdural and extradural hemorrhage following injury 852.00 Subarachnoid hemorrhage following injury without open intracranial wound with state of consciousness unspecified 852.09 Subarachnoid hemorrhage following injury without open intracranial wound with concussion unspecified 852.20 Subdural hemorrhage following injury without open intracranial wound with state of consciousness unspecified 852.4 Extradural hemorrhage following injury without mention of open intracranial wound 853.0 Other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound 853.00 Other and unspecified intracranial hemorrhage following injury without open intracranial wound with state of consciousness unspecified 853.02 Other and unspecified intracranial hemorrhage following injury without open intracranial wound with brief (less than one hour) loss of consciousness 853.03 Other and unspecified intracranial hemorrhage following injury without open intracranial wound with moderate (1-24 hours) loss of consciousness 854 Intracranial injury of other and unspecified nature 854.0 Intracranial injury of other and unspecified nature without mention of open intracranial wound 854.02 Intracranial injury of other and unspecified nature without open intracranial wound with brief (less than one hour) loss of consciousness 860.0 Traumatic pneumothorax without open wound into thorax 860.1 Traumatic pneumothorax with open wound into thorax 860.3 Traumatic hemothorax with open wound into thorax 6/8/201011:02:34AM 121 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INJURY AND POISONING ICD9 Code Description 861.01 Contusion of heart without open wound into thorax 861.21 Contusion of lung without open wound into thorax 862.22 Injury to esophagus without open wound into cavity 862.39 Injury to other specified intrathoracic organs with open wound into cavity 863.20 Injury to small intestine unspecified site without open wound into cavity 863.3 Injury to small intestine with open wound into cavity 863.82 Injury to pancreas body without open wound into cavity 864 Injury to liver 864.01 Hematoma and contusion of liver without open wound into cavity 864.04 Laceration of liver major without open wound into cavity 864.05 Laceration of liver unspecified without open wound into cavity 865 Injury to spleen 865.00 Unspecified injury to spleen without open wound into cavity 865.02 Capsular tears to spleen without major disruption of parenchyma without open wound into cavity 865.03 Laceration of spleen extending into parenchyma without open wound into cavity 865.13 Laceration of spleen extending into parenchyma with open wound into cavity 866.0 Injury to kidney without mention of open wound into cavity 866.00 Unspecified injury to kidney without open wound into cavity 867.1 Injury to bladder and urethra with open wound into cavity 868.0 Injury to other intra-abdominal organs without mention of open wound into cavity 868.09 Injury to other and multiple intra-abdominal organs without open wound into cavity 869.0 Internal injury to unspecified or ill-defined organs without open wound into cavity 870.0 Laceration of skin of eyelid and periocular area 870.1 Laceration of eyelid full-thickness not involving lacrimal passages 872 Open wound of ear 872.0 Open wound of external ear without mention of complication 872.00 Open wound of external ear unspecified site uncomplicated 872.61 Open wound of ear drum uncomplicated 872.79 Open wound of other and multiple sites complicated 873 Other open wound of head 873.0 Open wound of scalp without complication 873.1 Open wound of scalp complicated 873.20 Open wound of nose unspecified site uncomplicated 873.4 Open wound of face without mention of complication 873.40 Open wound of face unspecified site uncomplicated 873.41 Open wound of cheek uncomplicated 873.43 Open wound of lip uncomplicated 873.52 Open wound of forehead complicated 873.53 Open wound of lip complicated 873.6 Open wound of internal structures of mouth without mention of complication 873.60 Open wound of mouth unspecified site uncomplicated 873.62 Open wound of gum (alveolar process) uncomplicated 873.63 Open wound of tooth (broken) (fractured) (due to trauma) without mention of complication 6/8/201011:02:34AM 122 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INJURY AND POISONING ICD9 Code Description 873.64 Open wound of tongue and floor of mouth uncomplicated 873.71 Open wound of buccal mucosa complicated 873.73 Open wound of tooth (broken) (fractured) (due to trauma) complicated 873.74 Open wound of tongue and floor of mouth complicated 873.8 Other and unspecified open wound of head without complication 874.8 Open wound of other and unspecified parts of neck without complication 878.6 Open wound of vagina without complication 878.8 Open wound of other and unspecified parts of genital organs without complication 879.6 Open wound of other and unspecified parts of trunk without complication 879.8 Open wound(s) (multiple) of unspecified site(s) without complication 879.9 Open wound(s) (multiple) of unspecified site(s) complicated 880 Open wound of shoulder and upper arm 880.02 Open wound of axillary region without complication 881.00 Open wound of forearm without complication 882 Open wound of hand except finger(s) alone 882.0 Open wound of hand except fingers alone without complication 883 Open wound of finger(s) 883.0 Open wound of fingers without complication 883.2 Open wound of fingers with tendon involvement 884.0 Multiple and unspecified open wound of upper limb without complication 891.0 Open wound of knee leg (except thigh) and ankle without complication 892 Open wound of foot except toe(s) alone 892.0 Open wound of foot except toe(s) alone without complication 893.0 Open wound of toe(s) without complication 894 Multiple and unspecified open wound of lower limb 894.0 Multiple and unspecified open wound of lower limb without complication 897.2 Traumatic amputation of leg(s) (complete) (partial) unilateral at or above knee without complication 900 Injury to blood vessels of head and neck 900.9 Injury to unspecified blood vessel of head and neck 902.1 Injury to inferior vena cava 904 Injury to blood vessels of lower extremity and unspecified sites 904.8 Injury to unspecified blood vessel of lower extremity 904.9 Injury to blood vessels of unspecified site 905.7 Late effect of sprain and strain without tendon injury 906.0 Late effect of open wound of head neck and trunk 906.3 Late effect of contusion 906.8 Late effect of burns of other specified sites 908.6 Late effect of certain complications of trauma 910 Superficial injury of face neck and scalp except eye 910.0 Abrasion or friction burn of face neck and scalp except eye without infection 910.1 Abrasion or friction burn of face neck and scalp except eye infected 910.4 Insect bite nonvenomous of face neck and scalp except eye without infection 910.5 Insect bite nonvenomous of face neck and scalp except eye infected 6/8/201011:02:34AM 123 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INJURY AND POISONING ICD9 Code Description 910.8 Other and unspecified superficial injury of face neck and scalp without infection 911.0 Abrasion or friction burn of trunk without infection 911.4 Insect bite nonvenomous of trunk without infection 912 Superficial injury of shoulder and upper arm 912.0 Abrasion or friction burn of shoulder and upper arm without infection 912.4 Insect bite nonvenomous of shoulder and upper arm without infection 913.0 Abrasion or friction burn of elbow forearm and wrist without infection 913.1 Abrasion or friction burn of elbow forearm and wrist infected 913.4 Insect bite nonvenomous of elbow forearm and wrist without infection 913.5 Insect bite nonvenomous of elbow forearm and wrist infected 913.8 Other and unspecified superficial injury of elbow forearm and wrist without infection 914.0 Abrasion or friction burn of hand(s) except finger(s) alone without infection 914.6 Superficial foreign body (splinter) of hand(s) except finger(s) alone without major open wound and without infection 914.8 Other and unspecified superficial injury of hand(s) except finger(s) alone without infection 915 Superficial injury of finger(s) 915.4 Insect bite nonvenomous of fingers without infection 915.5 Insect bite nonvenomous of fingers infected 915.7 Superficial foreign body (splinter) of fingers without major open wound infected 916.0 Abrasion or friction burn of hip thigh leg and ankle without infection 916.4 Insect bite nonvenomous of hip thigh leg and ankle without infection 916.5 Insect bite nonvenomous of hip thigh leg and ankle infected 917.0 Abrasion or friction burn of foot and toe(s) without infection 917.5 Insect bite nonvenomous of foot and toe(s) infected 917.6 Superficial foreign body (splinter) of foot and toe(s) without major open wound and without infection 917.7 Superficial foreign body (splinter) of foot and toe(s) without major open wound infected 917.8 Other and unspecified superficial injury of foot and toes without infection 917.9 Other and unspecified superficial injury of foot and toes infected 918.0 Superficial injury of eyelids and periocular area 918.1 Superficial injury of cornea 918.9 Other and unspecified superficial injuries of eye 919 Superficial injury of other multiple and unspecified sites 919.0 Abrasion or friction burn of other multiple and unspecified sites without infection 919.4 Insect bite nonvenomous of other multiple and unspecified sites without infection 919.5 Insect bite nonvenomous of other multiple and unspecified sites infected 919.6 Superficial foreign body (splinter) of other multiple and unspecified sites without major open wound and without infection 919.7 Superficial foreign body (splinter) of other multiple and unspecified sites without major open wound infected 919.8 Other and unspecified superficial injury of other multiple and unspecified sites without infection 920 Contusion of face scalp and neck except eye(s) 921 Contusion of eye and adnexa 6/8/201011:02:34AM 124 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INJURY AND POISONING ICD9 Code Description 921.0 Black eye not otherwise specified 921.1 Contusion of eyelids and periocular area 921.2 Contusion of orbital tissues 921.3 Contusion of eyeball 922.1 Contusion of chest wall 922.3 Contusion of back 922.31 Contusion of back 922.32 Contusion of buttock 922.4 Contusion of genital organs 923.0 Contusion of shoulder and upper arm 923.11 Contusion of elbow 923.3 Contusion of finger 924.00 Contusion of thigh 924.1 Contusion of knee and lower leg 924.10 Contusion of lower leg 924.11 Contusion of knee 924.2 Contusion of ankle and foot excluding toe(s) 924.21 Contusion of ankle 924.3 Contusion of toe 924.5 Contusion of unspecified part of lower limb 924.8 Contusion of multiple sites not elsewhere classified 924.9 Contusion of unspecified site 926.11 Crushing injury of back 927.09 Crushing injury of multiple sites of upper arm 927.3 Crushing injury of finger(s) 929.0 Crushing injury of multiple sites not elsewhere classified 930.0 Corneal foreign body 930.1 Foreign body in conjunctival sac 931 Foreign body in ear 932 Foreign body in nose 933 Foreign body in pharynx and larynx 933.1 Foreign body in larynx 934.8 Foreign body in other specified parts bronchus and lung 934.9 Foreign body in respiratory tree unspecified 935.1 Foreign body in esophagus 938 Foreign body in digestive system unspecified 939.2 Foreign body in vulva and vagina 941 Burn of face head and neck 941.00 Burn of unspecified degree of unspecified site of face and head 941.10 Erythema due to burn (first degree) of unspecified site of face and head 941.2 Blisters with epidermal loss due to burn (second degree) of face head and neck 941.20 Blisters with epidermal loss due to burn (second degree) of face and head unspecified site 942.00 Burn of unspecified degree of unspecified site of trunk 942.2 Blisters with epidermal loss due to burn (second degree) of trunk 6/8/201011:02:34AM 125 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INJURY AND POISONING ICD9 Code Description 942.20 Blisters with epidermal loss due to burn (second degree) of unspecified site of trunk 942.22 Blisters with epidermal loss due to burn (second degree) of chest wall excluding breast and nipple 942.23 Blisters with epidermal loss due to burn (second degree) of abdominal wall 942.24 Blisters with epidermal loss due to burn (second degree) of back (any part) 943 Burn of upper limb except wrist and hand 943.00 Burn of unspecified degree of unspecified site of upper limb 943.2 Blisters with epidermal loss due to burn (second degree) of upper limb except wrist and hand 943.21 Blisters with epidermal loss due to burn (second degree) of forearm 943.29 Blisters with epidermal loss due to burn (second degree) of multiple sites of upper limb except wrist and hand 944.0 Burn of wrist(s) and hand(s) unspecified degree 944.00 Burn of unspecified degree of unspecified site of hand 944.06 Burn of unspecified degree of back of hand 944.2 Blisters with epidermal loss due to burn (second degree) of wrist(s) and hand(s) 944.24 Blisters with epidermal loss due to burn (second degree) of two or more digits of hand including thumb 944.25 Blisters with epidermal loss due to burn (second degree) of palm of hand 944.26 Blisters with epidermal loss due to burn (second degree) of back of hand 945.00 Burn of unspecified degree of unspecified site of lower limb (leg) 945.02 Burn of unspecified degree of foot 945.2 Blisters with epidermal loss due to burn (second degree) of lower limb(s) 945.22 Blisters with epidermal loss due to burn (second degree) of foot 945.24 Blisters with epidermal loss due to burn (second degree) of lower leg 945.29 Blisters with epidermal loss due to burn (second degree) of multiple sites of lower limb(s) 945.32 Full-thickness skin loss due to burn (third degree) of foot 946 Burns of multiple specified sites 948 Burns classified according to extent of body surface involved 948.0 Burn (any degree) involving less than 10 percent of body surface 948.1 Burn (any degree) involving 10-19 percent of body surface 948.2 Burn (any degree) involving 20-29 percent of body surface 949 Burn unspecified site 949.0 Burn of unspecified site unspecified degree 949.1 Erythema due to burn (first degree) unspecified site 949.2 Blisters with epidermal loss due to burn (second degree) unspecified site 949.3 Full-thickness skin loss due to burn (third degree) unspecified site 952.9 Unspecified site of spinal cord injury without spinal bone injury 955.1 Injury to median nerve 958 Certain early complications of trauma 958.0 Air embolism as an early complication of trauma 958.2 Secondary and recurrent hemorrhage as an early complication of trauma 958.4 Traumatic shock 958.7 Traumatic subcutaneous emphysema 958.8 Other early complications of trauma 6/8/201011:02:34AM 126 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INJURY AND POISONING ICD9 Code Description 959 Injury other and unspecified 959.0 Other and unspecified injury to head face and neck 959.01 Other and unspecified injury to head 959.09 Other and unspecified injury to face and neck 959.1 Other and unspecified injury to trunk 959.2 Other and unspecified injury to shoulder and upper arm 959.4 Other and unspecified injury to hand except finger 959.5 Other and unspecified injury to finger 959.6 Other and unspecified injury to hip and thigh 959.7 Other and unspecified injury to knee leg ankle and foot 959.9 Other and unspecified injury to unspecified site 963.9 Poisoning by unspecified systemic agent 964.0 Poisoning by iron and its compounds 965 Poisoning by analgesics antipyretics and antirheumatics 965.1 Poisoning by salicylates 965.4 Poisoning by aromatic analgesics not elsewhere classified 966.1 Poisoning by hydantoin derivatives 966.3 Poisoning by other and unspecified anticonvulsants 967.0 Poisoning by barbiturates 969.3 Poisoning by other antipsychotics neuroleptics and major tranquilizers 969.4 Poisoning by benzodiazepine-based tranquilizers 969.9 Poisoning by unspecified psychotropic agent 970.8 Poisoning by other specified central nervous system stimulants 971 Poisoning by drugs primarily affecting the autonomic nervous system 972.1 Poisoning by cardiotonic glycosides and drugs of similar action 975.4 Poisoning by antitussives 975.6 Poisoning by anti-common cold drugs 975.7 Poisoning by antiasthmatics 977.9 Poisoning by unspecified drug or medicinal substance 980.0 Toxic effect of ethyl alcohol 981 Toxic effect of petroleum products 983.2 Toxic effect of caustic alkalis 984 Toxic effect of lead and its compounds (including fumes) 984.8 Toxic effect of other lead compounds 984.9 Toxic effect of unspecified lead compound 986 Toxic effect of carbon monoxide 987.1 Toxic effect of other hydrocarbon gas 988.1 Toxic effect of mushrooms eaten as food 989 Toxic effect of other substances chiefly nonmedicinal as to source 989.3 Toxic effect of organophosphate and carbamate 989.4 Toxic effect of other pesticides not elsewhere classified 989.5 Toxic effect of venom 989.89 Toxic effect of other substance chiefly nonmedicinal as to source not elsewhere classified 991.3 Frostbite of other and unspecified sites 6/8/201011:02:34AM 127 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INJURY AND POISONING CPT Code Description 99185 Hypothermia; regional 99186 Hypothermia; total body 992.0 Heat stroke and sunstroke 992.2 Heat cramps 992.3 Heat exhaustion anhydrotic 992.5 Heat exhaustion unspecified 992.6 Heat fatigue transient 994.1 Drowning and nonfatal submersion 994.6 Motion sickness 994.7 Asphyxiation and strangulation 994.8 Electrocution and nonfatal effects of electric current 994.9 Other effects of external causes 995.0 Other anaphylactic shock not elsewhere classified 995.2 Other and unspecified adverse effect of drug medicinal and biological substance not elsewhere classified 995.3 Allergy unspecified not elsewhere classified 995.5 Child maltreatment syndrome 995.50 Unspecified child abuse 995.51 Child emotional/psychological abuse 995.52 Child neglect (nutritional) 995.53 Child sexual abuse 995.54 Child physical abuse 995.55 Shaken baby syndrome 995.59 Other child abuse and neglect 995.6 Anaphylactic shock due to adverse food reaction 995.60 Anaphylactic shock due to unspecified food 995.7 Other adverse food reactions not elsewhere classified 995.81 Adult physical abuse 995.83 Adult sexual abuse 996.2 Mechanical complication of nervous system device implant and graft 996.80 Complications of unspecified transplanted organ 998.11 Hemorrhage complicating a procedure 998.2 Accidental puncture or laceration during a procedure not elsewhere classified 999.0 Generalized vaccinia as a complication of medical care not elsewhere classified 999.9 Other and unspecified complications of medical care not elsewhere classified E812 Other motor vehicle traffic accident involving collision with motor vehicle E813 Motor vehicle traffic accident involving collision with other vehicle E813.1 Motor vehicle traffic accident involving collision with other vehicle injuring passenger in motor vehicle other than motorcycle E813.4 Motor vehicle traffic accident involving collision with other vehicle injuring occupant of streetcar E813.6 Motor vehicle traffic accident involving collision with other vehicle injuring pedal cyclist E813.7 Motor vehicle traffic accident involving collision with other vehicle injuring pedestrian 6/8/201011:02:34AM 128 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INJURY AND POISONING ICD9 Code Description E813.8 Motor vehicle traffic accident involving collision with other vehicle injuring other specified person E813.9 Motor vehicle traffic accident involving collision with other vehicle injuring unspecified person E814 Motor vehicle traffic accident involving collision with pedestrian E814.7 Motor vehicle traffic accident involving collision with pedestrian injuring pedestrian E816.0 Motor vehicle traffic accident due to loss of control without collision on the highway injuring driver of motor vehicle other than motorcycle E816.1 Motor vehicle traffic accident due to loss of control without collision on the highway injuring passenger in motor vehicle other than motorcycle E816.7 Motor vehicle traffic accident due to loss of control without collision on the highway injuring pedestrian E819.0 Motor vehicle traffic accident of unspecified nature injuring driver of motor vehicle other than motorcycle E819.6 Motor vehicle traffic accident of unspecified nature injuring pedal cyclist E819.9 Motor vehicle traffic accident of unspecified nature injuring unspecified person E823.1 Other motor vehicle nontraffic accident involving collision with stationary object injuring passenger in motor vehicle other than motorcycle E828.2 Accident involving animal being ridden injuring rider of animal E828.4 Accident involving animal being ridden injuring occupant of streetcar E849.0 Home accidents E849.8 Accidents occurring in other specified places E850 Accidental poisoning by analgesics antipyretics and antirheumatics E850.3 Accidental poisoning by salicylates E850.4 Accidental poisoning by aromatic analgesics not elsewhere classified E851 Accidental poisoning by barbiturates E852.0 Accidental poisoning by chloral hydrate group E853 Accidental poisoning by tranquilizers E853.2 Accidental poisoning by benzodiazepine-based tranquilizers E854.0 Accidental poisoning by antidepressants E854.3 Accidental poisoning by central nervous system stimulants E854.8 Accidental poisoning by other psychotropic agents E855.0 Accidental poisoning by anticonvulsant and anti-parkinsonism drugs E855.9 Accidental poisoning by unspecified drug acting on central and autonomic nervous systems E856 Accidental poisoning by antibiotics E858 Accidental poisoning by other drugs E858.2 Accidental poisoning by agents primarily affecting blood constituents E858.3 Accidental poisoning by agents primarily affecting cardiovascular system E858.4 Accidental poisoning by agents primarily affecting gastrointestinal system E858.6 Accidental poisoning by agents primarily acting on the smooth and skeletal muscles and respiratory system E858.8 Accidental poisoning by other specified drugs E858.9 Accidental poisoning by unspecified drug E860.0 Accidental poisoning by alcoholic beverages E861 Accidental poisoning by cleansing and polishing agents disinfectants paints and varnishes 6/8/201011:02:34AM 129 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INJURY AND POISONING ICD9 Code Description E861.5 Accidental poisoning by lead paints E862.1 Accidental poisoning by petroleum fuels and cleaners E863.1 Accidental poisoning by insecticides of organophosphorus compounds E864.2 Accidental poisoning by caustic alkalis not elsewhere classified E865.5 Accidental poisoning from mushrooms and other fungi E866 Accidental poisoning by other and unspecified solid and liquid substances E866.0 Accidental poisoning by lead and its compounds and fumes E866.5 Accidental poisoning by plant foods and fertilizers E866.8 Accidental poisoning by other specified solid or liquid substances E868.8 Accidental poisoning by carbon monoxide from other sources E869.8 Accidental poisoning by other specified gases and vapors E873.6 Nonadministration of necessary drug or medicinal substance E879.8 Other specified procedures as the cause of abnormal reaction of patient or of later complication without misadventure at time of procedure E880 Accidental fall on or from stairs or steps E884 Other accidental falls from one level to another E884.0 Accidental fall from playground equipment E884.2 Accidental fall from chair E884.4 Accidental fall from bed E884.5 Accidental fall from other furniture E885 Accidental fall on same level from slipping tripping or stumbling E888 Other and unspecified fall E898.1 Accident caused by other burning materials E903 Accident caused by travel and motion E905 Venomous animals and plants as the cause of poisoning and toxic reactions E905.1 Venomous spiders causing poisoning and toxic reactions E905.3 Sting of hornets wasps and bees causing poisoning and toxic reactions E905.9 Poisoning and toxic reactions caused by unspecified animals and plants E906.0 Dog bite E906.2 Bite of nonvenomous snakes and lizards E906.3 Bite of other animal except arthropod E906.4 Bite of nonvenomous arthropod E906.5 Bite by unspecified animal E910 Accidental drowning and submersion E910.3 Accidental drowning and submersion while swimming or diving for purposes other than recreation or sport E910.8 Other accidental drowning or submersion E910.9 Unspecified accidental drowning or submersion E915 Foreign body accidentally entering other orifice E919 Accidents caused by machinery E920.8 Accidents caused by other specified cutting and piercing instruments or objects E922.0 Accident caused by handgun E922.1 Accident caused by shotgun (automatic) E922.4 Accident caused by air gun 6/8/201011:02:34AM 130 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES INJURY AND POISONING ICD9 Code Description E925 Accident caused by electric current E928.3 Accidental human bite E929.0 Late effects of motor vehicle accident E945.7 Antiasthmatics causing adverse effects in therapeutic use E948.4 Tetanus vaccine causing adverse effects in therapeutic use E950.0 Suicide and self-inflicted poisoning by analgesics antipyretics and antirheumatics E950.1 Suicide and self-inflicted poisoning by barbiturates E950.3 Suicide and self-inflicted poisoning by tranquilizers and other psychotropic agents E950.4 Suicide and self-inflicted poisoning by other specified drugs and medicinal substances E950.5 Suicide and self-inflicted poisoning by unspecified drug or medicinal substance E950.6 Suicide and self-inflicted poisoning by agricultural and horticultural chemical and pharmaceutical preparations other than plant foods and fertilizers E950.7 Suicide and self-inflicted poisoning by corrosive and caustic substances E950.9 Suicide and self-inflicted poisoning by other and unspecified solid and liquid substances E952.1 Suicide and self-inflicted poisoning by other carbon monoxide E952.8 Suicide and self-inflicted poisoning by other specified gases and vapors E959 Late effects of self-inflicted injury E960.1 Rape E965.0 Assault by handgun E965.1 Assault by shotgun E967.8 Perpetrator of child and adult abuse by non-related caregiver E968 Assault by other and unspecified means E968.2 Assault by striking by blunt or thrown object E968.6 Assault by air gun E968.8 Assault by other specified means E968.9 Assault by unspecified means E980.4 Poisoning by other specified drugs and medicinal substances undetermined whether accidentally or purposely inflicted E985.0 Injury by handgun undetermined whether accidentally or purposely inflicted E985.1 Injury by shotgun undetermined whether accidentally or purposely inflicted E985.6 Injury by air gun undetermined whether accidental or purposely inflicted E987.0 Falling from residential premises undetermined whether accidentally or purposely inflicted E987.9 Falling from unspecified site undetermined whether accidentally or purposely inflicted E988.1 Injury by burns or fire undetermined whether accidentally or purposely inflicted E988.5 Injury by crashing of motor vehicle undetermined whether accidentally or purposely inflicted V15.85 Personal history of exposure to potentially hazardous body fluids V15.86 Personal history of exposure to lead V15.9 Unspecified personal history presenting hazards to health V58.3 Attention to dressings and sutures V58.6 Long-term (current) drug use V71.4 Observation following other accident V71.6 Observation following other inflicted injury V82.5 Screening for chemical poisoning and other contamination 6/8/201011:02:34AM 131 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES HEALTH SUPERVISION CPT Code Description 1000F Tobacco use assessed (CAD, CAP, COPD, PV) (DM) 263.1 Malnutrition of mild degree 278.0 Overweight and obesity 315.3 Developmental speech or language disorder 4000F Tobacco use cessation intervention, counseling (COPD, CAP, CAD)(DM)(PV) 4001F Tobacco use cessation intervention, pharmacologic therapy (COPD, CAD, CAP, PV) (DM) (PV) 465 Acute upper respiratory infections of multiple or unspecified sites 477 Allergic rhinitis 477.9 Allergic rhinitis cause unspecified 59514 Cesarean delivery only; 650 Normal delivery 651 Multiple gestation 651.0 Twin pregnancy 651.1 Triplet pregnancy 651.11 Triplet pregnancy delivered 691 Atopic dermatitis and related conditions 761.5 Multiple pregnancy affecting fetus or newborn 783.4 Lack of expected normal physiological development in childhood 80061 Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) 80101 Drug screen, qualitative; single drug class method (eg, immunoassay, enzyme assay), each drug class 81002 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy 81025 Urine pregnancy test, by visual color comparison methods 82955 Glucose-6-phosphate dehydrogenase (G6PD); quantitative 86356 Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen 86486 Skin test; unlisted antigen, each 88150 Cytopathology, slides, cervical or vaginal; manual screening under physician supervision 90465 Immunization administration younger than 8 years of age (includes percutaneous, intradermal, subcutaneous, or intramuscular injections) when the physician counsels the patient/family; first injection (single or combination vaccine/toxoid), per day 90466 Immunization administration younger than 8 years of age (includes percutaneous, intradermal, subcutaneous, or intramuscular injections) when the physician counsels the patient/family; each additional injection (single or combination vaccine/toxoid), per day (List separately in addition to code for primary procedure) 90467 Immunization administration younger than age 8 years (includes intranasal or oral routes of administration) when the physician counsels the patient/family; first administration (single or combination vaccine/toxoid), per day 6/8/201011:02:34AM 132 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES HEALTH SUPERVISION CPT Code Description 90468 Immunization administration younger than age 8 years (includes intranasal or oral routes of administration) when the physician counsels the patient/family; each additional administration (single or combination vaccine/toxoid), per day (List separately in addition to code for primary procedure) 90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); one vaccine (single or combination vaccine/toxoid) 90472 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure) 90473 Immunization administration by intranasal or oral route; one vaccine (single or combination vaccine/toxoid) 90474 Immunization administration by intranasal or oral route; each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure) 90633 Hepatitis A vaccine, pediatric/adolescent dosage-2 dose schedule, for intramuscular use 90645 Hemophilus influenza b vaccine (Hib), HbOC conjugate (4 dose schedule), for intramuscular use 90646 Hemophilus influenza b vaccine (Hib), PRP-D conjugate, for booster use only, intramuscular use 90647 Hemophilus influenza b vaccine (Hib), PRP-OMP conjugate (3 dose schedule), for intramuscular use 90648 Hemophilus influenza b vaccine (Hib), PRP-T conjugate (4 dose schedule), for intramuscular use 90657 Influenza virus vaccine, split virus, when administered to children 6-35 months of age, for intramuscular use 90658 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use 90669 Pneumococcal conjugate vaccine, polyvalent, when administered to children younger than 5 years, for intramuscular use 90698 Diphtheria, tetanus toxoids, acellular pertussis vaccine, haemophilus influenza Type B, and poliovirus vaccine, inactivated (DTaP - Hib - IPV), for intramuscular use 90700 Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use 90702 Diphtheria and tetanus toxoids (DT) adsorbed when administered to individuals younger than 7 years, for intramuscular use 90707 Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use 90710 Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use 90713 Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use 90716 Varicella virus vaccine, live, for subcutaneous use 90718 Tetanus and diphtheria toxoids (Td) adsorbed when administered to individuals 7 years or older, for intramuscular use 90719 Diphtheria toxoid, for intramuscular use 90720 Diphtheria, tetanus toxoids, and whole cell pertussis vaccine and Hemophilus influenza B vaccine (DTP-Hib), for intramuscular use 90721 Diphtheria, tetanus toxoids, and acellular pertussis vaccine and Hemophilus influenza B vaccine (DtaP-Hib), for intramuscular use 6/8/201011:02:34AM 133 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES HEALTH SUPERVISION CPT Code Description 90723 Diphtheria, tetanus toxoids, acellular pertussis vaccine, Hepatitis B, and poliovirus vaccine, inactivated (DtaP-HepB-IPV), for intramuscular use 90732 Pneumococcal polysaccharide vaccine, 23-valent, adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use 90743 Hepatitis B vaccine, adolescent (2 dose schedule), for intramuscular use 90744 Hepatitis B vaccine, pediatric/adolescent dosage (3 dose schedule), for intramuscular use 90746 Hepatitis B vaccine, adult dosage, for intramuscular use 90748 Hepatitis B and Hemophilus influenza b vaccine (HepB-Hib), for intramuscular use 96150 Health and behavior assessment (eg, health-focused clinical interview, behavioral observations, psychophysiological monitoring, health-oriented questionnaires), each 15 minutes face-to-face with the patient; initial assessment 96151 Health and behavior assessment (eg, health-focused clinical interview, behavioral observations, psychophysiological monitoring, health-oriented questionnaires), each 15 minutes face-to-face with the patient; re-assessment 96152 Health and behavior intervention, each 15 minutes, face-to-face; individual 96154 Health and behavior intervention, each 15 minutes, face-to-face; family (with the patient present) 97802 Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes 99078 Physician educational services rendered to patients in a group setting (eg, prenatal, obesity, or diabetic instructions) 99203 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; Medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Physicians typically spend 30 minutes face-to-face with the patient and/or family. 99204 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 45 minutes face-to-face with the patient and/or family. 99205 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 60 minutes face-to-face with the patient and/or family. 99241 Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 15 minutes face-to-face with the patient and/or family. 6/8/201011:02:34AM 134 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES HEALTH SUPERVISION CPT Code Description 99243 Office consultation for a new or established patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Physicians typically spend 40 minutes face-to-face with the patient and/or family. 99245 Office consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 80 minutes face-to-face with the patient and/or family. 99386 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years 99387 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 65 years and older 99391 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year) 99392 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years) 99393 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years) 99394 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years) 99395 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years 99396 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years 99397 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 65 years and older 6/8/201011:02:34AM 135 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES HEALTH SUPERVISION CPT Code Description 99402 Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes 99403 Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes 99404 Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes 99411 Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 30 minutes 99412 Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 60 minutes E869.4 Second hand tobacco smoke V03 Need for prophylactic vaccination and inoculation against bacterial diseases V03.5 Need for prophylactic vaccination and inoculation against diphtheria alone V03.6 Need for prophylactic vaccination and inoculation against pertussis alone V03.7 Need for prophylactic vaccination with tetanus toxoid alone V03.8 Need for other specified vaccinations against single bacterial diseases V03.81 Need for prophylactic vaccination and inoculation against hemophilus influenza type b [hib] V03.82 Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] V03.89 Need for prophylactic vaccination and inoculation against other specified single bacterial disease V04 Need for prophylactic vaccination and inoculation against certain viral diseases V04.0 Need for prophylactic vaccination and inoculation against poliomyelitis V04.1 Need for prophylactic vaccination and inoculation against smallpox V04.4 Need for prophylactic vaccination and inoculation against yellow fever V04.6 Need for prophylactic vaccination and inoculation against mumps alone V04.7 Need for prophylactic vaccination and inoculation against common cold V04.8 Need for prophylactic vaccination and inoculation against other viral disease V05 Need for other prophylactic vaccination and inoculation against single diseases V05.0 Need for prophylactic vaccination and inoculation against arthropod-borne viral encephalitis V05.3 Need for prophylactic vaccination and inoculation against viral hepatitis V05.4 Need for prophylactic vaccination and inoculation against varicella V05.8 Need for prophylactic vaccination and inoculation against other specified disease V05.9 Need for prophylactic vaccination and inoculation against unspecified single disease V06 Need for prophylactic vaccination and inoculation against combinations of diseases V06.1 Need for prophylactic vaccination with diphtheria-tetanus-pertussis combined [dtp] [dtap] vaccine V06.2 Need for prophylactic vaccination with diphtheria-tetanus-pertussis with typhoid-paratyphoid (dtp + tab) vaccine V06.3 Need for prophylactic vaccination with diphtheria-tetanus-pertussis with poliomyelitis (dtp + polio) vaccine V06.4 Need for prophylactic vaccination with measles-mumps-rubella (mmr) vaccine V06.5 Need for prophylactic vaccination and inoculation against tetanus-diphtheria [td] [dt] V06.6 Need for prophylactic vaccination and inoculation against streptococcus pneumoniae and influenza 6/8/201011:02:34AM 136 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES HEALTH SUPERVISION ICD9 Code Description V06.8 Need for prophylactic vaccination and inoculation against other combinations of diseases V06.9 Need for prophylactic vaccination with unspecified combined vaccine V07.31 Need for prophylactic fluoride administration V14 Personal history of allergy to medicinal agents V14.0 Personal history of allergy to penicillin V14.1 Personal history of allergy to other antibiotic agent V14.2 Personal history of allergy to sulfonamides V14.8 Personal history of allergy to other specified medicinal agents V15 Other personal history presenting hazards to health V15.0 Personal history of allergy other than to medicinal agents V15.04 Personal history of allergy to seafood V15.06 Personal history of allergy to insects V15.7 Personal history of contraception presenting hazards to health V15.81 Personal history of noncompliance with medical treatment presenting hazards to health V15.82 Personal history of tobacco use V15.89 Other specified personal history presenting hazards to health V16.6 Family history of leukemia V17.0 Family history of psychiatric condition V17.1 Family history of stroke (cerebrovascular) V17.3 Family history of ischemic heart disease V17.4 Family history of other cardiovascular diseases V17.5 Family history of asthma V18 Family history of certain other specific conditions V18.0 Family history of diabetes mellitus V18.1 Family history of other endocrine and metabolic diseases V18.3 Family history of other blood disorders V18.6 Family history of kidney diseases V18.61 Family history of polycystic kidney V19 Family history of other conditions V19.1 Family history of other eye disorders V19.2 Family history of deafness or hearing loss V19.3 Family history of other ear disorders V19.5 Family history of congenital anomalies V19.6 Family history of allergic disorders V19.7 Family history of consanguinity V19.8 Family history of other condition V20 Health supervision of infant or child V20.0 Health supervision of foundling V20.1 Other healthy infant or child receiving care V20.2 Routine infant or child health check V21.0 Period of rapid growth in childhood V21.2 Other development of adolescence V22 Normal pregnancy V25 Encounter for contraceptive management 6/8/201011:02:34AM 137 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES HEALTH SUPERVISION ICD9 Code Description V25.0 General counseling and advice on contraceptive management V25.4 Surveillance of previously prescribed contraceptive methods V25.49 Surveillance of other contraceptive method V27.2 Mother with twins both liveborn V30 Single liveborn V30.0 Single liveborn born in hospital V31 Twin birth mate liveborn V31.0 Twin birth mate liveborn born in hospital V32.01 Twin birth mate stillborn born in hospital delivered by cesarean section V33 Twin birth unspecified whether mate liveborn or stillborn V39.01 Liveborn unspecified whether single twin or multiple born in hospital delivered by cesarean section V60 Housing household and economic circumstances V60.2 Inadequate material resources V61 Other family circumstances V61.2 Parent-child problems V61.9 Unspecified family circumstance V62.3 Educational circumstances V62.82 Bereavement uncomplicated V62.89 Other psychological or physical stress not elsewhere classified V62.9 Unspecified psychosocial circumstance V65.3 Dietary surveillance and counseling V65.4 Other counseling not elsewhere classified V65.40 Other specified counseling V65.41 Exercise counseling V65.42 Counseling on substance use and abuse V65.43 Counseling on injury prevention V65.45 Counseling on other sexually transmitted diseases V67 Follow-up examination V67.9 Unspecified follow-up examination V69.2 High-risk sexual behavior V70 General medical examination V70.0 Routine general medical examination at a health care facility V70.3 Other general medical examination for administrative purposes V70.5 Health examination of defined subpopulations V71.81 Observation for suspected abuse and neglect V72.2 Dental examination V72.4 Pregnancy examination or test V73.8 Screening examination for other specified viral and chlamydial diseases V73.98 Screening examination for unspecified chlamydial disease V74.1 Screening examination for pulmonary tuberculosis V74.5 Screening examination for venereal disease V76.2 Screening for malignant neoplasms of the cervix V77.1 Screening for diabetes mellitus 6/8/201011:02:34AM 138 AVAILABLE ICD9/CPT CODES BY AREA AND TYPE For Pediatrics DIAGNOSES HEALTH SUPERVISION ICD9 Code Description V77.3 Screening for phenylketonuria (pku) V77.6 Screening for cystic fibrosis V77.8 Screening for obesity V78.0 Screening for iron deficiency anemia V78.2 Screening for sickle-cell disease or trait V79.3 Screening for developmental handicaps in early childhood V81.1 Screening for hypertension 6/8/201011:02:34AM 139
