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ICD-10 DIAGNOSIS CODES – MEDICAL NUTRITION THERAPY DIABETES DIGESTIVE SYSTEM E10 Diabetes, Type I K21.0 GERD with Esophagitis E10.6 Diabetes, Type I, w/ specified complications K21.9 GERD without Esophagitis E10.64 Diabetes, Type I w/ hypoglycemia K29.7 Gastritis, unspecified E10.65 Diabetes, Type I w/ hyperglycemia K50.0 Crohn’s Disease of Small Intestine E10.8 Diabetes, Type I w/ unspecific complications K50.1 Crohn’s Disease of Large Intestine E10.9 Diabetes, Type I w/o complications K50.8 Crohn’s Disease of Small and Large Intestine E11 Diabetes, Type II K50.9 Crohn’s Disease, Unspecified E11.64 Diabetes, Type II w/ hypoglycemia K51 Colitis, Ulcerative E11.65 Diabetes, Type II w/ hyperglycemia K57.1 Diverticulitis of SI w/o perforation or abscess E11.8 Diabetes, Type II w/ unspecified K57.3 Diverticulitis of LI w/o perforation or abscess complications E11.9 Diabetes, Type II w/o complications K58 Irritable Bowel Syndrome KIDNEY DISEASE K59 Constipation N18.1 Chronic Kidney Disease, Stage 1 K59.1 Functional Diarrhea N18.2 Chronic Kidney Disease, Stage 2 K90.0 Celiac Disease N18.3 Chronic Kidney Disease, Stage 3 K52.2 Allergic and dietetic gastroenteritis & colitis N18.4 Chronic Kidney Disease, Stage 4 PREGNANCY N18.5 Chronic Kidney Disease, Stage 5 O21.0 Hyperemesis gravidarum, mild WEIGHT MANAGEMENT O21.1 Hyperemesis gravidarum w/ metabolic disturbance Z68.1 BMI 19 or less, adult O21.2 Vomiting of pregnancy, late Z68.30 BMI 30.0 – 30.9, adult O24.01 Diabetes, Type I, pregnancy (pre-existing) Z68.31 BMI 31.0 – 31.9, adult O24.11 Diabetes, Type II, pregnancy (pre-existing) Z68.32 BMI 32.0 – 32.9, adult O24.410 Diabetes, Gestational, diet controlled Z68.33 BMI 33.0 – 33.9, adult O24.414 Diabetes, Gestational, Insulin controlled Z68.34 BMI 34.0 – 34.9, adult O26.00 Weight gain, excessive, pregnancy, unspecified trimester Z68.35 BMI 35.0 – 35.9, adult O26.10 Weight gain, low, pregnancy, unspecified trimester Z68.36 BMI 36.0 – 36.9, adult O99210 Obesity complicating pregnancy, unspecified trimester Z68.37 BMI 37.0 – 37.9, adult CLINCAL & LAB FINDINGS Z68.38 BMI 38.0 – 38.9, adult R73.01 Impaired Fasting glucose E66.0 Obesity, due to excess calories R73.02 Impaired glucose tolerance test (oral) E66.01 Obesity, morbid, due to excess calories R73.09 Abnormal fasting GTT, other (pre diabetes) E66.9 Obesity, unspecified MALNUTRITION E66.8 Obesity, other E46 Malnutrition, protein/calorie, unspecified E66.3 Overweight E44.1 Malnutrition, protein/calorie, unspecified, mild R63.6 Underweight E44.0 Malnutrition, protein/calorie, unspecified, moderate R63.5 Abnormal Weight Gain E43 Malnutrition, protein calorie, unspecified, severe R63.4 Abnormal Weight Loss ICD-10 DIAGNOSIS CODES – MEDICAL NUTRITION THERAPY CIRCULATORY SYSTEM DISEASES OF BLOOD I10 Hypertension, Essential D50.9 Anemia, iron deficiency, unspecified I11.0 Hypertensive heart disease with CHD D51.3 Anemia, other dietary vitamin B12 deficiency I11.9 Hypertensive heart disease without CHD D52.0 Anemia, dietary folate deficiency I12 Hypertensive chronic kidney disease D53.0 Anemia, protein deficiency ENDOCRINE & METABOLIC D53.9 Anemia, nutrition, unspecified E78.0 Hypercholesterolemia, pure D64.9 Anemia, unspecified E78.1 Hypertriglyceridemia, pure MUSCOSKELETAL E78.4 Hyperlipidemia, other M81.0 Osteoporosis, age related, without current pathological fracture E78.5 Hyperlipidemia, unspecified M81.8 Osteoporosis, other, without current pathological fracture E88.81 Metabolic syndrome PEDIATRICS E16.2 Hypoglycemia, unspecified Z68.51 BMI, pediatric, less than 5th percentile for age E03.9 Hypothyroidism, unspecified Z68.52 BMI, pediatric, 5th percentile to less than 85th percentile for age E28.2 Polycystic Ovary Syndrome Z68.53 BMI, pediatric, 85th percentile to less than 95th percentile for age E05.90 Thyrotoxicosis, unspecified Z68.54 BMI, pediatric, greater than or equal to 95th percentile for age E16.1 Hypoglycemia, other MISCELLANEOUS M1A.3 Chronic gout due to renal impairment Z71.3 Dietary Counseling and Surveillance M1A.9 Chronic gout, unspecified M10.3 Gout due to renal impairment M10.9 Gout, unspecified E73.9 Lactose Intolerance MENTAL & BEHAVIORAL F50.00 Anorexia nervosa, unspecified F50.01 Anorexia nervosa, restricting type F50.02 Anorexia nervosa, binge eating/purging type F50.2 Bulimia nervosa F50.8 Eating Disorder, Other F50.9 Eating Disorder, Unspecified

SERVICES and CPT CODE Fee Fee □ 97802 -Initial Consultation and $ □ 99372 – Telephone Assessment, Consultation Previous $ UNITS (15min/unit), Balance □ 97803 -Follow-up/Reassessment $ $ Consultation, □ Supplements (variable) Total $ __UNITS (15 min/unit), Charges □ 97804 -Group, _____units (15 min/unit) □ Grocery Shopping Amount $0 _____units (15 min/unit) Paid □ 83516 - LEAP MRT Testing 150 units □ Menu & recipe development