PMB 5 2005 v1.03

CMS December 2005
PMB Coding 5th Character Version 1.03
Code
Diagnosis
Treatment
CMS PMB ICD-10 Coding VERSION 1.03
1. Annexure A of the General Regulations made in terms of the Medical Schemes Act, 131 of 1998 provides a schedule of diagnosis and treatment pairs, which cumulatively
comprise the prescribed minimum benefits (PMBs) to be provided to beneficiaries of medical schemes in terms of section 29(1)(o) of the Act.
2. The attached ICD10 codes represent the Council for Medical Schemes interpretation of the diagnosis portion of these PMBs, and is a subset of the complete list of ICD 10
codes used in the industry.
3. In the event of conflict between this interpretation and the definition of conditions set out in Annexure A to the regulations, the definition of conditions contained in the
regulations will prevail.
A80.0
Acute paralytic poliomyelitis, vaccine-associated
Acute generalised paralysis, Medical management;
906A
including polio and Guillain- ventilation and
A80.1
Acute paralytic poliomyelitis, wild virus, imported
Barre
plasmapheresis
A80.2
Acute paralytic poliomyelitis, wild virus, indigenous
A80.3
Acute paralytic poliomyelitis, other and unspecified
A80.9
Acute poliomyelitis, unspecified
G61.0
Guillain-Barr syndrome
341A
Basal ganglia, extraInitial diagnosis; initiation G20
Parkinson's disease
pyramidal disorders; other of medical management G23.8
Other specified degenerative diseases of basal ganglia
dystonias NOS
G23.9
Degenerative disease of basal ganglia, unspecified
G24.0
Drug-induced dystonia
G24.1
Idiopathic familial dystonia
G24.2
Idiopathic nonfamilial dystonia
G24.3
Dystonia - Spasmodic torticollis
G24.4
Idiopathic orofacial dystonia
G24.8
Other dystonia
G24.9
Dystonia unspecified
G25.8
Other extrapyramidal and movement disorders - Other specified extrapyramidal and movement disorders
950A
Benign and malignant brain Medical and surgical

tumours, treatable
management which
includes radiation therapy
and chemotherapy
G25.9
C70.0
C70.1
C70.9
C71.0
C71.1
C71.2
C71.3
C71.4
C71.5
C71.6
C71.7
C71.8
C71.9
C72.0
C72.1
C72.2
C72.3
C72.4
C72.5
C72.8
C72.9
D32.0
D32.1
D32.9
D33.0
D33.1
D33.2
D33.3
D33.4
D33.7
D33.9
D42.0
D42.1
D42.9
D43.0
Extrapyramidal and movement disorder unspecified

Malignant neoplasm, cerebral meninges
Malignant neoplasm, spinal meninges
Malignant neoplasm, meninges, unspecified
Malignant neoplasm, cerebrum except lobes and ventricles
Malignant neoplasm, frontal lobe
Malignant neoplasm, temporal lobe
Malignant neoplasm, parietal lobe
Malignant neoplasm, occipital lobe
Malignant neoplasm, cerebral ventricle
Malignant neoplasm, cerebellum
Malignant neoplasm, brain stem
Malignant neoplasm, overlapping lesion of brain
Malignant neoplasm, brain, unspecified
Malignant neoplasm, spinal cord
Malignant neoplasm, cauda equina
Malignant neoplasm, olfactory nerve
Malignant neoplasm, optic nerve
Malignant neoplasm, acoustic nerve
Malignant neoplasm, other and unspecified cranial nerves
Malignant neoplasm, overlapping lesion of brain and other parts of central nervous system
Malignant neoplasm, central nervous system, unspecified
Benign neoplasm, cerebral meninges
Benign neoplasm, spinal meninges
Benign neoplasm, meninges, unspecified
Benign neoplasm, brain, supratentorial
Benign neoplasm, brain, infratentorial
Benign neoplasm, brain, unspecified
Benign neoplasm, cranial nerves
Benign neoplasm, spinal cord
Benign neoplasm, other specified parts of central nervous system
Benign neoplasm, central nervous system, unspecified
Neoplasm of uncertain/unknown behaviour, cerebral meninges
Neoplasm of uncertain/unknown behaviour, spinal meninges
Neoplasm of uncertain/unknown behaviour, meninges, unspecified
Neoplasm of uncertain/unknown behaviour, brain, supratentorial
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49A
213A
83A
902A
D43.1
D43.2
D43.3
D43.4
D43.7
D43.9
Compound/ depressed
Craniotomy/ craniectomy S02.00
fractures of skull
S02.01
S02.10
S02.11
S02.70
S02.71
S02.80
S02.81
S02.90
S02.91
S07.1
S07.8
S07.9
G81.0
Difficulty in breathing,
Medical and surgical
eating, swallowing, bowel, management; ventilation G81.1
or bladder control due to
G81.9
non-progressive
G82.0
neurological (including
G82.1
spinal) condition or injury
G82.2
G82.3
G82.4
G82.5
N31.0
N31.1
N31.2
N31.8
N31.9
G91.0
Encephalocele; congenital Shunt; surgery
hydrocephalus
G91.1
G91.2
G97.2
Q01.0
Q01.1
Q01.2
Q01.8
Q01.9
Q03.0
Q03.1
Q03.8
Q03.9
G40.0
Epilepsy (status epilepticus, Medical management;
initial diagnosis, candidate ventilation; neurosurgery
for neurosurgery)
G40.1
G40.2
G40.3
G40.4
G40.5
G40.6
G40.7
G40.8
G40.9
G41.0
G41.1
G41.2
Neoplasm of uncertain/unknown behaviour, brain, infratentorial

Neoplasm of uncertain/unknown behaviour, brain, unspecified
Neoplasm of uncertain/unknown behaviour, cranial nerves
Neoplasm of uncertain/unknown behaviour, spinal cord
Neoplasm of uncertain/unknown behaviour, other parts of central nervous system
Neoplasm of uncertain/unknown behaviour, central nervous system, unspecified
Fracture of vault of skull, closed
Fracture of vault of skull,open
Fracture of base of skull, closed
Fracture of base of skull, open
Multiple fractures involving skull and facial bones,closed
Multiple fractures involving skull and facial bones,open
Fractures of other skull and facial bones,closed
Fractures of other skull and facial bones,open
Fracture of skull and facial bones, part unspecified,closed
Fracture of skull and facial bones, part unspecified,open
Crushing injury of skull
Crushing injury of other parts of head
Crushing injury of head, part unspecified
Flaccid hemiplegia
Spastic hemiplegia
Hemiplegia, unspecified
Flaccid paraplegia
Spastic paraplegia
Paraplegia, unspecified
Flaccid tetraplegia
Spastic tetraplegia
Tetraplegia, unspecified
Uninhibited neuropathic bladder, not elsewhere classified
Reflex neuropathic bladder, not elsewhere classified
Flaccid neuropathic bladder, not elsewhere classified
Other neuromuscular dysfunction of bladder
Neuromuscular dysfunction of bladder, unspecified
Communicating hydrocephalus
Obstructive hydrocephalus
Normal-pressure hydrocephalus
Intracranial hypotension following ventricular shunting
Frontal encephalocele
Nasofrontal encephalocele
Occipital encephalocele
Encephalocele of other sites
Encephalocele, unspecified
Malformations of aqueduct of Sylvius
Atresia of foramina of Magendie and Luschka
Other congenital hydrocephalus
Congenital hydrocephalus, unspecified
Localization-related (focal)(partial) idiopathic epilepsy and epileptic syndromes with seizures of localized
onset
Localization-related (focal)(partial) symptomatic epilepsy and epileptic syndromes with simple partial
seizures
Localization-related (focal)(partial) symptomatic epilepsy and epileptic syndromes with complex partial
seizures
Generalized idiopathic epilepsy and epileptic syndromes
Other generalized epilepsy and epileptic syndromes
Special epileptic syndromes
Grand mal seizures, unspecified (with or without petit mal)
Petit mal, unspecified, without grand mal seizures
Other epilepsy
Epilepsy, unspecified
Grand mal status epilepticus
Petit mal status epilepticus
Complex partial status epilepticus
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211A
Intraspinal and intracranial

abscess

management
G41.8
G41.9
A06.6G07*
A17.0G01*
A22.8G01*
A27.0G01*
A27.8G01*
A27.9G01*
A32.1G01*
Other status epilepticus

Status epilepticus, unspecified
Amoebic brain abscess / Intracranial and intraspinal abscess and granuloma in diseases classified
elsewhere
Meningeal tuberculoma / Intracranial and intraspinal abscess and granuloma in diseases classified
elsewhere
Other tuberculosis of nervous system / Intracranial and intraspinal abscess and granuloma in diseases
classified elsewhere
Other gonococcal infections / Intracranial and intraspinal abscess and granuloma in diseases classified
elsewhere
Intracranial abscess and granuloma
Intraspinal abscess and granuloma
Extradural and subdural abscess unspecified
Typhoid fever / Meningitis in bacterial diseases classified elsewhere
Localized salmonella infections / Localized salmonella infections / Meningitis in bacterial diseases classified
elsewhere
Tuberculous meningitis / Meningitis in bacterial diseases classified elsewhere
Other forms of anthrax / Meningitis in bacterial diseases classified elsewhere
Leptospirosis icterohaemorrhagica / Meningitis in bacterial diseases classified elsewhere
Other forms of leptospirosis / Meningitis in bacterial diseases classified elsewhere
Leptospirosis unspecified / Meningitis in bacterial diseases classified elsewhere
Listerial meningitis and meningoencephalitis / Meningitis in bacterial diseases classified elsewhere
A39.0G01*
A50.4G01*
Meningococcal meningitis / Meningitis in bacterial diseases classified elsewhere

Late congenital neurosyphilis [juvenile neurosyphilis] / Meningitis in bacterial diseases classified elsewhere
A17.1G07*
A17.8G07*
A54.8G07*
905A
513A
Meningitis acute and

subacute

management
G06.0
G06.1
G06.2
A01.0G01*
A02.2G01*
A51.4G01*
A52.1G01*
A54.8G01*
A80.9G01*
B37.5G02.1*
B38.4G02.1*
B45.1G02.1*
G00.0
G00.1
G00.2
G00.3
G00.8
G00.9
G03.0
G03.1
G03.2
G03.8
G03.9
G04.2
Myasthenia gravis; muscular Initial diagnosis; initiation G37.8
dystrophy; neuroof medical management; G37.9
myopathies NOS
therapy for acute
G70.0
complications and
G70.1
exacerbations
G70.2
G70.8
G70.9
G71.0
G71.1
G71.2
G71.3
G71.8
G71.9
G72.0
G72.1
G72.2
G72.4
Other secondary syphilis / Meningitis in bacterial diseases classified elsewhere

Symptomatic neurosyphilis / Meningitis in bacterial diseases classified elsewhere
Other gonococcal infections / Meningitis in bacterial diseases classified elsewhere
Acute poliomyelitis unspecified / Meningitis in bacterial diseases classified elsewhere
Candidal meningitis / Meningitis in mycoses
Coccidioidomycosis meningitis / Meningitis in mycoses
Cerebral cryptococcosis / Meningitis in mycoses
Haemophilus meningitis
Pneumococcal meningitis
Streptococcal meningitis
Staphylococcal meningitis
Other bacterial meningitis
Bacterial meningitis unspecified
Nonpyogenic meningitis
Chronic meningitis
Benign recurrent meningitis [Mollaret]
Meningitis due to other specified causes
Meningitis, unspecified
Bacterial meningoencephalitis and meningomyelitis, not elsewhere classified
Other specified demyelinating diseases of central nervous system
Demyelinating disease of central nervous system, unspecified
Myasthenia gravis
Toxic myoneural disorders
Congenital and developmental myasthenia
Other specified myoneural disorders
Myoneural disorder unspecified
Muscular dystrophy
Myotonic disorders
Congenital myopathies
Mitochondrial myopathy not elsewhere classified
Other primary disorders of muscles
Primary disorder of muscle unspecified
Drug-induced myopathy
Alcoholic myopathy
Myopathy due to other toxic agents
Inflammatory myopathy, not elsewhere classified
Page 3 of 316
CMS December 2005
510A
Peripheral nerve injury with Neuroplasty

open wound
940A
Reversible CNS
abnormalities due to other
systemic disease
1A

management
G72.8
G72.9
S14.4
S24.3
S24.4
S24.5
S24.6
S34.6
S34.8
S44.0
S44.1
S44.2
S44.3
S44.4
S44.5
S44.7
S44.8
S44.9
S54.0
S54.1
S54.2
S54.3
S54.7
S54.8
S54.9
S64.0
S64.1
S64.2
S64.3
S64.4
S64.7
S64.8
S64.9
S74.0
S74.1
S74.2
S74.7
S74.8
S74.9
S84.0
S84.1
S84.2
S84.7
S84.8
S84.9
S94.0
S94.1
S94.2
S94.3
S94.7
S94.8
S94.9
T11.3
T13.3
T14.4
G25.3
Other specified myopathies

Myopathy, unspecified
Injury of peripheral nerves of neck
Injury of peripheral nerves of thorax
Injury of thoracic sympathetic nerves
Injury of other nerves of thorax
Injury of unspecified nerve of thorax
Injury of peripheral nerve(s) of abdomen, lower back and pelvis
Injury of other and unspecified nerves at abdomen, lower back and pelvis level
Injury of ulnar nerve at upper arm level
Injury of median nerve at upper arm level
Injury of radial nerve at upper arm level
Injury of axillary nerve
Injury of musculocutaneous nerve
Injury of cutaneous sensory nerve at shoulder and upper arm level
Injury of multiple nerves at shoulder and upper arm level
Injury of other nerves at shoulder and upper arm level
Injury of unspecified nerve at shoulder and upper arm level
Injury of ulnar nerve at forearm level
Injury of median nerve at forearm level
Injury of radial nerve at forearm level
Injury of cutaneous sensory nerve at forearm level
Injury of multiple nerves at forearm level
Injury of other nerves at forearm level
Injury of unspecified nerve at forearm level
Injury of ulnar nerve at wrist and hand level
Injury of median nerve at wrist and hand level
Injury of radial nerve at wrist and hand level
Injury of digital nerve of thumb
Injury of digital nerve of other finger
Injury of multiple nerves at wrist and hand level
Injury of other nerves at wrist and hand level
Injury of unspecified nerve at wrist and hand level
Injury of sciatic nerve at hip and thigh level
Injury of femoral nerve at hip and thigh level
Injury of cutaneous sensory nerve at hip and thigh level
Injury of multiple nerves at hip and thigh level
Injury of other nerves at hip and thigh level
Injury of unspecified nerve at hip and thigh level
Injury of tibial nerve at lower leg level
Injury of peroneal nerve at lower leg level
Injury of cutaneous sensory nerve at lower leg level
Injury of multiple nerves at lower leg level
Injury of other nerves at lower leg level
Injury of unspecified nerve at lower leg level
Injury of lateral plantar nerve
Injury of medial plantar nerve
Injury of deep peroneal nerve at ankle and foot level
Injury of cutaneous sensory nerve at ankle and foot level
Injury of multiple nerves at ankle and foot level
Injury of other nerves at ankle and foot level
Injury of unspecified nerve at ankle and foot level
Injury of unspecified nerve of upper limb, level unspecified
Injury of unspecified nerve of lower limb, level unspecified
Injury of nerve(s) of unspecified body region
Myoclonus
G25.4
Drug-induced chorea
G25.5
Other chorea
Severe / moderate head

G93.5
injury: hematoma / oedema management; ventilation G93.6
with loss of consciousness
G96.0
Compression of brain
Cerebral oedema
Cerebrospinal fluid leak
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84A
Spina Bifida
Surgical management
941A
Spinal cord compression,

ischaemia or degenerative
disease NOS

management
S06.00
S06.01
S06.10
S06.11
S06.20
S06.21
S06.30
S06.31
S06.40
S06.41
S06.50
S06.51
S06.60
S06.61
S06.70
S06.71
S06.80
S06.81
S06.90
S06.91
Q05.0
Q05.1
Q05.2
Q05.3
Q05.4
Q05.5
Q05.6
Q05.7
Q05.8
Q05.9
G95.0
G95.1
G95.2
M47.00G99.2*
M47.01G99.2*
M47.02G99.2*
M47.03G99.2*
M47.09G99.2*
M47.10
M47.11
M47.12
M47.13
M47.14
M47.15
M47.16
M47.17
M47.18
M47.19
M48.00
M48.01
M48.02
M48.03
M48.04
M48.05
M48.06
M48.07
M48.08
Concussion without open intracranial injury

Concussion with open intracranial injury
Traumatic cerebral oedema without open intracranial injury
Traumatic cerebral oedema with open intracranial injury
Diffuse brain injury without open intracranial injury
Diffuse brain injury with open intracranial injury
Focal brain injury without open intracranial injury
Focal brain injury with open intracranial injury
Epidural haemorrhage without open intracranial injury
Epidural haemorrhage with open intracranial injury
Traumatic subdural haemorrhage without open intracranial injury
Traumatic subdural haemorrhage with open intracranial injury
Traumatic subarachnoid haemorrhage without open intracranial injury
Traumatic subarachnoid haemorrhag with open intracranial injury
Intracranial injury with prolonged coma without open intracranial injury
Intracranial injury with prolonged coma with open intracranial injury
Other intrcranial injury without open intracranial injury
Other intrcranial injury with open intracranial injury
Intracranial injury, unspecified without open intracranial injury
Intracranial injury, unspecified with open intracranial injury
Cervical spina bifida with hydrocephalus
Thoracic spina bifida with hydrocephalus
Lumbar spina bifida with hydrocephalus
Sacral spina bifida with hydrocephalus
Unspecified spina bifida with hydrocephalus
Cervical spina bifida without hydrocephalus
Thoracic spina bifida without hydrocephalus
Lumbar spina bifida without hydrocephalus
Sacral spina bifida without hydrocephalus
Spina bifida, unspecified
Syringomyelia and syringobulbia
Vascular myelopathies
Cord compression unspecified
Anterior spinal and vertebral artery compression syndromes, multiple site / Myelopathy in diseases
Anterior spinal and vertebral artery compression syndromes, occipito-atlanto-axial region / Myelopathy in
diseases classified elsewhere
Anterior spinal and vertebral artery compression syndromes, cervical region / Myelopathy in diseases
Anterior spinal and vertebral artery compression syndromes, cervicothoracic region / Myelopathy in
Anterior spinal and vertebral artery compression syndromes, site unspecified / Myelopathy in diseases
Other spondylosis with myelopathy, multiple sites
Other spondylosis with myelopathy, occipito-atlanto-axial region
Other spondylosis with myelopathy, cervical region
Other spondylosis with myelopathy, cervicothoracic region
Other spondylosis with myelopathy, thoracic region
Other spondylosis with myelopathy, thoracolumbar region
Other spondylosis with myelopathy, lumbar region
Other spondylosis with myelopathy, lumbosacral region
Other spondylosis with myelopathy, sacral and sacrococcygral region
Other spondylosis with myelopathy, site unspecified
Spinal stenosis, multiple sites in spine
Spinal stenosis,occipito-atlanta-axial region
Spinal stenosis,cervical region
Spinal stenosis,cervicothoracic region
Spinal stenosis, thoracic region
Spinal stenosis,thoracolumbar region
Spinal stenosis, lumbar region
Spinal stenosis, lumbosacral region
Spinal stenosis, sacral and sacrococcygeal region
Page 5 of 316
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M48.09
M50.0G99.2*
M50.1
M50.2
M51.0G99.2*
901A
Stroke due to
hemorrhage, or ischaemia
Medical management;
surgery
M99.30
M99.31
M99.32
M99.33
M99.34
M99.40
M99.41
M99.42
M99.43
M99.44
M99.50
M99.51
M99.52
M99.53
M99.54
S14.0
S14.1
S14.5
G93.1
I61.0G46.3*
I61.1G46.3*
I61.2G46.3*
I61.3G46.3*
I61.4G46.3*
I61.5G46.3*
I61.6G46.3*
I61.8G46.3*
I61.9G46.3*
I61.0G46.4*
I61.1G46.4*
I61.2G46.4*
I61.3G46.4*
I61.4G46.4*
I61.5G46.4*
I61.6G46.4*
I61.8G46.4*
I61.9G46.4*
I63.0G46.3*
I63.1G46.3*
I63.2G46.3*
I63.3G46.3*
I63.4G46.3*
I63.5G46.3*
I63.6G46.3*
I63.8G46.3*
I63.9G46.3*
I63.0G46.4*
I63.1G46.4*
I63.2G46.4*
I63.3G46.4*
I63.4G46.4*
Spinal stenosis, site unspecified

Cervical disc disorder with myelopathy/ Myelopathy in diseases classified elsewhere
Cervical disc disorder with radiculopathy
Other cervical disc displacement
Lumbar and other intervertebral disc disorders with myelopathy / Myelopathy in diseases classified
elsewhere
Osseous stenosis of neural canal, head region; occipitocervical
Osseous stenosis of neural canal,cervical region; cericothoracic
Osseous stenosis of neural canal, thoracic region; thoracolumbar
Osseous stenosis of neural canal, lumbar region; lumbosacral
Osseous stenosis of neural canal, sacral region; sacrococcygeal, sacroiliac
Connective tissue stenosis of neural canal , head region; occipitocervical
Connective tissue stenosis of neural canal,cervical region; cericothoracic
Connective tissue stenosis of neural canal, thoracic region; thoracolumbar
Connective tissue stenosis of neural canal, lumbar region; lumbosacral
Connective tissue stenosis of neural canal, sacral region; sacrococcygeal, sacroiliac
Intervertebral disc stenosis of neural canal , head region; occipitocervical
Intervertebral disc stenosis of neural canal,cervical region; cericothoracic
Intervertebral disc stenosis of neural canal, thoracic region; thoracolumbar
Intervertebral disc stenosis of neural canal, lumbar region; lumbosacral
Intervertebral disc stenosis of neural canal, sacral region; sacrococcygeal, sacroiliac
Concussion and oedema of cervical spinal cord
Other and unspecified injuries of cervical spinal cord
Injury of cervical sympathetic nerves
Anoxic brain damage, not elsewhere classified
Intracerebral haemorrhage in hemisphere, subcortical / Brain stem stroke syndrome
Intracerebral haemorrhage in hemisphere, cortical / Brain stem stroke syndrome
Intracerebral haemorrhage in hemisphere, unspecified / Brain stem stroke syndrome
Intracerebral haemorrhage in brain stem / Brain stem stroke syndrome
Intracerebral haemorrhage in cerebellum / Brain stem stroke syndrome
Intracerebral haemorrhage, intraventricular / Brain stem stroke syndrome
Intracerebral haemorrhage, multiple localized / Brain stem stroke syndrome
Other intracerebral haemorrhage / Brain stem stroke syndrome
Intracerebral haemorrhage, unspecified / Brain stem stroke syndrome
Intracerebral haemorrhage in hemisphere, subcortical / Cerebellar stroke syndrome
Intracerebral haemorrhage in hemisphere, cortical / Cerebellar stroke syndrome
Intracerebral haemorrhage in hemisphere, unspecified / Cerebellar stroke syndrome
Intracerebral haemorrhage in brain stem / Cerebellar stroke syndrome
Intracerebral haemorrhage in cerebellum / Cerebellar stroke syndrome
Intracerebral haemorrhage, intraventricular / Cerebellar stroke syndrome
Intracerebral haemorrhage, multiple localized / Cerebellar stroke syndrome
Other intracerebral haemorrhage / Cerebellar stroke syndrome
Intracerebral haemorrhage, unspecified / / Cerebellar stroke syndrome
Cerebral infarction due to thrombosis of precerebral arteries / Brain stem stroke syndrome
Cerebral infarction due to embolism of precerebral arteries / Brain stem stroke syndrome
Cerebral infarction due to unspecified occlusion or stenosis of precerebral arteries / Brain stem stroke
syndrome
Cerebral infarction due to thrombosis of cerebral arteries / Brain stem stroke syndrome
Cerebral infarction due to embolism of cerebral arteries / Brain stem stroke syndrome
Cerebral infarction due to unspecified occlusion or stenosis of cerebral arteries / Brain stem stroke
syndrome
Cerebral infarction due to cerebral venous thrombosis, nonpyogenic / Brain stem stroke syndrome
Other cerebral infarction / Brain stem stroke syndrome
Cerebral infarction, unspecified / Brain stem stroke syndrome
Cerebral infarction due to thrombosis of precerebral arteries / Cerebellar stroke syndrome
Cerebral infarction due to embolism of precerebral arteries / Cerebellar stroke syndrome
Cerebral infarction due to unspecified occlusion or stenosis of precerebral arteries / Cerebellar stroke
syndrome
Cerebral infarction due to thrombosis of cerebral arteries / Cerebellar stroke syndrome
Cerebral infarction due to embolism of cerebral arteries / Cerebellar stroke syndrome
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28A
Subarachnoid and
intracranial hemorrhage /
management
hematoma; compression of
brain
305A
Tetanus
Medical management;
ventilation
265A
Transient cerebral
ischaemia; life-threatening
cerebrovascular conditions
NOS
Evaluation; medical
management; surgery
I63.5G46.4*
Cerebral infarction due to unspecified occlusion or stenosis of cerebral arteries / Cerebellar stroke syndrome
I63.6G46.4*
Cerebral infarction due to cerebral venous thrombosis, nonpyogenic / Cerebellar stroke syndrome
I63.8G46.4*
I63.9G46.4*
I64G46.3*
I64G46.4*
I67.6G46.3*
I67.6G46.4*
G93.5
G93.6
I60.0
I60.1
I60.2
I60.3
I60.4
I60.5
I60.6
I60.7
I60.8
I60.9
I62.0
I62.1
I62.9
S06.40
S06.41
S06.50
S06.51
S06.60
S06.61
A33
A34
A35
G08
G45.0
G45.1
G45.2
G45.3
G45.4
G45.8
G45.9
G93.4
I65.0G46.4*
I65.1G46.4*
I65.2G46.4*
I65.3G46.4*
Other cerebral infarction / Cerebellar stroke syndrome

Cerebral infarction, unspecified / Cerebellar stroke syndrome
Stroke, not specified as haemorrhage or infarction /Brain stem stroke syndrome
Stroke, not specified as haemorrhage or infarction /Cerebellar stroke syndrome
Nonpyogenic thrombosis of intracranial venous system /Brain stem stroke syndrome
Nonpyogenic thrombosis of intracranial venous system /Cerebellar stroke syndrome
Compression of brain
Cerebral oedema
Subarachnoid haemorrhage from carotid siphon and bifurcation
Subarachnoid haemorrhage from middle cerebral artery
Subarachnoid haemorrhage from anterior communicating artery
Subarachnoid haemorrhage from posterior communicating artery
Subarachnoid haemorrhage from basilar artery
Subarachnoid haemorrhage from vertebral artery
Subarachnoid haemorrhage from other intracranial arteries
Subarachnoid haemorrhage from intracranial artery unspecified
Other subarachnoid haemorrhage
Subarachnoid haemorrhage unspecified
Subdural haemorrhage (acute)(nontraumatic)
Nontraumatic extradural haemorrhage
Intracranial haemorrhage (nontraumatic) unspecified
Epidural haemorrhage, without open intracranial wound
Epidural haemorrhage, with open intracranial wound
Traumatic subdural haemorrhage, without open intracranial wound
Traumatic subdural haemorrhage, with open intracranial wound
Traumatic subarachnoid haemorrhage, without open intracranial wound
Traumatic subarachnoid haemorrhage, with open intracranial wound
Tetanus neonatorum
Obstetrical tetanus
Other tetanus
Intracranial and intraspinal phlebitis and thrombophlebitis
Vertebro-basilar artery syndrome
Carotid artery syndrome (hemispheric)
Multiple and bilateral precerebral artery syndromes
Amaurosis fugax
Transient global amnesia
Other transient cerebral ischaemic attacks and related syndromes
Transient cerebral ischaemic attack, unspecified
Encephalopathy, unspecified
Occlusion and stenosis of vertebral artery / Cerebellar stroke syndrome
Occlusion and stenosis of basilar artery / Cerebellar stroke syndrome
Occlusion and stenosis of carotid artery / Cerebellar stroke syndrome
Occlusion and stenosis of multiple and bilateral precerebral arteries / Cerebellar stroke syndrome
I65.8G46.4*
I65.9G46.4*
I65.0G46.8*
Occlusion and stenosis of other precerebral artery / Cerebellar stroke syndrome

Occlusion and stenosis of unspecified precerebral artery / Cerebellar stroke syndrome
Occlusion and stenosis of vertebral artery / Other vascular syndromes of brain in cerebrovascular diseases
I65.1G46.8*
Occlusion and stenosis of basilar artery / Other vascular syndromes of brain in cerebrovascular diseases
I65.2G46.8*
Occlusion and stenosis of carotid artery / Other vascular syndromes of brain in cerebrovascular diseases
I65.3G46.8*
Occlusion and stenosis of multiple and bilateral precerebral arteries / Other vascular syndromes of brain in
cerebrovascular diseases
Occlusion and stenosis of other precerebral artery / Other vascular syndromes of brain in cerebrovascular
diseases
Occlusion and stenosis of unspecified precerebral artery / Other vascular syndromes of brain in
I65.8G46.8*
I65.9G46.8*
Page 7 of 316
CMS December 2005

I66.1G46.1*
I66.0G46.3*
I66.1G46.3*
I66.2G46.3*
I66.3G46.3*
I66.4G46.3*
I66.8G46.3*
I66.9G46.3*
I66.0G46.4*
I66.1G46.4*
I66.2G46.4*
I66.3G46.4*
I66.4G46.4*
I66.8G46.4*
I66.9G46.4*
I66.0G46.8*
I66.1G46.8*
I66.2G46.8*
I66.3G46.8*
I66.4G46.8*
I66.8G46.8*
I66.9G46.8*
109A
Vertebral dislocations/
fractures, open or closed
with injury to spinal cord
I67.0
I67.1
I67.2
I67.4
I67.8
I67.9
Q28.2
Q28.3
M43.31
Repair /reconstruction;
medical management;
M99.10
inpatient rehabilitation up M99.11
to 2 months
M99.12
M99.13
M99.14
M99.20
M99.21
M99.22
M99.23
M99.24
S12.00
S12.01
S12.10
S12.11
S12.20
S12.21
S12.70
S12.71
S12.80
S12.81
S12.90
S12.91
S13.0
S13.1
Occlusion and stenosis of anterior cerebral artery / Anterior cerebral artery syndrome
Occlusion and stenosis of middle cerebral artery / Brain stem stroke syndrome
Occlusion and stenosis of anterior cerebral artery / Brain stem stroke syndrome
Occlusion and stenosis of posterior cerebral artery / Brain stem stroke syndrome
Occlusion and stenosis of cerebellar arteries / Brain stem stroke syndrome
Occlusion and stenosis of multiple and bilateral cerebral arteries / Brain stem stroke syndrome
Occlusion and stenosis of other cerebral artery / Brain stem stroke syndrome
Occlusion and stenosis of unspecified cerebral artery / Brain stem stroke syndrome
Occlusion and stenosis of middle cerebral artery / Cerebellar stroke syndrome
Occlusion and stenosis of anterior cerebral artery / Cerebellar stroke syndrome
Occlusion and stenosis of posterior cerebral artery / Cerebellar stroke syndrome
Occlusion and stenosis of cerebellar arteries / Cerebellar stroke syndrome
Occlusion and stenosis of multiple and bilateral cerebral arteries / Cerebellar stroke syndrome
Occlusion and stenosis of other cerebral artery / Cerebellar stroke syndrome
Occlusion and stenosis of unspecified cerebral artery / Cerebellar stroke syndrome
Occlusion and stenosis of middle cerebral artery / Other vascular syndromes of brain in cerebrovascular
diseases
Occlusion and stenosis of anterior cerebral artery / Other vascular syndromes of brain in cerebrovascular
diseases
Occlusion and stenosis of posterior cerebral artery / Other vascular syndromes of brain in cerebrovascular
diseases
Occlusion and stenosis of cerebellar arteries / Other vascular syndromes of brain in cerebrovascular
diseases
Occlusion and stenosis of multiple and bilateral cerebral arteries / Other vascular syndromes of brain in
Occlusion and stenosis of other cerebral artery / Other vascular syndromes of brain in cerebrovascular
diseases
Occlusion and stenosis of unspecified cerebral artery / Other vascular syndromes of brain in
Dissection of cerebral arteries, nonruptured
Cerebral aneurysm, nonruptured
Cerebral atherosclerosis
Hypertensive encephalopathy
Other specified cerebrovascular diseases
Cerebrovascular disease, unspecified
Arteriovenous malformation of cerebral vessels
Other malformations of cerebral vessels
Recurrent atlantoaxial subluxation with myelopathy, occipiti-atlanot-axial region
Subluxation complex (vertebral), head region; occipitocervical
Subluxation complex (vertebral), cervical region;cervicothoracic
Subluxation complex (vertebral), thoracic region, thoracolumbar
Subluxation complex (vertebral), lumbar region, lumbosacral
Subluxation complex (vertebral), sacral region; sacrococcygeal, sacroiliac
Subluxation stenosis of neural canal, head region; occipitocervical
Subluxation stenosis of neural canal, cervical region; cervicothoracic
Subluxation stenosis of neural canal, thoracic region; thoracolumbar
Subluxation stenosis of neural canal, lumbar region; lumbosacral
Subluxation stenosis of neural canal, sacral region; sacrococcygeal, sacroilia
Fracture of first cervical vertebra, closed
Fracture of first cervical vertebra, open
Fracture of second cervical vertebra, closed
Fracture of second cervical vertebra, open
Fracture of other specified cervical vertebra, closed
Fracture of other specified cervical vertebra, open
Multiple fractures of cervical spine, closed
Multiple fractures of cervical spine, open
Fracture of other parts of neck, closed
Fracture of other parts of neck, open
Fracture of neck, part unspecified, closed
Fracture of neck, part unspecified, open
Traumatic rupture of cervical intervertebral disc
Dislocation of cervical vertebra
Page 8 of 316
CMS December 2005
684A
Viral meningitis,
encephalitis, myelitis and
encephalomyelitis
Medical management
S13.2
S13.3
S14.2
S22.00
S22.01
S22.10
S22.11
S23.1
S23.2
S24.0
S24.1
S24.2
S32.00
S32.01
S32.10
S32.11
S32.20
S32.21
S32.70
S32.71
S32.80
S32.81
S33.1
S33.2
S33.3
S34.0
S34.1
S34.2
S34.3
S34.4
S34.5
T09.3
T09.4
A85.0G05.1*
Dislocation of other and unspecified parts of neck

Multiple dislocations of neck
Injury of nerve root of cervical spine
Fracture of thoracic vertebra, closed
Fracture of thoracic vertebra, open
Multiple fractures of thoracic spine, closed
Multiple fractures of thoracic spine, open
Dislocation of thoracic vertebra
Dislocation of other and unspecified parts of thorax
Concussion and oedema of thoracic spinal cord
Other and unspecified injuries of thoracic spinal cord
Injury of nerve root of thoracic spine
Fracture of lumbar vertebra, closed
Fracture of lumbar vertebra, open
Fracture of sacrum, closed
Fracture of sacrum, open
Fracture of coccyx, closed
Fracture of coccyx, open
Multiple fractures of lumbar spine and pelvis, closed
Multiple fractures of lumbar spine and pelvis, open
Fracture of other and unspecified parts of lumbar spine and pelvis, closed
Fracture of other and unspecified parts of lumbar spine and pelvis, open
Dislocation of lumbar vertebra
Dislocation of sacroiliac and sacrococcygeal joint
Dislocation of other and unspecified parts of lumbar spine and pelvis
Concussion and oedema of lumbar spinal cord
Other injury of lumbar spinal cord
Injury of nerve root of lumbar and sacral spine
Injury of cauda equina
Injury of lumbosacral plexus
Injury of lumbar, sacral and pelvic sympathetic nerves
Injury of spinal cord level unspecified
Injury of unspecified nerve, spinal nerve root and plexus of trunk
Enteroviral encephalitis / Encephalitis, myelitis and encephalomyelitis in viral diseases classified elsewhere
A85.1G05.1*
Adenoviral encephalitis / Encephalitis, myelitis and encephalomyelitis in viral diseases classified elsewhere
A85.2
A85.8
A86
A87.0G02.0*
A87.1G02.0*
A87.2
A87.8
A87.9
A89
B00.3G02.0*
B00.4G05.1*
Arthropod-borne viral encephalitis, unspecified

Other specified viral encephalitis
Unspecified viral encephalitis
Enteroviral meningitis / Meningitis in viral diseases classified elsewhere
Adenoviral meningitis / Meningitis in viral diseases classified elsewhere
Lymphocytic choriomeningitis
Other viral meningitis
Viral meningitis, unspecified
Unspecified viral infection of central nervous system
Herpesviral meningitis / Meningitis in viral diseases classified elsewhere
Herpesviral encephalitis / Encephalitis, myelitis and encephalomyelitis in viral diseases classified elsewhere
B01.0G02.0*
B01.1G05.1*
Varicella meningitis / Meningitis in viral diseases classified elsewhere

Varicella encephalitis / Encephalitis, myelitis and encephalomyelitis in viral diseases classified elsewhere
B02.0G05.1*
Zoster encephalitis / Encephalitis, myelitis and encephalomyelitis in viral diseases classified elsewhere
B02.1G02.0*
B05.0G05.1*
Zoster meningitis / Meningitis in viral diseases classified elsewhere

Measles complicated by encephalitis / Encephalitis, myelitis and encephalomyelitis in viral diseases
Measles complicated by meningitis / Meningitis in viral diseases classified elsewhere
Rubella with neurological complications / Meningitis in viral diseases classified elsewhere
Rubella with neurological complications / Encephalitis, myelitis and encephalomyelitis in viral diseases
B05.1G02.0*
B06.0G02.0*
B06.0G05.1*
Page 9 of 316
CMS December 2005

B25.8G05.1*
B26.1G02.0*
B26.2G05.1*
B27.0G02.0*
B27.1G02.0*
B27.8G02.0*
B27.9G02.0*
G04.0
G04.1
G04.9
G36.1
J10.8G05.1*
A18.0H75.0*
Gammaherpesviral mononucleosis / Meningitis in viral diseases classified elsewhere

Cytomegaloviral mononucleosis / Meningitis in viral diseases classified elsewhere
Other infectious mononucleosis / Meningitis in viral diseases classified elsewhere
Infectious mononucleosis, unspecified / Meningitis in viral diseases classified elsewhere
Acute disseminated encephalitis
Tropical spastic paraplegia
Encephalitis, myelitis and encephalomyelitis, unspecified
Acute and subacute haemorrhagic leukoencephalitis [Hurst]
Influenza with other manifestations, influenza virus identified / Encephalitis, myelitis and encephalomyelitis
in viral diseases classified elsewhere
Influenza with other manifestations, virus not identified / Encephalitis, myelitis and encephalomyelitis in viral
Systemic lupus erythematosus with organ or system involvement / Encephalitis, myelitis and
encephalomyelitis in other diseases classified elsewhere
Tuberculosis of bones and joints / Mastoiditis in infectious and parasitic diseases classified elsewhere
H70.0
H70.1
H70.2
H70.8
H95.1
H95.8
H95.9
A18.6H67.0*
A38H67.0*
B05.3H67.1*
J10.0H67.1*
Acute mastoiditis
Chronic mastoiditis
Petrositis
Other mastoiditis and related conditions
Other disorders following mastoidectomy
Other postprocedural disorders of ear and mastoid process
Postprocedural disorder of ear and mastoid process, unspecified
Tuberculosis of ear / Otitis media in bacterial diseases classified elsewhere
Scarlet fever / Otitis media in bacterial diseases classified elsewhere
Measles complicated by otitis media / Otitis media in viral diseases classified elsewhere
Influenza with pneumonia, influenza virus identified / Otitis media in viral diseases classified elsewhere
J10.1H67.1*
Influenza with other respiratory manifestations, influenza virus identified / Otitis media in viral diseases
Influenza with other manifestations, influenza virus identified / Otitis media in viral diseases classified
elsewhere
Influenza with pneumonia, virus not identified / Otitis media in viral diseases classified elsewhere
J11.8G05.1*
M32.1G05.8*
33C
482C
Acute and chronic

mastoiditis
Acute otitis media
Mastoidectomy; medical
management

management, including
myringotomy
J10.8H67.1*
J11.0H67.1*
J11.1H67.1*
J11.8H67.1*
900C
Other cytomegaloviral diseases / Encephalitis, myelitis and encephalomyelitis in viral diseases classified
elsewhere
Mumps meningitis / Meningitis in viral diseases classified elsewhere
Mumps encephalitis / Encephalitis, myelitis and encephalomyelitis in viral diseases classified elsewhere
H65.0
H65.1
H65.9
H66.0
H66.4
H66.9
H73.0
H92.2
J04.2
Acute upper airway
Medical management;
obstruction, including croup, intubation; tracheostomy J05.0
epiglottitis and acute
J05.1
laryngotracheitis
J38.4
J38.5
J95.0
J95.5
J95.8
Q31.1
Q31.4
Q32.0
Influenza with other respiratory manifestations, virus not identified / Otitis media in viral diseases classified
elsewhere
Influenza with other manifestations, virus not identified / Otitis media in viral diseases classified elsewhere
Acute serous otitis media
Other acute nonsuppurative otitis media
Nonsuppurative otitis media, unspecified
Acute suppurative otitis media
Suppurative otitis media, unspecified
Otitis media, unspecified
Acute myringitis
Otorrhagia
Acute laryngotracheitis
Acute obstructive laryngitis [croup]
Acute epiglottitis
Oedema of larynx
Laryngeal spasm
Tracheostomy malfunction
Postprocedural subglottic stenosis
Other postprocedural respiratory disorders
Congenital subglottic stenosis
Congenital laryngeal stridor
Congenital tracheomalacia
Page 10 of 316
CMS December 2005
950C
Cancer of oral cavity,

pharynx, nose, ear, and
larynx - treatable

management, which
includes chemotherapy
and radiation therapy
Q32.1
Q32.2
C00.0
C00.1
C00.2
C00.3
C00.4
C00.5
C00.6
C00.8
C00.9
C01
C02.0
C02.1
C02.2
C02.3
C02.4
C02.8
C02.9
C03.0
C03.1
C03.9
C04.0
C04.1
C04.8
C04.9
C05.0
C05.1
C05.2
C05.8
C05.9
C06.0
C06.1
C06.2
C06.8
C06.9
C07
C08.0
C08.1
C08.8
C08.9
C09.0
C09.1
C09.8
C09.9
C10.0
C10.1
C10.2
C10.3
C10.4
C10.8
C10.9
C11.0
C11.1
C11.2
C11.3
C11.8
C11.9
C12
C13.0
C13.1
C13.2
Other congenital malformations of trachea

Congenital bronchomalacia
Malignant neoplasm, external upper lip
Malignant neoplasm, external lower lip
Malignant neoplasm, external lip, unspecified
Malignant neoplasm, upper lip, inner aspect
Malignant neoplasm, lower lip, inner aspect
Malignant neoplasm, lip, unspecified, inner aspect
Malignant neoplasm, commissure of lip
Malignant neoplasm, overlapping lesion of lip
Malignant neoplasm, lip, unspecified
Malignant neoplasm, base of tongue
Malignant neoplasm, dorsal surface tongue
Malignant neoplasm, border of tongue
Malignant neoplasm, ventral surface of tongue
Malignant neoplasm, anterior two-thirds of tongue, part uns
Malignant neoplasm, lingual tonsil
Malignant neoplasm, overlapping lesion of tongue
Malignant neoplasm, tongue, unspecified
Malignant neoplasm, upper gum
Malignant neoplasm, lower gum
Malignant neoplasm, gum unspecified
Malignant neoplasm, anterior floor of mouth
Malignant neoplasm, lateral floor of mouth
Malignant neoplasm, overlapping lesion of floor of mouth
Malignant neoplasm, floor of mouth unspecified
Malignant neoplasm, hard palate
Malignant neoplasm, soft palate
Malignant neoplasm, uvula
Malignant neoplasm, overlapping lesion of palate
Malignant neoplasm, palate unspecified
Malignant neoplasm, cheek mucosa
Malignant neoplasm, vestibule of mouth
Malignant neoplasm, retromolar area
Malignant neoplasm, overlapping lesion of other and unspecified parts of mouth
Malignant neoplasm, mouth unspecified
Malignant neoplasm, parotid gland
Malignant neoplasm, submandibular gland
Malignant neoplasm, sublingual gland
Malignant neoplasm, overlapping lesion of major saliv gland
Malignant neoplasm, major salivary gland, unspecified
Malignant neoplasm, tonsillar fossa
Malignant neoplasm, tonsillar pillar (anterior)(posterior)
Malignant neoplasm, overlapping lesion of tonsil
Malignant neoplasm, tonsil unspecified
Malignant neoplasm, vallecula
Malignant neoplasm, anterior surface of epiglottis
Malignant neoplasm, lateral wall of oropharynx
Malignant neoplasm, posterior wall of oropharynx
Malignant neoplasm, branchial cleft
Malignant neoplasm, overlapping lesion of oropharynx
Malignant neoplasm, oropharynx unspecified
Malignant neoplasm, superior wall of nasopharynx
Malignant neoplasm, posterior wall of nasopharynx
Malignant neoplasm, lateral wall of nasopharynx
Malignant neoplasm, anterior wall of nasopharynx
Malignant neoplasm, overlapping lesion of nasopharynx
Malignant neoplasm, nasopharynx unspecified
Malignant neoplasm, pyriform sinus
Malignant neoplasm, postcricoid region
Malignant neoplasm, aryepiglottic fold hypopharyngeal aspect
Malignant neoplasm, posterior wall - hypopharynx
Page 11 of 316
CMS December 2005

C13.8
C13.9
C14.0
C14.2
C14.8
C30.0
C30.1
C31.0
C31.1
C31.2
C31.3
C31.8
C31.9
C32.0
C32.1
C32.2
C32.3
C32.8
C32.9
C76.0
D00.0
D02.0
D02.3
A69.0
Malignant neoplasm, overlapping lesion - hypopharynx

Malignant neoplasm, hypopharynx unspecified
Malignant neoplasm, pharynx unspecified
Malignant neoplasm, Waldeyer's ring
Malignant neoplasm, overlapping lesion - lip oral cavity and pharynx
Malignant neoplasm, nasal cavity
Malignant neoplasm, middle ear
Malignant neoplasm, maxillary sinus
Malignant neoplasm, ethmoidal sinus
Malignant neoplasm, frontal sinus
Malignant neoplasm, sphenoidal sinus
Malignant neoplasm, overlapping lesion accessory sinuses
Malignant neoplasm, accessory sinus, unsp
Malignant neoplasm, glottis
Malignant neoplasm, supraglottis
Malignant neoplasm, subglottis
Malignant neoplasm, laryngeal cartilage
Malignant neoplasm, overlapping lesion of larynx
Malignant neoplasm, larynx unspecified
Malignant neoplasm, head face and neck
Carcinoma in situ, oral cavit, lip oral cavity and pharynx
Carcinoma in situ, larynx
Carcinoma in situ, other parts of respiratory system
Necrotizing ulcerative stomatitis
241C
Cancrum oris

management
38C
Choanal atresia
133C
Cholesteatoma
910C
Chronic upper airway

obstruction, resulting in cor
pulmonale
Repair of choanal atresia Q30.0

Q30.1
H60.4
management
H70.9
H71
H95.0
G47.3
management
Choanal atresia
Agenesis and underdevelopment of nose
Cholesteatoma of external ear
Mastoiditis, unspecified
Cholesteatoma of middle ear
Recurrent cholesteatoma of postmastoidectomy cavity
Sleep apnoea
901C
Cleft palate and/or cleft lip

without airway obstruction
Repair
12C
Deep open wound of neck,

including larynx; fracture of
larynx or trachea, open
346C
Epistaxis not responsive

to anterior packing
Cleft hard palate, unilateral

Cleft soft palate, unilateral
Cleft hard palate with cleft soft palate, unilateral
Cleft palate, medial
Cleft palate, unspecified, unilateral
Cleft lip, bilateral
Cleft lip, medial
Cleft lip, unilateral
Cleft hard palate with bilateral cleft lip
Cleft hard palate with unilateral cleft lip
Cleft soft palate with bilateral cleft lip
Cleft soft palate with unilateral cleft lip
Cleft hard and soft palate with bilateral cleft lip
Cleft hard and soft palate with unilateral cleft lip
Unspecified cleft palate with bilateral cleft lip
Unspecified cleft palate with unilateral cleft lip
Congenital malformations of lips, not elsewhere classified
Open wound involving larynx and trachea
Open wound involving thyroid gland
Open wound involving pharynx and cervical oesophagus
Multiple open wounds of neck
Open wound of other parts of neck
Open wound of neck, part unspecified
Multiple injuries of neck
Epistaxis
Q35.1
Q35.3
Q35.5
Q35.6
Q35.9
Q36.0
Q36.1
Q36.9
Q37.0
Q37.1
Q37.2
Q37.3
Q37.4
Q37.5
Q37.8
Q37.9
Q38.0
S11.0
management; ventilation S11.1
S11.2
S11.7
S11.8
S11.9
S12.80
S12.81
S19.7
Cautery / repair / control R04.0
hemorrhage
Page 12 of 316
CMS December 2005

to anterior packing
521C
29C
339C
219C
132C
hemorrhage

R04.1
Haemorrhage from throat
Removal of foreign body; T16

and medical and surgical T17.0
management
T17.1
Foreign body in pharynx,
Removal of foreign body T17.2
larynx, trachea, bronchus &
T17.3
esophagus
T17.4
T17.5
T17.8
T17.9
T18.1
Fracture of face bones,
S02.20
orbit, jaw; injury to optic and management
S02.21
other cranial nerves
S02.30
S02.31
S02.40
S02.41
S02.60
S02.61
S02.70
S02.71
S02.80
S02.81
S02.90
S02.91
S04.0
S04.1
S04.2
S04.3
S04.4
S04.5
S04.6
S04.7
S04.8
S04.9
S07.0
Leukoplakia of oral mucosa, Incision/excision; medical K13.2
including tongue
management
Foreign body in ear

Foreign body in nasal sinus
Foreign body in nostril
Foreign body in pharynx
Foreign body in larynx
Foreign body in trachea
Foreign body in bronchus
Foreign body in other and multiple part of respiratory tract
Foreign body in respiratory tract, part unspecified
Foreign body in oesophagus
Fracture of nasal bones, closed
Fracture of nasal bones, open
Fracture of orbital floor, closed
Fracture of orbital floor, open
Fracture of malar and maxillary bones, closed
Fracture of malar and maxillary bones, open
Fracture of mandible, closed
Fracture of mandible, open
Multiple fractures involving skull and facial bones, closed
Multiple fractures involving skull and facial bones, open
Fractures of other skull and facial bones, closed
Fractures of other skull and facial bones, open
Fracture of skull and facial bones part unspecified, closed
Fracture of skull and facial bones part unspecified, open
Injury of optic nerve and pathways
Injury of oculomotor nerve
Injury of trochlear nerve
Injury of trigeminal nerve
Injury of abducent nerve
Injury of facial nerve
Injury of acoustic nerve
Injury of accessory nerve
Injury of other cranial nerves
Injury of unspecified cranial nerve
Crushing injury of face
Leukoplakia and other disturbances of oral epithelium including tongue
Life-threatening diseases of Medical and surgical

pharynx NOS, including
management
retropharyngeal abscess
J39.0
Retropharyngeal and parapharyngeal abscess
J39.1
Other abscess of pharynx
J39.2
Other diseases of pharynx
H72.0
H72.1
H72.2
H72.8
H72.9
S09.2
J36
Central perforation of tympanic membrane

Attic perforation of tympanic membrane
Other marginal perforations of tympanic membrane
Other perforations of tympanic membrane
Perforation of tympanic membrane, unspecified
Traumatic rupture of ear drum
Peritonsillar abscess
K11.2
K11.3
K11.4
K11.5
K11.6
A69.0
A69.1
Sialoadenitis
Abscess of salivary gland
Fistula of salivary gland
Sialolithiasis
Mucocele of salivary gland
Other Vincent's infections
Foreign body in ear and

nose
457C
Open wound of ear-drum
Tympanoplasty; medical
management
240C
Peritonsillar abscess
Incision and drainage of

abscess; tonsillectomy;
medical management
347C
Sialoadenitis; abscess /
fistula of salivary glands
Surgery
543C
Stomatitis, cellulites and

abscess of oral soft tissue;
Vi
Incision and drainage;

medical management
Page 13 of 316
CMS December 2005
Vincents angina
331K
Acute thyroiditis
951K
Benign and malignant

tumours of pituitary gland
management; radiation
with/without hypersecretion therapy
syndromes
30K
Benign neoplasm of islets of Excision of tumour;

Langerhans
medical management
950K
Cancer of endocrine
system, excluding thyroid treatable

management, which
952K
Cancer of thyroid treatable; carcinoid

syndrome

management, which
Congenital hypothyroidism
Medical management
61K
Medical management
K12.1
K12.2
K13.4
K13.6
K13.7
E06.0
E06.1
E06.3
E06.4
E06.5
E06.9
C75.1
C75.2
C75.3
D35.2
D35.3
D35.4
D35.5
D35.6
D35.7
D35.8
D35.9
D44.3
D44.4
D44.5
E22.0
E22.1
E22.2
E22.8
E22.9
E23.7
E24.0
E24.1
E24.2
E24.3
E31.1
E31.8
E31.9
D13.7
Other forms of stomatitis

Cellulitis and abscess of mouth
Granuloma and granuloma-like lesions of oral mucosa
Irritative hyperplasia of oral mucosa
Other and unspecified lesions of oral mucosa
Acute thyroiditis
Subacute thyroiditis
Autoimmune thyroiditis
Drug-induced thyroiditis
Other chronic thyroiditis
Thyroiditis, unspecified
Malignant neoplasm, pituitary gland
Malignant neoplasm, craniopharyngeal duct
Malignant neoplasm, pineal gland
Benign neoplasm, pituitary gland
Benign neoplasm, craniopharyngeal duct
Benign neoplasm, pineal gland
Benign neoplasm, carotid body
Benign neoplasm, aortic body and other paraganglia
Benign neoplasm, other specified endocrine glands
Benign neoplasm, pluriglandular involvement
Benign neoplasm, endocrine gland, unspecified
Neoplasm of uncertain/unknown behaviour, pituitary gland
Neoplasm of uncertain/unknown behaviour, craniopharyngeal duct
Neoplasm of uncertain/unknown behaviour, pineal gland
Acromegaly and pituitary gigantism
Hyperprolactinaemia
Syndrome of inappropriate secretion of antidiuretic hormone
Other hyperfunction of pituitary gland
Hyperfunction of pituitary gland, unspecified
Disorder of pituitary gland, unspecified
Pituitary-dependent Cushing's disease
Nelson's syndrome
Drug-induced Cushing's syndrome
Ectopic ACTH syndrome
Polyglandular hyperfunction
Other polyglandular dysfunction
Polyglandular dysfunction, unspecified
Benign neoplasm, endocrine pancreas
C37
C74.0
C74.1
C74.9
C75.0
C75.1
C75.2
C75.3
C75.4
C75.5
C75.8
C75.9
E34.0
Malignant neoplasm of thymus

Malignant neoplasm, cortex of adrenal gland
Malignant neoplasm, medulla of adrenal gland
Malignant neoplasm, adrenal gland, unspecified
Malignant neoplasm, parathyroid gland
Malignant neoplasm, pituitary gland
Malignant neoplasm, craniopharyngeal duct
Malignant neoplasm, pineal gland
Malignant neoplasm, carotid body
Malignant neoplasm, aortic body and other paraganglia
Malignant neoplasm, pluriglandular involvement, unspecified
Malignant neoplasm, endocrine gland, unspecified
Carcinoid syndrome
E34.1
C73
Other hypersecretion of intestinal hormones

Malignant neoplasm of thyroid gland
D09.3
Carcinoma in situ thyroid and other endocrine glands
E00.0
Congenital iodine-deficiency syndrome, neurological type
Page 14 of 316
CMS December 2005
902K
Disorder of adrenal
secretion NOS
Medical management;
adrenalectomy
447K
Disorders of parathyroid
gland; benign neoplasm of
parathyroid gland

management
904K
Hyper and hypothyroidism

with life-threatening
complications or requiring
surgery
Medical management;
Surgery
31K
Hypoglycemic coma;
hyperglycemia; diabetic
ketoacidosis
Medical management
E00.1
E00.2
E00.9
E03.0
E03.1
D35.0
E24.8
E24.9
E25.0
E25.8
E25.9
E26.0
E26.1
E26.8
E26.9
E27.0
E27.1
E27.2
E27.3
E27.4
E27.5
E27.8
E27.9
E30.1
E89.6
D35.1
E20.0
E20.1
E20.8
E20.9
E21.0
E21.1
E21.2
E21.3
E21.4
E21.5
E89.2
P71.4
E01.8
E03.2
E03.3
E03.4
E03.5
E03.8
E03.9
E05.0
E05.1
E05.2
E05.3
E05.4
E05.5
E05.8
E05.9
E06.2
E07.0
E07.1
E89.0
E10.0
E10.1
E11.0
E11.1
E12.0
Congenital iodine-deficiency syndrome, myxoedematous type

Congenital iodine-deficiency syndrome, mixed type
Congenital iodine-deficiency syndrome, unspecified
Congenital hypothyroidism with diffuse goitre
Congenital hypothyroidism without goitre
Benign neoplasm, adrenal gland
Other Cushing's syndrome
Cushing's syndrome, unspecified
Congenital adrenogenital disorders associated with enzyme deficiency
Other adrenogenital disorders
Adrenogenital disorder, unspecified
Primary hyperaldosteronism
Secondary hyperaldosteronism
Other hyperaldosteronism
Hyperaldosteronism, unspecified
Other adrenocortical overactivity
Primary adrenocortical insufficiency
Addisonian crisis
Drug-induced adrenocortical insufficiency
Other and unspecified adrenocortical insufficiency
Adrenomedullary hyperfunction
Other specified disorders of adrenal gland
Disorder of adrenal gland, unspecified
Precocious puberty
Postprocedural adrenocortical(-medullary) hypofunction
Benign neoplasm, parathyroid gland
Idiopathic hypoparathyroidism
Pseudohypoparathyroidism
Other hypoparathyroidism
Hypoparathyroidism unspecified
Primary hyperparathyroidism
Secondary hyperparathyroidism not elsewhere classified
Other hyperparathyroidism
Hyperparathyroidism unspecified
Other specified disorders of parathyroid gland
Disorder of parathyroid gland unspecified
Postprocedural hypoparathyroidism
Transitory neonatal hypoparathyroidism
Other iodine-deficiency-related thyroid disorders and allied conditions
Hypothyroidism due to medicaments and other exogenous substances
Postinfectious hypothyroidism
Atrophy of thyroid (acquired)
Myxoedema coma
Other specified hypothyroidism
Hypothyroidism unspecified
Thyrotoxicosis with diffuse goitre
Thyrotoxicosis with toxic single thyroid nodule
Thyrotoxicosis with toxic multinodular goitre
Thyrotoxicosis from ectopic thyroid tissue
Thyrotoxicosis factitia
Thyroid crisis or storm
Other thyrotoxicosis
Thyrotoxicosis unspecified
Chronic thyroiditis with transient thyrotoxicosis
Hypersecretion of calcitonin
Dyshormogenetic goitre
Postprocedural hypothyroidism
Insulin-dependent diabetes mellitus with coma
Insulin-dependent diabetes mellitus with ketoacidosis
Non-insulin-dependent diabetes mellitus with coma
Non-insulin-dependent diabetes mellitus with ketoacidosis
Malnutrition-related diabetes mellitus with coma
Page 15 of 316
CMS December 2005
236K
Iron deficiency; vitamin and Medical management

other nutritional deficiencies
life-threatening
901K
Life-threatening congenital Medical management

abnormalities of
carbohydrate, lipid, protein
and amino acid metabolism

E12.1
E13.0
E13.1
E14.0
E14.1
E15
E16.0
E16.1
E16.2
D50.0
D50.1
D50.8
D50.9
D51.0
D51.1
D51.2
D51.3
D51.8
D51.9
D52.0
D52.1
D52.8
D52.9
E40
E41
E42
E43
E46
E50.0
E50.1
E50.2
E50.3
E50.4
E50.5
E50.6
E50.7
E50.8
E50.9
E51.1
E51.2
E51.8
E51.9
E52
E53.0
E53.1
E53.8
E53.9
E54
E55.0
E55.9
E56.1
E56.9
E61.1
E61.7
E63.0
E70.0
E70.1
E70.2
E70.8
E71.0
E71.1
E71.2
Malnutrition-related diabetes mellitus with ketoacidosis

Other specified diabetes mellitus with coma
Other specified diabetes mellitus with ketoacidosis
Unspecified diabetes mellitus with coma
Unspecified diabetes mellitus with ketoacidosis
Nondiabetic hypoglycaemic coma
Drug-induced hypoglycaemia without coma
Other hypoglycaemia
Hypoglycaemia, unspecified
Iron deficiency anaemia secondary to blood loss (chronic)
Iron deficiency anaemia - Sideropenic dysphagia
Other iron deficiency anaemias
Iron deficiency anaemia unspecified
Vitamin B12 deficiency anaemia due to intrinsic factor deficiency
Vitamin B12 deficiency anaemia due to selective vitamin B12
Transcobalamin II deficiency
Other dietary vitamin B12 deficiency anaemia
Other vitamin B12 deficiency anaemias
Vitamin B12 deficiency anaemia unspecified
Dietary folate deficiency anaemia
Drug-induced folate deficiency anaemia
Other folate deficiency anaemias
Folate deficiency anaemia unspecified
Kwashiorkor
Nutritional marasmus
Marasmic kwashiorkor
Unspecified severe protein-energy malnutrition
Unspecified protein-energy malnutrition
Vitamin A deficiency with conjunctival xerosis
Vitamin A deficiency with Bitot's spot and conjunctival xerosis
Vitamin A deficiency with corneal xerosis
Vitamin A deficiency with corneal ulceration and xerosis
Vitamin A deficiency with keratomalacia
Vitamin A deficiency with night blindness
Vitamin A deficiency with xerophthalmic scars of cornea
Other ocular manifestations of vitamin A deficiency
Other manifestations of vitamin A deficiency
Vitamin A deficiency, unspecified
Beriberi
Wernicke's encephalopathy
Other manifestations of thiamine deficiency
Thiamine deficiency, unspecified
Niacin deficiency [pellagra]
Riboflavin deficiency
Pyridoxine deficiency
Deficiency of other specified B group vitamins
Vitamin B deficiency, unspecified
Ascorbic acid deficiency
Rickets, active
Vitamin D deficiency, unspecified
Deficiency of vitamin K
Vitamin deficiency, unspecified
Iron deficiency
Deficiency of multiple nutrient elements
Essential fatty acid [EFA] deficiency
Classical phenylketonuria
Other hyperphenylalaninaemias
Disorders of tyrosine metabolism
Other disorders of aromatic amino-acid metabolism
Maple-syrup-urine disease
Other disorders of branched-chain amino-acid metabolism
Disorder of branched-chain amino-acid metabolism unspecified
Page 16 of 316
CMS December 2005

E71.3
E72.0
E72.1
E74.2
E75.2
E75.6
E76.0
E76.1
E76.2
E76.3
E76.8
E76.9
E77.9
E80.0
E80.1
E80.2
E23.2
E87.0
E87.1
E87.2
E87.3
E87.4
E87.5
E87.6
E87.7
E87.8
N25.1
H05.0
903K
Life-threatening disorders of Medical management

fluid and electrolyte
balance, NOS
47B
Acute orbital cellulitis

management
394B
Angle-closure glaucoma
586B
Bells palsy; exposure

keratoconjunctivitis
Iridectomy; laser surgery; H40.0

medical and surgical
H40.2
management
H40.3
H40.4
H40.5
H40.6
H16.2
Tarsorrhaphy; medical
and surgical management
G51.0
950B
Cancer of the eye and orbit - Medical and surgical

treatable
management, which
and chemotherapy
901B
Cataract; aphakia
Extraction of cataract;
lens implant
Disorders of fatty-acid metabolism

Disorders of amino-acid transport
Disorders of sulfur-bearing amino-acid metabolism
Disorders of galactose metabolism
Other sphingolipidosis
Lipid storage disorder unspecified
Mucopolysaccharidosis, type I
Mucopolysaccharidosis, type II
Other mucopolysaccharidoses
Mucopolysaccharidosis, unspecified
Other disorders of glucosaminoglycan metabolism
Disorder of glucosaminoglycan metabolism, unspecified
Disorder of glycoprotein metabolism, unspecified
Hereditary erythropoietic porphyria
Porphyria cutanea tarda
Other porphyria
Diabetes insipidus
Hyperosmolality and hypernatraemia
Hypo-osmolality and hyponatraemia
Acidosis
Alkalosis
Mixed disorder of acid-base balance
Hyperkalaemia
Hypokalaemia
Fluid overload
Other disorders of electrolyte and fluid balance not elsewhere classified
Nephrogenic diabetes insipidus
Acute inflammation of orbit
Glaucoma suspect
Primary angle-closure glaucoma
Glaucoma secondary to eye trauma
Glaucoma secondary to eye inflammation
Glaucoma secondary to other eye disorders
Glaucoma secondary to drugs
Keratoconjunctivitis
Bell's palsy
C69.0
C69.1
C69.2
C69.3
C69.4
C69.5
C69.6
C69.8
C69.9
D09.2
E10.3H28.0*
E11.3H28.0*
E12.3H28.0*
E13.3H28.0*
E14.3H28.0*
E20.0H28.1*
E20.8H28.1*
E20.9H28.1*
Malignant neoplasm, conjunctiva

Malignant neoplasm, cornea
Malignant neoplasm, retina
Malignant neoplasm, choroid
Malignant neoplasm, ciliary body
Malignant neoplasm, lacrimal gland and duct
Malignant neoplasm, orbit
Malignant neoplasm, overlapping lesion of eye and adnexa
Malignant neoplasm, eye, unspecified
Carcinoma in situ, eye
Insulin-dependent diabetes mellitus - With ophtalmic complications / Diabetic cataract
Non-insulin-dependent diabetes mellitus - With ophtalmic complications / Diabetic cataract
Malnutrition-related diabetes mellitus - With ophtalmic complications / Diabetic cataract
Other specified diabetes mellitus - With ophtalmic complications / Diabetic cataract
Unspecified diabetes mellitus - With ophtalmic complications / Diabetic cataract
Idiopathic hypoparathyroidism / Cataract in other endocrine nutritional and metabolic diseases
Other hypoparathyroidism / Cataract in other endocrine nutritional and metabolic diseases
Hypoparathyroidism unspecified / Cataract in other endocrine nutritional and metabolic diseases
E34.9H28.1*
E46H28.1*
Endocrine disorder unspecified / Cataract in other endocrine nutritional and metabolic diseases
Unspecified protein-energy malnutrition / Cataract in other endocrine nutritional and metabolic diseases
E63.9H28.1*
Nutritional deficiency unspecified / Cataract in other endocrine nutritional and metabolic diseases
Page 17 of 316
CMS December 2005
911B
Corneal ulcer; Superficial

injury of eye and adnexa

E88.9H28.1*
H25.0
H25.1
H25.2
H25.8
H25.9
H26.0
H26.1
H26.2
H26.3
H26.8
H26.9
H27.0
H27.1
H27.8
H27.9
Q12.0
Conjunctival flap; medical A18.5H19.2*
management
A50.3H19.2*
H16.0
H16.3
H16.9
H18.1
S00.1
S00.2
S05.0
S05.1
T26.1
T26.6
H40.5
Metabolic disorder unspecified / Cataract in other endocrine nutritional and metabolic diseases
Senile incipient cataract
Senile nuclear cataract
Senile cataract morgagnian type
Other senile cataract
Senile cataract unspecified
Infantile juvenile and presenile cataract
Traumatic cataract
Complicated cataract
Drug-induced cataract
Other specified cataract
Cataract unspecified
Aphakia
Dislocation of lens
Other specified disorders of lens
Disorder of lens, unspecified
Congenital cataract
Tuberculosis of eye / Keratitis and keratoconjunctivitis in other infectious and parasitic diseases classified
elsewhere
Late congenital syphilitic oculopathy / Keratitis and keratoconjunctivitis in other infectious and parasitic
Zoster ocular disease / Keratitis and keratoconjunctivitis in other infectious and parasitic diseases classified
elsewhere
Measles with other complications / Keratitis and keratoconjunctivitis in other infectious and parasitic
Acanthamoebiasis / Keratitis and keratoconjunctivitis in other infectious and parasitic diseases classified
elsewhere
Corneal ulcer
Interstitial and deep keratitis
Keratitis, unspecified
Bullous keratopathy
Contusion of eyelid and periocular area
Other superficial injuries of eyelid and periocular area
Injury of conjunctiva and corneal abrasion without mention of foreign body
Contusion of eyeball and orbital tissues
Burn of cornea and conjunctival sac
Corrosion of cornea and conjunctival sac
H40.8
Other glaucoma
B00.5H19.1*
Herpesviral ocular disease / Herpesviral keratitis and keratoconjunctivitis
B02.3H19.2*
Zoster ocular disease / Keratitis and keratoconjunctivitis in other infectious and parasitic diseases classified
elsewhere
B02.3H19.2*
B05.8H19.2*
B60.1H19.2*
405B
386B
Glaucoma associated with

disorders of the lens
Surgical management
Herpes zoster & herpes

simplex with ophthalmic
complications
Medical management
389B
Hyphema
Removal of blood clot;

observation
H21.0
Hyphaema
485B
Inflammation of lacrimal
passages
Open wound of eyeball and
other eye structures
Incision; medical
management
management
H04.3
H04.4
S01.1
S05.2
S05.3
S05.4
S05.5
S05.6
S05.7
T26.2
T26.3
T26.4
T26.7
Acute and unspecified inflammation of lacrimal passages

Chronic inflammation of lacrimal passages
Open wound of eyelid and periocular area
Ocular laceration and rupture with prolapse or loss of intraocular tissue
Ocular laceration without prolapse or loss of intraocular tissue
Penetrating wound of orbit with or without foreign body
Penetrating wound of eyeball with foreign body
Penetrating wound of eyeball without foreign body
Avulsion of eye
Burn with resulting rupture and destruction of eyeball
Burn of other parts of eye and adnexa
Burn of eye and adnexa, part unspecified
Corrosion with resulting rupture and destruction of eyeball
W44.00
For body entering into/through eye or Natural orifice, occurred. at home, sports act
909B
Page 18 of 316
CMS December 2005

W44.01
For body entering into/through eye or natural orifice, occurred. at home, leisure act
W44.02
For body entering into/through eye or natural orifice, occurred. at home, income work
W44.03
For body entering into/through eye or natural orifice, occurred. at home, oth work
W44.04
For body entering into/through eye or natural orifice, occurred. at home, resting
W44.08
For body entering into/through eye or natural orifice, occurred. at home, oth act
W44.09
For body entering into/through eye or natural orifice, occurred. at home, unspec act
W44.10
For body entering into/through eye or natural orifice, occurred. in residential institution, sports act
W44.11
For body entering into/through eye or natural orifice, occurred. in residential institution, leisure act
W44.12
For body entering into/through eye or natural orifice, occurred. in residential institution, income work
W44.13
For body entering into/through eye or natural orifice, occurred. in residential institution, oth work
W44.14
For body entering into/through eye or natural orifice, occurred. in residential institution, resting
W44.18
For body entering into/through eye or natural orifice, occurred. in residential institution, oth act
W44.19
For body entering into/through eye or natural orifice, occurred. in residential institution, unspec act
W44.20
For body entering into/through eye or natural orifice, occurred. at pub admin area, sports act
W44.21
For body entering into/through eye or natural orifice, occurred. at pub admin area, leisure act
W44.22
For body entering into/through eye or natural orifice, occurred. at pub admin area, income work
W44.23
For body entering into/through eye or natural orifice, occurred. at pub admin area, oth work
W44.24
For body entering into/through eye or natural orifice, occurred. at pub admin area, resting
W44.28
For body entering into/through eye or natural orifice, occurred. at pub admin area, oth act
W44.29
For body entering into/through eye or natural orifice, occurred. at pub admin area, unspec act
W44.30
For body entering into/through eye or natural orifice, occurred. at athletic. area, sports act
W44.31
For body entering into/through eye or natural orifice, occurred. at athletic. area, leisure act
W44.32
For body entering into/through eye or natural orifice, occurred. at athletic. area, income work
W44.33
For body entering into/through eye or natural orifice, occurred. at athletic. area, oth work
W44.34
For body entering into/through eye or natural orifice, occurred. at athletic. area, resting
W44.38
For body entering into/through eye or natural orifice, occurred. at athletic. area, oth act
W44.39
For body entering into/through eye or natural orifice, occurred. at athletic. area, unspec act
W44.40
For body entering into/through eye or natural orifice, occurred. on highway, sports act
W44.41
For body entering into/through eye or natural orifice, occurred. on highway, leisure act
W44.42
For body entering into/through eye or natural orifice, occurred. on highway, income work
W44.43
For body entering into/through eye or natural orifice, occurred. on highway, oth work
W44.44
For body entering into/through eye or natural orifice, occurred. on highway, resting
W44.48
For body entering into/through eye or natural orifice, occurred. on highway, oth act
W44.49
For body entering into/through eye or natural orifice, occurred. on highway, unspec act
W44.50
For body entering into/through eye or natural orifice, occurred. at service area, sports act
W44.51
For body entering into/through eye or natural orifice, occurred. at service area, leisure act
W44.52
For body entering into/through eye or natural orifice, occurred. at service area, income work
Page 19 of 316
CMS December 2005
407B
Primary and open angle

glaucoma with failed
medical management
Trabeculectomy; other
surgery
W44.53
For body entering into/through eye or natural orifice, occurred. at service area, oth work
W44.54
For body entering into/through eye or natural orifice, occurred. at service area, resting
W44.58
For body entering into/through eye or natural orifice, occurred. at service area, oth act
W44.59
For body entering into/through eye or natural orifice, occurred. at service area, unspec act
W44.60
For body entering into/through eye or natural orifice, occurred. at construction. area, sports act
W44.61
For body entering into/through eye or natural orifice, occurred. at construction. area, leisure act
W44.62
For body entering into/through eye or natural orifice, occurred. at construction. area, income work
W44.63
For body entering into/through eye or natural orifice, occurred. at construction. area, oth work
W44.64
For body entering into/through eye or natural orifice, occurred. at construction. area, resting
W44.68
For body entering into/through eye or natural orifice, occurred. at construction. area, oth act
W44.69
For body entering into/through eye or natural orifice, occurred. at construction. area, unspec act
W44.70
For body entering into/through eye or natural orifice, occurred. on farm, sports act
W44.71
For body entering into/through eye or natural orifice, occurred. on farm, leisure act
W44.72
For body entering into/through eye or natural orifice, occurred. on farm, income work
W44.73
For body entering into/through eye or natural orifice, occurred. on farm, oth work
W44.74
For body entering into/through eye or natural orifice, occurred. on farm, resting
W44.78
For body entering into/through eye or natural orifice, occurred. on farm, oth act
W44.79
For body entering into/through eye or natural orifice, occurred. on farm, unspec act
W44.80
For body entering into/through eye or natural orifice, occurred. at oth spec place, sports act
W44.81
For body entering into/through eye or natural orifice, occurred. at oth spec place, leisure act
W44.82
For body entering into/through eye or natural orifice, occurred. at oth spec place, income work
W44.83
For body entering into/through eye or natural orifice, occurred. at oth spec place, oth work
W44.84
For body entering into/through eye or natural orifice, occurred. at oth spec place, resting
W44.88
For body entering into/through eye or natural orifice, occurred. at oth spec place, oth act
W44.89
For body entering into/through eye or natural orifice, occurred. at oth spec place, unspec act
W44.90
For body entering into/through eye or natural orifice, occurred. at unspec place, sports act
W44.91
For body entering into/through eye or natural orifice, occurred. at unspec place, leisure act
W44.92
For body entering into/through eye or natural orifice, occurred. at unspec place, income work
W44.93
For body entering into/through eye or natural orifice, occurred. at unspec place, oth work
W44.94
For body entering into/through eye or natural orifice, occurred. at unspec place, resting
W44.98
For body entering into/through eye or natural orifice, occurred. at unspec place, oth act
W44.99
E72.0H42.0*
E85.0H42.0*
For body entering into/through eye or natural orifice, occurred. at unspec place, unspec act
Disorders of amino-acid transport / Glaucoma in endocrine, nutritional and metabolic diseases
Non-neuropathic heredofamilial amyloidosis / Glaucoma in endocrine, nutritional and metabolic diseases
E85.1H42.0*
Neuropathic heredofamilial amyloidosis / Glaucoma in endocrine, nutritional and metabolic diseases
E85.2H42.0*
Heredofamilial amyloidosis, unspecified / Glaucoma in endocrine, nutritional and metabolic diseases
E85.3H42.0*
E85.4H42.0*
Secondary systemic amyloidosis / Glaucoma in endocrine, nutritional and metabolic diseases

Organ-limited amyloidosis / Glaucoma in endocrine, nutritional and metabolic diseases
Page 20 of 316
CMS December 2005
419B
Purulent endophthalmitis
Vitrectomy
922B
Retained intraocular foreign Surgical management

body
904B
Retinal detachment, tear

and other retinal disorders
906B
Retinal vascular occlusion; Laser surgery

central retinal vein occlusion
409B
Sympathetic uveitis and

Enucleation; medical
degenerative disorders and management; surgery
conditions of globe; sight
threatening thyroid
optopathy
Vitrectomy; laser
treatment; other surgery
539M
Abscesses of Bartholin's
gland and vulva

medical management
288M
Acute pelvic inflammatory

disease

management
E85.8H42.0*
E85.9H42.0*
H40.1
H40.3
H40.8
H40.9
Q15.0
H44.0
H44.1
H05.5
H44.6
H44.7
H31.9
H32.8
H33.0
H33.1
H33.2
H33.3
H33.4
H33.5
H35.0
H35.1
H35.2
H35.3
H35.4
H35.5
H35.6
H35.7
H35.8
H43.0
H43.1
H59.0
H59.8
H34.0
H34.1
H34.2
H34.8
H44.2
Other amyloidosis / Glaucoma in endocrine, nutritional and metabolic diseases

Amyloidosis, unspecified / Glaucoma in endocrine, nutritional and metabolic diseases
Primary open-angle glaucoma
Other glaucoma
Glaucoma, unspecified
Congenital glaucoma
Disorders of globe - Purulent endophthalmitis
Other endophthalmitis
Retained (old) foreign body folowing penetratng wound orbit
Retained (old) intraocular foreign body magnetic
Retained (old) intraocular foreign body nonmagnetic
Disorder of choroid, unspecified
Other chorioretinal disorders in diseases classified elsewhere
Retinal detachment with retinal break
Retinoschisis and retinal cysts
Serous retinal detachment
Retinal breaks without detachment
Traction detachment of retina
Other retinal detachments
Background retinopathy and retinal vascular changes
Retinopathy of prematurity
Other proliferative retinopathy
Degeneration of macula and posterior pole
Peripheral retinal degeneration
Hereditary retinal dystrophy
Retinal haemorrhage
Separation of retinal layers
Other specified retinal disorders
Vitreous prolapse
Vitreous haemorrhage
Vitreous syndrome following cataract surgery
Other postprocedural disorders of eye and adnexa
Transient retinal artery occlusion
Central retinal artery occlusion
Other retinal artery occlusions
Other retinal vascular occlusions
Degenerative myopia
H44.4
Hypotony of eye
H44.5
Degenerated conditions of globe
H44.8
Other disorders of globe
H44.9
Disorder of globe, unspecified
N75.1
N76.4
N90.7
A18.1N74.0*
A18.1N74.1*
A51.4N74.2*
A52.7N74.2*
A54.2N74.3*
Abscess of Bartholin's gland

Abscess of vulva
Vulvar cyst
Tuberculosis of genitourinary system / Tuberculous infection of cervix uteri
Tuberculosis of genitourinary system / Female tuberculous pelvic inflammatory disease
Other secondary syphilis / Female syphilitic pelvic inflammatory disease
Other symptomatic late syphilis / Female syphilitic pelvic inflammatory disease
Gonococcal pelviperitonitis and other gonococcal genitourinary infections / Female gonococcal pelvic
inflammatory disease
Chlamydial infection of pelviperitoneum and other genitourinary organs / Female chlamydial pelvic
Acute salpingitis and oophoritis
Salpingitis and oophoritis, unspecified
Acute inflammatory disease of uterus
Acute parametritis and pelvic cellulitis
Unspecified parametritis and pelvic cellulitis
Female acute pelvic peritonitis
Female pelvic peritonitis, unspecified
A56.1N74.4*
N70.0
N70.9
N71.0
N73.0
N73.2
N73.3
N73.5
Page 21 of 316
CMS December 2005

954M

N73.9
C53.0
Cancer of Cervix - treatable Medical and surgical

management, which
C53.1
C53.8
and chemotherapy
C53.9
952M
Cancer of ovary - treatable
950M
Cancer of uterus - treatable Medical and surgical

management, which
and chemotherapy
953M
960M
645M

C56
management, which
and chemotherapy
C54.0
C54.1
C54.2
C54.3
C54.8
C54.9
C55
C57.0
C57.1
C57.2
C57.3
C57.4
D07.0
C51.0
Cancer of vagina, vulva and Medical and surgical
other female genital organs management, which
C51.1
NOS - treatable
includes radiation therapy C51.2
and chemotherapy
C51.8
C51.9
C52
C57.0
C57.1
C57.2
C57.3
C57.4
C57.7
C57.8
C57.9
D07.1
D07.2
D07.3
Cervical and breast cancer Cervical smears; periodic Z12.3
screening
breast examination
Z12.4
Congenital abnormalities of Medical and surgical
the female genitalia
management
Q50.3
Q50.4
Q50.5
Q50.6
Q51.0
Q51.1
Q51.2
Q51.3
Q51.4
Q51.5
Q51.6
Q51.7
Q51.8
Q52.0
Q52.1
Q52.5
Q52.6
Female pelvic inflammatory disease, unspecified

Malignant neoplasm, endocervix
Malignant neoplasm, exocervix
Malignant neoplasm, overlapping lesion of cervix uteri
Malignant neoplasm, cervix uteri, unspecified
Malignant neoplasm of ovary
Malignant neoplasm, isthmus uteri

Malignant neoplasm, endometrium
Malignant neoplasm, myometrium
Malignant neoplasm, fundus uteri
Malignant neoplasm, overlapping lesion of corpus uteri
Malignant neoplasm, corpus uteri, unspecified
Malignant neoplasm of uterus part unspecified
Malignant neoplasm, fallopian tube
Malignant neoplasm, broad ligament
Malignant neoplasm, round ligament
Malignant neoplasm, parametrium
Malignant neoplasm, uterine adnexa, unspecified
Carcinoma in situ, endometrium
Malignant neoplasm, labium majus
Malignant neoplasm, labium minus
Malignant neoplasm, clitoris
Malignant neoplasm, overlapping lesion of vulva
Malignant neoplasm, vulva, unspecified
Malignant neoplasm of vagina
Malignant neoplasm, fallopian tube
Malignant neoplasm, broad ligament
Malignant neoplasm, round ligament
Malignant neoplasm, parametrium
Malignant neoplasm, uterine adnexa, unspecified
Malignant neoplasm, other specified female genital organs
Malignant neoplasm, overlapping lesion of female genital organs
Malignant neoplasm, female genital organ, unspecified
Carcinoma in situ, vulva
Carcinoma in situ, vagina
Carcinoma in situ other and unspecified female genital organs
Special screening examination for neoplasm of breast
Special screening examination for neoplasm of cervix
Other congenital malformations of ovary
Embryonic cyst of fallopian tube
Embryonic cyst of broad ligament
Other congenital malformations of fallopian tube and broad ligament
Agenesis and aplasia of uterus
Doubling of uterus with doubling of cervix and vagina
Other doubling of uterus
Bicornate uterus
Unicornate uterus
Agenesis and aplasia of cervix
Embryonic cyst of cervix
Congenital fistulae between uterus and digestive and urinary tracts
Other congenital malformations of uterus and cervix
Congenital absence of vagina
Doubling of vagina
Fusion of labia
Congenital malformation of clitoris
Page 22 of 316
CMS December 2005
266M
Dysplasia of cervix and

cervical carcinoma-in-situ;
cervical condylomata

management
53M
Ectopic pregnancy
Surgery
460M
Fistula involving female

genital tract
Closure of fistula
951M
Hydatidiform mole;
choriocarcinoma
D & C; hysterectomy;
chemotherapy
902M
Infertility (Explanatory Note Medical and surgical

9 of Annexure A of
management
Regulations)
528M
Menopausal management,
anomalies of ovaries,
primary and secondary
amenorrhoea, female sex
hormones abnormalities

hormone replacement
therapy
Q52.7
Q52.8
Q52.9
D06.0
D06.1
D06.7
D06.9
N87.0
N87.1
N87.2
N87.9
N88.0
N89.0
N89.1
N89.2
N89.3
N89.4
O00.0
O00.1
O00.2
O00.8
O00.9
N82.0
N82.1
N82.2
N82.3
N82.4
N82.5
N82.8
N82.9
Q52.2
C58
D39.2
O01.0
O01.1
O01.9
E28.0
E28.1
E28.2
E28.3
E28.8
E28.9
E34.5
E89.4
E89.5
N46
N88.3
N91.0
N96
N97.0
N97.1
N97.2
N97.3
N97.4
N97.8
N97.9
Z31.4
Z31.6
E28.0
E28.1
E28.2
E28.3
Other congenital malformations of vulva

Other specified congenital malformations of female genitalia
Congenital malformation of female genitalia, unspecified
Carcinoma in situ, endocervix
Carcinoma in situ, exocervix
Carcinoma in situ other parts of cervix
Carcinoma in situ cervix, unspecified
Mild cervical dysplasia
Moderate cervical dysplasia
Severe cervical dysplasia not elsewhere classified
Dysplasia of cervix uteri unspecified
Leukoplakia of cervix uteri
Mild vaginal dysplasia
Moderate vaginal dysplasia
Severe vaginal dysplasia, not elsewhere classified
Dysplasia of vagina, unspecified
Leukoplakia of vagina
Abdominal pregnancy
Tubal pregnancy
Ovarian pregnancy
Other ectopic pregnancy
Ectopic pregnancy unspecified
Vesicovaginal fistula
Other female urinary-genital tract fistulae
Fistula of vagina to small intestine
Fistula of vagina to large intestine
Other female intestinal-genital tract fistulae
Female genital tract-skin fistulae
Other female genital tract fistulae
Female genital tract fistula, unspecified
Congenital rectovaginal fistula
Malignant neoplasm of placenta
Neoplasm of uncertain/unknown behavior, placenta
Classical hydatidiform mole
Incomplete and partial hydatidiform mole
Hydatidiform mole unspecified
Estrogen excess
Androgen excess
Polycystic ovarian syndrome
Primary ovarian failure
Other ovarian dysfunction
Ovarian dysfunction, unspecified
Androgen resistance syndrome
Postprocedural ovarian failure
Postprocedural testicular hypofunction
Male infertility
Incompetence of cervix uteri
Primary amenorrhoea
Habitual aborter
Female infertility associated with anovulation
Female infertility of tubal origin
Female infertility of uterine origin
Female infertility of cervical origin
Female infertility associated with male factors
Female infertility of other origin
Female infertility, unspecified
Procreative investigation and testing
General counselling and advice on procreation
Estrogen excess
Androgen excess
Polycystic ovarian syndrome
Primary ovarian failure
Page 23 of 316
CMS December 2005
hormones abnormalities
NOS, including hirsutism
434M
237M
903M
E28.8
E28.9
L68.0
N34.2
N83.3
N92.4
N91.0
N91.1
N91.2
N95.0
N95.1
N95.2
N95.3
N95.8
N95.9
Non-inflammatory disorders Salpingectomy;
D26.0
and benign neoplasms of
oophorectomy;
D26.1
ovary, fallopian tubes and
hysterectomy; medical
D26.7
uterus
and surgical management D26.9
D27
D28.2
D28.7
D28.9
N80.0
N80.1
N80.2
N83.0
N83.4
N83.6
N83.7
N83.8
N83.9
N84.0
N85.0
N85.1
N85.3
N85.5
N85.6
N85.7
Sexual abuse, including
Medical management;
T74.2
rape
psychotherapy
Spontaneous abortion

manegment
Other ovarian dysfunction

Ovarian dysfunction unspecified
Hirsutism
Other urethritis
Acquired atrophy of ovary and fallopian tube
Excessive bleeding in the premenopausal period
Primary amenorrhoea
Secondary amenorrhoea
Amenorrhoea, unspecified
Postmenopausal bleeding
Menopausal and female climacteric states
Postmenopausal atrophic vaginitis
States associated with artificial menopause
Other specified menopausal and perimenopausal disorders
Menopausal and perimenopausal disorder unspecified
Benign neoplasm, cervix uteri
Benign neoplasm, corpus uteri
Benign neoplasm, other parts of uterus
Benign neoplasm, uterus, unspecified
Benign neoplasm of ovary
Benign neoplasm, uterine tubes and ligaments
Benign neoplasm, other specified female genital organs
Benign neoplasm, female genital organ, unspecified
Endometriosis of uterus
Endometriosis of ovary
Endometriosis of fallopian tube
Follicular cyst of ovary
Prolapse and hernia of ovary and fallopian tube
Haematosalpinx
Haematoma of broad ligament
Other noninflammatory disorders of ovary, fallopian tube and broad ligament
Noninflammatory disorder of ovary, fallopian tube and broad ligament, unspecified
Polyp of corpus uteri
Endometrial glandular hyperplasia
Endometrial adenomatous hyperplasia
Subinvolution of uterus
Inversion of uterus
Intrauterine synechiae
Haematometra
Sexual abuse
O02.1
O02.8
O02.9
O03.0
O03.1
O03.2
O03.3
O03.4
O03.5
Missed abortion
Other specified abnormal products of conception
Abnormal product of conception, unspecified
Spontaneous abortion, incomplete, complicated by genital tract and pelvic infection
Spontaneous abortion, incomplete, complicated by delayed or excessive haemorrhage
Spontaneous abortion, incomplete, complicated by embolism
Spontaenous abortion, incomplete, with other and unspecified complications
Spontaneous abortion, incomplete, without complication
Spontaneous abortion, complete or unspecified, complicated by genital tract and pelvic infection
O03.6
Spontaneous abortion, complete or unspecified, complicated by delayed or excessive haemorrhage
O03.7
O03.8
O03.9
O05.0
O05.1
O05.2
O05.3
O05.4
O05.5
Spontaneous abortion, complete or unspecified, complicated by embolism

Spontaneous abortion, complete or unspecified, with other and unspecified complications
Spontaneous abortion, complete or unspecified, without complication
Other abortion, incomplete, complicated by genital tract and pelvic infection
Other abortion, incomplete, complicated by delayed or excessive haemorrhage
Other abortion, incomplete, complicated by embolism
Other abortion, incomplete, with other and unspecified complications
Other abortion, incomplete, without complication
Other abortion, complete or unspecified, complicated by genital tract and pelvic infection
Page 24 of 316
CMS December 2005
435M
Torsion of ovary
Oophorectomy; ovarian
cystectomy
530M
Uterine prolapse; cystocele Surgical repair
296M
Voluntary termination of
pregnancy
O05.6
O05.7
O05.8
O05.9
O06.0
O06.1
O06.2
O06.3
O06.4
O06.5
O06.6
Other abortion, complete or unspecified, complicated by delayed or excessive haemorrhage

Other abortion, complete or unspecified, complicated by embolism
Other abortion, complete or unspecified, with other and unspecified complications
Other abortion, complete or unspecified, without complication
Unspecified abortion, incomplete, complicated by genital tract and pelvic infection
Unspecified abortion, incomplete, complicated by delayed or excessive haemorrhage
Unspecified abortion, incomplete, complicated by embolism
Unspecified abortion, incomplete, with other and unspecified complications
Unspecified abortion, incomplete, without complication
Unspecified abortion, complete or unspecified, complicated by genital tract and pelvic infection
Unspecified abortion, complete or unspecified, complicated by delayed or excessive haemorrhage
O06.7
O06.8
O06.9
O08.0
Unspecified abortion, complete or unspecified, complicated by embolism

Unspecified abortion, complete or unspecified, with other and unspecified complications
Unspecified abortion, complete or unspecified, without complication
Genital tract and pelvic infection following abortion and ectopic and molar pregnancy
O08.1
Delayed or excessive haemorrhage following abortion and ectopic and molar pregnancy
O08.2
Embolism following abortion and ectopic and molar pregnancy
O08.3
Shock following abortion and ectopic and molar pregnancy
O08.4
Renal failure following abortion and ectopic and molar pregnancy
O08.5
Metabolic disorders following abortion and ectopic and molar pregnancy
O08.6
Damage to pelvic organs and tissues following abortion and ectopic and molar pregnancy
O08.7
Other venous complications following abortion and ectopic and molar pregnancy
N83.5
Torsion of ovary, ovarian pedicle and fallopian tube
N81.0
N81.1
N81.2
N81.3
N81.4
N81.5
N81.6
N81.8
N81.9
N99.3
Induced abortion; medical O04.0
and surgical management O04.1
O04.2
O04.3
O04.4
O04.5
O04.6
O04.7
O04.8
O04.9
O07.0
O07.1
O07.2
O07.3
O07.4
O07.5
Female urethrocele
Cystocele
Incomplete uterovaginal prolapse
Complete uterovaginal prolapse
Uterovaginal prolapse, unspecified
Vaginal enterocele
Rectocele
Other female genital prolapse
Female genital prolapse, unspecified
Prolapse of vaginal vault after hysterectomy
Medical abortion - incomplete complicated by genital tract and pelvic infection
Medical abortion - incomplete complicated by delayed or excessive haemorrhage
Medical abortion - incomplete complicated by embolism
Medical abortion - incomplete with other and unspecified complications
Medical abortion - incomplete without complication
Medical abortion - complete or unspecified complicated by genital tract and pelvic infection
Medical abortion - complete or unspecified complicated by delayed or excessive haemorrhage
Medical abortion - complete or unspecified complicated by embolism
Medical abortion - complete or unspecified with other and unspecified complications
Medical abortion - complete or unspecified without complication
Failed medical abortion, complicated by genital tract and pelvic infection
Failed medical abortion, complicated by delayed or excessive haemorrhage
Failed medical abortion, complicated by embolism
Failed medical abortion, with other and unspecified complications
Failed medical abortion, without complication
Other and unspecified failed attempted abortion, complicated by genital tract and pelvic infection
O07.6
Other and unspecified failed attempted abortion, complicated by delayed or excessive haemorrhage
O07.7
O07.8
O07.9
Other and unspecified failed attempted abortion, complicated by embolism

Other and unspecified failed attempted abortion, with other and unspecified complications
Other and unspecified failed attempted abortion, without complication
Page 25 of 316
CMS December 2005
920F
Anal Fissure; Anal fistula
Fissurectomy ;
Fistulectomy; medical
management
41F
Abscess of intestine
Drain abscess; medical

management
489F
Acquired hypertrophic
pyloric stenosis and other
disorders of the stomach
and duodenum
Surgical management
254F
Acute diverticulitis of colon
124F
Acute vascular insufficiency Colectomy

of intestine
337F
Amoebiasis; typhoid
Medical management
264F
Anal and rectal polyp
Excision of polyp
9F
Appendicitis
Appendectomy
952F
Cancer of retroperitoneum,
peritoneum, omentum &
mesentery - treatable

management, which
950C
Cancer of the gastrointestinal tract, including

oesophagus, stomach,
bowel, rectum, anus treatable

colon resection

management, which
K60.0
K60.1
K60.2
K60.3
K60.4
K60.5
K62.6
K61.0
K61.1
K61.2
K61.3
K61.4
K63.0
K63.1
K63.2
K63.3
K31.1
Acute anal fissure

Chronic anal fissure
Anal fissure, unspecified
Anal fistula
Rectal fistula
Anorectal fistula
Ulcer of anus and rectum
Anal abscess
Rectal abscess
Anorectal abscess
Ischiorectal abscess
Intrasphincteric abscess
Abscess of intestine
Perforation of intestine (nontraumatic)
Fistula of intestine
Ulcer of intestine
Adult hypertrophic pyloric stenosis
K31.2
Hourglass stricture and stenosis of stomach
K31.3
Pylorospasm not elsewhere classified
K31.4
Gastric diverticulum
K31.5
Obstruction of duodenum
K57.2
K57.3
K57.4
K57.5
K57.8
K55.0
Diverticular disease of large intestine with perforation and abscess

Diverticular disease of large intestine without perforation or abscess
Diverticular disease of both small and large intestine with perforation and abscess
Diverticular disease of both small and large intestine without perforation or abscess
Diverticular disease of intestine, part unspecified, with perforation and abscess
Acute vascular disorders of intestine
A01.0
A06.0
A06.1
A06.2
A06.3
A06.4
A06.5J99.8*
A06.8
A06.9
K62.0
K62.1
K35.0
K35.1
K35.9
K36
K37
K38.3
K38.8
C48.0
Typhoid fever
Acute amoebic dysentery
Chronic intestinal amoebiasis
Amoebic nondysenteric colitis
Amoeboma of intestine
Amoebic liver abscess
Amoebic lung abscess/ Respiratory disorders in other diseases classified elsewhere
Amoebic infection of other sites
Amoebiasis unspecified
Anal polyp
Rectal polyp
Acute appendicitis with generalized peritonitis
Acute appendicitis with peritoneal abscess
Acute appendicitis, unspecified
Other appendicitis
Unspecified appendicitis
Fistula of appendix
Other specified diseases of appendix
C48.1
Malignant neoplasm, specified parts of peritoneum
C48.2
Malignant neoplasm, peritoneum, unspecified
C48.8
Malignant neoplasm, overlapping lesion of retroperitoneum and peritoneum

Malignant neoplasm, cervical part of oesophagus
Malignant neoplasm, thoracic part of oesophagus
Malignant neoplasm, abdominal part of oesophagus
Malignant neoplasm, upper third of oesophagus
Middle third of oesophagus
Malignant neoplasm, lower third of oesophagus
Malignant neoplasm, overlapping lesion of oesophagus
Malignant neoplasm, oesophagus, unspecified
C15.0
C15.1
C15.2
C15.3
C15.4
C15.5
C15.8
C15.9
Malignant neoplasm, retroperitoneum
Page 26 of 316
CMS December 2005
95F
Congenital anomalies of
upper alimentary tract
excluding tongue

management
214F
Oesophageal stricture
Dilatation; surgery
516F
Oesophageal varices
Medical management;
surgical shunt;
sclerotherapy
C16.0
C16.1
C16.2
C16.3
C16.4
C16.5
C16.6
C16.8
C16.9
C17.0
C17.1
C17.2
C17.3
C17.8
C17.9
C18.0
C18.1
C18.2
C18.3
C18.4
C18.5
C18.6
C18.7
C18.8
C18.9
C19
C20
C21.0
C21.1
C21.2
C21.8
C26.0
C26.8
C26.9
C76.2
C76.3
D00.1
D00.2
D01.0
D01.1
D01.2
D01.3
D01.4
Q38.7
Q38.8
Q39.1
Q39.2
Q39.3
Q39.4
Q39.5
Q39.6
Q39.8
Q39.9
Q40.0
Q43.9
K22.2
K22.5
Malignant neoplasm, cardia

Malignant neoplasm, fundus of stomach
Malignant neoplasm, body of stomach
Malignant neoplasm, pyloric antrum
Malignant neoplasm, pylorus
Malignant neoplasm, lesser curvature of stomach, unspecified
Malignant neoplasm, greater curvature of stomach, unspecified
Malignant neoplasm, overlapping lesion of stomach
Malignant neoplasm, stomach, unspecified
Malignant neoplasm, duodenum
Malignant neoplasm, jejunum
Malignant neoplasm, ileum
Malignant neoplasm,meckel's diverticulum
Malignant neoplasm, overlapping lesion of small intestine
Malignant neoplasm, small intestine, unspecified
Malignant neoplasm, caecum
Malignant neoplasm, appendix
Malignant neoplasm, ascending colon
Malignant neoplasm, hepatic flexure
Malignant neoplasm, transverse colon
Malignant neoplasm, splenic flexure
Malignant neoplasm, descending colon
Malignant neoplasm, sigmoid colon
Malignant neoplasm, overlapping lesion of colon
Malignant neoplasm, colon, unspecified
Malignant neoplasm of rectosigmoid junction
Malignant neoplasm of rectum
Malignant neoplasm, anus, unspecified
Malignant neoplasm, anal canal
Malignant neoplasm, cloacogenic zone
Malignant neoplasm, overlapping lesion of rectum, anus and anal canal
Malignant neoplasm, intestinal tract, part unspecified
Malignant neoplasm, overlapping lesion of digestive system
Malignant neoplasm, ill-defined sites within the digestive system
Malignant neoplasm, abdomen
Malignant neoplasm, pelvis
Carcinoma in situ lip, oral cavity and pharynx
Carcinoma in situ oesophagus
Carcinoma in situ colon
Carcinoma in situ rectosigmoid junction
Carcinoma in situ rectum
Carcinoma in situ anus and anal canal
Carcinoma in situ other and unspecified parts of intestine
Pharyngeal pouch
Other congenital malformations of pharynx
Atresia of oesophagus with tracheo-oesophageal fistula
Congenital tracheo-oesophageal fistula without atresia
Congenital stenosis and stricture of oesophagus
Oesophageal web
Congenital dilatation of oesophagus
Diverticulum of oesophagus
Other congenital malformations of oesophagus
Congenital malformation of oesophagus unspecified
Congenital hypertrophic pyloric stenosis
Congenital malformation of intestine, unspecified
Oesophageal obstruction
Diverticulum of oesophagus, acquired
K70.0I98.2 *
Oesophageal varices in alcoholic fatty liver disease/Oesophageal varices in diseases classified elsewhere
K70.1I98.2 *
Oesophageal varices in alcoholic hepatitis/Oesophageal varices in diseases classified elsewhere
Page 27 of 316
CMS December 2005

K70.2I98.2 *
Oesophageal varices in alcoholic fibrosis and sclerosis of liver/Oesophageal varices in diseases classified
elsewhere
K70.3I98.2 *
Oesophageal varices in alcoholic cirrhosis of liver/Oesophageal varices in diseases classified elsewhere
K70.4I98.2 *
Oesophageal varices in alcoholic hepatic failure/Oesophageal varices in diseases classified elsewhere

Oesophageal varices in alcoholic liver disease unspecified/Oesophageal varices in diseases classified
elsewhere
Oesophageal varices in toxic liver disease with cholestasis/Oesophageal varices in diseases classified
elsewhere
Oesophageal varices in toxic liver disease with hepatic necrosis/Oesophageal varices in diseases classified
elsewhere
Oesophageal varices in toxic liver disease with acute hepatitis/Oesophageal varices in diseases classified
elsewhere
Oesophageal varices in toxic liver disease with chronic persistent hepatitis/Oesophageal varices in diseases
Oesophageal varices in toxic liver disease with chronic lobular hepatitis/Oesophageal varices in diseases
Oesophageal varices in toxic liver disease with chronic active hepatitis/Oesophageal varices in diseases
Oesophageal varices in toxic liver disease with hepatitis, not elsewhere classified/Oesophageal varices in
Oesophageal varices in toxic liver disease with fibrosis and cirrhosis of liver/Oesophageal varices in
Oesophageal varices in toxic liver disease with disorders of liver/Oesophageal varices in diseases classified
elsewhere
Oesophageal varices in toxic liver disease , unspecified/Oesophageal varices in diseases classified
elsewhere
Oesophageal varices in hepatic fibrosis/Oesophageal varices in diseases classified elsewhere
K70.9I98.2 *
K71.0I98.2 *
K71.1I98.2 *
K71.2I98.2 *
K71.3I98.2 *
K71.4I98.2 *
K71.5I98.2 *
K71.6I98.2 *
K71.7I98.2 *
K71.8I98.2 *
K71.9I98.2 *
K74.0I98.2 *
K74.2I98.2 *
Oesophageal varices in hepatic sclerosis/Oesophageal varices in diseases classified elsewhere

Oesophageal varices in hepatic fibrosis with hepatic sclerosis/Oesophageal varices in diseases classified
elsewhere
K74.3I98.2 *
Oesophageal varices in primary biliary cirrhosis/Oesophageal varices in diseases classified elsewhere
K74.4I98.2 *
Oesophageal varices in secondary biliary cirrhosis/Oesophageal varices in diseases classified elsewhere
K74.5I98.2 *
Oesophageal varices in biliary cirrhosis, unspecified/Oesophageal varices in diseases classified elsewhere

Oesophageal varices in other and unspecified cirrhosis of liver/Oesophageal varices in diseases classified
elsewhere
Oesophageal varices with bleeding
Oesophageal varices without bleeding
Gastric varices
Gastro-oesophageal laceration-haemorrhage syndrome
Gastric ulcer, acute with haemorrhage
Gastric ulcer, acute with perforation
Gastric ulcer, acute with both haemorrhage and perforation
Gastric ulcer, chronic or unspecified with haemorrhage
Gastric ulcer, chronic or unspecified with perforation
Gastric ulcer, chronic or unspecified with both haemorrhage and perforation
Duodenal ulcer, acute with haemorrhage
Duodenal ulcer, acute with perforation
Duodenal ulcer, acute with both haemorrhage and perforation
Duodenal ulcer, chronic or unspecified with haemorrhage
Duodenal ulcer, chronic or unspecified with perforation
Duodenal ulcer, chronic or unspecified with both haemorrhage and perforation
Peptic ulcer, acute with haemorrhage
Peptic ulcer, acute with perforation
Peptic ulcer, acute with both haemorrhage and perforation
Peptic ulcer, chronic or unspecified with haemorrhage
Peptic ulcer, chronic or unspecified with perforation
K74.1I98.2 *
902F
Gastric or intestinal ulcers

with hemorrhage or
perforation
Surgery; endoscopic
diagnosis; medical
management
K74.6I98.2 *
I85.0
I85.9
I86.4
K22.6
K25.0
K25.1
K25.2
K25.4
K25.5
K25.6
K26.0
K26.1
K26.2
K26.4
K26.5
K26.6
K27.0
K27.1
K27.2
K27.4
K27.5
Page 28 of 316
CMS December 2005
901F
Gastroenteritis and colitis

with life-threatening
haemorrhage or
dehydration, regardless of
cause
Medical management
6F
Hernia with obstruction

and/or gangrene;
uncomplicated hernias
under age 18
Repair; bowel resection
20F
Intestinal obstruction without Excision; surgery;

mention of hernia;
medical management
symptomatic foreign body in
stomach, intestines, colon &
rectum
K27.6
K28.0
K28.1
K28.2
K28.4
K28.5
K28.6
K29.0
K62.5
K92.0
K92.1
K92.2
A00.0
A00.1
A00.9
A02.0
A02.1
A03.0
A03.1
A03.2
A03.3
A03.8
A03.9
A07.1
K52.0
K52.1
K40.0
K40.1
K40.2
K40.3
K40.4
K40.9
K41.0
K41.1
K41.2
K41.3
K41.4
K41.9
K42.0
K42.1
K42.9
K43.0
K43.1
K43.9
K44.0
K44.1
K44.9
K45.0
K45.1
K45.8
K46.0
K46.1
K46.9
Q79.0
Q79.1
K56.1
K56.2
K56.3
K56.5
K56.6
K91.3
K91.4
Peptic ulcer, chronic or unspecified with both haemorrhage and perforation

Gastrojejunal ulcer, acute with haemorrhage
Gastrojejunal ulcer, acute with perforation
Gastrojejunal ulcer, acute with both haemorrhage and perforation
Gastrojejunal ulcer, chronic or unspecified with haemorrhage
Gastrojejunal ulcer, chronic or unspecified with perforation
Gastrojejunal ulcer, chronic or unspecified with both haemorrhage and perforation
Acute haemorrhagic gastritis
Haemorrhage of anus and rectum
Haematemesis
Melaena
Gastrointestinal haemorrhage, unspecified
Cholera due to Vibrio cholerae 01, biovar cholerae
Cholera due to Vibrio cholerae 01, biovar eltor
Cholera, unspecified
Salmonella enteritis
Salmonella septicaemia
Shigellosis due to Shigella dysenteriae
Shigellosis due to Shigella flexneri
Shigellosis due to Shigella boydii
Shigellosis due to Shigella sonnei
Other shigellosis
Shigellosis, unspecified
Giardiasis [lambliasis]
Gastroenteritis and colitis due to radiation
Toxic gastroenteritis and colitis
Bilateral inguinal hernia, with obstruction, without gangrene
Bilateral inguinal hernia, with gangrene
Bilateral inguinal hernia, without obstruction or gangrene
Unilateral or unspecified inguinal hernia, with obstruction, without gangrene
Unilateral or unspecified inguinal hernia, with gangrene
Unilateral or unspecified inguinal hernia, without obstruction or gangrene
Bilateral femoral hernia, with obstruction, without gangrene
Bilateral femoral hernia, with gangrene
Bilateral femoral hernia, without obstruction or gangrene
Unilateral or unspecified femoral hernia, with obstruction, without gangrene
Unilateral or unspecified femoral hernia, with gangrene
Unilateral or unspecified femoral hernia, without obstruction or gangrene
Umbilical hernia with obstruction, without gangrene
Umbilical hernia with gangrene
Umbilical hernia without obstruction or gangrene
Ventral hernia with obstruction, without gangrene
Ventral hernia with gangrene
Ventral hernia without obstruction or gangrene
Diaphragmatic hernia with obstruction, without gangrene
Diaphragmatic hernia with gangrene
Diaphragmatic hernia without obstruction or gangrene
Other specified abdominal hernia with obstruction, without gangrene
Other specified abdominal hernia with gangrene
Other specified abdominal hernia without obstruction or gangrene
Unspecified abdominal hernia with obstruction, without gangrene
Unspecified abdominal hernia with gangrene
Unspecified abdominal hernia without obstruction or gangrene
Congenital diaphragmatic hernia
Other congenital malformations of diaphragm
Intussusception
Volvulus
Gallstone ileus
Intestinal adhesions [bands] with obstruction
Other and unspecified intestinal obstruction
Postoperative intestinal obstruction
Colostomy and enterostomy malfunction
Page 29 of 316
CMS December 2005
232F
Paralytic ileus
Medical management
498F
3F
Peritoneal adhesion
Peritonitis, regardless of
cause
Surgical management
management
T18.2
T18.3
T18.4
T18.5
T18.8
T18.9
K56.0
K56.7
K66.0
A18.3K67.3*
Foreign body in stomach

Foreign body in small intestine
Foreign body in colon
Foreign body in anus and rectum
Foreign body in other and multiple parts of alimentary tract
Foreign body in alimentary tract, part unspecified
Paralytic ileus
Ileus, unspecified
Peritoneal adhesions
Tuberculosis of intestines, peritoneum and mesenteric glands / Tuberculous peritonitis
A52.7K67.2*
A54.2N51.1*
A54.2N51.0*
Other symptomatic late syphilis / Syphilitic peritonitis

Gonococcal pelviperitonitis and other gonococcal genitourinary infections/Gonococcal epididymitis,
Gonococcal orchitis
Gonococcal pelviperitonitis and other gonococcal genitourinary infections/Gonococcal Female pelvic
Gonococcal pelviperitonitis and other gonococcal genitourinary infections/Gonococcal Prostatitis
A54.8K67.1*
A74.8K67.0*
K63.1
K65.0
K65.8
K65.9
K66.1
R 10.0
T81.4
T81.6
K62.2
K62.3
K50.0
K50.1
K50.8
K50.9
K51.0
K51.1
K51.2
K51.3
K51.4
K51.5
K51.8
K51.9
K62.7
K22.3
K63.1
K82.2
K83.2
S36.00
S36.01
S36.10
S36.11
S36.20
S36.21
S36.30
S36.31
S36.40
S36.41
S36.50
S36.51
S36.60
S36.61
S36.70
Other gonococcal infections / Gonococcal peritonitis

Other chlamydial diseases / Chlamydial peritonitis
Acute peritonitis
Other peritonitis
Peritonitis, unspecified
Haemoperitoneum
Acute abdomen
Infection following a procedure, not elsewhere classified
Acute reaction to foreign substance accidentally left during a procedure
Anal prolapse
Rectal prolapse
Crohn's disease of small intestine
Crohn's disease of large intestine
Other Crohn's disease
Crohn's disease, unspecified
Ulcerative (chronic) enterocolitis
Ulcerative (chronic) ileocolitis
Ulcerative (chronic) proctitis
Ulcerative (chronic) rectosigmoiditis
Pseudopolyposis of colon
Mucosal proctocolitis
Other ulcerative colitis
Ulcerative colitis, unspecified
Radiation proctitis
Perforation of oesophagus
Perforation of gallbladder
Perforation of bile duct
Injury of spleen, without open wound into abdominal cavity
Injury of spleen, with open wound into abdominal cavity
Injury of liver or gallbladder, without open wound into abdominal cavity
Injury of liver or gallbladder, with open wound into abdominal cavity
Injury of pancreas, without open wound into abdominal cavity
Injury of pancreas, with open wound into abdominal cavity
Injury of stomach, without open wound into abdominal cavity
Injury of stomach, with open wound into abdominal cavity
Injury of small intestine, without open wound into abdominal cavity
Injury of small intestine, with open wound into abdominal cavity
Injury of colon, without open wound into abdominal cavity
Injury of colon, with open wound into abdominal cavity
Injury of rectum, without open wound into abdominal cavity
Injury of rectum, with open wound into abdominal cavity
Injury of multiple intra-abdominal organs, without open wound into abdominal cavity
A54.2N74.3*
555F
Rectal prolapse
Partial colectomy
292F
Regional enteritis; idiopathic Medical and surgical

proctocolitis acute
management
exacerbations and
complications only
900F
Rupture of intra-abdominal
organ
Repair; splenectomy;
resection
Page 30 of 316
CMS December 2005
507F
Thrombosed and
complicated haemorrhoids
Haemorrhoidectomy;
incision
50S
Syphilis - congenital,
secondary and tertiary
Medical management
S36.71
S36.80
S36.81
S36.90
S36.91
I84.0
I84.1
I84.3
I84.4
I84.7
I84.8
A50.0
A50.1
A50.2
A50.3H19.2*
A50.3H58.8*
A50.4G01*
A50.4G05.0*
Injury of multiple intra-abdominal organs, with open wound into abdominal cavity
Injury of other intra-abdominal organs, without open wound into abdominal cavity
Injury of other intra-abdominal organs, with open wound into abdominal cavity
Injury of unspecified intra-abdominal organ, without open wound into abdominal cavity
Injury of unspecified intra-abdominal organ, with open wound into abdominal cavity
Internal thrombosed haemorrhoids
Internal haemorrhoids with other complications
External thrombosed haemorrhoids
External haemorrhoids with other complications
Unspecified thrombosed haemorrhoids
Unspecified haemorrhoids with other complications
Early congenital syphilis symptomatic
Early congenital syphilis latent
Early congenital syphilis unspecified
Late congenital syphilitic oculopathy / Keratitis and keratoconjunctivitis in other infectious and parasitic
Late congenital syphilitic oculopathy / Other specified disorders of eye and adnexa in diseases classified
elsewhere
Late congenital neurosyphilis [juvenile neurosyphilis] / Meningitis in bacterial diseases classified elsewhere
A50.5M03.10*
A50.5M03.11*
Late congenital neurosyphilis [juvenile neurosyphilis] / Encephalitis, myelitis and encephalomyelitis in

bacterial diseases classified elsewhere
Late congenital neurosyphilis [juvenile neurosyphilis] / Polyneuropathy in infectious and parasitic diseases
Other late congenital syphilis symptomatic / Postinfective arthropathy in syphilis, multiple sites
Other late congenital syphilis symptomatic / Postinfective arthropathy in syphilis, shoulder region
A50.5M03.12*
A50.5M03.13*
A50.5M03.14*
A50.5M03.15*
Other late congenital syphilis symptomatic / Postinfective arthropathy in syphilis, upper arm
Other late congenital syphilis symptomatic / Postinfective arthropathy in syphilis, forearm
Other late congenital syphilis symptomatic / Postinfective arthropathy in syphilis, hand
Other late congenital syphilis symptomatic / Postinfective arthropathy in syphilis, pelvic region and thigh
A50.5M03.16*
A50.5M03.17*
A50.5M03.18*
Other late congenital syphilis symptomatic / Postinfective arthropathy in syphilis, lower leg
Other late congenital syphilis symptomatic / Postinfective arthropathy in syphilis, ankle and foot
Other late congenital syphilis symptomatic / Postinfective arthropathy in syphilis, other sites
A50.5M03.19*
Other late congenital syphilis symptomatic / Postinfective arthropathy in syphilis, site unspecified
A50.5I98.0*
A50.5M90.2*
Other late congenital syphilis symptomatic / Cardiovascular syphilis

Other late congenital syphilis symptomatic / Osteopathy in other infectious diseases classified elsewhere
A50.6
A50.7
A50.9
A51.0
A51.1
A51.2
A51.3
A51.4N74.2*
A51.4H22.0*
Late congenital syphilis latent

Late congenital syphilis unspecified
Congenital syphilis unspecified
Primary genital syphilis
Primary anal syphilis
Primary syphilis of other sites
Secondary syphilis of skin and mucous membranes
Other secondary syphilis / Female syphilitic pelvic inflammatory disease
Other secondary syphilis / Iridocyclitis in infectious and parasitic diseases classified elsewhere
A51.4G01*
A51.4M63.0*
A51.4H58.8*
Other secondary syphilis / Meningitis in bacterial diseases classified elsewhere

Other secondary syphilis / Myositis in bacterial diseases classified elsewhere
Other secondary syphilis / Other specified disorders of eye and adnexa in diseases classified elsewhere
A51.4M90.1*
A51.5
A51.9
A52.0I98.0*
A52.0I79.0*
A52.0I39.1*
A52.0I79.1*
Other secondary syphilis / Periostitis in other infectious diseases classified elsewhere

Early syphilis, latent
Early syphilis, unspecified
Cardiovascular syphilis/Cardiovascular syphilis NOS
Cardiovascular syphilis/Syphilitic aneurysm of aorta
Cardiovascular syphilis/Syphilitic aortic incompetence
Cardiovascular syphilis/Syphilitic aortitis
A50.4G63.0*
Page 31 of 316
CMS December 2005

A52.0I68.1*
A52.0I39.8*
A52.0I41.0*
A52.0I32.0*
A52.0I39.3*
A52.1M14.6*
A52.1H94.0*
Cardiovascular syphilis/Syphilitic arteritis, cerebral

Cardiovascular syphilis/Syphilitic endocarditis NOS
Cardiovascular syphilis/Syphilitic myocarditis
Cardiovascular syphilis/Syphilitic pericarditis
Cardiovascular syphilis/Syphilitic pulmonary regurgitation
Symptomatic neurosyphilis / Neuropathic arthropathy
Symptomatic neurosyphilis / Acoustic neuritis in infectious and parasitic diseases classified elsewhere
A52.1G05.0*
Symptomatic neurosyphilis / Encephalitis, myelitis and encephalomyelitis in bacterial diseases classified

elsewhere
Symptomatic neurosyphilis / Meningitis in bacterial diseases classified elsewhere
Symptomatic neurosyphilis / Optic atrophy in diseases classified elsewhere
Symptomatic neurosyphilis / Retrobulbar neuritis in diseases classified elsewhere
Symptomatic neurosyphilis / Polyneuropathy in infectious and parasitic diseases classified elsewhere
A52.1G01*
A52.1H48.0*
A52.1H48.1*
A52.1G63.0*
A52.1G22*
A52.2
A52.3
A52.7N08.0*
A52.7K67.2*
A52.7M90.2*
A52.7K77.0*
Symptomatic neurosyphilis / Parkinsonism in diseases classified elsewhere

Asymptomatic neurosyphilis
Neurosyphilis, unspecified
Other symptomatic late syphilis / Glomerular disorders in infectious and parasitic diseases classified
elsewhere
Other symptomatic late syphilis / Syphilitic bursitis
Other symptomatic late syphilis / Chorioretinal inflammation in infectious and parasitic diseases classified
elsewhere
Other symptomatic late syphilis / Scleritis and episcleritis in diseases classified elsewhere
Other symptomatic late syphilis / Female syphilitic pelvic inflammatory disease
Other symptomatic late syphilis / Other specified disorders of skin and subcutaneous tissue in diseases
Other symptomatic late syphilis / Other specified disorders of eye and adnexa in diseases classified
elsewhere
Other symptomatic late syphilis / Syphilitic peritonitis
Other symptomatic late syphilis / Osteopathy in other infectious diseases classified elsewhere
Other symptomatic late syphilis / Liver disorders in infectious and parasitic diseases classified elsewhere
A52.7J99.8*
A52.7M63.0*
A52.7M68.0*
Other symptomatic late syphilis / Respiratory disorders in other diseases classified elsewhere
Other symptomatic late syphilis / Myositis in bacterial diseases classified elsewhere
Other symptomatic late syphilis / Synovitis and tenosynovitis in bacterial diseases classified elsewhere
A52.8
A52.9
A53.0
A53.9
'A65
A54.0
Late syphilis, latent

Late syphilis, unspecified
Latent syphilis, unspecified as early or late
Syphilis, unspecified
'Nonvenereal syphilis
Gonococcal infection of lower genitourinary tract without periurethral or accessory gland abscess
A54.1
Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess
A54.2N51.1*
Gonococcal pelviperitonitis and other gonococcal genitourinary infections/Gonococcal epididymitis,

Gonococcal orchitis
Gonococcal pelviperitonitis and other gonococcal genitourinary infections/Gonococcal Female pelvic
Gonococcal pelviperitonitis and other gonococcal genitourinary infections/ Disorders of prostate in diseases
Chlamydial lymphogranuloma (venereum)
Chlamydial infection of lower genitourinary tract
Chlamydial infection of pelviperitoneum and other genitourinary organs/Chlamydial epididymitis, Chlamydial
orchitis
Chlamydial infection of pelviperitoneum and other genitourinary organs/Chlamydial female pelvic
Chlamydial infection of genitourinary tract, unspecified
Chlamydial infection of anus and rectum
Chlamydial infection of pharynx
Sexually transmitted chlamydial infection of other sites
A52.7M73.1*
A52.7H32.0*
A52.7H19.0*
A52.7N74.2*
A52.7L99.8*
A52.7H58.8*
168S
# HIV-infection
# HIV voluntary
counseling and testing,
Co-trimoxazole as
preventative therapy,
Screening and
preventative therapy for
TB, Diagnosis and
treatment of sexually
transmitted infections,
Pain management in
palliative care, Treatment
of opportunistic infections,
Prevention of mother-tochild transmission of HIV,
Post-exposure
prophylaxis following
occupational exposure or
sexual assault
A54.2N74.3*
A54.2N51.0*
A55
A56.0
A56.1N51.1*
A56.1N74.4*
A56.2
A56.3
A56.4
A56.8
Page 32 of 316
CMS December 2005
260S
# Imminent death regardless # Comfort care; pain

of diagnosis
relief; hydration
113S
Acquired haemolytic
anaemias
Medical management
901S
Acute leukemias,
lymphomas
Medical management,
which includes
chemotherapy, radiation
therapy, bone marrow
transplantation
A57
A58
A59.0
A60.0
A60.1
A60.9
A63.0
A63.8
A64
B20.0
B20.1
B20.2
B20.3
B20.4
B20.5
B20.6
B20.7
B20.8
B20.9
B21.0
B21.1
B21.2
B21.3
Chancroid
Granuloma inguinale
Urogenital trichomoniasis
Herpesviral infection of genitalia and urogenital tract
Herpesviral infection of perianal skin and rectum
Anogenital herpesviral infection, unspecified
Anogenital (venereal) warts
Other specified predominantly sexually transmitted diseases
Unspecified sexually transmitted disease
HIV disease resulting in mycobacterial infection
HIV disease resulting in other bacterial infections
HIV disease resulting in cytomegaloviral disease
HIV disease resulting in other viral infections
HIV disease resulting in candidiasis
HIV disease resulting in other mycoses
HIV disease resulting in Pneumocystis carinii pneumonia
HIV disease resulting in multiple infections
HIV disease resulting in other infectious and parasitic diseases
HIV disease resulting in unspecified infectious or parasitic disease
HIV disease resulting in Kaposi's sarcoma
HIV disease resulting in Burkitt's lymphoma
HIV disease resulting in other types of non-Hodgkin's lymphoma
HIV disease resulting in other malignant neoplasms of lymphoid, haematopoietic and related tissue
B21.7
B21.8
B21.9
B22.0
B22.1
B22.2
B22.7
B23.0
B23.1
B23.2
HIV disease resulting in multiple malignant neoplasms

HIV disease resulting in other malignant neoplasms
HIV disease resulting in unspecified malignant neoplasm
HIV disease resulting in encephalopathy
HIV disease resulting in lymphoid interstitial pneumonitis
HIV disease resulting in wasting syndrome
HIV disease resulting in multiple diseases classified elsewhere
Acute HIV infection syndrome
HIV disease resulting in (persistent) generalized lymphadenopathy
HIV disease resulting in haematological and immunological abnormalities, not elsewhere classified
B23.8
B24
Z11.1
Z11.4
Z20.6
Z21
Z71.7
Z51.5
HIV disease resulting in other specified conditions

Unspecified human immunodeficiency virus [HIV] disease
Special screening examination for respiratory tuberculosis
Special screening examination for human immunodeficiency virus [HIV]
Contact with and exposure to human immunodeficiency virus [HIV]
Asymptomatic human immunodeficiency virus [HIV] infection status
Human immunodeficiency virus [HIV] counselling
Palliative care
D59.0
D59.1
D59.2
D59.3
D59.4
D59.6
D59.8
D59.9
C81.0
C81.1
C81.2
C81.3
C81.7
C81.9
C82.0
C82.1
C82.2
C82.7
Drug-induced autoimmune haemolytic anaemia

Other autoimmune haemolytic anaemias
Drug-induced nonautoimmune haemolytic anaemia
Haemolytic-uraemic syndrome
Other nonautoimmune haemolytic anaemias
Haemoglobinuria due to haemolysis from other external causes
Other acquired haemolytic anaemias
Acquired haemolytic anaemia, unspecified
Lymphocytic predominance
Nodular sclerosis
Mixed cellularity
Lymphocytic depletion
Other hodgkin's disease
Hodgkin's disease, unspecified
Small cleaved cell, follicular
Mixed small cleaved and large cell, follicular
Large cell, follicular
Other types of follicular non-Hodgkin's lymphoma
Page 33 of 316
CMS December 2005
277S
Anaerobic infections life

threatening
Medical management;
hyperbaric oxygen
48S
Anaphylactic shock
Medical management;
ventilation
900S
Aplastic anemia;
agranulocytosis; other lifethreatening hereditary
immune deficiencies
Bone marrow
transplantation; medical
management
C82.9
C83.0
C83.1
C83.2
C83.3
C83.4
C83.5
C83.6
C83.7
C83.8
C83.9
C84.0
C84.1
C84.2
C84.3
C84.4
C84.5
C85.0
C85.1
C85.7
C85.9
C88.0
C88.1
C88.2
C88.3
C88.7
C88.9
C90.1
C90.2
C91.0
C91.3
C91.4
C91.5
C91.7
C91.9
C92.0
C92.4
C92.5
C93.0
C94.0
C94.2
C94.4
C94.5
C94.7
C95.0
D45
D47.2
A41.4
A41.9
A48.0
T78.0
T78.2
T80.5
T88.6
D46.0
D46.3
D46.4
D60.0
D60.1
D60.8
D60.9
D61.0
Follicular non-Hodgkin's lymphoma, unspecified

Small cell (diffuse)
Small cleaved cell (diffuse)
Mixed small and large cell (diffuse)
Large cell (diffuse)
Immunoblastic (diffuse)
Lymphoblastic (diffuse)
Undifferentiated (diffuse)
Burkitt's tumour
Other types of diffuse non-Hodgkin's lymphoma
Diffuse non-Hodgkin's lymphoma, unspecified
Mycosis fungoides
Szary's disease
T-zone lymphoma
Lymphoepithelioid lymphoma
Peripheral T-cell lymphoma
Other and unspecified T-cell lymphomas
Lymphosarcoma
B-cell lymphoma, unspecified
Other specified types of non-Hodgkin's lymphoma
Non-Hodgkin's lymphoma, unspecified type
Waldenstrom's macroglobulinaemia
Alpha heavy chain disease
Gamma heavy chain disease
Malignant immunoproliferative small intestinal disease
Other malignant immunoproliferative diseases
Malignant immunoproliferative disease, unspecified
Plasma cell leukaemia
Malignant plasma cell neoplasm, extramedullary plasmacytoma
Acute lymphoblastic leukaemia
Prolymphocytic leukaemia
Hairy-cell leukaemia
Adult T-cell leukaemia
Other lymphoid leukaemia
Lymphoid leukaemia, unspecified
Acute myeloid leukaemia
Acute promyelocytic leukaemia
Acute myelomonocytic leukaemia
Acute monocytic leukaemia
Acute erythraemia & erythroleukaemia
Acute megakaryoblastic leukaemia
Acute panmyelosis
Acute myelofibrosis
Other specified leukaemias
Acute leukaemia of unspecified cell type
Polycythaemia vera
Monoclonal gammopathy
Septicaemia due to anaerobes
Septicaemia, unspecified
Gas gangrene
Anaphylactic shock due to adverse food reaction
Anaphylactic shock, unspecified
Anaphylactic shock due to serum
Anaphylactic shock due to adverse effect of correct drug or medicament properly administered
Refractory anaemia without sideroblasts, so stated
Refractory anaemia with excess of blasts with transformation
Refractory anaemia, unspecified
Chronic acquired pure red cell aplasia
Transient acquired pure red cell aplasia
Other acquired pure red cell aplasias
Acquired pure red cell aplasia, unspecified
Constitutional aplastic anaemia
Page 34 of 316
CMS December 2005
197S
338S
Botulism
Cholera; rat-bite fever
Medical management
Medical management
196S
Chronic Granulomatous
disease
Medical management,
which includes radiation
therapy
916S
Coagulation defects
Medical management
246S
Cysticercosis; other
systemic cestode infection
Medical management
D61.1
D61.2
D61.3
D61.8
D61.9
D70
D80.0
D81.0
D81.1
D81.2
D81.4
D81.5
D81.6
D81.7
D81.8
D81.9
D82.0
D82.1
D82.2
D82.3
D82.4
D82.8
D82.9
A05.1
A00.0
A00.1
A00.9
A24.0
A24.1
A24.2
A24.3
A24.4
A25.0
A25.1
A25.9
C96.2
C96.3
D72.0
D72.1
D72.8
D65
D66
D67
D68.0
D68.1
D68.2
D68.3
D68.4
D68.8
D68.9
D69.1
D69.3
D69.4
D69.5
D69.6
D69.8
B67.0
B67.1
B67.2
B67.3
B67.4
B67.5
Drug-induced aplastic anaemia

Aplastic anaemia due to other external agents
Idiopathic aplastic anaemia
Other specified aplastic anaemias
Aplastic anaemia, unspecified
Agranulocytosis
Hereditary hypogammaglobulinaemia
Severe combined immunodeficiency [SCID] with reticular dysgenesis
Severe combined immunodeficiency [SCID] with low T- and B-cell numbers
Severe combined immunodeficiency [SCID] with low or normal B-cell numbers
Nezelof's syndrome
Purine nucleoside phosphorylase [PNP] deficiency
Major histocompatibility complex class I deficiency
Major histocompatibility complex class II deficiency
Other combined immunodeficiencies
Combined immunodeficiency, unspecified
Wiskott-Aldrich syndrome
Di George's syndrome
Immunodeficiency with short-limbed stature
Immunodeficiency following hereditary defective response to Epstein-Barr virus
Hyperimmunoglobulin E [IgE] syndrome
Immunodeficiency associated with other specified major defects
Immunodeficiency associated with major defect, unspecified
Botulism
Cholera due to Vibrio cholerae 01, biovar cholerae
Cholera due to Vibrio cholerae 01, biovar eltor
Cholera, unspecified
Glanders
Acute and fulminating melioidosis
Subacute and chronic melioidosis
Other melioidosis
Melioidosis, unspecified
Spirillosis
Streptobacillosis
Rat-bite fever, unspecified
Malignant mast cell tumour
True histiocytic lymphoma
Genetic anomalies of leukocytes
Eosinophilia
Other specified disorders of white blood cells
Disseminated intravascular coagulation [defibrination syndrome]
Hereditary factor VIII deficiency
Hereditary factor IX deficiency
Von Willebrand's disease
Hereditary factor XI deficiency
Hereditary deficiency of other clotting factors
Haemorrhagic disorder due to circulating anticoagulants
Acquired coagulation factor deficiency
Other specified coagulation defects
Coagulation defect, unspecified
Qualitative platelet defects
Idiopathic thrombocytopenic purpura
Other primary thrombocytopenia
Secondary thrombocytopenia
Thrombocytopenia, unspecified
Other specified haemorrhagic conditions
Echinococcus granulosus infection of liver
Echinococcus granulosus infection of lung
Echinococcus granulosus infection of bone
Echinococcus granulosus infection, other and multiple sites
Echinococcus granulosus infection, unspecified
Echinococcus multilocularis infection of liver
Page 35 of 316
CMS December 2005
903S
Deep-seated (excluding nail Medical management;

infections), disseminated
surgery
and systemic fungal
infections

B67.6
B67.7
B67.8
B69.0
B69.1
B69.8
B69.9
B78.7
B83.0
B37.1
B37.5G02.1*
B37.6I39.8*
B37.7
B37.8
B38.0
B38.1
B38.2
B38.4G02.1*
B38.7
B38.8
B38.9
B39.0
B39.1
B39.2
B39.3
B39.4
B39.5
B39.9
B40.0
B40.1
B40.2
B40.7
B42.0J99.8*
B42.7
B42.8
B42.9
B43.1
B43.2
B43.8
B43.9
B44.0
B44.1
B44.2
B44.7
B44.8
B44.9
B45.0
B45.1G02.1*
B45.3
B45.7
B45.8
B45.9
B46.0
B46.1
B46.2
B46.4
B46.5
B46.8
B46.9
B47.0
B47.1
B47.9
Echinococcus multilocularis infection other / multiple sites

Echinococcus multilocularis infection, unspecified
Echinococcosis, unspecified, of liver
Cysticercosis of central nervous system
Cysticercosis of eye
Cysticercosis of other sites
Cysticercosis, unspecified
Disseminated strongyloidiasis
Visceral larva migrans
Pulmonary candidiasis
Candidal meningitis
Candidal endocarditis
Candidal septicaemia
Candidiasis of other sites
Acute pulmonary coccidioidomycosis
Chronic pulmonary coccidioidomycosis
Pulmonary coccidioidomycosis unspecified
Coccidioidomycosis meningitis/ Meningitis in mycosis
Disseminated coccidioidomycosis
Other forms of coccidioidomycosis
Coccidioidomycosis unspecified
Acute pulmonary histoplasmosis capsulati
Chronic pulmonary histoplasmosis capsulati
Pulmonary histoplasmosis capsulati unspecified
Disseminated histoplasmosis capsulati
Histoplasmosis capsulati unspecified
Histoplasmosis duboisii
Histoplasmosis unspecified
Acute pulmonary blastomycosis
Chronic pulmonary blastomycosis
Pulmonary blastomycosis unspecified
Disseminated blastomycosis
Pulmonary sporotrichosis/ Respiratory disorders in other diseases classified elsewhere
Disseminated sporotrichosis
Other forms of sporotrichosis
Sporotrichosis unspecified
Phaeomycotic brain abscess
Subcutaneous phaeomycotic abscess and cyst
Other forms of chromomycosis
Chromomycosis unspecified
Invasive pulmonary aspergillosis
Other pulmonary aspergillosis
Tonsillar aspergillosis
Disseminated aspergillosis
Other forms of aspergillosis
Aspergillosis unspecified
Pulmonary cryptococcosis
Osseous cryptococcosis
Disseminated cryptococcosis
Other forms of cryptococcosis
Cryptococcosis unspecified
Pulmonary mucormycosis
Rhinocerebral mucormycosis
Gastrointestinal mucormycosis
Disseminated mucormycosis
Mucormycosis unspecified
Other zygomycoses
Zygomycosis unspecified
Eumycetoma
Actinomycetoma
Mycetoma unspecified
Page 36 of 316
CMS December 2005
44S
179S
Erysipelas
Hereditary angioedema;
angioneurotic oedema
Medical management
management
174S
Hereditary haemolytic
anaemias (e.g. sickle cell);
dyserythropoietic anemia
(congenital)
Medical management
201S
Herpetic encephalitis;
Reyes syndrome
Medical management
913S
Immune compromise NOS

and associated lifethreatening infections NOS
Medical management
B48.0
B48.1
B48.2
B48.3
B48.4
A46
T78.3
Lobomycosis
Rhinosporidiosis
Allescheriasis
Geotrichosis
Penicillosis
Erysipelas
Angioneurotic oedema
D55.0
D55.1
D55.2
D55.3
D55.8
D55.9
D57.0
D57.1
D57.2
D57.8
D58.0
D58.1
D64.4
D64.8
D75.0
D75.1
D75.2
D75.8
D75.9
B00.3G02.0*
B00.4G05.1*
G93.7
A07.2
A07.3
B00.7
B02.7
B02.8
B25.0J17.1*
B25.1K77.0*
Anaemia due to glucose-6-phosphate dehydrogenase [G6PD] deficiency

Anaemia due to other disorders of glutathione metabolism
Anaemia due to disorders of glycolytic enzymes
Anaemia due to disorders of nucleotide metabolism
Other anaemias due to enzyme disorders
Anaemia due to enzyme disorder, unspecified
Sickle-cell anaemia with crisis
Sickle-cell anaemia without crisis
Double heterozygous sickling disorders
Other sickle-cell disorders
Hereditary spherocytosis
Hereditary elliptocytosis
Congenital dyserythropoietic anaemia
Other specified anaemias
Familial erythrocytosis
Secondary polycythaemia
Essential thrombocytosis
Other specified diseases of blood and blood-forming organs
Disease of blood and blood-forming organs, unspecified
Herpesviral meningitis/ Meningitis in viral diseases classified elsewhere
Herpesviral encephalitis/ Encephalitis, myelitis and encephalomyelitis in bacterial diseases classified
elsewhere
Reye's syndrome
Cryptosporidiosis
Isosporiasis
Disseminated herpesviral disease
Disseminated zoster
Zoster with other complications
Cytomegaloviral pneumonitis/ Pneumonia in viral diseases classified elsewhere
Cytomegaloviral hepatitis/ Liver disorders in infectious and parasitic diseases classified elsewhere
B25.2K87.1*
B25.8
B25.9
B37.5G02.1*
B37.6I39.8*
B37.7
B40.8
B40.9
B41.0
B41.7
B41.8
B41.9
B44.0
B44.1
B44.7
B44.8
B44.9
B45.0
B45.1G02.1*
B45.3
B45.7
B45.8
Cytomegaloviral pancreatitis/ Disorders of pancreas in diseases classified elsewhere

Other cytomegaloviral diseases
Cytomegaloviral disease, unspecified
Candidal meningitis/ Meningitis in mycosis
Candidal endocarditis/ Endocarditis, valve unspecified, in diseases classified elsewhere
Other forms of blastomycosis
Blastomycosis, unspecified
Pulmonary paracoccidioidomycosis
Disseminated paracoccidioidomycosis
Other forms of paracoccidioidomycosis
Paracoccidioidomycosis, unspecified
Invasive pulmonary aspergillosis
Other pulmonary aspergillosis
Disseminated aspergillosis
Other forms of aspergillosis
Aspergillosis, unspecified
Pulmonary cryptococcosis
Osseous cryptococcosis
Disseminated cryptococcosis
Other forms of cryptococcosis
Page 37 of 316
CMS December 2005

B45.9
B48.7
B58.1K77.0*
B58.2G05.2*
912S
Leprosy and other systemic Medical management

mycobacterial infections,
Excluding tuberculosis
336S
Leptospirosis; spirochaetal
infections NOS
Medical management
B58.3J17.3*
D80.0
D80.1
D80.2
D80.3
D80.4
D80.5
D80.6
D80.8
D80.9
D83.0
Cryptococcosis, unspecified
Opportunistic mycoses
Toxoplasma hepatitis/ Liver disorders in infectious and parasitic diseases classified elsewhere
Toxoplasma meningoencephalitis/ Encephalitis , myelitis and encephalomyelitis in other infectious and
parasitic diseases classified elsewhere
Pulmonary toxoplasmosis/ Pneumonia in parasitic diseases
Hereditary hypogammaglobulinaemia
Nonfamilial hypogammaglobulinaemia
Selective deficiency of immunoglobulin A [IgA]
Selective deficiency of immunoglobulin G [IgG] subclasses
Selective deficiency of immunoglobulin M [IgM]
Immunodeficiency with increased immunoglobulin M [IgM]
Antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinaemia
Other immunodeficiencies with predominantly antibody defects
Immunodeficiency with predominantly antibody defects, unspecified
Common variable immunodeficiency with predominant abnormalities of B-cell numbers and function
D83.1
D83.2
D83.8
D83.9
D84.0
D84.1
D84.8
D84.9
D89.8
D89.9
A30.0
A30.1
A30.2
A30.3
A30.4
A30.5
A30.8
A30.9
A31.0
A31.8
A27.0
A27.8
A27.9
A66.0
A66.1
A66.2
A66.3
A66.4
A66.5
A66.6
A66.7
A66.8
A66.9
A67.0
A67.1
A67.2
A67.3
A67.9
A68.0
A68.1
A68.9
A69.0
A69.1
A69.2
A69.8
Common variable immunodeficiency with predominant immunoregulatory T-cell disorders

Common variable immunodeficiency with autoantibodies to B- or T-cells
Other common variable immunodeficiencies
Common variable immunodeficiency, unspecified
Lymphocyte function antigen-1 [LFA-1] defect
Defects in the complement system
Other specified immunodeficiencies
Immunodeficiency, unspecified
Other specified disorders involving the immune mechanism, not elsewhere classified
Disorder involving the immune mechanism, unspecified
Indeterminate leprosy
Tuberculoid leprosy
Borderline tuberculoid leprosy
Borderline leprosy
Borderline lepromatous leprosy
Lepromatous leprosy
Other forms of leprosy
Leprosy unspecified
Pulmonary mycobacterial infection
Other mycobacterial infections
Leptospirosis icterohaemorrhagica
Other forms of leptospirosis
Leptospirosis, unspecified
Initial lesions of yaws
Multiple papillomata and wet crab yaws
Other early skin lesions of yaws
Hyperkeratosis of yaws
Gummata and ulcers of yaws
Gangosa
Bone and joint lesions of yaws
Other manifestations of yaws
Latent yaws
Yaws, unspecified
Primary lesions of pinta
Intermediate lesions of pinta
Late lesions of pinta
Mixed lesions of pinta
Pinta, unspecified
Louse-borne relapsing fever
Tick-borne relapsing fever
Relapsing fever, unspecified
Other Vincent's infections
Lyme disease
Other specified spirochaetal infections
Page 38 of 316
CMS December 2005

252S
908S
Life-threatening anaemia
NOS
Life-threatening conditions
due to exposure to the
elements, including hypo
and hyperthermia; lighting
strikes

Medical management;
transfusion
Medical management
A69.9
D46.1
D46.2
D51.0
D51.1
D51.2
D51.3
D51.8
D51.9
D52.0
D52.1
D52.8
D52.9
D53.0
D53.1
D53.2
D53.8
D53.9
D62
D63.0*
Spirochaetal infection, unspecified

Refractory anaemia with sideroblasts
Refractory anaemia with excess of blasts
Vitamin B12 deficiency anaemia due to intrinsic factor deficiency
Vitamin B12 deficiency anaemia due to selective vitamin B12 malabsorption with proteinuria
Transcobalamin II deficiency
Other dietary vitamin B12 deficiency anaemia
Other vitamin B12 deficiency anaemias
Vitamin B12 deficiency anaemia, unspecified
Dietary folate deficiency anaemia
Drug-induced folate deficiency anaemia
Other folate deficiency anaemias
Folate deficiency anaemia, unspecified
Protein deficiency anaemia
Other megaloblastic anaemias, not elsewhere classified
Scorbutic anaemia
Other specified nutritional anaemias
Nutritional anaemia, unspecified
Acute posthaemorrhagic anaemia
Anaemia in neoplastic disease
D64.0
D64.1
D64.2
D64.3
D64.9
T34.0
T34.1
T34.2
T34.3
T34.4
T34.5
T34.6
T34.7
T34.8
T34.9
T35.0
T35.1
T35.2
T35.3
T35.4
T35.5
T35.6
T35.7
T66
T67.0
T67.1
T67.2
T67.3
T67.4
T67.5
T67.6
T67.7
T67.8
T67.9
T68
T70.2
T70.3
T70.4
T70.8
T73.2
Hereditary sideroblastic anaemia

Secondary sideroblastic anaemia due to disease
Secondary sideroblastic anaemia due to drugs and toxins
Other sideroblastic anaemias
Anaemia, unspecified
Frostbite with tissue necrosis of head
Frostbite with tissue necrosis of neck
Frostbite with tissue necrosis of thorax
Frostbite with tissue necrosis of abdominal wall, lower back and pelvis
Frostbite with tissue necrosis of arm
Frostbite with tissue necrosis of wrist and hand
Frostbite with tissue necrosis of hip and thigh
Frostbite with tissue necrosis of knee and lower leg
Frostbite with tissue necrosis of ankle and foot
Frostbite with tissue necrosis of other and unspecified sites
Superficial frostbite involving multiple body regions
Frostbite with tissue necrosis involving multiple body regions
Unspecified frostbite of head and neck
Unspecified frostbite of thorax, abdomen, lower back and pelvis
Unspecified frostbite of upper limb
Unspecified frostbite of lower limb
Unspecified frostbite involving multiple body regions
Unspecified frostbite of unspecified site
Unspecified effects of radiation
Heatstroke and sunstroke
Heat syncope
Heat cramp
Heat exhaustion, anhydrotic
Heat exhaustion due to salt depletion
Heat exhaustion, unspecified
Heat fatigue, transient
Heat oedema
Other effects of heat and light
Effect of heat and light, unspecified
Hypothermia
Other and unspecified effects of high altitude
Caisson disease [decompression sickness]
Effects of high-pressure fluids
Other effects of air pressure and water pressure
Exhaustion due to exposure
Page 39 of 316
CMS December 2005
907S
Life-threatening rickettsial
and other arthropod-borne
diseases
Medical management
T73.3
T75.0
T75.1
T75.4
A44.0
A44.1
A44.8
A44.9
A75.0
A75.1
A75.2
A75.3
A75.9
A77.0
A77.1
A77.2
A77.3
A77.8
A77.9
A78
A79.0
A79.1
A79.8
A79.9
A83.0
A83.1
A83.2
A83.3
A83.4
A83.5
A83.6
A83.8
A83.9
A84.0
A84.1
A84.8
A84.9
A85.0G05.1*
Exhaustion due to excessive exertion

Effects of lightning
Drowning and nonfatal submersion
Effects of electric current
Systemic bartonellosis
Cutaneous and mucocutaneous bartonellosis
Other forms of bartonellosis
Bartonellosis, unspecified
Epidem louse-borne typh fev due Rickettsia prowazekii
Recrudescent typhus [Brill's disease]
Typhus fever due to Rickettsia typhi
Typhus fever due to Rickettsia tsutsugamushi
Typhus fever, unspecified
Spotted fever due to Rickettsia rickettsii
Spotted fever due to Rickettsia conorii
Spotted fever due to Rickettsia sibirica
Spotted fever due to Rickettsia australis
Other spotted fevers
Spotted fever, unspecified
Q fever
Trench fever
Rickettsialpox due to Rickettsia akari
Other specified rickettsioses
Rickettsiosis, unspecified
Japanese encephalitis
Western equine encephalitis
Eastern equine encephalitis
St Louis encephalitis
Australian encephalitis
California encephalitis
Rocio virus disease
Other mosquito-borne viral encephalitis
Mosquito-borne viral encephalitis, unspecified
Far East tick-born enceph-Russn spring-summ enceph
Central European tick-borne encephalitis
Other tick-borne viral encephalitis
Tick-borne viral encephalitis, unspecified
Enteroviral encephalitis/ Encephalitis, myelitis and encephalomyelitis in viral diseases classified elsewhere
A85.1G05.1*
Adenoviral encephalitis/ Encephalitis, myelitis and encephalomyelitis in viral diseases classified elsewhere
A85.2
A90
A91
A92.0
A92.1
A92.2
A92.3
A92.4
A92.8
A92.9
A93.0
A93.1
A93.2
A93.8
A94
A95.0
A95.1
A95.9
A96.0
A96.1
A96.2
Arthropod-borne viral encephalitis, unspecified

Dengue fever [classical dengue]
Dengue haemorrhagic fever
Chikungunya virus disease
O'nyong-nyong fever
Venezuelan equine fever
West Nile fever
Rift Valley fever
Other specified mosquito-borne viral fevers
Mosquito-borne viral fever, unspecified
Oropouche virus disease
Sandfly fever
Colorado tick fever
Other specified arthropod-borne viral fevers
Unspecified arthropod-borne viral fever
Sylvatic yellow fever
Urban yellow fever
Yellow fever, unspecified
Junin haemorrhagic fever
Machupo haemorrhagic fever
Lassa fever
Page 40 of 316
CMS December 2005
172S
Malaria; trypanosomiasis;
other life-threatening
parasitic disease
Medical management
A96.8
A96.9
A98.0
A98.1
A98.2
A98.3
A98.4
A98.5
A98.8
A99
B33.1
B50.0
B50.8
B50.9
B51.0
B51.8
B51.9
B52.0
B52.8
B52.9
B53.0
B53.1
B53.8
B54
B55.0
B55.1
B55.2
B55.9
B56.0
B56.1
B56.9
B57.0I41.2*
B57.0I98.1*
Other arenaviral haemorrhagic fevers

Arenaviral haemorrhagic fever, unspecified
Crimean-Congo haemorrhagic fever
Omsk haemorrhagic fever
Kyasanur Forest disease
Marburg virus disease
Ebola virus disease
Haemorrhagic fever with renal syndrome
Other specified viral haemorrhagic fevers
Unspecified viral haemorrhagic fever
Ross River disease
Plasmodium falciparum malaria with cerebral complications
Other severe and complicated Plasmodium falciparum malaria
Plasmodium falciparum malaria, unspecified
Plasmodium vivax malaria with rupture of spleen
Plasmodium vivax malaria with other complications
Plasmodium vivax malaria without complication
Plasmodium malariae malaria with nephropathy
Plasmodium malariae malaria with other complications
Plasmodium malariae malaria without complication
Plasmodium ovale malaria
Malaria due to simian plasmodia
Other parasitologically confirmed malaria NEC
Unspecified malaria
Visceral leishmaniasis
Cutaneous leishmaniasis
Mucocutaneous leishmaniasis
Leishmaniasis, unspecified
Gambiense trypanosomiasis
Rhodesiense trypanosomiasis
African trypanosomiasis, unspecified
Acute Chagas' disease with heart involvement/Acute Chaga's disease with myocarditis
Acute Chagas' disease with heart involvement/Acute Chaga's disease with cardiovascular invovlement NEC
B57.1
B57.2I98.1*
Acute Chagas' disease without heart involvement

Chagas' disease (chronic) with heart involvement/Chronic Chaga's disease with cardiovascular involvement
NEC,
Chagas' disease (chronic) with heart involvement/Chronic Chaga's myocarditis
Chagas' disease (chronic) with digestive system involvement
Chagas' disease (chronic) with nervous system involvement
Chagas' disease (chronic) with other organ involvement
Toxoplasma oculopathy/ Chorioretinal inflammation in infectious and parasitic diseases classified elsewhere
B57.2I41.2*
B57.3
B57.4
B57.5
B58.0H32.0*
B58.8I41.2*
B58.8M63.1*
B58.9
B59
B60.0
B60.2G05.2*
904S
Metastatic infections;
septiceamia
Medical management
B60.8
A01.0
A01.1
A01.2
A01.3
A01.4
A02.1
A02.2
A06.3
A06.4
Toxoplasmosis with other organ involvement / Myocarditis in other infectious and parasitic diseases
Toxoplasmosis with other organ involvement / Myositis in protozoal and parasitic infections classified
elsewhere
Toxoplasmosis, unspecified
Pneumocystosis
Babesiosis
Naegleriasis / Encephalitis, myelitis and encephalomyelitis in other infectious and parasitic diseases
Other specified protozoal diseases
Typhoid fever
Paratyphoid fever A
Paratyphoid fever B
Paratyphoid fever C
Paratyphoid fever, unspecified
Salmonella septicaemia
Localized salmonella infections
Amoeboma of intestine
Amoebic liver abscess
Page 41 of 316
CMS December 2005

A06.5J99.8*
A06.6G07*
A20.0
A20.1
A20.2
A20.3
A20.7
A20.8
A20.9
A21.0
A21.1
A21.2
A21.3
A21.7
A21.8
A21.9
A22.7
A23.0
A23.1
A23.2
A23.3
A23.8
A23.9
A24.1
A26.7
A28.0
A28.2
A32.1G01*
Amoebic lung abscess/Respiratory disorders in other diseases classified elsewhere

Amoebic brain abscess/ Intracranial and intraspinal abscess and granuloma in diseases classified
elsewhere
Bubonic plague
Cellulocutaneous plague
Pneumonic plague
Plague meningitis
Septicaemic plague
Other forms of plague
Plague, unspecified
Ulceroglandular tularaemia
Oculoglandular tularaemia
Pulmonary tularaemia
Gastrointestinal tularaemia
Generalized tularaemia
Other forms of tularaemia
Tularaemia, unspecified
Anthrax septicaemia
Brucellosis due to Brucella melitensis
Brucellosis due to Brucella abortus
Brucellosis due to Brucella suis
Brucellosis due to Brucella canis
Other brucellosis
Brucellosis, unspecified
Acute and fulminating melioidosis
Erysipelothrix septicaemia
Pasteurellosis
Extraintestinal yersiniosis
Listerial meningitis and meningoencephalitis/Meningitis in bacterial diseases classified elsewhere
A32.1G05.0*
A32.7
A32.8I39.8*
A32.8I68.1*
Listerial meningitis and meningoencephalitis/Listerial meningoencephalitis

Listerial septicaemia
Other forms of listeriosis / Endocarditis, valve unspecified, in diseases classified elsewhere
Other forms of listeriosis / Cerebral arteritis in infectious and parasitic diseases classified elsewhere
A32.9
A39.1
A39.2
A39.3
A39.4
A39.5
A39.8
A40.0
A40.1
A40.2
A40.3
A40.8
A40.9
A41.0
A41.1
A41.2
A41.3
A41.4
A41.5
A41.8
A41.9
A48.2
A48.3
A48.4
A48.8
B37.7
P36.0
Listeriosis, unspecified
Waterhouse-Friderichsen syndrome
Acute meningococcaemia
Chronic meningococcaemia
Meningococcaemia, unspecified
Meningococcal heart disease
Other meningococcal infections
Septicaemia due to streptococcus, group A
Septicaemia due to streptococcus, group B
Septicaemia due to streptococcus, group D
Septicaemia due to Streptococcus pneumoniae
Other streptococcal septicaemia
Streptococcal septicaemia, unspecified
Septicaemia due to Staphylococcus aureus
Septicaemia due to other specified staphylococcus
Septicaemia due to unspecified staphylococcus
Septicaemia due to Haemophilus influenzae
Septicaemia due to anaerobes
Septicaemia due to other Gram-negative organisms
Other specified septicaemia
Septicaemia, unspecified
Nonpneumonic Legionnaires' disease [Pontiac fever]
Toxic shock syndrome
Brazilian purpuric fever
Other specified bacterial diseases
Sepsis of newborn due to streptococcus, group B
Page 42 of 316
CMS December 2005
910S
247S
Multiple myeloma and

chronic leukaemias
Medical management
which includes
chemotherapy and
radiation therapy
Poisoning by ingestion,
Medical management
injection, and non-medicinal
agents
P36.1
P36.2
P36.3
P36.4
P36.5
P36.8
P36.9
C88.0
C88.1
C88.2
C90.0
C91.1
C91.2
C91.9
C92.1
C92.2
C92.3
C92.7
C92.9
C93.1
C93.2
C93.7
C93.9
C94.1
C94.3
C95.1
C95.2
C95.7
C96.7
C96.9
C97
D46.7
D46.9
D47.0
D47.1
D47.3
D47.7
D47.9
Sepsis of newborn due to other and unspecified streptococci

Sepsis of newborn due to Staphylococcus aureus
Sepsis of newborn due to other and unspecified staphylococci
Sepsis of newborn due to Escherichia coli
Sepsis of newborn due to anaerobes
Other bacterial sepsis of newborn
Bacterial sepsis of newborn, unspecified
Waldenstrom's macroglobulinaemia
Alpha heavy chain disease
Gamma heavy chain disease
Multiple myeloma
Chronic lymphocytic leukaemia
Subacute lymphocytic leukaemia
Lymphoid leukaemia, unspecified
Chronic myeloid leukaemia
Subacute myeloid leukaemia
Myeloid sarcoma
Other myeloid leukaemia
Myeloid leukaemia, unspecified
Chronic monocytic leukaemia
Subacute monocytic leukaemia
Other monocytic leukaemia
Monocytic leukaemia, unspecified
Chronic erythraemia
Mast cell leukaemia
Chronic leukaemia of unspecified cell type
Subacute leukaemia of unspecified cell type
Other leukaemia of unspecified cell type
Other specified malignant neoplasms of lymphoid, haematopoietic and related tissue
Malignant neoplasm of lymphoid, haematopoietic and related tissue, unspecified
Malignant neoplasms of independent (primary) multiple sites
Other myelodysplastic syndromes
Myelodysplastic syndrome, unspecified
Histiocytic and mast cell tumours of uncertain and unknown behaviour
Chronic myeloproliferative disease
Essential (haemorrhagic) thrombocythaemia
Other specified neoplasms of uncertain or unknown behaviour of lymphoid, haematopoietic and related
tissue
Neoplasm of uncertain or unknown behaviour of lymphoid, haematopoietic and related tissue, unspecified
A05.0
A05.9
G92
T36.0
T36.1
T36.2
T36.3
T36.4
T36.5
T36.6
T36.7
T36.8
T36.9
T37.0
T37.1
T37.2
T37.3
T37.4
T37.5
T37.8
T37.9
T38.0
Foodborne staphylococcal intoxication

Bacterial foodborne intoxication unspecified
Toxic encephalopathy
Penicillins
Cefalosporins and other beta-lactam antibiotics
Chloramphenicol group
Macrolides
Tetracyclines
Aminoglycosides
Rifamycins
Antifungal antibiotics, systemically used
Other systemic antibiotics
Systemic antibiotic, unspecified
Sulfonamides
Antimycobacterial drugs
Antimalarials and drugs acting on other blood protozoa
Other antiprotozoal drugs
Anthelminthics
Antiviral drugs
Other specified systemic anti-infectives and antiparasitics
Systemic anti-infective and antiparasitic, unspecified
Glucocorticoids and synthetic analogues
Page 43 of 316
CMS December 2005

T38.1
T38.2
T38.3
T38.4
T38.5
T38.6
T38.7
T38.8
T38.9
T39.0
T39.1
T39.2
T39.3
T39.4
T39.8
T39.9
T40.0
T40.1
T40.2
T40.3
T40.4
T40.5
T40.6
T40.7
T40.8
T40.9
T41.0
T41.1
T41.2
T41.3
T41.4
T41.5
T42.0
T42.1
T42.2
T42.3
T42.4
T42.5
T42.6
T42.7
T42.8
T43.0
T43.1
T43.2
T43.3
T43.4
T43.5
T43.6
T43.8
T43.9
T44.0
T44.1
T44.2
T44.3
Thyroid hormones and substitutes

Antithyroid drugs
Insulin and oral hypoglycaemic [antidiabetic] drugs
Oral contraceptives
Other estrogens and progestogens
Antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified
Androgens and anabolic congeners
Other and unspecified hormones and their synthetic substitutes
Other and unspecified hormone antagonists
Salicylates
4-Aminophenol derivatives
Pyrazolone derivatives
Other nonsteroidal anti-inflammatory drugs [NSAID]
Antirheumatics, not elsewhere classified
Other nonopioid analgesics and antipyretics, not elsewhere classified
Nonopioid analgesic, antipyretic and antirheumatic, unspecified
Opium
Heroin
Other opioids
Methadone
Other synthetic narcotics
Cocaine
Other and unspecified narcotics
Cannabis (derivatives)
Lysergide [LSD]
Other and unspecified psychodysleptics [hallucinogens]
Inhaled anaesthetics
Intravenous anaesthetics
Other and unspecified general anaesthetics
Local anaesthetics
Anaesthetic, unspecified
Therapeutic gases
Hydantoin derivatives
Iminostilbenes
Succinimides and oxazolidinediones
Barbiturates
Benzodiazepines
Mixed antiepileptics, not elsewhere classified
Other antiepileptic and sedative-hypnotic drugs
Antiepileptic and sedative-hypnotic drugs, unspecified
Antiparkinsonism drugs and other central muscle-tone depressants
Tricyclic and tetracyclic antidepressants
Monoamine-oxidase-inhibitor antidepressants
Other and unspecified antidepressants
Phenothiazine antipsychotics and neuroleptics
Butyrophenone and thioxanthene neuroleptics
Other and unspecified antipsychotics and neuroleptics
Psychostimulants with abuse potential
Other psychotropic drugs, not elsewhere classified
Psychotropic drug, unspecified
Anticholinesterase agents
Other parasympathomimetics [cholinergics]
Ganglionic blocking drugs, not elsewhere classified
Other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, not elsewhere classified
T44.4
T44.5
T44.6
T44.7
T44.8
T44.9
T45.0
Predominantly alpha-adrenoreceptor agonists, not elsewhere classified

Predominantly beta-adrenoreceptor agonists, not elsewhere classified
Alpha-adrenoreceptor antagonists, not elsewhere classified
Beta-adrenoreceptor antagonists, not elsewhere classified
Centrally acting and adrenergic-neuron-blocking agents, not elsewhere classified
Other and unspecified drugs primarily affecting the autonomic nervous system
Antiallergic and antiemetic drugs
Page 44 of 316
CMS December 2005

T45.1
T45.3
T45.4
T45.5
T45.6
T45.7
T45.8
T45.9
T46.0
T46.1
T46.2
T46.3
T46.4
T46.5
T46.6
T46.7
T46.8
T46.9
T47.0
T47.1
T47.2
T47.3
T47.4
T47.5
T47.6
T47.7
T47.8
T47.9
T48.0
T48.1
T48.2
T48.3
T48.4
T48.5
T48.6
T48.7
T49.2
T49.5
T50.0
T50.1
T50.2
T50.3
T50.4
T50.5
T50.6
T50.7
T50.8
T50.9
T51.0
T51.1
T51.2
T51.3
T51.8
T51.9
T52.0
T52.1
T52.2
T52.3
T52.4
T52.8
T52.9
T53.0
Antineoplastic and immunosuppressive drugs

Enzymes, not elsewhere classified
Iron and its compounds
Anticoagulants
Fibrinolysis-affecting drugs
Anticoagulant antagonists, vitamin K and other coagulants
Other primarily systemic and haematological agents
Primarily systemic and haematological agent, unspecified
Cardiac-stimulant glycosides and drugs of similar action
Calcium-channel blockers
Other antidysrhythmic drugs, not elsewhere classified
Coronary vasodilators, not elsewhere classified
Angiotensin-converting-enzyme inhibitors
Other antihypertensive drugs, not elsewhere classified
Antihyperlipidaemic and antiarteriosclerotic drugs
Peripheral vasodilators
Antivaricose drugs, including sclerosing agents
Other and unspecified agents primarily affecting the cardiovascular system
Histamine H2-receptor antagonists
Other antacids and anti-gastric-secretion drugs
Stimulant laxatives
Saline and osmotic laxatives
Other laxatives
Digestants
Antidiarrhoeal drugs
Emetics
Other agents primarily affecting the gastrointestinal system
Agent primarily affecting the gastrointestinal system, unspecified
Oxytocic drugs
Skeletal muscle relaxants [neuromuscular blocking agents]
Other and unspecified agents primarily acting on muscles
Antitussives
Expectorants
Anti-common-cold drugs
Antiasthmatics, not elsewhere classified
Other and unspecified agents primarily acting on the respiratory system
Local astringents and local detergents
Ophthalmological drugs and preparations
Mineralocorticoids and their antagonists
Loop [high-ceiling] diuretics
Carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics
Electrolytic, caloric and water-balance agents
Drugs affecting uric acid metabolism
Appetite depressants
Antidotes and chelating agents, not elsewhere classified
Analeptics and opioid receptor antagonists
Diagnostic agents
Other and unspecified drugs, medicaments and biological substances
Ethanol
Methanol
2-Propanol
Fusel oil
Other alcohols
Alcohol, unspecified
Petroleum products
Benzene
Homologues of benzene
Glycols
Ketones
Other organic solvents
Organic solvent, unspecified
Carbon tetrachloride
Page 45 of 316
CMS December 2005

T53.1
T53.2
T53.3
T53.4
T53.5
T53.6
T53.7
T53.9
T54.0
T54.1
T54.2
T54.3
T54.9
T55
T56.0
T56.1
T56.2
T56.3
T56.4
T56.5
T56.6
T56.7
T56.8
T56.9
T57.0
T57.1
T57.2
T60.0
T60.1
T60.2
T60.3
T60.4
T60.8
T60.9
T61.0
T61.1
T61.2
T61.8
T61.9
T62.0
T62.1
T62.2
T62.8
T62.9
T63.0
T63.1
T63.2
T63.3
T63.4
T63.5
T63.6
T63.8
T63.9
T64
T65.0
T65.1
T65.2
T65.3
T65.4
T65.5
T65.6
T65.8
Chloroform
Trichloroethylene
Tetrachloroethylene
Dichloromethane
Chlorofluorocarbons
Other halogen derivatives of aliphatic hydrocarbons
Other halogen derivatives of aromatic hydrocarbons
Halogen derivative of aliphatic and aromatic hydrocarbons, unspecified
Phenol and phenol homologues
Other corrosive organic compounds
Corrosive acids and acid-like substances
Corrosive alkalis and alkali-like substances
Corrosive substance, unspecified
Toxic effect of soaps and detergents
Lead and its compounds
Mercury and its compounds
Chromium and its compounds
Cadmium and its compounds
Copper and its compounds
Zinc and its compounds
Tin and its compounds
Beryllium and its compounds
Other metals
Metal, unspecified
Arsenic and its compounds
Phosphorus and its compounds
Manganese and its compounds
Organophosphate and carbamate insecticides
Halogenated insecticides
Other insecticides
Herbicides and fungicides
Rodenticides
Other pesticides
Pesticide, unspecified
Ciguatera fish poisoning
Scombroid fish poisoning
Other fish and shellfish poisoning
Toxic effect of other seafoods
Toxic effect of unspecified seafood
Ingested mushrooms
Ingested berries
Other ingested (parts of) plant(s)
Other specified noxious substances eaten as food
Noxious substance eaten as food, unspecified
Snake venom
Venom of other reptiles
Venom of scorpion
Venom of spider
Venom of other arthropods
Toxic effect of contact with fish
Toxic effect of contact with other marine animals
Toxic effect of contact with other venomous animals
Toxic effect of contact with unspecified venomous animal
Toxic effect of aflatoxin and other mycotoxin food contams
Cyanides
Strychnine and its salts
Tobacco and nicotine
Nitroderivatives and aminoderivatives of benzene and its homologues
Carbon disulfide
Nitroglycerin and other nitric acids and esters
Paints and dyes, not elsewhere classified
Toxic effect of other specified substances
Page 46 of 316
CMS December 2005

911S
Sexually transmitted
diseases with systemic
involvement not elsewhere
specified

Medical management
T65.9
A54.0
Toxic effect of unspecified substance

Gonococcal infection of lower genitourinary tract without periurethral or accessory gland abscess
A54.1
Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess
A54.2N51.1*
A54.3H13.1*
Gonococcal pelviperitonitis and other gonococcal genitourinary infections /Disorders of testis and epididymis
in diseases classified elsewhere
Gonococcal pelviperitonitis and other gonococcal genitourinary infections /Gonococcal Female pelvic
Gonococcal pelviperitonitis and other gonococcal genitourinary infections /Disorders of prostate in diseases
Gonococcal infection of eye / Conjunctivitis in infectious and parasitic diseases classified elsewhere
A54.3H22.0*
Gonococcal infection of eye / Iridocyclitis in infectious and parasitic diseases classified elsewhere
A54.4M01.30*
A54.4M01.31*
A54.4M01.32*
A54.4M01.33*
A54.4M01.34*
A54.4M01.35*
A54.4M01.36*
A54.4M01.37*
A54.4M01.38*
A54.4M01.39*
A54.4M73.00*
A54.4M73.01*
A54.4M73.02*
A54.4M73.03*
A54.4M73.04*
A54.4M73.05*
A54.4M73.06*
A54.4M73.07*
A54.4M73.08*
A54.4M73.09*
A54.4M90.20*
A54.4M90.21*
A54.4M90.22*
A54.4M90.23*
A54.4M90.24*
A54.4M90.25*
Gonococcal infection of musculoskeletal system /Gonococcal arthritis, multiple sites

Gonococcal infection of musculoskeletal system /Gonococcal arthritis, shoulder region
Gonococcal infection of musculoskeletal system /Gonococcal arthritis, upper arm
Gonococcal infection of musculoskeletal system /Gonococcal arthritis, forearm
Gonococcal infection of musculoskeletal system /Gonococcal arthritis, hand
Gonococcal infection of musculoskeletal system /Gonococcal arthritis, pelvic region and thigh
Gonococcal infection of musculoskeletal system /Gonococcal arthritis, lower leg
Gonococcal infection of musculoskeletal system /Gonococcal arthritis, ankle and foot
Gonococcal infection of musculoskeletal system /Gonococcal arthritis, other
Gonococcal infection of musculoskeletal system /Gonococcal arthritis, site usunspecified
Gonococcal infection of musculoskeletal system /Gonococcal bursitis, multiple sites
Gonococcal infection of musculoskeletal system /Gonococcal bursitis, shoulder region
Gonococcal infection of musculoskeletal system /Gonococcal bursitis, upper arm
Gonococcal infection of musculoskeletal system /Gonococcal bursitis, forearm
Gonococcal infection of musculoskeletal system /Gonococcal bursitis, hand
Gonococcal infection of musculoskeletal system /Gonococcal bursitis, pelvic region and thigh
Gonococcal infection of musculoskeletal system /Gonococcal bursitis, lower leg
Gonococcal infection of musculoskeletal system /Gonococcal bursitis, ankle and foot
Gonococcal infection of musculoskeletal system /Gonococcal bursitis, other
Gonococcal infection of musculoskeletal system /Gonococcal bursitis, site unspecified
Gonococcal infection of musculoskeletal system /Gonococcal osteomyelitis, multiple sites
Gonococcal infection of musculoskeletal system /Gonococcal osteomyelitis, shoulder region
Gonococcal infection of musculoskeletal system /Gonococcal osteomyelitis, upper arm
Gonococcal infection of musculoskeletal system /Gonococcal osteomyelitis, forearm
Gonococcal infection of musculoskeletal system /Gonococcal osteomyelitis, hand
Gonococcal infection of musculoskeletal system /Gonococcal osteomyelitis, pelvic region and thigh
A54.4M90.26*
A54.4M90.27*
A54.4M90.28*
A54.4M90.29*
A54.4M68.0*
A54.4M68.0*
A54.5
A54.6
A54.8G01*
A54.8G07*
A54.8I32.0*
A54.8I39.8*
Gonococcal infection of musculoskeletal system /Gonococcal osteomyelitis, lower leg

Gonococcal infection of musculoskeletal system /Gonococcal osteomyelitis, ankle and foot
Gonococcal infection of musculoskeletal system /Gonococcal osteomyelitis, other
Gonococcal infection of musculoskeletal system /Gonococcal osteomyelitis, site unspecified
Gonococcal infection of musculoskeletal system /Gonococcal synovitis
Gonococcal infection of musculoskeletal system /Gonococcal tenosynovitis
Gonococcal pharyngitis
Gonococcal infection of anus and rectum
Other gonococcal infections / Meningitis in bacterial diseases classified elsewhere
Other gonococcal infections / Intracranial and intraspinal abscess and granuloma in diseases classified
elsewhere
Other gonococcal infections / Pericarditis in bacterial diseases classified elsewhere
Other gonococcal infections / Endocarditis, valve unspecified, in diseases classified elsewhere
A54.8I41.0*
A54.8J17.0*
A54.8K67.1*
A54.9
A55
A56.0
Other gonococcal infections / Myocarditis in bacterial diseases classified elsewhere

Other gonococcal infections / Pneumonia in bacterial diseases classified elsewhere
Other gonococcal infections / Gonococcal peritonitis
Gonococcal infection unspecified
Chlamydial lymphogranuloma (venereum)
Chlamydial infection of lower genitourinary tract
A54.2N74.3*
A54.2N51.0*
Page 47 of 316
CMS December 2005

A56.1N51.1*
D56.0
D56.1
D56.2
D56.3
D56.4
D56.8
D56.9
D58.2
D58.8
D58.9
D74.0
D74.8
D74.9
J68.0
J68.1
J68.2
Chlamydial infection of pelviperitoneum and other genitourinary organs/Disorders of testis and epididymis in
Chlamydial infection of pelviperitoneum and other genitourinary organs/Female chlamydial pelvic
Chlamydial infection of genitourinary tract unspecified
Chlamydial infection of anus and rectum
Chlamydial infection of pharynx
Sexually transmitted chlamydial infection of other sites
Chancroid
Granuloma inguinale
Cutaneous anthrax
Pulmonary anthrax
Gastrointestinal anthrax
Anthrax septicaemia
Other forms of anthrax
Anthrax unspecified
Tetanus neonatorum
Obstetrical tetanus
Other tetanus
Other intestinal malabsorption / Arthropathies in other specified diseases classified elsewhere (Whipple's
disease)
Alpha thalassaemia
Beta thalassaemia
Delta-beta thalassaemia
Thalassaemia trait
Hereditary persistence of fetal haemoglobin [HPFH]
Other thalassaemias
Thalassaemia, unspecified
Other haemoglobinopathies
Other specified hereditary haemolytic anaemias
Hereditary haemolytic anaemia, unspecified
Congenital methaemoglobinaemia
Other methaemoglobinaemias
Methaemoglobinaemia, unspecified
Bronchitis and pneumonitis due to chemicals, gases, fumes and vapours
Acute pulmonary oedema due to chemicals, gases, fumes and vapours
Upper respiratory inflammation due to chemicals, gases, fumes and vapours, not elsewhere classified
J68.3
J68.4
J68.8
J68.9
T41.5
T57.3
T57.8
T57.9
T58
T59.0
T59.1
T59.2
T59.3
T59.4
T59.5
T59.6
T59.7
T59.8
T59.9
A15.0
A15.1
A15.2
A15.3
A15.4
Other acute and subacute respiratory conditions due to chemicals, gases, fumes and vapours
Chronic respiratory conditions due to chemicals, gases, fumes and vapours
Other respiratory conditions due to chemicals, gases, fumes and vapours
Unspecified respiratory condition due to chemicals, gases, fumes and vapours
Therapeutic gases
Hydrogen cyanide
Other specified inorganic substances
Inorganic substance, unspecified
Toxic effect of carbon monoxide
Nitrogen oxides
Sulfur dioxide
Formaldehyde
Lacrimogenic gas
Chlorine gas
Fluorine gas and hydrogen fluoride
Hydrogen sulfide
Carbon dioxide
Other specified gases, fumes and vapours
Gases, fumes and vapours, unspecified
Tuberculosis of lung confirmed by sputum microscopy with or without culture
Tuberculosis of lung confirmed by culture only
Tuberculosis of lung confirmed histologically
Tuberculosis of lung confirmed by unspecified means
Tuberculosis of intrathoracic lymph nodes confirmed bacteriologically and histologically
A56.1N74.4*
128S
Tetanus; anthrax; Whipple's Medical management

disease
122S
Thalassemia and other

haemoglobinopathies
treatable
Medical management;
bone marrow transplant
316S
Toxic effect of gasses,

fumes, and vapors
Medical therapy
11S
Tuberculosis
Diagnosis and acute

medical management;
successful transfer to
maintenance therapy in
accordance to DOH
guidelines
A56.2
A56.3
A56.4
A56.8
A57
A58
A22.0
A22.1
A22.2
A22.7
A22.8
A22.9
A33
A34
A35
K90.8M14.8*
Page 48 of 316
CMS December 2005

guidelines
A15.5
A15.6
A15.7
A15.8
A15.9
A16.0
A16.1
A16.2
A16.3
Tuberculosis of larynx trachea and bronchus confirmed bacteriologically and histologically

Tuberculous pleurisy confirmed bacteriologically and histologically
Primary respiratory tuberculosis confirmed bacteriologically and histologically
Other respiratory tuberculosis confirmed bacteriologically and histologically
Respiratory tuberculosis unspecified confirmed bacteriologically and histologically
Tuberculosis of lung bacteriologically and histologically negative
Tuberculosis of lung bacteriological and histological examination not done
Tuberculosis of lung without mention of bacteriological or histological confirmation
Tuberculosis of intrathoracic lymph nodes without mention of bacteriological or histological confirmation
A16.4
Tuberculosis of larynx trachea and bronchus without mention of bacteriological or histological confirmation
A16.5
A16.7
A16.8
A16.9
Tuberculous pleurisy without mention of bacteriological

Primary respiratory tuberculosis without mention of bacteriological or histological confirmation
Other respiratory tuberculosis without mention of bacteriological or histological confirmation
Respiratory tuberculosis unspecified without mention of bacteriological or histological confirmation
A17.0G01*
A17.1G07*
A17.8G05.0*
Tuberculous meningitis
Meningeal tuberculoma
Other tuberculosis of nervous system/Encephalitis, myelitis and encephalomyelitis in diseases classified
elsewhere
Other tuberculosis of nervous system/Intracranial and intraspinal abscess and granuoloma in diseases
Other tuberculosis of nervous system/Polyneuropathy in infectious and parasitic diseases classified
elsewhere
Tuberculosis of nervous system unspecified/ Other specified disorders of nervous system in diseases
Tuberculosis of bones and joints/Tuberculous mastoiditis
Tuberculosis of bones and joints/Tuberculous arthritis, multiple sites
Tuberculosis of bones and joints/Tuberculous arthritis, shoulder region
Tuberculosis of bones and joints/Tuberculous arthritis, upper arm
Tuberculosis of bones and joints/Tuberculous arthritis, forearm
Tuberculosis of bones and joints/Tuberculous arthritis, hand
Tuberculosis of bones and joints/Tuberculous arthritis, pelvic region and thigh
Tuberculosis of bones and joints/Tuberculous arthritis, lower leg
Tuberculosis of bones and joints/Tuberculous arthritis, ankle and foot
Tuberculosis of bones and joints/Tuberculous arthritis, other
Tuberculosis of bones and joints/Tuberculous arthritis, site unspecified
Tuberculosis of bones and joints/Tuberculosis of spine, multiple sites in spine
Tuberculosis of bones and joints/Tuberculosis of spine, occipito-atlanto-axial region
Tuberculosis of bones and joints/Tuberculosis of spine, cervical region
Tuberculosis of bones and joints/Tuberculosis of spine, cervicothoracic region
Tuberculosis of bones and joints/Tuberculosis of spine, thoracic region
Tuberculosis of bones and joints/Tuberculosis of spine, thoracolumbar region
Tuberculosis of bones and joints/Tuberculosis of spine, lumbar region
Tuberculosis of bones and joints/Tuberculosis of spine, lumbosacral region
Tuberculosis of bones and joints/Tuberculosis of spine, sacral and sacrococcygeal region
Tuberculosis of bones and joints/Tuberculosis of spine, site unspecified
Tuberculosis of bones and joints/Tuberculous necrosis of bone, tuberculous osteomyelitis or tuberculous
osteitis , multiple sites
osteitis , shoulder region
osteitis , upper arm
osteitis , forearm
osteitis , hand
osteitis , pelvic region and thigh
osteitis , lower leg
A17.8G07*
A17.8G63.0*
A17.9G99.8*
A18.0H75.0*
A18.0M01.10*
A18.0M01.11*
A18.0M01.12*
A18.0M01.13*
A18.0M01.14*
A18.0M01.15*
A18.0M01.16*
A18.0M01.17*
A18.0M01.18*
A18.0M01.19*
A18.0M49.00*
A18.0M49.01*
A18.0M49.02*
A18.0M49.03*
A18.0M49.04*
A18.0M49.05*
A18.0M49.06*
A18.0M49.07*
A18.0M49.08*
A18.0M49.09*
A18.0M90.00*
A18.0M90.01*
A18.0M90.02*
A18.0M90.03*
A18.0M90.04*
A18.0M90.05*
A18.0M90.06*
Page 49 of 316
CMS December 2005

A18.0M90.07*
A18.0M90.08*
A18.0M90.09*
A18.0M68.0*
A18.1N33.0*
A18.1N74.0*
A18.1N29.1*
A18.1N51.1*
A18.1N74.1*
A18.2
A18.3K67.3*.
A18.3K93.0*
A18.4H03.1*
A18.5H32.0*
A18.5H19.0*
A18.5H19.2*
A18.5H22.0*
A18.6H67.0*
A18.7 E35.1*
A18.8I39.8*
A18.8I41.0*
A18.8K23.0*
A18.8I32.0*
A18.8E35.0*
A18.8I68.1*
A19.0
A19.1
A19.2
A19.8
A19.9
A31.0
O98.0
P37.0
U50.00
U50.01
U50.10
U50.11
U50.20
U50.21

osteitis ,ankle and foot
osteitis ,other
osteitis ,site unspecified
Tuberculosis of bones and joints/Tuberculous synovitis or tuberculous tenosynovitis
Tuberculosis of genitourinary system/Tuberculosis of bladder
Tuberculosis of genitourinary system/Tuberculosis of cervix
Tuberculosis of genitourinary system/Tuberculosis of kidney and or ureter
Tuberculosis of genitourinary system/Disorders of testis and epididymis in diseases classified elsewhere
Tuberculosis of genitourinary system/Tuberculous female pelvic inflammatory disease
Tuberculous peripheral lymphadenopathy
Tuberculosis of intestines, peritoneum and mesenteric glands / Tuberculous peritonitis
Tuberculosis of intestines, peritoneum and mesenteric glands / Tuberculous disorders of intestines,
peritoneum and mesenteric glands
Tuberculosis of skin and subcutaneous tissue / Involvement of eyelid in other infectious diseases classified
elsewhere
Tuberculosis of eye/Tuberculous chorioretinitis
Tuberculosis of eye/Tuberculous episcleritis
Tuberculosis of eye/Tuberculous interstitial keratitis, Tuberculous keratoconjunctivitis (interstitial)
(phlyctenular)
Tuberculosis of eye/Tuberculous iridocyclitis
Tuberculosis of ear/Tuberculous otitis media
Tuberculosis of adrenal glands/ Neuropathic heredofamilial amyloidosis
Tuberculosis of other specified organs/Tuberculosis of endocardium
Tuberculosis of other specified organs/Tuberculosis of myocardium
Tuberculosis of other specified organs/Tuberculosis of oesophagus
Tuberculosis of other specified organs/Tuberculosis of pericardiu
Tuberculosis of other specified organs/Tuberculosis of thyroid gland
Tuberculosis of other specified organs/Tuberculous cerebral arteritis
Acute miliary tuberculosis of a single specified site
Acute miliary tuberculosis of multiple sites
Acute miliary tuberculosis, unspecified
Other miliary tuberculosis
Miliary tuberculosis, unspecified
Pulmonary mycobacterial infection
Tuberculosis complicating pregnancy, childbirth and the puerperium
Congenital tuberculosis
Primary multi-drug resistant tuberculosis (MDR TB)
Secondary multi-drug resistant tuberculosis (MDR TB)
Drug resistant tuberculosis, primary resistance to isoniazid (INH) only
Drug resistant tuberculosis, secondary resistance to Isoniazid (INH) only
Drug resistant tuberculosis, primary resistance to rifampicin only
Drug resistant tuberculosis, secondary resistance to rifampicin only
Drug resistant tuberculosis, primary resistance to isonizaid and rifampicinand any other anti-TB drug
U50.30
Drug resistant tuberculosis, secondary resistance to isonizaid and rifampicinand any other anti-TB drug
U50.31
U50.40
937S
Tumour of internal organ

Biopsy
(excludes skin): unknown
whether benign or malignant
U50.41
U50.90
U50.91
D37.1
D37.2
D37.3
D37.4
D37.5
D37.6
Drug resistant tuberculosis, primary resistance to isonizaid and rifampicinand any other drug not classified
as animal anti-TB drug
Drug resistant tuberculosis, secondary resistance to isonizaid and rifampicinand any other drug not
classified as animal anti-TB drug
Drug resistant tuberculosis, primary resistance to drug, unspecified
Drug resistant tuberculosis, secondary resistance to drug, unspecified
Neoplasm of uncertain/unknown behaviour, stomach
Neoplasm of uncertain/unknown behaviour, small intestine
Neoplasm of uncertain/unknown behaviour, appendix
Neoplasm of uncertain/unknown behaviour, colon
Neoplasm of uncertain/unknown behaviour, rectum
Neoplasm of uncertain/unknown behaviour, liver, gallbladder and bile ducts
Page 50 of 316
CMS December 2005

D37.7
D37.9
D38.0
D38.1
D38.2
D38.3
D38.4
D38.5
D38.6
D39.0
D39.1
D39.2
D39.7
D39.9
D40.0
D40.1
D40.7
D40.9
D41.0
D41.1
D41.2
D41.3
D41.4
D41.7
D41.9
D42.0
D42.1
D42.9
D43.0
D43.1
D43.2
D43.3
D43.4
D43.7
D43.9
D44.0
D44.1
D44.2
D44.3
D44.4
D44.5
D44.6
D44.7
D44.8
D44.9
D47.0
D47.1
D47.7
15S
Whooping cough, diptheria
Medical management
D47.9
Neoplasm of uncertain/unknown behaviour, other digestive organs

Neoplasm of uncertain/unknown behaviour, digestive organ, unspecified
Neoplasm of uncertain/unknown behaviour, larynx
Neoplasm of uncertain/unknown behaviour, trachea, bronchus and lung
Neoplasm of uncertain/unknown behaviour, pleura
Neoplasm of uncertain/unknown behaviour, mediastinum
Neoplasm of uncertain/unknown behaviour, thymus
Neoplasm of uncertain/unknown behaviour, other respiratory organs
Neoplasm of uncertain/unknown behaviour, respiratory organ, unspecified
Neoplasm of uncertain/unknown behaviour, uterus
Neoplasm of uncertain/unknown behaviour, ovary
Neoplasm of uncertain/unknown behaviour, placenta
Neoplasm of uncertain/unknown behaviour, other female genital organs
Neoplasm of uncertain/unknown behaviour, female genital organ, unspecified
Neoplasm of uncertain/unknown behaviour, prostate
Neoplasm of uncertain/unknown behaviour, testis
Neoplasm of uncertain/unknown behaviour, other male genital organs
Neoplasm of uncertain/unknown behaviour, male genital organ, unspecified
Neoplasm of uncertain/unknown behaviour, kidney
Neoplasm of uncertain/unknown behaviour, renal pelvis
Neoplasm of uncertain/unknown behaviour, ureter
Neoplasm of uncertain/unknown behaviour, urethra
Neoplasm of uncertain/unknown behaviour, bladder
Neoplasm of uncertain/unknown behaviour, other urinary organs
Neoplasm of uncertain/unknown behaviour, urinary organ, unspecified
Neoplasm of uncertain/unknown behaviour, cerebral meninges
Neoplasm of uncertain/unknown behaviour, spinal meninges
Neoplasm of uncertain/unknown behaviour, meninges, unspecified
Neoplasm of uncertain/unknown behaviour, brain, supratentorial
Neoplasm of uncertain/unknown behaviour, brain, infratentorial
Neoplasm of uncertain/unknown behaviour, brain, unspecified
Neoplasm of uncertain/unknown behaviour, cranial nerves
Neoplasm of uncertain/unknown behaviour, spinal cord
Neoplasm of uncertain/unknown behaviour, other parts of central nervous system
Neoplasm of uncertain/unknown behaviour, central nervous system, unspecified
Neoplasm of uncertain/unknown behaviour, thyroid gland
Neoplasm of uncertain/unknown behaviour, adrenal gland
Neoplasm of uncertain/unknown behaviour, parathyroid gland
Neoplasm of uncertain/unknown behaviour, pituitary gland
Neoplasm of uncertain/unknown behaviour, craniopharyngeal duct
Neoplasm of uncertain/unknown behaviour, pineal gland
Neoplasm of uncertain/unknown behaviour, carotid body
Neoplasm of uncertain/unknown behaviour, aortic body and other paraganglia
Neoplasm of uncertain/unknown behaviour, pluriglandular involvement
Neoplasm of uncertain/unknown behaviour, endocrine gland, unspecified
Histiocytic and mast cell tumours of uncertain and unknown behaviour
Chronic myeloproliferative disease
Other specified neoplasms of uncertain or unknown behaviour of lymphoid, haematopoietic and related
tissue
Neoplasm of uncertain or unknown behaviour of lymphoid, haematopoietic and related tissue, unspecified
D48.0
D48.1
D48.2
D48.3
D48.4
A36.0
A36.1
A36.2
A36.3
A36.8G63.0*
A36.8H13.1*
Neoplasm of uncertain/unknown behaviour, bone and articular cartilage

Neoplasm of uncertain/unknown behaviour, connective and other soft tissue
Neoplasm of uncertain/unknown behaviour, peripheral nerves and autonomic nervous system
Neoplasm of uncertain/unknown behaviour, retroperitoneum
Neoplasm of uncertain/unknown behaviour, peritoneum
Pharyngeal diphtheria
Nasopharyngeal diphtheria
Laryngeal diphtheria
Cutaneous diphtheria
Other diphtheria / Polyneuropathy in infectious and parasitic diseases classified elsewhere
Other diphtheria / Conjunctivitis in infectious and parasitic diseases classified elsewhere
Page 51 of 316
CMS December 2005
155E
Myocarditis;
cardiomyopathy;
transposition of great
vessels; hypoplastic left
heart syndrome

management; cardiac
transplant
A36.8I41.0*
A36.8I43.0*
A36.9
A37.0
A37.1
A37.8
A37.9
A18.8I41.0*
A36.8I41.0*
A36.8I43.0*
A39.5I41.0*
A52.0I41.0*
A54.8I41.0*
B26.8I41.1*
B33.2I43.0*
B57.0I41.2*
B57.2I41.2*
B58.8I41.2*
D86.8I41.8*
E05.9I43.8*
E51.1I43.2*
E63.9I43.2*
E85.4I43.1*
E88.9I43.1*
I25.5
I40.0
I40.1
I40.8
I40.9
I42.0
I42.1
I42.2
I42.3
I42.4
I42.5
I42.6
I42.7
I42.8
I42.9
I51.4
I51.5
I51.7
J10.8I41.1*
J11.8I41.1*
M05.30I41.8*
M05.31I41.8*
M05.32I41.8*
M05.33I41.8*
M05.34I41.8*
M05.35I41.8*
Other diphtheria / Myocarditis in bacterial diseases classified elsewhere

Other diphtheria / Cardiomyopathy in infectious and parasitic diseases classified elsewhere
Diphtheria unspecified
Whooping cough due to Bordetella pertussis
Whooping cough due to Bordetella parapertussis
Whooping cough due to other Bordetella species
Whooping cough unspecified
Tuberculosis of other specified organs / Myocarditis in bacterial diseases classified elsewhere
Other diphtheria / Myocarditis in bacterial diseases classified elsewhere
Other diphtheria / Cardiomyopathy in infectious and parasitic diseases classified elsewhere
Meningococcal heart disease / Myocarditis in bacterial diseases classified elsewhere
Cardiovascular syphilis / Myocarditis in bacterial diseases classified elsewhere
Other gonococcal infections / Myocarditis in bacterial diseases classified elsewhere
Mumps with other complications / Myocarditis in viral diseases classified elsewhere
Viral carditis / Cardiomyopathy in infectious and parasitic diseases classified elsewhere
Acute Chagas' disease with heart involvement / Myocarditis in other infectious and parasitic diseases
Chagas' disease (chronic) with heart involvement / Myocarditis in other infectious and parasitic diseases
classified
Toxoplasmosis with other organ involvement / Myocarditis in other infectious and parasitic diseases
classified
Sarcoidosis of other and combined sites / Myocarditis in other diseases classified elsewhere
Thyrotoxicosis, unspecified / Cardiomyopathy in other diseases classified elsewhere
Beriberi / Cardiomyopathy in nutritional diseases
Nutritional deficiency unspecified / Cardiomyopathy in nutritional diseases
Organ-limited amyloidosis / Cardiomyopathy in metabolic diseases
Metabolic disorder unspecified / Cardiomyopathy in metabolic diseases
Ischaemic cardiomyopathy
Infective myocarditis
Isolated myocarditis
Other acute myocarditis
Acute myocarditis, unspecified
Dilated cardiomyopathy
Obstructive hypertrophic cardiomyopathy
Other hypertrophic cardiomyopathy
Endomyocardial (eosinophilic) disease
Endocardial fibroelastosis
Other restrictive cardiomyopathy
Alcoholic cardiomyopathy
Cardiomyopathy due to drugs and other external agents
Other cardiomyopathies
Cardiomyopathy, unspecified
Myocarditis, unspecified
Myocardial degeneration
Cardiomegaly
Influenza with other manifestations, influenza virus identified / Myocarditis in viral diseases classified
elsewhere
Influenza with other manifestations, virus not identified / Myocarditis in viral diseases classified elsewhere
Rheumatoid arthritis with involvement of other organs and systems, multiple sites / Myocarditis in other
Rheumatoid arthritis with involvement of other organs and systems, shoulder region / Myocarditis in other
Rheumatoid arthritis with involvement of other organs and systems, upper arm / Myocarditis in other
Rheumatoid arthritis with involvement of other organs and systems, forearm / Myocarditis in other diseases
Rheumatoid arthritis with involvement of other organs and systems, hand / Myocarditis in other diseases
Rheumatoid arthritis with involvement of other organs and systems, pelvic region and thigh / Myocarditis in
other diseases classified elsewhere
Page 52 of 316
CMS December 2005

M05.36I41.8*
M05.37I41.8*
M05.38I41.8*
M05.39I41.8*
108E
Pericarditis

management
P29.9
Q20.3
Q23.4
A18.8I32.0*
A39.5I32.0*
A52.0I32.0*
A54.8I32.0*
B33.2I32.1*
I09.2
I30.0
I30.1
I30.8
I30.9
I31.0
I31.1
I31.2
I31.3
I31.8
I31.9
M05.30I32.8*
M05.31I32.8*
M05.32I32.8*
M05.33I32.8*
M05.34I32.8*
M05.35I32.8*
M05.36I32.8*
M05.37I32.8*
M05.38I32.8*
M05.39I32.8*
M32.1I32.8*
907E
Acute and subacute

ischemic heart disease,
including myocardial
infarction and unstable
angina
Medical management;
surgery; percutaneous
procedures
N18.8I32.8*
I20.0
I20.1
I20.8
I20.9
I21.0
I21.1
I21.2
I21.3
I21.4
I21.9
I22.0
I22.1
Rheumatoid arthritis with involvement of other organs and systems, lower leg / Myocarditis in other diseases
Rheumatoid arthritis with involvement of other organs and systems, ankle and foot / Myocarditis in other
Rheumatoid arthritis with involvement of other organs and systems, other sites / Myocarditis in other
Rheumatoid arthritis with involvement of other organs and systems, site unspecified / Myocarditis in other
Cardiovascular disorder originating in the perinatal period,unspecified
Discordant ventriculoarterial connection
Hypoplastic left heart syndrome
Tuberculosis of other specified organs / Pericarditis in bacterial diseases classified elsewhere
Meningococcal heart disease / Pericarditis in bacterial diseases classified elsewhere
Cardiovascular syphilis / Pericarditis in bacterial diseases classified elsewhere
Other gonococcal infections / Pericarditis in bacterial diseases classified elsewhere
Viral carditis / Pericarditis in other infectious and parasitic diseases classified elsewhere
Chronic rheumatic pericarditis
Acute nonspecific idiopathic pericarditis
Infective pericarditis
Other forms of acute pericarditis
Acute pericarditis unspecified
Chronic adhesive pericarditis
Chronic constrictive pericarditis
Haemopericardium, not elsewhere classified
Pericardial effusion (noninflammatory)
Other specified diseases of pericardium
Disease of pericardium, unspecified
Rheumatoid arthritis with involvement of other organs and systems, multiple sites / Pericarditis in other
Rheumatoid arthritis with involvement of other organs and systems, shoulder region / Pericarditis in other
Rheumatoid arthritis with involvement of other organs and systems , upper arm/ Pericarditis in other
Rheumatoid arthritis with involvement of other organs and systems,forearm / Pericarditis in other diseases
Rheumatoid arthritis with involvement of other organs and systems, hand / Pericarditis in other diseases
Rheumatoid arthritis with involvement of other organs and systems, pelvic region and thigh / Pericarditis in
other diseases classified elsewhere
Rheumatoid arthritis with involvement of other organs and systems, lower leg / Pericarditis in other diseases
Rheumatoid arthritis with involvement of other organs and systems, ankle and foot / Pericarditis in other
Rheumatoid arthritis with involvement of other organs and systems, other site / Pericarditis in other diseases
Rheumatoid arthritis with involvement of other organs and systems, site unspecified / Pericarditis in other
Systemic lupus erythematosus with organ or system involvement / Pericarditis in other diseases classified
elsewhere
Other chronic renal failure / Pericarditis in other diseases classified elsewhere
Unstable angina
Angina pectoris with documented spasm
Other forms of angina pectoris
Angina pectoris, unspecified
Acute transmural myocardial infarction of anterior wall
Acute transmural myocardial infarction of inferior wall
Acute transmural myocardial infarction of other sites
Acute transmural myocardial infarction of unspecified site
Acute subendocardial myocardial infarction
Acute myocardial infarction unspecified
Subsequent myocardial infarction of anterior wall
Subsequent myocardial infarction of inferior wall
Page 53 of 316
CMS December 2005

I22.8
I22.9
I23.0
I23.1
I23.2
I23.5
I23.6
284E
Acute pulmonary heart

disease and pulmonary
emboli

management
35E
Acute rheumatic fever
Medical management
908E
Aneurysm of major artery of Surgical management

chest, abdomen, neck, Unruptured or ruptured NOS
26E
Arterial
embolism/thrombosis:
abdominal aorta, thoracic
aorta

management
204E
Cardiac failure: acute or

recent deterioration of
chronic cardiac failure
Medical treatment
I23.8
I24.1
I24.8
I24.9
I25.0
I25.1
I25.2
I25.6
I25.8
I25.9
I51.0
I51.3
P29.4
I26.0
Subsequent myocardial infarction of other sites

Subsequent myocardial infarction of unspecified site
Haemopericardium as current complication following acute myocardial infarction
Atrial septal defect as current complication following acute myocardial infarction
Ventricular septal defect as current complication following acute myocardial infarction
Rupture of papillary muscle as current complication following acute myocardial infarction
Thrombosis of atrium auricular appendage and ventricle as current complications following acute myocardial
infarction
Other current complications following acute myocardial infarction
Dressler's syndrome
Other forms of acute ischaemic heart disease
Acute ischaemic heart disease, unspecified
Atherosclerotic cardiovascular disease, so described
Atherosclerotic heart disease
Old myocardial infarction
Silent myocardial ischaemia
Other forms of chronic ischaemic heart disease
Chronic ischaemic heart disease, unspecified
Cardiac septal defect, acquired
Intracardiac thrombosis, not elsewhere classified
Transient myocardial ischaemia of newborn
Pulmonary embolism with mention of acute cor pulmonale
I26.9
Pulmonary embolism without mention of acute cor pulmonale
I00
I01.0
I01.1
I01.2
I01.8
I01.9
I02.0
I02.9
I09.0
I09.1
I09.8
I09.9
A52.0I79.0*
I25.3
I25.4
I28.1
I71.0
I71.1
I71.2
I71.3
I71.4
I71.5
I71.6
I71.8
I71.9
I72.0
I72.1
I72.2
I72.3
I74.0
I74.1
I82.2
I82.3
I82.8
I11.0
I50.0
I50.1
I50.9
Rheumatic fever without mention of heart involvement

Acute rheumatic pericarditis
Acute rheumatic endocarditis
Acute rheumatic myocarditis
Other acute rheumatic heart disease
Acute rheumatic heart disease unspecified
Rheumatic chorea with heart involvement
Rheumatic chorea without heart involvement
Rheumatic myocarditis
Rheumatic diseases of endocardium, valve unspecified
Other specified rheumatic heart diseases
Rheumatic heart disease, unspecified
Cardiovascular syphilis / Aneurysm of aorta in diseases classified elsewhere
Aneurysm of heart
Coronary artery aneurysm
Aneurysm of pulmonary artery
Dissection of aorta [any part]
Thoracic aortic aneurysm, ruptured
Thoracic aortic aneurysm, without mention of rupture
Abdominal aortic aneurysm, ruptured
Abdominal aortic aneurysm, without mention of rupture
Thoracoabdominal aortic aneurysm, ruptured
Thoracoabdominal aortic aneurysm, without mention of rupture
Aortic aneurysm of unspecified site, ruptured
Aortic aneurysm of unspecified site, without mention of rupture
Aneurysm of carotid artery
Aneurysm of artery of upper extremity
Aneurysm of renal artery
Aneurysm of iliac artery
Embolism and thrombosis of abdominal aorta
Embolism and thrombosis of other and unspecified parts of aorta
Embolism and thrombosis of vena cava
Embolism and thrombosis of renal vein
Embolism and thrombosis of other specified veins
Hypertensive heart disease with (congestive) heart failure
Congestive heart failure
Left ventricular failure
Heart failure unspecified
Page 54 of 316
CMS December 2005

P29.0
Q20.3
Q20.5
Q25.8
Q25.9
Q24.5
98E
Complete, corrected and

other transposition of great
vessels
Repair
97E
Coronary artery anomaly
Anomalous coronary
artery ligation
309E
Diseases and disorders of

aortic valve NOS
Aortic valve replacement A01.0I39.1*

A18.8I39.1*
A39.5I39.1*
A52.0I39.1*
A54.8I39.1*
M05.30I39.1*
M05.31I39.1*
M05.32I39.1*
M05.33I39.1*
M05.34I39.1*
M05.35I39.1*
M05.36I39.1*
M05.37I39.1*
M05.38I39.1*
M05.39I39.1*
M32.1I39.1*
210E
Diseases of endocardium;
endocarditis
Medical management
I06.0
I06.1
I06.2
I06.8
I06.9
I35.0
I35.1
I35.2
I35.8
I35.9
Q23.0
Q23.1
A01.0I39.8*
A18.8I39.8*
A39.5I39.8*
A52.0I39.8*
A54.8I39.8*
B37.6I39.8*
I33.0
I33.9
I38
M05.30I39.8*
M05.31I39.8*
Neonatal cardiac failure

Discordant atrioventricular connection
Other congenital malformations of great arteries
Congenital malformation of great arteries, unspecified
Malformation of coronary vessels
Typhoid fever / Aortic valve disorders in diseases classified elsewhere
Tuberculosis of other specified organs / Aortic valve disorders in diseases classified elsewhere
Meningococcal heart disease / Aortic valve disorders in diseases classified elsewhere
Cardiovascular syphilis / Aortic valve disorders in diseases classified elsewhere
Other gonococcal infections / Aortic valve disorders in diseases classified elsewhere
Rheumatoid arthritis with involvement of other organs and systems, multiple sites / Aortic valve disorders in
Rheumatoid arthritis with involvement of other organs and systems, shoulder region / Aortic valve disorders
Rheumatoid arthritis with involvement of other organs and systems, upper arm / Aortic valve disorders in
Rheumatoid arthritis with involvement of other organs and systems , forearm/ Aortic valve disorders in
Rheumatoid arthritis with involvement of other organs and systems,hand / Aortic valve disorders in diseases
Rheumatoid arthritis with involvement of other organs and systems, pelvic region and thigh / Aortic valve
disorders in diseases classified elsewhere
Rheumatoid arthritis with involvement of other organs and systems, lower leg / Aortic valve disorders in
Rheumatoid arthritis with involvement of other organs and systems, ankle and foot / Aortic valve disorders in
Rheumatoid arthritis with involvement of other organs and systems, other site / Aortic valve disorders in
Rheumatoid arthritis with involvement of other organs and systems, site unspecified / Aortic valve disorders
Systemic lupus erythematosus with organ or system involvement / Aortic valve disorders in diseases
Rheumatic aortic stenosis
Rheumatic aortic insufficiency
Rheumatic aortic stenosis with insufficiency
Other rheumatic aortic valve diseases
Rheumatic aortic valve disease, unspecified
Aortic (valve) stenosis
Aortic (valve) insufficiency
Aortic (valve) stenosis with insufficiency
Other aortic valve disorders
Aortic valve disorder unspecified
Congenital stenosis of aortic valve
Congenital insufficiency of aortic valve
Typhoid fever / Endocarditis valve unspecified in diseases classified elsewhere
Tuberculosis of other specified organs / Endocarditis valve unspecified in diseases classified elsewhere
Meningococcal heart disease / Endocarditis valve unspecified in diseases classified elsewhere
Cardiovascular syphilis / Endocarditis valve unspecified in diseases classified elsewhere
Other gonococcal infections / Endocarditis valve unspecified in diseases classified elsewhere
Candidal endocarditis / Endocarditis, valve unspecified, in diseases classified elsewhere
Acute and subacute infective endocarditis
Acute endocarditis unspecified
Endocarditis valve unspecified
Rheumatoid arthritis with involvement of other organs and systems, multiple sites / Endocarditis valve
unspecified in diseases classified elsewhere
Rheumatoid arthritis with involvement of other organs and systems, shoulder region / Endocarditis valve
Page 55 of 316
CMS December 2005

M05.32I39.8*
M05.33I39.8*
M05.34I39.8*
M05.35I39.8*
M05.36I39.8*
M05.37I39.8*
M05.38I39.8*
M05.39I39.8*
314E
Diseases of mitral valve
Valvuloplasty; valve
replacement; medical
management
A01.0I39.0*
A18.8I39.0*
A39.5I39.0*
A52.0I39.0*
A54.8I39.0*
I05.0
I05.1
I05.2
I05.8
I05.9
I34.0
I34.1
I34.2
I34.8
I34.9
M05.30I39.0*
M05.31I39.0*
M05.32I39.0*
M05.33I39.0*
M05.34I39.0*
M05.35I39.0*
M05.36I39.0*
M05.37I39.0*
M05.38I39.0*
M05.39I39.0*
M32.1I39.0*
902E
Disorders of arteries:
visceral
Bypass graft; surgical

management
Q23.2
Q23.3
I70.0
I70.1
I77.3
I77.4
I77.6
I77.8
Rheumatoid arthritis with involvement of other organs and systems, upper arm / Endocarditis valve
Rheumatoid arthritis with involvement of other organs and systems, forearm / Endocarditis valve unspecified
Rheumatoid arthritis with involvement of other organs and systems, hand / Endocarditis valve unspecified in
Rheumatoid arthritis with involvement of other organs and systems, pelvic region and thigh / Endocarditis
valve unspecified in diseases classified elsewhere
Rheumatoid arthritis with involvement of other organs and systems, lower leg / Endocarditis valve
Rheumatoid arthritis with involvement of other organs and systems, ankle and foot / Endocarditis valve
Rheumatoid arthritis with involvement of other organs and systems, other site / Endocarditis valve
Rheumatoid arthritis with involvement of other organs and systems, site unspecified / Endocarditis valve
Typhoid fever / Mitral valve disorders in diseases classified elsewhere
Tuberculosis of other specified organs / Mitral valve disorders in diseases classified elsewhere
Meningococcal heart disease / Mitral valve disorders in diseases classified elsewhere
Cardiovascular syphilis / Mitral valve disorders in diseases classified elsewhere
Other gonococcal infections / Mitral valve disorders in diseases classified elsewhere
Mitral stenosis
Rheumatic mitral insufficiency
Mitral stenosis with insufficiency
Other mitral valve diseases
Mitral valve disease unspecified
Mitral (valve) insufficiency
Mitral (valve) prolapse
Nonrheumatic mitral (valve) stenosis
Other nonrheumatic mitral valve disorders
Nonrheumatic mitral valve disorder, unspecified
Rheumatoid arthritis with involvement of other organs and systems, multiple sites / Mitral valve disorders in
Rheumatoid arthritis with involvement of other organs and systems, shoulder region / Mitral valve disorders
Rheumatoid arthritis with involvement of other organs and systems, upper arm / Mitral valve disorders in
Rheumatoid arthritis with involvement of other organs and systems, forearm / Mitral valve disorders in
Rheumatoid arthritis with involvement of other organs and systems, hand / Mitral valve disorders in diseases
Rheumatoid arthritis with involvement of other organs and systems, pelvic region and thigh / Mitral valve
disorders in diseases classified elsewhere
Rheumatoid arthritis with involvement of other organs and systems, lower leg / Mitral valve disorders in
Rheumatoid arthritis with involvement of other organs and systems, ankle and foot / Mitral valve disorders in
Rheumatoid arthritis with involvement of other organs and systems, other site / Mitral valve disorders in
Rheumatoid arthritis with involvement of other organs and systems, site unspecified / Mitral valve disorders
Systemic lupus erythematosus with organ or system involvement / Mitral valve disorders in diseases
Congenital mitral stenosis
Congenital mitral insufficiency
Atherosclerosis of aorta
Atherosclerosis of renal artery
Arterial fibromuscular dysplasia
Coeliac artery compression syndrome
Arteritis unspecified
Other specified disorders of arteries and arterioles
Page 56 of 316
CMS December 2005
18E
Dissecting or ruptured aortic Surgical management

aneurysm
915E

Gangrene; severe
atherosclerosis of arteries of management including
amputation
extremities; diabetes
mellitus with peripheral
circulatory disease
294E
Giant cell arteritis, Kawasaki Medical management

disease, hypersensitivity
angiitis
450E
Hereditary hemorrhagic
telangiectasia
901E
Hypertension acute lifeMedical and surgical

threatening complications
management
and malignant hypertension;
renal artery stenosis and
other curable hypertension
111E
Injury to major blood

vessels - trunk, head and
neck, and upper limbs
Excision
Repair
K55.0
K55.1
K55.2
K55.8
K55.9
M31.8
M31.9
Q27.1
Q27.2
I71.0
I71.1
I71.3
I71.5
I71.8
E10.5
E11.5
E12.5
E13.5
E14.5
I70.2
I73.1
I74.4
I74.5
I74.8
M30.3
M31.0
M31.5
M31.6
I78.0
Acute vascular disorders of intestine

Chronic vascular disorders of intestine
Angiodysplasia of colon
Other vascular disorders of intestine
Vascular disorder of intestine unspecified
Other specified necrotizing vasculopathies
Necrotizing vasculopathy, unspecified
Congenital renal artery stenosis
Other congenital malformations of renal artery
Dissection of aorta [any part]
Thoracic aortic aneurysm, ruptured
Abdominal aortic aneurysm, ruptured
Thoracoabdominal aortic aneurysm, ruptured
Aortic aneurysm of unspecified site, ruptured
Insulin-dependent diabetes mellitus - With peripharal circulatory complications
Non-insulin-dependent diabetes mellitus - With peripharal circulatory complications
Malnutrition-related diabetes mellitus - With peripharal circulatory complications
Other specified diabetes mellitus - With peripharal circulatory complications
Unspecified diabetes mellitus - With peripharal circulatory complications
Atherosclerosis of arteries of extremities
Thromboangiitis obliterans [Buerger]
Embolism and thrombosis of arteries of extremities, unspecified
Embolism and thrombosis of iliac artery
Embolism and thrombosis of other arteries
Mucocutaneous lymph node syndrome [Kawasaki]
Hypersensitivity angiitis
Giant cell arteritis with polymyalgia rheumatica
Other giant cell arteritis
Hereditary haemorrhagic telangiectasia
I10
I11.0
I11.9
I12.0
I12.9
I13.0
I13.1
I13.2
I13.9
I15.0
I15.1
I15.2
I15.8
I15.9
I27.0
I67.4
O10.0
O10.1
O10.2
O10.3
Essential (primary) hypertension

Hypertensive heart disease without (congestive) heart failure
Hypertensive renal disease with renal failure
Hypertensive renal disease without renal failure
Hypertensive heart and renal disease with (congestive) heart
Hypertensive heart and renal disease with renal failure
Hypertensive heart and renal disease with both (congestive) heart failure and renal failure
Hypertensive heart and renal disease unspecified
Renovascular hypertension
Hypertension secondary to other renal disorders
Hypertension secondary to endocrine disorders
Other secondary hypertension
Secondary hypertension unspecified
Primary pulmonary hypertension
Hypertensive encephalopathy
Pre-existing essential hypertension complicating pregnancy, childbirth and the puerperium
Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium
Pre-existing hypertensive renal disease complicating pregnancy, childbirth and the puerperium
Pre-existing hypertensive heart and renal disease complicating pregnancy, childbirth and the puerperium
O10.4
O10.9
Q27.1
S09.0
S15.0
S15.1
S15.2
S15.3
S15.7
S25.0
Pre-existing secondary hypertension complicating pregnancy, childbirth and the puerperium

Unspecified pre-existing hypertension complicating pregnancy, childbirth and the puerperium
Congenital renal artery stenosis
Injury of blood vessels of head, not elsewhere classified
Injury of carotid artery
Injury of vertebral artery
Injury of external jugular vein
Injury of internal jugular vein
Injury of multiple blood vessels at neck level
Injury of thoracic aorta
Page 57 of 316
CMS December 2005
19E
Injury to major blood

vessels of extremities
Ligation
903E
Life-threatening cardiac
arrhythmias

management,
pacemakers,
cardioversion
S25.1
S25.2
S25.3
S25.4
S25.5
S25.7
S35.0
S35.1
S35.2
S35.3
S35.4
S35.5
S35.7
S35.8
S45.0
S45.1
S45.2
S45.3
S45.7
I77.2
S45.0
S45.1
S45.2
S45.3
S45.7
S45.8
S55.0
S55.1
S55.2
S55.7
S55.8
S65.0
S65.1
S65.2
S65.3
S65.4
S65.5
S65.7
S65.8
S75.0
S75.1
S75.2
S75.7
S75.8
S85.0
S85.1
S85.2
S85.3
S85.4
S85.5
S85.7
S85.8
S95.0
S95.1
S95.2
S95.7
S95.8
I44.0
I44.1
I44.2
I44.3
I44.4
Injury of innominate or subclavian artery

Injury of superior vena cava
Injury of innominate or subclavian vein
Injury of pulmonary blood vessels
Injury of intercostal blood vessels
Injury of multiple blood vessels of thorax
Injury of abdominal aorta
Injury of inferior vena cava
Injury of coeliac or mesenteric artery
Injury of portal or splenic vein
Injury of renal blood vessels
Injury of iliac blood vessels
Injury of multiple blood vessels at abdomen, lower back and pelvis level
Injury of other blood vessels at abdomen, lower back and pelvis level
Injury of axillary artery
Injury of brachial artery
Injury of axillary or brachial vein
Injury of superficial vein at shoulder and upper arm level
Injury of multiple blood vessels at shoulder and upper arm level
Rupture of artery
Injury of axillary artery
Injury of brachial artery
Injury of axillary or brachial vein
Injury of superficial vein at shoulder and upper arm level
Injury of multiple blood vessels at shoulder and upper arm level
Injury of other blood vessels at shoulder and upper arm level
Injury of ulnar artery at forearm level
Injury of radial artery at forearm level
Injury of vein at forearm level
Injury of multiple blood vessels at forearm level
Injury of other blood vessels at forearm level
Injury of ulnar artery at wrist and hand level
Injury of radial artery at wrist and hand level
Injury of superficial palmar arch
Injury of deep palmar arch
Injury of blood vessel(s) of thumb
Injury of blood vessel(s) of other finger
Injury of multiple blood vessels at wrist and hand level
Injury of other blood vessels at wrist and hand level
Injury of femoral artery
Injury of femoral vein at hip and thigh level
Injury of greater saphenous vein at hip and thigh level
Injury of multiple blood vessels at hip and thigh level
Injury of other blood vessels at hip and thigh level
Injury of popliteal artery
Injury of (anterior)(posterior) tibial artery
Injury of peroneal artery
Injury of greater saphenous vein at lower leg level
Injury of lesser saphenous vein at lower leg level
Injury of popliteal vein
Injury of multiple blood vessels at lower leg level
Injury of other blood vessels at lower leg level
Injury of dorsal artery of foot
Injury of plantar artery of foot
Injury of dorsal vein of foot
Injury of multiple blood vessels at ankle and foot level
Injury of other blood vessels at ankle and foot level
Atrioventricular block, first degree
Atrioventricular block, second degree
Atrioventricular block, complete
Other and unspecified atrioventricular block
Left anterior fascicular block
Page 58 of 316
CMS December 2005
900E
Life-threatening
complications of elective
cardiac and major vascular
procedures

management
497E
Multiple valvular disease
Surgical management
355E
Other aneurysm of artery
Surgical management
I44.5
I44.6
I44.7
I45.0
I45.1
I45.2
I45.3
I45.4
I45.5
I45.6
I45.8
I46.0
I46.9
I47.0
I47.1
I47.2
I47.9
I48
I49.0
I49.1
I49.2
I49.3
I49.4
I49.5
I49.8
I49.9
P29.1
I97.0
I97.1
I97.8
I97.9
T82.0
T82.1
T82.2
T82.3
T82.4
T82.5
T82.6
T82.7
Left posterior fascicular block

Other and unspecified fascicular block
Left bundle-branch block, unspecified
Right fascicular block
Other and unspecified right bundle-branch block
Bifascicular block
Trifascicular block
Nonspecific intraventricular block
Other specified heart block
Pre-excitation syndrome
Other specified conduction disorders
Cardiac arrest with successful resuscitation
Cardiac arrest, unspecified
Re-entry ventricular arrhythmia
Supraventricular tachycardia
Ventricular tachycardia
Paroxysmal tachycardia, unspecified
Atrial fibrillation and flutter
Ventricular fibrillation and flutter
Atrial premature depolarization
Junctional premature depolarization
Ventricular premature depolarization
Other and unspecified premature depolarization
Sick sinus syndrome
Other specified cardiac arrhythmias
Cardiac arrhythmia, unspecified
Neonatal cardiac dysrhythmia
Postcardiotomy syndrome
Other functional disturbances following cardiac surgery
Other postprocedural disorders of circulatory system NEC
Postprocedural disorder of circulatory system, unspecified
Mechanical complication of heart valve prosthesis
Mechanical complication of cardiac electronic device
Mechanical complication of coronary artery bypass and valve grafts
Mechanical complication of other vascular grafts
Mechanical complication of vascular dialysis catheter
Mechanical complication of other cardiac and vascular devices and implants
Infection and inflammatory reaction due to cardiac valve prosthesis
Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts
T82.8
I07.0
I07.1
I07.2
I07.8
I07.9
I08.0
I08.1
I08.2
I08.3
I08.8
I08.9
I09.1
I36.0
I36.1
I36.2
I36.8
I37.0
I37.1
I37.2
I37.8
I72.1
Other complications of cardiac and vascular prosthetic devices, implants and grafts
Tricuspid stenosis
Tricuspid insufficiency
Tricuspid stenosis with insufficiency
Other tricuspid valve diseases
Tricuspid valve disease, unspecified
Disorders of both mitral and aortic valves
Disorders of both mitral and tricuspid valves
Disorders of both aortic and tricuspid valves
Combined disorders of mitral aortic and tricuspid valves
Other multiple valve diseases
Multiple valve disease unspecified
Rheumatic diseases of endocardium, valve unspecified
Nonrheumatic tricuspid (valve) stenosis
Nonrheumatic tricuspid (valve) insufficiency
Nonrheumatic tricuspid (valve) stenosis with insufficiency
Other nonrheumatic tricuspid valve disorders
Pulmonary valve stenosis
Pulmonary valve insufficiency
Pulmonary valve stenosis with insufficiency
Other pulmonary valve disorders
Aneurysm of artery of upper extremity
Page 59 of 316
CMS December 2005
peripheral
905E
Other correctable congenital Surgical repair; medical

cardiac conditions
management
100E
Patent ductus arteriosus;

aortic pulmonary fistula persistent
Ligation
209E
Phlebitis &
thrombophlebitis, deep
Ligation and division;

medical management
914E
Rheumatic pericarditis;
rheumatic myocarditis
Medical management
16E
Rupture of papillary muscle Medical and surgical

management
627E
Shock / hypotension lifethreatening
Medical management;
ventilation
I72.4
I72.8
Q20.0
Q20.1
Q20.2
Q20.3
Q20.4
Q20.5
Q21.1
Q21.4
Q21.8
Q22.0
Q22.1
Q22.2
Q22.3
Q22.4
Q22.5
Q22.6
Q22.8
Q22.9
Q23.0
Q23.1
Q23.4
Q24.3
Q24.4
Q24.5
Q24.6
Q25.1
Q25.2
Q25.3
Q25.5
Q25.6
Q26.2
Q26.3
Q26.4
I28.0
Aneurysm of artery of lower extremity

Aneurysm of other specified arteries
Common arterial trunk
Double outlet right ventricle
Double outlet left ventricle
Double inlet ventricle
Discordant atrioventricular connection
Atrial septal defect
Aortopulmonary septal defect
Other congenital malformations of cardiac septa
Pulmonary valve atresia
Congenital pulmonary valve stenosis
Congenital pulmonary valve insufficiency
Other congenital malformations of pulmonary valve
Congenital tricuspid stenosis
Ebstein's anomaly
Hypoplastic right heart syndrome
Other congenital malformations of tricuspid valve
Congenital malformation of tricuspid valve unspecified
Congenital stenosis of aortic valve
Congenital insufficiency of aortic valve
Hypoplastic left heart syndrome
Pulmonary infundibular stenosis
Congenital subaortic stenosis
Malformation of coronary vessels
Congenital heart block
Coarctation of aorta
Atresia of aorta
Stenosis of aorta
Atresia of pulmonary artery
Stenosis of pulmonary artery
Total anomalous pulmonary venous connection
Partial anomalous pulmonary venous connection
Anomalous pulmonary venous connection, unspecified
Arteriovenous fistula of pulmonary vessels
P29.3
Persistent fetal circulation
Q25.0
Patent ductus arteriosus
K75.1
G08
I67.6
I80.1
I80.2
I80.3
I82.1
I01.0
I01.2
I09.0
I09.2
I09.8
I09.9
I23.4
I23.5
I51.1
I51.2
E86
I95.2
O08.3
O75.1
R57.0
R57.1
Phlebitis of portal vein

Intracranial and intraspinal phlebitis and thrombophlebitis
Nonpyogenic thrombosis of intracranial venous system
Phlebitis and thrombophlebitis of femoral vein
Phlebitis and thrombophlebitis of other deep vessels of lower extremities
Phlebitis and thrombophlebitis of lower extremities, unspecified
Thrombophlebitis migrans
Acute rheumatic pericarditis
Acute rheumatic myocarditis
Rheumatic myocarditis
Chronic rheumatic pericarditis
Other specified rheumatic heart diseases
Rheumatic heart disease, unspecified
Rupture of chordae tendineae as current complication following acute myocardial infarction
Rupture of papillary muscle as current complication following acute myocardial infarction
Rupture of chordae tendineae, not elsewhere classified
Rupture of papillary muscle, not elsewhere classified
Volume depletion
Hypotension due to drugs
Shock following abortion and ectopic and molar pregnancy
Shock during or following labour and delivery
Cardiogenic shock
Hypovolaemic shock
Page 60 of 316
CMS December 2005
99E
Tetralogy of Fallot (TOF)
Total repair tetralogy
93E
Closure
325G
Ventricular septal defect persistent

Acute necrosis of liver
327G
Acute pancreatitis
36G
Budd-Chiari syndrome, and Thrombectomy / ligation

other venous embolism and
thrombosis
Medical management
Medical management,
and where appropriate,
surgical management
910G
Calculus of bile duct with

cholecystitis
Medical management;
cholecystectomy; other
open or closed surgery
950G
Cancer of liver, biliary

system and pancreas
treatable

management
R57.8
R57.9
T79.0
T79.1
T79.4
T80.0
T80.5
T81.1
T88.2
Q21.3
Other shock
Shock, unspecified
Air embolism (traumatic)
Fat embolism (traumatic)
Traumatic shock
Air embolism following infusion transfusion & therapeutic injection
Anaphylactic shock due to serum
Shock during or resulting from a procedure, not elsewhere classified
Shock due to anaesthesia
Tetralogy of Fallot
Q21.0
Q21.2
K71.1
K71.2
K76.2
K76.3
K85
Ventricular septal defect

Atrioventricular septal defect
Toxic liver disease with hepatic necrosis
Toxic liver disease with acute hepatitis
Central haemorrhagic necrosis of liver
Infarction of liver
Acute pancreatitis
I81
Portal vein thrombosis
I82.0
Budd-Chiari syndrome
K76.5
Hepatic veno-occlusive disease
K80.3
K80.4
K81.0
K81.1
K81.8
K81.9
K82.0
K82.2
K82.3
K82.1
K82.4
K83.0
K83.1
K83.2
K91.5
C22.0
C22.1
C22.2
C22.3
C22.4
C22.7
C22.9
C23
C24.0
C24.1
C24.8
C24.9
C25.0
C25.1
C25.2
C25.3
C25.4
C25.7
C25.8
C25.9
C26.1
Calculus of bile duct with cholangitis

Calculus of bile duct with cholecystitis
Acute cholecystitis
Chronic cholecystitis
Other cholecystitis
Cholecystitis, unspecified
Obstruction of gallbladder
Fistula of gallbladder
Hydrops of gallbladder
Cholesterolosis of gallbladder
Cholangitis
Obstruction of bile duct
Postcholecystectomy syndrome
Malignant neoplasm, liver cell carcinoma
Malignant neoplasm, intrahepatic bile duct carcinoma
Malignant neoplasm, hepatoblastoma
Malignant neoplasm, angiosarcoma of liver
Malignant neoplasm, other sarcomas of liver
Malignant neoplasm, other specified carcinomas of liver
Malignant neoplasm, liver, unspecified
Malignant neoplasm of gallbladder
Malignant neoplasm, extrahepatic bile duct
Malignant neoplasm, ampulla of vater
Malignant neoplasm, overlapping lesion of biliary tract
Malignant neoplasm, biliary tract, unspecified
Malignant neoplasm, head of pancreas
Malignant neoplasm, body of pancreas
Malignant neoplasm, tail of pancreas
Malignant neoplasm, pancreatic duct
Malignant neoplasm, endocrine pancreas
Malignant neoplasm, other parts of pancreas
Malignant neoplasm, overlapping lesion of pancreas
Malignant neoplasm, pancreas, unspecified
Malignant neoplasm, spleen
Page 61 of 316
CMS December 2005
255G
Cyst and pseudocyst of

pancreas
Disorders of bile duct
Drainage of pancreatic
cyst
Excision; repair
910G
Gallstone with cholecystitis

and/or jaundice
Medical management;
cholecystectomy; other
open or closed surgery
743G
Hepatorenal syndrome
Medical management
27G
Liver abscess; pancreatic

abscess
Liver failure; hepatic
vascular obstruction; inborn
errors of liver metabolism;
biliary atresia

management
Liver transplant, other
surgery, medical
management
231G
Shunt
182T
Abuse or dependence on
Psychoactive substance,
including alcohol
Hospital-based
management up to 3
weeks/year
156G
911G
D01.5
D01.7
D01.9
K86.2
K86.3
K83.3
K83.4
K83.5
K83.8
K83.9
K80.0
K80.1
K80.8
K81.0
K81.1
K81.8
K81.9
K82.0
K82.1
K82.2
K82.3
K82.4
K83.0
K83.1
K83.2
K91.5
K76.7
Carcinoma in situ liver, gallbladder and bile ducts

Carcinoma in situ other specified digestive organs
Carcinoma in situ digestive organ, unspecified
Cyst of pancreas
Pseudocyst of pancreas
Fistula of bile duct
Spasm of sphincter of Oddi
Biliary cyst
Other specified diseases of biliary tract
Disease of biliary tract, unspecified
Calculus of gallbladder with acute cholecystitis
Calculus of gallbladder with other cholecystitis
Other cholelithiasis
Acute cholecystitis
Chronic cholecystitis
Other cholecystitis
Cholecystitis, unspecified
Obstruction of gallbladder
Hydrops of gallbladder
Fistula of gallbladder
Cholesterolosis of gallbladder
Cholangitis
Obstruction of bile duct
Postcholecystectomy syndrome
Hepatorenal syndrome
K75.0
K85
E70.2
E70.9
E72.0
E72.2
E72.3
E72.4
E72.5
E72.8
E72.9
E74.0
E74.4
E74.8
E74.9
E77.1
E77.8
E80.4
E80.5
E80.6
E80.7
K72.0
K72.1
K72.9
Q26.5
Q26.6
Q44.2
Q44.3
I81
Abscess of liver
Acute pancreatitis
Disorders of tyrosine metabolism
Disorder of aromatic amino-acid metabolism, unspecified
Disorders of amino-acid transport
Disorders of urea cycle metabolism
Disorders of lysine and hydroxylysine metabolism
Disorders of ornithine metabolism
Disorders of glycine metabolism
Other specified disorders of amino-acid metabolism
Disorder of amino-acid metabolism, unspecified
Glycogen storage disease
Disorders of pyruvate metabolism and gluconeogenesis
Other specified disorders of carbohydrate metabolism
Disorder of carbohydrate metabolism, unspecified
Defects in glycoprotein degradation
Other disorders of glycoprotein metabolism
Gilbert's syndrome
Crigler-Najjar syndrome
Other disorders of bilirubin metabolism
Disorder of bilirubin metabolism, unspecified
Acute and subacute hepatic failure
Chronic hepatic failure
Hepatic failure, unspecified
Anomalous portal venous connection
Portal vein-hepatic artery fistula
Atresia of bile ducts
Congenital stenosis and stricture of bile ducts
F10.1
F10.2
F11.1
F11.2
F12.1
Mental and behavioural disorders due to use of alcohol, harmful use

Mental and behavioural disorders due to use of alcohol, dependence syndrome
Mental and behavioural disorders due to use of opioids, harmful use
Mental and behavioural disorders due to use of opioids, dependence syndrome
Mental and behavioural disorders due to use of cannabinoids, harmful use
Page 62 of 316
CMS December 2005
910T
Acute delusional mood,

anxiety, personality,
perception disorders and
organic mental disorder
caused by drugs

F12.2
F13.1
F13.2
F14.1
F14.2
F15.1
F15.2
Mental and behavioural disorders due to use of cannabinoids, dependence syndrome

Mental and behavioural disorders due to use of sedatives or hypnotics, harmful use
Mental and behavioural disorders due to use of sedatives or hypnotics, dependence syndrome
Mental and behavioural disorders due to use of cocaine, harmful use
Mental and behavioural disorders due to use of cocaine, dependence syndrome
Mental and behavioural disorders due to use of other stimulants including caffeine, harmful use
Mental and behavioural disorders due to use of other stimulants including caffeine, dependence syndrome
F16.1
F16.2
F16.9
Mental and behavioural disorders due to use of hallucinogens, harmful use

Mental and behavioural disorders due to use of hallucinogens, dependence syndrome
Mental and behavioural disorders due to use of hallucinogens, unspecified mental and behavioural disorder
F17.0
F18.1
F18.2
F19.1
Mental and behavioural disorders due to use of tobacco, acute intoxication

Mental and behavioural disorders due to use of volatile solvents, harmful use
Mental and behavioural disorders due to use of volatile solvents, dependence syndrome
Mental and behavioural disorders due to multiple drug use and use of psychoactive substances, harmful use
F19.2
F05.0
Hospital-based
management up to 3 days F05.1
F05.8
F05.9
F06.0
F06.1
F06.2
F06.3
F06.4
F06.5
F06.6
F07.0
F10.0
F10.3
F10.4
F10.5
F10.8
F10.9
Mental and behavioural disorders due to multiple drug use and use of psychoactive substances,
dependence syndrome
Delirium not superimposed on dementia so described
Delirium superimposed on dementia
Other delirium
Delirium unspecified
Organic hallucinosis
Organic catatonic disorder
Organic delusional [schizophrenia-like] disorder
Organic mood [affective] disorders
Organic anxiety disorder
Organic dissociative disorder
Organic emotionally labile [asthenic] disorder
Organic personality disorder
Mental and behavioural disorders due to use of alcohol, acute intoxication
Mental and behavioural disorders due to use of alcohol, withdrawal state
Mental and behavioural disorders due to use of alcohol, withdrawal state with delirium
Mental and behavioural disorders due to use of alcohol, psychotic disorder
Mental and behavioural disorders due to use of alcohol, other mental and behavioural disorders
Mental and behavioural disorders due to use of alcohol, unspecified mental and behavioural disorder
F11.0
F11.3
F11.4
F11.5
F11.6
F11.9
Mental and behavioural disorders due to use of opioids, acute intoxication

Mental and behavioural disorders due to use of opioids, withdrawal state
Mental and behavioural disorders due to use of opioids, withdrawal state with delirium
Mental and behavioural disorders due to use of opioids, psychotic disorder
Mental and behavioural disorders due to use of opioids, amnesic syndrome
Mental and behavioural disorders due to use of opioids, unspecified mental and behavioural disorder
F12.0
F12.3
F12.4
F12.5
F12.6
F12.9
Mental and behavioural disorders due to use of cannabinoids, acute intoxication

Mental and behavioural disorders due to use of cannabinoids, withdrawal state
Mental and behavioural disorders due to use of cannabinoids, withdrawal state with delirium
Mental and behavioural disorders due to use of cannabinoids, psychotic disorder
Mental and behavioural disorders due to use of cannabionoids, amnesic syndrome
Mental and behavioural disorders due to use of cannabinoids, unspecified mental and behavioural disorder
F13.0
F13.3
F13.4
Mental and behavioural disorders due to use of sedatives or hypnotics, acute intoxication
Mental and behavioural disorders due to use of sedatives or hypnotics, withdrawal state
Mental and behavioural disorders due to use of sedatives or hypnotics, withdrawal state with delirium
F13.5
F13.6
F13.9
Mental and behavioural disorders due to use of sedatives or hypnotics, psychotic disorder
Mental and behavioural disorders due to use of sedatives or hypnotics, amnesic syndrome
Mental and behavioural disorders due to use of sedatives or hypnotics, unspecified mental and behavioural
disorder
Mental and behavioural disorders due to use of cocaine, acute intoxication
Mental and behavioural disorders due to use of cocaine, withdrawal state
F14.0
F14.3
Page 63 of 316
CMS December 2005

F14.4
F14.5
F14.6
F14.9
Mental and behavioural disorders due to use of cocaine, withdrawal state with delirium
Mental and behavioural disorders due to use of cocaine, psychotic disorder
Mental and behavioural disorders due to use of cocaine, amnesic syndrome
Mental and behavioural disorders due to use of cocaine, unspecified mental and behavioural disorder
F15.0
Mental and behavioural disorders due to use of other stimulants including caffeine, acute intoxication
F15.3
Mental and behavioural disorders due to use of other stimulants including caffeine, withdrawal state
F15.4
F15.5
Mental and behavioural disorders due to use of other stimulants including caffeine, withdrawal state with
delirium
Mental and behavioural disorders due to use of other stimulants including caffeine, psychotic disorder
F15.6
Mental and behavioural disorders due to use of other stimulants inclduing caffeine, amnesic syndrome
F15.9
F16.0
F16.3
F16.4
F16.5
F16.6
F16.8
Mental and behavioural disorders due to use of other stimulants including caffeine, unspecified mental and
behavioural disorder
Mental and behavioural disorders due to use of hallucinogens, acute intoxication
Mental and behavioural disorders due to use of hallucinogens, withdrawal state
Mental and behavioural disorders due to use of hallucinogens, withdrawal state with delirium
Mental and behavioural disorders due to use of hallucinogens, psychotic disorder
Mental and behavioural disorders due to use of hallucinogens, amnesic syndrome
Mental and behavioural disorders due to use of hallucinogens, other mental and behavioural disorders
F17.1
F17.2
F17.3
F17.4
F17.7
Mental and behavioural disorders due to use of tobacco, harmful use

Mental and behavioural disorders due to use of tobacco, dependence syndrome
Mental and behavioural disorders due to use of tobacco, withdrawal state
Mental and behavioural disorders due to use of tobacco, withdrawal state with delirium
Mental and behavioural disorders due to use of tobacco, residual and late-onset psychotic disorder
F18.0
F18.3
F18.4
F18.5
F18.6
F18.8
Mental and behavioural disorders due to use of volatile solvents, acute intoxication
Mental and behavioural disorders due to use of volatile solvents, withdrawal state
Mental and behavioural disorders due to use of volatile solvents, withdrawal state with delirium
Mental and behavioural disorders due to use of volatile solvents, psychotic disorder
Mental and behavioural disorders due to use of volatile solvents, amnesic syndrome
Mental and behavioural disorders due to use of volatile solvents, other mental and behavioural disorders
F18.9
Mental and behavioural disorders due to use of volatile solvents, unspecified mental and behavioural
disorder
Mental and behavioural disorders due to multiple drug use and use of psychoactive substances, acute
intoxication
Mental and behavioural disorders due to multiple drug use and use of psychoactive substances, withdrawal
state
Mental and behavioural disorders due to multiple drug sue and use of psychoactive substances, withdrawal
state with delirium
Mental and behavioural disorders due to multiple drug use and use of psychoactive substances, psychotic
disorder
Mental and behavioural disorders due to multiple drug use and use of psychoactive substances, amnesic
syndrome
Mental and behavioural disorders due to multiple drug use and use of psychoactive substances, other
mental and behavioural disorders
Mental and behavioural disorders due to multiple drug use and use of psychoactive substances, unspecified
mental and behavioural disorder
Acute stress reaction
F19.0
F19.3
F19.4
F19.5
F19.6
F19.8
F19.9
901T
910T
Acute stress disorder

accompanied by recent
significant trauma, including
physical or sexual abuse
F43.0
Hospital admission for
psychotherapy /
counselling up to 3 days,
or up to 12 outpatient
F43.1
psychotherapy /
counselling contacts
F10.0
Alcohol withdrawal delirium; Hospital-based
alcohol intoxication delirium management up to 3 days F10.3
l di
h bili i
Post-traumatic stress disorder
Mental and behavioural disorders due to use of alcohol, acute intoxication

Mental and behavioural disorders due to use of alcohol, withdrawal state
Page 64 of 316
CMS December 2005
908T
903T
Anorexia Nervosa and

Bulimia Nervosa
Attempted suicide,
irrespective of cause

leading to rehabilitation
F10.4
F10.5
F10.8
F10.9
Mental and behavioural disorders due to use of alcohol, withdrawal state with delirium
Mental and behavioural disorders due to use of alcohol, psychotic disorder
Mental and behavioural disorders due to use of alcohol, other mental and behavioural disorders
Mental and behavioural disorders due to use of alcohol, unspecified mental and behavioural disorder
Hospital-based
management up to 3
weeks/year or minimum
of 15 outpatient contacts
per year
F50.0
Anorexia nervosa
F50.1
Atypical anorexia nervosa
F50.2
Bulimia nervosa
F50.3
Atypical bulimia nervosa
F50.4
Overeating associated with other psychological disturbances
Hospital-based
management up to 3 days X60.00
or up to 6 outpatient
X60.01
contacts
Intent self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at home, sports act
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at home, leisure act
X60.02
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at home, income wo
X60.03
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at home, other work
X60.04
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at home, resting
X60.08
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at home, other act
X60.09
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at home, unspecifie
X60.10
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred in res. institute., spo
X60.11
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred in res. institute., leis
X60.12
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred in res. institute., inc
X60.13
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred in res. institute., oth
X60.14
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred in res. institute., res
X60.18
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred in res. institute., oth
X60.19
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred in res. institute., uns
X60.20
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at pub admin, sport
X60.21
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at pub admin, leisur
X60.22
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at pub admin, incom
X60.23
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at pub admin, other
X60.24
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at pub admin, restin
X60.28
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at pub admin, other
X60.29
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at pub admin, unsp
X60.30
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at athletic. area, spo
X60.31
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at athletic. area, leis
X60.32
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at athletic. area, inc
X60.33
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at athletic. area, oth
X60.34
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at athletic. area, res
X60.38
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at athletic. area, oth
X60.39
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at athletic. area, un
X60.40
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred on highway, sports
X60.41
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred on highway, leisure
Page 65 of 316
CMS December 2005

X60.42
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred on highway, income
X60.43
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred on highway, other w
X60.44
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occ on highway, resting
X60.48
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred on highway, other a
X60.49
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred on highway, unspec
X60.50
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at svc area, sports a
X60.51
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at svc area, leisure
X60.52
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at svc area, income
X60.53
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at svc area, other w
X60.54
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at svc area, resting
X60.58
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at svc area, other a
X60.59
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at svc area, unspec
X60.60
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at const area, sport
X60.61
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at const area, leisur
X60.62
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at const area, incom
X60.63
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at const area, other
X60.64
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at const area, restin
X60.68
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at const area, other
X60.69
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at const area, unsp
X60.70
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred on farm, sports act
X60.71
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred on farm, leisure act
X60.72
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred on farm, income wo
X60.73
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred on farm, other work
X60.74
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred on farm, resting
X60.78
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred on farm, other act
X60.79
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred on farm, unspecified
X60.80
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at other spec place
X60.81
X60.82
X60.83
X60.84
X60.88
X60.89
X60.90
Intentional self poisoning nonopiod analgesics, antipyretics and antirheumatics, occurred at unspecified place
X60.91
X60.92
X60.93
Page 66 of 316
CMS December 2005

X60.94
X60.98
X60.99
X61.00
Intentional self-poisoning ant-epleptic,sedative-hypnotic,antiparkinsonism and psychtropic park/ drugs, occurr
X61.01
X61.02
X61.03
X61.04
X61.08
X61.09
X61.10
X61.11
X61.12
X61.13
X61.14
X61.18
X61.19
X61.20
X61.21
X61.22
X61.23
X61.24
X61.28
X61.29
X61.30
X61.31
X61.32
X61.33
X61.34
X61.38
X61.39
X61.40
X61.41
X61.42
X61.43
X61.44
X61.48
Page 67 of 316
CMS December 2005

X61.49
X61.50
X61.51
X61.52
X61.53
X61.54
X61.58
X61.59
X61.60
X61.61
X61.62
X61.63
X61.64
X61.68
X61.69
X61.70
X61.71
X61.72
X61.73
X61.74
X61.78
X61.79
X61.80
X61.81
X61.82
X61.83
X61.84
X61.88
X61.89
X61.90
X61.91
X61.92
X61.93
X61.94
X61.98
X61.99
X62.00
Intentional self poisoning narcotics & psychodysleptics, occurred at home, sports act
Page 68 of 316
CMS December 2005

X62.01
Intentional self poisoning narcotics & psychodysleptics, occurred at home, leisure act
X62.02
Intentional self poisoning narcotics & psychodysleptics, occurred at home, income work
X62.03
Intentional self poisoning narcotics & psychodysleptics, occurred at home, other work
X62.04
Intentional self poisoning narcotics & psychodysleptics, occurred at home, resting
X62.08
Intentional self poisoning narcotics & psychodysleptics, occurred at home, other act
X62.09
Intentional self poisoning narcotics & psychodysleptics, occurred at home, unspecified act
X62.10
Intentional self poisoning narcotics & psychodysleptics, occurred in res. institute., sports act
X62.11
Intentional self poisoning narcotics & psychodysleptics, occurred in res. institute., leisure act
X62.12
Intentional self poisoning narcotics & psychodysleptics, occurred in res. institute., income work
X62.13
Intentional self poisoning narcotics & psychodysleptics, occurred in res. institute., other work
X62.14
Intentional self poisoning narcotics & psychodysleptics, occurred in res. institute., resting
X62.18
Intentional self poisoning narcotics & psychodysleptics, occurred in res. institute., other act
X62.19
Intentional self poisoning narcotics & psychodysleptics, occurred in res. institute., unspecified act
X62.20
Intentional self poisoning narcotics & psychodysleptics, occurred at pub admin, sports act
X62.21
Intentional self poisoning narcotics & psychodysleptics, occurred at pub admin, leisure act
X62.22
Intentional self poisoning narcotics & psychodysleptics, occurred at pub admin, income work
X62.23
Intentional self poisoning narcotics & psychodysleptics, occurred at pub admin, other work
X62.24
Intentional self poisoning narcotics & psychodysleptics, occurred at pub admin, resting
X62.28
Intentional self poisoning narcotics & psychodysleptics, occurred at pub admin, other act
X62.29
Intentional self poisoning narcotics & psychodysleptics, occurred at pub admin, unspecified act
X62.30
Intentional self poisoning narcotics & psychodysleptics, occurred at athletic. area, sports act
X62.31
Intentional self poisoning narcotics & psychodysleptics, occurred at athletic. area, leisure act
X62.32
Intentional self poisoning narcotics & psychodysleptics, occurred at athletic. area, income work
X62.33
Intentional self poisoning narcotics & psychodysleptics, occurred at athletic. area, other work
X62.34
Intentional self poisoning narcotics & psychodysleptics, occurred at athletic. area, resting
X62.38
Intentional self poisoning narcotics & psychodysleptics, occurred at athletic. area, other act
X62.39
Intentional self poisoning narcotics & psychodysleptics, occurred at athletic. area, unspecified act
X62.40
Intentional self poisoning narcotics & psychodysleptics, occurred on highway, sports act
X62.41
Intentional self poisoning narcotics & psychodysleptics, occurred on highway, leisure act
X62.42
Intentional self poisoning narcotics & psychodysleptics, occurred on highway, income work
X62.43
Intentional self poisoning narcotics & psychodysleptics, occurred on highway, other work
X62.44
Intentional self poisoning narcotics & psychodysleptics, occurred on highway, resting
X62.48
Intentional self poisoning narcotics & psychodysleptics, occurred on highway, other act
X62.49
Intentional self poisoning narcotics & psychodysleptics, occurred on highway, unspecified act
X62.50
Intentional self poisoning narcotics & psychodysleptics, occurred at svc area, sports act
X62.51
Intentional self poisoning narcotics & psychodysleptics, occurred at svc area, leisure act
X62.52
Intentional self poisoning narcotics & psychodysleptics, occurred at svc area, income work
Page 69 of 316
CMS December 2005

X62.53
Intentional self poisoning narcotics & psychodysleptics, occurred at svc area, other work
X62.54
Intentional self poisoning narcotics & psychodysleptics, occurred at svc area, resting
X62.58
Intentional self poisoning narcotics & psychodysleptics, occurred at svc area, other act
X62.59
Intentional self poisoning narcotics & psychodysleptics, occurred at svc area, unspecified act
X62.60
Intentional self poisoning narcotics & psychodysleptics, occurred at const area, sports act
X62.61
Intentional self poisoning narcotics & psychodysleptics, occurred at const area, leisure act
X62.62
Intentional self poisoning narcotics & psychodysleptics, occurred at const area, income work
X62.63
Intentional self poisoning narcotics & psychodysleptics, occurred at const area, other work
X62.64
Intentional self poisoning narcotics & psychodysleptics, occurred at const area, resting
X62.68
Intentional self poisoning narcotics & psychodysleptics, occurred at const area, other act
X62.69
Intentional self poisoning narcotics & psychodysleptics, occurred at const area, unspecified act
X62.70
Intentional self poisoning narcotics & psychodysleptics, occurred on farm, sports act
X62.71
Intentional self poisoning narcotics & psychodysleptics, occurred on farm, leisure act
X62.72
Intentional self poisoning narcotics & psychodysleptics, occurred on farm, income work
X62.73
Intentional self poisoning narcotics & psychodysleptics, occurred on farm, other work
X62.74
Intentional self poisoning narcotics & psychodysleptics, occurred on farm, resting
X62.78
Intentional self poisoning narcotics & psychodysleptics, occurred on farm, other act
X62.79
Intentional self poisoning narcotics & psychodysleptics, occurred on farm, unspecified act
X62.80
Intentional self poisoning narcotics & psychodysleptics, occurred at other spec place, sports act
X62.81
Intentional self poisoning narcotics & psychodysleptics, occurred at other spec place, leisure act
X62.82
Intentional self poisoning narcotics & psychodysleptics, occurred at other spec place, income work
X62.83
Intentional self poisoning narcotics & psychodysleptics, occurred at other spec place, other work
X62.84
Intentional self poisoning narcotics & psychodysleptics, occurred at other spec place, resting
X62.88
Intentional self poisoning narcotics & psychodysleptics, occurred at other spec place, other act
X62.89
Intentional self poisoning narcotics & psychodysleptics, occurred at other spec place, unspecified act
X62.90
Intentional self poisoning narcotics & psychodysleptics, occurred at unspecified place, sports act
X62.91
Intentional self poisoning narcotics & psychodysleptics, occurred at unspecified place, leisure act
X62.92
Intentional self poisoning narcotics & psychodysleptics, occurred at unspecified place, income work
X62.93
Intentional self poisoning narcotics & psychodysleptics, occurred at unspecified place, other work
X62.94
Intentional self poisoning narcotics & psychodysleptics, occurred at unspecified place, resting
X62.98
Intentional self poisoning narcotics & psychodysleptics, occurred at unspecified place, other act
X62.99
Intentional self poisoning narcotics & psychodysleptics, occurred at unspecified place, unspecified act
X63.00
Intent self-poisoning other drug on autonomic nervous sys, occurred at home, sports act
X63.01
Intent self-poisoning other drug on autonomic nervous sys, occurred at home, leisure act
X63.02
Intent self-poisoning other drug on autonomic nervous sys, occurred at home, income work
X63.03
Intent self-poisoning other drug on autonomic nervous sys, occurred at home, other work
X63.04
Intent self-poisoning other drug on autonomic nervous sys, occurred at home, resting
Page 70 of 316
CMS December 2005

X63.08
Intent self-poisoning other drug on autonomic nervous sys, occurred at home, other act
X63.09
Intent self-poisoning other drug on autonomic nervous sys, occurred at home, unspecified act
X63.10
Intent self-poisoning other drug on autonomic nervous sys, occurred in res. institute., sports act
X63.11
Intent self-poisoning other drug on autonomic nervous sys, occurred in res. institute., leisure act
X63.12
Intent self-poisoning other drug on autonomic nervous sys, occurred in res. institute., income work
X63.13
Intent self-poisoning other drug on autonomic nervous sys, occurred in res. institute., other work
X63.14
Intent self-poisoning other drug on autonomic nervous sys, occurred in res. institute., resting
X63.18
Intent self-poisoning other drug on autonomic nervous sys, occurred in res. institute., other act
X63.19
Intent self-poisoning other drug on autonomic nervous sys, occurred in res. institute., unspecified act
X63.20
Intent self-poisoning other drug on autonomic nervous sys, occurred at pub admin, sports act
X63.21
Intent self-poisoning other drug on autonomic nervous sys, occurred at pub admin, leisure act
X63.22
Intent self-poisoning other drug on autonomic nervous sys, occurred at pub admin, income work
X63.23
Intent self-poisoning other drug on autonomic nervous sys, occurred at pub admin, other work
X63.24
Intent self-poisoning other drug on autonomic nervous sys, occurred at pub admin, resting
X63.28
Intent self-poisoning other drug on autonomic nervous sys, occurred at pub admin, other act
X63.29
Intent self-poisoning other drug on autonomic nervous sys, occurred at pub admin, unspecified act
X63.30
Intent self-poisoning other drug on autonomic nervous sys, occurred at athletic. area, sports act
X63.31
Intent self-poisoning other drug on autonomic nervous sys, occurred at athletic. area, leisure act
X63.32
Intent self-poisoning other drug on autonomic nervous sys, occurred at athletic. area, income work
X63.33
Intent self-poisoning other drug on autonomic nervous sys, occurred at athletic. area, other work
X63.34
Intent self-poisoning other drug on autonomic nervous sys, occurred at athletic. area, resting
X63.38
Intent self-poisoning other drug on autonomic nervous sys, occurred at athletic. area, other act
X63.39
Intent self-poisoning other drug on autonomic nervous sys, occurred at athletic. area, unspecified act
X63.40
Intent self-poisoning other drug on autonomic nervous sys, occurred on highway, sports act
X63.41
Intent self-poisoning other drug on autonomic nervous sys, occurred on highway, leisure act
X63.42
Intent self-poisoning other drug on autonomic nervous sys, occurred on highway, income work
X63.43
Intent self-poisoning other drug on autonomic nervous sys, occurred on highway, other work
X63.44
Intent self-poisoning other drug on autonomic nervous sys, occurred on highway, resting
X63.48
Intent self-poisoning other drug on autonomic nervous sys, occurred on highway, other act
X63.49
Intent self-poisoning other drug on autonomic nervous sys, occurred on highway, unspecified act
X63.50
Intent self-poisoning other drug on autonomic nervous sys, occurred at svc area, sports act
X63.51
Intent self-poisoning other drug on autonomic nervous sys, occurred at svc area, leisure act
X63.52
Intent self-poisoning other drug on autonomic nervous sys, occurred at svc area, income work
X63.53
Intent self-poisoning other drug on autonomic nervous sys, occurred at svc area, other work
X63.54
Intent self-poisoning other drug on autonomic nervous sys, occurred at svc area, resting
X63.58
Intent self-poisoning other drug on autonomic nervous sys, occurred at svc area, other act
X63.59
Intent self-poisoning other drug on autonomic nervous sys, occurred at svc area, unspecified act
Page 71 of 316
CMS December 2005

X63.60
Intent self-poisoning other drug on autonomic nervous sys, occurred at const area, sports act
X63.61
Intent self-poisoning other drug on autonomic nervous sys, occurred at const area, leisure act
X63.62
Intent self-poisoning other drug on autonomic nervous sys, occurred at const area, income work
X63.63
Intent self-poisoning other drug on autonomic nervous sys, occurred at const area, other work
X63.64
Intent self-poisoning other drug on autonomic nervous sys, occurred at const area, resting
X63.68
Intent self-poisoning other drug on autonomic nervous sys, occurred at const area, other act
X63.69
Intent self-poisoning other drug on autonomic nervous sys, occurred at const area, unspecified act
X63.70
Intent self-poisoning other drug on autonomic nervous sys, occurred on farm, sports act
X63.71
Intent self-poisoning other drug on autonomic nervous sys, occurred on farm, leisure act
X63.72
Intent self-poisoning other drug on autonomic nervous sys, occurred on farm, income work
X63.73
Intent self-poisoning other drug on autonomic nervous sys, occurred on farm, other work
X63.74
Intent self-poisoning other drug on autonomic nervous sys, occurred on farm, resting
X63.78
Intent self-poisoning other drug on autonomic nervous sys, occurred on farm, other act
X63.79
Intent self-poisoning other drug on autonomic nervous sys, occurred on farm, unspecified act
X63.80
Intent self-poisoning other drug on autonomic nervous sys, occurred at other spec place, sports act
X63.81
Intent self-poisoning other drug on autonomic nervous sys, occurred at other spec place, leisure act
X63.82
Intent self-poisoning other drug on autonomic nervous sys, occurred at other spec place, income work
X63.83
Intent self-poisoning other drug on autonomic nervous sys, occurred at other spec place, other work
X63.84
Intent self-poisoning other drug on autonomic nervous sys, occurred at other spec place, resting
X63.88
Intent self-poisoning other drug on autonomic nervous sys, occurred at other spec place, other act
X63.89
Intent self-poisoning other drug on autonomic nervous sys, occurred at other spec place, unspecified act
X63.90
Intent self-poisoning other drug on autonomic nervous sys, occurred at unspecified place, sports act
X63.91
Intent self-poisoning other drug on autonomic nervous sys, occurred at unspecified place, leisure act
X63.92
Intent self-poisoning other drug on autonomic nervous sys, occurred at unspecified place, income work
X63.93
Intent self-poisoning other drug on autonomic nervous sys, occurred at unspecified place, other work
X63.94
Intent self-poisoning other drug on autonomic nervous sys, occurred at unspecified place, resting
X63.98
Intent self-poisoning other drug on autonomic nervous sys, occurred at unspecified place, other act
X63.99
Intent self-poisoning other drug on autonomic nervous sys, occurred at unspecified place, unspecified act
X64.00
Intentional self-poisoning other and unspecified drugs/medics/boil subs, occurred at home, sports act
X64.01
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occ at home, leisure act
X64.02
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at home, income work
X64.03
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at home, oth work
X64.04
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at home, resting
X64.08
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at home, oth act
X64.09
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at home, unspec act
X64.10
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ in res. institute., sports act
X64.11
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ in res. institute., leisure act
Page 72 of 316
CMS December 2005

X64.12
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ in res. institute., income work
X64.13
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ in res. institute., oth work
X64.14
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ in res. institute., resting
X64.18
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ in res. institute., oth act
X64.19
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ in res. institute., unspec act
X64.20
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at pub admin, sports act
X64.21
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at pub admin, leisure act
X64.22
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at pub admin, income work
X64.23
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at pub admin, oth work
X64.24
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at pub admin, resting
X64.28
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at pub admin, oth act
X64.29
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at pub admin, unspec act
X64.30
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at . area, sports act
X64.31
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at . area, leisure act
X64.32
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at athletic. area, income work
X64.33
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at athletic. area, oth work
X64.34
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at athletic. area, resting
X64.38
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at athletic. area, oth act
X64.39
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at athletic. area, unspec act
X64.40
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ on highway, sports act
X64.41
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ on highway, leisure act
X64.42
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ on highway, income work
X64.43
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ on highway, oth work
X64.44
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ on highway, resting
X64.48
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ on highway, oth act
X64.49
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ on highway, unspec act
X64.50
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at svc area, sports act
X64.51
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at svc area, leisure act
X64.52
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at svc area, income work
X64.53
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at svc area, oth work
X64.54
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occ at svc area, resting
X64.58
Intentional self-poisoning oth/unspecified drugs/medics/biological subs, occurred at svc area, other act
X64.59
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occurred at svc area, unspecifi
X64.60
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occurred at const area, sports
X64.61
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occurred at const area, leisure
X64.62
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occurred at const area, income
X64.63
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occurred at const area, other w
Page 73 of 316
CMS December 2005

X64.64
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occurred at const area, resting
X64.68
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occurred at const area, other a
X64.69
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occurred at const area, unspec
X64.70
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occurred on farm, sports act
X64.71
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occurred on farm, leisure act
X64.72
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occurred on farm, income work
X64.73
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occurred on farm, other work
X64.74
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occurred on farm, resting
X64.78
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occurred on farm, other act
X64.79
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occurred on farm, unspecified
X64.80
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occurred at other spec place, s
X64.81
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occurred at other spec place, le
X64.82
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occurred at other spec place, in
X64.83
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occurred at other spec place, o
X64.84
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occurred at other spec place, r
X64.88
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occurred at other spec place, o
X64.89
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occurred at other spec place, u
X64.90
Intentional self-poisoning other and unspecified drugs/medics/biological subs, occurred at unspecified place,
X64.91
X64.92
X64.93
X64.94
X64.98
X64.99
X65.00
Intentional self-poisoning by alcohol, occurred at home, sports act
X65.01
Intentional self-poisoning by alcohol, occurred at home, leisure act
X65.02
Intentional self-poisoning by alcohol, occurred at home, income work
X65.03
Intentional self-poisoning by alcohol, occurred at home, other work
X65.04
Intentional self-poisoning by alcohol, occurred at home, resting
X65.08
Intentional self-poisoning by alcohol, occurred at home, other act
X65.09
Intentional self-poisoning by alcohol, occurred at home, unspecified act
X65.10
Intentional self-poisoning by alcohol, occurred in res. institute., sports act
X65.11
Intentional self-poisoning by alcohol, occurred in res. institute., leisure act
X65.12
Intentional self-poisoning by alcohol, occurred in res. institute., income work
X65.13
Intentional self-poisoning by alcohol, occurred in res. institute., other work
X65.14
Intentional self-poisoning by alcohol, occurred in res. institute., resting
X65.18
Intentional self-poisoning by alcohol, occurred in res. institute., other act
Page 74 of 316
CMS December 2005

X65.19
Intentional self-poisoning by alcohol, occurred in res. institute., unspecified act
X65.20
Intentional self-poisoning by alcohol, occurred at pub admin, sports act
X65.21
Intentional self-poisoning by alcohol, occurred at pub admin, leisure act
X65.22
Intentional self-poisoning by alcohol, occurred at pub admin, income work
X65.23
Intentional self-poisoning by alcohol, occurred at pub admin, other work
X65.24
Intentional self-poisoning by alcohol, occurred at pub admin, resting
X65.28
Intentional self-poisoning by alcohol, occurred at pub admin, other act
X65.29
Intentional self-poisoning by alcohol, occurred at pub admin, unspecified act
X65.30
Intentional self-poisoning by alcohol, occurred at athletic. area, sports act
X65.31
Intentional self-poisoning by alcohol, occurred at athletic. area, leisure act
X65.32
Intentional self-poisoning by alcohol, occurred at athletic. area, income work
X65.33
Intentional self-poisoning by alcohol, occurred at athletic. area, other work
X65.34
Intentional self-poisoning by alcohol, occurred at athletic. area, resting
X65.38
Intentional self-poisoning by alcohol, occurred at athletic. area, other act
X65.39
Intentional self-poisoning by alcohol, occurred at athletic. area, unspecified act
X65.40
Intentional self-poisoning by alcohol, occurred on highway, sports act
X65.41
Intentional self-poisoning by alcohol, occurred on highway, leisure act
X65.42
Intentional self-poisoning by alcohol, occurred on highway, income work
X65.43
Intentional self-poisoning by alcohol, occurred on highway, other work
X65.44
Intentional self-poisoning by alcohol, occurred on highway, resting
X65.48
Intentional self-poisoning by alcohol, occurred on highway, other act
X65.49
Intentional self-poisoning by alcohol, occurred on highway, unspecified act
X65.50
Intentional self-poisoning by alcohol, occurred at svc area, sports act
X65.51
Intentional self-poisoning by alcohol, occurred at svc area, leisure act
X65.52
Intentional self-poisoning by alcohol, occurred at svc area, income work
X65.53
Intentional self-poisoning by alcohol, occurred at svc area, other work
X65.54
Intentional self-poisoning by alcohol, occurred at svc area, resting
X65.58
Intentional self-poisoning by alcohol, occurred at svc area, other act
X65.59
Intentional self-poisoning by alcohol, occurred at svc area, unspecified act
X65.60
Intentional self-poisoning by alcohol, occurred at const area, sports act
X65.61
Intentional self-poisoning by alcohol, occurred at const area, leisure act
X65.62
Intentional self-poisoning by alcohol, occurred at const area, income work
X65.63
Intentional self-poisoning by alcohol, occurred at const area, other work
X65.64
Intentional self-poisoning by alcohol, occurred at const area, resting
X65.68
Intentional self-poisoning by alcohol, occurred at const area, other act
X65.69
Intentional self-poisoning by alcohol, occurred at const area, unspecified act
X65.70
Intentional self-poisoning by alcohol, occurred on farm, sports act
Page 75 of 316
CMS December 2005

X65.71
Intentional self-poisoning by alcohol, occurred on farm, leisure act
X65.72
Intentional self-poisoning by alcohol, occurred on farm, income work
X65.73
Intentional self-poisoning by alcohol, occurred on farm, other work
X65.74
Intentional self-poisoning by alcohol, occurred on farm, resting
X65.78
Intentional self-poisoning by alcohol, occurred on farm, other act
X65.79
Intentional self-poisoning by alcohol, occurred on farm, unspecified act
X65.80
Intentional self-poisoning by alcohol, occurred at other spec place, sports act
X65.81
Intentional self-poisoning by alcohol, occurred at other spec place, leisure act
X65.82
Intentional self-poisoning by alcohol, occurred at other spec place, income work
X65.83
Intentional self-poisoning by alcohol, occurred at other spec place, other work
X65.84
Intentional self-poisoning by alcohol, occurred at other spec place, resting
X65.88
Intentional self-poisoning by alcohol, occurred at other spec place, other act
X65.89
Intentional self-poisoning by alcohol, occurred at other spec place, unspecified act
X65.90
Intentional self-poisoning by alcohol, occurred at unspecified place, sports act
X65.91
Intentional self-poisoning by alcohol, occurred at unspecified place, leisure act
X65.92
Intentional self-poisoning by alcohol, occurred at unspecified place, income work
X65.93
Intentional self-poisoning by alcohol, occurred at unspecified place, other work
X65.94
Intentional self-poisoning by alcohol, occurred at unspecified place, resting
X65.98
Intentional self-poisoning by alcohol, occurred at unspecified place, other act
X65.99
Intentional self-poisoning by alcohol, occurred at unspecified place, unspecified act
X66.00
Intent self-poison org solvents, occurred at home, sports act
X66.01
Intent self-poison org solvents, occurred at home, leisure act
X66.02
Intent self-poison org solvents, occurred at home, income work
X66.03
Intent self-poison org solvents, occurred at home, other work
X66.04
Intent self-poison org solvents, occurred at home, resting
X66.08
Intent self-poison org solvents, occurred at home, other act
X66.09
Intent self-poison org solvents, occurred at home, unspecified act
X66.10
Intent self-poison org solvents, occurred in res. institute., sports act
X66.11
Intent self-poison org solvents, occurred in res. institute., leisure act
X66.12
Intent self-poison org solvents, occurred in res. institute., income work
X66.13
Intent self-poison org solvents, occurred in res. institute., other work
X66.14
Intent self-poison org solvents, occurred in res. institute., resting
X66.18
Intent self-poison org solvents, occurred in res. institute., other act
X66.19
Intent self-poison org solvents, occurred in res. institute., unspecified act
X66.20
Intent self-poison org solvents, occurred at pub admin, sports act
X66.21
Intent self-poison org solvents, occurred at pub admin, leisure act
X66.22
Intent self-poison org solvents, occurred at pub admin, income work
Page 76 of 316
CMS December 2005

X66.23
Intent self-poison org solvents, occurred at pub admin, other work
X66.24
Intent self-poison org solvents, occurred at pub admin, resting
X66.28
Intent self-poison org solvents, occurred at pub admin, other act
X66.29
Intent self-poison org solvents, occurred at pub admin, unspecified act
X66.30
Intent self-poison org solvents, occurred at athletic. area, sports act
X66.31
Intent self-poison org solvents, occurred at athletic. area, leisure act
X66.32
Intent self-poison org solvents, occurred at athletic. area, income work
X66.33
Intent self-poison org solvents, occurred at athletic. area, other work
X66.34
Intent self-poison org solvents, occurred at athletic. area, resting
X66.38
Intent self-poison org solvents, occurred at athletic. area, other act
X66.39
Intent self-poison org solvents, occurred at athletic. area, unspecified act
X66.40
Intent self-poison org solvents, occurred on highway, sports act
X66.41
Intent self-poison org solvents, occurred on highway, leisure act
X66.42
Intent self-poison org solvents, occurred on highway, income work
X66.43
Intent self-poison org solvents, occurred on highway, other work
X66.44
Intent self-poison org solvents, occurred on highway, resting
X66.48
Intent self-poison org solvents, occurred on highway, other act
X66.49
Intent self-poison org solvents, occurred on highway, unspecified act
X66.50
Intent self-poison org solvents, occurred at svc area, sports act
X66.51
Intent self-poison org solvents, occurred at svc area, leisure act
X66.52
Intent self-poison org solvents, occurred at svc area, income work
X66.53
Intent self-poison org solvents, occurred at svc area, other work
X66.54
Intent self-poison org solvents, occurred at svc area, resting
X66.58
Intent self-poison org solvents, occurred at svc area, other act
X66.59
Intent self-poison org solvents, occurred at svc area, unspecified act
X66.60
Intent self-poison org solvents, occurred at const area, sports act
X66.61
Intent self-poison org solvents, occurred at const area, leisure act
X66.62
Intent self-poison org solvents, occurred at const area, income work
X66.63
Intent self-poison org solvents, occurred at const area, other work
X66.64
Intent self-poison org solvents, occurred at const area, resting
X66.68
Intent self-poison org solvents, occurred at const area, other act
X66.69
Intent self-poison org solvents, occurred at const area, unspecified act
X66.70
Intent self-poison org solvents, occurred on farm, sports act
X66.71
Intent self-poison org solvents, occurred on farm, leisure act
X66.72
Intent self-poison org solvents, occurred on farm, income work
X66.73
Intent self-poison org solvents, occurred on farm, other work
X66.74
Intent self-poison org solvents, occurred on farm, resting
Page 77 of 316
CMS December 2005

X66.78
Intent self-poison org solvents, occurred on farm, other act
X66.79
Intent self-poison org solvents, occurred on farm, unspecified act
X66.80
X66.81
Intent self-poison org solvents, occurred at other spec place, sports act
Intent self-poison org solvents, occurred at other spec place, leisure act
X66.82
Intent self-poison org solvents, occurred at other spec place, income work
X66.83
Intent self-poison org solvents, occurred at other spec place, other work
X66.84
Intent self-poison org solvents, occurred at other spec place, resting
X66.88
Intent self-poison org solvents, occurred at other spec place, other act
X66.89
Intent self-poison org solvents, occurred at other spec place, unspecified act
X66.90
Intent self-poison org solvents, occurred at unspecified place, sports act
X66.91
Intent self-poison org solvents, occurred at unspecified place, leisure act
X66.92
Intent self-poison org solvents, occurred at unspecified place, income work
X66.93
Intent self-poison org solvents, occurred at unspecified place, other work
X66.94
Intent self-poison org solvents, occurred at unspecified place, resting
X66.98
Intent self-poison org solvents, occurred at unspecified place, other act
X66.99
Intent self-poison org solvents, occurred at unspecified place, unspecified act
X67.00
Intent self-poisoning other gases/vapours, occurred at home, sports act
X67.01
Intent self-poisoning other gases/vapours, occurred at home, leisure act
X67.02
Intent self-poisoning other gases/vapours, occurred at home, income work
X67.03
Intent self-poisoning other gases/vapours, occurred at home, other work
X67.04
Intent self-poisoning other gases/vapours, occurred at home, resting
X67.08
Intent self-poisoning other gases/vapours, occurred at home, other act
X67.09
Intent self-poisoning other gases/vapours, occurred at home, unspecified act
X67.10
Intent self-poisoning other gases/vapours, occurred in res. institute., sports act
X67.11
Intent self-poisoning other gases/vapours, occurred in res. institute., leisure act
X67.12
Intent self-poisoning other gases/vapours, occurred in res. institute., income work
X67.13
Intent self-poisoning other gases/vapours, occurred in res. institute., other work
X67.14
Intent self-poisoning other gases/vapours, occurred in res. institute., resting
X67.18
Intent self-poisoning other gases/vapours, occurred in res. institute., other act
X67.19
Intent self-poisoning other gases/vapours, occurred in res. institute., unspecified act
X67.20
Intent self-poisoning other gases/vapours, occurred at pub admin, sports act
X67.21
Intententional self-poisoning by and exposure to other gases and vapours, occurred at public administration,
X67.22
Intent self-poisoning oth gases/vapours, occ at pub admin, income work
X67.23
Intent self-poisoning oth gases/vapours, occ at pub admin, oth work
X67.24
Intent self-poisoning oth gases/vapours, occ at pub admin, resting
X67.28
Intent self-poisoning oth gases/vapours, occ at pub admin, oth act
X67.29
Intent self-poisoning oth gases/vapours, occ at pub admin, unspec act
X67.30
Intent self-poisoning oth gases/vapours, occ at . area, sports act
Page 78 of 316
CMS December 2005

X67.31
Intent self-poisoning oth gases/vapours, occ at . area, leisure act
X67.32
Intent self-poisoning oth gases/vapours, occ at . area, income work
X67.33
Intent self-poisoning oth gases/vapours, occ at . area, oth work
X67.34
Intent self-poisoning oth gases/vapours, occ at . area, resting
X67.38
Intent self-poisoning oth gases/vapours, occ at athletic. area, oth act
X67.39
Intent self-poisoning oth gases/vapours, occ at athletic. area, unspec act
X67.40
Intent self-poisoning oth gases/vapours, occ on highway, sports act
X67.41
Intent self-poisoning oth gases/vapours, occ on highway, leisure act
X67.42
Intent self-poisoning oth gases/vapours, occ on highway, income work
X67.43
Intent self-poisoning oth gases/vapours, occ on highway, oth work
X67.44
Intent self-poisoning oth gases/vapours, occ on highway, resting
X67.48
Intent self-poisoning oth gases/vapours, occ on highway, oth act
X67.49
Intent self-poisoning oth gases/vapours, occ on highway, unspec act
X67.50
Intent self-poisoning oth gases/vapours, occ at svc area, sports act
X67.51
Intent self-poisoning oth gases/vapours, occ at svc area, leisure act
X67.52
Intent self-poisoning oth gases/vapours, occ at svc area, income work
X67.53
Intent self-poisoning oth gases/vapours, occ at svc area, oth work
X67.54
Intent self-poisoning oth gases/vapours, occ at svc area, resting
X67.58
Intent self-poisoning oth gases/vapours, occ at svc area, oth act
X67.59
Intent self-poisoning oth gases/vapours, occ at svc area, unspec act
X67.60
Intent self-poisoning oth gases/vapours, occ at const area, sports act
X67.61
Intent self-poisoning oth gases/vapours, occ at const area, leisure act
X67.62
Intent self-poisoning oth gases/vapours, occ at const area, income work
X67.63
Intent self-poisoning oth gases/vapours, occ at const area, oth work
X67.64
Intent self-poisoning oth gases/vapours, occ at const area, resting
X67.68
Intent self-poisoning oth gases/vapours, occ at const area, oth act
X67.69
Intent self-poisoning oth gases/vapours, occ at const area, unspec act
X67.70
Intent self-poisoning oth gases/vapours, occ on farm, sports act
X67.71
Intent self-poisoning oth gases/vapours, occ on farm, leisure act
X67.72
Intent self-poisoning oth gases/vapours, occ on farm, income work
X67.73
Intent self-poisoning oth gases/vapours, occ on farm, oth work
X67.74
Intent self-poisoning oth gases/vapours, occ on farm, resting
X67.78
Intent self-poisoning oth gases/vapours, occ on farm, oth act
X67.79
Intent self-poisoning oth gases/vapours, occ on farm, unspec act
X67.80
Intent self-poisoning oth gases/vapours, occ at oth spec place, sports act
X67.81
Intent self-poisoning oth gases/vapours, occ at oth spec place, leisure act
X67.82
Intent self-poisoning oth gases/vapours, occ at oth spec place, income work
Page 79 of 316
CMS December 2005

X67.83
Intent self-poisoning oth gases/vapours, occ at oth spec place, oth work
X67.84
Intent self-poisoning oth gases/vapours, occ at oth spec place, resting
X67.88
Intent self-poisoning oth gases/vapours, occ at oth spec place, oth act
X67.89
Intent self-poisoning oth gases/vapours, occ at oth spec place, unspec act
X67.90
Intent self-poisoning oth gases/vapours, occ at unspec place, sports act
X67.91
Intent self-poisoning oth gases/vapours, occ at unspec place, leisure act
X67.92
Intent self-poisoning oth gases/vapours, occ at unspec place, income work
X67.93
Intent self-poisoning oth gases/vapours, occ at unspec place, oth work
X67.94
Intent self-poisoning oth gases/vapours, occ at unspec place, resting
X67.98
Intent self-poisoning oth gases/vapours, occ at unspec place, oth act
X67.99
Intent self-poisoning oth gases/vapours, occ at unspec place, unspec act
X68.00
Intentional self-poisoning by pesticides , occ at home, sports act
X68.01
Intentional self-poisoning by pesticides , occ at home, leisure act
X68.02
Intentional self-poisoning by pesticides , occ at home, income work
X68.03
Intentional self-poisoning by pesticides , occ at home, oth work
X68.04
Intentional self-poisoning by pesticides , occ at home, resting
X68.08
Intentional self-poisoning by pesticides , occ at home, oth act
X68.09
Intentional self-poisoning by pesticides , occ at home, unspec act
X68.10
Intentional self-poisoning by pesticides , occ in res. institute., sports act
X68.11
Intentional self-poisoning by pesticides , occ in res. institute., leisure act
X68.12
Intentional self-poisoning by pesticides , occ in res. institute., income work
X68.13
Intentional self-poisoning by pesticides , occ in res. institute., oth work
X68.14
Intentional self-poisoning by pesticides , occ in res. institute., resting
X68.18
Intentional self-poisoning by pesticides , occ in res. institute., oth act
X68.19
Intentional self-poisoning by pesticides , occ in res. institute., unspec act
X68.20
Intentional self-poisoning by pesticides , occ at pub admin, sports act
X68.21
Intentional self-poisoning by pesticides , occ at pub admin, leisure act
X68.22
Intentional self-poisoning by pesticides , occ at pub admin, income work
X68.23
Intentional self-poisoning by pesticides , occ at pub admin, oth work
X68.24
Intentional self-poisoning by pesticides , occ at pub admin, resting
X68.28
Intentional self-poisoning by pesticides , occ at pub admin, oth act
X68.29
Intentional self-poisoning by pesticides , occ at pub admin, unspec act
X68.30
Intentional self-poisoning by pesticides , occ at athletic. area, sports act
X68.31
Intentional self-poisoning by pesticides , occ at athletic. area, leisure act
X68.32
Intentional self-poisoning by pesticides , occ at athletic. area, income work
X68.33
Intentional self-poisoning by pesticides , occ at athletic. area, oth work
X68.34
Intentional self-poisoning by pesticides , occ at athletic. area, resting
Page 80 of 316
CMS December 2005

X68.38
Intentional self-poisoning by pesticides , occ at athletic. area, oth act
X68.39
Intentional self-poisoning by pesticides , occ at athletic. area, unspec act
X68.40
Intentional self-poisoning by pesticides , occ on highway, sports act
X68.41
Intentional self-poisoning by pesticides , occ on highway, leisure act
X68.42
Intentional self-poisoning by pesticides , occ on highway, income work
X68.43
Intentional self-poisoning by pesticides , occ on highway, oth work
X68.44
Intentional self-poisoning by pesticides , occ on highway, resting
X68.48
Intentional self-poisoning by pesticides , occ on highway, oth act
X68.49
Intentional self-poisoning by pesticides , occ on highway, unspec act
X68.50
Intentional self-poisoning by pesticides , occ at svc area, sports act
X68.51
Intentional self-poisoning by pesticides , occ at svc area, leisure act
X68.52
Intentional self-poisoning by pesticides , occ at svc area, income work
X68.53
Intentional self-poisoning by pesticides , occ at svc area, oth work
X68.54
Intentional self-poisoning by pesticides , occ at svc area, resting
X68.58
Intentional self-poisoning by pesticides , occ at svc area, oth act
X68.59
Intentional self-poisoning by pesticides , occ at svc area, unspec act
X68.60
Intentional self-poisoning by pesticides , occ at const area, sports act
X68.61
Intentional self-poisoning by pesticides , occ at const area, leisure act
X68.62
Intentional self-poisoning by pesticides , occ at const area, income work
X68.63
Intentional self-poisoning by pesticides , occ at const area, oth work
X68.64
Intentional self-poisoning by pesticides , occ at const area, resting
X68.68
Intentional self-poisoning by pesticides , occ at const area, oth act
X68.69
Intentional self-poisoning by pesticides , occ at const area, unspec act
X68.70
Intentional self-poisoning by pesticides , occ on farm, sports act
X68.71
Intentional self-poisoning by pesticides , occ on farm, leisure act
X68.72
Intentional self-poisoning by pesticides , occ on farm, income work
X68.73
Intentional self-poisoning by pesticides , occ on farm, oth work
X68.74
Intentional self-poisoning by pesticides , occ on farm, resting
X68.78
Intentional self-poisoning by pesticides , occ on farm, oth act
X68.79
Intentional self-poisoning by pesticides , occ on farm, unspec act
X68.80
Intentional self-poisoning by pesticides , occ at oth spec place, sports act
X68.81
Intentional self-poisoning by pesticides , occ at oth spec place, leisure act
X68.82
Intentional self-poisoning by pesticides , occ at oth spec place, income work
X68.83
Intentional self-poisoning by pesticides , occ at oth spec place, oth work
X68.84
Intentional self-poisoning by pesticides , occ at oth spec place, resting
X68.88
Intentional self-poisoning by pesticides , occ at oth spec place, oth act
X68.89
Intentional self-poisoning by pesticides , occ at oth spec place, unspec act
Page 81 of 316
CMS December 2005

X68.90
Intentional self-poisoning by pesticides , occ at unspec place, sports act
X68.91
Intentional self-poisoning by pesticides , occ at unspec place, leisure act
X68.92
Intentional self-poisoning by pesticides , occ at unspec place, income work
X68.93
Intentional self-poisoning by pesticides , occ at unspec place, oth work
X68.94
Intentional self-poisoning by pesticides , occ at unspec place, resting
X68.98
Intentional self-poisoning by pesticides , occ at unspec place, oth act
X68.99
Intentional self-poisoning by pesticides , occ at unspec place, unspec act
X69.00
Intent self-poison oth/unspec chemicals, occ at home, sports act
X69.01
Intent self-poison oth/unspec chemicals, occ at home, leisure act
X69.02
Intent self-poison oth/unspec chemicals, occ at home, income work
X69.03
Intent self-poison oth/unspec chemicals, occ at home, oth work
X69.04
Intent self-poison oth/unspec chemicals, occ at home, resting
X69.08
Intent self-poison oth/unspec chemicals, occ at home, oth act
X69.09
Intent self-poison oth/unspec chemicals, occ at home, unspec act
X69.10
Intent self-poison oth/unspec chemicals, occ in res. institute., sports act
X69.11
Intent self-poison oth/unspec chemicals, occ in res. institute., leisure act
X69.12
Intent self-poison oth/unspec chemicals, occ in res. institute., income work
X69.13
Intent self-poison oth/unspec chemicals, occ in res. institute., oth work
X69.14
Intent self-poison oth/unspec chemicals, occ in res. institute., resting
X69.18
Intent self-poison oth/unspec chemicals, occ in res. institute., oth act
X69.19
Intent self-poison oth/unspec chemicals, occ in res. institute., unspec act
X69.20
Intent self-poison oth/unspec chemicals, occ at pub admin, sports act
X69.21
Intent self-poison oth/unspec chemicals, occ at pub admin, leisure act
X69.22
Intent self-poison oth/unspec chemicals, occ at pub admin, income work
X69.23
Intent self-poison oth/unspec chemicals, occ at pub admin, oth work
X69.24
Intent self-poison oth/unspec chemicals, occ at pub admin, resting
X69.28
Intent self-poison oth/unspec chemicals, occ at pub admin, oth act
X69.29
Intent self-poison oth/unspec chemicals, occ at pub admin, unspec act
X69.30
Intent self-poison oth/unspec chemicals, occ at athletic. area, sports act
X69.31
Intent self-poison oth/unspec chemicals, occ at athletic. area, leisure act
X69.32
Intent self-poison oth/unspec chemicals, occ at athletic. area, income work
X69.33
Intent self-poison oth/unspec chemicals, occ at athletic. area, oth work
X69.34
Intent self-poison oth/unspec chemicals, occ at athletic. area, resting
X69.38
Intent self-poison oth/unspec chemicals, occ at athletic. area, oth act
X69.39
Intent self-poison oth/unspec chemicals, occ at athletic. area, unspec act
X69.40
Intent self-poison oth/unspec chemicals, occ on highway, sports act
X69.41
Intent self-poison oth/unspec chemicals, occ on highway, leisure act
Page 82 of 316
CMS December 2005

X69.42
Intent self-poison oth/unspec chemicals, occ on highway, income work
X69.43
Intent self-poison oth/unspec chemicals, occ on highway, oth work
X69.44
Intent self-poison oth/unspec chemicals, occ on highway, resting
X69.48
Intent self-poison oth/unspec chemicals, occ on highway, oth act
X69.49
Intent self-poison oth/unspec chemicals, occ on highway, unspec act
X69.50
Intent self-poison oth/unspec chemicals, occ at svc area, sports act
X69.51
Intent self-poison oth/unspec chemicals, occ at svc area, leisure act
X69.52
Intent self-poison oth/unspec chemicals, occ at svc area, income work
X69.53
Intent self-poison oth/unspec chemicals, occ at svc area, oth work
X69.54
Intent self-poison oth/unspec chemicals, occ at svc area, resting
X69.58
Intent self-poison oth/unspec chemicals, occ at svc area, oth act
X69.59
Intent self-poison oth/unspec chemicals, occ at svc area, unspec act
X69.60
Intent self-poison oth/unspec chemicals, occ at const area, sports act
X69.61
Intent self-poison oth/unspec chemicals, occ at const area, leisure act
X69.62
Intent self-poison oth/unspec chemicals, occ at const area, income work
X69.63
Intent self-poison oth/unspec chemicals, occ at const area, oth work
X69.64
Intent self-poison oth/unspec chemicals, occ at const area, resting
X69.68
Intent self-poison oth/unspec chemicals, occ at const area, oth act
X69.69
Intent self-poison oth/unspec chemicals, occ at const area, unspec act
X69.70
Intent self-poison oth/unspec chemicals, occ on farm, sports act
X69.71
Intent self-poison oth/unspec chemicals, occ on farm, leisure act
X69.72
Intent self-poison oth/unspec chemicals, occ on farm, income work
X69.73
Intent self-poison oth/unspec chemicals, occ on farm, oth work
X69.74
Intent self-poison oth/unspec chemicals, occ on farm, resting
X69.78
Intent self-poison oth/unspec chemicals, occ on farm, oth act
X69.79
Intent self-poison oth/unspec chemicals, occ on farm, unspec act
X69.80
Intent self-poison oth/unspec chemicals, occ at oth spec place, sports act
X69.81
Intent self-poison oth/unspec chemicals, occ at oth spec place, leisure act
X69.82
Intent self-poison oth/unspec chemicals, occ at oth spec place, income work
X69.83
Intent self-poison oth/unspec chemicals, occ at oth spec place, oth work
X69.84
Intent self-poison oth/unspec chemicals, occ at oth spec place, resting
X69.88
Intent self-poison oth/unspec chemicals, occ at oth spec place, oth act
X69.89
Intent self-poison oth/unspec chemicals, occ at oth spec place, unspec act
X69.90
Intent self-poison oth/unspec chemicals, occ at unspec place, sports act
X69.91
Intent self-poison oth/unspec chemicals, occ at unspec place, leisure act
X69.92
Intent self-poison oth/unspec chemicals, occ at unspec place, income work
X69.93
Intent self-poison oth/unspec chemicals, occ at unspec place, oth work
Page 83 of 316
CMS December 2005

X69.94
Intent self-poison oth/unspec chemicals, occ at unspec place, resting
X69.98
Intent self-poison oth/unspec chemicals, occ at unspec place, oth act
X69.99
Intent self-poison oth/unspec chemicals, occ at unspec place, unspec act
X70.00
Intent self-harm by hang/strangulation and suffocation, occ at home, sports act
X70.01
Intent self-harm by hang/strangulation and suffocation, occ at home, leisure act
X70.02
Intent self-harm by hang/strangulation and suffocation, occ at home, income work
X70.03
Intent self-harm by hang/strangulation and suffocation, occ at home, oth work
X70.04
Intent self-harm by hang/strangulation and suffocation, occ at home, resting
X70.08
Intent self-harm by hang/strangulation and suffocation, occ at home, oth act
X70.09
Intent self-harm by hang/strangulation and suffocation, occ at home, unspec act
X70.10
Intent self-harm by hang/strangulation and suffocation, occ in res. institute., sports act
X70.11
Intent self-harm by hang/strangulation and suffocation, occ in res. institute., leisure act
X70.12
Intent self-harm by hang/strangulation and suffocation, occ in res. institute., income work
X70.13
Intent self-harm by hang/strangulation and suffocation, occ in res. institute., oth work
X70.14
Intent self-harm by hang/strangulation and suffocation, occ in res. institute., resting
X70.18
Intent self-harm by hang/strangulation and suffocation, occ in res. institute., oth act
X70.19
Intent self-harm by hang/strangulation and suffocation, occ in res. institute., unspec act
X70.20
Intent self-harm by hang/strangulation and suffocation, occ at pub admin, sports act
X70.21
Intent self-harm by hang/strangulation and suffocation, occ at pub admin, leisure act
X70.22
Intent self-harm by hang/strangulation and suffocation, occ at pub admin, income work
X70.23
Intent self-harm by hang/strangulation and suffocation, occ at pub admin, oth work
X70.24
Intent self-harm by hang/strangulation and suffocation, occ at pub admin, resting
X70.28
Intent self-harm by hang/strangulation and suffocation, occ at pub admin, oth act
X70.29
Intent self-harm by hang/strangulation and suffocation, occ at pub admin, unspec act
X70.30
Intent self-harm by hang/strangulation and suffocation, occ at athletic. area, sports act
X70.31
Intent self-harm by hang/strangulation and suffocation, occ at athletic. area, leisure act
X70.32
Intent self-harm by hang/strangulation and suffocation, occ at athletic. area, income work
X70.33
Intent self-harm by hang/strangulation and suffocation, occ at athletic. area, oth work
X70.34
Intent self-harm by hang/strangulation and suffocation, occ at athletic. area, resting
X70.38
Intent self-harm by hang/strangulation and suffocation, occ at athletic. area, oth act
X70.39
Intent self-harm by hang/strangulation and suffocation, occ at athletic. area, unspec act
X70.40
Intent self-harm by hang/strangulation and suffocation, occ on highway, sports act
X70.41
Intent self-harm by hang/strangulation and suffocation, occ on highway, leisure act
X70.42
Intent self-harm by hang/strangulation and suffocation, occ on highway, income work
X70.43
Intent self-harm by hang/strangulation and suffocation, occ on highway, oth work
X70.44
Intent self-harm by hang/strangulation and suffocation, occ on highway, resting
X70.48
Intent self-harm by hang/strangulation and suffocation, occ on highway, oth act
Page 84 of 316
CMS December 2005

X70.49
Intent self-harm by hang/strangulation and suffocation, occ on highway, unspec act
X70.50
Intent self-harm by hang/strangulation and suffocation, occ at svc area, sports act
X70.51
Intent self-harm by hang/strangulation and suffocation, occ at svc area, leisure act
X70.52
Intent self-harm by hang/strangulation and suffocation, occ at svc area, income work
X70.53
Intent self-harm by hang/strangulation and suffocation, occ at svc area, oth work
X70.54
Intent self-harm by hang/strangulation and suffocation, occ at svc area, resting
X70.58
Intent self-harm by hang/strangulation and suffocation, occ at svc area, oth act
X70.59
Intent self-harm by hang/strangulation and suffocation, occ at svc area, unspec act
X70.60
Intent self-harm by hang/strangulation and suffocation, occ at const area, sports act
X70.61
Intent self-harm by hang/strangulation and suffocation, occ at const area, leisure act
X70.62
Intent self-harm by hang/strangulation and suffocation, occ at const area, income work
X70.63
Intent self-harm by hang/strangulation and suffocation, occ at const area, oth work
X70.64
Intent self-harm by hang/strangulation and suffocation, occ at const area, resting
X70.68
Intent self-harm by hang/strangulation and suffocation, occ at const area, oth act
X70.69
Intent self-harm by hang/strangulation and suffocation, occ at const area, unspec act
X70.70
Intent self-harm by hang/strangulation and suffocation, occ on farm, sports act
X70.71
Intent self-harm by hang/strangulation and suffocation, occ on farm, leisure act
X70.72
Intent self-harm by hang/strangulation and suffocation, occ on farm, income work
X70.73
Intent self-harm by hang/strangulation and suffocation, occ on farm, oth work
X70.74
Intent self-harm by hang/strangulation and suffocation, occ on farm, resting
X70.78
Intent self-harm by hang/strangulation and suffocation, occ on farm, oth act
X70.79
Intent self-harm by hang/strangulation and suffocation, occ on farm, unspec act
X70.80
Intent self-harm by hang/strangulation and suffocation, occ at oth spec place, sports act
X70.81
Intent self-harm by hang/strangulation and suffocation, occ at oth spec place, leisure act
X70.82
Intent self-harm by hang/strangulation and suffocation, occ at oth spec place, income work
X70.83
Intent self-harm by hang/strangulation and suffocation, occ at oth spec place, oth work
X70.84
Intent self-harm by hang/strangulation and suffocation, occ at oth spec place, resting
X70.88
Intent self-harm by hang/strangulation and suffocation, occ at oth spec place, oth act
X70.89
Intent self-harm by hang/strangulation and suffocation, occ at oth spec place, unspec act
X70.90
Intent self-harm by hang/strangulation and suffocation, occ at unspec place, sports act
X70.91
Intent self-harm by hang/strangulation and suffocation, occ at unspec place, leisure act
X70.92
Intent self-harm by hang/strangulation and suffocation, occ at unspec place, income work
X70.93
Intent self-harm by hang/strangulation and suffocation, occ at unspec place, oth work
X70.94
Intent self-harm by hang/strangulation and suffocation, occ at unspec place, resting
X70.98
Intent self-harm by hang/strangulation and suffocation, occ at unspec place, oth act
X70.99
Intent self-harm by hang/strangulation and suffocation, occ at unspec place, unspec act
X71.00
Intentional self-harm by drowning, occ at home, sports act
Page 85 of 316
CMS December 2005

X71.01
Intentional self-harm by drowning, occ at home, leisure act
X71.02
Intentional self-harm by drowning, occ at home, income work
X71.03
Intentional self-harm by drowning, occ at home, oth work
X71.04
Intentional self-harm by drowning, occ at home, resting
X71.08
Intentional self-harm by drowning, occ at home, oth act
X71.09
Intentional self-harm by drowning, occ at home, unspec act
X71.10
Intentional self-harm by drowning, occ in res. institute., sports act
X71.11
Intentional self-harm by drowning, occ in res. institute., leisure act
X71.12
Intentional self-harm by drowning, occ in res. institute., income work
X71.13
Intentional self-harm by drowning, occ in res. institute., oth work
X71.14
Intentional self-harm by drowning, occ in res. institute., resting
X71.18
Intentional self-harm by drowning, occ in res. institute., oth act
X71.19
Intentional self-harm by drowning, occ in res. institute., unspec act
X71.20
Intentional self-harm by drowning, occ at pub admin, sports act
X71.21
Intentional self-harm by drowning, occ at pub admin, leisure act
X71.22
Intentional self-harm by drowning, occ at pub admin, income work
X71.23
Intentional self-harm by drowning, occ at pub admin, oth work
X71.24
Intentional self-harm by drowning, occ at pub admin, resting
X71.28
Intentional self-harm by drowning, occ at pub admin, oth act
X71.29
Intentional self-harm by drowning, occ at pub admin, unspec act
X71.30
Intentional self-harm by drowning, occ at athletic. area, sports act
X71.31
Intentional self-harm by drowning, occ at athletic. area, leisure act
X71.32
Intentional self-harm by drowning, occ at athletic. area, income work
X71.33
Intentional self-harm by drowning, occ at athletic. area, oth work
X71.34
Intentional self-harm by drowning, occ at athletic. area, resting
X71.38
Intentional self-harm by drowning, occ at athletic. area, oth act
X71.39
Intentional self-harm by drowning, occ at athletic. area, unspec act
X71.40
Intentional self-harm by drowning, occ on highway, sports act
X71.41
Intentional self-harm by drowning, occ on highway, leisure act
X71.42
Intentional self-harm by drowning, occ on highway, income work
X71.43
Intentional self-harm by drowning, occ on highway, oth work
X71.44
Intentional self-harm by drowning, occ on highway, resting
X71.48
Intentional self-harm by drowning, occ on highway, oth act
X71.49
Intentional self-harm by drowning, occ on highway, unspec act
X71.50
Intentional self-harm by drowning, occ at svc area, sports act
X71.51
Intentional self-harm by drowning, occ at svc area, leisure act
X71.52
Intentional self-harm by drowning, occ at svc area, income work
Page 86 of 316
CMS December 2005

X71.53
Intentional self-harm by drowning, occ at svc area, oth work
X71.54
Intentional self-harm by drowning, occ at svc area, resting
X71.58
Intentional self-harm by drowning, occ at svc area, oth act
X71.59
Intentional self-harm by drowning, occ at svc area, unspec act
X71.60
Intentional self-harm by drowning, occ at const area, sports act
X71.61
Intentional self-harm by drowning, occ at const area, leisure act
X71.62
Intentional self-harm by drowning, occ at const area, income work
X71.63
Intentional self-harm by drowning, occ at const area, oth work
X71.64
Intentional self-harm by drowning, occ at const area, resting
X71.68
Intentional self-harm by drowning, occ at const area, oth act
X71.69
Intentional self-harm by drowning, occ at const area, unspec act
X71.70
Intentional self-harm by drowning, occ on farm, sports act
X71.71
Intentional self-harm by drowning, occ on farm, leisure act
X71.72
Intentional self-harm by drowning, occ on farm, income work
X71.73
Intentional self-harm by drowning, occ on farm, oth work
X71.74
Intentional self-harm by drowning, occ on farm, resting
X71.78
Intentional self-harm by drowning, occ on farm, oth act
X71.79
Intentional self-harm by drowning, occ on farm, unspec act
X71.80
Intentional self-harm by drowning, occ at oth spec place, sports act
X71.81
Intentional self-harm by drowning, occ at oth spec place, leisure act
X71.82
Intentional self-harm by drowning, occ at oth spec place, income work
X71.83
Intentional self-harm by drowning, occ at oth spec place, oth work
X71.84
Intentional self-harm by drowning, occ at oth spec place, resting
X71.88
Intentional self-harm by drowning, occ at oth spec place, oth act
X71.89
Intentional self-harm by drowning, occ at oth spec place, unspec act
X71.90
Intentional self-harm by drowning, occ at unspec place, sports act
X71.91
Intentional self-harm by drowning, occ at unspec place, leisure act
X71.92
Intentional self-harm by drowning, occ at unspec place, income work
X71.93
Intentional self-harm by drowning, occ at unspec place, oth work
X71.94
Intentional self-harm by drowning, occ at unspec place, resting
X71.98
Intentional self-harm by drowning, occ at unspec place, oth act
X71.99
Intentional self-harm by drowning, occ at unspec place, unspec act
X72.00
Intentional self-harm by handgun discharge, occ at home, sports act
X72.01
Intentional self-harm by handgun discharge, occ at home, leisure act
X72.02
Intentional self-harm by handgun discharge, occ at home, income work
X72.03
Intentional self-harm by handgun discharge, occ at home, oth work
X72.04
Intentional self-harm by handgun discharge, occ at home, resting
Page 87 of 316
CMS December 2005

X72.08
Intentional self-harm by handgun discharge, occ at home, oth act
X72.09
Intentional self-harm by handgun discharge, occ at home, unspec act
X72.10
Intentional self-harm by handgun discharge, occ in res. institute., sports act
X72.11
Intentional self-harm by handgun discharge, occ in res. institute., leisure act
X72.12
Intentional self-harm by handgun discharge, occ in res. institute., income work
X72.13
Intentional self-harm by handgun discharge, occ in res. institute., oth work
X72.14
Intentional self-harm by handgun discharge, occ in res. institute., resting
X72.18
Intentional self-harm by handgun discharge, occ in res. institute., oth act
X72.19
Intentional self-harm by handgun discharge, occ in res. institute., unspec act
X72.20
Intentional self-harm by handgun discharge, occ at pub admin, sports act
X72.21
Intentional self-harm by handgun discharge, occ at pub admin, leisure act
X72.22
Intentional self-harm by handgun discharge, occ at pub admin, income work
X72.23
Intentional self-harm by handgun discharge, occ at pub admin, oth work
X72.24
Intentional self-harm by handgun discharge, occ at pub admin, resting
X72.28
Intentional self-harm by handgun discharge, occ at pub admin, oth act
X72.29
Intentional self-harm by handgun discharge, occ at pub admin, unspec act
X72.30
Intentional self-harm by handgun discharge, occ at athletic. area, sports act
X72.31
Intentional self-harm by handgun discharge, occ at athletic. area, leisure act
X72.32
Intentional self-harm by handgun discharge, occ at athletic. area, income work
X72.33
Intentional self-harm by handgun discharge, occ at athletic. area, oth work
X72.34
Intentional self-harm by handgun discharge, occ at athletic. area, resting
X72.38
Intentional self-harm by handgun discharge, occ at athletic. area, oth act
X72.39
Intentional self-harm by handgun discharge, occ at athletic. area, unspec act
X72.40
Intentional self-harm by handgun discharge, occ on highway, sports act
X72.41
Intentional self-harm by handgun discharge, occ on highway, leisure act
X72.42
Intentional self-harm by handgun discharge, occ on highway, income work
X72.43
Intentional self-harm by handgun discharge, occ on highway, oth work
X72.44
Intentional self-harm by handgun discharge, occ on highway, resting
X72.48
Intentional self-harm by handgun discharge, occ on highway, oth act
X72.49
Intentional self-harm by handgun discharge, occ on highway, unspec act
X72.50
Intentional self-harm by handgun discharge, occ at svc area, sports act
X72.51
Intentional self-harm by handgun discharge, occ at svc area, leisure act
X72.52
Intentional self-harm by handgun discharge, occ at svc area, income work
X72.53
Intentional self-harm by handgun discharge, occ at svc area, oth work
X72.54
Intentional self-harm by handgun discharge, occ at svc area, resting
X72.58
Intentional self-harm by handgun discharge, occ at svc area, oth act
X72.59
Intentional self-harm by handgun discharge, occ at svc area, unspec act
Page 88 of 316
CMS December 2005

X72.60
Intentional self-harm by handgun discharge, occ at const area, sports act
X72.61
Intentional self-harm by handgun discharge, occ at const area, leisure act
X72.62
Intentional self-harm by handgun discharge, occ at const area, income work
X72.63
Intentional self-harm by handgun discharge, occ at const area, oth work
X72.64
Intentional self-harm by handgun discharge, occ at const area, resting
X72.68
Intentional self-harm by handgun discharge, occ at const area, oth act
X72.69
Intentional self-harm by handgun discharge, occ at const area, unspec act
X72.70
Intentional self-harm by handgun discharge, occ on farm, sports act
X72.71
Intentional self-harm by handgun discharge, occ on farm, leisure act
X72.72
Intentional self-harm by handgun discharge, occ on farm, income work
X72.73
Intentional self-harm by handgun discharge, occ on farm, oth work
X72.74
Intentional self-harm by handgun discharge, occ on farm, resting
X72.78
Intentional self-harm by handgun discharge, occ on farm, oth act
X72.79
Intentional self-harm by handgun discharge, occ on farm, unspec act
X72.80
Intentional self-harm by handgun discharge, occ at oth spec place, sports act
X72.81
Intentional self-harm by handgun discharge, occ at oth spec place, leisure act
X72.82
Intentional self-harm by handgun discharge, occ at oth spec place, income work
X72.83
Intentional self-harm by handgun discharge, occ at oth spec place, oth work
X72.84
Intentional self-harm by handgun discharge, occ at oth spec place, resting
X72.88
Intentional self-harm by handgun discharge, occ at oth spec place, oth act
X72.89
Intentional self-harm by handgun discharge, occ at oth spec place, unspec act
X72.90
Intentional self-harm by handgun discharge, occ at unspec place, sports act
X72.91
Intentional self-harm by handgun discharge, occ at unspec place, leisure act
X72.92
Intentional self-harm by handgun discharge, occ at unspec place, income work
X72.93
Intentional self-harm by handgun discharge, occ at unspec place, oth work
X72.94
Intentional self-harm by handgun discharge, occ at unspec place, resting
X72.98
Intentional self-harm by handgun discharge, occ at unspec place, oth act
X72.99
Intentional self-harm by handgun discharge, occ at unspec place, unspec act
X73.00
Intent self-harm by rifle/shotgun/large firearm discharge, occ at home, sports act
X73.01
Intent self-harm by rifle/shotgun/large firearm discharge, occ at home, leisure act
X73.02
Intent self-harm by rifle/shotgun/large firearm discharge, occ at home, income work
X73.03
Intent self-harm by rifle/shotgun/large firearm discharge, occ at home, oth work
X73.04
Intent self-harm by rifle/shotgun/large firearm discharge, occ at home, resting
X73.08
Intent self-harm by rifle/shotgun/large firearm discharge, occ at home, oth act
X73.09
Intent self-harm by rifle/shotgun/large firearm discharge, occ at home, unspec act
X73.10
Intent self-harm by rifle/shotgun/large firearm discharge, occ in res. institute., sports act
X73.11
Intent self-harm by rifle/shotgun/large firearm discharge, occ in res. institute., leisure act
Page 89 of 316
CMS December 2005

X73.12
Intent self-harm by rifle/shotgun/large firearm discharge, occ in res. institute., income work
X73.13
Intent self-harm by rifle/shotgun/large firearm discharge, occ in res. institute., oth work
X73.14
Intent self-harm by rifle/shotgun/large firearm discharge, occ in res. institute., resting
X73.18
Intent self-harm by rifle/shotgun/large firearm discharge, occ in res. institute., oth act
X73.19
Intent self-harm by rifle/shotgun/large firearm discharge, occ in res. institute., unspec act
X73.20
Intent self-harm by rifle/shotgun/large firearm discharge, occ at pub admin, sports act
X73.21
Intent self-harm by rifle/shotgun/large firearm discharge, occ at pub admin, leisure act
X73.22
Intent self-harm by rifle/shotgun/large firearm discharge, occ at pub admin, income work
X73.23
Intent self-harm by rifle/shotgun/large firearm discharge, occ at pub admin, oth work
X73.24
Intent self-harm by rifle/shotgun/large firearm discharge, occ at pub admin, resting
X73.28
Intent self-harm by rifle/shotgun/large firearm discharge, occ at pub admin, oth act
X73.29
Intent self-harm by rifle/shotgun/large firearm discharge, occ at pub admin, unspec act
X73.30
Intent self-harm by rifle/shotgun/large firearm discharge, occ at athletic. area, sports act
X73.31
Intent self-harm by rifle/shotgun/large firearm discharge, occ at athletic. area, leisure act
X73.32
Intent self-harm by rifle/shotgun/large firearm discharge, occ at athletic. area, income work
X73.33
Intent self-harm by rifle/shotgun/large firearm discharge, occ at athletic. area, oth work
X73.34
Intent self-harm by rifle/shotgun/large firearm discharge, occ at athletic. area, resting
X73.38
Intent self-harm by rifle/shotgun/large firearm discharge, occ at athletic. area, oth act
X73.39
Intent self-harm by rifle/shotgun/large firearm discharge, occ at athletic. area, unspec act
X73.40
Intent self-harm by rifle/shotgun/large firearm discharge, occ on highway, sports act
X73.41
Intent self-harm by rifle/shotgun/large firearm discharge, occ on highway, leisure act
X73.42
Intent self-harm by rifle/shotgun/large firearm discharge, occ on highway, income work
X73.43
Intent self-harm by rifle/shotgun/large firearm discharge, occ on highway, oth work
X73.44
Intent self-harm by rifle/shotgun/large firearm discharge, occ on highway, resting
X73.48
Intent self-harm by rifle/shotgun/large firearm discharge, occ on highway, oth act
X73.49
Intent self-harm by rifle/shotgun/large firearm discharge, occ on highway, unspec act
X73.50
Intent self-harm by rifle/shotgun/large firearm discharge, occ at svc area, sports act
X73.51
Intent self-harm by rifle/shotgun/large firearm discharge, occ at svc area, leisure act
X73.52
Intent self-harm by rifle/shotgun/large firearm discharge, occ at svc area, income work
X73.53
Intent self-harm by rifle/shotgun/large firearm discharge, occ at svc area, oth work
X73.54
Intent self-harm by rifle/shotgun/large firearm discharge, occ at svc area, resting
X73.58
Intent self-harm by rifle/shotgun/large firearm discharge, occ at svc area, oth act
X73.59
Intent self-harm by rifle/shotgun/large firearm discharge, occ at svc area, unspec act
X73.60
Intent self-harm by rifle/shotgun/large firearm discharge, occ at const area, sports act
X73.61
Intent self-harm by rifle/shotgun/large firearm discharge, occ at const area, leisure act
X73.62
Intent self-harm by rifle/shotgun/large firearm discharge, occ at const area, income work
X73.63
Intent self-harm by rifle/shotgun/large firearm discharge, occ at const area, oth work
Page 90 of 316
CMS December 2005

X73.64
Intent self-harm by rifle/shotgun/large firearm discharge, occ at const area, resting
X73.68
Intent self-harm by rifle/shotgun/large firearm discharge, occ at const area, oth act
X73.69
Intent self-harm by rifle/shotgun/large firearm discharge, occ at const area, unspec act
X73.70
Intent self-harm by rifle/shotgun/large firearm discharge, occ on farm, sports act
X73.71
Intent self-harm by rifle/shotgun/large firearm discharge, occ on farm, leisure act
X73.72
Intent self-harm by rifle/shotgun/large firearm discharge, occ on farm, income work
X73.73
Intent self-harm by rifle/shotgun/large firearm discharge, occ on farm, oth work
X73.74
Intent self-harm by rifle/shotgun/large firearm discharge, occ on farm, resting
X73.78
Intent self-harm by rifle/shotgun/large firearm discharge, occ on farm, oth act
X73.79
Intent self-harm by rifle/shotgun/large firearm discharge, occ on farm, unspec act
X73.80
Intent self-harm by rifle/shotgun/large firearm discharge, occ at oth spec place, sports act
X73.81
Intent self-harm by rifle/shotgun/large firearm discharge, occ at oth spec place, leisure act
X73.82
Intent self-harm by rifle/shotgun/large firearm discharge, occ at oth spec place, income work
X73.83
Intent self-harm by rifle/shotgun/large firearm discharge, occ at oth spec place, oth work
X73.84
Intent self-harm by rifle/shotgun/large firearm discharge, occ at oth spec place, resting
X73.88
Intent self-harm by rifle/shotgun/large firearm discharge, occ at oth spec place, oth act
X73.89
Intent self-harm by rifle/shotgun/large firearm discharge, occ at oth spec place, unspec act
X73.90
Intent self-harm by rifle/shotgun/large firearm discharge, occ at unspec place, sports act
X73.91
Intent self-harm by rifle/shotgun/large firearm discharge, occ at unspec place, leisure act
X73.92
Intent self-harm by rifle/shotgun/large firearm discharge, occ at unspec place, income work
X73.93
Intent self-harm by rifle/shotgun/large firearm discharge, occ at unspec place, oth work
X73.94
Intent self-harm by rifle/shotgun/large firearm discharge, occ at unspec place, resting
X73.98
Intent self-harm by rifle/shotgun/large firearm discharge, occ at unspec place, oth act
X73.99
Intent self-harm by rifle/shotgun/large firearm discharge, occ at unspec place, unspec act
X74.00
Intent self-harm by oth/unspec firearm discharge, occ at home, sports act
X74.01
Intent self-harm by oth/unspec firearm discharge, occ at home, leisure act
X74.02
Intent self-harm by oth/unspec firearm discharge, occ at home, income work
X74.03
Intent self-harm by oth/unspec firearm discharge, occ at home, oth work
X74.04
Intent self-harm by oth/unspec firearm discharge, occ at home, resting
X74.08
Intent self-harm by oth/unspec firearm discharge, occ at home, oth act
X74.09
Intent self-harm by oth/unspec firearm discharge, occ at home, unspec act
X74.10
Intent self-harm by oth/unspec firearm discharge, occ in res. institute., sports act
X74.11
Intent self-harm by oth/unspec firearm discharge, occ in res. institute., leisure act
X74.12
Intent self-harm by oth/unspec firearm discharge, occ in res. institute., income work
X74.13
Intent self-harm by oth/unspec firearm discharge, occ in res. institute., oth work
X74.14
Intent self-harm by oth/unspec firearm discharge, occ in res. institute., resting
X74.18
Intent self-harm by oth/unspec firearm discharge, occ in res. institute., oth act
Page 91 of 316
CMS December 2005

X74.19
Intent self-harm by oth/unspec firearm discharge, occ in res. institute., unspec act
X74.20
Intent self-harm by oth/unspec firearm discharge, occ at pub admin, sports act
X74.21
Intent self-harm by oth/unspec firearm discharge, occ at pub admin, leisure act
X74.22
Intent self-harm by oth/unspec firearm discharge, occ at pub admin, income work
X74.23
Intent self-harm by oth/unspec firearm discharge, occ at pub admin, oth work
X74.24
Intent self-harm by oth/unspec firearm discharge, occ at pub admin, resting
X74.28
Intent self-harm by oth/unspec firearm discharge, occ at pub admin, oth act
X74.29
Intent self-harm by oth/unspec firearm discharge, occ at pub admin, unspec act
X74.30
Intent self-harm by oth/unspec firearm discharge, occ at athletic. area, sports act
X74.31
Intent self-harm by oth/unspec firearm discharge, occ at athletic. area, leisure act
X74.32
Intent self-harm by oth/unspec firearm discharge, occ at athletic. area, income work
X74.33
Intent self-harm by oth/unspec firearm discharge, occ at athletic. area, oth work
X74.34
Intent self-harm by oth/unspec firearm discharge, occ at athletic. area, resting
X74.38
Intent self-harm by oth/unspec firearm discharge, occ at athletic. area, oth act
X74.39
Intent self-harm by oth/unspec firearm discharge, occ at athletic. area, unspec act
X74.40
Intent self-harm by oth/unspec firearm discharge, occ on highway, sports act
X74.41
Intent self-harm by oth/unspec firearm discharge, occ on highway, leisure act
X74.42
Intent self-harm by oth/unspec firearm discharge, occ on highway, income work
X74.43
Intent self-harm by oth/unspec firearm discharge, occ on highway, oth work
X74.44
Intent self-harm by oth/unspec firearm discharge, occ on highway, resting
X74.48
Intent self-harm by oth/unspec firearm discharge, occ on highway, oth act
X74.49
Intent self-harm by oth/unspec firearm discharge, occ on highway, unspec act
X74.50
Intent self-harm by oth/unspec firearm discharge, occ at svc area, sports act
X74.51
Intent self-harm by oth/unspec firearm discharge, occ at svc area, leisure act
X74.52
Intent self-harm by oth/unspec firearm discharge, occ at svc area, income work
X74.53
Intent self-harm by oth/unspec firearm discharge, occ at svc area, oth work
X74.54
Intent self-harm by oth/unspec firearm discharge, occ at svc area, resting
X74.58
Intent self-harm by oth/unspec firearm discharge, occ at svc area, oth act
X74.59
Intent self-harm by oth/unspec firearm discharge, occ at svc area, unspec act
X74.60
Intent self-harm by oth/unspec firearm discharge, occ at const area, sports act
X74.61
Intent self-harm by oth/unspec firearm discharge, occ at const area, leisure act
X74.62
Intent self-harm by oth/unspec firearm discharge, occ at const area, income work
X74.63
Intent self-harm by oth/unspec firearm discharge, occ at const area, oth work
X74.64
Intent self-harm by oth/unspec firearm discharge, occ at const area, resting
X74.68
Intent self-harm by oth/unspec firearm discharge, occ at const area, oth act
X74.69
Intent self-harm by oth/unspec firearm discharge, occ at const area, unspec act
X74.70
Intent self-harm by oth/unspec firearm discharge, occ on farm, sports act
Page 92 of 316
CMS December 2005

X74.71
Intent self-harm by oth/unspec firearm discharge, occ on farm, leisure act
X74.72
Intent self-harm by oth/unspec firearm discharge, occ on farm, income work
X74.73
Intent self-harm by oth/unspec firearm discharge, occ on farm, oth work
X74.74
Intent self-harm by oth/unspec firearm discharge, occ on farm, resting
X74.78
Intent self-harm by oth/unspec firearm discharge, occ on farm, oth act
X74.79
Intent self-harm by oth/unspec firearm discharge, occ on farm, unspec act
X74.80
Intent self-harm by oth/unspec firearm discharge, occ at oth spec place, sports act
X74.81
Intent self-harm by oth/unspec firearm discharge, occ at oth spec place, leisure act
X74.82
Intent self-harm by oth/unspec firearm discharge, occ at oth spec place, income work
X74.83
Intent self-harm by oth/unspec firearm discharge, occ at oth spec place, oth work
X74.84
Intent self-harm by oth/unspec firearm discharge, occ at oth spec place, resting
X74.88
Intent self-harm by oth/unspec firearm discharge, occ at oth spec place, oth act
X74.89
Intent self-harm by oth/unspec firearm discharge, occ at oth spec place, unspec act
X74.90
Intent self-harm by oth/unspec firearm discharge, occ at unspec place, sports act
X74.91
Intent self-harm by oth/unspec firearm discharge, occ at unspec place, leisure act
X74.92
Intent self-harm by oth/unspec firearm discharge, occ at unspec place, income work
X74.93
Intent self-harm by oth/unspec firearm discharge, occ at unspec place, oth work
X74.94
Intent self-harm by oth/unspec firearm discharge, occ at unspec place, resting
X74.98
Intent self-harm by oth/unspec firearm discharge, occ at unspec place, oth act
X74.99
Intent self-harm by oth/unspec firearm discharge, occ at unspec place, unspec act
X75.00
Intentional self-harm by explosive mat, occ at home, sports act
X75.01
Intentional self-harm by explosive mat, occ at home, leisure act
X75.02
Intentional self-harm by explosive mat, occ at home, income work
X75.03
Intentional self-harm by explosive mat, occ at home, oth work
X75.04
Intentional self-harm by explosive mat, occ at home, resting
X75.08
Intentional self-harm by explosive mat, occ at home, oth act
X75.09
Intentional self-harm by explosive mat, occ at home, unspec act
X75.10
Intentional self-harm by explosive mat, occ in res. institute., sports act
X75.11
Intentional self-harm by explosive mat, occ in res. institute., leisure act
X75.12
Intentional self-harm by explosive mat, occ in res. institute., income work
X75.13
Intentional self-harm by explosive mat, occ in res. institute., oth work
X75.14
Intentional self-harm by explosive mat, occ in res. institute., resting
X75.18
Intentional self-harm by explosive mat, occ in res. institute., oth act
X75.19
Intentional self-harm by explosive mat, occ in res. institute., unspec act
X75.20
Intentional self-harm by explosive mat, occ at pub admin, sports act
X75.21
Intentional self-harm by explosive mat, occ at pub admin, leisure act
X75.22
Intentional self-harm by explosive mat, occ at pub admin, income work
Page 93 of 316
CMS December 2005

X75.23
Intentional self-harm by explosive mat, occ at pub admin, oth work
X75.24
Intentional self-harm by explosive mat, occ at pub admin, resting
X75.28
Intentional self-harm by explosive mat, occ at pub admin, oth act
X75.29
Intentional self-harm by explosive mat, occ at pub admin, unspec act
X75.30
Intentional self-harm by explosive mat, occ at athletic. area, sports act
X75.31
Intentional self-harm by explosive mat, occ at athletic. area, leisure act
X75.32
Intentional self-harm by explosive mat, occ at athletic. area, income work
X75.33
Intentional self-harm by explosive mat, occ at athletic. area, oth work
X75.34
Intentional self-harm by explosive mat, occ at athletic. area, resting
X75.38
Intentional self-harm by explosive mat, occ at athletic. area, oth act
X75.39
Intentional self-harm by explosive mat, occ at athletic. area, unspec act
X75.40
Intentional self-harm by explosive mat, occ on highway, sports act
X75.41
Intentional self-harm by explosive mat, occ on highway, leisure act
X75.42
Intentional self-harm by explosive mat, occ on highway, income work
X75.43
Intentional self-harm by explosive mat, occ on highway, oth work
X75.44
Intentional self-harm by explosive mat, occ on highway, resting
X75.48
Intentional self-harm by explosive mat, occ on highway, oth act
X75.49
Intentional self-harm by explosive mat, occ on highway, unspec act
X75.50
Intentional self-harm by explosive mat, occ at svc area, sports act
X75.51
Intentional self-harm by explosive mat, occ at svc area, leisure act
X75.52
Intentional self-harm by explosive mat, occ at svc area, income work
X75.53
Intentional self-harm by explosive mat, occ at svc area, oth work
X75.54
Intentional self-harm by explosive mat, occ at svc area, resting
X75.58
Intentional self-harm by explosive mat, occ at svc area, oth act
X75.59
Intentional self-harm by explosive mat, occ at svc area, unspec act
X75.60
Intentional self-harm by explosive mat, occ at const area, sports act
X75.61
Intentional self-harm by explosive mat, occ at const area, leisure act
X75.62
Intentional self-harm by explosive mat, occ at const area, income work
X75.63
Intentional self-harm by explosive mat, occ at const area, oth work
X75.64
Intentional self-harm by explosive mat, occ at const area, resting
X75.68
Intentional self-harm by explosive mat, occ at const area, oth act
X75.69
Intentional self-harm by explosive mat, occ at const area, unspec act
X75.70
Intentional self-harm by explosive mat, occ on farm, sports act
X75.71
Intentional self-harm by explosive mat, occ on farm, leisure act
X75.72
Intentional self-harm by explosive mat, occ on farm, income work
X75.73
Intentional self-harm by explosive mat, occ on farm, oth work
X75.74
Intentional self-harm by explosive mat, occ on farm, resting
Page 94 of 316
CMS December 2005

X75.78
Intentional self-harm by explosive mat, occ on farm, oth act
X75.79
Intentional self-harm by explosive mat, occ on farm, unspec act
X75.80
Intentional self-harm by explosive mat, occ at oth spec place, sports act
X75.81
Intentional self-harm by explosive mat, occ at oth spec place, leisure act
X75.82
Intentional self-harm by explosive mat, occ at oth spec place, income work
X75.83
Intentional self-harm by explosive mat, occ at oth spec place, oth work
X75.84
Intentional self-harm by explosive mat, occ at oth spec place, resting
X75.88
Intentional self-harm by explosive mat, occ at oth spec place, oth act
X75.89
Intentional self-harm by explosive mat, occ at oth spec place, unspec act
X75.90
Intentional self-harm by explosive mat, occ at unspec place, sports act
X75.91
Intentional self-harm by explosive mat, occ at unspec place, leisure act
X75.92
Intentional self-harm by explosive mat, occ at unspec place, income work
X75.93
Intentional self-harm by explosive mat, occ at unspec place, oth work
X75.94
Intentional self-harm by explosive mat, occ at unspec place, resting
X75.98
Intentional self-harm by explosive mat, occ at unspec place, oth act
X75.99
Intentional self-harm by explosive mat, occ at unspec place, unspec act
X76.00
Intentional self-harm by smoke/fire, occ at home, sports act
X76.01
Intentional self-harm by smoke/fire, occ at home, leisure act
X76.02
Intentional self-harm by smoke/fire, occ at home, income work
X76.03
Intentional self-harm by smoke/fire, occ at home, oth work
X76.04
Intentional self-harm by smoke/fire, occ at home, resting
X76.08
Intentional self-harm by smoke/fire, occ at home, oth act
X76.09
Intentional self-harm by smoke/fire, occ at home, unspec act
X76.10
Intentional self-harm by smoke/fire, occ in res. institute., sports act
X76.11
Intentional self-harm by smoke/fire, occ in res. institute., leisure act
X76.12
Intentional self-harm by smoke/fire, occ in res. institute., income work
X76.13
Intentional self-harm by smoke/fire, occ in res. institute., oth work
X76.14
Intentional self-harm by smoke/fire, occ in res. institute., resting
X76.18
Intentional self-harm by smoke/fire, occ in res. institute., oth act
X76.19
Intentional self-harm by smoke/fire, occ in res. institute., unspec act
X76.20
Intentional self-harm by smoke/fire, occ at pub admin, sports act
X76.21
Intentional self-harm by smoke/fire, occ at pub admin, leisure act
X76.22
Intentional self-harm by smoke/fire, occ at pub admin, income work
X76.23
Intentional self-harm by smoke/fire, occ at pub admin, oth work
X76.24
Intentional self-harm by smoke/fire, occ at pub admin, resting
X76.28
Intentional self-harm by smoke/fire, occ at pub admin, oth act
X76.29
Intentional self-harm by smoke/fire, occ at pub admin, unspec act
Page 95 of 316
CMS December 2005

X76.30
Intentional self-harm by smoke/fire, occ at athletic. area, sports act
X76.31
Intentional self-harm by smoke/fire, occ at athletic. area, leisure act
X76.32
Intentional self-harm by smoke/fire, occ at athletic. area, income work
X76.33
Intentional self-harm by smoke/fire, occ at athletic. area, oth work
X76.34
Intentional self-harm by smoke/fire, occ at athletic. area, resting
X76.38
Intentional self-harm by smoke/fire, occ at athletic. area, oth act
X76.39
Intentional self-harm by smoke/fire, occ at athletic. area, unspec act
X76.40
Intentional self-harm by smoke/fire, occ on highway, sports act
X76.41
Intentional self-harm by smoke/fire, occ on highway, leisure act
X76.42
Intentional self-harm by smoke/fire, occ on highway, income work
X76.43
Intentional self-harm by smoke/fire, occ on highway, oth work
X76.44
Intentional self-harm by smoke/fire, occ on highway, resting
X76.48
Intentional self-harm by smoke/fire, occ on highway, oth act
X76.49
Intentional self-harm by smoke/fire, occ on highway, unspec act
X76.50
Intentional self-harm by smoke/fire, occ at svc area, sports act
X76.51
Intentional self-harm by smoke/fire, occ at svc area, leisure act
X76.52
Intentional self-harm by smoke/fire, occ at svc area, income work
X76.53
Intentional self-harm by smoke/fire, occ at svc area, oth work
X76.54
Intentional self-harm by smoke/fire, occ at svc area, resting
X76.58
Intentional self-harm by smoke/fire, occ at svc area, oth act
X76.59
Intentional self-harm by smoke/fire, occ at svc area, unspec act
X76.60
Intentional self-harm by smoke/fire, occ at const area, sports act
X76.61
Intentional self-harm by smoke/fire, occ at const area, leisure act
X76.62
Intentional self-harm by smoke/fire, occ at const area, income work
X76.63
Intentional self-harm by smoke/fire, occ at const area, oth work
X76.64
Intentional self-harm by smoke/fire, occ at const area, resting
X76.68
Intentional self-harm by smoke/fire, occ at const area, oth act
X76.69
Intentional self-harm by smoke/fire, occ at const area, unspec act
X76.70
Intentional self-harm by smoke/fire, occ on farm, sports act
X76.71
Intentional self-harm by smoke/fire, occ on farm, leisure act
X76.72
Intentional self-harm by smoke/fire, occ on farm, income work
X76.73
Intentional self-harm by smoke/fire, occ on farm, oth work
X76.74
Intentional self-harm by smoke/fire, occ on farm, resting
X76.78
Intentional self-harm by smoke/fire, occ on farm, oth act
X76.79
Intentional self-harm by smoke/fire, occ on farm, unspec act
X76.80
Intentional self-harm by smoke/fire, occ at oth spec place, sports act
X76.81
Intentional self-harm by smoke/fire, occ at oth spec place, leisure act
Page 96 of 316
CMS December 2005

X76.82
Intentional self-harm by smoke/fire, occ at oth spec place, income work
X76.83
Intentional self-harm by smoke/fire, occ at oth spec place, oth work
X76.84
Intentional self-harm by smoke/fire, occ at oth spec place, resting
X76.88
Intentional self-harm by smoke/fire, occ at oth spec place, oth act
X76.89
Intentional self-harm by smoke/fire, occ at oth spec place, unspec act
X76.90
Intentional self-harm by smoke/fire, occ at unspec place, sports act
X76.91
Intentional self-harm by smoke/fire, occ at unspec place, leisure act
X76.92
Intentional self-harm by smoke/fire, occ at unspec place, income work
X76.93
Intentional self-harm by smoke/fire, occ at unspec place, oth work
X76.94
Intentional self-harm by smoke/fire, occ at unspec place, resting
X76.98
Intentional self-harm by smoke/fire, occ at unspec place, oth act
X76.99
Intentional self-harm by smoke/fire, occ at unspec place, unspec act
X77.00
Intent self-harm by steam/hot vapours/objects, occ at home, sports act
X77.01
Intent self-harm by steam/hot vapours/objects, occ at home, leisure act
X77.02
Intent self-harm by steam/hot vapours/objects, occ at home, income work
X77.03
Intent self-harm by steam/hot vapours/objects, occ at home, oth work
X77.04
Intent self-harm by steam/hot vapours/objects, occ at home, resting
X77.08
Intent self-harm by steam/hot vapours/objects, occ at home, oth act
X77.09
Intent self-harm by steam/hot vapours/objects, occ at home, unspec act
X77.10
Intent self-harm by steam/hot vapours/objects, occ in res. institute., sports act
X77.11
Intent self-harm by steam/hot vapours/objects, occ in res. institute., leisure act
X77.12
Intent self-harm by steam/hot vapours/objects, occ in res. institute., income work
X77.13
Intent self-harm by steam/hot vapours/objects, occ in res. institute., oth work
X77.14
Intent self-harm by steam/hot vapours/objects, occ in res. institute., resting
X77.18
Intent self-harm by steam/hot vapours/objects, occ in res. institute., oth act
X77.19
Intent self-harm by steam/hot vapours/objects, occ in res. institute., unspec act
X77.20
Intent self-harm by steam/hot vapours/objects, occ at pub admin, sports act
X77.21
Intent self-harm by steam/hot vapours/objects, occ at pub admin, leisure act
X77.22
Intent self-harm by steam/hot vapours/objects, occ at pub admin, income work
X77.23
Intent self-harm by steam/hot vapours/objects, occ at pub admin, oth work
X77.24
Intent self-harm by steam/hot vapours/objects, occ at pub admin, resting
X77.28
Intent self-harm by steam/hot vapours/objects, occ at pub admin, oth act
X77.29
Intent self-harm by steam/hot vapours/objects, occ at pub admin, unspec act
X77.30
Intent self-harm by steam/hot vapours/objects, occ at athletic. area, sports act
X77.31
Intent self-harm by steam/hot vapours/objects, occ at athletic. area, leisure act
X77.32
Intent self-harm by steam/hot vapours/objects, occ at athletic. area, income work
X77.33
Intent self-harm by steam/hot vapours/objects, occ at athletic. area, oth work
Page 97 of 316
CMS December 2005

X77.34
Intent self-harm by steam/hot vapours/objects, occ at athletic. area, resting
X77.38
Intent self-harm by steam/hot vapours/objects, occ at athletic. area, oth act
X77.39
Intent self-harm by steam/hot vapours/objects, occ at athletic. area, unspec act
X77.40
Intent self-harm by steam/hot vapours/objects, occ on highway, sports act
X77.41
Intent self-harm by steam/hot vapours/objects, occ on highway, leisure act
X77.42
Intent self-harm by steam/hot vapours/objects, occ on highway, income work
X77.43
Intent self-harm by steam/hot vapours/objects, occ on highway, oth work
X77.44
Intent self-harm by steam/hot vapours/objects, occ on highway, resting
X77.48
Intent self-harm by steam/hot vapours/objects, occ on highway, oth act
X77.49
Intent self-harm by steam/hot vapours/objects, occ on highway, unspec act
X77.50
Intent self-harm by steam/hot vapours/objects, occ at svc area, sports act
X77.51
Intent self-harm by steam/hot vapours/objects, occ at svc area, leisure act
X77.52
Intent self-harm by steam/hot vapours/objects, occ at svc area, income work
X77.53
Intent self-harm by steam/hot vapours/objects, occ at svc area, oth work
X77.54
Intent self-harm by steam/hot vapours/objects, occ at svc area, resting
X77.58
Intent self-harm by steam/hot vapours/objects, occ at svc area, oth act
X77.59
Intent self-harm by steam/hot vapours/objects, occ at svc area, unspec act
X77.60
Intent self-harm by steam/hot vapours/objects, occ at const area, sports act
X77.61
Intent self-harm by steam/hot vapours/objects, occ at const area, leisure act
X77.62
Intent self-harm by steam/hot vapours/objects, occ at const area, income work
X77.63
Intent self-harm by steam/hot vapours/objects, occ at const area, oth work
X77.64
Intent self-harm by steam/hot vapours/objects, occ at const area, resting
X77.68
Intent self-harm by steam/hot vapours/objects, occ at const area, oth act
X77.69
Intent self-harm by steam/hot vapours/objects, occ at const area, unspec act
X77.70
Intent self-harm by steam/hot vapours/objects, occ on farm, sports act
X77.71
Intent self-harm by steam/hot vapours/objects, occ on farm, leisure act
X77.72
Intent self-harm by steam/hot vapours/objects, occ on farm, income work
X77.73
Intent self-harm by steam/hot vapours/objects, occ on farm, oth work
X77.74
Intent self-harm by steam/hot vapours/objects, occ on farm, resting
X77.78
Intent self-harm by steam/hot vapours/objects, occ on farm, oth act
X77.79
Intent self-harm by steam/hot vapours/objects, occ on farm, unspec act
X77.80
Intent self-harm by steam/hot vapours/objects, occ at oth spec place, sports act
X77.81
Intent self-harm by steam/hot vapours/objects, occ at oth spec place, leisure act
X77.82
Intent self-harm by steam/hot vapours/objects, occ at oth spec place, income work
X77.83
Intent self-harm by steam/hot vapours/objects, occ at oth spec place, oth work
X77.84
Intent self-harm by steam/hot vapours/objects, occ at oth spec place, resting
X77.88
Intent self-harm by steam/hot vapours/objects, occ at oth spec place, oth act
Page 98 of 316
CMS December 2005

X77.89
Intent self-harm by steam/hot vapours/objects, occ at oth spec place, unspec act
X77.90
Intent self-harm by steam/hot vapours/objects, occ at unspec place, sports act
X77.91
Intent self-harm by steam/hot vapours/objects, occ at unspec place, leisure act
X77.92
Intent self-harm by steam/hot vapours/objects, occ at unspec place, income work
X77.93
Intent self-harm by steam/hot vapours/objects, occ at unspec place, oth work
X77.94
Intent self-harm by steam/hot vapours/objects, occ at unspec place, resting
X77.98
Intent self-harm by steam/hot vapours/objects, occ at unspec place, oth act
X77.99
Intent self-harm by steam/hot vapours/objects, occ at unspec place, unspec act
X78.00
Intentional self-harm by sharp object, occ at home, sports act
X78.01
Intentional self-harm by sharp object, occ at home, leisure act
X78.02
Intentional self-harm by sharp object, occ at home, income work
X78.03
Intentional self-harm by sharp object, occ at home, oth work
X78.04
Intentional self-harm by sharp object, occ at home, resting
X78.08
Intentional self-harm by sharp object, occ at home, oth act
X78.09
Intentional self-harm by sharp object, occ at home, unspec act
X78.10
Intentional self-harm by sharp object, occ in res. institute., sports act
X78.11
Intentional self-harm by sharp object, occ in res. institute., leisure act
X78.12
Intentional self-harm by sharp object, occ in res. institute., income work
X78.13
Intentional self-harm by sharp object, occ in res. institute., oth work
X78.14
Intentional self-harm by sharp object, occ in res. institute., resting
X78.18
Intentional self-harm by sharp object, occ in res. institute., oth act
X78.19
Intentional self-harm by sharp object, occ in res. institute., unspec act
X78.20
Intentional self-harm by sharp object, occ at pub admin, sports act
X78.21
Intentional self-harm by sharp object, occ at pub admin, leisure act
X78.22
Intentional self-harm by sharp object, occ at pub admin, income work
X78.23
Intentional self-harm by sharp object, occ at pub admin, oth work
X78.24
Intentional self-harm by sharp object, occ at pub admin, resting
X78.28
Intentional self-harm by sharp object, occ at pub admin, oth act
X78.29
Intentional self-harm by sharp object, occ at pub admin, unspec act
X78.30
Intentional self-harm by sharp object, occ at athletic. area, sports act
X78.31
Intentional self-harm by sharp object, occ at athletic. area, leisure act
X78.32
Intentional self-harm by sharp object, occ at athletic. area, income work
X78.33
Intentional self-harm by sharp object, occ at athletic. area, oth work
X78.34
Intentional self-harm by sharp object, occ at athletic. area, resting
X78.38
Intentional self-harm by sharp object, occ at athletic. area, oth act
X78.39
Intentional self-harm by sharp object, occ at athletic. area, unspec act
X78.40
Intentional self-harm by sharp object, occ on highway, sports act
Page 99 of 316
CMS December 2005

X78.41
Intentional self-harm by sharp object, occ on highway, leisure act
X78.42
Intentional self-harm by sharp object, occ on highway, income work
X78.43
Intentional self-harm by sharp object, occ on highway, oth work
X78.44
Intentional self-harm by sharp object, occ on highway, resting
X78.48
Intentional self-harm by sharp object, occ on highway, oth act
X78.49
Intentional self-harm by sharp object, occ on highway, unspec act
X78.50
Intentional self-harm by sharp object, occ at svc area, sports act
X78.51
Intentional self-harm by sharp object, occ at svc area, leisure act
X78.52
Intentional self-harm by sharp object, occ at svc area, income work
X78.53
Intentional self-harm by sharp object, occ at svc area, oth work
X78.54
Intentional self-harm by sharp object, occ at svc area, resting
X78.58
Intentional self-harm by sharp object, occ at svc area, oth act
X78.59
Intentional self-harm by sharp object, occ at svc area, unspec act
X78.60
Intentional self-harm by sharp object, occ at const area, sports act
X78.61
Intentional self-harm by sharp object, occ at const area, leisure act
X78.62
Intentional self-harm by sharp object, occ at const area, income work
X78.63
Intentional self-harm by sharp object, occ at const area, oth work
X78.64
Intentional self-harm by sharp object, occ at const area, resting
X78.68
Intentional self-harm by sharp object, occ at const area, oth act
X78.69
Intentional self-harm by sharp object, occ at const area, unspec act
X78.70
Intentional self-harm by sharp object, occ on farm, sports act
X78.71
Intentional self-harm by sharp object, occ on farm, leisure act
X78.72
Intentional self-harm by sharp object, occ on farm, income work
X78.73
Intentional self-harm by sharp object, occ on farm, oth work
X78.74
Intentional self-harm by sharp object, occ on farm, resting
X78.78
Intentional self-harm by sharp object, occ on farm, oth act
X78.79
Intentional self-harm by sharp object, occ on farm, unspec act
X78.80
Intentional self-harm by sharp object, occ at oth spec place, sports act
X78.81
Intentional self-harm by sharp object, occ at oth spec place, leisure act
X78.82
Intentional self-harm by sharp object, occ at oth spec place, income work
X78.83
Intentional self-harm by sharp object, occ at oth spec place, oth work
X78.84
Intentional self-harm by sharp object, occ at oth spec place, resting
X78.88
Intentional self-harm by sharp object, occ at oth spec place, oth act
X78.89
Intentional self-harm by sharp object, occ at oth spec place, unspec act
X78.90
Intentional self-harm by sharp object, occ at unspec place, sports act
X78.91
Intentional self-harm by sharp object, occ at unspec place, leisure act
X78.92
Intentional self-harm by sharp object, occ at unspec place, income work
Page 100 of 316
CMS December 2005

X78.93
Intentional self-harm by sharp object, occ at unspec place, oth work
X78.94
Intentional self-harm by sharp object, occ at unspec place, resting
X78.98
Intentional self-harm by sharp object, occ at unspec place, oth act
X78.99
Intentional self-harm by sharp object, occ at unspec place, unspec act
X79.00
Intentional self-harm by blunt object, occ at home, sports act
X79.01
Intentional self-harm by blunt object, occ at home, leisure act
X79.02
Intentional self-harm by blunt object, occ at home, income work
X79.03
Intentional self-harm by blunt object, occ at home, oth work
X79.04
Intentional self-harm by blunt object, occ at home, resting
X79.08
Intentional self-harm by blunt object, occ at home, oth act
X79.09
Intentional self-harm by blunt object, occ at home, unspec act
X79.10
Intentional self-harm by blunt object, occ in res. institute., sports act
X79.11
Intentional self-harm by blunt object, occ in res. institute., leisure act
X79.12
Intentional self-harm by blunt object, occ in res. institute., income work
X79.13
Intentional self-harm by blunt object, occ in res. institute., oth work
X79.14
Intentional self-harm by blunt object, occ in res. institute., resting
X79.18
Intentional self-harm by blunt object, occ in res. institute., oth act
X79.19
Intentional self-harm by blunt object, occ in res. institute., unspec act
X79.20
Intentional self-harm by blunt object, occ at pub admin, sports act
X79.21
Intentional self-harm by blunt object, occ at pub admin, leisure act
X79.22
Intentional self-harm by blunt object, occ at pub admin, income work
X79.23
Intentional self-harm by blunt object, occ at pub admin, oth work
X79.24
Intentional self-harm by blunt object, occ at pub admin, resting
X79.28
Intentional self-harm by blunt object, occ at pub admin, oth act
X79.29
Intentional self-harm by blunt object, occ at pub admin, unspec act
X79.30
Intentional self-harm by blunt object, occ at athletic. area, sports act
X79.31
Intentional self-harm by blunt object, occ at athletic. area, leisure act
X79.32
Intentional self-harm by blunt object, occ at athletic. area, income work
X79.33
Intentional self-harm by blunt object, occ at athletic. area, oth work
X79.34
Intentional self-harm by blunt object, occ at athletic. area, resting
X79.38
Intentional self-harm by blunt object, occ at athletic. area, oth act
X79.39
Intentional self-harm by blunt object, occ at athletic. area, unspec act
X79.40
Intentional self-harm by blunt object, occ on highway, sports act
X79.41
Intentional self-harm by blunt object, occ on highway, leisure act
X79.42
Intentional self-harm by blunt object, occ on highway, income work
X79.43
Intentional self-harm by blunt object, occ on highway, oth work
X79.44
Intentional self-harm by blunt object, occ on highway, resting
Page 101 of 316
CMS December 2005

X79.48
Intentional self-harm by blunt object, occ on highway, oth act
X79.49
Intentional self-harm by blunt object, occ on highway, unspec act
X79.50
Intentional self-harm by blunt object, occ at svc area, sports act
X79.51
Intentional self-harm by blunt object, occ at svc area, leisure act
X79.52
Intentional self-harm by blunt object, occ at svc area, income work
X79.53
Intentional self-harm by blunt object, occ at svc area, oth work
X79.54
Intentional self-harm by blunt object, occ at svc area, resting
X79.58
Intentional self-harm by blunt object, occ at svc area, oth act
X79.59
Intentional self-harm by blunt object, occ at svc area, unspec act
X79.60
Intentional self-harm by blunt object, occ at const area, sports act
X79.61
Intentional self-harm by blunt object, occ at const area, leisure act
X79.62
Intentional self-harm by blunt object, occ at const area, income work
X79.63
Intentional self-harm by blunt object, occ at const area, oth work
X79.64
Intentional self-harm by blunt object, occ at const area, resting
X79.68
Intentional self-harm by blunt object, occ at const area, oth act
X79.69
Intentional self-harm by blunt object, occ at const area, unspec act
X79.70
Intentional self-harm by blunt object, occ on farm, sports act
X79.71
Intentional self-harm by blunt object, occ on farm, leisure act
X79.72
Intentional self-harm by blunt object, occ on farm, income work
X79.73
Intentional self-harm by blunt object, occ on farm, oth work
X79.74
Intentional self-harm by blunt object, occ on farm, resting
X79.78
Intentional self-harm by blunt object, occ on farm, oth act
X79.79
Intentional self-harm by blunt object, occ on farm, unspec act
X79.80
Intentional self-harm by blunt object, occ at oth spec place, sports act
X79.81
Intentional self-harm by blunt object, occ at oth spec place, leisure act
X79.82
Intentional self-harm by blunt object, occ at oth spec place, income work
X79.83
Intentional self-harm by blunt object, occ at oth spec place, oth work
X79.84
Intentional self-harm by blunt object, occ at oth spec place, resting
X79.88
Intentional self-harm by blunt object, occ at oth spec place, oth act
X79.89
Intentional self-harm by blunt object, occ at oth spec place, unspec act
X79.90
Intentional self-harm by blunt object, occ at unspec place, sports act
X79.91
Intentional self-harm by blunt object, occ at unspec place, leisure act
X79.92
Intentional self-harm by blunt object, occ at unspec place, income work
X79.93
Intentional self-harm by blunt object, occ at unspec place, oth work
X79.94
Intentional self-harm by blunt object, occ at unspec place, resting
X79.98
Intentional self-harm by blunt object, occ at unspec place, oth act
X79.99
Intentional self-harm by blunt object, occ at unspec place, unspec act
Page 102 of 316
CMS December 2005

X80.00
Intentional self-harm by jump high place, occ at home, sports act
X80.01
Intentional self-harm by jump high place, occ at home, leisure act
X80.02
Intentional self-harm by jump high place, occ at home, income work
X80.03
Intentional self-harm by jump high place, occ at home, oth work
X80.04
Intentional self-harm by jump high place, occ at home, resting
X80.08
Intentional self-harm by jump high place, occ at home, oth act
X80.09
Intentional self-harm by jump high place, occ at home, unspec act
X80.10
Intentional self-harm by jump high place, occ in res. institute., sports act
X80.11
Intentional self-harm by jump high place, occ in res. institute., leisure act
X80.12
Intentional self-harm by jump high place, occ in res. institute., income work
X80.13
Intentional self-harm by jump high place, occ in res. institute., oth work
X80.14
Intentional self-harm by jump high place, occ in res. institute., resting
X80.18
Intentional self-harm by jump high place, occ in res. institute., oth act
X80.19
Intentional self-harm by jump high place, occ in res. institute., unspec act
X80.20
Intentional self-harm by jump high place, occ at pub admin, sports act
X80.21
Intentional self-harm by jump high place, occ at pub admin, leisure act
X80.22
Intentional self-harm by jump high place, occ at pub admin, income work
X80.23
Intentional self-harm by jump high place, occ at pub admin, oth work
X80.24
Intentional self-harm by jump high place, occ at pub admin, resting
X80.28
Intentional self-harm by jump high place, occ at pub admin, oth act
X80.29
Intentional self-harm by jump high place, occ at pub admin, unspec act
X80.30
Intentional self-harm by jump high place, occ at athletic. area, sports act
X80.31
Intentional self-harm by jump high place, occ at athletic. area, leisure act
X80.32
Intentional self-harm by jump high place, occ at athletic. area, income work
X80.33
Intentional self-harm by jump high place, occ at athletic. area, oth work
X80.34
Intentional self-harm by jump high place, occ at athletic. area, resting
X80.38
Intentional self-harm by jump high place, occ at athletic. area, oth act
X80.39
Intentional self-harm by jump high place, occ at athletic. area, unspec act
X80.40
Intentional self-harm by jump high place, occ on highway, sports act
X80.41
Intentional self-harm by jump high place, occ on highway, leisure act
X80.42
Intentional self-harm by jump high place, occ on highway, income work
X80.43
Intentional self-harm by jump high place, occ on highway, oth work
X80.44
Intentional self-harm by jump high place, occ on highway, resting
X80.48
Intentional self-harm by jump high place, occ on highway, oth act
X80.49
Intentional self-harm by jump high place, occ on highway, unspec act
X80.50
Intentional self-harm by jump high place, occ at svc area, sports act
X80.51
Intentional self-harm by jump high place, occ at svc area, leisure act
Page 103 of 316
CMS December 2005

X80.52
Intentional self-harm by jump high place, occ at svc area, income work
X80.53
Intentional self-harm by jump high place, occ at svc area, oth work
X80.54
Intentional self-harm by jump high place, occ at svc area, resting
X80.58
Intentional self-harm by jump high place, occ at svc area, oth act
X80.59
Intentional self-harm by jump high place, occ at svc area, unspec act
X80.60
Intentional self-harm by jump high place, occ at const area, sports act
X80.61
Intentional self-harm by jump high place, occ at const area, leisure act
X80.62
Intentional self-harm by jump high place, occ at const area, income work
X80.63
Intentional self-harm by jump high place, occ at const area, oth work
X80.64
Intentional self-harm by jump high place, occ at const area, resting
X80.68
Intentional self-harm by jump high place, occ at const area, oth act
X80.69
Intentional self-harm by jump high place, occ at const area, unspec act
X80.70
Intentional self-harm by jump high place, occ on farm, sports act
X80.71
Intentional self-harm by jump high place, occ on farm, leisure act
X80.72
Intentional self-harm by jump high place, occ on farm, income work
X80.73
Intentional self-harm by jump high place, occ on farm, oth work
X80.74
Intentional self-harm by jump high place, occ on farm, resting
X80.78
Intentional self-harm by jump high place, occ on farm, oth act
X80.79
Intentional self-harm by jump high place, occ on farm, unspec act
X80.80
Intentional self-harm by jump high place, occ at oth spec place, sports act
X80.81
Intentional self-harm by jump high place, occ at oth spec place, leisure act
X80.82
Intentional self-harm by jump high place, occ at oth spec place, income work
X80.83
Intentional self-harm by jump high place, occ at oth spec place, oth work
X80.84
Intentional self-harm by jump high place, occ at oth spec place, resting
X80.88
Intentional self-harm by jump high place, occ at oth spec place, oth act
X80.89
Intentional self-harm by jump high place, occ at oth spec place, unspec act
X80.90
Intentional self-harm by jump high place, occ at unspec place, sports act
X80.91
Intentional self-harm by jump high place, occ at unspec place, leisure act
X80.92
Intentional self-harm by jump high place, occ at unspec place, income work
X80.93
Intentional self-harm by jump high place, occ at unspec place, oth work
X80.94
Intentional self-harm by jump high place, occ at unspec place, resting
X80.98
Intentional self-harm by jump high place, occ at unspec place, oth act
X80.99
Intentional self-harm by jump high place, occ at unspec place, unspec act
X81.00
Intent self-harm by jump/lying beef moving object, occ at home, sports act
X81.01
Intent self-harm by jump/lying before moving object, occ at home, leisure act
X81.02
Intent self-harm by jump/lying before moving object, occ at home, income work
X81.03
Intent self-harm by jump/lying before moving object, occ at home, oth work
Page 104 of 316
CMS December 2005

X81.04
Intent self-harm by jump/lying before moving object, occ at home, resting
X81.08
Intent self-harm by jump/lying before moving object, occ at home, oth act
X81.09
Intent self-harm by jump/lying before moving object, occ at home, unspec act
X81.10
Intent self-harm by jump/lying before moving object, occ in res. institute., sports act
X81.11
Intent self-harm by jump/lying before moving object, occ in res. institute., leisure act
X81.12
Intent self-harm by jump/lying before moving object, occ in res. institute., income work
X81.13
Intent self-harm by jump/lying before moving object, occ in res. institute., oth work
X81.14
Intent self-harm by jump/lying before moving object, occ in res. institute., resting
X81.18
Intent self-harm by jump/lying before moving object, occ in res. institute., oth act
X81.19
Intent self-harm by jump/lying before moving object, occ in res. institute., unspec act
X81.20
Intent self-harm by jump/lying before moving object, occ at pub admin, sports act
X81.21
Intent self-harm by jump/lying before moving object, occ at pub admin, leisure act
X81.22
Intent self-harm by jump/lying before moving object, occ at pub admin, income work
X81.23
Intent self-harm by jump/lying before moving object, occ at pub admin, oth work
X81.24
Intent self-harm by jump/lying before moving object, occ at pub admin, resting
X81.28
Intent self-harm by jump/lying before moving object, occ at pub admin, oth act
X81.29
Intent self-harm by jump/lying before moving object, occ at pub admin, unspec act
X81.30
Intent self-harm by jump/lying before moving object, occ at athletic. area, sports act
X81.31
Intent self-harm by jump/lying before moving object, occ at athletic. area, leisure act
X81.32
Intent self-harm by jump/lying before moving object, occ at athletic. area, income work
X81.33
Intent self-harm by jump/lying before moving object, occ at athletic. area, oth work
X81.34
Intent self-harm by jump/lying before moving object, occ at athletic. area, resting
X81.38
Intent self-harm by jump/lying before moving object, occ at athletic. area, oth act
X81.39
Intent self-harm by jump/lying before moving object, occ at athletic. area, unspec act
X81.40
Intent self-harm by jump/lying before moving object, occ on highway, sports act
X81.41
Intent self-harm by jump/lying before moving object, occ on highway, leisure act
X81.42
Intent self-harm by jump/lying before moving object, occ on highway, income work
X81.43
Intent self-harm by jump/lying before moving object, occ on highway, oth work
X81.44
Intent self-harm by jump/lying before moving object, occ on highway, resting
X81.48
Intent self-harm by jump/lying before moving object, occ on highway, oth act
X81.49
Intent self-harm by jump/lying before moving object, occ on highway, unspec act
X81.50
Intent self-harm by jump/lying before moving object, occ at svc area, sports act
X81.51
Intent self-harm by jump/lying before moving object, occ at svc area, leisure act
X81.52
Intent self-harm by jump/lying before moving object, occ at svc area, income work
X81.53
Intent self-harm by jump/lying before moving object, occ at svc area, oth work
X81.54
Intent self-harm by jump/lying before moving object, occ at svc area, resting
X81.58
Intent self-harm by jump/lying before moving object, occ at svc area, oth act
Page 105 of 316
CMS December 2005

X81.59
Intent self-harm by jump/lying before moving object, occ at svc area, unspec act
X81.60
Intent self-harm by jump/lying before moving object, occ at const area, sports act
X81.61
Intent self-harm by jump/lying before moving object, occ at const area, leisure act
X81.62
Intent self-harm by jump/lying before moving object, occ at const area, income work
X81.63
Intent self-harm by jump/lying before moving object, occ at const area, oth work
X81.64
Intent self-harm by jump/lying before moving object, occ at const area, resting
X81.68
Intent self-harm by jump/lying before moving object, occ at const area, oth act
X81.69
Intent self-harm by jump/lying before moving object, occ at const area, unspec act
X81.70
Intent self-harm by jump/lying before moving object, occ on farm, sports act
X81.71
Intent self-harm by jump/lying before moving object, occ on farm, leisure act
X81.72
Intent self-harm by jump/lying before moving object, occ on farm, income work
X81.73
Intent self-harm by jump/lying before moving object, occ on farm, oth work
X81.74
Intent self-harm by jump/lying before moving object, occ on farm, resting
X81.78
Intent self-harm by jump/lying before moving object, occ on farm, oth act
X81.79
Intent self-harm by jump/lying before moving object, occ on farm, unspec act
X81.80
Intent self-harm by jump/lying before moving object, occ at oth spec place, sports act
X81.81
Intent self-harm by jump/lying before moving object, occ at oth spec place, leisure act
X81.82
Intent self-harm by jump/lying before moving object, occ at oth spec place, income work
X81.83
Intent self-harm by jump/lying before moving object, occ at oth spec place, oth work
X81.84
Intent self-harm by jump/lying before moving object, occ at oth spec place, resting
X81.88
Intent self-harm by jump/lying before moving object, occ at oth spec place, oth act
X81.89
Intent self-harm by jump/lying before moving object, occ at oth spec place, unspec act
X81.90
Intent self-harm by jump/lying before moving object, occ at unspec place, sports act
X81.91
Intent self-harm by jump/lying before moving object, occ at unspec place, leisure act
X81.92
Intent self-harm by jump/lying before moving object, occ at unspec place, income work
X81.93
Intent self-harm by jump/lying before moving object, occ at unspec place, oth work
X81.94
Intent self-harm by jump/lying before moving object, occ at unspec place, resting
X81.98
Intent self-harm by jump/lying before moving object, occ at unspec place, oth act
X81.99
Intent self-harm by jump/lying before moving object, occ at unspec place, unspec act
X82.00
Intentional self-harm by crash m/v, occ at home, sports act
X82.01
Intentional self-harm by crash m/v, occ at home, leisure act
X82.02
Intentional self-harm by crash m/v, occ at home, income work
X82.03
Intentional self-harm by crash m/v, occ at home, oth work
X82.04
Intentional self-harm by crash m/v, occ at home, resting
X82.08
Intentional self-harm by crash m/v, occ at home, oth act
X82.09
Intentional self-harm by crash m/v, occ at home, unspec act
X82.10
Intentional self-harm by crash m/v, occ in res. institute., sports act
Page 106 of 316
CMS December 2005

X82.11
Intentional self-harm by crash m/v, occ in res. institute., leisure act
X82.12
Intentional self-harm by crash m/v, occ in res. institute., income work
X82.13
Intentional self-harm by crash m/v, occ in res. institute., oth work
X82.14
Intentional self-harm by crash m/v, occ in res. institute., resting
X82.18
Intentional self-harm by crash m/v, occ in res. institute., oth act
X82.19
Intentional self-harm by crash m/v, occ in res. institute., unspec act
X82.20
Intentional self-harm by crash m/v, occ at pub admin, sports act
X82.21
Intentional self-harm by crash m/v, occ at pub admin, leisure act
X82.22
Intentional self-harm by crash m/v, occ at pub admin, income work
X82.23
Intentional self-harm by crash m/v, occ at pub admin, oth work
X82.24
Intentional self-harm by crash m/v, occ at pub admin, resting
X82.28
Intentional self-harm by crash m/v, occ at pub admin, oth act
X82.29
Intentional self-harm by crash m/v, occ at pub admin, unspec act
X82.30
Intentional self-harm by crash m/v, occ at athletic. area, sports act
X82.31
Intentional self-harm by crash m/v, occ at athletic. area, leisure act
X82.32
Intentional self-harm by crash m/v, occ at athletic. area, income work
X82.33
Intentional self-harm by crash m/v, occ at athletic. area, oth work
X82.34
Intentional self-harm by crash m/v, occ at athletic. area, resting
X82.38
Intentional self-harm by crash m/v, occ at athletic. area, oth act
X82.39
Intentional self-harm by crash m/v, occ at athletic. area, unspec act
X82.40
Intentional self-harm by crash m/v, occ on highway, sports act
X82.41
Intentional self-harm by crash m/v, occ on highway, leisure act
X82.42
Intentional self-harm by crash m/v, occ on highway, income work
X82.43
Intentional self-harm by crash m/v, occ on highway, oth work
X82.44
Intentional self-harm by crash m/v, occ on highway, resting
X82.48
Intentional self-harm by crash m/v, occ on highway, oth act
X82.49
Intentional self-harm by crash m/v, occ on highway, unspec act
X82.50
Intentional self-harm by crash m/v, occ at svc area, sports act
X82.51
Intentional self-harm by crash m/v, occ at svc area, leisure act
X82.52
Intentional self-harm by crash m/v, occ at svc area, income work
X82.53
Intentional self-harm by crash m/v, occ at svc area, oth work
X82.54
Intentional self-harm by crash m/v, occ at svc area, resting
X82.58
Intentional self-harm by crash m/v, occ at svc area, oth act
X82.59
Intentional self-harm by crash m/v, occ at svc area, unspec act
X82.60
Intentional self-harm by crash m/v, occ at const area, sports act
X82.61
Intentional self-harm by crash m/v, occ at const area, leisure act
X82.62
Intentional self-harm by crash m/v, occ at const area, income work
Page 107 of 316
CMS December 2005

X82.63
Intentional self-harm by crash m/v, occ at const area, oth work
X82.64
Intentional self-harm by crash m/v, occ at const area, resting
X82.68
Intentional self-harm by crash m/v, occ at const area, oth act
X82.69
Intentional self-harm by crash m/v, occ at const area, unspec act
X82.70
Intentional self-harm by crash m/v, occ on farm, sports act
X82.71
Intentional self-harm by crash m/v, occ on farm, leisure act
X82.72
Intentional self-harm by crash m/v, occ on farm, income work
X82.73
Intentional self-harm by crash m/v, occ on farm, oth work
X82.74
Intentional self-harm by crash m/v, occ on farm, resting
X82.78
Intentional self-harm by crash m/v, occ on farm, oth act
X82.79
Intentional self-harm by crash m/v, occ on farm, unspec act
X82.80
Intentional self-harm by crash m/v, occ at oth spec place, sports act
X82.81
Intentional self-harm by crash m/v, occ at oth spec place, leisure act
X82.82
Intentional self-harm by crash m/v, occ at oth spec place, income work
X82.83
Intentional self-harm by crash m/v, occ at oth spec place, oth work
X82.84
Intentional self-harm by crash m/v, occ at oth spec place, resting
X82.88
Intentional self-harm by crash m/v, occ at oth spec place, oth act
X82.89
Intentional self-harm by crash m/v, occ at oth spec place, unspec act
X82.90
Intentional self-harm by crash m/v, occ at unspec place, sports act
X82.91
Intentional self-harm by crash m/v, occ at unspec place, leisure act
X82.92
Intentional self-harm by crash m/v, occ at unspec place, income work
X82.93
Intentional self-harm by crash m/v, occ at unspec place, oth work
X82.94
Intentional self-harm by crash m/v, occ at unspec place, resting
X82.98
Intentional self-harm by crash m/v, occ at unspec place, oth act
X82.99
Intentional self-harm by crash m/v, occ at unspec place, unspec act
X83.00
Intentional self-harm by oth spec means, occ at home, sports act
X83.01
Intentional self-harm by oth spec means, occ at home, leisure act
X83.02
Intentional self-harm by oth spec means, occ at home, income work
X83.03
Intentional self-harm by oth spec means, occ at home, oth work
X83.04
Intentional self-harm by oth spec means, occ at home, resting
X83.08
Intentional self-harm by oth spec means, occ at home, oth act
X83.09
Intentional self-harm by oth spec means, occ at home, unspec act
X83.10
Intentional self-harm by oth spec means, occ in res. institute., sports act
X83.11
Intentional self-harm by oth spec means, occ in res. institute., leisure act
X83.12
Intentional self-harm by oth spec means, occ in res. institute., income work
X83.13
Intentional self-harm by oth spec means, occ in res. institute., oth work
X83.14
Intentional self-harm by oth spec means, occ in res. institute., resting
Page 108 of 316
CMS December 2005

X83.18
Intentional self-harm by oth spec means, occ in res. institute., oth act
X83.19
Intentional self-harm by oth spec means, occ in res. institute., unspec act
X83.20
Intentional self-harm by oth spec means, occ at pub admin, sports act
X83.21
Intentional self-harm by oth spec means, occ at pub admin, leisure act
X83.22
Intentional self-harm by oth spec means, occ at pub admin, income work
X83.23
Intentional self-harm by oth spec means, occ at pub admin, oth work
X83.24
Intentional self-harm by oth spec means, occ at pub admin, resting
X83.28
Intentional self-harm by oth spec means, occ at pub admin, oth act
X83.29
Intentional self-harm by oth spec means, occ at pub admin, unspec act
X83.30
Intentional self-harm by oth spec means, occ at athletic. area, sports act
X83.31
Intentional self-harm by oth spec means, occ at athletic. area, leisure act
X83.32
Intentional self-harm by oth spec means, occ at athletic. area, income work
X83.33
Intentional self-harm by oth spec means, occ at athletic. area, oth work
X83.34
Intentional self-harm by oth spec means, occ at athletic. area, resting
X83.38
Intentional self-harm by oth spec means, occ at athletic. area, oth act
X83.39
Intentional self-harm by oth spec means, occ at athletic. area, unspec act
X83.40
Intentional self-harm by oth spec means, occ on highway, sports act
X83.41
Intentional self-harm by oth spec means, occ on highway, leisure act
X83.42
Intentional self-harm by oth spec means, occ on highway, income work
X83.43
Intentional self-harm by oth spec means, occ on highway, oth work
X83.44
Intentional self-harm by oth spec means, occ on highway, resting
X83.48
Intentional self-harm by oth spec means, occ on highway, oth act
X83.49
Intentional self-harm by oth spec means, occ on highway, unspec act
X83.50
Intentional self-harm by oth spec means, occ at svc area, sports act
X83.51
Intentional self-harm by oth spec means, occ at svc area, leisure act
X83.52
Intentional self-harm by oth spec means, occ at svc area, income work
X83.53
Intentional self-harm by oth spec means, occ at svc area, oth work
X83.54
Intentional self-harm by oth spec means, occ at svc area, resting
X83.58
Intentional self-harm by oth spec means, occ at svc area, oth act
X83.59
Intentional self-harm by oth spec means, occ at svc area, unspec act
X83.60
Intentional self-harm by oth spec means, occ at const area, sports act
X83.61
Intentional self-harm by oth spec means, occ at const area, leisure act
X83.62
Intentional self-harm by oth spec means, occ at const area, income work
X83.63
Intentional self-harm by oth spec means, occ at const area, oth work
X83.64
Intentional self-harm by oth spec means, occ at const area, resting
X83.68
Intentional self-harm by oth spec means, occ at const area, oth act
X83.69
Intentional self-harm by oth spec means, occ at const area, unspec act
Page 109 of 316
CMS December 2005

X83.70
Intentional self-harm by oth spec means, occ on farm, sports act
X83.71
Intentional self-harm by oth spec means, occ on farm, leisure act
X83.72
Intentional self-harm by oth spec means, occ on farm, income work
X83.73
Intentional self-harm by oth spec means, occ on farm, oth work
X83.74
Intentional self-harm by oth spec means, occ on farm, resting
X83.78
Intentional self-harm by oth spec means, occ on farm, oth act
X83.79
Intentional self-harm by oth spec means, occ on farm, unspec act
X83.80
Intentional self-harm by oth spec means, occ at oth spec place, sports act
X83.81
Intentional self-harm by oth spec means, occ at oth spec place, leisure act
X83.82
Intentional self-harm by oth spec means, occ at oth spec place, income work
X83.83
Intentional self-harm by oth spec means, occ at oth spec place, oth work
X83.84
Intentional self-harm by oth spec means, occ at oth spec place, resting
X83.88
Intentional self-harm by oth spec means, occ at oth spec place, oth act
X83.89
Intentional self-harm by oth spec means, occ at oth spec place, unspec act
X83.90
Intentional self-harm by oth spec means, occ at unspec place, sports act
X83.91
Intentional self-harm by oth spec means, occ at unspec place, leisure act
X83.92
Intentional self-harm by oth spec means, occ at unspec place, income work
X83.93
Intentional self-harm by oth spec means, occ at unspec place, oth work
X83.94
Intentional self-harm by oth spec means, occ at unspec place, resting
X83.98
Intentional self-harm by oth spec means, occ at unspec place, oth act
X83.99
Intentional self-harm by oth spec means, occ at unspec place, unspec act
X84.00
Intentional self-harm by unspec means, occ at home, sports act
X84.01
Intentional self-harm by unspec means, occ at home, leisure act
X84.02
Intentional self-harm by unspec means, occ at home, income work
X84.03
Intentional self-harm by unspec means, occ at home, oth work
X84.04
Intentional self-harm by unspec means, occ at home, resting
X84.08
Intentional self-harm by unspec means, occ at home, oth act
X84.09
Intentional self-harm by unspec means, occ at home, unspec act
X84.10
Intentional self-harm by unspec means, occ in res. institute., sports act
X84.11
Intentional self-harm by unspec means, occ in res. institute., leisure act
X84.12
Intentional self-harm by unspec means, occ in res. institute., income work
X84.13
Intentional self-harm by unspec means, occ in res. institute., oth work
X84.14
Intentional self-harm by unspec means, occ in res. institute., resting
X84.18
Intentional self-harm by unspec means, occ in res. institute., oth act
X84.19
Intentional self-harm by unspec means, occ in res. institute., unspec act
X84.20
Intentional self-harm by unspec means, occ at pub admin, sports act
X84.21
Intentional self-harm by unspec means, occ at pub admin, leisure act
Page 110 of 316
CMS December 2005

X84.22
Intentional self-harm by unspec means, occ at pub admin, income work
X84.23
Intentional self-harm by unspec means, occ at pub admin, oth work
X84.24
Intentional self-harm by unspec means, occ at pub admin, resting
X84.28
Intentional self-harm by unspec means, occ at pub admin, oth act
X84.29
Intentional self-harm by unspec means, occ at pub admin, unspec act
X84.30
Intentional self-harm by unspec means, occ at athletic. area, sports act
X84.31
Intentional self-harm by unspec means, occ at athletic. area, leisure act
X84.32
Intentional self-harm by unspec means, occ at athletic. area, income work
X84.33
Intentional self-harm by unspec means, occ at athletic. area, oth work
X84.34
Intentional self-harm by unspec means, occ at athletic. area, resting
X84.38
Intentional self-harm by unspec means, occ at athletic. area, oth act
X84.39
Intentional self-harm by unspec means, occ at athletic. area, unspec act
X84.40
Intentional self-harm by unspec means, occ on highway, sports act
X84.41
Intentional self-harm by unspec means, occ on highway, leisure act
X84.42
Intentional self-harm by unspec means, occ on highway, income work
X84.43
Intentional self-harm by unspec means, occ on highway, oth work
X84.44
Intentional self-harm by unspec means, occ on highway, resting
X84.48
Intentional self-harm by unspec means, occ on highway, oth act
X84.49
Intentional self-harm by unspec means, occ on highway, unspec act
X84.50
Intentional self-harm by unspec means, occ at svc area, sports act
X84.51
Intentional self-harm by unspec means, occ at svc area, leisure act
X84.52
Intentional self-harm by unspec means, occ at svc area, income work
X84.53
Intentional self-harm by unspec means, occ at svc area, oth work
X84.54
Intentional self-harm by unspec means, occ at svc area, resting
X84.58
Intentional self-harm by unspec means, occ at svc area, oth act
X84.59
Intentional self-harm by unspec means, occ at svc area, unspec act
X84.60
Intentional self-harm by unspec means, occ at const area, sports act
X84.61
Intentional self-harm by unspec means, occ at const area, leisure act
X84.62
Intentional self-harm by unspec means, occ at const area, income work
X84.63
Intentional self-harm by unspec means, occ at const area, oth work
X84.64
Intentional self-harm by unspec means, occ at const area, resting
X84.68
Intentional self-harm by unspec means, occ at const area, oth act
X84.69
Intentional self-harm by unspec means, occ at const area, unspec act
X84.70
Intentional self-harm by unspec means, occ on farm, sports act
X84.71
Intentional self-harm by unspec means, occ on farm, leisure act
X84.72
Intentional self-harm by unspec means, occ on farm, income work
X84.73
Intentional self-harm by unspec means, occ on farm, oth work
Page 111 of 316
CMS December 2005
184T
Brief reactive psychosis
910T
Delirium: Amphetamine,
Cocaine, or other
psychoactive substance

X84.74
Intentional self-harm by unspec means, occ on farm, resting
X84.78
Intentional self-harm by unspec means, occ on farm, oth act
X84.79
Intentional self-harm by unspec means, occ on farm, unspec act
X84.80
Intentional self-harm by unspec means, occ at oth spec place, sports act
X84.81
Intentional self-harm by unspec means, occ at oth spec place, leisure act
X84.82
Intentional self-harm by unspec means, occ at oth spec place, income work
X84.83
Intentional self-harm by unspec means, occ at oth spec place, oth work
X84.84
Intentional self-harm by unspec means, occ at oth spec place, resting
X84.88
Intentional self-harm by unspec means, occ at oth spec place, oth act
X84.89
Intentional self-harm by unspec means, occ at oth spec place, unspec act
X84.90
Intentional self-harm by unspec means, occ at unspec place, sports act
X84.91
Intentional self-harm by unspec means, occ at unspec place, leisure act
X84.92
Intentional self-harm by unspec means, occ at unspec place, income work
X84.93
Intentional self-harm by unspec means, occ at unspec place, oth work
X84.94
Intentional self-harm by unspec means, occ at unspec place, resting
X84.98
Intentional self-harm by unspec means, occ at unspec place, oth act
X84.99
F23.0
F23.1
F23.8
F23.9
R41.0
F11.0
Hospital-based
management up to 3 days F11.3
F11.4
F11.5
F11.6
F11.9
Hospital-based
management up to 3
weeks/year
Intentional self-harm by unspec means, occ at unspec place, unspec act

Acute polymorphic psychotic disorder without symptoms of schizophrenia
Acute polymorphic psychotic disorder with symptoms of schizophrenia
Other acute and transient psychotic disorders
Acute and transient psychotic disorder, unspecified
Disorientation, unspecified
Mental and behavioural disorders due to use of opioids, acute intoxication
Mental and behavioural disorders due to use of opioids, withdrawal state
Mental and behavioural disorders due to use of opioids, withdrawal state with delirium
Mental and behavioural disorders due to use of opioids, psychotic disorder
Mental and behavioural disorders due to use of opioids, amnesic syndrome
Mental and behavioural disorders due to use of opioids, unspecified mental and behavioural disorder
F12.0
F12.3
F12.4
F12.5
F12.6
F12.9
Mental and behavioural disorders due to use of cannabinoids, acute intoxication

Mental and behavioural disorders due to use of cannabinoids, withdrawal state
Mental and behavioural disorders due to use of cannabinoids, withdrawal state with delirium
Mental and behavioural disorders due to use of cannabinoids, psychotic disorder
Mental and behavioural disorders due to use of cannabionoids, amnesic syndrome
Mental and behavioural disorders due to use of cannabinoids, unspecified mental and behavioural disorder
F13.0
F13.3
F13.4
Mental and behavioural disorders due to use of sedatives or hypnotics, acute intoxication
Mental and behavioural disorders due to use of sedatives or hypnotics, withdrawal state
Mental and behavioural disorders due to use of sedatives or hypnotics, withdrawal state with delirium
F13.5
F13.6
F13.9
Mental and behavioural disorders due to use of sedatives or hypnotics, psychotic disorder
Mental and behavioural disorders due to use of sedatives or hypnotics, amnesic syndrome
Mental and behavioural disorders due to use of sedatives or hypnotics, unspecified mental and behavioural
disorder
Mental and behavioural disorders due to use of cocaine, acute intoxication
Mental and behavioural disorders due to use of cocaine, withdrawal state
Mental and behavioural disorders due to use of cocaine, withdrawal state with delirium
Mental and behavioural disorders due to use of cocaine, psychotic disorder
Mental and behavioural disorders due to use of cocaine, amnesic syndrome
Mental and behavioural disorders due to use of cocaine, unspecified mental and behavioural disorder
F14.0
F14.3
F14.4
F14.5
F14.6
F14.9
Page 112 of 316
CMS December 2005

F15.0
Mental and behavioural disorders due to use of other stimulants including caffeine, acute intoxication
F15.3
Mental and behavioural disorders due to use of other stimulants including caffeine, withdrawal state
F15.4
F15.5
Mental and behavioural disorders due to use of other stimulants including caffeine, withdrawal state with
delirium
Mental and behavioural disorders due to use of other stimulants including caffeine, psychotic disorder
F15.6
Mental and behavioural disorders due to use of other stimulants inclduing caffeine, amnesic syndrome
F15.9
F16.0
F16.3
F16.4
F16.5
F16.6
F16.8
Mental and behavioural disorders due to use of other stimulants including caffeine, unspecified mental and
behavioural disorder
Mental and behavioural disorders due to use of hallucinogens, acute intoxication
Mental and behavioural disorders due to use of hallucinogens, withdrawal state
Mental and behavioural disorders due to use of hallucinogens, withdrawal state with delirium
Mental and behavioural disorders due to use of hallucinogens, psychotic disorder
Mental and behavioural disorders due to use of hallucinogens, amnesic syndrome
Mental and behavioural disorders due to use of hallucinogens, other mental and behavioural disorders
F18.0
F18.3
F18.4
F18.5
F18.6
F18.8
Mental and behavioural disorders due to use of volatile solvents, acute intoxication
Mental and behavioural disorders due to use of volatile solvents, withdrawal state
Mental and behavioural disorders due to use of volatile solvents, withdrawal state with delirium
Mental and behavioural disorders due to use of volatile solvents, psychotic disorder
Mental and behavioural disorders due to use of volatile solvents, amnesic syndrome
Mental and behavioural disorders due to use of volatile solvents, other mental and behavioural disorders
F18.9
Mental and behavioural disorders due to use of volatile solvents, unspecified mental and behavioural
disorder
Mental and behavioural disorders due to multiple drug use and use of psychoactive substances, acute
intoxication
Mental and behavioural disorders due to multiple drug use and use of psychoactive substances, withdrawal
state
Mental and behavioural disorders due to multiple drug sue and use of psychoactive substances, withdrawal
state with delirium
Mental and behavioural disorders due to multiple drug use and use of psychoactive substances, psychotic
disorder
Mental and behavioural disorders due to multiple drug use and use of psychoactive substances, amnesic
syndrome
Mental and behavioural disorders due to multiple drug use and use of psychoactive substances, other
mental and behavioural disorders
Mental and behavioural disorders due to multiple drug use and use of psychoactive substances, unspecified
mental and behavioural disorder
Post-schizophrenic depression
Schizoaffective disorder, manic type
Schizoaffective disorder, depressive type
Schizoaffective disorder, mixed type
Other schizoaffective disorders
Schizoaffective disorder, unspecified
Mania with psychotic symptoms
Other manic episodes
Manic episode, unspecified
Bipolar affective disorder, current episode hypomanic
Bipolar affective disorder, current episode manic without psychotic symptoms
Bipolar affective disorder, current episode manic with psychotic symptoms
Bipolar affective disorder, current episode mild or moderate depression
Bipolar affective disorder, current episode severe depression without psychotic symptoms
Bipolar affective disorder, current episode severe depression with psychotic symptoms
Bipolar affective disorder, current episode mixed
Other bipolar affective disorders
Bipolar affective disorder, unspecified
Severe depressive episode without psychotic symptoms
Severe depressive episode with psychotic symptoms
F19.0
F19.3
F19.4
F19.5
F19.6
F19.8
F19.9
902T
Major affective disorders,

including unipolar and
bipolar depression
Hospital-based
management up to 3
weeks/year (including
inpatient electroconvulsive therapy and
inpatient psychotherapy)
or outpatient
psychotherapy of up to 15
contacts
F20.4
F25.0
F25.1
F25.2
F25.8
F25.9
F30.2
F30.8
F30.9
F31.0
F31.1
F31.2
F31.3
F31.4
F31.5
F31.6
F31.8
F31.9
F32.2
F32.3
Page 113 of 316
CMS December 2005
907T
Schizophrenic and paranoid Hospital-based

delusional disorders
management up to 3
weeks/year
909T
Treatable dementia
353H
32H

F32.8
F32.9
F33.1
F33.2
F33.3
F33.4
F33.8
F33.9
F53.1
Other depressive episodes

Depressive episode, unspecified
Recurrent depressive disorder, current episode moderate
Recurrent depressive disorder, current episode severe without psychotic symptoms
Recurrent depressive disorder, current episode severe with psychotic symptoms
Recurrent depressive disorder, currently in remission
Other recurrent depressive disorders
Recurrent depressive disorder, unspecified
Severe mental and behavioural disorders associated with the puerperium, not elsewhere classified
F53.8
Other mental and behavioural disorders associated with the puerperium, not elsewhere classified
F53.9
F20.0
F20.1
F20.2
F20.3
F20.4
F20.5
F20.6
F20.8
F20.9
F22.0
F22.8
F22.9
F23.1
F23.2
F23.3
F28
F29
E52F02.8*
E53.8F02.8*
Puerperal mental disorder, unspecified

Paranoid schizophrenia
Hebephrenic schizophrenia
Catatonic schizophrenia
Undifferentiated schizophrenia
Residual schizophrenia
Simple schizophrenia
Other schizophrenia
Schizophrenia, unspecified
Delusional disorder
Other persistent delusional disorders
Persistent delusional disorder, unspecified
Acute polymorphic psychotic disorder with symptoms of schizophrenia
Acute schizophrenia-like psychotic disorder
Other acute predominantly delusional psychotic disorders
Other nonorganic psychotic disorders
Unspecified nonorganic psychosis
Niacin deficiency [pellagra] / Dementia in other specified diseases classified elsewhere
Deficiency of other specified B group vitamins / Dementia in other specified diseases classified elsewhere
Admission for initial

diagnosis; management
of acute psychotic
symptoms - up to 1 week F06.8
M65.00
Abscess of bursa or tendon Incision and drainage
M65.01
M65.02
M65.03
M65.04
M65.05
M65.06
M65.07
M65.08
M65.09
M71.00
M71.01
M71.02
M71.03
M71.04
M71.05
M46.20
Acute osteomyelitis
management
M46.21
M46.22
M46.23
M46.24
M46.25
M46.26
M46.27
M46.28
M46.29
M86.00
M86.01
Other specified mental disorders due to brain damage and dysfunction and to physical disease
Abscess of tendon sheath, multiple sites
Abscess of tendon sheath, shoulder region
Abscess of tendon sheath, upper arm
Abscess of tendon sheath, forearm
Abscess of tendon sheath,hand
Abscess of tendon sheath, pelvic region and thigh
Abscess of tendon sheath, lower leg
Abscess of tendon sheath, ankle and foot
Abscess of tendon sheath, other sites
Abscess of tendon sheath, site unspecified
Abscess of bursa, multiple site
Abscess of bursa, shoulder region
Abscess of bursa, upper arm
Abscess of bursa, forearm
Abscess of bursa, hand
Abscess of bursa, pelvic region and thigh
Osteomyelitis of vertebra,multiple sites in spine
Osteomyelitis of vertebra, occipito-atlanto-axial region
Osteomyelitis of vertebra,cervical region
Osteomyelitis of vertebra,cervicothoracic region
Osteomyelitis of vertebra, thoracic region
Osteomyelitis of vertebra, thoracolumbar region
Osteomyelitis of vertebra, lumbar region
Osteomyelitis of vertebra, lumbasacral region
Osteomyelitis of vertebra, sacral and coccygeal region
Osteomyelitis of vertebra, site unspecified
Acute haematogenous osteomyelitis, multiple sites
Acute haematogenous osteomyelitis, shoulder region
Page 114 of 316
CMS December 2005
950H
Cancer of bones - treatable Medical and surgical

management, which
206H
Chronic osteomyelitis
Incision and drainage
M86.02
M86.03
M86.04
M86.05
M86.06
M86.07
M86.08
M86.09
M86.10
M86.11
M86.12
M86.13
M86.14
M86.15
M86.16
M86.17
M86.18
M86.19
M86.20
M86.21
M86.22
M86.23
M86.24
M86.25
M86.26
M86.27
M86.28
M86.29
C40.0
C40.1
C40.2
C40.3
C40.8
C40.9
C41.0
C41.1
C41.2
C41.3
C41.4
C41.8
C41.9
C76.4
C76.5
M86.30
M86.31
M86.32
M86.33
M86.34
M86.35
M86.36
M86.37
M86.38
M86.39
M86.40
M86.41
M86.42
M86.43
M86.44
M86.45
M86.46
M86.47
M86.48
Acute haematogenous osteomyelitis, upper arm

Acute haematogenous osteomyelitis, forearm
Acute haematogenous osteomyelitis, hand
Acute haematogenous osteomyelitis, pelvic region and thigh
Acute haematogenous osteomyelitis, lower leg
Acute haematogenous osteomyelitis, ankle and foot
Acute haematogenous osteomyelitis, other sites
Acute haematogenous osteomyelitis, site unspecified
Other acute osteomyelitis, multiple sites
Other acute osteomyelitis, shoulder region
Other acute osteomyelitis, upper arm
Other acute osteomyelitis, forearm
Other acute osteomyelitis, hand
Other acute osteomyelitis, pelvic region and thigh
Other acute osteomyelitis, lower leg
Other acute osteomyelitis, ankle and foot
Other acute osteomyelitis, other sites
Other acute osteomyelitis, site unspecified
Subacute osteomyelitis, multiple sites
Subacute osteomyelitis, shoulder region
Subacute osteomyelitis, upper arm
Subacute osteomyelitis, forearm
Subacute osteomyelitis, hand
Subacute osteomyelitis, pelvic regiona and thigh
Subacute osteomyelitis, lower leg
Subacute osteomyelitis, ankle and foot
Subacute osteomyelitis, other sites
Subacute osteomyelitis, site unspecified
Malignant neoplasm, scapula and long bones of upper limb
Malignant neoplasm, short bones of upper limb
Malignant neoplasm, long bones of lower limb
Malignant neoplasm, short bones of lower limb
Malignant neoplasm, overlapping lesion of bone and articular cartilage of limbs
Malignant neoplasm, bone and articular cartilage of limb, unspecified
Malignant neoplasm, bones of skull and face
Malignant neoplasm, mandible
Malignant neoplasm, vertebral column
Malignant neoplasm, ribs, sternum and clavicle
Malignant neoplasm, pelvic bones, sacrum and coccyx
Malignant neoplasm, overlapping lesion of bone and articular cartilage
Malignant neoplasm, bone and articular cartilage, unspecified
Malignant neoplasm, upper limb
Malignant neoplasm, lower limb
Chronic multifocal osteomyelitis, multiple sites
Chronic multifocal osteomyelitis, shoulder region
Chronic multifocal osteomyelitis, upper arm
Chronic multifocal osteomyelitis, forearm
Chronic multifocal osteomyelitis, hand
Chronic multifocal osteomyelitis, pelvic region and thigh
Chronic multifocal osteomyelitis, lower leg
Chronic multifocal osteomyelitis, ankle and foot
Chronic multifocal osteomyelitis, other sites
Chronic multifocal osteomyelitis, site unspecified
Chronic osteomyelitis with draining sinus, multiple sites
Chronic osteomyelitis with draining sinus, shoulder region
Chronic osteomyelitis with draining sinus, upper arm
Chronic osteomyelitis with draining sinus, forearm
Chronic osteomyelitis with draining sinus, hand
Chronic osteomyelitis with draining sinus, pelvic region and thigh
Chronic osteomyelitis with draining sinus, lower leg
Chronic osteomyelitis with draining sinus, ankle and foot
Chronic osteomyelitis with draining sinus, other sites
Page 115 of 316
CMS December 2005

M86.49
M86.50
M86.51
M86.52
M86.53
M86.54
m86.55
M86.56
M86.57
M86.58
M86.59
M86.60
M86.61
M86.62
M86.63
M86.64
M86.65
M86.66
M86.67
M86.68
M86.69
M86.80
M86.81
M86.82
M86.83
M86.84
M86.85
M86.86
M86.87
M86.88
M86.90
M86.91
M86.92
M86.93
M86.94
M86.95
M86.96
M86.97
M86.98
M86.99
M87.10
M87.11
M87.12
M87.13
M87.14
M87.15
M87.16
M87.17
M87.18
M87.19
M87.20
M87.21
M87.22
M87.23
M87.24
M87.25
M87.26
M87.27
M87.28
M87.29
M87.30
M87.31
Chronic osteomyelitis with draining sinus, site unspecified

Other chronic haematogenous osteomyelitis, multiple sits
Other chronic haematogenous osteomyelitis, shoulder region
Other chronic haematogenous osteomyelitis, upper arm
Other chronic haematogenous osteomyelitis, forearm
Other chronic haematogenous osteomyelitis,hand
Other chronic haematogenous osteomyelitis, pelvic region and thigh
Other chronic haematogenous osteomyelitis,lower leg
Other chronic haematogenous osteomyelitis, ankle and foot
Other chronic haematogenous osteomyelitis, other sites
Other chronic haematogenous osteomyelitis, site unspecified
Other chronic osteomyelitis, multiple sites
Other chronic osteomyelitis, shoulder region
Other chronic osteomyelitis, upper arm
Other chronic osteomyelitis, forearm
Other chronic osteomyelitis, hand
Other chronic osteomyelitis, pelvic region and thigh
Other chronic osteomyelitis, lower leg
Other chronic osteomyelitis, ankle and foot
Other chronic osteomyelitis, other sites
Other chronic osteomyelitis, unspecified
Other osteomyelitis, multiple sites
Other osteomyelitis, shoulder region
Other osteomyelitis, upper arm
Other osteomyelitis, forearm
Other osteomyelitis, hand
Other osteomyelitis, pelvic region and thigh
Other osteomyelitis, lower leg
Other osteomyelitis, ankle and foot
Other osteomyelitis, other sites
Osteomyelitis, unspecified, multiple sites
Osteomyelitis, unspecified, shoulder region
Osteomyelitis, unspecified, upper arm
Osteomyelitis, unspecified, forearm
Osteomyelitis, unspecified, hand
Osteomyelitis, unspecified, pelvic region and thigh
Osteomyelitis, unspecified, lower leg
Osteomyelitis, unspecified, ankle and foot
Osteomyelitis, unspecified, other sites
Osteomyelitis, unspecified, site unspecified
Osteonecrosis due to drugs, multiple sites
Osteonecrosis due to drugs, shoulder region
Osteonecrosis due to drugs, upper arm
Osteonecrosis due to drugs, forearm
Osteonecrosis due to drugs, hand
Osteonecrosis due to drugs, pelvic region and thigh
Osteonecrosis due to drugs, lower region
Osteonecrosis due to drugs, ankle and foot
Osteonecrosis due to drugs, other sites
Osteonecrosis due to drugs, site unspecified
Osteonecrosis due to previous trauma, multiple sites
Osteonecrosis due to previous trauma, shoulder region
Osteonecrosis due to previous trauma, upper arm
Osteonecrosis due to previous trauma, forearm
Osteonecrosis due to previous trauma, hand
Osteonecrosis due to previous trauma, pelvic region and thigh
Osteonecrosis due to previous trauma, lower leg
Osteonecrosis due to previous trauma, ankle and foot
Osteonecrosis due to previous trauma, other sites
Osteonecrosis due to previous trauma, site unspecified
Other secondary osteonecrosis, multiple sites
Other secondary osteonecrosis, shoulder region
Page 116 of 316
CMS December 2005
902H
Closed fractures/
Reduction / relocation
dislocations of limb bones /
epiphyses excluding
fingers and toes

M87.32
M87.33
M87.34
M87.35
M87.36
M87.37
M87.38
M87.39
M87.80
M87.81
M87.82
M87.83
M87.84
M87.85
M87.86
M87.87
M87.88
M87.89
M87.90
M87.91
M87.92
M87.93
M87.94
M87.95
M87.96
M87.97
M87.98
M87.99
M84.00
M84.01
M84.02
M84.03
M84.04
M84.05
M84.06
M84.07
M84.08
M84.09
M84.10
M84.11
M84.12
M84.13
M84.14
M84.15
M84.16
M84.17
M84.18
M84.19
M84.20
M84.21
M84.22
Other secondary osteonecrosis, upper arm

Other secondary osteonecrosis, forearm
Other secondary osteonecrosis, hand
Other secondary osteonecrosis, pelvic region and thigh
Other secondary osteonecrosis, lower leg
Other secondary osteonecrosis, ankle and foot
Other secondary osteonecrosis, other site
Other secondary osteonecrosis, site unspecified
Other osteonecrosis, multiple sites
Other osteonecrosis, shoulder region
Other osteonecrosis, upper arm
Other osteonecrosis, forearm
Other osteonecrosis, hand
Other osteonecrosis, pelvic region and thigh
Other osteonecrosis, lower leg
Other osteonecrosis, ankle and foot
Other osteonecrosis, other sites
Other osteonecrosis, site unspecified
Osteonecrosis, unspecified, multiple sites
Osteonecrosis, unspecified, shoulder region
Osteonecrosis, unspecified, upper arm
Osteonecrosis, unspecified, forearm
Osteonecrosis, unspecified, hand
Osteonecrosis, unspecified, pelvic region and thigh
Osteonecrosis, unspecified, lower leg
Osteonecrosis, unspecified, ankle and foot
Osteonecrosis, unspecified, other sites
Osteonecrosis, unspecified, site unspecified
Malunion of fracture, multiple sites
Malunion of fracture, shoulder region
Malunion of fracture, upper arm
Malunion of fracture, forearm
Malunion of fracture, hand
Malunion of fracture, pelvic region and thigh
Malunion of fracture, lower leg
Malunion of fracture, ankle and foot
Malunion of fracture, other sites
Malunion of fracture, site unspecified
Nonunion of fracture [pseudarthrosis], multiple sites
Nonunion of fracture [pseudarthrosis], shoulder region
Nonunion of fracture [pseudarthrosis], upper arm
Nonunion of fracture [pseudarthrosis], forearm
Nonunion of fracture [pseudarthrosis], hand
Nonunion of fracture [pseudarthrosis], pelvic region and thigh
Nonunion of fracture [pseudarthrosis], lower leg
Nonunion of fracture [pseudarthrosis], ankle and foot
Nonunion of fracture [pseudarthrosis], other sites
Nonunion of fracture [pseudarthrosis], site unspecified
Delayed union of fracture, multiple sites
Delayed union of fracture, shoulder region
Delayed union of fracture, upper arm
M84.23
M84.24
M84.25
M84.26
M84.27
M84.28
M84.29
M84.30
M84.31
M84.32
M84.33
Delayed union of fracture, forearm

Delayed union of fracture, hand
Delayed union of fracture, pelvic region and thigh
Delayed union of fracture, lower leg
Delayed union of fracture, ankle and foot
Delayed union of fracture, other sites
Delayed union of fracture, site unspecified
Stress fracture, not elsewhere classified, multiple sites
Stress fracture, not elsewhere classified, shoulder region
Stress fracture, not elsewhere classified, upper arm
Stress fracture, not elsewhere classified, forearm
Page 117 of 316
CMS December 2005

M84.34
M84.35
M84.36
M84.37
M84.38
M84.39
M84.40
M84.41
M84.42
M84.43
M84.44
M84.45
M84.46
M84.47
M84.48
M84.49
M93.0
S42.20
S42.30
S42.40
S42.70
S42.80
S43.0
S43.1
S43.2
S43.3
S52.00
S52.10
S52.20
S52.30
S52.40
S52.50
S52.60
S52.70
S52.80
S52.90
S53.0
S53.1
S62.00
S62.10
S62.20
S62.30
S62.40
S62.80
S63.0
Stress fracture, not elsewhere classified, hand

Stress fracture, not elsewhere classified, pelvic region and thigh
Stress fracture, not elsewhere classified, lower leg
Stress fracture, not elsewhere classified, ankle and foot
Stress fracture, not elsewhere classified, other sites
Stress fracture, not elsewhere classified, site unspecified
Pathological fracture, not elsewhere classified, multiple sites
Pathological fracture, not elsewhere classified, shoulder region
Pathological fracture, not elsewhere classified, upper arm
Pathological fracture, not elsewhere classified, forearm
Pathological fracture, not elsewhere classified, hand
Pathological fracture, not elsewhere classified, pelvic region and thigh
Pathological fracture, not elsewhere classified, lower leg
Pathological fracture, not elsewhere classified, ankle and foot
Pathological fracture, not elsewhere classified, other sites
Pathological fracture, not elsewhere classified, site unspecified
Slipped upper femoral epiphysis (nontraumatic)
Fracture of upper end of humerus, closed
Fracture of shaft of humerus, closed
Fracture of lower end of humerus, closed
Multiple fractures of clavicle, scapula and humerus, closed
Fracture of other parts of shoulder and upper arm, closed
Dislocation of shoulder joint
Dislocation of acromioclavicular joint
Dislocation of sternoclavicular joint
Dislocation of other and unspecified parts of shoulder girdle
Fracture of upper end of ulna, closed
Fracture of upper end of radius, closed
Fracture of shaft of ulna, closed
Fracture of shaft of radius, closed
Fracture of shafts of both ulna and radius, closed
Fracture of lower end of radius, closed
Fracture of lower end of both ulna and radius, closed
Multiple fractures of forearm, closed
Fracture of other parts of forearm, closed
Fracture of forearm, part unspecified, closed
Dislocation of radial head
Dislocation of elbow, unspecified
Fracture of navicular [scaphoid] bone of hand, closed
Fracture of other carpal bone(s), closed
Fracture of first metacarpal bone, closed
Fracture of other metacarpal bone, closed
Multiple fractures of metacarpal bones, closed
Fracture of other and unspecified parts of wrist and hand, closed
Dislocation of wrist
S72.00
S72.10
S72.20
S72.30
S72.40
S72.70
S72.80
S72.90
S73.0
S82.00
S82.10
S82.20
S82.30
S82.40
S82.50
S82.60
Fracture of neck of femur, closed

Pertrochanteric fracture, closed
Subtrochanteric fracture, closed
Fracture of shaft of femur, closed
Fracture of lower end of femur, closed
Multiple fractures of femur, closed
Fractures of other parts of femur, closed
Fracture of femur, part unspecified, closed
Dislocation of hip
Fracture of patella, closed
Fracture of upper end of tibia, closed
Fracture of shaft of tibia, closed
Fracture of lower end of tibia, closed
Fracture of fibula alone, closed
Fracture of medial malleolus, closed
Fracture of lateral malleolus, closed
Page 118 of 316
CMS December 2005
85H
Congenital dislocation of
hip; coxa vara and valga;
congenital clubfoot
Repair / reconstruction
147H
Crush injuries of trunk,

upper limbs, lower limbs,
including blood vessels
Surgical management;
ventilation; acute renal
dialysis
S82.70
S82.80
S82.90
S83.0
S83.1
S92.00
S92.10
S92.20
S92.30
S92.70
S92.90
T02.40
T02.50
T02.60
T10.X0
T12.X0
M91.05
M91.15
M91.25
M91.85
M91.95
Q65.0
Q65.1
Q65.2
Q65.3
Q65.4
Q65.5
Q65.6
Q65.8
Q65.9
Q66.0
Q66.1
Q66.2
Q66.3
Q66.4
Q66.6
Q66.8
S17.8
S17.9
S28.0
S29.7
S38.0
S38.1
S47
S55.0
S55.1
S55.2
S55.7
S55.8
S55.9
S57.0
S57.8
S57.9
S65.0
S65.1
S65.2
S65.3
S65.7
S65.8
S67.0
S67.8
S75.0
Multiple fractures of lower leg, closed

Fractures of other parts of lower leg, closed
Fracture of lower leg, part unspecified, closed
Dislocation of patella
Dislocation of knee
Fracture of calcaneus, closed
Fracture of talus, closed
Fracture of other tarsal bone(s), closed
Fracture of metatarsal bone, closed
Multiple fractures of foot, closed
Fracture of foot, unspecified, closed
Fractures involving multiple regions of both upper limbs, closed
Fractures involving multiple regions of both lower limbs, closed
Fractures involving multiple regions of upper limb(s) with lower limb(s), closed
Fracture of upper limb, level unspecified, closed
Fracture of lower limb, level unspecified, closed
Juvenile osteochondrosis of pelvis
Juvenile osteochondrosis of head of femur [Legg-Calv-Perthes]
Coxa plana
Other juvenile osteochondrosis of hip and pelvis
Juvenile osteochondrosis of hip and pelvis, unspecified
Congenital dislocation of hip, unilateral
Congenital dislocation of hip, bilateral
Congenital dislocation of hip, unspecified
Congenital subluxation of hip, unilateral
Congenital subluxation of hip, bilateral
Congenital subluxation of hip, unspecified
Unstable hip
Other congenital deformities of hip
Congenital deformity of hip, unspecified
Talipes equinovarus
Talipes calcaneovarus
Metatarsus varus
Other congenital varus deformities of feet
Talipes calcaneovalgus
Other congenital valgus deformities of feet
Other congenital deformities of feet
Crushing injury of other parts of neck
Crushing injury of neck, part unspecified
Crushed chest
Multiple injuries of thorax
Crushing injury of external genital organs
Crushing injury of other and unspecified parts of abdomen, lower back and pelvis
Crushing injury of shoulder and upper arm
Injury of ulnar artery at forearm level
Injury of radial artery at forearm level
Injury of vein at forearm level
Injury of multiple blood vessels at forearm level
Injury of other blood vessels at forearm level
Injury of unspecified blood vessel at forearm level
Crushing injury of elbow
Crushing injury of other parts of forearm
Crushing injury of forearm, part unspecified
Injury of ulnar artery at wrist and hand level
Injury of radial artery at wrist and hand level
Injury of superficial palmar arch
Injury of deep palmar arch
Injury of multiple blood vessels at wrist and hand level
Injury of other blood vessels at wrist and hand level
Crushing injury of thumb and other finger(s)
Crushing injury of other and unspecified parts of wrist and hand
Injury of femoral artery
Page 119 of 316
CMS December 2005
491H
Dislocations / fractures of
vertebral column without
spinal cord injury
Medical management;
surgical stabilisation
S75.1
S75.2
S75.7
S75.8
S75.9
S77.0
S77.1
S77.2
S85.0
S85.1
S85.2
S85.3
S85.4
S85.5
S85.7
S85.8
S85.9
S87.0
S87.8
S95.0
S95.1
S95.2
S95.7
S95.8
S95.9
S97.0
S97.1
S97.8
T02.10
T02.11
T04.0
T04.1
T04.2
T04.3
T04.4
T04.7
T04.8
T04.9
T14.7
M48.30
M48.31
M48.32
M48.33
M48.34
M48.35
M48.36
M48.37
M48.38
M48.39
M48.40
M48.41
M48.42
M48.43
M48.44
M48.45
M48.46
M48.47
M48.48
M48.49
M48.50
M48.51
M48.52
Injury of femoral vein at hip and thigh level

Injury of greater saphenous vein at hip and thigh level
Injury of multiple blood vessels at hip and thigh level
Injury of other blood vessels at hip and thigh level
Injury of unspecified blood vessel at hip and thigh level
Crushing injury of hip
Crushing injury of thigh
Crushing injury of hip with thigh
Injury of popliteal artery
Injury of (anterior)(posterior) tibial artery
Injury of peroneal artery
Injury of greater saphenous vein at lower leg level
Injury of lesser saphenous vein at lower leg level
Injury of popliteal vein
Injury of multiple blood vessels at lower leg level
Injury of other blood vessels at lower leg level
Injury of unspecified blood vessel at lower leg level
Crushing injury of knee
Crushing injury of other and unspecified parts of lower leg
Injury of dorsal artery of foot
Injury of plantar artery of foot
Injury of dorsal vein of foot
Injury of multiple blood vessels at ankle and foot level
Injury of other blood vessels at ankle and foot level
Injury of unspecified blood vessel at ankle and foot level
Crushing injury of ankle
Crushing injury of toe(s)
Crushing injury of other parts of ankle and foot
Fractures involving thorax with lower back and pelvis, closed
Fractures involving thorax with lower back and pelvis, open
Crushing injuries involving head with neck
Crushing injuries involving thorax with abdomen, lower back and pelvis
Crushing injuries involving multiple regions of upper limb(s)
Crushing injuries involving multiple regions of lower limb(s)
Crushing injuries involving multiple regions of upper limb(s) with lower limb(s)
Crushing injuries of thorax with abdomen, lower back and pelvis with limb(s)
Crushing injuries involving other combinations of body regions
Multiple crushing injuries, unspecified
Crushing injury and traumatic amputation of unspecified body region
Traumatic spondylopathy, multiple sites in spine
Traumatic spondylopathy, occipito-atlanto-axial region
Traumatic spondylopathy, cervical region
Traumatic spondylopathy, cervicothoracic region
Traumatic spondylopathy, thoracic region
Traumatic spondylopathy, thoracolumbar region
Traumatic spondylopathy, lumbar region
Traumatic spondylopathy, lumbosacral region
Traumatic spondylopathy, sacral and sacrococcygeal region
Traumatic spondylopathy, site unspeified
Fatigue fracture of vertebra, multiple sites in spine
Fatigue fracture of vertebra, occipito-atlanto-axial region
Fatigue fracture of vertebra, cervical region
Fatigue fracture of vertebra, cervicothoracic region
Fatigue fracture of vertebra, thoracic region
Fatigue fracture of vertebra, thoracolumbar region
Fatigue fracture of vertebra, lumbar region
Fatigue fracture of vertebra, lumbosacral region
Fatigue fracture of vertebra, sacral and sacrococcygeal region
Fatigue fracture of vertebra, site unspeified
Collapsed vertebra, not elsewhere classified, multiple sites in spine
Collapsed vertebra, not elsewhere classified, multiple sites in spine
Collapsed vertebra, not elsewhere classified, occipito-atlanto-axial region
Page 120 of 316
CMS December 2005
500H
Disruptions of the achilles /

quadriceps tendons
Repair
178H
Fracture of hip
Reduction; hip
replacement
445H
Injury to internal organs

management
M48.53
M48.54
M48.55
M48.56
M48.57
M48.58
M48.59
S12.00
S12.01
S12.10
S12.11
S12.20
S12.21
S12.70
S12.71
S12.80
S12.81
S13.1
S22.00
S22.01
S22.10
S22.11
S23.0
S23.1
S32.00
S32.01
S32.10
S32.11
S32.20
S32.21
S32.70
S32.71
S32.80
S32.81
S33.0
S33.1
S33.2
S33.3
S33.5
S33.6
T03.0
T03.1
T08.X0
T08.X1
S76.1
Collapsed vertebra, not elsewhere classified, cervical region

Collapsed vertebra, not elsewhere classified, cervicothoracic region
Collapsed vertebra, not elsewhere classified, thoracic region
Collapsed vertebra, not elsewhere classified, thoracolumbar region
Collapsed vertebra, not elsewhere classified, lumbar region
Collapsed vertebra, not elsewhere classified, lumbosacral region
Collapsed vertebra, not elsewhere classified, sacral and sacrococcygeal region
Fracture of first cervical vertebra, closed
Fracture of second cervical vertebra, closed
Fracture of other specified cervical vertebra, closed
Multiple fractures of cervical spine, closed
Dislocation of cervical vertebra
Fracture of thoracic vertebra, closed
Multiple fractures of thoracic spine, closed
Traumatic rupture of thoracic intervertebral disc
Dislocation of thoracic vertebra
Fracture of lumbar vertebra, closed
Fracture of sacrum, closed
Fracture of coccyx, closed
Multiple fractures of lumbar spine and pelvis, closed
Fracture of other and unspecified parts of lumbar spine and pelvis, closed
Traumatic rupture of lumbar intervertebral disc
Dislocation of lumbar vertebra
Dislocation of sacroiliac and sacrococcygeal joint
Dislocation of other and unspecified parts of lumbar spine and pelvis
Sprain and strain of lumbar spine
Sprain and strain of sacroiliac joint
Dislocations, sprains and strains involving head with neck
Dislocations, sprains and strains involving thorax with lower back and pelvis
Fracture of spine, level unspecified, closed
Fracture of spine, level unspecified, open
Injury of quadriceps muscle and tendon
S86.0
Injury of Achilles tendon
M80.05
M80.15
S72.00
S72.01
S72.10
S72.11
S72.20
S72.21
S26.00
S26.01
S26.80
S26.81
S26.90
S26.91
S27.30
Postmenopausal osteoporosis with pathological fracture, pelvic region and thigh

Postoophorectomy osteoporosis with pathological fracture, pelvic region and thigh
Fracture of neck of femur, closed
Fracture of neck of femur, open
Pertrochanteric fracture, closed
Pertrochanteric fracture, open
Subtrochanteric fracture, closed
Subtrochanteric fracture, open
Injury of heart with haemopericardium, without open wound into thoracic cavity
Injury of heart with haemopericardium, with open wound into thoracic cavity
Other injuries of heart, without open wound into thoracic cavity
Other injuries of heart, with open wound into thoracic cavity
Injury of heart, unspecified, without open wound into thoracic cavity
Injury of heart, unspecified, with open wound into thoracic cavity
Other injuries of lung, without open wound into thoracic cavity
Page 121 of 316
CMS December 2005
900H
Open fracture / dislocation

of bones and joints
Reduction / relocation;
medical and surgical
management
S27.31
S27.40
S27.41
S27.50
S27.51
S27.60
S27.61
S27.70
S27.71
S27.80
S27.81
S27.90
S27.91
S36.00
S36.01
S36.10
S36.11
S36.20
S36.21
S36.30
S36.31
S36.40
S36.41
S36.50
S36.51
S36.60
S36.61
S36.70
S36.71
S36.80
S36.81
S36.90
S36.91
S37.00
S37.01
S37.10
S37.11
S37.20
S37.21
S37.30
S37.31
S37.40
S37.41
S37.50
S37.51
S37.60
S37.61
S37.70
S37.71
S37.80
S37.81
S37.90
S37.91
S39.6
S39.7
T06.5
S02.01
S02.11
S02.21
S02.31
S02.41
S02.61
Other injuries of lung, with open wound into thoracic cavity

Injury of bronchus, without open wound into thoracic cavity
Injury of bronchus, with open wound into thoracic cavity
Injury of thoracic trachea, without open wound into thoracic cavity
Injury of thoracic trachea, with open wound into thoracic cavity
Injury of pleura, without open wound into thoracic cavity
Injury of pleura, with open wound into thoracic cavity
Multiple injuries of intrathoracic organs, without open wound into thoracic cavity
Multiple injuries of intrathoracic organs, with open wound into thoracic cavity
Injury of other specified intrathoracic organs, without open wound into thoracic cavity
Injury of other specified intrathoracic organs, with open wound into thoracic cavity
Injury of unspecified intrathoracic organ, without open wound into thoracic cavity
Injury of unspecified intrathoracic organ, with open wound into thoracic cavity
Injury of spleen without open wound into cavity
Injury of spleen with open wound into cavity
Injury of liver or gallbladder without open wound into cavity
Injury of liver or gallbladder with open wound into thoracic cavity
Injury of pancreas without open wound into cavity
Injury of pancreas with open wound into thoracic cavity
Injury of stomach without open wound into cavity
Injury of stomach with open wound into thoracic cavity
Injury of small intestine without open wound into cavity
Injury of small intestine with open wound into thoracic cavity
Injury of colon without open wound into cavity
Injury of colon with open wound into thoracic cavity
Injury of rectum without open wound into cavity
Injury of rectum with open wound into thoracic cavity
Injury of multiple intra-abdominal organs without open wound into cavity
Injury of multiple intra-abdominal organs with open wound into thoracic cavity
Injury of other intra-abdominal organs without open wound into cavity
Injury of other intra-abdominal organs with open wound into cavity
Injury of unspecified intra-abdominal organ without open wound into cavity
Injury of unspecified intra-abdominal organ with open wound into cavity
Injury of kidney without open wound into cavity
Injury of kidney with open wound into thoracic cavity
Injury of ureter without open wound into cavity
Injury of ureter with open wound into thoracic cavity
Injury of bladder without open wound into cavity
Injury of bladder with open wound into thoracic cavity
Injury of urethra without open wound into cavity
Injury of urethra with open wound into thoracic cavity
Injury of ovary without open wound into cavity
Injury of ovary with open wound into thoracic cavity
Injury of fallopian tube without open wound into cavity
Injury of fallopian tube with open wound into thoracic cavity
Injury of uterus without open wound into cavity
Injury of uterus with open wound into thoracic cavity
Injury of multiple pelvic organs without open wound into cavity
Injury of multiple pelvic organs with open wound into thoracic cavity
Injury of other pelvic organs without open wound into cavity
Injury of other pelvic organs with open wound into thoracic cavity
Injury of unspecified pelvic organ without open wound into cavity
Injury of unspecified pelvic organ with open wound into cavity
Injury of intra-abdominal organ(s) with pelvic organ(s)
Other multiple injuries of abdomen, lower back and pelvis
Injuries of intrathoracic organs with intra-abdominal and pelvic organs
Fracture of vault of skull, open
Fracture of base of skull, open
Fracture of nasal bones, open
Fracture of orbital floor, open
Fracture of malar and maxillary bones, open
Fracture of mandible, open
Page 122 of 316
CMS December 2005

S02.71
S02.81
S02.91
S12.01
S12.11
S12.21
S12.71
S12.81
S12.91
S22.01
S22.11
S22.21
S22.31
S22.41
S22.51
S22.81
S22.91
S32.01
S32.11
S32.21
S32.31
S32.41
S32.51
S32.71
S32.81
S33.4
S42.01
S42.11
S42.21
S42.31
S42.41
S42.91
S52.01
S52.11
S52.21
S52.31
S52.41
S52.51
S52.61
S52.71
S52.81
S52.91
S62.01
S62.11
S62.21
S62.31
S62.41
S62.51
S62.81
S72.01
S72.11
S72.21
S72.31
S72.41
S72.71
S72.81
S72.91
S82.01
S82.11
S82.21
S82.31
S82.41
Multiple fractures involving skull and facial bones, open

Fractures of other skull and facial bones, open
Fracture of skull and facial bones, part unspecified, open
Fracture of neck, part unspecified, open
Fracture of sternum, open
Fracture of rib,open
Multiple fractures of ribs, open
Flail chest, open
Fracture of other parts of bony thorax, open
Fracture of bony thorax, part unspecified, open
Fracture of ilium, open
Fracture of acetabulum, open
Fracture of pubis, open
Traumatic rupture of symphysis pubis
Fracture of clavicle, open
Fracture of scapula, open
Fracture of upper end of humerus, open
Fracture of shaft of humerus, open
Fracture of lower end of humerus, open
Fracture of shoulder girdle, part unspecified, open
Fracture of upper end of ulna, open
Fracture of upper end of radius, open
Fracture of shaft of ulna, open
Fracture of shaft of radius, open
Fracture of shafts of both ulna and radius, open
Fracture of lower end of radius, open
Fracture of lower end of both ulna and radius, open
Multiple fractures of forearm, open
Fracture of other parts of forearm, open
Fracture of forearm, part unspecified, open
Fracture of navicular [scaphoid] bone of hand, open
Fracture of other carpal bone(s), open
Fracture of first metacarpal bone, open
Fracture of other metacarpal bone, open
Multiple fractures of metacarpal bones, open
Fracture of thumb, open
Fracture of other and unspecified parts of wrist and hand, open
Fracture of neck of femur, open
Pertrochanteric fracture, open
Subtrochanteric fracture, open
Fracture of shaft of femur, open
Fracture of lower end of femur, open
Multiple fractures of femur, open
Fractures of other parts of femur, open
Fracture of femur, part unspecified, open
Fracture of patella, open
Fracture of upper end of tibia, open
Fracture of shaft of tibia, open
Fracture of lower end of tibia, open
Fracture of fibula alone, open
Page 123 of 316
CMS December 2005
34H
Pyogenic arthritis

management
S82.51
S82.61
S82.71
S82.81
S82.91
S92.01
S92.11
S92.21
S92.31
S92.41
S92.71
S92.91
S93.0
T02.01
T02.11
T02.21
T02.31
T02.41
T02.61
T02.71
T02.81
T02.91
T14.21
T14.3
A39.8M01.00*
A39.8M01.01*
A39.8M01.02*
A39.8M01.03*
A39.8M01.04*
A39.8M01.05*
A39.8M01.06*
A39.8M01.07*
A39.8M01.08*
A39.8M01.09*
M00.00
M00.01
M00.02
M00.03
M00.04
M00.05
M00.06
M00.07
M00.08
M00.09
M00.10
M00.11
M00.12
M00.13
M00.14
M00.15
M00.16
M00.17
M00.18
M00.19
M00.20
M00.21
M00.22
M00.23
M00.24
M00.25
M00.26
M00.27
Fracture of medial malleolus, open

Fracture of lateral malleolus, open
Multiple fractures of lower leg, open
Fractures of other parts of lower leg, open
Fracture of lower leg, part unspecified, open
Fracture of calcaneus, open
Fracture of talus, open
Fracture of other tarsal bone(s), open
Fracture of metatarsal bone, open
Fracture of great toe, open
Multiple fractures of foot, open
Fracture of foot, unspecified, open
Dislocation of ankle joint
Fractures involving head with neck, open
Fractures involving thorax with lower back and pelvis, open
Fractures involving multiple regions of one upper limb, open
Fractures involving multiple regions of one lower limb, open
Fractures involving multiple regions of both upper limbs, open
Fractures involving multiple regions of upper limb(s) with lower limb(s), open
Fractures involving thorax with lower back and pelvis with limb(s), open
Fractures involving other combinations of body regions, open
Multiple fractures, unspecified, open
Fracture of unspecified body region, open
Dislocation, sprain and strain of unspecified body region
Other meningococcal infections / Meningococcal arthritis, multiple sites
Other meningococcal infections / Meningococcal arthritis, shoulder region
Other meningococcal infections / Meningococcal arthritis, upper arm
Other meningococcal infections / Meningococcal arthritis, forearm
Other meningococcal infections / Meningococcal arthritis, hand
Other meningococcal infections / Meningococcal arthritis, pelvic region and thigh
Other meningococcal infections / Meningococcal arthritis, lower leg
Other meningococcal infections / Meningococcal arthritis, ankle and foot
Other meningococcal infections / Meningococcal arthritis, other sites
Other meningococcal infections / Meningococcal arthritis, site unspecified
Staphylococcal arthritis and polyarthritis, multiple sites
Staphylococcal arthritis and polyarthritis, shoulder region
Staphylococcal arthritis and polyarthritis, upper arm
Staphylococcal arthritis and polyarthritis, forearm
Staphylococcal arthritis and polyarthritis, hand
Staphylococcal arthritis and polyarthritis, pelvic region and thigh
Staphylococcal arthritis and polyarthritis, lower leg
Staphylococcal arthritis and polyarthritis, ankle and foot
Staphylococcal arthritis and polyarthritis, other sites
Staphylococcal arthritis and polyarthritis, site unspecified
Pneumococcal arthritis and polyarthritis, multiple sites
Pneumococcal arthritis and polyarthritis , shoulder region
Pneumococcal arthritis and polyarthritis, upper arm
Pneumococcal arthritis and polyarthritis, forearm
Pneumococcal arthritis and polyarthritis,hand
Pneumococcal arthritis and polyarthritis, pelvic region and thigh
Pneumococcal arthritis and polyarthritis , lower leg
Pneumococcal arthritis and polyarthritis , ankle and foot
Pneumococcal arthritis and polyarthritis, other sites
Pneumococcal arthritis and polyarthritis, site unspecified
Other streptococcal arthritis and polyarthritis, multiple sites
Other streptococcal arthritis and polyarthritis , shoulder region
Other streptococcal arthritis and polyarthritis , upper arm
Other streptococcal arthritis and polyarthritis , forearm
Other streptococcal arthritis and polyarthritis, ,hand
Other streptococcal arthritis and polyarthritis , pelvic region and thigh
Other streptococcal arthritis and polyarthritis lower leg
Other streptococcal arthritis and polyarthritis ,ankle and foot
Page 124 of 316
CMS December 2005

M00.28
M00.29
M00.80
M00.81
M00.82
M00.83
M00.84
M00.85
M00.86
M00.87
M00.88
M00.89
Replantation / amputation S38.3
S48.0
S48.1
S48.9
S58.0
S58.1
S58.9
S68.0
S68.1
S68.2
S68.3
S68.4
S68.8
S68.9
S78.0
S78.1
S78.9
S88.0
S88.1
S88.9
S98.0
S98.1
S98.2
S98.3
S98.4
T05.0
T05.1
T05.2
T05.3
T05.4
T05.5
T05.6
T05.8
T05.9
T11.6
T13.6
# Medical management P07.0
not including ventilation
P07.2
Other streptococcal arthritis and polyarthritis, other sites, other sites

Other streptococcal arthritis and polyarthritis, site unspecified, site unspecified
Arthritis and polyarthritis due to other specified bacterial agents, multiple sites
Arthritis and polyarthritis due to other specified bacterial agents , shoulder region
Arthritis and polyarthritis due to other specified bacterial agents, upper arm
Arthritis and polyarthritis due to other specified bacterial agents, forearm
Arthritis and polyarthritis due to other specified bacterial agents, hand
Arthritis and polyarthritis due to other specified bacterial agents, pelvic region and thigh
Arthritis and polyarthritis due to other specified bacterial agents, lower leg
Arthritis and polyarthritis due to other specified bacterial agents, ankle and foot
Arthritis and polyarthritis due to other specified bacterial agents, other sites
Arthritis and polyarthritis due to other specified bacterial agents, site unspecified
Traumatic amputation of other and unspecified parts of abdomen, lower back and pelvis
Traumatic amputation at shoulder joint
Traumatic amputation at level between shoulder and elbow
Traumatic amputation of shoulder and upper arm, level unspecified
Traumatic amputation at elbow level
Traumatic amputation at level between elbow and wrist
Traumatic amputation of forearm, level unspecified
Traumatic amputation of thumb (complete)(partial)
Traumatic amputation of other single finger (complete)(partial)
Traumatic amputation of two or more fingers alone (complete)(partial)
Combined traumatic amputation of (part of) finger(s) with other parts of wrist and hand
Traumatic amputation of hand at wrist level
Traumatic amputation of other parts of wrist and hand
Traumatic amputation of wrist and hand, level unspecified
Traumatic amputation at hip joint
Traumatic amputation at level between hip and knee
Traumatic amputation of hip and thigh, level unspecified
Traumatic amputation at knee level
Traumatic amputation at level between knee and ankle
Traumatic amputation of lower leg, level unspecified
Traumatic amputation of foot at ankle level
Traumatic amputation of one toe
Traumatic amputation of two or more toes
Traumatic amputation of other parts of foot
Traumatic amputation of foot, level unspecified
Traumatic amputation of both hands
Traumatic amputation of one hand and other arm [any level, except hand]
Traumatic amputation of both arms [any level]
Traumatic amputation of both feet
Traumatic amputation of one foot and other leg [any level, except foot]
Traumatic amputation of both legs [any level]
Traumatic amputation of upper and lower limbs, any combination [any level]
Traumatic amputations involving other combinations of body regions
Multiple traumatic amputations, unspecified
Traumatic amputation of upper limb, level unspecified
Traumatic amputation of lower limb, level unspecified
Extremely low birth weight
901H
Traumatic amputation of
limbs, hands, feet, and
digits
67N
# Low birth weight (under

1000g) with respiratory
difficulties
967N
# Low birth weight (under

# Medical management,
2500 grams & > 1000g) with including ventilation;
respiratory difficulties
intensive care therapy
P07.1
Other low birth weight
P07.3
Other preterm infants
Birth trauma for baby
P10.0
P10.1
P10.2
P10.3
P10.4
P10.8
Subdural haemorrhage due to birth injury

Cerebral haemorrhage due to birth injury
Intraventricular haemorrhage due to birth injury
Subarachnoid haemorrhage due to birth injury
Tentorial tear due to birth injury
Other intracranial lacerations and haemorrhages due to birth injury
71N
Medical management;
surgery
Extreme immaturity
Page 125 of 316
CMS December 2005
901N
Congenital systemic
infections affecting the
newborn
Medical management,
ventilation
P10.9
P11.0
P11.1
P11.2
P11.3
P11.4
P11.5
P11.9
P12.0
P12.1
P12.2
P12.3
P12.4
P12.8
P12.9
P13.0
P13.1
P13.2
P13.3
P13.4
P13.8
P13.9
P14.0
P14.1
P14.2
P14.3
P14.8
P14.9
P15.0
P15.1
P15.2
P15.3
P15.4
P15.5
P15.6
P15.8
P15.9
P35.0
P35.1
P35.2
P35.3
P35.8
P35.9
P36.0
P36.1
P36.2
P36.3
P36.4
P36.5
P36.8
P36.9
P37.0
P37.1
P37.2
P37.3
P37.4
P37.5
P37.8
P37.9
P38
P39.0
P39.1
Unspecified intracranial laceration and haemorrhage due to birth injury

Cerebral oedema due to birth injury
Other specified brain damage due to birth injury
Unspecified brain damage due to birth injury
Birth injury to facial nerve
Birth injury to other cranial nerves
Birth injury to spine and spinal cord
Birth injury to central nervous system unspecified
Cephalhaematoma due to birth injury
Chignon due to birth injury
Epicranial subaponeurotic haemorrhage due to birth injury
Bruising of scalp due to birth injury
Monitoring injury of scalp of newborn
Other birth injuries to scalp
Birth injury to scalp, unspecified
Fracture of skull due to birth injury
Other birth injuries to skull
Birth injury to femur
Birth injury to other long bones
Fracture of clavicle due to birth injury
Birth injuries to other parts of skeleton
Birth injury to skeleton unspecified
Erb's paralysis due to birth injury
Klumpke's paralysis due to birth injury
Phrenic nerve paralysis due to birth injury
Other brachial plexus birth injuries
Birth injuries to other parts of peripheral nervous system
Birth injury to peripheral nervous system, unspecified
Birth injury to liver
Birth injury to spleen
Sternomastoid injury due to birth injury
Birth injury to eye
Birth injury to face
Birth injury to external genitalia
Subcutaneous fat necrosis due to birth injury
Other specified birth injuries
Birth injury, unspecified
Congenital rubella syndrome
Congenital cytomegalovirus infection
Congenital herpesviral [herpes simplex] infection
Congenital viral hepatitis
Other congenital viral diseases
Congenital viral disease, unspecified
Sepsis of newborn due to streptococcus, group B
Sepsis of newborn due to other and unspecified streptococci
Sepsis of newborn due to Staphylococcus aureus
Sepsis of newborn due to other and unspecified staphylococci
Sepsis of newborn due to Escherichia coli
Sepsis of newborn due to anaerobes
Other bacterial sepsis of newborn
Bacterial sepsis of newborn, unspecified
Congenital tuberculosis
Congenital toxoplasmosis
Neonatal (disseminated) listeriosis
Congenital falciparum malaria
Other congenital malaria
Neonatal candidiasis
Other specified congenital infectious and parasitic diseases
Congenital infectious and parasitic disease, unspecified
Omphalitis of newborn with or without mild haemorrhage
Neonatal infective mastitis
Neonatal conjunctivitis and dacryocystitis
Page 126 of 316
CMS December 2005
904N
Haematological disorders of Medical management

the newborn
54N
Necrotizing enterocolitis in
newborn
74N
Neonatal and infant GIT

abnormalities and disorders, management
including malrotation and
atresia

management
P39.2
P39.3
P39.8
P39.9
P50.0
P50.1
P50.2
P50.3
P50.4
P50.5
P50.8
P50.9
P51.0
P51.8
P51.9
P53
P54.8
P55.0
P55.1
P55.8
P55.9
P56.0
P56.9
P58.3
P58.8
P58.9
P60
P61.0
P61.1
P61.2
P61.3
P61.4
P61.5
P61.6
P61.8
P61.9
P77
Intra-amniotic infection of fetus, not elsewhere classified

Neonatal urinary tract infection
Other specified infections specific to the perinatal period
Infection specific to the perinatal period, unspecified
Fetal blood loss from vasa praevia
Fetal blood loss from ruptured cord
Fetal blood loss from placenta
Haemorrhage into co-twin
Haemorrhage into maternal circulation
Fetal blood loss from cut end of co-twin's cord
Other fetal blood loss
Fetal blood loss, unspecified
Massive umbilical haemorrhage of newborn
Other umbilical haemorrhages of newborn
Umbilical haemorrhage of newborn, unspecified
Haemorrhagic disease of fetus and newborn
Other specified neonatal haemorrhages
Rh isoimmunization of fetus and newborn
ABO isoimmunization of fetus and newborn
Other haemolytic diseases of fetus and newborn
Haemolytic disease of fetus and newborn, unspecified
Hydrops fetalis due to isoimmunization
Hydrops fetalis due to other and unspecified haemolytic disease
Neonatal jaundice due to polycythaemia
Neonatal jaundice due to other specified excessive haemolysis
Neonatal jaundice due to excessive haemolysis, unspecified
Disseminated intravascular coagulation of fetus and newborn
Transient neonatal thrombocytopenia
Polycythaemia neonatorum
Anaemia of prematurity
Congenital anaemia from fetal blood loss
Other congenital anaemias, not elsewhere classified
Transient neonatal neutropenia
Other transient neonatal disorders of coagulation
Other specified perinatal haematological disorders
Perinatal haematological disorder, unspecified
Necrotizing enterocolitis of fetus and newborn
E84.1P75*
P54.0
P54.1
P54.2
P54.3
P76.0
P76.1
P76.2
P76.8
P76.9
P78.0
P78.1
P78.3
P78.8
Q39.0
Q39.1
Q39.2
Q39.3
Q39.4
Q39.5
Q39.6
Q39.8
Q39.9
Cystic fibrosis with intestinal manifestations / Meconium ileus

Neonatal haematemesis
Neonatal melaena
Neonatal rectal haemorrhage
Other neonatal gastrointestinal haemorrhage
Meconium plug syndrome
Transitory ileus of newborn
Intestinal obstruction due to inspissated milk
Other specified intestinal obstruction of newborn
Intestinal obstruction of newborn, unspecified
Perinatal intestinal perforation
Other neonatal peritonitis
Noninfective neonatal diarrhoea
Other specified perinatal digestive system disorders
Atresia of oesophagus without fistula
Atresia of oesophagus with tracheo-oesophageal fistula
Congenital tracheo-oesophageal fistula without atresia
Congenital stenosis and stricture of oesophagus
Oesophageal web
Congenital dilatation of oesophagus
Diverticulum of oesophagus
Other congenital malformations of oesophagus
Congenital malformation of oesophagus, unspecified
Page 127 of 316
CMS December 2005
902N
Neonatal endocrine,
Medical management
metabolic and toxin-induced
conditions

Q40.0
Q40.1
Q40.2
Q40.3
Q40.8
Q40.9
Q41.0
Q41.1
Q41.2
Q41.8
Q41.9
Q42.0
Q42.1
Q42.2
Q42.3
Q42.8
Q42.9
Q43.0
Q43.1
Q43.2
Q43.3
Q43.4
Q43.5
Q43.6
Q43.7
Q43.8
Q43.9
Q44.2
Q44.3
Q44.4
Q44.5
Q45.0
Q45.1
Q45.2
Q45.3
Q79.2
Q79.3
Q79.4
Q79.5
P05.2
P52.6
P54.4
P54.5
P57.0
P57.8
P57.9
P58.0
P58.1
P58.2
P58.3
P58.4
P58.5
P58.8
P58.9
P59.0
P59.1
P59.2
P59.3
P59.8
P59.9
P70.0
P70.1
Congenital hypertrophic pyloric stenosis

Congenital hiatus hernia
Other specified congenital malformations of stomach
Congenital malformation of stomach, unspecified
Other specified congenital malformations of upper alimentary tract
Congenital malformation of upper alimentary tract
Congenital absence, atresia and stenosis of duodenum
Congenital absence, atresia and stenosis of jejunum
Congenital absence, atresia and stenosis of ileum
Congenital absence, atresia and stenosis of other specified parts of small intestine
Congenital absence, atresia and stenosis of small intestine, part unspecified
Congenital absence, atresia and stenosis of rectum with fistula
Congenital absence, atresia and stenosis of rectum without fistula
Congenital absence, atresia and stenosis of anus with fistula
Congenital absence, atresia and stenosis of anus without fistula
Congenital absence, atresia and stenosis of other parts of large intestine
Congenital absence, atresia and stenosis of large intestine, part unspecified
Meckel's diverticulum
Hirschsprung's disease
Other congenital functional disorders of colon
Congenital malformations of intestinal fixation
Duplication of intestine
Ectopic anus
Congenital fistula of rectum and anus
Persistent cloaca
Other specified congenital malformations of intestine
Congenital malformation of intestine, unspecified
Atresia of bile ducts
Congenital stenosis and stricture of bile ducts
Choledochal cyst
Other congenital malformations of bile ducts
Agenesis aplasia and hypoplasia of pancreas
Annular pancreas
Congenital pancreatic cyst
Other congenital malformations of pancreas and pancreatic duct
Exomphalos
Gastroschisis
Prune belly syndrome
Other congenital malformations of abdominal wall
Fetal malnutrition without mention of light or small for gestational age
Cerebellar (nontraumatic) and posterior fossa haemorrhage of fetus and newborn
Neonatal adrenal haemorrhage
Neonatal cutaneous haemorrhage
Kernicterus due to isoimmunization
Other specified kernicterus
Kernicterus, unspecified
Neonatal jaundice due to bruising
Neonatal jaundice due to bleeding
Neonatal jaundice due to infection
Neonatal jaundice due to polycythaemia
Neonatal jaundice due to drugs or toxins transmitted from mother or given to newborn
Neonatal jaundice due to swallowed maternal blood
Neonatal jaundice due to other specified excessive haemolysis
Neonatal jaundice due to excessive haemolysis, unspecified
Neonatal jaundice associated with preterm delivery
Inspissated bile syndrome
Neonatal jaundice from other and unspecified hepatocellular damage
Neonatal jaundice from breast milk inhibitor
Neonatal jaundice from other specified causes
Neonatal jaundice, unspecified
Syndrome of infant of mother with gestational diabetes
Syndrome of infant of a diabetic mother
Page 128 of 316
CMS December 2005
903N
Neurological abnormalities
in the newborn
Medical management
P70.2
P70.3
P70.4
P70.8
P70.9
P71.0
P71.1
P71.2
P71.3
P71.4
P71.8
P71.9
P72.0
P72.1
P72.2
P72.8
P72.9
P74.0
P74.1
P74.2
P74.3
P74.4
P74.5
P74.8
P74.9
P80.0
P80.8
P80.9
P81.0
P81.9
P83.2
P93
P96.1
P96.2
G80.0
G80.1
G80.2
G80.3
G80.4
G80.8
G80.9
P52.0
P52.1
P52.2
P52.3
P52.4
P52.5
P52.6
P52.8
P52.9
P57.0
P57.8
P57.9
P90
P91.0
P91.1
P91.2
P91.3
P91.4
P91.5
P91.8
P91.9
Neonatal diabetes mellitus

Iatrogenic neonatal hypoglycaemia
Other neonatal hypoglycaemia
Other transitory disorders of carbohydrate metabolism of fetus and newborn
Transitory disorder of carbohydrate metabolism of fetus and newborn, unspecified
Cow's milk hypocalcaemia in newborn
Other neonatal hypocalcaemia
Neonatal hypomagnesaemia
Neonatal tetany without calcium or magnesium deficiency
Transitory neonatal hypoparathyroidism
Other transitory neonatal disorders of calcium and magnesium metabolism
Transitory neonatal disorder of calcium and magnesium metabolism, unspecified
Neonatal goitre, not elsewhere classified
Transitory neonatal hyperthyroidism
Other transitory neonatal disorders of thyroid function, not elsewhere classified
Other specified transitory neonatal endocrine disorders
Transitory neonatal endocrine disorder, unspecified
Late metabolic acidosis of newborn
Dehydration of newborn
Disturbances of sodium balance of newborn
Disturbances of potassium balance of newborn
Other transitory electrolyte disturbances of newborn
Transitory tyrosinaemia of newborn
Other transitory metabolic disturbances of newborn
Transitory metabolic disturbance of newborn, unspecified
Cold injury syndrome
Other hypothermia of newborn
Hypothermia of newborn, unspecified
Environmental hyperthermia of newborn
Disturbance of temperature regulation of newborn
Hydrops fetalis not due to haemolytic disease
Reactions and intoxications due to drugs administered to fetus and newborn
Neonatal withdrawal symptoms from maternal use of drugs of addiction
Withdrawal symptoms from therapeutic use of drugs in newborn
Spastic cerebral palsy
Spastic diplegia
Infantile hemiplegia
Dyskinetic cerebral palsy
Ataxic cerebral palsy
Other infantile cerebral palsy
Infantile cerebral palsy, unspecified
Intraventricular (nontraumatic) haemorrhage, grade 1, of fetus and newborn
Unspecified intraventricular (nontraumatic) haemorrhage of fetus and newborn
Intracerebral (nontraumatic) haemorrhage of fetus and newborn
Subarachnoid (nontraumatic) haemorrhage of fetus and newborn
Cerebellar (nontraumatic) and posterior fossa haemorrhage of fetus and newborn
Other intracranial (nontraumatic) haemorrhages of fetus and newborn
Intracranial (nontraumatic) haemorrhage of fetus and newborn, unspecified
Kernicterus due to isoimmunization
Other specified kernicterus
Kernicterus, unspecified
Convulsions of newborn
Neonatal cerebral ischaemia
Acquired periventricular cysts of newborn
Neonatal cerebral leukomalacia
Neonatal cerebral irritability
Neonatal cerebral depression
Neonatal coma
Other specified disturbances of cerebral status of newborn
Disturbance of cerebral status of newborn unspecified
Page 129 of 316
CMS December 2005
52N
Pregnancy
Antenatal care, and

Obstetric care
necessitating
hospitalisation, and
Delivery
P94.1
P94.2
P94.8
Q04.0
Q04.1
Q04.2
Q04.3
Q04.4
Q04.5
Q04.6
Q04.8
Q04.9
O10.0
O10.1
O10.2
O10.3
Congenital hypertonia
Congenital hypotonia
Other disorders of muscle tone of newborn
Congenital malformations of corpus callosum
Arhinencephaly
Holoprosencephaly
Other reduction deformities of brain
Septo-optic dysplasia
Megalencephaly
Congenital cerebral cysts
Other specified congenital malformations of brain
Congenital malformation of brain, unspecified
O10.4
O10.9
O11
O12.0
O12.1
O12.2
O13
O14.0
O14.1
O14.9
O15.0
O15.1
O15.2
O15.9
O16
O20.0
O20.8
O20.9
O21.1
O21.2
O22.3
O22.5
O22.8
O23.0
O24.0
O24.1
O24.2
O24.3
O24.4
O24.9
O25
O26.0
O26.2
O26.3
O26.4
O26.5
O26.6
O26.7
O26.8
O29.0
O29.1
O29.2
O29.3
O29.6
O29.8

Pre-existing hypertensive disorder with superimposed proteinuria
Gestational oedema
Gestational proteinuria
Gestational oedema with proteinuria
Gestational [pregnancy-induced] hypertension without significant proteinuria
Moderate pre-eclampsia
Severe pre-eclampsia
Pre-eclampsia, unspecified
Eclampsia in pregnancy
Eclampsia in labour
Eclampsia in the puerperium
Eclampsia, unspecified as to time period
Unspecified maternal hypertension
Threatened abortion
Other haemorrhage in early pregnancy
Haemorrhage in early pregnancy, unspecified
Hyperemesis gravidarum with metabolic disturbance
Late vomiting of pregnancy
Deep phlebothrombosis in pregnancy
Cerebral venous thrombosis in pregnancy
Other venous complications in pregnancy
Infections of kidney in pregnancy
Pre-existing diabetes mellitus, insulin-dependent
Pre-existing diabetes mellitus, non-insulin-dependent
Pre-existing malnutrition-related diabetes mellitus
Pre-existing diabetes mellitus, unspecified
Diabetes mellitus arising in pregnancy
Diabetes mellitus in pregnancy, unspecified
Malnutrition in pregnancy
Excessive weight gain in pregnancy
Pregnancy care of habitual aborter
Retained intrauterine contraceptive device in pregnancy
Herpes gestationis
Maternal hypotension syndrome
Liver disorders in pregnancy, childbirth and the puerperium
Subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium
Other specified pregnancy-related conditions
Pulmonary complications of anaesthesia during pregnancy
Cardiac complications of anaesthesia during pregnancy
Central nervous system complications of anaesthesia during pregnancy
Toxic reaction to local anaesthesia during pregnancy
Failed or difficult intubation during pregnancy
Other complications of anaesthesia during pregnancy
Page 130 of 316
CMS December 2005

O30.0
O30.1
O30.2
O30.8
O30.9
O31.1
O31.2
O31.8
O32.0
O32.1
O32.2
O32.3
O32.4
O32.5
O32.6
O32.8
O32.9
O33.0
O33.1
O33.2
O33.3
O33.4
O33.5
O33.6
O33.7
O33.8
O33.9
O34.0
O34.1
O34.2
O34.3
O34.4
O34.5
O34.6
O34.7
O34.8
O34.9
O35.0
O35.1
O35.2
O35.3
O35.4
O35.5
O35.6
O35.7
O35.8
O35.9
O36.0
O36.1
O36.2
O36.3
O36.4
O36.5
O36.6
O36.7
O36.8
O36.9
O40
O41.0
O41.1
O41.8
O41.9
Maternal care related to twin pregnancy

Maternal care related to triplet pregnancy
Maternal care related to quadruplet pregnancy
Maternal care related to other multiple gestation
Maternal care related to multiple gestation, unspecified
Continuing pregnancy after abortion of one fetus or more
Continuing pregnancy after intrauterine death of one fetus or more
Other complications specific to multiple gestation
Maternal care for unstable lie
Maternal care for breech presentation
Maternal care for transverse and oblique lie
Maternal care for face, brow and chin presentation
Maternal care for high head at term
Maternal care for multiple gestation with malpresentation of one fetus or more
Maternal care for compound presentation
Maternal care for other malpresentation of fetus
Maternal care for malpresentation of fetus, unspecified
Maternal care for disproportion due to deformity of maternal pelvic bones
Maternal care for disproportion due to generally contracted pelvis
Maternal care for disproportion due to inlet contraction of pelvis
Maternal care for disproportion due to outlet contraction of pelvis
Maternal care for disproportion of mixed maternal and fetal origin
Maternal care for disproportion due to unusually large fetus
Maternal care for disproportion due to hydrocephalic fetus
Maternal care for disproportion due to other fetal deformities
Maternal care for disproportion of other origin
Maternal care for disproportion, unspecified
Maternal care for congenital malformation of uterus
Maternal care for tumour of corpus uteri
Maternal care due to uterine scar from previous surgery
Maternal care for cervical incompetence
Maternal care for other abnormalities of cervix
Maternal care for other abnormalities of gravid uterus
Maternal care for abnormality of vagina
Maternal care for abnormality of vulva and perineum
Maternal care for other abnormalities of pelvic organs
Maternal care for abnormality of pelvic organ, unspecified
Maternal care for (suspected) central nervous system malformation in fetus
Maternal care for (suspected) chromosomal abnormality in fetus
Maternal care for (suspected) hereditary disease in fetus
Maternal care for (suspected) damage to fetus from viral disease in mother
Maternal care for (suspected) damage to fetus from alcohol
Maternal care for (suspected) damage to fetus by drugs
Maternal care for (suspected) damage to fetus by radiation
Maternal care for (suspected) damage to fetus by other medical procedures
Maternal care for other (suspected) fetal abnormality and damage
Maternal care for (suspected) fetal abnormality and damage, unspecified
Maternal care for rhesus isoimmunization
Maternal care for other isoimmunization
Maternal care for hydrops fetalis
Maternal care for signs of fetal hypoxia
Maternal care for intrauterine death
Maternal care for poor fetal growth
Maternal care for excessive fetal growth
Maternal care for viable fetus in abdominal pregnancy
Maternal care for other specified fetal problems
Maternal care for fetal problem, unspecified
Polyhydramnios
Oligohydramnios
Infection of amniotic sac and membranes
Other specified disorders of amniotic fluid and membranes
Disorder of amniotic fluid and membranes, unspecified
Page 131 of 316
CMS December 2005

O42.0
O42.1
O42.2
O42.9
O43.0
O43.1
O43.8
O44.0
O44.1
O45.0
O45.8
O45.9
O46.0
O46.8
O46.9
O48
O60
O61.0
O61.1
O61.8
O61.9
O62.0
O62.1
O62.2
O62.3
O62.4
O62.8
O63.0
O63.1
O63.2
O63.9
O64.0
O64.1
O64.2
O64.3
O64.4
O64.5
O64.8
O64.9
O65.0
O65.1
O65.2
O65.3
O65.4
O65.5
O65.8
O65.9
O66.0
O66.1
O66.2
O66.3
O66.4
O66.5
O66.8
O66.9
O67.0
O67.8
O67.9
O68.0
O68.1
O68.2
O68.3
Premature rupture of membranes, onset of labour within 24 hours

Premature rupture of membranes, onset of labour after 24 hours
Premature rupture of membranes, labour delayed by therapy
Premature rupture of membranes, unspecified
Placental transfusion syndromes
Malformation of placenta
Other placental disorders
Placenta praevia specified as without haemorrhage
Placenta praevia with haemorrhage
Premature separation of placenta with coagulation defect
Other premature separation of placenta
Premature separation of placenta, unspecified
Antepartum haemorrhage with coagulation defect
Other antepartum haemorrhage
Antepartum haemorrhage, unspecified
Prolonged pregnancy
Preterm delivery
Failed medical induction of labour
Failed instrumental induction of labour
Other failed induction of labour
Failed induction of labour, unspecified
Primary inadequate contractions
Secondary uterine inertia
Other uterine inertia
Precipitate labour
Hypertonic, incoordinate, and prolonged uterine contractions
Other abnormalities of forces of labour
Prolonged first stage (of labour)
Prolonged second stage (of labour)
Delayed delivery of second twin, triplet, etc.
Long labour, unspecified
Obstructed labour due to incomplete rotation of fetal head
Obstructed labour due to breech presentation
Obstructed labour due to face presentation
Obstructed labour due to brow presentation
Obstructed labour due to shoulder presentation
Obstructed labour due to compound presentation
Obstructed labour due to other malposition and malpresentation
Obstructed labour due to malposition and malpresentation, unspecified
Obstructed labour due to deformed pelvis
Obstructed labour due to generally contracted pelvis
Obstructed labour due to pelvic inlet contraction
Obstructed labour due to pelvic outlet and mid-cavity contraction
Obstructed labour due to fetopelvic disproportion, unspecified
Obstructed labour due to abnormality of maternal pelvic organs
Obstructed labour due to other maternal pelvic abnormalities
Obstructed labour due to maternal pelvic abnormality, unspecified
Obstructed labour due to shoulder dystocia
Obstructed labour due to locked twins
Obstructed labour due to unusually large fetus
Obstructed labour due to other abnormalities of fetus
Failed trial of labour, unspecified
Failed application of vacuum extractor and forceps, unspecified
Other specified obstructed labour
Obstructed labour, unspecified
Intrapartum haemorrhage with coagulation defect
Other intrapartum haemorrhage
Intrapartum haemorrhage, unspecified
Labour and delivery complicated by fetal heart rate anomaly
Labour and delivery complicated by meconium in amniotic fluid
Labour and delivery complicated by fetal heart rate anomaly with meconium in amniotic fluid
Labour and delivery complicated by biochemical evidence of fetal stress
Page 132 of 316
CMS December 2005

O68.8
O68.9
O69.0
O69.1
O69.2
O69.3
O69.4
O69.5
O69.8
O69.9
O70.0
O70.1
O70.2
O70.3
O70.9
O71.0
O71.1
O71.2
O71.3
O71.4
O71.5
O71.6
O71.7
O71.8
O71.9
O72.0
O72.1
O72.2
O72.3
O73.0
O73.1
O74.0
O74.1
O74.2
O74.3
O74.4
O74.6
O74.7
O74.8
O74.9
O75.0
O75.1
O75.2
O75.3
O75.4
O75.5
O75.6
O75.7
O75.8
O75.9
O80.0
Labour and delivery complicated by other evidence of fetal stress

Labour and delivery complicated by fetal stress, unspecified
Labour and delivery complicated by prolapse of cord
Labour and delivery complicated by cord around neck, with compression
Labour and delivery complicated by other cord entanglement
Labour and delivery complicated by short cord
Labour and delivery complicated by vasa praevia
Labour and delivery complicated by vascular lesion of cord
Labour and delivery complicated by other cord complications
Labour and delivery complicated by cord complication, unspecified
First degree perineal laceration during delivery
Second degree perineal laceration during delivery
Third degree perineal laceration during delivery
Fourth degree perineal laceration during delivery
Perineal laceration during delivery, unspecified
Rupture of uterus before onset of labour
Rupture of uterus during labour
Postpartum inversion of uterus
Obstetric laceration of cervix
Obstetric high vaginal laceration alone
Other obstetric injury to pelvic organs
Obstetric damage to pelvic joints and ligaments
Obstetric haematoma of pelvis
Other specified obstetric trauma
Obstetric trauma, unspecified
Third-stage haemorrhage
Other immediate postpartum haemorrhage
Delayed and secondary postpartum haemorrhage
Postpartum coagulation defects
Retained placenta without haemorrhage
Retained portions of placenta and membranes, without haemorrhage
Aspiration pneumonitis due to anaesthesia during labour and delivery
Other pulmonary complications of anaesthesia during labour and delivery
Cardiac complications of anaesthesia during labour and delivery
Central nervous system complications of anaesthesia during labour and delivery
Toxic reaction to local anaesthesia during labour and delivery
Other complications of spinal and epidural anaesthesia during labour and delivery
Failed or difficult intubation during labour and delivery
Other complications of anaesthesia during labour and delivery
Complication of anaesthesia during labour and delivery, unspecified
Maternal distress during labour and delivery
Shock during or following labour and delivery
Pyrexia during labour, not elsewhere classified
Other infection during labour
Other complications of obstetric surgery and procedures
Delayed delivery after artificial rupture of membranes
Delayed delivery after spontaneous or unspecified rupture of membranes
Vaginal delivery following previous caesarean section
Other specified complications of labour and delivery
Complication of labour and delivery, unspecified
Spontaneous vertex delivery
O80.1
Spontaneous breech delivery
O80.8
Other single spontaneous delivery
O80.9
Single spontaneous delivery, unspecified
O81.0
Low forceps delivery
O81.1
Mid-cavity forceps delivery
O81.2
Mid-cavity forceps with rotation
Page 133 of 316
CMS December 2005

O81.3
Other and unspecified forceps delivery
O81.4
Vacuum extractor delivery
O81.5
Delivery by combination of forceps and vacuum extractor
O82.0
Delivery by elective caesarean section
O82.1
Delivery by emergency caesarean section
O82.2
Delivery by caesarean hysterectomy
O82.8
Other single delivery by caesarean section
O82.9
Delivery by caesarean section, unspecified
O83.0
Breech extraction
O83.1
Other assisted breech delivery
O83.2
Other manipulation-assisted delivery
O83.3
Delivery of viable fetus in abdominal pregnancy
O83.4
Destructive operation for delivery
O83.8
Other specified assisted single delivery
O83.9
Assisted single delivery, unspecified
O84.0
Multiple delivery, all spontaneous
O84.1
Multiple delivery, all by forceps and vacuum extractor
O84.2
Multiple delivery, all by caesarean section
O84.8
Other multiple delivery
O84.9
Multiple delivery, unspecified
O85
O86.0
O86.1
O86.2
O86.3
O86.4
O86.8
O87.0
O87.1
O87.3
O87.8
O87.9
O88.0
O88.1
O88.2
O88.3
O88.8
O89.0
O89.1
O89.2
O89.3
O89.4
O89.5
O89.6
O89.8
O89.9
O90.0
O90.1
O90.2
Puerperal sepsis
Infection of obstetric surgical wound
Other infection of genital tract following delivery
Urinary tract infection following delivery
Other genitourinary tract infections following delivery
Pyrexia of unknown origin following delivery
Other specified puerperal infections
Superficial thrombophlebitis in the puerperium
Deep phlebothrombosis in the puerperium
Cerebral venous thrombosis in the puerperium
Other venous complications in the puerperium
Venous complication in the puerperium, unspecified
Obstetric air embolism
Amniotic fluid embolism
Obstetric blood-clot embolism
Obstetric pyaemic and septic embolism
Other obstetric embolism
Pulmonary complications of anaesthesia during the puerperium
Cardiac complications of anaesthesia during the puerperium
Central nervous system complications of anaesthesia during the puerperium
Toxic reaction to local anaesthesia during the puerperium
Spinal and epidural anaesthesia-induced headache during the puerperium
Other complications of spinal and epidural anaesthesia during the puerperium
Failed or difficult intubation during the puerperium
Other complications of anaesthesia during the puerperium
Complication of anaesthesia during the puerperium, unspecified
Disruption of caesarean section wound
Disruption of perineal obstetric wound
Haematoma of obstetric wound
Page 134 of 316
CMS December 2005

O90.3
O90.4
O90.5
O90.8
O90.9
O91.1
O91.2
O98.0
O98.1
O98.2
O98.3
O98.4
O98.5
O98.6
O98.8
Cardiomyopathy in the puerperium

Postpartum acute renal failure
Postpartum thyroiditis
Other complications of the puerperium
Complication of the puerperium, unspecified
Abscess of breast associated with childbirth
Nonpurulent mastitis associated with childbirth
Tuberculosis complicating pregnancy, childbirth and the puerperium
Syphilis complicating pregnancy, childbirth and the puerperium
Gonorrhoea complicating pregnancy, childbirth and the puerperium
Other infections with a predominantly sexual mode of transmission complicating pregnancy, childbirth and
the puerperium
Viral hepatitis complicating pregnancy, childbirth and the puerperium
Other viral diseases complicating pregnancy, childbirth and the puerperium
Protozoal diseases complicating pregnancy, childbirth and the puerperium
Other maternal infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium
O98.9
Unspecified maternal infectious or parasitic disease complicating pregnancy, childbirth and the puerperium
O99.0
O99.1
O99.2
Anaemia complicating pregnancy, childbirth and the puerperium

Other diseases of the blood and blood-forming organs and certain disorders involving the immune
mechanism complicating pregnancy, childbirth and the puerperium
Endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and the puerperium
O99.3
Mental disorders and diseases of the nervous system complicating pregnancy, childbirth and the puerperium
O99.4
O99.5
O99.6
O99.7
Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium
Diseases of the respiratory system complicating pregnancy, childbirth and the puerperium
Diseases of the digestive system complicating pregnancy, childbirth and the puerperium
Diseases of the skin and subcutaneous tissue complicating pregnancy, childbirth and the puerperium
O99.8
P00.0
P00.1
P00.2
P00.3
P00.4
P00.5
P00.6
P00.7
P00.8
P00.9
P01.0
P01.1
P01.2
P01.3
P01.4
P01.5
P01.6
P01.7
P01.8
P01.9
P02.0
P02.1
P02.2
Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium
Fetus and newborn affected by maternal hypertensive disorders
Fetus and newborn affected by maternal renal and urinary tract diseases
Fetus and newborn affected by maternal infectious and parasitic diseases
Fetus and newborn affected by other maternal circulatory and respiratory diseases
Fetus and newborn affected by maternal nutritional disorders
Fetus and newborn affected by maternal injury
Fetus and newborn affected by surgical procedure on mother
Fetus and newborn affected by other medical procedures on mother, not elsewhere classified
Fetus and newborn affected by other maternal conditions
Fetus and newborn affected by unspecified maternal condition
Fetus and newborn affected by incompetent cervix
Fetus and newborn affected by premature rupture of membranes
Fetus and newborn affected by oligohydramnios
Fetus and newborn affected by polyhydramnios
Fetus and newborn affected by ectopic pregnancy
Fetus and newborn affected by multiple pregnancy
Fetus and newborn affected by maternal death
Fetus and newborn affected by malpresentation before labour
Fetus and newborn affected by other maternal complications of pregnancy
Fetus and newborn affected by maternal complication of pregnancy, unspecified
Fetus and newborn affected by placenta praevia
Fetus and newborn affected by other forms of placental separation and haemorrhage
Fetus and newborn affected by other and unspecified morphological and functional abnormalities of placenta
P02.3
P02.4
P02.5
P02.6
P02.7
P02.8
Fetus and newborn affected by placental transfusion syndromes

Fetus and newborn affected by prolapsed cord
Fetus and newborn affected by other compression of umbilical cord
Fetus and newborn affected by other and unspecified conditions of umbilical cord
Fetus and newborn affected by chorioamnionitis
Fetus and newborn affected by other abnormalities of membranes
Page 135 of 316
CMS December 2005

P02.9
P03.0
P03.1
56N
Respiratory conditions of
newborn
Medical management;
ventilation
P03.2
P03.3
P03.4
P03.5
P03.6
P03.8
P03.9
P04.0
Fetus and newborn affected by abnormality of membranes, unspecified

Fetus and newborn affected by breech delivery and extraction
Fetus and newborn affected by other malpresentation, malposition and disproportion during labour and
delivery
Fetus and newborn affected by forceps delivery
Fetus and newborn affected by delivery by vacuum extractor [ventouse]
Fetus and newborn affected by caesarean delivery
Fetus and newborn affected by precipitate delivery
Fetus and newborn affected by abnormal uterine contractions
Fetus and newborn affected by other specified complications of labour and delivery
Fetus and newborn affected by complication of labour and delivery, unspecified
Fetus and newborn affected by maternal anaesthesia and analgesia in pregnancy, labour and delivery
P04.1
P04.2
P04.3
P04.4
P04.5
P04.6
P04.8
P04.9
P07.3
P08.0
P20.0
P20.1
P20.9
P21.0
P21.1
P21.9
P96.0
P96.5
Q27.0
Q86.0
Q86.1
Q86.2
Q86.8
Z34.0
Z34.8
Z34.9
Z35.0
Z35.1
Z35.2
Z35.3
Z35.4
Z35.5
Z35.6
Z35.7
Z35.8
Z35.9
Z36.0
Z36.1
Z36.2
Z36.3
Z36.4
Z36.5
Z36.8
Z36.9
Z39.2
P22.0
P22.1
P22.8
P22.9
Fetus and newborn affected by other maternal medication

Fetus and newborn affected by maternal use of tobacco
Fetus and newborn affected by maternal use of alcohol
Fetus and newborn affected by maternal use of drugs of addiction
Fetus and newborn affected by maternal use of nutritional chemical substances
Fetus and newborn affected by maternal exposure to environmental chemical substances
Fetus and newborn affected by other maternal noxious influences
Fetus and newborn affected by maternal noxious influence, unspecified
Other preterm infants
Exceptionally large baby
Intrauterine hypoxia first noted before onset of labour
Intrauterine hypoxia first noted during labour and delivery
Intrauterine hypoxia, unspecified
Severe birth asphyxia
Mild and moderate birth asphyxia
Birth asphyxia, unspecified
Congenital renal failure
Complications of intrauterine procedures, not elsewhere classified
Congenital absence and hypoplasia of umbilical artery
Fetal alcohol syndrome (dysmorphic)
Fetal hydantoin syndrome
Dysmorphism due to warfarin
Other congenital malformation syndromes due to known exogenous causes
Supervision of normal first pregnancy
Supervision of other normal pregnancy
Supervision of normal pregnancy, unspecified
Supervision of pregnancy with history of infertility
Supervision of pregnancy with history of abortive outcome
Supervision of pregnancy with other poor reproductive or obstetric history
Supervision of pregnancy with history of insufficient antenatal care
Supervision of pregnancy with grand multiparity
Supervision of elderly primigravida
Supervision of very young primigravida
Supervision of high-risk pregnancy due to social problems
Supervision of other high-risk pregnancies
Supervision of high-risk pregnancy unspecified
Antenatal screening for chromosomal anomalies
Antenatal screening for raised alphafetoprotein level
Other antenatal screening based on amniocentesis
Antenatal screening for malformations using ultrasound and other physical methods
Antenatal screening for fetal growth retardation using ultrasound and other physical methods
Antenatal screening for isoimmunization
Other antenatal screening
Antenatal screening, unspecified
Routine postpartum follow-up
Respiratory distress syndrome of newborn
Transient tachypnoea of newborn
Other respiratory distress of newborn
Respiratory distress of newborn, unspecified
Page 136 of 316
CMS December 2005
903D
Bacterial, viral, fungal

pneumonia
Medical management,
ventilation
P23.0
P23.1
P23.2
P23.3
P23.4
P23.5
P23.6
P23.8
P23.9
P24.0
P24.1
P24.2
P24.3
P24.8
P24.9
P25.0
P25.1
P25.2
P25.3
P25.8
P26.0
P26.1
P26.8
P26.9
P28.0
P28.1
P28.2
P28.3
P28.4
P28.5
P28.8
P28.9
Q33.4
Q33.6
A01.0J17.0*
A02.2J17.0*
A21.2J17.0*
A22.1J17.0*
A24.4
A37.0J17.0*
Congenital pneumonia due to viral agent

Congenital pneumonia due to Chlamydia
Congenital pneumonia due to staphylococcus
Congenital pneumonia due to streptococcus group B
Congenital pneumonia due to Escherichia coli
Congenital pneumonia due to Pseudomonas
Congenital pneumonia due to other bacterial agents
Congenital pneumonia due to other organisms
Congenital pneumonia unspecified
Neonatal aspiration of meconium
Neonatal aspiration of amniotic fluid and mucus
Neonatal aspiration of blood
Neonatal aspiration of milk and regurgitated food
Other neonatal aspiration syndromes
Neonatal aspiration syndrome, unspecified
Interstitial emphysema originating in the perinatal period
Pneumothorax originating in the perinatal period
Pneumomediastinum originating in the perinatal period
Pneumopericardium originating in the perinatal period
Other conditions related to interstitial emphysema originating in the perinatal period
Tracheobronchial haemorrhage originating in the perinatal period
Massive pulmonary haemorrhage originating in the perinatal period
Other pulmonary haemorrhages originating in the perinatal period
Unspecified pulmonary haemorrhage originating in the perinatal period
Primary atelectasis of newborn
Other and unspecified atelectasis of newborn
Cyanotic attacks of newborn
Primary sleep apnoea of newborn
Other apnoea of newborn
Respiratory failure of newborn
Other specified respiratory conditions of newborn
Respiratory condition of newborn, unspecified
Congenital bronchiectasis
Hypoplasia and dysplasia of lung
Typhoid fever / Pneumonia in bacterial diseases classified elsewhere
Localized salmonella infections / Pneumonia in bacterial diseases classified elsewhere
Pulmonary tularaemia / Pneumonia in bacterial diseases classified elsewhere
Pulmonary anthrax / Pneumonia in bacterial diseases classified elsewhere
Melioidosis, unspecified
Whooping cough due to Bordetella pertussis / Pneumonia in bacterial diseases classified elsewhere
A37.1J17.0*
Whooping cough due to Bordetella parapertussis / Pneumonia in bacterial diseases classified elsewhere
A37.8J17.0*
Whooping cough due to other Bordetella species / Pneumonia in bacterial diseases classified elsewhere
A37.9J17.0*
A42.0J17.0*
A43.0J17.0*
A48.1
A54.8J17.0*
A70
B01.2J17.1*
B05.2J17.1*
B06.8J17.1*
B20.6
B25.0J17.1*
B37.1J17.2*
B38.0J17.2*
B38.1J17.2*
B38.2J17.2*
B39.0J17.2*
B39.1J17.2*
Whooping cough unspecified / Pneumonia in bacterial diseases classified elsewhere

Pulmonary actinomycosis / Pneumonia in bacterial diseases classified elsewhere
Pulmonary nocardiosis / Pneumonia in bacterial diseases classified elsewhere
Legionnaires' disease
Other gonococcal infections / Pneumonia in bacterial diseases classified elsewhere
Chlamydia psittaci infection
Varicella pneumonia / Pneumonia in viral diseases classified elsewhere
Measles complicated by pneumonia / Pneumonia in viral diseases classified elsewhere
Rubella with other complications / Pneumonia in viral diseases classified elsewhere
HIV disease resulting in Pneumocystis carinii pneumonia
Cytomegaloviral pneumonitis / Pneumonia in viral diseases classified elsewhere
Pulmonary candidiasis / Pneumonia in mycoses
Acute pulmonary coccidioidomycosis / Pneumonia in mycoses
Chronic pulmonary coccidioidomycosis / Pneumonia in mycoses
Pulmonary coccidioidomycosis unspecified / Pneumonia in mycoses
Acute pulmonary histoplasmosis capsulati / Pneumonia in mycoses
Chronic pulmonary histoplasmosis capsulati / Pneumonia in mycoses
Page 137 of 316
CMS December 2005

B39.2J17.2*
B44.0J17.2*
B44.1J17.2*
B58.3J17.3*
B65.0J17.3*
158D
# Respiratory failure,
regardless of cause
# Medical management;
oxygen; ventilation
157D
Acute asthmatic attack;

Medical management
pneumonia due to
respiratory syncytial virus in
persons under age 3
125D
Adult respiratory distress

syndrome; inhalation and
aspiration pneumonias
Medical management;
ventilation
B65.1J17.3*
Pulmonary histoplasmosis capsulati unspecified / Pneumonia in mycoses

Invasive pulmonary aspergillosis / Pneumonia in mycoses
Other pulmonary aspergillosis / Pneumonia in mycoses
Pulmonary toxoplasmosis / Pneumonia in parasitic diseases
Schistosomiasis due to Schistosoma haematobium [urinary schistosomiasis] / Pneumonia in parasitic
diseases
Schistosomiasis due to Schistosoma mansoni [intestinal schistosomiasis] / Pneumonia in parasitic diseases
B65.2J17.3*
B65.3J17.3*
B65.8J17.3*
B65.9J17.3*
B77.8J17.3*
J10.0
J11.0
J12.0
J12.2
J12.8
J12.9
J13
J14
J15.0
J15.1
J15.2
J15.3
J15.4
J15.5
J15.6
J15.7
J15.8
J15.9
J16.0
J16.8
J18.0
J18.1
J18.2
J18.8
J18.9
J44.0
J96.0
J96.1
J96.9
R09.0
R09.2
J12.1
J21.0
J21.8
J21.9
J45.0
J45.1
J45.8
J45.9
J46
J68.0
J68.1
J68.2
Schistosomiasis due to Schistosoma japonicum / Pneumonia in parasitic diseases

Cercarial dermatitis / Pneumonia in parasitic diseases
Other schistosomiases / Pneumonia in parasitic diseases
Schistosomiasis, unspecified / Pneumonia in parasitic diseases
Ascariasis with other complications / Pneumonia in parasitic diseases
Influenza with pneumonia, influenza virus identified
Influenza with pneumonia, virus not identified
Adenoviral pneumonia
Parainfluenza virus pneumonia
Other viral pneumonia
Viral pneumonia, unspecified
Pneumonia due to Streptococcus pneumoniae
Pneumonia due to Haemophilus influenzae
Pneumonia due to Klebsiella pneumoniae
Pneumonia due to Pseudomonas
Pneumonia due to staphylococcus
Pneumonia due to streptococcus, group B
Pneumonia due to other streptococci
Pneumonia due to Escherichia coli
Pneumonia due to other aerobic Gram-negative bacteria
Pneumonia due to Mycoplasma pneumoniae
Other bacterial pneumonia
Bacterial pneumonia, unspecified
Chlamydial pneumonia
Pneumonia due to other specified infectious organisms
Bronchopneumonia, unspecified
Lobar pneumonia, unspecified
Hypostatic pneumonia, unspecified
Other pneumonia, organism unspecified
Pneumonia, unspecified
Chronic obstructive pulmonary disease with acute lower respiratory infection
Acute respiratory failure
Chronic respiratory failure
Respiratory failure, unspecified
Asphyxia
Respiratory arrest
Respiratory syncytial virus pneumonia
Acute bronchiolitis due to respiratory syncytial virus
Acute bronchiolitis due to other specified organisms
Acute bronchiolitis, unspecified
Predominantly allergic asthma
Nonallergic asthma
Mixed asthma
Asthma, unspecified
Status asthmaticus
Bronchitis and pneumonitis due to chemicals gases fumes and vapours
Acute pulmonary oedema due to chemicals, gases, fumes and vapours
Upper respiratory inflammation due to chemicals, gases, fumes and vapours, not elsewhere classified
J68.3
J68.4
J68.8
J68.9
J69.0
Other acute and subacute respiratory conditions due to chemicals, gases, fumes and vapours
Chronic respiratory conditions due to chemicals, gases, fumes and vapours
Other respiratory conditions due to chemicals, gases, fumes and vapours
Unspecified respiratory condition due to chemicals, gases, fumes and vapours
Pneumonitis due to food and vomit
Page 138 of 316
CMS December 2005
315D
Atelectasis (collapse of
lung)

management; ventilation
340D
Benign neoplasm of
respiratory and
intrathoracic organs
Biopsy; lobectomy;
Medical management;
radiation therapy
950D
Cancer of lung, bronchus,

pleura, trachea,
mediastinum & other
respiratory organs treatable

management, which
170D
Empyema and abscess of

lung

management
934D
Frank haemoptysis

management
J69.1
J69.8
J70.0
J70.2
J80
J81
J95.1
J95.2
J95.3
J95.4
O74.0
J98.1
Pneumonitis due to oils and essences

Pneumonitis due to other solids and liquids
Acute pulmonary manifestations due to radiation
Acute drug-induced interstitial lung disorders
Adult respiratory distress syndrome
Pulmonary oedema
Acute pulmonary insufficiency following thoracic surgery
Acute pulmonary insufficiency following nonthoracic surgery
Chronic pulmonary insufficiency following surgery
Mendelson's syndrome
Aspiration pneumonitis due to anaesthesia during labour and delivery
Pulmonary collapse
D14.0
D14.1
D14.2
D14.3
D14.4
D15.0
D15.1
D15.2
D15.7
D15.9
D19.0
D19.1
D19.7
D19.9
C33
C34.0
C34.1
C34.2
C34.3
C34.8
C34.9
C38.1
C38.2
C38.3
C38.4
C38.8
C39.0
C39.8
C39.9
C45.0
C45.2
C45.7
C45.9
C76.1
D02.1
D02.2
D02.3
D02.4
J85.0
J85.1
J85.2
J85.3
J86.0
J86.9
R04.2
R04.8
R04.9
Benign neoplasm, middle ear, nasal cavity and accessory sinuses

Benign neoplasm, larynx
Benign neoplasm, trachea
Benign neoplasm, bronchus and lung
Benign neoplasm, respiratory system, unspecified
Benign neoplasm, thymus
Benign neoplasm, heart
Benign neoplasm, mediastinum
Benign neoplasm, other specified intrathoracic organs
Benign neoplasm, intrathoracic organ, unspecified
Benign neoplasm, mesothelial tissue of pleura
Benign neoplasm, mesothelial tissue of peritoneum
Benign neoplasm, mesothelial tissue of other sites
Benign neoplasm, mesothelial tissue, unspecified
Malignant neoplasm of trachea
Malignant neoplasm, main bronchus
Malignant neoplasm, upper lobe, bronchus or lung
Malignant neoplasm, middle lobe, bronchus or lung
Malignant neoplasm, lower lobe, bronchus or lung
Malignant neoplasm, overlapping lesion of bronchus and lung
Malignant neoplasm, bronchus or lung, unspecified
Malignant neoplasm, anterior mediastinum
Malignant neoplasm, posterior mediastinum
Mediastinum, part unspecified
Malignant neoplasm, pleura
Malignant neoplasm, overlapping lesion of heart, mediastinum and pleura
Malignant neoplasm, upper respiratory tract, part unspecified
Malignant neoplasm, overlapping lesion of respiratory and intrathoracic organs
Malignant neoplasm, ill-defined sites within the respiratory system
Mesothelioma of pleura
Mesothelioma of pericardium
Mesothelioma of other sites
Mesothelioma, unspecified
Malignant neoplasm, thorax
Carcinoma in situ, trachea
Carcinoma in situ, bronchus and lung
Carcinoma in situ, other parts of respiratory system
Carcinoma in situ, respiratory system, unspecified
Gangrene and necrosis of lung
Abscess of lung with pneumonia
Abscess of lung without pneumonia
Abscess of mediastinum
Pyothorax with fistula
Pyothorax without fistula
Haemoptysis
Haemorrhage from other sites in respiratory passages
Haemorrhage from respiratory passages, unspecified
Page 139 of 316
CMS December 2005
203D
Hypoplasia and dysplasia of Medical and surgical

lung
management
900D
Open fracture of ribs and

sternum; multiple rib
fractures; flail chest
5D
Pneumothorax and
haemothorax
465J
Acute lymphadenitis
900J
Burns, greater than 10% of

body surface, or more than
5% involving head, neck,
hands, perineum
Q33.6
S22.21
management, ventilation S22.31
S22.40
S22.41
S22.50
S22.51
J93.0
Tube thoracostomy /
thoracotomy
J93.1
J93.8
J93.9
J94.2
S27.00
S27.01
S27.10
S27.11
S27.20
S27.21
L04.0
medical management
L04.1
L04.2
L04.3
L04.8
L04.9
T20.2
Debridement; free skin
graft; medical
T20.3
management
T20.5
T20.6
T20.7
T21.2
T21.3
T21.6
T21.7
T22.2
T22.3
T22.6
T22.7
T23.2
T23.3
T23.5
T23.6
T23.7
T24.2
T24.3
T24.6
T24.7
T25.2
T25.3
T25.6
T25.7
T26.0
T26.1
T26.2
T26.3
T26.4
T26.5
T26.6
T26.7
T26.8
T26.9
T29.1
Hypoplasia and dysplasia of lung

Fracture of sternum, open
Fracture of rib, open
Multiple fractures of ribs, closed
Multiple fractures of ribs, open
Flail chest, closed
Flail chest, open
Spontaneous tension pneumothorax
Other spontaneous pneumothorax
Other pneumothorax
Pneumothorax, unspecified
Haemothorax
Traumatic pneumothorax without open wound into thoracic cavity
Traumatic pneumothorax with open wound into thoracic cavity
Traumatic haemothorax without open wound into thoracic cavity
Traumatic haemothorax with open wound into thoracic cavity
Traumatic haemopneumothorax without open wound into thoracic cavity
Traumatic haemopneumothorax with open wound into thoracic cavity
Acute lymphadenitis of face, head and neck
Acute lymphadenitis of trunk
Acute lymphadenitis of upper limb
Acute lymphadenitis of lower limb
Acute lymphadenitis of other sites
Acute lymphadenitis, unspecified
Burn of second degree of head and neck
Burn of third degree of head and neck
Corrosion of first degree of head and neck
Corrosion of second degree of head and neck
Corrosion of third degree of head and neck
Burn of second degree of trunk
Burn of third degree of trunk
Corrosion of second degree of trunk
Corrosion of third degree of trunk
Burn of second degree of shoulder and upper limb except wrist and hand
Burn of third degree of shoulder and upper limb except wrist and hand
Corrosion of second degree of shoulder and upper limb except wrist and hand
Corrosion of third degree of shoulder and upper limb except wrist and hand
Burn of second degree of wrist and hand
Burn of third degree of wrist and hand
Corrosion of first degree of wrist and hand
Corrosion of second degree of wrist and hand
Corrosion of third degree of wrist and hand
Burn of second degree of hip and lower limb except ankle and foot
Burn of third degree of hip and lower limb except ankle and foot
Corrosion of second degree of hip and lower limb except ankle and foot
Corrosion of third degree of hip and lower limb except ankle and foot
Burn of second degree of ankle and foot
Burn of third degree of ankle and foot
Corrosion of second degree of ankle and foot
Corrosion of third degree of ankle and foot
Burn of eyelid and periocular area
Burn of cornea and conjunctival sac
Burn with resulting rupture and destruction of eyeball
Burn of other parts of eye and adnexa
Burn of eye and adnexa, part unspecified
Corrosion of eyelid and periocular area
Corrosion of cornea and conjunctival sac
Corrosion with resulting rupture and destruction of eyeball
Corrosion of other parts of eye and adnexa
Corrosion of eye and adnexa, part unspecified
Burns of multiple regions, no more than first-degree burns mentioned
Page 140 of 316
CMS December 2005
950J
Cancer of breast - treatable Medical and surgical

management, which

T29.2
T29.3
T29.4
T29.6
T29.7
T30.2
T30.3
T30.6
T30.7
T31.1
Burns of multiple regions no more than second-degree burns mentioned

Burns of multiple regions at least one burn of third degree mentioned
Corrosions of multiple regions unspecified degree
Corrosions of multiple regions no more than second-degree corrosions mentioned
Corrosions of multiple regions at least one corrosion of third degree corrosions mentioned
Burn of second degree, body region unspecified
Burn of third degree, body region unspecified
Corrosion of second degree, body region unspecified
Corrosion of third degree, body region unspecified
Burns involving 10-19% of body surface
T31.2
T31.3
T31.4
T31.5
T31.6
T31.7
T31.8
T31.9
Burns involving 90% or more of body surface
T32.0
Corrosions involving less than 10% of body surface
T32.1
Corrosions involving 10-19% of body surface
T32.2
T32.3
T32.4
T32.5
T32.6
T32.7
T32.8
T32.9
Corrosions involving 90% or more of body surface
C50.0
C50.1
C50.2
C50.3
C50.4
C50.5
Malignant neoplasm, nipple and areola

Malignant neoplasm, central portion of breast
Malignant neoplasm, upper-inner quadrant of breast
Malignant neoplasm, lower-inner quadrant of breast
Malignant neoplasm, upper-outer quadrant of breast
Malignant neoplasm, lower-outer quadrant of breast
Page 141 of 316
CMS December 2005
954J
952J
349J
901J
C50.6
C50.8
C50.9
D05.0
D05.1
D05.7
D05.9
Cancer of skin, excluding
If histologically confirmed, C44.0
malignant melanoma Medical and surgical
C44.1
treatable
management, which
C44.2
C44.4
C44.5
C44.6
C44.7
C44.8
C44.9
C46.0
Cancer of soft tissue,
including sarcomas and
management, which
C46.1
malignancies of the adnexa - includes chemotherapy
C46.2
treatable
C46.3
C46.7
C46.9
C49.0
C49.1
C49.2
C49.3
C49.4
C49.5
C49.6
C49.8
H60.2
Cellulitis and abscesses
with risk of organ or limb
management
K61.0
damage or septiceamia if
K61.1
untreated; necrotizing
K61.2
fasciitis
K61.3
K61.4
L03.1
L03.2
L03.3
L03.8
L98.3
M60.00
M60.01
M60.02
M60.03
M60.04
M60.05
M60.06
M60.07
M60.08
M60.09
L10.0
Disseminated bullous skin Medical management
disease, including
L10.1
pemphigus, pemphigoid,
L10.2
epidermolysis bullosa,
L10.3
epidermolytic
L10.4
hyperkeratosis
L10.5
L10.8
L10.9
L12.0
L12.1

Malignant neoplasm, axillary tail of breast
Malignant neoplasm, overlapping lesion of breast
Malignant neoplasm, breast, unspecified
Carcinoma in situ, lobular carcinoma in situ
Carcinoma in situ, intraductal carcinoma in situ
Carcinoma in situ, other carcinoma in situ of breast
Carcinoma in situ, of breast, unspecified
Malignant neoplasm, skin of lip
Malignant neoplasm, skin of eyelid, including canthus
Malignant neoplasm, skin of ear and external auricular canal
Malignant neoplasm, skin of other and unspecified parts of face
Malignant neoplasm, skin of scalp and neck
Malignant neoplasm, skin of trunk
Malignant neoplasm, skin of upper limb, including shoulder
Malignant neoplasm, skin of lower limb, including hip
Malignant neoplasm, overlapping lesion of skin
Malignant neoplasm of skin, unspecified
Kaposi's sarcoma of skin
Kaposi's sarcoma of soft tissue
Kaposi's sarcoma of palate
Kaposi's sarcoma of lymph nodes
Kaposi's sarcoma of other sites
Kaposi's sarcoma, unspecified
Malignant neoplasm, connective and soft tissue of head, face and neck
Malignant neoplasm, connective and soft tissue of upper limb, including shoulder
Malignant neoplasm, connective and soft tissue of lower limb, including hip
Malignant neoplasm, connective and soft tissue of thorax
Malignant neoplasm, connective and soft tissue of abdomen
Malignant neoplasm, connective and soft tissue of pelvis
Malignant neoplasm, connective and soft tissue of trunk, unspecified
Malignant neoplasm, overlapping lesion of connective and soft tissue
Malignant otitis externa
Anal abscess
Rectal abscess
Anorectal abscess
Ischiorectal abscess
Intrasphincteric abscess
Cellulitis of other parts of limb
Cellulitis of face
Cellulitis of trunk
Cellulitis of other sites
Eosinophilic cellulitis [Wells]
Infective myositis, multiple sites
Infective myositis, shoulder region
Infective myositis, upper arm
Infective myositis, forearm
Infective myositis, hand
Infective myositis, pelvic region and thigh
Infective myositis, lower leg
Infective myositis, ankle and foot
Infective myositis, other sites
Infective myositis, site unspecified
Pemphigus vulgaris
Pemphigus vegetans
Pemphigus foliaceus
Brazilian pemphigus [fogo selvagem]
Pemphigus erythematosus
Drug-induced pemphigus
Other pemphigus
Pemphigus, unspecified
Bullous pemphigoid
Cicatricial pemphigoid
Page 142 of 316
CMS December 2005
951J
Lethal midline granuloma
953J
C43.0
Malignant melanoma of skin Medical and surgical
- treatable
management, which
C43.1
C43.3
C43.4
C43.5
C43.6
C43.7
C43.8
C43.9
S08.0
Non-superficial open
Repair
wounds non lifeS08.1
threatening
S08.8
S09.1
S21.0
S21.1
S21.2
S21.7
S21.8
S21.9
S31.0
S31.1
S31.2
S31.3
S31.4
S31.5
S31.7
S31.8
S41.0
S41.1
S41.7
S41.8
S51.0
S51.7
S51.8
S51.9
S59.7
S61.0
S61.1
S61.7
S61.8
S61.9
S69.7
S71.0
S71.1
S71.7
373J
Medical management,
which includes radiation
therapy
L12.2
L12.3
L12.8
L12.9
L13.0
L13.1
L13.8
L13.9
Q81.0
Q81.1
Q81.2
Q81.8
Q81.9
M31.2
Chronic bullous disease of childhood

Acquired epidermolysis bullosa
Other pemphigoid
Pemphigoid, unspecified
Dermatitis herpetiformis
Subcorneal pustular dermatitis
Other specified bullous disorders
Bullous disorder, unspecified
Epidermolysis bullosa simplex
Epidermolysis bullosa letalis
Epidermolysis bullosa dystrophica
Other epidermolysis bullosa
Epidermolysis bullosa, unspecified
Lethal midline granuloma
Malignant melanoma of lip

Malignant melanoma of eyelid, including canthus
Malignant melanoma of ear and external auricular canal
Malignant melanoma of other and unspecified parts of face
Malignant melanoma of scalp and neck
Malignant melanoma of trunk
Malignant melanoma of upper limb, including shoulder
Malignant melanoma of lower limb, including hip
Overlapping malignant melanoma of skin
Malignant melanoma of skin, unspecified
Avulsion of scalp
Traumatic amputation of ear
Traumatic amputation of other parts of head
Injury of muscle and tendon of head
Open wound of breast
Open wound of front wall of thorax
Open wound of back wall of thorax
Multiple open wounds of thoracic wall
Open wound of other parts of thorax
Open wound of thorax, part unspecified
Open wound of lower back and pelvis
Open wound of abdominal wall
Open wound of penis
Open wound of scrotum and testes
Open wound of vagina and vulva
Open wound of other and unspecified external genital organs
Multiple open wounds of abdomen, lower back and pelvis
Open wound of other and unspecified parts of abdomen
Open wound of shoulder
Open wound of upper arm
Multiple open wounds of shoulder and upper arm
Open wound of other and unspecified parts of shoulder girdle
Open wound of elbow
Multiple open wounds of forearm
Open wound of other parts of forearm
Open wound of forearm, part unspecified
Multiple injuries of forearm
Open wound of finger(s) without damage to nail
Open wound of finger(s) with damage to nail
Multiple open wounds of wrist and hand
Open wound of other parts of wrist and hand
Open wound of wrist and hand part, part unspecified
Multiple injuries of wrist and hand
Open wound of hip
Open wound of thigh
Multiple open wounds of hip and thigh
Page 143 of 316
CMS December 2005
356J
Pyoderma; body, deepseated fungal infections
Medical management
112J
Toxic epidermal necrolysis Medical management

and staphylococcal scalded
skin syndrome; StevensJohnson syndrome
354L
Abscess of prostate
Turp; drain abscess
904L
Acute and chronic

pyelonephritis; renal and
perinephric abscess

management
903L
Acute glomerulonephritis
and nephritic syndrome
Medical management
S71.8
S81.0
S81.7
S81.8
S81.9
S89.7
S91.0
S91.1
S91.2
S91.3
S91.7
S99.7
S99.8
S99.9
T01.0
T01.1
T01.2
T01.3
T01.6
T01.8
T01.9
A42.0
A42.1
A42.2
A42.7
A42.8
A42.9
A43.0
A43.1
A43.8
A43.9
L08.0
L08.1
L88
B00.0
Open wound of other and unspecified parts of pelvic girdle

Open wound of knee
Multiple open wounds of lower leg
Open wound of other parts of lower leg
Open wound of lower leg, part unspecified
Multiple injuries of lower leg
Open wound of ankle
Open wound of toe(s) without damage to nail
Open wound of toe(s) with damage to nail
Open wound of other parts of foot
Multiple open wounds of ankle and foot
Multiple injuries of ankle and foot
Other specified injuries of ankle and foot
Unspecified injury of ankle and foot
Open wounds involving head with neck
Open wounds involving thorax with abdomen, lower back and pelvis
Open wounds involving multiple regions of upper limb(s)
Open wounds involving multiple regions of lower limb(s)
Open wounds involving multiple regions of upper limb(s) with lower limb(s)
Open wounds involving other combinations of body regions
Multiple open wounds, unspecified
Pulmonary actinomycosis
Abdominal actinomycosis
Cervicofacial actinomycosis
Actinomycotic septicaemia
Other forms of actinomycosis
Actinomycosis, unspecified
Pulmonary nocardiosis
Cutaneous nocardiosis
Other forms of nocardiosis
Nocardiosis, unspecified
Pyoderma
Erythrasma
Pyoderma gangrenosum
Eczema herpeticum
L00
Staphylococcal scalded skin syndrome
L51.1
Bullous erythema multiforme
L51.2
Toxic epidermal necrolysis [Lyell]
N34.0
N41.2
N10
N11.0
N11.1
N11.8
N11.9
N12
N13.6
N15.1
N00.0
N00.1
N00.2
N00.3
N00.4
N00.5
N00.6
N00.7
N00.8
N00.9
N01.0
N01.1
Urethral abscess
Abscess of prostate
Acute tubulo-interstitial nephritis
Nonobstructive reflux-associated chronic pyelonephritis
Chronic obstructive pyelonephritis
Other chronic tubulo-interstitial nephritis
Chronic tubulo-interstitial nephritis unspecified
Tubulo-interstitial nephritis not specified as acute or chronic
Pyonephrosis
Renal and perinephric abscess
Acute nephritic syndrome, minor glomerular abnormality
Acute nephritic syndrome, focal and segmental glomerular lesions
Acute nephritic syndrome, diffuse membranous glomerulonephritis
Acute nephritic syndrome, diffuse mesangial proliferative glomerulonephritis
Acute nephritic syndrome, diffuse endocapillary proliferative glomerulonephritis
Acute nephritic syndrome, diffuse mesangiocapillary glomerulonephritis
Acute nephritic syndrome, dense deposit disease
Acute nephritic syndrome, diffuse crescentic glomerulonephritis
Acute nephritic syndrome, other
Acute nephritic syndrome, unspecified
Rapidly progressive nephritic syndrome, minor glomerular abnormality
Rapidly progressive nephritic syndrome, focal and segmental glomerular lesions
Page 144 of 316
CMS December 2005
954L
Cancer of penis and other

male genital organ treatable

management, which
953L
Cancer of prostate gland treatable

management, which
950L
Cancer of testis - treatable

management, which
N01.2
N01.3
N01.4
N01.5
N01.6
N01.7
N01.8
N01.9
N03.0
N03.1
N03.2
N03.3
N03.4
N03.5
N03.6
N03.7
N03.8
N03.9
N04.0
N04.1
N04.2
N04.3
N04.4
N04.5
N04.6
N04.7
N04.8
N04.9
N17.0
N17.1
N17.2
N17.8
N17.9
N28.0
N99.0
O08.4
R 34
C60.0
C60.1
C60.2
C60.8
C60.9
C63.0
C63.1
C63.2
C63.7
C63.8
C63.9
D07.4
D07.6
C61
Rapidly progressive nephritic syndrome, diffuse membranous glomerulonephritis

Rapidly progressive nephritic syndrome, diffuse mesangial proliferative glomerulonephritis
Rapidly progressive nephritic syndrome, diffuse endocapillary proliferative glomerulonephritis
Rapidly progressive nephritic syndrome, diffuse mesangiocapillary glomerulonephritis
Rapidly progressive nephritic syndrome, dense deposit disease
Rapidly progressive nephritic syndrome, diffuse crescentic glomerulonephritis
Rapidly progressive nephritic syndrome, other
Rapidly progressive nephritic syndrome, unspecified
Chronic nephritic syndrome, minor glomerular abnormality
Chronic nephritic syndrome, focal and segmental glomerular lesions
Chronic nephritic syndrome, diffuse membranous glomerulonephritis
Chronic nephritic syndrome, diffuse mesangial proliferative glomerulonephritis
Chronic nephritic syndrome, diffuse endocapillary proliferative glomerulonephritis
Chronic nephritic syndrome, diffuse mesangiocapillary glomerulonephritis
Chronic nephritic syndrome, dense deposit disease
Chronic nephritic syndrome, diffuse crescentic glomerulonephritis
Chronic nephritic syndrome, other
Chronic nephritic syndrome, unspecified
Nephrotic syndrome, minor glomerular abnormality
Nephrotic syndrome, focal and segmental glomerular lesions
Nephrotic syndrome, diffuse membranous glomerulonephritis
Diffuse mesangial proliferative glomerulonephritis
Diffuse endocapillary proliferative glomerulonephritis
Diffuse mesangiocapillary glomerulonephritis
Nephrotic syndrome, dense deposit disease
Nepthrotic syndrome, diffuse crescentic glomerulonephritis
Nephrotic syndrome, other
Nepthrotic syndrome, unspecified
Acute renal failure with tubular necrosis
Acute renal failure with acute cortical necrosis
Acute renal failure with medullary necrosis
Other acute renal failure
Acute renal failure, unspecified
Ischaemia and infarction of kidney
Postprocedural renal failure
Anuria and oliguria
Malignant neoplasm, prepuce
Malignant neoplasm, glans penis
Malignant neoplasm, body of penis
Malignant neoplasm, overlapping lesion of penis
Malignant neoplasm, penis, unspecified
Malignant neoplasm, epididymis
Malignant neoplasm, spermatic cord
Malignant neoplasm, scrotum
Malignant neoplasm, other specified male genital organs
Malignant neoplasm, overlapping lesion of male genital organs
Malignant neoplasm, male genital organ, unspecified
Carcinoma in situ, penis
Carcinoma in situ, other and unspecified male genital organs
Malignant neoplasm of prostate
D07.5
Carcinoma in situ, prostate
C62.0
Malignant neoplasm, undescended testis
C62.1
Malignant neoplasm, descended testis
C62.9
952L
Cancer of urinary system
C64
Malignant neoplasm, testis, unspecified

Malignant neoplasm of kidney, except renal pelvis
Page 145 of 316
CMS December 2005
including kidney and

bladder - treatable
management, which
906L
Congenital anomalies of
urinary system symptomatic and lifethreatening
Nephrectomy / repair
901L
End stage renal disease

regardless of cause
Dialysis and renal

transplant where
Department of Health
E11.2N08.3*
criteria are met only (see
criteria published in GPS E12.2N08.3*
004-9001)
C65
C66
C67.0
C67.1
C67.2
C67.3
C67.4
C67.5
C67.6
C67.7
C67.8
C67.9
C68.0
C68.1
C68.8
C68.9
D09.0
D09.1
P96.0
Q54.0
Q54.1
Q54.2
Q54.3
Q54.4
Q55.0
Q55.1
Q55.3
Q55.4
Q55.5
Q60.3
Q60.4
Q60.5
Q60.6
Q61.0
Q61.1
Q61.3
Q61.4
Q61.5
Q61.9
Q62.0
Q62.1
Q62.3
Q62.4
Q62.7
Q63.3
Q64.1
Q64.2
Q64.3
Q64.4
Q64.5
Q64.8
Q64.9
E10.2N08.3*
E13.2N08.3*
E14.2N08.3*
Malignant neoplasm of renal pelvis

Malignant neoplasm of ureter
Malignant neoplasm, trigone of bladder
Malignant neoplasm, dome of bladder
Malignant neoplasm, lateral wall of bladder
Malignant neoplasm, anterior wall of bladder
Malignant neoplasm, posterior wall of bladder
Malignant neoplasm, bladder neck
Malignant neoplasm, ureteric orifice
Malignant neoplasm, urachus
Malignant neoplasm, overlapping lesion of bladder
Malignant neoplasm, bladder, unspecified
Malignant neoplasm, urethra
Malignant neoplasm, paraurethral gland
Malignant neoplasm, overlapping lesion of urinary organs
Malignant neoplasm, urinary organ, unspecified
Carcinoma in situ, bladder
Carcinoma in situ, other and unspecified urinary organs
Congenital renal failure
Hypospadias, balanic
Hypospadias, penile
Hypospadias, penoscrotal
Hypospadias, perineal
Congenital chordee
Absence and aplasia of testis
Hypoplasia of testis and scrotum
Atresia of vas deferens
Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate
Congenital absence and aplasia of penis
Renal hypoplasia unilateral
Renal hypoplasia bilateral
Renal hypoplasia unspecified
Potter's syndrome
Congenital single renal cyst
Polycystic kidney, infantile type
Polycystic kidney, unspecified
Renal dysplasia
Medullary cystic kidney
Cystic kidney disease, unspecified
Congenital hydronephrosis
Atresia and stenosis of ureter
Other obstructive defects of renal pelvis and ureter
Agenesis of ureter
Congenital vesico-uretero-renal reflux
Hyperplastic and giant kidney
Exstrophy of urinary bladder
Congenital posterior urethral valves
Other atresia and stenosis of urethra and bladder neck
Malformation of urachus
Congenital absence of bladder and urethra
Other specified congenital malformations of urinary system
Congenital malformation of urinary system, unspecified
Insulin-dependent diabetes mellitus with renal complications/Insulin-dependent diabetic nephropathy,
intracapillary glomerulonephrosis, Kimmelstiel-Wilson syndrome
Non-insulin-dependent diabetes mellitus with renal complications/Non-insulin-dependent diabetic
nephropathy, intracapillary glomerulonephrosis, Kimmelstiel-Wilson syndrome
Malnutrition-related diabetes mellitus with renal complications/Malnutrition-related diabetic nephropathy,
Other specified diabetes mellitus with renal complications/Other specified diabetic nephropathy,
Unspecified diabetes mellitus with renal complications/Unspecified diabeticnephropathy, intracapillary
glomerulonephrosis, Kimmelstiel-Wilson syndrome
Page 146 of 316
CMS December 2005
900L
Hyperplasia of the prostate, Transurethral resection;

with acute urinary retention medical management
or obstructive renal failure
905L
Obstruction of the urogenital Catheterisation; surgery;

tract, regardless of cause
endoscopic removal of
obstructing agent:
lithotripsy
436L
43L
Torsion of testis
Trauma to the urinary
system including ruptured
bl dd
Orchidectomy; repair
Cystorrhaphy; suture;
repair
I12.0
I13.1
N05.0
N05.1
N05.2
N05.3
N05.4
N05.5
N05.6
N05.7
N05.8
N05.9
N07.0
N07.1
N07.2
N07.3
N07.4
N07.5
N07.6
N07.7
N07.8
N07.9
N11.8
N11.9
N12
N14.0
N14.1
N14.2
N14.3
N14.4
N15.0
N15.8
N15.9
N18.0
N18.8G63.8*
N18.8I32.8*
N18.9
N19
N99.0
O08.4
T86.1 N16.5*
N40

Unspecified nephritic syndrome, minor glomerular abnormality
Focal and segmental glomerular lesions
Diffuse membranous glomerulonephritis
Unspecified nephritic syndrome, dense deposit disease
Diffuse concentric glomerulonephritis
Unspecified nephritic syndrome, other
Unspecified nephritic syndrome, unspecified
Minor glomerular abnormality
Focal and segmental glomerular lesions
Diffuse membranous glomerulonephritis
Dense deposit disease
Diffuse concentric glomerulonephritis
Hereditary nephropathy, not elsewhere classified, other
Unspecified morphological changes
Chronic tubulo-interstitial nephritis, unspecified
Tubulo-interstitial nephritis, not specified as acute or chronic
Analgesic nephropathy
Nephropathy induced by other drugs, medicaments and biological substances
Nephropathy induced by unspecified drug, medicament or biological substance
Nephropathy induced by heavy metals
Toxic nephropathy, not elsewhere classified
Balkan nephropathy
Other specified renal tubulo-interstitial diseases
Renal tubulo-interstitial disease, unspecified
End-stage renal disease
Other chronic renal failure / Polyneuropathy in other diseases classified elsewhere
Other chronic renal failure / Pericarditis in other diseases classified elsewhere
Chronic renal failure, unspecified
Unspecified renal failure
Postprocedural renal failure
Kidney transplant failure and rejection / Renal tubulo-interstitial disorders in transplant rejection
Hyperplasia of prostate
N13.8
Other obstructive and reflux uropathy
N13.9
Obstructive and reflux uropathy, unspecified
R33
Retention of urine
N13.0
N13.1
N13.2
N13.3
N13.4
N13.5
N20.0
N20.1
N20.2
N20.9
N23
N32.0
Q62.3
N44
S37.00
S37.01
Hydronephrosis with ureteropelvic junction obstruction

Hydronephrosis with ureteral stricture, not elsewhere classified
Hydronephrosis with renal and ureteral calculous obstruction
Other and unspecified hydronephrosis
Hydroureter
Kinking and stricture of ureter without hydronephrosis
Calculus of kidney
Calculus of ureter
Calculus of kidney with calculus of ureter
Urinary calculus unspecified
Unspecified renal colic
Bladder-neck obstruction
Other obstructive defects of renal pelvis and ureter
Torsion of testis
Injury of kidney without open wound into cavity
Injury of kidney with open wound into cavity
Page 147 of 316
CMS December 2005
bladder
289L
Ureteral fistula (intestinal)
Nephrostomy
359L
Vesicoureteral reflux
Medical management;
replantation
Addison's Disease
Asthma
Bronchiectasis
Cardiac Failure
Cardiomyopathy
Chronic Renal Disease
Chronic Obstructive Pulmonary Disease
S37.10
S37.11
S37.20
S37.21
S37.30
S37.31
N28.8
Injury of ureter without open wound into cavity

Injury of ureter with open wound into cavity
Injury of bladder without open wound into cavity
Injury of bladder with open wound into cavity
Injury of urethra without open wound into cavity
Injury of urethra with open wound into cavity
Other specified disorders of kidney and ureter
N13.7
N13.8
N13.9
Q62.7
E27.1
J45.0
J45.1
J45.8
J45.9
J46
J47
Q33.4
I50.0
I50.1
I50.9
I11.0
I13.0
I13.2
I42.0
I42.1
I42.2
I42.3
I42.4
I42.5
I42.6
I42.7
I42.8
I42.9
I25.5
N03.0
N03.1
N03.2
N03.3
N03.4
N03.5
N03.6
N03.7
N03.8
N03.9
N11.0
N11.1
N11.8
N11.9
N18.0
N18.8
N18.9
I12.0
I13.2
O10.2
O10.3
Vesicoureteral-reflux-associated uropathy
Other obstructive and reflux uropathy
Obstructive and reflux uropathy, unspecified
Congenital vesico-uretero-renal reflux
Primary adrenocortical insufficiency
Predominantly allergic asthma
Nonallergic asthma
Mixed asthma
Asthma, unspecified
Status asthmaticus
Bronchiectasis
Congenital bronchiectasis
Congestive heart failure
Left ventricular failure
Heart failure, unspecified
Hypertensive heart and renal disease with (congestive) heart failure
Dilated cardiomyopathy
Obstructive hypertrophic cardiomyopathy
Other hypertrophic cardiomyopathy
Endomyocardial (eosinophilic) disease
Endocardial fibroelastosis
Other restrictive cardiomyopathy
Alcoholic cardiomyopathy
Cardiomyopathy due to drugs and other external agents
Other cardiomyopathies
Cardiomyopathy, unspecified
Chronic nephritic syndrome, minor glomerular abnormality
Chronic nephritic syndrome, focal and segmental glomerular lesions
Chronic nephritic syndrome, diffuse membranous glomerulonephritis
Chronic nephritic syndrome, diffuse mesangial proliferative glomerulonephritis
Chronic nephritic syndrome, diffuse endocapillary proliferative glomerulonephritis
Chronic nephritic syndrome, diffuse mesangiocapillary glomerulonephritis
Chronic nephritic syndrome, dense deposit disease
Chronic nephritic syndrome, diffuse crescentic glomerulonephritis
Chronic nephritic syndrome, other
Chronic nephritic syndrome, unspecified
Nonobstructive reflux-associated chronic pyelonephritis
Chronic obstructive pyelonephritis
Chronic tubulo-interstitial nephritis, unspecified
End-stage renal disease
Other chronic renal failure
Chronic renal failure, unspecified
J43.0
J43.1
J43.2
MacLeod's syndrome
Panlobular emphysema
Centrilobular emphysema
Page 148 of 316
CMS December 2005
Coronary Artery Disease
Crohn's Disease
Diabetes Insipidus
Diabetes Mellitus Type 1

J43.8
J43.9
J44.0
J44.1
J44.8
J44.9
I20.0
I20.1
I20.8
I20.9
I25.0
I25.1
I25.2
I25.3
I25.4
I25.5
I25.6
I25.8
I25.9
K50.0
K50.1
K50.8
K50.9
E23.2
E10.0
E10.1
E10.2N08.3*
E10.3H28.0*
E10.3H36.0*
E10.4G73.0*
E10.4G99.0*
E10.4G59.0*
E10.4G63.2*
E10.5
E10.5I79.2*
E10.6
E10.6M14.2*
E10.6M14.6*
E10.7
E10.8
E10.9
E12.0
E12.1
E12.2N08.3*
E12.3H28.0*
E12.3H36.0*
E12.4G73.0*
E12.4G99.0*
E12.4G59.0*
E12.4G63.2*
E12.5
E12.5I79.2*
E12.6
E12.6M14.2*
Other emphysema
Emphysema, unspecified
Chronic obstructive pulmonary disease with acute lower respiratory infection
Chronic obstructive pulmonary disease with acute exacerbation, unspecified
Other specified chronic obstructive pulmonary disease
Chronic obstructive pulmonary disease, unspecified
Unstable angina
Angina pectoris with documented spasm
Other forms of angina pectoris
Angina pectoris, unspecified
Atherosclerotic cardiovascular disease, so described
Atherosclerotic heart disease
Old myocardial infarction
Aneurysm of heart
Coronary artery aneurysm
Silent myocardial ischaemia
Other forms of chronic ischaemic heart disease
Chronic ischaemic heart disease, unspecified
Crohn's disease of small intestine
Crohn's disease of large intestine
Other Crohn's disease
Crohn's disease, unspecified
Diabetes insipidus
Insulin-dependent diabetes mellitus with coma
Insulin-dependent diabetes mellitus with ketoacidosis
Insulin-dependent diabetes mellitus with renal complications/Insulin-dependent diabetic nephropathy,
Insulin-dependent diabetes mellitus with ophthalmic complications/ Diabetic cataract
Insulin-dependent diabetes mellitus with ophthalmic complications/ Diabeteic retinopathy
Insulin-dependent diabetes mellitus with neurological complications/ Diabeteic amyotrophy
Insulin-dependent diabetes mellitus with neurological complications/Daibeteic autonomic neuropathy and or
diabeteic autonomic polyneuropathy
Insulin-dependent diabetes mellitus with neurological complications/ Diabeteic mononeuropathy
Insulin-dependent diabetes mellitus with neurological complications/ Diabeteic polyneuropathy
Insulin-dependent diabetes mellitus with peripheral circulatory complications
Insulin-dependent diabetes mellitus with peripheral circulatory complications/ Diabetic peripheral angiopathy
Insulin-dependent diabetes mellitus with other specified complications
Insulin-dependent diabetes mellitus with other specified complications/Diabetic arthropathy
Insulin-dependent diabetes mellitus with other specified complications/Diabetic neuropathic
arthropathyarthropathy
Insulin-dependent diabetes mellitus with multiple complications
Insulin-dependent diabetes mellitus with unspecified complications
Insulin-dependent diabetes mellitus without complications
Malnutrition-related diabetes mellitus with renal complications/Insulin-dependent diabetic nephropathy,
Malnutrition-related diabetes mellitus with ophthalmic complications/ Diabetic cataract
Malnutrition-related diabetes mellitus with ophthalmic complications/ Diabeteic retinopathy
Malnutrition-relateddiabetes mellitus with neurological complications/ Diabeteic amyotrophy
Malnutrition-relateddiabetes mellitus with neurological complications/Daibeteic autonomic neuropathy and or
Malnutrition-relatedt diabetes mellitus with neurological complications/ Diabeteic mononeuropathy
Malnutrition-relateddiabetes mellitus with neurological complications/ Diabeteic polyneuropathy
Malnutrition-related diabetes mellitus with peripheral circulatory complications
Malnutrition-related diabetes mellitus with peripheral circulatory complications/ Diabetic peripheral
angiopathy
Malnutrition-related diabetes mellitus with other specified complications
Malnutrition-related diabetes mellitus with other specified complications/Diabetic arthropathy
Page 149 of 316
CMS December 2005

E12.6M14.6*
Diabetes Mellitus Type 2
E11.4G59.0*
Malnutrition-related diabetes mellitus with other specified complications/Diabetic neuropathic

Malnutrition-related diabetes mellitus with multiple complications
Malnutrition-related diabetes mellitus with unspecified complications
Malnutrition-related diabetes mellitus without complications
Pre-existing diabetes mellitus, insulin-dependent
Non-insulin-dependent diabetes mellitus with coma
Non-insulin-dependent diabetes mellitus with ketoacidosis
Non-insulin-dependent diabetes mellitus with renal complications/Insulin-dependent diabetic nephropathy,
Non-insulin-dependent diabetes mellitus with ophthalmic complications/ Diabetic cataract
Non-insulin-dependent diabetes mellitus with ophthalmic complications/ Diabeteic retinopathy
Non-insulin-dependent diabetes mellitus with neurological complications/ Diabeteic amyotrophy
Non-insulin-dependent diabetes mellitus with neurological complications/Daibeteic autonomic neuropathy
and or diabeteic autonomic polyneuropathy
Non-insulin-dependent diabetes mellitus with neurological complications/ Diabeteic mononeuropathy
E11.4G63.2*
Non-insulin-dependent diabetes mellitus with neurological complications/ Diabeteic polyneuropathy
E11.5
E11.5I79.2*
Non-insulin-dependent diabetes mellitus with peripheral circulatory complications

Non-insulin-dependent diabetes mellitus with peripheral circulatory complications/ Diabetic peripheral
angiopathy
Non-insulin-dependent diabetes mellitus with other specified complications
Non-insulin-dependent diabetes mellitus with other specified complications/Diabetic arthropathy
Non-insulin-dependent diabetes mellitus with other specified complications/Diabetic neuropathic
Non-insulin-dependent diabetes mellitus with multiple complications
Non-insulin-dependent diabetes mellitus with unspecified complications
Non-insulin-dependent diabetes mellitus without complications
Malnutrition-related diabetes mellitus with renal complications/Insulin-dependent diabetic nephropathy,
Malnutrition-related diabetes mellitus with ophthalmic complications/ Diabetic cataract
Malnutrition-related diabetes mellitus with ophthalmic complications/ Diabeteic retinopathy
Malnutrition-relateddiabetes mellitus with neurological complications/ Diabeteic amyotrophy
Malnutrition-relateddiabetes mellitus with neurological complications/Daibeteic autonomic neuropathy and or
Malnutrition-relatedt diabetes mellitus with neurological complications/ Diabeteic mononeuropathy
E12.7
E12.8
E12.9
O24.0
O24.2
O24.3
E11.0
E11.1
E11.2N08.3*
E11.3H28.0*
E11.3H36.0*
E11.4G73.0*
E11.4G99.0*
E11.6
E11.6M14.2*
E11.6M14.6*
E11.7
E11.8
E11.9
E12.0
E12.1
E12.2N08.3*
E12.3H28.0*
E12.3H36.0*
E12.4G73.0*
E12.4G99.0*
E12.4G59.0*
E12.4G63.2*
E12.5
E12.5I79.2*
E12.6
E12.6M14.2*
E12.6M14.6*
Dysrhytmias
Epilepsy
E12.7
E12.8
E12.9
O24.1
O24.2
O24.3
I47.2
I48
G40.0
G40.1
Malnutrition-relateddiabetes mellitus with neurological complications/ Diabeteic polyneuropathy

Malnutrition-related diabetes mellitus with peripheral circulatory complications
Malnutrition-related diabetes mellitus with peripheral circulatory complications/ Diabetic peripheral
angiopathy
Malnutrition-related diabetes mellitus with other specified complications
Malnutrition-related diabetes mellitus with other specified complications/Diabetic arthropathy
Malnutrition-related diabetes mellitus with other specified complications/Diabetic neuropathic
Malnutrition-related diabetes mellitus with multiple complications
Malnutrition-related diabetes mellitus with unspecified complications
Malnutrition-related diabetes mellitus without complications
Pre-existing diabetes mellitus, non-insulin-dependent
Ventricular tachycardia
Atrial fibrillation and flutter
Localization-related (focal)(partial) idiopathic epilepsy and epileptic syndromes with seizures of localized
onset
Localization-related (focal)(partial) symptomatic epilepsy and epileptic syndromes with simple partial
seizures
Page 150 of 316
CMS December 2005

G40.2
Glaucoma
Haemophilia
Hyperlipidaemia
Hypertension
Hypothyroidism
G40.3
G40.4
G40.5
G40.6
G40.7
G40.8
G40.9
G41.0
G41.1
G41.2
G41.8
G41.9
H40.0
H40.1
H40.2
H40.3
H40.4
H40.5
H40.6
H40.8
H40.9
Q15.0
D66
D67
E78.0
E78.1
E78.2
E78.3
E78.4
E78.5
I10
I11.0
I11.9
I12.0
I12.9
I13.0
I13.1
I13.2
I13.9
I15.0
I15.1
I15.2
I15.8
I15.9
O10.0
O10.1
O10.2
O10.3
Localization-related (focal)(partial) symptomatic epilepsy and epileptic syndromes with complex partial
seizures
Generalized idiopathic epilepsy and epileptic syndromes
Other generalized epilepsy and epileptic syndromes
Special epileptic syndromes
Grand mal seizures, unspecified (with or without petit mal)
Petit mal, unspecified, without grand mal seizures
Other epilepsy
Epilepsy, unspecified
Grand mal status epilepticus
Petit mal status epilepticus
Complex partial status epilepticus
Other status epilepticus
Status epilepticus, unspecified
Glaucoma suspect
Primary open-angle glaucoma
Primary angle-closure glaucoma
Glaucoma secondary to eye inflammation
Glaucoma secondary to drugs
Other glaucoma
Glaucoma, unspecified
Congenital glaucoma
Hereditary factor VIII deficiency
Hereditary factor IX deficiency
Pure hypercholesterolaemia
Pure hyperglyceridaemia
Mixed hyperlipidaemia
Hyperchylomicronaemia
Other hyperlipidaemia
Hyperlipidaemia, unspecified
Essential (primary) hypertension
Hypertensive heart disease without (congestive) heart failure
Hypertensive renal disease without renal failure
Hypertensive heart and renal disease with (congestive) heart failure
Hypertensive heart and renal disease, unspecified
Renovascular hypertension
Hypertension secondary to other renal disorders
Hypertension secondary to endocrine disorders
Other secondary hypertension
Secondary hypertension, unspecified
O10.4
O10.9
O11
E03.0
E03.1
E03.2
E03.3
E03.4
E03.5
E03.8
E03.9

Pre-existing hypertensive disorder with superimposed proteinuria
Congenital hypothyroidism with diffuse goitre
Congenital hypothyroidism without goitre
Hypothyroidism due to medicaments and other exogenous substances
Postinfectious hypothyroidism
Atrophy of thyroid (acquired)
Myxoedema coma
Other specified hypothyroidism
Hypothyroidism, unspecified
Page 151 of 316
CMS December 2005

Multiple Sclerosis
Parkinson's Disease
Rheumatoid Arthritis

E89.0
G35
G20
G21.0
G21.1
G21.2
G21.3
G21.8
G21.9
M05.00
M05.01
M05.02
M05.03
M05.04
M05.05
M05.06
M05.07
M05.08
M05.09
M05.10J99.0*
M05.11J99.0*
M05.12J99.0*
M05.13J99.0*
M05.14J99.0*
M05.15J99.0*
M05.16J99.0*
M05.17J99.0*
M05.18J99.0*
M05.19J99.0*
M05.20
M05.21
M05.22
M05.23
M05.24
M05.25
M05.26
M05.27
M05.28
M05.29
M05.30 I52.8*
Postprocedural hypothyroidism
Multiple sclerosis
Parkinson's disease
Malignant neuroleptic syndrome
Other drug-induced secondary parkinsonism
Secondary parkinsonism due to other external agents
Postencephalitic parkinsonism
Other secondary parkinsonism
Secondary parkinsonism, unspecified
Felty's syndrome, multiple sites
Felty's syndrome, shoulder region
Felty's syndrome, upper arm
Felty's syndrome, forearm
Felty's syndrome, hand
Felty's syndrome, pelvic regiona nd thigh
Felty's syndrome, lower leg
Felty's syndrome, ankle and foot
Felty's syndrome, other site
Felty's syndrome, site unspecified
Rheumatoid lung disease , multiple sites
Rheumatoid lung disease , shoulder region
Rheumatoid lung disease , upper arm
Rheumatoid lung disease , forearm
Rheumatoid lung disease , hand
Rheumatoid lung disease , pelvic region and thigh
Rheumatoid lung disease , lower leg
Rheumatoid lung disease , ankle and foot
Rheumatoid lung disease , other sites
Rheumatoid lung disease , site unspecified
Rheumatoid vasculitis, multiple sites
Rheumatoid vasculitis, shoulder region
Rheumatoid vasculitis, upper arm
Rheumatoid vasculitis, forearm
Rheumatoid vasculitis, hand
Rheumatoid vasculitis, pelvic region and thigh
Rheumatoid vasculitis, lower leg
Rheumatoid vasculitis, ankle and foot
Rheumatoid vasculitis, other sites
Rheumatoid vasculitis, site unspecified
Rheumatoid arthritis with involvement of other organs and systems, multiple sites/ Rheumatoid carditis
M05.30I39.0*
M05.30I41.8*
Rheumatoid arthritis with involvement of other organs and systems, multiple sites/ Mitral valve disorders in
diseases clasified elsewhere
Rheumatoid arthritis with involvement of other organs and systems, multiple sites/ Aortic valve disorders in
Rheumatoid arthritis with involvement of other organs and systems, multiple sites/Triscuspid valve disorders
in diseases clasified elsewhere
Rheumatoid arthritis with involvement of other organs and systems, multiple sites/Pulmonary valve
disorders in diseases clasified elsewhere
Rheumatoid arthritis with involvement of other organs and systems, multiple sites/Multiple valve disorders in
Rheumatoid arthritis with involvement of other organs and systems, multiple sites/Endocarditis, valve
unspecified,in diseases clasified elsewhere
Rheumatoid arthritis with involvement of other organs and systems, multiple sites/ Rheumatoid myocarditis
M05.30G73.7*
Rheumatoid arthritis with involvement of other organs and systems, multiple sites/ Theumatoid myopathy
M05.30I32.8*
Rheumatoid arthritis with involvement of other organs and systems, multiple sites/ Rheumatoid pericarditis
M05.30G63.6*
Rheumatoid arthritis with involvement of other organs and systems, multiple sites/ Theumatoid
polyneuropathy
M05.30I39.1*
M05.30I39.2*
M05.30I39.3*
M05.30I39.4*
M05.30I39.8*
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M05.31I52.8*
Rheumatoid arthritis with involvement of other organs and systems,Shoulder region/Rheumatoid carditis
M05.31I39.0*
Rheumatoid arthritis with involvement of other organs and systems, Shoulder region/ Mitral valve disorders
Rheumatoid arthritis with involvement of other organs and systems,Shoulder region/ Aortic valve disorders
Rheumatoid arthritis with involvement of other organs and systems,Shoulder region/Triscuspid valve
Rheumatoid arthritis with involvement of other organs and systems, Shoulder region/Pulmonary valve
Rheumatoid arthritis with involvement of other organs and systems, Shoulder region/Multiple valve disorders
Rheumatoid arthritis with involvement of other organs and systems,Shoulder region/Endocarditis, valve
Rheumatoid arthritis with involvement of other organs and systems, Shoulder region/ Rheumatoid
myocarditis
Rheumatoid arthritis with involvement of other organs and systems, Shoulder region/ Rheumatoid myopathy
M05.31I39.1*
M05.31I39.2*
M05.31I39.3*
M05.31I39.4*
M05.31I39.8*
M05.31I41.8*
M05.31G73.7*
M05.31I32.8*
M05.31G63.6*
M05.32I52.8*
M05.32I39.0*
Rheumatoid arthritis with involvement of other organs and systems, Shoulder region/ Rheumatoid
pericarditis
Rheumatoid arthritis with involvement of other organs and systems,Shoulder region/Rheumatoid
polyneuropathy
Rheumatoid arthritis with involvement of other organs and systems,Upper arm/Rheumatoid carditis
M05.32I41.8*
Rheumatoid arthritis with involvement of other organs and systems, Upper arm/ Mitral valve disorders in
Rheumatoid arthritis with involvement of other organs and systems,Upper arm/ Aortic valve disorders in
Rheumatoid arthritis with involvement of other organs and systems,Upper arm/Triscuspid valve disorders in
Rheumatoid arthritis with involvement of other organs and systems,Upper arm/Pulmonary valve disorders in
Rheumatoid arthritis with involvement of other organs and systems, Upper arm/Multiple valve disorders in
Rheumatoid arthritis with involvement of other organs and systems,Upper arm/Endocarditis, valve
Rheumatoid arthritis with involvement of other organs and systems, Upper arm/ Rheumatoid myocarditis
M05.32G73.7*
Rheumatoid arthritis with involvement of other organs and systems, Upper arm/ Rheumatoid myopathy
M05.32I32.8*
Rheumatoid arthritis with involvement of other organs and systems, Upper arm/ Rheumatoid pericarditis
M05.32G63.6*
Rheumatoid arthritis with involvement of other organs and systems,Upper arm/Rheumatoid polyneuropathy
M05.33 I52.8*
Rheumatoid arthritis with involvement of other organs and systems,Forearm/Rheumatoid carditis
M05.33I39.0*
M05.33I41.8*
Rheumatoid arthritis with involvement of other organs and systems, Forearm/ Mitral valve disorders in
Rheumatoid arthritis with involvement of other organs and systems,Forearm/ Aortic valve disorders in
Rheumatoid arthritis with involvement of other organs and systems,ForearmTriscuspid valve disorders in
Rheumatoid arthritis with involvement of other organs and systems,Forearm/Pulmonary valve disorders in
Rheumatoid arthritis with involvement of other organs and systems, Forearm/Multiple valve disorders in
Rheumatoid arthritis with involvement of other organs and systems,Forearm/Endocarditis, valve
Rheumatoid arthritis with involvement of other organs and systems, Forearm Rheumatoid myocarditis
M05.33G73.7*
Rheumatoid arthritis with involvement of other organs and systems, Forearm/ Rheumatoid myopathy
M05.32I39.1*
M05.32I39.2*
M05.32I39.3*
M05.32I39.4*
M05.32I39.8*
M05.33I39.1*
M05.33I39.2*
M05.33I39.3*
M05.33I39.4*
M05.33I39.8*
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M05.33I32.8*
Rheumatoid arthritis with involvement of other organs and systems, Forearm/ Rheumatoid pericarditis
M05.33G63.6*
Rheumatoid arthritis with involvement of other organs and systems,Forearm/Rheumatoid polyneuropathy
M05.34I52.8*
M05.34I39.0*
M05.34I41.8*
Rheumatoid arthritis with involvement of other organs and systems,Hand /Rheumatoid carditis
Rheumatoid arthritis with involvement of other organs and systems, Hand / Mitral valve disorders in
Rheumatoid arthritis with involvement of other organs and systems,Hand / Aortic valve disorders in diseases
clasified elsewhere
Rheumatoid arthritis with involvement of other organs and systems,Hand /Triscuspid valve disorders in
Rheumatoid arthritis with involvement of other organs and systems,Hand /Pulmonary valve disorders in
Rheumatoid arthritis with involvement of other organs and systems, Hand /Multiple valve disorders in
Rheumatoid arthritis with involvement of other organs and systems,Hand /Endocarditis, valve unspecified,in
Rheumatoid arthritis with involvement of other organs and systems, Hand Rheumatoid myocarditis
M05.34G73.7*
Rheumatoid arthritis with involvement of other organs and systems, Hand / Rheumatoid myopathy
M05.34I32.8*
Rheumatoid arthritis with involvement of other organs and systems, Hand / Rheumatoid pericarditis
M05.34G63.6*
Rheumatoid arthritis with involvement of other organs and systems,Hand /Rheumatoid polyneuropathy
M05.35I52.8*
Rheumatoid arthritis with involvement of other organs and systems,Pelvic region and thigh /Rheumatoid
carditis
Rheumatoid arthritis with involvement of other organs and systems, Pelvic region and thigh/ Mitral valve
Rheumatoid arthritis with involvement of other organs and systems,Pelvic region and thigh / Aortic valve
Rheumatoid arthritis with involvement of other organs and systems,Pelvic region and thigh/Triscuspid valve
Rheumatoid arthritis with involvement of other organs and systems,Pelvic region and thigh/Pulmonary valve
Rheumatoid arthritis with involvement of other organs and systems, Pelvic region and thigh/Multiple valve
Rheumatoid arthritis with involvement of other organs and systems,Pelvic region and thigh /Endocarditis,
valve unspecified,in diseases clasified elsewhere
Rheumatoid arthritis with involvement of other organs and systems, Pelvic region and thigh Rheumatoid
myocarditis
Rheumatoid arthritis with involvement of other organs and systems, Pelvic region and thigh / Rheumatoid
myopathy
Rheumatoid arthritis with involvement of other organs and systems, Pelvic region and thigh / Rheumatoid
pericarditis
Rheumatoid arthritis with involvement of other organs and systems,Pelvic region and thigh/Rheumatoid
polyneuropathy
Rheumatoid arthritis with involvement of other organs and systems,Lower leg /Rheumatoid carditis
M05.34I39.1*
M05.34I39.2*
M05.34I39.3*
M05.34I39.4*
M05.34I39.8*
M05.35I39.0*
M05.35I39.1*
M05.35I39.2*
M05.35I39.3*
M05.35I39.4*
M05.35I39.8*
M05.35I41.8*
M05.35G73.7*
M05.35I32.8*
M05.35G63.6*
M05.36 I52.8*
M05.36I39.0*
M05.36I39.1*
M05.3639.2*
M05.36I39.3*
M05.36I39.4*
M05.36I39.8*
Rheumatoid arthritis with involvement of other organs and systems, Lower leg / Mitral valve disorders in
Rheumatoid arthritis with involvement of other organs and systems,Lower leg / Aortic valve disorders in
Rheumatoid arthritis with involvement of other organs and systems,Lower leg /Triscuspid valve disorders in
Rheumatoid arthritis with involvement of other organs and systems,Lower leg /Pulmonary valve disorders in
Rheumatoid arthritis with involvement of other organs and systems, Lower leg Multiple valve disorders in
Rheumatoid arthritis with involvement of other organs and systems,Lower leg /Endocarditis, valve
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M05.36I41.8*
Rheumatoid arthritis with involvement of other organs and systems, Lower leg Rheumatoid myocarditis
M05.36G73.7*
Rheumatoid arthritis with involvement of other organs and systems, Lower leg / Rheumatoid myopathy
M05.36I32.8*
Rheumatoid arthritis with involvement of other organs and systems, Lower leg / Rheumatoid pericarditis
M05.36G63.6*
Rheumatoid arthritis with involvement of other organs and systems,Lower leg /Rheumatoid polyneuropathy
M05.37I52.8*
Rheumatoid arthritis with involvement of other organs and systems,Ankle and foot /Rheumatoid carditis
M05.37I39.0*
M05.37I41.8*
Rheumatoid arthritis with involvement of other organs and systems, Ankle and foot / Mitral valve disorders in
Rheumatoid arthritis with involvement of other organs and systems,Ankle and foot / Aortic valve disorders in
Rheumatoid arthritis with involvement of other organs and systems,Ankle and foot /Triscuspid valve
Rheumatoid arthritis with involvement of other organs and systems,Ankle and foot /Pulmonary valve
Rheumatoid arthritis with involvement of other organs and systems, Ankle and foot/ Multiple valve disorders
Rheumatoid arthritis with involvement of other organs and systems,Ankle and foot /Endocarditis, valve
Rheumatoid arthritis with involvement of other organs and systems, Ankle and foot/ Rheumatoid myocarditis
M05.37G73.7*
Rheumatoid arthritis with involvement of other organs and systems, Ankle and foot/ Rheumatoid myopathy
M05.37I32.8*
Rheumatoid arthritis with involvement of other organs and systems, Ankle and foot / Rheumatoid pericarditis
M05.37G63.6*
Rheumatoid arthritis with involvement of other organs and systems,Ankle and foot /Rheumatoid
polyneuropathy
Rheumatoid arthritis with involvement of other organs and systems,Other site/Rheumatoid carditis
M05.37I39.1*
M05.37I39.2*
M05.37I39.3*
M05.37I39.4*
M05.37I39.8*
M05.38I52.8*
M05.38I39.0*
M05.38I41.8*
Rheumatoid arthritis with involvement of other organs and systems, Other site/ / Mitral valve disorders in
Rheumatoid arthritis with involvement of other organs and systems,Other site/ / Aortic valve disorders in
Rheumatoid arthritis with involvement of other organs and systems,Other site//Triscuspid valve disorders in
Rheumatoid arthritis with involvement of other organs and systems,Other site/ /Pulmonary valve disorders
Rheumatoid arthritis with involvement of other organs and systems, Other site// Multiple valve disorders in
Rheumatoid arthritis with involvement of other organs and systems,Other site//Endocarditis, valve
Rheumatoid arthritis with involvement of other organs and systems, Other site// Rheumatoid myocarditis
M05.38G73.7*
Rheumatoid arthritis with involvement of other organs and systems, Other site// Rheumatoid myopathy
M05.38I32.8*
Rheumatoid arthritis with involvement of other organs and systems, Other site/ Rheumatoid pericarditis
M05.38G63.6*
Rheumatoid arthritis with involvement of other organs and systems,Other site//Rheumatoid polyneuropathy
M05.39I52.8*
Rheumatoid arthritis with involvement of other organs and systems,Site unspecified /Rheumatoid carditis
M05.39I39.0*
Rheumatoid arthritis with involvement of other organs and systems, Site unspecified / Mitral valve disorders
Rheumatoid arthritis with involvement of other organs and systems,Site unspecified / Aortic valve disorders
Rheumatoid arthritis with involvement of other organs and systems,Site unspecified /Triscuspid valve
Rheumatoid arthritis with involvement of other organs and systems,Site unspecified / /Pulmonary valve
M05.38I39.1*
M05.38I39.2*
M05.38I39.3*
M05.38I39.4*
M05.38I39.8*
M05.39I39.1*
M05.39I39.2*
M05.39I39.3*
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M05.39I39.4*
M05.39I39.8*
M05.39I41.8*
M05.39G73.7*
M05.39I32.8*
M05.39G63.6*
M05.80
M05.81
M05.82
M05.83
M05.84
M05.85
M05.86
M05.87
M05.88
M05.89
M05.90
M05.91
M05.92
M05.93
M05.94
M05.95
M05.96
M05.97
M05.98
M05.99
M06.00
M06.01
M06.02
M06.03
M06.04
M06.05
M06.06
M06.07
M06.08
M06.09
M06.10
M06.11
M06.12
M06.13
M06.14
M06.15
M06.16
M06.17
M06.18
M06.19
M06.20
M06.21
M06.22
M06.23
M06.24
M06.25
M06.26
M06.27
M06.28
M06.29
Rheumatoid arthritis with involvement of other organs and systems, Site unspecified / Multiple valve
Rheumatoid arthritis with involvement of other organs and systems,Site unspecified //Endocarditis, valve
Rheumatoid arthritis with involvement of other organs and systems, Site unspecified // Rheumatoid
myocarditis
Rheumatoid arthritis with involvement of other organs and systems, Site unspecified // Rheumatoid
myopathy
Rheumatoid arthritis with involvement of other organs and systems,Site unspecified / / Rheumatoid
pericarditis
Rheumatoid arthritis with involvement of other organs and systems,Site unspecified /Rheumatoid
polyneuropathy
Other seropositive rheumatoid arthritis, multiple sites
Other seropositive rheumatoid arthritis, shoulder region
Other seropositive rheumatoid arthritis, upper arm
Other seropositive rheumatoid arthritis, forearm
Other seropositive rheumatoid arthritis, hand
Other seropositive rheumatoid arthritis, pelvic region and thigh
Other seropositive rheumatoid arthritis, lower leg
Other seropositive rheumatoid arthritis, ankle and foot
Other seropositive rheumatoid arthritis, other sites
Other seropositive rheumatoid arthritis, site unspecified
Seropositive rheumatoid arthritis, unspecified, multiple sites
Seropositive rheumatoid arthritis, unspecified, shoulder region
Seropositive rheumatoid arthritis, unspecified, upper arm
Seropositive rheumatoid arthritis, unspecified, forearm
Seropositive rheumatoid arthritis, unspecified, hand
Seropositive rheumatoid arthritis, unspecified, pelvic region and thigh
Seropositive rheumatoid arthritis, unspecified, lower leg
Seropositive rheumatoid arthritis, unspecified, ankle and foot
Seropositive rheumatoid arthritis, unspecified, other sites
Seropositive rheumatoid arthritis, unspecified, site unspecified
Seronegative rheumatoid arthritis, multiple sites
Seronegative rheumatoid arthritis, shoulder region
Seronegative rheumatoid arthritis, upper arm
Seronegative rheumatoid arthritis, forearm
Seronegative rheumatoid arthritis, hand
Seronegative rheumatoid arthritis, pelvic region and thigh
Seronegative rheumatoid arthritis, lower leg
Seronegative rheumatoid arthritis, ankle and foot
Seronegative rheumatoid arthritis, other sites
Seronegative rheumatoid arthritis, site unspecified
Adult-onset Still's disease, multiple sites
Adult-onset Still's disease, shoulder region
Adult-onset Still's disease, upper arm
Adult-onset Still's disease, forearm
Adult-onset Still's disease, hand
Adult-onset Still's disease, pelvic region and thigh
Adult-onset Still's disease, lower leg
Adult-onset Still's disease, ankle and foot
Adult-onset Still's disease, other sites
Adult-onset Still's disease, site unspecified
Rheumatoid bursitis, multiple sites
Rheumatoid bursitis, shoulder region
Rheumatoid bursitis, upper arm
Rheumatoid bursitis, forearm
Rheumatoid bursitis, hand
Rheumatoid bursitis, pelvic region and thigh
Rheumatoid bursitis, lower leg
Rheumatoid bursitis, ankle and foot
Rheumatoid bursitis, other sites
Rheumatoid bursitis, site unspecified
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Schizophrenia
Systemic Lupus Erythematosus

M06.30
M06.31
M06.32
M06.33
M06.34
M06.35
M06.36
M06.37
M06.38
M06.39
M06.40
M06.41
M06.42
M06.43
M06.44
M06.45
M06.46
M06.47
M06.48
M06.49
M06.80
M06.81
M06.82
M06.83
M06.84
M06.85
M06.86
M06.87
M06.88
M06.89
M06.90
M06.91
M06.92
M06.93
M06.94
M06.95
M06.96
M06.97
M06.98
M06.99
M08.00
M08.01
M08.02
M08.03
M08.04
M08.05
M08.06
M08.07
M08.08
M08.09
F20.0
F20.1
F20.2
F20.3
F20.4
F20.5
F20.6
F20.8
F20.9
M32.0
M32.1I32.8*
M32.1I39.0*
Rheumatoid nodule, multiple sites

Rheumatoid nodule, shoulder region
Rheumatoid nodule, upper arm
Rheumatoid nodule, forearm
Rheumatoid nodule, hand
Rheumatoid nodule, pelvic region and thigh
Rheumatoid nodule, lower leg
Rheumatoid nodule, ankle and foor
Rheumatoid nodule, other sites
Rheumatoid nodule, site unspecified
Inflammatory polyarthropathy, multiple sites
Inflammatory polyarthropathy, shoulder region
Inflammatory polyarthropathy, upper arm
Inflammatory polyarthropathy, forearm
Inflammatory polyarthropathy, hand
Inflammatory polyarthropathy, pelvic region and thigh
Inflammatory polyarthropathy, lower leg
Inflammatory polyarthropathy, ankle and foot
Inflammatory polyarthropathy, other sites
Inflammatory polyarthropathy, site unspecified
Other specified rheumatoid arthritis, multiple sites
Other specified rheumatoid arthritis, shoulder region
Other specified rheumatoid arthritis, upper arm
Other specified rheumatoid arthritis, forearm
Other specified rheumatoid arthritis, hand
Other specified rheumatoid arthritis, pelvic region and thigh
Other specified rheumatoid arthritis, lower leg
Other specified rheumatoid arthritis, ankle and foot
Other specified rheumatoid arthritis, other sites
Other specified rheumatoid arthritis, site unspecified
Rheumatoid arthritis, unspecified, multiple sites
Rheumatoid arthritis, unspecified, shoulder region
Rheumatoid arthritis, unspecified, upper arm
Rheumatoid arthritis, unspecified, forearm
Rheumatoid arthritis, unspecified, hand
Rheumatoid arthritis, unspecified, pelvic region and thigh
Rheumatoid arthritis, unspecified, lower leg
Rheumatoid arthritis, unspecified, ankle and foot
Rheumatoid arthritis, unspecified, other sites
Rheumatoid arthritis, unspecified, site unspecified
Juvenile rheumatoid arthritis, multiple sites
Juvenile rheumatoid arthritis, shoulder region
Juvenile rheumatoid arthritis, upper arm
Juvenile rheumatoid arthritis, forearm
Juvenile rheumatoid arthritis, hand
Juvenile rheumatoid arthritis, pelvic region and thigh
Juvenile rheumatoid arthritis, lower leg
Juvenile rheumatoid arthritis, ankle and foot
Juvenile rheumatoid arthritis, other sites
Juvenile rheumatoid arthritis, site unspecified
Paranoid schizophrenia
Hebephrenic schizophrenia
Catatonic schizophrenia
Undifferentiated schizophrenia
Residual schizophrenia
Simple schizophrenia
Other schizophrenia
Schizophrenia, unspecified
Drug-induced systemic lupus erythematosus
Systemic lupus erythematosus with organ or system involvement/ Lupus pericarditis
Systemic lupus erythematosus with organ or system involvement/ Libman-sack's disease
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M32.1I39.1*
M32.1I39.2*
M32.1I39.3*
M32.1I39.4*
M32.1I39.8*
M32.1N08.5*
M32.1N16.4*
M32.1J99.1*
Ulcerative Colitis
M32.8
M32.9
L93.0
L93.1
L93.2
K51.0
K51.1
K51.2
K51.3
K51.4
K51.5
K51.8
K51.9

Systemic lupus erythematosus with organ or system involvement/Glomerular disorders in systemic
connective tissue disorders
Systemic lupus erythematosus with organ or system involvement/ Renal tubulo-interstitial disorders in
connective tissue disorders
Systemic lupus erythematosus with organ or system involvement/ Systemic lupus erythematosus with lung
involvement
Other forms of systemic lupus erythematosus
Systemic lupus erythematosus, unspecified
Discoid lupus erythematosus
Subacute cutaneous lupus erythematosus
Other local lupus erythematosus
Ulcerative (chronic) enterocolitis
Ulcerative (chronic) ileocolitis
Ulcerative (chronic) proctitis
Ulcerative (chronic) rectosigmoiditis
Pseudopolyposis of colon
Mucosal proctocolitis
Other ulcerative colitis
Ulcerative colitis, unspecified
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This code must be used as an additional code to identify functional activity associated with a
carcinoid tumour, the carcinoid tumour is the primary code
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This is an external cause code that is not valid as a primary diagnosis, use appropriate primary
code from mainly from chapter 19 (S00-T98).
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Use additional code from category O8.- to identify associated complication

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Use with O00-07 to identify complications, or where a new episode of care is solely for treatment
of a complication
of a complication
of a complication
of a complication
of a complication
of a complication
of a complication
of a complication

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This is an asterisk code and combination of the Dagger /Asterisk is required. The
dagger code in this instance spans the C00-D48 codes, indicate the dagger code
as appropriate.
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code from mainly from chapter 19 (S00 - T98).
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Code is not to be used for primary morbidity coding

classifiable to chapter 15 (O00-O99) is available
unless no other condition

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Not to be used as a Primary Diagnosis (PDX) if patient delivered in hospital
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This category is to be used as the primary code only when the site of the burn is unspecified. It
must be used as a supplementary code with categories T20-T29 when site is specified
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PMB 5 2005 v1.03

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PMB 5 2005 v1.03

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CMS December 2005

PMB Coding 5th Character Version 1.03

Benign and malignant brain Medical and surgical

Extrapyramidal and movement disorder unspecified

CMS December 2005

PMB Coding 5th Character Version 1.03

Neoplasm of uncertain/unknown behaviour, brain, infratentorial

CMS December 2005

Intraspinal and intracranial

PMB Coding 5th Character Version 1.03

Medical and surgical

Other status epilepticus

Meningococcal meningitis / Meningitis in bacterial diseases classified elsewhere

Meningitis acute and

Medical and surgical

Other secondary syphilis / Meningitis in bacterial diseases classified elsewhere

CMS December 2005

PMB Coding 5th Character Version 1.03

Peripheral nerve injury with Neuroplasty

Medical and surgical

Other specified myopathies

Severe / moderate head

CMS December 2005

PMB Coding 5th Character Version 1.03

Spinal cord compression,

Medical and surgical

Concussion without open intracranial injury

CMS December 2005

PMB Coding 5th Character Version 1.03

Spinal stenosis, site unspecified

CMS December 2005

PMB Coding 5th Character Version 1.03

Other cerebral infarction / Cerebellar stroke syndrome

Occlusion and stenosis of other precerebral artery / Cerebellar stroke syndrome

CMS December 2005

PMB Coding 5th Character Version 1.03

CMS December 2005

PMB Coding 5th Character Version 1.03

Dislocation of other and unspecified parts of neck

Arthropod-borne viral encephalitis, unspecified

Varicella meningitis / Meningitis in viral diseases classified elsewhere

Zoster meningitis / Meningitis in viral diseases classified elsewhere

CMS December 2005

PMB Coding 5th Character Version 1.03

Gammaherpesviral mononucleosis / Meningitis in viral diseases classified elsewhere

Acute and chronic

Acute otitis media

Medical and surgical

CMS December 2005

Cancer of oral cavity,

PMB Coding 5th Character Version 1.03

Medical and surgical

Other congenital malformations of trachea

CMS December 2005

PMB Coding 5th Character Version 1.03

Malignant neoplasm, overlapping lesion - hypopharynx

Medical and surgical

Chronic upper airway

Repair of choanal atresia Q30.0

Cleft palate and/or cleft lip

Deep open wound of neck,

Epistaxis not responsive

Cleft hard palate, unilateral

CMS December 2005