Family Practice Superbill PDF Details

Within the realm of family practice, efficient billing processes are paramount, and the Family Practice Superbill form, inspired by the American Academy of Family Practice (AAFP), plays a pivotal role in streamlining these processes. Serving as a comprehensive document, it captures details such as dates of service, patient and insurance information, alongside various medical codes for office visits, procedures, laboratory tests, and more, facilitating accurate billing and reducing administrative burdens. This template is meticulously designed to encompass every aspect of patient care from diagnostics to treatments, covering a myriad of services including vaccinations, diagnostics for infectious diseases, procedures for skin and musculoskeletal issues, and preventive care, thereby ensuring that practitioners can easily document and bill for the wide range of services offered in a family practice setting. Additionally, the form is an invaluable tool for coding and billing staff, enabling them to efficiently process claims and manage accounts, making it an indispensable asset for family practices aiming to optimize their billing operations and enhance overall practice management.

QuestionAnswer
Form NameFamily Practice Superbill
Form Length9 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min 15 sec
Other namessuperbill template, practice superbill template, medical superbill form, superbill

Form Preview Example

Family Practice Management Superbill Template

From the American Academy of Family Practice (AAFP) Family Practice Management Toolkit (http://www.aafp.org/fpm/20060900/43inse.html)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of service:

 

 

 

 

Waiver? l

 

 

 

 

 

 

 

Patient name:

 

 

 

 

Insurance:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subscriber name:

 

 

 

 

 

 

 

Address:

 

 

 

 

Group #:

 

 

Previous balance:

 

 

 

 

 

 

 

 

 

Copay:

 

 

Today’s charges:

 

 

Phone:

 

 

 

 

Account #:

 

 

Today’s payment: check#

 

 

DOB:

Age:                  Sex:

 

Physician name:

 

 

Balance due:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RANK

Office visit

 

 

New

Est

RANK

Office procedures

 

 

 

RANK

Laboratory

 

 

 

Minimal

 

 

 

99211

 

Anoscopy

 

46600

 

 

Venipuncture

 

36415

 

Problem focused

 

 

99201

99212

 

Audiometry

 

92551

 

 

Blood glucose, monitoring device

 

82962

 

Expanded problem focused

99202

99213

 

Cerumen removal

 

69210

 

 

Blood glucose, visual dipstick

 

82948

 

Detailed

 

 

99203

99214

 

Colposcopy

 

57452

 

 

CBC, w/ auto differential

 

85025

 

Comprehensive

 

 

99204

99215

 

Colposcopy w/biopsy

 

57455

 

 

CBC, w/o auto differential

 

85027

 

Comprehensive (new patient)

99205

 

 

ECG, w/interpretation

 

93000

 

 

Cholesterol

 

82465

 

Significant, separate service

-25

-25

 

ECG, rhythm strip

 

93040

 

 

Hemoccult, guaiac

 

82270

 

Well visit

 

 

New

Est

 

Endometrial biopsy

 

58100

 

 

Hemoccult, immunoassay

 

82274

 

< 1 y

 

 

99381

99391

 

Flexible sigmoidoscopy

 

45330

 

 

Hemoglobin A1C

 

85018

 

1-4 y

 

 

99382

99392

 

Flexible sigmoidoscopy w/biopsy

45331

 

 

Lipid panel

 

80061

 

5-11 y

 

 

99383

99393

 

Fracture care, cast/splint

 

29_____

 

Liver panel

 

80076

 

12-17 y

 

 

99384

99394

 

Site: ____________________

 

 

 

 

KOH prep (skin, hair, nails)

 

87220

 

18-39 y

 

 

99385

99395

 

Nebulizer

 

94640

 

 

Metabolic panel, basic

 

80048

 

40-64 y

 

 

99386

99396

 

Nebulizer demo

 

94664

 

 

Metabolic panel, comprehensive

 

80053

 

65 y +

 

 

99387

99397

 

Spirometry

 

94010

 

 

Mononucleosis

 

86308

 

Medicare preventive services

 

 

 

Spirometry, pre and post

 

94060

 

 

Pregnancy, blood

 

84703

 

Pap

 

 

 

Q0091

 

Tympanometry

 

92567

 

 

Pregnancy, urine

 

81025

 

Pelvic & breast

 

 

 

G0101

 

Vasectomy

 

55250

 

 

Renal panel

 

80069

 

Prostate/PSA

 

 

 

G0103

 

Skin procedures

 

Units

 

Sedimentation rate

 

85651

 

Tobacco counseling/3-10 min

 

99406

 

Burn care, initial

16000

 

 

 

Strep, rapid

 

86403

 

Tobacco counseling/>10 min

 

99407

 

Foreign body, skin, simple

10120

 

 

 

Strep culture

 

87081

 

Welcome to Medicare exam

 

G0344

 

Foreign body, skin, complex

10121

 

 

 

Strep A

 

87880

 

ECG w/Welcome to Medicare exam

 

G0366

 

I&D, abscess

10060

 

 

 

TB

 

86580

 

Flexible sigmoidoscopy

 

G0104

 

I&D, hematoma/seroma

10140

 

 

 

UA, complete, non-automated

 

81000

 

Hemoccult, guaiac

 

 

 

G0107

 

Laceration repair, simple

120____

 

 

 

UA, w/o micro, non-automated

 

81002

 

Flu shot

 

 

 

G0008

 

Site: __________ Size: _____

 

 

 

 

UA, w/ micro, non-automated

 

81003

 

Pneumonia shot

 

 

 

G0009

 

Laceration repair, layered

120____

 

 

 

Urine colony count

 

87086

 

Consultation/preop clearance

 

 

 

Site: __________ Size: _____

 

 

 

 

Urine culture, presumptive

 

87088

 

Expanded problem focused

 

99242

 

Lesion, biopsy, one

11100

 

 

 

Wet mount/KOH

 

87210

 

Detailed

 

 

 

99243

 

Lesion, biopsy, each add’l

11101

 

 

 

Vaccines

 

 

 

Comprehensive/mod complexity

 

99244

 

Lesion, destruct., benign, 1-14

17110

 

 

 

DT, <7 y

 

90702

 

Comprehensive/high complexity

 

99245

 

Lesion, destruct., premal., single

17000

 

 

 

DTP

 

90701

 

Other services

 

 

 

 

 

Lesion, destruct., premal., ea. add’l

17003

 

 

 

DtaP, <7 y

 

90700

 

After posted hours

 

 

 

99050

 

Lesion, excision, benign

114____

 

 

 

Flu, 6-35 months

 

90657

 

Evening/weekend appointment

 

99051

 

Site: __________ Size: _____

 

 

 

 

Flu, 3 y +

 

90658

 

Home health certification

 

G0180

 

Lesion, excision, malignant

116____

 

 

 

Hep A, adult

 

90632

 

Home health recertification

 

G0179

 

Site: __________ Size: _____

 

 

 

 

Hep A, ped/adol, 2 dose

 

90633

 

Post-op follow-up

 

 

 

99024

 

Lesion, paring/cutting, one

11055

 

 

 

Hep B, adult

 

90746

 

Prolonged/30-74 min

 

99354

 

Lesion, paring/cutting, 2-4

11056

 

 

 

Hep B, ped/adol 3 dose

 

90744

 

Special reports/forms

 

99080

 

Lesion, shave

113____

 

 

 

Hep B-Hib

 

90748

 

Disability/Workers comp

 

99455

 

Site: __________ Size: _____

 

 

 

 

Hib, 4 dose

 

90645

 

Radiology

 

 

 

 

 

Nail removal, partial

11730

 

 

 

HPV

 

90649

 

 

 

 

 

 

 

 

Nail removal, w/matrix

11750

 

 

 

IPV

 

90713

 

 

 

 

 

 

 

 

Skin tag, 1-15

11200

 

 

 

MMR

 

90707

 

Diagnoses

 

 

 

 

 

Medications

 

Units

 

Pneumonia, >2 y

 

90732

1

 

 

 

 

 

 

 

Ampicillin, up to 500mg

J0290

 

 

 

Pneumonia conjugate, <5 y

 

90669

2

 

 

 

 

 

 

 

B-12, up to 1,000 mcg

J3420

 

 

 

Td, >7 y

 

90718

3

 

 

 

 

 

 

 

Epinephrine, up to 1ml

J0170

 

 

 

Varicella

 

90716

4

 

 

 

 

 

 

 

Kenalog, 10mg

J3301

 

 

 

Immunizations & Injections

 

Units

Next office visit

 

 

 

 

 

Lidocaine, 10mg

J2001

 

 

 

Allergen, one

95115

 

Recheck     

Prev     

PRN     

_______ 

D  W 

M  Y 

 

Normal saline, 1000cc

J7030

 

 

 

Allergen, multiple

95117

 

Instructions:

 

 

 

 

 

Phenergan, up to 50mg

J2550

 

 

 

Imm admin, one

90471

 

 

 

 

 

 

 

 

 

Progesterone, 150mg

J1055

 

 

 

Imm admin, each add’l

90472

 

 

 

 

 

 

 

 

 

Rocephin, 250mg

J0696

 

 

 

Imm admin, intranasal, one

90473

 

 

 

 

 

 

 

 

 

Testosterone, 200mg

J1080

 

 

 

Imm admin, intranasal, each add’l

90474

 

Referral

 

 

 

 

 

Tigan, up to 200 mg

J3250

 

 

 

Injection, joint, small

20600

 

To:

 

 

 

 

 

Toradol, 15mg

J1885

 

 

 

Injection, joint, intermediate

20605

 

Instructions:

 

 

 

 

 

Miscellaneous services

 

 

 

 

Injection, joint, major

20610

 

 

 

 

 

 

 

 

 

 

 

Injection, ther/proph/diag

90772

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Injection, trigger point

20552

 

Physician signature

 

 

 

 

 

 

 

 

 

 

Supplies

 

 

X ____________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Infectious & Parasitic Diseases

B00.9 Herpesviral infection, unspecified

A60.9 Anogenital herpesviral infection

B02.9 Zoster without complications

B27.00 Gammaherpesviral mononucleosis without complication

B27.01 Gammaherpesviral mononucleosis with polyneuropathy

B27.02 Gammaherpesviral mononucleosis with meningitis

B27.09 Gammaherpesviral mononucleosis with other complications

B27.10 Cytomegaloviral mononucleosis without complications

B27.11 Cytomegaloviral mononucleosis with polyneuropathy

B27.12 Cytomegaloviral mononucleosis with meningitis

B27.19 Cytomegaloviral mononucleosis with other complication

B27.80 Other infectious mononucleosis without complication

B27.81 Other infectious mononucleosis with polyneuropathy

B27.82 Other infectious mononucleosis with meningitis

B27.89 Other infectious mononucleosis with other complication

B27.90 Infectious mononucleosis, unspecified without complication

B27.91 Infectious mononucleosis, unspecified with polyneuropathy

B27.92 Infectious mononucleosis, unspecified with meningitis

B27.99 Infectious mononucleosis, unspecified with other complication

J02.0 Streptococcal pharyngitis

J03.00 Acute streptococcal tonsillitis, unspecified

J03.01 Acute recurrent streptococcal tonsillitis

J02.0 Streptococcal sore throat

B97.8 Other viral agents as the cause of diseases classified elsewhere

B07 Viral warts

Neoplasms Benign Neoplasms

D49.2 Neoplasm of unspecified behavior of bone, soft tissue, and skin

D23.9 Other benign neoplasm of skin, unspecified

Endocrine, Nutritional & Metabolic Disorders

Endocrine

E10.8 Type 1 diabetes mellitus with unspecified complications

E10.9 Type 1 diabetes mellitus without complications

E11.8 Type 2 diabetes mellitus with unspecified complications

E11.9 Type 2 diabetes mellitus without complications

E05.90 Thyrotoxicosis, unspecified without thyrotoxic crisis or storm

E03.9 Hypothyroidism, unspecified

Metabolic/Other

M10.9

Gout, unspecified

E78.0

Pure hypercholesterolemia

E78.2

Mixed hyperlipidemia

E66.1

Drug-induced obesity

E66.9

Obesity, unspecified

E66.3

Overweight

E66.09

Other obesity due to excess calories

Blood Diseases

D64.9

Anemia, unspecified

Mental Disorders

F41.9 Anxiety disorder, unspecified

F90.0 Attention-deficit hyperactivity disorder, predominantly inattentive type

F90.9 Attention-deficit hyperactivity disorder, unspecified type

F03 Unspecified dementia

F33.9 Major depressive disorder, recurrent, unspecified

Nervous System & Sense Organ Disorders

Nervous System Diseases

G56.00 Carpal tunnel syndrome, unspecified side

G56.01 Carpal tunnel syndrome, right side

G56.02 Carpal tunnel syndrome, left side

G40.90 Epilepsy, unspecified, not intractable

G40.901 Epilepsy, unspecified, not intractable, with status epilepticus

G40.909 Epilepsy, unspecified, not intractable, without status epilepticus

G43.90 Migraine, unspecified, not intractable

G44.039 Episodic paroxysmal hemicrania, not intractable Episodic paroxysmal hemicrania NOS

G44.049 Chronic paroxysmal hemicrania, not intractable Chronic paroxysmal hemicrania NOS

Eye Diseases

H10.9 Unspecified conjunctivitis

H53.10 Unspecified subjective visual disturbances

H53.11 Day blindness

Ear Diseases

H61.20 Impacted cerumen, unspecified ear

H61.21 Impacted cerumen, right ear

H61.22 Impacted cerumen, left ear

H61.23 Impacted cerumen, bilateral

H60.00 Abscess of external ear, unspecified ear

H60.01 Abscess of right external ear

H60.02 Abscess of left external ear

H60.03 Abscess of external ear, bilateral

H60.10 Cellulitis of external ear, unspecified ear

H60.11 Cellulitis of right external ear

H60.12 Cellulitis of left external ear

H60.13 Cellulitis of external ear, bilateral

H60.311 Diffuse otitis externa, right ear

H60.312 Diffuse otitis externa, left ear

H60.313 Diffuse otitis externa, bilateral

H60.319 Diffuse otitis externa, unspecified ear

H60.32 Hemorrhagic otitis externa

H60.321 Hemorrhagic otitis externa, right ear

H60.322 Hemorrhagic otitis externa, left ear

H60.323 Hemorrhagic otitis externa, bilateral

H60.329 Hemorrhagic otitis externa, unspecified ear

H60.391 Other infective otitis externa, right ear

H60.392 Other infective otitis externa, left ear

H60.393 Other infective otitis externa, bilateral

H60.399 Other infective otitis externa, unspecified ear

H66.001 Acute suppurative otitis media without spontaneous rupture of ear drum, right ear

H66.002 Acute suppurative otitis media without spontaneous rupture of ear drum, left ear

H66.003 Acute suppurative otitis media without spontaneous rupture of ear drum, bilateral

H66.004 Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, right ear

H66.005 Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, left ear

H66.006 Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, bilateral

H66.007 Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, unspecified ear

H66.009 Acute suppurative otitis media without spontaneous rupture of ear drum, unspecified ear

Circulatory System

Arrythmias

I48.0 Atrial fibrillation

Cardiac

I20.8 Other forms of angina pectoris

I20.9 Angina pectoris, unspecified

I25.701 Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris with documented spasm

I25.111 Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm

I25.118 Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris

I25.119 Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris

I25.708 Atherosclerosis of coronary artery bypass graft(s), unspecified, with other forms of angina pectoris

I25.709 Atherosclerosis of coronary artery bypass graft(s), unspecified, with unspecified angina pectoris

I25.711 Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm

I25.718 Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris

I25.719 Atherosclerosis of autologous vein coronary artery bypass graft(s) with unspecified angina pectoris

I25.721 Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm

I25.728 Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris

I25.729 Atherosclerosis of autologous artery coronary artery bypass graft(s) with unspecified angina pectoris

I25.731 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm

I25.738 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with other forms of angina pectoris

I25.739 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unspecified angina pectoris

I25.751 Atherosclerosis of native coronary artery of transplanted heart with angina pectoris with documented spasm

I25.758 Atherosclerosis of native coronary artery of transplanted heart with other forms of angina pectoris

I25.759 Atherosclerosis of native coronary artery of transplanted heart with unspecified angina pectoris

I25.761 Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm

2

I25.768 Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris

I25.769 Atherosclerosis of bypass graft of coronary artery of transplanted heart with unspecified angina pectoris

I25.791 Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm

I25.798 Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris

I25.799 Atherosclerosis of other coronary artery bypass graft(s) with unspecified angina pectoris

I50.9 Heart failure, unspecified

I35.0 Nonrheumatic aortic (valve) stenosis

I35.1 Nonrheumatic aortic (valve) insufficiency

I35.2 Nonrheumatic aortic (valve) stenosis with insufficiency

I35.8 Other nonrheumatic aortic valve disorders

I35.9 Nonrheumatic aortic valve disorder, unspecified

I39 Endocarditis and heart valve disorders in diseases classified elsewhere

I25.9 Chronic ischemic heart disease, unspecified

Vascular

R03.0 Elevated blood-pressure reading, without diagnosis of hypertension

I10 Essential (primary) hypertension

I95.1 Orthostatic hypotension

I73.9 Peripheral vascular disease, unspecified

I80.9 Phlebitis and thrombophlebitis of unspecified site

I87.2 Venous insufficiency (chronic) (peripheral)

I87.9 Disorder of vein, unspecified

Respiratory System

Lower Respiratory Tract

J45.909

Unspecified asthma, uncomplicated

J45.998

Other asthma

J20.0

Acute bronchitis due to Mycoplasma

 

pneumoniae

J20.1

Acute bronchitis due to Hemophilus

 

influenzae

J20.2

Acute bronchitis due to streptococcus

J20.3

Acute bronchitis due to coxsackievirus

J20.4

Acute bronchitis due to parainfluenza

 

virus

J20.5

Acute bronchitis due to respiratory

 

syncytial virus

J20.6

Acute bronchitis due to rhinovirus

J20.7

Acute bronchitis due to echovirus

J20.8

Acute bronchitis due to other specified

 

organisms

J20.9

Acute bronchitis, unspecified

J44.9

Chronic obstructive pulmonary disease,

 

unspecified

J18.8

Other pneumonia, unspecified

 

organism

J18.9

Pneumonia, unspecified organism

Upper Respiratory Tract

J02.8 Acute pharyngitis due to other specified organisms

J02.9 Acute pharyngitis, unspecified

J30.0 Vasomotor rhinitis

J30.9 Allergic rhinitis, unspecified

J01.90 Acute sinusitis, unspecified

J01.91 Acute recurrent sinusitis, unspecified

J01.80 Other acute sinusitis

J01.81 Other acute recurrent sinusitis

J06.9 Acute upper respiratory infection, unspecified

Digestive System

K92.1

Melena

K59.00

Constipation, unspecified

K57.30

Diverticulosis of large intestine without

 

perforation or abscess without bleeding

K57.50

Diverticulosis of both small and large

 

intestine without perforation or abscess

 

without bleeding

K57.90

Diverticulosis of intestine, part

 

unspecified, without perforation or

 

abscess without bleeding

K57.20

Diverticulitis of large intestine with

 

perforation and abscess without

 

bleeding

K57.40

Diverticulitis of both small and large

 

intestine with perforation and abscess

 

without bleeding

K57.52

Diverticulitis of both small and large

 

intestine without perforation or abscess

 

without bleeding

K57.80

Diverticulitis of intestine, part

 

unspecified, with perforation and

 

abscess without bleeding

K57.92

Diverticulitis of intestine, part

 

unspecified, without perforation or

 

abscess without bleeding

K29.70

Gastritis, unspecified, without bleeding

K29.90

Gastroduodenitis, unspecified, without

 

bleeding

K52.8

Other specified noninfective

 

gastroenteritis and colitis

K52.9

Noninfective gastroenteritis and colitis,

 

unspecified

K21.9

Gastro-esophageal reflux disease

 

without esophagitis

I84.20

Unspecified hemorrhoids without

 

complication

K58.0

Irritable bowel syndrome with diarrhea

K58.9

Irritable bowel syndrome without

 

diarrhea

Genitourinary System Urinary System Diseases

N20.2 Calculus of kidney with calculus of ureter

N20.9 Urinary calculus, unspecified

N30.00 Acute cystitis without hematuria

N30.01 Acute cystitis with hematuria

R31.0 Gross hematuria

R31.1 Benign essential microscopic hematuria

R31.2 Other microscopic hematuria

R31.9 Hematuria, unspecified

N28.9 Disorder of kidney and ureter, unspecified

N29 Other disorders of kidney and ureter in diseases classified elsewhere

N39.0 Urinary tract infection, site not specified

Male Genital Organ Diseases

N52.01 Erectile dysfunction due to arterial insufficiency

N52.02 Corporo-venous occlusive erectile dysfunction

N52.03 Combined arterial insufficiency and corporo-venous occlusive erectile dysfunction

N52.1 Erectile dysfunction due to diseases classified elsewhere

N52.2 Drug-induced erectile dysfunction

N52.31 Erectile dysfunction following radical prostatectomy

N52.32 Erectile dysfunction following radical cystectomy

N52.33 Erectile dysfunction following urethral surgery

N52.34 Erectile dysfunction following simple prostatectomy

N52.39 Other post-surgical erectile dysfunction

N53.8 Other male sexual dysfunction

N53.9 Unspecified male sexual dysfunction

F52.21 Male erectile disorder

N41.9 Inflammatory disease of prostate, unspecified

Breast Diseases

N63 Unspecified lump in breast

Female Genital Organ Diseases

Z87.44 Personal history of cervical dysplasia

N72 Inflammatory disease of cervix uteri

N87.9 Dysplasia of cervix uteri, unspecified

N76.0 Acute vaginitis

N76.1 Subacute and chronic vaginitis

N76.2 Acute vulvitis

N76.3 Subacute and chronic vulvitis

N76.4 Abscess of vulva

Disorders of Menstruation

N91.0 Primary amenorrhea

N91.1 Secondary amenorrhea

N91.2 Amenorrhea, unspecified

N95.9 Unspecified menopausal and perimenopausal disorder

N92.0 Excessive and frequent menstruation with regular cycle

N92.1 Excessive and frequent menstruation with irregular cycle

N94.4 Primary dysmenorrhea

N94.5 Secondary dysmenorrhea

N94.6 Dysmenorrhea, unspecified

N92.1 Excessive and frequent menstruation with irregular cycle

Pregnancy, Childbirth

O46.90 Antepartum hemorrhage, unspecified, unspecified trimester

Z39.2 Encounter for routine postpartum follow-up

Z33.1 Pregnant state, incidental

Z34.00 Encounter for supervision of normal first pregnancy, unspecified trimester

Z34.01 Encounter for supervision of normal first pregnancy, unspecified trimester

Z34.02 Encounter for supervision of normal first pregnancy, second trimester

Z34.03 Encounter for supervision of normal first pregnancy, third trimester

V22.1 Prenatal care, normal, other pregnancy

Z34.80 Encounter for supervision of other normal pregnancy, unspecified trimester

Z34.81 Encounter for supervision of other normal pregnancy, first trimester

Z34.82 Encounter for supervision of other normal pregnancy, second trimester

Z34.83 Encounter for supervision of other normal pregnancy, third trimester

Z34.90 Encounter for supervision of normal pregnancy, unspecified, unspecified trimester

Z34.91 Encounter for supervision of normal pregnancy, unspecified, first trimester

Z34.92 Encounter for supervision of normal pregnancy, unspecified, second trimester

Z34.93 Encounter for supervision of normal pregnancy, unspecified, third trimester

Skin, Subcutaneous Tissue

L70.0 Acne vulgaris

L70.1 Acne conglobata

L70.3 Acne tropica

L70.4 Infantile acne

L70.5 Acné excoriée des jeunes filles

L70.8 Other acne

L70.9 Acne, unspecified

L73.0 Acne keloid

L57.0 Actinic keratosis

L03.90 Cellulitis, unspecified

L03.91 Acute lymphangitis, unspecified

3

L03.129 Acute lymphangitis of unspecified part of limb

L03.119 Cellulitis of unspecified part of limb

L98.3 Eosinophilic cellulitis [Wells]

L23.9 Allergic contact dermatitis, unspecified cause

L24.9 Irritant contact dermatitis, unspecified cause

L25.9 Unspecified contact dermatitis, unspecified cause

L30.0 Nummular dermatitis

L30.2 Cutaneous autosensitization

L30.8 Other specified dermatitis

L30.9 Dermatitis, unspecified

L20.8 Other atopic dermatitis

L20.81 Atopic neurodermatitis

L20.82 Flexural eczema

L20.83 Infantile (acute) (chronic) eczema

L20.84 Intrinsic (allergic) eczema

L20.89 Other atopic dermatitis

L20.9 Atopic dermatitis, unspecified

L21.8 Other seborrheic dermatitis

L60.0 Ingrowing nail

B35.1 Tinea unguium

L44.9 Papulosquamous disorder, unspecified

L45 Papulosquamous disorders in diseases classified elsewhere

L98.9 Disorder of the skin and subcutaneous tissue, unspecified

L40.0 Psoriasis vulgaris

L40.1 Generalized pustular psoriasis

L40.2 Acrodermatitis continua

L40.3 Pustulosis palmaris et plantaris

L40.4 Guttate psoriasis

L40.8 Other psoriasis

L40.9 Psoriasis, unspecified

L71.0 Perioral dermatitis

L71.1 Rhinophyma

L71.8 Other rosacea

L71.9 Rosacea, unspecified

L72.0 Epidermal cyst

L72.1 Trichodermal cyst

L72.2 Steatocystoma multiplex

L72.8 Other follicular cysts of the skin and subcutaneous tissue

L72.9 Follicular cyst of the skin and subcutaneous tissue, unspecified

L82.0 Inflamed seborrheic keratosis

L82.1 Other seborrheic keratosis

L98.491 Non-pressure chronic ulcer of skin of other sites limited to breakdown of skin

L98.492 Non-pressure chronic ulcer of skin of other sites with fat layer exposed

L98.493 Non-pressure chronic ulcer of skin of other sites with necrosis of muscle

L98.494 Non-pressure chronic ulcer of skin of other sites with necrosis of bone

L98.499 Non-pressure chronic ulcer of skin of other sites with unspecified severity

L50.9 Urticaria, unspecified

Musculoskeletal & Connective Tissue

General

M12.9 Arthropathy, unspecified

M60.80 Other myositis, unspecified site

M60.811 Other myositis, right shoulder

M60.812 Other myositis, left shoulder

M60.819 Other myositis, unspecified shoulder

M60.821 Other myositis, right upper arm

M60.822 Other myositis, left upper arm

M60.829 Other myositis, unspecified upper arm

M60.831 Other myositis, right forearm

M60.832 Other myositis, left forearm

M60.839 Other myositis, unspecified forearm

M60.841 Other myositis, right hand

M60.842 Other myositis, left hand

M60.849 Other myositis, unspecified hand

M60.851 Other myositis, right thigh

M60.852 Other myositis, left thigh

M60.859

Other myositis, unspecified thigh

M60.861

Other myositis, right lower leg

M60.862

Other myositis, left lower leg

M60.869

Other myositis, unspecified lower leg

M60.871

Other myositis, right ankle and foot

M60.872

Other myositis, left ankle and foot

M60.879

Other myositis, unspecified ankle and

 

foot

M60.88

Other myositis, Other site

M60.89

Other myositis, multiple sites

M60.9

Myositis, unspecified

M79.1

Myalgia

M79.7

Fibromyalgia

M15.9

Polyosteoarthritis, unspecified

M19.90

Unspecified osteoarthritis, unspecified

 

site

M81.8

Other osteoporosis without current

 

pathological fracture

M05.70

Rheumatoid arthritis with rheumatoid

 

factor of unspecified site without organ

 

or systems involvement

M05.71

Rheumatoid arthritis with rheumatoid

 

factor of shoulder without organ or

 

systems involvement

M05.711

Rheumatoid arthritis with rheumatoid

 

factor of right shoulder without organ or

 

systems involvement

M05.712

Rheumatoid arthritis with rheumatoid

 

factor of left shoulder without organ or

 

systems involvement

M05.719

Rheumatoid arthritis with rheumatoid

 

factor of unspecified shoulder without

 

organ or systems involvement

M05.721

Rheumatoid arthritis with rheumatoid

 

factor of right elbow without organ or

 

systems involvement

M05.722

Rheumatoid arthritis with rheumatoid

 

factor of left elbow without organ or

 

systems involvement

M05.729

Rheumatoid arthritis with rheumatoid

 

factor of unspecified elbow without

 

organ or systems involvement

M05.73

Rheumatoid arthritis with rheumatoid

 

factor of wrist without organ or systems

 

involvement

M05.731

Rheumatoid arthritis with rheumatoid

 

factor of right wrist without organ or

 

systems involvement

M05.732

Rheumatoid arthritis with rheumatoid

 

factor of left wrist without organ or

 

systems involvement

M05.739

Rheumatoid arthritis with rheumatoid

 

factor of unspecified wrist without organ

 

or systems involvement

M05.74

Rheumatoid arthritis with rheumatoid

 

factor of hand without organ or systems

 

involvement

M05.741

Rheumatoid arthritis with rheumatoid

 

factor of right hand without organ or

 

systems involvement

M05.742

Rheumatoid arthritis with rheumatoid

 

factor of left hand without organ or

 

systems involvement

M05.749

Rheumatoid arthritis with rheumatoid

 

factor of unspecified hand without

 

organ or systems involvement

M05.75

Rheumatoid arthritis with rheumatoid

 

factor of hip without organ or systems

 

involvement

M05.751

Rheumatoid arthritis with rheumatoid

 

factor of right hip without organ or

 

systems involvement

M05.752

Rheumatoid arthritis with rheumatoid

 

factor of left hip without organ or

 

systems involvement

M05.759

Rheumatoid arthritis with rheumatoid

 

factor of unspecified hip without organ

 

or systems involvement

M05.76 Rheumatoid arthritis with rheumatoid factor of knee without organ or systems involvement

M05.761 Rheumatoid arthritis with rheumatoid factor of right knee without organ or systems involvement

M05.762 Rheumatoid arthritis with rheumatoid factor of left knee without organ or systems involvement

M05.769 Rheumatoid arthritis with rheumatoid factor of unspecified knee without organ or systems involvement

M05.77 Rheumatoid arthritis with rheumatoid factor of ankle and foot without organ or systems involvement

M05.771 Rheumatoid arthritis with rheumatoid factor of right ankle and foot without organ or systems involvement

M05.772 Rheumatoid arthritis with rheumatoid factor of left ankle and foot without organ or systems involvement

M05.779 Rheumatoid arthritis with rheumatoid factor of unspecified ankle and foot without organ or systems involvement

M05.79 Rheumatoid arthritis with rheumatoid factor of multiple sites without organ or systems involvement

M05.80 Other rheumatoid arthritis with rheumatoid factor of unspecified site

M05.811 Other rheumatoid arthritis with rheumatoid factor of right shoulder

M05.812 Other rheumatoid arthritis with rheumatoid factor of left shoulder

M05.819 Other rheumatoid arthritis with rheumatoid factor of unspecified shoulder

M05.82 Other rheumatoid arthritis with rheumatoid factor of elbow

M05.821 Other rheumatoid arthritis with rheumatoid factor of right elbow

M05.822 Other rheumatoid arthritis with rheumatoid factor of left elbow

M05.829 Other rheumatoid arthritis with rheumatoid factor of unspecified elbow

M05.83 Other rheumatoid arthritis with rheumatoid factor of wrist

M05.831 Other rheumatoid arthritis with rheumatoid factor of right wrist

M05.832 Other rheumatoid arthritis with rheumatoid factor of left wrist

M05.839 Other rheumatoid arthritis with rheumatoid factor of unspecified wrist

M05.84 Other rheumatoid arthritis with rheumatoid factor of hand

M05.841 Other rheumatoid arthritis with rheumatoid factor of right hand

M05.842 Other rheumatoid arthritis with rheumatoid factor of left hand

M05.849 Other rheumatoid arthritis with rheumatoid factor of unspecified hand

M05.85 Other rheumatoid arthritis with rheumatoid factor of hip

M05.851 Other rheumatoid arthritis with rheumatoid factor of right hip

M05.852 Other rheumatoid arthritis with rheumatoid factor of left hip

M05.859 Other rheumatoid arthritis with rheumatoid factor of unspecified hip

M05.86 Other rheumatoid arthritis with rheumatoid factor of knee

M05.861 Other rheumatoid arthritis with rheumatoid factor of right knee

M05.862 Other rheumatoid arthritis with rheumatoid factor of left knee

M05.869 Other rheumatoid arthritis with rheumatoid factor of unspecified knee

M05.87 Other rheumatoid arthritis with rheumatoid factor of ankle and foot

4

M05.871

Other rheumatoid arthritis with

M06.219

Rheumatoid bursitis, unspecified

M06.83

Other specified rheumatoid arthritis,

 

rheumatoid factor of right ankle and

 

shoulder

 

wrist

 

foot

M06.22

Rheumatoid bursitis, elbow

M06.831

Other specified rheumatoid arthritis,

M05.872

Other rheumatoid arthritis with

M06.221

Rheumatoid bursitis, right elbow

 

right wrist

 

rheumatoid factor of left ankle and foot

M06.222

Rheumatoid bursitis, left elbow

M06.832

Other specified rheumatoid arthritis, left

M05.879

Other rheumatoid arthritis with

M06.229

Rheumatoid bursitis, unspecified elbow

 

wrist

 

rheumatoid factor of unspecified ankle

M06.23

Rheumatoid bursitis, wrist

M06.839

Other specified rheumatoid arthritis,

 

and foot

M06.231

Rheumatoid bursitis, right wrist

 

unspecified wrist

M05.89

Other rheumatoid arthritis with

M06.232

Rheumatoid bursitis, left wrist

M06.84

Other specified rheumatoid arthritis,

 

rheumatoid factor of multiple sites

M06.239

Rheumatoid bursitis, unspecified wrist

 

hand

M05.9

Rheumatoid arthritis with rheumatoid

M06.24

Rheumatoid bursitis, hand

M06.841

Other specified rheumatoid arthritis,

 

factor, unspecified

M06.241

Rheumatoid bursitis, right hand

 

right hand

M06.00

Rheumatoid arthritis without

M06.242

Rheumatoid bursitis, left hand

M06.842

Other specified rheumatoid arthritis, left

 

rheumatoid factor, unspecified site

M06.249

Rheumatoid bursitis, unspecified hand

 

hand

M06.01

Rheumatoid arthritis without

M06.25

Rheumatoid bursitis, hip

M06.849

Other specified rheumatoid arthritis,

 

rheumatoid factor, shoulder

M06.251

Rheumatoid bursitis, right hip

 

unspecified hand

M06.011

Rheumatoid arthritis without

M06.252

Rheumatoid bursitis, left hip

M06.85

Other specified rheumatoid arthritis, hip

 

rheumatoid factor, right shoulder

M06.259

Rheumatoid bursitis, unspecified hip

M06.851

Other specified rheumatoid arthritis,

M06.012

Rheumatoid arthritis without

M06.26

Rheumatoid bursitis, knee

 

right hip

 

rheumatoid factor, left shoulder

M06.261

Rheumatoid bursitis, right knee

M06.852

Other specified rheumatoid arthritis, left

M06.019

Rheumatoid arthritis without

M06.262

Rheumatoid bursitis, left knee

 

hip

 

rheumatoid factor, unspecified shoulder

M06.269

Rheumatoid bursitis, unspecified knee

M06.859

Other specified rheumatoid arthritis,

M06.021

Rheumatoid arthritis without

M06.27

Rheumatoid bursitis, ankle and foot

 

unspecified hip

 

rheumatoid factor, right elbow

M06.271

Rheumatoid bursitis, right ankle and

M06.86

Other specified rheumatoid arthritis,

M06.022

Rheumatoid arthritis without

 

foot

 

knee

 

rheumatoid factor, left elbow

M06.272

Rheumatoid bursitis, left ankle and foot

M06.861

Other specified rheumatoid arthritis,

M06.029

Rheumatoid arthritis without

M06.279

Rheumatoid bursitis, unspecified ankle

 

right knee

 

rheumatoid factor, unspecified elbow

 

and foot

M06.862

Other specified rheumatoid arthritis, left

M06.03

Rheumatoid arthritis without

M06.28

Rheumatoid bursitis, vertebrae

 

knee

 

rheumatoid factor, wrist

M06.29

Rheumatoid bursitis, multiple sites

M06.869

Other specified rheumatoid arthritis,

M06.031

Rheumatoid arthritis without

M06.30

Rheumatoid nodule, unspecified site

 

unspecified knee

 

rheumatoid factor, right wrist

M06.31

Rheumatoid nodule, shoulder

M06.87

Other specified rheumatoid arthritis,

M06.032

Rheumatoid arthritis without

M06.311

Rheumatoid nodule, right shoulder

 

ankle and foot

 

rheumatoid factor, left wrist

M06.312

Rheumatoid nodule, left shoulder

M06.871

Other specified rheumatoid arthritis,

M06.039

Rheumatoid arthritis without

M06.319

Rheumatoid nodule, unspecified

 

right ankle and foot

 

rheumatoid factor, unspecified wrist

 

shoulder

M06.872

Other specified rheumatoid arthritis,

M06.04

Rheumatoid arthritis without

M06.32

Rheumatoid nodule, elbow

 

left ankle and foot

 

rheumatoid factor, hand

M06.321

Rheumatoid nodule, right elbow

M06.879

Other specified rheumatoid arthritis,

M06.041

Rheumatoid arthritis without

M06.322

Rheumatoid nodule, left elbow

 

unspecified ankle and foot

 

rheumatoid factor, right hand

M06.329

Rheumatoid nodule, unspecified elbow

M06.88

Other specified rheumatoid arthritis,

M06.042

Rheumatoid arthritis without

M06.33

Rheumatoid nodule, wrist

M06.89

Other specified rheumatoid arthritis,

 

rheumatoid factor, left hand

M06.331

Rheumatoid nodule, right wrist

 

multiple sites

M06.049

Rheumatoid arthritis without

M06.332

Rheumatoid nodule, left wrist

M06.9

Rheumatoid arthritis, unspecified

 

rheumatoid factor, unspecified hand

M06.339

Rheumatoid nodule, unspecified wrist

M65.9

Synovitis and tenosynovitis,

M06.05

Rheumatoid arthritis without

M06.34

Rheumatoid nodule, hand

 

unspecified

 

rheumatoid factor, hip

M06.341

Rheumatoid nodule, right hand

 

 

M06.051

Rheumatoid arthritis without

M06.342

Rheumatoid nodule, left hand

Lower Extremity

 

rheumatoid factor, right hip

M06.349

Rheumatoid nodule, unspecified hand

M79.601

Pain in right arm

M06.052

Rheumatoid arthritis without

M06.352

Rheumatoid nodule, left hip

M79.602

Pain in left arm

 

rheumatoid factor, left hip

M06.359

Rheumatoid nodule, unspecified hip

M79.603

Pain in arm, unspecified

M06.059

Rheumatoid arthritis without

M06.36

Rheumatoid nodule, knee

M79.604

Pain in right leg

 

rheumatoid factor, unspecified hip

M06.361

Rheumatoid nodule, right knee

M79.605

Pain in left leg

M06.06

Rheumatoid arthritis without

M06.362

Rheumatoid nodule, left knee

M79.606

Pain in leg, unspecified

 

rheumatoid factor, knee

M06.369

Rheumatoid nodule, unspecified knee

M79.609

Pain in unspecified limb

M06.061

Rheumatoid arthritis without

M06.37

Rheumatoid nodule, ankle and foot

M79.621

Pain in right upper arm

 

rheumatoid factor, right knee

M06.371

Rheumatoid nodule, right ankle and

M79.622

Pain in left upper arm

M06.062

Rheumatoid arthritis without

 

foot

M79.629

Pain in unspecified upper arm

 

rheumatoid factor, left knee

M06.372

Rheumatoid nodule, left ankle and foot

M79.631

Pain in right forearm

M06.069

Rheumatoid arthritis without

M06.379

Rheumatoid nodule, unspecified ankle

M79.632

Pain in left forearm

 

rheumatoid factor, unspecified knee

 

and foot

M79.639

Pain in unspecified forearm

M06.07

Rheumatoid arthritis without

M06.38

Rheumatoid nodule, vertebrae

M79.641

Pain in right hand

 

rheumatoid factor, ankle and foot

M06.39

Rheumatoid nodule, multiple sites

M79.642

Pain in left hand

M06.071

Rheumatoid arthritis without

M06.80

Other specified rheumatoid arthritis,

M79.643

Pain in unspecified hand

 

rheumatoid factor, right ankle and foot

 

unspecified site

M79.644

Pain in right finger(s)

M06.072

Rheumatoid arthritis without

M06.81

Other specified rheumatoid arthritis,

M79.645

Pain in left finger(s)

 

rheumatoid factor, left ankle and foot

 

shoulder

M79.646

Pain in unspecified (s)

M06.079

Rheumatoid arthritis without

M06.811

Other specified rheumatoid arthritis,

M79.651

Pain in right thigh

 

rheumatoid factor, unspecified ankle

 

right shoulder

M79.652

Pain in left thigh

 

and foot

M06.812

Other specified rheumatoid arthritis, left

M79.659

Pain in unspecified thigh

M06.08

Rheumatoid arthritis without

 

shoulder

M79.661

Pain in right lower leg

 

rheumatoid factor, vertebrae

M06.819

Other specified rheumatoid arthritis,

M79.662

Pain in left lower leg

M06.09

Rheumatoid arthritis without

 

unspecified shoulder

M79.669

Pain in unspecified lower leg

 

rheumatoid factor, multiple sites

M06.82

Other specified rheumatoid arthritis,

M79.671

Pain in right foot

M06.1

Adult-onset Still's disease

 

elbow

M79.672

Pain in left foot

M06.2

Rheumatoid bursitis

M06.821

Other specified rheumatoid arthritis,

M79.673

Pain in unspecified foot

M06.20

Rheumatoid bursitis, unspecified site

 

right elbow

M79.674

Pain in right toe(s)

M06.21

Rheumatoid bursitis, shoulder

M06.822

Other specified rheumatoid arthritis, left

M79.675

Pain in left toe(s)

M06.211

Rheumatoid bursitis, right shoulder

 

elbow

M79.676

Pain in unspecified toe(s)

M06.212

Rheumatoid bursitis, left shoulder

M06.829

Other specified rheumatoid arthritis,

 

 

 

 

 

unspecified elbow

 

 

5

Spine/Torso

G44.321

Chronic post-traumatic headache,

S93.409A Sprain of unspecified ligament of

M54.14

Radiculopathy, thoracic region

 

intractable

 

unspecified ankle; initial encounter

M54.15

Radiculopathy, thoracolumbar region

G44.329

Chronic post-traumatic headache, not

S93.409D Sprain of unspecified ligament of

M54.16

Radiculopathy, lumbar region

 

intractable

 

unspecified ankle; subsequent

M54.17

Radiculopathy, lumbosacral region

G44.40

Drug-induced headache, not

 

encounter

M51.14

Intervertebral disc disorders with

 

elsewhere classified, not intractable

S96.919A Strain of unspecified muscle and

 

radiculopathy, thoracic region

G44.41

Drug-induced headache, not

 

tendon at ankle and foot level,

M51.15

Intervertebral disc disorders with

 

elsewhere classified, intractable

 

unspecified side; initial encounter

 

radiculopathy, thoracolumbar region

G44.51

Hemicrania continua

S96.919D Strain of unspecified muscle and

M51.16

Intervertebral disc disorders with

G44.52

New daily persistent headache

 

tendon at ankle and foot level,

 

radiculopathy, lumbar region

 

(NDPH)

 

unspecified side; subsequent

M51.17

Intervertebral disc disorders with

G44.53

Primary thunderclap headache

 

encounter

 

radiculopathy, lumbosacral region

G44.59

Other complicated headache

S93.609A

Unspecified sprain of unspecified foot;

M53.9

Dorsopathy, unspecified

 

syndrome

 

initial encounter

 

 

G44.81

Hypnic headache

S93.609D Unspecified sprain of unspecified foot;

Upper Extremity

G44.82

Headache associated with sexual

 

subsequent encounter

M75.10

Rotator cuff syndrome, unspecified

 

activity

S63.90A

Initial encounter; Sprain of

 

shoulder

G44.83

Primary cough headache

 

unspecified part of unspecified wrist

M75.11

Rotator cuff syndrome, right shoulder

G44.84

Primary exertional headache

 

and hand

M75.12

Rotator cuff syndrome, left shoulder

G44.85

Primary stabbing headache

S63.90D

Subsequent encounter; Sprain of

 

 

G44.89

Other headache syndrome

 

unspecified part of unspecified wrist

Perinatal (Infant)

R32

Unspecified urinary incontinence

 

and hand

P92.0

Vomiting of newborn

R22.0

Localized swelling, mass and lump,

S63.509A

Initial encounter; Unspecified sprain

P92.1

Regurgitation and rumination of

 

head

 

of unspecified wrist

 

newborn

R22.1

Localized swelling, mass and lump,

S63.509D Subsequent encounter; Unspecified

P92.2

Slow feeding of newborn

 

neck

 

sprain of unspecified wrist

P92.3

Underfeeding of newborn

R22.2

Localized swelling, mass and lump,

S66.919A Strain of unspecified muscle, fascia

P92.4

Overfeeding of newborn

 

trunk

 

and tendon at wrist and hand level of

P92.5

Neonatal difficulty in feeding at breast

R22.30

Localized swelling, mass and lump,

 

unspecified side; Initial encounter

P92.8

Other feeding problems of newborn

 

upper limb, unspecified side

S66.919D Strain of unspecified muscle, fascia

P92.9

Feeding problem of newborn,

R22.31

Localized swelling, mass and lump,

 

and tendon at wrist and hand level of

 

unspecified

 

right upper limb

 

unspecified side; Subsequent

 

 

R22.32

Localized swelling, mass and lump,

 

encounter

Signs & Symptoms

 

left upper limb

S83.90A

Initial encounter; Sprain of

R10.0

Acute abdomen

R22.33

Localized swelling, mass and lump,

 

unspecified site of knee, unspecified

R10.83

Colic

 

upper limb, bilateral

 

side

R10.9

Unspecified abdominal pain

R22.40

Localized swelling, mass and lump,

S83.90D

Subsequent encounter; Sprain of

R87.619

Unspecified abnormal cytological

 

lower limb, unspecified side

 

unspecified site of knee, unspecified

 

findings in specimens from cervix

R22.41

Localized swelling, mass and lump,

S86.919A

Initial encounter; Strain of

 

uteri

 

right lower limb

 

unspecified muscle(s) and tendon(s)

M25.50

Pain in unspecified joint

R22.42

Localized swelling, mass and lump,

 

at lower leg level, unspecified leg

K62.5

Hemorrhage of anus and rectum

 

left lower limb

S86.919D Subsequent encounter; Strain of

R07.81

Pleurodynia

R22.43

Localized swelling, mass and lump,

 

unspecified muscle(s) and tendon(s)

R07.82

Intercostal pain

 

lower limb, bilateral

 

at lower leg level, unspecified leg

R07.89

Other chest pain

R22.9

Localized swelling, mass and lump,

S16.1A

Initial encounter; Strain of muscle,

R07.9

Chest pain, unspecified

 

unspecified

 

fascia and tendon at neck level

R05

Cough

R59.0

Localized enlarged lymph nodes

S16.1D

Subsequent encounter; Strain of

R19.7

Diarrhea, unspecified

R59.1

Generalized enlarged lymph nodes

 

muscle, fascia and tendon at neck

R42

Dizziness and giddiness

R59.9

Enlarged lymph nodes, unspecified

 

level

R13.10

Dysphagia, unspecified

R53.0

Neoplastic (malignant) related fatigue

S13.4A

Initial encounter; Sprain of ligaments

R13.11

Dysphagia, oral phase

R53.1

Weakness

 

of cervical spine

R13.12

Dysphagia, oropharyngeal phase

R53.2

Functional quadriplegia

S13.4D

Subsequent encounter; Sprain of

R13.13

Dysphagia, pharyngeal phase

R53.81

Other malaise

 

ligaments of cervical spine

R13.14

Dysphagia, pharyngoesophageal

R53.83

Other fatigue

S13.8A

Initial encounter; Sprain of joints and

 

phase

G93.3

Postviral fatigue syndrome

 

ligaments of other parts of neck

R13.19

Other dysphagia

R11.1

Nausea alone

S13.8D

Subsequent encounter; Sprain of

R30.0

Dysuria

R11.0

Nausea with vomiting

 

joints and ligaments of other parts of

R30.9

Painful micturition, unspecified

M25.561

Pain in right knee

 

neck

R60.0

Localized edema

M25.562

Pain in left knee

S43.409A

Initial encounter; Unspecified sprain

R60.1

Generalized edema

M25.569

Pain in unspecified knee

 

of unspecified shoulder joint

R60.9

Edema, unspecified

M54.5

Low back pain

S43.409D Subsequent encounter; Unspecified

R63.3

Feeding difficulties

R00.2

Palpitations

 

sprain of unspecified shoulder joint

R50.2

Drug induced fever

R35.8

Other polyuria

S43.90A

Initial encounter; Sprain of

R50.8

Other specified fever

R21

Rash and other nonspecific skin

 

unspecified parts of shoulder girdle,

R50.9

Fever, unspecified

 

eruption

 

unspecified side

E74.9

Disorder of carbohydrate metabolism,

R20.1

Hypoesthesia of skin

S43.90D

Subsequent encounter; Sprain of

 

unspecified

R20.2

Paresthesia of skin

 

unspecified parts of shoulder girdle,

G44.10

Vascular headache, not elsewhere

R20.3

Hyperesthesia

 

unspecified side

 

classified, not intractable

R20.8

Other disturbances of skin sensation

S46.919A

Strain of unspecified muscle, fascia

G44.11

Vascular headache, not elsewhere

R20.9

Unspecified disturbances of skin

 

and tendon at shoulder and upper

 

classified, intractable

 

sensation

 

arm level, unspecified arm; Initial

G44.301

Post-traumatic headache,

R06.02

Shortness of breath

 

encounter

 

unspecified, intractable

R55

Syncope and collapse

S46.919D Strain of unspecified muscle, fascia

G44.309

Post-traumatic headache,

R35.0

Frequency of micturition

 

and tendon at shoulder and upper

 

unspecified, not intractable

R11.2

Projectile vomiting

 

arm level, unspecified arm;

G44.311

Acute post-traumatic headache,

R11.3

Other vomiting without nausea

 

Subsequent encounter

 

intractable

R63.4

Abnormal weight loss

 

 

G44.319

Acute post-traumatic headache, not

 

 

Other Trauma, Adverse Effects

 

Intractable

Injuries & Adverse Effects

S00.01A

Abrasion of scalp; Initial encounter

 

 

Dislocations, Sprains & Strains

 

 

6

S00.01D

Abrasion of scalp; Subsequent

S30.817D Abrasion of anus; Subsequent

S00.531D Contusion of lip; Subsequent

 

encounter

 

encounter

 

encounter

S00.219A

Abrasion of unspecified eyelid and

S40.219A

Abrasion of unspecified shoulder;

S00.532A

Contusion of oral cavity; Initial

 

periocular area; Initial encounter

 

Initial encounter

 

encounter

S00.219D Abrasion of unspecified eyelid and

S40.219D Abrasion of unspecified shoulder;

S00.532D Contusion of oral cavity; Subsequent

 

periocular area; Subsequent

 

Subsequent encounter

 

encounter

 

encounter

S40.819A

Abrasion of unspecified upper arm;

S10.0A

Contusion of throat; Initial encounter

S00.31A

Abrasion of nose; Initial encounter

 

Initial encounter

S10.0D

Contusion of throat; Subsequent

S00.31D

Abrasion of nose; Subsequent

S40.819D Abrasion of unspecified upper arm;

 

encounter

 

encounter

 

Subsequent encounter

S10.83A

Contusion of other part of neck; Initial

S00.419A

Abrasion of unspecified ear; Initial

S50.319A

Abrasion of unspecified elbow; Initial

 

encounter

 

encounter

 

encounter

S10.83D

Contusion of other part of necks;

S00.419D Abrasion of unspecified ear;

S50.319D Abrasion of unspecified elbow;

 

Subsequent encounter

 

Subsequent encounter

 

Subsequent encounter

S10.93A

Contusion of unspecified part of neck;

S00.511A

Abrasion of lip; Initial encounter

S50.819A

Abrasion of unspecified forearm;

 

Initial encounter

S00.511D Abrasion of lip; Subsequent

 

Initial encounter

S10.93D

Contusion of unspecified part of neck;

 

encounter

S50.819D Abrasion of unspecified forearm;

 

Subsequent encounter

S00.512A

Abrasion of oral cavity; Initial

 

Subsequent encounter

S20.00A

Contusion of breast, unspecified

 

encounter

S60.319A

Abrasion of unspecified thumb; Initial

 

breast; Initial encounter

S00.512D Abrasion of oral cavity; Subsequent

 

encounter

S20.00D

Contusion of breast, unspecified

 

encounter

S60.319D Abrasion of unspecified thumb;

 

breast; Subsequent encounter

S10.11A

Abrasion of throat; Initial encounter

 

Subsequent encounter

S20.219A

Contusion of unspecified front wall of

S10.11D

Abrasion of throat; Subsequent

S60.419A

Abrasion of unspecified finger; Initial

 

thorax; Initial encounter

 

encounter

 

encounter

S20.219D Contusion of unspecified front wall of

S10.81A

Abrasion of other part of neck; Initial

S60.419D Abrasion of unspecified finger;

 

thorax; Subsequent encounter

 

encounter

 

Subsequent encounter

S20.229A Contusion of unspecified back wall of

S10.81S

Abrasion of other part of necks

S60.519A

Abrasion of unspecified hand; Initial

 

thorax; Initial encounter

 

subsequent encounter

 

encounter

S20.229D Contusion of unspecified back wall of

S10.91A

Abrasion of unspecified part of neck;

S60.519D Abrasion of unspecified hand;

 

thorax; Subsequent encounter

 

Initial encounter

 

Subsequent encounter

S30.00A

Contusion of lower back and pelvis;

S10.91D

Abrasion of unspecified part of neck;

S60.819A

Abrasion of unspecified wrist; Initial

 

Initial encounter

 

Subsequent encounter

 

encounter

S30.00D

Contusion of lower back and pelvis;

S20.119A Abrasion of breast, unspecified

S60.819D Abrasion of unspecified wrist;

 

Subsequent encounter

 

breast; Initial encounter

 

Subsequent encounter

S30.1A

Contusion of abdominal wall; Initial

S20.119D Abrasion of breast, unspecified

S70.219A

Abrasion, unspecified hip; Initial

 

encounter

 

breast; Subsequent encounter

 

encounter

S30.1D

Contusion of abdominal wall;

S20.319A Abrasion of unspecified front wall of

S70.219D Abrasion, unspecified hip;

 

Subsequent encounter

 

thorax; Initial encounter

 

Subsequent encounter

S30.21A

Contusion of penis; Initial encounter

S20.319D Abrasion of unspecified front wall of

S70.319A

Abrasion, unspecified thigh; Initial

S30.21D

Contusion of penis; Subsequent

 

thorax; Subsequent encounter

 

encounter

 

encounter

S20.419A Abrasion of unspecified back wall of

S70.319D Abrasion, unspecified thigh;

S30.22A

Contusion of scrotum and testes;

 

thorax; Initial encounter

 

Subsequent encounter

 

Initial encounter

S20.419D Abrasion of unspecified back wall of

S80.219A

Abrasion, unspecified knee; Initial

S30.22D

Contusion of scrotum and testes;

 

thorax; Subsequent encounter

 

encounter

 

Subsequent encounter

S20.91A

Abrasion of unspecified parts of

S80.219D Abrasion, unspecified knee;

S30.23A

Contusion of vagina and vulva; Initial

 

thorax; Initial encounter

 

Subsequent encounter

 

encounter

S20.91D

Abrasion of unspecified parts of

S90.413A

Abrasion, unspecified great toe; Initial

S30.23D

Contusion of vagina and vulva;

 

thorax; Subsequent encounter

 

encounter

 

Subsequent encounter

S30.810A Abrasion of lower back and pelvis;

S90.413D Abrasion, unspecified great toe;

S30.201A Contusion of unspecified external

 

Initial encounter

 

Subsequent encounter

 

genital organs, male; Initial encounter

S30.810D Abrasion of lower back and pelvis;

S90.416A

Abrasion, unspecified lesser toe(s);

S30.201D Contusion of unspecified external

 

Subsequent encounter

 

Initial encounter

 

genital organs, male; Subsequent

S30.811A

Abrasion of abdominal wall; Initial

S90.416D Abrasion, unspecified lesser toe(s);

 

encounter

 

encounter

 

Subsequent encounter

S30.202A Contusion of unspecified external

S30.811D Abrasion of abdominal wall;

S90.519A

Abrasion, unspecified ankle; Initial

 

genital organs, female; Initial

 

Subsequent encounter

 

encounter

 

encounter

S30.812A

Abrasion of penis; Initial encounter

S90.519D Abrasion, unspecified ankle;

S30.202D Contusion of unspecified external

S30.812D Abrasion of penis; Subsequent

 

Subsequent encounter

 

genital organs, female; Subsequent

 

encounter

S90.819A

Abrasion, unspecified foot; Initial

 

encounter

S30.813A

Abrasion of scrotum and testes; Initial

 

encounter

S30.3A

Contusion of anus; Initial encounter

 

encounter

S90.819D Abrasion, unspecified foot;

S30.3D

Contusion of anus; Subsequent

S30.813D Abrasion of scrotum and testes;

 

Subsequent encounter

 

encounter

 

Subsequent encounter

S00.03A

Contusion of scalp; Initial encounter

S40.019A

Contusion of unspecified shoulder;

S30.814A

Abrasion of vagina and vulva; Initial

S00.03D

Contusion of scalp; Subsequent

 

Initial encounter

 

encounter

 

encounter

S40.019D Contusion of unspecified shoulder;

S30.814D Abrasion of vagina and vulva;

S00.19A

Contusion of unspecified eyelid and

 

Subsequent encounter

 

Subsequent encounter

 

periocular area; Initial encounter

S40.029A

Contusion of unspecified upper arm;

S30.815A

Abrasion of unspecified external

S00.19D

Contusion of unspecified eyelid and

 

Initial encounter

 

genital organs, male; Initial encounter

 

periocular area; Subsequent

S40.029D Contusion of unspecified upper arm;

S30.815D Abrasion of unspecified external

 

encounter

 

Subsequent encounter

 

genital organs, male; Subsequent

S00.33A

Contusion of nose; Initial encounter

S50.00A

Contusion of unspecified elbow; Initial

 

encounter

S00.33D

Contusion of nose; Subsequent

 

encounter

S30.816A Abrasion of unspecified external

 

encounter

S50.00D

Contusion of unspecified elbow;

 

genital organs, female; Initial

S00.439A

Contusion of unspecified ear; Initial

 

Subsequent encounter

 

encounter

 

encounter

S50.10A

Contusion of unspecified forearm;

S30.816D Abrasion of unspecified external

S00.439D Contusion of unspecified ear;

 

Initial encounter

 

genital organs, female; Subsequent

 

Subsequent encounter

S50.10D

Contusion of unspecified forearm;

 

encounter

S00.531A

Contusion of lip; Initial encounter

 

Subsequent encounter

S30.817A

Abrasion of anus; Initial encounter

 

 

S60.019

Contusion of unspecified thumb; Initial

 

 

 

 

 

encounter

7

S60.019

Contusion of unspecified thumb;

S10.96D

Insect bite of unspecified part of neck;

S40.269D Insect bite of unspecified shoulder;

 

Subsequent encounter

 

Subsequent encounter

 

Subsequent encounter

S60.00A

Contusion of unspecified finger

S20.161A

Insect bite of breast, right breast;

S40.869A

Insect bite of unspecified upper arm;

 

without damage to nail; Initial

 

Initial encounter

 

Initial encounter

 

encounter

S20.161D Insect bite of breast, right breast;

S40.869D Insect bite of unspecified upper arm;

S60.00D

Contusion of unspecified finger

 

Subsequent encounter

 

Subsequent encounter

 

without damage to nail; Subsequent

S20.162A

Insect bite of breast, left breast; Initial

S50.369A

Insect bite of unspecified elbow; Initial

 

encounter

 

encounter

 

encounter

S60.229A

Contusion of unspecified hand; Initial

S20.162D Insect bite of breast, left breast;

S50.369D Insect bite of unspecified elbow;

 

encounter

 

Subsequent encounter

 

Subsequent encounter

S60.229D Contusion of unspecified hand;

S20.169A

Insect bite of breast, unspecified

S50.869A

Insect bite of unspecified forearm;

 

Subsequent encounter

 

breast; Initial encounter

 

Initial encounter

S60.211A

Contusion of right wrist; Initial

S20.169D Insect bite of breast, unspecified

S50.869D Insect bite of unspecified forearm;

 

encounter

 

breast; Subsequent encounter

 

Subsequent encounter

S60.211D Contusion of right wrist; Subsequent

S20.361A

Insect bite of right front wall of thorax;

S60.369A

Insect bite of unspecified thumb;

 

encounter

 

Initial encounter

 

Initial encounter

S60.212A

Contusion of left wrist; Initial

S20.361D Insect bite of right front wall of thorax;

S60.369D Insect bite of unspecified thumb;

 

encounter

 

Subsequent encounter

 

Subsequent encounter

S60.212D Contusion of left wrist; Subsequent

S20.361S

Insect bite of right front wall of thorax;

S60.468A

Insect bite of other finger; Initial

 

encounter

 

Subsequent encounter

 

encounter

S60.219A

Contusion of unspecified wrist; Initial

S20.362A

Insect bite of left front wall of thorax;

S60.468D Insect bite of other finger; Subsequent

 

encounter

 

Initial encounter

 

encounter

S60.219D Contusion of unspecified wrist;

S20.362D Insect bite of left front wall of thorax;

S60.469A

Insect bite of unspecified finger; Initial

 

Subsequent encounter

 

Subsequent encounter

 

encounter

S70.00A

Contusion, unspecified hip; Initial

S20.369A

Insect bite of unspecified front wall of

S60.469D Insect bite of unspecified finger;

 

encounter

 

thorax; Initial encounter

 

Subsequent encounter

S70.00D

Contusion, unspecified hip;

S20.369D Insect bite of unspecified front wall of

S60.569A

Insect bite of unspecified hand; Initial

 

Subsequent encounter

 

thorax; Subsequent encounter

 

encounter

S70.10A

Contusion, unspecified thigh; Initial

S20.461A

Insect bite of right back wall of thorax;

S60.569D Insect bite of unspecified hand;

 

encounter

 

Initial encounter

 

Subsequent encounter

S70.10D

Contusion, unspecified thigh;

S20.461D Insect bite of right back wall of thorax;

S60.869A

Insect bite of unspecified wrist; Initial

 

Subsequent encounter

 

Subsequent encounter

 

encounter

S80.00A

Contusion, unspecified knee; Initial

S20.462A

Insect bite of left back wall of thorax;

S60.869D Insect bite of unspecified wrist;

 

encounter

 

Initial encounter

 

Subsequent encounter

S80.00D

Contusion, unspecified knee;

S20.462D Insect bite of left back wall of thorax;

S70.269A

Insect bite, unspecified hip; Initial

 

Subsequent encounter

 

Subsequent encounter

 

encounter

S90.11A

Contusion, unspecified great toe;

S20.469A

Insect bite of unspecified back wall of

S70.269D Insect bite, unspecified hip;

 

Initial encounter

 

thorax; Initial encounter

 

Subsequent encounter

S90.11D

Contusion, unspecified great toe;

S20.469D Insect bite of unspecified back wall of

S70.369A

Insect bite, unspecified thigh; Initial

 

Subsequent encounter

 

thorax; Subsequent encounter

 

encounter

S90.129A

Contusion, unspecified lesser toe(s);

S20.96A

Insect bite of unspecified parts of

S70.369D Insect bite, unspecified thigh;

 

Initial encounter

 

thorax; Initial encounter

 

Subsequent encounter

S90.129D Contusion, unspecified lesser toe(s);

S20.96D

Insect bite of unspecified parts of

S80.269A

Insect bite, unspecified knee; Initial

 

Subsequent encounter

 

thorax; Subsequent encounter

 

encounter

S90.00A

Contusion, unspecified ankle; Initial

S30.860A

Insect bite of lower back and pelvis;

S80.269D Insect bite, unspecified knee;

 

encounter

 

Initial encounter

 

Subsequent encounter

S90.00D

Contusion, unspecified ankle;

S30.860D Insect bite of lower back and pelvis;

S90.463A

Insect bite, unspecified great toe;

 

Subsequent encounter

 

Subsequent encounter

 

Initial encounter

S00.06A

Insect bite of scalp; Initial encounter

S30.861A

Insect bite of abdominal wall; Initial

S90.463D Insect bite, unspecified great toe;

S00.06D

Insect bite of scalp; Subsequent

 

encounter

 

Subsequent encounter

 

encounter

S30.861D Insect bite of abdominal wall;

S90.466A

Insect bite, unspecified lesser toe(s);

S00.269A

Insect bite of unspecified eyelid and

 

Subsequent encounter

 

Initial encounter

 

periocular area; Initial encounter

S30.862A

Insect bite of penis; Initial encounter

S90.466D Insect bite, unspecified lesser toe(s);

S00.269D Insect bite of unspecified eyelid and

S30.862D Insect bite of penis; Subsequent

 

Subsequent encounter

 

periocular area; Subsequent

 

encounter

S90.569A

Insect bite, unspecified ankle; Initial

 

encounter

S30.863A Insect bite of scrotum and testes;

 

encounter

S00.36A

Insect bite of nose; Initial encounter

 

Initial encounter

S90.569D Insect bite, unspecified ankle;

S00.36D

Insect bite of nose; Subsequent

S30.863D Insect bite of scrotum and testes;

 

Subsequent encounter

 

encounter

 

Subsequent encounter

S90.869A

Insect bite, unspecified foot; Initial

S00.469A

Insect bite of unspecified ear; Initial

S30.864A

Insect bite of vagina and vulva; Initial

 

encounter

 

encounter

 

encounter

S90.869D Insect bite, unspecified foot;

S00.469D Insect bite of unspecified ear;

S30.864D Insect bite of vagina and vulva;

 

Subsequent encounter

 

Subsequent encounter

 

Subsequent encounter

S71.009A Unspecified open wound, unspecified

S00.561A

Insect bite of lip; Initial encounter

S30.865A

Insect bite of unspecified external

 

hip; Initial encounter

S00.561D Insect bite of lip; Subsequent

 

genital organs, male; Initial encounter

S71.009D Unspecified open wound, unspecified

 

encounter

S30.865D Insect bite of unspecified external

 

hip; Subsequent encounter

S00.562A

Insect bite of oral cavity; Initial

 

genital organs, male; Subsequent

S71.109A

Unspecified open wound, unspecified

 

encounter

 

encounter

 

thigh; Initial encounter

S00.562D Insect bite of oral cavity; Subsequent

S30.866A

Insect bite of unspecified external

S71.109D Unspecified open wound, unspecified

 

encounter

 

genital organs, female; Initial

 

thigh; Subsequent encounter

S10.16A

Insect bite of throat; Initial encounter

 

encounter

S41.009A

Unspecified open wound of

S10.16D

Insect bite of throat; Subsequent

S30.866D Insect bite of unspecified external

 

unspecified shoulder; Initial encounter

 

encounter

 

genital organs, female; Subsequent

S41.009D Unspecified open wound of

S10.86A

Insect bite of other part of neck; Initial

 

encounter

 

unspecified shoulder; Subsequent

 

encounter

S30.867A

Insect bite of anus; Initial encounter

 

encounter

S10.86S

Insect bite of other part of necks;

S30.867D Insect bite of anus; Subsequent

S41.109A Unspecified open wound of

 

subsequent encounter

 

encounter

 

unspecified upper arm; Initial

S10.96A

Insect bite of unspecified part of neck;

S40.269A

Insect bite of unspecified shoulder;

 

encounter

 

Initial encounter

 

Initial encounter

 

 

8

S41.109D Unspecified open wound of unspecified upper arm; Subsequent encounter

S51.009A Unspecified open wound of unspecified elbow; Initial encounter

S51.009D Unspecified open wound of unspecified elbow; Subsequent encounter

S51.809A Unspecified open wound of unspecified forearm; Initial encounter

S51.809D Unspecified open wound of unspecified forearm; Subsequent encounter

Supplemental Classification

Z30.011 Encounter for initial prescription of contraceptive pills

Z30.013 Encounter for initial prescription of

injectable contraceptive

Z30.018 Encounter for initial prescription of other contraceptives

Z30.019 Encounter for initial prescription of contraceptives, unspecified

Z48.01 Encounter for change or removal of

surgical wound dressing

Z20.9 Contact with and exposure to unspecified communicable disease

Z01.411 Encounter for gynecological examination (general) (routine) with abnormal findings

Z01.419 Encounter for gynecological examination (general) (routine) without abnormal findings

Z01.42 Encounter for cervical smear to confirm findings of recent normal smear following initial abnormal smear

Z23 Encounter for immunization

Z30.2 Encounter for sterilization

Z00.00 Encounter for general adult medical examination without abnormal findings

Z00.01 Encounter for general adult medical examination with abnormal findings

Z00.10 Encounter for routine child health examination without abnormal findings

Z00.11 Encounter for routine child health examination with abnormal findings

9

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