icd-10 code clarification list - cigna · 2019-03-13 · icd-10 code clarification list . all cigna...
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INT_19_74271_C 03122019
These codes have been identified as potentially causing confusion. They may be misapplied in physician office and other outpatient settings, or based on gender, geography, or Medicare Advantage member demographics. Please review any use of these codes, using all available coding resources, including the educational materials available on this website. Cigna Healthspring is committed to helping its providers submit accurate and complete codes that correctly reflect the health status and conditions of our members.
Description
MYOCARDIAL INFARCTION DIAGNOSES (HCC 86)
I2101 ST elevation (STEMI) myocardial infarction involving left main coronary artery
I2102 ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery
I2109 ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall
I2111 ST elevation (STEMI) myocardial infarction involving right coronary artery
I2119 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall
I2121 ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery
I2129 ST elevation (STEMI) myocardial infarction involving other sites
I213 ST elevation (STEMI) myocardial infarction of unspecified site
I214 Non-ST elevation (NSTEMI) myocardial infarction
I219 Acute myocardial infarction, unspecified
I21A1 Myocardial infarction type 2
I21A9 Other myocardial infarction type
I220 Subsequent ST elevation (STEMI) myocardial infarction of anterior wall
I221 Subsequent ST elevation (STEMI) myocardial infarction of inferior wall
I222 Subsequent non-ST elevation (NSTEMI) myocardial infarction
I228 Subsequent ST elevation (STEMI) myocardial infarction of other sites
I229 Subsequent ST elevation (STEMI) myocardial infarction of unspecified site
I234 Rupture of chordae tendineae as current complication following acute myocardial infarction
I235 Rupture of papillary muscle as current complication following acute myocardial infarction
CYSTIC FIBROSIS DIAGNOSES (HCC 110)
E849 Cystic fibrosis, unspecified
E840 Cystic fibrosis with pulmonary manifestations
E8411 Meconium ileus in cystic fibrosis
E8419 Cystic fibrosis with other intestinal manifestations
E848 Cystic fibrosis with other manifestations
CEREBRAL HEMORRHAGE DIAGNOSES (HCC 99)
I6000 Nontraumatic subarachnoid hemorrhage from unspecified carotid siphon and bifurcation
I6001 Nontraumatic subarachnoid hemorrhage from right carotid siphon and bifurcation
I6002 Nontraumatic subarachnoid hemorrhage from left carotid siphon and bifurcation
I6010 Nontraumatic subarachnoid hemorrhage from unspecified middle cerebral artery
I6011 Nontraumatic subarachnoid hemorrhage from right middle cerebral artery
ICD-10 Code Clarification List
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INT_19_74271_C 03122019
I6012 Nontraumatic subarachnoid hemorrhage from left middle cerebral artery
I602 Nontraumatic subarachnoid hemorrhage from anterior communicating artery
I6030 Nontraumatic subarachnoid hemorrhage from unspecified posterior communicating artery
I6031 Nontraumatic subarachnoid hemorrhage from right posterior communicating artery
I6032 Nontraumatic subarachnoid hemorrhage from left posterior communicating artery
I604 Nontraumatic subarachnoid hemorrhage from basilar artery
I6050 Nontraumatic subarachnoid hemorrhage from unspecified vertebral artery
I6051 Nontraumatic subarachnoid hemorrhage from right vertebral artery
I6052 Nontraumatic subarachnoid hemorrhage from left vertebral artery
I606 Nontraumatic subarachnoid hemorrhage from other intracranial arteries
I607 Nontraumatic subarachnoid hemorrhage from unspecified intracranial artery
I608 Other nontraumatic subarachnoid hemorrhage
I609 Nontraumatic subarachnoid hemorrhage, unspecified
I610 Nontraumatic intracerebral hemorrhage in hemisphere, subcortical
I611 Nontraumatic intracerebral hemorrhage in hemisphere, cortical
I612 Nontraumatic intracerebral hemorrhage in hemisphere, unspecified
I613 Nontraumatic intracerebral hemorrhage in brain stem
I614 Nontraumatic intracerebral hemorrhage in cerebellum
I615 Nontraumatic intracerebral hemorrhage, intraventricular
I616 Nontraumatic intracerebral hemorrhage, multiple localized
I618 Other nontraumatic intracerebral hemorrhage
I619 Nontraumatic intracerebral hemorrhage, unspecified
I6200 Nontraumatic subdural hemorrhage, unspecified
I6201 Nontraumatic acute subdural hemorrhage
I6202 Nontraumatic subacute subdural hemorrhage
I6203 Nontraumatic chronic subdural hemorrhage
I621 Nontraumatic extradural hemorrhage
I629 Nontraumatic intracranial hemorrhage, unspecified
SEVERE SKIN BURN DIAGNOSES (HCC 162)
T3111 Burns involving 10-19% of body surface with 10-19% third degree burns
T3121 Burns involving 20-29% of body surface with 10-19% third degree burns
T3122 Burns involving 20-29% of body surface with 20-29% third degree burns
T3131 Burns involving 30-39% of body surface with 10-19% third degree burns
T3132 Burns involving 30-39% of body surface with 20-29% third degree burns
T3133 Burns involving 30-39% of body surface with 30-39% third degree burns
T3141 Burns involving 40-49% of body surface with 10-19% third degree burns
T3142 Burns involving 40-49% of body surface with 20-29% third degree burns
T3143 Burns involving 40-49% of body surface with 30-39% third degree burns
T3144 Burns involving 40-49% of body surface with 40-49% third degree burns
T3151 Burns involving 50-59% of body surface with 10-19% third degree burns
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INT_19_74271_C 03122019
T3152 Burns involving 50-59% of body surface with 20-29% third degree burns
T3153 Burns involving 50-59% of body surface with 30-39% third degree burns
T3154 Burns involving 50-59% of body surface with 40-49% third degree burns
T3155 Burns involving 50-59% of body surface with 50-59% third degree burns
T3161 Burns involving 60-69% of body surface with 10-19% third degree burns
T3162 Burns involving 60-69% of body surface with 20-29% third degree burns
T3163 Burns involving 60-69% of body surface with 30-39% third degree burns
T3164 Burns involving 60-69% of body surface with 40-49% third degree burns
T3165 Burns involving 60-69% of body surface with 50-59% third degree burns
T3166 Burns involving 60-69% of body surface with 60-69% third degree burns
T3171 Burns involving 70-79% of body surface with 10-19% third degree burns
T3172 Burns involving 70-79% of body surface with 20-29% third degree burns
T3173 Burns involving 70-79% of body surface with 30-39% third degree burns
T3174 Burns involving 70-79% of body surface with 40-49% third degree burns
T3175 Burns involving 70-79% of body surface with 50-59% third degree burns
T3176 Burns involving 70-79% of body surface with 60-69% third degree burns
T3177 Burns involving 70-79% of body surface with 70-79% third degree burns
T3181 Burns involving 80-89% of body surface with 10-19% third degree burns
T3182 Burns involving 80-89% of body surface with 20-29% third degree burns
T3183 Burns involving 80-89% of body surface with 30-39% third degree burns
T3184 Burns involving 80-89% of body surface with 40-49% third degree burns
T3185 Burns involving 80-89% of body surface with 50-59% third degree burns
T3186 Burns involving 80-89% of body surface with 60-69% third degree burns
T3187 Burns involving 80-89% of body surface with 70-79% third degree burns
T3188 Burns involving 80-89% of body surface with 80-89% third degree burns
T3191 Burns involving 90% or more of body surface with 10-19% third degree burns
T3192 Burns involving 90% or more of body surface with 20-29% third degree burns
T3193 Burns involving 90% or more of body surface with 30-39% third degree burns
T3194 Burns involving 90% or more of body surface with 40-49% third degree burns
T3195 Burns involving 90% or more of body surface with 50-59% third degree burns
T3196 Burns involving 90% or more of body surface with 60-69% third degree burns
T3197 Burns involving 90% or more of body surface with 70-79% third degree burns
T3198 Burns involving 90% or more of body surface with 80-89% third degree burns
T3199 Burns involving 90% or more of body surface with 90% or more third degree burns
T3211 Corrosions involving 10-19% of body surface with 10-19% third degree corrosion
T3221 Corrosions involving 20-29% of body surface with 10-19% third degree corrosion
T3222 Corrosions involving 20-29% of body surface with 20-29% third degree corrosion
T3231 Corrosions involving 30-39% of body surface with 10-19% third degree corrosion
T3232 Corrosions involving 30-39% of body surface with 20-29% third degree corrosion
T3233 Corrosions involving 30-39% of body surface with 30-39% third degree corrosion
T3241 Corrosions involving 40-49% of body surface with 10-19% third degree corrosion
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INT_19_74271_C 03122019
T3242 Corrosions involving 40-49% of body surface with 20-29% third degree corrosion
T3243 Corrosions involving 40-49% of body surface with 30-39% third degree corrosion
T3244 Corrosions involving 40-49% of body surface with 40-49% third degree corrosion
T3251 Corrosions involving 50-59% of body surface with 10-19% third degree corrosion
T3252 Corrosions involving 50-59% of body surface with 20-29% third degree corrosion
T3253 Corrosions involving 50-59% of body surface with 30-39% third degree corrosion
T3254 Corrosions involving 50-59% of body surface with 40-49% third degree corrosion
T3255 Corrosions involving 50-59% of body surface with 50-59% third degree corrosion
T3261 Corrosions involving 60-69% of body surface with 10-19% third degree corrosion
T3262 Corrosions involving 60-69% of body surface with 20-29% third degree corrosion
T3263 Corrosions involving 60-69% of body surface with 30-39% third degree corrosion
T3264 Corrosions involving 60-69% of body surface with 40-49% third degree corrosion
T3265 Corrosions involving 60-69% of body surface with 50-59% third degree corrosion
T3266 Corrosions involving 60-69% of body surface with 60-69% third degree corrosion
T3271 Corrosions involving 70-79% of body surface with 10-19% third degree corrosion
T3272 Corrosions involving 70-79% of body surface with 20-29% third degree corrosion
T3273 Corrosions involving 70-79% of body surface with 30-39% third degree corrosion
T3274 Corrosions involving 70-79% of body surface with 40-49% third degree corrosion
T3275 Corrosions involving 70-79% of body surface with 50-59% third degree corrosion
T3276 Corrosions involving 70-79% of body surface with 60-69% third degree corrosion
T3277 Corrosions involving 70-79% of body surface with 70-79% third degree corrosion
T3281 Corrosions involving 80-89% of body surface with 10-19% third degree corrosion
T3282 Corrosions involving 80-89% of body surface with 20-29% third degree corrosion
T3283 Corrosions involving 80-89% of body surface with 30-39% third degree corrosion
T3284 Corrosions involving 80-89% of body surface with 40-49% third degree corrosion
T3285 Corrosions involving 80-89% of body surface with 50-59% third degree corrosion
T3286 Corrosions involving 80-89% of body surface with 60-69% third degree corrosion
T3287 Corrosions involving 80-89% of body surface with 70-79% third degree corrosion
T3288 Corrosions involving 80-89% of body surface with 80-89% third degree corrosion
T3291 Corrosions involving 90% or more of body surface with 10-19% third degree corrosion
T3292 Corrosions involving 90% or more of body surface with 20-29% third degree corrosion
T3293 Corrosions involving 90% or more of body surface with 30-39% third degree corrosion
T3294 Corrosions involving 90% or more of body surface with 40-49% third degree corrosion
T3295 Corrosions involving 90% or more of body surface with 50-59% third degree corrosion
T3296 Corrosions involving 90% or more of body surface with 60-69% third degree corrosion
T3297 Corrosions involving 90% or more of body surface with 70-79% third degree corrosion
T3298 Corrosions involving 90% or more of body surface with 80-89% third degree corrosion
T3299 Corrosions involving 90% or more of body surface with 90% or more third degree corrosion
SEVERE HEAD INJURY DIAGNOSES (HCC 166)
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INT_19_74271_C 03122019
S061X3A Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S061X4A Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, initial encounter
S061X5A Traumatic cerebral edema with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S061X6A Traumatic cerebral edema with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S062X3A Diffuse traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S062X4A Diffuse traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter
S062X5A Diffuse traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious levels, initial encounter
S062X6A Diffuse traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06303A Unspecified focal traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S06304A Unspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter
S06305A Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06306A Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06313A Contusion and laceration of right cerebrum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S06314A Contusion and laceration of right cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter
S06315A Contusion and laceration of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06316A Contusion and laceration of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06323A Contusion and laceration of left cerebrum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S06324A Contusion and laceration of left cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter
S06325A Contusion and laceration of left cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06326A Contusion and laceration of left cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
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INT_19_74271_C 03122019
S06333A Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S06334A Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 6 hours to 24 hours, initial encounter
S06335A Contusion and laceration of cerebrum, unspecified, with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06336A Contusion and laceration of cerebrum, unspecified, with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06343A Traumatic hemorrhage of right cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter
S06344A Traumatic hemorrhage of right cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter
S06345A Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06346A Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06353A Traumatic hemorrhage of left cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter
S06354A Traumatic hemorrhage of left cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter
S06355A Traumatic hemorrhage of left cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06356A Traumatic hemorrhage of left cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06363A Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter
S06364A Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 6 hours to 24 hours, initial encounter
S06365A Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06366A Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06373A Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S06374A Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 6 hours to 24 hours, initial encounter
S06375A Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
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The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna
INT_19_74271_C 03122019
S06376A Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06383A Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S06384A Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 6 hours to 24 hours, initial encounter
S06385A Contusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06386A Contusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S064X3A Epidural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S064X4A Epidural hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter
S064X5A Epidural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S064X6A Epidural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S065X3A Traumatic subdural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S065X4A Traumatic subdural hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter
S065X5A Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S065X6A Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S066X3A Traumatic subarachnoid hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S066X4A Traumatic subarachnoid hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter
S066X5A Traumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S066X6A Traumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06813A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S06814A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter
S06815A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
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INT_19_74271_C 03122019
S06816A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06823A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S06824A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter
S06825A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06826A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06893A Other specified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S06894A Other specified intracranial injury with loss of consciousness of 6 hours to 24 hours, initial encounter
S06895A Other specified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06896A Other specified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S069X3A Unspecified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S069X4A Unspecified intracranial injury with loss of consciousness of 6 hours to 24 hours, initial encounter
S069X5A Unspecified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S069X6A Unspecified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
MAJOR HEAD INJURY DIAGNOSES (HCC 167)
S020XXA Fracture of vault of skull, initial encounter for closed fracture
S020XXB Fracture of vault of skull, initial encounter for open fracture
S020XXS Fracture of vault of skull, sequela
S02101A Fracture of base of skull, right side, initial encounter for closed fracture
S02101B Fracture of base of skull, right side, initial encounter for open fracture
S02101S Fracture of base of skull, right side, sequela
S02102A Fracture of base of skull, left side, initial encounter for closed fracture
S02102B Fracture of base of skull, left side, initial encounter for open fracture
S02102S Fracture of base of skull, left side, sequela
S02109A Fracture of base of skull, unspecified side, initial encounter for closed fracture
S02109B Fracture of base of skull, unspecified side, initial encounter for open fracture
S02109S Fracture of base of skull, unspecified side, sequela
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INT_19_74271_C 03122019
S02110A Type I occipital condyle fracture, unspecified side, initial encounter for closed fracture
S02110B Type I occipital condyle fracture, unspecified side, initial encounter for open fracture
S02110S Type I occipital condyle fracture, unspecified side, sequela
S02111A Type II occipital condyle fracture, unspecified side, initial encounter for closed fracture
S02111B Type II occipital condyle fracture, unspecified side, initial encounter for open fracture
S02111S Type II occipital condyle fracture, unspecified side, sequela
S02112A Type III occipital condyle fracture, unspecified side, initial encounter for closed fracture
S02112B Type III occipital condyle fracture, unspecified side, initial encounter for open fracture
S02112S Type III occipital condyle fracture, unspecified side, sequela
S02113A Unspecified occipital condyle fracture, initial encounter for closed fracture
S02113B Unspecified occipital condyle fracture, initial encounter for open fracture
S02113S Unspecified occipital condyle fracture, sequela
S02118A Other fracture of occiput, unspecified side, initial encounter for closed fracture
S02118B Other fracture of occiput, unspecified side, initial encounter for open fracture
S02118S Other fracture of occiput, unspecified side, sequela
S02119A Unspecified fracture of occiput, initial encounter for closed fracture
S02119B Unspecified fracture of occiput, initial encounter for open fracture
S02119S Unspecified fracture of occiput, sequela
S0211AA Type I occipital condyle fracture, right side, initial encounter for closed fracture
S0211AB Type I occipital condyle fracture, right side, initial encounter for open fracture
S0211AS Type I occipital condyle fracture, right side, sequela
S0211BA Type I occipital condyle fracture, left side, initial encounter for closed fracture
S0211BB Type I occipital condyle fracture, left side, initial encounter for open fracture
S0211BS Type I occipital condyle fracture, left side, sequela
S0211CA Type II occipital condyle fracture, right side, initial encounter for closed fracture
S0211CB Type II occipital condyle fracture, right side, initial encounter for open fracture
S0211CS Type II occipital condyle fracture, right side, sequela
S0211DA Type II occipital condyle fracture, left side, initial encounter for closed fracture
S0211DB Type II occipital condyle fracture, left side, initial encounter for open fracture
S0211DS Type II occipital condyle fracture, left side, sequela
S0211EA Type III occipital condyle fracture, right side, initial encounter for closed fracture
S0211EB Type III occipital condyle fracture, right side, initial encounter for open fracture
S0211ES Type III occipital condyle fracture, right side, sequela
S0211FA Type III occipital condyle fracture, left side, initial encounter for closed fracture
S0211FB Type III occipital condyle fracture, left side, initial encounter for open fracture
S0211FS Type III occipital condyle fracture, left side, sequela
S0211GA Other fracture of occiput, right side, initial encounter for closed fracture
S0211GB Other fracture of occiput, right side, initial encounter for open fracture
S0211GS Other fracture of occiput, right side, sequela
S0211HA Other fracture of occiput, left side, initial encounter for closed fracture
S0211HB Other fracture of occiput, left side, initial encounter for open fracture
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INT_19_74271_C 03122019
S0211HS Other fracture of occiput, left side, sequela
S0219XA Other fracture of base of skull, initial encounter for closed fracture
S0219XB Other fracture of base of skull, initial encounter for open fracture
S0219XS Other fracture of base of skull, sequela
S0230XA Fracture of orbital floor, unspecified side, initial encounter for closed fracture
S0230XB Fracture of orbital floor, unspecified side, initial encounter for open fracture
S0230XS Fracture of orbital floor, unspecified side, sequela
S0231XA Fracture of orbital floor, right side, initial encounter for closed fracture
S0231XB Fracture of orbital floor, right side, initial encounter for open fracture
S0231XS Fracture of orbital floor, right side, sequela
S0232XA Fracture of orbital floor, left side, initial encounter for closed fracture
S0232XB Fracture of orbital floor, left side, initial encounter for open fracture
S0232XS Fracture of orbital floor, left side, sequela
S02400A Malar fracture, unspecified side, initial encounter for closed fracture
S02400B Malar fracture, unspecified side, initial encounter for open fracture
S02400S Malar fracture, unspecified side, sequela
S02401A Maxillary fracture, unspecified side, initial encounter for closed fracture
S02401B Maxillary fracture, unspecified side, initial encounter for open fracture
S02401S Maxillary fracture, unspecified side, sequela
S02402A Zygomatic fracture, unspecified side, initial encounter for closed fracture
S02402B Zygomatic fracture, unspecified side, initial encounter for open fracture
S02402S Zygomatic fracture, unspecified side, sequela
S0240AA Malar fracture, right side, initial encounter for closed fracture
S0240AB Malar fracture, right side, initial encounter for open fracture
S0240AS Malar fracture, right side, sequela
S0240BA Malar fracture, left side, initial encounter for closed fracture
S0240BB Malar fracture, left side, initial encounter for open fracture
S0240BS Malar fracture, left side, sequela
S0240CA Maxillary fracture, right side, initial encounter for closed fracture
S0240CB Maxillary fracture, right side, initial encounter for open fracture
S0240CS Maxillary fracture, right side, sequela
S0240DA Maxillary fracture, left side, initial encounter for closed fracture
S0240DB Maxillary fracture, left side, initial encounter for open fracture
S0240DS Maxillary fracture, left side, sequela
S0240EA Zygomatic fracture, right side, initial encounter for closed fracture
S0240EB Zygomatic fracture, right side, initial encounter for open fracture
S0240ES Zygomatic fracture, right side, sequela
S0240FA Zygomatic fracture, left side, initial encounter for closed fracture
S0240FB Zygomatic fracture, left side, initial encounter for open fracture
S0240FS Zygomatic fracture, left side, sequela
S02411A LeFort I fracture, initial encounter for closed fracture
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The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna
INT_19_74271_C 03122019
S02411B LeFort I fracture, initial encounter for open fracture
S02411S LeFort I fracture, sequela
S02412A LeFort II fracture, initial encounter for closed fracture
S02412B LeFort II fracture, initial encounter for open fracture
S02412S LeFort II fracture, sequela
S02413A LeFort III fracture, initial encounter for closed fracture
S02413B LeFort III fracture, initial encounter for open fracture
S02413S LeFort III fracture, sequela
S0242XA Fracture of alveolus of maxilla, initial encounter for closed fracture
S0242XB Fracture of alveolus of maxilla, initial encounter for open fracture
S0242XS Fracture of alveolus of maxilla, sequela
S02600A Fracture of unspecified part of body of mandible, unspecified side, initial encounter for closed fracture
S02600B Fracture of unspecified part of body of mandible, unspecified side, initial encounter for open fracture
S02600S Fracture of unspecified part of body of mandible, unspecified side, sequela
S02601A Fracture of unspecified part of body of right mandible, initial encounter for closed fracture
S02601B Fracture of unspecified part of body of right mandible, initial encounter for open fracture
S02601S Fracture of unspecified part of body of right mandible, sequela
S02602A Fracture of unspecified part of body of left mandible, initial encounter for closed fracture
S02602B Fracture of unspecified part of body of left mandible, initial encounter for open fracture
S02602S Fracture of unspecified part of body of left mandible, sequela
S02609A Fracture of mandible, unspecified, initial encounter for closed fracture
S02609B Fracture of mandible, unspecified, initial encounter for open fracture
S02609S Fracture of mandible, unspecified, sequela
S02610A Fracture of condylar process of mandible, unspecified side, initial encounter for closed fracture
S02610B Fracture of condylar process of mandible, unspecified side, initial encounter for open fracture
S02610S Fracture of condylar process of mandible, unspecified side, sequela
S02611A Fracture of condylar process of right mandible, initial encounter for closed fracture
S02611B Fracture of condylar process of right mandible, initial encounter for open fracture
S02611S Fracture of condylar process of right mandible, sequela
S02612A Fracture of condylar process of left mandible, initial encounter for closed fracture
S02612B Fracture of condylar process of left mandible, initial encounter for open fracture
S02612S Fracture of condylar process of left mandible, sequela
S02620A Fracture of subcondylar process of mandible, unspecified side, initial encounter for closed fracture
S02620B Fracture of subcondylar process of mandible, unspecified side, initial encounter for open fracture
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.
The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna
INT_19_74271_C 03122019
S02620S Fracture of subcondylar process of mandible, unspecified side, sequela
S02621A Fracture of subcondylar process of right mandible, initial encounter for closed fracture
S02621B Fracture of subcondylar process of right mandible, initial encounter for open fracture
S02621S Fracture of subcondylar process of right mandible, sequela
S02622A Fracture of subcondylar process of left mandible, initial encounter for closed fracture
S02622B Fracture of subcondylar process of left mandible, initial encounter for open fracture
S02622S Fracture of subcondylar process of left mandible, sequela
S02630A Fracture of coronoid process of mandible, unspecified side, initial encounter for closed fracture
S02630B Fracture of coronoid process of mandible, unspecified side, initial encounter for open fracture
S02630S Fracture of coronoid process of mandible, unspecified side, sequela
S02631A Fracture of coronoid process of right mandible, initial encounter for closed fracture
S02631B Fracture of coronoid process of right mandible, initial encounter for open fracture
S02631S Fracture of coronoid process of right mandible, sequela
S02632A Fracture of coronoid process of left mandible, initial encounter for closed fracture
S02632B Fracture of coronoid process of left mandible, initial encounter for open fracture
S02632S Fracture of coronoid process of left mandible, sequela
S02640A Fracture of ramus of mandible, unspecified side, initial encounter for closed fracture
S02640B Fracture of ramus of mandible, unspecified side, initial encounter for open fracture
S02640S Fracture of ramus of mandible, unspecified side, sequela
S02641A Fracture of ramus of right mandible, initial encounter for closed fracture
S02641B Fracture of ramus of right mandible, initial encounter for open fracture
S02641S Fracture of ramus of right mandible, sequela
S02642A Fracture of ramus of left mandible, initial encounter for closed fracture
S02642B Fracture of ramus of left mandible, initial encounter for open fracture
S02642S Fracture of ramus of left mandible, sequela
S02650A Fracture of angle of mandible, unspecified side, initial encounter for closed fracture
S02650B Fracture of angle of mandible, unspecified side, initial encounter for open fracture
S02650S Fracture of angle of mandible, unspecified side, sequela
S02651A Fracture of angle of right mandible, initial encounter for closed fracture
S02651B Fracture of angle of right mandible, initial encounter for open fracture
S02651S Fracture of angle of right mandible, sequela
S02652A Fracture of angle of left mandible, initial encounter for closed fracture
S02652B Fracture of angle of left mandible, initial encounter for open fracture
S02652S Fracture of angle of left mandible, sequela
S0266XA Fracture of symphysis of mandible, initial encounter for closed fracture
S0266XB Fracture of symphysis of mandible, initial encounter for open fracture
S0266XS Fracture of symphysis of mandible, sequela
S02670A Fracture of alveolus of mandible, unspecified side, initial encounter for closed fracture
S02670B Fracture of alveolus of mandible, unspecified side, initial encounter for open fracture
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.
The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna
INT_19_74271_C 03122019
S02670S Fracture of alveolus of mandible, unspecified side, sequela
S02671A Fracture of alveolus of right mandible, initial encounter for closed fracture
S02671B Fracture of alveolus of right mandible, initial encounter for open fracture
S02671S Fracture of alveolus of right mandible, sequela
S02672A Fracture of alveolus of left mandible, initial encounter for closed fracture
S02672B Fracture of alveolus of left mandible, initial encounter for open fracture
S02672S Fracture of alveolus of left mandible, sequela
S0269XA Fracture of mandible of other specified site, initial encounter for closed fracture
S0269XB Fracture of mandible of other specified site, initial encounter for open fracture
S0269XS Fracture of mandible of other specified site, sequela
S0280XA Fracture of other specified skull and facial bones, unspecified side, initial encounter for closed fracture
S0280XB Fracture of other specified skull and facial bones, unspecified side, initial encounter for open fracture
S0280XS Fracture of other specified skull and facial bones, unspecified side, sequela
S0281XA Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture
S0281XB Fracture of other specified skull and facial bones, right side, initial encounter for open fracture
S0281XS Fracture of other specified skull and facial bones, right side, sequela
S0282XA Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture
S0282XB Fracture of other specified skull and facial bones, left side, initial encounter for open fracture
S0282XS Fracture of other specified skull and facial bones, left side, sequela
S0291XA Unspecified fracture of skull, initial encounter for closed fracture
S0291XB Unspecified fracture of skull, initial encounter for open fracture
S0291XS Unspecified fracture of skull, sequela
S0292XA Unspecified fracture of facial bones, initial encounter for closed fracture
S0292XB Unspecified fracture of facial bones, initial encounter for open fracture
S0292XS Unspecified fracture of facial bones, sequela
S060X0S Concussion without loss of consciousness, sequela
S060X1S Concussion with loss of consciousness of 30 minutes or less, sequela
S060X9S Concussion with loss of consciousness of unspecified duration, sequela
S061X0A Traumatic cerebral edema without loss of consciousness, initial encounter
S061X0S Traumatic cerebral edema without loss of consciousness, sequela
S061X1A Traumatic cerebral edema with loss of consciousness of 30 minutes or less, initial encounter
S061X1S Traumatic cerebral edema with loss of consciousness of 30 minutes or less, sequela
S061X2A Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, initial encounter
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.
The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna
INT_19_74271_C 03122019
S061X2S Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, sequela
S061X3S Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela
S061X4S Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, sequela
S061X5S Traumatic cerebral edema with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
S061X6S Traumatic cerebral edema with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
S061X9A Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter
S061X9S Traumatic cerebral edema with loss of consciousness of unspecified duration, sequela
S062X0A Diffuse traumatic brain injury without loss of consciousness, initial encounter
S062X0S Diffuse traumatic brain injury without loss of consciousness, sequela
S062X1A Diffuse traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounter
S062X1S Diffuse traumatic brain injury with loss of consciousness of 30 minutes or less, sequela
S062X2A Diffuse traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S062X2S Diffuse traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, sequela
S062X3S Diffuse traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela
S062X4S Diffuse traumatic brain injury with loss of consciousness of 6 hours to 24 hours, sequela
S062X5S Diffuse traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious levels, sequela
S062X6S Diffuse traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
S062X9A Diffuse traumatic brain injury with loss of consciousness of unspecified duration, initial encounter
S062X9S Diffuse traumatic brain injury with loss of consciousness of unspecified duration, sequela
S06300A Unspecified focal traumatic brain injury without loss of consciousness, initial encounter
S06300S Unspecified focal traumatic brain injury without loss of consciousness, sequela
S06301A Unspecified focal traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounter
S06301S Unspecified focal traumatic brain injury with loss of consciousness of 30 minutes or less, sequela
S06302A Unspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S06302S Unspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, sequela
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.
The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna
INT_19_74271_C 03122019
S06303S Unspecified focal traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela
S06304S Unspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 hours, sequela
S06305S Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
S06306S Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
S06309A Unspecified focal traumatic brain injury with loss of consciousness of unspecified duration, initial encounter
S06309S Unspecified focal traumatic brain injury with loss of consciousness of unspecified duration, sequela
S06310A Contusion and laceration of right cerebrum without loss of consciousness, initial encounter
S06310S Contusion and laceration of right cerebrum without loss of consciousness, sequela
S06311A Contusion and laceration of right cerebrum with loss of consciousness of 30 minutes or less, initial encounter
S06311S Contusion and laceration of right cerebrum with loss of consciousness of 30 minutes or less, sequela
S06312A Contusion and laceration of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S06312S Contusion and laceration of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, sequela
S06313S Contusion and laceration of right cerebrum with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela
S06314S Contusion and laceration of right cerebrum with loss of consciousness of 6 hours to 24 hours, sequela
S06315S Contusion and laceration of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
S06316S Contusion and laceration of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
S06319A Contusion and laceration of right cerebrum with loss of consciousness of unspecified duration, initial encounter
S06319S Contusion and laceration of right cerebrum with loss of consciousness of unspecified duration, sequela
S06320A Contusion and laceration of left cerebrum without loss of consciousness, initial encounter
S06320S Contusion and laceration of left cerebrum without loss of consciousness, sequela
S06321A Contusion and laceration of left cerebrum with loss of consciousness of 30 minutes or less, initial encounter
S06321S Contusion and laceration of left cerebrum with loss of consciousness of 30 minutes or less, sequela
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.
The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna
INT_19_74271_C 03122019
S06322A Contusion and laceration of left cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S06322S Contusion and laceration of left cerebrum with loss of consciousness of 31 minutes to 59 minutes, sequela
S06323S Contusion and laceration of left cerebrum with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela
S06324S Contusion and laceration of left cerebrum with loss of consciousness of 6 hours to 24 hours, sequela
S06325S Contusion and laceration of left cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
S06326S Contusion and laceration of left cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
S06329A Contusion and laceration of left cerebrum with loss of consciousness of unspecified duration, initial encounter
S06329S Contusion and laceration of left cerebrum with loss of consciousness of unspecified duration, sequela
S06330A Contusion and laceration of cerebrum, unspecified, without loss of consciousness, initial encounter
S06330S Contusion and laceration of cerebrum, unspecified, without loss of consciousness, sequela
S06331A Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 30 minutes or less, initial encounter
S06331S Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 30 minutes or less, sequela
S06332A Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S06332S Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 31 minutes to 59 minutes, sequela
S06333S Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela
S06334S Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 6 hours to 24 hours, sequela
S06335S Contusion and laceration of cerebrum, unspecified, with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
S06336S Contusion and laceration of cerebrum, unspecified, with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
S06339A Contusion and laceration of cerebrum, unspecified, with loss of consciousness of unspecified duration, initial encounter
S06339S Contusion and laceration of cerebrum, unspecified, with loss of consciousness of unspecified duration, sequela
S06340A Traumatic hemorrhage of right cerebrum without loss of consciousness, initial encounter
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.
The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna
INT_19_74271_C 03122019
S06340S Traumatic hemorrhage of right cerebrum without loss of consciousness, sequela
S06341A Traumatic hemorrhage of right cerebrum with loss of consciousness of 30 minutes or less, initial encounter
S06341S Traumatic hemorrhage of right cerebrum with loss of consciousness of 30 minutes or less, sequela
S06342A Traumatic hemorrhage of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S06342S Traumatic hemorrhage of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, sequela
S06343S Traumatic hemorrhage of right cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, sequela
S06344S Traumatic hemorrhage of right cerebrum with loss of consciousness of 6 hours to 24 hours, sequela
S06345S Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
S06346S Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
S06349A Traumatic hemorrhage of right cerebrum with loss of consciousness of unspecified duration, initial encounter
S06349S Traumatic hemorrhage of right cerebrum with loss of consciousness of unspecified duration, sequela
S06350A Traumatic hemorrhage of left cerebrum without loss of consciousness, initial encounter
S06350S Traumatic hemorrhage of left cerebrum without loss of consciousness, sequela
S06351A Traumatic hemorrhage of left cerebrum with loss of consciousness of 30 minutes or less, initial encounter
S06351S Traumatic hemorrhage of left cerebrum with loss of consciousness of 30 minutes or less, sequela
S06352A Traumatic hemorrhage of left cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S06352S Traumatic hemorrhage of left cerebrum with loss of consciousness of 31 minutes to 59 minutes, sequela
S06353S Traumatic hemorrhage of left cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, sequela
S06354S Traumatic hemorrhage of left cerebrum with loss of consciousness of 6 hours to 24 hours, sequela
S06355S Traumatic hemorrhage of left cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
S06356S Traumatic hemorrhage of left cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
S06359A Traumatic hemorrhage of left cerebrum with loss of consciousness of unspecified duration, initial encounter
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.
The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna
INT_19_74271_C 03122019
S06359S Traumatic hemorrhage of left cerebrum with loss of consciousness of unspecified duration, sequela
S06360A Traumatic hemorrhage of cerebrum, unspecified, without loss of consciousness, initial encounter
S06360S Traumatic hemorrhage of cerebrum, unspecified, without loss of consciousness, sequela
S06361A Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 30 minutes or less, initial encounter
S06361S Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 30 minutes or less, sequela
S06362A Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S06362S Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 31 minutes to 59 minutes, sequela
S06363S Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 1 hours to 5 hours 59 minutes, sequela
S06364S Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 6 hours to 24 hours, sequela
S06365S Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
S06366S Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
S06369A Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of unspecified duration, initial encounter
S06369S Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of unspecified duration, sequela
S06370A Contusion, laceration, and hemorrhage of cerebellum without loss of consciousness, initial encounter
S06370S Contusion, laceration, and hemorrhage of cerebellum without loss of consciousness, sequela
S06371A Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 30 minutes or less, initial encounter
S06371S Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 30 minutes or less, sequela
S06372A Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S06372S Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 31 minutes to 59 minutes, sequela
S06373S Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela
S06374S Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 6 hours to 24 hours, sequela
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.
The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna
INT_19_74271_C 03122019
S06375S Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
S06376S Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
S06379A Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of unspecified duration, initial encounter
S06379S Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of unspecified duration, sequela
S06380A Contusion, laceration, and hemorrhage of brainstem without loss of consciousness, initial encounter
S06380S Contusion, laceration, and hemorrhage of brainstem without loss of consciousness, sequela
S06381A Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 30 minutes or less, initial encounter
S06381S Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 30 minutes or less, sequela
S06382A Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S06382S Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 31 minutes to 59 minutes, sequela
S06383S Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela
S06384S Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 6 hours to 24 hours, sequela
S06385S Contusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
S06386S Contusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
S06389A Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of unspecified duration, initial encounter
S06389S Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of unspecified duration, sequela
S064X0A Epidural hemorrhage without loss of consciousness, initial encounter
S064X0S Epidural hemorrhage without loss of consciousness, sequela
S064X1A Epidural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter
S064X1S Epidural hemorrhage with loss of consciousness of 30 minutes or less, sequela
S064X2A Epidural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S064X2S Epidural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, sequela
S064X3S Epidural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.
The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna
INT_19_74271_C 03122019
S064X4S Epidural hemorrhage with loss of consciousness of 6 hours to 24 hours, sequela
S064X5S Epidural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
S064X6S Epidural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
S064X9A Epidural hemorrhage with loss of consciousness of unspecified duration, initial encounter
S064X9S Epidural hemorrhage with loss of consciousness of unspecified duration, sequela
S065X0A Traumatic subdural hemorrhage without loss of consciousness, initial encounter
S065X0S Traumatic subdural hemorrhage without loss of consciousness, sequela
S065X1A Traumatic subdural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter
S065X1S Traumatic subdural hemorrhage with loss of consciousness of 30 minutes or less, sequela
S065X2A Traumatic subdural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S065X2S Traumatic subdural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, sequela
S065X3S Traumatic subdural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela
S065X4S Traumatic subdural hemorrhage with loss of consciousness of 6 hours to 24 hours, sequela
S065X5S Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
S065X6S Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
S065X9A Traumatic subdural hemorrhage with loss of consciousness of unspecified duration, initial encounter
S065X9S Traumatic subdural hemorrhage with loss of consciousness of unspecified duration, sequela
S066X0A Traumatic subarachnoid hemorrhage without loss of consciousness, initial encounter
S066X0S Traumatic subarachnoid hemorrhage without loss of consciousness, sequela
S066X1A Traumatic subarachnoid hemorrhage with loss of consciousness of 30 minutes or less, initial encounter
S066X1S Traumatic subarachnoid hemorrhage with loss of consciousness of 30 minutes or less, sequela
S066X2A Traumatic subarachnoid hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S066X2S Traumatic subarachnoid hemorrhage with loss of consciousness of 31 minutes to 59 minutes, sequela
S066X3S Traumatic subarachnoid hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela
S066X4S Traumatic subarachnoid hemorrhage with loss of consciousness of 6 hours to 24 hours, sequela
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.
The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna
INT_19_74271_C 03122019
S066X5S Traumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
S066X6S Traumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
S066X9A Traumatic subarachnoid hemorrhage with loss of consciousness of unspecified duration, initial encounter
S066X9S Traumatic subarachnoid hemorrhage with loss of consciousness of unspecified duration, sequela
S06810A Injury of right internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounter
S06810S Injury of right internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, sequela
S06811A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter
S06811S Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, sequela
S06812A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S06812S Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, sequela
S06813S Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela
S06814S Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, sequela
S06815S Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
S06816S Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
S06819A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, initial encounter
S06819S Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, sequela
S06820A Injury of left internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounter
S06820S Injury of left internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, sequela
S06821A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter
S06821S Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, sequela
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.
The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna
INT_19_74271_C 03122019
S06822A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S06822S Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, sequela
S06823S Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela
S06824S Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, sequela
S06825S Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
S06826S Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
S06829A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, initial encounter
S06829S Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, sequela
S06890A Other specified intracranial injury without loss of consciousness, initial encounter
S06890S Other specified intracranial injury without loss of consciousness, sequela
S06891A Other specified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter
S06891S Other specified intracranial injury with loss of consciousness of 30 minutes or less, sequela
S06892A Other specified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S06892S Other specified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, sequela
S06893S Other specified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela
S06894S Other specified intracranial injury with loss of consciousness of 6 hours to 24 hours, sequela
S06895S Other specified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
S06896S Other specified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
S06899A Other specified intracranial injury with loss of consciousness of unspecified duration, initial encounter
S06899S Other specified intracranial injury with loss of consciousness of unspecified duration, sequela
S069X0A Unspecified intracranial injury without loss of consciousness, initial encounter
S069X0S Unspecified intracranial injury without loss of consciousness, sequela
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INT_19_74271_C 03122019
S069X1A Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter
S069X1S Unspecified intracranial injury with loss of consciousness of 30 minutes or less, sequela
S069X2A Unspecified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S069X2S Unspecified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, sequela
S069X3S Unspecified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela
S069X4S Unspecified intracranial injury with loss of consciousness of 6 hours to 24 hours, sequela
S069X5S Unspecified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
S069X6S Unspecified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
S069X9A Unspecified intracranial injury with loss of consciousness of unspecified duration, initial encounter
S069X9S Unspecified intracranial injury with loss of consciousness of unspecified duration, sequela
TRAUMATIC AMPUTATIONS AND COMPLICATIONS DIAGNOSES (HCC 173)
S48011A Complete traumatic amputation at right shoulder joint, initial encounter
S48012A Complete traumatic amputation at left shoulder joint, initial encounter
S48019A Complete traumatic amputation at unspecified shoulder joint, initial encounter
S48021A Partial traumatic amputation at right shoulder joint, initial encounter
S48022A Partial traumatic amputation at left shoulder joint, initial encounter
S48029A Partial traumatic amputation at unspecified shoulder joint, initial encounter
S48111A Complete traumatic amputation at level between right shoulder and elbow, initial encounter
S48112A Complete traumatic amputation at level between left shoulder and elbow, initial encounter
S48119A Complete traumatic amputation at level between unspecified shoulder and elbow, initial encounter
S48121A Partial traumatic amputation at level between right shoulder and elbow, initial encounter
S48122A Partial traumatic amputation at level between left shoulder and elbow, initial encounter
S48129A Partial traumatic amputation at level between unspecified shoulder and elbow, initial encounter
S48911A Complete traumatic amputation of right shoulder and upper arm, level unspecified, initial encounter
S48912A Complete traumatic amputation of left shoulder and upper arm, level unspecified, initial encounter
S48919A Complete traumatic amputation of unspecified shoulder and upper arm, level unspecified, initial encounter
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INT_19_74271_C 03122019
S48921A Partial traumatic amputation of right shoulder and upper arm, level unspecified, initial encounter
S48922A Partial traumatic amputation of left shoulder and upper arm, level unspecified, initial encounter
S48929A Partial traumatic amputation of unspecified shoulder and upper arm, level unspecified, initial encounter
S58011A Complete traumatic amputation at elbow level, right arm, initial encounter
S58012A Complete traumatic amputation at elbow level, left arm, initial encounter
S58019A Complete traumatic amputation at elbow level, unspecified arm, initial encounter
S58021A Partial traumatic amputation at elbow level, right arm, initial encounter
S58022A Partial traumatic amputation at elbow level, left arm, initial encounter
S58029A Partial traumatic amputation at elbow level, unspecified arm, initial encounter
S58111A Complete traumatic amputation at level between elbow and wrist, right arm, initial encounter
S58112A Complete traumatic amputation at level between elbow and wrist, left arm, initial encounter
S58119A Complete traumatic amputation at level between elbow and wrist, unspecified arm, initial encounter
S58121A Partial traumatic amputation at level between elbow and wrist, right arm, initial encounter
S58122A Partial traumatic amputation at level between elbow and wrist, left arm, initial encounter
S58129A Partial traumatic amputation at level between elbow and wrist, unspecified arm, initial encounter
S58911A Complete traumatic amputation of right forearm, level unspecified, initial encounter
S58912A Complete traumatic amputation of left forearm, level unspecified, initial encounter
S58919A Complete traumatic amputation of unspecified forearm, level unspecified, initial encounter
S58921A Partial traumatic amputation of right forearm, level unspecified, initial encounter
S58922A Partial traumatic amputation of left forearm, level unspecified, initial encounter
S58929A Partial traumatic amputation of unspecified forearm, level unspecified, initial encounter
S68411A Complete traumatic amputation of right hand at wrist level, initial encounter
S68412A Complete traumatic amputation of left hand at wrist level, initial encounter
S68419A Complete traumatic amputation of unspecified hand at wrist level, initial encounter
S68421A Partial traumatic amputation of right hand at wrist level, initial encounter
S68422A Partial traumatic amputation of left hand at wrist level, initial encounter
S68429A Partial traumatic amputation of unspecified hand at wrist level, initial encounter
S68711A Complete traumatic transmetacarpal amputation of right hand, initial encounter
S68712A Complete traumatic transmetacarpal amputation of left hand, initial encounter
S68719A Complete traumatic transmetacarpal amputation of unspecified hand, initial encounter
S68721A Partial traumatic transmetacarpal amputation of right hand, initial encounter
S68722A Partial traumatic transmetacarpal amputation of left hand, initial encounter
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INT_19_74271_C 03122019
S68729A Partial traumatic transmetacarpal amputation of unspecified hand, initial encounter
S78011A Complete traumatic amputation at right hip joint, initial encounter
S78012A Complete traumatic amputation at left hip joint, initial encounter
S78019A Complete traumatic amputation at unspecified hip joint, initial encounter
S78021A Partial traumatic amputation at right hip joint, initial encounter
S78022A Partial traumatic amputation at left hip joint, initial encounter
S78029A Partial traumatic amputation at unspecified hip joint, initial encounter
S78111A Complete traumatic amputation at level between right hip and knee, initial encounter
S78112A Complete traumatic amputation at level between left hip and knee, initial encounter
S78119A Complete traumatic amputation at level between unspecified hip and knee, initial encounter
S78121A Partial traumatic amputation at level between right hip and knee, initial encounter
S78122A Partial traumatic amputation at level between left hip and knee, initial encounter
S78129A Partial traumatic amputation at level between unspecified hip and knee, initial encounter
S78911A Complete traumatic amputation of right hip and thigh, level unspecified, initial encounter
S78912A Complete traumatic amputation of left hip and thigh, level unspecified, initial encounter
S78919A Complete traumatic amputation of unspecified hip and thigh, level unspecified, initial encounter
S78921A Partial traumatic amputation of right hip and thigh, level unspecified, initial encounter
S78922A Partial traumatic amputation of left hip and thigh, level unspecified, initial encounter
S78929A Partial traumatic amputation of unspecified hip and thigh, level unspecified, initial encounter
S88011A Complete traumatic amputation at knee level, right lower leg, initial encounter
S88012A Complete traumatic amputation at knee level, left lower leg, initial encounter
S88019A Complete traumatic amputation at knee level, unspecified lower leg, initial encounter
S88021A Partial traumatic amputation at knee level, right lower leg, initial encounter
S88022A Partial traumatic amputation at knee level, left lower leg, initial encounter
S88029A Partial traumatic amputation at knee level, unspecified lower leg, initial encounter
S88111A Complete traumatic amputation at level between knee and ankle, right lower leg, initial encounter
S88112A Complete traumatic amputation at level between knee and ankle, left lower leg, initial encounter
S88119A Complete traumatic amputation at level between knee and ankle, unspecified lower leg, initial encounter
S88121A Partial traumatic amputation at level between knee and ankle, right lower leg, initial encounter
S88122A Partial traumatic amputation at level between knee and ankle, left lower leg, initial encounter
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INT_19_74271_C 03122019
S88129A Partial traumatic amputation at level between knee and ankle, unspecified lower leg, initial encounter
S88911A Complete traumatic amputation of right lower leg, level unspecified, initial encounter
S88912A Complete traumatic amputation of left lower leg, level unspecified, initial encounter
S88919A Complete traumatic amputation of unspecified lower leg, level unspecified, initial encounter
S88921A Partial traumatic amputation of right lower leg, level unspecified, initial encounter
S88922A Partial traumatic amputation of left lower leg, level unspecified, initial encounter
S88929A Partial traumatic amputation of unspecified lower leg, level unspecified, initial encounter
S98011A Complete traumatic amputation of right foot at ankle level, initial encounter
S98012A Complete traumatic amputation of left foot at ankle level, initial encounter
S98019A Complete traumatic amputation of unspecified foot at ankle level, initial encounter
S98021A Partial traumatic amputation of right foot at ankle level, initial encounter
S98022A Partial traumatic amputation of left foot at ankle level, initial encounter
S98029A Partial traumatic amputation of unspecified foot at ankle level, initial encounter
S98111A Complete traumatic amputation of right great toe, initial encounter
S98112A Complete traumatic amputation of left great toe, initial encounter
S98119A Complete traumatic amputation of unspecified great toe, initial encounter
S98121A Partial traumatic amputation of right great toe, initial encounter
S98122A Partial traumatic amputation of left great toe, initial encounter
S98129A Partial traumatic amputation of unspecified great toe, initial encounter
S98131A Complete traumatic amputation of one right lesser toe, initial encounter
S98132A Complete traumatic amputation of one left lesser toe, initial encounter
S98139A Complete traumatic amputation of one unspecified lesser toe, initial encounter
S98141A Partial traumatic amputation of one right lesser toe, initial encounter
S98142A Partial traumatic amputation of one left lesser toe, initial encounter
S98149A Partial traumatic amputation of one unspecified lesser toe, initial encounter
S98211A Complete traumatic amputation of two or more right lesser toes, initial encounter
S98212A Complete traumatic amputation of two or more left lesser toes, initial encounter
S98219A Complete traumatic amputation of two or more unspecified lesser toes, initial encounter
S98221A Partial traumatic amputation of two or more right lesser toes, initial encounter
S98222A Partial traumatic amputation of two or more left lesser toes, initial encounter
S98229A Partial traumatic amputation of two or more unspecified lesser toes, initial encounter
S98311A Complete traumatic amputation of right midfoot, initial encounter
S98312A Complete traumatic amputation of left midfoot, initial encounter
S98319A Complete traumatic amputation of unspecified midfoot, initial encounter
S98321A Partial traumatic amputation of right midfoot, initial encounter
S98322A Partial traumatic amputation of left midfoot, initial encounter
S98329A Partial traumatic amputation of unspecified midfoot, initial encounter
S98911A Complete traumatic amputation of right foot, level unspecified, initial encounter
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INT_19_74271_C 03122019
S98912A Complete traumatic amputation of left foot, level unspecified, initial encounter
S98919A Complete traumatic amputation of unspecified foot, level unspecified, initial encounter
S98921A Partial traumatic amputation of right foot, level unspecified, initial encounter
S98922A Partial traumatic amputation of left foot, level unspecified, initial encounter
S98929A Partial traumatic amputation of unspecified foot, level unspecified, initial encounter
T790XXA Air embolism (traumatic), initial encounter
T791XXA Fat embolism (traumatic), initial encounter
T792XXA Traumatic secondary and recurrent hemorrhage and seroma, initial encounter
T794XXA Traumatic shock, initial encounter
T795XXA Traumatic anuria, initial encounter
T796XXA Traumatic ischemia of muscle, initial encounter
T797XXA Traumatic subcutaneous emphysema, initial encounter
T798XXA Other early complications of trauma, initial encounter
T799XXA Unspecified early complication of trauma, initial encounter
T79A0XA Compartment syndrome, unspecified, initial encounter
T79A11A Traumatic compartment syndrome of right upper extremity, initial encounter
T79A12A Traumatic compartment syndrome of left upper extremity, initial encounter
T79A19A Traumatic compartment syndrome of unspecified upper extremity, initial encounter
T79A21A Traumatic compartment syndrome of right lower extremity, initial encounter
T79A22A Traumatic compartment syndrome of left lower extremity, initial encounter
T79A29A Traumatic compartment syndrome of unspecified lower extremity, initial encounter
T79A3XA Traumatic compartment syndrome of abdomen, initial encounter
T79A9XA Traumatic compartment syndrome of other sites, initial encounter
T870X1 Complications of reattached (part of) right upper extremity
T870X2 Complications of reattached (part of) left upper extremity
T870X9 Complications of reattached (part of) unspecified upper extremity
T871X1 Complications of reattached (part of) right lower extremity
T871X2 Complications of reattached (part of) left lower extremity
T871X9 Complications of reattached (part of) unspecified lower extremity
T872 Complications of other reattached body part
STROKE DIAGNOSES (HCC 100)
I6300 Cerebral infarction due to thrombosis of unspecified precerebral artery
I63011 Cerebral infarction due to thrombosis of right vertebral artery
I63012 Cerebral infarction due to thrombosis of left vertebral artery
I63013 Cerebral infarction due to thrombosis of bilateral vertebral arteries
I63019 Cerebral infarction due to thrombosis of unspecified vertebral artery
I6302 Cerebral infarction due to thrombosis of basilar artery
I63031 Cerebral infarction due to thrombosis of right carotid artery
I63032 Cerebral infarction due to thrombosis of left carotid artery
I63033 Cerebral infarction due to thrombosis of bilateral carotid arteries
I63039 Cerebral infarction due to thrombosis of unspecified carotid artery
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INT_19_74271_C 03122019
I6309 Cerebral infarction due to thrombosis of other precerebral artery
I6310 Cerebral infarction due to embolism of unspecified precerebral artery
I63111 Cerebral infarction due to embolism of right vertebral artery
I63112 Cerebral infarction due to embolism of left vertebral artery
I63113 Cerebral infarction due to embolism of bilateral vertebral arteries
I63119 Cerebral infarction due to embolism of unspecified vertebral artery
I6312 Cerebral infarction due to embolism of basilar artery
I63131 Cerebral infarction due to embolism of right carotid artery
I63132 Cerebral infarction due to embolism of left carotid artery
I63133 Cerebral infarction due to embolism of bilateral carotid arteries
I63139 Cerebral infarction due to embolism of unspecified carotid artery
I6319 Cerebral infarction due to embolism of other precerebral artery
I6320 Cerebral infarction due to unspecified occlusion or stenosis of unspecified precerebral arteries
I63211 Cerebral infarction due to unspecified occlusion or stenosis of right vertebral artery
I63212 Cerebral infarction due to unspecified occlusion or stenosis of left vertebral artery
I63213 Cerebral infarction due to unspecified occlusion or stenosis of bilateral vertebral arteries
I63219 Cerebral infarction due to unspecified occlusion or stenosis of unspecified vertebral arteries
I6322 Cerebral infarction due to unspecified occlusion or stenosis of basilar artery
I63231 Cerebral infarction due to unspecified occlusion or stenosis of right carotid arteries
I63232 Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries
I63233 Cerebral infarction due to unspecified occlusion or stenosis of bilateral carotid arteries
I63239 Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid arteries
I6329 Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries
I6330 Cerebral infarction due to thrombosis of unspecified cerebral artery
I63311 Cerebral infarction due to thrombosis of right middle cerebral artery
I63312 Cerebral infarction due to thrombosis of left middle cerebral artery
I63313 Cerebral infarction due to thrombosis of bilateral middle cerebral arteries
I63319 Cerebral infarction due to thrombosis of unspecified middle cerebral artery
I63321 Cerebral infarction due to thrombosis of right anterior cerebral artery
I63322 Cerebral infarction due to thrombosis of left anterior cerebral artery
I63323 Cerebral infarction due to thrombosis of bilateral anterior cerebral arteries
I63329 Cerebral infarction due to thrombosis of unspecified anterior cerebral artery
I63331 Cerebral infarction due to thrombosis of right posterior cerebral artery
I63332 Cerebral infarction due to thrombosis of left posterior cerebral artery
I63333 Cerebral infarction to thrombosis of bilateral posterior cerebral arteries
I63339 Cerebral infarction due to thrombosis of unspecified posterior cerebral artery
I63341 Cerebral infarction due to thrombosis of right cerebellar artery
I63342 Cerebral infarction due to thrombosis of left cerebellar artery
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INT_19_74271_C 03122019
I63343 Cerebral infarction to thrombosis of bilateral cerebellar arteries
I63349 Cerebral infarction due to thrombosis of unspecified cerebellar artery
I6339 Cerebral infarction due to thrombosis of other cerebral artery
I6340 Cerebral infarction due to embolism of unspecified cerebral artery
I63411 Cerebral infarction due to embolism of right middle cerebral artery
I63412 Cerebral infarction due to embolism of left middle cerebral artery
I63413 Cerebral infarction due to embolism of bilateral middle cerebral arteries
I63419 Cerebral infarction due to embolism of unspecified middle cerebral artery
I63421 Cerebral infarction due to embolism of right anterior cerebral artery
I63422 Cerebral infarction due to embolism of left anterior cerebral artery
I63423 Cerebral infarction due to embolism of bilateral anterior cerebral arteries
I63429 Cerebral infarction due to embolism of unspecified anterior cerebral artery
I63431 Cerebral infarction due to embolism of right posterior cerebral artery
I63432 Cerebral infarction due to embolism of left posterior cerebral artery
I63433 Cerebral infarction due to embolism of bilateral posterior cerebral arteries
I63439 Cerebral infarction due to embolism of unspecified posterior cerebral artery
I63441 Cerebral infarction due to embolism of right cerebellar artery
I63442 Cerebral infarction due to embolism of left cerebellar artery
I63443 Cerebral infarction due to embolism of bilateral cerebellar arteries
I63449 Cerebral infarction due to embolism of unspecified cerebellar artery
I6349 Cerebral infarction due to embolism of other cerebral artery
I6350 Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery
I63511 Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery
I63512 Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery
I63513 Cerebral infarction due to unspecified occlusion or stenosis of bilateral middle cerebral arteries
I63519 Cerebral infarction due to unspecified occlusion or stenosis of unspecified middle cerebral artery
I63521 Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery
I63522 Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery
I63523 Cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior cerebral arteries
I63529 Cerebral infarction due to unspecified occlusion or stenosis of unspecified anterior cerebral artery
I63531 Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral artery
I63532 Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery
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INT_19_74271_C 03122019
I63533 Cerebral infarction due to unspecified occlusion or stenosis of bilateral posterior cerebral arteries
I63539 Cerebral infarction due to unspecified occlusion or stenosis of unspecified posterior cerebral artery
I63541 Cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery
I63542 Cerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery
I63543 Cerebral infarction due to unspecified occlusion or stenosis of bilateral cerebellar arteries
I63549 Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebellar artery
I6359 Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery
I636 Cerebral infarction due to cerebral venous thrombosis, nonpyogenic
I638 Other cerebral infarction
I639 Cerebral infarction, unspecified
I97810 Intraoperative cerebrovascular infarction during cardiac surgery
I97811 Intraoperative cerebrovascular infarction during other surgery
I97820 Postprocedural cerebrovascular infarction following cardiac surgery
I97821 Postprocedural cerebrovascular infarction following other surgery
KWASHIORKOR DIAGNOSES (HCC 21)
E40 Kwashiorkor
E42 Marasmic kwashiorkor
SEPSIS DIAGNOSES (HCC 2)
A021 Salmonella sepsis
A207 Septicemic plague
A227 Anthrax sepsis
A267 Erysipelothrix sepsis
A327 Listerial sepsis
A392 Acute meningococcemia
A393 Chronic meningococcemia
A394 Meningococcemia, unspecified
A400 Sepsis due to streptococcus, group A
A401 Sepsis due to streptococcus, group B
A403 Sepsis due to Streptococcus pneumoniae
A408 Other streptococcal sepsis
A409 Streptococcal sepsis, unspecified
A4101 Sepsis due to Methicillin susceptible Staphylococcus aureus
A4102 Sepsis due to Methicillin resistant Staphylococcus aureus
A411 Sepsis due to other specified staphylococcus
A412 Sepsis due to unspecified staphylococcus
A413 Sepsis due to Hemophilus influenzae
A414 Sepsis due to anaerobes
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INT_19_74271_C 03122019
A4150 Gram-negative sepsis, unspecified
A4151 Sepsis due to Escherichia coli [E. coli]
A4152 Sepsis due to Pseudomonas
A4153 Sepsis due to Serratia
A4159 Other Gram-negative sepsis
A4181 Sepsis due to Enterococcus
A4189 Other specified sepsis
A419 Sepsis, unspecified organism
A427 Actinomycotic sepsis
A483 Toxic shock syndrome
A5486 Gonococcal sepsis
B007 Disseminated herpesviral disease
B377 Candidal sepsis
P360 Sepsis of newborn due to streptococcus, group B
P3610 Sepsis of newborn due to unspecified streptococci
P3619 Sepsis of newborn due to other streptococci
P362 Sepsis of newborn due to Staphylococcus aureus
P3630 Sepsis of newborn due to unspecified staphylococci
P3639 Sepsis of newborn due to other staphylococci
P364 Sepsis of newborn due to Escherichia coli
P365 Sepsis of newborn due to anaerobes
P368 Other bacterial sepsis of newborn
P369 Bacterial sepsis of newborn, unspecified
R571 Hypovolemic shock
R578 Other shock
R6510 Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction
R6511 Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction
R6520 Severe sepsis without septic shock
R6521 Severe sepsis with septic shock
T8112XA Postprocedural septic shock, initial encounter
BREAST CANCER (HCC 12) DIAGNOSES (Male with Female Breast Cancer)
C50011 Malignant neoplasm of nipple and areola, right female breast
C50012 Malignant neoplasm of nipple and areola, left female breast
C50019 Malignant neoplasm of nipple and areola, unspecified female breast
C50111 Malignant neoplasm of central portion of right female breast
C50112 Malignant neoplasm of central portion of left female breast
C50119 Malignant neoplasm of central portion of unspecified female breast
C50211 Malignant neoplasm of upper-inner quadrant of right female breast
C50212 Malignant neoplasm of upper-inner quadrant of left female breast
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C50219 Malignant neoplasm of upper-inner quadrant of unspecified female breast
C50311 Malignant neoplasm of lower-inner quadrant of right female breast
C50312 Malignant neoplasm of lower-inner quadrant of left female breast
C50319 Malignant neoplasm of lower-inner quadrant of unspecified female breast
C50411 Malignant neoplasm of upper-outer quadrant of right female breast
C50412 Malignant neoplasm of upper-outer quadrant of left female breast
C50419 Malignant neoplasm of upper-outer quadrant of unspecified female breast
C50511 Malignant neoplasm of lower-outer quadrant of right female breast
C50512 Malignant neoplasm of lower-outer quadrant of left female breast
C50519 Malignant neoplasm of lower-outer quadrant of unspecified female breast
C50611 Malignant neoplasm of axillary tail of right female breast
C50612 Malignant neoplasm of axillary tail of left female breast
C50619 Malignant neoplasm of axillary tail of unspecified female breast
C50811 Malignant neoplasm of overlapping sites of right female breast
C50812 Malignant neoplasm of overlapping sites of left female breast
C50819 Malignant neoplasm of overlapping sites of unspecified female breast
C50911 Malignant neoplasm of unspecified site of right female breast
C50912 Malignant neoplasm of unspecified site of left female breast
C50919 Malignant neoplasm of unspecified site of unspecified female breast
BREAST CANCER (HCC 12) DIAGNOSES (Female with Male Breast Cancer)
C50021 Malignant neoplasm of nipple and areola, right male breast
C50022 Malignant neoplasm of nipple and areola, left male breast
C50029 Malignant neoplasm of nipple and areola, unspecified male breast
C50121 Malignant neoplasm of central portion of right male breast
C50122 Malignant neoplasm of central portion of left male breast
C50129 Malignant neoplasm of central portion of unspecified male breast
C50221 Malignant neoplasm of upper-inner quadrant of right male breast
C50222 Malignant neoplasm of upper-inner quadrant of left male breast
C50229 Malignant neoplasm of upper-inner quadrant of unspecified male breast
C50321 Malignant neoplasm of lower-inner quadrant of right male breast
C50322 Malignant neoplasm of lower-inner quadrant of left male breast
C50329 Malignant neoplasm of lower-inner quadrant of unspecified male breast
C50421 Malignant neoplasm of upper-outer quadrant of right male breast
C50422 Malignant neoplasm of upper-outer quadrant of left male breast
C50429 Malignant neoplasm of upper-outer quadrant of unspecified male breast
C50521 Malignant neoplasm of lower-outer quadrant of right male breast
C50522 Malignant neoplasm of lower-outer quadrant of left male breast
C50529 Malignant neoplasm of lower-outer quadrant of unspecified male breast
C50621 Malignant neoplasm of axillary tail of right male breast
C50622 Malignant neoplasm of axillary tail of left male breast
C50629 Malignant neoplasm of axillary tail of unspecified male breast
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INT_19_74271_C 03122019
C50821 Malignant neoplasm of overlapping sites of right male breast
C50822 Malignant neoplasm of overlapping sites of left male breast
C50829 Malignant neoplasm of overlapping sites of unspecified male breast
C50921 Malignant neoplasm of unspecified site of right male breast
C50922 Malignant neoplasm of unspecified site of left male breast
C50929 Malignant neoplasm of unspecified site of unspecified male breast
PROSTATE CANCER (HCC 12) DIAGNOSES (Female Patient)
C61 Malignant neoplasm of prostate
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