I. Infectious and Parasitic Diseases

Patient Name Hospital # Age D.O.B. Provider

Name of Insurance Admit Date

Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

ICD-9 & Procedures

Admit Initial: 99221, 99222, 99223 +99356: prolonged face-to-face inpatient care  1st Hour +99357: each additional 30-min Critical Care: 99291 (30-74min; once per day) +99292 (75+min; code for each additional 30min) Admit Followup: 99231, 99232, 99233 Discharge Day Services: 99238 (<30min), 99239 (>30min) Admit Observe (D/C Same Day) – 99234, 99235, 99236 Observation D/C – Requiring Next Day D/C 99217 Consult Initial: 99251, 99252, 99253, 99254, 99255 Consult F/U: 99261, 99262, 99263 Confirmatory Consult (2nd Opinion): 99271, 99272, 99273, 99274, 99275 ER Services: 99281, 99282, 99283, 99284, 99285

Procedures/CPT Codes: CPR 92950, Cardioversion, Electrical 92960, Thrombolysis 92975, Rhythm Strip 93040, Pacer Check Dual 93731, Central Venous Cath 36489, Arterial Catheter 36620, Peritoneocentesis 49080 (Subsequent Day 49081), Thoracentesis 32000, Mech Vent 1st Day 94656 (Vent, Sub Days 94657) I. Infectious and Parasitic Diseases 276.5 Dehydration 428.1 Acute pulmonary edema 496 Chronic obstructive pulmonary 052.9 Chickenpox, NOS 250.91 Diabetes mellitus, I, VI. Nervous System & Sense Organ 413.9 Angina pectoris , NOS disease, NOS 111.9 Dermatomycosis, unspecified complications Disorders 411.1 Angina, unstable 464.4 Croup 009.1 Gastroenteritis, infectious 250.01 Diabetes mellitus, I, Nervous System Diseases 441.9 Aortic aneurysm, unspecified 492.8 Emphysema 007.1 Giardiasis uncomplicated 351.0 Bell's palsy 447.9 Arterial disorder, other, 464.0 Laryngitis, acute 054.9 Herpes simplex, any site 250.90 Diabetes mellitus, II, 354.0 Carpal tunnel unspecified 475 Peritonsillar abscess 053.9 Herpes zoster, NOS complications 345.90 Epilepsy, unspecified, w/o 440.9 Atherosclerosis, NOS (excludes 462 Pharyngitis, acute 075 Infectious mononucleosis 250.00 Diabetes mellitus, II, intractable epilepsy heart/brain) 511.9 Pleural effusion, NOS 136.9 Infectious/parasitic diseases, uncomplicated 322.9 Meningitis, unspecified 427.31 Atrial fibrillation 511.0 Pleurisy, NOS unspecified 250.13 Diabetic ketoacidosis 346.90 Migraine, unspecified, w/o 861.01 Cardiac contusion 486 Pneumonia, unspecified 487.1 Influenza w/ upper respiratory 271.9 Glucose intolerance intractable migraine 434.91 Cerebral artery occlusion, w/ 512.8 Pneumothorax, spontaneous symptoms 240.9 Goiter, unspecified 333.90 Movement disorder, unspecified infarction, unspecified 860.0 Pneumothorax, traumatic, w/o 112.0 Moniliasis, oral 274.9 Gout, unspecified 340 Multiple sclerosis 414.9 Chronic ischemic heart disease, open wound into thorax 112.3 Moniliasis, skin/nails 276.7 Hyperkalemia 359.9 Myopathy, unspecified unspecified 861.21 Pulmonary contusion, w/o open 112.1 Moniliasis, vulva/vagina 276.0 Hypernatremia 357.9 Neuropathy, unspecified 459.9 Circulatory disorder, unspecified wound into thorax 132.9 Pediculosis, unspecified 242.9 Hyperthyroidism, NOS 332.0 Parkinsonism, primary 426.9 Conduction disorder, unspecified 519.9 Respiratory disease, other, NOS 795.5 Positive PPD 250.80 Hypoglycemia, diabetic, 333.99 Restless legs 428.0 Congestive heart failure 477.9 Rhinitis, allergic, cause 003.0 Salmonella gastroenteritis unspecified 333.1 Tremor, essential/familial 424.1 Disease of heart valve, aortic, unspecified 135 Sarcoidosis 251.2 Hypoglycemia, nondiabetic, 781.0 Tremor/spasms, NOS NOS 472.0 Rhinitis, chronic 038.9 Septicemia, NOS unspecified 350.1 Trigeminal neuralgia 394.9 Disease of heart valve, mitral, 461.9 Sinusitis, acute, NOS 004.9 Shigellosis, unspecified 276.8 Hypokalemia Eye Diseases unspecified 473.9 Sinusitis, chronic, NOS 005.0 Staphylococcal food poisoning 276.1 Hyponatremia 366.9 Cataract, unspecified 424.3 Disease of heart valve, pulmonary 474.9 Tonsil/adenoid disease, chronic, 034.0 Strep throat 244.9 Hypothyroidism, unspecified 372.30 Conjunctivitis, unspecified 424.2 Disease of heart valve, tricuspid unspecified 111.0 Tinea versicolor 272.9 Lipoid Disorder, unspecified 918.1 Corneal abrasion 796.2 Elevated BP w/o hypertension 463.0 Tonsillitis, acute 011.90 Tuberculosis, pulmonary, NOS 269.9 Nutritional deficiencies, 940.9 Eye burn, unspecified 429.9 Heart disease, other, unspecified 465.9 Upper respiratory infection, acute, 057.9 Viral exanthems, other, NOS unspecified 930.9 Eye foreign body, external, 401.1 Hypertension, benign NOS 070.9 Viral hepatitis, NOS 278.00 Obesity, NOS unspecified 401.0 Hypertension, malignant 079.99 Viral infection, unspecified 790.6 Other abnormal blood chemistry 378.9 Eye movement disorder, 403.91 Hypertension, renal disease, IX. Digestive System 078.10 Warts, all sites 241.0 Thyroid nodule unspecified unspecified, w/ renal failure 565.0 Anal fissure, nontraumatic 078.11 Warts, condyloma 365.9 Glaucoma, unspecified 402.91 Hypertensive cardiac w/ 540.9 Appendicitis, unspecified IV. Blood Diseases 367.9 Refractive errors, unspecified congestive heart failure 575.0 Cholecystitis, acute II. Neoplasms 285.1 Anemia, acute blood loss 368.10 Visual disturbance, unspecified 432.9 Intracranial hemorrhage, NOS 574.20 Cholelithiasis, NOS Malignant Neoplasms 280.9 Anemia, iron deficiency, 369.9 Visual loss, unspecified 412 Myocardial infarction, old 571.9 Chronic liver disease, unspecified 188.9 Bladder, unspecified unspecified Ear Diseases 458.0 Orthostatic hypotension 571.5 Cirrhosis, NOS 174.9 Breast, female, unspecified 285.9 Anemia, other, unspecified 384.01 Bullous myringitis 427.0 Paroxysmal supraventricular 555.9 Crohn's disease, NOS 153.9 Colon, unspecified 281.0 Anemia, pernicious 388.9 Ear disorder, unspecified tachycardia 525.9 Dental, unspecified 184.9 Female genital, unspecified, CIS 287.9 Hemorrhagic conditions, 381.50 Eustachian salpingitis, 420.91 Pericarditis, acute, nonspecific 562.11 Diverticulitis of colon, NOS excluded unspecified unspecified 443.9 Peripheral vascular disease, 562.10 Diverticulosis of colon 159.0 Gastrointestinal tract, unspecified 238.4 Polycythemia vera 389.9 Hearing loss, unspecified unspecified 536.8 Dyspepsia 201.9 Hodgkin's, NOS 282.60 Sickle-cell anemia, unspecified 380.10 Otitis externa, unspecified 427.60 Premature beats, unspecified 530.9 Esophageal disease, unspecified 162.9 Lung, unspecified 282.5 Sickle-cell trait 382.00 Otitis media, acute 415.19 Pulmonary embolism, not 530.10 Esophagitis, unspecified 187.9 Male genital, unspecified V. Mental Disorders 382.01 Otitis media, acute w/ rupture of iatrogenic 575.9 Gallbladder disease, unspecified 185 Prostate 305.00 Alcohol abuse, unspecified ear drum 416.9 Pulmonary heart disease, chronic, 535.50 Gastritis, unspecified, w/o 165.9 Respiratory tract, NOS 303.90 Alcoholism, unspecified 381.10 Otitis media, chronic serous unspecified hemorrhage 173.9 Skin, unspecified 300.00 Anxiety state, unspecified 386.2 Vertigo, central 398.90 Rheumatic heart disease, 558.9 Gastroenteritis, noninfectious, 199.1 Unspecified 311 Depressive disorder, NOS 386.10 Vertigo, peripheral, unspecified unspecified unspecified 189.9 Urinary, unspecified 305.90 Drug abuse, unspecified 380.4 Wax in ear 427.81 Sick sinus syndrome 530.81 Gastroesophageal reflux, no Benign Neoplasms 304.90 Drug dependence, unspecified 451.9 Thrombophlebitis, unspecified esophagitis 211.3 Colon 307.40 Insomnia/non-organic sleep VII. Circulatory System 435.9 Transient ischemic attack, 455.6 Hemorrhoids, NOS 228.01 Hemangioma, skin disorder, unspecified 794.31 Abnormal electrocardiogram unspecified 553.3 Hernia, hiatal, noncongenital 214.9 Lipoma, any site 319 Mental retardation, unspecified 410.10 Acute myocardial infarction, 454.9 Varicose veins w/o 550.90 Hernia, inguinal, NOS 239.9 Neoplasm, unspecified 300.01 Panic disorder anterior, NOS (to 8 weeks) ulcer/inflammation 553.9 Hernias, other, NOS 216.9 Skin, unspecified 301.9 Personality disorder, unspecified 410.40 Acute myocardial infarction, 459.81 Venous insufficiency, 560.1 Ileus 229.9 Unspecified 298.9 Psychosis, unspecified inferior, NOS (to 8 weeks) unspecified 560.9 Intestinal obstruction, unspecified 218.9 Uterus (leiomyoma, unspecified) 290.0 Senile dementia, NOS 410.70 Acute myocardial infarction, VIII. Respiratory System 564.1 Irritable bowel syndrome 302.70 Sexual dysfunction, unspecified subendocardial (to 8 weeks) 493.90 Asthma, unspecified 557.9 Ischemic bowel disease, III. Endocrine, Nutritional & Metabolic 308.3 Situational disturbance, acute 410.60 Acute myocardial infarction, true 466.11 Bronchiolitis, acute, due to RSV unspecified Disorders 780.53 Sleep apnea w/ hypersomnia posterior (to 8 weeks) 466.0 Bronchitis, acute 579.9 Malabsorption, NOS 266.2 B12 deficiency w/o anemia 307.81 Tension headache 410.90 Acute myocardial infarction, 491.9 Bronchitis, chronic, unspecified 528.9 Oral, soft tissue diseases, 275.4 Calcium metabolism disorders 305.1 Tobacco abuse unspecified (to 8 weeks) unspecified 529.9 Oral, tongue diseases, unspecified 625.3 Painful menstruation 730.00 Osteomyelitis, acute, unspecified 789.1 Hepatomegaly 977.9 Poisoning, medicine overdose, 577.0 Pancreatitis, acute V07.4 Postmenopausal hormone 730.10 Osteomyelitis, chronic, 786.8 Hiccups unspecified 533.90 Peptic ulcer disease, unspecified, replacement unspecified 784.49 Hoarseness 989.9 Poisoning, unspecified w/o obstruction 625.4 Premenstrual tension syndrome 733.00 Osteoporosis, unspecified 306.1 Hyperventilation 999.9 Surgery/medical care 569.1 Rectal prolapse Fertility Problems 725 Polymyalgia rheumatica 788.30 Incontinence/enuresis, NOS complications, unspecified 524.60 Temporomandibular joint 628.9 Infertility, female, unspecified 714.0 Rheumatoid arthritis (not juvenile 782.2 Localized swelling/mass, XVIII. Supplemental Classification disorder, unspecified 606.9 Infertility, male, unspecified rheumatoid arthritis) superficial V68.9 Administrative, other, 556.9 Ulcerative colitis, unspecified XI. Pregnancy, Childbirth 726.10 Shoulder syndrome, unspecified 785.6 Lymph nodes, enlarged unspecified X. Genitourinary System 635.90 Abortion, induced, w/o 727.00 Synovitis/tenosynovitis, 781.0 Movement disorder V65.40 Advice/health instruction, NOS Urinary System Diseases complication unspecified 785.2 Murmur of heart, undiagnosed V61.49 Caring for family/household 595.0 Cystitis, acute 634.90 Abortion, spontaneous, w/o 716.10 Traumatic arthropathy, 787.01 Nausea w/ vomiting member 595.1 Cystitis, interstitial, chronic complication unspecified 787.02 Nausea, alone V01.9 Contact/exposure, infectious 580.9 Glomerulonephritis, acute, 633.9 Ectopic pregnancy, unspecified XIV. Congenital Anomalies 788.43 Nocturia disease, unspecified unspecified 640.0 Threatened abortion, 746.9 Congenital heart anomaly, NOS 799.8 Other ill-defined conditions V25.01 Contraception, oral 582.9 Glomerulonephritis, chronic, unspecified 755.9 Limb anomaly, unspecified 729.5 Pain in limb V25.02 Contraception, other unspecified 646.60 Urinary tract infection in 751.0 Meckel's diverticulum 785.1 Palpitations (diaphragm, etc.) 791.0 Proteinuria, nonpostural, pregnancy, unspecified 750.5 Pyloric stenosis 788.42 Polyuria V25.40 Contraception, surveillance, nonobstetric XII. Skin, Subcutaneous Tissue XV. Signs and Symptoms 782.1 Rash, nonvesicular, unspecified unspecified 590.10 Pyelonephritis, acute, no necrosis 706.1 Acne, other 789.00 Abdominal pain, unspecified 780.3 Seizures, convulsions, NOS V61.10 Counseling for marital and 593.9 Renal disease, NOS 702.0 Actinic keratosis 790.2 Abnormal glucose tolerance test, 780.09 Semicoma, stupor partner problems, unspecified 584.9 Renal failure, acute, unspecified 682.9 Cellulitis/abscess, unspecified nonobstetric 782.0 Sensory disturbance skin V61.20 Counseling for parent-child 585 Renal failure, chronic 707.9 Chronic skin ulcer, unspecified 790.4 Abnormal transaminase/LDH 785.50 Shock, unspecified problem, unspecified 597.81 Urethral syndrome, nonvenereal 692.9 Contact dermatitis, NOS 795.0 Abnormal papanicolaou smear 789.2 Splenomegaly V60.2 Economic problem disease, NOS 700 Corn/callus 790.0 Abnormal red blood cell 780.8 Sweating excess V62.3 Educational problem 592.9 Urinary calculus, unspecified 691.8 Eczema, atopic dermatitis 793.1 Abnormal X-ray lung 780.2 Syncope V61.0 Family disruption 599.6 Urinary obstruction, unspecified 704.9 Hair disease, unspecified 995.0 Anaphylaxis, NOS 780.02 Transient alterations of V25.09 Family planning advice Male Genital Organ Disease 704.1 Hirsutism 783.0 Anorexia awareness V61.9 Family problem, other, 607.1 Balanitis 684 Impetigo 719.40 Arthralgia, unspecified 788.41 Urinary frequency unspecified 603.9 Hydrocele, unspecified 703.0 Ingrown nail 789.5 Ascites 787.03 Vomiting, alone V04.8 Flu shot 302.72 Impotence, psychosexual 683 Lymphadenitis, acute 799.0 Asphyxia/hypoxemia 783.2 Weight loss, abnormal V67.4 Follow-up exam, following dysfunction 110.1 Onychomycosis 790.7 Bacteremia (not Septicemia) XVI. Injuries and Adverse Effects treatment of healed fracture 607.84 Impotence, organic 696.3 Pityriasis rosea 569.3 Bleeding, rectal Other Trauma, Adverse Effects V67.0 Follow-up exam, surgery 604.90 Orchitis/epididymitis, 698.9 Pruritus, NOS 578.1 Blood in stool, melena 919.0 Abrasion, unspecified V67.9 Follow-up exam, unspecified unspecified 696.1 Psoriasis 792.1 Blood in stool, occult 995.81 Adult physical abuse V72.3 Gynecological exam 600 Prostatic hypertrophy, benign 695.3 Rosacea 427.5 Cardiac arrest 924.9 Bruise contusion, unspecified V70.0 Health checkup, not pediatric 601.9 Prostatitis, NOS 706.2 Sebaceous cyst 786.50 Chest pain, unspecified 949.0 Burn, degree unspecified V60.0 Housing problem/homelessness 099.40 Urethritis, nongonococcal, 690.10 Seborrheic dermatitis, NOS 780.01 Coma, nondiabetic/nonhepatic 991.9 Cold injury, unspecified V61.6 Illegitimacy unspecified 702.19 Seborrheic keratosis, NOS 564.0 Constipation 850.9 Concussion, unspecified V06.9 Immunization, combination, 456.4 Varicocele 692.71 Sunburn 786.2 Cough 929.9 Crushing injury, unspecified unspecified Breast Diseases 708.9 Urticaria, unspecified 787.91 Diarrhea, NOS 994.1 Drowning/submersion V05.9 Immunization, single, 611.9 Breast disease, unspecified 780.4 Dizziness/vertigo, NOS 994.4 Exhaustion due to exposure unspecified 611.72 Breast lump XIII. Musculoskeletal & Connective 787.2 Dysphagia 938 Foreign body, digestive system, V62.5 Legal problem 610.1 Fibrocystic disease Tissue 786.09 Dyspnea unspecified V68.0 Letter, form, w/o exam 611.6 Galactorrhea 736.9 Acquired deformity, limb, 788.1 Dysuria 931 Foreign body, ear V25.5 Norplant insertion 793.8 Mammogram, abnormal unspecified 782.3 Edema localized, NOS 932 Foreign body, nose V62.2 Occupational problem 611.0 Mastitis, NOS 716.90 Arthropathy, unspecified 719.00 Effusion/swelling of joint, 919.6 Foreign body, skin, superficial, V62.89 Phase-of-life problem Female Genital Organ Diseases 724.4 Back pain w/ radiation, unspecified unspecified V61.3 Problem w/ aged parents or 618.9 Cystocele/rectocele/prolapse, unspecified 787.6 Encopresis, NOS, fecal 854.00 Head injury, NOS inlaws unspecified 723.9 Cervical disorder, NOS incontinence 992.9 Heat injury, unspecified V62.9 Psychosocial problem, 625.0 Dyspareunia 710.9 Connective tissue disease, 784.7 Epistaxis 919.4 Insect bite unspecified 617.9 Endometriosis, unspecified unspecified 783.4 Failure to thrive/short stature 908.9 Late effects of injury, unspecified V68.81 Referral w/o exam 614.9 Pelvic inflammatory disease, 722.2 Disc syndrome, no myelopathy, 780.7 Fatigue/malaise 995.2 Medication, adverse effects, V76.49 Screening, cancer, unspecified unspecified NOS 783.3 Feeding problem, infant/elderly unspecified V82.9 Screening, unspecified 625.6 Stress incontinence, female 727.43 Ganglion, unspecified 780.6 Fever, nonperinatal 879.8 Open wound, head/neck/trunk, V62.4 Social maladjustment 616.10 Vaginitis/vulvitis, unspecified 717.9 Internal derangement, knee, 787.3 Gas/bloating unspecified V25.2 Sterilization Disorders of Menstruation unspecified 791.5 Glycosuria 894.0 Open wound, lower limb, V20.2 Well child check 626.0 Amenorrhea 737.9 Kyphosis/scoliosis, unspecified 784.0 Headache, unspecified unspecified V30.00 Well newborn, single, in- 626.2 Excessive/frequent menstruation 724.2 Low back pain 787.1 Heartburn 884.0 Open wound, upper limb, hospital birth 627.9 Menopausal disorders, 729.1 Myalgia/myositis, unspecified 578.0 Hematemesis unspecified unspecified 721.90 Osteoarthritis of spine, NOS 599.7 Hematuria 959.9 Other trauma, unspecified 626.6 Metrorrhagia 715.90 Osteoarthrosis, unspecified 786.3 Hemoptysis