ICD 10 CM codes

A000	Cholera due to Vibrio cholerae 01, biovar cholerae
A001	Cholera due to Vibrio cholerae 01, biovar eltor
A009	Cholera, unspecified
A01	Typhoid and paratyphoid fevers
A010	Typhoid fever
A0100	Typhoid fever, unspecified
A0101	Typhoid meningitis
A0102	Typhoid fever with heart involvement
A0103	Typhoid pneumonia
A0104	Typhoid arthritis
A0105	Typhoid osteomyelitis
A0109	Typhoid fever with other complications
A011	Paratyphoid fever A
A012	Paratyphoid fever B
A013	Paratyphoid fever C
A014	Paratyphoid fever, unspecified
A02	Other salmonella infections
A020	Salmonella enteritis
A021	Salmonella sepsis
A022	Localized salmonella infections
A0220	Localized salmonella infection, unspecified
A0221	Salmonella meningitis
A0222	Salmonella pneumonia
A0223	Salmonella arthritis
A0224	Salmonella osteomyelitis
A0225	Salmonella pyelonephritis
A0229	Salmonella with other localized infection
A028	Other specified salmonella infections
A029	Salmonella infection, unspecified
A03	Shigellosis
A030	Shigellosis due to Shigella dysenteriae
A031	Shigellosis due to Shigella flexneri
A032	Shigellosis due to Shigella boydii
A033	Shigellosis due to Shigella sonnei
A038	Other shigellosis
A039	Shigellosis, unspecified
A04	Other bacterial intestinal infections
A040	Enteropathogenic Escherichia coli infection
A041	Enterotoxigenic Escherichia coli infection
A042	Enteroinvasive Escherichia coli infection
A043	Enterohemorrhagic Escherichia coli infection
A044	Other intestinal Escherichia coli infections
A045	Campylobacter enteritis
A046	Enteritis due to Yersinia enterocolitica
A047	Enterocolitis due to Clostridium difficile
A048	Other specified bacterial intestinal infections
A049	Bacterial intestinal infection, unspecified
A05	Other bacterial foodborne intoxications, not elsewhere classified
A050	Foodborne staphylococcal intoxication
A051	Botulism food poisoning
A052	Foodborne Clostridium perfringens [Clostridium welchii] intoxication
A053	Foodborne Vibrio parahaemolyticus intoxication
A054	Foodborne Bacillus cereus intoxication
A055	Foodborne Vibrio vulnificus intoxication
A058	Other specified bacterial foodborne intoxications
A059	Bacterial foodborne intoxication, unspecified
A06	Amebiasis
A060	Acute amebic dysentery
A061	Chronic intestinal amebiasis
A062	Amebic nondysenteric colitis
A063	Ameboma of intestine
A064	Amebic liver abscess
A065	Amebic lung abscess
A066	Amebic brain abscess
A067	Cutaneous amebiasis
A068	Amebic infection of other sites
A0681	Amebic cystitis
A0682	Other amebic genitourinary infections
A0689	Other amebic infections
A069	Amebiasis, unspecified
A07	Other protozoal intestinal diseases
A070	Balantidiasis
A071	Giardiasis [lambliasis]
A072	Cryptosporidiosis
A073	Isosporiasis
A074	Cyclosporiasis
A078	Other specified protozoal intestinal diseases
A079	Protozoal intestinal disease, unspecified
A08	Viral and other specified intestinal infections
A080	Rotaviral enteritis
A081	Acute gastroenteropathy due to Norwalk agent and other small round viruses
A0811	Acute gastroenteropathy due to Norwalk agent
A0819	Acute gastroenteropathy due to other small round viruses
A082	Adenoviral enteritis
A083	Other viral enteritis
A0831	Calicivirus enteritis
A0832	Astrovirus enteritis
A0839	Other viral enteritis
A084	Viral intestinal infection, unspecified
A088	Other specified intestinal infections
A09	Infectious gastroenteritis and colitis, unspecified
A15	Respiratory tuberculosis
A150	Tuberculosis of lung
A154	Tuberculosis of intrathoracic lymph nodes
A155	Tuberculosis of larynx, trachea and bronchus
A156	Tuberculous pleurisy
A157	Primary respiratory tuberculosis
A158	Other respiratory tuberculosis
A159	Respiratory tuberculosis unspecified
A17	Tuberculosis of nervous system
A170	Tuberculous meningitis
A171	Meningeal tuberculoma
A178	Other tuberculosis of nervous system
A1781	Tuberculoma of brain and spinal cord
A1782	Tuberculous meningoencephalitis
A1783	Tuberculous neuritis
A1789	Other tuberculosis of nervous system
A179	Tuberculosis of nervous system, unspecified
A18	Tuberculosis of other organs
A180	Tuberculosis of bones and joints
A1801	Tuberculosis of spine
A1802	Tuberculous arthritis of other joints
A1803	Tuberculosis of other bones
A1809	Other musculoskeletal tuberculosis
A181	Tuberculosis of genitourinary system
A1810	Tuberculosis of genitourinary system, unspecified
A1811	Tuberculosis of kidney and ureter
A1812	Tuberculosis of bladder
A1813	Tuberculosis of other urinary organs
A1814	Tuberculosis of prostate
A1815	Tuberculosis of other male genital organs
A1816	Tuberculosis of cervix
A1817	Tuberculous female pelvic inflammatory disease
A1818	Tuberculosis of other female genital organs
A182	Tuberculous peripheral lymphadenopathy
A183	Tuberculosis of intestines, peritoneum and mesenteric glands
A1831	Tuberculous peritonitis
A1832	Tuberculous enteritis
A1839	Retroperitoneal tuberculosis
A184	Tuberculosis of skin and subcutaneous tissue
A185	Tuberculosis of eye
A1850	Tuberculosis of eye, unspecified
A1851	Tuberculous episcleritis
A1852	Tuberculous keratitis
A1853	Tuberculous chorioretinitis
A1854	Tuberculous iridocyclitis
A1859	Other tuberculosis of eye
A186	Tuberculosis of (inner) (middle) ear
A187	Tuberculosis of adrenal glands
A188	Tuberculosis of other specified organs
A1881	Tuberculosis of thyroid gland
A1882	Tuberculosis of other endocrine glands
A1883	Tuberculosis of digestive tract organs, not elsewhere classified
A1884	Tuberculosis of heart
A1885	Tuberculosis of spleen
A1889	Tuberculosis of other sites
A19	Miliary tuberculosis
A190	Acute miliary tuberculosis of a single specified site
A191	Acute miliary tuberculosis of multiple sites
A192	Acute miliary tuberculosis, unspecified
A198	Other miliary tuberculosis
A199	Miliary tuberculosis, unspecified
A20	Plague
A200	Bubonic plague
A201	Cellulocutaneous plague
A202	Pneumonic plague
A203	Plague meningitis
A207	Septicemic plague
A208	Other forms of plague
A209	Plague, unspecified
A21	Tularemia
A210	Ulceroglandular tularemia
A211	Oculoglandular tularemia
A212	Pulmonary tularemia
A213	Gastrointestinal tularemia
A217	Generalized tularemia
A218	Other forms of tularemia
A219	Tularemia, unspecified
A22	Anthrax
A220	Cutaneous anthrax
A221	Pulmonary anthrax
A222	Gastrointestinal anthrax
A227	Anthrax sepsis
A228	Other forms of anthrax
A229	Anthrax, unspecified
A23	Brucellosis
A230	Brucellosis due to Brucella melitensis
A231	Brucellosis due to Brucella abortus
A232	Brucellosis due to Brucella suis
A233	Brucellosis due to Brucella canis
A238	Other brucellosis
A239	Brucellosis, unspecified
A24	Glanders and melioidosis
A240	Glanders
A241	Acute and fulminating melioidosis
A242	Subacute and chronic melioidosis
A243	Other melioidosis
A249	Melioidosis, unspecified
A25	Rat-bite fevers
A250	Spirillosis
A251	Streptobacillosis
A259	Rat-bite fever, unspecified
A26	Erysipeloid
A260	Cutaneous erysipeloid
A267	Erysipelothrix sepsis
A268	Other forms of erysipeloid
A269	Erysipeloid, unspecified
A27	Leptospirosis
A270	Leptospirosis icterohemorrhagica
A278	Other forms of leptospirosis
A2781	Aseptic meningitis in leptospirosis
A2789	Other forms of leptospirosis
A279	Leptospirosis, unspecified
A28	Other zoonotic bacterial diseases, not elsewhere classified
A280	Pasteurellosis
A281	Cat-scratch disease
A282	Extraintestinal yersiniosis
A288	Other specified zoonotic bacterial diseases, not elsewhere classified
A289	Zoonotic bacterial disease, unspecified
A30	Leprosy [Hansen's disease]
A300	Indeterminate leprosy
A301	Tuberculoid leprosy
A302	Borderline tuberculoid leprosy
A303	Borderline leprosy
A304	Borderline lepromatous leprosy
A305	Lepromatous leprosy
A308	Other forms of leprosy
A309	Leprosy, unspecified
A31	Infection due to other mycobacteria
A310	Pulmonary mycobacterial infection
A311	Cutaneous mycobacterial infection
A312	Disseminated mycobacterium avium-intracellulare complex (DMAC)
A318	Other mycobacterial infections
A319	Mycobacterial infection, unspecified
A32	Listeriosis
A320	Cutaneous listeriosis
A321	Listerial meningitis and meningoencephalitis
A3211	Listerial meningitis
A3212	Listerial meningoencephalitis
A327	Listerial sepsis
A328	Other forms of listeriosis
A3281	Oculoglandular listeriosis
A3282	Listerial endocarditis
A3289	Other forms of listeriosis
A329	Listeriosis, unspecified
A33	Tetanus neonatorum
A34	Obstetrical tetanus
A35	Other tetanus
A36	Diphtheria
A360	Pharyngeal diphtheria
A361	Nasopharyngeal diphtheria
A362	Laryngeal diphtheria
A363	Cutaneous diphtheria
A368	Other diphtheria
A3681	Diphtheritic cardiomyopathy
A3682	Diphtheritic radiculomyelitis
A3683	Diphtheritic polyneuritis
A3684	Diphtheritic tubulo-interstitial nephropathy
A3685	Diphtheritic cystitis
A3686	Diphtheritic conjunctivitis
A3689	Other diphtheritic complications
A369	Diphtheria, unspecified
A37	Whooping cough
A370	Whooping cough due to Bordetella pertussis
A3700	Whooping cough due to Bordetella pertussis without pneumonia
A3701	Whooping cough due to Bordetella pertussis with pneumonia
A371	Whooping cough due to Bordetella parapertussis
A3710	Whooping cough due to Bordetella parapertussis without pneumonia
A3711	Whooping cough due to Bordetella parapertussis with pneumonia
A378	Whooping cough due to other Bordetella species
A3780	Whooping cough due to other Bordetella species without pneumonia
A3781	Whooping cough due to other Bordetella species with pneumonia
A379	Whooping cough, unspecified species
A3790	Whooping cough, unspecified species without pneumonia
A3791	Whooping cough, unspecified species with pneumonia
A38	Scarlet fever
A380	Scarlet fever with otitis media
A381	Scarlet fever with myocarditis
A388	Scarlet fever with other complications
A389	Scarlet fever, uncomplicated
A39	Meningococcal infection
A390	Meningococcal meningitis
A391	Waterhouse-Friderichsen syndrome
A392	Acute meningococcemia
A393	Chronic meningococcemia
A394	Meningococcemia, unspecified
A395	Meningococcal heart disease
A3950	Meningococcal carditis, unspecified
A3951	Meningococcal endocarditis
A3952	Meningococcal myocarditis
A3953	Meningococcal pericarditis
A398	Other meningococcal infections
A3981	Meningococcal encephalitis
A3982	Meningococcal retrobulbar neuritis
A3983	Meningococcal arthritis
A3984	Postmeningococcal arthritis
A3989	Other meningococcal infections
A399	Meningococcal infection, unspecified
A40	Streptococcal sepsis
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
A41	Other sepsis
A410	Sepsis due to Staphylococcus aureus
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
A415	Sepsis due to other Gram-negative organisms
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
A418	Other specified sepsis
A4181	Sepsis due to Enterococcus
A4189	Other specified sepsis
A419	Sepsis, unspecified organism
A42	Actinomycosis
A420	Pulmonary actinomycosis
A421	Abdominal actinomycosis
A422	Cervicofacial actinomycosis
A427	Actinomycotic sepsis
A428	Other forms of actinomycosis
A4281	Actinomycotic meningitis
A4282	Actinomycotic encephalitis
A4289	Other forms of actinomycosis
A429	Actinomycosis, unspecified
A43	Nocardiosis
A430	Pulmonary nocardiosis
A431	Cutaneous nocardiosis
A438	Other forms of nocardiosis
A439	Nocardiosis, unspecified
A44	Bartonellosis
A440	Systemic bartonellosis
A441	Cutaneous and mucocutaneous bartonellosis
A448	Other forms of bartonellosis
A449	Bartonellosis, unspecified
A46	Erysipelas
A48	Other bacterial diseases, not elsewhere classified
A480	Gas gangrene
A481	Legionnaires' disease
A482	Nonpneumonic Legionnaires' disease [Pontiac fever]
A483	Toxic shock syndrome
A484	Brazilian purpuric fever
A485	Other specified botulism
A4851	Infant botulism
A4852	Wound botulism
A488	Other specified bacterial diseases
A49	Bacterial infection of unspecified site
A490	Staphylococcal infection, unspecified site
A4901	Methicillin susceptible Staphylococcus aureus infection, unspecified site
A4902	Methicillin resistant Staphylococcus aureus infection, unspecified site
A491	Streptococcal infection, unspecified site
A492	Hemophilus influenzae infection, unspecified site
A493	Mycoplasma infection, unspecified site
A498	Other bacterial infections of unspecified site
A499	Bacterial infection, unspecified
A50	Congenital syphilis
A500	Early congenital syphilis, symptomatic
A5001	Early congenital syphilitic oculopathy
A5002	Early congenital syphilitic osteochondropathy
A5003	Early congenital syphilitic pharyngitis
A5004	Early congenital syphilitic pneumonia
A5005	Early congenital syphilitic rhinitis
A5006	Early cutaneous congenital syphilis
A5007	Early mucocutaneous congenital syphilis
A5008	Early visceral congenital syphilis
A5009	Other early congenital syphilis, symptomatic
A501	Early congenital syphilis, latent
A502	Early congenital syphilis, unspecified
A503	Late congenital syphilitic oculopathy
A5030	Late congenital syphilitic oculopathy, unspecified
A5031	Late congenital syphilitic interstitial keratitis
A5032	Late congenital syphilitic chorioretinitis
A5039	Other late congenital syphilitic oculopathy
A504	Late congenital neurosyphilis [juvenile neurosyphilis]
A5040	Late congenital neurosyphilis, unspecified
A5041	Late congenital syphilitic meningitis
A5042	Late congenital syphilitic encephalitis
A5043	Late congenital syphilitic polyneuropathy
A5044	Late congenital syphilitic optic nerve atrophy
A5045	Juvenile general paresis
A5049	Other late congenital neurosyphilis
A505	Other late congenital syphilis, symptomatic
A5051	Clutton's joints
A5052	Hutchinson's teeth
A5053	Hutchinson's triad
A5054	Late congenital cardiovascular syphilis
A5055	Late congenital syphilitic arthropathy
A5056	Late congenital syphilitic osteochondropathy
A5057	Syphilitic saddle nose
A5059	Other late congenital syphilis, symptomatic
A506	Late congenital syphilis, latent
A507	Late congenital syphilis, unspecified
A509	Congenital syphilis, unspecified
A51	Early syphilis
A510	Primary genital syphilis
A511	Primary anal syphilis
A512	Primary syphilis of other sites
A513	Secondary syphilis of skin and mucous membranes
A5131	Condyloma latum
A5132	Syphilitic alopecia
A5139	Other secondary syphilis of skin
A514	Other secondary syphilis
A5141	Secondary syphilitic meningitis
A5142	Secondary syphilitic female pelvic disease
A5143	Secondary syphilitic oculopathy
A5144	Secondary syphilitic nephritis
A5145	Secondary syphilitic hepatitis
A5146	Secondary syphilitic osteopathy
A5149	Other secondary syphilitic conditions
A515	Early syphilis, latent
A519	Early syphilis, unspecified
A52	Late syphilis
A520	Cardiovascular and cerebrovascular syphilis
A5200	Cardiovascular syphilis, unspecified
A5201	Syphilitic aneurysm of aorta
A5202	Syphilitic aortitis
A5203	Syphilitic endocarditis
A5204	Syphilitic cerebral arteritis
A5205	Other cerebrovascular syphilis
A5206	Other syphilitic heart involvement
A5209	Other cardiovascular syphilis
A521	Symptomatic neurosyphilis
A5210	Symptomatic neurosyphilis, unspecified
A5211	Tabes dorsalis
A5212	Other cerebrospinal syphilis
A5213	Late syphilitic meningitis
A5214	Late syphilitic encephalitis
A5215	Late syphilitic neuropathy
A5216	Charcot's arthropathy (tabetic)
A5217	General paresis
A5219	Other symptomatic neurosyphilis
A522	Asymptomatic neurosyphilis
A523	Neurosyphilis, unspecified
A527	Other symptomatic late syphilis
A5271	Late syphilitic oculopathy
A5272	Syphilis of lung and bronchus
A5273	Symptomatic late syphilis of other respiratory organs
A5274	Syphilis of liver and other viscera
A5275	Syphilis of kidney and ureter
A5276	Other genitourinary symptomatic late syphilis
A5277	Syphilis of bone and joint
A5278	Syphilis of other musculoskeletal tissue
A5279	Other symptomatic late syphilis
A528	Late syphilis, latent
A529	Late syphilis, unspecified
A53	Other and unspecified syphilis
A530	Latent syphilis, unspecified as early or late
A539	Syphilis, unspecified
A54	Gonococcal infection
A540	Gonococcal infection of lower genitourinary tract without periurethral or accessory gland abscess
A5400	Gonococcal infection of lower genitourinary tract, unspecified
A5401	Gonococcal cystitis and urethritis, unspecified
A5402	Gonococcal vulvovaginitis, unspecified
A5403	Gonococcal cervicitis, unspecified
A5409	Other gonococcal infection of lower genitourinary tract
A541	Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess
A542	Gonococcal pelviperitonitis and other gonococcal genitourinary infection
A5421	Gonococcal infection of kidney and ureter
A5422	Gonococcal prostatitis
A5423	Gonococcal infection of other male genital organs
A5424	Gonococcal female pelvic inflammatory disease
A5429	Other gonococcal genitourinary infections
A543	Gonococcal infection of eye
A5430	Gonococcal infection of eye, unspecified
A5431	Gonococcal conjunctivitis
A5432	Gonococcal iridocyclitis
A5433	Gonococcal keratitis
A5439	Other gonococcal eye infection
A544	Gonococcal infection of musculoskeletal system
A5440	Gonococcal infection of musculoskeletal system, unspecified
A5441	Gonococcal spondylopathy
A5442	Gonococcal arthritis
A5443	Gonococcal osteomyelitis
A5449	Gonococcal infection of other musculoskeletal tissue
A545	Gonococcal pharyngitis
A546	Gonococcal infection of anus and rectum
A548	Other gonococcal infections
A5481	Gonococcal meningitis
A5482	Gonococcal brain abscess
A5483	Gonococcal heart infection
A5484	Gonococcal pneumonia
A5485	Gonococcal peritonitis
A5486	Gonococcal sepsis
A5489	Other gonococcal infections
A549	Gonococcal infection, unspecified
A55	Chlamydial lymphogranuloma (venereum)
A56	Other sexually transmitted chlamydial diseases
A560	Chlamydial infection of lower genitourinary tract
A5600	Chlamydial infection of lower genitourinary tract, unspecified
A5601	Chlamydial cystitis and urethritis
A5602	Chlamydial vulvovaginitis
A5609	Other chlamydial infection of lower genitourinary tract
A561	Chlamydial infection of pelviperitoneum and other genitourinary organs
A5611	Chlamydial female pelvic inflammatory disease
A5619	Other chlamydial genitourinary infection
A562	Chlamydial infection of genitourinary tract, unspecified
A563	Chlamydial infection of anus and rectum
A564	Chlamydial infection of pharynx
A568	Sexually transmitted chlamydial infection of other sites
A57	Chancroid
A58	Granuloma inguinale
A59	Trichomoniasis
A590	Urogenital trichomoniasis
A5900	Urogenital trichomoniasis, unspecified
A5901	Trichomonal vulvovaginitis
A5902	Trichomonal prostatitis
A5903	Trichomonal cystitis and urethritis
A5909	Other urogenital trichomoniasis
A598	Trichomoniasis of other sites
A599	Trichomoniasis, unspecified
A60	Anogenital herpesviral [herpes simplex] infections
A600	Herpesviral infection of genitalia and urogenital tract
A6000	Herpesviral infection of urogenital system, unspecified
A6001	Herpesviral infection of penis
A6002	Herpesviral infection of other male genital organs
A6003	Herpesviral cervicitis
A6004	Herpesviral vulvovaginitis
A6009	Herpesviral infection of other urogenital tract
A601	Herpesviral infection of perianal skin and rectum
A609	Anogenital herpesviral infection, unspecified
A63	Other predominantly sexually transmitted diseases, not elsewhere classified
A630	Anogenital (venereal) warts
A638	Other specified predominantly sexually transmitted diseases
A64	Unspecified sexually transmitted disease
A65	Nonvenereal syphilis
A66	Yaws
A660	Initial lesions of yaws
A661	Multiple papillomata and wet crab yaws
A662	Other early skin lesions of yaws
A663	Hyperkeratosis of yaws
A664	Gummata and ulcers of yaws
A665	Gangosa
A666	Bone and joint lesions of yaws
A667	Other manifestations of yaws
A668	Latent yaws
A669	Yaws, unspecified
A67	Pinta [carate]
A670	Primary lesions of pinta
A671	Intermediate lesions of pinta
A672	Late lesions of pinta
A673	Mixed lesions of pinta
A679	Pinta, unspecified
A68	Relapsing fevers
A680	Louse-borne relapsing fever
A681	Tick-borne relapsing fever
A689	Relapsing fever, unspecified
A69	Other spirochetal infections
A690	Necrotizing ulcerative stomatitis
A691	Other Vincent's infections
A692	Lyme disease
A6920	Lyme disease, unspecified
A6921	Meningitis due to Lyme disease
A6922	Other neurologic disorders in Lyme disease
A6923	Arthritis due to Lyme disease
A6929	Other conditions associated with Lyme disease
A698	Other specified spirochetal infections
A699	Spirochetal infection, unspecified
A70	Chlamydia psittaci infections
A71	Trachoma
A710	Initial stage of trachoma
A711	Active stage of trachoma
A719	Trachoma, unspecified
A74	Other diseases caused by chlamydiae
A740	Chlamydial conjunctivitis
A748	Other chlamydial diseases
A7481	Chlamydial peritonitis
A7489	Other chlamydial diseases
A749	Chlamydial infection, unspecified
A75	Typhus fever
A750	Epidemic louse-borne typhus fever due to Rickettsia prowazekii
A751	Recrudescent typhus [Brill's disease]
A752	Typhus fever due to Rickettsia typhi
A753	Typhus fever due to Rickettsia tsutsugamushi
A759	Typhus fever, unspecified
A77	Spotted fever [tick-borne rickettsioses]
A770	Spotted fever due to Rickettsia rickettsii
A771	Spotted fever due to Rickettsia conorii
A772	Spotted fever due to Rickettsia siberica
A773	Spotted fever due to Rickettsia australis
A774	Ehrlichiosis
A7740	Ehrlichiosis, unspecified
A7741	Ehrlichiosis chafeensis [E. chafeensis]
A7749	Other ehrlichiosis
A778	Other spotted fevers
A779	Spotted fever, unspecified
A78	Q fever
A79	Other rickettsioses
A790	Trench fever
A791	Rickettsialpox due to Rickettsia akari
A798	Other specified rickettsioses
A7981	Rickettsiosis due to Ehrlichia sennetsu
A7989	Other specified rickettsioses
A799	Rickettsiosis, unspecified
A80	Acute poliomyelitis
A800	Acute paralytic poliomyelitis, vaccine-associated
A801	Acute paralytic poliomyelitis, wild virus, imported
A802	Acute paralytic poliomyelitis, wild virus, indigenous
A803	Acute paralytic poliomyelitis, other and unspecified
A8030	Acute paralytic poliomyelitis, unspecified
A8039	Other acute paralytic poliomyelitis
A804	Acute nonparalytic poliomyelitis
A809	Acute poliomyelitis, unspecified
A81	Atypical virus infections of central nervous system
A810	Creutzfeldt-Jakob disease
A8100	Creutzfeldt-Jakob disease, unspecified
A8101	Variant Creutzfeldt-Jakob disease
A8109	Other Creutzfeldt-Jakob disease
A811	Subacute sclerosing panencephalitis
A812	Progressive multifocal leukoencephalopathy
A818	Other atypical virus infections of central nervous system
A8181	Kuru
A8182	Gerstmann-Straussler-Scheinker syndrome
A8183	Fatal familial insomnia
A8189	Other atypical virus infections of central nervous system
A819	Atypical virus infection of central nervous system, unspecified
A82	Rabies
A820	Sylvatic rabies
A821	Urban rabies
A829	Rabies, unspecified
A83	Mosquito-borne viral encephalitis
A830	Japanese encephalitis
A831	Western equine encephalitis
A832	Eastern equine encephalitis
A833	St Louis encephalitis
A834	Australian encephalitis
A835	California encephalitis
A836	Rocio virus disease
A838	Other mosquito-borne viral encephalitis
A839	Mosquito-borne viral encephalitis, unspecified
A84	Tick-borne viral encephalitis
A840	Far Eastern tick-borne encephalitis [Russian spring-summer encephalitis]
A841	Central European tick-borne encephalitis
A848	Other tick-borne viral encephalitis
A849	Tick-borne viral encephalitis, unspecified
A85	Other viral encephalitis, not elsewhere classified
A850	Enteroviral encephalitis
A851	Adenoviral encephalitis
A852	Arthropod-borne viral encephalitis, unspecified
A858	Other specified viral encephalitis
A86	Unspecified viral encephalitis
A87	Viral meningitis
A870	Enteroviral meningitis
A871	Adenoviral meningitis
A872	Lymphocytic choriomeningitis
A878	Other viral meningitis
A879	Viral meningitis, unspecified
A88	Other viral infections of central nervous system, not elsewhere classified
A880	Enteroviral exanthematous fever [Boston exanthem]
A881	Epidemic vertigo
A888	Other specified viral infections of central nervous system
A89	Unspecified viral infection of central nervous system
A90	Dengue fever [classical dengue]
A91	Dengue hemorrhagic fever
A92	Other mosquito-borne viral fevers
A920	Chikungunya virus disease
A921	O'nyong-nyong fever
A922	Venezuelan equine fever
A923	West Nile virus infection
A9230	West Nile virus infection, unspecified
A9231	West Nile virus infection with encephalitis
A9232	West Nile virus infection with other neurologic manifestation
A9239	West Nile virus infection with other complications
A924	Rift Valley fever
A928	Other specified mosquito-borne viral fevers
A929	Mosquito-borne viral fever, unspecified
A93	Other arthropod-borne viral fevers, not elsewhere classified
A930	Oropouche virus disease
A931	Sandfly fever
A932	Colorado tick fever
A938	Other specified arthropod-borne viral fevers
A94	Unspecified arthropod-borne viral fever
A95	Yellow fever
A950	Sylvatic yellow fever
A951	Urban yellow fever
A959	Yellow fever, unspecified
A96	Arenaviral hemorrhagic fever
A960	Junin hemorrhagic fever
A961	Machupo hemorrhagic fever
A962	Lassa fever
A968	Other arenaviral hemorrhagic fevers
A969	Arenaviral hemorrhagic fever, unspecified
A98	Other viral hemorrhagic fevers, not elsewhere classified
A980	Crimean-Congo hemorrhagic fever
A981	Omsk hemorrhagic fever
A982	Kyasanur Forest disease
A983	Marburg virus disease
A984	Ebola virus disease
A985	Hemorrhagic fever with renal syndrome
A988	Other specified viral hemorrhagic fevers
A99	Unspecified viral hemorrhagic fever

Radiofrequency ablation - Lung

Radiofrequency ablation

Radiofrequency ablation is a medical procedure in which part of the tumor or other dysfunctional tissue is ablated using the heat generated from high frequency alternating current (in the range of 350–500 kHz). RFA is generally conducted in the outpatient setting, using either local anesthetics or conscious sedation anesthesia.

CPT 32998 - Ablation therapy for reduction or eradication of 1 or more pulmonary tumors including pleura or chest wall when involved by tumor extension, percutaneous, radiofrequency, unilateral

For imaging guidance and monitoring, see CPT 76940, 77013, 77022 

76940 - Ultrasound guidance for, and monitoring of, parenchymal tissue ablation
77013 - Computed tomography guidance for, and monitoring of, parenchymal tissue ablation
77022 - Magnetic resonance guidance for, and monitoring of, parenchymal tissue ablation

Procedure Description:
The patient is appropriately prepped and anesthetized, the physician creates a small incision in the chest wall between the ribs. he then, through this incision, introduces a needle electrode and approaches the tumor area. he uses imaging guidance for movement of the electrode to the tumor. he then applies heat to the tumor using the electrode. he repeats treatment with heat many times to ensure complete tumor destruction. he may destroy one or more tumors on one side of the body. he then withdraws the needle electrode and closes the skin incision using adhesive dressing.

This code is unilateral so use modifier 50, or follow the payer’s specific guidelines, to indicate a bilateral service.

Pleural cavity or lung biopsy procedures may be accomplished using a percutaneous, thoracoscopic (Video-Assisted Thoracoscopic Surgery [VATS]), or thoracotomy approach. They involve the removal of differing amounts of tissue for diagnosis. A biopsy may be performed using different techniques such as incision or wedge. Lung resection procedures include diagnostic and therapeutic procedures, including the removal of blebs, bullae, cysts, and benign or malignant tumors or lesions.
These procedures may involve the removal of small portions of the lung or even an entire lung.

Additionally, lung resection procedures may require the removal of adjacent structures. Both diagnostic lung biopsies and therapeutic lung resections can be performed utilizing a wedge technique. However, a diagnostic biopsy of a lung nodule using a wedge technique requires only that a tissue sample be obtained without particular attention to resection margins. A therapeutic wedge resection requires attention to margins and complete resection even when the wedge resection is ultimately followed by a more extensive resection. In the case of a wedge resection in which intraoperative pathology consultation determines that a more extensive resection is required in the same anatomic location, it becomes classified as a diagnostic wedge resection (32507, 32668). When no more extensive resection is required, the same procedure is a therapeutic wedge resection (32505, 32666). 

Radiofrequency Ablation - Renal

Radiofrequency Ablation

Radiofrequency ablation is an emerging technology used in radiology for the treatment of primary and metastatic renal (Kidney) tumors.

The Radiofrequency Ablation procedure involves placement of a needle into the tumor and sending electric energy which destroy the tumor.

In 2006, codes for percutaneous radiofrequency ablation and cryoablation for renal tumors were developed.

CPT 50592 - Ablation, 1 or more renal tumors, percutaneous, unilateral, radiofrequency

For imaging guidance and monitoring, see 76940, 77013, 77022

76940 - Ultrasound guidance for parenchymal tissue ablation

77013 - Computed tomography guidance for, and monitoring of, parenchymal tissue ablation

77022 - Magnetic resonance guidance for, and monitoring of, parenchymal tissue ablation 

Procedure Description:

In this procedure, the physician destroys one or more kidney tumors of the right or left kidney by radiant energy of a certain frequency range using percutaneous technique. Radiofrequency uses high energy radio waves and it delivers high frequency electric currents, which produces heat to devastate tumor cells. The heat also cauterizes blood vessels which reduces the risk of bleeding. 

To perform the ablative procedure, the patient is positioned on a CT table. The CT scan is repeated several times to recognize the proper location of the tumors. Once tumor location is identified, a thin needle is implanted into the tumor to ascertain not to destroy any other major blood vessels. Once end of the needle is confirmed in the proper location, the needle is then linked to the radiofrequency generator to demolish the abnormal cells. Imaging guidance may be required to observe tumor destruction. For more than one or very large tumors, more than one needle is repositioned carefully into the multiple locations of tumors to make sure no tumor tissue is left there. Once ablation procedure is done, the needle is removed and dressing is used to cover the open area of the skin. 

For bilateral procedure, report 50592 with modifier 50 

CPT 50593 - Ablation, renal tumors, unilateral, percutaneous, cryotherapy 

Procedure Description: 

Using percutaneous technique, the physician pulverizes one or more kidney tumors of the right or left kidney by cold therapy. Cryotherapy, also known as cold therapy, uses cold to devastate the abnormal or diseased tissue. The tumor is recognized by using ultrasound, CT, or MRI guidance. First the patient is taken to the operating room and placed in the prone position in the CT or MRI scanner. Local anesthetic may be injected. The physician decides the placement of cryoprobe. The cryoprobes are then inserted into the tumors with the help of real–time ultrasound or CT fluoroscopy taking care not to destroy any other major blood vessels. The entire procedure is visualized using CT, ultrasound, or MRI. Cold is then applied for approximately 10–20 minutes. Depending upon the size and location of the tumor, the applicator may need to be re–adjusted and additional treatments administered. For more than one or very large tumors, more than one needle is repositioned carefully into the multiple locations of tumors to freeze and destroy the tissue cells. Once end of the probe confirms the proper location, the cold ablation unit gets functional and probes freeze at lower temperature. During the freeze cycle, an ice ball develops over approximately 15 minutes to cause tumor destruction. Cold therapy uses multiple freeze–thaw cycles that is initiated by replacing the argon with helium. Complete destruction typically requires two freeze/thaw cycles. Once treatment is finished, the probes are removed and dressing is used to cover the open area of the skin.

Note:

For percutaneous cryotherapy ablation, you should use Category III code 0135T. Category III codes have not been assigned relative value units and, therefore, do not have a fee schedule. Check with your carrier concerning authorization to perform this procedure and for its reimbursement for this procedure before deciding whether to use this Category III code. Keep in mind that these codes refer to the ablation of multiple lesions, cysts and tumors. Therefore, if the Urologist ablates more than one of these during the same procedure, you should report just one unit of the code.

Radiofrequency Ablation - Liver

Radiofrequency Ablation

Radiofrequency ablation is a technology used in radiology for the treatment of primary and metastatic tumors.

The procedure involves placement of a needle into the tumor with adherence to impedance protocols to determine how long to transmit Radiofrequency energy into the tumor to destroy it completely.

CPT 47382 - Ablation, 1 or more liver tumors, percutaneous, radiofrequency 

For imaging guidance and monitoring, see 76940, 77013, 77022 

(76940 - Ultrasound guidance for, and monitoring of, parenchymal tissue ablation

77013 - Computed tomography guidance for, and monitoring of, parenchymal tissue ablation

77022 - Magnetic resonance guidance for, and monitoring of, parenchymal tissue ablation) 

Procedure Description:

The patient is appropriately prepped and anesthetized, the physician uses imaging guidance, such as CT, MRI, or ultrasound, to locate the site of the tumor. he places a radiofrequency needle electrode into the tumor in the liver. he applies electrical energy that causes the tissue to heat to a high temperature. This heat leads to destruction of the tumor. he may treat one or more tumors at the session. Scar tissues take over the tumor cells and lead to repair. After completing the destruction process, the physician withdraws the needle from the liver.

If the physician uses a laparoscopic approach, then use CPT 47370 

CPT 47370 - Laparoscopy, surgical, ablation of 1 or more liver tumors, radiofrequency 

Imaging guidance, use CPT 76940 

Procedure Description:

The patient is prepped and anesthetized, the physician makes a small incision in the umbilicus or right upper abdomen and inserts a laparoscope. then the physician examines the structures surrounding the liver. he uses this opening to insufflate or blow gas into the abdomen. This insufflation lifts the abdominal wall away from the organs and improves visualization of the site of interest. he makes additional small incisions and inserts a camera and instruments to perform the procedure. Once he enters the abdomen and has good visualization of the cavity, the physician identifies the tumor site in the liver and performs a biopsy. he introduces a radiofrequency ablation probe into the tumor and applies electrical energy that causes the tissue to heat to a high temperature. This heat leads to destruction of the tumor. Then he removes the probe, checks for bleeding, and closes the incisions with sutures in layers.

If the physician performs Open liver RF ablation - Use CPT 47380

CPT 47380 - Ablation, open, of 1 or more liver tumors, radiofrequency 

Imaging guidance, use 76940

Procedure Description:

The patient is prepped and anesthetized, the physician makes an incision in the upper abdomen and dissects the structures surrounding the liver to locate the exact site of the tumor. He performs a biopsy of the affected tissues and sends them to pathology for further analysis. The physician introduces a radiofrequency ablation probe into the tumor and applies electrical energy that causes the tissue to heat to a high temperature. This heat leads to destruction of the tumor. he removes the probe and checks for bleeding and closes the incision in the abdomen with sutures in layers.

If the physician performs liver cryoablation Then use CPT  47381 or 47371 based on the procedure.

Cyst Aspiration

Cyst Aspiration

A needle is placed with imaging guidance into the cyst to aspirate its contents. 

The most commonly involves cysts aspiration procedures are described below

1. Breast Cyst Aspiration

CPT 19000 - Puncture aspiration of cyst of breast 

CPT 19001 - Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure)

Procedure description:

The patient is appropriately prepped and anesthetized by local anesthesia, the physician inserts a sterile needle into the cyst using imaging guidance. He then withdraws the fluid from the cyst. Finally he ensures hemostasis.

If imaging guidance is performed, use 76942 (Ultrasonic guidance for needle placement,  imaging supervision and interpretation ) or 77021 (Magnetic resonance guidance for needle placement, radiological supervision and interpretation )

2. Baker's cyst aspiration 

CPT 10160 - Puncture aspiration of abscess, hematoma, bulla, or cyst 

For imaging guidance, Check 76942, 77012, 77021 

Procedure description:

The patient is appropriately prepped and anesthetized by local anesthesia, the physician inserts a sterile needle into the cyst using imaging guidance. He then withdraws the fluid from the cyst. Finally he ensures hemostasis.

3. Bone cyst aspiration

CPT 20615 - Aspiration and injection for treatment of bone cyst

Procedure description:

The patient is appropriately prepped and the area anesthetized, the physician inserts a sharp needle through the skin into the bone cyst. Using a syringe, he aspirates the bone cyst to drain it of any fluid or purulent material inside. He submits a sample to a laboratory for inspection. Finally he ensures hemostasis.

4. Liver, kidney, spleen, lung/mediastinum cyst aspiration

CPT - 49405 - Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous 

 Procedure description:

 The patient is prepped and sedated, the physician locates the fluid collection to be drained and uses imaging to guide percutaneous placement of a catheter to provide continuous drainage of that fluid collection, such as from an abscess. The service may also include catheter maintenance and eventual removal of the catheters.  

Moderate sedation is included.

Do not report CPT 49405 in conjunction with any guidance 75989, 76942, 77002, 77003, 77012, 77021.

5. Ganglion cyst aspiration

CPT  20612 - Aspiration and/or injection of ganglion cyst(s) any location 

For multiple ganglion cyst aspirations, use 20612 and append modifier 59

6. Thyroid cyst aspiration

CPT  60300 - Aspiration and/or injection, thyroid cyst 

For imaging guidance, use 76942 or 77012

7. Pancreatic pseudocyst aspiration

Use CPT 49405 - Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous

8. Renal cyst Aspiration

CPT 50390 - Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous 

For radiological supervision and interpretation, see 74425, 74470, 76942, 77002, 77012, 77021

CPT 74425 - Urography, antegrade (pyelostogram, nephrostogram, loopogram), radiological supervision and interpretation

CPT 74470 - Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation 

For Fine Needle Aspiration use 10022 with imaging guidance and use 10021 for no imaging guidance.

Thoracentesis

Thoracentesis

Thoracentesis is the process of removing the excess plural fluid. Fluid accumulates in the pleural space, the area between the lung and the chest wall.

 Drainage of plural fluid can be performed using needle or catheter and the coding of the procedure is dependent on the technique.

 Below are the procedure codes for Thoracentesis,

CPT: 32555 - Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance
 

Procedure Description:

The patient is placed in a seated position and slightly leaning forward with the arms resting on small table. the patient is appropriately prepped and anesthetized, the physician inserts a thin needle or catheter between the ribs into the space between the lungs and chest wall using imaging guidance,  He removes the fluid or blood from the chest cavity through the needle and sends it to the laboratory for investigation. After the provider drains the fluid, blood, or air, he close the site.

CPT 32555 includes imaging guidance, so it is  not separately reportable

CPT: 32557 - Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance

Procedure Description:

The physician uses imaging (ultrasound or CT) to locate the fluid to be drained from the chest. He preps the site and injects a local anesthetic into the catheter insertion area. He use a needle to access the fluid collection under imaging guidance and then pass a guidewire into the pleural space. The physician replace the needle with a dilator to create room for the catheter. He then replaces the dilator with the catheter. Once he properly positions the catheter in the space, he secures the tube in place such as by stitches. He connects the external end of the tube to a suction drainage system. He dresses the puncture site.
 

If the provider does not use imaging guidance, then assign 32556.

CPT 32556 - Pleural drainage, percutaneous, with insertion of indwelling catheter; without imaging guidance 

Procedure Description:

The patient is prepped and anesthetic, He makes a small incision between the ribs to pass the catheter through the skin. He then passes the catheter into the chest without imaging guidance. He secures the tube in place such as by stitches. He connects the external end of the tube to a suction drainage system. He dresses the puncture site.

For insertion of indwelling tunneled pleural catheter with cuff, use 32550

CPT: 32550 - Insertion of indwelling tunneled pleural catheter with cuff 

Procedure Description:

The patient is appropriately prepped and anesthetized, the physician makes an incision in the chest and inserts a hollow needle into the pleural space. he inserts a guide wire through the needle. he then removes the needle and leaves the guide wire in place. The physician then makes a second incision and passes a tunneling device with the catheter subcutaneously, from the second incision until it exits through the original incision site. he advances the catheter using the tunneling device until the cuff is buried just under the second incision. The physician then feeds a dilator over the guide wire into the pleural space, inserts the catheter, and secures it. he leaves the chest tube in place with one end exiting the body for connection to a collection container. The chest tube helps re–expand the lungs if necessary and allows for drainage of air, blood, or fluid. The physician closes the original upper incision with staples or stitches

If imaging guidance is used, then assign 75989

CPT: 75989 - Radiological guidance (Eg, fluoroscopy, ultrasound, or CT), for percutaneous drainage  with placement of catheter, radiological supervision and interpretation

Use CPT 32552 for removal of an indwelling tunneled pleural catheter with cuff.

CPT: 32552 - Removal of indwelling tunneled pleural catheter with cuff 

Procedure Description:
The provider  uses local anesthetic. He makes an incision into the skin over the catheter, frees the catheter from the skin, and gently pulls back the catheter out of the pleural space. The physician cleans the incision site with antibiotics and applies the dressing

CPT: 32551 - Non-tunneled indwelling chest tube without cuff for abscess or effusion

Procedure Description:

The patient is appropriately prepped and anesthetized, the physician uses a trocar to make an incision on the chest wall near the fifth intercostal space and enters the pleural cavity. The physician then inserts a hollow plastic tube between the ribs and into the chest to draw out fluid or air from and around the lungs. The physician sutures the skin to keep the tube in place. The physician may attach the free end to an underwater seal, which allows drainage of fluid and air from the chest. The provider uses this technique in cases of pneumothorax and pleural effusion.

Use appropriate E&M code for removal of an indwelling non-tunneled chest drainage catheter.

 

Hospital Outpatient Prospective Payment System (HOPPS)

Hospital Outpatient Prospective Payment System (HOPPS)

The Hospital Outpatient Prospective Payment System was implemented in 2000.  Most hospitals are reimbursed by Medicare for outpatient procedures under the Hospital Outpatient Prospective Payment System (HOPPS).

Under the HOPPS payment most procedures are assigned to APCs (ambulatory payment classifications) The APC is to determines the methodology of payment and the reimbursement amount for each procedure codes.

When Outpatient claims are submitted to Medicare they are passed through the OCE (Outpatient code editor) This is software that screens the claim for missing data, claims not meeting date of service requirements, matches sex of patient with procedure performed, as well as other components.

The APC reimbursement system has a system of bundling and discounting. Many procedures,
such as surgical procedures, are determined to have reduced costs when more that one procedure
is done in one session. As a result, reimbursement may be reduced for subsequent procedures. 

For Eg.

Two breast biopsies are done at the same setting the 2nd biopsy is reimbursed less. because the first biopsy procedure includes the patient preparation, room set up, sterile instruments.

APCs are assigned into categories based on how they are paid. The categorization system is described by status indicators.

There are ten status indicators that impact interventional radiology coding.

STATUS INDICATOR B

Procedures that are assigned to status indicator B are codes that can not be reported to Medicare by hospitals paid under HOPPS.

STATUS INDICATOR C

Procedures that are assigned to status indicator C are procedures that must be done on an inpatient basis only.

STATUS INDICATOR E

Procedures that are assigned to status indicator E are non-reportable.

STATUS INDICATOR H

Devices and therapeutic radiopharmaceutical agents are assigned to status indicator H and are reimbursed by the following two methods: a) separate cost-based Pass-Through device payment or b) separate cost-based Non-Pass-Through radiopharmaceutical payment.

STATUS INDICATOR K

Non-Pass-Through drugs, biologicals, and radiopharmaceuticals are assigned to status indicator K and are reimbursed under the HOPPS with a separate APC payment. Status indicator K includes brachytherapy sources.

STATUS INDICATOR N

Procedure codes that are assigned to status indicator N are procedures that are not performed alone.

STATUS INDICATORS Q1, Q2, Q3

STATUS INDICATOR S

Each procedure will be reimbursed at 100%

STATUS INDICATOR T

The First code is paid fully, but the second code with Status indicator T is paid only 50% of the APC payment rate. 

STATUS INDICATOR V

Status indicator V is assigned to E&M, Emergency room and other clinic room charges.

STATUS INDICATOR X

Procedures that are assigned to status indicator X are procedures that are considered ancillary services.