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Department of Health & CMS Manual System Human Services (DHHS) Pub 100-04 Medicare Claims Processing Centers for Medicare & Medicaid Services (CMS) Transmittal 10332 Date: August 28, 2020 Change Request 11944

SUBJECT: October 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.3

I. SUMMARY OF CHANGES: This notification provides the Integrated OCE instructions and specifications for the Integrated OCE that will be utilized under the Outpatient Prospective Payment System (OPPS) and non-OPPS for hospital outpatient departments, community mental health centers, all non-OPPS providers, and for limited services when provided in a home health agency not under the Home Health Prospective Payment System or to a hospice patient for the treatment of a non-terminal illness. The attached recurring update notification applies to publication 100-04, chapter 4, section 40.1.

EFFECTIVE DATE: October 1, 2020 *Unless otherwise specified, the effective date is the date of service. IMPLEMENTATION DATE: October 5, 2020

Disclaimer for manual changes only: The revision date and transmittal number apply only to red italicized material. Any other material was previously published and remains unchanged. However, if this revision contains a table of contents, you will receive the new/revised information only, and not the entire table of contents.

II. CHANGES IN MANUAL INSTRUCTIONS: (N/A if manual is not updated) R=REVISED, N=NEW, D=DELETED-Only One Per Row.

R/N/D CHAPTER / SECTION / SUBSECTION / TITLE N/A N/A

III. FUNDING: For Medicare Administrative Contractors (MACs): The Medicare Administrative Contractor is hereby advised that this constitutes technical direction as defined in your contract. CMS does not construe this as a change to the MAC Statement of Work. The contractor is not obligated to incur costs in excess of the amounts allotted in your contract unless and until specifically authorized by the Contracting Officer. If the contractor considers anything provided, as described above, to be outside the current scope of work, the contractor shall withhold performance on the part(s) in question and immediately notify the Contracting Officer, in writing or by e-mail, and request formal directions regarding continued performance requirements.

IV. ATTACHMENTS:

Recurring Update Notification

Attachment - Recurring Update Notification

Pub. 100-04 Transmittal: 10332 Date: August 28, 2020 Change Request: 11944

SUBJECT: October 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.3

EFFECTIVE DATE: October 1, 2020 *Unless otherwise specified, the effective date is the date of service. IMPLEMENTATION DATE: October 5, 2020

I. GENERAL INFORMATION

A. Background: This instruction informs the A/B Medicare Administrative Contractors (MACs) Part A, the A/B MACs Part Home Health and Hospice (HHH) and the Fiscal Intermediary Shared System (FISS) that the I/OCE is being updated for October 1, 2020. The I/OCE routes all institutional outpatient claims (which includes Non-Outpatient Prospective Payment System [non-OPPS] hospital claims) through a single integrated OCE. The attached recurring update notification applies to publication 100-04, chapter 4, section 40.1.

B. Policy: This notification provides the Integrated OCE instructions and specifications for the Integrated OCE that will be utilized under the OPPS and non-OPPS for hospital outpatient departments, community mental health centers, all non-OPPS providers, and for limited services when provided in a home health agency not under the Home Health Prospective Payment System or to a hospice patient for the treatment of a non-terminal illness. The I/OCE specifications will be posted to the CMS website and can be found at http://www.cms.gov/OutpatientCodeEdit/.

II. BUSINESS REQUIREMENTS TABLE

"Shall" denotes a mandatory requirement, and "should" denotes an optional requirement.

Number Requirement Responsibility A/B D Shared- Other MAC M System E Maintainers A B H F M V C H M I C M W H A S S S F C S 11944.1 The Shared System Maintainer shall install the X Integrated OCE (I/OCE) into their systems.

11944.2 Medicare contractors shall identify the I/OCE X X X specifications on the CMS website at https://www.cms.gov/Medicare/Coding/OutpatientCod eEdit/OCEQtrReleaseSpecs.

III. PROVIDER EDUCATION TABLE

Number Requirement Responsibility

A/B D C MAC M E E D A B H I H M H A C 11944.3 MLN Article: CMS will make available an MLN Matters provider education X X article that will be marketed through the MLN Connects weekly newsletter shortly after the CR is released. MACs shall follow IOM Pub. No. 100-09 Chapter 6, Section 50.2.4.1, instructions for distributing MLN Connects information to providers, posting the article or a direct link to the article on your website, and including the article or a direct link to the article in your bulletin or newsletter. You may supplement MLN Matters articles with localized information benefiting your provider community in billing and administering the Medicare program correctly. Subscribe to the “MLN Matters” listserv to get article release notifications, or review them in the MLN Connects weekly newsletter.

IV. SUPPORTING INFORMATION

Section A: Recommendations and supporting information associated with listed requirements: N/A

"Should" denotes a recommendation.

X-Ref Recommendations or other supporting information: Requirement Number

Section B: All other recommendations and supporting information: N/A

V. CONTACTS

Pre-Implementation Contact(s): Yvonne Young, [email protected] , Marina Kushnirova, [email protected] , Fred Rooke, [email protected]

Post-Implementation Contact(s): Contact your Contracting Officer's Representative (COR).

VI. FUNDING

Section A: For Medicare Administrative Contractors (MACs): The Medicare Administrative Contractor is hereby advised that this constitutes technical direction as defined in your contract. CMS does not construe this as a change to the MAC Statement of Work. The contractor is not obligated to incur costs in excess of the amounts allotted in your contract unless and until specifically authorized by the Contracting Officer. If the contractor considers anything provided, as described above, to be outside the current scope of work, the contractor shall withhold performance on the part(s) in question and immediately notify the Contracting Officer, in writing or by e-mail, and request formal directions regarding continued performance requirements.

ATTACHMENTS: 0

Final

Summary of Data Changes

IOCE v21.3, Effective October 2020 Final Summary of Data Changes V21.3 Table of Contents Diagnosis Code Changes...... 4 Added ICD-10-CM Diagnosis Codes ...... 4 Deleted ICD-10-CM Diagnosis Codes ...... 11 Modified DX10 Code Descriptions ...... 12 Adult Only Diagnosis Additions ...... 13 Maternity Diagnosis Additions ...... 14 Maternity Diagnosis Removals ...... 15 External Cause Of Injury Additions ...... 16 External Cause Of Injury Removals ...... 18 Female Only Diagnosis Additions ...... 19 Female Only Diagnosis Removals ...... 20 Manifestation Additions ...... 21 Manifestation Removals...... 22 Mental Health Additions ...... 23 Code First Diagnosis Additions ...... 24 Unacceptable Principal Diagnosis Additions ...... 25 Unacceptable Principal Diagnosis (OPPS) Exclusion Additions ...... 57 APC Changes ...... 71 Added APCs ...... 71 Deleted APCs ...... 72 Modified APC Status Indicators ...... 73 HCPCS Procedure Code Changes ...... 74 Added HCPCS Codes ...... 74 Deleted HCPCS CPT Codes ...... 75 Modified HCPCS Code Descriptions ...... 76 Modified HCPCS Code APC/Status Indicators/Edit Assignments ...... 77 Mid Quarter Edits Additions ...... 78 Male Only HCPCS Additions ...... 79 Female Only HCPCS Removals ...... 80 Comprehensive APC HCPCS Additions ...... 81 FQHC Non-Covered Additions ...... 82 Pass-Through Contrast HCPCS Removals ...... 83 Pass-Through Radiopharm HCPCS Additions ...... 84 Pass-Through Radiopharm HCPCS Removals ...... 85 Pass-Through Skin Product HCPCS Removals ...... 86 Skin Substitute High Cost Product Additions ...... 87 Skin Substitute Low Cost Product Additions ...... 88 Skin Substitute Low Cost Product Removals...... 89 Device Additions...... 90 Device Procedure Additions ...... 91 Device Procedure Edit 92 Bypass Additions ...... 92 Pass-Through Device Credit Procedure Modifications ...... 93 Terminated Device Procedure Additions ...... 94 Type One Addon Procedure Code List Additions ...... 95

Page 2 of 96 Final Summary of Data Changes V21.3

CPT codes, descriptions and material only are copyright 2019 American Medical Association. All rights reserved. No fee schedules, basic units, relative values or related listings are included in CPT. AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for the data contained herein. All rights reserved.

Page 3 of 96 Final Summary of Data Changes V21.3

Diagnosis Code Changes Added ICD-10-CM Diagnosis Codes

The following ICD-10-CM Diagnosis code(s) were added. Added ICD-10-CM Diagnosis Codes Diagnosis Eff Date Description A8481 2020-10-01 Powassan virus disease A8489 2020-10-01 Other tick-borne viral encephalitis B6000 2020-10-01 Babesiosis, unspecified B6001 2020-10-01 Babesiosis due to Babesia microti B6002 2020-10-01 Babesiosis due to Babesia duncani B6003 2020-10-01 Babesiosis due to Babesia divergens B6009 2020-10-01 Other babesiosis D5703 2020-10-01 Hb-SS disease with cerebral vascular involvement D5709 2020-10-01 Hb-SS disease with crisis with other specified complication D57213 2020-10-01 Sickle-cell/Hb-C disease with cerebral vascular involvement D57218 2020-10-01 Sickle-cell/Hb-C disease with crisis with oth complication D57413 2020-10-01 Sickle-cell thalassemia, unsp, with cerebral vascular invl D57418 2020-10-01 Sickle-cell thalassemia, unsp, with crisis with oth comp D5742 2020-10-01 Sickle-cell-thalassemia beta zero without crisis D57431 2020-10-01 Sickle-cell-thalassemia beta zero with acute chest syndrome D57432 2020-10-01 Sickle-cell thalassemia beta zero with splenic sequestration D57433 2020-10-01 Sickle cell-thalassemia beta zero with cereb vascular invl D57438 2020-10-01 Sickle cell-thalassemia beta zero with crisis with oth comp D57439 2020-10-01 Sickle-cell thalassemia beta zero with crisis, unspecified D5744 2020-10-01 Sickle cell-thalassemia beta plus without crisis D57451 2020-10-01 Sickle cell-thalassemia beta plus with acute chest syndrome D57452 2020-10-01 Sickle-cell thalassemia beta plus with splenic sequestration D57453 2020-10-01 Sickle cell-thalassemia beta plus with cereb vascular invl D57458 2020-10-01 Sickle cell-thalassemia beta plus with crisis with oth comp D57459 2020-10-01 Sickle-cell thalassemia beta plus with crisis, unspecified D57813 2020-10-01 Other sickle-cell disorders with cerebral vascular invl D57818 2020-10-01 Other sickle-cell disorders with crisis with oth comp D5910 2020-10-01 Autoimmune hemolytic anemia, unspecified D5911 2020-10-01 Warm autoimmune hemolytic anemia D5912 2020-10-01 Cold autoimmune hemolytic anemia D5913 2020-10-01 Mixed type autoimmune hemolytic anemia D5919 2020-10-01 Other autoimmune hemolytic anemia D7210 2020-10-01 Eosinophilia, unspecified D72110 2020-10-01 Idiopathic hypereosinophilic syndrome [IHES] D72111 2020-10-01 Lymphocytic Variant Hypereosinophilic Syndrome [LHES] D72118 2020-10-01 Other hypereosinophilic syndrome D72119 2020-10-01 Hypereosinophilic syndrome [HES], unspecified D7212 2020-10-01 Drug rash with eosinophilia and systemic symptoms syndrome D7218 2020-10-01 Eosinophilia in diseases classified elsewhere D7219 2020-10-01 Other eosinophilia D8481 2020-10-01 Immunodeficiency due to conditions classified elsewhere D84821 2020-10-01 Immunodeficiency due to drugs D84822 2020-10-01 Immunodeficiency due to external causes D8489 2020-10-01 Other immunodeficiencies D89831 2020-10-01 Cytokine release syndrome, grade 1 D89832 2020-10-01 Cytokine release syndrome, grade 2 D89833 2020-10-01 Cytokine release syndrome, grade 3 D89834 2020-10-01 Cytokine release syndrome, grade 4 D89835 2020-10-01 Cytokine release syndrome, grade 5 D89839 2020-10-01 Cytokine release syndrome, grade unspecified E7081 2020-10-01 Aromatic L-amino acid decarboxylase deficiency E7089 2020-10-01 Other disorders of aromatic amino-acid metabolism E74810 2020-10-01 Glucose transporter protein type 1 deficiency E74818 2020-10-01 Other disorders of glucose transport E74819 2020-10-01 Disorders of glucose transport, unspecified E7489 2020-10-01 Other specified disorders of carbohydrate metabolism F10130 2020-10-01 Alcohol abuse with withdrawal, uncomplicated F10131 2020-10-01 Alcohol abuse with withdrawal delirium F10132 2020-10-01 Alcohol abuse with withdrawal with perceptual disturbance F10139 2020-10-01 Alcohol abuse with withdrawal, unspecified F10930 2020-10-01 Alcohol use, unspecified with withdrawal, uncomplicated F10931 2020-10-01 Alcohol use, unspecified with withdrawal delirium F10932 2020-10-01 Alcohol use, unspecified with w/drawal w perceptual disturb F10939 2020-10-01 Alcohol use, unspecified with withdrawal, unspecified F1113 2020-10-01 Opioid abuse with withdrawal F1213 2020-10-01 Cannabis abuse with withdrawal F13130 2020-10-01 Sedatv/hyp/anxiolytc abuse with withdrawal, uncomplicated F13131 2020-10-01 Sedatv/hyp/anxiolytc abuse with withdrawal delirium F13132 2020-10-01 Sedatv/hyp/anxiolytc abuse with w/drawal w perceptl disturb F13139 2020-10-01 Sedatv/hyp/anxiolytc abuse with withdrawal, unspecified

Page 4 of 96 Final Summary of Data Changes V21.3 Added ICD-10-CM Diagnosis Codes Diagnosis Eff Date Description F1413 2020-10-01 Cocaine abuse, unspecified with withdrawal F1493 2020-10-01 Cocaine use, unspecified with withdrawal F1513 2020-10-01 Other stimulant abuse with withdrawal F19130 2020-10-01 Other psychoactive substance abuse with withdrawal, uncomp F19131 2020-10-01 Other psychoactive substance abuse with withdrawal delirium F19132 2020-10-01 Other psychoactv sub abuse with w/drawal w perceptl disturb F19139 2020-10-01 Other psychoactv substance abuse with withdrawal, unsp G1110 2020-10-01 Early-onset cerebellar ataxia, unspecified G1111 2020-10-01 Friedreich ataxia G1119 2020-10-01 Other early-onset cerebellar ataxia G4042 2020-10-01 Cyclin-Dependent Kinase-Like 5 Deficiency Disorder G40833 2020-10-01 Dravet syndrome, intractable, with status epilepticus G40834 2020-10-01 Dravet syndrome, intractable, without status epilepticus G7120 2020-10-01 Congenital myopathy, unspecifed G7121 2020-10-01 Nemaline myopathy G71220 2020-10-01 X-linked myotubular myopathy G71228 2020-10-01 Other centronuclear myopathy G7129 2020-10-01 Other congenital myopathy G9600 2020-10-01 Cerebrospinal fluid leak, unspecified G9601 2020-10-01 Cranial cerebrospinal fluid leak, spontaneous G9602 2020-10-01 Spinal cerebrospinal fluid leak, spontaneous G9608 2020-10-01 Other cranial cerebrospinal fluid leak G9609 2020-10-01 Other spinal cerebrospinal fluid leak G96191 2020-10-01 Perineural cyst G96198 2020-10-01 Other disorders of meninges, not elsewhere classified G96810 2020-10-01 Intracranial hypotension, unspecified G96811 2020-10-01 Intracranial hypotension, spontaneous G96819 2020-10-01 Other intracranial hypotension G9689 2020-10-01 Other specified disorders of central nervous system G9783 2020-10-01 Intracranial hypotension following lumbar CSF shunting G9784 2020-10-01 Intracranial hypotension following other procedure H18501 2020-10-01 Unspecified hereditary corneal dystrophies, right eye H18502 2020-10-01 Unspecified hereditary corneal dystrophies, left eye H18503 2020-10-01 Unspecified hereditary corneal dystrophies, bilateral H18509 2020-10-01 Unspecified hereditary corneal dystrophies, unspecified eye H18511 2020-10-01 Endothelial corneal dystrophy, right eye H18512 2020-10-01 Endothelial corneal dystrophy, left eye H18513 2020-10-01 Endothelial corneal dystrophy, bilateral H18519 2020-10-01 Endothelial corneal dystrophy, unspecified eye H18521 2020-10-01 Epithelial (juvenile) corneal dystrophy, right eye H18522 2020-10-01 Epithelial (juvenile) corneal dystrophy, left eye H18523 2020-10-01 Epithelial (juvenile) corneal dystrophy, bilateral H18529 2020-10-01 Epithelial (juvenile) corneal dystrophy, unspecified eye H18531 2020-10-01 Granular corneal dystrophy, right eye H18532 2020-10-01 Granular corneal dystrophy, left eye H18533 2020-10-01 Granular corneal dystrophy, bilateral H18539 2020-10-01 Granular corneal dystrophy, unspecified eye H18541 2020-10-01 Lattice corneal dystrophy, right eye H18542 2020-10-01 Lattice corneal dystrophy, left eye H18543 2020-10-01 Lattice corneal dystrophy, bilateral H18549 2020-10-01 Lattice corneal dystrophy, unspecified eye H18551 2020-10-01 Macular corneal dystrophy, right eye H18552 2020-10-01 Macular corneal dystrophy, left eye H18553 2020-10-01 Macular corneal dystrophy, bilateral H18559 2020-10-01 Macular corneal dystrophy, unspecified eye H18591 2020-10-01 Other hereditary corneal dystrophies, right eye H18592 2020-10-01 Other hereditary corneal dystrophies, left eye H18593 2020-10-01 Other hereditary corneal dystrophies, bilateral H18599 2020-10-01 Other hereditary corneal dystrophies, unspecified eye H5582 2020-10-01 Deficient smooth pursuit eye movements J8281 2020-10-01 Chronic eosinophilic pneumonia J8282 2020-10-01 Acute eosinophilic pneumonia J8283 2020-10-01 Eosinophilic asthma J8289 2020-10-01 Other pulmonary eosinophilia, not elsewhere classified J84170 2020-10-01 Interstit lung dis w progr fibrotic phenotype dis classd e J84178 2020-10-01 Oth interstit pulmon dis with fibrosis in dis classd elswhr K2080 2020-10-01 Other esophagitis without bleeding K2081 2020-10-01 Other esophagitis with bleeding K2090 2020-10-01 Esophagitis, unspecified without bleeding K2091 2020-10-01 Esophagitis, unspecified with bleeding K2100 2020-10-01 Gastro-esophageal reflux dis with esophagitis, without bleed K2101 2020-10-01 Gastro-esophageal reflux dis with esophagitis, with bleed K5981 2020-10-01 Ogilvie syndrome K5989 2020-10-01 Other specified functional intestinal disorders K7400 2020-10-01 Hepatic fibrosis, unspecified K7401 2020-10-01 Hepatic fibrosis, early fibrosis K7402 2020-10-01 Hepatic fibrosis, advanced fibrosis M057A 2020-10-01 Rheu arthrit with rheu factor of oth site w/o org/sys invl

Page 5 of 96 Final Summary of Data Changes V21.3 Added ICD-10-CM Diagnosis Codes Diagnosis Eff Date Description M058A 2020-10-01 Other rheu arthritis with rheumatoid factor of oth site M060A 2020-10-01 Rheumatoid arthritis without rheumatoid factor, oth site M068A 2020-10-01 Other specified rheumatoid arthritis, other specified site M080A 2020-10-01 Unspecified juvenile rheumatoid arthritis, oth site M082A 2020-10-01 Juvenile rheumatoid arthritis with systemic onset, oth site M084A 2020-10-01 Pauciarticular juvenile rheumatoid arthritis, oth site M089A 2020-10-01 Juvenile arthritis, unspecified, other specified site M1909 2020-10-01 Primary osteoarthritis, other specified site M1919 2020-10-01 Post-traumatic osteoarthritis, other specified site M1929 2020-10-01 Secondary osteoarthritis, other specified site M2419 2020-10-01 Other articular disorders, other specified site M2429 2020-10-01 Disorder of ligament, other specified site M2439 2020-10-01 Pathological dislocation of other specified , NEC M2449 2020-10-01 Recurrent dislocation, other specified joint M2459 2020-10-01 Contracture, other specified joint M2469 2020-10-01 Ankylosis, other specified joint M2489 2020-10-01 Other specific joint derangement of oth joint, NEC M2539 2020-10-01 Other instability, other specified joint M2559 2020-10-01 Pain in other specified joint M2569 2020-10-01 Stiffness of other specified joint, not elsewhere classified M26641 2020-10-01 Arthritis of right temporomandibular joint M26642 2020-10-01 Arthritis of left temporomandibular joint M26643 2020-10-01 Arthritis of bilateral temporomandibular joint M26649 2020-10-01 Arthritis of unspecified temporomandibular joint M26651 2020-10-01 Arthropathy of right temporomandibular joint M26652 2020-10-01 Arthropathy of left temporomandibular joint M26653 2020-10-01 Arthropathy of bilateral temporomandibular joint M26659 2020-10-01 Arthropathy of unspecified temporomandibular joint M800AXA 2020-10-01 Age-rel osteopor with current path fx, other site, init M800AXD 2020-10-01 Age-rel osteopor with current path fx, other site, 7thD M800AXG 2020-10-01 Age-rel osteopor with current path fx, other site, 7thG M800AXK 2020-10-01 Age-rel osteopor with current path fx, other site, 7thK M800AXP 2020-10-01 Age-rel osteopor with current path fx, other site, 7thP M800AXS 2020-10-01 Age-rel osteopor with current path fx, other site, sequela M808AXA 2020-10-01 Other osteopor with current path fracture, other site, init M808AXD 2020-10-01 Other osteopor with current path fracture, other site, 7thD M808AXG 2020-10-01 Other osteopor with current path fracture, other site, 7thG M808AXK 2020-10-01 Other osteopor with current path fracture, other site, 7thK M808AXP 2020-10-01 Other osteopor with current path fracture, other site, 7thP M808AXS 2020-10-01 Other osteopor with current path fx, other site, sequela M92501 2020-10-01 Unspecified juvenile osteochondrosis, right leg M92502 2020-10-01 Unspecified juvenile osteochondrosis, left leg M92503 2020-10-01 Unspecified juvenile osteochondrosis, bilateral leg M92509 2020-10-01 Unspecified juvenile osteochondrosis, unspecified leg M92511 2020-10-01 Juvenile osteochondrosis of proximal tibia, right leg M92512 2020-10-01 Juvenile osteochondrosis of proximal tibia, left leg M92513 2020-10-01 Juvenile osteochondrosis of proximal tibia, bilateral M92519 2020-10-01 Juvenile osteochondrosis of proximal tibia, unspecified leg M92521 2020-10-01 Juvenile osteochondrosis of tibia tubercle, right leg M92522 2020-10-01 Juvenile osteochondrosis of tibia tubercle, left leg M92523 2020-10-01 Juvenile osteochondrosis of tibia tubercle, bilateral M92529 2020-10-01 Juvenile osteochondrosis of tibia tubercle, unspecified leg M92591 2020-10-01 Other juvenile osteochon of tibia and fibula, right leg M92592 2020-10-01 Other juvenile osteochondrosis of tibia and fibula, left leg M92593 2020-10-01 Other juvenile osteochon of tibia and fibula, bilateral M92599 2020-10-01 Other juvenile osteochon of tibia and fibula, unsp leg N00A 2020-10-01 Acute nephritic syndrome with C3 glomerulonephritis N01A 2020-10-01 Rapidly progressive nephritic syndrome with C3 glomrlneph N02A 2020-10-01 Recurrent and persistent hematuria with C3 glomrlneph N03A 2020-10-01 Chronic nephritic syndrome with C3 glomerulonephritis N04A 2020-10-01 Nephrotic syndrome with C3 glomerulonephritis N05A 2020-10-01 Unspecified nephritic syndrome with C3 glomerulonephritis N06A 2020-10-01 Isolated proteinuria with C3 glomerulonephritis N07A 2020-10-01 Hereditary nephropathy, NEC with C3 glomerulonephritis N1830 2020-10-01 Chronic kidney disease, stage 3 unspecified N1831 2020-10-01 Chronic kidney disease, stage 3a N1832 2020-10-01 Chronic kidney disease, stage 3b N6120 2020-10-01 Granulomatous mastitis, unspecified breast N6121 2020-10-01 Granulomatous mastitis, right breast N6122 2020-10-01 Granulomatous mastitis, left breast N6123 2020-10-01 Granulomatous mastitis, bilateral breast O34218 2020-10-01 Maternal care for other type scar from previous cesarean del O3422 2020-10-01 Maternal care for cesarean scar defect (isthmocele) O99891 2020-10-01 Oth diseases and conditions complicating pregnancy O99892 2020-10-01 Oth diseases and conditions complicating childbirth O99893 2020-10-01 Oth diseases and conditions complicating puerperium P91821 2020-10-01 Neonatal cerebral infarction, right side of brain P91822 2020-10-01 Neonatal cerebral infarction, left side of brain

Page 6 of 96 Final Summary of Data Changes V21.3 Added ICD-10-CM Diagnosis Codes Diagnosis Eff Date Description P91823 2020-10-01 Neonatal cerebral infarction, bilateral P91829 2020-10-01 Neonatal cerebral infarction, unspecified side R510 2020-10-01 Headache with orthostatic component, NEC R519 2020-10-01 Headache, unspecified R7401 2020-10-01 Elevation of levels of liver transaminase levels R7402 2020-10-01 Elevation of levels of lactic acid dehydrogenase [LDH] S20213A 2020-10-01 Contusion of bilateral front wall of thorax, init S20213D 2020-10-01 Contusion of bilateral front wall of thorax, subs S20213S 2020-10-01 Contusion of bilateral front wall of thorax, sequela S20214A 2020-10-01 Contusion of middle front wall of thorax, initial encounter S20214D 2020-10-01 Contusion of middle front wall of thorax, subs S20214S 2020-10-01 Contusion of middle front wall of thorax, sequela S20223A 2020-10-01 Contusion of bilateral back wall of thorax, init S20223D 2020-10-01 Contusion of bilateral back wall of thorax, subs S20223S 2020-10-01 Contusion of bilateral back wall of thorax, sequela S20224A 2020-10-01 Contusion of middle back wall of thorax, initial encounter S20224D 2020-10-01 Contusion of middle back wall of thorax, subs S20224S 2020-10-01 Contusion of middle back wall of thorax, sequela S20303A 2020-10-01 Unsp superfic injuries of bi front wall of thorax, init S20303D 2020-10-01 Unsp superfic injuries of bi front wall of thorax, subs S20303S 2020-10-01 Unsp superfic injuries of bi front wall of thorax, sequela S20304A 2020-10-01 Unsp superfic injuries of middle front wall of thorax, init S20304D 2020-10-01 Unsp superfic injuries of middle front wall of thorax, subs S20304S 2020-10-01 Unsp superfic injuries of middle front wall of thorax, sqla S20313A 2020-10-01 Abrasion of bilateral front wall of thorax, init S20313D 2020-10-01 Abrasion of bilateral front wall of thorax, subs S20313S 2020-10-01 Abrasion of bilateral front wall of thorax, sequela S20314A 2020-10-01 Abrasion of middle front wall of thorax, initial encounter S20314D 2020-10-01 Abrasion of middle front wall of thorax, subs S20314S 2020-10-01 Abrasion of middle front wall of thorax, sequela S20323A 2020-10-01 Blister (nonthermal) of bilateral front wall of thorax, init S20323D 2020-10-01 Blister (nonthermal) of bilateral front wall of thorax, subs S20323S 2020-10-01 Blister of bilateral front wall of thorax, sequela S20324A 2020-10-01 Blister (nonthermal) of middle front wall of thorax, init S20324D 2020-10-01 Blister (nonthermal) of middle front wall of thorax, subs S20324S 2020-10-01 Blister (nonthermal) of middle front wall of thorax, sequela S20343A 2020-10-01 External constrict of bilateral front wall of thorax, init S20343D 2020-10-01 External constrict of bilateral front wall of thorax, subs S20343S 2020-10-01 External constrict of bi front wall of thorax, sequela S20344A 2020-10-01 External constriction of middle front wall of thorax, init S20344D 2020-10-01 External constriction of middle front wall of thorax, subs S20344S 2020-10-01 External constrict of middle front wall of thorax, sequela S20353A 2020-10-01 Superficial fb of bilateral front wall of thorax, init S20353D 2020-10-01 Superficial fb of bilateral front wall of thorax, subs S20353S 2020-10-01 Superficial fb of bilateral front wall of thorax, sequela S20354A 2020-10-01 Superficial fb of middle front wall of thorax, init S20354D 2020-10-01 Superficial fb of middle front wall of thorax, subs S20354S 2020-10-01 Superficial fb of middle front wall of thorax, sequela S20363A 2020-10-01 Insect bite of bilateral front wall of thorax, init S20363D 2020-10-01 Insect bite of bilateral front wall of thorax, subs S20363S 2020-10-01 Insect bite of bilateral front wall of thorax, sequela S20364A 2020-10-01 Insect bite of middle front wall of thorax, init S20364D 2020-10-01 Insect bite of middle front wall of thorax, subs S20364S 2020-10-01 Insect bite of middle front wall of thorax, sequela S20373A 2020-10-01 Other superfic bite of bilateral front wall of thorax, init S20373D 2020-10-01 Other superfic bite of bilateral front wall of thorax, subs S20373S 2020-10-01 Other superfic bite of bi front wall of thorax, sequela S20374A 2020-10-01 Other superficial bite of middle front wall of thorax, init S20374D 2020-10-01 Other superficial bite of middle front wall of thorax, subs S20374S 2020-10-01 Other superfic bite of middle front wall of thorax, sequela T40411A 2020-10-01 Poisoning by fentanyl or fentanyl analogs, accidental, init T40411D 2020-10-01 Poisoning by fentanyl or fentanyl analogs, accidental, subs T40411S 2020-10-01 Poisoning by fentanyl or fentanyl analogs, acc, sequela T40412A 2020-10-01 Poisoning by fentanyl or fentanyl analogs, self-harm, init T40412D 2020-10-01 Poisoning by fentanyl or fentanyl analogs, self-harm, subs T40412S 2020-10-01 Poisn by fentanyl or fentanyl analogs, self-harm, sequela T40413A 2020-10-01 Poisoning by fentanyl or fentanyl analogs, assault, init T40413D 2020-10-01 Poisoning by fentanyl or fentanyl analogs, assault, subs T40413S 2020-10-01 Poisoning by fentanyl or fentanyl analogs, assault, sequela T40414A 2020-10-01 Poisoning by fentanyl or fentanyl analogs, undet, init T40414D 2020-10-01 Poisoning by fentanyl or fentanyl analogs, undet, subs T40414S 2020-10-01 Poisoning by fentanyl or fentanyl analogs, undet, sequela T40415A 2020-10-01 Adverse effect of fentanyl or fentanyl analogs, init T40415D 2020-10-01 Adverse effect of fentanyl or fentanyl analogs, subs T40415S 2020-10-01 Adverse effect of fentanyl or fentanyl analogs, sequela T40416A 2020-10-01 Underdosing of fentanyl or fentanyl analogs, init T40416D 2020-10-01 Underdosing of fentanyl or fentanyl analogs, subs T40416S 2020-10-01 Underdosing of fentanyl or fentanyl analogs, sequela

Page 7 of 96 Final Summary of Data Changes V21.3 Added ICD-10-CM Diagnosis Codes Diagnosis Eff Date Description T40421A 2020-10-01 Poisoning by tramadol, accidental (unintentional), init T40421D 2020-10-01 Poisoning by tramadol, accidental (unintentional), subs T40421S 2020-10-01 Poisoning by tramadol, accidental (unintentional), sequela T40422A 2020-10-01 Poisoning by tramadol, self-harm, initial encounter T40422D 2020-10-01 Poisoning by tramadol, self-harm, subsequent encounter T40422S 2020-10-01 Poisoning by tramadol, intentional self-harm, sequela T40423A 2020-10-01 Poisoning by tramadol, assault, initial encounter T40423D 2020-10-01 Poisoning by tramadol, assault, subsequent encounter T40423S 2020-10-01 Poisoning by tramadol, assault, sequela T40424A 2020-10-01 Poisoning by tramadol, undetermined, initial encounter T40424D 2020-10-01 Poisoning by tramadol, undetermined, subsequent encounter T40424S 2020-10-01 Poisoning by tramadol, undetermined, sequela T40425A 2020-10-01 Adverse effect of tramadol, initial encounter T40425D 2020-10-01 Adverse effect of tramadol, subsequent encounter T40425S 2020-10-01 Adverse effect of tramadol, sequela T40426A 2020-10-01 Underdosing of tramadol, initial encounter T40426D 2020-10-01 Underdosing of tramadol, subsequent encounter T40426S 2020-10-01 Underdosing of tramadol, sequela T40491A 2020-10-01 Poisoning by other synthetic narcotics, accidental, init T40491D 2020-10-01 Poisoning by other synthetic narcotics, accidental, subs T40491S 2020-10-01 Poisoning by other synthetic narcotics, accidental, sequela T40492A 2020-10-01 Poisoning by other synthetic narcotics, self-harm, init T40492D 2020-10-01 Poisoning by other synthetic narcotics, self-harm, subs T40492S 2020-10-01 Poisoning by other synthetic narcotics, self-harm, sequela T40493A 2020-10-01 Poisoning by other synthetic narcotics, assault, init T40493D 2020-10-01 Poisoning by other synthetic narcotics, assault, subs T40493S 2020-10-01 Poisoning by other synthetic narcotics, assault, sequela T40494A 2020-10-01 Poisoning by other synthetic narcotics, undetermined, init T40494D 2020-10-01 Poisoning by other synthetic narcotics, undetermined, subs T40494S 2020-10-01 Poisoning by other synthetic narcotics, undet, sequela T40495A 2020-10-01 Adverse effect of other synthetic narcotics, init T40495D 2020-10-01 Adverse effect of other synthetic narcotics, subs T40495S 2020-10-01 Adverse effect of other synthetic narcotics, sequela T40496A 2020-10-01 Underdosing of other synthetic narcotics, initial encounter T40496D 2020-10-01 Underdosing of other synthetic narcotics, subs T40496S 2020-10-01 Underdosing of other synthetic narcotics, sequela T868401 2020-10-01 Corneal transplant rejection, right eye T868402 2020-10-01 Corneal transplant rejection, left eye T868403 2020-10-01 Corneal transplant rejection, bilateral T868409 2020-10-01 Corneal transplant rejection, unspecified eye T868411 2020-10-01 Corneal transplant failure, right eye T868412 2020-10-01 Corneal transplant failure, left eye T868413 2020-10-01 Corneal transplant failure, bilateral T868419 2020-10-01 Corneal transplant failure, unspecified eye T868421 2020-10-01 Corneal transplant infection, right eye T868422 2020-10-01 Corneal transplant infection, left eye T868423 2020-10-01 Corneal transplant infection, bilateral T868429 2020-10-01 Corneal transplant infection, unspecified eye T868481 2020-10-01 Other complications of corneal transplant, right eye T868482 2020-10-01 Other complications of corneal transplant, left eye T868483 2020-10-01 Other complications of corneal transplant, bilateral T868489 2020-10-01 Other complications of corneal transplant, unspecified eye T868491 2020-10-01 Unspecified complication of corneal transplant, right eye T868492 2020-10-01 Unspecified complication of corneal transplant, left eye T868493 2020-10-01 Unspecified complication of corneal transplant, bilateral T868499 2020-10-01 Unspecified complication of corneal transplant, unsp V00031A 2020-10-01 Ped on foot inj clsn with rider of stnd electr scoot, init V00031D 2020-10-01 Ped on foot inj clsn with rider of stnd electr scoot, subs V00031S 2020-10-01 Ped on foot inj clsn with rider of stnd electr scoot, sqla V00038A 2020-10-01 Ped on foot inj clsn with rider of stnd micr-mob conv, init V00038D 2020-10-01 Ped on foot inj clsn with rider of stnd micr-mob conv, subs V00038S 2020-10-01 Ped on foot inj clsn with rider of stnd micr-mob conv, sqla V00841A 2020-10-01 Fall from standing electric scooter, initial encounter V00841D 2020-10-01 Fall from standing electric scooter, subsequent encounter V00841S 2020-10-01 Fall from standing electric scooter, sequela V00842A 2020-10-01 Ped on stnd electr scoot colliding with statnry obj, init V00842D 2020-10-01 Ped on stnd electr scoot colliding with statnry obj, subs V00842S 2020-10-01 Ped on stnd electr scoot colliding with statnry obj, sequela V00848A 2020-10-01 Other accident with stnd micr-mob conv, initial encounter V00848D 2020-10-01 Other accident with stnd micr-mob conv, subsequent encounter V00848S 2020-10-01 Other accident with stnd micr-mob conv, sequela V01031A 2020-10-01 Ped stnd electr scoot inj clsn with pedl cyc nontraf, init V01031D 2020-10-01 Ped stnd electr scoot inj clsn with pedl cyc nontraf, subs V01031S 2020-10-01 Ped stnd electr scoot inj clsn with pedl cyc nontraf, sqla V01038A 2020-10-01 Ped oth stnd micr-mob conv inj clsn w pedl cyc nontraf, init V01038D 2020-10-01 Ped oth stnd micr-mob conv inj clsn w pedl cyc nontraf, subs V01038S 2020-10-01 Ped oth stnd micr-mob conv inj clsn w pedl cyc nontraf, sqla V01131A 2020-10-01 Ped stnd electr scoot inj clsn with pedl cyc in traf, init

Page 8 of 96 Final Summary of Data Changes V21.3 Added ICD-10-CM Diagnosis Codes Diagnosis Eff Date Description V01131D 2020-10-01 Ped stnd electr scoot inj clsn with pedl cyc in traf, subs V01131S 2020-10-01 Ped stnd electr scoot inj clsn with pedl cyc in traf, sqla V01138A 2020-10-01 Ped oth stnd micr-mob conv inj clsn w pedl cyc in traf, init V01138D 2020-10-01 Ped oth stnd micr-mob conv inj clsn w pedl cyc in traf, subs V01138S 2020-10-01 Ped oth stnd micr-mob conv inj clsn w pedl cyc in traf, sqla V01931A 2020-10-01 Ped on stnd electr scoot inj clsn with pedl cyc, unsp, init V01931D 2020-10-01 Ped on stnd electr scoot inj clsn with pedl cyc, unsp, subs V01931S 2020-10-01 Ped on stnd electr scoot inj clsn with pedl cyc, unsp, sqla V01938A 2020-10-01 Ped oth stnd micr-mob conv inj clsn w pedl cyc, unsp, init V01938D 2020-10-01 Ped oth stnd micr-mob conv inj clsn w pedl cyc, unsp, subs V01938S 2020-10-01 Ped oth stnd micr-mob conv inj clsn w pedl cyc, unsp, sqla V02031A 2020-10-01 Ped on stnd electr scoot inj in clsn 2/3whl nontraf, init V02031D 2020-10-01 Ped on stnd electr scoot inj in clsn 2/3whl nontraf, subs V02031S 2020-10-01 Ped on stnd electr scoot inj in clsn 2/3whl nontraf, sequela V02038A 2020-10-01 Ped other stnd micr-mob conv inj clsn 2/3whl nontraf, init V02038D 2020-10-01 Ped other stnd micr-mob conv inj clsn 2/3whl nontraf, subs V02038S 2020-10-01 Ped other stnd micr-mob conv inj clsn 2/3whl nontraf, sqla V02131A 2020-10-01 Ped on stnd electr scoot inj in clsn 2/3whl in traf, init V02131D 2020-10-01 Ped on stnd electr scoot inj in clsn 2/3whl in traf, subs V02131S 2020-10-01 Ped on stnd electr scoot inj in clsn 2/3whl in traf, sequela V02138A 2020-10-01 Ped other stnd micr-mob conv inj clsn 2/3whl in traf, init V02138D 2020-10-01 Ped other stnd micr-mob conv inj clsn 2/3whl in traf, subs V02138S 2020-10-01 Ped other stnd micr-mob conv inj clsn 2/3whl in traf, sqla V02931A 2020-10-01 Ped on stnd electr scoot injured in clsn 2/3whl, unsp, init V02931D 2020-10-01 Ped on stnd electr scoot injured in clsn 2/3whl, unsp, subs V02931S 2020-10-01 Ped on stnd electr scoot inj in clsn 2/3whl, unsp, sequela V02938A 2020-10-01 Ped on other stnd micr-mob conv inj clsn 2/3whl, unsp, init V02938D 2020-10-01 Ped on other stnd micr-mob conv inj clsn 2/3whl, unsp, subs V02938S 2020-10-01 Ped on other stnd micr-mob conv inj clsn 2/3whl, unsp, sqla V03031A 2020-10-01 Ped on stnd electr scoot inj in w/car/trk/van nontraf, init V03031D 2020-10-01 Ped on stnd electr scoot inj in w/car/trk/van nontraf, subs V03031S 2020-10-01 Ped on stnd electr scoot inj in w/car/trk/van nontraf, sqla V03038A 2020-10-01 Ped other stnd micr-mob conv inj w/car/trk/van nontraf, init V03038D 2020-10-01 Ped other stnd micr-mob conv inj w/car/trk/van nontraf, subs V03038S 2020-10-01 Ped other stnd micr-mob conv inj w/car/trk/van nontraf, sqla V03131A 2020-10-01 Ped on stnd electr scoot inj in w/car/trk/van in traf, init V03131D 2020-10-01 Ped on stnd electr scoot inj in w/car/trk/van in traf, subs V03131S 2020-10-01 Ped on stnd electr scoot inj in w/car/trk/van in traf, sqla V03138A 2020-10-01 Ped other stnd micr-mob conv inj w/car/trk/van in traf, init V03138D 2020-10-01 Ped other stnd micr-mob conv inj w/car/trk/van in traf, subs V03138S 2020-10-01 Ped other stnd micr-mob conv inj w/car/trk/van in traf, sqla V03931A 2020-10-01 Ped on stnd electr scoot inj in w/car/trk/van, unsp, init V03931D 2020-10-01 Ped on stnd electr scoot inj in w/car/trk/van, unsp, subs V03931S 2020-10-01 Ped on stnd electr scoot inj in w/car/trk/van, unsp, sequela V03938A 2020-10-01 Ped other stnd micr-mob conv inj w/car/trk/van, unsp, init V03938D 2020-10-01 Ped other stnd micr-mob conv inj w/car/trk/van, unsp, subs V03938S 2020-10-01 Ped other stnd micr-mob conv inj w/car/trk/van, unsp, sqla V04031A 2020-10-01 Ped on stnd electr scoot inj clsn with hv veh nontraf, init V04031D 2020-10-01 Ped on stnd electr scoot inj clsn with hv veh nontraf, subs V04031S 2020-10-01 Ped on stnd electr scoot inj clsn with hv veh nontraf, sqla V04038A 2020-10-01 Ped oth stnd micr-mob conv inj clsn w hv veh nontraf, init V04038D 2020-10-01 Ped oth stnd micr-mob conv inj clsn w hv veh nontraf, subs V04038S 2020-10-01 Ped oth stnd micr-mob conv inj clsn w hv veh nontraf, sqla V04131A 2020-10-01 Ped on stnd electr scoot inj clsn with hv veh in traf, init V04131D 2020-10-01 Ped on stnd electr scoot inj clsn with hv veh in traf, subs V04131S 2020-10-01 Ped on stnd electr scoot inj clsn with hv veh in traf, sqla V04138A 2020-10-01 Ped oth stnd micr-mob conv inj clsn w hv veh in traf, init V04138D 2020-10-01 Ped oth stnd micr-mob conv inj clsn w hv veh in traf, subs V04138S 2020-10-01 Ped oth stnd micr-mob conv inj clsn w hv veh in traf, sqla V04931A 2020-10-01 Ped on stnd electr scoot inj in clsn with hv veh, unsp, init V04931D 2020-10-01 Ped on stnd electr scoot inj in clsn with hv veh, unsp, subs V04931S 2020-10-01 Ped on stnd electr scoot inj in clsn with hv veh, unsp, sqla V04938A 2020-10-01 Ped oth stnd micr-mob conv inj clsn with hv veh, unsp, init V04938D 2020-10-01 Ped oth stnd micr-mob conv inj clsn with hv veh, unsp, subs V04938S 2020-10-01 Ped oth stnd micr-mob conv inj clsn with hv veh, unsp, sqla V05031A 2020-10-01 Ped on stnd electr scoot inj in clsn train/veh nontraf, init V05031D 2020-10-01 Ped on stnd electr scoot inj in clsn train/veh nontraf, subs V05031S 2020-10-01 Ped on stnd electr scoot inj in clsn train/veh nontraf, sqla V05038A 2020-10-01 Ped oth stnd micr-mob conv inj clsn train/veh nontraf, init V05038D 2020-10-01 Ped oth stnd micr-mob conv inj clsn train/veh nontraf, subs V05038S 2020-10-01 Ped oth stnd micr-mob conv inj clsn train/veh nontraf, sqla V05131A 2020-10-01 Ped on stnd electr scoot inj in clsn train/veh in traf, init V05131D 2020-10-01 Ped on stnd electr scoot inj in clsn train/veh in traf, subs V05131S 2020-10-01 Ped on stnd electr scoot inj in clsn train/veh in traf, sqla V05138A 2020-10-01 Ped oth stnd micr-mob conv inj clsn train/veh in traf, init V05138D 2020-10-01 Ped oth stnd micr-mob conv inj clsn train/veh in traf, subs V05138S 2020-10-01 Ped oth stnd micr-mob conv inj clsn train/veh in traf, sqla V05931A 2020-10-01 Ped on stnd electr scoot inj in clsn train/veh, unsp, init

Page 9 of 96 Final Summary of Data Changes V21.3 Added ICD-10-CM Diagnosis Codes Diagnosis Eff Date Description V05931D 2020-10-01 Ped on stnd electr scoot inj in clsn train/veh, unsp, subs V05931S 2020-10-01 Ped on stnd electr scoot inj in clsn train/veh, unsp, sqla V05938A 2020-10-01 Ped other stnd micr-mob conv inj clsn train/veh, unsp, init V05938D 2020-10-01 Ped other stnd micr-mob conv inj clsn train/veh, unsp, subs V05938S 2020-10-01 Ped other stnd micr-mob conv inj clsn train/veh, unsp, sqla V06031A 2020-10-01 Ped on stnd electr scoot inj clsn oth non-mv nontraf, init V06031D 2020-10-01 Ped on stnd electr scoot inj clsn oth non-mv nontraf, subs V06031S 2020-10-01 Ped on stnd electr scoot inj clsn oth non-mv nontraf, sqla V06038A 2020-10-01 Ped oth stnd micr-mob conv inj clsn oth non-mv nontraf, init V06038D 2020-10-01 Ped oth stnd micr-mob conv inj clsn oth non-mv nontraf, subs V06038S 2020-10-01 Ped oth stnd micr-mob conv inj clsn oth non-mv nontraf, sqla V06131A 2020-10-01 Ped on stnd electr scoot inj clsn oth non-mv in traf, init V06131D 2020-10-01 Ped on stnd electr scoot inj clsn oth non-mv in traf, subs V06131S 2020-10-01 Ped on stnd electr scoot inj clsn oth non-mv in traf, sqla V06138A 2020-10-01 Ped oth stnd micr-mob conv inj clsn oth non-mv in traf, init V06138D 2020-10-01 Ped oth stnd micr-mob conv inj clsn oth non-mv in traf, subs V06138S 2020-10-01 Ped oth stnd micr-mob conv inj clsn oth non-mv in traf, sqla V06931A 2020-10-01 Ped on stnd electr scoot inj in clsn oth non-mv, unsp, init V06931D 2020-10-01 Ped on stnd electr scoot inj in clsn oth non-mv, unsp, subs V06931S 2020-10-01 Ped on stnd electr scoot inj in clsn oth non-mv, unsp, sqla V06938A 2020-10-01 Ped other stnd micr-mob conv inj clsn oth non-mv, unsp, init V06938D 2020-10-01 Ped other stnd micr-mob conv inj clsn oth non-mv, unsp, subs V06938S 2020-10-01 Ped other stnd micr-mob conv inj clsn oth non-mv, unsp, sqla Y7711 2020-10-01 Contact lens associated with adverse incidents Y7719 2020-10-01 Other therapeutic and rehab ophthalmic devices assoc w incdt Z03821 2020-10-01 Enctr for observation for suspected ingested fb ruled out Z03822 2020-10-01 Enctr for obs for suspected aspirated (inhaled) fb ruled out Z03823 2020-10-01 Enctr for obs for suspected inserted (injected) fb ruled out

Page 10 of 96 Final Summary of Data Changes V21.3

Deleted ICD-10-CM Diagnosis Codes

The following ICD-10-CM Diagnosis code(s) were deleted. Deleted ICD-10-CM Diagnosis Codes Diagnosis Eff Date Description A848 2020-10-01 Other tick-borne viral encephalitis B600 2020-10-01 Babesiosis D591 2020-10-01 Other autoimmune hemolytic anemias D721 2020-10-01 Eosinophilia D848 2020-10-01 Other specified immunodeficiencies E708 2020-10-01 Other disorders of aromatic amino-acid metabolism E748 2020-10-01 Other specified disorders of carbohydrate metabolism G111 2020-10-01 Early-onset cerebellar ataxia G712 2020-10-01 Congenital myopathies G960 2020-10-01 Cerebrospinal fluid leak G9619 2020-10-01 Other disorders of meninges, not elsewhere classified G968 2020-10-01 Other specified disorders of central nervous system H1850 2020-10-01 Unspecified hereditary corneal dystrophies H1851 2020-10-01 Endothelial corneal dystrophy H1852 2020-10-01 Epithelial (juvenile) corneal dystrophy H1853 2020-10-01 Granular corneal dystrophy H1854 2020-10-01 Lattice corneal dystrophy H1855 2020-10-01 Macular corneal dystrophy H1859 2020-10-01 Other hereditary corneal dystrophies J82 2020-10-01 Pulmonary eosinophilia, not elsewhere classified J8417 2020-10-01 Oth interstit pulmon dis w fibrosis in dis classd elswhr K208 2020-10-01 Other esophagitis K209 2020-10-01 Esophagitis, unspecified K210 2020-10-01 Gastro-esophageal reflux disease with esophagitis K598 2020-10-01 Other specified functional intestinal disorders K740 2020-10-01 Hepatic fibrosis M9250 2020-10-01 Juvenile osteochondrosis of tibia and fibula, unsp leg M9251 2020-10-01 Juvenile osteochondrosis of tibia and fibula, right leg M9252 2020-10-01 Juvenile osteochondrosis of tibia and fibula, left leg N183 2020-10-01 Chronic kidney disease, stage 3 (moderate) O9989 2020-10-01 Oth diseases and conditions compl preg/chldbrth Q5120 2020-10-01 Other doubling of uterus, unspecified R51 2020-10-01 Headache R740 2020-10-01 Nonspec elev of levels of transamns & lactic acid dehydrgnse T404X1A 2020-10-01 Poisoning by oth synthetic narcotics, accidental, init T404X1D 2020-10-01 Poisoning by oth synthetic narcotics, accidental, subs T404X1S 2020-10-01 Poisoning by oth synthetic narcotics, accidental, sequela T404X2A 2020-10-01 Poisoning by oth synthetic narcotics, self-harm, init T404X2D 2020-10-01 Poisoning by oth synthetic narcotics, self-harm, subs T404X2S 2020-10-01 Poisoning by oth synthetic narcotics, self-harm, sequela T404X3A 2020-10-01 Poisoning by other synthetic narcotics, assault, init encntr T404X3D 2020-10-01 Poisoning by other synthetic narcotics, assault, subs encntr T404X3S 2020-10-01 Poisoning by other synthetic narcotics, assault, sequela T404X4A 2020-10-01 Poisoning by oth synthetic narcotics, undetermined, init T404X4D 2020-10-01 Poisoning by oth synthetic narcotics, undetermined, subs T404X4S 2020-10-01 Poisoning by oth synthetic narcotics, undetermined, sequela T404X5A 2020-10-01 Adverse effect of other synthetic narcotics, init encntr T404X5D 2020-10-01 Adverse effect of other synthetic narcotics, subs encntr T404X5S 2020-10-01 Adverse effect of other synthetic narcotics, sequela T404X6A 2020-10-01 Underdosing of other synthetic narcotics, initial encounter T404X6D 2020-10-01 Underdosing of other synthetic narcotics, subs encntr T404X6S 2020-10-01 Underdosing of other synthetic narcotics, sequela T86840 2020-10-01 Corneal transplant rejection T86841 2020-10-01 Corneal transplant failure T86842 2020-10-01 Corneal transplant infection T86848 2020-10-01 Other complications of corneal transplant T86849 2020-10-01 Unspecified complication of corneal transplant Y771 2020-10-01 Therapeutic and rehab ophthalmic devices assoc w incdt

Page 11 of 96 Final Summary of Data Changes V21.3

Modified DX10 Code Descriptions

The following ICD-10 code(s) had a description change. Modified DX10 Code Descriptions Diagnosis Eff Date Description Current Description Previous D57411 2020-10-01 Sickle-cell thalassemia, unsp, with acute chest syndrome Sickle-cell thalassemia with acute chest syndrome D57412 2020-10-01 Sickle-cell thalassemia, unsp, with splenic sequestration Sickle-cell thalassemia with splenic sequestration D57419 2020-10-01 Sickle-cell thalassemia, unspecified, with crisis Sickle-cell thalassemia with crisis, unspecified H5581 2020-10-01 Deficient saccadic eye movements Saccadic eye movements Q5121 2020-10-01 Complete doubling of uterus Other complete doubling of uterus Q5122 2020-10-01 Partial doubling of uterus Other partial doubling of uterus Q5128 2020-10-01 Other and unspecified doubling of uterus Other doubling of uterus, other specified Y92002 2020-10-01 Bathroom of unsp non-institut (private) residence as place Bathrm of unsp non-institut resdnce sngl-fmly house as place Z681 2020-10-01 Body mass index [BMI] 19.9 or less, adult Body mass index (BMI) 19.9 or less, adult Z6820 2020-10-01 Body mass index [BMI] 20.0-20.9, adult Body mass index (BMI) 20.0-20.9, adult Z6821 2020-10-01 Body mass index [BMI] 21.0-21.9, adult Body mass index (BMI) 21.0-21.9, adult Z6822 2020-10-01 Body mass index [BMI] 22.0-22.9, adult Body mass index (BMI) 22.0-22.9, adult Z6823 2020-10-01 Body mass index [BMI] 23.0-23.9, adult Body mass index (BMI) 23.0-23.9, adult Z6824 2020-10-01 Body mass index [BMI] 24.0-24.9, adult Body mass index (BMI) 24.0-24.9, adult Z6825 2020-10-01 Body mass index [BMI] 25.0-25.9, adult Body mass index (BMI) 25.0-25.9, adult Z6826 2020-10-01 Body mass index [BMI] 26.0-26.9, adult Body mass index (BMI) 26.0-26.9, adult Z6827 2020-10-01 Body mass index [BMI] 27.0-27.9, adult Body mass index (BMI) 27.0-27.9, adult Z6828 2020-10-01 Body mass index [BMI] 28.0-28.9, adult Body mass index (BMI) 28.0-28.9, adult Z6829 2020-10-01 Body mass index [BMI] 29.0-29.9, adult Body mass index (BMI) 29.0-29.9, adult Z6830 2020-10-01 Body mass index [BMI] 30.0-30.9, adult Body mass index (BMI) 30.0-30.9, adult Z6831 2020-10-01 Body mass index [BMI] 31.0-31.9, adult Body mass index (BMI) 31.0-31.9, adult Z6832 2020-10-01 Body mass index [BMI] 32.0-32.9, adult Body mass index (BMI) 32.0-32.9, adult Z6833 2020-10-01 Body mass index [BMI] 33.0-33.9, adult Body mass index (BMI) 33.0-33.9, adult Z6834 2020-10-01 Body mass index [BMI] 34.0-34.9, adult Body mass index (BMI) 34.0-34.9, adult Z6835 2020-10-01 Body mass index [BMI] 35.0-35.9, adult Body mass index (BMI) 35.0-35.9, adult Z6836 2020-10-01 Body mass index [BMI] 36.0-36.9, adult Body mass index (BMI) 36.0-36.9, adult Z6837 2020-10-01 Body mass index [BMI] 37.0-37.9, adult Body mass index (BMI) 37.0-37.9, adult Z6838 2020-10-01 Body mass index [BMI] 38.0-38.9, adult Body mass index (BMI) 38.0-38.9, adult Z6839 2020-10-01 Body mass index [BMI] 39.0-39.9, adult Body mass index (BMI) 39.0-39.9, adult Z6841 2020-10-01 Body mass index [BMI] 40.0-44.9, adult Body mass index (BMI) 40.0-44.9, adult Z6842 2020-10-01 Body mass index [BMI] 45.0-49.9, adult Body mass index (BMI) 45.0-49.9, adult Z6843 2020-10-01 Body mass index [BMI] 50-59.9, adult Body mass index (BMI) 50.0-59.9, adult Z6844 2020-10-01 Body mass index [BMI] 60.0-69.9, adult Body mass index (BMI) 60.0-69.9, adult Z6845 2020-10-01 Body mass index [BMI] 70 or greater, adult Body mass index (BMI) 70 or greater, adult Z6851 2020-10-01 Body mass index pediatric, less than 5th percentile for age BMI pediatric, less than 5th percentile for age Z6852 2020-10-01 Body mass index pediatric, 5th percentile to < 85% for age BMI pediatric, 5th percentile to less than 85% for age Z6853 2020-10-01 Body mass index pediatric, 85% to < 95th+percentile for age BMI pediatric, 85% to less than 95th percentile for age Z6854 2020-10-01 Body mass index pediatric, > or equal to 95% for age BMI pediatric, greater than or equal to 95% for age Z881 2020-10-01 Allergy status to other antibiotic agents Allergy status to other antibiotic agents status Z882 2020-10-01 Allergy status to sulfonamides Allergy status to sulfonamides status Z883 2020-10-01 Allergy status to other anti-infective agents Allergy status to other anti-infective agents status Z884 2020-10-01 Allergy status to anesthetic agent Allergy status to anesthetic agent status Z885 2020-10-01 Allergy status to narcotic agent Allergy status to narcotic agent status Z886 2020-10-01 Allergy status to analgesic agent Allergy status to analgesic agent status Z887 2020-10-01 Allergy status to serum and vaccine Allergy status to serum and vaccine status Z888 2020-10-01 Allergy status to other drug/meds/biol subst Allergy status to oth drug/meds/biol subst status Z889 2020-10-01 Allergy status to unspecified drug/meds/biol subst Allergy status to unsp drug/meds/biol subst status

Page 12 of 96 Final Summary of Data Changes V21.3

Adult Only Diagnosis Additions

The following ICD-10 code(s) were added to the list of adult only diagnoses. Adult Only Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* M800AXA 2020-10-01 Age-rel osteopor with current path fx, other site, init N M800AXD 2020-10-01 Age-rel osteopor with current path fx, other site, 7thD N M800AXG 2020-10-01 Age-rel osteopor with current path fx, other site, 7thG N M800AXK 2020-10-01 Age-rel osteopor with current path fx, other site, 7thK N M800AXP 2020-10-01 Age-rel osteopor with current path fx, other site, 7thP N M800AXS 2020-10-01 Age-rel osteopor with current path fx, other site, sequela N

Page 13 of 96 Final Summary of Data Changes V21.3

Maternity Diagnosis Additions

The following ICD-10 code(s) were added to the list of maternity diagnoses. Maternity Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* O34218 2020-10-01 Maternal care for other type scar from previous cesarean del N O3422 2020-10-01 Maternal care for cesarean scar defect (isthmocele) N O99891 2020-10-01 Oth diseases and conditions complicating pregnancy N O99892 2020-10-01 Oth diseases and conditions complicating childbirth N O99893 2020-10-01 Oth diseases and conditions complicating puerperium N

Page 14 of 96 Final Summary of Data Changes V21.3

Maternity Diagnosis Removals

The following ICD-10 code(s) were removed from the list of maternity diagnoses. Maternity Diagnosis Removals Reason Key: R=Removed From List, D=Code Terminated Diagnosis Eff Date Description R* O9989 2020-10-01 Oth diseases and conditions compl preg/chldbrth D

Page 15 of 96 Final Summary of Data Changes V21.3

External Cause Of Injury Additions

The following ICD-10 code(s) were added to the External Cause of Injury Diagnosis list. External Cause Of Injury Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* V00031A 2020-10-01 Ped on foot inj clsn with rider of stnd electr scoot, init N V00031D 2020-10-01 Ped on foot inj clsn with rider of stnd electr scoot, subs N V00031S 2020-10-01 Ped on foot inj clsn with rider of stnd electr scoot, sqla N V00038A 2020-10-01 Ped on foot inj clsn with rider of stnd micr-mob conv, init N V00038D 2020-10-01 Ped on foot inj clsn with rider of stnd micr-mob conv, subs N V00038S 2020-10-01 Ped on foot inj clsn with rider of stnd micr-mob conv, sqla N V00841A 2020-10-01 Fall from standing electric scooter, initial encounter N V00841D 2020-10-01 Fall from standing electric scooter, subsequent encounter N V00841S 2020-10-01 Fall from standing electric scooter, sequela N V00842A 2020-10-01 Ped on stnd electr scoot colliding with statnry obj, init N V00842D 2020-10-01 Ped on stnd electr scoot colliding with statnry obj, subs N V00842S 2020-10-01 Ped on stnd electr scoot colliding with statnry obj, sequela N V00848A 2020-10-01 Other accident with stnd micr-mob conv, initial encounter N V00848D 2020-10-01 Other accident with stnd micr-mob conv, subsequent encounter N V00848S 2020-10-01 Other accident with stnd micr-mob conv, sequela N V01031A 2020-10-01 Ped stnd electr scoot inj clsn with pedl cyc nontraf, init N V01031D 2020-10-01 Ped stnd electr scoot inj clsn with pedl cyc nontraf, subs N V01031S 2020-10-01 Ped stnd electr scoot inj clsn with pedl cyc nontraf, sqla N V01038A 2020-10-01 Ped oth stnd micr-mob conv inj clsn w pedl cyc nontraf, init N V01038D 2020-10-01 Ped oth stnd micr-mob conv inj clsn w pedl cyc nontraf, subs N V01038S 2020-10-01 Ped oth stnd micr-mob conv inj clsn w pedl cyc nontraf, sqla N V01131A 2020-10-01 Ped stnd electr scoot inj clsn with pedl cyc in traf, init N V01131D 2020-10-01 Ped stnd electr scoot inj clsn with pedl cyc in traf, subs N V01131S 2020-10-01 Ped stnd electr scoot inj clsn with pedl cyc in traf, sqla N V01138A 2020-10-01 Ped oth stnd micr-mob conv inj clsn w pedl cyc in traf, init N V01138D 2020-10-01 Ped oth stnd micr-mob conv inj clsn w pedl cyc in traf, subs N V01138S 2020-10-01 Ped oth stnd micr-mob conv inj clsn w pedl cyc in traf, sqla N V01931A 2020-10-01 Ped on stnd electr scoot inj clsn with pedl cyc, unsp, init N V01931D 2020-10-01 Ped on stnd electr scoot inj clsn with pedl cyc, unsp, subs N V01931S 2020-10-01 Ped on stnd electr scoot inj clsn with pedl cyc, unsp, sqla N V01938A 2020-10-01 Ped oth stnd micr-mob conv inj clsn w pedl cyc, unsp, init N V01938D 2020-10-01 Ped oth stnd micr-mob conv inj clsn w pedl cyc, unsp, subs N V01938S 2020-10-01 Ped oth stnd micr-mob conv inj clsn w pedl cyc, unsp, sqla N V02031A 2020-10-01 Ped on stnd electr scoot inj in clsn 2/3whl nontraf, init N V02031D 2020-10-01 Ped on stnd electr scoot inj in clsn 2/3whl nontraf, subs N V02031S 2020-10-01 Ped on stnd electr scoot inj in clsn 2/3whl nontraf, sequela N V02038A 2020-10-01 Ped other stnd micr-mob conv inj clsn 2/3whl nontraf, init N V02038D 2020-10-01 Ped other stnd micr-mob conv inj clsn 2/3whl nontraf, subs N V02038S 2020-10-01 Ped other stnd micr-mob conv inj clsn 2/3whl nontraf, sqla N V02131A 2020-10-01 Ped on stnd electr scoot inj in clsn 2/3whl in traf, init N V02131D 2020-10-01 Ped on stnd electr scoot inj in clsn 2/3whl in traf, subs N V02131S 2020-10-01 Ped on stnd electr scoot inj in clsn 2/3whl in traf, sequela N V02138A 2020-10-01 Ped other stnd micr-mob conv inj clsn 2/3whl in traf, init N V02138D 2020-10-01 Ped other stnd micr-mob conv inj clsn 2/3whl in traf, subs N V02138S 2020-10-01 Ped other stnd micr-mob conv inj clsn 2/3whl in traf, sqla N V02931A 2020-10-01 Ped on stnd electr scoot injured in clsn 2/3whl, unsp, init N V02931D 2020-10-01 Ped on stnd electr scoot injured in clsn 2/3whl, unsp, subs N V02931S 2020-10-01 Ped on stnd electr scoot inj in clsn 2/3whl, unsp, sequela N V02938A 2020-10-01 Ped on other stnd micr-mob conv inj clsn 2/3whl, unsp, init N V02938D 2020-10-01 Ped on other stnd micr-mob conv inj clsn 2/3whl, unsp, subs N V02938S 2020-10-01 Ped on other stnd micr-mob conv inj clsn 2/3whl, unsp, sqla N V03031A 2020-10-01 Ped on stnd electr scoot inj in w/car/trk/van nontraf, init N V03031D 2020-10-01 Ped on stnd electr scoot inj in w/car/trk/van nontraf, subs N V03031S 2020-10-01 Ped on stnd electr scoot inj in w/car/trk/van nontraf, sqla N V03038A 2020-10-01 Ped other stnd micr-mob conv inj w/car/trk/van nontraf, init N V03038D 2020-10-01 Ped other stnd micr-mob conv inj w/car/trk/van nontraf, subs N V03038S 2020-10-01 Ped other stnd micr-mob conv inj w/car/trk/van nontraf, sqla N V03131A 2020-10-01 Ped on stnd electr scoot inj in w/car/trk/van in traf, init N V03131D 2020-10-01 Ped on stnd electr scoot inj in w/car/trk/van in traf, subs N V03131S 2020-10-01 Ped on stnd electr scoot inj in w/car/trk/van in traf, sqla N V03138A 2020-10-01 Ped other stnd micr-mob conv inj w/car/trk/van in traf, init N V03138D 2020-10-01 Ped other stnd micr-mob conv inj w/car/trk/van in traf, subs N V03138S 2020-10-01 Ped other stnd micr-mob conv inj w/car/trk/van in traf, sqla N V03931A 2020-10-01 Ped on stnd electr scoot inj in w/car/trk/van, unsp, init N V03931D 2020-10-01 Ped on stnd electr scoot inj in w/car/trk/van, unsp, subs N V03931S 2020-10-01 Ped on stnd electr scoot inj in w/car/trk/van, unsp, sequela N V03938A 2020-10-01 Ped other stnd micr-mob conv inj w/car/trk/van, unsp, init N V03938D 2020-10-01 Ped other stnd micr-mob conv inj w/car/trk/van, unsp, subs N V03938S 2020-10-01 Ped other stnd micr-mob conv inj w/car/trk/van, unsp, sqla N V04031A 2020-10-01 Ped on stnd electr scoot inj clsn with hv veh nontraf, init N V04031D 2020-10-01 Ped on stnd electr scoot inj clsn with hv veh nontraf, subs N V04031S 2020-10-01 Ped on stnd electr scoot inj clsn with hv veh nontraf, sqla N

Page 16 of 96 Final Summary of Data Changes V21.3 External Cause Of Injury Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* V04038A 2020-10-01 Ped oth stnd micr-mob conv inj clsn w hv veh nontraf, init N V04038D 2020-10-01 Ped oth stnd micr-mob conv inj clsn w hv veh nontraf, subs N V04038S 2020-10-01 Ped oth stnd micr-mob conv inj clsn w hv veh nontraf, sqla N V04131A 2020-10-01 Ped on stnd electr scoot inj clsn with hv veh in traf, init N V04131D 2020-10-01 Ped on stnd electr scoot inj clsn with hv veh in traf, subs N V04131S 2020-10-01 Ped on stnd electr scoot inj clsn with hv veh in traf, sqla N V04138A 2020-10-01 Ped oth stnd micr-mob conv inj clsn w hv veh in traf, init N V04138D 2020-10-01 Ped oth stnd micr-mob conv inj clsn w hv veh in traf, subs N V04138S 2020-10-01 Ped oth stnd micr-mob conv inj clsn w hv veh in traf, sqla N V04931A 2020-10-01 Ped on stnd electr scoot inj in clsn with hv veh, unsp, init N V04931D 2020-10-01 Ped on stnd electr scoot inj in clsn with hv veh, unsp, subs N V04931S 2020-10-01 Ped on stnd electr scoot inj in clsn with hv veh, unsp, sqla N V04938A 2020-10-01 Ped oth stnd micr-mob conv inj clsn with hv veh, unsp, init N V04938D 2020-10-01 Ped oth stnd micr-mob conv inj clsn with hv veh, unsp, subs N V04938S 2020-10-01 Ped oth stnd micr-mob conv inj clsn with hv veh, unsp, sqla N V05031A 2020-10-01 Ped on stnd electr scoot inj in clsn train/veh nontraf, init N V05031D 2020-10-01 Ped on stnd electr scoot inj in clsn train/veh nontraf, subs N V05031S 2020-10-01 Ped on stnd electr scoot inj in clsn train/veh nontraf, sqla N V05038A 2020-10-01 Ped oth stnd micr-mob conv inj clsn train/veh nontraf, init N V05038D 2020-10-01 Ped oth stnd micr-mob conv inj clsn train/veh nontraf, subs N V05038S 2020-10-01 Ped oth stnd micr-mob conv inj clsn train/veh nontraf, sqla N V05131A 2020-10-01 Ped on stnd electr scoot inj in clsn train/veh in traf, init N V05131D 2020-10-01 Ped on stnd electr scoot inj in clsn train/veh in traf, subs N V05131S 2020-10-01 Ped on stnd electr scoot inj in clsn train/veh in traf, sqla N V05138A 2020-10-01 Ped oth stnd micr-mob conv inj clsn train/veh in traf, init N V05138D 2020-10-01 Ped oth stnd micr-mob conv inj clsn train/veh in traf, subs N V05138S 2020-10-01 Ped oth stnd micr-mob conv inj clsn train/veh in traf, sqla N V05931A 2020-10-01 Ped on stnd electr scoot inj in clsn train/veh, unsp, init N V05931D 2020-10-01 Ped on stnd electr scoot inj in clsn train/veh, unsp, subs N V05931S 2020-10-01 Ped on stnd electr scoot inj in clsn train/veh, unsp, sqla N V05938A 2020-10-01 Ped other stnd micr-mob conv inj clsn train/veh, unsp, init N V05938D 2020-10-01 Ped other stnd micr-mob conv inj clsn train/veh, unsp, subs N V05938S 2020-10-01 Ped other stnd micr-mob conv inj clsn train/veh, unsp, sqla N V06031A 2020-10-01 Ped on stnd electr scoot inj clsn oth non-mv nontraf, init N V06031D 2020-10-01 Ped on stnd electr scoot inj clsn oth non-mv nontraf, subs N V06031S 2020-10-01 Ped on stnd electr scoot inj clsn oth non-mv nontraf, sqla N V06038A 2020-10-01 Ped oth stnd micr-mob conv inj clsn oth non-mv nontraf, init N V06038D 2020-10-01 Ped oth stnd micr-mob conv inj clsn oth non-mv nontraf, subs N V06038S 2020-10-01 Ped oth stnd micr-mob conv inj clsn oth non-mv nontraf, sqla N V06131A 2020-10-01 Ped on stnd electr scoot inj clsn oth non-mv in traf, init N V06131D 2020-10-01 Ped on stnd electr scoot inj clsn oth non-mv in traf, subs N V06131S 2020-10-01 Ped on stnd electr scoot inj clsn oth non-mv in traf, sqla N V06138A 2020-10-01 Ped oth stnd micr-mob conv inj clsn oth non-mv in traf, init N V06138D 2020-10-01 Ped oth stnd micr-mob conv inj clsn oth non-mv in traf, subs N V06138S 2020-10-01 Ped oth stnd micr-mob conv inj clsn oth non-mv in traf, sqla N V06931A 2020-10-01 Ped on stnd electr scoot inj in clsn oth non-mv, unsp, init N V06931D 2020-10-01 Ped on stnd electr scoot inj in clsn oth non-mv, unsp, subs N V06931S 2020-10-01 Ped on stnd electr scoot inj in clsn oth non-mv, unsp, sqla N V06938A 2020-10-01 Ped other stnd micr-mob conv inj clsn oth non-mv, unsp, init N V06938D 2020-10-01 Ped other stnd micr-mob conv inj clsn oth non-mv, unsp, subs N V06938S 2020-10-01 Ped other stnd micr-mob conv inj clsn oth non-mv, unsp, sqla N Y7711 2020-10-01 Contact lens associated with adverse incidents N Y7719 2020-10-01 Other therapeutic and rehab ophthalmic devices assoc w incdt N

Page 17 of 96 Final Summary of Data Changes V21.3

External Cause Of Injury Removals

The following ICD-10 code(s) were removed from the External Cause of Injury Diagnosislist. External Cause Of Injury Removals Reason Key: R=Removed From List, D=Code Terminated Diagnosis Eff Date Description R* Y771 2020-10-01 Therapeutic and rehab ophthalmic devices assoc w incdt D

Page 18 of 96 Final Summary of Data Changes V21.3

Female Only Diagnosis Additions

The following ICD-10 code(s) were added to the Female Only Diagnosis list. Female Only Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* O34218 2020-10-01 Maternal care for other type scar from previous cesarean del N O3422 2020-10-01 Maternal care for cesarean scar defect (isthmocele) N O99891 2020-10-01 Oth diseases and conditions complicating pregnancy N O99892 2020-10-01 Oth diseases and conditions complicating childbirth N O99893 2020-10-01 Oth diseases and conditions complicating puerperium N

Page 19 of 96 Final Summary of Data Changes V21.3

Female Only Diagnosis Removals

The following ICD-10 code(s) were removed from the Female Only Diagnosis list. Female Only Diagnosis Removals Reason Key: R=Removed From List, D=Code Terminated Diagnosis Eff Date Description R* O9989 2020-10-01 Oth diseases and conditions compl preg/chldbrth D Q5120 2020-10-01 Other doubling of uterus, unspecified D

Page 20 of 96 Final Summary of Data Changes V21.3

Manifestation Additions

The following ICD-10 code(s) were added to the Manifestation Diagnosis list. Manifestation Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* D7218 2020-10-01 Eosinophilia in diseases classified elsewhere N D8481 2020-10-01 Immunodeficiency due to conditions classified elsewhere N J84170 2020-10-01 Interstit lung dis w progr fibrotic phenotype dis classd e N J84178 2020-10-01 Oth interstit pulmon dis with fibrosis in dis classd elswhr N

Page 21 of 96 Final Summary of Data Changes V21.3

Manifestation Removals

The following ICD-10 code(s) were removed from the Manifestation Diagnosis list. Manifestation Removals Reason Key: R=Removed From List, D=Code Terminated Diagnosis Eff Date Description R* J8417 2020-10-01 Oth interstit pulmon dis w fibrosis in dis classd elswhr D

Page 22 of 96 Final Summary of Data Changes V21.3

Mental Health Additions

The following ICD-10 code(s) were added to the Mental Health Diagnosis list. Mental Health Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* F10130 2020-10-01 Alcohol abuse with withdrawal, uncomplicated N F10131 2020-10-01 Alcohol abuse with withdrawal delirium N F10132 2020-10-01 Alcohol abuse with withdrawal with perceptual disturbance N F10139 2020-10-01 Alcohol abuse with withdrawal, unspecified N F10930 2020-10-01 Alcohol use, unspecified with withdrawal, uncomplicated N F10931 2020-10-01 Alcohol use, unspecified with withdrawal delirium N F10932 2020-10-01 Alcohol use, unspecified with w/drawal w perceptual disturb N F10939 2020-10-01 Alcohol use, unspecified with withdrawal, unspecified N F1113 2020-10-01 Opioid abuse with withdrawal N F1213 2020-10-01 Cannabis abuse with withdrawal N F13130 2020-10-01 Sedatv/hyp/anxiolytc abuse with withdrawal, uncomplicated N F13131 2020-10-01 Sedatv/hyp/anxiolytc abuse with withdrawal delirium N F13132 2020-10-01 Sedatv/hyp/anxiolytc abuse with w/drawal w perceptl disturb N F13139 2020-10-01 Sedatv/hyp/anxiolytc abuse with withdrawal, unspecified N F1413 2020-10-01 Cocaine abuse, unspecified with withdrawal N F1493 2020-10-01 Cocaine use, unspecified with withdrawal N F1513 2020-10-01 Other stimulant abuse with withdrawal N F19130 2020-10-01 Other psychoactive substance abuse with withdrawal, uncomp N F19131 2020-10-01 Other psychoactive substance abuse with withdrawal delirium N F19132 2020-10-01 Other psychoactv sub abuse with w/drawal w perceptl disturb N F19139 2020-10-01 Other psychoactv substance abuse with withdrawal, unsp N

Page 23 of 96 Final Summary of Data Changes V21.3

Code First Diagnosis Additions

The following ICD-10 code(s) were added to the Code First Diagnosis list applicable for Mental Health claims processing. Code First Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* T40412A 2020-10-01 Poisoning by fentanyl or fentanyl analogs, self-harm, init N T40412D 2020-10-01 Poisoning by fentanyl or fentanyl analogs, self-harm, subs N T40412S 2020-10-01 Poisn by fentanyl or fentanyl analogs, self-harm, sequela N T40413A 2020-10-01 Poisoning by fentanyl or fentanyl analogs, assault, init N T40413D 2020-10-01 Poisoning by fentanyl or fentanyl analogs, assault, subs N T40413S 2020-10-01 Poisoning by fentanyl or fentanyl analogs, assault, sequela N T40414A 2020-10-01 Poisoning by fentanyl or fentanyl analogs, undet, init N T40414D 2020-10-01 Poisoning by fentanyl or fentanyl analogs, undet, subs N T40414S 2020-10-01 Poisoning by fentanyl or fentanyl analogs, undet, sequela N T40422A 2020-10-01 Poisoning by tramadol, self-harm, initial encounter N T40422D 2020-10-01 Poisoning by tramadol, self-harm, subsequent encounter N T40422S 2020-10-01 Poisoning by tramadol, intentional self-harm, sequela N T40423A 2020-10-01 Poisoning by tramadol, assault, initial encounter N T40423D 2020-10-01 Poisoning by tramadol, assault, subsequent encounter N T40423S 2020-10-01 Poisoning by tramadol, assault, sequela N T40424A 2020-10-01 Poisoning by tramadol, undetermined, initial encounter N T40424D 2020-10-01 Poisoning by tramadol, undetermined, subsequent encounter N T40424S 2020-10-01 Poisoning by tramadol, undetermined, sequela N T40492A 2020-10-01 Poisoning by other synthetic narcotics, self-harm, init N T40492D 2020-10-01 Poisoning by other synthetic narcotics, self-harm, subs N T40492S 2020-10-01 Poisoning by other synthetic narcotics, self-harm, sequela N T40493A 2020-10-01 Poisoning by other synthetic narcotics, assault, init N T40493D 2020-10-01 Poisoning by other synthetic narcotics, assault, subs N T40493S 2020-10-01 Poisoning by other synthetic narcotics, assault, sequela N T40494A 2020-10-01 Poisoning by other synthetic narcotics, undetermined, init N T40494D 2020-10-01 Poisoning by other synthetic narcotics, undetermined, subs N T40494S 2020-10-01 Poisoning by other synthetic narcotics, undet, sequela N

Page 24 of 96 Final Summary of Data Changes V21.3

Unacceptable Principal Diagnosis Additions

The following ICD-10 code(s) were added to the Unacceptable Principal Diagnosis list. Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* B950 2019-10-01 Streptococcus, group A, causing diseases classd elswhr A B951 2019-10-01 Streptococcus, group B, causing diseases classd elswhr A B952 2019-10-01 Enterococcus as the cause of diseases classified elsewhere A B953 2019-10-01 Streptococcus pneumoniae causing diseases classd elswhr A B954 2019-10-01 Oth streptococcus as the cause of diseases classd elswhr A B955 2019-10-01 Unsp streptococcus as the cause of diseases classd elswhr A B9561 2019-10-01 Methicillin suscep staph infct causing dis classd elswhr A B9562 2019-10-01 Methicillin resis staph infct causing diseases classd elswhr A B957 2019-10-01 Oth staphylococcus as the cause of diseases classd elswhr A B958 2019-10-01 Unsp staphylococcus as the cause of diseases classd elswhr A B960 2019-10-01 Mycoplasma pneumoniae as the cause of diseases classd elswhr A B961 2019-10-01 Klebsiella pneumoniae as the cause of diseases classd elswhr A B9620 2019-10-01 Unsp Escherichia coli as the cause of diseases classd elswhr A B9621 2019-10-01 Shig tox E coli [STEC] O157 causing diseases classd elswhr A B9622 2019-10-01 Oth shiga toxin E coli [STEC] causing diseases classd elswhr A B9623 2019-10-01 Unsp shig tox E coli [STEC] causing diseases classd elswhr A B9629 2019-10-01 Oth Escherichia coli as the cause of diseases classd elswhr A B963 2019-10-01 Hemophilus influenzae as the cause of diseases classd elswhr A B964 2019-10-01 Proteus (mirabilis) (morganii) causing dis classd elswhr A B965 2019-10-01 Pseudomonas (mallei) causing diseases classd elswhr A B966 2019-10-01 Bacteroides fragilis as the cause of diseases classd elswhr A B967 2019-10-01 Clostridium perfringens causing diseases classd elswhr A B9681 2019-10-01 Helicobacter pylori as the cause of diseases classd elswhr A B9682 2019-10-01 Vibrio vulnificus as the cause of diseases classd elswhr A B9689 2019-10-01 Oth bacterial agents as the cause of diseases classd elswhr A B970 2019-10-01 Adenovirus as the cause of diseases classified elsewhere A B9710 2019-10-01 Unsp enterovirus as the cause of diseases classd elswhr A B9711 2019-10-01 Coxsackievirus as the cause of diseases classified elsewhere A B9712 2019-10-01 Echovirus as the cause of diseases classified elsewhere A B9719 2019-10-01 Oth enterovirus as the cause of diseases classd elswhr A B9721 2019-10-01 SARS-associated coronavirus causing diseases classd elswhr A B9729 2019-10-01 Oth coronavirus as the cause of diseases classd elswhr A B9730 2019-10-01 Unsp retrovirus as the cause of diseases classd elswhr A B9731 2019-10-01 Lentivirus as the cause of diseases classified elsewhere A B9732 2019-10-01 Oncovirus as the cause of diseases classified elsewhere A B9733 2019-10-01 HTLV-I as the cause of diseases classified elsewhere A B9734 2019-10-01 HTLV-II as the cause of diseases classified elsewhere A B9735 2019-10-01 HIV 2 as the cause of diseases classified elsewhere A B9739 2019-10-01 Oth retrovirus as the cause of diseases classified elsewhere A B974 2019-10-01 Respiratory syncytial virus causing diseases classd elswhr A B975 2019-10-01 Reovirus as the cause of diseases classified elsewhere A B976 2019-10-01 Parvovirus as the cause of diseases classified elsewhere A B977 2019-10-01 Papillomavirus as the cause of diseases classified elsewhere A B9781 2019-10-01 Human metapneumovirus as the cause of diseases classd elswhr A B9789 2019-10-01 Oth viral agents as the cause of diseases classd elswhr A C802 2019-10-01 Malignant neoplasm associated with transplanted organ A D47Z1 2019-10-01 Post-transplant lymphoproliferative disorder (PTLD) A D89810 2019-10-01 Acute graft-versus-host disease A D89811 2019-10-01 Chronic graft-versus-host disease A D89812 2019-10-01 Acute on chronic graft-versus-host disease A D89813 2019-10-01 Graft-versus-host disease, unspecified A D89831 2020-10-01 Cytokine release syndrome, grade 1 N D89832 2020-10-01 Cytokine release syndrome, grade 2 N D89833 2020-10-01 Cytokine release syndrome, grade 3 N D89834 2020-10-01 Cytokine release syndrome, grade 4 N D89835 2020-10-01 Cytokine release syndrome, grade 5 N D89839 2020-10-01 Cytokine release syndrome, grade unspecified N F0789 2019-10-01 Oth personality & behavrl disord due to known physiol cond A F17200 2019-10-01 Nicotine dependence, unspecified, uncomplicated A F17201 2019-10-01 Nicotine dependence, unspecified, in remission A F17210 2019-10-01 Nicotine dependence, cigarettes, uncomplicated A F17211 2019-10-01 Nicotine dependence, cigarettes, in remission A F17220 2019-10-01 Nicotine dependence, chewing tobacco, uncomplicated A F17221 2019-10-01 Nicotine dependence, chewing tobacco, in remission A F17290 2019-10-01 Nicotine dependence, other tobacco product, uncomplicated A F17291 2019-10-01 Nicotine dependence, other tobacco product, in remission A F529 2019-10-01 Unsp sexual dysfnct not due to a sub or known physiol cond A F819 2019-10-01 Developmental disorder of scholastic skills, unspecified A G731 2019-10-01 Lambert-Eaton syndrome in neoplastic disease A H168 2019-10-01 Other keratitis A H401210 2019-10-01 Low-tension glaucoma, right eye, stage unspecified A H401211 2019-10-01 Low-tension glaucoma, right eye, mild stage A

Page 25 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* H401212 2019-10-01 Low-tension glaucoma, right eye, moderate stage A H401213 2019-10-01 Low-tension glaucoma, right eye, severe stage A H401214 2019-10-01 Low-tension glaucoma, right eye, indeterminate stage A H401220 2019-10-01 Low-tension glaucoma, left eye, stage unspecified A H401221 2019-10-01 Low-tension glaucoma, left eye, mild stage A H401222 2019-10-01 Low-tension glaucoma, left eye, moderate stage A H401223 2019-10-01 Low-tension glaucoma, left eye, severe stage A H401224 2019-10-01 Low-tension glaucoma, left eye, indeterminate stage A H401230 2019-10-01 Low-tension glaucoma, bilateral, stage unspecified A H401231 2019-10-01 Low-tension glaucoma, bilateral, mild stage A H401232 2019-10-01 Low-tension glaucoma, bilateral, moderate stage A H401233 2019-10-01 Low-tension glaucoma, bilateral, severe stage A H401234 2019-10-01 Low-tension glaucoma, bilateral, indeterminate stage A H401290 2019-10-01 Low-tension glaucoma, unspecified eye, stage unspecified A H401291 2019-10-01 Low-tension glaucoma, unspecified eye, mild stage A H401292 2019-10-01 Low-tension glaucoma, unspecified eye, moderate stage A H401293 2019-10-01 Low-tension glaucoma, unspecified eye, severe stage A H401294 2019-10-01 Low-tension glaucoma, unspecified eye, indeterminate stage A H401310 2019-10-01 Pigmentary glaucoma, right eye, stage unspecified A H401311 2019-10-01 Pigmentary glaucoma, right eye, mild stage A H401312 2019-10-01 Pigmentary glaucoma, right eye, moderate stage A H401313 2019-10-01 Pigmentary glaucoma, right eye, severe stage A H401314 2019-10-01 Pigmentary glaucoma, right eye, indeterminate stage A H401320 2019-10-01 Pigmentary glaucoma, left eye, stage unspecified A H401321 2019-10-01 Pigmentary glaucoma, left eye, mild stage A H401322 2019-10-01 Pigmentary glaucoma, left eye, moderate stage A H401323 2019-10-01 Pigmentary glaucoma, left eye, severe stage A H401324 2019-10-01 Pigmentary glaucoma, left eye, indeterminate stage A H401330 2019-10-01 Pigmentary glaucoma, bilateral, stage unspecified A H401331 2019-10-01 Pigmentary glaucoma, bilateral, mild stage A H401332 2019-10-01 Pigmentary glaucoma, bilateral, moderate stage A H401333 2019-10-01 Pigmentary glaucoma, bilateral, severe stage A H401334 2019-10-01 Pigmentary glaucoma, bilateral, indeterminate stage A H401390 2019-10-01 Pigmentary glaucoma, unspecified eye, stage unspecified A H401391 2019-10-01 Pigmentary glaucoma, unspecified eye, mild stage A H401392 2019-10-01 Pigmentary glaucoma, unspecified eye, moderate stage A H401393 2019-10-01 Pigmentary glaucoma, unspecified eye, severe stage A H401394 2019-10-01 Pigmentary glaucoma, unspecified eye, indeterminate stage A H40151 2019-10-01 Residual stage of open-angle glaucoma, right eye A H40152 2019-10-01 Residual stage of open-angle glaucoma, left eye A H40153 2019-10-01 Residual stage of open-angle glaucoma, bilateral A H40159 2019-10-01 Residual stage of open-angle glaucoma, unspecified eye A H547 2019-10-01 Unspecified visual loss A H579 2019-10-01 Unspecified disorder of eye and adnexa A H9390 2019-10-01 Unspecified disorder of ear, unspecified ear A H9391 2019-10-01 Unspecified disorder of right ear A H9392 2019-10-01 Unspecified disorder of left ear A H9393 2019-10-01 Unspecified disorder of ear, bilateral A I2582 2019-10-01 Chronic total occlusion of coronary artery A I2583 2019-10-01 Coronary atherosclerosis due to lipid rich plaque A I2584 2019-10-01 Coronary atherosclerosis due to calcified coronary lesion A I2601 2019-10-01 Septic pulmonary embolism with acute cor pulmonale A I2690 2019-10-01 Septic pulmonary embolism without acute cor pulmonale A I314 2019-10-01 Cardiac tamponade A I462 2019-10-01 Cardiac arrest due to underlying cardiac condition A I468 2019-10-01 Cardiac arrest due to other underlying condition A I7092 2019-10-01 Chronic total occlusion of artery of the extremities A I76 2019-10-01 Septic arterial embolism A J9312 2019-10-01 Secondary spontaneous pneumothorax A K7400 2020-10-01 Hepatic fibrosis, unspecified N K7401 2020-10-01 Hepatic fibrosis, early fibrosis N K7402 2020-10-01 Hepatic fibrosis, advanced fibrosis N K7681 2019-10-01 Hepatopulmonary syndrome A L490 2019-10-01 Exfoliatn due to erythemat cond w < 10 pct of body surface A L491 2019-10-01 Exfoliatn due to erythemat cond w 10-19 pct of body surface A L492 2019-10-01 Exfoliatn due to erythemat cond w 20-29 pct of body surface A L493 2019-10-01 Exfoliatn due to erythemat cond w 30-39 pct of body surface A L494 2019-10-01 Exfoliatn due to erythemat cond w 40-49 pct of body surface A L495 2019-10-01 Exfoliatn due to erythemat cond w 50-59 pct of body surface A L496 2019-10-01 Exfoliatn due to erythemat cond w 60-69 pct of body surface A L497 2019-10-01 Exfoliatn due to erythemat cond w 70-79 pct of body surface A L498 2019-10-01 Exfoliatn due to erythemat cond w 80-89 pct of body surface A L499 2019-10-01 Exfoliatn d/t erythemat cond w 90 or more pct of body surfc A N641 2019-10-01 Fat necrosis of breast A O0900 2019-10-01 Suprvsn of preg w history of infertility, unsp trimester A O0901 2019-10-01 Suprvsn of preg w history of infertility, first trimester A O0902 2019-10-01 Suprvsn of preg w history of infertility, second trimester A

Page 26 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* O0903 2019-10-01 Suprvsn of preg w history of infertility, third trimester A O0910 2019-10-01 Suprvsn of preg with history of ectopic preg, unsp trimester A O0911 2019-10-01 Suprvsn of preg with history of ectopic preg, first tri A O0912 2019-10-01 Suprvsn of preg with history of ectopic preg, second tri A O0913 2019-10-01 Suprvsn of preg with history of ectopic preg, third tri A O09211 2019-10-01 Suprvsn of preg w history of pre-term labor, first trimester A O09212 2019-10-01 Suprvsn of preg w history of pre-term labor, second tri A O09213 2019-10-01 Suprvsn of preg w history of pre-term labor, third trimester A O09219 2019-10-01 Suprvsn of preg w history of pre-term labor, unsp trimester A O09291 2019-10-01 Suprvsn of preg w poor reprodctv or obstet hx, first tri A O09292 2019-10-01 Suprvsn of preg w poor reprodctv or obstet hx, second tri A O09293 2019-10-01 Suprvsn of preg w poor reprodctv or obstet hx, third tri A O09299 2019-10-01 Suprvsn of preg w poor reprodctv or obstet history, unsp tri A O0930 2019-10-01 Suprvsn of preg w insufficient antenat care, unsp trimester A O0931 2019-10-01 Suprvsn of preg w insufficient antenat care, first trimester A O0932 2019-10-01 Suprvsn of preg w insufficient antenat care, second tri A O0933 2019-10-01 Suprvsn of preg w insufficient antenat care, third trimester A O0940 2019-10-01 Supervision of pregnancy w grand multiparity, unsp trimester A O0941 2019-10-01 Suprvsn of pregnancy w grand multiparity, first trimester A O0942 2019-10-01 Suprvsn of pregnancy w grand multiparity, second trimester A O0943 2019-10-01 Suprvsn of pregnancy w grand multiparity, third trimester A O09511 2019-10-01 Supervision of elderly primigravida, first trimester A O09512 2019-10-01 Supervision of elderly primigravida, second trimester A O09513 2019-10-01 Supervision of elderly primigravida, third trimester A O09519 2019-10-01 Supervision of elderly primigravida, unspecified trimester A O09521 2019-10-01 Supervision of elderly multigravida, first trimester A O09522 2019-10-01 Supervision of elderly multigravida, second trimester A O09523 2019-10-01 Supervision of elderly multigravida, third trimester A O09529 2019-10-01 Supervision of elderly multigravida, unspecified trimester A O09611 2019-10-01 Supervision of young primigravida, first trimester A O09612 2019-10-01 Supervision of young primigravida, second trimester A O09613 2019-10-01 Supervision of young primigravida, third trimester A O09619 2019-10-01 Supervision of young primigravida, unspecified trimester A O09621 2019-10-01 Supervision of young multigravida, first trimester A O09622 2019-10-01 Supervision of young multigravida, second trimester A O09623 2019-10-01 Supervision of young multigravida, third trimester A O09629 2019-10-01 Supervision of young multigravida, unspecified trimester A O0970 2019-10-01 Suprvsn of high risk preg due to social problems, unsp tri A O0971 2019-10-01 Suprvsn of high risk preg due to social problems, first tri A O0972 2019-10-01 Suprvsn of high risk preg due to social problems, second tri A O0973 2019-10-01 Suprvsn of high risk preg due to social problems, third tri A O09811 2019-10-01 Suprvsn of preg rslt from assisted reprodctv tech, first tri A O09812 2019-10-01 Suprvsn of preg rslt from assist reprodctv tech, second tri A O09813 2019-10-01 Suprvsn of preg rslt from assisted reprodctv tech, third tri A O09819 2019-10-01 Suprvsn of preg rslt from assisted reprodctv tech, unsp tri A O09821 2019-10-01 Suprvsn of preg w hx of in utero proc dur prev preg, 1st tri A O09822 2019-10-01 Suprvsn of preg w hx of in utero proc dur prev preg, 2nd tri A O09823 2019-10-01 Suprvsn of preg w hx of in utero proc dur prev preg, 3rd tri A O09829 2019-10-01 Suprvsn of preg w hx of in utero proc dur prev preg,unsp tri A O09891 2019-10-01 Supervision of other high risk pregnancies, first trimester A O09892 2019-10-01 Supervision of other high risk pregnancies, second trimester A O09893 2019-10-01 Supervision of other high risk pregnancies, third trimester A O09899 2019-10-01 Supervision of other high risk pregnancies, unsp trimester A O0990 2019-10-01 Supervision of high risk pregnancy, unsp, unsp trimester A O0991 2019-10-01 Supervision of high risk pregnancy, unsp, first trimester A O0992 2019-10-01 Supervision of high risk pregnancy, unsp, second trimester A O0993 2019-10-01 Supervision of high risk pregnancy, unsp, third trimester A O09A0 2019-10-01 Suprvsn of preg with history of molar preg, unsp trimester A O09A1 2019-10-01 Suprvsn of preg with history of molar preg, first trimester A O09A2 2019-10-01 Suprvsn of preg with history of molar preg, second trimester A O09A3 2019-10-01 Suprvsn of preg with history of molar preg, third trimester A O3680X0 2019-10-01 Pregnancy w inconclusive fetal viability, unsp A O3680X1 2019-10-01 Pregnancy with inconclusive fetal viability, fetus 1 A O3680X2 2019-10-01 Pregnancy with inconclusive fetal viability, fetus 2 A O3680X3 2019-10-01 Pregnancy with inconclusive fetal viability, fetus 3 A O3680X4 2019-10-01 Pregnancy with inconclusive fetal viability, fetus 4 A O3680X5 2019-10-01 Pregnancy with inconclusive fetal viability, fetus 5 A O3680X9 2019-10-01 Pregnancy with inconclusive fetal viability, other fetus A O94 2019-10-01 Sequelae of comp of pregnancy, chldbrth, and the puerperium A O99820 2019-10-01 Streptococcus B carrier state complicating pregnancy A O99825 2019-10-01 Streptococcus B carrier state complicating the puerperium A R180 2019-10-01 Malignant ascites A R29700 2019-10-01 NIHSS score 0 A R29701 2019-10-01 NIHSS score 1 A R29702 2019-10-01 NIHSS score 2 A R29703 2019-10-01 NIHSS score 3 A R29704 2019-10-01 NIHSS score 4 A

Page 27 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* R29705 2019-10-01 NIHSS score 5 A R29706 2019-10-01 NIHSS score 6 A R29707 2019-10-01 NIHSS score 7 A R29708 2019-10-01 NIHSS score 8 A R29709 2019-10-01 NIHSS score 9 A R29710 2019-10-01 NIHSS score 10 A R29711 2019-10-01 NIHSS score 11 A R29712 2019-10-01 NIHSS score 12 A R29713 2019-10-01 NIHSS score 13 A R29714 2019-10-01 NIHSS score 14 A R29715 2019-10-01 NIHSS score 15 A R29716 2019-10-01 NIHSS score 16 A R29717 2019-10-01 NIHSS score 17 A R29718 2019-10-01 NIHSS score 18 A R29719 2019-10-01 NIHSS score 19 A R29720 2019-10-01 NIHSS score 20 A R29721 2019-10-01 NIHSS score 21 A R29722 2019-10-01 NIHSS score 22 A R29723 2019-10-01 NIHSS score 23 A R29724 2019-10-01 NIHSS score 24 A R29725 2019-10-01 NIHSS score 25 A R29726 2019-10-01 NIHSS score 26 A R29727 2019-10-01 NIHSS score 27 A R29728 2019-10-01 NIHSS score 28 A R29729 2019-10-01 NIHSS score 29 A R29730 2019-10-01 NIHSS score 30 A R29731 2019-10-01 NIHSS score 31 A R29732 2019-10-01 NIHSS score 32 A R29733 2019-10-01 NIHSS score 33 A R29734 2019-10-01 NIHSS score 34 A R29735 2019-10-01 NIHSS score 35 A R29736 2019-10-01 NIHSS score 36 A R29737 2019-10-01 NIHSS score 37 A R29738 2019-10-01 NIHSS score 38 A R29739 2019-10-01 NIHSS score 39 A R29740 2019-10-01 NIHSS score 40 A R29741 2019-10-01 NIHSS score 41 A R29742 2019-10-01 NIHSS score 42 A R402110 2019-10-01 Coma scale, eyes open, never, unspecified time A R402111 2019-10-01 Coma scale, eyes open, never, in the field A R402112 2019-10-01 Coma scale, eyes open, never, EMR A R402113 2019-10-01 Coma scale, eyes open, never, at hospital admission A R402114 2019-10-01 Coma scale, eyes open, never, 24+hrs A R402120 2019-10-01 Coma scale, eyes open, to pain, unspecified time A R402121 2019-10-01 Coma scale, eyes open, to pain, in the field A R402122 2019-10-01 Coma scale, eyes open, to pain, EMR A R402123 2019-10-01 Coma scale, eyes open, to pain, at hospital admission A R402124 2019-10-01 Coma scale, eyes open, to pain, 24+hrs A R402130 2019-10-01 Coma scale, eyes open, to sound, unspecified time A R402131 2019-10-01 Coma scale, eyes open, to sound, in the field A R402132 2019-10-01 Coma scale, eyes open, to sound, EMR A R402133 2019-10-01 Coma scale, eyes open, to sound, at hospital admission A R402134 2019-10-01 Coma scale, eyes open, to sound, 24+hrs A R402140 2019-10-01 Coma scale, eyes open, spontaneous, unspecified time A R402141 2019-10-01 Coma scale, eyes open, spontaneous, in the field A R402142 2019-10-01 Coma scale, eyes open, spontaneous, EMR A R402143 2019-10-01 Coma scale, eyes open, spontaneous, at hospital admission A R402144 2019-10-01 Coma scale, eyes open, spontaneous, 24+hrs A R402210 2019-10-01 Coma scale, best verbal response, none, unspecified time A R402211 2019-10-01 Coma scale, best verbal response, none, in the field A R402212 2019-10-01 Coma scale, best verbal response, none, EMR A R402213 2019-10-01 Coma scale, best verbal response, none, admit A R402214 2019-10-01 Coma scale, best verbal response, none, 24+hrs A R402220 2019-10-01 Coma scale, best verb, incomprehensible words, unsp time A R402221 2019-10-01 Coma scale, best verb, incomprehensible words, in the field A R402222 2019-10-01 Coma scale, best verb, incomprehensible words, EMR A R402223 2019-10-01 Coma scale, best verb, incomprehensible words, admit A R402224 2019-10-01 Coma scale, best verb, incomprehensible words, 24+hrs A R402230 2019-10-01 Coma scale, best verb, inappropriate words, unsp time A R402231 2019-10-01 Coma scale, best verb, inappropriate words, in the field A R402232 2019-10-01 Coma scale, best verbal response, inappropriate words, EMR A R402233 2019-10-01 Coma scale, best verbal response, inappropriate words, admit A R402234 2019-10-01 Coma scale, best verb, inappropriate words, 24+hrs A R402240 2019-10-01 Coma scale, best verb, confused conversation, unsp time A R402241 2019-10-01 Coma scale, best verb, confused conversation, in the field A R402242 2019-10-01 Coma scale, best verbal response, confused conversation, EMR A R402243 2019-10-01 Coma scale, best verb, confused conversation, admit A

Page 28 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* R402244 2019-10-01 Coma scale, best verb, confused conversation, 24+hrs A R402250 2019-10-01 Coma scale, best verbal response, oriented, unspecified time A R402251 2019-10-01 Coma scale, best verbal response, oriented, in the field A R402252 2019-10-01 Coma scale, best verbal response, oriented, EMR A R402253 2019-10-01 Coma scale, best verbal response, oriented, admit A R402254 2019-10-01 Coma scale, best verbal response, oriented, 24+hrs A R402310 2019-10-01 Coma scale, best motor response, none, unspecified time A R402311 2019-10-01 Coma scale, best motor response, none, in the field A R402312 2019-10-01 Coma scale, best motor response, none, EMR A R402313 2019-10-01 Coma scale, best motor response, none, at hospital admission A R402314 2019-10-01 Coma scale, best motor response, none, 24+hrs A R402320 2019-10-01 Coma scale, best motor response, extension, unspecified time A R402321 2019-10-01 Coma scale, best motor response, extension, in the field A R402322 2019-10-01 Coma scale, best motor response, extension, EMR A R402323 2019-10-01 Coma scale, best motor response, extension, admit A R402324 2019-10-01 Coma scale, best motor response, extension, 24+hrs A R402330 2019-10-01 Coma scale, best motor, abnormal flexion, unspecified time A R402331 2019-10-01 Coma scale, best motor, abnormal flexion, in the field A R402332 2019-10-01 Coma scale, best motor response, abnormal flexion, EMR A R402333 2019-10-01 Coma scale, best motor response, abnormal flexion, admit A R402334 2019-10-01 Coma scale, best motor response, abnormal flexion, 24+hrs A R402340 2019-10-01 Coma scale, best motor, flexion withdrawal, unsp time A R402341 2019-10-01 Coma scale, best motor, flexion withdrawal, in the field A R402342 2019-10-01 Coma scale, best motor response, flexion withdrawal, EMR A R402343 2019-10-01 Coma scale, best motor response, flexion withdrawal, admit A R402344 2019-10-01 Coma scale, best motor response, flexion withdrawal, 24+hrs A R402350 2019-10-01 Coma scale, best motor response, localizes pain, unsp time A R402351 2019-10-01 Coma scale, best motor, localizes pain, in the field A R402352 2019-10-01 Coma scale, best motor response, localizes pain, EMR A R402353 2019-10-01 Coma scale, best motor response, localizes pain, admit A R402354 2019-10-01 Coma scale, best motor response, localizes pain, 24+hrs A R402360 2019-10-01 Coma scale, best motor response, obeys commands, unsp time A R402361 2019-10-01 Coma scale, best motor, obeys commands, in the field A R402362 2019-10-01 Coma scale, best motor response, obeys commands, EMR A R402363 2019-10-01 Coma scale, best motor response, obeys commands, admit A R402364 2019-10-01 Coma scale, best motor response, obeys commands, 24+hrs A R402410 2019-10-01 Glasgow coma scale score 13-15, unspecified time A R402411 2019-10-01 Glasgow coma scale score 13-15, in the field A R402412 2019-10-01 Glasgow coma scale score 13-15, EMR A R402413 2019-10-01 Glasgow coma scale score 13-15, at hospital admission A R402414 2019-10-01 Glasgow coma scale score 13-15, 24+hrs A R402420 2019-10-01 Glasgow coma scale score 9-12, unspecified time A R402421 2019-10-01 Glasgow coma scale score 9-12, in the field A R402422 2019-10-01 Glasgow coma scale score 9-12, EMR A R402423 2019-10-01 Glasgow coma scale score 9-12, at hospital admission A R402424 2019-10-01 Glasgow coma scale score 9-12, 24+hrs A R402430 2019-10-01 Glasgow coma scale score 3-8, unspecified time A R402431 2019-10-01 Glasgow coma scale score 3-8, in the field A R402432 2019-10-01 Glasgow coma scale score 3-8, EMR A R402433 2019-10-01 Glasgow coma scale score 3-8, at hospital admission A R402434 2019-10-01 Glasgow coma scale score 3-8, 24+hrs A R402440 2019-10-01 Other coma, without Glasgow, or w/part score, unsp time A R402441 2019-10-01 Other coma, without Glasgow, or w/part score, in the field A R402442 2019-10-01 Other coma, without documented Glasgow, or w/part score, EMR A R402443 2019-10-01 Other coma, without Glasgow, or w/part score, admit A R402444 2019-10-01 Other coma, without Glasgow, or w/part score, 24+hrs A R4183 2019-10-01 Borderline intellectual functioning A R45850 2019-10-01 Homicidal ideations A R4681 2019-10-01 Obsessive-compulsive behavior A R4689 2019-10-01 Other symptoms and signs involving appearance and behavior A R6510 2019-10-01 SIRS of non-infectious origin w/o acute organ dysfunction A R6511 2019-10-01 SIRS of non-infectious origin w acute organ dysfunction A R6520 2019-10-01 Severe sepsis without septic shock A R6521 2019-10-01 Severe sepsis with septic shock A T360X5A 2019-10-01 Adverse effect of penicillins, initial encounter A T360X5D 2019-10-01 Adverse effect of penicillins, subsequent encounter A T360X5S 2019-10-01 Adverse effect of penicillins, sequela A T360X6A 2019-10-01 Underdosing of penicillins, initial encounter A T360X6D 2019-10-01 Underdosing of penicillins, subsequent encounter A T360X6S 2019-10-01 Underdosing of penicillins, sequela A T361X5A 2019-10-01 Adverse effect of cephalospor/oth beta-lactm antibiot, init A T361X5D 2019-10-01 Adverse effect of cephalospor/oth beta-lactm antibiot, subs A T361X5S 2019-10-01 Advrs effect of cephalospor/oth beta-lactm antibiot, sequela A T361X6A 2019-10-01 Underdosing of cephalospor/oth beta-lactm antibiotics, init A T361X6D 2019-10-01 Underdosing of cephalospor/oth beta-lactm antibiotics, subs A T361X6S 2019-10-01 Underdosing of cephalospor/oth beta-lactm antibiot, sequela A T362X5A 2019-10-01 Adverse effect of chloramphenicol group, initial encounter A

Page 29 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* T362X5D 2019-10-01 Adverse effect of chloramphenicol group, subs encntr A T362X5S 2019-10-01 Adverse effect of chloramphenicol group, sequela A T362X6A 2019-10-01 Underdosing of chloramphenicol group, initial encounter A T362X6D 2019-10-01 Underdosing of chloramphenicol group, subsequent encounter A T362X6S 2019-10-01 Underdosing of chloramphenicol group, sequela A T363X5A 2019-10-01 Adverse effect of macrolides, initial encounter A T363X5D 2019-10-01 Adverse effect of macrolides, subsequent encounter A T363X5S 2019-10-01 Adverse effect of macrolides, sequela A T363X6A 2019-10-01 Underdosing of macrolides, initial encounter A T363X6D 2019-10-01 Underdosing of macrolides, subsequent encounter A T363X6S 2019-10-01 Underdosing of macrolides, sequela A T364X5A 2019-10-01 Adverse effect of tetracyclines, initial encounter A T364X5D 2019-10-01 Adverse effect of tetracyclines, subsequent encounter A T364X5S 2019-10-01 Adverse effect of tetracyclines, sequela A T364X6A 2019-10-01 Underdosing of tetracyclines, initial encounter A T364X6D 2019-10-01 Underdosing of tetracyclines, subsequent encounter A T364X6S 2019-10-01 Underdosing of tetracyclines, sequela A T365X5A 2019-10-01 Adverse effect of aminoglycosides, initial encounter A T365X5D 2019-10-01 Adverse effect of aminoglycosides, subsequent encounter A T365X5S 2019-10-01 Adverse effect of aminoglycosides, sequela A T365X6A 2019-10-01 Underdosing of aminoglycosides, initial encounter A T365X6D 2019-10-01 Underdosing of aminoglycosides, subsequent encounter A T365X6S 2019-10-01 Underdosing of aminoglycosides, sequela A T366X5A 2019-10-01 Adverse effect of rifampicins, initial encounter A T366X5D 2019-10-01 Adverse effect of rifampicins, subsequent encounter A T366X5S 2019-10-01 Adverse effect of rifampicins, sequela A T366X6A 2019-10-01 Underdosing of rifampicins, initial encounter A T366X6D 2019-10-01 Underdosing of rifampicins, subsequent encounter A T366X6S 2019-10-01 Underdosing of rifampicins, sequela A T367X5A 2019-10-01 Adverse effect of antifungal antibiotics, sys used, init A T367X5D 2019-10-01 Adverse effect of antifungal antibiotics, sys used, subs A T367X5S 2019-10-01 Adverse effect of antifungal antibiotics, sys used, sequela A T367X6A 2019-10-01 Underdosing of antifungal antibiotics, sys used, init A T367X6D 2019-10-01 Underdosing of antifungal antibiotics, sys used, subs A T367X6S 2019-10-01 Underdosing of antifungal antibiotics, sys used, sequela A T368X5A 2019-10-01 Adverse effect of other systemic antibiotics, init encntr A T368X5D 2019-10-01 Adverse effect of other systemic antibiotics, subs encntr A T368X5S 2019-10-01 Adverse effect of other systemic antibiotics, sequela A T368X6A 2019-10-01 Underdosing of other systemic antibiotics, initial encounter A T368X6D 2019-10-01 Underdosing of other systemic antibiotics, subs encntr A T368X6S 2019-10-01 Underdosing of other systemic antibiotics, sequela A T3695XA 2019-10-01 Adverse effect of unsp systemic antibiotic, init encntr A T3695XD 2019-10-01 Adverse effect of unsp systemic antibiotic, subs encntr A T3695XS 2019-10-01 Adverse effect of unspecified systemic antibiotic, sequela A T3696XA 2019-10-01 Underdosing of unspecified systemic antibiotic, init encntr A T3696XD 2019-10-01 Underdosing of unspecified systemic antibiotic, subs encntr A T3696XS 2019-10-01 Underdosing of unspecified systemic antibiotic, sequela A T370X5A 2019-10-01 Adverse effect of sulfonamides, initial encounter A T370X5D 2019-10-01 Adverse effect of sulfonamides, subsequent encounter A T370X5S 2019-10-01 Adverse effect of sulfonamides, sequela A T370X6A 2019-10-01 Underdosing of sulfonamides, initial encounter A T370X6D 2019-10-01 Underdosing of sulfonamides, subsequent encounter A T370X6S 2019-10-01 Underdosing of sulfonamides, sequela A T371X5A 2019-10-01 Adverse effect of antimycobacterial drugs, initial encounter A T371X5D 2019-10-01 Adverse effect of antimycobacterial drugs, subs encntr A T371X5S 2019-10-01 Adverse effect of antimycobacterial drugs, sequela A T371X6A 2019-10-01 Underdosing of antimycobacterial drugs, initial encounter A T371X6D 2019-10-01 Underdosing of antimycobacterial drugs, subsequent encounter A T371X6S 2019-10-01 Underdosing of antimycobacterial drugs, sequela A T372X5A 2019-10-01 Advrs effect of antimalari/drugs acting on bld protzoa, init A T372X5D 2019-10-01 Advrs effect of antimalari/drugs acting on bld protzoa, subs A T372X5S 2019-10-01 Advrs effect of antimalari/drugs acting on bld protzoa, sqla A T372X6A 2019-10-01 Underdosing of antimalari/drugs acting on bld protzoa, init A T372X6D 2019-10-01 Underdosing of antimalari/drugs acting on bld protzoa, subs A T372X6S 2019-10-01 Undrdose of antimalari/drugs acting on bld protzoa, sequela A T373X5A 2019-10-01 Adverse effect of other antiprotozoal drugs, init encntr A T373X5D 2019-10-01 Adverse effect of other antiprotozoal drugs, subs encntr A T373X5S 2019-10-01 Adverse effect of other antiprotozoal drugs, sequela A T373X6A 2019-10-01 Underdosing of other antiprotozoal drugs, initial encounter A T373X6D 2019-10-01 Underdosing of other antiprotozoal drugs, subs encntr A T373X6S 2019-10-01 Underdosing of other antiprotozoal drugs, sequela A T374X5A 2019-10-01 Adverse effect of anthelminthics, initial encounter A T374X5D 2019-10-01 Adverse effect of anthelminthics, subsequent encounter A T374X5S 2019-10-01 Adverse effect of anthelminthics, sequela A T374X6A 2019-10-01 Underdosing of anthelminthics, initial encounter A T374X6D 2019-10-01 Underdosing of anthelminthics, subsequent encounter A T374X6S 2019-10-01 Underdosing of anthelminthics, sequela A

Page 30 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* T375X5A 2019-10-01 Adverse effect of antiviral drugs, initial encounter A T375X5D 2019-10-01 Adverse effect of antiviral drugs, subsequent encounter A T375X5S 2019-10-01 Adverse effect of antiviral drugs, sequela A T375X6A 2019-10-01 Underdosing of antiviral drugs, initial encounter A T375X6D 2019-10-01 Underdosing of antiviral drugs, subsequent encounter A T375X6S 2019-10-01 Underdosing of antiviral drugs, sequela A T378X5A 2019-10-01 Adverse effect of systemic anti-infect/parasit, init A T378X5D 2019-10-01 Adverse effect of systemic anti-infect/parasit, subs A T378X5S 2019-10-01 Adverse effect of systemic anti-infect/parasit, sequela A T378X6A 2019-10-01 Underdosing of systemic anti-infect/parasit, init A T378X6D 2019-10-01 Underdosing of systemic anti-infect/parasit, subs A T378X6S 2019-10-01 Underdosing of systemic anti-infect/parasit, sequela A T3795XA 2019-10-01 Advrs effect of unsp sys anti-infect and antiparasitic, init A T3795XD 2019-10-01 Advrs effect of unsp sys anti-infect and antiparasitic, subs A T3795XS 2019-10-01 Advrs effect of unsp sys anti-infect and antiparasitic, sqla A T3796XA 2019-10-01 Underdosing of unsp systemic anti-infect/parasit, init A T3796XD 2019-10-01 Underdosing of unsp systemic anti-infect/parasit, subs A T3796XS 2019-10-01 Underdosing of unsp systemic anti-infect/parasit, sequela A T380X5A 2019-10-01 Adverse effect of glucocort/synth analog, init A T380X5D 2019-10-01 Adverse effect of glucocort/synth analog, subs A T380X5S 2019-10-01 Adverse effect of glucocort/synth analog, sequela A T380X6A 2019-10-01 Underdosing of glucocorticoids and synthetic analogues, init A T380X6D 2019-10-01 Underdosing of glucocorticoids and synthetic analogues, subs A T380X6S 2019-10-01 Underdosing of glucocort/synth analog, sequela A T381X5A 2019-10-01 Adverse effect of thyroid hormones and substitutes, init A T381X5D 2019-10-01 Adverse effect of thyroid hormones and substitutes, subs A T381X5S 2019-10-01 Adverse effect of thyroid hormones and substitutes, sequela A T381X6A 2019-10-01 Underdosing of thyroid hormones and substitutes, init encntr A T381X6D 2019-10-01 Underdosing of thyroid hormones and substitutes, subs encntr A T381X6S 2019-10-01 Underdosing of thyroid hormones and substitutes, sequela A T382X5A 2019-10-01 Adverse effect of antithyroid drugs, initial encounter A T382X5D 2019-10-01 Adverse effect of antithyroid drugs, subsequent encounter A T382X5S 2019-10-01 Adverse effect of antithyroid drugs, sequela A T382X6A 2019-10-01 Underdosing of antithyroid drugs, initial encounter A T382X6D 2019-10-01 Underdosing of antithyroid drugs, subsequent encounter A T382X6S 2019-10-01 Underdosing of antithyroid drugs, sequela A T383X5A 2019-10-01 Adverse effect of insulin and oral hypoglycemic drugs, init A T383X5D 2019-10-01 Adverse effect of insulin and oral hypoglycemic drugs, subs A T383X5S 2019-10-01 Advrs effect of insulin and oral hypoglycemic drugs, sequela A T383X6A 2019-10-01 Underdosing of insulin and oral hypoglycemic drugs, init A T383X6D 2019-10-01 Underdosing of insulin and oral hypoglycemic drugs, subs A T383X6S 2019-10-01 Underdosing of insulin and oral hypoglycemic drugs, sequela A T384X5A 2019-10-01 Adverse effect of oral contraceptives, initial encounter A T384X5D 2019-10-01 Adverse effect of oral contraceptives, subsequent encounter A T384X5S 2019-10-01 Adverse effect of oral contraceptives, sequela A T384X6A 2019-10-01 Underdosing of oral contraceptives, initial encounter A T384X6D 2019-10-01 Underdosing of oral contraceptives, subsequent encounter A T384X6S 2019-10-01 Underdosing of oral contraceptives, sequela A T385X5A 2019-10-01 Adverse effect of oth estrogens and progestogens, init A T385X5D 2019-10-01 Adverse effect of oth estrogens and progestogens, subs A T385X5S 2019-10-01 Adverse effect of other estrogens and progestogens, sequela A T385X6A 2019-10-01 Underdosing of other estrogens and progestogens, init encntr A T385X6D 2019-10-01 Underdosing of other estrogens and progestogens, subs encntr A T385X6S 2019-10-01 Underdosing of other estrogens and progestogens, sequela A T386X5A 2019-10-01 Adverse effect of antigonadtr/antiestr/antiandrg, NEC, init A T386X5D 2019-10-01 Adverse effect of antigonadtr/antiestr/antiandrg, NEC, subs A T386X5S 2019-10-01 Advrs effect of antigonadtr/antiestr/antiandrg, NEC, sequela A T386X6A 2019-10-01 Underdosing of antigonadtr/antiestr/antiandrg, NEC, init A T386X6D 2019-10-01 Underdosing of antigonadtr/antiestr/antiandrg, NEC, subs A T386X6S 2019-10-01 Underdosing of antigonadtr/antiestr/antiandrg, NEC, sequela A T387X5A 2019-10-01 Adverse effect of androgens and anabolic congeners, init A T387X5D 2019-10-01 Adverse effect of androgens and anabolic congeners, subs A T387X5S 2019-10-01 Adverse effect of androgens and anabolic congeners, sequela A T387X6A 2019-10-01 Underdosing of androgens and anabolic congeners, init encntr A T387X6D 2019-10-01 Underdosing of androgens and anabolic congeners, subs encntr A T387X6S 2019-10-01 Underdosing of androgens and anabolic congeners, sequela A T38805A 2019-10-01 Adverse effect of unsp hormones and synthetic sub, init A T38805D 2019-10-01 Adverse effect of unsp hormones and synthetic sub, subs A T38805S 2019-10-01 Adverse effect of unsp hormones and synthetic sub, sequela A T38806A 2019-10-01 Underdosing of unsp hormones and synthetic substitutes, init A T38806D 2019-10-01 Underdosing of unsp hormones and synthetic substitutes, subs A T38806S 2019-10-01 Underdosing of unsp hormones and synthetic sub, sequela A T38815A 2019-10-01 Adverse effect of anterior pituitary hormones, init encntr A T38815D 2019-10-01 Adverse effect of anterior pituitary hormones, subs encntr A T38815S 2019-10-01 Adverse effect of anterior pituitary hormones, sequela A T38816A 2019-10-01 Underdosing of anterior pituitary hormones, init encntr A T38816D 2019-10-01 Underdosing of anterior pituitary hormones, subs encntr A

Page 31 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* T38816S 2019-10-01 Underdosing of anterior pituitary hormones, sequela A T38895A 2019-10-01 Adverse effect of hormones and synthetic substitutes, init A T38895D 2019-10-01 Adverse effect of hormones and synthetic substitutes, subs A T38895S 2019-10-01 Adverse effect of hormones and synthetic sub, sequela A T38896A 2019-10-01 Underdosing of oth hormones and synthetic substitutes, init A T38896D 2019-10-01 Underdosing of oth hormones and synthetic substitutes, subs A T38896S 2019-10-01 Underdosing of hormones and synthetic substitutes, sequela A T38905A 2019-10-01 Adverse effect of unsp hormone antagonists, init encntr A T38905D 2019-10-01 Adverse effect of unsp hormone antagonists, subs encntr A T38905S 2019-10-01 Adverse effect of unspecified hormone antagonists, sequela A T38906A 2019-10-01 Underdosing of unspecified hormone antagonists, init encntr A T38906D 2019-10-01 Underdosing of unspecified hormone antagonists, subs encntr A T38906S 2019-10-01 Underdosing of unspecified hormone antagonists, sequela A T38995A 2019-10-01 Adverse effect of other hormone antagonists, init encntr A T38995D 2019-10-01 Adverse effect of other hormone antagonists, subs encntr A T38995S 2019-10-01 Adverse effect of other hormone antagonists, sequela A T38996A 2019-10-01 Underdosing of other hormone antagonists, initial encounter A T38996D 2019-10-01 Underdosing of other hormone antagonists, subs encntr A T38996S 2019-10-01 Underdosing of other hormone antagonists, sequela A T39015A 2019-10-01 Adverse effect of aspirin, initial encounter A T39015D 2019-10-01 Adverse effect of aspirin, subsequent encounter A T39015S 2019-10-01 Adverse effect of aspirin, sequela A T39016A 2019-10-01 Underdosing of aspirin, initial encounter A T39016D 2019-10-01 Underdosing of aspirin, subsequent encounter A T39016S 2019-10-01 Underdosing of aspirin, sequela A T39095A 2019-10-01 Adverse effect of salicylates, initial encounter A T39095D 2019-10-01 Adverse effect of salicylates, subsequent encounter A T39095S 2019-10-01 Adverse effect of salicylates, sequela A T39096A 2019-10-01 Underdosing of salicylates, initial encounter A T39096D 2019-10-01 Underdosing of salicylates, subsequent encounter A T39096S 2019-10-01 Underdosing of salicylates, sequela A T391X5A 2019-10-01 Adverse effect of 4-Aminophenol derivatives, init encntr A T391X5D 2019-10-01 Adverse effect of 4-Aminophenol derivatives, subs encntr A T391X5S 2019-10-01 Adverse effect of 4-Aminophenol derivatives, sequela A T391X6A 2019-10-01 Underdosing of 4-Aminophenol derivatives, initial encounter A T391X6D 2019-10-01 Underdosing of 4-Aminophenol derivatives, subs encntr A T391X6S 2019-10-01 Underdosing of 4-Aminophenol derivatives, sequela A T392X5A 2019-10-01 Adverse effect of pyrazolone derivatives, initial encounter A T392X5D 2019-10-01 Adverse effect of pyrazolone derivatives, subs encntr A T392X5S 2019-10-01 Adverse effect of pyrazolone derivatives, sequela A T392X6A 2019-10-01 Underdosing of pyrazolone derivatives, initial encounter A T392X6D 2019-10-01 Underdosing of pyrazolone derivatives, subsequent encounter A T392X6S 2019-10-01 Underdosing of pyrazolone derivatives, sequela A T39315A 2019-10-01 Adverse effect of propionic acid derivatives, init encntr A T39315D 2019-10-01 Adverse effect of propionic acid derivatives, subs encntr A T39315S 2019-10-01 Adverse effect of propionic acid derivatives, sequela A T39316A 2019-10-01 Underdosing of propionic acid derivatives, initial encounter A T39316D 2019-10-01 Underdosing of propionic acid derivatives, subs encntr A T39316S 2019-10-01 Underdosing of propionic acid derivatives, sequela A T39395A 2019-10-01 Adverse effect of nonsteroidal anti-inflammatory drugs, init A T39395D 2019-10-01 Adverse effect of nonsteroidal anti-inflammatory drugs, subs A T39395S 2019-10-01 Adverse effect of nonsteroidal anti-inflam drugs, sequela A T39396A 2019-10-01 Underdosing of nonsteroidal anti-inflammatory drugs, init A T39396D 2019-10-01 Underdosing of nonsteroidal anti-inflammatory drugs, subs A T39396S 2019-10-01 Underdosing of nonsteroidal anti-inflammatory drugs, sequela A T394X5A 2019-10-01 Adverse effect of antirheumatics, NEC, init A T394X5D 2019-10-01 Adverse effect of antirheumatics, NEC, subs A T394X5S 2019-10-01 Adverse effect of antirheumatics, NEC, sequela A T394X6A 2019-10-01 Underdosing of antirheumatics, NEC, init A T394X6D 2019-10-01 Underdosing of antirheumatics, NEC, subs A T394X6S 2019-10-01 Underdosing of antirheumatics, NEC, sequela A T398X5A 2019-10-01 Adverse effect of nonopioid analges/antipyret, NEC, init A T398X5D 2019-10-01 Adverse effect of nonopioid analges/antipyret, NEC, subs A T398X5S 2019-10-01 Adverse effect of nonopioid analges/antipyret, NEC, sequela A T398X6A 2019-10-01 Underdosing of nonopioid analges/antipyret, NEC, init A T398X6D 2019-10-01 Underdosing of nonopioid analges/antipyret, NEC, subs A T398X6S 2019-10-01 Underdosing of nonopioid analges/antipyret, NEC, sequela A T3995XA 2019-10-01 Adverse effect of unsp nonopi analgs/antipyr/antirheu, init A T3995XD 2019-10-01 Adverse effect of unsp nonopi analgs/antipyr/antirheu, subs A T3995XS 2019-10-01 Advrs effect of unsp nonopi analgs/antipyr/antirheu, sequela A T3996XA 2019-10-01 Underdosing of unsp nonopi analgs/antipyr/antirheu, init A T3996XD 2019-10-01 Underdosing of unsp nonopi analgs/antipyr/antirheu, subs A T3996XS 2019-10-01 Underdosing of unsp nonopi analgs/antipyr/antirheu, sequela A T400X5A 2019-10-01 Adverse effect of opium, initial encounter A T400X5D 2019-10-01 Adverse effect of opium, subsequent encounter A T400X5S 2019-10-01 Adverse effect of opium, sequela A T400X6A 2019-10-01 Underdosing of opium, initial encounter A

Page 32 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* T400X6D 2019-10-01 Underdosing of opium, subsequent encounter A T400X6S 2019-10-01 Underdosing of opium, sequela A T402X5A 2019-10-01 Adverse effect of other opioids, initial encounter A T402X5D 2019-10-01 Adverse effect of other opioids, subsequent encounter A T402X5S 2019-10-01 Adverse effect of other opioids, sequela A T402X6A 2019-10-01 Underdosing of other opioids, initial encounter A T402X6D 2019-10-01 Underdosing of other opioids, subsequent encounter A T402X6S 2019-10-01 Underdosing of other opioids, sequela A T403X5A 2019-10-01 Adverse effect of methadone, initial encounter A T403X5D 2019-10-01 Adverse effect of methadone, subsequent encounter A T403X5S 2019-10-01 Adverse effect of methadone, sequela A T403X6A 2019-10-01 Underdosing of methadone, initial encounter A T403X6D 2019-10-01 Underdosing of methadone, subsequent encounter A T403X6S 2019-10-01 Underdosing of methadone, sequela A T40415A 2020-10-01 Adverse effect of fentanyl or fentanyl analogs, init N T40415D 2020-10-01 Adverse effect of fentanyl or fentanyl analogs, subs N T40415S 2020-10-01 Adverse effect of fentanyl or fentanyl analogs, sequela N T40416A 2020-10-01 Underdosing of fentanyl or fentanyl analogs, init N T40416D 2020-10-01 Underdosing of fentanyl or fentanyl analogs, subs N T40416S 2020-10-01 Underdosing of fentanyl or fentanyl analogs, sequela N T40425A 2020-10-01 Adverse effect of tramadol, initial encounter N T40425D 2020-10-01 Adverse effect of tramadol, subsequent encounter N T40425S 2020-10-01 Adverse effect of tramadol, sequela N T40426A 2020-10-01 Underdosing of tramadol, initial encounter N T40426D 2020-10-01 Underdosing of tramadol, subsequent encounter N T40426S 2020-10-01 Underdosing of tramadol, sequela N T40495A 2020-10-01 Adverse effect of other synthetic narcotics, init N T40495D 2020-10-01 Adverse effect of other synthetic narcotics, subs N T40495S 2020-10-01 Adverse effect of other synthetic narcotics, sequela N T40496A 2020-10-01 Underdosing of other synthetic narcotics, initial encounter N T40496D 2020-10-01 Underdosing of other synthetic narcotics, subs N T40496S 2020-10-01 Underdosing of other synthetic narcotics, sequela N T405X5A 2019-10-01 Adverse effect of cocaine, initial encounter A T405X5D 2019-10-01 Adverse effect of cocaine, subsequent encounter A T405X5S 2019-10-01 Adverse effect of cocaine, sequela A T405X6A 2019-10-01 Underdosing of cocaine, initial encounter A T405X6D 2019-10-01 Underdosing of cocaine, subsequent encounter A T405X6S 2019-10-01 Underdosing of cocaine, sequela A T40605A 2019-10-01 Adverse effect of unspecified narcotics, initial encounter A T40605D 2019-10-01 Adverse effect of unspecified narcotics, subs encntr A T40605S 2019-10-01 Adverse effect of unspecified narcotics, sequela A T40606A 2019-10-01 Underdosing of unspecified narcotics, initial encounter A T40606D 2019-10-01 Underdosing of unspecified narcotics, subsequent encounter A T40606S 2019-10-01 Underdosing of unspecified narcotics, sequela A T40695A 2019-10-01 Adverse effect of other narcotics, initial encounter A T40695D 2019-10-01 Adverse effect of other narcotics, subsequent encounter A T40695S 2019-10-01 Adverse effect of other narcotics, sequela A T40696A 2019-10-01 Underdosing of other narcotics, initial encounter A T40696D 2019-10-01 Underdosing of other narcotics, subsequent encounter A T40696S 2019-10-01 Underdosing of other narcotics, sequela A T407X5A 2019-10-01 Adverse effect of cannabis (derivatives), initial encounter A T407X5D 2019-10-01 Adverse effect of cannabis (derivatives), subs encntr A T407X5S 2019-10-01 Adverse effect of cannabis (derivatives), sequela A T407X6A 2019-10-01 Underdosing of cannabis (derivatives), initial encounter A T407X6D 2019-10-01 Underdosing of cannabis (derivatives), subsequent encounter A T407X6S 2019-10-01 Underdosing of cannabis (derivatives), sequela A T40905A 2019-10-01 Adverse effect of unspecified psychodysleptics, init encntr A T40905D 2019-10-01 Adverse effect of unspecified psychodysleptics, subs encntr A T40905S 2019-10-01 Adverse effect of unspecified psychodysleptics, sequela A T40906A 2019-10-01 Underdosing of unspecified psychodysleptics, init A T40906D 2019-10-01 Underdosing of unspecified psychodysleptics, subs A T40906S 2019-10-01 Underdosing of unspecified psychodysleptics, sequela A T40995A 2019-10-01 Adverse effect of other psychodysleptics, initial encounter A T40995D 2019-10-01 Adverse effect of other psychodysleptics, subs encntr A T40995S 2019-10-01 Adverse effect of other psychodysleptics, sequela A T40996A 2019-10-01 Underdosing of other psychodysleptics, initial encounter A T40996D 2019-10-01 Underdosing of other psychodysleptics, subsequent encounter A T40996S 2019-10-01 Underdosing of other psychodysleptics, sequela A T410X5A 2019-10-01 Adverse effect of inhaled anesthetics, initial encounter A T410X5D 2019-10-01 Adverse effect of inhaled anesthetics, subsequent encounter A T410X5S 2019-10-01 Adverse effect of inhaled anesthetics, sequela A T410X6A 2019-10-01 Underdosing of inhaled anesthetics, initial encounter A T410X6D 2019-10-01 Underdosing of inhaled anesthetics, subsequent encounter A T410X6S 2019-10-01 Underdosing of inhaled anesthetics, sequela A T411X5A 2019-10-01 Adverse effect of intravenous anesthetics, initial encounter A T411X5D 2019-10-01 Adverse effect of intravenous anesthetics, subs encntr A T411X5S 2019-10-01 Adverse effect of intravenous anesthetics, sequela A

Page 33 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* T411X6A 2019-10-01 Underdosing of intravenous anesthetics, initial encounter A T411X6D 2019-10-01 Underdosing of intravenous anesthetics, subsequent encounter A T411X6S 2019-10-01 Underdosing of intravenous anesthetics, sequela A T41205A 2019-10-01 Adverse effect of unsp general anesthetics, init encntr A T41205D 2019-10-01 Adverse effect of unsp general anesthetics, subs encntr A T41205S 2019-10-01 Adverse effect of unspecified general anesthetics, sequela A T41206A 2019-10-01 Underdosing of unspecified general anesthetics, init encntr A T41206D 2019-10-01 Underdosing of unspecified general anesthetics, subs encntr A T41206S 2019-10-01 Underdosing of unspecified general anesthetics, sequela A T41295A 2019-10-01 Adverse effect of other general anesthetics, init encntr A T41295D 2019-10-01 Adverse effect of other general anesthetics, subs encntr A T41295S 2019-10-01 Adverse effect of other general anesthetics, sequela A T41296A 2019-10-01 Underdosing of other general anesthetics, initial encounter A T41296D 2019-10-01 Underdosing of other general anesthetics, subs encntr A T41296S 2019-10-01 Underdosing of other general anesthetics, sequela A T413X5A 2019-10-01 Adverse effect of local anesthetics, initial encounter A T413X5D 2019-10-01 Adverse effect of local anesthetics, subsequent encounter A T413X5S 2019-10-01 Adverse effect of local anesthetics, sequela A T413X6A 2019-10-01 Underdosing of local anesthetics, initial encounter A T413X6D 2019-10-01 Underdosing of local anesthetics, subsequent encounter A T413X6S 2019-10-01 Underdosing of local anesthetics, sequela A T4145XA 2019-10-01 Adverse effect of unspecified anesthetic, initial encounter A T4145XD 2019-10-01 Adverse effect of unspecified anesthetic, subs encntr A T4145XS 2019-10-01 Adverse effect of unspecified anesthetic, sequela A T4146XA 2019-10-01 Underdosing of unspecified anesthetics, initial encounter A T4146XD 2019-10-01 Underdosing of unspecified anesthetics, subsequent encounter A T4146XS 2019-10-01 Underdosing of unspecified anesthetics, sequela A T415X5A 2019-10-01 Adverse effect of therapeutic gases, initial encounter A T415X5D 2019-10-01 Adverse effect of therapeutic gases, subsequent encounter A T415X5S 2019-10-01 Adverse effect of therapeutic gases, sequela A T415X6A 2019-10-01 Underdosing of therapeutic gases, initial encounter A T415X6D 2019-10-01 Underdosing of therapeutic gases, subsequent encounter A T415X6S 2019-10-01 Underdosing of therapeutic gases, sequela A T420X5A 2019-10-01 Adverse effect of hydantoin derivatives, initial encounter A T420X5D 2019-10-01 Adverse effect of hydantoin derivatives, subs encntr A T420X5S 2019-10-01 Adverse effect of hydantoin derivatives, sequela A T420X6A 2019-10-01 Underdosing of hydantoin derivatives, initial encounter A T420X6D 2019-10-01 Underdosing of hydantoin derivatives, subsequent encounter A T420X6S 2019-10-01 Underdosing of hydantoin derivatives, sequela A T421X5A 2019-10-01 Adverse effect of iminostilbenes, initial encounter A T421X5D 2019-10-01 Adverse effect of iminostilbenes, subsequent encounter A T421X5S 2019-10-01 Adverse effect of iminostilbenes, sequela A T421X6A 2019-10-01 Underdosing of iminostilbenes, initial encounter A T421X6D 2019-10-01 Underdosing of iminostilbenes, subsequent encounter A T421X6S 2019-10-01 Underdosing of iminostilbenes, sequela A T422X5A 2019-10-01 Adverse effect of succinimides and oxazolidinediones, init A T422X5D 2019-10-01 Adverse effect of succinimides and oxazolidinediones, subs A T422X5S 2019-10-01 Advrs effect of succinimides and oxazolidinediones, sequela A T422X6A 2019-10-01 Underdosing of succinimides and oxazolidinediones, init A T422X6D 2019-10-01 Underdosing of succinimides and oxazolidinediones, subs A T422X6S 2019-10-01 Underdosing of succinimides and oxazolidinediones, sequela A T423X5A 2019-10-01 Adverse effect of barbiturates, initial encounter A T423X5D 2019-10-01 Adverse effect of barbiturates, subsequent encounter A T423X5S 2019-10-01 Adverse effect of barbiturates, sequela A T423X6A 2019-10-01 Underdosing of barbiturates, initial encounter A T423X6D 2019-10-01 Underdosing of barbiturates, subsequent encounter A T423X6S 2019-10-01 Underdosing of barbiturates, sequela A T424X5A 2019-10-01 Adverse effect of benzodiazepines, initial encounter A T424X5D 2019-10-01 Adverse effect of benzodiazepines, subsequent encounter A T424X5S 2019-10-01 Adverse effect of benzodiazepines, sequela A T424X6A 2019-10-01 Underdosing of benzodiazepines, initial encounter A T424X6D 2019-10-01 Underdosing of benzodiazepines, subsequent encounter A T424X6S 2019-10-01 Underdosing of benzodiazepines, sequela A T425X5A 2019-10-01 Adverse effect of mixed antiepileptics, initial encounter A T425X5D 2019-10-01 Adverse effect of mixed antiepileptics, subsequent encounter A T425X5S 2019-10-01 Adverse effect of mixed antiepileptics, sequela A T425X6A 2019-10-01 Underdosing of mixed antiepileptics, initial encounter A T425X6D 2019-10-01 Underdosing of mixed antiepileptics, subsequent encounter A T425X6S 2019-10-01 Underdosing of mixed antiepileptics, sequela A T426X5A 2019-10-01 Adverse effect of antiepileptic and sed-hypntc drugs, init A T426X5D 2019-10-01 Adverse effect of antiepileptic and sed-hypntc drugs, subs A T426X5S 2019-10-01 Adverse effect of antieplptc and sed-hypntc drugs, sequela A T426X6A 2019-10-01 Underdosing of antiepileptic and sed-hypntc drugs, init A T426X6D 2019-10-01 Underdosing of antiepileptic and sed-hypntc drugs, subs A T426X6S 2019-10-01 Underdosing of antiepileptic and sed-hypntc drugs, sequela A T4275XA 2019-10-01 Adverse effect of unsp antieplptc and sed-hypntc drugs, init A T4275XD 2019-10-01 Adverse effect of unsp antieplptc and sed-hypntc drugs, subs A

Page 34 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* T4275XS 2019-10-01 Advrs effect of unsp antieplptc and sed-hypntc drugs, sqla A T4276XA 2019-10-01 Underdosing of unsp antiepileptic and sed-hypntc drugs, init A T4276XD 2019-10-01 Underdosing of unsp antiepileptic and sed-hypntc drugs, subs A T4276XS 2019-10-01 Underdosing of unsp antieplptc and sed-hypntc drugs, sequela A T428X5A 2019-10-01 Adverse effect of antiparkns drug/centr musc-tone depr, init A T428X5D 2019-10-01 Adverse effect of antiparkns drug/centr musc-tone depr, subs A T428X5S 2019-10-01 Advrs effect of antiparkns drug/centr musc-tone depr, sqla A T428X6A 2019-10-01 Underdosing of antiparkns drug/centr muscle-tone depr, init A T428X6D 2019-10-01 Underdosing of antiparkns drug/centr muscle-tone depr, subs A T428X6S 2019-10-01 Underdosing of antiparkns drug/centr musc-tone depr, sequela A T43015A 2019-10-01 Adverse effect of tricyclic antidepressants, init encntr A T43015D 2019-10-01 Adverse effect of tricyclic antidepressants, subs encntr A T43015S 2019-10-01 Adverse effect of tricyclic antidepressants, sequela A T43016A 2019-10-01 Underdosing of tricyclic antidepressants, initial encounter A T43016D 2019-10-01 Underdosing of tricyclic antidepressants, subs encntr A T43016S 2019-10-01 Underdosing of tricyclic antidepressants, sequela A T43025A 2019-10-01 Adverse effect of tetracyclic antidepressants, init encntr A T43025D 2019-10-01 Adverse effect of tetracyclic antidepressants, subs encntr A T43025S 2019-10-01 Adverse effect of tetracyclic antidepressants, sequela A T43026A 2019-10-01 Underdosing of tetracyclic antidepressants, init encntr A T43026D 2019-10-01 Underdosing of tetracyclic antidepressants, subs encntr A T43026S 2019-10-01 Underdosing of tetracyclic antidepressants, sequela A T431X5A 2019-10-01 Adverse effect of MAO inhib antidepressants, init A T431X5D 2019-10-01 Adverse effect of MAO inhib antidepressants, subs A T431X5S 2019-10-01 Adverse effect of MAO inhib antidepressants, sequela A T431X6A 2019-10-01 Underdosing of MAO inhib antidepressants, init A T431X6D 2019-10-01 Underdosing of MAO inhib antidepressants, subs A T431X6S 2019-10-01 Underdosing of MAO inhib antidepressants, sequela A T43205A 2019-10-01 Adverse effect of unspecified antidepressants, init encntr A T43205D 2019-10-01 Adverse effect of unspecified antidepressants, subs encntr A T43205S 2019-10-01 Adverse effect of unspecified antidepressants, sequela A T43206A 2019-10-01 Underdosing of unspecified antidepressants, init encntr A T43206D 2019-10-01 Underdosing of unspecified antidepressants, subs encntr A T43206S 2019-10-01 Underdosing of unspecified antidepressants, sequela A T43215A 2019-10-01 Advrs effect of slctv seroton/norepineph reup inhibtr, init A T43215D 2019-10-01 Advrs effect of slctv seroton/norepineph reup inhibtr, subs A T43215S 2019-10-01 Advrs effect of slctv seroton/norepineph reup inhibtr, sqla A T43216A 2019-10-01 Undrdose of selective seroton/norepineph reup inhibtr, init A T43216D 2019-10-01 Undrdose of selective seroton/norepineph reup inhibtr, subs A T43216S 2019-10-01 Undrdose of slctv seroton/norepineph reup inhibtr, sequela A T43225A 2019-10-01 Adverse effect of selective serotonin reuptake inhibtr, init A T43225D 2019-10-01 Adverse effect of selective serotonin reuptake inhibtr, subs A T43225S 2019-10-01 Adverse effect of slctv serotonin reuptake inhibtr, sequela A T43226A 2019-10-01 Underdosing of selective serotonin reuptake inhibitors, init A T43226D 2019-10-01 Underdosing of selective serotonin reuptake inhibitors, subs A T43226S 2019-10-01 Undrdose of selective serotonin reuptake inhibitors, sequela A T43295A 2019-10-01 Adverse effect of other antidepressants, initial encounter A T43295D 2019-10-01 Adverse effect of other antidepressants, subs encntr A T43295S 2019-10-01 Adverse effect of other antidepressants, sequela A T43296A 2019-10-01 Underdosing of other antidepressants, initial encounter A T43296D 2019-10-01 Underdosing of other antidepressants, subsequent encounter A T43296S 2019-10-01 Underdosing of other antidepressants, sequela A T433X5A 2019-10-01 Adverse effect of phenothiazine antipsychot/neurolept, init A T433X5D 2019-10-01 Adverse effect of phenothiazine antipsychot/neurolept, subs A T433X5S 2019-10-01 Adverse effect of phenothiaz antipsychot/neurolept, sequela A T433X6A 2019-10-01 Underdosing of phenothiazine antipsychot/neurolept, init A T433X6D 2019-10-01 Underdosing of phenothiazine antipsychot/neurolept, subs A T433X6S 2019-10-01 Underdosing of phenothiazine antipsychot/neurolept, sequela A T434X5A 2019-10-01 Adverse effect of butyrophen/thiothixen neuroleptics, init A T434X5D 2019-10-01 Adverse effect of butyrophen/thiothixen neuroleptics, subs A T434X5S 2019-10-01 Adverse effect of butyrophen/thiothixen neuroleptc, sequela A T434X6A 2019-10-01 Underdosing of butyrophen/thiothixen neuroleptics, init A T434X6D 2019-10-01 Underdosing of butyrophen/thiothixen neuroleptics, subs A T434X6S 2019-10-01 Underdosing of butyrophen/thiothixen neuroleptics, sequela A T43505A 2019-10-01 Adverse effect of unsp antipsychotics and neuroleptics, init A T43505D 2019-10-01 Adverse effect of unsp antipsychotics and neuroleptics, subs A T43505S 2019-10-01 Adverse effect of unsp antipsychot/neurolept, sequela A T43506A 2019-10-01 Underdosing of unsp antipsychotics and neuroleptics, init A T43506D 2019-10-01 Underdosing of unsp antipsychotics and neuroleptics, subs A T43506S 2019-10-01 Underdosing of unsp antipsychotics and neuroleptics, sequela A T43595A 2019-10-01 Adverse effect of oth antipsychotics and neuroleptics, init A T43595D 2019-10-01 Adverse effect of oth antipsychotics and neuroleptics, subs A T43595S 2019-10-01 Adverse effect of antipsychotics and neuroleptics, sequela A T43596A 2019-10-01 Underdosing of oth antipsychotics and neuroleptics, init A T43596D 2019-10-01 Underdosing of oth antipsychotics and neuroleptics, subs A T43596S 2019-10-01 Underdosing of oth antipsychotics and neuroleptics, sequela A T43605A 2019-10-01 Adverse effect of unspecified psychostimulants, init encntr A

Page 35 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* T43605D 2019-10-01 Adverse effect of unspecified psychostimulants, subs encntr A T43605S 2019-10-01 Adverse effect of unspecified psychostimulants, sequela A T43606A 2019-10-01 Underdosing of unspecified psychostimulants, init encntr A T43606D 2019-10-01 Underdosing of unspecified psychostimulants, subs encntr A T43606S 2019-10-01 Underdosing of unspecified psychostimulants, sequela A T43615A 2019-10-01 Adverse effect of caffeine, initial encounter A T43615D 2019-10-01 Adverse effect of caffeine, subsequent encounter A T43615S 2019-10-01 Adverse effect of caffeine, sequela A T43616A 2019-10-01 Underdosing of caffeine, initial encounter A T43616D 2019-10-01 Underdosing of caffeine, subsequent encounter A T43616S 2019-10-01 Underdosing of caffeine, sequela A T43625A 2019-10-01 Adverse effect of amphetamines, initial encounter A T43625D 2019-10-01 Adverse effect of amphetamines, subsequent encounter A T43625S 2019-10-01 Adverse effect of amphetamines, sequela A T43626A 2019-10-01 Underdosing of amphetamines, initial encounter A T43626D 2019-10-01 Underdosing of amphetamines, subsequent encounter A T43626S 2019-10-01 Underdosing of amphetamines, sequela A T43635A 2019-10-01 Adverse effect of methylphenidate, initial encounter A T43635D 2019-10-01 Adverse effect of methylphenidate, subsequent encounter A T43635S 2019-10-01 Adverse effect of methylphenidate, sequela A T43636A 2019-10-01 Underdosing of methylphenidate, initial encounter A T43636D 2019-10-01 Underdosing of methylphenidate, subsequent encounter A T43636S 2019-10-01 Underdosing of methylphenidate, sequela A T43695A 2019-10-01 Adverse effect of other psychostimulants, initial encounter A T43695D 2019-10-01 Adverse effect of other psychostimulants, subs encntr A T43695S 2019-10-01 Adverse effect of other psychostimulants, sequela A T43696A 2019-10-01 Underdosing of other psychostimulants, initial encounter A T43696D 2019-10-01 Underdosing of other psychostimulants, subsequent encounter A T43696S 2019-10-01 Underdosing of other psychostimulants, sequela A T438X5A 2019-10-01 Adverse effect of other psychotropic drugs, init encntr A T438X5D 2019-10-01 Adverse effect of other psychotropic drugs, subs encntr A T438X5S 2019-10-01 Adverse effect of other psychotropic drugs, sequela A T438X6A 2019-10-01 Underdosing of other psychotropic drugs, initial encounter A T438X6D 2019-10-01 Underdosing of other psychotropic drugs, subs encntr A T438X6S 2019-10-01 Underdosing of other psychotropic drugs, sequela A T4395XA 2019-10-01 Adverse effect of unspecified psychotropic drug, init encntr A T4395XD 2019-10-01 Adverse effect of unspecified psychotropic drug, subs encntr A T4395XS 2019-10-01 Adverse effect of unspecified psychotropic drug, sequela A T4396XA 2019-10-01 Underdosing of unspecified psychotropic drug, init encntr A T4396XD 2019-10-01 Underdosing of unspecified psychotropic drug, subs encntr A T4396XS 2019-10-01 Underdosing of unspecified psychotropic drug, sequela A T440X5A 2019-10-01 Adverse effect of anticholinesterase agents, init encntr A T440X5D 2019-10-01 Adverse effect of anticholinesterase agents, subs encntr A T440X5S 2019-10-01 Adverse effect of anticholinesterase agents, sequela A T440X6A 2019-10-01 Underdosing of anticholinesterase agents, initial encounter A T440X6D 2019-10-01 Underdosing of anticholinesterase agents, subs encntr A T440X6S 2019-10-01 Underdosing of anticholinesterase agents, sequela A T441X5A 2019-10-01 Adverse effect of other parasympathomimetics, init encntr A T441X5D 2019-10-01 Adverse effect of other parasympathomimetics, subs encntr A T441X5S 2019-10-01 Adverse effect of other parasympathomimetics, sequela A T441X6A 2019-10-01 Underdosing of other parasympathomimetics, initial encounter A T441X6D 2019-10-01 Underdosing of other parasympath, subsequent encounter A T441X6S 2019-10-01 Underdosing of other parasympathomimetics, sequela A T442X5A 2019-10-01 Adverse effect of ganglionic blocking drugs, init encntr A T442X5D 2019-10-01 Adverse effect of ganglionic blocking drugs, subs encntr A T442X5S 2019-10-01 Adverse effect of ganglionic blocking drugs, sequela A T442X6A 2019-10-01 Underdosing of ganglionic blocking drugs, initial encounter A T442X6D 2019-10-01 Underdosing of ganglionic blocking drugs, subs encntr A T442X6S 2019-10-01 Underdosing of ganglionic blocking drugs, sequela A T443X5A 2019-10-01 Adverse effect of parasympatholytics and spasmolytics, init A T443X5D 2019-10-01 Adverse effect of parasympatholytics and spasmolytics, subs A T443X5S 2019-10-01 Adverse effect of parasympath and spasmolytics, sequela A T443X6A 2019-10-01 Underdosing of oth parasympatholytics and spasmolytics, init A T443X6D 2019-10-01 Underdosing of oth parasympatholytics and spasmolytics, subs A T443X6S 2019-10-01 Underdosing of parasympatholytics and spasmolytics, sequela A T444X5A 2019-10-01 Adverse effect of predom alpha-adrenocpt agonists, init A T444X5D 2019-10-01 Adverse effect of predom alpha-adrenocpt agonists, subs A T444X5S 2019-10-01 Adverse effect of predom alpha-adrenocpt agonists, sequela A T444X6A 2019-10-01 Underdosing of predominantly alpha-adrenocpt agonists, init A T444X6D 2019-10-01 Underdosing of predominantly alpha-adrenocpt agonists, subs A T444X6S 2019-10-01 Underdosing of predom alpha-adrenocpt agonists, sequela A T445X5A 2019-10-01 Adverse effect of predom beta-adrenocpt agonists, init A T445X5D 2019-10-01 Adverse effect of predom beta-adrenocpt agonists, subs A T445X5S 2019-10-01 Adverse effect of predom beta-adrenocpt agonists, sequela A T445X6A 2019-10-01 Underdosing of predominantly beta-adrenocpt agonists, init A T445X6D 2019-10-01 Underdosing of predominantly beta-adrenocpt agonists, subs A T445X6S 2019-10-01 Underdosing of predom beta-adrenocpt agonists, sequela A

Page 36 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* T446X5A 2019-10-01 Adverse effect of alpha-adrenoreceptor antagonists, init A T446X5D 2019-10-01 Adverse effect of alpha-adrenoreceptor antagonists, subs A T446X5S 2019-10-01 Adverse effect of alpha-adrenoreceptor antagonists, sequela A T446X6A 2019-10-01 Underdosing of alpha-adrenoreceptor antagonists, init encntr A T446X6D 2019-10-01 Underdosing of alpha-adrenoreceptor antagonists, subs encntr A T446X6S 2019-10-01 Underdosing of alpha-adrenoreceptor antagonists, sequela A T447X5A 2019-10-01 Adverse effect of beta-adrenoreceptor antagonists, init A T447X5D 2019-10-01 Adverse effect of beta-adrenoreceptor antagonists, subs A T447X5S 2019-10-01 Adverse effect of beta-adrenoreceptor antagonists, sequela A T447X6A 2019-10-01 Underdosing of beta-adrenoreceptor antagonists, init encntr A T447X6D 2019-10-01 Underdosing of beta-adrenoreceptor antagonists, subs encntr A T447X6S 2019-10-01 Underdosing of beta-adrenoreceptor antagonists, sequela A T448X5A 2019-10-01 Adverse effect of centr-acting/adren-neurn-block agnt, init A T448X5D 2019-10-01 Adverse effect of centr-acting/adren-neurn-block agnt, subs A T448X5S 2019-10-01 Advrs effect of centr-acting/adren-neurn-block agnt, sequela A T448X6A 2019-10-01 Underdosing of centr-acting/adren-neurn-block agnt, init A T448X6D 2019-10-01 Underdosing of centr-acting/adren-neurn-block agnt, subs A T448X6S 2019-10-01 Underdosing of centr-acting/adren-neurn-block agnt, sequela A T44905A 2019-10-01 Advrs effect of unsp drugs aff the autonm nervous sys, init A T44905D 2019-10-01 Advrs effect of unsp drugs aff the autonm nervous sys, subs A T44905S 2019-10-01 Advrs effect of unsp drugs aff the autonm nrv sys, sequela A T44906A 2019-10-01 Undrdose of unsp drugs aff the autonomic nervous sys, init A T44906D 2019-10-01 Undrdose of unsp drugs aff the autonomic nervous sys, subs A T44906S 2019-10-01 Undrdose of unsp drugs aff the autonm nervous sys, sequela A T44995A 2019-10-01 Adverse effect of drug aff the autonomic nervous sys, init A T44995D 2019-10-01 Adverse effect of drug aff the autonomic nervous sys, subs A T44995S 2019-10-01 Adverse effect of drug aff the autonm nervous sys, sequela A T44996A 2019-10-01 Underdosing of drug aff the autonomic nervous system, init A T44996D 2019-10-01 Underdosing of drug aff the autonomic nervous system, subs A T44996S 2019-10-01 Underdosing of drug aff the autonomic nervous sys, sequela A T450X5A 2019-10-01 Adverse effect of antiallergic and antiemetic drugs, init A T450X5D 2019-10-01 Adverse effect of antiallergic and antiemetic drugs, subs A T450X5S 2019-10-01 Adverse effect of antiallergic and antiemetic drugs, sequela A T450X6A 2019-10-01 Underdosing of antiallergic and antiemetic drugs, init A T450X6D 2019-10-01 Underdosing of antiallergic and antiemetic drugs, subs A T450X6S 2019-10-01 Underdosing of antiallergic and antiemetic drugs, sequela A T451X5A 2019-10-01 Adverse effect of antineoplastic and immunosup drugs, init A T451X5D 2019-10-01 Adverse effect of antineoplastic and immunosup drugs, subs A T451X5S 2019-10-01 Adverse effect of antineopl and immunosup drugs, sequela A T451X6A 2019-10-01 Underdosing of antineoplastic and immunosup drugs, init A T451X6D 2019-10-01 Underdosing of antineoplastic and immunosup drugs, subs A T451X6S 2019-10-01 Underdosing of antineoplastic and immunosup drugs, sequela A T452X5A 2019-10-01 Adverse effect of vitamins, initial encounter A T452X5D 2019-10-01 Adverse effect of vitamins, subsequent encounter A T452X5S 2019-10-01 Adverse effect of vitamins, sequela A T452X6A 2019-10-01 Underdosing of vitamins, initial encounter A T452X6D 2019-10-01 Underdosing of vitamins, subsequent encounter A T452X6S 2019-10-01 Underdosing of vitamins, sequela A T453X5A 2019-10-01 Adverse effect of enzymes, initial encounter A T453X5D 2019-10-01 Adverse effect of enzymes, subsequent encounter A T453X5S 2019-10-01 Adverse effect of enzymes, sequela A T453X6A 2019-10-01 Underdosing of enzymes, initial encounter A T453X6D 2019-10-01 Underdosing of enzymes, subsequent encounter A T453X6S 2019-10-01 Underdosing of enzymes, sequela A T454X5A 2019-10-01 Adverse effect of iron and its compounds, initial encounter A T454X5D 2019-10-01 Adverse effect of iron and its compounds, subs encntr A T454X5S 2019-10-01 Adverse effect of iron and its compounds, sequela A T454X6A 2019-10-01 Underdosing of iron and its compounds, initial encounter A T454X6D 2019-10-01 Underdosing of iron and its compounds, subsequent encounter A T454X6S 2019-10-01 Underdosing of iron and its compounds, sequela A T45515A 2019-10-01 Adverse effect of anticoagulants, initial encounter A T45515D 2019-10-01 Adverse effect of anticoagulants, subsequent encounter A T45515S 2019-10-01 Adverse effect of anticoagulants, sequela A T45516A 2019-10-01 Underdosing of anticoagulants, initial encounter A T45516D 2019-10-01 Underdosing of anticoagulants, subsequent encounter A T45516S 2019-10-01 Underdosing of anticoagulants, sequela A T45525A 2019-10-01 Adverse effect of antithrombotic drugs, initial encounter A T45525D 2019-10-01 Adverse effect of antithrombotic drugs, subsequent encounter A T45525S 2019-10-01 Adverse effect of antithrombotic drugs, sequela A T45526A 2019-10-01 Underdosing of antithrombotic drugs, initial encounter A T45526D 2019-10-01 Underdosing of antithrombotic drugs, subsequent encounter A T45526S 2019-10-01 Underdosing of antithrombotic drugs, sequela A T45605A 2019-10-01 Adverse effect of unsp fibrinolysis-affecting drugs, init A T45605D 2019-10-01 Adverse effect of unsp fibrinolysis-affecting drugs, subs A T45605S 2019-10-01 Adverse effect of unsp fibrinolysis-affecting drugs, sequela A T45606A 2019-10-01 Underdosing of unsp fibrinolysis-affecting drugs, init A T45606D 2019-10-01 Underdosing of unsp fibrinolysis-affecting drugs, subs A

Page 37 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* T45606S 2019-10-01 Underdosing of unsp fibrinolysis-affecting drugs, sequela A T45615A 2019-10-01 Adverse effect of thrombolytic drugs, initial encounter A T45615D 2019-10-01 Adverse effect of thrombolytic drugs, subsequent encounter A T45615S 2019-10-01 Adverse effect of thrombolytic drugs, sequela A T45616A 2019-10-01 Underdosing of thrombolytic drugs, initial encounter A T45616D 2019-10-01 Underdosing of thrombolytic drugs, subsequent encounter A T45616S 2019-10-01 Underdosing of thrombolytic drugs, sequela A T45625A 2019-10-01 Adverse effect of hemostatic drug, initial encounter A T45625D 2019-10-01 Adverse effect of hemostatic drug, subsequent encounter A T45625S 2019-10-01 Adverse effect of hemostatic drug, sequela A T45626A 2019-10-01 Underdosing of hemostatic drugs, initial encounter A T45626D 2019-10-01 Underdosing of hemostatic drugs, subsequent encounter A T45626S 2019-10-01 Underdosing of hemostatic drugs, sequela A T45695A 2019-10-01 Adverse effect of oth fibrinolysis-affecting drugs, init A T45695D 2019-10-01 Adverse effect of oth fibrinolysis-affecting drugs, subs A T45695S 2019-10-01 Adverse effect of oth fibrinolysis-affecting drugs, sequela A T45696A 2019-10-01 Underdosing of oth fibrinolysis-affecting drugs, init encntr A T45696D 2019-10-01 Underdosing of oth fibrinolysis-affecting drugs, subs encntr A T45696S 2019-10-01 Underdosing of other fibrinolysis-affecting drugs, sequela A T457X5A 2019-10-01 Adverse effect of anticoag antag, vit K and oth coag, init A T457X5D 2019-10-01 Adverse effect of anticoag antag, vit K and oth coag, subs A T457X5S 2019-10-01 Advrs effect of anticoag antag, vit K and oth coag, sequela A T457X6A 2019-10-01 Undrdose of anticoag antagonist, vit K and oth coag, init A T457X6D 2019-10-01 Undrdose of anticoag antagonist, vit K and oth coag, subs A T457X6S 2019-10-01 Undrdose of anticoag antagonist, vit K and oth coag, sequela A T458X5A 2019-10-01 Adverse effect of prim systemic and hematolog agents, init A T458X5D 2019-10-01 Adverse effect of prim systemic and hematolog agents, subs A T458X5S 2019-10-01 Adverse effect of prim sys and hematolog agents, sequela A T458X6A 2019-10-01 Underdosing of primarily systemic and hematolog agents, init A T458X6D 2019-10-01 Underdosing of primarily systemic and hematolog agents, subs A T458X6S 2019-10-01 Undrdose of primarily systemic and hematolog agents, sequela A T4595XA 2019-10-01 Adverse effect of unsp prim sys and hematolog agent, init A T4595XD 2019-10-01 Adverse effect of unsp prim sys and hematolog agent, subs A T4595XS 2019-10-01 Adverse effect of unsp prim sys and hematolog agent, sequela A T4596XA 2019-10-01 Undrdose of unsp prim systemic and hematolog agent, init A T4596XD 2019-10-01 Undrdose of unsp prim systemic and hematolog agent, subs A T4596XS 2019-10-01 Undrdose of unsp prim systemic and hematolog agent, sequela A T460X5A 2019-10-01 Adverse effect of cardi-stim glycos/drug simlar act, init A T460X5D 2019-10-01 Adverse effect of cardi-stim glycos/drug simlar act, subs A T460X5S 2019-10-01 Adverse effect of cardi-stim glycos/drug simlar act, sequela A T460X6A 2019-10-01 Underdosing of cardi-stim glycos/drug simlar act, init A T460X6D 2019-10-01 Underdosing of cardi-stim glycos/drug simlar act, subs A T460X6S 2019-10-01 Underdosing of cardi-stim glycos/drug simlar act, sequela A T461X5A 2019-10-01 Adverse effect of calcium-channel blockers, init encntr A T461X5D 2019-10-01 Adverse effect of calcium-channel blockers, subs encntr A T461X5S 2019-10-01 Adverse effect of calcium-channel blockers, sequela A T461X6A 2019-10-01 Underdosing of calcium-channel blockers, initial encounter A T461X6D 2019-10-01 Underdosing of calcium-channel blockers, subs encntr A T461X6S 2019-10-01 Underdosing of calcium-channel blockers, sequela A T462X5A 2019-10-01 Adverse effect of other antidysrhythmic drugs, init encntr A T462X5D 2019-10-01 Adverse effect of other antidysrhythmic drugs, subs encntr A T462X5S 2019-10-01 Adverse effect of other antidysrhythmic drugs, sequela A T462X6A 2019-10-01 Underdosing of other antidysrhythmic drugs, init encntr A T462X6D 2019-10-01 Underdosing of other antidysrhythmic drugs, subs encntr A T462X6S 2019-10-01 Underdosing of other antidysrhythmic drugs, sequela A T463X5A 2019-10-01 Adverse effect of coronary vasodilators, initial encounter A T463X5D 2019-10-01 Adverse effect of coronary vasodilators, subs encntr A T463X5S 2019-10-01 Adverse effect of coronary vasodilators, sequela A T463X6A 2019-10-01 Underdosing of coronary vasodilators, initial encounter A T463X6D 2019-10-01 Underdosing of coronary vasodilators, subsequent encounter A T463X6S 2019-10-01 Underdosing of coronary vasodilators, sequela A T464X5A 2019-10-01 Adverse effect of angiotens-convert-enzyme inhibitors, init A T464X5D 2019-10-01 Adverse effect of angiotens-convert-enzyme inhibitors, subs A T464X5S 2019-10-01 Adverse effect of angiotens-convert-enzyme inhibtr, sequela A T464X6A 2019-10-01 Underdosing of angiotens-convert-enzyme inhibitors, init A T464X6D 2019-10-01 Underdosing of angiotens-convert-enzyme inhibitors, subs A T464X6S 2019-10-01 Underdosing of angiotens-convert-enzyme inhibitors, sequela A T465X5A 2019-10-01 Adverse effect of other antihypertensive drugs, init encntr A T465X5D 2019-10-01 Adverse effect of other antihypertensive drugs, subs encntr A T465X5S 2019-10-01 Adverse effect of other antihypertensive drugs, sequela A T465X6A 2019-10-01 Underdosing of other antihypertensive drugs, init encntr A T465X6D 2019-10-01 Underdosing of other antihypertensive drugs, subs encntr A T465X6S 2019-10-01 Underdosing of other antihypertensive drugs, sequela A T466X5A 2019-10-01 Adverse effect of antihyperlip and antiarterio drugs, init A T466X5D 2019-10-01 Adverse effect of antihyperlip and antiarterio drugs, subs A T466X5S 2019-10-01 Advrs effect of antihyperlip and antiarterio drugs, sequela A T466X6A 2019-10-01 Underdosing of antihyperlip and antiarterio drugs, init A

Page 38 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* T466X6D 2019-10-01 Underdosing of antihyperlip and antiarterio drugs, subs A T466X6S 2019-10-01 Underdosing of antihyperlip and antiarterio drugs, sequela A T467X5A 2019-10-01 Adverse effect of peripheral vasodilators, initial encounter A T467X5D 2019-10-01 Adverse effect of peripheral vasodilators, subs encntr A T467X5S 2019-10-01 Adverse effect of peripheral vasodilators, sequela A T467X6A 2019-10-01 Underdosing of peripheral vasodilators, initial encounter A T467X6D 2019-10-01 Underdosing of peripheral vasodilators, subsequent encounter A T467X6S 2019-10-01 Underdosing of peripheral vasodilators, sequela A T468X5A 2019-10-01 Adverse effect of antivaric drugs, inc scler agents, init A T468X5D 2019-10-01 Adverse effect of antivaric drugs, inc scler agents, subs A T468X5S 2019-10-01 Adverse effect of antivaric drugs, inc scler agents, sequela A T468X6A 2019-10-01 Undrdose of antivaric drugs, including scler agents, init A T468X6D 2019-10-01 Undrdose of antivaric drugs, including scler agents, subs A T468X6S 2019-10-01 Undrdose of antivaric drugs, including scler agents, sequela A T46905A 2019-10-01 Adverse effect of unsp agents aff the cardiovasc sys, init A T46905D 2019-10-01 Adverse effect of unsp agents aff the cardiovasc sys, subs A T46905S 2019-10-01 Advrs effect of unsp agents aff the cardiovasc sys, sequela A T46906A 2019-10-01 Underdosing of unsp agents aff the cardiovascular sys, init A T46906D 2019-10-01 Underdosing of unsp agents aff the cardiovascular sys, subs A T46906S 2019-10-01 Underdosing of unsp agents aff the cardiovasc sys, sequela A T46995A 2019-10-01 Adverse effect of agents aff the cardiovascular sys, init A T46995D 2019-10-01 Adverse effect of agents aff the cardiovascular sys, subs A T46995S 2019-10-01 Adverse effect of agents aff the cardiovascular sys, sequela A T46996A 2019-10-01 Underdosing of agents aff the cardiovascular sys, init A T46996D 2019-10-01 Underdosing of agents aff the cardiovascular sys, subs A T46996S 2019-10-01 Underdosing of agents aff the cardiovascular sys, sequela A T470X5A 2019-10-01 Adverse effect of histamine H2-receptor blockers, init A T470X5D 2019-10-01 Adverse effect of histamine H2-receptor blockers, subs A T470X5S 2019-10-01 Adverse effect of histamine H2-receptor blockers, sequela A T470X6A 2019-10-01 Underdosing of histamine H2-receptor blockers, init encntr A T470X6D 2019-10-01 Underdosing of histamine H2-receptor blockers, subs encntr A T470X6S 2019-10-01 Underdosing of histamine H2-receptor blockers, sequela A T471X5A 2019-10-01 Adverse effect of antacids and anti-gstrc-sec drugs, init A T471X5D 2019-10-01 Adverse effect of antacids and anti-gstrc-sec drugs, subs A T471X5S 2019-10-01 Adverse effect of antacids and anti-gstrc-sec drugs, sequela A T471X6A 2019-10-01 Underdosing of antacids and anti-gstrc-sec drugs, init A T471X6D 2019-10-01 Underdosing of antacids and anti-gstrc-sec drugs, subs A T471X6S 2019-10-01 Underdosing of antacids and anti-gstrc-sec drugs, sequela A T472X5A 2019-10-01 Adverse effect of stimulant laxatives, initial encounter A T472X5D 2019-10-01 Adverse effect of stimulant laxatives, subsequent encounter A T472X5S 2019-10-01 Adverse effect of stimulant laxatives, sequela A T472X6A 2019-10-01 Underdosing of stimulant laxatives, initial encounter A T472X6D 2019-10-01 Underdosing of stimulant laxatives, subsequent encounter A T472X6S 2019-10-01 Underdosing of stimulant laxatives, sequela A T473X5A 2019-10-01 Adverse effect of saline and osmotic laxatives, init encntr A T473X5D 2019-10-01 Adverse effect of saline and osmotic laxatives, subs encntr A T473X5S 2019-10-01 Adverse effect of saline and osmotic laxatives, sequela A T473X6A 2019-10-01 Underdosing of saline and osmotic laxatives, init encntr A T473X6D 2019-10-01 Underdosing of saline and osmotic laxatives, subs encntr A T473X6S 2019-10-01 Underdosing of saline and osmotic laxatives, sequela A T474X5A 2019-10-01 Adverse effect of other laxatives, initial encounter A T474X5D 2019-10-01 Adverse effect of other laxatives, subsequent encounter A T474X5S 2019-10-01 Adverse effect of other laxatives, sequela A T474X6A 2019-10-01 Underdosing of other laxatives, initial encounter A T474X6D 2019-10-01 Underdosing of other laxatives, subsequent encounter A T474X6S 2019-10-01 Underdosing of other laxatives, sequela A T475X5A 2019-10-01 Adverse effect of digestants, initial encounter A T475X5D 2019-10-01 Adverse effect of digestants, subsequent encounter A T475X5S 2019-10-01 Adverse effect of digestants, sequela A T475X6A 2019-10-01 Underdosing of digestants, initial encounter A T475X6D 2019-10-01 Underdosing of digestants, subsequent encounter A T475X6S 2019-10-01 Underdosing of digestants, sequela A T476X5A 2019-10-01 Adverse effect of antidiarrheal drugs, initial encounter A T476X5D 2019-10-01 Adverse effect of antidiarrheal drugs, subsequent encounter A T476X5S 2019-10-01 Adverse effect of antidiarrheal drugs, sequela A T476X6A 2019-10-01 Underdosing of antidiarrheal drugs, initial encounter A T476X6D 2019-10-01 Underdosing of antidiarrheal drugs, subsequent encounter A T476X6S 2019-10-01 Underdosing of antidiarrheal drugs, sequela A T477X5A 2019-10-01 Adverse effect of emetics, initial encounter A T477X5D 2019-10-01 Adverse effect of emetics, subsequent encounter A T477X5S 2019-10-01 Adverse effect of emetics, sequela A T477X6A 2019-10-01 Underdosing of emetics, initial encounter A T477X6D 2019-10-01 Underdosing of emetics, subsequent encounter A T477X6S 2019-10-01 Underdosing of emetics, sequela A T478X5A 2019-10-01 Adverse effect of agents primarily affecting GI sys, init A T478X5D 2019-10-01 Adverse effect of agents primarily affecting GI sys, subs A T478X5S 2019-10-01 Adverse effect of agents primarily affecting GI sys, sequela A

Page 39 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* T478X6A 2019-10-01 Underdosing of agents primarily affecting GI sys, init A T478X6D 2019-10-01 Underdosing of agents primarily affecting GI sys, subs A T478X6S 2019-10-01 Underdosing of agents primarily affecting GI sys, sequela A T4795XA 2019-10-01 Adverse effect of unsp agents aff the GI sys, init A T4795XD 2019-10-01 Adverse effect of unsp agents aff the GI sys, subs A T4795XS 2019-10-01 Adverse effect of unsp agents aff the GI sys, sequela A T4796XA 2019-10-01 Underdosing of unsp agents aff the GI sys, init A T4796XD 2019-10-01 Underdosing of unsp agents aff the GI sys, subs A T4796XS 2019-10-01 Underdosing of unsp agents aff the GI sys, sequela A T480X5A 2019-10-01 Adverse effect of oxytocic drugs, initial encounter A T480X5D 2019-10-01 Adverse effect of oxytocic drugs, subsequent encounter A T480X5S 2019-10-01 Adverse effect of oxytocic drugs, sequela A T480X6A 2019-10-01 Underdosing of oxytocic drugs, initial encounter A T480X6D 2019-10-01 Underdosing of oxytocic drugs, subsequent encounter A T480X6S 2019-10-01 Underdosing of oxytocic drugs, sequela A T481X5A 2019-10-01 Adverse effect of skeletal muscle relaxants, init encntr A T481X5D 2019-10-01 Adverse effect of skeletal muscle relaxants, subs encntr A T481X5S 2019-10-01 Adverse effect of skeletal muscle relaxants, sequela A T481X6A 2019-10-01 Underdosing of skeletal muscle relaxants, initial encounter A T481X6D 2019-10-01 Underdosing of skeletal muscle relaxants, subs encntr A T481X6S 2019-10-01 Underdosing of skeletal muscle relaxants, sequela A T48205A 2019-10-01 Adverse effect of unsp drugs acting on muscles, init encntr A T48205D 2019-10-01 Adverse effect of unsp drugs acting on muscles, subs encntr A T48205S 2019-10-01 Adverse effect of unsp drugs acting on muscles, sequela A T48206A 2019-10-01 Underdosing of unsp drugs acting on muscles, init encntr A T48206D 2019-10-01 Underdosing of unsp drugs acting on muscles, subs encntr A T48206S 2019-10-01 Underdosing of unspecified drugs acting on muscles, sequela A T48295A 2019-10-01 Adverse effect of other drugs acting on muscles, init encntr A T48295D 2019-10-01 Adverse effect of other drugs acting on muscles, subs encntr A T48295S 2019-10-01 Adverse effect of other drugs acting on muscles, sequela A T48296A 2019-10-01 Underdosing of other drugs acting on muscles, init encntr A T48296D 2019-10-01 Underdosing of other drugs acting on muscles, subs encntr A T48296S 2019-10-01 Underdosing of other drugs acting on muscles, sequela A T483X5A 2019-10-01 Adverse effect of antitussives, initial encounter A T483X5D 2019-10-01 Adverse effect of antitussives, subsequent encounter A T483X5S 2019-10-01 Adverse effect of antitussives, sequela A T483X6A 2019-10-01 Underdosing of antitussives, initial encounter A T483X6D 2019-10-01 Underdosing of antitussives, subsequent encounter A T483X6S 2019-10-01 Underdosing of antitussives, sequela A T484X5A 2019-10-01 Adverse effect of expectorants, initial encounter A T484X5D 2019-10-01 Adverse effect of expectorants, subsequent encounter A T484X5S 2019-10-01 Adverse effect of expectorants, sequela A T484X6A 2019-10-01 Underdosing of expectorants, initial encounter A T484X6D 2019-10-01 Underdosing of expectorants, subsequent encounter A T484X6S 2019-10-01 Underdosing of expectorants, sequela A T485X5A 2019-10-01 Adverse effect of other anti-common-cold drugs, init encntr A T485X5D 2019-10-01 Adverse effect of other anti-common-cold drugs, subs encntr A T485X5S 2019-10-01 Adverse effect of other anti-common-cold drugs, sequela A T485X6A 2019-10-01 Underdosing of other anti-common-cold drugs, init encntr A T485X6D 2019-10-01 Underdosing of other anti-common-cold drugs, subs encntr A T485X6S 2019-10-01 Underdosing of other anti-common-cold drugs, sequela A T486X5A 2019-10-01 Adverse effect of antiasthmatics, initial encounter A T486X5D 2019-10-01 Adverse effect of antiasthmatics, subsequent encounter A T486X5S 2019-10-01 Adverse effect of antiasthmatics, sequela A T486X6A 2019-10-01 Underdosing of antiasthmatics, initial encounter A T486X6D 2019-10-01 Underdosing of antiasthmatics, subsequent encounter A T486X6S 2019-10-01 Underdosing of antiasthmatics, sequela A T48905A 2019-10-01 Advrs effect of unsp agents prim act on the resp sys, init A T48905D 2019-10-01 Advrs effect of unsp agents prim act on the resp sys, subs A T48905S 2019-10-01 Advrs effect of unsp agents prim act on the resp sys, sqla A T48906A 2019-10-01 Undrdose of unsp agents prim acting on the resp sys, init A T48906D 2019-10-01 Undrdose of unsp agents prim acting on the resp sys, subs A T48906S 2019-10-01 Undrdose of unsp agents prim acting on the resp sys, sequela A T48995A 2019-10-01 Adverse effect of agents prim acting on the resp sys, init A T48995D 2019-10-01 Adverse effect of agents prim acting on the resp sys, subs A T48995S 2019-10-01 Advrs effect of agents prim acting on the resp sys, sequela A T48996A 2019-10-01 Underdosing of agents primarily acting on the resp sys, init A T48996D 2019-10-01 Underdosing of agents primarily acting on the resp sys, subs A T48996S 2019-10-01 Undrdose of agents primarily acting on the resp sys, sequela A T490X5A 2019-10-01 Adverse effect of local antifung/infect/inflamm drugs, init A T490X5D 2019-10-01 Adverse effect of local antifung/infect/inflamm drugs, subs A T490X5S 2019-10-01 Advrs effect of local antifung/infect/inflamm drugs, sequela A T490X6A 2019-10-01 Underdosing of local antifung/infect/inflamm drugs, init A T490X6D 2019-10-01 Underdosing of local antifung/infect/inflamm drugs, subs A T490X6S 2019-10-01 Underdosing of local antifung/infect/inflamm drugs, sequela A T491X5A 2019-10-01 Adverse effect of antipruritics, initial encounter A T491X5D 2019-10-01 Adverse effect of antipruritics, subsequent encounter A

Page 40 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* T491X5S 2019-10-01 Adverse effect of antipruritics, sequela A T491X6A 2019-10-01 Underdosing of antipruritics, initial encounter A T491X6D 2019-10-01 Underdosing of antipruritics, subsequent encounter A T491X6S 2019-10-01 Underdosing of antipruritics, sequela A T492X5A 2019-10-01 Adverse effect of local astringents/detergents, init A T492X5D 2019-10-01 Adverse effect of local astringents/detergents, subs A T492X5S 2019-10-01 Adverse effect of local astringents/detergents, sequela A T492X6A 2019-10-01 Underdosing of local astringents and local detergents, init A T492X6D 2019-10-01 Underdosing of local astringents and local detergents, subs A T492X6S 2019-10-01 Underdosing of local astringents/detergents, sequela A T493X5A 2019-10-01 Adverse effect of emollients, demulcents and protect, init A T493X5D 2019-10-01 Adverse effect of emollients, demulcents and protect, subs A T493X5S 2019-10-01 Advrs effect of emollients, demulcents and protect, sequela A T493X6A 2019-10-01 Underdosing of emollients, demulcents and protectants, init A T493X6D 2019-10-01 Underdosing of emollients, demulcents and protectants, subs A T493X6S 2019-10-01 Underdosing of emollients, demulcents and protect, sequela A T494X5A 2019-10-01 Adverse effect of keratolyt/keratplst/hair trmt drug, init A T494X5D 2019-10-01 Adverse effect of keratolyt/keratplst/hair trmt drug, subs A T494X5S 2019-10-01 Advrs effect of keratolyt/keratplst/hair trmt drug, sequela A T494X6A 2019-10-01 Underdosing of keratolyt/keratplst/hair trmt drug, init A T494X6D 2019-10-01 Underdosing of keratolyt/keratplst/hair trmt drug, subs A T494X6S 2019-10-01 Underdosing of keratolyt/keratplst/hair trmt drug, sequela A T495X5A 2019-10-01 Adverse effect of opth drugs and preparations, init A T495X5D 2019-10-01 Adverse effect of opth drugs and preparations, subs A T495X5S 2019-10-01 Adverse effect of opth drugs and preparations, sequela A T495X6A 2019-10-01 Underdosing of ophthalmological drugs and preparations, init A T495X6D 2019-10-01 Underdosing of ophthalmological drugs and preparations, subs A T495X6S 2019-10-01 Underdosing of opth drugs and preparations, sequela A T496X5A 2019-10-01 Adverse effect of otorhino drugs and preparations, init A T496X5D 2019-10-01 Adverse effect of otorhino drugs and preparations, subs A T496X5S 2019-10-01 Adverse effect of otorhino drugs and preparations, sequela A T496X6A 2019-10-01 Underdosing of otorhino drugs and preparations, init A T496X6D 2019-10-01 Underdosing of otorhino drugs and preparations, subs A T496X6S 2019-10-01 Underdosing of otorhino drugs and preparations, sequela A T497X5A 2019-10-01 Adverse effect of dental drugs, topically applied, init A T497X5D 2019-10-01 Adverse effect of dental drugs, topically applied, subs A T497X5S 2019-10-01 Adverse effect of dental drugs, topically applied, sequela A T497X6A 2019-10-01 Underdosing of dental drugs, topically applied, init encntr A T497X6D 2019-10-01 Underdosing of dental drugs, topically applied, subs encntr A T497X6S 2019-10-01 Underdosing of dental drugs, topically applied, sequela A T498X5A 2019-10-01 Adverse effect of other topical agents, initial encounter A T498X5D 2019-10-01 Adverse effect of other topical agents, subsequent encounter A T498X5S 2019-10-01 Adverse effect of other topical agents, sequela A T498X6A 2019-10-01 Underdosing of other topical agents, initial encounter A T498X6D 2019-10-01 Underdosing of other topical agents, subsequent encounter A T498X6S 2019-10-01 Underdosing of other topical agents, sequela A T4995XA 2019-10-01 Adverse effect of unspecified topical agent, init encntr A T4995XD 2019-10-01 Adverse effect of unspecified topical agent, subs encntr A T4995XS 2019-10-01 Adverse effect of unspecified topical agent, sequela A T4996XA 2019-10-01 Underdosing of unspecified topical agent, initial encounter A T4996XD 2019-10-01 Underdosing of unspecified topical agent, subs encntr A T4996XS 2019-10-01 Underdosing of unspecified topical agent, sequela A T500X5A 2019-10-01 Adverse effect of mineralocorticoids and their antag, init A T500X5D 2019-10-01 Adverse effect of mineralocorticoids and their antag, subs A T500X5S 2019-10-01 Adverse effect of mineralocorticoids and antag, sequela A T500X6A 2019-10-01 Underdosing of mineralocorticoids and their antag, init A T500X6D 2019-10-01 Underdosing of mineralocorticoids and their antag, subs A T500X6S 2019-10-01 Underdosing of mineralocorticoids and their antag, sequela A T501X5A 2019-10-01 Adverse effect of loop diuretics, initial encounter A T501X5D 2019-10-01 Adverse effect of loop diuretics, subsequent encounter A T501X5S 2019-10-01 Adverse effect of loop [high-ceiling] diuretics, sequela A T501X6A 2019-10-01 Underdosing of loop diuretics, initial encounter A T501X6D 2019-10-01 Underdosing of loop diuretics, subsequent encounter A T501X6S 2019-10-01 Underdosing of loop [high-ceiling] diuretics, sequela A T502X5A 2019-10-01 Advrs eff of crbnc-anhydr inhibtr, benzo/oth diuretc, init A T502X5D 2019-10-01 Advrs eff of crbnc-anhydr inhibtr, benzo/oth diuretc, subs A T502X5S 2019-10-01 Advrs eff of crbnc-anhydr inhibtr, benzo/oth diuretc, sqla A T502X6A 2019-10-01 Underdosing of crbnc-anhydr inhibtr, benzo/oth diuretc, init A T502X6D 2019-10-01 Underdosing of crbnc-anhydr inhibtr, benzo/oth diuretc, subs A T502X6S 2019-10-01 Undrdose of crbnc-anhydr inhibtr, benzo/oth diuretc, sequela A T503X5A 2019-10-01 Adverse effect of electrolytic/caloric/wtr-bal agnt, init A T503X5D 2019-10-01 Adverse effect of electrolytic/caloric/wtr-bal agnt, subs A T503X5S 2019-10-01 Adverse effect of electrolytic/caloric/wtr-bal agnt, sequela A T503X6A 2019-10-01 Underdosing of electrolytic/caloric/wtr-bal agnt, init A T503X6D 2019-10-01 Underdosing of electrolytic/caloric/wtr-bal agnt, subs A T503X6S 2019-10-01 Underdosing of electrolytic/caloric/wtr-bal agnt, sequela A T504X5A 2019-10-01 Adverse effect of drugs affecting uric acid metabolism, init A

Page 41 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* T504X5D 2019-10-01 Adverse effect of drugs affecting uric acid metabolism, subs A T504X5S 2019-10-01 Adverse effect of drugs affecting uric acid metab, sequela A T504X6A 2019-10-01 Underdosing of drugs affecting uric acid metabolism, init A T504X6D 2019-10-01 Underdosing of drugs affecting uric acid metabolism, subs A T504X6S 2019-10-01 Underdosing of drugs affecting uric acid metabolism, sequela A T505X5A 2019-10-01 Adverse effect of appetite depressants, initial encounter A T505X5D 2019-10-01 Adverse effect of appetite depressants, subsequent encounter A T505X5S 2019-10-01 Adverse effect of appetite depressants, sequela A T505X6A 2019-10-01 Underdosing of appetite depressants, initial encounter A T505X6D 2019-10-01 Underdosing of appetite depressants, subsequent encounter A T505X6S 2019-10-01 Underdosing of appetite depressants, sequela A T506X5A 2019-10-01 Adverse effect of antidotes and chelating agents, init A T506X5D 2019-10-01 Adverse effect of antidotes and chelating agents, subs A T506X5S 2019-10-01 Adverse effect of antidotes and chelating agents, sequela A T506X6A 2019-10-01 Underdosing of antidotes and chelating agents, init encntr A T506X6D 2019-10-01 Underdosing of antidotes and chelating agents, subs encntr A T506X6S 2019-10-01 Underdosing of antidotes and chelating agents, sequela A T507X5A 2019-10-01 Adverse effect of analeptics and opioid receptor antag, init A T507X5D 2019-10-01 Adverse effect of analeptics and opioid receptor antag, subs A T507X5S 2019-10-01 Advrs effect of analeptics and opioid receptor antag, sqla A T507X6A 2019-10-01 Underdosing of analeptics and opioid receptor antag, init A T507X6D 2019-10-01 Underdosing of analeptics and opioid receptor antag, subs A T507X6S 2019-10-01 Underdosing of analeptics and opioid receptor antag, sequela A T508X5A 2019-10-01 Adverse effect of diagnostic agents, initial encounter A T508X5D 2019-10-01 Adverse effect of diagnostic agents, subsequent encounter A T508X5S 2019-10-01 Adverse effect of diagnostic agents, sequela A T508X6A 2019-10-01 Underdosing of diagnostic agents, initial encounter A T508X6D 2019-10-01 Underdosing of diagnostic agents, subsequent encounter A T508X6S 2019-10-01 Underdosing of diagnostic agents, sequela A T50915A 2019-10-01 Adverse effect of multiple unsp drug/meds/biol subst, init A T50915D 2019-10-01 Adverse effect of multiple unsp drug/meds/biol subst, subs A T50915S 2019-10-01 Adverse effect of mult unsp drug/meds/biol subst, sequela A T50916A 2019-10-01 Undrdose of multiple unspecified drug/meds/biol subst, init A T50916D 2019-10-01 Undrdose of multiple unspecified drug/meds/biol subst, subs A T50916S 2019-10-01 Undrdose of multiple unsp drug/meds/biol subst, sequela A T50A15A 2019-10-01 Advrs effect of pertuss vaccine, inc combin w pertuss, init A T50A15D 2019-10-01 Advrs effect of pertuss vaccine, inc combin w pertuss, subs A T50A15S 2019-10-01 Advrs effect of pertuss vaccine, inc combin w pertuss, sqla A T50A16A 2019-10-01 Undrdose of pertussis vaccine, inc combin w pertuss, init A T50A16D 2019-10-01 Undrdose of pertussis vaccine, inc combin w pertuss, subs A T50A16S 2019-10-01 Undrdose of pertussis vaccine, inc combin w pertuss, sequela A T50A25A 2019-10-01 Adverse effect of mixed bact vaccines w/o a pertuss, init A T50A25D 2019-10-01 Adverse effect of mixed bact vaccines w/o a pertuss, subs A T50A25S 2019-10-01 Adverse effect of mixed bact vaccines w/o a pertuss, sequela A T50A26A 2019-10-01 Underdosing of mixed bacterial vaccines w/o a pertuss, init A T50A26D 2019-10-01 Underdosing of mixed bacterial vaccines w/o a pertuss, subs A T50A26S 2019-10-01 Undrdose of mixed bacterial vaccines w/o a pertuss, sequela A T50A95A 2019-10-01 Adverse effect of other bacterial vaccines, init encntr A T50A95D 2019-10-01 Adverse effect of other bacterial vaccines, subs encntr A T50A95S 2019-10-01 Adverse effect of other bacterial vaccines, sequela A T50A96A 2019-10-01 Underdosing of other bacterial vaccines, initial encounter A T50A96D 2019-10-01 Underdosing of other bacterial vaccines, subs encntr A T50A96S 2019-10-01 Underdosing of other bacterial vaccines, sequela A T50B15A 2019-10-01 Adverse effect of smallpox vaccines, initial encounter A T50B15D 2019-10-01 Adverse effect of smallpox vaccines, subsequent encounter A T50B15S 2019-10-01 Adverse effect of smallpox vaccines, sequela A T50B16A 2019-10-01 Underdosing of smallpox vaccines, initial encounter A T50B16D 2019-10-01 Underdosing of smallpox vaccines, subsequent encounter A T50B16S 2019-10-01 Underdosing of smallpox vaccines, sequela A T50B95A 2019-10-01 Adverse effect of other viral vaccines, initial encounter A T50B95D 2019-10-01 Adverse effect of other viral vaccines, subsequent encounter A T50B95S 2019-10-01 Adverse effect of other viral vaccines, sequela A T50B96A 2019-10-01 Underdosing of other viral vaccines, initial encounter A T50B96D 2019-10-01 Underdosing of other viral vaccines, subsequent encounter A T50B96S 2019-10-01 Underdosing of other viral vaccines, sequela A T50Z15A 2019-10-01 Adverse effect of immunoglobulin, initial encounter A T50Z15D 2019-10-01 Adverse effect of immunoglobulin, subsequent encounter A T50Z15S 2019-10-01 Adverse effect of immunoglobulin, sequela A T50Z16A 2019-10-01 Underdosing of immunoglobulin, initial encounter A T50Z16D 2019-10-01 Underdosing of immunoglobulin, subsequent encounter A T50Z16S 2019-10-01 Underdosing of immunoglobulin, sequela A T50Z95A 2019-10-01 Adverse effect of vaccines and biological substances, init A T50Z95D 2019-10-01 Adverse effect of vaccines and biological substances, subs A T50Z95S 2019-10-01 Adverse effect of vaccines and biolg substances, sequela A T50Z96A 2019-10-01 Underdosing of oth vaccines and biological substances, init A T50Z96D 2019-10-01 Underdosing of oth vaccines and biological substances, subs A T50Z96S 2019-10-01 Underdosing of vaccines and biological substances, sequela A

Page 42 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* T8112XA 2019-10-01 Postprocedural septic shock, initial encounter A T8112XD 2019-10-01 Postprocedural septic shock, subsequent encounter A T8112XS 2019-10-01 Postprocedural septic shock, sequela A Z0000 2019-10-01 Encntr for general adult medical exam w/o abnormal findings A Z0001 2019-10-01 Encounter for general adult medical exam w abnormal findings A Z00110 2019-10-01 Health examination for newborn under 8 days old A Z00111 2019-10-01 Health examination for newborn 8 to 28 days old A Z00121 2019-10-01 Encounter for routine child health exam w abnormal findings A Z00129 2019-10-01 Encntr for routine child health exam w/o abnormal findings A Z002 2019-10-01 Encounter for exam for period of rapid growth in childhood A Z003 2019-10-01 Encounter for examination for adolescent development state A Z005 2019-10-01 Encounter for exam of potential donor of organ and tissue A Z0070 2019-10-01 Encntr for exam for delay growth in chldhd w/o abn findings A Z0071 2019-10-01 Encntr for exam for delay growth in chldhd w abn findings A Z008 2019-10-01 Encounter for other general examination A Z0110 2019-10-01 Encounter for exam of ears and hearing w/o abnormal findings A Z01110 2019-10-01 Encounter for hearing exam following failed hear screening A Z01118 2019-10-01 Encntr for exam of ears and hearing w oth abnormal findings A Z0112 2019-10-01 Encounter for hearing conservation and treatment A Z0120 2019-10-01 Encounter for dental exam and cleaning w/o abnormal findings A Z0121 2019-10-01 Encounter for dental exam and cleaning w abnormal findings A Z0130 2019-10-01 Encounter for exam of blood pressure w/o abnormal findings A Z0131 2019-10-01 Encounter for exam of blood pressure w abnormal findings A Z01812 2019-10-01 Encounter for preprocedural laboratory examination A Z01818 2019-10-01 Encounter for other preprocedural examination A Z0182 2019-10-01 Encounter for allergy testing A Z0183 2019-10-01 Encounter for blood typing A Z0184 2019-10-01 Encounter for antibody response examination A Z0189 2019-10-01 Encounter for other specified special examinations A Z020 2019-10-01 Encounter for exam for admission to educational institution A Z022 2019-10-01 Encounter for exam for admission to residential institution A Z024 2019-10-01 Encounter for examination for driving license A Z025 2019-10-01 Encounter for examination for participation in sport A Z026 2019-10-01 Encounter for examination for insurance purposes A Z0271 2019-10-01 Encounter for disability determination A Z0279 2019-10-01 Encounter for issue of other medical certificate A Z0282 2019-10-01 Encounter for adoption services A Z0289 2019-10-01 Encounter for other administrative examinations A Z029 2019-10-01 Encounter for administrative examinations, unspecified A Z0371 2019-10-01 Encntr for susp prob w amnio cavity and membrane ruled out A Z0372 2019-10-01 Encounter for suspected placental problem ruled out A Z0373 2019-10-01 Encounter for suspected fetal anomaly ruled out A Z0374 2019-10-01 Encounter for suspected problem with fetal growth ruled out A Z0375 2019-10-01 Encounter for suspected cervical shortening ruled out A Z0379 2019-10-01 Encntr for oth suspected maternal and fetal cond ruled out A Z03821 2020-10-01 Enctr for observation for suspected ingested fb ruled out N Z03822 2020-10-01 Enctr for obs for suspected aspirated (inhaled) fb ruled out N Z03823 2020-10-01 Enctr for obs for suspected inserted (injected) fb ruled out N Z049 2019-10-01 Encounter for examination and observation for unsp reason A Z08 2019-10-01 Encntr for follow-up exam after trtmt for malignant neoplasm A Z09 2019-10-01 Encntr for f/u exam aft trtmt for cond oth than malig neoplm A Z110 2019-10-01 Encounter for screening for intestinal infectious diseases A Z111 2019-10-01 Encounter for screening for respiratory tuberculosis A Z112 2019-10-01 Encounter for screening for other bacterial diseases A Z113 2019-10-01 Encntr screen for infections w sexl mode of transmiss A Z114 2019-10-01 Encounter for screening for human immunodeficiency virus A Z1151 2019-10-01 Encounter for screening for human papillomavirus (HPV) A Z1159 2019-10-01 Encounter for screening for other viral diseases A Z116 2019-10-01 Encntr screen for oth protozoal diseases and helminthiases A Z117 2019-10-01 Encounter for testing for latent tuberculosis infection A Z118 2019-10-01 Encounter for screening for oth infec/parastc diseases A Z119 2019-10-01 Encounter for screening for infec/parastc diseases, unsp A Z120 2019-10-01 Encounter for screening for malignant neoplasm of stomach A Z1210 2019-10-01 Encntr screen for malignant neoplasm of intest tract, unsp A Z1211 2019-10-01 Encounter for screening for malignant neoplasm of colon A Z1212 2019-10-01 Encounter for screening for malignant neoplasm of rectum A Z1213 2019-10-01 Encntr screen for malignant neoplasm of small intestine A Z122 2019-10-01 Encntr screen for malignant neoplasm of respiratory organs A Z1231 2019-10-01 Encntr screen mammogram for malignant neoplasm of breast A Z1239 2019-10-01 Encounter for oth screening for malignant neoplasm of breast A Z124 2019-10-01 Encounter for screening for malignant neoplasm of cervix A Z126 2019-10-01 Encounter for screening for malignant neoplasm of bladder A Z1271 2019-10-01 Encounter for screening for malignant neoplasm of testis A Z1272 2019-10-01 Encounter for screening for malignant neoplasm of vagina A Z1273 2019-10-01 Encounter for screening for malignant neoplasm of ovary A Z1279 2019-10-01 Encntr screen for malignant neoplasm of genitourinary organs A Z1281 2019-10-01 Encntr screen for malignant neoplasm of oral cavity A

Page 43 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z1282 2019-10-01 Encntr screen for malignant neoplasm of nervous system A Z1283 2019-10-01 Encounter for screening for malignant neoplasm of skin A Z1289 2019-10-01 Encounter for screening for malignant neoplasm of oth sites A Z129 2019-10-01 Encounter for screening for malignant neoplasm, site unsp A Z130 2019-10-01 Encntr screen for dis of the bld/bld-form org/immun mechnsm A Z131 2019-10-01 Encounter for screening for diabetes mellitus A Z1321 2019-10-01 Encounter for screening for nutritional disorder A Z13220 2019-10-01 Encounter for screening for lipoid disorders A Z13228 2019-10-01 Encounter for screening for other metabolic disorders A Z1329 2019-10-01 Encounter for screening for oth suspected endocrine disorder A Z1330 2019-10-01 Encntr screen exam for mental hlth and behavrl disord, unsp A Z1331 2019-10-01 Encounter for screening for depression A Z1332 2019-10-01 Encounter for screening for maternal depression A Z1339 2019-10-01 Encntr screen exam for other mental hlth and behavrl disord A Z1340 2019-10-01 Encounter for screening for unspecified developmental delays A Z1341 2019-10-01 Encounter for autism screening A Z1342 2019-10-01 Encntr screen for global developmental delays (milestones) A Z1349 2019-10-01 Encounter for screening for other developmental delays A Z135 2019-10-01 Encounter for screening for eye and ear disorders A Z136 2019-10-01 Encounter for screening for cardiovascular disorders A Z1371 2019-10-01 Encntr for nonprocreat screen for genetic dis carrier status A Z1379 2019-10-01 Encntr for oth screening for genetic and chromsoml anomalies A Z13810 2019-10-01 Encounter for screening for upper gastrointestinal disorder A Z13811 2019-10-01 Encounter for screening for lower gastrointestinal disorder A Z13818 2019-10-01 Encounter for screening for other digestive system disorders A Z13820 2019-10-01 Encounter for screening for osteoporosis A Z13828 2019-10-01 Encounter for screening for other musculoskeletal disorder A Z1383 2019-10-01 Encounter for screening for respiratory disorder NEC A Z1384 2019-10-01 Encounter for screening for dental disorders A Z13850 2019-10-01 Encounter for screening for traumatic brain injury A Z13858 2019-10-01 Encounter for screening for other nervous system disorders A Z1388 2019-10-01 Encntr screen for disorder due to exposure to contaminants A Z1389 2019-10-01 Encounter for screening for other disorder A Z139 2019-10-01 Encounter for screening, unspecified A Z1401 2019-10-01 Asymptomatic hemophilia A carrier A Z1402 2019-10-01 Symptomatic hemophilia A carrier A Z141 2019-10-01 Cystic fibrosis carrier A Z148 2019-10-01 Genetic carrier of other disease A Z1501 2019-10-01 Genetic susceptibility to malignant neoplasm of breast A Z1502 2019-10-01 Genetic susceptibility to malignant neoplasm of ovary A Z1503 2019-10-01 Genetic susceptibility to malignant neoplasm of prostate A Z1504 2019-10-01 Genetic susceptibility to malignant neoplasm of endometrium A Z1509 2019-10-01 Genetic susceptibility to other malignant neoplasm A Z1581 2019-10-01 Genetic susceptibility to multiple endocrine neoplasia [MEN] A Z1589 2019-10-01 Genetic susceptibility to other disease A Z1610 2019-10-01 Resistance to unspecified beta lactam antibiotics A Z1611 2019-10-01 Resistance to penicillins A Z1612 2019-10-01 Extended spectrum beta lactamase (ESBL) resistance A Z1619 2019-10-01 Resistance to other specified beta lactam antibiotics A Z1620 2019-10-01 Resistance to unspecified antibiotic A Z1621 2019-10-01 Resistance to vancomycin A Z1622 2019-10-01 Resistance to vancomycin related antibiotics A Z1623 2019-10-01 Resistance to quinolones and fluoroquinolones A Z1624 2019-10-01 Resistance to multiple antibiotics A Z1629 2019-10-01 Resistance to other single specified antibiotic A Z1630 2019-10-01 Resistance to unspecified antimicrobial drugs A Z1631 2019-10-01 Resistance to antiparasitic drug(s) A Z1632 2019-10-01 Resistance to antifungal drug(s) A Z1633 2019-10-01 Resistance to antiviral drug(s) A Z16341 2019-10-01 Resistance to single antimycobacterial drug A Z16342 2019-10-01 Resistance to multiple antimycobacterial drugs A Z1635 2019-10-01 Resistance to multiple antimicrobial drugs A Z1639 2019-10-01 Resistance to other specified antimicrobial drug A Z170 2019-10-01 Estrogen receptor positive status [ER+] A Z171 2019-10-01 Estrogen receptor negative status [ER-] A Z1801 2019-10-01 Retained depleted uranium fragments A Z1809 2019-10-01 Other retained radioactive fragments A Z1810 2019-10-01 Retained metal fragments, unspecified A Z1811 2019-10-01 Retained magnetic metal fragments A Z1812 2019-10-01 Retained nonmagnetic metal fragments A Z182 2019-10-01 Retained plastic fragments A Z1831 2019-10-01 Retained animal quills or spines A Z1832 2019-10-01 Retained tooth A Z1833 2019-10-01 Retained wood fragments A Z1839 2019-10-01 Other retained organic fragments A Z1881 2019-10-01 Retained glass fragments A Z1883 2019-10-01 Retained stone or crystalline fragments A

Page 44 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z1889 2019-10-01 Other specified retained foreign body fragments A Z189 2019-10-01 Retained foreign body fragments, unspecified material A Z191 2019-10-01 Hormone sensitive malignancy status A Z192 2019-10-01 Hormone resistant malignancy status A Z2009 2019-10-01 Contact w and exposure to oth intestinal infectious diseases A Z201 2019-10-01 Contact with and (suspected) exposure to tuberculosis A Z202 2019-10-01 Contact w and exposure to infect w a sexl mode of transmiss A Z203 2019-10-01 Contact with and (suspected) exposure to rabies A Z204 2019-10-01 Contact with and (suspected) exposure to rubella A Z207 2019-10-01 Cntct w & expsr to pediculosis, acariasis & oth infestations A Z20810 2019-10-01 Contact with and (suspected) exposure to anthrax A Z20818 2019-10-01 Contact w and exposure to oth bact communicable diseases A Z20821 2019-10-01 Contact with and (suspected) exposure to Zika virus A Z2089 2019-10-01 Contact w and exposure to oth communicable diseases A Z209 2019-10-01 Contact w and exposure to unsp communicable disease A Z220 2019-10-01 Carrier of typhoid A Z221 2019-10-01 Carrier of other intestinal infectious diseases A Z222 2019-10-01 Carrier of diphtheria A Z2231 2019-10-01 Carrier of bacterial disease due to meningococci A Z22321 2019-10-01 Carrier or suspected carrier of methicillin suscep staph A Z22322 2019-10-01 Carrier or suspected carrier of methicillin resis staph A Z22330 2019-10-01 Carrier of Group B streptococcus A Z22338 2019-10-01 Carrier of other streptococcus A Z2239 2019-10-01 Carrier of other specified bacterial diseases A Z224 2019-10-01 Carrier of infections w sexl mode of transmiss A Z226 2019-10-01 Carrier of human T-lymphotropic virus type-1 infection A Z227 2019-10-01 Latent tuberculosis A Z228 2019-10-01 Carrier of other infectious diseases A Z229 2019-10-01 Carrier of infectious disease, unspecified A Z23 2019-10-01 Encounter for immunization A Z2801 2019-10-01 Immunization not crd out because of acute illness of patient A Z2802 2019-10-01 Immuniz not crd out bec chronic illness or cond of patient A Z2803 2019-10-01 Immuniz not crd out bec immune compromised state of patient A Z2804 2019-10-01 Immuniz not crd out bec patient allergy to vaccine or cmpnt A Z2809 2019-10-01 Immunization not carried out because of oth contraindication A Z281 2019-10-01 Immuniz not crd out because of patient belief/grp pressr A Z2820 2019-10-01 Immuniz not crd out bec patient decision for unsp reason A Z2821 2019-10-01 Immunization not carried out because of patient refusal A Z2829 2019-10-01 Immuniz not crd out bec patient decision for oth reason A Z283 2019-10-01 Underimmunization status A Z2881 2019-10-01 Immuniz not crd out due to patient having had the disease A Z2882 2019-10-01 Immunization not carried out because of caregiver refusal A Z2883 2019-10-01 Immunization not crd out due to unavailability of vaccine A Z2889 2019-10-01 Immunization not carried out for other reason A Z289 2019-10-01 Immunization not carried out for unspecified reason A Z2911 2019-10-01 Enctr for prphylc immther for resp syncytial virus (RSV) A Z2912 2019-10-01 Encounter for prophylactic antivenin A Z2913 2019-10-01 Encounter for prophylactic Rho(D) immune globulin A Z2914 2019-10-01 Encounter for prophylactic rabies immune globin A Z293 2019-10-01 Encounter for prophylactic fluoride administration A Z298 2019-10-01 Encounter for other specified prophylactic measures A Z299 2019-10-01 Encounter for prophylactic measures, unspecified A Z30011 2019-10-01 Encounter for initial prescription of contraceptive pills A Z30012 2019-10-01 Encounter for prescription of emergency contraception A Z30013 2019-10-01 Encounter for initial prescription of injectable contracep A Z30014 2019-10-01 Encounter for initial prescription of uterin contracep dev A Z30015 2019-10-01 Encounter for initial prescription of vagnl ring A Z30016 2019-10-01 Enctr for init prescription of patch hormonal contracep dev A Z30017 2019-10-01 Enctr for init prescription of implntbl subdermal contracep A Z30018 2019-10-01 Encounter for initial prescription of other contraceptives A Z30019 2019-10-01 Encounter for initial prescription of contraceptives, unsp A Z3002 2019-10-01 Cnsl and instruction in natrl family planning to avoid preg A Z3009 2019-10-01 Encounter for oth general cnsl and advice on contraception A Z3040 2019-10-01 Encounter for surveillance of contraceptives, unspecified A Z3041 2019-10-01 Encounter for surveillance of contraceptive pills A Z3042 2019-10-01 Encounter for surveillance of injectable contraceptive A Z30430 2019-10-01 Encounter for insertion of intrauterine contraceptive device A Z30431 2019-10-01 Encounter for routine checking of intrauterine contracep dev A Z30432 2019-10-01 Encounter for removal of intrauterine contraceptive device A Z30433 2019-10-01 Encntr for removal and reinsertion of uterin contracep dev A Z3044 2019-10-01 Encounter for surveillance of vagnl ring A Z3045 2019-10-01 Enctr srvlnc transdermal patch hormonal contraceptive device A Z3046 2019-10-01 Enctr srvlnc implantable subdermal contraceptive A Z3049 2019-10-01 Encounter for surveillance of other contraceptives A Z308 2019-10-01 Encounter for other contraceptive management A Z309 2019-10-01 Encounter for contraceptive management, unspecified A Z3141 2019-10-01 Encounter for fertility testing A

Page 45 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z3142 2019-10-01 Aftercare following sterilization reversal A Z31430 2019-10-01 Encntr fem for test for genetc dis carrier stat for pro mgmt A Z31438 2019-10-01 Encounter for oth genetic testing of female for pro mgmt A Z31440 2019-10-01 Encntr male test for genetic dis carrier status for pro mgmt A Z31441 2019-10-01 Encntr for testing of male prtnr of pt w recur preg loss A Z31448 2019-10-01 Encounter for oth genetic testing of male for pro mgmt A Z3149 2019-10-01 Encounter for other procreative investigation and testing A Z315 2019-10-01 Encounter for procreative genetic counseling A Z3161 2019-10-01 Procreat counseling and advice using natural family planning A Z3162 2019-10-01 Encounter for fertility preservation counseling A Z3169 2019-10-01 Encounter for oth general cnsl and advice on procreation A Z317 2019-10-01 Enctr for pro mgmt and counseling for gestational carrier A Z3181 2019-10-01 Encounter for male factor infertility in female patient A Z3182 2019-10-01 Encounter for Rh incompatibility status A Z3183 2019-10-01 Encounter for assisted reprodctv fertility procedure cycle A Z3184 2019-10-01 Encounter for fertility preservation procedure A Z3189 2019-10-01 Encounter for other procreative management A Z319 2019-10-01 Encounter for procreative management, unspecified A Z322 2019-10-01 Encounter for childbirth instruction A Z323 2019-10-01 Encounter for childcare instruction A Z331 2019-10-01 Pregnant state, incidental A Z333 2019-10-01 Pregnant state, gestational carrier A Z3400 2019-10-01 Encntr for suprvsn of normal first pregnancy, unsp trimester A Z3401 2019-10-01 Encntr for suprvsn of normal first preg, first trimester A Z3402 2019-10-01 Encntr for suprvsn of normal first preg, second trimester A Z3403 2019-10-01 Encntr for suprvsn of normal first preg, third trimester A Z3480 2019-10-01 Encounter for suprvsn of normal pregnancy, unsp trimester A Z3481 2019-10-01 Encounter for suprvsn of normal pregnancy, first trimester A Z3482 2019-10-01 Encounter for suprvsn of normal pregnancy, second trimester A Z3483 2019-10-01 Encounter for suprvsn of normal pregnancy, third trimester A Z3490 2019-10-01 Encntr for suprvsn of normal pregnancy, unsp, unsp trimester A Z3491 2019-10-01 Encntr for suprvsn of normal preg, unsp, first trimester A Z3492 2019-10-01 Encntr for suprvsn of normal preg, unsp, second trimester A Z3493 2019-10-01 Encntr for suprvsn of normal preg, unsp, third trimester A Z370 2019-10-01 Single live birth A Z371 2019-10-01 Single stillbirth A Z372 2019-10-01 Twins, both liveborn A Z373 2019-10-01 Twins, one liveborn and one stillborn A Z374 2019-10-01 Twins, both stillborn A Z3750 2019-10-01 Multiple births, unspecified, all liveborn A Z3751 2019-10-01 Triplets, all liveborn A Z3752 2019-10-01 Quadruplets, all liveborn A Z3753 2019-10-01 Quintuplets, all liveborn A Z3754 2019-10-01 Sextuplets, all liveborn A Z3759 2019-10-01 Other multiple births, all liveborn A Z3760 2019-10-01 Multiple births, unspecified, some liveborn A Z3761 2019-10-01 Triplets, some liveborn A Z3762 2019-10-01 Quadruplets, some liveborn A Z3763 2019-10-01 Quintuplets, some liveborn A Z3764 2019-10-01 Sextuplets, some liveborn A Z3769 2019-10-01 Other multiple births, some liveborn A Z377 2019-10-01 Other multiple births, all stillborn A Z379 2019-10-01 Outcome of delivery, unspecified A Z391 2019-10-01 Encounter for care and examination of lactating mother A Z392 2019-10-01 Encounter for routine postpartum follow-up A Z3A00 2019-10-01 Weeks of gestation of pregnancy not specified A Z3A01 2019-10-01 Less than 8 weeks gestation of pregnancy A Z3A08 2019-10-01 8 weeks gestation of pregnancy A Z3A09 2019-10-01 9 weeks gestation of pregnancy A Z3A10 2019-10-01 10 weeks gestation of pregnancy A Z3A11 2019-10-01 11 weeks gestation of pregnancy A Z3A12 2019-10-01 12 weeks gestation of pregnancy A Z3A13 2019-10-01 13 weeks gestation of pregnancy A Z3A14 2019-10-01 14 weeks gestation of pregnancy A Z3A15 2019-10-01 15 weeks gestation of pregnancy A Z3A16 2019-10-01 16 weeks gestation of pregnancy A Z3A17 2019-10-01 17 weeks gestation of pregnancy A Z3A18 2019-10-01 18 weeks gestation of pregnancy A Z3A19 2019-10-01 19 weeks gestation of pregnancy A Z3A20 2019-10-01 20 weeks gestation of pregnancy A Z3A21 2019-10-01 21 weeks gestation of pregnancy A Z3A22 2019-10-01 22 weeks gestation of pregnancy A Z3A23 2019-10-01 23 weeks gestation of pregnancy A Z3A24 2019-10-01 24 weeks gestation of pregnancy A Z3A25 2019-10-01 25 weeks gestation of pregnancy A Z3A26 2019-10-01 26 weeks gestation of pregnancy A Z3A27 2019-10-01 27 weeks gestation of pregnancy A

Page 46 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z3A28 2019-10-01 28 weeks gestation of pregnancy A Z3A29 2019-10-01 29 weeks gestation of pregnancy A Z3A30 2019-10-01 30 weeks gestation of pregnancy A Z3A31 2019-10-01 31 weeks gestation of pregnancy A Z3A32 2019-10-01 32 weeks gestation of pregnancy A Z3A33 2019-10-01 33 weeks gestation of pregnancy A Z3A34 2019-10-01 34 weeks gestation of pregnancy A Z3A35 2019-10-01 35 weeks gestation of pregnancy A Z3A36 2019-10-01 36 weeks gestation of pregnancy A Z3A37 2019-10-01 37 weeks gestation of pregnancy A Z3A38 2019-10-01 38 weeks gestation of pregnancy A Z3A39 2019-10-01 39 weeks gestation of pregnancy A Z3A40 2019-10-01 40 weeks gestation of pregnancy A Z3A41 2019-10-01 41 weeks gestation of pregnancy A Z3A42 2019-10-01 42 weeks gestation of pregnancy A Z3A49 2019-10-01 Greater than 42 weeks gestation of pregnancy A Z408 2019-10-01 Encounter for other prophylactic A Z409 2019-10-01 Encounter for prophylactic surgery, unspecified A Z413 2019-10-01 Encounter for ear piercing A Z419 2019-10-01 Encntr for proc for purpose oth than remedy hlth state, unsp A Z439 2019-10-01 Encounter for attention to unspecified artificial opening A Z449 2019-10-01 Encounter for fit/adjst of unsp external prosthetic device A Z4582 2019-10-01 Encntr for adjust or removal of myringotomy device (tube) A Z4589 2019-10-01 Encounter for adjustment and management of implanted devices A Z459 2019-10-01 Encounter for adjust and management of unsp implanted device A Z460 2019-10-01 Encounter for fit/adjst of spectacles and contact lenses A Z461 2019-10-01 Encounter for fitting and adjustment of hearing aid A Z464 2019-10-01 Encounter for fitting and adjustment of orthodontic device A Z4651 2019-10-01 Encounter for fitting and adjustment of gastric lap band A Z4659 2019-10-01 Encounter for fit/adjst of GI appliance and device A Z466 2019-10-01 Encounter for fitting and adjustment of urinary device A Z4681 2019-10-01 Encounter for fitting and adjustment of insulin pump A Z4689 2019-10-01 Encounter for fitting and adjustment of oth devices A Z469 2019-10-01 Encounter for fitting and adjustment of unspecified device A Z4800 2019-10-01 Encounter for change or removal of nonsurg wound dressing A Z4801 2019-10-01 Encounter for change or removal of surgical wound dressing A Z4802 2019-10-01 Encounter for removal of sutures A Z4901 2019-10-01 Encounter for fit/adjst of extracorporeal dialysis catheter A Z4902 2019-10-01 Encounter for fit/adjst of peritoneal dialysis catheter A Z4931 2019-10-01 Encounter for adequacy testing for hemodialysis A Z4932 2019-10-01 Encounter for adequacy testing for peritoneal dialysis A Z516 2019-10-01 Encounter for desensitization to allergens A Z5189 2019-10-01 Encounter for other specified aftercare A Z52000 2019-10-01 Unspecified donor, whole blood A Z52001 2019-10-01 Unspecified donor, stem cells A Z52008 2019-10-01 Unspecified donor, other blood A Z52010 2019-10-01 Autologous donor, whole blood A Z52011 2019-10-01 Autologous donor, stem cells A Z52018 2019-10-01 Autologous donor, other blood A Z52090 2019-10-01 Other blood donor, whole blood A Z52091 2019-10-01 Other blood donor, stem cells A Z52098 2019-10-01 Other blood donor, other blood A Z52810 2019-10-01 Egg (Oocyte) donor under age 35, anonymous recipient A Z52811 2019-10-01 Egg (Oocyte) donor under age 35, designated recipient A Z52812 2019-10-01 Egg (Oocyte) donor age 35 and over, anonymous recipient A Z52813 2019-10-01 Egg (Oocyte) donor age 35 and over, designated recipient A Z52819 2019-10-01 Egg (Oocyte) donor, unspecified A Z5301 2019-10-01 Proc/trtmt not carried out due to patient smoking A Z5309 2019-10-01 Proc/trtmt not carried out because of contraindication A Z531 2019-10-01 Proc/trtmt not crd out bec pt belief and group pressure A Z5320 2019-10-01 Proc/trtmt not crd out bec pt decision for unsp reasons A Z5321 2019-10-01 Proc/trtmt not crd out d/t pt lv bef seen by hlth care prov A Z5329 2019-10-01 Proc/trtmt not crd out bec pt decision for oth reasons A Z5331 2019-10-01 Laparoscopic surgical procedure converted to open procedure A Z5332 2019-10-01 Thoracoscopic surgical procedure converted to open procedure A Z5333 2019-10-01 Arthroscopic surgical procedure converted to open procedure A Z5339 2019-10-01 Other specified procedure converted to open procedure A Z538 2019-10-01 Procedure and treatment not carried out for other reasons A Z539 2019-10-01 Procedure and treatment not carried out, unspecified reason A Z550 2019-10-01 Illiteracy and low-level literacy A Z551 2019-10-01 Schooling unavailable and unattainable A Z552 2019-10-01 Failed school examinations A Z553 2019-10-01 Underachievement in school A Z554 2019-10-01 Educational maladjustment & discord w teachers & classmates A Z558 2019-10-01 Other problems related to education and literacy A Z559 2019-10-01 Problems related to education and literacy, unspecified A Z560 2019-10-01 Unemployment, unspecified A

Page 47 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z561 2019-10-01 Change of job A Z562 2019-10-01 Threat of job loss A Z563 2019-10-01 Stressful work schedule A Z564 2019-10-01 Discord with boss and workmates A Z565 2019-10-01 Uncongenial work environment A Z566 2019-10-01 Other physical and mental strain related to work A Z5681 2019-10-01 Sexual harassment on the job A Z5682 2019-10-01 Military deployment status A Z5689 2019-10-01 Other problems related to employment A Z569 2019-10-01 Unspecified problems related to employment A Z570 2019-10-01 Occupational exposure to noise A Z571 2019-10-01 Occupational exposure to radiation A Z572 2019-10-01 Occupational exposure to dust A Z5731 2019-10-01 Occupational exposure to environmental tobacco smoke A Z5739 2019-10-01 Occupational exposure to other air contaminants A Z574 2019-10-01 Occupational exposure to toxic agents in agriculture A Z575 2019-10-01 Occupational exposure to toxic agents in other industries A Z576 2019-10-01 Occupational exposure to extreme temperature A Z577 2019-10-01 Occupational exposure to vibration A Z578 2019-10-01 Occupational exposure to other risk factors A Z579 2019-10-01 Occupational exposure to unspecified risk factor A Z590 2019-10-01 Homelessness A Z591 2019-10-01 Inadequate housing A Z592 2019-10-01 Discord with neighbors, lodgers and landlord A Z593 2019-10-01 Problems related to living in residential institution A Z594 2019-10-01 Lack of adequate food and safe drinking water A Z595 2019-10-01 Extreme poverty A Z596 2019-10-01 Low income A Z597 2019-10-01 Insufficient social insurance and welfare support A Z598 2019-10-01 Other problems related to housing and economic circumstances A Z599 2019-10-01 Problem related to housing and economic circumstances, unsp A Z600 2019-10-01 Problems of adjustment to life-cycle transitions A Z602 2019-10-01 Problems related to living alone A Z603 2019-10-01 Acculturation difficulty A Z604 2019-10-01 Social exclusion and rejection A Z605 2019-10-01 Target of (perceived) adverse discrimination and persecution A Z608 2019-10-01 Other problems related to social environment A Z609 2019-10-01 Problem related to social environment, unspecified A Z620 2019-10-01 Inadequate parental supervision and control A Z621 2019-10-01 Parental overprotection A Z6221 2019-10-01 Child in welfare custody A Z6222 2019-10-01 Institutional upbringing A Z6229 2019-10-01 Other upbringing away from parents A Z623 2019-10-01 Hostility towards and scapegoating of child A Z626 2019-10-01 Inappropriate (excessive) parental pressure A Z62810 2019-10-01 Personal history of physical and sexual abuse in childhood A Z62811 2019-10-01 Personal history of psychological abuse in childhood A Z62812 2019-10-01 Personal history of neglect in childhood A Z62813 2019-10-01 Pers hx of forced labor or sexual exploitation in childhood A Z62819 2019-10-01 Personal history of unspecified abuse in childhood A Z62820 2019-10-01 Parent-biological child conflict A Z62821 2019-10-01 Parent-adopted child conflict A Z62822 2019-10-01 Parent-foster child conflict A Z62890 2019-10-01 Parent-child estrangement NEC A Z62891 2019-10-01 Sibling rivalry A Z62898 2019-10-01 Other specified problems related to upbringing A Z629 2019-10-01 Problem related to upbringing, unspecified A Z630 2019-10-01 Problems in relationship with spouse or partner A Z631 2019-10-01 Problems in relationship with in-laws A Z6331 2019-10-01 Absence of family member due to military deployment A Z6332 2019-10-01 Other absence of family member A Z634 2019-10-01 Disappearance and death of family member A Z635 2019-10-01 Disruption of family by separation and divorce A Z636 2019-10-01 Dependent relative needing care at home A Z6371 2019-10-01 Stress on fam d/t return of family member from miltry deploy A Z6372 2019-10-01 Alcoholism and drug addiction in family A Z6379 2019-10-01 Other stressful life events affecting family and household A Z638 2019-10-01 Other specified problems related to primary support group A Z639 2019-10-01 Problem related to primary support group, unspecified A Z640 2019-10-01 Problems related to unwanted pregnancy A Z641 2019-10-01 Problems related to multiparity A Z644 2019-10-01 Discord with counselors A Z650 2019-10-01 Conviction in civil & criminal proceedings w/o imprisonment A Z651 2019-10-01 Imprisonment and other incarceration A Z652 2019-10-01 Problems related to release from prison A Z653 2019-10-01 Problems related to other legal circumstances A Z654 2019-10-01 Victim of crime and terrorism A

Page 48 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z655 2019-10-01 Exposure to disaster, war and other hostilities A Z658 2019-10-01 Oth problems related to psychosocial circumstances A Z659 2019-10-01 Problem related to unspecified psychosocial circumstances A Z66 2019-10-01 Do not resuscitate A Z6710 2019-10-01 Type A blood, Rh positive A Z6711 2019-10-01 Type A blood, Rh negative A Z6720 2019-10-01 Type B blood, Rh positive A Z6721 2019-10-01 Type B blood, Rh negative A Z6730 2019-10-01 Type AB blood, Rh positive A Z6731 2019-10-01 Type AB blood, Rh negative A Z6740 2019-10-01 Type O blood, Rh positive A Z6741 2019-10-01 Type O blood, Rh negative A Z6790 2019-10-01 Unspecified blood type, Rh positive A Z6791 2019-10-01 Unspecified blood type, Rh negative A Z681 2020-10-01 Body mass index [BMI] 19.9 or less, adult A Z6820 2020-10-01 Body mass index [BMI] 20.0-20.9, adult A Z6821 2020-10-01 Body mass index [BMI] 21.0-21.9, adult A Z6822 2020-10-01 Body mass index [BMI] 22.0-22.9, adult A Z6823 2020-10-01 Body mass index [BMI] 23.0-23.9, adult A Z6824 2020-10-01 Body mass index [BMI] 24.0-24.9, adult A Z6825 2020-10-01 Body mass index [BMI] 25.0-25.9, adult A Z6826 2020-10-01 Body mass index [BMI] 26.0-26.9, adult A Z6827 2020-10-01 Body mass index [BMI] 27.0-27.9, adult A Z6828 2020-10-01 Body mass index [BMI] 28.0-28.9, adult A Z6829 2020-10-01 Body mass index [BMI] 29.0-29.9, adult A Z6830 2020-10-01 Body mass index [BMI] 30.0-30.9, adult A Z6831 2020-10-01 Body mass index [BMI] 31.0-31.9, adult A Z6832 2020-10-01 Body mass index [BMI] 32.0-32.9, adult A Z6833 2020-10-01 Body mass index [BMI] 33.0-33.9, adult A Z6834 2020-10-01 Body mass index [BMI] 34.0-34.9, adult A Z6835 2020-10-01 Body mass index [BMI] 35.0-35.9, adult A Z6836 2020-10-01 Body mass index [BMI] 36.0-36.9, adult A Z6837 2020-10-01 Body mass index [BMI] 37.0-37.9, adult A Z6838 2020-10-01 Body mass index [BMI] 38.0-38.9, adult A Z6839 2020-10-01 Body mass index [BMI] 39.0-39.9, adult A Z6841 2020-10-01 Body mass index [BMI] 40.0-44.9, adult A Z6842 2020-10-01 Body mass index [BMI] 45.0-49.9, adult A Z6843 2020-10-01 Body mass index [BMI] 50-59.9, adult A Z6844 2020-10-01 Body mass index [BMI] 60.0-69.9, adult A Z6845 2020-10-01 Body mass index [BMI] 70 or greater, adult A Z6851 2020-10-01 Body mass index pediatric, less than 5th percentile for age A Z6852 2020-10-01 Body mass index pediatric, 5th percentile to < 85% for age A Z6853 2020-10-01 Body mass index pediatric, 85% to < 95th+percentile for age A Z6854 2020-10-01 Body mass index pediatric, > or equal to 95% for age A Z69011 2019-10-01 Encntr for mental health serv for perp of prntl child abuse A Z69021 2019-10-01 Encntr for mntl hlth serv for perp of non-prntl child abuse A Z6911 2019-10-01 Encntr for mntl hlth serv for victim of spous or prtnr abuse A Z6912 2019-10-01 Encntr for mental hlth serv for perp of spous or prtnr abuse A Z6981 2019-10-01 Encounter for mental health services for victim of oth abuse A Z6982 2019-10-01 Encounter for mental health services for perp of abuse A Z700 2019-10-01 Counseling related to sexual attitude A Z701 2019-10-01 Counseling related to patient's sexual behavior and orientn A Z702 2019-10-01 Cnsl related to sexual behavior and orientn of third party A Z703 2019-10-01 Cnsl rel to comb concrn rgrd sex attitude, behav and orientn A Z708 2019-10-01 Other sex counseling A Z709 2019-10-01 Sex counseling, unspecified A Z710 2019-10-01 Prsn encntr hlth serv to consult on behalf of another person A Z711 2019-10-01 Person w feared hlth complaint in whom no diagnosis is made A Z712 2019-10-01 Person consulting for explanation of exam or test findings A Z713 2019-10-01 Dietary counseling and surveillance A Z7141 2019-10-01 Alcohol abuse counseling and surveillance of alcoholic A Z7142 2019-10-01 Counseling for family member of alcoholic A Z7151 2019-10-01 Drug abuse counseling and surveillance of drug abuser A Z7152 2019-10-01 Counseling for family member of drug abuser A Z716 2019-10-01 Tobacco abuse counseling A Z717 2019-10-01 Human immunodeficiency virus [HIV] counseling A Z7181 2019-10-01 Spiritual or religious counseling A Z7182 2019-10-01 Exercise counseling A Z7184 2019-10-01 Encounter for health counseling related to travel A Z7189 2019-10-01 Other specified counseling A Z719 2019-10-01 Counseling, unspecified A Z720 2019-10-01 Tobacco use A Z723 2019-10-01 Lack of physical exercise A Z724 2019-10-01 Inappropriate diet and eating habits A Z7251 2019-10-01 High risk heterosexual behavior A Z7252 2019-10-01 High risk homosexual behavior A Z7253 2019-10-01 High risk bisexual behavior A

Page 49 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z726 2019-10-01 Gambling and betting A Z72821 2019-10-01 Inadequate sleep hygiene A Z7289 2019-10-01 Other problems related to lifestyle A Z729 2019-10-01 Problem related to lifestyle, unspecified A Z730 2019-10-01 Burn-out A Z731 2019-10-01 Type A behavior pattern A Z732 2019-10-01 Lack of relaxation and leisure A Z733 2019-10-01 Stress, not elsewhere classified A Z734 2019-10-01 Inadequate social skills, not elsewhere classified A Z735 2019-10-01 Social role conflict, not elsewhere classified A Z736 2019-10-01 Limitation of activities due to disability A Z73810 2019-10-01 Behavioral insomnia of childhood, sleep-onset assoc type A Z73811 2019-10-01 Behavioral insomnia of childhood, limit setting type A Z73812 2019-10-01 Behavioral insomnia of childhood, combined type A Z73819 2019-10-01 Behavioral insomnia of childhood, unspecified type A Z7382 2019-10-01 Dual sensory impairment A Z7389 2019-10-01 Other problems related to life management difficulty A Z739 2019-10-01 Problem related to life management difficulty, unspecified A Z7401 2019-10-01 Bed confinement status A Z7409 2019-10-01 Other reduced mobility A Z741 2019-10-01 Need for assistance with personal care A Z742 2019-10-01 Need for assist at home & no house memb able to render care A Z743 2019-10-01 Need for continuous supervision A Z748 2019-10-01 Other problems related to care provider dependency A Z749 2019-10-01 Problem related to care provider dependency, unspecified A Z750 2019-10-01 Medical services not available in home A Z751 2019-10-01 Person awaiting admission to adequate facility elsewhere A Z752 2019-10-01 Other waiting period for investigation and treatment A Z753 2019-10-01 Unavailability and inaccessibility of health-care facilities A Z754 2019-10-01 Unavailability and inaccessibility of other helping agencies A Z755 2019-10-01 Holiday relief care A Z758 2019-10-01 Oth prob related to medical facilities and oth health care A Z759 2019-10-01 Unsp problem related to med facilities and oth health care A Z760 2019-10-01 Encounter for issue of repeat prescription A Z762 2019-10-01 Encntr for hlth suprvsn and care of healthy infant and child A Z7681 2019-10-01 Expectant parent(s) prebirth pediatrician visit A Z7682 2019-10-01 Awaiting organ transplant status A Z7689 2019-10-01 Persons encountering health services in oth circumstances A Z77010 2019-10-01 Contact with and (suspected) exposure to arsenic A Z77011 2019-10-01 Contact with and (suspected) exposure to lead A Z77012 2019-10-01 Contact with and (suspected) exposure to uranium A Z77018 2019-10-01 Contact w and (suspected) exposure to oth hazardous metals A Z77020 2019-10-01 Contact with and (suspected) exposure to aromatic amines A Z77021 2019-10-01 Contact with and (suspected) exposure to benzene A Z77028 2019-10-01 Contact w and exposure to oth hazardous aromatic compounds A Z77090 2019-10-01 Contact with and (suspected) exposure to asbestos A Z77098 2019-10-01 Contact w and expsr to oth hazard, chiefly nonmed, chemicals A Z77110 2019-10-01 Contact with and (suspected) exposure to air pollution A Z77111 2019-10-01 Contact with and (suspected) exposure to water pollution A Z77112 2019-10-01 Contact with and (suspected) exposure to soil pollution A Z77118 2019-10-01 Contact w and (suspected) exposure to oth environ pollution A Z77120 2019-10-01 Contact with and (suspected) exposure to mold (toxic) A Z77121 2019-10-01 Contact w and exposure to harmful algae and algae toxins A Z77122 2019-10-01 Contact with and (suspected) exposure to noise A Z77123 2019-10-01 Cntct w & expsr to radon and other naturally occur radiation A Z77128 2019-10-01 Contact w and expsr to oth hazards in the physcl environment A Z7721 2019-10-01 Contact w and exposure to potentially hazardous body fluids A Z7722 2019-10-01 Cntct w and expsr to environ tobacco smoke (acute) (chronic) A Z7729 2019-10-01 Contact with and exposure to other hazardous substances A Z779 2019-10-01 Oth contact w and (suspected) exposures hazardous to health A Z780 2019-10-01 Asymptomatic menopausal state A Z781 2019-10-01 Physical restraint status A Z789 2019-10-01 Other specified health status A Z7902 2019-10-01 Long term (current) use of antithrombotics/antiplatelets A Z791 2019-10-01 Long term (current) use of non-steroidal non-inflam (NSAID) A Z792 2019-10-01 Long term (current) use of antibiotics A Z7951 2019-10-01 Long term (current) use of inhaled steroids A Z7952 2019-10-01 Long term (current) use of systemic steroids A Z79810 2019-10-01 Lng trm (crnt) use of slctv estrog receptor modulators A Z79811 2019-10-01 Long term (current) use of aromatase inhibitors A Z79818 2019-10-01 Lng trm (crnt) use of agnt aff estrog recpt & estrog levels A Z7983 2019-10-01 Long term (current) use of bisphosphonates A Z7984 2019-10-01 Long term (current) use of oral hypoglycemic drugs A Z79890 2019-10-01 Hormone replacement therapy A Z800 2019-10-01 Family history of malignant neoplasm of digestive organs A Z801 2019-10-01 Family history of malig neoplasm of trachea, bronc and lung A Z802 2019-10-01 Family hx of malig neoplm of resp and intrathorac organs A

Page 50 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z803 2019-10-01 Family history of malignant neoplasm of breast A Z8041 2019-10-01 Family history of malignant neoplasm of ovary A Z8042 2019-10-01 Family history of malignant neoplasm of prostate A Z8043 2019-10-01 Family history of malignant neoplasm of testis A Z8049 2019-10-01 Family history of malignant neoplasm of other genital organs A Z8051 2019-10-01 Family history of malignant neoplasm of kidney A Z8052 2019-10-01 Family history of malignant neoplasm of bladder A Z8059 2019-10-01 Family history of malignant neoplasm of urinary tract organ A Z806 2019-10-01 Family history of leukemia A Z807 2019-10-01 Fam hx of malig neoplm of lymphoid, hematpoetc and rel tiss A Z808 2019-10-01 Family history of malignant neoplasm of organs or systems A Z809 2019-10-01 Family history of malignant neoplasm, unspecified A Z810 2019-10-01 Family history of intellectual disabilities A Z811 2019-10-01 Family history of alcohol abuse and dependence A Z812 2019-10-01 Family history of tobacco abuse and dependence A Z813 2019-10-01 Family history of psychoactv substance abuse and dependence A Z814 2019-10-01 Family history of other substance abuse and dependence A Z818 2019-10-01 Family history of other mental and behavioral disorders A Z820 2019-10-01 Family history of epilepsy and oth dis of the nervous sys A Z821 2019-10-01 Family history of blindness and visual loss A Z822 2019-10-01 Family history of deafness and hearing loss A Z823 2019-10-01 Family history of stroke A Z8241 2019-10-01 Family history of sudden cardiac death A Z8249 2019-10-01 Family hx of ischem heart dis and oth dis of the circ sys A Z825 2019-10-01 Family history of asthma and oth chronic lower resp diseases A Z8261 2019-10-01 Family history of arthritis A Z8262 2019-10-01 Family history of osteoporosis A Z8269 2019-10-01 Family history of diseases of the ms sys and connective tiss A Z8271 2019-10-01 Family history of polycystic kidney A Z8279 2019-10-01 Fam hx of congen malform, deformations and chromsoml abnlt A Z828 2019-10-01 Family hx of disabil and chr dis leading to disablement, NEC A Z830 2019-10-01 Family history of human immunodeficiency virus [HIV] disease A Z831 2019-10-01 Family history of other infectious and parasitic diseases A Z832 2019-10-01 Family history of dis of the bld/bld-form org/immun mechnsm A Z833 2019-10-01 Family history of diabetes mellitus A Z8341 2019-10-01 Family history of multiple endocrine neoplasia syndrome A Z8342 2019-10-01 Family history of familial hypercholesterolemia A Z83430 2019-10-01 Family history of elevated lipoprotein(a) A Z83438 2019-10-01 Fam hx of disord of lipoprotein metab and other lipidemia A Z8349 2019-10-01 Family history of endo, nutritional and metabolic diseases A Z83511 2019-10-01 Family history of glaucoma A Z83518 2019-10-01 Family history of other specified eye disorder A Z8352 2019-10-01 Family history of ear disorders A Z836 2019-10-01 Family history of other diseases of the respiratory system A Z8371 2019-10-01 Family history of colonic polyps A Z8379 2019-10-01 Family history of other diseases of the digestive system A Z840 2019-10-01 Family history of diseases of the skin, subcu A Z841 2019-10-01 Family history of disorders of kidney and ureter A Z842 2019-10-01 Family history of other diseases of the genitourinary system A Z843 2019-10-01 Family history of consanguinity A Z8481 2019-10-01 Family history of carrier of genetic disease A Z8482 2019-10-01 Family history of sudden infant death syndrome A Z8489 2019-10-01 Family history of other specified conditions A Z8500 2019-10-01 Personal history of malignant neoplasm of unsp dgstv org A Z8501 2019-10-01 Personal history of malignant neoplasm of esophagus A Z85020 2019-10-01 Personal history of malignant carcinoid tumor of stomach A Z85028 2019-10-01 Personal history of other malignant neoplasm of stomach A Z85030 2019-10-01 Personal history of malignant carcinoid tumor of lg int A Z85038 2019-10-01 Personal history of malignant neoplasm of large intestine A Z85040 2019-10-01 Personal history of malignant carcinoid tumor of rectum A Z85048 2019-10-01 Prsnl hx of malig neoplm of rectum, rectosig junct, and anus A Z8505 2019-10-01 Personal history of malignant neoplasm of liver A Z85060 2019-10-01 Personal history of malignant carcinoid tumor of sm int A Z85068 2019-10-01 Personal history of malignant neoplasm of small intestine A Z8507 2019-10-01 Personal history of malignant neoplasm of pancreas A Z8509 2019-10-01 Personal history of malignant neoplasm of digestive organs A Z85110 2019-10-01 Personal history of malig carcinoid tumor of bronc and lung A Z85118 2019-10-01 Personal history of malignant neoplasm of bronchus and lung A Z8512 2019-10-01 Personal history of malignant neoplasm of trachea A Z8520 2019-10-01 Personal history of malignant neoplasm of unsp resp organ A Z8521 2019-10-01 Personal history of malignant neoplasm of larynx A Z8522 2019-10-01 Prsnl hx of malig neoplm of nasl cav, mid ear, & acces sinus A Z85230 2019-10-01 Personal history of malignant carcinoid tumor of thymus A Z85238 2019-10-01 Personal history of other malignant neoplasm of thymus A Z8529 2019-10-01 Prsnl history of malig neoplm of resp and intrathorac organs A Z853 2019-10-01 Personal history of malignant neoplasm of breast A Z8540 2019-10-01 Prsnl history of malig neoplm of unsp female genital organ A

Page 51 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z8541 2019-10-01 Personal history of malignant neoplasm of cervix uteri A Z8542 2019-10-01 Personal history of malignant neoplasm of oth prt uterus A Z8543 2019-10-01 Personal history of malignant neoplasm of ovary A Z8544 2019-10-01 Personal history of malig neoplasm of female genital organs A Z8545 2019-10-01 Personal history of malig neoplm of unsp male genital organ A Z8546 2019-10-01 Personal history of malignant neoplasm of prostate A Z8547 2019-10-01 Personal history of malignant neoplasm of testis A Z8548 2019-10-01 Personal history of malignant neoplasm of epididymis A Z8549 2019-10-01 Personal history of malig neoplasm of male genital organs A Z8550 2019-10-01 Personal history of malig neoplm of unsp urinary tract organ A Z8551 2019-10-01 Personal history of malignant neoplasm of bladder A Z85520 2019-10-01 Personal history of malignant carcinoid tumor of kidney A Z85528 2019-10-01 Personal history of other malignant neoplasm of kidney A Z8553 2019-10-01 Personal history of malignant neoplasm of renal pelvis A Z8554 2019-10-01 Personal history of malignant neoplasm of ureter A Z8559 2019-10-01 Personal history of malig neoplasm of urinary tract organ A Z856 2019-10-01 Personal history of leukemia A Z8571 2019-10-01 Personal history of Hodgkin lymphoma A Z8572 2019-10-01 Personal history of non-Hodgkin lymphomas A Z8579 2019-10-01 Prsnl hx of malig neoplm of lymphoid, hematpoetc & rel tiss A Z85810 2019-10-01 Personal history of malignant neoplasm of tongue A Z85818 2019-10-01 Prsnl hx of malig neoplm of site of lip, oral cav, & pharynx A Z85819 2019-10-01 Prsnl hx of malig neoplm of unsp site lip,oral cav,& pharynx A Z85820 2019-10-01 Personal history of malignant melanoma of skin A Z85821 2019-10-01 Personal history of Merkel cell carcinoma A Z85828 2019-10-01 Personal history of other malignant neoplasm of skin A Z85830 2019-10-01 Personal history of malignant neoplasm of A Z85831 2019-10-01 Personal history of malignant neoplasm of soft tissue A Z85840 2019-10-01 Personal history of malignant neoplasm of eye A Z85841 2019-10-01 Personal history of malignant neoplasm of brain A Z85848 2019-10-01 Personal history of malignant neoplasm of prt nervous tissue A Z85850 2019-10-01 Personal history of malignant neoplasm of thyroid A Z85858 2019-10-01 Personal history of malignant neoplasm of endocrine glands A Z8589 2019-10-01 Personal history of malignant neoplasm of organs and systems A Z859 2019-10-01 Personal history of malignant neoplasm, unspecified A Z86000 2019-10-01 Personal history of in-situ neoplasm of breast A Z86001 2019-10-01 Personal history of in-situ neoplasm of cervix uteri A Z86002 2019-10-01 Pers hx of in-situ neoplasm of other and unsp genital organs A Z86003 2019-10-01 Pers hx of in-situ neoplm of oral cavity, esoph and stomach A Z86004 2019-10-01 Pers hx of in-situ neoplasm of other and unsp dgstv orgs A Z86005 2019-10-01 Pers hx of in-situ neoplasm of middle ear and resp sys A Z86006 2019-10-01 Personal history of melanoma in-situ A Z86007 2019-10-01 Personal history of in-situ neoplasm of skin A Z86008 2019-10-01 Personal history of in-situ neoplasm of other site A Z86010 2019-10-01 Personal history of colonic polyps A Z86011 2019-10-01 Personal history of benign neoplasm of the brain A Z86012 2019-10-01 Personal history of benign carcinoid tumor A Z86018 2019-10-01 Personal history of other benign neoplasm A Z8603 2019-10-01 Personal history of neoplasm of uncertain behavior A Z8611 2019-10-01 Personal history of tuberculosis A Z8612 2019-10-01 Personal history of poliomyelitis A Z8613 2019-10-01 Personal history of malaria A Z8614 2019-10-01 Personal history of methicillin resis staph infection A Z8615 2019-10-01 Personal history of latent tuberculosis infection A Z8619 2019-10-01 Personal history of other infectious and parasitic diseases A Z862 2019-10-01 Prsnl history of dis of the bld/bld-form org/immun mechnsm A Z8631 2019-10-01 Personal history of diabetic foot ulcer A Z8632 2019-10-01 Personal history of gestational diabetes A Z8639 2019-10-01 Personal history of endo, nutritional and metabolic disease A Z8651 2019-10-01 Personal history of combat and operational stress reaction A Z8659 2019-10-01 Personal history of other mental and behavioral disorders A Z8661 2019-10-01 Personal history of infections of the central nervous system A Z8669 2019-10-01 Personal history of dis of the nervous sys and sense organs A Z86711 2019-10-01 Personal history of pulmonary embolism A Z86718 2019-10-01 Personal history of other venous thrombosis and embolism A Z8672 2019-10-01 Personal history of thrombophlebitis A Z8673 2019-10-01 Prsnl hx of TIA (TIA), and cereb infrc w/o resid deficits A Z8674 2019-10-01 Personal history of sudden cardiac arrest A Z8679 2019-10-01 Personal history of other diseases of the circulatory system A Z8701 2019-10-01 Personal history of pneumonia (recurrent) A Z8709 2019-10-01 Personal history of other diseases of the respiratory system A Z8711 2019-10-01 Personal history of peptic ulcer disease A Z8719 2019-10-01 Personal history of other diseases of the digestive system A Z872 2019-10-01 Personal history of diseases of the skin, subcu A Z87310 2019-10-01 Personal history of (healed) osteoporosis fracture A Z87311 2019-10-01 Personal history of (healed) other pathological fracture A Z87312 2019-10-01 Personal history of (healed) stress fracture A

Page 52 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z8739 2019-10-01 Personal history of diseases of the ms sys and conn tiss A Z87410 2019-10-01 Personal history of cervical dysplasia A Z87411 2019-10-01 Personal history of vaginal dysplasia A Z87412 2019-10-01 Personal history of vulvar dysplasia A Z8742 2019-10-01 Personal history of oth diseases of the female genital tract A Z87430 2019-10-01 Personal history of prostatic dysplasia A Z87438 2019-10-01 Personal history of other diseases of male genital organs A Z87440 2019-10-01 Personal history of urinary (tract) infections A Z87441 2019-10-01 Personal history of nephrotic syndrome A Z87442 2019-10-01 Personal history of urinary calculi A Z87448 2019-10-01 Personal history of other diseases of urinary system A Z8751 2019-10-01 Personal history of pre-term labor A Z8759 2019-10-01 Personal history of comp of preg, chldbrth and the puerp A Z87710 2019-10-01 Personal history of (corrected) hypospadias A Z87718 2019-10-01 Personal history of (corrected) congenital malform of GU sys A Z87720 2019-10-01 Personal history of (corrected) congenital malform of eye A Z87721 2019-10-01 Personal history of (corrected) congenital malform of ear A Z87728 2019-10-01 Prsnl hx of congen malform of nervous sys and sense organs A Z87730 2019-10-01 Personal history of (corrected) cleft lip and palate A Z87738 2019-10-01 Personal history of congenital malform of dgstv sys A Z8774 2019-10-01 Personal history of congenital malform of heart and circ sys A Z8775 2019-10-01 Personal history of congenital malform of resp sys A Z8776 2019-10-01 Prsnl hx of congen malform of integument, limbs and ms sys A Z87790 2019-10-01 Personal history of congenital malform of face and neck A Z87798 2019-10-01 Personal history of oth (corrected) congenital malformations A Z8781 2019-10-01 Personal history of (healed) traumatic fracture A Z87820 2019-10-01 Personal history of traumatic brain injury A Z87821 2019-10-01 Personal history of retained foreign body fully removed A Z87828 2019-10-01 Personal history of oth (healed) physical injury and trauma A Z87891 2019-10-01 Personal history of nicotine dependence A Z87892 2019-10-01 Personal history of anaphylaxis A Z87898 2019-10-01 Personal history of other specified conditions A Z880 2019-10-01 Allergy status to penicillin A Z881 2020-10-01 Allergy status to other antibiotic agents A Z882 2020-10-01 Allergy status to sulfonamides A Z883 2020-10-01 Allergy status to other anti-infective agents A Z884 2020-10-01 Allergy status to anesthetic agent A Z885 2020-10-01 Allergy status to narcotic agent A Z886 2020-10-01 Allergy status to analgesic agent A Z887 2020-10-01 Allergy status to serum and vaccine A Z888 2020-10-01 Allergy status to other drug/meds/biol subst A Z889 2020-10-01 Allergy status to unspecified drug/meds/biol subst A Z89011 2019-10-01 Acquired absence of right thumb A Z89012 2019-10-01 Acquired absence of left thumb A Z89019 2019-10-01 Acquired absence of unspecified thumb A Z89021 2019-10-01 Acquired absence of right finger(s) A Z89022 2019-10-01 Acquired absence of left finger(s) A Z89029 2019-10-01 Acquired absence of unspecified finger(s) A Z89111 2019-10-01 Acquired absence of right hand A Z89112 2019-10-01 Acquired absence of left hand A Z89119 2019-10-01 Acquired absence of unspecified hand A Z89121 2019-10-01 Acquired absence of right wrist A Z89122 2019-10-01 Acquired absence of left wrist A Z89129 2019-10-01 Acquired absence of unspecified wrist A Z89201 2019-10-01 Acquired absence of right upper limb, unspecified level A Z89202 2019-10-01 Acquired absence of left upper limb, unspecified level A Z89209 2019-10-01 Acquired absence of unsp upper limb, unspecified level A Z89211 2019-10-01 Acquired absence of right upper limb below elbow A Z89212 2019-10-01 Acquired absence of left upper limb below elbow A Z89219 2019-10-01 Acquired absence of unspecified upper limb below elbow A Z89221 2019-10-01 Acquired absence of right upper limb above elbow A Z89222 2019-10-01 Acquired absence of left upper limb above elbow A Z89229 2019-10-01 Acquired absence of unspecified upper limb above elbow A Z89231 2019-10-01 Acquired absence of right shoulder A Z89232 2019-10-01 Acquired absence of left shoulder A Z89239 2019-10-01 Acquired absence of unspecified shoulder A Z89411 2019-10-01 Acquired absence of right great toe A Z89412 2019-10-01 Acquired absence of left great toe A Z89419 2019-10-01 Acquired absence of unspecified great toe A Z89421 2019-10-01 Acquired absence of other right toe(s) A Z89422 2019-10-01 Acquired absence of other left toe(s) A Z89429 2019-10-01 Acquired absence of other toe(s), unspecified side A Z89431 2019-10-01 Acquired absence of right foot A Z89432 2019-10-01 Acquired absence of left foot A Z89439 2019-10-01 Acquired absence of unspecified foot A Z89441 2019-10-01 Acquired absence of right ankle A Z89442 2019-10-01 Acquired absence of left ankle A

Page 53 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z89449 2019-10-01 Acquired absence of unspecified ankle A Z89511 2019-10-01 Acquired absence of right leg below knee A Z89512 2019-10-01 Acquired absence of left leg below knee A Z89519 2019-10-01 Acquired absence of unspecified leg below knee A Z89521 2019-10-01 Acquired absence of right knee A Z89522 2019-10-01 Acquired absence of left knee A Z89529 2019-10-01 Acquired absence of unspecified knee A Z89611 2019-10-01 Acquired absence of right leg above knee A Z89612 2019-10-01 Acquired absence of left leg above knee A Z89619 2019-10-01 Acquired absence of unspecified leg above knee A Z89621 2019-10-01 Acquired absence of right hip joint A Z89622 2019-10-01 Acquired absence of left hip joint A Z89629 2019-10-01 Acquired absence of unspecified hip joint A Z899 2019-10-01 Acquired absence of limb, unspecified A Z9001 2019-10-01 Acquired absence of eye A Z9002 2019-10-01 Acquired absence of larynx A Z9009 2019-10-01 Acquired absence of other part of head and neck A Z902 2019-10-01 Acquired absence of lung [part of] A Z903 2019-10-01 Acquired absence of stomach [part of] A Z90410 2019-10-01 Acquired total absence of pancreas A Z90411 2019-10-01 Acquired partial absence of pancreas A Z9049 2019-10-01 Acquired absence of other specified parts of digestive tract A Z905 2019-10-01 Acquired absence of kidney A Z906 2019-10-01 Acquired absence of other parts of urinary tract A Z90710 2019-10-01 Acquired absence of both cervix and uterus A Z90711 2019-10-01 Acquired absence of uterus with remaining cervical stump A Z90712 2019-10-01 Acquired absence of cervix with remaining uterus A Z90721 2019-10-01 Acquired absence of ovaries, unilateral A Z90722 2019-10-01 Acquired absence of ovaries, bilateral A Z9079 2019-10-01 Acquired absence of other genital organ(s) A Z9081 2019-10-01 Acquired absence of spleen A Z9089 2019-10-01 Acquired absence of other organs A Z91010 2019-10-01 Allergy to peanuts A Z91011 2019-10-01 Allergy to milk products A Z91012 2019-10-01 Allergy to eggs A Z91013 2019-10-01 Allergy to seafood A Z91018 2019-10-01 Allergy to other foods A Z9102 2019-10-01 Food additives allergy status A Z91030 2019-10-01 Bee allergy status A Z91038 2019-10-01 Other insect allergy status A Z91040 2019-10-01 Latex allergy status A Z91041 2019-10-01 Radiographic dye allergy status A Z91048 2019-10-01 Other nonmedicinal substance allergy status A Z9109 2019-10-01 Oth allergy status, oth than to drugs and biolg substances A Z9111 2019-10-01 Patient's noncompliance with dietary regimen A Z91120 2019-10-01 Pt intentl undrdose of meds regimen due to financl hardship A Z91128 2019-10-01 Patient's intentl undrdose of meds regimen for oth reason A Z91130 2019-10-01 Pt unintent undrdose of meds regimen due to age-rel debility A Z91138 2019-10-01 Patient's unintent undrdose of meds regimen for oth reason A Z9114 2019-10-01 Patient's other noncompliance with medication regimen A Z9115 2019-10-01 Patient's noncompliance with renal dialysis A Z9119 2019-10-01 Patient's noncompliance w oth medical treatment and regimen A Z91410 2019-10-01 Personal history of adult physical and sexual abuse A Z91411 2019-10-01 Personal history of adult psychological abuse A Z91412 2019-10-01 Personal history of adult neglect A Z91419 2019-10-01 Personal history of unspecified adult abuse A Z9142 2019-10-01 Personal history of forced labor or sexual exploitation A Z9149 2019-10-01 Oth personal history of psychological trauma, NEC A Z915 2019-10-01 Personal history of self-harm A Z9181 2019-10-01 History of falling A Z9182 2019-10-01 Personal history of military deployment A Z91841 2019-10-01 Risk for dental caries, low A Z91842 2019-10-01 Risk for dental caries, moderate A Z91843 2019-10-01 Risk for dental caries, high A Z91849 2019-10-01 Unspecified risk for dental caries A Z9189 2019-10-01 Oth personal risk factors, not elsewhere classified A Z920 2019-10-01 Personal history of contraception A Z9221 2019-10-01 Personal history of antineoplastic chemotherapy A Z9222 2019-10-01 Personal history of monoclonal drug therapy A Z9223 2019-10-01 Personal history of estrogen therapy A Z92240 2019-10-01 Personal history of inhaled steroid therapy A Z92241 2019-10-01 Personal history of systemic steroid therapy A Z9225 2019-10-01 Personal history of immunosupression therapy A Z9229 2019-10-01 Personal history of other drug therapy A Z923 2019-10-01 Personal history of irradiation A Z9281 2019-10-01 Prsnl history of extracorporeal membrane oxygenation (ECMO) A Z9282 2019-10-01 S/p admn tPA in diff fac w/n last 24 hr bef adm to crnt fac A

Page 54 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z9283 2019-10-01 Personal history of failed moderate sedation A Z9284 2019-10-01 Pers hx of unintended awareness under general anesthesia A Z9289 2019-10-01 Personal history of other medical treatment A Z930 2019-10-01 Tracheostomy status A Z931 2019-10-01 Gastrostomy status A Z932 2019-10-01 Ileostomy status A Z933 2019-10-01 Colostomy status A Z934 2019-10-01 Other artificial openings of gastrointestinal tract status A Z9350 2019-10-01 Unspecified cystostomy status A Z9351 2019-10-01 Cutaneous-vesicostomy status A Z9352 2019-10-01 Appendico-vesicostomy status A Z9359 2019-10-01 Other cystostomy status A Z936 2019-10-01 Other artificial openings of urinary tract status A Z938 2019-10-01 Other artificial opening status A Z939 2019-10-01 Artificial opening status, unspecified A Z940 2019-10-01 Kidney transplant status A Z941 2019-10-01 Heart transplant status A Z942 2019-10-01 Lung transplant status A Z943 2019-10-01 Heart and lungs transplant status A Z944 2019-10-01 Liver transplant status A Z945 2019-10-01 Skin transplant status A Z946 2019-10-01 Bone transplant status A Z947 2019-10-01 Corneal transplant status A Z9481 2019-10-01 Bone marrow transplant status A Z9482 2019-10-01 Intestine transplant status A Z9483 2019-10-01 Pancreas transplant status A Z9484 2019-10-01 Stem cells transplant status A Z9489 2019-10-01 Other transplanted organ and tissue status A Z949 2019-10-01 Transplanted organ and tissue status, unspecified A Z950 2019-10-01 Presence of cardiac pacemaker A Z951 2019-10-01 Presence of aortocoronary bypass graft A Z952 2019-10-01 Presence of prosthetic heart valve A Z953 2019-10-01 Presence of xenogenic heart valve A Z954 2019-10-01 Presence of other heart-valve replacement A Z955 2019-10-01 Presence of coronary angioplasty implant and graft A Z95810 2019-10-01 Presence of automatic (implantable) cardiac defibrillator A Z95811 2019-10-01 Presence of heart assist device A Z95812 2019-10-01 Presence of fully implantable artificial heart A Z95818 2019-10-01 Presence of other cardiac implants and grafts A Z95820 2019-10-01 Peripheral vascular angioplasty status w implants and grafts A Z95828 2019-10-01 Presence of other vascular implants and grafts A Z959 2019-10-01 Presence of cardiac and vascular implant and graft, unsp A Z960 2019-10-01 Presence of urogenital implants A Z961 2019-10-01 Presence of intraocular lens A Z9620 2019-10-01 Presence of otological and audiological implant, unspecified A Z9621 2019-10-01 Cochlear implant status A Z9622 2019-10-01 Myringotomy tube(s) status A Z9629 2019-10-01 Presence of other otological and audiological implants A Z963 2019-10-01 Presence of artificial larynx A Z9641 2019-10-01 Presence of insulin pump (external) (internal) A Z9649 2019-10-01 Presence of other endocrine implants A Z965 2019-10-01 Presence of tooth-root and mandibular implants A Z9660 2019-10-01 Presence of unspecified orthopedic joint implant A Z96611 2019-10-01 Presence of right artificial shoulder joint A Z96612 2019-10-01 Presence of left artificial shoulder joint A Z96619 2019-10-01 Presence of unspecified artificial shoulder joint A Z96621 2019-10-01 Presence of right artificial elbow joint A Z96622 2019-10-01 Presence of left artificial elbow joint A Z96629 2019-10-01 Presence of unspecified artificial elbow joint A Z96631 2019-10-01 Presence of right artificial wrist joint A Z96632 2019-10-01 Presence of left artificial wrist joint A Z96639 2019-10-01 Presence of unspecified artificial wrist joint A Z96641 2019-10-01 Presence of right artificial hip joint A Z96642 2019-10-01 Presence of left artificial hip joint A Z96643 2019-10-01 Presence of artificial hip joint, bilateral A Z96649 2019-10-01 Presence of unspecified artificial hip joint A Z96651 2019-10-01 Presence of right artificial knee joint A Z96652 2019-10-01 Presence of left artificial knee joint A Z96653 2019-10-01 Presence of artificial knee joint, bilateral A Z96659 2019-10-01 Presence of unspecified artificial knee joint A Z96661 2019-10-01 Presence of right artificial ankle joint A Z96662 2019-10-01 Presence of left artificial ankle joint A Z96669 2019-10-01 Presence of unspecified artificial ankle joint A Z96691 2019-10-01 Finger- of right hand A Z96692 2019-10-01 Finger-joint replacement of left hand A Z96693 2019-10-01 Finger-joint replacement, bilateral A Z96698 2019-10-01 Presence of other orthopedic joint implants A

Page 55 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z967 2019-10-01 Presence of other bone and tendon implants A Z9681 2019-10-01 Presence of artificial skin A Z9682 2019-10-01 Presence of neurostimulator A Z9689 2019-10-01 Presence of other specified functional implants A Z969 2019-10-01 Presence of functional implant, unspecified A Z970 2019-10-01 Presence of artificial eye A Z9710 2019-10-01 Presence of artificial limb (complete) (partial), unsp A Z9711 2019-10-01 Presence of artificial right arm (complete) (partial) A Z9712 2019-10-01 Presence of artificial left arm (complete) (partial) A Z9713 2019-10-01 Presence of artificial right leg (complete) (partial) A Z9714 2019-10-01 Presence of artificial left leg (complete) (partial) A Z9715 2019-10-01 Presence of artificial arms, bilateral (complete) (partial) A Z9716 2019-10-01 Presence of artificial legs, bilateral (complete) (partial) A Z972 2019-10-01 Presence of dental prosthetic device (complete) (partial) A Z973 2019-10-01 Presence of spectacles and contact lenses A Z974 2019-10-01 Presence of external hearing-aid A Z975 2019-10-01 Presence of (intrauterine) contraceptive device A Z978 2019-10-01 Presence of other specified devices A Z980 2019-10-01 Intestinal bypass and anastomosis status A Z981 2019-10-01 status A Z982 2019-10-01 Presence of cerebrospinal fluid drainage device A Z983 2019-10-01 Post therapeutic collapse of lung status A Z9841 2019-10-01 Cataract extraction status, right eye A Z9842 2019-10-01 Cataract extraction status, left eye A Z9849 2019-10-01 Cataract extraction status, unspecified eye A Z9851 2019-10-01 Tubal ligation status A Z9852 2019-10-01 Vasectomy status A Z9861 2019-10-01 Coronary angioplasty status A Z9862 2019-10-01 Peripheral vascular angioplasty status A Z98810 2019-10-01 Dental sealant status A Z98811 2019-10-01 Dental restoration status A Z98818 2019-10-01 Other dental procedure status A Z9882 2019-10-01 Breast implant status A Z9883 2019-10-01 Filtering (vitreous) bleb after glaucoma surgery status A Z9884 2019-10-01 Bariatric surgery status A Z9885 2019-10-01 Transplanted organ removal status A Z9886 2019-10-01 Personal history of breast implant removal A Z98870 2019-10-01 Personal history of in utero procedure during pregnancy A Z98871 2019-10-01 Personal history of in utero procedure while a fetus A Z98890 2019-10-01 Other specified postprocedural states A Z98891 2019-10-01 History of uterine scar from previous surgery A Z990 2019-10-01 Dependence on aspirator A Z992 2019-10-01 Dependence on renal dialysis A Z993 2019-10-01 Dependence on wheelchair A Z9981 2019-10-01 Dependence on supplemental oxygen A Z9989 2019-10-01 Dependence on other enabling machines and devices A

Page 56 of 96 Final Summary of Data Changes V21.3

Unacceptable Principal Diagnosis (OPPS) Exclusion Additions

The following ICD-10 code(s) were removed from the Unacceptable Principal Diagnosis list. Unacceptable Principal Diagnosis (OPPS) Exclusion Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* F0789 2019-10-01 Oth personality & behavrl disord due to known physiol cond A F17200 2019-10-01 Nicotine dependence, unspecified, uncomplicated A F17201 2019-10-01 Nicotine dependence, unspecified, in remission A F17210 2019-10-01 Nicotine dependence, cigarettes, uncomplicated A F17211 2019-10-01 Nicotine dependence, cigarettes, in remission A F17220 2019-10-01 Nicotine dependence, chewing tobacco, uncomplicated A F17221 2019-10-01 Nicotine dependence, chewing tobacco, in remission A F17290 2019-10-01 Nicotine dependence, other tobacco product, uncomplicated A F17291 2019-10-01 Nicotine dependence, other tobacco product, in remission A F529 2019-10-01 Unsp sexual dysfnct not due to a sub or known physiol cond A F819 2019-10-01 Developmental disorder of scholastic skills, unspecified A H168 2019-10-01 Other keratitis A H401210 2019-10-01 Low-tension glaucoma, right eye, stage unspecified A H401211 2019-10-01 Low-tension glaucoma, right eye, mild stage A H401212 2019-10-01 Low-tension glaucoma, right eye, moderate stage A H401213 2019-10-01 Low-tension glaucoma, right eye, severe stage A H401214 2019-10-01 Low-tension glaucoma, right eye, indeterminate stage A H401220 2019-10-01 Low-tension glaucoma, left eye, stage unspecified A H401221 2019-10-01 Low-tension glaucoma, left eye, mild stage A H401222 2019-10-01 Low-tension glaucoma, left eye, moderate stage A H401223 2019-10-01 Low-tension glaucoma, left eye, severe stage A H401224 2019-10-01 Low-tension glaucoma, left eye, indeterminate stage A H401230 2019-10-01 Low-tension glaucoma, bilateral, stage unspecified A H401231 2019-10-01 Low-tension glaucoma, bilateral, mild stage A H401232 2019-10-01 Low-tension glaucoma, bilateral, moderate stage A H401233 2019-10-01 Low-tension glaucoma, bilateral, severe stage A H401234 2019-10-01 Low-tension glaucoma, bilateral, indeterminate stage A H401290 2019-10-01 Low-tension glaucoma, unspecified eye, stage unspecified A H401291 2019-10-01 Low-tension glaucoma, unspecified eye, mild stage A H401292 2019-10-01 Low-tension glaucoma, unspecified eye, moderate stage A H401293 2019-10-01 Low-tension glaucoma, unspecified eye, severe stage A H401294 2019-10-01 Low-tension glaucoma, unspecified eye, indeterminate stage A H401310 2019-10-01 Pigmentary glaucoma, right eye, stage unspecified A H401311 2019-10-01 Pigmentary glaucoma, right eye, mild stage A H401312 2019-10-01 Pigmentary glaucoma, right eye, moderate stage A H401313 2019-10-01 Pigmentary glaucoma, right eye, severe stage A H401314 2019-10-01 Pigmentary glaucoma, right eye, indeterminate stage A H401320 2019-10-01 Pigmentary glaucoma, left eye, stage unspecified A H401321 2019-10-01 Pigmentary glaucoma, left eye, mild stage A H401322 2019-10-01 Pigmentary glaucoma, left eye, moderate stage A H401323 2019-10-01 Pigmentary glaucoma, left eye, severe stage A H401324 2019-10-01 Pigmentary glaucoma, left eye, indeterminate stage A H401330 2019-10-01 Pigmentary glaucoma, bilateral, stage unspecified A H401331 2019-10-01 Pigmentary glaucoma, bilateral, mild stage A H401332 2019-10-01 Pigmentary glaucoma, bilateral, moderate stage A H401333 2019-10-01 Pigmentary glaucoma, bilateral, severe stage A H401334 2019-10-01 Pigmentary glaucoma, bilateral, indeterminate stage A H401390 2019-10-01 Pigmentary glaucoma, unspecified eye, stage unspecified A H401391 2019-10-01 Pigmentary glaucoma, unspecified eye, mild stage A H401392 2019-10-01 Pigmentary glaucoma, unspecified eye, moderate stage A H401393 2019-10-01 Pigmentary glaucoma, unspecified eye, severe stage A H401394 2019-10-01 Pigmentary glaucoma, unspecified eye, indeterminate stage A H40151 2019-10-01 Residual stage of open-angle glaucoma, right eye A H40152 2019-10-01 Residual stage of open-angle glaucoma, left eye A H40153 2019-10-01 Residual stage of open-angle glaucoma, bilateral A H40159 2019-10-01 Residual stage of open-angle glaucoma, unspecified eye A H547 2019-10-01 Unspecified visual loss A H579 2019-10-01 Unspecified disorder of eye and adnexa A H9390 2019-10-01 Unspecified disorder of ear, unspecified ear A H9391 2019-10-01 Unspecified disorder of right ear A H9392 2019-10-01 Unspecified disorder of left ear A H9393 2019-10-01 Unspecified disorder of ear, bilateral A K7400 2020-10-01 Hepatic fibrosis, unspecified N K7401 2020-10-01 Hepatic fibrosis, early fibrosis N K7402 2020-10-01 Hepatic fibrosis, advanced fibrosis N K7681 2019-10-01 Hepatopulmonary syndrome A N641 2019-10-01 Fat necrosis of breast A O0900 2019-10-01 Suprvsn of preg w history of infertility, unsp trimester A O0901 2019-10-01 Suprvsn of preg w history of infertility, first trimester A O0902 2019-10-01 Suprvsn of preg w history of infertility, second trimester A O0903 2019-10-01 Suprvsn of preg w history of infertility, third trimester A O0910 2019-10-01 Suprvsn of preg with history of ectopic preg, unsp trimester A

Page 57 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis (OPPS) Exclusion Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* O0911 2019-10-01 Suprvsn of preg with history of ectopic preg, first tri A O0912 2019-10-01 Suprvsn of preg with history of ectopic preg, second tri A O0913 2019-10-01 Suprvsn of preg with history of ectopic preg, third tri A O09211 2019-10-01 Suprvsn of preg w history of pre-term labor, first trimester A O09212 2019-10-01 Suprvsn of preg w history of pre-term labor, second tri A O09213 2019-10-01 Suprvsn of preg w history of pre-term labor, third trimester A O09219 2019-10-01 Suprvsn of preg w history of pre-term labor, unsp trimester A O09291 2019-10-01 Suprvsn of preg w poor reprodctv or obstet hx, first tri A O09292 2019-10-01 Suprvsn of preg w poor reprodctv or obstet hx, second tri A O09293 2019-10-01 Suprvsn of preg w poor reprodctv or obstet hx, third tri A O09299 2019-10-01 Suprvsn of preg w poor reprodctv or obstet history, unsp tri A O0930 2019-10-01 Suprvsn of preg w insufficient antenat care, unsp trimester A O0931 2019-10-01 Suprvsn of preg w insufficient antenat care, first trimester A O0932 2019-10-01 Suprvsn of preg w insufficient antenat care, second tri A O0933 2019-10-01 Suprvsn of preg w insufficient antenat care, third trimester A O0940 2019-10-01 Supervision of pregnancy w grand multiparity, unsp trimester A O0941 2019-10-01 Suprvsn of pregnancy w grand multiparity, first trimester A O0942 2019-10-01 Suprvsn of pregnancy w grand multiparity, second trimester A O0943 2019-10-01 Suprvsn of pregnancy w grand multiparity, third trimester A O09511 2019-10-01 Supervision of elderly primigravida, first trimester A O09512 2019-10-01 Supervision of elderly primigravida, second trimester A O09513 2019-10-01 Supervision of elderly primigravida, third trimester A O09519 2019-10-01 Supervision of elderly primigravida, unspecified trimester A O09521 2019-10-01 Supervision of elderly multigravida, first trimester A O09522 2019-10-01 Supervision of elderly multigravida, second trimester A O09523 2019-10-01 Supervision of elderly multigravida, third trimester A O09529 2019-10-01 Supervision of elderly multigravida, unspecified trimester A O09611 2019-10-01 Supervision of young primigravida, first trimester A O09612 2019-10-01 Supervision of young primigravida, second trimester A O09613 2019-10-01 Supervision of young primigravida, third trimester A O09619 2019-10-01 Supervision of young primigravida, unspecified trimester A O09621 2019-10-01 Supervision of young multigravida, first trimester A O09622 2019-10-01 Supervision of young multigravida, second trimester A O09623 2019-10-01 Supervision of young multigravida, third trimester A O09629 2019-10-01 Supervision of young multigravida, unspecified trimester A O0970 2019-10-01 Suprvsn of high risk preg due to social problems, unsp tri A O0971 2019-10-01 Suprvsn of high risk preg due to social problems, first tri A O0972 2019-10-01 Suprvsn of high risk preg due to social problems, second tri A O0973 2019-10-01 Suprvsn of high risk preg due to social problems, third tri A O09811 2019-10-01 Suprvsn of preg rslt from assisted reprodctv tech, first tri A O09812 2019-10-01 Suprvsn of preg rslt from assist reprodctv tech, second tri A O09813 2019-10-01 Suprvsn of preg rslt from assisted reprodctv tech, third tri A O09819 2019-10-01 Suprvsn of preg rslt from assisted reprodctv tech, unsp tri A O09821 2019-10-01 Suprvsn of preg w hx of in utero proc dur prev preg, 1st tri A O09822 2019-10-01 Suprvsn of preg w hx of in utero proc dur prev preg, 2nd tri A O09823 2019-10-01 Suprvsn of preg w hx of in utero proc dur prev preg, 3rd tri A O09829 2019-10-01 Suprvsn of preg w hx of in utero proc dur prev preg,unsp tri A O09891 2019-10-01 Supervision of other high risk pregnancies, first trimester A O09892 2019-10-01 Supervision of other high risk pregnancies, second trimester A O09893 2019-10-01 Supervision of other high risk pregnancies, third trimester A O09899 2019-10-01 Supervision of other high risk pregnancies, unsp trimester A O0990 2019-10-01 Supervision of high risk pregnancy, unsp, unsp trimester A O0991 2019-10-01 Supervision of high risk pregnancy, unsp, first trimester A O0992 2019-10-01 Supervision of high risk pregnancy, unsp, second trimester A O0993 2019-10-01 Supervision of high risk pregnancy, unsp, third trimester A O09A0 2019-10-01 Suprvsn of preg with history of molar preg, unsp trimester A O09A1 2019-10-01 Suprvsn of preg with history of molar preg, first trimester A O09A2 2019-10-01 Suprvsn of preg with history of molar preg, second trimester A O09A3 2019-10-01 Suprvsn of preg with history of molar preg, third trimester A O3680X0 2019-10-01 Pregnancy w inconclusive fetal viability, unsp A O3680X1 2019-10-01 Pregnancy with inconclusive fetal viability, fetus 1 A O3680X2 2019-10-01 Pregnancy with inconclusive fetal viability, fetus 2 A O3680X3 2019-10-01 Pregnancy with inconclusive fetal viability, fetus 3 A O3680X4 2019-10-01 Pregnancy with inconclusive fetal viability, fetus 4 A O3680X5 2019-10-01 Pregnancy with inconclusive fetal viability, fetus 5 A O3680X9 2019-10-01 Pregnancy with inconclusive fetal viability, other fetus A O99820 2019-10-01 Streptococcus B carrier state complicating pregnancy A O99825 2019-10-01 Streptococcus B carrier state complicating the puerperium A R4183 2019-10-01 Borderline intellectual functioning A R45850 2019-10-01 Homicidal ideations A R4681 2019-10-01 Obsessive-compulsive behavior A R4689 2019-10-01 Other symptoms and signs involving appearance and behavior A Z0000 2019-10-01 Encntr for general adult medical exam w/o abnormal findings A Z0001 2019-10-01 Encounter for general adult medical exam w abnormal findings A Z00110 2019-10-01 Health examination for newborn under 8 days old A Z00111 2019-10-01 Health examination for newborn 8 to 28 days old A Z00121 2019-10-01 Encounter for routine child health exam w abnormal findings A

Page 58 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis (OPPS) Exclusion Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z00129 2019-10-01 Encntr for routine child health exam w/o abnormal findings A Z002 2019-10-01 Encounter for exam for period of rapid growth in childhood A Z003 2019-10-01 Encounter for examination for adolescent development state A Z005 2019-10-01 Encounter for exam of potential donor of organ and tissue A Z0070 2019-10-01 Encntr for exam for delay growth in chldhd w/o abn findings A Z0071 2019-10-01 Encntr for exam for delay growth in chldhd w abn findings A Z008 2019-10-01 Encounter for other general examination A Z0110 2019-10-01 Encounter for exam of ears and hearing w/o abnormal findings A Z01110 2019-10-01 Encounter for hearing exam following failed hear screening A Z01118 2019-10-01 Encntr for exam of ears and hearing w oth abnormal findings A Z0112 2019-10-01 Encounter for hearing conservation and treatment A Z0120 2019-10-01 Encounter for dental exam and cleaning w/o abnormal findings A Z0121 2019-10-01 Encounter for dental exam and cleaning w abnormal findings A Z0130 2019-10-01 Encounter for exam of blood pressure w/o abnormal findings A Z0131 2019-10-01 Encounter for exam of blood pressure w abnormal findings A Z01812 2019-10-01 Encounter for preprocedural laboratory examination A Z01818 2019-10-01 Encounter for other preprocedural examination A Z0182 2019-10-01 Encounter for allergy testing A Z0183 2019-10-01 Encounter for blood typing A Z0184 2019-10-01 Encounter for antibody response examination A Z0189 2019-10-01 Encounter for other specified special examinations A Z020 2019-10-01 Encounter for exam for admission to educational institution A Z022 2019-10-01 Encounter for exam for admission to residential institution A Z024 2019-10-01 Encounter for examination for driving license A Z025 2019-10-01 Encounter for examination for participation in sport A Z026 2019-10-01 Encounter for examination for insurance purposes A Z0271 2019-10-01 Encounter for disability determination A Z0279 2019-10-01 Encounter for issue of other medical certificate A Z0282 2019-10-01 Encounter for adoption services A Z0289 2019-10-01 Encounter for other administrative examinations A Z029 2019-10-01 Encounter for administrative examinations, unspecified A Z0371 2019-10-01 Encntr for susp prob w amnio cavity and membrane ruled out A Z0372 2019-10-01 Encounter for suspected placental problem ruled out A Z0373 2019-10-01 Encounter for suspected fetal anomaly ruled out A Z0374 2019-10-01 Encounter for suspected problem with fetal growth ruled out A Z0375 2019-10-01 Encounter for suspected cervical shortening ruled out A Z0379 2019-10-01 Encntr for oth suspected maternal and fetal cond ruled out A Z03821 2020-10-01 Enctr for observation for suspected ingested fb ruled out N Z03822 2020-10-01 Enctr for obs for suspected aspirated (inhaled) fb ruled out N Z03823 2020-10-01 Enctr for obs for suspected inserted (injected) fb ruled out N Z049 2019-10-01 Encounter for examination and observation for unsp reason A Z08 2019-10-01 Encntr for follow-up exam after trtmt for malignant neoplasm A Z09 2019-10-01 Encntr for f/u exam aft trtmt for cond oth than malig neoplm A Z110 2019-10-01 Encounter for screening for intestinal infectious diseases A Z111 2019-10-01 Encounter for screening for respiratory tuberculosis A Z112 2019-10-01 Encounter for screening for other bacterial diseases A Z113 2019-10-01 Encntr screen for infections w sexl mode of transmiss A Z114 2019-10-01 Encounter for screening for human immunodeficiency virus A Z1151 2019-10-01 Encounter for screening for human papillomavirus (HPV) A Z1159 2019-10-01 Encounter for screening for other viral diseases A Z116 2019-10-01 Encntr screen for oth protozoal diseases and helminthiases A Z117 2019-10-01 Encounter for testing for latent tuberculosis infection A Z118 2019-10-01 Encounter for screening for oth infec/parastc diseases A Z119 2019-10-01 Encounter for screening for infec/parastc diseases, unsp A Z120 2019-10-01 Encounter for screening for malignant neoplasm of stomach A Z1210 2019-10-01 Encntr screen for malignant neoplasm of intest tract, unsp A Z1211 2019-10-01 Encounter for screening for malignant neoplasm of colon A Z1212 2019-10-01 Encounter for screening for malignant neoplasm of rectum A Z1213 2019-10-01 Encntr screen for malignant neoplasm of small intestine A Z122 2019-10-01 Encntr screen for malignant neoplasm of respiratory organs A Z1231 2019-10-01 Encntr screen mammogram for malignant neoplasm of breast A Z1239 2019-10-01 Encounter for oth screening for malignant neoplasm of breast A Z124 2019-10-01 Encounter for screening for malignant neoplasm of cervix A Z126 2019-10-01 Encounter for screening for malignant neoplasm of bladder A Z1271 2019-10-01 Encounter for screening for malignant neoplasm of testis A Z1272 2019-10-01 Encounter for screening for malignant neoplasm of vagina A Z1273 2019-10-01 Encounter for screening for malignant neoplasm of ovary A Z1279 2019-10-01 Encntr screen for malignant neoplasm of genitourinary organs A Z1281 2019-10-01 Encntr screen for malignant neoplasm of oral cavity A Z1282 2019-10-01 Encntr screen for malignant neoplasm of nervous system A Z1283 2019-10-01 Encounter for screening for malignant neoplasm of skin A Z1289 2019-10-01 Encounter for screening for malignant neoplasm of oth sites A Z129 2019-10-01 Encounter for screening for malignant neoplasm, site unsp A Z130 2019-10-01 Encntr screen for dis of the bld/bld-form org/immun mechnsm A Z131 2019-10-01 Encounter for screening for diabetes mellitus A Z1321 2019-10-01 Encounter for screening for nutritional disorder A Z13220 2019-10-01 Encounter for screening for lipoid disorders A

Page 59 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis (OPPS) Exclusion Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z13228 2019-10-01 Encounter for screening for other metabolic disorders A Z1329 2019-10-01 Encounter for screening for oth suspected endocrine disorder A Z1330 2019-10-01 Encntr screen exam for mental hlth and behavrl disord, unsp A Z1331 2019-10-01 Encounter for screening for depression A Z1332 2019-10-01 Encounter for screening for maternal depression A Z1339 2019-10-01 Encntr screen exam for other mental hlth and behavrl disord A Z1340 2019-10-01 Encounter for screening for unspecified developmental delays A Z1341 2019-10-01 Encounter for autism screening A Z1342 2019-10-01 Encntr screen for global developmental delays (milestones) A Z1349 2019-10-01 Encounter for screening for other developmental delays A Z135 2019-10-01 Encounter for screening for eye and ear disorders A Z136 2019-10-01 Encounter for screening for cardiovascular disorders A Z1371 2019-10-01 Encntr for nonprocreat screen for genetic dis carrier status A Z1379 2019-10-01 Encntr for oth screening for genetic and chromsoml anomalies A Z13810 2019-10-01 Encounter for screening for upper gastrointestinal disorder A Z13811 2019-10-01 Encounter for screening for lower gastrointestinal disorder A Z13818 2019-10-01 Encounter for screening for other digestive system disorders A Z13820 2019-10-01 Encounter for screening for osteoporosis A Z13828 2019-10-01 Encounter for screening for other musculoskeletal disorder A Z1383 2019-10-01 Encounter for screening for respiratory disorder NEC A Z1384 2019-10-01 Encounter for screening for dental disorders A Z13850 2019-10-01 Encounter for screening for traumatic brain injury A Z13858 2019-10-01 Encounter for screening for other nervous system disorders A Z1388 2019-10-01 Encntr screen for disorder due to exposure to contaminants A Z1389 2019-10-01 Encounter for screening for other disorder A Z139 2019-10-01 Encounter for screening, unspecified A Z1401 2019-10-01 Asymptomatic hemophilia A carrier A Z1402 2019-10-01 Symptomatic hemophilia A carrier A Z141 2019-10-01 Cystic fibrosis carrier A Z148 2019-10-01 Genetic carrier of other disease A Z1501 2019-10-01 Genetic susceptibility to malignant neoplasm of breast A Z1502 2019-10-01 Genetic susceptibility to malignant neoplasm of ovary A Z1503 2019-10-01 Genetic susceptibility to malignant neoplasm of prostate A Z1504 2019-10-01 Genetic susceptibility to malignant neoplasm of endometrium A Z1509 2019-10-01 Genetic susceptibility to other malignant neoplasm A Z1581 2019-10-01 Genetic susceptibility to multiple endocrine neoplasia [MEN] A Z1589 2019-10-01 Genetic susceptibility to other disease A Z1801 2019-10-01 Retained depleted uranium fragments A Z1809 2019-10-01 Other retained radioactive fragments A Z1810 2019-10-01 Retained metal fragments, unspecified A Z1811 2019-10-01 Retained magnetic metal fragments A Z1812 2019-10-01 Retained nonmagnetic metal fragments A Z182 2019-10-01 Retained plastic fragments A Z1831 2019-10-01 Retained animal quills or spines A Z1832 2019-10-01 Retained tooth A Z1833 2019-10-01 Retained wood fragments A Z1839 2019-10-01 Other retained organic fragments A Z1881 2019-10-01 Retained glass fragments A Z1883 2019-10-01 Retained stone or crystalline fragments A Z1889 2019-10-01 Other specified retained foreign body fragments A Z189 2019-10-01 Retained foreign body fragments, unspecified material A Z2009 2019-10-01 Contact w and exposure to oth intestinal infectious diseases A Z201 2019-10-01 Contact with and (suspected) exposure to tuberculosis A Z202 2019-10-01 Contact w and exposure to infect w a sexl mode of transmiss A Z203 2019-10-01 Contact with and (suspected) exposure to rabies A Z204 2019-10-01 Contact with and (suspected) exposure to rubella A Z207 2019-10-01 Cntct w & expsr to pediculosis, acariasis & oth infestations A Z20810 2019-10-01 Contact with and (suspected) exposure to anthrax A Z20818 2019-10-01 Contact w and exposure to oth bact communicable diseases A Z20821 2019-10-01 Contact with and (suspected) exposure to Zika virus A Z2089 2019-10-01 Contact w and exposure to oth communicable diseases A Z209 2019-10-01 Contact w and exposure to unsp communicable disease A Z220 2019-10-01 Carrier of typhoid A Z221 2019-10-01 Carrier of other intestinal infectious diseases A Z222 2019-10-01 Carrier of diphtheria A Z2231 2019-10-01 Carrier of bacterial disease due to meningococci A Z22321 2019-10-01 Carrier or suspected carrier of methicillin suscep staph A Z22322 2019-10-01 Carrier or suspected carrier of methicillin resis staph A Z22330 2019-10-01 Carrier of Group B streptococcus A Z22338 2019-10-01 Carrier of other streptococcus A Z2239 2019-10-01 Carrier of other specified bacterial diseases A Z224 2019-10-01 Carrier of infections w sexl mode of transmiss A Z226 2019-10-01 Carrier of human T-lymphotropic virus type-1 infection A Z227 2019-10-01 Latent tuberculosis A Z228 2019-10-01 Carrier of other infectious diseases A Z229 2019-10-01 Carrier of infectious disease, unspecified A Z23 2019-10-01 Encounter for immunization A

Page 60 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis (OPPS) Exclusion Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z2801 2019-10-01 Immunization not crd out because of acute illness of patient A Z2802 2019-10-01 Immuniz not crd out bec chronic illness or cond of patient A Z2803 2019-10-01 Immuniz not crd out bec immune compromised state of patient A Z2804 2019-10-01 Immuniz not crd out bec patient allergy to vaccine or cmpnt A Z2809 2019-10-01 Immunization not carried out because of oth contraindication A Z281 2019-10-01 Immuniz not crd out because of patient belief/grp pressr A Z2820 2019-10-01 Immuniz not crd out bec patient decision for unsp reason A Z2821 2019-10-01 Immunization not carried out because of patient refusal A Z2829 2019-10-01 Immuniz not crd out bec patient decision for oth reason A Z283 2019-10-01 Underimmunization status A Z2881 2019-10-01 Immuniz not crd out due to patient having had the disease A Z2882 2019-10-01 Immunization not carried out because of caregiver refusal A Z2883 2019-10-01 Immunization not crd out due to unavailability of vaccine A Z2889 2019-10-01 Immunization not carried out for other reason A Z289 2019-10-01 Immunization not carried out for unspecified reason A Z2911 2019-10-01 Enctr for prphylc immther for resp syncytial virus (RSV) A Z2912 2019-10-01 Encounter for prophylactic antivenin A Z2913 2019-10-01 Encounter for prophylactic Rho(D) immune globulin A Z2914 2019-10-01 Encounter for prophylactic rabies immune globin A Z293 2019-10-01 Encounter for prophylactic fluoride administration A Z298 2019-10-01 Encounter for other specified prophylactic measures A Z299 2019-10-01 Encounter for prophylactic measures, unspecified A Z30011 2019-10-01 Encounter for initial prescription of contraceptive pills A Z30012 2019-10-01 Encounter for prescription of emergency contraception A Z30013 2019-10-01 Encounter for initial prescription of injectable contracep A Z30014 2019-10-01 Encounter for initial prescription of uterin contracep dev A Z30015 2019-10-01 Encounter for initial prescription of vagnl ring A Z30016 2019-10-01 Enctr for init prescription of patch hormonal contracep dev A Z30017 2019-10-01 Enctr for init prescription of implntbl subdermal contracep A Z30018 2019-10-01 Encounter for initial prescription of other contraceptives A Z30019 2019-10-01 Encounter for initial prescription of contraceptives, unsp A Z3002 2019-10-01 Cnsl and instruction in natrl family planning to avoid preg A Z3009 2019-10-01 Encounter for oth general cnsl and advice on contraception A Z3040 2019-10-01 Encounter for surveillance of contraceptives, unspecified A Z3041 2019-10-01 Encounter for surveillance of contraceptive pills A Z3042 2019-10-01 Encounter for surveillance of injectable contraceptive A Z30430 2019-10-01 Encounter for insertion of intrauterine contraceptive device A Z30431 2019-10-01 Encounter for routine checking of intrauterine contracep dev A Z30432 2019-10-01 Encounter for removal of intrauterine contraceptive device A Z30433 2019-10-01 Encntr for removal and reinsertion of uterin contracep dev A Z3044 2019-10-01 Encounter for surveillance of vagnl ring A Z3045 2019-10-01 Enctr srvlnc transdermal patch hormonal contraceptive device A Z3046 2019-10-01 Enctr srvlnc implantable subdermal contraceptive A Z3049 2019-10-01 Encounter for surveillance of other contraceptives A Z308 2019-10-01 Encounter for other contraceptive management A Z309 2019-10-01 Encounter for contraceptive management, unspecified A Z3141 2019-10-01 Encounter for fertility testing A Z3142 2019-10-01 Aftercare following sterilization reversal A Z31430 2019-10-01 Encntr fem for test for genetc dis carrier stat for pro mgmt A Z31438 2019-10-01 Encounter for oth genetic testing of female for pro mgmt A Z31440 2019-10-01 Encntr male test for genetic dis carrier status for pro mgmt A Z31441 2019-10-01 Encntr for testing of male prtnr of pt w recur preg loss A Z31448 2019-10-01 Encounter for oth genetic testing of male for pro mgmt A Z3149 2019-10-01 Encounter for other procreative investigation and testing A Z315 2019-10-01 Encounter for procreative genetic counseling A Z3161 2019-10-01 Procreat counseling and advice using natural family planning A Z3162 2019-10-01 Encounter for fertility preservation counseling A Z3169 2019-10-01 Encounter for oth general cnsl and advice on procreation A Z317 2019-10-01 Enctr for pro mgmt and counseling for gestational carrier A Z3181 2019-10-01 Encounter for male factor infertility in female patient A Z3182 2019-10-01 Encounter for Rh incompatibility status A Z3183 2019-10-01 Encounter for assisted reprodctv fertility procedure cycle A Z3184 2019-10-01 Encounter for fertility preservation procedure A Z3189 2019-10-01 Encounter for other procreative management A Z319 2019-10-01 Encounter for procreative management, unspecified A Z322 2019-10-01 Encounter for childbirth instruction A Z323 2019-10-01 Encounter for childcare instruction A Z331 2019-10-01 Pregnant state, incidental A Z333 2019-10-01 Pregnant state, gestational carrier A Z3400 2019-10-01 Encntr for suprvsn of normal first pregnancy, unsp trimester A Z3401 2019-10-01 Encntr for suprvsn of normal first preg, first trimester A Z3402 2019-10-01 Encntr for suprvsn of normal first preg, second trimester A Z3403 2019-10-01 Encntr for suprvsn of normal first preg, third trimester A Z3480 2019-10-01 Encounter for suprvsn of normal pregnancy, unsp trimester A Z3481 2019-10-01 Encounter for suprvsn of normal pregnancy, first trimester A Z3482 2019-10-01 Encounter for suprvsn of normal pregnancy, second trimester A Z3483 2019-10-01 Encounter for suprvsn of normal pregnancy, third trimester A

Page 61 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis (OPPS) Exclusion Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z3490 2019-10-01 Encntr for suprvsn of normal pregnancy, unsp, unsp trimester A Z3491 2019-10-01 Encntr for suprvsn of normal preg, unsp, first trimester A Z3492 2019-10-01 Encntr for suprvsn of normal preg, unsp, second trimester A Z3493 2019-10-01 Encntr for suprvsn of normal preg, unsp, third trimester A Z391 2019-10-01 Encounter for care and examination of lactating mother A Z392 2019-10-01 Encounter for routine postpartum follow-up A Z408 2019-10-01 Encounter for other prophylactic surgery A Z409 2019-10-01 Encounter for prophylactic surgery, unspecified A Z413 2019-10-01 Encounter for ear piercing A Z419 2019-10-01 Encntr for proc for purpose oth than remedy hlth state, unsp A Z439 2019-10-01 Encounter for attention to unspecified artificial opening A Z449 2019-10-01 Encounter for fit/adjst of unsp external prosthetic device A Z4582 2019-10-01 Encntr for adjust or removal of myringotomy device (tube) A Z4589 2019-10-01 Encounter for adjustment and management of implanted devices A Z459 2019-10-01 Encounter for adjust and management of unsp implanted device A Z460 2019-10-01 Encounter for fit/adjst of spectacles and contact lenses A Z461 2019-10-01 Encounter for fitting and adjustment of hearing aid A Z464 2019-10-01 Encounter for fitting and adjustment of orthodontic device A Z4651 2019-10-01 Encounter for fitting and adjustment of gastric lap band A Z4659 2019-10-01 Encounter for fit/adjst of GI appliance and device A Z466 2019-10-01 Encounter for fitting and adjustment of urinary device A Z4681 2019-10-01 Encounter for fitting and adjustment of insulin pump A Z4689 2019-10-01 Encounter for fitting and adjustment of oth devices A Z469 2019-10-01 Encounter for fitting and adjustment of unspecified device A Z4800 2019-10-01 Encounter for change or removal of nonsurg wound dressing A Z4801 2019-10-01 Encounter for change or removal of surgical wound dressing A Z4802 2019-10-01 Encounter for removal of sutures A Z4901 2019-10-01 Encounter for fit/adjst of extracorporeal dialysis catheter A Z4902 2019-10-01 Encounter for fit/adjst of peritoneal dialysis catheter A Z4931 2019-10-01 Encounter for adequacy testing for hemodialysis A Z4932 2019-10-01 Encounter for adequacy testing for peritoneal dialysis A Z516 2019-10-01 Encounter for desensitization to allergens A Z5189 2019-10-01 Encounter for other specified aftercare A Z52000 2019-10-01 Unspecified donor, whole blood A Z52001 2019-10-01 Unspecified donor, stem cells A Z52008 2019-10-01 Unspecified donor, other blood A Z52010 2019-10-01 Autologous donor, whole blood A Z52011 2019-10-01 Autologous donor, stem cells A Z52018 2019-10-01 Autologous donor, other blood A Z52090 2019-10-01 Other blood donor, whole blood A Z52091 2019-10-01 Other blood donor, stem cells A Z52098 2019-10-01 Other blood donor, other blood A Z52810 2019-10-01 Egg (Oocyte) donor under age 35, anonymous recipient A Z52811 2019-10-01 Egg (Oocyte) donor under age 35, designated recipient A Z52812 2019-10-01 Egg (Oocyte) donor age 35 and over, anonymous recipient A Z52813 2019-10-01 Egg (Oocyte) donor age 35 and over, designated recipient A Z52819 2019-10-01 Egg (Oocyte) donor, unspecified A Z5301 2019-10-01 Proc/trtmt not carried out due to patient smoking A Z5309 2019-10-01 Proc/trtmt not carried out because of contraindication A Z531 2019-10-01 Proc/trtmt not crd out bec pt belief and group pressure A Z5320 2019-10-01 Proc/trtmt not crd out bec pt decision for unsp reasons A Z5321 2019-10-01 Proc/trtmt not crd out d/t pt lv bef seen by hlth care prov A Z5329 2019-10-01 Proc/trtmt not crd out bec pt decision for oth reasons A Z538 2019-10-01 Procedure and treatment not carried out for other reasons A Z539 2019-10-01 Procedure and treatment not carried out, unspecified reason A Z550 2019-10-01 Illiteracy and low-level literacy A Z551 2019-10-01 Schooling unavailable and unattainable A Z552 2019-10-01 Failed school examinations A Z553 2019-10-01 Underachievement in school A Z554 2019-10-01 Educational maladjustment & discord w teachers & classmates A Z558 2019-10-01 Other problems related to education and literacy A Z559 2019-10-01 Problems related to education and literacy, unspecified A Z560 2019-10-01 Unemployment, unspecified A Z561 2019-10-01 Change of job A Z562 2019-10-01 Threat of job loss A Z563 2019-10-01 Stressful work schedule A Z564 2019-10-01 Discord with boss and workmates A Z565 2019-10-01 Uncongenial work environment A Z566 2019-10-01 Other physical and mental strain related to work A Z5681 2019-10-01 Sexual harassment on the job A Z5682 2019-10-01 Military deployment status A Z5689 2019-10-01 Other problems related to employment A Z569 2019-10-01 Unspecified problems related to employment A Z570 2019-10-01 Occupational exposure to noise A Z571 2019-10-01 Occupational exposure to radiation A Z572 2019-10-01 Occupational exposure to dust A Z5731 2019-10-01 Occupational exposure to environmental tobacco smoke A

Page 62 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis (OPPS) Exclusion Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z5739 2019-10-01 Occupational exposure to other air contaminants A Z574 2019-10-01 Occupational exposure to toxic agents in agriculture A Z575 2019-10-01 Occupational exposure to toxic agents in other industries A Z576 2019-10-01 Occupational exposure to extreme temperature A Z577 2019-10-01 Occupational exposure to vibration A Z578 2019-10-01 Occupational exposure to other risk factors A Z579 2019-10-01 Occupational exposure to unspecified risk factor A Z590 2019-10-01 Homelessness A Z591 2019-10-01 Inadequate housing A Z592 2019-10-01 Discord with neighbors, lodgers and landlord A Z593 2019-10-01 Problems related to living in residential institution A Z594 2019-10-01 Lack of adequate food and safe drinking water A Z595 2019-10-01 Extreme poverty A Z596 2019-10-01 Low income A Z597 2019-10-01 Insufficient social insurance and welfare support A Z598 2019-10-01 Other problems related to housing and economic circumstances A Z599 2019-10-01 Problem related to housing and economic circumstances, unsp A Z600 2019-10-01 Problems of adjustment to life-cycle transitions A Z602 2019-10-01 Problems related to living alone A Z603 2019-10-01 Acculturation difficulty A Z604 2019-10-01 Social exclusion and rejection A Z605 2019-10-01 Target of (perceived) adverse discrimination and persecution A Z608 2019-10-01 Other problems related to social environment A Z609 2019-10-01 Problem related to social environment, unspecified A Z620 2019-10-01 Inadequate parental supervision and control A Z621 2019-10-01 Parental overprotection A Z6221 2019-10-01 Child in welfare custody A Z6222 2019-10-01 Institutional upbringing A Z6229 2019-10-01 Other upbringing away from parents A Z623 2019-10-01 Hostility towards and scapegoating of child A Z626 2019-10-01 Inappropriate (excessive) parental pressure A Z62810 2019-10-01 Personal history of physical and sexual abuse in childhood A Z62811 2019-10-01 Personal history of psychological abuse in childhood A Z62812 2019-10-01 Personal history of neglect in childhood A Z62813 2019-10-01 Pers hx of forced labor or sexual exploitation in childhood A Z62819 2019-10-01 Personal history of unspecified abuse in childhood A Z62820 2019-10-01 Parent-biological child conflict A Z62821 2019-10-01 Parent-adopted child conflict A Z62822 2019-10-01 Parent-foster child conflict A Z62890 2019-10-01 Parent-child estrangement NEC A Z62891 2019-10-01 Sibling rivalry A Z62898 2019-10-01 Other specified problems related to upbringing A Z629 2019-10-01 Problem related to upbringing, unspecified A Z630 2019-10-01 Problems in relationship with spouse or partner A Z631 2019-10-01 Problems in relationship with in-laws A Z6331 2019-10-01 Absence of family member due to military deployment A Z6332 2019-10-01 Other absence of family member A Z634 2019-10-01 Disappearance and death of family member A Z635 2019-10-01 Disruption of family by separation and divorce A Z636 2019-10-01 Dependent relative needing care at home A Z6371 2019-10-01 Stress on fam d/t return of family member from miltry deploy A Z6372 2019-10-01 Alcoholism and drug addiction in family A Z6379 2019-10-01 Other stressful life events affecting family and household A Z638 2019-10-01 Other specified problems related to primary support group A Z639 2019-10-01 Problem related to primary support group, unspecified A Z640 2019-10-01 Problems related to unwanted pregnancy A Z641 2019-10-01 Problems related to multiparity A Z644 2019-10-01 Discord with counselors A Z650 2019-10-01 Conviction in civil & criminal proceedings w/o imprisonment A Z651 2019-10-01 Imprisonment and other incarceration A Z652 2019-10-01 Problems related to release from prison A Z653 2019-10-01 Problems related to other legal circumstances A Z654 2019-10-01 Victim of crime and terrorism A Z655 2019-10-01 Exposure to disaster, war and other hostilities A Z658 2019-10-01 Oth problems related to psychosocial circumstances A Z659 2019-10-01 Problem related to unspecified psychosocial circumstances A Z66 2019-10-01 Do not resuscitate A Z6710 2019-10-01 Type A blood, Rh positive A Z6711 2019-10-01 Type A blood, Rh negative A Z6720 2019-10-01 Type B blood, Rh positive A Z6721 2019-10-01 Type B blood, Rh negative A Z6730 2019-10-01 Type AB blood, Rh positive A Z6731 2019-10-01 Type AB blood, Rh negative A Z6740 2019-10-01 Type O blood, Rh positive A Z6741 2019-10-01 Type O blood, Rh negative A Z6790 2019-10-01 Unspecified blood type, Rh positive A Z6791 2019-10-01 Unspecified blood type, Rh negative A

Page 63 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis (OPPS) Exclusion Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z69011 2019-10-01 Encntr for mental health serv for perp of prntl child abuse A Z69021 2019-10-01 Encntr for mntl hlth serv for perp of non-prntl child abuse A Z6911 2019-10-01 Encntr for mntl hlth serv for victim of spous or prtnr abuse A Z6912 2019-10-01 Encntr for mental hlth serv for perp of spous or prtnr abuse A Z6981 2019-10-01 Encounter for mental health services for victim of oth abuse A Z6982 2019-10-01 Encounter for mental health services for perp of abuse A Z700 2019-10-01 Counseling related to sexual attitude A Z701 2019-10-01 Counseling related to patient's sexual behavior and orientn A Z702 2019-10-01 Cnsl related to sexual behavior and orientn of third party A Z703 2019-10-01 Cnsl rel to comb concrn rgrd sex attitude, behav and orientn A Z708 2019-10-01 Other sex counseling A Z709 2019-10-01 Sex counseling, unspecified A Z710 2019-10-01 Prsn encntr hlth serv to consult on behalf of another person A Z711 2019-10-01 Person w feared hlth complaint in whom no diagnosis is made A Z712 2019-10-01 Person consulting for explanation of exam or test findings A Z713 2019-10-01 Dietary counseling and surveillance A Z7141 2019-10-01 Alcohol abuse counseling and surveillance of alcoholic A Z7142 2019-10-01 Counseling for family member of alcoholic A Z7151 2019-10-01 Drug abuse counseling and surveillance of drug abuser A Z7152 2019-10-01 Counseling for family member of drug abuser A Z716 2019-10-01 Tobacco abuse counseling A Z717 2019-10-01 Human immunodeficiency virus [HIV] counseling A Z7181 2019-10-01 Spiritual or religious counseling A Z7182 2019-10-01 Exercise counseling A Z7184 2019-10-01 Encounter for health counseling related to travel A Z7189 2019-10-01 Other specified counseling A Z719 2019-10-01 Counseling, unspecified A Z720 2019-10-01 Tobacco use A Z723 2019-10-01 Lack of physical exercise A Z724 2019-10-01 Inappropriate diet and eating habits A Z7251 2019-10-01 High risk heterosexual behavior A Z7252 2019-10-01 High risk homosexual behavior A Z7253 2019-10-01 High risk bisexual behavior A Z726 2019-10-01 Gambling and betting A Z72821 2019-10-01 Inadequate sleep hygiene A Z7289 2019-10-01 Other problems related to lifestyle A Z729 2019-10-01 Problem related to lifestyle, unspecified A Z730 2019-10-01 Burn-out A Z731 2019-10-01 Type A behavior pattern A Z732 2019-10-01 Lack of relaxation and leisure A Z733 2019-10-01 Stress, not elsewhere classified A Z734 2019-10-01 Inadequate social skills, not elsewhere classified A Z735 2019-10-01 Social role conflict, not elsewhere classified A Z736 2019-10-01 Limitation of activities due to disability A Z73810 2019-10-01 Behavioral insomnia of childhood, sleep-onset assoc type A Z73811 2019-10-01 Behavioral insomnia of childhood, limit setting type A Z73812 2019-10-01 Behavioral insomnia of childhood, combined type A Z73819 2019-10-01 Behavioral insomnia of childhood, unspecified type A Z7382 2019-10-01 Dual sensory impairment A Z7389 2019-10-01 Other problems related to life management difficulty A Z739 2019-10-01 Problem related to life management difficulty, unspecified A Z7401 2019-10-01 Bed confinement status A Z7409 2019-10-01 Other reduced mobility A Z741 2019-10-01 Need for assistance with personal care A Z742 2019-10-01 Need for assist at home & no house memb able to render care A Z743 2019-10-01 Need for continuous supervision A Z748 2019-10-01 Other problems related to care provider dependency A Z749 2019-10-01 Problem related to care provider dependency, unspecified A Z750 2019-10-01 Medical services not available in home A Z751 2019-10-01 Person awaiting admission to adequate facility elsewhere A Z752 2019-10-01 Other waiting period for investigation and treatment A Z753 2019-10-01 Unavailability and inaccessibility of health-care facilities A Z754 2019-10-01 Unavailability and inaccessibility of other helping agencies A Z755 2019-10-01 Holiday relief care A Z758 2019-10-01 Oth prob related to medical facilities and oth health care A Z759 2019-10-01 Unsp problem related to med facilities and oth health care A Z760 2019-10-01 Encounter for issue of repeat prescription A Z762 2019-10-01 Encntr for hlth suprvsn and care of healthy infant and child A Z7681 2019-10-01 Expectant parent(s) prebirth pediatrician visit A Z7682 2019-10-01 Awaiting organ transplant status A Z7689 2019-10-01 Persons encountering health services in oth circumstances A Z77010 2019-10-01 Contact with and (suspected) exposure to arsenic A Z77011 2019-10-01 Contact with and (suspected) exposure to lead A Z77012 2019-10-01 Contact with and (suspected) exposure to uranium A Z77018 2019-10-01 Contact w and (suspected) exposure to oth hazardous metals A Z77020 2019-10-01 Contact with and (suspected) exposure to aromatic amines A Z77021 2019-10-01 Contact with and (suspected) exposure to benzene A

Page 64 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis (OPPS) Exclusion Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z77028 2019-10-01 Contact w and exposure to oth hazardous aromatic compounds A Z77090 2019-10-01 Contact with and (suspected) exposure to asbestos A Z77098 2019-10-01 Contact w and expsr to oth hazard, chiefly nonmed, chemicals A Z77110 2019-10-01 Contact with and (suspected) exposure to air pollution A Z77111 2019-10-01 Contact with and (suspected) exposure to water pollution A Z77112 2019-10-01 Contact with and (suspected) exposure to soil pollution A Z77118 2019-10-01 Contact w and (suspected) exposure to oth environ pollution A Z77120 2019-10-01 Contact with and (suspected) exposure to mold (toxic) A Z77121 2019-10-01 Contact w and exposure to harmful algae and algae toxins A Z77122 2019-10-01 Contact with and (suspected) exposure to noise A Z77123 2019-10-01 Cntct w & expsr to radon and other naturally occur radiation A Z77128 2019-10-01 Contact w and expsr to oth hazards in the physcl environment A Z7721 2019-10-01 Contact w and exposure to potentially hazardous body fluids A Z7722 2019-10-01 Cntct w and expsr to environ tobacco smoke (acute) (chronic) A Z7729 2019-10-01 Contact with and exposure to other hazardous substances A Z779 2019-10-01 Oth contact w and (suspected) exposures hazardous to health A Z780 2019-10-01 Asymptomatic menopausal state A Z781 2019-10-01 Physical restraint status A Z789 2019-10-01 Other specified health status A Z810 2019-10-01 Family history of intellectual disabilities A Z811 2019-10-01 Family history of alcohol abuse and dependence A Z812 2019-10-01 Family history of tobacco abuse and dependence A Z813 2019-10-01 Family history of psychoactv substance abuse and dependence A Z814 2019-10-01 Family history of other substance abuse and dependence A Z818 2019-10-01 Family history of other mental and behavioral disorders A Z8500 2019-10-01 Personal history of malignant neoplasm of unsp dgstv org A Z8501 2019-10-01 Personal history of malignant neoplasm of esophagus A Z85020 2019-10-01 Personal history of malignant carcinoid tumor of stomach A Z85028 2019-10-01 Personal history of other malignant neoplasm of stomach A Z85030 2019-10-01 Personal history of malignant carcinoid tumor of lg int A Z85038 2019-10-01 Personal history of malignant neoplasm of large intestine A Z85040 2019-10-01 Personal history of malignant carcinoid tumor of rectum A Z85048 2019-10-01 Prsnl hx of malig neoplm of rectum, rectosig junct, and anus A Z8505 2019-10-01 Personal history of malignant neoplasm of liver A Z85060 2019-10-01 Personal history of malignant carcinoid tumor of sm int A Z85068 2019-10-01 Personal history of malignant neoplasm of small intestine A Z8507 2019-10-01 Personal history of malignant neoplasm of pancreas A Z8509 2019-10-01 Personal history of malignant neoplasm of digestive organs A Z85110 2019-10-01 Personal history of malig carcinoid tumor of bronc and lung A Z85118 2019-10-01 Personal history of malignant neoplasm of bronchus and lung A Z8512 2019-10-01 Personal history of malignant neoplasm of trachea A Z8520 2019-10-01 Personal history of malignant neoplasm of unsp resp organ A Z8521 2019-10-01 Personal history of malignant neoplasm of larynx A Z8522 2019-10-01 Prsnl hx of malig neoplm of nasl cav, mid ear, & acces sinus A Z85230 2019-10-01 Personal history of malignant carcinoid tumor of thymus A Z85238 2019-10-01 Personal history of other malignant neoplasm of thymus A Z8529 2019-10-01 Prsnl history of malig neoplm of resp and intrathorac organs A Z853 2019-10-01 Personal history of malignant neoplasm of breast A Z8540 2019-10-01 Prsnl history of malig neoplm of unsp female genital organ A Z8541 2019-10-01 Personal history of malignant neoplasm of cervix uteri A Z8542 2019-10-01 Personal history of malignant neoplasm of oth prt uterus A Z8543 2019-10-01 Personal history of malignant neoplasm of ovary A Z8544 2019-10-01 Personal history of malig neoplasm of female genital organs A Z8545 2019-10-01 Personal history of malig neoplm of unsp male genital organ A Z8546 2019-10-01 Personal history of malignant neoplasm of prostate A Z8547 2019-10-01 Personal history of malignant neoplasm of testis A Z8548 2019-10-01 Personal history of malignant neoplasm of epididymis A Z8549 2019-10-01 Personal history of malig neoplasm of male genital organs A Z8550 2019-10-01 Personal history of malig neoplm of unsp urinary tract organ A Z8551 2019-10-01 Personal history of malignant neoplasm of bladder A Z85520 2019-10-01 Personal history of malignant carcinoid tumor of kidney A Z85528 2019-10-01 Personal history of other malignant neoplasm of kidney A Z8553 2019-10-01 Personal history of malignant neoplasm of renal pelvis A Z8554 2019-10-01 Personal history of malignant neoplasm of ureter A Z8559 2019-10-01 Personal history of malig neoplasm of urinary tract organ A Z856 2019-10-01 Personal history of leukemia A Z8571 2019-10-01 Personal history of Hodgkin lymphoma A Z8572 2019-10-01 Personal history of non-Hodgkin lymphomas A Z8579 2019-10-01 Prsnl hx of malig neoplm of lymphoid, hematpoetc & rel tiss A Z85810 2019-10-01 Personal history of malignant neoplasm of tongue A Z85818 2019-10-01 Prsnl hx of malig neoplm of site of lip, oral cav, & pharynx A Z85819 2019-10-01 Prsnl hx of malig neoplm of unsp site lip,oral cav,& pharynx A Z85820 2019-10-01 Personal history of malignant melanoma of skin A Z85821 2019-10-01 Personal history of Merkel cell carcinoma A Z85828 2019-10-01 Personal history of other malignant neoplasm of skin A Z85830 2019-10-01 Personal history of malignant neoplasm of bone A Z85831 2019-10-01 Personal history of malignant neoplasm of soft tissue A

Page 65 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis (OPPS) Exclusion Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z85840 2019-10-01 Personal history of malignant neoplasm of eye A Z85841 2019-10-01 Personal history of malignant neoplasm of brain A Z85848 2019-10-01 Personal history of malignant neoplasm of prt nervous tissue A Z85850 2019-10-01 Personal history of malignant neoplasm of thyroid A Z85858 2019-10-01 Personal history of malignant neoplasm of endocrine glands A Z8589 2019-10-01 Personal history of malignant neoplasm of organs and systems A Z859 2019-10-01 Personal history of malignant neoplasm, unspecified A Z86000 2019-10-01 Personal history of in-situ neoplasm of breast A Z86001 2019-10-01 Personal history of in-situ neoplasm of cervix uteri A Z86002 2019-10-01 Pers hx of in-situ neoplasm of other and unsp genital organs A Z86003 2019-10-01 Pers hx of in-situ neoplm of oral cavity, esoph and stomach A Z86004 2019-10-01 Pers hx of in-situ neoplasm of other and unsp dgstv orgs A Z86005 2019-10-01 Pers hx of in-situ neoplasm of middle ear and resp sys A Z86006 2019-10-01 Personal history of melanoma in-situ A Z86007 2019-10-01 Personal history of in-situ neoplasm of skin A Z86008 2019-10-01 Personal history of in-situ neoplasm of other site A Z86010 2019-10-01 Personal history of colonic polyps A Z86011 2019-10-01 Personal history of benign neoplasm of the brain A Z86012 2019-10-01 Personal history of benign carcinoid tumor A Z86018 2019-10-01 Personal history of other benign neoplasm A Z8603 2019-10-01 Personal history of neoplasm of uncertain behavior A Z8611 2019-10-01 Personal history of tuberculosis A Z8612 2019-10-01 Personal history of poliomyelitis A Z8613 2019-10-01 Personal history of malaria A Z8614 2019-10-01 Personal history of methicillin resis staph infection A Z8615 2019-10-01 Personal history of latent tuberculosis infection A Z8619 2019-10-01 Personal history of other infectious and parasitic diseases A Z862 2019-10-01 Prsnl history of dis of the bld/bld-form org/immun mechnsm A Z8631 2019-10-01 Personal history of diabetic foot ulcer A Z8632 2019-10-01 Personal history of gestational diabetes A Z8639 2019-10-01 Personal history of endo, nutritional and metabolic disease A Z8651 2019-10-01 Personal history of combat and operational stress reaction A Z8659 2019-10-01 Personal history of other mental and behavioral disorders A Z8661 2019-10-01 Personal history of infections of the central nervous system A Z8669 2019-10-01 Personal history of dis of the nervous sys and sense organs A Z86711 2019-10-01 Personal history of pulmonary embolism A Z86718 2019-10-01 Personal history of other venous thrombosis and embolism A Z8672 2019-10-01 Personal history of thrombophlebitis A Z8673 2019-10-01 Prsnl hx of TIA (TIA), and cereb infrc w/o resid deficits A Z8674 2019-10-01 Personal history of sudden cardiac arrest A Z8679 2019-10-01 Personal history of other diseases of the circulatory system A Z8701 2019-10-01 Personal history of pneumonia (recurrent) A Z8709 2019-10-01 Personal history of other diseases of the respiratory system A Z8711 2019-10-01 Personal history of peptic ulcer disease A Z8719 2019-10-01 Personal history of other diseases of the digestive system A Z872 2019-10-01 Personal history of diseases of the skin, subcu A Z87310 2019-10-01 Personal history of (healed) osteoporosis fracture A Z87311 2019-10-01 Personal history of (healed) other pathological fracture A Z87312 2019-10-01 Personal history of (healed) stress fracture A Z8739 2019-10-01 Personal history of diseases of the ms sys and conn tiss A Z87410 2019-10-01 Personal history of cervical dysplasia A Z87411 2019-10-01 Personal history of vaginal dysplasia A Z87412 2019-10-01 Personal history of vulvar dysplasia A Z8742 2019-10-01 Personal history of oth diseases of the female genital tract A Z87430 2019-10-01 Personal history of prostatic dysplasia A Z87438 2019-10-01 Personal history of other diseases of male genital organs A Z87440 2019-10-01 Personal history of urinary (tract) infections A Z87441 2019-10-01 Personal history of nephrotic syndrome A Z87442 2019-10-01 Personal history of urinary calculi A Z87448 2019-10-01 Personal history of other diseases of urinary system A Z8751 2019-10-01 Personal history of pre-term labor A Z8759 2019-10-01 Personal history of comp of preg, chldbrth and the puerp A Z87710 2019-10-01 Personal history of (corrected) hypospadias A Z87718 2019-10-01 Personal history of (corrected) congenital malform of GU sys A Z87720 2019-10-01 Personal history of (corrected) congenital malform of eye A Z87721 2019-10-01 Personal history of (corrected) congenital malform of ear A Z87728 2019-10-01 Prsnl hx of congen malform of nervous sys and sense organs A Z87730 2019-10-01 Personal history of (corrected) cleft lip and palate A Z87738 2019-10-01 Personal history of congenital malform of dgstv sys A Z8774 2019-10-01 Personal history of congenital malform of heart and circ sys A Z8775 2019-10-01 Personal history of congenital malform of resp sys A Z8776 2019-10-01 Prsnl hx of congen malform of integument, limbs and ms sys A Z87790 2019-10-01 Personal history of congenital malform of face and neck A Z87798 2019-10-01 Personal history of oth (corrected) congenital malformations A Z8781 2019-10-01 Personal history of (healed) traumatic fracture A Z87820 2019-10-01 Personal history of traumatic brain injury A Z87821 2019-10-01 Personal history of retained foreign body fully removed A

Page 66 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis (OPPS) Exclusion Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z87828 2019-10-01 Personal history of oth (healed) physical injury and trauma A Z87891 2019-10-01 Personal history of nicotine dependence A Z87892 2019-10-01 Personal history of anaphylaxis A Z87898 2019-10-01 Personal history of other specified conditions A Z880 2019-10-01 Allergy status to penicillin A Z881 2020-10-01 Allergy status to other antibiotic agents A Z882 2020-10-01 Allergy status to sulfonamides A Z883 2020-10-01 Allergy status to other anti-infective agents A Z884 2020-10-01 Allergy status to anesthetic agent A Z885 2020-10-01 Allergy status to narcotic agent A Z886 2020-10-01 Allergy status to analgesic agent A Z887 2020-10-01 Allergy status to serum and vaccine A Z888 2020-10-01 Allergy status to other drug/meds/biol subst A Z889 2020-10-01 Allergy status to unspecified drug/meds/biol subst A Z89011 2019-10-01 Acquired absence of right thumb A Z89012 2019-10-01 Acquired absence of left thumb A Z89019 2019-10-01 Acquired absence of unspecified thumb A Z89021 2019-10-01 Acquired absence of right finger(s) A Z89022 2019-10-01 Acquired absence of left finger(s) A Z89029 2019-10-01 Acquired absence of unspecified finger(s) A Z89111 2019-10-01 Acquired absence of right hand A Z89112 2019-10-01 Acquired absence of left hand A Z89119 2019-10-01 Acquired absence of unspecified hand A Z89121 2019-10-01 Acquired absence of right wrist A Z89122 2019-10-01 Acquired absence of left wrist A Z89129 2019-10-01 Acquired absence of unspecified wrist A Z89201 2019-10-01 Acquired absence of right upper limb, unspecified level A Z89202 2019-10-01 Acquired absence of left upper limb, unspecified level A Z89209 2019-10-01 Acquired absence of unsp upper limb, unspecified level A Z89211 2019-10-01 Acquired absence of right upper limb below elbow A Z89212 2019-10-01 Acquired absence of left upper limb below elbow A Z89219 2019-10-01 Acquired absence of unspecified upper limb below elbow A Z89221 2019-10-01 Acquired absence of right upper limb above elbow A Z89222 2019-10-01 Acquired absence of left upper limb above elbow A Z89229 2019-10-01 Acquired absence of unspecified upper limb above elbow A Z89231 2019-10-01 Acquired absence of right shoulder A Z89232 2019-10-01 Acquired absence of left shoulder A Z89239 2019-10-01 Acquired absence of unspecified shoulder A Z89411 2019-10-01 Acquired absence of right great toe A Z89412 2019-10-01 Acquired absence of left great toe A Z89419 2019-10-01 Acquired absence of unspecified great toe A Z89421 2019-10-01 Acquired absence of other right toe(s) A Z89422 2019-10-01 Acquired absence of other left toe(s) A Z89429 2019-10-01 Acquired absence of other toe(s), unspecified side A Z89431 2019-10-01 Acquired absence of right foot A Z89432 2019-10-01 Acquired absence of left foot A Z89439 2019-10-01 Acquired absence of unspecified foot A Z89441 2019-10-01 Acquired absence of right ankle A Z89442 2019-10-01 Acquired absence of left ankle A Z89449 2019-10-01 Acquired absence of unspecified ankle A Z89511 2019-10-01 Acquired absence of right leg below knee A Z89512 2019-10-01 Acquired absence of left leg below knee A Z89519 2019-10-01 Acquired absence of unspecified leg below knee A Z89521 2019-10-01 Acquired absence of right knee A Z89522 2019-10-01 Acquired absence of left knee A Z89529 2019-10-01 Acquired absence of unspecified knee A Z89611 2019-10-01 Acquired absence of right leg above knee A Z89612 2019-10-01 Acquired absence of left leg above knee A Z89619 2019-10-01 Acquired absence of unspecified leg above knee A Z89621 2019-10-01 Acquired absence of right hip joint A Z89622 2019-10-01 Acquired absence of left hip joint A Z89629 2019-10-01 Acquired absence of unspecified hip joint A Z899 2019-10-01 Acquired absence of limb, unspecified A Z9001 2019-10-01 Acquired absence of eye A Z9002 2019-10-01 Acquired absence of larynx A Z9009 2019-10-01 Acquired absence of other part of head and neck A Z902 2019-10-01 Acquired absence of lung [part of] A Z903 2019-10-01 Acquired absence of stomach [part of] A Z90410 2019-10-01 Acquired total absence of pancreas A Z90411 2019-10-01 Acquired partial absence of pancreas A Z9049 2019-10-01 Acquired absence of other specified parts of digestive tract A Z905 2019-10-01 Acquired absence of kidney A Z906 2019-10-01 Acquired absence of other parts of urinary tract A Z90710 2019-10-01 Acquired absence of both cervix and uterus A Z90711 2019-10-01 Acquired absence of uterus with remaining cervical stump A Z90712 2019-10-01 Acquired absence of cervix with remaining uterus A Z90721 2019-10-01 Acquired absence of ovaries, unilateral A

Page 67 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis (OPPS) Exclusion Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z90722 2019-10-01 Acquired absence of ovaries, bilateral A Z9079 2019-10-01 Acquired absence of other genital organ(s) A Z9081 2019-10-01 Acquired absence of spleen A Z9089 2019-10-01 Acquired absence of other organs A Z91010 2019-10-01 Allergy to peanuts A Z91011 2019-10-01 Allergy to milk products A Z91012 2019-10-01 Allergy to eggs A Z91013 2019-10-01 Allergy to seafood A Z91018 2019-10-01 Allergy to other foods A Z9102 2019-10-01 Food additives allergy status A Z91030 2019-10-01 Bee allergy status A Z91038 2019-10-01 Other insect allergy status A Z91040 2019-10-01 Latex allergy status A Z91041 2019-10-01 Radiographic dye allergy status A Z91048 2019-10-01 Other nonmedicinal substance allergy status A Z9109 2019-10-01 Oth allergy status, oth than to drugs and biolg substances A Z9111 2019-10-01 Patient's noncompliance with dietary regimen A Z91120 2019-10-01 Pt intentl undrdose of meds regimen due to financl hardship A Z91128 2019-10-01 Patient's intentl undrdose of meds regimen for oth reason A Z91130 2019-10-01 Pt unintent undrdose of meds regimen due to age-rel debility A Z91138 2019-10-01 Patient's unintent undrdose of meds regimen for oth reason A Z9114 2019-10-01 Patient's other noncompliance with medication regimen A Z9115 2019-10-01 Patient's noncompliance with renal dialysis A Z9119 2019-10-01 Patient's noncompliance w oth medical treatment and regimen A Z91410 2019-10-01 Personal history of adult physical and sexual abuse A Z91411 2019-10-01 Personal history of adult psychological abuse A Z91412 2019-10-01 Personal history of adult neglect A Z91419 2019-10-01 Personal history of unspecified adult abuse A Z9142 2019-10-01 Personal history of forced labor or sexual exploitation A Z9149 2019-10-01 Oth personal history of psychological trauma, NEC A Z915 2019-10-01 Personal history of self-harm A Z9181 2019-10-01 History of falling A Z9182 2019-10-01 Personal history of military deployment A Z91841 2019-10-01 Risk for dental caries, low A Z91842 2019-10-01 Risk for dental caries, moderate A Z91843 2019-10-01 Risk for dental caries, high A Z91849 2019-10-01 Unspecified risk for dental caries A Z9189 2019-10-01 Oth personal risk factors, not elsewhere classified A Z920 2019-10-01 Personal history of contraception A Z9221 2019-10-01 Personal history of antineoplastic chemotherapy A Z9222 2019-10-01 Personal history of monoclonal drug therapy A Z9223 2019-10-01 Personal history of estrogen therapy A Z92240 2019-10-01 Personal history of inhaled steroid therapy A Z92241 2019-10-01 Personal history of systemic steroid therapy A Z9225 2019-10-01 Personal history of immunosupression therapy A Z9229 2019-10-01 Personal history of other drug therapy A Z923 2019-10-01 Personal history of irradiation A Z9281 2019-10-01 Prsnl history of extracorporeal membrane oxygenation (ECMO) A Z9283 2019-10-01 Personal history of failed moderate sedation A Z9284 2019-10-01 Pers hx of unintended awareness under general anesthesia A Z9289 2019-10-01 Personal history of other medical treatment A Z930 2019-10-01 Tracheostomy status A Z931 2019-10-01 Gastrostomy status A Z932 2019-10-01 Ileostomy status A Z933 2019-10-01 Colostomy status A Z934 2019-10-01 Other artificial openings of gastrointestinal tract status A Z9350 2019-10-01 Unspecified cystostomy status A Z9351 2019-10-01 Cutaneous-vesicostomy status A Z9352 2019-10-01 Appendico-vesicostomy status A Z9359 2019-10-01 Other cystostomy status A Z936 2019-10-01 Other artificial openings of urinary tract status A Z938 2019-10-01 Other artificial opening status A Z939 2019-10-01 Artificial opening status, unspecified A Z940 2019-10-01 Kidney transplant status A Z941 2019-10-01 Heart transplant status A Z942 2019-10-01 Lung transplant status A Z943 2019-10-01 Heart and lungs transplant status A Z944 2019-10-01 Liver transplant status A Z945 2019-10-01 Skin transplant status A Z946 2019-10-01 Bone transplant status A Z947 2019-10-01 Corneal transplant status A Z9481 2019-10-01 Bone marrow transplant status A Z9482 2019-10-01 Intestine transplant status A Z9483 2019-10-01 Pancreas transplant status A Z9484 2019-10-01 Stem cells transplant status A Z9489 2019-10-01 Other transplanted organ and tissue status A Z949 2019-10-01 Transplanted organ and tissue status, unspecified A

Page 68 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis (OPPS) Exclusion Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z950 2019-10-01 Presence of cardiac pacemaker A Z951 2019-10-01 Presence of aortocoronary bypass graft A Z952 2019-10-01 Presence of prosthetic heart valve A Z953 2019-10-01 Presence of xenogenic heart valve A Z954 2019-10-01 Presence of other heart-valve replacement A Z955 2019-10-01 Presence of coronary angioplasty implant and graft A Z95810 2019-10-01 Presence of automatic (implantable) cardiac defibrillator A Z95811 2019-10-01 Presence of heart assist device A Z95812 2019-10-01 Presence of fully implantable artificial heart A Z95818 2019-10-01 Presence of other cardiac implants and grafts A Z95820 2019-10-01 Peripheral vascular angioplasty status w implants and grafts A Z95828 2019-10-01 Presence of other vascular implants and grafts A Z959 2019-10-01 Presence of cardiac and vascular implant and graft, unsp A Z960 2019-10-01 Presence of urogenital implants A Z961 2019-10-01 Presence of intraocular lens A Z9620 2019-10-01 Presence of otological and audiological implant, unspecified A Z9621 2019-10-01 Cochlear implant status A Z9622 2019-10-01 Myringotomy tube(s) status A Z9629 2019-10-01 Presence of other otological and audiological implants A Z963 2019-10-01 Presence of artificial larynx A Z9641 2019-10-01 Presence of insulin pump (external) (internal) A Z9649 2019-10-01 Presence of other endocrine implants A Z965 2019-10-01 Presence of tooth-root and mandibular implants A Z9660 2019-10-01 Presence of unspecified orthopedic joint implant A Z96611 2019-10-01 Presence of right artificial shoulder joint A Z96612 2019-10-01 Presence of left artificial shoulder joint A Z96619 2019-10-01 Presence of unspecified artificial shoulder joint A Z96621 2019-10-01 Presence of right artificial elbow joint A Z96622 2019-10-01 Presence of left artificial elbow joint A Z96629 2019-10-01 Presence of unspecified artificial elbow joint A Z96631 2019-10-01 Presence of right artificial wrist joint A Z96632 2019-10-01 Presence of left artificial wrist joint A Z96639 2019-10-01 Presence of unspecified artificial wrist joint A Z96641 2019-10-01 Presence of right artificial hip joint A Z96642 2019-10-01 Presence of left artificial hip joint A Z96643 2019-10-01 Presence of artificial hip joint, bilateral A Z96649 2019-10-01 Presence of unspecified artificial hip joint A Z96651 2019-10-01 Presence of right artificial knee joint A Z96652 2019-10-01 Presence of left artificial knee joint A Z96653 2019-10-01 Presence of artificial knee joint, bilateral A Z96659 2019-10-01 Presence of unspecified artificial knee joint A Z96661 2019-10-01 Presence of right artificial ankle joint A Z96662 2019-10-01 Presence of left artificial ankle joint A Z96669 2019-10-01 Presence of unspecified artificial ankle joint A Z96691 2019-10-01 Finger-joint replacement of right hand A Z96692 2019-10-01 Finger-joint replacement of left hand A Z96693 2019-10-01 Finger-joint replacement, bilateral A Z96698 2019-10-01 Presence of other orthopedic joint implants A Z967 2019-10-01 Presence of other bone and tendon implants A Z9681 2019-10-01 Presence of artificial skin A Z9682 2019-10-01 Presence of neurostimulator A Z9689 2019-10-01 Presence of other specified functional implants A Z969 2019-10-01 Presence of functional implant, unspecified A Z970 2019-10-01 Presence of artificial eye A Z9710 2019-10-01 Presence of artificial limb (complete) (partial), unsp A Z9711 2019-10-01 Presence of artificial right arm (complete) (partial) A Z9712 2019-10-01 Presence of artificial left arm (complete) (partial) A Z9713 2019-10-01 Presence of artificial right leg (complete) (partial) A Z9714 2019-10-01 Presence of artificial left leg (complete) (partial) A Z9715 2019-10-01 Presence of artificial arms, bilateral (complete) (partial) A Z9716 2019-10-01 Presence of artificial legs, bilateral (complete) (partial) A Z972 2019-10-01 Presence of dental prosthetic device (complete) (partial) A Z973 2019-10-01 Presence of spectacles and contact lenses A Z974 2019-10-01 Presence of external hearing-aid A Z975 2019-10-01 Presence of (intrauterine) contraceptive device A Z978 2019-10-01 Presence of other specified devices A Z980 2019-10-01 Intestinal bypass and anastomosis status A Z981 2019-10-01 Arthrodesis status A Z982 2019-10-01 Presence of cerebrospinal fluid drainage device A Z9841 2019-10-01 Cataract extraction status, right eye A Z9842 2019-10-01 Cataract extraction status, left eye A Z9849 2019-10-01 Cataract extraction status, unspecified eye A Z9851 2019-10-01 Tubal ligation status A Z9852 2019-10-01 Vasectomy status A Z9861 2019-10-01 Coronary angioplasty status A Z9862 2019-10-01 Peripheral vascular angioplasty status A Z98810 2019-10-01 Dental sealant status A

Page 69 of 96 Final Summary of Data Changes V21.3 Unacceptable Principal Diagnosis (OPPS) Exclusion Additions Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z98811 2019-10-01 Dental restoration status A Z98818 2019-10-01 Other dental procedure status A Z9882 2019-10-01 Breast implant status A Z9883 2019-10-01 Filtering (vitreous) bleb after glaucoma surgery status A Z9884 2019-10-01 Bariatric surgery status A Z9885 2019-10-01 Transplanted organ removal status A Z9886 2019-10-01 Personal history of breast implant removal A Z98870 2019-10-01 Personal history of in utero procedure during pregnancy A Z98871 2019-10-01 Personal history of in utero procedure while a fetus A Z98890 2019-10-01 Other specified postprocedural states A Z98891 2019-10-01 History of uterine scar from previous surgery A Z990 2019-10-01 Dependence on aspirator A Z992 2019-10-01 Dependence on renal dialysis A Z993 2019-10-01 Dependence on wheelchair A Z9981 2019-10-01 Dependence on supplemental oxygen A Z9989 2019-10-01 Dependence on other enabling machines and devices A

Page 70 of 96 Final Summary of Data Changes V21.3

APC Changes Added APCs

The following APC(s) were added. Added APCs APC Eff Date Description Status Indicator Payment 09323 2020-10-01 Gallium ga-68 dotatoc G $0.00 09351 2020-10-01 Inj bimatoprost itc imp 1mcg G $0.00 09370 2020-10-01 Fluoroestradiol f18 G $0.00 09374 2020-10-01 Mitomycin pyelocalyceal inst G $0.00 09376 2020-10-01 Sacituzumab govitecan-hziy G $0.00 09377 2020-10-01 Inj. isatuximab-irfc 10 mg G $0.00 09378 2020-10-01 Daratumumab hyaluronidase G $0.00 09379 2020-10-01 Romidepsin non-lyophilized G $0.00 09381 2020-07-01 Inj. avsola, 10 mg K $0.00 09381 2020-10-01 Inj. avsola, 10 mg G $0.00 09382 2020-04-01 Inj ontruzant 10 mg K $90.96 09382 2020-10-01 Inj ontruzant 10 mg G $90.96

Page 71 of 96 Final Summary of Data Changes V21.3

Deleted APCs

The following APC(s) were deleted. Deleted APCs APC Eff Date Description 09084 2020-10-01 Florbetapir f18 09085 2020-10-01 Inj sulf hexa lipid microsph 09175 2020-10-01 Puraply 1 sq cm 09176 2020-10-01 Puraply am 1 sq cm 09324 2020-10-01 Phenylep ketorolac opth soln 09458 2020-10-01 Florbetaben f18 diagnostic 09459 2020-10-01 Flutemetamol f18 diagnostic

Page 72 of 96 Final Summary of Data Changes V21.3

Modified APC Status Indicators

The following APC(s) had status indicator changes. Modified APC Status Indicators APC Eff Date Description Status Indicator Current Status Indicator Previous 09349 2020-10-01 Inj herzuma 10 mg G K 09491 2020-10-01 Injection, avelumab, 10 mg K G 09492 2020-10-01 Inj., durvalumab, 10 mg K G 09493 2020-10-01 Injection, edaravone, 1 mg K G 09494 2020-10-01 Injection, ocrelizumab K G

Page 73 of 96 Final Summary of Data Changes V21.3

HCPCS Procedure Code Changes Added HCPCS Codes

The following HCPCS code(s) were added. Added HCPCS Codes HCPCS Eff Date Description Status APC Edit Appr Date Term Date Indicator 0015M 2020-10-01 Adrnl cortcl tum bchm asy 25 Q4 00000 0016M 2020-10-01 Onc bladder mrna 209 gen alg Q4 00000 0126T 2020-07-01 Chd risk imt study Q1 05731 0202U 2020-04-01 Nfct ds 22 trgt sars-cov-2 A 00000 68 2020-05-20 0203U 2020-10-01 Ai ibd mrna xprsn prfl 17 Q4 00000 0204U 2020-10-01 Onc thyr mrna xprsn alys 593 A 00000 0205U 2020-10-01 Oph amd alys 3 gene variants A 00000 0206U 2020-10-01 Neuro alzheimer cell aggregj Q4 00000 0207U 2020-10-01 Neuro alzheimer quan imaging N 00000 0208U 2020-10-01 Onc mtc mrna xprsn alys 108 A 00000 0209U 2020-10-01 Cytog const alys interrog A 00000 0210U 2020-10-01 Syphilis tst antb ia quan Q4 00000 0211U 2020-10-01 Onc pan-tum dna&rna gnrj seq E1 00000 9 0212U 2020-10-01 Rare ds gen dna alys proband A 00000 0213U 2020-10-01 Rare ds gen dna alys ea comp A 00000 0214U 2020-10-01 Rare ds xom dna alys proband A 00000 0215U 2020-10-01 Rare ds xom dna alys ea comp A 00000 0216U 2020-10-01 Neuro inh ataxia dna 12 com A 00000 0217U 2020-10-01 Neuro inh ataxia dna 51 gene A 00000 0218U 2020-10-01 Neuro musc dys dmd seq alys A 00000 0219U 2020-10-01 Nfct agt hiv gnrj seq alys A 00000 0220U 2020-10-01 Onc brst ca ai assmt 12 feat Q4 00000 0221U 2020-10-01 Abo gnotyp next gnrj seq abo A 00000 0222U 2020-10-01 Rhd&rhce gntyp next gnrj seq A 00000 0223U 2020-04-01 Nfct ds 22 trgt sars-cov-2 A 00000 68 2020-06-25 0224U 2020-04-01 Antibody sars-cov-2 titer(s) A 00000 68 2020-06-25 87426 2020-04-01 Coronavirus ag ia A 00000 68 2020-06-25 C9060 2020-10-01 Fluoroestradiol F18 G 09370 55 C9062 2020-10-01 Daratumumab hyaluronidase G 09378 55 C9064 2020-10-01 Mitomycin pyelocalyceal inst G 09374 55 C9065 2020-10-01 Romidepsin non-lyophilized G 09379 55 C9066 2020-10-01 Sacituzumab govitecan-hziy G 09376 55 C9067 2020-10-01 Gallium ga-68 Dotatoc G 09323 55 C9761 2020-10-01 Cysto, litho, vacuum kidney J1 05375 55 C9768 2020-10-01 Endo US-guide hep porto grad N 00000 55 C9769 2020-10-01 Cysto w/temp pros implant J1 05375 55 G1020 2020-10-01 Cdsm curbside E1 00000 112 G1021 2020-10-01 Cdsm ehealthline E1 00000 112 G1022 2020-10-01 Cdsm intermountain E1 00000 112 G1023 2020-10-01 Cdsm persivia E1 00000 112 J1437 2020-10-01 Inj. fe derisomaltose 10 mg E2 00000 13 J1632 2020-10-01 Inj., brexanolone, 1 mg G 09333 J1738 2020-10-01 Inj. meloxicam 1 mg G 09371 J3032 2020-10-01 Inj. eptinezumab-jjmr 1 mg G 09357 J3241 2020-10-01 Inj. teprotumumab-trbw 10 mg G 09355 J7351 2020-10-01 Inj bimatoprost itc imp 1mcg G 09351 J9227 2020-10-01 Inj. isatuximab-irfc 10 mg G 09377 J9304 2020-10-01 Inj. pemetrexed, 10 mg E2 00000 13 K1006 2020-10-01 Suct pum ext urine mgmt sys Y 00000 61 K1007 2020-10-01 Bil hkaf pc s/d micro sensor Y 00000 61 K1009 2020-10-01 Speech volume modulation sys Y 00000 61 K1010 2020-10-01 Intraurethral drainag device Y 00000 61 K1011 2020-10-01 Acti intraurethral drainage Y 00000 61 K1012 2020-10-01 Charger base station intraur Y 00000 61 Q4249 2020-10-01 Amniply, per sq cm N 00000 Q4250 2020-10-01 AmnioAMP-MP per sq cm N 00000 Q4254 2020-10-01 Novafix dl per sq cm N 00000 Q4255 2020-10-01 Reguard, topical use per sq N 00000 Q9001 2020-10-01 VA chaplain assessment E1 00000 9 Q9002 2020-10-01 VA chaplain counsel individu E1 00000 9 Q9003 2020-10-01 VA chaplain counsel group E1 00000 9 T2047 2020-10-01 Hab prevo waiver per 15 E1 00000 9 V2524 2020-10-01 Cntct lens hydrophil photoch A 00000

Page 74 of 96 Final Summary of Data Changes V21.3

Deleted HCPCS CPT Codes

The following HCPCS code(s) were deleted. Deleted HCPCS CPT Codes HCPCS Eff Date Description C9055 2020-10-01 Inj, brexanolone C9059 2020-10-01 Injection, meloxicam C9061 2020-10-01 Injection, teprotumumab-trbw C9063 2020-10-01 Injection, eptinezumab-jjmr

Page 75 of 96 Final Summary of Data Changes V21.3

Modified HCPCS Code Descriptions

The following HCPCS code(s) had a description change. Modified HCPCS Code Descriptions HCPCS Eff Date Description Current Description Previous G2011 2020-10-01 Alcohol/sub misuse assess Alcohol/sub abuse assess J9305 2020-10-01 Inj. pemetrexed nos 10mg Pemetrexed injection L8701 2020-10-01 Ewh s/d uprt micro sensor Pow ue rom dev ewh uprt cust L8702 2020-10-01 Ewhf s/d uprt micro sensor Pow ue rom dev ewhf uprt cus

Page 76 of 96 Final Summary of Data Changes V21.3

Modified HCPCS Code APC/Status Indicators/Edit Assignments

The following HCPCS code(s) had an APC, Status Indicator, or Edit assignment change. Modified HCPCS Code APC/Status Indicators/Edit Assignments HCPCS Eff Date Term Description APC APC Status Status Edits Edits Date Current Previous Indicator Indicator Current Previous Current Previous 99458 2020-03-01 Rem physiol mntr ea addl 20 B N 62,68 A9586 2020-10-01 Florbetapir f18 00000 09084 N G C9760 2020-07-01 Non-blind interatrial shunt 01589 01591 55 55 J1097 2020-10-01 Phenylep ketorolac opth soln 00000 09324 N G J1301 2020-10-01 Injection, edaravone, 1 mg K G J2350 2020-10-01 Injection, ocrelizumab, 1 mg K G J9023 2020-10-01 Injection, avelumab, 10 mg K G J9173 2020-10-01 Inj., durvalumab, 10 mg K G Q4195 2020-10-01 Puraply 1 sq cm 00000 09175 N G Q4196 2020-10-01 Puraply am 1 sq cm 00000 09176 N G Q5112 2020-04-15 Inj ontruzant 10 mg 09382 00000 K E2 110 13 Q5112 2020-10-01 Inj ontruzant 10 mg 09382 00000 G E2 13 Q5113 2020-10-01 Inj herzuma 10 mg G K Q5121 2020-07-06 Inj. avsola, 10 mg 09381 00000 K E2 110 13 Q5121 2020-10-01 Inj. avsola, 10 mg 09381 00000 G E2 13 Q9950 2020-10-01 Inj sulf hexa lipid microsph 00000 09085 N G Q9982 2020-10-01 Flutemetamol f18 diagnostic 00000 09459 N G Q9983 2020-10-01 Florbetaben f18 diagnostic 00000 09458 N G

Page 77 of 96 Final Summary of Data Changes V21.3

Mid Quarter Edits Additions

The following HCPCS code(s) were added to Mid-Quarter edit 67, 68, 69, 83, or 110. Mid Quarter Edits Additions Reason Key: A=Added To List, N=New Code HCPCS Eff Date Description Approval Date Edit R* 0202U 2020-04-01 Nfct ds 22 trgt sars-cov-2 2020-05-20 68 N 0223U 2020-04-01 Nfct ds 22 trgt sars-cov-2 2020-06-25 68 N 0224U 2020-04-01 Antibody sars-cov-2 titer(s) 2020-06-25 68 N 87426 2020-04-01 Coronavirus ag ia 2020-06-25 68 N 99458 2020-01-01 Rem physiol mntr ea addl 20 2020-03-01 68 A Q5112 2020-04-01 Inj ontruzant 10 mg 2020-04-15 110 A Q5121 2020-07-01 Inj. avsola, 10 mg 2020-07-06 110 A

Page 78 of 96 Final Summary of Data Changes V21.3

Male Only HCPCS Additions

The following HCPCS code(s) were added to the list of male procedures. Male Only HCPCS Additions Reason Key: A=Added To List, N=New Code HCPCS Eff Date Description R* C9769 2020-10-01 Cysto w/temp pros implant N

Page 79 of 96 Final Summary of Data Changes V21.3

Female Only HCPCS Removals

The following HCPCS code(s) were removed from the list of female procedures. Female Only HCPCS Removals Reason Key: R=Removed From List, D=Code Terminated HCPCS Eff Date Description R* 89300 2020-01-01 Semen analysis w/huhner R

Page 80 of 96 Final Summary of Data Changes V21.3

Comprehensive APC HCPCS Additions

The following HCPCS were assigned an SI = J1 and are applicable for Comprehensive APC logic. Comprehensive APC HCPCS Additions Reason Key: A=Added To List, N=New Code HCPCS Eff Date Description R* C9761 2020-10-01 Cysto, litho, vacuum kidney N C9769 2020-10-01 Cysto w/temp pros implant N

Page 81 of 96 Final Summary of Data Changes V21.3

FQHC Non-Covered Additions

The following HCPCS were added to the FQHC Non-Covered list. FQHC Non-Covered Additions Reason Key: A=Added To List, N=New Code HCPCS Eff Date Description R* 0015M 2020-10-01 Adrnl cortcl tum bchm asy 25 N 0016M 2020-10-01 Onc bladder mrna 209 gen alg N 0202U 2020-04-01 Nfct ds 22 trgt sars-cov-2 N 0203U 2020-10-01 Ai ibd mrna xprsn prfl 17 N 0204U 2020-10-01 Onc thyr mrna xprsn alys 593 N 0205U 2020-10-01 Oph amd alys 3 gene variants N 0206U 2020-10-01 Neuro alzheimer cell aggregj N 0207U 2020-10-01 Neuro alzheimer quan imaging N 0208U 2020-10-01 Onc mtc mrna xprsn alys 108 N 0209U 2020-10-01 Cytog const alys interrog N 0210U 2020-10-01 Syphilis tst antb ia quan N 0211U 2020-10-01 Onc pan-tum dna&rna gnrj seq N 0212U 2020-10-01 Rare ds gen dna alys proband N 0213U 2020-10-01 Rare ds gen dna alys ea comp N 0214U 2020-10-01 Rare ds xom dna alys proband N 0215U 2020-10-01 Rare ds xom dna alys ea comp N 0216U 2020-10-01 Neuro inh ataxia dna 12 com N 0217U 2020-10-01 Neuro inh ataxia dna 51 gene N 0218U 2020-10-01 Neuro musc dys dmd seq alys N 0219U 2020-10-01 Nfct agt hiv gnrj seq alys N 0220U 2020-10-01 Onc brst ca ai assmt 12 feat N 0221U 2020-10-01 Abo gnotyp next gnrj seq abo N 0222U 2020-10-01 Rhd&rhce gntyp next gnrj seq N 0223U 2020-04-01 Nfct ds 22 trgt sars-cov-2 N 0224U 2020-04-01 Antibody sars-cov-2 titer(s) N 87426 2020-04-01 Coronavirus ag ia N

Page 82 of 96 Final Summary of Data Changes V21.3

Pass-Through Contrast HCPCS Removals

The following HCPCS were removed from the Pass-Through Contrast HCPCS list. Pass-Through Contrast HCPCS Removals Reason Key: R=Removed From List, D=Code Terminated HCPCS Eff Date Description R* Q9950 2020-10-01 Inj sulf hexa lipid microsph R

Page 83 of 96 Final Summary of Data Changes V21.3

Pass-Through Radiopharm HCPCS Additions

The following HCPCS were added to the Pass-Through Radiopharm HCPCS list. Pass-Through Radiopharm HCPCS Additions Reason Key: A=Added To List, N=New Code HCPCS Eff Date Description R* C9060 2020-10-01 Fluoroestradiol F18 N C9067 2020-10-01 Gallium ga-68 Dotatoc N

Page 84 of 96 Final Summary of Data Changes V21.3

Pass-Through Radiopharm HCPCS Removals

The following HCPCS were removed from the Pass-Through Radiopharm HCPCS list. Pass-Through Radiopharm HCPCS Removals Reason Key: R=Removed From List, D=Code Terminated HCPCS Eff Date Description R* A9586 2020-10-01 Florbetapir f18 R Q9982 2020-10-01 Flutemetamol f18 diagnostic R Q9983 2020-10-01 Florbetaben f18 diagnostic R

Page 85 of 96 Final Summary of Data Changes V21.3

Pass-Through Skin Product HCPCS Removals

The following HCPCS were removed from the Pass-Through Skin Product HCPCS list. Pass-Through Skin Product HCPCS Removals Reason Key: R=Removed From List, D=Code Terminated HCPCS Eff Date Description R* Q4195 2020-10-01 Puraply 1 sq cm R Q4196 2020-10-01 Puraply am 1 sq cm R

Page 86 of 96 Final Summary of Data Changes V21.3

Skin Substitute High Cost Product Additions

The following HCPCS were added to the Skin Substitute High Cost Product list. Skin Substitute High Cost Product Additions Reason Key: A=Added To List, N=New Code HCPCS Eff Date Description R* Q4205 2020-10-01 Membrane graft or wrap sq cm A Q4226 2020-10-01 Myown harv prep proc sq cm A Q4234 2020-10-01 Xcellerate, per sq cm A

Page 87 of 96 Final Summary of Data Changes V21.3

Skin Substitute Low Cost Product Additions

The following HCPCS were added to the Skin Substitute Low Cost Product list. Skin Substitute Low Cost Product Additions Reason Key: A=Added To List, N=New Code HCPCS Eff Date Description R* Q4249 2020-10-01 Amniply, per sq cm N Q4250 2020-10-01 AmnioAMP-MP per sq cm N Q4254 2020-10-01 Novafix dl per sq cm N Q4255 2020-10-01 Reguard, topical use per sq N

Page 88 of 96 Final Summary of Data Changes V21.3

Skin Substitute Low Cost Product Removals

The following HCPCS were removed from the Skin Substitute Low Cost Product list. Skin Substitute Low Cost Product Removals Reason Key: R=Removed From List, D=Code Terminated HCPCS Eff Date Description R* Q4205 2020-10-01 Membrane graft or wrap sq cm R Q4226 2020-10-01 Myown harv prep proc sq cm R Q4234 2020-10-01 Xcellerate, per sq cm R

Page 89 of 96 Final Summary of Data Changes V21.3

Device Additions

The following HCPCS were added to the Device list. Device Additions Reason Key: A=Added To List, N=New Code HCPCS Eff Date Description R* V2630 2020-01-01 Anter chamber intraocul lens A V2631 2020-01-01 Iris support intraoclr lens A V2632 2020-01-01 Post chmbr intraocular lens A

Page 90 of 96 Final Summary of Data Changes V21.3

Device Procedure Additions

The following HCPCS were added to the Device Procedure list. Device Procedure Additions Reason Key: A=Added To List, N=New Code HCPCS Eff Date Description R* C9761 2020-10-01 Cysto, litho, vacuum kidney N C9769 2020-10-01 Cysto w/temp pros implant N

Page 91 of 96 Final Summary of Data Changes V21.3

Device Procedure Edit 92 Bypass Additions

The following HCPCS were added to the Device Procedure Bypass Edit 92 list. Device Procedure Edit 92 Bypass Additions Reason Key: A=Added To List, N=New Code HCPCS Eff Date Description R* 64910 2020-01-01 Nerve repair w/allograft A

Page 92 of 96 Final Summary of Data Changes V21.3

Pass-Through Device Credit Procedure Modifications

The following HCPCS on the list of pass-through device code pairs subject to credit amount had a modification to the credit amount Pass-Through Device Credit Procedure Modifications Code1 Code2 Eff Date Current Previous Amount Amount C1748 43260 2020-07-01 $376.68 $357.24 C1748 43261 2020-07-01 $320.30 $480.15 C1748 43262 2020-07-01 $382.68 $452.68 C1748 43263 2020-07-01 $128.36 $279.56 C1748 43264 2020-07-01 $376.38 $396.16 C1748 43265 2020-07-01 $816.09 $1,047.19 C1748 43274 2020-07-01 $1,287.96 $1,375.00 C1748 43275 2020-07-01 $323.30 $246.43 C1748 43276 2020-07-01 $1,392.66 $1,406.51 C1748 43277 2020-07-01 $483.45 $630.40 C1748 43278 2020-07-01 $452.56 $355.24

Page 93 of 96 Final Summary of Data Changes V21.3

Terminated Device Procedure Additions

The following HCPCS were added to the terminated device procedure list, that may be subject to device credit when the procedure is terminated early. Terminated Device Procedure Additions HCPCS Eff Date Amount C9761 2020-10-01 $1,311.80 C9769 2020-10-01 $1,311.80

Page 94 of 96 Final Summary of Data Changes V21.3

Type One Addon Procedure Code List Additions

The following HCPCS were added to the Type One Addon Procedure code list (edit 106). Type One Addon Procedure Code List Additions Reason Key: A=Added To List, N=New Code Addon Primary Eff Date R* 37222 37220 2020-01-01 A 37222 37221 2020-01-01 A 37223 37221 2020-01-01 A 99354 G0463 2020-07-01 A

Page 95 of 96 Final Summary of Data Changes V21.3

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Page 96 of 96 2 Summary of Quarterly Release Modifications The modifications of the IOCE for the October 2020, v21.3 release is summarized in the table below. Readers should also read through the entire document and note the highlighted sections, which also indicate changes from the prior release of the software. Some IOCE modifications in the update may be retroactively added to prior releases. If so, the retroactive date appears in the 'Effective Date' column.

Item # Type Effective Date Edits Affected Modification

1. Logic 10/01/2020 24 Modify the software to maintain 28 prior quarters (7 years) of programs in each release. Remove older versions with each release. The earliest date included for this release is 01/01/2014. 2. Logic 01/01/2014 Implement the following bill types to be applicable to IOCE editing and logic processing under OPPS flag value “2” (Non-OPPS): 22x, 23x, 32x, 34x, 43x, 71x, 72x, 74x, 75x, 77x, 78x, 81x, 82x Please see the Edits by bill type tables to see what bill types are acceptable for the OPPS flag = 2 (Non-OPPS). 3. Logic 01/01/2014 Remove bill type 33x as a valid bill type within the IOCE versioning as it exceeds the 7 years’ worth of programs contained in the current software. Bill Type 33x was officially deleted effective October 1, 2013. 4. Logic 01/01/2014 13 Remove edit 13 from the following bill types: 22x, 23x, 34x, 74x, 75x 5. Logic 01/01/2014 8 Apply edit 8 to FQHC Bill Type 77x 6. Logic 10/01/2020 Discontinue the processing of Condition Code 65 for FQHC claims; all claims submitted with bill type 77x are processed under the FQHC PPS logic. See FQHC Processing Under FQHC PPS for additional reference. 7. Logic 10/01/2019 113 Implement new edit 113 (Supplementary or additional code not allowed as principal diagnosis) to be returned if a diagnosis from the unacceptable principal diagnosis list is reported as the principal diagnosis on a claim. The unacceptable principal diagnosis list is defined by the Medicare Code Editor (MCE) but there are some exclusions to the MCE list due to current OPPS coding requirements and guidelines. Any diagnosis code flagged as being an exclusion to the Unacceptable Principal Diagnosis list will not return new edit 113. See the Data Table Report; Data_DX10 to reference the list of diagnosis codes applicable to the MCE Unacceptable principal diagnosis list and to reference the diagnosis codes that are exclusions due to current OPPS coding requirements. 8. Logic 10/01/2020 1, 2, 3, 5, 86 Update diagnosis code editing for validity, age, gender and manifestation based on the FY 2021 ICD-10-CM code revisions to the Medicare Code Editor (MCE). 9. Logic 10/01/2020 29, 109 Update the mental health diagnosis list and Code First diagnosis list based on the FY 2021 ICD-10-CM code revisions. 10. Logic 10/01/2020 68 Apply mid-quarter 68 (NCD) for HCPCS code(s): 99457: 03/01/2020 0202U: 05/20/2020 87426: 06/25/2020 0223U: 06/25/2020 0224U: 06/25/2020 11. Logic 10/01/2020 110 Apply mid-quarter edit 110 (Initial Marketing Date) for HCPCS code(s) Q5121: 07/06/2020 Q5112: 04/15/2020 12. Documentation 10/01/2020 Restructured the Edits by Bill Type Tables to be consistent with edits returned under each bill type within the current versioning of the IOCE. All historic edits that have fallen out of the scope of current IOCE versioning can be referenced in previously published specifications or can be referred to in the Edit description and reason for generation table. IOCE Edits Applied by OPPS Hospital Bill Type Table [OPPS Flag =1] IOCE Edits Applied by Non-OPPS Hospital Bill Type Table [OPPS Flag =2] 13. Documentation 10/01/2020 10, 23, 24 Edits 10,23, and 24 are IOCE program edits and are applicable to being returned for all bill types under the IOCE. To reflect this, these three edits are added to each bill type and bill type logic setting within the edits by bill type tables for both OPPS and Non- OPPS [OPPS flag 1 and 2]. 14. Documentation 10/01/2020 Updated the Home Health and Hospice Processing logic sections to separate them from each other and provide more detail on the current processing logic applicable to both bill types. No logic changes are being applied. 15. Documentation 10/01/2020 Updated the Edit Description and Reason for Edit Generation Table by shading and italicizing edits that have fallen out of scope of the most current version of the IOCE. Edits that are deactivated but still in scope of the versioning (7 years) are noted by shading only. Item # Type Effective Date Edits Affected Modification Edits that are now applicable to both the OPPS and Non-OPPS flag setting due to the implementation of the specified bill types in item 2 are appropriately updated in the table. 16. Content 10/01/2020 Make all HCPCS/APC/SI changes as specified by CMS. Updates were made to the following lists:

MAP_ADDON_TYPEI • Addon Type I procedures (edit 106) DATA_CAPC • Comprehensive APC list (updated list and rank) OFFSET_HCPCS • Terminated Device Procedures for offset APC OFFSET_CODEPAIRS • Device Offset Code Pairs (code pair updates for pass-through device offset) DATA_HCPCS • Device-Dependent Procedure list (edit 92) • Terminated Device Procedure list • Edit 92 Modifier Bypass list • Device list • FQHC non-covered list • Low and High Cost Skin Substitute list (edit 87) • Pass-Through Radiopharmaceutical HCPCS • Pass-Through Contrast HCPCS • Pass-Through Skin Product HCPCS • Non-covered services lists (SI = E1, edits 9) • Non-reportable for OPPS list (SI = B, edit 62) • Services not billable to MAC list (SI = M, edit 72) • Separate payment by Medicare not provided (SI = E2, edit 13) • Service billable only to DMERC (SI=Y, edit 61) 17. Data Table Reports 10/01/2020 The following Data Table Report(s) is updated to include new fields: Data_DX10 • UNACCEPTABLE_PDX • UNACCEPTABLE_PDX_EXCLUSION Please review the File Layout document for the descriptions of all Data Table Reports and associated fields and field values. 18. Content 10/01/2020 20, 40 Implement version 26.3 of the NCCI (as modified for applicable outpatient institutional providers). 19. Other 10/01/2020 Create 508-compliant versions of the Specifications, Summary of Data Changes and File Layout documents for publication on the CMS web site. Provide MF and PC IOCE software and supporting quarterly data file reports for publication on the CMS web site.

20. Other 10/01/2020 Deliver quarterly software update and all related documentation and files to users via electronic download.