Exempt Diagnoses for Ambulatory Visit Limitation

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Exempt Diagnoses for Ambulatory Visit Limitation Exempt Diagnoses for Ambulatory Visit Limitation Diagnosis Description Code V20.2 Routine infant or child health check V22.0 Supervision of normal first pregnancy V22.1 Supervision of other normal pregnancy V22.2 Pregnant state, incidental V23.0 Pregnancy with history of infertility V23.1 Pregnancy with history of trophoblastic disease V23.3 Grand multiparity V23.41 Pregnancy with history of pre-term labor V23.49 Pregnancy with other poor obstretric history V23.5 Pregnancy with other poor reproductive history V23.7 Insufficient prenatal care V23.81 Elderly primigravida V23.82 Elderly multigravida V23.83 Young primigravida V23.84 Young multigravida V23.89 Other high-risk pregnancy V23.9 Unspecified high-risk pregnancy V56.0 Encounter for extracorporeal dialysis V56.8 Encounter for other dialysis V58.0 Encounter for radiotherapy V58.11 Encounter for antineoplastic chemotherapy V58.61 Long-term (current) use of anticoagulants V72.6 Laboratory examination 042 HIV disease 054.40 Herpes simplex with unspecified ophthalmic complication 054.41 Herpes simplex dermatitis of eyelid 054.42 Dendritic keratitis 054.43 Herpes simplex disciform keratitis 054.44 Herpes simplex iridocyclitis 054.49 Herpes simplex with ophthalmic complications, other 070.0 Viral hepatitis A with hepatic coma 070.1 Viral hepatitis A without mention of hepatic coma 070.20 Viral hepatitis B with hepatic coma; acute or unspecified, without mention of hepatitis delta 070.21 Viral hepatitis B with hepatic coma; acute or unspecified with hepatitis delta 070.30 Viral hepatitis B without mention of hepatic coma; acute or unspecified, without mention of hepatitis delta 070.31 Viral hepatitis B without mention of hepatic coma; acute or unspecified with hepatitis delta 070.41 Acute hepatitis C with hepatic coma 070.42 Hepatitis delta without mention of active hepatitis B disease with hepatic coma 070.43 Hepatitis E with hepatic coma 070.44 Chronic hepatitis C with hepatic coma 070.49 Other specified viral hepatitis with hepatic coma 070.51 Acute hepatitis C without mention of hepatic coma 140.0 Malignant Neoplasms through 208.91 250.10 Diabetes with ketoacidosis; type II or unspecified type, not stated as uncontrolled 250.11 Diabetes with ketoacidosis; type I (juvenile type), not stated as uncontrolled 250.12 Diabetes with ketoacidosis; type II or unspecified type, uncontrolled 250.13 Diabetes with ketoacidosis; type I (juvenile type), uncontrolled 250.20 Diabetes with hyperosmolarity; type II or unspecified type, not stated as uncontrolled 250.21 Diabetes with hyperosmolarity; type I (juvenile type), not stated as uncontrolled 10/1/08 1 Exempt Diagnoses for Ambulatory Visit Limitation Diagnosis Description Code 250.22 Diabetes with hyperosmolarity; type II or unspecified type, uncontrolled 250.23 Diabetes with hyperosmolarity; type I (juvenile type), uncontrolled 250.30 Diabetes with other coma; type II or unspecified type, not stated as uncontrolled 250.31 Diabetes with other coma; type I (juvenile type), not stated as uncontrolled 250.32 Diabetes with other coma; type II or unspecified type, uncontrolled 250.33 Diabetes with other coma; type I (juvenile type), uncontrolled 250.60 Diabetes with neurological manifestations; type II or unspecified type, not stated as uncontrolled 250.61 Diabetes with neurological manifestations; type I (juvenile type), not stated as uncontrolled 250.62 Diabetes with neurological manifestations; type II or unspecified type, uncontrolled 250.63 Diabetes with neurological manifestations; type I (juvenile type), uncontrolled 250.70 Diabetes with peripheral cirulatory disorders; type II or unspecified type, not stated as uncontrolled 250.71 Diabetes with peripheral cirulatory disorders; type I (juvenile type), not stated as uncontrolled 250.72 Diabetes with peripheral cirulatory disorders; type II or unspecified type, uncontrolled 250.73 Diabetes with peripheral cirulatory disorders; type I (juvenile type), uncontrolled 277.00 Cystic fibrosis without mention of meconium ileus 277.01 Cystic fibrosis with meconium ileus 277.02 Cystic fibrosis with pulmonary manifestations 277.03 Cystic fibrosis with gastrointestinal manifestations 282.41 Sickle-cell thalassemia without crisis 282.42 Sickle-cell thalassemia with crisis 282.49 Other thalassemia 282.60 Sickle-cell disease, unspecified 282.61 Hb-SS disease without crisis 282.62 Hb-SS disease with crisis 282.63 Sickle-cell/Hb-C disease without crisis 282.64 Sickle-cell/Hb-C disease with crisis 282.68 Other sickle-cell disease without crisis 282.69 Other sickle-cell disease with crisis 286.0 Congenital factor VIII disorder 286.1 Congenital factor IX disorder 286.2 Congenital factor XI deficiency 286.3 Congenital deficiency of other clotting factors 286.4 von Willebrand's disease 286.5 Hemorrhagic disease due to intrinsic circulating anticoagulants 286.6 Defibrination syndrome 286.7 Acquired coagulation factor deficiency 295.01 Schizophrenic disorders, simple type; subchronic 295.02 Schizophrenic disorders, simple type; chronic 295.03 Schizophrenic disorders, simple type; subchronic with acute exacerabation 295.04 Schizophrenic disorders, simple type; chronic with acute exacerbation 295.11 Schizophrenic disorders, disorganized type; subchronic 295.12 Schizophrenic disorders, disorganized type; chronic 295.13 Schizophrenic disorders, disorganized type subchronic with acute exacerbation 295.14 Schizophrenic disorders, disorganized type; chronic with acute exacerbation 295.21 Schizophrenic disorders, catatonic type; subchronic 295.22 Schizophrenic disorders, catatonic type; chronic 295.23 Schizophrenic disorders, catatonic type subchronic with acute exacerbation 295.24 Schizophrenic disorders, catatonic type; chronic with acute exacerbation 295.31 Schizophrenic disorders, paranoid type; subchronic 295.32 Schizophrenic disorders, paranoid type; chronic 295.33 Schizophrenic disorders, paranoid type subchronic with acute exacerbation 295.34 Schizophrenic disorders, paranoid type; chronic with acute exacerbation 295.41 Schizophreniform disorder; subchronic 10/1/08 2 Exempt Diagnoses for Ambulatory Visit Limitation Diagnosis Description Code 295.42 Schizophreniform disorder; chronic 295.43 Schizophreniform disorder; subchronic with acute exacerbation 295.44 Schizophreniform disorder; chronic with acute exacerbation 295.51 Latent Schizophrenia; subchronic 295.52 Latent Schizophrenia; chronic 295.53 Latent Schizophrenia; subchronic with acute exacerbation 295.54 Latent Schizophrenia; chronic with acute exacerbation 295.61 Schizophrenic disorders, residual type; subchronic 295.62 Schizophrenic disorders, residual type; chronic 295.63 Schizophrenic disorders, residual type; subchronic with acute exacerbation 295.64 Schizophrenic disorders, residual type; chronic with acute exacerbation 295.71 Schizoaffective disorder; subchronic 295.72 Schizoaffective disorder; chronic 295.73 Schizoaffective disorder; subchronic with acute exacerbation 295.74 Schizoaffective disorder; chronic with acute exacerbation 295.81 Other specified types of schizophrenia; subchronic 295.82 Other specified types of schizophrenia; chronic 295.83 Other specified types of schizophrenia; subchronic with acute exacerbation 295.84 Other specified types of schizophrenia; chronic with acute exacerbation 295.91 Unspecified schizophrenia; subchronic 295.92 Unspecified schizophrenia; chronic 295.93 Unspecified schizophrenia; subchronic with acute exacerbation 295.94 Unspecified schizophrenia; chronic with acute exacerbation 296.03 Bipolar I disorder, single manic episode; severe, without mention of psychotic behavior 296.04 Bipolar I disorder, single manic episode; severe, specified as with psychotic behavior 296.13 Manic disorder, recurrent episode; severe, without mention of psychotic behavior 296.14 Manic disorder, recurrent episode; severe, specified as with psychotic behavior 296.23 Major depressive disorder, single episode; severe, without mention of psychotic behavior 296.24 Major depressive disorder, single episode; severe, specified as with psychotic behavior 296.33 Major depressive disorder, recurrent episode; severe, without mention of psychotic behavior 296.34 Major depressive disorder, recurrent episode; severe, specified as with psychotic behavior 296.43 Bipolar I disorder, most recent episode (or current) manic; severe, without mention of psychotic behavior 296.44 Bipolar I disorder, most recent episode (or current) manic; severe, specified as with psychotic behavior 296.53 Bipolar I disorder, most recent episode (or current) depressed; severe, without mention of psychotic behavior 296.54 Bipolar I disorder, most recent episode (or current) depressed; severe, specified as with psychotic behavior 296.63 Bipolar I disorder, most recent episode (or current) mixed; severe, without mention of psychotic behavior 296.64 Bipolar I disorder, most recent episode (or current) mixed; severe, specified as with psychotic behavior 356.1 Peroneal muscular atrophy 356.8 Other specified idiopathic peripheral neuropathy 357.2 Polyneuropathy in diabetes 361.00 Retinal detachment with retinal defect, unspecified 361.01 Retinal detachment with retinal defect, recent detachment, partial, with single defect 361.02 Retinal detachment with retinal defect, recent detachment, partial, with multiple defects 361.03 Retinal detachment with retinal defect, recent detachment, partial, with giant tear 361.04 Retinal detachment with retinal defect, recent detachment, partial, with retinal dialysis 361.05 Retinal detachment with retinal defect, recent detachment, total
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