ICD-9 CODING TOOL ICD9

781.0 682.9 276.2 702.0 255.9 255.5 305.00 303.91 303.90 303.93 287.0 477.9 331.0 V49.71 V49.70 V49.72 V49.76 V49.75 V49.73 284.9 282.3 281.2 280.9 281.1 284.1 281.0 285.9 284.89 281.9 282.60 285.0 441.4 441.9 442.9 441.2 413.9 413.9 411.1 720.0 307.1 Diagnoses Abnormal Invol. Movement(s) Abscess skin NOS Acidosis/Ketoacidosis (not in DM) Actinic keratosis Adrenal gland disorder Adrenal Insuff. (Addison's disease) Alcohol abuse Alcohol dependence chronic Alcohol dependence, unspec. Alcohol dependent remission Allergic purpura Allergic Rhinitis cause unspec. Alzheimer's disease Amputation - great toe status Amputation lower limb status Amputation -toe(s) status Amputation-above knee/leg status Amputation-below knee status Amputation-foot status Anemia aplastic unspec. Anemia enzyme deficiency Anemia folate deficiency Anemia iron defic. unspec. Anemia other B12 deficiency Anemia pancytopenia Anemia pernicious Anemia unspec. Anemia, aplastic (Pancytopenia) Anemia, chronic or megaloblastic Anemia, sickle cell Anemia, sideroblastic Aneurysm Aortic Abdom. w/o rupture (AAA) Aneurysm Aortic unspec Aneurysm site unspec. Aneurysm, thoracic Angina unspec. Angina equivalent Angina unstable Ankylosing spondylitis Anorexia nervosa
HCC Level, Number, & Category

Updated 4-30-10 D D D D D D None C C C D D D C C C C C C C D None None None C None None C None C D C C C C C C C C None 86 159 21 160 20 20 N/A 52 52 52 55 129 60 177 177 177 177 177 177 44 55 N/A N/A N/A 44 N/A N/A 44 N/A 44 55 105 105 105 105 83 83 82 38 N/A Mononeurop,Abn Movement Dis Cellulitis,Local Skin Infect Oth Spec Endocrn/Metablc/Nutr Bullous Dermat,Eryth Condition Oth Sign Endocrine/Metablc Dis Oth Sign Endocrine/Metablc Dis N/A Drug/Alcohol Dependence Drug/Alcohol Dependence Drug/Alcohol Dependence Coag Defects,Blood Diseases Oth Upper Respiratory Disease Dementia/Cerebral Degeneration Amp Stat,Lower Limb/Amp Comp Amp Stat,Lower Limb/Amp Comp Amp Stat,Lower Limb/Amp Comp Amp Stat,Lower Limb/Amp Comp Amp Stat,Lower Limb/Amp Comp Amp Stat,Lower Limb/Amp Comp Severe Hematological Disorders Coag Defects,Blood Diseases N/A N/A N/A Severe Hematological Disorders N/A N/A Severe Hematological Disorders N/A Severe Hematological Disorders Coag Defects,Blood Diseases Vascular Disease Vascular Disease Vascular Disease Vascular Disease Angina Pectoris/Old MI Angina Pectoris/Old MI Unstbl Ang/Oth Acute IHD Rh Arthritis and Inflam Conn Disease N/A

Level C - HCC for 2011 DOS Level C - HCC for 2011 DOS

Level C - HCC for 2011 DOS Level C - HCC for 2011 DOS

Level C - HCC for 2011 DOS

Level C - HCC for 2011 DOS

Page 1 of 20

300.00 300.02 440.0 424.1 780.57 V44.52 427.9 444.9 437.4 414.00 446.5 447.6 716.90 721.90 274.00 714.9 V44.9 501 429.2 414.00 493.00 493.20 518.0 440.0 414.00 437.0 440.20 440.9 427.31 427.32 427.89 314.00 426.0 426.10 586 426.x 724.4 847.2 724.5 727.51 530.85

Anxiety unspec. Anxiety, generalized disorder (GAD) Aortic sclerosis Aortic valve disorder/insuff/regurg/stenosis Apnea, sleep Appendico-vesicostomy Arrhythmia/Cardiac dysrhythmia, NOS Arterial embolism or thrombosis unspec. Arteritis, cerebral Arteritis, coronary Arteritis, temporal/Giant cell Arteritis, unspec. Arthritis unspec. Arthritis spine NEW CODE 10/1/2009 Arthritis, gouty Arthritis, inflammatory/inflammatory polyarthritis unspec Artificial opening status unspec. Asbestosis Level C - HCC for 2011 DOS ASCVD ASHD Asthma Asthma, chronic obstructive Atelectasis Atherosclerosis of aorta Atherosclerosis of coronary Atherosclerosis cerebral Atherosclerosis of extrm. unspec. Atherosclerosis unspec. Atrial fibrillation Atrial flutter Atrial tachycardia Attention deficit disorder AV block complete (3rd degree) AV Block unspec/incomplete/partial Azotemia Bundle Branch Block - Left 426.3; Right 426.4 Back pain with radiation Back sprain Backache unspec. Baker's Cyst Barretts syndrome
Page 2 of 20

D None C None None C None C D D C C D D D C C D None D D C None C D D C None C C None D C None C None D None D D D

66 N/A 105 N/A N/A 176 N/A 104 102 92 38 105 48 45 48 38 176 110 92 109 108 N/A 105 92 102 105 N/A 92 92 N/A 75 92 N/A 131 N/A 48 N/A 48 48 37

Oth Major Psychiatric Disorder N/A Vascular Disease N/A N/A Artif Opening-Feeding/Elimin N/A Vascular Disease with Complica Cereb Hemorrh,Effect of Stroke Acute MI and Unstable Angina Rh Arthritis and Inflam Conn Disease Vascular Disease Oth Musculosk/Conn Tissue Dis Vertebrae/Spinal Disc Disorder Oth Musculosk/Conn Tissue Dis Rh Arthritis and Inflam Conn Disease Artif Opening-Feeding/Elimin Lng Fibros,Chron Lng Disorder Acute MI and Unstable Angina Asthma and COPD COPD N/A Vascular Disease Acute MI and Unstable Angina Cereb Hemorrh,Effect of Stroke Vascular Disease N/A Specified Heart Arrhythmias Specified Heart Arrhythmias N/A Attention Deficit Disorder Specified Heart Arrhythmias N/A Renal Failure N/A Oth Musculosk/Conn Tissue Dis N/A Oth Musculosk/Conn Tissue Dis Oth Musculosk/Conn Tissue Dis Esophageal Disease

266.2 136.1 351.0 296.80 596.8 596.4 596.54 596.51 596.0 369.11 578.1 V85.4 731.8 730.90 726.91 600.00 427.89 611.72 494.0 466.0 493.90 491.9 491.20 490 485 519.11 785.9 727.3 799.4 414.00 592.9 112.1 112.0 259.2 427.9 429.3 425.4 425.4 414.8 429.2 433.10

B12/folic acid defic Behcet's syndrome Bell's Palsy Bipolar disorder unspec. / Manic-depressive Bladder irritability/hypertrophy Bladder, atonic/hypotonicity Bladder, neurogenic Bladder, overactive Bladder obstruction Blindness Blood in stool/Melena BMI <40 and over Bone changes due to disease/DM Bone infection, NOS Bone spurs BPH Bradycardia Breast lump or mass Bronchiectasis Bronchitis acute Bronchitis asthmatic Bronchitis chronic Bronchitis chronic obstructive Bronchitis unspec. Bronchopneumonia unspec. Bronchospasm NOS Bruit, carotid Bursitis unspec. Cachexia CAD/ASHD/Atherosclerosis coronary Calculus of ureter/Urolithiasis Candidiasis - vaginal Candidiasis/Thrush - mouth/throat Carcinoid syndrome Cardiac arrhythmia/dysrhythmia unspec Cardiomegaly Cardiomyopathy Cardiomyopathy, dilated or non ischemic Cardiomyopathy, ischemic Cardiovascular disease (ASCVD) Carotid artery occlusion/stenosis

Level C - HCC for 2011 DOS

Level C - HCC for 2011 DOS

None C D C D D D D D None D None None C D None None None D D D C C D None D None D C D D D D C None None C C D None D

N/A 38 87 55 140 137 137 140 137 N/A 34 N/A N/A 37 48 N/A N/A N/A 110 113 109 108 108 113 N/A 109 N/A 48 21 92 137 144 3 10 N/A N/A 80 80 92 N/A 102

N/A Rh Arthritis and Inflam Conn Disease Oth Neuro Conditions/Injuries Mjr Depr,Bipolar,Paranoid Dsrd Impair Renal Funct,Urin Dis Urinary Obstruct, Retention Urinary Obstruct, Retention Impair Renal Funct,Urin Dis Urinary Obstruct, Retention N/A Peptic Ulcer and GI Hemorrhage N/A N/A Bone/Joint/Muscle Inf/Necr Oth Musculosk/Conn Tissue Dis N/A N/A N/A Lng Fibros,Chron Lng Disorder Acute Bronch,CongenRespAnomaly Asthma and COPD COPD COPD Acute Bronch,CongenRespAnomaly N/A Asthma and COPD N/A Oth Musculosk/Conn Tissue Dis Protein-Calorie Malnutrition Acute MI and Unstable Angina Urinary Obstruct, Retention Vaginal and Cervical Diseases Infectious Diseases Brst,Prst,Clrectal,Oth CA/TU N/A N/A Congestive Heart Failure Congestive Heart Failure Acute MI and Unstable Angina N/A Cereb Hemorrh,Effect of Stroke

Page 3 of 20

354.0 366.9 579.0 682.9 434.90 437.0 434.10 435.9 343.9 434.00 437.9 723.0 723.1 356.1 786.59 428.0 575.1 574.20 333.5 584.9 585.1 585.2 585.3 585.4 585.5 585.9 585.6 V45.11 593.9 586 585.9 338.4 571.2 571.5 572.3 443.9 204.10 286.9 556.9 558.9

Carpal tunnel syndrome D 87 Oth Neuro Conditions/Injuries Cataract(s) None N/A N/A Celiac disease/gluten intolerance/sprue C 32 Pancreatic Disease Cellulitis NOS D 159 Cellulitis,Local Skin Infect Cerebral artery occlusion unspec. D 102 Cereb Hemorrh,Effect of Stroke Cerebral Atherosclerosis D 102 Cereb Hemorrh,Effect of Stroke Cerebral embolism D 96 Ischemic or Unspecified Stroke Cerebral ischemia intermittent D 102 Cereb Hemorrh,Effect of Stroke Cerebral Palsy C 101 CP and Other Paralytic Syndr Cerebral thrombosis D 102 Cereb Hemorrh,Effect of Stroke Cerebrovascular disease or lesion NOS None N/A N/A Cervical Stenosis D 45 Vertebrae/Spinal Disc Disorder Cervicalgia (neck pain) D 48 Oth Musculosk/Conn Tissue Dis Charcot Marie Tooth disease C 71 Polyneuropathy Chest pain, atypical None N/A N/A CHF Congestive Heart Failure C 80 Congestive Heart Failure Cholecystitis None N/A N/A Cholelithiasis (gallstone) None N/A N/A Choreoathetosis D 86 Mononeurop,Abn Movement Dis CHRONIC KIDNEY DISEASE/RENAL FAILURE (*Review labs for GFR - start coding CKD when 2 labs, 3 months apart, GFR<60) Acute renal failure C 131 Renal Failure Chronic Kidney Disease 1 (GFR>90) (code only if kidney damage) C 131 Renal Failure Chronic Kidney Disease 2 (Mild-GFR 60-89) (code only if kidney damage) C 131 Renal Failure Chronic Kidney Disease 3 (Mod-GFR 30-59)* C 131 Renal Failure Chronic Kidney Disease 4 (Severe GFR 15-29) C 131 Renal Failure Chronic Kidney Disease 5 (GFR less than 15) C 131 Renal Failure CKD / CRI chronic renal insuff unspec* CKD End stage renal disease (ESRD) Renal dialysis status Renal insuff./renal disease/disorder of kidney and ureter NOS* Uremia/Renal failure NOS Uremia, chronic Chronic pain syndrome Cirrhosis alcohol related Cirrhosis NOS Cirrhosis w/ portal HTN Claudication CLL Chronic Lymphoid Leukemia unspec Coagulation defects or deficiency unspec. Colitis, ulcerative Colitis/Gastroenteritis unspec.
Page 4 of 20

C C C D C C None C C C C C D C None

131 131 130 140 131 131 N/A 26 26 25 105 9 55 33 N/A

Renal Failure Renal Failure Dialysis Status Impair Renal Funct,Urin Dis Renal Failure Renal Failure N/A Cirrhosis of Liver Cirrhosis of Liver End-Stage Liver Disease Vascular Disease Lymph,Hd/Neck, Brain,OthMaj CA Coag Defects,Blood Diseases Inflammatory Bowel Disease N/A

733.13 211.3 V44.3 733.13 336.9 372.30 564.00 496 414.00 414.00 416.9 255.41 786.2 555.9 V12.54 438.9 438.20 277.00 595.9 V44.3 722.6 276.51 294.8 290.0 290.3 290.0 290.11 290.12 290.13 290.40 290.41 290.42 290.43 300.4 296.30 296.20 311 692.9 470 588.1

Collapse of vertebra NOS (pathologic) Colon polyp Colostomy status Compression of spine NOS (pathologic) Compression, spinal cord (not fracture) Conjunctivitis unspec. Constipation unspec. COPD Coronary artery disease Coronary artery stenosis Cor Pulmonale/Chronic Pulmonary Heart Dis Corticoadrenal insuff Cough Crohn's disease CVA history of (no late effects) CVA s/p with late effects (not specifically stated) CVA s/p with Hemiplegia/hemiparesis Cystic fibrosis, NOS Cystitis unspec. Cystostomy unspec. DDD Degenerative Disc disease Dehydration Dementia NOS Dementia senile, uncomplicated Demenia senile w/ delirium Dementia presenile, uncomplicated Dementia presenila w/ delirium Dementia presenile w/ delusional features Dementia presenile with depressive features Dementia vascular, uncomplicated Dementia vascular w/ delirium Dementia vascular w/ delusions Dementia vascular w/ depressed mood Depression and Anxiety Depression major, recurring Depression major, single episode or unspec Depression unspec. Dermatitis (Eczema) unspec. Deviated septum Diabetes insipidus, nephrogenic

Level C - HCC for 2011 DOS Level C - HCC for 2011 DOS Level C - HCC for 2011 DOS Level C - HCC for 2011 DOS Level C - HCC for 2011 DOS Level C - HCC for 2011 DOS Level C - HCC for 2011 DOS Level C - HCC for 2011 DOS Level C - HCC for 2011 DOS Level C - HCC for 2011 DOS Level C - HCC for 2011 DOS

Level C - HCC for 2011 DOS Page 5 of 20

C None C C C None None C D D C D None C None D C C None C D D D D D D D D D D D D D D C C D None D D

157 N/A 176 157 69 N/A N/A 108 92 92 80 20 N/A 33 N/A 102 100 107 N/A 176 45 21 60 60 60 60 60 60 60 60 59 59 59 66 55 55 66 N/A 129 140

Vertebral Fract w/o Spinal Inj N/A Artif Opening-Feeding/Elimin Vertebral Fract w/o Spinal Inj Spinal Cord Disorders/Injuries N/A N/A COPD Acute MI and Unstable Angina Acute MI and Unstable Angina Congestive Heart Failure Oth Sign Endocrine/Metablc Dis N/A Inflammatory Bowel Disease N/A Cereb Hemorrh,Effect of Stroke Hemiplegia/Hemiparesis Cystic Fibrosis N/A Artif Opening-Feeding/Elimin Vertebrae/Spinal Disc Disorder Oth Spec Endocrn/Metablc/Nutr Dementia/Cerebral Degeneration Dementia/Cerebral Degeneration Dementia/Cerebral Degeneration Dementia/Cerebral Degeneration Dementia/Cerebral Degeneration Dementia/Cerebral Degeneration Dementia/Cerebral Degeneration Dementia/Cerebral Degeneration Dementia w/ Depr or Behav Dist Dementia w/ Depr or Behav Dist Dementia w/ Depr or Behav Dist Oth Major Psychiatric Disorder Mjr Depr,Bipolar,Paranoid Dsrd Mjr Depr,Bipolar,Paranoid Dsrd Oth Major Psychiatric Disorder N/A Oth Upper Respiratory Disease Impair Renal Funct,Urin Dis

DIABETES MELLITUS * Need to code additional manifestation code if present C 19 Diabetes without Complication and document relationship ie: "due to DM", "secondary to DM" "DM with" and the specific manifestation" (.00 Unspec type&control; .01 Type I (juvenile)control unspec; .02 Type 2 uncontrolled; .03 Type I (juvenile)uncontrolled) 249.00 250.00 250.10 250.20 250.40 250.50 250.60 250.70 250.80 250.90 V45.11 787.91 835.00 562.11 562.13 562.10 715.98 721.90 715.90 304.90 453.40 453.50 453.82 453.72 536.8 787.2 622.10 786.09 788.1
DM Secondary unspec.

C 19 Diabetes without Complication DM 2 w/o complications C 19 Diabetes without Complication DM 2 w/ ketoacidosis C 17 DM with Acute Complications DM 2 w/ hyperosmolarity C 17 DM with Acute Complications DM 2 w/ renal manifestations* C 15 DM w/ Renal or Periph Circ Man *DM w/ renal also code: CKD/CRI 585.9, Nephropathy 583.81, or Nephrosis 581.81 DM 2 w/ ophth manifestations* C 18 DM w/ Ophth or Unspec Manifest *DM w/ ophth also code: Retinopathy 362.01, Prolif.Retinopathy 362.02 DM 2 w/ neuro manifestations* C 16 DM w/ Neurologic or Oth Manif *DM w/ Neurologic also code: Polyneuropathy 357.2, gastroparesis 536.3, peripheral autonomic neuropathy 337.1 DM 2 w/ peripheral circ disorder* C 15 DM w/ Renal or Periph Circ Man *DM Peripheral Vasc also code: PVD 443.81, gangrene 785.4 DM 2 w/ other specific manif not stated * C 16 DM w/ Neurologic or Oth Manif *DM w/ other spec manif also code: Ulcerations 707.10-707.9, hypoglycemia 251.2, bone chgs 731.8; ED 607.84 DM 2 w/ unspecified complication C 18 DM w/ Ophth or Unspec Manifest C None C None D None D D D C C C C C None None D None None None C
Page 6 of 20

Dialysis status Diarrhea Dislocated hip Diverticulitis Diverticulitis w/ hemorrhage Diverticulosis DJD of knees/OA of knees DJD of spine DJD unspec Drug dependence, unspec. DVT acute or unspec, lower ext. DVT chronic lower ext., NOS DVT, acute upper ext. (brachial, radial, ulnar vein) DVT chronic upper ext. (brachial, radial, ulnar vein) Dyspepsia Dysphagia Dysplasia, cervix Dyspnea Dysuria/painful urination DYSRHYTHMIA - CARDIAC 427.9 Arrhythmia/Cardiac dysrhythmia, NOS 427.31 Atrial fibrillation

REVISED TEXT 10/1/2009 NEW CODE 10/1/2009 NEW CODE 10/1/2009 NEW CODE 10/1/2009

130 N/A 158 N/A 34 N/A 48 45 48 52 105 105 105 105 N/A N/A 144 N/A N/A N/A 92

Dialysis Status N/A Hip Fracture/Dislocation N/A Peptic Ulcer and GI Hemorrhage N/A Oth Musculosk/Conn Tissue Dis Vertebrae/Spinal Disc Disorder Oth Musculosk/Conn Tissue Dis Drug/Alcohol Dependence Vascular Disease Vascular Disease Vascular Disease Vascular Disease N/A N/A Vaginal and Cervical Diseases N/A N/A N/A Specified Heart Arrhythmias

427.32 427.89 427.89 427.0 427.0 427.0 427.0 427.0 427.2 427.1 427.60 427.61 427.69 427.81 427.89 427.81 427.89 785.0 427.41 427.42 427.1 307.50 782.3 511.9 276.9 272.9 V12.51 444.0 444.1 444.21 444.22 444.9 416.2 453.3 453.7X

Atrial flutter Atrial tachycardia Bradycardia unspec Paroxysmal atrial tachycardia (PAT) Paroxysmal atrioventricular tachycardia (PAVT) Paroxysmal juntional tachycardia Paroxysmal nodal tachycardia Paroxysmal supraventricular tachycardia (PSVT) Paroxysmal tachycardia/Bouveret-Hoffman syndrome Paroxysmal ventricular tachycardia (ok to code with AICD/defibrillator) Premature beats, contractions,systoles, ectopic beats Premature supraventricular beats, atrial beats, contractions (PACs), systoles Premature ventricular beats, contractions (PVCs), systoles Sinoatrial node dysfunction/SickSinusSyndrome/Tachycardia-Bradycardia syndrome Sinus bradycardia or tachycardia unspec Sinus bradycardia severe or persistent Supraventricular tachycardia (SVT) Tachycardia Ventricular fibrillation Ventricular flutter Ventricular tachycardia (ok to code with AICD/defibrillator) Eating disorder unspec. Edema Effusion, pleural Electrolyte imbalance Elevated triglycerides EMBOLISM/THROMBOSIS Embolism/Thrombosis, History of Embolism/Thrombosis, aorta abdominal Embolism/Thrombosis, aorta thoracic Embolism/Thrombosis, arteries of upper extremity Embolism/Thrombosis, arteries of lower extremity Embolism/Thrombosis, artery unspec Embolism/Thrombosis, pulmonary artery chronic Embolism/Thrombosis, renal vein Embolism/Thrombosis, Chronic other specified vein NEW CODE 10/1/2009

C None None C C C C C C C None None None C None C None None C C C D None None D D None C C C C C C C C C None

92 N/A N/A 92 92 92 92 92 92 92 N/A N/A N/A 92 N/A 92 N/A N/A 79 79 92 67 N/A N/A 21 19 N/A 104 104 104 104 104 104 105 105 105 N/A

Specified Heart Arrhythmias N/A N/A Specified Heart Arrhythmias Specified Heart Arrhythmias Specified Heart Arrhythmias Specified Heart Arrhythmias Specified Heart Arrhythmias Specified Heart Arrhythmias N/A N/A N/A Specified Heart Arrhythmias N/A Specified Heart Arrhythmias N/A N/A Cardio-Respir Failure/Shock Cardio-Respir Failure/Shock Specified Heart Arrhythmias Oth Psych Symptoms/Syndrome N/A N/A Oth Spec Endocrn/Metablc/Nutr Disorders of Lipoid Metabolism N/A Vascular Disease with Complica Vascular Disease with Complica Vascular Disease with Complica Vascular Disease with Complica Vascular Disease with Complica Vascular Disease with Complica Vascular Disease Vascular Disease Vascular Disease N/A

.73 Vein upper ext., .74 Axillary, .75 Subclavian, .76 Jugular, .77 Thoracic 453.8X Embolism/Thrombosis, Acute other specified vein NEW CODE 10/1/2009 453.9 .83 Vein upper ext., .84 Axillary, .85 Subclavian, .86 Jugular, .87 Thoracic Embolism/Thrombosis vein unspec.
Page 7 of 20

492.8 572.2 345.90 302.72 607.84 035 695.89 456.0 456.1 530.10 333.1 729.4 560.39 780.79 786.60 729.1 686.9 276.6 821.00 820.8 733.13 808.8 807.00 733.96 733.98 805.00 805.4 733.13 727.43 785.4 531.90 535.50 536.3 V44.1 530.81 578.9 V44.4 277.4 365.9 271.3 579.0

Emphysema unspec. Encephalopathy, hepatic Epilepsy/Seizure Disorder Erectile dysfunction (nonorganic) Erectile dysfunction (organic) (Caused by DM add 250.80) Erysipelas Erythematous (Intertrigo) Esophageal varices w/ bleeding Esophageal varices w/o bleeding Esophagitis Essential tremor Fasciitis Fecal impaction Fatigue Fever Fibromyalgia/Myalgia/Myositis/Myofacial pain Fistula, cutaneous Fluid overload FX femur closed unspec. FX hip closed/FX neck of femur FX pathologic vertebrae/collapse/compression FX pelvic NOS closed FX Rib(s) closed FX, stress of femoral neck FX, stress of pelvis FX vertebra cervical NOS closed FX vertebra closed NOS without spinal cord injury FX vertebra pathologic/vertebra collapse/compression Ganglion cyst Gangrene (can code w/ DM w/ PVD 250.70+443.81) Gastric Ulcer, unspec Gastritis/Duodenitis unspec. Gastroparesis (Can code w/ DM 250.60) Gastrostomy status GERD GI bleed GI opening unspec. Gilbert's cholemia Glaucoma unspec. Glucose intolerance Gluten intolerance/sprue/Celiac disease
Page 8 of 20

C C C None None D D C C D D D C None None D D D C C C C None None None C C C D C D None None C D D C None D None C

108 25 74 N/A N/A 159 160 25 25 37 86 48 31 N/A N/A 48 159 21 158 158 157 158 N/A N/A N/A 157 157 157 48 104 34 N/A N/A 176 37 34 176 N/A 123 N/A 32

COPD End-Stage Liver Disease Seizure Disorders/Convulsions N/A N/A Cellulitis,Local Skin Infect Bullous Dermat,Eryth Condition End-Stage Liver Disease End-Stage Liver Disease Esophageal Disease Mononeurop,Abn Movement Dis Oth Musculosk/Conn Tissue Dis Intestinal Obstructn/Perforatn N/A N/A Oth Musculosk/Conn Tissue Dis Cellulitis,Local Skin Infect Oth Spec Endocrn/Metablc/Nutr Hip Fracture/Dislocation Hip Fracture/Dislocation Vertebral Fract w/o Spinal Inj Hip Fracture/Dislocation N/A N/A N/A Vertebral Fract w/o Spinal Inj Vertebral Fract w/o Spinal Inj Vertebral Fract w/o Spinal Inj Oth Musculosk/Conn Tissue Dis Vascular Disease with Complica Peptic Ulcer and GI Hemorrhage N/A N/A Artif Opening-Feeding/Elimin Esophageal Disease Peptic Ulcer and GI Hemorrhage Artif Opening-Feeding/Elimin N/A Glaucoma and Keratoconus N/A Pancreatic Disease

240.9 274.00 274.9 357.4 686.1 242.00 245.2 784.0 389.9 429.9 428.9 785.2 V42.1 578.0 599.70 599.72 342.91 342.92 342.90 438.20 432.9 455.6 070.1 070.30 070.32 070.51 070.54 571.40 070.90 573.3 553.9 722.2 054.9 053.10 053.9 553.3 V08 042. 201.90 331.5 331.4

Goiter unspec. Gouty athropathy Gout unspec./Uric acid Gouty neuritis Granuloma Graves disease Hashimoto's disease Headache Hearing loss unspec. (Deaf) Heart disease/Ventricular dysfunction Heart failure, unspec Heart murmur Heart transplant status Hematemesis/vomiting blood Hematuria, unspec. Hematuria, microscopic Hemiplegia dmnt side unspec. Hemiplegia non-dmnt unspec. Hemiplegia side unspec. Hemiplegia/Hemiparesis from CVA, side unspec. Hemorrhage Intracranial Hemorrhoids Hepatitis A infectious Hepatitis B acute or unspec. Hepatitis B chronic Hepatitis C acute or unspec. Hepatitis C chronic Hepatitis chronic unspec. Hepatitis viral, acute or unspec. Hepatitis, unspec. Hernia site unspec. Herniated/displaced discs Herpes simplex Herpes Zoster w/ Nervous system complication Herpes zoster/shingles Hiatal hernia HIV asymptomatic HIV symptomatic Hodgkin's disease unspec. Hydrocephalus, normal pressure Hydrocephalus, obstructive

NEW CODE 10/1/2009

D D D C D D D None None None C None C D D D C C C C C None None None C None C C None None None D D D None None C C C D D

21 48 48 71 159 21 21 N/A N/A N/A 80 N/A 174 34 140 140 100 100 100 100 95 N/A N/A N/A 27 N/A 27 27 N/A N/A N/A 45 3 86 N/A N/A 1 1 9 60 60

Oth Spec Endocrn/Metablc/Nutr Oth Musculosk/Conn Tissue Dis Oth Musculosk/Conn Tissue Dis Polyneuropathy Cellulitis,Local Skin Infect Oth Spec Endocrn/Metablc/Nutr Oth Spec Endocrn/Metablc/Nutr N/A N/A N/A Congestive Heart Failure N/A Major Organ Transplant Status Peptic Ulcer and GI Hemorrhage Impair Renal Funct,Urin Dis Impair Renal Funct,Urin Dis Hemiplegia/Hemiparesis Hemiplegia/Hemiparesis Hemiplegia/Hemiparesis Hemiplegia/Hemiparesis Cerebral Hemorrhage N/A N/A N/A Chronic Hepatitis N/A Chronic Hepatitis Chronic Hepatitis N/A N/A N/A Vertebrae/Spinal Disc Disorder Infectious Diseases Mononeurop,Abn Movement Dis N/A N/A HIV/AIDS HIV/AIDS Lymph,Hd/Neck, Brain,OthMaj CA #N/A Dementia/Cerebral Degeneration

Page 9 of 20

591 429.82 782.4 275.42 272.0 289.81 289.89 790.29 276.7 272.2 272.4 276.0 252.00 401.1 401.0 572.3 416.0 416.8 401.9 402.90 402.91 403.90 403.91 404.90 404.91 404.92 404.93 242.90 474.10 275.41 251.2 256.39 257.2 780.99 276.1 276.8 458.9 286.7 244.9 799.02 337.00

Hydronephrosis Hyper kinetic heart Hyperbilirubinemia/Jaundice Hypercalcemia Hypercholesterolemia pure Hypercoagulable state, primary Hypergammaglobulinemia Hyperglycemia Hyperkalemia/Hyperpotassemia/Elevated K Hyperlipidemia mixed (elev chol + elev trigly) Hyperlipidemia/Dyslipidemia NOS Hypernatremia/Hyperosmolaity Hyperparathyroidism Hypertension, benign Hypertension, malignant Hypertension, portal Hypertension, pulmonary Hypertension, pulmonary, secondary Hypertension, unspec Hypertensive heart dis w/out heart failure, unspec Hypertensive heart dis w/ Heart Failure, unspec* Hypertensive CKD I - IV, unspec* Hypertensive CKD V or ESRD, unspec* Hypertensive Heart & CKD I-IV unspec w/out HF* Hypertensive Heart & CKD I-IV w/ HF, unspec*

Level C - HCC for 2011 DOS

(Use add'l code 428.0 CHF) (Use add'l code 585.1-585.4 or 585.9) (Use add'l code 585.5 or 585.6) (Use add'l code 585.1-585.4 or 585.9) (Use add'l codes 585.9 + 428.0)

Hypertensive Heart & CKD V-ESRD w/out HF, unspec* (Use add'l code 585.5 or 585.6) Hypertensive Heart & CKD V-ESRD w/ HF, unspec* (Use add'l codes 585.5 or 585.6 + 428.0) Hyperthyroidism/Thyrotoxicosis Hypertrophy tonsils or adenoids Hypocalcemia Hypoglycemia unspec. (if mentioned with DM code 250.80 instead) Hypogonadism (female) Hypogonadism (male) Hypokinesis Hyponatremia/Hyposmolality Hypopotassemia/Hypokalemia Hypotension Hypoprothrombinemia Hypothyroidism unspec. Hypoxemia/Hypoxia/Anoxia Idiopathic Periph. Autonomic Neuropathy
Page 10 of 20

D None None D D D D None D D D D D D D C C C D D C D C D C C C D D D None D D None D D None D D C C

137 N/A N/A 21 19 55 55 N/A 21 19 19 21 20 98 98 25 80 80 98 98 80 98 131 98 80 131 131 21 129 21 N/A 21 20 N/A 21 21 N/A 55 21 79 71

Urinary Obstruct, Retention N/A N/A Oth Spec Endocrn/Metablc/Nutr Disorders of Lipoid Metabolism Coag Defects,Blood Diseases Coag Defects,Blood Diseases N/A Oth Spec Endocrn/Metablc/Nutr Disorders of Lipoid Metabolism Disorders of Lipoid Metabolism Oth Spec Endocrn/Metablc/Nutr Oth Sign Endocrine/Metablc Dis Hypertensive Heart Disease Hypertensive Heart Disease End-Stage Liver Disease Congestive Heart Failure Congestive Heart Failure Hypertensive Heart Disease Hypertensive Heart Disease Congestive Heart Failure Hypertensive Heart Disease Renal Failure Hypertensive Heart Disease Congestive Heart Failure Renal Failure Renal Failure Oth Spec Endocrn/Metablc/Nutr Oth Upper Respiratory Disease Oth Spec Endocrn/Metablc/Nutr N/A Oth Spec Endocrn/Metablc/Nutr Oth Sign Endocrine/Metablc Dis N/A Oth Spec Endocrn/Metablc/Nutr Oth Spec Endocrn/Metablc/Nutr N/A Coag Defects,Blood Diseases Oth Spec Endocrn/Metablc/Nutr Cardio-Respir Failure/Shock Polyneuropathy

287.31 V44.2 560.1 279.3 380.4 560.30 607.84 726.2 790.21 787.6 518.3 780.52 307.42 V58.67 579.9 560.9 564.1 437.1 414.9 702.19 701.1 584.9 V42.0 737.10 386.3 464.00 208.92 208.91 208.90 288.50 288.60 571.8 V42.7 724.2 518.89 710.0 785.6 289.3 202.80 289.89 273.3

Idiopathic thrombocytopenic purpura (ITP) Ileostomy status Ileus/Paralysis of intestine or colon Immunity deficiency/disorder unspec. Impacted cerumen Impaction of intestine/colon unspec. Impotence organic Impingement syndrome Impaired Fasting Glucose Incontinence of feces Infiltrate, lung(s) Insomnia unspec. Insomnia, persistent non-organic Insulin long term use (same as DM) Intestinal malabsorption unspec. Intestinal obstruction unspec. Irritable bowel syndrome (IBS) Ischemic cerebrovascular disease Ischemic heart disease, chronic Keratosis seborrheic unspec. Keratosis, unspec Kidney failure Kidney transplant status Kyphosis Labrynthitis Laryngitis acute
Leukemia in relapse

Level C - HCC for 2011 DOS

Leukemia in remission Leukemia unspec. Leukocytopenia, unspec Leukocytosis Liver fatty or atrophic Liver transplant status Low back pain/Lumbago Lung disease, NOS Lupus Lymph nodes enlarged Lymphadentis unspec. Lymphoma unspec. Macrocytosis Macroglobulinemia

Level C - HCC for 2011 DOS Page 11 of 20

D C C C None C None D None D D None D C C C None D D D None C D D None None C C C D D None C D None C None None C D D

55 176 31 45 N/A 31 N/A 48 N/A 138 110 N/A 67 19 32 31 N/A 102 92 160 N/A 131 132 45 N/A N/A 9 9 9 51 51 N/A 174 48 N/A 38 N/A N/A 9 55 20

Coag Defects,Blood Diseases Artif Opening-Feeding/Elimin Intestinal Obstructn/Perforatn Disorders of Immunity N/A Intestinal Obstructn/Perforatn N/A Oth Musculosk/Conn Tissue Dis N/A Fecal Incontinence Lng Fibros,Chron Lng Disorder N/A Oth Psych Symptoms/Syndrome Diabetes without Complication Pancreatic Disease Intestinal Obstructn/Perforatn N/A Cereb Hemorrh,Effect of Stroke Acute MI and Unstable Angina Bullous Dermat,Eryth Condition N/A Renal Failure Kidney Transplant Status Vertebrae/Spinal Disc Disorder N/A N/A Lymph,Hd/Neck, Brain,OthMaj CA Lymph,Hd/Neck, Brain,OthMaj CA Lymph,Hd/Neck, Brain,OthMaj CA Severe Hematological Disorders Severe Hematological Disorders N/A Major Organ Transplant Status Oth Musculosk/Conn Tissue Dis N/A Rh Arthritis and Inflam Conn Disease N/A N/A Lymph,Hd/Neck, Brain,OthMaj CA Coag Defects,Blood Diseases Oth Sign Endocrine/Metablc Dis

362.50 362.52 362.57 579.9 780.79 263.1 386.00 239.6 627.2 319 277.7 412 346.90 424.0 355.9 075 438.40 438.30 344.40 344.30 296.90 278.01 041.12 340 359.1 358.00 238.75 203.10 203.02 336.9 429.1 429.0 359.6 359.9 359.29 787.01 733.40

Macular degeneration Macular degeneration, senile exudative Macular Drusen Malabsorption syndrome Malaise/Fatigue unspec. Malnutrition Menieres disease Meningioma, unspec Menopause symptoms Mental retardation Metabolic syndrome/insulin resistance MI Old Migraine unspec. Mitral valve disorder (regur., insuff) Mononeuritis site unspec. Mononucleosis infectious Monoplegia from CVA lower limb, side unspec. Monoplegia from CVA upper limb, side unspec. Monoplegia/Paralysis, arm Monoplegia/Paralysis, leg Mood Disorder or mood swings Morbid Obesity MRSA Multiple sclerosis Muscular dystrophy Myasthenia Gravis Myelodysplastic syndrome, unspec. Myeloma, not stated as in remission or relapsed Myeloma, Mutiple in relapse Myelopathy/Cord compression Myocarditis degeneration Myocarditis unspec. Myopathy in disease (also code disease) Myopathy unspec. Myotonic disorders Nausea with vomiting Necrosis, avascular

Level C - HCC for 2011 DOS

Level C - HCC for 2011 DOS

D D D C None C None C None None D C D None D None C C C C C None None C C C C C C C C C C C C None C None C C

121 121 121 32 N/A 21 N/A 10 N/A N/A 20 83 85 N/A 86 N/A 101 101 101 101 55 N/A N/A 72 70 71 44 9 9 69 80 80 71 71 71 N/A 37 N/A 9 10

Macular Degen,Retinal Dis Macular Degen,Retinal Dis Macular Degen,Retinal Dis Pancreatic Disease N/A Protein-Calorie Malnutrition N/A Brst,Prst,Clrectal,Oth CA/TU N/A N/A Oth Sign Endocrine/Metablc Dis Angina Pectoris/Old MI Migraine Headaches N/A Mononeurop,Abn Movement Dis N/A CP and Other Paralytic Syndr CP and Other Paralytic Syndr CP and Other Paralytic Syndr CP and Other Paralytic Syndr Mjr Depr,Bipolar,Paranoid Dsrd N/A N/A Multiple Sclerosis Muscular Dystrophy Polyneuropathy Severe Hematological Disorders Lymph,Hd/Neck, Brain,OthMaj CA Lymph,Hd/Neck, Brain,OthMaj CA Spinal Cord Disorders/Injuries Congestive Heart Failure Congestive Heart Failure Polyneuropathy Polyneuropathy Polyneuropathy N/A Bone/Joint/Muscle Inf/Necr N/A Lymph,Hd/Neck, Brain,OthMaj CA Brst,Prst,Clrectal,Oth CA/TU

NEOPLASMS (Active treatment includes chemo/rad/medication)

V10.90 Neoplasm, history of - unspec type or location 194.0 Neoplasm, malignant Adrenal 188.9 Neoplasm, malignant Bladder
Page 12 of 20

170.9 191.9 174.9 175.9 153.9 171.9 150.9 155.0 162.9 183.0 158.9 185 154.1 189.0 165.9 173.9 172.9 209.31 186.9 189.9 198.5 198.3 197.7 197.0 196.9 580.9 582.9 583.9 583.0 583.81 592.0 403.90 581.1 581.9 351.8 354.9 053.10 353.8 350.1 729.2 596.54

Neoplasm, malignant Bone Neoplasm, malignant Brain Neoplasm, malignant Breast - female Neoplasm, malignant Breast - male Neoplasm, malignant Colon Neoplasm, malignant Connective & soft tissue Neoplasm, malignant Esophagus Neoplasm, malignant Liver Neoplasm, malignant Lung/Bronchus Neoplasm, malignant Ovarian Neoplasm, malignant Peritoneum Neoplasm, malignant Prostate Neoplasm, malignant Rectal Neoplasm, malignant Renal Neoplasm, malignant Respiratory tract Neoplasm, malignant Skin Neoplasm, malignant Skin, Melanoma Neoplasm, malignant Skin, Merkel cell, face Neoplasm, malignant Testis Neoplasm, malignant Urninary Neoplasm secondary site Bone/Bone marrow Neoplasm secondary site Brain Neoplasm secondary site Liver Neoplasm secondary site Lung Neoplasm secondary site Lymph node(s) Nephritis/Nephropathy acute Nephritis/Nephropathy chronic Nephritis/Nephropathy unspec Nephritis/Nephropathy w/ lesion proliferative Nephropathy in DM Nephrolithiasis/Kidney stone Nephrosclerosis/Arteriosclerosis of kidney Nephrotic syndrome w/ lesion Nephrotic syndrome w/ lesion or edema unspec. Neuralgia, face Neuralgia, hand Neuralgia, Herpetic/Post Herpetic Neuralgia, intercostal Neuralgia, trigeminal Neuralgia/Neuritis unspec. Neurogenic bladder

C C C C C C C C C C C C C C C None C C C C C C C C C C C C C C D D C C D D D D D D D

9 9 10 10 10 9 8 9 8 9 8 10 10 10 9 N/A 10 10 10 10 7 7 7 7 7 132 132 132 132 132 137 98 132 132 87 87 86 87 87 48 137

Lymph,Hd/Neck, Brain,OthMaj CA Lymph,Hd/Neck, Brain,OthMaj CA Brst,Prst,Clrectal,Oth CA/TU Brst,Prst,Clrectal,Oth CA/TU Brst,Prst,Clrectal,Oth CA/TU Lymph,Hd/Neck, Brain,OthMaj CA Lng,Upr DigestTract,Other Sev CA Lymph,Hd/Neck, Brain,OthMaj CA Lng,Upr DigestTract,Other Sev CA Lymph,Hd/Neck, Brain,OthMaj CA Lng,Upr DigestTract,Other Sev CA Brst,Prst,Clrectal,Oth CA/TU Brst,Prst,Clrectal,Oth CA/TU Brst,Prst,Clrectal,Oth CA/TU Lymph,Hd/Neck, Brain,OthMaj CA Brst,Prst,Clrectal,Oth CA/TU Brst,Prst,Clrectal,Oth CA/TU Brst,Prst,Clrectal,Oth CA/TU Brst,Prst,Clrectal,Oth CA/TU Metastatic CA and Acute Leukem Metastatic CA and Acute Leukem Metastatic CA and Acute Leukem Metastatic CA and Acute Leukem Metastatic CA and Acute Leukem Nephritis Nephritis Nephritis Nephritis Nephritis Urinary Obstruct, Retention Hypertensive Heart Disease Nephritis Nephritis Oth Neuro Conditions/Injuries Oth Neuro Conditions/Injuries Mononeurop,Abn Movement Dis Oth Neuro Conditions/Injuries Oth Neuro Conditions/Injuries Oth Musculosk/Conn Tissue Dis Urinary Obstruct, Retention

NEW CODE 10/1/2009

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355.9 354.2 356.9 357.2 357.5 357.1 288.00 518.89 721.90 278.00 278.01 110.1 304.00 715.90 715.95 730.20 733.90 733.00 388.70 380.10 381.00 620.2 596.51 731.0 338.29 338.29 719.40 729.5 723.1 719.45 724.1 785.1 577.8 577.0 577.1 284.1 560.1 438.50 297.9

NEUROPATHY/POLYNEUROPATHY Neuropathy unspec Neuropathy, ulnar Polyneuropathy and peripheral neuropathy, unspec. Polyneuropathy and peripheral neuropathy in diabetes (code also 250.60) Polyneuropathy or peripheral neuropathy alcoholic(code also alcohol depend. or abuse) Polyneuropathy or peripheral neuropathy due to collegen vascular dis(code also SLE, RA) Neutropenia/Leukopenia/agranlocytosis unspec. Nodule, lung solitary; calcification; pulmolithiasis; broncholithiasis OA of spine Obesity Obesity, Morbid or severe Level C - HCC for 2011 DOS Onychomyosis Opioid dependence, unspec Osteoarthrosis (DJD) unspec. Osteoarthrosis of pelvic region Osteomyelitis unspec. Osteopenia Osteoporosis unspec. Otalgia (earache) Otitis externa infective Otitis media acute Ovarian cyst Overactive Bladder OAB Paget's disease Pain, chronic Pain, chronic syndrome Pain, joint Pain, limb Pain, neck Pain, pelvis/hips Pain, Thoracic spine Palpitations Pancreatic disease Pancreatitis acute Pancreatitis chronic Pancytopenia Paralysis of intestine or colon/Ileus Paralytic syndrome other unspec. Paranoid disorder unspec.
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D D C C C C C None D None None None C D D C None D None None None None D None None None D D D D D None C C C C C C C

86 87 71 71 71 71 45 N/A 45 N/A N/A N/A 52 48 45 37 N/A 47 N/A N/A N/A N/A 140 N/A N/A N/A 48 48 48 48 48 N/A 32 32 32 44 31 101 55

Mononeurop,Abn Movement Dis Oth Neuro Conditions/Injuries Polyneuropathy Polyneuropathy Polyneuropathy Polyneuropathy Disorders of Immunity N/A Vertebrae/Spinal Disc Disorder N/A N/A N/A Drug/Alcohol Dependence Oth Musculosk/Conn Tissue Dis Vertebrae/Spinal Disc Disorder Bone/Joint/Muscle Inf/Necr N/A Osteoporosis and Vertebral Fra N/A N/A N/A N/A Impair Renal Funct,Urin Dis N/A N/A N/A Oth Musculosk/Conn Tissue Dis Oth Musculosk/Conn Tissue Dis Oth Musculosk/Conn Tissue Dis Oth Musculosk/Conn Tissue Dis Oth Musculosk/Conn Tissue Dis N/A Pancreatic Disease Pancreatic Disease Pancreatic Disease Severe Hematological Disorders Intestinal Obstructn/Perforatn CP and Other Paralytic Syndr Mjr Depr,Bipolar,Paranoid Dsrd

344.1 332.0 681.9 527.2 427.0 427.0 427.0 427.0 427.0 427.2 427.1 533.90 730.30 443.9 356.9 443.9 443.81 567.9 353.6 462 472.1 451.83 451.11 451.19 451.9 728.71 511.0 482.9 482.XX 481 517.1 480.9 512.8 719.49 714.9 238.4 725 710.4 356.9 357.5 357.1

Paraplegia Parkinson's disease Paronychia Parotitis Paroxysmal atrial tachycardia (PAT) Paroxysmal atrioventricular tachycardia (PAVT) Paroxysmal junctional tachycardia Paroxysmal nodal tachycardia Paroxysmal supraventricular tachycardia (PSVT) Paroxysmal tachycardia/Bouveret-Hoffman syndrome Paroxysmal ventricular tachycardia (ok to code with AICD/defibrillator) Peptic ulcer (PUD) Periostitis Peripheral arterial disease (PAD) Peripheral neuropathy Peripheral vascular disease, unspec Peripheral vascular/angiopathy in disease (DM) Peritonitis NOS Phantom limb syndrome Pharyngitis acute Pharyngitis chronic Phlebitis arm deep vein Phlebitis leg femoral vein Phlebitis leg other deep Phlebitis site unspec. Plantar fibromatosis/Plantar fasciitis Pleurisy/Pulmonary effusion Pneumonia bacterial unspec. Pneumonia due to strep30/staph40/Ecoli82 Pneumonia pneumococcal Pneumonia rheumatic (code also 391.9) Pneumonia viral unspec. Pneumothorax Polyarthralgia (Jt. Pain-multiple sites) Polyarthropathy, inflammatory Polycythemia Level C - HCC for 2011 DOS Polymyalgia rheumatica Polymyositis Polyneuropathy and peripheral neuropathy Polyneuropathy or peripheral neuropathy alcoholic(code also alcohol depend. or abuse) Polyneuropathy or peripheral neuropathy due to collegen vascular dis(code also SLE, RA)
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C 68 Paraplegia C 73 Parknsns/Huntingtons Disease D 159 Cellulitis,Local Skin Infect D 130 Salivary Gland Diseases C 92 Specified Heart Arrhythmias C 92 Specified Heart Arrhythmias C 92 Specified Heart Arrhythmias C 92 Specified Heart Arrhythmias C 92 Specified Heart Arrhythmias C 92 Specified Heart Arrhythmias C 92 Specified Heart Arrhythmias D 34 Peptic Ulcer and GI Hemorrhage C 37 Bone/Joint/Muscle Inf/Necr C 105 Vascular Disease C 71 Polyneuropathy C 105 Vascular Disease C 105 Vascular Disease C 31 Intestinal Obstructn/Perforatn C 177 Amp Stat,Lower Limb/Amp Comp None N/A N/A D 129 Oth Upper Respiratory Disease C 105 Vascular Disease C 105 Vascular Disease C 105 Vascular Disease None N/A N/A D 48 Oth Musculosk/Conn Tissue Dis None N/A N/A None N/A N/A C 111/112 Pneumococl Pneum,Empyema,Lung C 112 Pneumococl Pneum,Empyema,Lung D 110 Lng Fibros,Chron Lng Disorder None N/A N/A None N/A N/A D 48 Oth Musculosk/Conn Tissue Dis C 38 Rh Arthritis and Inflam Conn Disease D 54 Polycythemia Vera C 38 Rh Arthritis and Inflam Conn Disease C 38 Rh Arthritis and Inflam Conn Disease C 71 Polyneuropathy C 71 Polyneuropathy C 71 Polyneuropathy

357.2 593.89 471.9 277.1 309.81 138 427.60 427.61 427.69 601.9 263.9 791.0 790.93 696.1 696.0 316 307.80 298.9 428.1 415.19 416.2 V12.51 515 416.0 416.9 287.2 427.1 344.00 780.72 729.2 569.3 337.20 555.9 592.0 V45.11 584.9 588.9 593.9 587 440.1 593.81

Polyneuropathy and peripheral neuropathy in diabetes (code also 250.60) Polyp of kidney or ureter Polyp of nasal cavity Porphyria/Hematoporphyria Post Traumatic Stress Disorder PTSD Post-Polio Synd (Inactive poliomyelitis/late effects) Premature beats, contractions,systoles, ectopic beats Premature supraventricular beats, atrial beats, contractions (PACs), systoles Premature ventricular beats, contractions (PVCs), systoles Prostatitis unspec. Protein calorie malnutrition unspec. (alb<2.5) Proteinuria PSA elevated Psoriasis except arthropathic Psoriatic arthropathy Psychic factors assoc. w/ disease Psychogenic pain site unspec. Psychosis NOS Pulmonary edema acute Pulmonary embolism (PE) Pulmonary embolism chronic Pulmonary embolism H/O Level C - HCC for 2011 DOS Pulmonary Fibrosis Pulmonary Hypertension Pulmonary heart disease chronic unspec. Purpura NOS Level C - HCC for 2011 DOS PVT Paroxysmal ventricular tachycardia Quadriplegia unspec.
Quadriplegia, funct (due to fraility)

Radiculopathy Rectal bleed Reflex sympathetic dystrophy (RSD) unspec Regional Enteritis Renal calculus Renal dialysis status Renal failure acute Renal function failure/Impaired renal function Renal insuff. or renal disease NOS Renal sclerosis Renal stenosis Renal vascular disorder/renal thrombosis or embolism
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C D D D None D None None None None C None None D D D D D C C C None D C C D C C C D None C C D C C D D D C C

71 140 129 20 N/A 3 N/A N/A N/A N/A 21 N/A N/A 158 44 67 67 66 80 104 104 110 80 80 55 92 67 67 48 N/A 71 33 137 130 131 140 140 140 105 104

Polyneuropathy Impair Renal Funct,Urin Dis Oth Upper Respiratory Disease Oth Sign Endocrine/Metablc Dis N/A Infectious Diseases N/A N/A N/A N/A Protein-Calorie Malnutrition N/A N/A Psoriasis Psoriatic Arthropathy Oth Psych Symptoms/Syndrome Oth Psych Symptoms/Syndrome Oth Major Psychiatric Disorder Congestive Heart Failure Vascular Disease with Complica Vascular Disease with Complica Lng Fibros,Chron Lng Disorder Congestive Heart Failure Congestive Heart Failure Coag Defects,Blood Diseases Specified Heart Arrhythmias Quad/Other Exten Paralysis Quad/Other Exten Paralysis Oth Musculosk/Conn Tissue Dis N/A Polyneuropathy Inflammatory Bowel Disease Urinary Obstruct, Retention Dialysis Status Renal Failure Impair Renal Funct,Urin Dis Impair Renal Funct,Urin Dis Impair Renal Funct,Urin Dis Vascular Disease Vascular Disease with Complica

518.81 333.94 362.83 362.81 362.29 362.01 362.03 362.04 362.05 362.02 398.90 729.0 714.0 472.0 726.10 727.61 720.2 135 295.90 724.3 710.1 737.39 706.2 345.90 780.39 038.9 053.9 053.10 527.2 282.5 427.81 427.89 427.81 461.9 473.9 710.2 710.0 307.40 724.8 728.85 724.00

Respiratory failure Restless leg syndrome Retinal edema Retinal hemorrhage Retinopathy (non-diabetic) Retinopathy in disease NOS (*code also 250.50) Retinopathy in disease, non-prolif (*code also 250.50) Retinopathy, mild non prolif in disease (*code also 250.50) Retinopathy, moderate non prolif in disease (*code also 250.50) Retinopathy, prolif in disease (*code also 250.50) Rheumatic heart disease unspec. Rheumatism unspec. Rheumatoid Arthritis (Code also 359.6 or 357.1) Rhinitis chronic Rotator cuff syndrome Rotator cuff tear Sacroiliitis unspec. Level C - HCC for 2011 DOS Sarcoidosis Schizophrenia unspec. Sciatica Scleroderma/Systemic disease/CRST Syndrome Scoliosis Sebaceous Cyst Seizure Disorder Seizures NOS Septicemia Shingles Shingles w/ Nervous system complication Sialoadenitis Sickle Cell trait Sinoatrial node dysfunction/SSS/Tachycardia-Bradycardia syndrome Sinus bradycardia or tachycardia unspec Sinus bradycardia severe or persistent Sinusitis acute unspec. Sinusitis NOS and chronic Sjogrens syndrome SLE (Lupus) Sleep disorder non-organic Spasm, back Spasm, muscle Spinal stenosis
Page 17 of 20

C D D D D D D D D C None D C D D D C D C D C D None C C C None D D D C None C None D C C D D D D

79 86 120 120 120 17 17 17 17 119 N/A 48 38 129 48 48 38 110 54 48 38 45 N/A 74 74 2 N/A 86 130 55 92 N/A 92 N/A 129 38 38 67 48 48 45

Cardio-Respir Failure/Shock Mononeurop,Abn Movement Dis Vitr/Retinal Hemorrh,VascRetin Vitr/Retinal Hemorrh,VascRetin Vitr/Retinal Hemorrh,VascRetin Diabetes with Complications Diabetes with Complications Diabetes with Complications Diabetes with Complications Prolif Diab Retinop/Vitr Hem N/A Oth Musculosk/Conn Tissue Dis Rh Arthritis and Inflam Conn Disease Oth Upper Respiratory Disease Oth Musculosk/Conn Tissue Dis Oth Musculosk/Conn Tissue Dis Rh Arthritis and Inflam Conn Disease Lng Fibros,Chron Lng Disorder Schizophrenia Oth Musculosk/Conn Tissue Dis Rh Arthritis and Inflam Conn Disease Vertebrae/Spinal Disc Disorder N/A Seizure Disorders/Convulsions Seizure Disorders/Convulsions Septicemia/Shock N/A Mononeurop,Abn Movement Dis Salivary Gland Diseases Coag Defects,Blood Diseases Specified Heart Arrhythmias N/A Specified Heart Arrhythmias N/A Oth Upper Respiratory Disease Rh Arthritis and Inflam Conn Disease Rh Arthritis and Inflam Conn Disease Oth Psych Symptoms/Syndrome Oth Musculosk/Conn Tissue Dis Oth Musculosk/Conn Tissue Dis Vertebrae/Spinal Disc Disorder

334.9 720.9 756.12 721.90 726.91 034.0 447.1 V44.6 427.89 729.81 727.00 785.0 427.89 426.89 427.0 427.2 427.1 726.90 282.49 238.71 287.5 238.71 451.2 112.0 246.9 241.0 240.9 435.9 305.10 463 519.19 V44.0 781.0 532.90 531.90 533.90

Spinocerebellar disease unspec. Spondylitis/spondylopathy unspec. Spondylolisthesis Spondylosis Spur, bone Streptococcal sore throat Stricture of artery Supra-public catheter/Ureterostmy status Supraventricular tachycardia (SVT) Swelling of limb Synovitis Tachycardia Tachycardia, atrial, AVT, SVT, sinus, nodal Tachycardia, nonparoxymsal atrioventricular Tachycardia paroxysmal: supraventricular, atrial, atrioventricular Tachycardia paroxysmal unspec. Tachycardia ventricular/PSVT Tendonitis Thalassemia Thrombocythemia Thrombocytopenia Thrombocytosis Thrombophlebitis, lower ext, not specified as deep Thrush Thyroid disease Thyroid nodule Thyromegaly/Goiter NOS TIA unspec. Tobacco dependence unspec. Tonsillitis acute Trachea/Bronchus stenosis or ulcer Tracheostomy status Tremor Ulcer, duodenal Ulcer, gastric unspec. Ulcer, peptic (PUD) ULCERS, SKIN Ulcer skin or ulcer chronic or ulcer tropic, site unspec. Ulcer, diabetic (code also 250.80), site unspec

Level C - HCC for 2011 DOS Level C - HCC for 2011 DOS Level C - HCC for 2011 DOS

C C D D D None C C None D D None None None C C C D D D D D None D D D D D None None D C D D D D C C C C

69 38 45 45 48 N/A 105 176 N/A 48 48 N/A N/A N/A 92 92 92 48 55 55 55 55 N/A 3 21 21 21 102 N/A N/A 110 77 86 34 34 34 149 149 149 148

Spinal Cord Disorders/Injuries Rh Arthritis and Inflam Conn Disease Vertebrae/Spinal Disc Disorder Vertebrae/Spinal Disc Disorder Oth Musculosk/Conn Tissue Dis N/A Vascular Disease Artif Opening-Feeding/Elimin N/A Oth Musculosk/Conn Tissue Dis Oth Musculosk/Conn Tissue Dis N/A N/A N/A Specified Heart Arrhythmias Specified Heart Arrhythmias Specified Heart Arrhythmias Oth Musculosk/Conn Tissue Dis Coag Defects,Blood Diseases Coag Defects,Blood Diseases Coag Defects,Blood Diseases Coag Defects,Blood Diseases N/A Infectious Diseases Oth Spec Endocrn/Metablc/Nutr Oth Spec Endocrn/Metablc/Nutr Oth Spec Endocrn/Metablc/Nutr Cereb Hemorrh,Effect of Stroke N/A N/A Lng Fibros,Chron Lng Disorder Respirator Depend/Trach Status Mononeurop,Abn Movement Dis Peptic Ulcer and GI Hemorrhage Peptic Ulcer and GI Hemorrhage Peptic Ulcer and GI Hemorrhage Chronic Skin Ulcer,Excpt Decub Chronic Skin Ulcer,Excpt Decub Chronic Skin Ulcer,Excpt Decub Decubitus Ulcer of Skin

707.9 707.9 707.10 Ulcer, lower limb (NOT pressure or decubitis), unspec site 707.00 Ulcer, pressure/decubitis/bedsore/plaster ulcer, site unspec.
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OR 707.01 Elbow, 707.03 Lower back, 707.04 Hip, 707.05 Buttock, 707.07 Heel 707.20 Ulcer, pressure unspec stage (Add'l code to 707.00 to describe stage) OR 707.21 Stage I, 707.22 Stage 2, 707.23 Stage 3, 707.24 Stage 4, 707.25 Unstabeable 454.0 Ulcer, stasis/venous stasis/varicose veins/varicosities 788.21 Unrinary incomplete bladder emptying 586 Uremia (Renal failure) NOS 585.9 Uremia, chronic 599.5 Urethra, prolapsed 597.80 Urethritis unspec. 465.9 URI acute, site unspec. 788.64 Urinary hesitation 788.30 Urinary Incontinence, unspec 788.20 Urinary retention 625.6 Urinary stress incontinence, female 788.32 Urinary stress incontinence, male 788.31 Urinary urge incontinence 599.60 Urinary obstruction 788.65 Urinary straining 708.9 Urticaria (hives) unspec. 599.0 UTI /Urosepsis 618.00 Vaginal prolapse 616.10 Vaginitis/Vulvovaginitis unspec. 454.9 Varicose veins 459.81 Venous insuff 427.41 Ventricular fibrillation 427.42 Ventricular flutter 427.1 Ventricular tachycardia (ok to code with AICD/defibrillator) 722.10 Vertebra, displaced disks/bulging discs 733.13 Vertebra fracture 952.9 Vertebra, ruptured disks/nerve damage 386.12 Vestibulopathy 424.90 VHD Valvular heart disease/Endocarditis 379.23 Vitreous hemorrhage 276.50 Volume depletion V46.3 Wheelchair dependence 527.7 Xerostomia

C C C None D C C D None None D D D D D D D D None None None D None None C C C D C C None None C D None D

148 148 148 N/A 137 131 131 140 N/A N/A 137 139 137 145 139 139 140 137 N/A N/A N/A 144 N/A N/A 79 79 92 45 157 69 N/A N/A 119 21 N/A 130

Decubitus Ulcer of Skin Decubitus Ulcer of Skin Decubitus Ulcer of Skin N/A Urinary Obstruct, Retention Renal Failure Renal Failure Impair Renal Funct,Urin Dis N/A N/A Urinary Obstruct, Retention Incontinence Urinary Obstruct, Retention Female stress incontinence Incontinence Incontinence Impair Renal Funct,Urin Dis Urinary Obstruct, Retention N/A N/A N/A Vaginal and Cervical Diseases N/A N/A Cardio-Respir Failure/Shock Cardio-Respir Failure/Shock Specified Heart Arrhythmias Vertebrae/Spinal Disc Disorder Vertebral Fract w/o Spinal Inj Spinal Cord Disorders/Injuries N/A N/A Prolif Diab Retinop/Vitr Hem Oth Spec Endocrn/Metablc/Nutr N/A Salivary Gland Diseases

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KEY:

Green Highlighted ICD9 Codes are in the CMS-HCC Part C Medicare Risk Adjustment Model Blue Highlighted ICD9 Codes are in the CMS-HCC RX Part D Medicare Risk Adjustment Model White - ICD9 Codes not in CMS Risk Adjustment Model *Needs additional ICD9 code Yellow- CMS proposed Level C-HCC starting 2011 DOS Further information can be found
on: http://www.cms.gov/MedicareAdvtgSpecRateStats, under Announcements and Documents.

Universal Health Care Group 100 Central Ave., Suite 200, St. Petersburg, FL 33701 Website: http://univhc.com MRA Dept. PROVIDER questions 727-456-2951 MRA Dept. Fax 727-456-7878 For all other questions 1-866-690-4842

This is a reference tool and does not include all ICD9 codes and their instructions. Please follow all guidelines for coding per the 2010 ICD9 Coding Book.

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