2024 CMS HCC Changes Desk Reference

M86072 Acute hematogenous osteomyelitis, left ankle and foot 39 92 Yes Yes M86079 Acute hematogenous osteomyelitis, unspecified ankle and foot 39 92 Yes Yes M8608 Acute hematogenous osteomyelitis, other sites 39 92 Yes Yes M8609 Acute hematogenous osteomyelitis, multiple sites 39 92 Yes Yes M8610 Other acute osteomyelitis, unspecified site 39 92 Yes Yes M86111 Other acute osteomyelitis, right shoulder 39 92 Yes Yes M86112 Other acute osteomyelitis, left shoulder 39 92 Yes Yes M86119 Other acute osteomyelitis, unspecified shoulder 39 92 Yes Yes M86121 Other acute osteomyelitis, right humerus 39 92 Yes Yes M86122 Other acute osteomyelitis, left humerus 39 92 Yes Yes M86129 Other acute osteomyelitis, unspecified humerus 39 92 Yes Yes M86131 Other acute osteomyelitis, right radius and ulna 39 92 Yes Yes M86132 Other acute osteomyelitis, left radius and ulna 39 92 Yes Yes M86139 Other acute osteomyelitis, unspecified radius and ulna 39 92 Yes Yes M86141 Other acute osteomyelitis, right hand 39 92 Yes Yes M86142 Other acute osteomyelitis, left hand 39 92 Yes Yes M86149 Other acute osteomyelitis, unspecified hand 39 92 Yes Yes M86151 Other acute osteomyelitis, right femur 39 92 Yes Yes M86152 Other acute osteomyelitis, left femur 39 92 Yes Yes M86159 Other acute osteomyelitis, unspecified femur 39 92 Yes Yes M86161 Other acute osteomyelitis, right tibia and fibula 39 92 Yes Yes M86162 Other acute osteomyelitis, left tibia and fibula 39 92 Yes Yes M86169 Other acute osteomyelitis, unspecified tibia and fibula 39 92 Yes Yes M86171 Other acute osteomyelitis, right ankle and foot 39 92 Yes Yes M86172 Other acute osteomyelitis, left ankle and foot 39 92 Yes Yes M86179 Other acute osteomyelitis, unspecified ankle and foot 39 92 Yes Yes M8618 Other acute osteomyelitis, other site 39 92 Yes Yes M8619 Other acute osteomyelitis, multiple sites 39 92 Yes Yes M8620 Subacute osteomyelitis, unspecified site 39 92 Yes Yes M86211 Subacute osteomyelitis, right shoulder 39 92 Yes Yes M86212 Subacute osteomyelitis, left shoulder 39 92 Yes Yes M86219 Subacute osteomyelitis, unspecified shoulder 39 92 Yes Yes M86221 Subacute osteomyelitis, right humerus 39 92 Yes Yes M86222 Subacute osteomyelitis, left humerus 39 92 Yes Yes M86229 Subacute osteomyelitis, unspecified humerus 39 92 Yes Yes M86231 Subacute osteomyelitis, right radius and ulna 39 92 Yes Yes M86232 Subacute osteomyelitis, left radius and ulna 39 92 Yes Yes M86239 Subacute osteomyelitis, unspecified radius and ulna 39 92 Yes Yes M86241 Subacute osteomyelitis, right hand 39 92 Yes Yes M86242 Subacute osteomyelitis, left hand 39 92 Yes Yes M86249 Subacute osteomyelitis, unspecified hand 39 92 Yes Yes M86251 Subacute osteomyelitis, right femur 39 92 Yes Yes M86252 Subacute osteomyelitis, left femur 39 92 Yes Yes M86259 Subacute osteomyelitis, unspecified femur 39 92 Yes Yes M86261 Subacute osteomyelitis, right tibia and fibula 39 92 Yes Yes M86262 Subacute osteomyelitis, left tibia and fibula 39 92 Yes Yes M86269 Subacute osteomyelitis, unspecified tibia and fibula 39 92 Yes Yes M86271 Subacute osteomyelitis, right ankle and foot 39 92 Yes Yes M86272 Subacute osteomyelitis, left ankle and foot 39 92 Yes Yes M86279 Subacute osteomyelitis, unspecified ankle and foot 39 92 Yes Yes M8628 Subacute osteomyelitis, other site 39 92 Yes Yes M8629 Subacute osteomyelitis, multiple sites 39 92 Yes Yes M8630 Chronic multifocal osteomyelitis, unspecified site 39 92 Yes Yes M86311 Chronic multifocal osteomyelitis, right shoulder 39 92 Yes Yes M86312 Chronic multifocal osteomyelitis, left shoulder 39 92 Yes Yes M86319 Chronic multifocal osteomyelitis, unspecified shoulder 39 92 Yes Yes M86321 Chronic multifocal osteomyelitis, right humerus 39 92 Yes Yes M86322 Chronic multifocal osteomyelitis, left humerus 39 92 Yes Yes M86329 Chronic multifocal osteomyelitis, unspecified humerus 39 92 Yes Yes M86331 Chronic multifocal osteomyelitis, right radius and ulna 39 92 Yes Yes M86332 Chronic multifocal osteomyelitis, left radius and ulna 39 92 Yes Yes M86339 Chronic multifocal osteomyelitis, unspecified radius and ulna 39 92 Yes Yes M86341 Chronic multifocal osteomyelitis, right hand 39 92 Yes Yes M86342 Chronic multifocal osteomyelitis, left hand 39 92 Yes Yes M86349 Chronic multifocal osteomyelitis, unspecified hand 39 92 Yes Yes M86351 Chronic multifocal osteomyelitis, right femur 39 92 Yes Yes M86352 Chronic multifocal osteomyelitis, left femur 39 92 Yes Yes M86359 Chronic multifocal osteomyelitis, unspecified femur 39 92 Yes Yes M86361 Chronic multifocal osteomyelitis, right tibia and fibula 39 92 Yes Yes M86362 Chronic multifocal osteomyelitis, left tibia and fibula 39 92 Yes Yes M86369 Chronic multifocal osteomyelitis, unspecified tibia and fibula 39 92 Yes Yes M86371 Chronic multifocal osteomyelitis, right ankle and foot 39 92 Yes Yes M86372 Chronic multifocal osteomyelitis, left ankle and foot 39 92 Yes Yes M86379 Chronic multifocal osteomyelitis, unspecified ankle and foot 39 92 Yes Yes M8638 Chronic multifocal osteomyelitis, other site 39 92 Yes Yes M8639 Chronic multifocal osteomyelitis, multiple sites 39 92 Yes Yes

M8640 Chronic osteomyelitis with draining sinus, unspecified site 39 92 Yes Yes M86411 Chronic osteomyelitis with draining sinus, right shoulder 39 92 Yes Yes M86412 Chronic osteomyelitis with draining sinus, left shoulder 39 92 Yes Yes M86419 Chronic osteomyelitis with draining sinus, unspecified shoulder 39 92 Yes Yes M86421 Chronic osteomyelitis with draining sinus, right humerus 39 92 Yes Yes M86422 Chronic osteomyelitis with draining sinus, left humerus 39 92 Yes Yes M86429 Chronic osteomyelitis with draining sinus, unspecified humerus 39 92 Yes Yes M86431 Chronic osteomyelitis with draining sinus, right radius and ulna 39 92 Yes Yes M86432 Chronic osteomyelitis with draining sinus, left radius and ulna 39 92 Yes Yes M86439 Chronic osteomyelitis with draining sinus, unspecified radius and ulna 39 92 Yes Yes M86441 Chronic osteomyelitis with draining sinus, right hand 39 92 Yes Yes M86442 Chronic osteomyelitis with draining sinus, left hand 39 92 Yes Yes M86449 Chronic osteomyelitis with draining sinus, unspecified hand 39 92 Yes Yes M86451 Chronic osteomyelitis with draining sinus, right femur 39 92 Yes Yes M86452 Chronic osteomyelitis with draining sinus, left femur 39 92 Yes Yes M86459 Chronic osteomyelitis with draining sinus, unspecified femur 39 92 Yes Yes M86461 Chronic osteomyelitis with draining sinus, right tibia and fibula 39 92 Yes Yes M86462 Chronic osteomyelitis with draining sinus, left tibia and fibula 39 92 Yes Yes M86469 Chronic osteomyelitis with draining sinus, unspecified tibia and fibula 39 92 Yes Yes M86471 Chronic osteomyelitis with draining sinus, right ankle and foot 39 92 Yes Yes M86472 Chronic osteomyelitis with draining sinus, left ankle and foot 39 92 Yes Yes M86479 Chronic osteomyelitis with draining sinus, unspecified ankle and foot 39 92 Yes Yes M8648 Chronic osteomyelitis with draining sinus, other site 39 92 Yes Yes M8649 Chronic osteomyelitis with draining sinus, multiple sites 39 92 Yes Yes M8650 Other chronic hematogenous osteomyelitis, unspecified site 39 92 Yes Yes M86511 Other chronic hematogenous osteomyelitis, right shoulder 39 92 Yes Yes M86512 Other chronic hematogenous osteomyelitis, left shoulder 39 92 Yes Yes M86519 Other chronic hematogenous osteomyelitis, unspecified shoulder 39 92 Yes Yes M86521 Other chronic hematogenous osteomyelitis, right humerus 39 92 Yes Yes M86522 Other chronic hematogenous osteomyelitis, left humerus 39 92 Yes Yes M86529 Other chronic hematogenous osteomyelitis, unspecified humerus 39 92 Yes Yes M86531 Other chronic hematogenous osteomyelitis, right radius and ulna 39 92 Yes Yes M86532 Other chronic hematogenous osteomyelitis, left radius and ulna 39 92 Yes Yes M86539 Other chronic hematogenous osteomyelitis, unspecified radius and ulna 39 92 Yes Yes M86541 Other chronic hematogenous osteomyelitis, right hand 39 92 Yes Yes M86542 Other chronic hematogenous osteomyelitis, left hand 39 92 Yes Yes M86549 Other chronic hematogenous osteomyelitis, unspecified hand 39 92 Yes Yes M86551 Other chronic hematogenous osteomyelitis, right femur 39 92 Yes Yes M86552 Other chronic hematogenous osteomyelitis, left femur 39 92 Yes Yes M86559 Other chronic hematogenous osteomyelitis, unspecified femur 39 92 Yes Yes M86561 Other chronic hematogenous osteomyelitis, right tibia and fibula 39 92 Yes Yes M86562 Other chronic hematogenous osteomyelitis, left tibia and fibula 39 92 Yes Yes M86569 Other chronic hematogenous osteomyelitis, unspecified tibia and fibula 39 92 Yes Yes M86571 Other chronic hematogenous osteomyelitis, right ankle and foot 39 92 Yes Yes M86572 Other chronic hematogenous osteomyelitis, left ankle and foot 39 92 Yes Yes M86579 Other chronic hematogenous osteomyelitis, unspecified ankle and foot 39 92 Yes Yes M8658 Other chronic hematogenous osteomyelitis, other site 39 92 Yes Yes M8659 Other chronic hematogenous osteomyelitis, multiple sites 39 92 Yes Yes M8660 Other chronic osteomyelitis, unspecified site 39 92 Yes Yes M86611 Other chronic osteomyelitis, right shoulder 39 92 Yes Yes M86612 Other chronic osteomyelitis, left shoulder 39 92 Yes Yes M86619 Other chronic osteomyelitis, unspecified shoulder 39 92 Yes Yes M86621 Other chronic osteomyelitis, right humerus 39 92 Yes Yes M86622 Other chronic osteomyelitis, left humerus 39 92 Yes Yes M86629 Other chronic osteomyelitis, unspecified humerus 39 92 Yes Yes M86631 Other chronic osteomyelitis, right radius and ulna 39 92 Yes Yes M86632 Other chronic osteomyelitis, left radius and ulna 39 92 Yes Yes M86639 Other chronic osteomyelitis, unspecified radius and ulna 39 92 Yes Yes M86641 Other chronic osteomyelitis, right hand 39 92 Yes Yes M86642 Other chronic osteomyelitis, left hand 39 92 Yes Yes M86649 Other chronic osteomyelitis, unspecified hand 39 92 Yes Yes M86651 Other chronic osteomyelitis, right thigh 39 92 Yes Yes M86652 Other chronic osteomyelitis, left thigh 39 92 Yes Yes M86659 Other chronic osteomyelitis, unspecified thigh 39 92 Yes Yes M86661 Other chronic osteomyelitis, right tibia and fibula 39 92 Yes Yes M86662 Other chronic osteomyelitis, left tibia and fibula 39 92 Yes Yes M86669 Other chronic osteomyelitis, unspecified tibia and fibula 39 92 Yes Yes M86671 Other chronic osteomyelitis, right ankle and foot 39 92 Yes Yes M86672 Other chronic osteomyelitis, left ankle and foot 39 92 Yes Yes M86679 Other chronic osteomyelitis, unspecified ankle and foot 39 92 Yes Yes M8668 Other chronic osteomyelitis, other site 39 92 Yes Yes M8669 Other chronic osteomyelitis, multiple sites 39 92 Yes Yes M868X0 Other osteomyelitis, multiple sites 39 92 Yes Yes M868X1 Other osteomyelitis, shoulder 39 92 Yes Yes M868X2 Other osteomyelitis, upper arm 39 92 Yes Yes M868X3 Other osteomyelitis, forearm 39 92 Yes Yes

M868X4 Other osteomyelitis, hand 39 92 Yes Yes M868X5 Other osteomyelitis, thigh 39 92 Yes Yes M868X6 Other osteomyelitis, lower leg 39 92 Yes Yes M868X7 Other osteomyelitis, ankle and foot 39 92 Yes Yes M868X8 Other osteomyelitis, other site 39 92 Yes Yes M868X9 Other osteomyelitis, unspecified sites 39 92 Yes Yes M869 Osteomyelitis, unspecified 39 92 Yes Yes M8700 Idiopathic aseptic necrosis of unspecified bone 39 92 Yes Yes M87011 Idiopathic aseptic necrosis of right shoulder 39 92 Yes Yes M87012 Idiopathic aseptic necrosis of left shoulder 39 92 Yes Yes M87019 Idiopathic aseptic necrosis of unspecified shoulder 39 92 Yes Yes M87021 Idiopathic aseptic necrosis of right humerus 39 92 Yes Yes M87022 Idiopathic aseptic necrosis of left humerus 39 92 Yes Yes M87029 Idiopathic aseptic necrosis of unspecified humerus 39 92 Yes Yes M87031 Idiopathic aseptic necrosis of right radius 39 92 Yes Yes M87032 Idiopathic aseptic necrosis of left radius 39 92 Yes Yes M87033 Idiopathic aseptic necrosis of unspecified radius 39 92 Yes Yes M87034 Idiopathic aseptic necrosis of right ulna 39 92 Yes Yes M87035 Idiopathic aseptic necrosis of left ulna 39 92 Yes Yes M87036 Idiopathic aseptic necrosis of unspecified ulna 39 92 Yes Yes M87037 Idiopathic aseptic necrosis of right carpus 39 92 Yes Yes M87038 Idiopathic aseptic necrosis of left carpus 39 92 Yes Yes M87039 Idiopathic aseptic necrosis of unspecified carpus 39 92 Yes Yes M87041 Idiopathic aseptic necrosis of right hand 39 92 Yes Yes M87042 Idiopathic aseptic necrosis of left hand 39 92 Yes Yes M87043 Idiopathic aseptic necrosis of unspecified hand 39 92 Yes Yes M87044 Idiopathic aseptic necrosis of right finger(s) 39 92 Yes Yes M87045 Idiopathic aseptic necrosis of left finger(s) 39 92 Yes Yes M87046 Idiopathic aseptic necrosis of unspecified finger(s) 39 92 Yes Yes M87050 Idiopathic aseptic necrosis of pelvis 39 92 Yes Yes M87051 Idiopathic aseptic necrosis of right femur 39 92 Yes Yes M87052 Idiopathic aseptic necrosis of left femur 39 92 Yes Yes M87059 Idiopathic aseptic necrosis of unspecified femur 39 92 Yes Yes M87061 Idiopathic aseptic necrosis of right tibia 39 92 Yes Yes M87062 Idiopathic aseptic necrosis of left tibia 39 92 Yes Yes M87063 Idiopathic aseptic necrosis of unspecified tibia 39 92 Yes Yes M87064 Idiopathic aseptic necrosis of right fibula 39 92 Yes Yes M87065 Idiopathic aseptic necrosis of left fibula 39 92 Yes Yes M87066 Idiopathic aseptic necrosis of unspecified fibula 39 92 Yes Yes M87071 Idiopathic aseptic necrosis of right ankle 39 92 Yes Yes M87072 Idiopathic aseptic necrosis of left ankle 39 92 Yes Yes M87073 Idiopathic aseptic necrosis of unspecified ankle 39 92 Yes Yes M87074 Idiopathic aseptic necrosis of right foot 39 92 Yes Yes M87075 Idiopathic aseptic necrosis of left foot 39 92 Yes Yes M87076 Idiopathic aseptic necrosis of unspecified foot 39 92 Yes Yes M87077 Idiopathic aseptic necrosis of right toe(s) 39 92 Yes Yes M87078 Idiopathic aseptic necrosis of left toe(s) 39 92 Yes Yes M87079 Idiopathic aseptic necrosis of unspecified toe(s) 39 92 Yes Yes M8708 Idiopathic aseptic necrosis of bone, other site 39 92 Yes Yes M8709 Idiopathic aseptic necrosis of bone, multiple sites 39 92 Yes Yes M8720 Osteonecrosis due to previous trauma, unspecified bone 39 92 Yes Yes M87211 Osteonecrosis due to previous trauma, right shoulder 39 92 Yes Yes M87212 Osteonecrosis due to previous trauma, left shoulder 39 92 Yes Yes M87219 Osteonecrosis due to previous trauma, unspecified shoulder 39 92 Yes Yes M87221 Osteonecrosis due to previous trauma, right humerus 39 92 Yes Yes M87222 Osteonecrosis due to previous trauma, left humerus 39 92 Yes Yes M87229 Osteonecrosis due to previous trauma, unspecified humerus 39 92 Yes Yes M87231 Osteonecrosis due to previous trauma of right radius 39 92 Yes Yes M87232 Osteonecrosis due to previous trauma of left radius 39 92 Yes Yes M87233 Osteonecrosis due to previous trauma of unspecified radius 39 92 Yes Yes M87234 Osteonecrosis due to previous trauma of right ulna 39 92 Yes Yes M87235 Osteonecrosis due to previous trauma of left ulna 39 92 Yes Yes M87236 Osteonecrosis due to previous trauma of unspecified ulna 39 92 Yes Yes M87237 Osteonecrosis due to previous trauma of right carpus 39 92 Yes Yes M87238 Osteonecrosis due to previous trauma of left carpus 39 92 Yes Yes M87239 Osteonecrosis due to previous trauma of unspecified carpus 39 92 Yes Yes M87241 Osteonecrosis due to previous trauma, right hand 39 92 Yes Yes M87242 Osteonecrosis due to previous trauma, left hand 39 92 Yes Yes M87243 Osteonecrosis due to previous trauma, unspecified hand 39 92 Yes Yes M87244 Osteonecrosis due to previous trauma, right finger(s) 39 92 Yes Yes M87245 Osteonecrosis due to previous trauma, left finger(s) 39 92 Yes Yes M87246 Osteonecrosis due to previous trauma, unspecified finger(s) 39 92 Yes Yes M87250 Osteonecrosis due to previous trauma, pelvis 39 92 Yes Yes M87251 Osteonecrosis due to previous trauma, right femur 39 92 Yes Yes M87252 Osteonecrosis due to previous trauma, left femur 39 92 Yes Yes M87256 Osteonecrosis due to previous trauma, unspecified femur 39 92 Yes Yes

M87261 Osteonecrosis due to previous trauma, right tibia 39 92 Yes Yes M87262 Osteonecrosis due to previous trauma, left tibia 39 92 Yes Yes M87263 Osteonecrosis due to previous trauma, unspecified tibia 39 92 Yes Yes M87264 Osteonecrosis due to previous trauma, right fibula 39 92 Yes Yes M87265 Osteonecrosis due to previous trauma, left fibula 39 92 Yes Yes M87266 Osteonecrosis due to previous trauma, unspecified fibula 39 92 Yes Yes M87271 Osteonecrosis due to previous trauma, right ankle 39 92 Yes Yes M87272 Osteonecrosis due to previous trauma, left ankle 39 92 Yes Yes M87273 Osteonecrosis due to previous trauma, unspecified ankle 39 92 Yes Yes M87274 Osteonecrosis due to previous trauma, right foot 39 92 Yes Yes M87275 Osteonecrosis due to previous trauma, left foot 39 92 Yes Yes M87276 Osteonecrosis due to previous trauma, unspecified foot 39 92 Yes Yes M87277 Osteonecrosis due to previous trauma, right toe(s) 39 92 Yes Yes M87278 Osteonecrosis due to previous trauma, left toe(s) 39 92 Yes Yes M87279 Osteonecrosis due to previous trauma, unspecified toe(s) 39 92 Yes Yes M8728 Osteonecrosis due to previous trauma, other site 39 92 Yes Yes M8729 Osteonecrosis due to previous trauma, multiple sites 39 92 Yes Yes M8730 Other secondary osteonecrosis, unspecified bone 39 92 Yes Yes M87311 Other secondary osteonecrosis, right shoulder 39 92 Yes Yes M87312 Other secondary osteonecrosis, left shoulder 39 92 Yes Yes M87319 Other secondary osteonecrosis, unspecified shoulder 39 92 Yes Yes M87321 Other secondary osteonecrosis, right humerus 39 92 Yes Yes M87322 Other secondary osteonecrosis, left humerus 39 92 Yes Yes M87329 Other secondary osteonecrosis, unspecified humerus 39 92 Yes Yes M87331 Other secondary osteonecrosis of right radius 39 92 Yes Yes M87332 Other secondary osteonecrosis of left radius 39 92 Yes Yes M87333 Other secondary osteonecrosis of unspecified radius 39 92 Yes Yes M87334 Other secondary osteonecrosis of right ulna 39 92 Yes Yes M87335 Other secondary osteonecrosis of left ulna 39 92 Yes Yes M87336 Other secondary osteonecrosis of unspecified ulna 39 92 Yes Yes M87337 Other secondary osteonecrosis of right carpus 39 92 Yes Yes M87338 Other secondary osteonecrosis of left carpus 39 92 Yes Yes M87339 Other secondary osteonecrosis of unspecified carpus 39 92 Yes Yes M87341 Other secondary osteonecrosis, right hand 39 92 Yes Yes M87342 Other secondary osteonecrosis, left hand 39 92 Yes Yes M87343 Other secondary osteonecrosis, unspecified hand 39 92 Yes Yes M87344 Other secondary osteonecrosis, right finger(s) 39 92 Yes Yes M87345 Other secondary osteonecrosis, left finger(s) 39 92 Yes Yes M87346 Other secondary osteonecrosis, unspecified finger(s) 39 92 Yes Yes M87350 Other secondary osteonecrosis, pelvis 39 92 Yes Yes M87351 Other secondary osteonecrosis, right femur 39 92 Yes Yes M87352 Other secondary osteonecrosis, left femur 39 92 Yes Yes M87353 Other secondary osteonecrosis, unspecified femur 39 92 Yes Yes M87361 Other secondary osteonecrosis, right tibia 39 92 Yes Yes M87362 Other secondary osteonecrosis, left tibia 39 92 Yes Yes M87363 Other secondary osteonecrosis, unspecified tibia 39 92 Yes Yes M87364 Other secondary osteonecrosis, right fibula 39 92 Yes Yes M87365 Other secondary osteonecrosis, left fibula 39 92 Yes Yes M87366 Other secondary osteonecrosis, unspecified fibula 39 92 Yes Yes M87371 Other secondary osteonecrosis, right ankle 39 92 Yes Yes M87372 Other secondary osteonecrosis, left ankle 39 92 Yes Yes M87373 Other secondary osteonecrosis, unspecified ankle 39 92 Yes Yes M87374 Other secondary osteonecrosis, right foot 39 92 Yes Yes M87375 Other secondary osteonecrosis, left foot 39 92 Yes Yes M87376 Other secondary osteonecrosis, unspecified foot 39 92 Yes Yes M87377 Other secondary osteonecrosis, right toe(s) 39 92 Yes Yes M87378 Other secondary osteonecrosis, left toe(s) 39 92 Yes Yes M87379 Other secondary osteonecrosis, unspecified toe(s) 39 92 Yes Yes M8738 Other secondary osteonecrosis, other site 39 92 Yes Yes M8739 Other secondary osteonecrosis, multiple sites 39 92 Yes Yes M8780 Other osteonecrosis, unspecified bone 39 92 Yes Yes M87811 Other osteonecrosis, right shoulder 39 92 Yes Yes M87812 Other osteonecrosis, left shoulder 39 92 Yes Yes M87819 Other osteonecrosis, unspecified shoulder 39 92 Yes Yes M87821 Other osteonecrosis, right humerus 39 92 Yes Yes M87822 Other osteonecrosis, left humerus 39 92 Yes Yes M87829 Other osteonecrosis, unspecified humerus 39 92 Yes Yes M87831 Other osteonecrosis of right radius 39 92 Yes Yes M87832 Other osteonecrosis of left radius 39 92 Yes Yes M87833 Other osteonecrosis of unspecified radius 39 92 Yes Yes M87834 Other osteonecrosis of right ulna 39 92 Yes Yes M87835 Other osteonecrosis of left ulna 39 92 Yes Yes M87836 Other osteonecrosis of unspecified ulna 39 92 Yes Yes M87837 Other osteonecrosis of right carpus 39 92 Yes Yes M87838 Other osteonecrosis of left carpus 39 92 Yes Yes M87839 Other osteonecrosis of unspecified carpus 39 92 Yes Yes

M87841 Other osteonecrosis, right hand 39 92 Yes Yes M87842 Other osteonecrosis, left hand 39 92 Yes Yes M87843 Other osteonecrosis, unspecified hand 39 92 Yes Yes M87844 Other osteonecrosis, right finger(s) 39 92 Yes Yes M87845 Other osteonecrosis, left finger(s) 39 92 Yes Yes M87849 Other osteonecrosis, unspecified finger(s) 39 92 Yes Yes M87850 Other osteonecrosis, pelvis 39 92 Yes Yes M87851 Other osteonecrosis, right femur 39 92 Yes Yes M87852 Other osteonecrosis, left femur 39 92 Yes Yes M87859 Other osteonecrosis, unspecified femur 39 92 Yes Yes M87861 Other osteonecrosis, right tibia 39 92 Yes Yes M87862 Other osteonecrosis, left tibia 39 92 Yes Yes M87863 Other osteonecrosis, unspecified tibia 39 92 Yes Yes M87864 Other osteonecrosis, right fibula 39 92 Yes Yes M87865 Other osteonecrosis, left fibula 39 92 Yes Yes M87869 Other osteonecrosis, unspecified fibula 39 92 Yes Yes M87871 Other osteonecrosis, right ankle 39 92 Yes Yes M87872 Other osteonecrosis, left ankle 39 92 Yes Yes M87873 Other osteonecrosis, unspecified ankle 39 92 Yes Yes M87874 Other osteonecrosis, right foot 39 92 Yes Yes M87875 Other osteonecrosis, left foot 39 92 Yes Yes M87876 Other osteonecrosis, unspecified foot 39 92 Yes Yes M87877 Other osteonecrosis, right toe(s) 39 92 Yes Yes M87878 Other osteonecrosis, left toe(s) 39 92 Yes Yes M87879 Other osteonecrosis, unspecified toe(s) 39 92 Yes Yes M8788 Other osteonecrosis, other site 39 92 Yes Yes M8789 Other osteonecrosis, multiple sites 39 92 Yes Yes M879 Osteonecrosis, unspecified 39 92 Yes Yes M8960 Osteopathy after poliomyelitis, unspecified site 39 92 Yes Yes M89611 Osteopathy after poliomyelitis, right shoulder 39 92 Yes Yes M89612 Osteopathy after poliomyelitis, left shoulder 39 92 Yes Yes M89619 Osteopathy after poliomyelitis, unspecified shoulder 39 92 Yes Yes M89621 Osteopathy after poliomyelitis, right upper arm 39 92 Yes Yes M89622 Osteopathy after poliomyelitis, left upper arm 39 92 Yes Yes M89629 Osteopathy after poliomyelitis, unspecified upper arm 39 92 Yes Yes M89631 Osteopathy after poliomyelitis, right forearm 39 92 Yes Yes M89632 Osteopathy after poliomyelitis, left forearm 39 92 Yes Yes M89639 Osteopathy after poliomyelitis, unspecified forearm 39 92 Yes Yes M89641 Osteopathy after poliomyelitis, right hand 39 92 Yes Yes M89642 Osteopathy after poliomyelitis, left hand 39 92 Yes Yes M89649 Osteopathy after poliomyelitis, unspecified hand 39 92 Yes Yes M89651 Osteopathy after poliomyelitis, right thigh 39 92 Yes Yes M89652 Osteopathy after poliomyelitis, left thigh 39 92 Yes Yes M89659 Osteopathy after poliomyelitis, unspecified thigh 39 92 Yes Yes M89661 Osteopathy after poliomyelitis, right lower leg 39 92 Yes Yes M89662 Osteopathy after poliomyelitis, left lower leg 39 92 Yes Yes M89669 Osteopathy after poliomyelitis, unspecified lower leg 39 92 Yes Yes M89671 Osteopathy after poliomyelitis, right ankle and foot 39 92 Yes Yes M89672 Osteopathy after poliomyelitis, left ankle and foot 39 92 Yes Yes M89679 Osteopathy after poliomyelitis, unspecified ankle and foot 39 92 Yes Yes M8968 Osteopathy after poliomyelitis, other site 39 92 Yes Yes M8969 Osteopathy after poliomyelitis, multiple sites 39 92 Yes Yes M9050 Osteonecrosis in diseases classified elsewhere, unspecified site 39 92 Yes Yes M90511 Osteonecrosis in diseases classified elsewhere, right shoulder 39 92 Yes Yes M90512 Osteonecrosis in diseases classified elsewhere, left shoulder 39 92 Yes Yes M90519 Osteonecrosis in diseases classified elsewhere, unspecified shoulder 39 92 Yes Yes M90521 Osteonecrosis in diseases classified elsewhere, right upper arm 39 92 Yes Yes M90522 Osteonecrosis in diseases classified elsewhere, left upper arm 39 92 Yes Yes M90529 Osteonecrosis in diseases classified elsewhere, unspecified upper arm 39 92 Yes Yes M90531 Osteonecrosis in diseases classified elsewhere, right forearm 39 92 Yes Yes M90532 Osteonecrosis in diseases classified elsewhere, left forearm 39 92 Yes Yes M90539 Osteonecrosis in diseases classified elsewhere, unspecified forearm 39 92 Yes Yes M90541 Osteonecrosis in diseases classified elsewhere, right hand 39 92 Yes Yes M90542 Osteonecrosis in diseases classified elsewhere, left hand 39 92 Yes Yes M90549 Osteonecrosis in diseases classified elsewhere, unspecified hand 39 92 Yes Yes M90551 Osteonecrosis in diseases classified elsewhere, right thigh 39 92 Yes Yes M90552 Osteonecrosis in diseases classified elsewhere, left thigh 39 92 Yes Yes M90559 Osteonecrosis in diseases classified elsewhere, unspecified thigh 39 92 Yes Yes M90561 Osteonecrosis in diseases classified elsewhere, right lower leg 39 92 Yes Yes M90562 Osteonecrosis in diseases classified elsewhere, left lower leg 39 92 Yes Yes M90569 Osteonecrosis in diseases classified elsewhere, unspecified lower leg 39 92 Yes Yes M90571 Osteonecrosis in diseases classified elsewhere, right ankle and foot 39 92 Yes Yes M90572 Osteonecrosis in diseases classified elsewhere, left ankle and foot 39 92 Yes Yes M90579 Osteonecrosis in diseases classified elsewhere, unspecified ankle and foot 39 92 Yes Yes M9058 Osteonecrosis in diseases classified elsewhere, other site 39 92 Yes Yes M9059 Osteonecrosis in diseases classified elsewhere, multiple sites 39 92 Yes Yes

N7682 Fournier disease of vagina and vulva 39 92 Yes Yes N493 Fournier gangrene 92 No Yes I7782 Antineutrophilic cytoplasmic antibody [ANCA] vasculitis 40 93 Yes Yes L4050 Arthropathic psoriasis, unspecified 40 93 Yes Yes L4051 Distal interphalangeal psoriatic arthropathy 40 93 Yes Yes L4052 Psoriatic arthritis mutilans 40 93 Yes Yes L4053 Psoriatic spondylitis 40 93 Yes Yes L4054 Psoriatic juvenile arthropathy 40 93 Yes Yes L4059 Other psoriatic arthropathy 40 93 Yes Yes M0500 Felty's syndrome, unspecified site 40 93 Yes Yes M05011 Felty's syndrome, right shoulder 40 93 Yes Yes M05012 Felty's syndrome, left shoulder 40 93 Yes Yes M05019 Felty's syndrome, unspecified shoulder 40 93 Yes Yes M05021 Felty's syndrome, right elbow 40 93 Yes Yes M05022 Felty's syndrome, left elbow 40 93 Yes Yes M05029 Felty's syndrome, unspecified elbow 40 93 Yes Yes M05031 Felty's syndrome, right wrist 40 93 Yes Yes M05032 Felty's syndrome, left wrist 40 93 Yes Yes M05039 Felty's syndrome, unspecified wrist 40 93 Yes Yes M05041 Felty's syndrome, right hand 40 93 Yes Yes M05042 Felty's syndrome, left hand 40 93 Yes Yes M05049 Felty's syndrome, unspecified hand 40 93 Yes Yes M05051 Felty's syndrome, right hip 40 93 Yes Yes M05052 Felty's syndrome, left hip 40 93 Yes Yes M05059 Felty's syndrome, unspecified hip 40 93 Yes Yes M05061 Felty's syndrome, right knee 40 93 Yes Yes M05062 Felty's syndrome, left knee 40 93 Yes Yes M05069 Felty's syndrome, unspecified knee 40 93 Yes Yes M05071 Felty's syndrome, right ankle and foot 40 93 Yes Yes M05072 Felty's syndrome, left ankle and foot 40 93 Yes Yes M05079 Felty's syndrome, unspecified ankle and foot 40 93 Yes Yes M0509 Felty's syndrome, multiple sites 40 93 Yes Yes M0510 Rheumatoid lung disease with rheumatoid arthritis of unspecified site 40 93 Yes Yes M05111 Rheumatoid lung disease with rheumatoid arthritis of right shoulder 40 93 Yes Yes M05112 Rheumatoid lung disease with rheumatoid arthritis of left shoulder 40 93 Yes Yes M05119 Rheumatoid lung disease with rheumatoid arthritis of unspecified shoulder 40 93 Yes Yes M05121 Rheumatoid lung disease with rheumatoid arthritis of right elbow 40 93 Yes Yes M05122 Rheumatoid lung disease with rheumatoid arthritis of left elbow 40 93 Yes Yes M05129 Rheumatoid lung disease with rheumatoid arthritis of unspecified elbow 40 93 Yes Yes M05131 Rheumatoid lung disease with rheumatoid arthritis of right wrist 40 93 Yes Yes M05132 Rheumatoid lung disease with rheumatoid arthritis of left wrist 40 93 Yes Yes M05139 Rheumatoid lung disease with rheumatoid arthritis of unspecified wrist 40 93 Yes Yes M05141 Rheumatoid lung disease with rheumatoid arthritis of right hand 40 93 Yes Yes M05142 Rheumatoid lung disease with rheumatoid arthritis of left hand 40 93 Yes Yes M05149 Rheumatoid lung disease with rheumatoid arthritis of unspecified hand 40 93 Yes Yes M05151 Rheumatoid lung disease with rheumatoid arthritis of right hip 40 93 Yes Yes M05152 Rheumatoid lung disease with rheumatoid arthritis of left hip 40 93 Yes Yes M05159 Rheumatoid lung disease with rheumatoid arthritis of unspecified hip 40 93 Yes Yes M05161 Rheumatoid lung disease with rheumatoid arthritis of right knee 40 93 Yes Yes M05162 Rheumatoid lung disease with rheumatoid arthritis of left knee 40 93 Yes Yes M05169 Rheumatoid lung disease with rheumatoid arthritis of unspecified knee 40 93 Yes Yes M05171 Rheumatoid lung disease with rheumatoid arthritis of right ankle and foot 40 93 Yes Yes M05172 Rheumatoid lung disease with rheumatoid arthritis of left ankle and foot 40 93 Yes Yes M05179 Rheumatoid lung disease with rheumatoid arthritis of unspecified ankle and foot 40 93 Yes Yes M0519 Rheumatoid lung disease with rheumatoid arthritis of multiple sites 40 93 Yes Yes M0520 Rheumatoid vasculitis with rheumatoid arthritis of unspecified site 40 93 Yes Yes M05211 Rheumatoid vasculitis with rheumatoid arthritis of right shoulder 40 93 Yes Yes M05212 Rheumatoid vasculitis with rheumatoid arthritis of left shoulder 40 93 Yes Yes M05219 Rheumatoid vasculitis with rheumatoid arthritis of unspecified shoulder 40 93 Yes Yes M05221 Rheumatoid vasculitis with rheumatoid arthritis of right elbow 40 93 Yes Yes M05222 Rheumatoid vasculitis with rheumatoid arthritis of left elbow 40 93 Yes Yes M05229 Rheumatoid vasculitis with rheumatoid arthritis of unspecified elbow 40 93 Yes Yes M05231 Rheumatoid vasculitis with rheumatoid arthritis of right wrist 40 93 Yes Yes M05232 Rheumatoid vasculitis with rheumatoid arthritis of left wrist 40 93 Yes Yes M05239 Rheumatoid vasculitis with rheumatoid arthritis of unspecified wrist 40 93 Yes Yes M05241 Rheumatoid vasculitis with rheumatoid arthritis of right hand 40 93 Yes Yes M05242 Rheumatoid vasculitis with rheumatoid arthritis of left hand 40 93 Yes Yes M05249 Rheumatoid vasculitis with rheumatoid arthritis of unspecified hand 40 93 Yes Yes M05251 Rheumatoid vasculitis with rheumatoid arthritis of right hip 40 93 Yes Yes M05252 Rheumatoid vasculitis with rheumatoid arthritis of left hip 40 93 Yes Yes M05259 Rheumatoid vasculitis with rheumatoid arthritis of unspecified hip 40 93 Yes Yes M05261 Rheumatoid vasculitis with rheumatoid arthritis of right knee 40 93 Yes Yes M05262 Rheumatoid vasculitis with rheumatoid arthritis of left knee 40 93 Yes Yes M05269 Rheumatoid vasculitis with rheumatoid arthritis of unspecified knee 40 93 Yes Yes M05271 Rheumatoid vasculitis with rheumatoid arthritis of right ankle and foot 40 93 Yes Yes M05272 Rheumatoid vasculitis with rheumatoid arthritis of left ankle and foot 40 93 Yes Yes

M05279 Rheumatoid vasculitis with rheumatoid arthritis of unspecified ankle and foot 40 93 Yes Yes M0529 Rheumatoid vasculitis with rheumatoid arthritis of multiple sites 40 93 Yes Yes M0530 Rheumatoid heart disease with rheumatoid arthritis of unspecified site 40 93 Yes Yes M05311 Rheumatoid heart disease with rheumatoid arthritis of right shoulder 40 93 Yes Yes M05312 Rheumatoid heart disease with rheumatoid arthritis of left shoulder 40 93 Yes Yes M05319 Rheumatoid heart disease with rheumatoid arthritis of unspecified shoulder 40 93 Yes Yes M05321 Rheumatoid heart disease with rheumatoid arthritis of right elbow 40 93 Yes Yes M05322 Rheumatoid heart disease with rheumatoid arthritis of left elbow 40 93 Yes Yes M05329 Rheumatoid heart disease with rheumatoid arthritis of unspecified elbow 40 93 Yes Yes M05331 Rheumatoid heart disease with rheumatoid arthritis of right wrist 40 93 Yes Yes M05332 Rheumatoid heart disease with rheumatoid arthritis of left wrist 40 93 Yes Yes M05339 Rheumatoid heart disease with rheumatoid arthritis of unspecified wrist 40 93 Yes Yes M05341 Rheumatoid heart disease with rheumatoid arthritis of right hand 40 93 Yes Yes M05342 Rheumatoid heart disease with rheumatoid arthritis of left hand 40 93 Yes Yes M05349 Rheumatoid heart disease with rheumatoid arthritis of unspecified hand 40 93 Yes Yes M05351 Rheumatoid heart disease with rheumatoid arthritis of right hip 40 93 Yes Yes M05352 Rheumatoid heart disease with rheumatoid arthritis of left hip 40 93 Yes Yes M05359 Rheumatoid heart disease with rheumatoid arthritis of unspecified hip 40 93 Yes Yes M05361 Rheumatoid heart disease with rheumatoid arthritis of right knee 40 93 Yes Yes M05362 Rheumatoid heart disease with rheumatoid arthritis of left knee 40 93 Yes Yes M05369 Rheumatoid heart disease with rheumatoid arthritis of unspecified knee 40 93 Yes Yes M05371 Rheumatoid heart disease with rheumatoid arthritis of right ankle and foot 40 93 Yes Yes M05372 Rheumatoid heart disease with rheumatoid arthritis of left ankle and foot 40 93 Yes Yes M05379 Rheumatoid heart disease with rheumatoid arthritis of unspecified ankle and foot 40 93 Yes Yes M0539 Rheumatoid heart disease with rheumatoid arthritis of multiple sites 40 93 Yes Yes M0540 Rheumatoid myopathy with rheumatoid arthritis of unspecified site 40 93 Yes Yes M05411 Rheumatoid myopathy with rheumatoid arthritis of right shoulder 40 93 Yes Yes M05412 Rheumatoid myopathy with rheumatoid arthritis of left shoulder 40 93 Yes Yes M05419 Rheumatoid myopathy with rheumatoid arthritis of unspecified shoulder 40 93 Yes Yes M05421 Rheumatoid myopathy with rheumatoid arthritis of right elbow 40 93 Yes Yes M05422 Rheumatoid myopathy with rheumatoid arthritis of left elbow 40 93 Yes Yes M05429 Rheumatoid myopathy with rheumatoid arthritis of unspecified elbow 40 93 Yes Yes M05431 Rheumatoid myopathy with rheumatoid arthritis of right wrist 40 93 Yes Yes M05432 Rheumatoid myopathy with rheumatoid arthritis of left wrist 40 93 Yes Yes M05439 Rheumatoid myopathy with rheumatoid arthritis of unspecified wrist 40 93 Yes Yes M05441 Rheumatoid myopathy with rheumatoid arthritis of right hand 40 93 Yes Yes M05442 Rheumatoid myopathy with rheumatoid arthritis of left hand 40 93 Yes Yes M05449 Rheumatoid myopathy with rheumatoid arthritis of unspecified hand 40 93 Yes Yes M05451 Rheumatoid myopathy with rheumatoid arthritis of right hip 40 93 Yes Yes M05452 Rheumatoid myopathy with rheumatoid arthritis of left hip 40 93 Yes Yes M05459 Rheumatoid myopathy with rheumatoid arthritis of unspecified hip 40 93 Yes Yes M05461 Rheumatoid myopathy with rheumatoid arthritis of right knee 40 93 Yes Yes M05462 Rheumatoid myopathy with rheumatoid arthritis of left knee 40 93 Yes Yes M05469 Rheumatoid myopathy with rheumatoid arthritis of unspecified knee 40 93 Yes Yes M05471 Rheumatoid myopathy with rheumatoid arthritis of right ankle and foot 40 93 Yes Yes M05472 Rheumatoid myopathy with rheumatoid arthritis of left ankle and foot 40 93 Yes Yes M05479 Rheumatoid myopathy with rheumatoid arthritis of unspecified ankle and foot 40 93 Yes Yes M0549 Rheumatoid myopathy with rheumatoid arthritis of multiple sites 40 93 Yes Yes M0550 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified site 40 93 Yes Yes M05511 Rheumatoid polyneuropathy with rheumatoid arthritis of right shoulder 40 93 Yes Yes M05512 Rheumatoid polyneuropathy with rheumatoid arthritis of left shoulder 40 93 Yes Yes M05519 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified shoulder 40 93 Yes Yes M05521 Rheumatoid polyneuropathy with rheumatoid arthritis of right elbow 40 93 Yes Yes M05522 Rheumatoid polyneuropathy with rheumatoid arthritis of left elbow 40 93 Yes Yes M05529 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified elbow 40 93 Yes Yes M05531 Rheumatoid polyneuropathy with rheumatoid arthritis of right wrist 40 93 Yes Yes M05532 Rheumatoid polyneuropathy with rheumatoid arthritis of left wrist 40 93 Yes Yes M05539 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified wrist 40 93 Yes Yes M05541 Rheumatoid polyneuropathy with rheumatoid arthritis of right hand 40 93 Yes Yes M05542 Rheumatoid polyneuropathy with rheumatoid arthritis of left hand 40 93 Yes Yes M05549 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified hand 40 93 Yes Yes M05551 Rheumatoid polyneuropathy with rheumatoid arthritis of right hip 40 93 Yes Yes M05552 Rheumatoid polyneuropathy with rheumatoid arthritis of left hip 40 93 Yes Yes M05559 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified hip 40 93 Yes Yes M05561 Rheumatoid polyneuropathy with rheumatoid arthritis of right knee 40 93 Yes Yes M05562 Rheumatoid polyneuropathy with rheumatoid arthritis of left knee 40 93 Yes Yes M05569 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified knee 40 93 Yes Yes M05571 Rheumatoid polyneuropathy with rheumatoid arthritis of right ankle and foot 40 93 Yes Yes M05572 Rheumatoid polyneuropathy with rheumatoid arthritis of left ankle and foot 40 93 Yes Yes M05579 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified ankle and foot 40 93 Yes Yes M0559 Rheumatoid polyneuropathy with rheumatoid arthritis of multiple sites 40 93 Yes Yes M0560 Rheumatoid arthritis of unspecified site with involvement of other organs and systems 40 93 Yes Yes M05611 Rheumatoid arthritis of right shoulder with involvement of other organs and systems 40 93 Yes Yes M05612 Rheumatoid arthritis of left shoulder with involvement of other organs and systems 40 93 Yes Yes M05619 Rheumatoid arthritis of unspecified shoulder with involvement of other organs and systems 40 93 Yes Yes M05621 Rheumatoid arthritis of right elbow with involvement of other organs and systems 40 93 Yes Yes

M05622 Rheumatoid arthritis of left elbow with involvement of other organs and systems 40 93 Yes Yes M05629 Rheumatoid arthritis of unspecified elbow with involvement of other organs and systems 40 93 Yes Yes M05631 Rheumatoid arthritis of right wrist with involvement of other organs and systems 40 93 Yes Yes M05632 Rheumatoid arthritis of left wrist with involvement of other organs and systems 40 93 Yes Yes M05639 Rheumatoid arthritis of unspecified wrist with involvement of other organs and systems 40 93 Yes Yes M05641 Rheumatoid arthritis of right hand with involvement of other organs and systems 40 93 Yes Yes M05642 Rheumatoid arthritis of left hand with involvement of other organs and systems 40 93 Yes Yes M05649 Rheumatoid arthritis of unspecified hand with involvement of other organs and systems 40 93 Yes Yes M05651 Rheumatoid arthritis of right hip with involvement of other organs and systems 40 93 Yes Yes M05652 Rheumatoid arthritis of left hip with involvement of other organs and systems 40 93 Yes Yes M05659 Rheumatoid arthritis of unspecified hip with involvement of other organs and systems 40 93 Yes Yes M05661 Rheumatoid arthritis of right knee with involvement of other organs and systems 40 93 Yes Yes M05662 Rheumatoid arthritis of left knee with involvement of other organs and systems 40 93 Yes Yes M05669 Rheumatoid arthritis of unspecified knee with involvement of other organs and systems 40 93 Yes Yes M05671 Rheumatoid arthritis of right ankle and foot with involvement of other organs and systems 40 93 Yes Yes M05672 Rheumatoid arthritis of left ankle and foot with involvement of other organs and systems 40 93 Yes Yes M05679 Rheumatoid arthritis of unspecified ankle and foot with involvement of other organs and systems 40 93 Yes Yes M0569 Rheumatoid arthritis of multiple sites with involvement of other organs and systems 40 93 Yes Yes M0570 Rheumatoid arthritis with rheumatoid factor of unspecified site without organ or systems involvement 40 93 Yes Yes M05711 Rheumatoid arthritis with rheumatoid factor of right shoulder without organ or systems involvement 40 93 Yes Yes M05712 Rheumatoid arthritis with rheumatoid factor of left shoulder without organ or systems involvement 40 93 Yes Yes M05719 Rheumatoid arthritis with rheumatoid factor of unspecified shoulder without organ or systems involvement 40 93 Yes Yes M05721 Rheumatoid arthritis with rheumatoid factor of right elbow without organ or systems involvement 40 93 Yes Yes M05722 Rheumatoid arthritis with rheumatoid factor of left elbow without organ or systems involvement 40 93 Yes Yes M05729 Rheumatoid arthritis with rheumatoid factor of unspecified elbow without organ or systems involvement 40 93 Yes Yes M05731 Rheumatoid arthritis with rheumatoid factor of right wrist without organ or systems involvement 40 93 Yes Yes M05732 Rheumatoid arthritis with rheumatoid factor of left wrist without organ or systems involvement 40 93 Yes Yes M05739 Rheumatoid arthritis with rheumatoid factor of unspecified wrist without organ or systems involvement 40 93 Yes Yes M05741 Rheumatoid arthritis with rheumatoid factor of right hand without organ or systems involvement 40 93 Yes Yes M05742 Rheumatoid arthritis with rheumatoid factor of left hand without organ or systems involvement 40 93 Yes Yes M05749 Rheumatoid arthritis with rheumatoid factor of unspecified hand without organ or systems involvement 40 93 Yes Yes M05751 Rheumatoid arthritis with rheumatoid factor of right hip without organ or systems involvement 40 93 Yes Yes M05752 Rheumatoid arthritis with rheumatoid factor of left hip without organ or systems involvement 40 93 Yes Yes M05759 Rheumatoid arthritis with rheumatoid factor of unspecified hip without organ or systems involvement 40 93 Yes Yes M05761 Rheumatoid arthritis with rheumatoid factor of right knee without organ or systems involvement 40 93 Yes Yes M05762 Rheumatoid arthritis with rheumatoid factor of left knee without organ or systems involvement 40 93 Yes Yes M05769 Rheumatoid arthritis with rheumatoid factor of unspecified knee without organ or systems involvement 40 93 Yes Yes M05771 Rheumatoid arthritis with rheumatoid factor of right ankle and foot without organ or systems involvement 40 93 Yes Yes M05772 Rheumatoid arthritis with rheumatoid factor of left ankle and foot without organ or systems involvement 40 93 Yes Yes M05779 Rheumatoid arthritis with rheumatoid factor of unspecified ankle and foot without organ or systems involvement 40 93 Yes Yes M0579 Rheumatoid arthritis with rheumatoid factor of multiple sites without organ or systems involvement 40 93 Yes Yes M057A Rheumatoid arthritis with rheumatoid factor of other specified site without organ or systems involvement 40 93 Yes Yes M0580 Other rheumatoid arthritis with rheumatoid factor of unspecified site 40 93 Yes Yes M05811 Other rheumatoid arthritis with rheumatoid factor of right shoulder 40 93 Yes Yes M05812 Other rheumatoid arthritis with rheumatoid factor of left shoulder 40 93 Yes Yes M05819 Other rheumatoid arthritis with rheumatoid factor of unspecified shoulder 40 93 Yes Yes M05821 Other rheumatoid arthritis with rheumatoid factor of right elbow 40 93 Yes Yes M05822 Other rheumatoid arthritis with rheumatoid factor of left elbow 40 93 Yes Yes M05829 Other rheumatoid arthritis with rheumatoid factor of unspecified elbow 40 93 Yes Yes M05831 Other rheumatoid arthritis with rheumatoid factor of right wrist 40 93 Yes Yes M05832 Other rheumatoid arthritis with rheumatoid factor of left wrist 40 93 Yes Yes M05839 Other rheumatoid arthritis with rheumatoid factor of unspecified wrist 40 93 Yes Yes M05841 Other rheumatoid arthritis with rheumatoid factor of right hand 40 93 Yes Yes M05842 Other rheumatoid arthritis with rheumatoid factor of left hand 40 93 Yes Yes M05849 Other rheumatoid arthritis with rheumatoid factor of unspecified hand 40 93 Yes Yes M05851 Other rheumatoid arthritis with rheumatoid factor of right hip 40 93 Yes Yes M05852 Other rheumatoid arthritis with rheumatoid factor of left hip 40 93 Yes Yes M05859 Other rheumatoid arthritis with rheumatoid factor of unspecified hip 40 93 Yes Yes M05861 Other rheumatoid arthritis with rheumatoid factor of right knee 40 93 Yes Yes M05862 Other rheumatoid arthritis with rheumatoid factor of left knee 40 93 Yes Yes M05869 Other rheumatoid arthritis with rheumatoid factor of unspecified knee 40 93 Yes Yes M05871 Other rheumatoid arthritis with rheumatoid factor of right ankle and foot 40 93 Yes Yes M05872 Other rheumatoid arthritis with rheumatoid factor of left ankle and foot 40 93 Yes Yes M05879 Other rheumatoid arthritis with rheumatoid factor of unspecified ankle and foot 40 93 Yes Yes M0589 Other rheumatoid arthritis with rheumatoid factor of multiple sites 40 93 Yes Yes M058A Other rheumatoid arthritis with rheumatoid factor of other specified site 40 93 Yes Yes M059 Rheumatoid arthritis with rheumatoid factor, unspecified 40 93 Yes Yes M0600 Rheumatoid arthritis without rheumatoid factor, unspecified site 40 93 Yes Yes M06011 Rheumatoid arthritis without rheumatoid factor, right shoulder 40 93 Yes Yes M06012 Rheumatoid arthritis without rheumatoid factor, left shoulder 40 93 Yes Yes M06019 Rheumatoid arthritis without rheumatoid factor, unspecified shoulder 40 93 Yes Yes M06021 Rheumatoid arthritis without rheumatoid factor, right elbow 40 93 Yes Yes M06022 Rheumatoid arthritis without rheumatoid factor, left elbow 40 93 Yes Yes M06029 Rheumatoid arthritis without rheumatoid factor, unspecified elbow 40 93 Yes Yes M06031 Rheumatoid arthritis without rheumatoid factor, right wrist 40 93 Yes Yes M06032 Rheumatoid arthritis without rheumatoid factor, left wrist 40 93 Yes Yes

M06039 Rheumatoid arthritis without rheumatoid factor, unspecified wrist 40 93 Yes Yes M06041 Rheumatoid arthritis without rheumatoid factor, right hand 40 93 Yes Yes M06042 Rheumatoid arthritis without rheumatoid factor, left hand 40 93 Yes Yes M06049 Rheumatoid arthritis without rheumatoid factor, unspecified hand 40 93 Yes Yes M06051 Rheumatoid arthritis without rheumatoid factor, right hip 40 93 Yes Yes M06052 Rheumatoid arthritis without rheumatoid factor, left hip 40 93 Yes Yes M06059 Rheumatoid arthritis without rheumatoid factor, unspecified hip 40 93 Yes Yes M06061 Rheumatoid arthritis without rheumatoid factor, right knee 40 93 Yes Yes M06062 Rheumatoid arthritis without rheumatoid factor, left knee 40 93 Yes Yes M06069 Rheumatoid arthritis without rheumatoid factor, unspecified knee 40 93 Yes Yes M06071 Rheumatoid arthritis without rheumatoid factor, right ankle and foot 40 93 Yes Yes M06072 Rheumatoid arthritis without rheumatoid factor, left ankle and foot 40 93 Yes Yes M06079 Rheumatoid arthritis without rheumatoid factor, unspecified ankle and foot 40 93 Yes Yes M0608 Rheumatoid arthritis without rheumatoid factor, vertebrae 40 93 Yes Yes M0609 Rheumatoid arthritis without rheumatoid factor, multiple sites 40 93 Yes Yes M060A Rheumatoid arthritis without rheumatoid factor, other specified site 40 93 Yes Yes M061 Adult-onset Still's disease 40 93 Yes Yes M0620 Rheumatoid bursitis, unspecified site 40 93 Yes Yes M06211 Rheumatoid bursitis, right shoulder 40 93 Yes Yes M06212 Rheumatoid bursitis, left shoulder 40 93 Yes Yes M06219 Rheumatoid bursitis, unspecified shoulder 40 93 Yes Yes M06221 Rheumatoid bursitis, right elbow 40 93 Yes Yes M06222 Rheumatoid bursitis, left elbow 40 93 Yes Yes M06229 Rheumatoid bursitis, unspecified elbow 40 93 Yes Yes M06231 Rheumatoid bursitis, right wrist 40 93 Yes Yes M06232 Rheumatoid bursitis, left wrist 40 93 Yes Yes M06239 Rheumatoid bursitis, unspecified wrist 40 93 Yes Yes M06241 Rheumatoid bursitis, right hand 40 93 Yes Yes M06242 Rheumatoid bursitis, left hand 40 93 Yes Yes M06249 Rheumatoid bursitis, unspecified hand 40 93 Yes Yes M06251 Rheumatoid bursitis, right hip 40 93 Yes Yes M06252 Rheumatoid bursitis, left hip 40 93 Yes Yes M06259 Rheumatoid bursitis, unspecified hip 40 93 Yes Yes M06261 Rheumatoid bursitis, right knee 40 93 Yes Yes M06262 Rheumatoid bursitis, left knee 40 93 Yes Yes M06269 Rheumatoid bursitis, unspecified knee 40 93 Yes Yes M06271 Rheumatoid bursitis, right ankle and foot 40 93 Yes Yes M06272 Rheumatoid bursitis, left ankle and foot 40 93 Yes Yes M06279 Rheumatoid bursitis, unspecified ankle and foot 40 93 Yes Yes M0628 Rheumatoid bursitis, vertebrae 40 93 Yes Yes M0629 Rheumatoid bursitis, multiple sites 40 93 Yes Yes M0630 Rheumatoid nodule, unspecified site 40 93 Yes Yes M06311 Rheumatoid nodule, right shoulder 40 93 Yes Yes M06312 Rheumatoid nodule, left shoulder 40 93 Yes Yes M06319 Rheumatoid nodule, unspecified shoulder 40 93 Yes Yes M06321 Rheumatoid nodule, right elbow 40 93 Yes Yes M06322 Rheumatoid nodule, left elbow 40 93 Yes Yes M06329 Rheumatoid nodule, unspecified elbow 40 93 Yes Yes M06331 Rheumatoid nodule, right wrist 40 93 Yes Yes M06332 Rheumatoid nodule, left wrist 40 93 Yes Yes M06339 Rheumatoid nodule, unspecified wrist 40 93 Yes Yes M06341 Rheumatoid nodule, right hand 40 93 Yes Yes M06342 Rheumatoid nodule, left hand 40 93 Yes Yes M06349 Rheumatoid nodule, unspecified hand 40 93 Yes Yes M06351 Rheumatoid nodule, right hip 40 93 Yes Yes M06352 Rheumatoid nodule, left hip 40 93 Yes Yes M06359 Rheumatoid nodule, unspecified hip 40 93 Yes Yes M06361 Rheumatoid nodule, right knee 40 93 Yes Yes M06362 Rheumatoid nodule, left knee 40 93 Yes Yes M06369 Rheumatoid nodule, unspecified knee 40 93 Yes Yes M06371 Rheumatoid nodule, right ankle and foot 40 93 Yes Yes M06372 Rheumatoid nodule, left ankle and foot 40 93 Yes Yes M06379 Rheumatoid nodule, unspecified ankle and foot 40 93 Yes Yes M0638 Rheumatoid nodule, vertebrae 40 93 Yes Yes M0639 Rheumatoid nodule, multiple sites 40 93 Yes Yes M0680 Other specified rheumatoid arthritis, unspecified site 40 93 Yes Yes M06811 Other specified rheumatoid arthritis, right shoulder 40 93 Yes Yes M06812 Other specified rheumatoid arthritis, left shoulder 40 93 Yes Yes M06819 Other specified rheumatoid arthritis, unspecified shoulder 40 93 Yes Yes M06821 Other specified rheumatoid arthritis, right elbow 40 93 Yes Yes M06822 Other specified rheumatoid arthritis, left elbow 40 93 Yes Yes M06829 Other specified rheumatoid arthritis, unspecified elbow 40 93 Yes Yes M06831 Other specified rheumatoid arthritis, right wrist 40 93 Yes Yes M06832 Other specified rheumatoid arthritis, left wrist 40 93 Yes Yes M06839 Other specified rheumatoid arthritis, unspecified wrist 40 93 Yes Yes M06841 Other specified rheumatoid arthritis, right hand 40 93 Yes Yes

M06842 Other specified rheumatoid arthritis, left hand 40 93 Yes Yes M06849 Other specified rheumatoid arthritis, unspecified hand 40 93 Yes Yes M06851 Other specified rheumatoid arthritis, right hip 40 93 Yes Yes M06852 Other specified rheumatoid arthritis, left hip 40 93 Yes Yes M06859 Other specified rheumatoid arthritis, unspecified hip 40 93 Yes Yes M06861 Other specified rheumatoid arthritis, right knee 40 93 Yes Yes M06862 Other specified rheumatoid arthritis, left knee 40 93 Yes Yes M06869 Other specified rheumatoid arthritis, unspecified knee 40 93 Yes Yes M06871 Other specified rheumatoid arthritis, right ankle and foot 40 93 Yes Yes M06872 Other specified rheumatoid arthritis, left ankle and foot 40 93 Yes Yes M06879 Other specified rheumatoid arthritis, unspecified ankle and foot 40 93 Yes Yes M0688 Other specified rheumatoid arthritis, vertebrae 40 93 Yes Yes M0689 Other specified rheumatoid arthritis, multiple sites 40 93 Yes Yes M068A Other specified rheumatoid arthritis, other specified site 40 93 Yes Yes M069 Rheumatoid arthritis, unspecified 40 93 Yes Yes M0800 Unspecified juvenile rheumatoid arthritis of unspecified site 40 93 Yes Yes M08011 Unspecified juvenile rheumatoid arthritis, right shoulder 40 93 Yes Yes M08012 Unspecified juvenile rheumatoid arthritis, left shoulder 40 93 Yes Yes M08019 Unspecified juvenile rheumatoid arthritis, unspecified shoulder 40 93 Yes Yes M08021 Unspecified juvenile rheumatoid arthritis, right elbow 40 93 Yes Yes M08022 Unspecified juvenile rheumatoid arthritis, left elbow 40 93 Yes Yes M08029 Unspecified juvenile rheumatoid arthritis, unspecified elbow 40 93 Yes Yes M08031 Unspecified juvenile rheumatoid arthritis, right wrist 40 93 Yes Yes M08032 Unspecified juvenile rheumatoid arthritis, left wrist 40 93 Yes Yes M08039 Unspecified juvenile rheumatoid arthritis, unspecified wrist 40 93 Yes Yes M08041 Unspecified juvenile rheumatoid arthritis, right hand 40 93 Yes Yes M08042 Unspecified juvenile rheumatoid arthritis, left hand 40 93 Yes Yes M08049 Unspecified juvenile rheumatoid arthritis, unspecified hand 40 93 Yes Yes M08051 Unspecified juvenile rheumatoid arthritis, right hip 40 93 Yes Yes M08052 Unspecified juvenile rheumatoid arthritis, left hip 40 93 Yes Yes M08059 Unspecified juvenile rheumatoid arthritis, unspecified hip 40 93 Yes Yes M08061 Unspecified juvenile rheumatoid arthritis, right knee 40 93 Yes Yes M08062 Unspecified juvenile rheumatoid arthritis, left knee 40 93 Yes Yes M08069 Unspecified juvenile rheumatoid arthritis, unspecified knee 40 93 Yes Yes M08071 Unspecified juvenile rheumatoid arthritis, right ankle and foot 40 93 Yes Yes M08072 Unspecified juvenile rheumatoid arthritis, left ankle and foot 40 93 Yes Yes M08079 Unspecified juvenile rheumatoid arthritis, unspecified ankle and foot 40 93 Yes Yes M0808 Unspecified juvenile rheumatoid arthritis, vertebrae 40 93 Yes Yes M0809 Unspecified juvenile rheumatoid arthritis, multiple sites 40 93 Yes Yes M080A Unspecified juvenile rheumatoid arthritis, other specified site 40 93 Yes Yes M081 Juvenile ankylosing spondylitis 40 93 Yes Yes M0820 Juvenile rheumatoid arthritis with systemic onset, unspecified site 40 93 Yes Yes M08211 Juvenile rheumatoid arthritis with systemic onset, right shoulder 40 93 Yes Yes M08212 Juvenile rheumatoid arthritis with systemic onset, left shoulder 40 93 Yes Yes M08219 Juvenile rheumatoid arthritis with systemic onset, unspecified shoulder 40 93 Yes Yes M08221 Juvenile rheumatoid arthritis with systemic onset, right elbow 40 93 Yes Yes M08222 Juvenile rheumatoid arthritis with systemic onset, left elbow 40 93 Yes Yes M08229 Juvenile rheumatoid arthritis with systemic onset, unspecified elbow 40 93 Yes Yes M08231 Juvenile rheumatoid arthritis with systemic onset, right wrist 40 93 Yes Yes M08232 Juvenile rheumatoid arthritis with systemic onset, left wrist 40 93 Yes Yes M08239 Juvenile rheumatoid arthritis with systemic onset, unspecified wrist 40 93 Yes Yes M08241 Juvenile rheumatoid arthritis with systemic onset, right hand 40 93 Yes Yes M08242 Juvenile rheumatoid arthritis with systemic onset, left hand 40 93 Yes Yes M08249 Juvenile rheumatoid arthritis with systemic onset, unspecified hand 40 93 Yes Yes M08251 Juvenile rheumatoid arthritis with systemic onset, right hip 40 93 Yes Yes M08252 Juvenile rheumatoid arthritis with systemic onset, left hip 40 93 Yes Yes M08259 Juvenile rheumatoid arthritis with systemic onset, unspecified hip 40 93 Yes Yes M08261 Juvenile rheumatoid arthritis with systemic onset, right knee 40 93 Yes Yes M08262 Juvenile rheumatoid arthritis with systemic onset, left knee 40 93 Yes Yes M08269 Juvenile rheumatoid arthritis with systemic onset, unspecified knee 40 93 Yes Yes M08271 Juvenile rheumatoid arthritis with systemic onset, right ankle and foot 40 93 Yes Yes M08272 Juvenile rheumatoid arthritis with systemic onset, left ankle and foot 40 93 Yes Yes M08279 Juvenile rheumatoid arthritis with systemic onset, unspecified ankle and foot 40 93 Yes Yes M0828 Juvenile rheumatoid arthritis with systemic onset, vertebrae 40 93 Yes Yes M0829 Juvenile rheumatoid arthritis with systemic onset, multiple sites 40 93 Yes Yes M082A Juvenile rheumatoid arthritis with systemic onset, other specified site 40 93 Yes Yes M083 Juvenile rheumatoid polyarthritis (seronegative) 40 93 Yes Yes M0840 Pauciarticular juvenile rheumatoid arthritis, unspecified site 40 93 Yes Yes M08411 Pauciarticular juvenile rheumatoid arthritis, right shoulder 40 93 Yes Yes M08412 Pauciarticular juvenile rheumatoid arthritis, left shoulder 40 93 Yes Yes M08419 Pauciarticular juvenile rheumatoid arthritis, unspecified shoulder 40 93 Yes Yes M08421 Pauciarticular juvenile rheumatoid arthritis, right elbow 40 93 Yes Yes M08422 Pauciarticular juvenile rheumatoid arthritis, left elbow 40 93 Yes Yes M08429 Pauciarticular juvenile rheumatoid arthritis, unspecified elbow 40 93 Yes Yes M08431 Pauciarticular juvenile rheumatoid arthritis, right wrist 40 93 Yes Yes M08432 Pauciarticular juvenile rheumatoid arthritis, left wrist 40 93 Yes Yes

M08439 Pauciarticular juvenile rheumatoid arthritis, unspecified wrist 40 93 Yes Yes M08441 Pauciarticular juvenile rheumatoid arthritis, right hand 40 93 Yes Yes M08442 Pauciarticular juvenile rheumatoid arthritis, left hand 40 93 Yes Yes M08449 Pauciarticular juvenile rheumatoid arthritis, unspecified hand 40 93 Yes Yes M08451 Pauciarticular juvenile rheumatoid arthritis, right hip 40 93 Yes Yes M08452 Pauciarticular juvenile rheumatoid arthritis, left hip 40 93 Yes Yes M08459 Pauciarticular juvenile rheumatoid arthritis, unspecified hip 40 93 Yes Yes M08461 Pauciarticular juvenile rheumatoid arthritis, right knee 40 93 Yes Yes M08462 Pauciarticular juvenile rheumatoid arthritis, left knee 40 93 Yes Yes M08469 Pauciarticular juvenile rheumatoid arthritis, unspecified knee 40 93 Yes Yes M08471 Pauciarticular juvenile rheumatoid arthritis, right ankle and foot 40 93 Yes Yes M08472 Pauciarticular juvenile rheumatoid arthritis, left ankle and foot 40 93 Yes Yes M08479 Pauciarticular juvenile rheumatoid arthritis, unspecified ankle and foot 40 93 Yes Yes M0848 Pauciarticular juvenile rheumatoid arthritis, vertebrae 40 93 Yes Yes M084A Pauciarticular juvenile rheumatoid arthritis, other specified site 40 93 Yes Yes M0880 Other juvenile arthritis, unspecified site 40 93 Yes Yes M08811 Other juvenile arthritis, right shoulder 40 93 Yes Yes M08812 Other juvenile arthritis, left shoulder 40 93 Yes Yes M08819 Other juvenile arthritis, unspecified shoulder 40 93 Yes Yes M08821 Other juvenile arthritis, right elbow 40 93 Yes Yes M08822 Other juvenile arthritis, left elbow 40 93 Yes Yes M08829 Other juvenile arthritis, unspecified elbow 40 93 Yes Yes M08831 Other juvenile arthritis, right wrist 40 93 Yes Yes M08832 Other juvenile arthritis, left wrist 40 93 Yes Yes M08839 Other juvenile arthritis, unspecified wrist 40 93 Yes Yes M08841 Other juvenile arthritis, right hand 40 93 Yes Yes M08842 Other juvenile arthritis, left hand 40 93 Yes Yes M08849 Other juvenile arthritis, unspecified hand 40 93 Yes Yes M08851 Other juvenile arthritis, right hip 40 93 Yes Yes M08852 Other juvenile arthritis, left hip 40 93 Yes Yes M08859 Other juvenile arthritis, unspecified hip 40 93 Yes Yes M08861 Other juvenile arthritis, right knee 40 93 Yes Yes M08862 Other juvenile arthritis, left knee 40 93 Yes Yes M08869 Other juvenile arthritis, unspecified knee 40 93 Yes Yes M08871 Other juvenile arthritis, right ankle and foot 40 93 Yes Yes M08872 Other juvenile arthritis, left ankle and foot 40 93 Yes Yes M08879 Other juvenile arthritis, unspecified ankle and foot 40 93 Yes Yes M0888 Other juvenile arthritis, other specified site 40 93 Yes Yes M0889 Other juvenile arthritis, multiple sites 40 93 Yes Yes M0890 Juvenile arthritis, unspecified, unspecified site 40 93 Yes Yes M08911 Juvenile arthritis, unspecified, right shoulder 40 93 Yes Yes M08912 Juvenile arthritis, unspecified, left shoulder 40 93 Yes Yes M08919 Juvenile arthritis, unspecified, unspecified shoulder 40 93 Yes Yes M08921 Juvenile arthritis, unspecified, right elbow 40 93 Yes Yes M08922 Juvenile arthritis, unspecified, left elbow 40 93 Yes Yes M08929 Juvenile arthritis, unspecified, unspecified elbow 40 93 Yes Yes M08931 Juvenile arthritis, unspecified, right wrist 40 93 Yes Yes M08932 Juvenile arthritis, unspecified, left wrist 40 93 Yes Yes M08939 Juvenile arthritis, unspecified, unspecified wrist 40 93 Yes Yes M08941 Juvenile arthritis, unspecified, right hand 40 93 Yes Yes M08942 Juvenile arthritis, unspecified, left hand 40 93 Yes Yes M08949 Juvenile arthritis, unspecified, unspecified hand 40 93 Yes Yes M08951 Juvenile arthritis, unspecified, right hip 40 93 Yes Yes M08952 Juvenile arthritis, unspecified, left hip 40 93 Yes Yes M08959 Juvenile arthritis, unspecified, unspecified hip 40 93 Yes Yes M08961 Juvenile arthritis, unspecified, right knee 40 93 Yes Yes M08962 Juvenile arthritis, unspecified, left knee 40 93 Yes Yes M08969 Juvenile arthritis, unspecified, unspecified knee 40 93 Yes Yes M08971 Juvenile arthritis, unspecified, right ankle and foot 40 93 Yes Yes M08972 Juvenile arthritis, unspecified, left ankle and foot 40 93 Yes Yes M08979 Juvenile arthritis, unspecified, unspecified ankle and foot 40 93 Yes Yes M0898 Juvenile arthritis, unspecified, vertebrae 40 93 Yes Yes M0899 Juvenile arthritis, unspecified, multiple sites 40 93 Yes Yes M089A Juvenile arthritis, unspecified, other specified site 40 93 Yes Yes M303 Mucocutaneous lymph node syndrome [Kawasaki] 40 93 Yes Yes M310 Hypersensitivity angiitis 40 93 Yes Yes M312 Lethal midline granuloma 40 93 Yes Yes M3130 Wegener's granulomatosis without renal involvement 40 93 Yes Yes M3131 Wegener's granulomatosis with renal involvement 40 93 Yes Yes M314 Aortic arch syndrome [Takayasu] 40 93 Yes Yes M3300 Juvenile dermatomyositis, organ involvement unspecified 40 93 Yes Yes M3301 Juvenile dermatomyositis with respiratory involvement 40 93 Yes Yes M3302 Juvenile dermatomyositis with myopathy 40 93 Yes Yes M3303 Juvenile dermatomyositis without myopathy 40 93 Yes Yes M3309 Juvenile dermatomyositis with other organ involvement 40 93 Yes Yes M3310 Other dermatomyositis, organ involvement unspecified 40 93 Yes Yes

M3311 Other dermatomyositis with respiratory involvement 40 93 Yes Yes M3312 Other dermatomyositis with myopathy 40 93 Yes Yes M3313 Other dermatomyositis without myopathy 40 93 Yes Yes M3319 Other dermatomyositis with other organ involvement 40 93 Yes Yes M3320 Polymyositis, organ involvement unspecified 40 93 Yes Yes M3321 Polymyositis with respiratory involvement 40 93 Yes Yes M3322 Polymyositis with myopathy 40 93 Yes Yes M3329 Polymyositis with other organ involvement 40 93 Yes Yes M3390 Dermatopolymyositis, unspecified, organ involvement unspecified 40 93 Yes Yes M3391 Dermatopolymyositis, unspecified with respiratory involvement 40 93 Yes Yes M3392 Dermatopolymyositis, unspecified with myopathy 40 93 Yes Yes M3393 Dermatopolymyositis, unspecified without myopathy 40 93 Yes Yes M3399 Dermatopolymyositis, unspecified with other organ involvement 40 93 Yes Yes M340 Progressive systemic sclerosis 40 93 Yes Yes M341 CR(E)ST syndrome 40 93 Yes Yes M3481 Systemic sclerosis with lung involvement 40 93 Yes Yes M3482 Systemic sclerosis with myopathy 40 93 Yes Yes M3483 Systemic sclerosis with polyneuropathy 40 93 Yes Yes M3489 Other systemic sclerosis 40 93 Yes Yes M349 Systemic sclerosis, unspecified 40 93 Yes Yes M360 Dermato(poly)myositis in neoplastic disease 40 93 Yes Yes M450 Ankylosing spondylitis of multiple sites in spine 40 93 Yes Yes M451 Ankylosing spondylitis of occipito-atlanto-axial region 40 93 Yes Yes M452 Ankylosing spondylitis of cervical region 40 93 Yes Yes M453 Ankylosing spondylitis of cervicothoracic region 40 93 Yes Yes M454 Ankylosing spondylitis of thoracic region 40 93 Yes Yes M455 Ankylosing spondylitis of thoracolumbar region 40 93 Yes Yes M456 Ankylosing spondylitis lumbar region 40 93 Yes Yes M457 Ankylosing spondylitis of lumbosacral region 40 93 Yes Yes M458 Ankylosing spondylitis sacral and sacrococcygeal region 40 93 Yes Yes M459 Ankylosing spondylitis of unspecified sites in spine 40 93 Yes Yes M45A0 Non-radiographic axial spondyloarthritis of unspecified sites in spine 40 93 Yes Yes M45A1 Non-radiographic axial spondyloarthritis of occipito-atlanto-axial region 40 93 Yes Yes M45A2 Non-radiographic axial spondyloarthritis of cervical region 40 93 Yes Yes M45A3 Non-radiographic axial spondyloarthritis of cervicothoracic region 40 93 Yes Yes M45A4 Non-radiographic axial spondyloarthritis of thoracic region 40 93 Yes Yes M45A5 Non-radiographic axial spondyloarthritis of thoracolumbar region 40 93 Yes Yes M45A6 Non-radiographic axial spondyloarthritis of lumbar region 40 93 Yes Yes M45A7 Non-radiographic axial spondyloarthritis of lumbosacral region 40 93 Yes Yes M45A8 Non-radiographic axial spondyloarthritis of sacral and sacrococcygeal region 40 93 Yes Yes M45AB Non-radiographic axial spondyloarthritis of multiple sites in spine 40 93 Yes Yes M488X1 Other specified spondylopathies, occipito-atlanto-axial region 40 93 Yes Yes M488X2 Other specified spondylopathies, cervical region 40 93 Yes Yes M488X3 Other specified spondylopathies, cervicothoracic region 40 93 Yes Yes M488X4 Other specified spondylopathies, thoracic region 40 93 Yes Yes M488X5 Other specified spondylopathies, thoracolumbar region 40 93 Yes Yes M488X6 Other specified spondylopathies, lumbar region 40 93 Yes Yes M488X7 Other specified spondylopathies, lumbosacral region 40 93 Yes Yes M488X8 Other specified spondylopathies, sacral and sacrococcygeal region 40 93 Yes Yes M488X9 Other specified spondylopathies, site unspecified 40 93 Yes Yes D8686 Sarcoid arthropathy 93 No Yes D8687 Sarcoid myositis 93 No Yes G7241 Inclusion body myositis [IBM] 93 No Yes M0230 Reiter's disease, unspecified site 40 94 Yes Yes M02311 Reiter's disease, right shoulder 40 94 Yes Yes M02312 Reiter's disease, left shoulder 40 94 Yes Yes M02319 Reiter's disease, unspecified shoulder 40 94 Yes Yes M02321 Reiter's disease, right elbow 40 94 Yes Yes M02322 Reiter's disease, left elbow 40 94 Yes Yes M02329 Reiter's disease, unspecified elbow 40 94 Yes Yes M02331 Reiter's disease, right wrist 40 94 Yes Yes M02332 Reiter's disease, left wrist 40 94 Yes Yes M02339 Reiter's disease, unspecified wrist 40 94 Yes Yes M02341 Reiter's disease, right hand 40 94 Yes Yes M02342 Reiter's disease, left hand 40 94 Yes Yes M02349 Reiter's disease, unspecified hand 40 94 Yes Yes M02351 Reiter's disease, right hip 40 94 Yes Yes M02352 Reiter's disease, left hip 40 94 Yes Yes M02359 Reiter's disease, unspecified hip 40 94 Yes Yes M02361 Reiter's disease, right knee 40 94 Yes Yes M02362 Reiter's disease, left knee 40 94 Yes Yes M02369 Reiter's disease, unspecified knee 40 94 Yes Yes M02371 Reiter's disease, right ankle and foot 40 94 Yes Yes M02372 Reiter's disease, left ankle and foot 40 94 Yes Yes M02379 Reiter's disease, unspecified ankle and foot 40 94 Yes Yes M0238 Reiter's disease, vertebrae 40 94 Yes Yes

M0239 Reiter's disease, multiple sites 40 94 Yes Yes M041 Periodic fever syndromes 40 94 Yes Yes M042 Cryopyrin-associated periodic syndromes 40 94 Yes Yes M048 Other autoinflammatory syndromes 40 94 Yes Yes M049 Autoinflammatory syndrome, unspecified 40 94 Yes Yes M064 Inflammatory polyarthropathy 40 94 Yes Yes M1200 Chronic postrheumatic arthropathy [Jaccoud], unspecified site 40 94 Yes Yes M12011 Chronic postrheumatic arthropathy [Jaccoud], right shoulder 40 94 Yes Yes M12012 Chronic postrheumatic arthropathy [Jaccoud], left shoulder 40 94 Yes Yes M12019 Chronic postrheumatic arthropathy [Jaccoud], unspecified shoulder 40 94 Yes Yes M12021 Chronic postrheumatic arthropathy [Jaccoud], right elbow 40 94 Yes Yes M12022 Chronic postrheumatic arthropathy [Jaccoud], left elbow 40 94 Yes Yes M12029 Chronic postrheumatic arthropathy [Jaccoud], unspecified elbow 40 94 Yes Yes M12031 Chronic postrheumatic arthropathy [Jaccoud], right wrist 40 94 Yes Yes M12032 Chronic postrheumatic arthropathy [Jaccoud], left wrist 40 94 Yes Yes M12039 Chronic postrheumatic arthropathy [Jaccoud], unspecified wrist 40 94 Yes Yes M12041 Chronic postrheumatic arthropathy [Jaccoud], right hand 40 94 Yes Yes M12042 Chronic postrheumatic arthropathy [Jaccoud], left hand 40 94 Yes Yes M12049 Chronic postrheumatic arthropathy [Jaccoud], unspecified hand 40 94 Yes Yes M12051 Chronic postrheumatic arthropathy [Jaccoud], right hip 40 94 Yes Yes M12052 Chronic postrheumatic arthropathy [Jaccoud], left hip 40 94 Yes Yes M12059 Chronic postrheumatic arthropathy [Jaccoud], unspecified hip 40 94 Yes Yes M12061 Chronic postrheumatic arthropathy [Jaccoud], right knee 40 94 Yes Yes M12062 Chronic postrheumatic arthropathy [Jaccoud], left knee 40 94 Yes Yes M12069 Chronic postrheumatic arthropathy [Jaccoud], unspecified knee 40 94 Yes Yes M12071 Chronic postrheumatic arthropathy [Jaccoud], right ankle and foot 40 94 Yes Yes M12072 Chronic postrheumatic arthropathy [Jaccoud], left ankle and foot 40 94 Yes Yes M12079 Chronic postrheumatic arthropathy [Jaccoud], unspecified ankle and foot 40 94 Yes Yes M1208 Chronic postrheumatic arthropathy [Jaccoud], other specified site 40 94 Yes Yes M1209 Chronic postrheumatic arthropathy [Jaccoud], multiple sites 40 94 Yes Yes M300 Polyarteritis nodosa 40 94 Yes Yes M302 Juvenile polyarteritis 40 94 Yes Yes M308 Other conditions related to polyarteritis nodosa 40 94 Yes Yes M315 Giant cell arteritis with polymyalgia rheumatica 40 94 Yes Yes M316 Other giant cell arteritis 40 94 Yes Yes M317 Microscopic polyangiitis 40 94 Yes Yes M3210 Systemic lupus erythematosus, organ or system involvement unspecified 40 94 Yes Yes M3211 Endocarditis in systemic lupus erythematosus 40 94 Yes Yes M3212 Pericarditis in systemic lupus erythematosus 40 94 Yes Yes M3213 Lung involvement in systemic lupus erythematosus 40 94 Yes Yes M3214 Glomerular disease in systemic lupus erythematosus 40 94 Yes Yes M3215 Tubulo-interstitial nephropathy in systemic lupus erythematosus 40 94 Yes Yes M3219 Other organ or system involvement in systemic lupus erythematosus 40 94 Yes Yes M328 Other forms of systemic lupus erythematosus 40 94 Yes Yes M329 Systemic lupus erythematosus, unspecified 40 94 Yes Yes M352 Behcet's disease 40 94 Yes Yes M318 Other specified necrotizing vasculopathies 108 94 Yes Yes M319 Necrotizing vasculopathy, unspecified 108 94 Yes Yes M3110 Thrombotic microangiopathy, unspecified 40 112 Yes Yes M3119 Other thrombotic microangiopathy 40 112 Yes Yes M301 Polyarteritis with lung involvement [Churg-Strauss] 40 278 Yes Yes M3502 Sjogren syndrome with lung involvement 40 280 Yes Yes M8710 Osteonecrosis due to drugs, unspecified bone 39 Yes No M87111 Osteonecrosis due to drugs, right shoulder 39 Yes No M87112 Osteonecrosis due to drugs, left shoulder 39 Yes No M87119 Osteonecrosis due to drugs, unspecified shoulder 39 Yes No M87121 Osteonecrosis due to drugs, right humerus 39 Yes No M87122 Osteonecrosis due to drugs, left humerus 39 Yes No M87129 Osteonecrosis due to drugs, unspecified humerus 39 Yes No M87131 Osteonecrosis due to drugs of right radius 39 Yes No M87132 Osteonecrosis due to drugs of left radius 39 Yes No M87133 Osteonecrosis due to drugs of unspecified radius 39 Yes No M87134 Osteonecrosis due to drugs of right ulna 39 Yes No M87135 Osteonecrosis due to drugs of left ulna 39 Yes No M87136 Osteonecrosis due to drugs of unspecified ulna 39 Yes No M87137 Osteonecrosis due to drugs of right carpus 39 Yes No M87138 Osteonecrosis due to drugs of left carpus 39 Yes No M87139 Osteonecrosis due to drugs of unspecified carpus 39 Yes No M87141 Osteonecrosis due to drugs, right hand 39 Yes No M87142 Osteonecrosis due to drugs, left hand 39 Yes No M87143 Osteonecrosis due to drugs, unspecified hand 39 Yes No M87144 Osteonecrosis due to drugs, right finger(s) 39 Yes No M87145 Osteonecrosis due to drugs, left finger(s) 39 Yes No M87146 Osteonecrosis due to drugs, unspecified finger(s) 39 Yes No M87150 Osteonecrosis due to drugs, pelvis 39 Yes No M87151 Osteonecrosis due to drugs, right femur 39 Yes No

M87152 Osteonecrosis due to drugs, left femur 39 Yes No M87159 Osteonecrosis due to drugs, unspecified femur 39 Yes No M87161 Osteonecrosis due to drugs, right tibia 39 Yes No M87162 Osteonecrosis due to drugs, left tibia 39 Yes No M87163 Osteonecrosis due to drugs, unspecified tibia 39 Yes No M87164 Osteonecrosis due to drugs, right fibula 39 Yes No M87165 Osteonecrosis due to drugs, left fibula 39 Yes No M87166 Osteonecrosis due to drugs, unspecified fibula 39 Yes No M87171 Osteonecrosis due to drugs, right ankle 39 Yes No M87172 Osteonecrosis due to drugs, left ankle 39 Yes No M87173 Osteonecrosis due to drugs, unspecified ankle 39 Yes No M87174 Osteonecrosis due to drugs, right foot 39 Yes No M87175 Osteonecrosis due to drugs, left foot 39 Yes No M87176 Osteonecrosis due to drugs, unspecified foot 39 Yes No M87177 Osteonecrosis due to drugs, right toe(s) 39 Yes No M87178 Osteonecrosis due to drugs, left toe(s) 39 Yes No M87179 Osteonecrosis due to drugs, unspecified toe(s) 39 Yes No M87180 Osteonecrosis due to drugs, jaw 39 Yes No M87188 Osteonecrosis due to drugs, other site 39 Yes No M8719 Osteonecrosis due to drugs, multiple sites 39 Yes No M320 Drug-induced systemic lupus erythematosus 40 Yes No M342 Systemic sclerosis induced by drug and chemical 40 Yes No M3500 Sjogren syndrome, unspecified 40 Yes No M3501 Sjogren syndrome with keratoconjunctivitis 40 Yes No M3503 Sjogren syndrome with myopathy 40 Yes No M3504 Sjogren syndrome with tubulo-interstitial nephropathy 40 Yes No M3505 Sjogren syndrome with inflammatory arthritis 40 Yes No M3506 Sjogren syndrome with peripheral nervous system involvement 40 Yes No M3507 Sjogren syndrome with central nervous system involvement 40 Yes No M3508 Sjogren syndrome with gastrointestinal involvement 40 Yes No M3509 Sjogren syndrome with other organ involvement 40 Yes No M350A Sjogren syndrome with glomerular disease 40 Yes No M350B Sjogren syndrome with vasculitis 40 Yes No M350C Sjogren syndrome with dental involvement 40 Yes No M351 Other overlap syndromes 40 Yes No M353 Polymyalgia rheumatica 40 Yes No M355 Multifocal fibrosclerosis 40 Yes No M3589 Other specified systemic involvement of connective tissue 40 Yes No M359 Systemic involvement of connective tissue, unspecified 40 Yes No M368 Systemic disorders of connective tissue in other diseases classified elsewhere 40 Yes No M4600 Spinal enthesopathy, site unspecified 40 Yes No M4601 Spinal enthesopathy, occipito-atlanto-axial region 40 Yes No M4602 Spinal enthesopathy, cervical region 40 Yes No M4603 Spinal enthesopathy, cervicothoracic region 40 Yes No M4604 Spinal enthesopathy, thoracic region 40 Yes No M4605 Spinal enthesopathy, thoracolumbar region 40 Yes No M4606 Spinal enthesopathy, lumbar region 40 Yes No M4607 Spinal enthesopathy, lumbosacral region 40 Yes No M4608 Spinal enthesopathy, sacral and sacrococcygeal region 40 Yes No M4609 Spinal enthesopathy, multiple sites in spine 40 Yes No M461 Sacroiliitis, not elsewhere classified 40 Yes No M4650 Other infective spondylopathies, site unspecified 40 Yes No M4651 Other infective spondylopathies, occipito-atlanto-axial region 40 Yes No M4652 Other infective spondylopathies, cervical region 40 Yes No M4653 Other infective spondylopathies, cervicothoracic region 40 Yes No M4654 Other infective spondylopathies, thoracic region 40 Yes No M4655 Other infective spondylopathies, thoracolumbar region 40 Yes No M4656 Other infective spondylopathies, lumbar region 40 Yes No M4657 Other infective spondylopathies, lumbosacral region 40 Yes No M4658 Other infective spondylopathies, sacral and sacrococcygeal region 40 Yes No M4659 Other infective spondylopathies, multiple sites in spine 40 Yes No M4680 Other specified inflammatory spondylopathies, site unspecified 40 Yes No M4681 Other specified inflammatory spondylopathies, occipito-atlanto-axial region 40 Yes No M4682 Other specified inflammatory spondylopathies, cervical region 40 Yes No M4683 Other specified inflammatory spondylopathies, cervicothoracic region 40 Yes No M4684 Other specified inflammatory spondylopathies, thoracic region 40 Yes No M4685 Other specified inflammatory spondylopathies, thoracolumbar region 40 Yes No M4686 Other specified inflammatory spondylopathies, lumbar region 40 Yes No M4687 Other specified inflammatory spondylopathies, lumbosacral region 40 Yes No M4688 Other specified inflammatory spondylopathies, sacral and sacrococcygeal region 40 Yes No M4689 Other specified inflammatory spondylopathies, multiple sites in spine 40 Yes No M4690 Unspecified inflammatory spondylopathy, site unspecified 40 Yes No M4691 Unspecified inflammatory spondylopathy, occipito-atlanto-axial region 40 Yes No M4692 Unspecified inflammatory spondylopathy, cervical region 40 Yes No M4693 Unspecified inflammatory spondylopathy, cervicothoracic region 40 Yes No M4694 Unspecified inflammatory spondylopathy, thoracic region 40 Yes No

M4695 Unspecified inflammatory spondylopathy, thoracolumbar region 40 Yes No M4696 Unspecified inflammatory spondylopathy, lumbar region 40 Yes No M4697 Unspecified inflammatory spondylopathy, lumbosacral region 40 Yes No M4698 Unspecified inflammatory spondylopathy, sacral and sacrococcygeal region 40 Yes No M4699 Unspecified inflammatory spondylopathy, multiple sites in spine 40 Yes No M4980 Spondylopathy in diseases classified elsewhere, site unspecified 40 Yes No M4981 Spondylopathy in diseases classified elsewhere, occipito-atlanto-axial region 40 Yes No M4982 Spondylopathy in diseases classified elsewhere, cervical region 40 Yes No M4983 Spondylopathy in diseases classified elsewhere, cervicothoracic region 40 Yes No M4984 Spondylopathy in diseases classified elsewhere, thoracic region 40 Yes No M4985 Spondylopathy in diseases classified elsewhere, thoracolumbar region 40 Yes No M4986 Spondylopathy in diseases classified elsewhere, lumbar region 40 Yes No M4987 Spondylopathy in diseases classified elsewhere, lumbosacral region 40 Yes No M4988 Spondylopathy in diseases classified elsewhere, sacral and sacrococcygeal region 40 Yes No M4989 Spondylopathy in diseases classified elsewhere, multiple sites in spine 40 Yes No

Blood Disease Group V24 V28 Blood Disease Group: 3 HCCs • HCC 46 (Severe Hematological Disorders) • HCC 47 (Disorders of Immunity) • HCC 48 (Coagulation Defects and Other Specified Hematological Disorders) Blood Disease Group: 7 HCCs • HCC 107 (Sickle Cell Anemia (Hb-SS) and Thalassemia Beta Zero) • HCC 108 (Sickle Cell Disorders, Except Sickle Cell Anemia (Hb-SS) and Thalassemia Beta Zero; Beta Thalassemia Major) • HCC 109 (Acquired Hemolytic, Aplastic, and Sideroblastic Anemias) • HCC 111 (Hemophilia, Male) • HCC 112 (Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions) • HCC 114 (Common Variable and Combined Immunodeficiencies) • HCC 115 (Specified Immunodeficiencies and White Blood Cell Disorders)

D4622 Refractory anemia with excess of blasts 2 46 17 Yes Yes D460 Refractory anemia without ring sideroblasts, so stated 46 19 Yes Yes D461 Refractory anemia with ring sideroblasts 46 19 Yes Yes D4620 Refractory anemia with excess of blasts, unspecified 46 19 Yes Yes D4621 Refractory anemia with excess of blasts 1 46 19 Yes Yes D464 Refractory anemia, unspecified 46 19 Yes Yes D469 Myelodysplastic syndrome, unspecified 46 19 Yes Yes D46A Refractory cytopenia with multilineage dysplasia 46 19 Yes Yes D46B Refractory cytopenia with multilineage dysplasia and ring sideroblasts 46 19 Yes Yes D46C Myelodysplastic syndrome with isolated del(5q) chromosomal abnormality 46 19 Yes Yes D46Z Other myelodysplastic syndromes 46 19 Yes Yes D474 Osteomyelofibrosis 46 19 Yes Yes D7581 Myelofibrosis 46 19 Yes Yes C946 Myelodysplastic disease, not elsewhere classified 48 19 Yes Yes D471 Chronic myeloproliferative disease 48 21 Yes Yes D479 Neoplasm of uncertain behavior of lymphoid, hematopoietic and related tissue, 48 21 Yes Yes D47Z1 Post-transplant lymphoproliferative disorder (PTLD) 48 21 Yes Yes D47Z2 Castleman disease 48 21 Yes Yes D47Z9 Other specified neoplasms of uncertain behavior of lymphoid, hematopoietic an 48 21 Yes Yes D45 Polycythemia vera 48 23 Yes Yes D473 Essential (hemorrhagic) thrombocythemia 48 23 Yes Yes D5700 Hb-SS disease with crisis, unspecified 46 107 Yes Yes D5701 Hb-SS disease with acute chest syndrome 46 107 Yes Yes D5702 Hb-SS disease with splenic sequestration 46 107 Yes Yes D5703 Hb-SS disease with cerebral vascular involvement 46 107 Yes Yes D5709 Hb-SS disease with crisis with other specified complication 46 107 Yes Yes D571 Sickle-cell disease without crisis 46 107 Yes Yes D5742 Sickle-cell thalassemia beta zero without crisis 46 107 Yes Yes D57431 Sickle-cell thalassemia beta zero with acute chest syndrome 46 107 Yes Yes D57432 Sickle-cell thalassemia beta zero with splenic sequestration 46 107 Yes Yes D57433 Sickle-cell thalassemia beta zero with cerebral vascular involvement 46 107 Yes Yes D57438 Sickle-cell thalassemia beta zero with crisis with other specified complication 46 107 Yes Yes D57439 Sickle-cell thalassemia beta zero with crisis, unspecified 46 107 Yes Yes D5720 Sickle-cell/Hb-C disease without crisis 46 108 Yes Yes D57211 Sickle-cell/Hb-C disease with acute chest syndrome 46 108 Yes Yes D57212 Sickle-cell/Hb-C disease with splenic sequestration 46 108 Yes Yes D57213 Sickle-cell/Hb-C disease with cerebral vascular involvement 46 108 Yes Yes D57218 Sickle-cell/Hb-C disease with crisis with other specified complication 46 108 Yes Yes D57219 Sickle-cell/Hb-C disease with crisis, unspecified 46 108 Yes Yes D5740 Sickle-cell thalassemia without crisis 46 108 Yes Yes D57411 Sickle-cell thalassemia, unspecified, with acute chest syndrome 46 108 Yes Yes D57412 Sickle-cell thalassemia, unspecified, with splenic sequestration 46 108 Yes Yes D57413 Sickle-cell thalassemia, unspecified, with cerebral vascular involvement 46 108 Yes Yes D57418 Sickle-cell thalassemia, unspecified, with crisis with other specified complication 46 108 Yes Yes D57419 Sickle-cell thalassemia, unspecified, with crisis 46 108 Yes Yes D5744 Sickle-cell thalassemia beta plus without crisis 46 108 Yes Yes D57451 Sickle-cell thalassemia beta plus with acute chest syndrome 46 108 Yes Yes D57452 Sickle-cell thalassemia beta plus with splenic sequestration 46 108 Yes Yes D57453 Sickle-cell thalassemia beta plus with cerebral vascular involvement 46 108 Yes Yes D57458 Sickle-cell thalassemia beta plus with crisis with other specified complication 46 108 Yes Yes D57459 Sickle-cell thalassemia beta plus with crisis, unspecified 46 108 Yes Yes D5780 Other sickle-cell disorders without crisis 46 108 Yes Yes D57811 Other sickle-cell disorders with acute chest syndrome 46 108 Yes Yes D57812 Other sickle-cell disorders with splenic sequestration 46 108 Yes Yes D57813 Other sickle-cell disorders with cerebral vascular involvement 46 108 Yes Yes

D57818 Other sickle-cell disorders with crisis with other specified complication 46 108 Yes Yes D57819 Other sickle-cell disorders with crisis, unspecified 46 108 Yes Yes D561 Beta thalassemia 48 108 Yes Yes D562 Delta-beta thalassemia 48 108 Yes Yes D565 Hemoglobin E-beta thalassemia 48 108 Yes Yes D5910 Autoimmune hemolytic anemia, unspecified 46 109 Yes Yes D5911 Warm autoimmune hemolytic anemia 46 109 Yes Yes D5912 Cold autoimmune hemolytic anemia 46 109 Yes Yes D5913 Mixed type autoimmune hemolytic anemia 46 109 Yes Yes D5919 Other autoimmune hemolytic anemia 46 109 Yes Yes D593 Hemolytic-uremic syndrome 46 109 Yes Yes D5930 Hemolytic-uremic syndrome, unspecified 46 109 Yes Yes D5931 Infection-associated hemolytic-uremic syndrome 46 109 Yes Yes D5932 Hereditary hemolytic-uremic syndrome 46 109 Yes Yes D5939 Other hemolytic-uremic syndrome 46 109 Yes Yes D594 Other nonautoimmune hemolytic anemias 46 109 Yes Yes D595 Paroxysmal nocturnal hemoglobinuria [Marchiafava-Micheli] 46 109 Yes Yes D596 Hemoglobinuria due to hemolysis from other external causes 46 109 Yes Yes D598 Other acquired hemolytic anemias 46 109 Yes Yes D599 Acquired hemolytic anemia, unspecified 46 109 Yes Yes D600 Chronic acquired pure red cell aplasia 46 109 Yes Yes D608 Other acquired pure red cell aplasias 46 109 Yes Yes D609 Acquired pure red cell aplasia, unspecified 46 109 Yes Yes D6101 Constitutional (pure) red blood cell aplasia 46 109 Yes Yes D6109 Other constitutional aplastic anemia 46 109 Yes Yes D612 Aplastic anemia due to other external agents 46 109 Yes Yes D613 Idiopathic aplastic anemia 46 109 Yes Yes D6182 Myelophthisis 46 109 Yes Yes D6189 Other specified aplastic anemias and other bone marrow failure syndromes 46 109 Yes Yes D61818 Other pancytopenia 47 109 Yes Yes D640 Hereditary sideroblastic anemia 48 109 Yes Yes D641 Secondary sideroblastic anemia due to disease 48 109 Yes Yes D643 Other sideroblastic anemias 48 109 Yes Yes D644 Congenital dyserythropoietic anemia 109 No Yes P550 Rh isoimmunization of newborn 109 No Yes P551 ABO isoimmunization of newborn 109 No Yes P558 Other hemolytic diseases of newborn 109 No Yes P559 Hemolytic disease of newborn, unspecified 109 No Yes P560 Hydrops fetalis due to isoimmunization 109 No Yes P5690 Hydrops fetalis due to unspecified hemolytic disease 109 No Yes P5699 Hydrops fetalis due to other hemolytic disease 109 No Yes D66 Hereditary factor VIII deficiency 46 111 Yes Yes D67 Hereditary factor IX deficiency 46 111 Yes Yes D680 Von Willebrand's disease 48 112 Yes Yes D6800 Von Willebrand disease, unspecified 48 112 Yes Yes D6801 Von Willebrand disease, type 1 48 112 Yes Yes D68020 Von Willebrand disease, type 2A 48 112 Yes Yes D68021 Von Willebrand disease, type 2B 48 112 Yes Yes D68022 Von Willebrand disease, type 2M 48 112 Yes Yes D68023 Von Willebrand disease, type 2N 48 112 Yes Yes D68029 Von Willebrand disease, type 2, unspecified 48 112 Yes Yes D6803 Von Willebrand disease, type 3 48 112 Yes Yes D6804 Acquired von Willebrand disease 48 112 Yes Yes D6809 Other von Willebrand disease 48 112 Yes Yes D681 Hereditary factor XI deficiency 48 112 Yes Yes

D682 Hereditary deficiency of other clotting factors 48 112 Yes Yes D68311 Acquired hemophilia 48 112 Yes Yes D691 Qualitative platelet defects 48 112 Yes Yes D693 Immune thrombocytopenic purpura 48 112 Yes Yes D6941 Evans syndrome 48 112 Yes Yes D6942 Congenital and hereditary thrombocytopenia purpura 48 112 Yes Yes D6949 Other primary thrombocytopenia 48 112 Yes Yes D7584 Other platelet-activating anti-PF4 disorders 48 112 Yes Yes M3110 Thrombotic microangiopathy, unspecified 40 112 Yes Yes M3119 Other thrombotic microangiopathy 40 112 Yes Yes D810 Severe combined immunodeficiency [SCID] with reticular dysgenesis 47 114 Yes Yes D811 Severe combined immunodeficiency [SCID] with low T- and B-cell numbers 47 114 Yes Yes D812 Severe combined immunodeficiency [SCID] with low or normal B-cell numbers 47 114 Yes Yes D8130 Adenosine deaminase deficiency, unspecified 47 114 Yes Yes D8131 Severe combined immunodeficiency due to adenosine deaminase deficiency 47 114 Yes Yes D8132 Adenosine deaminase 2 deficiency 47 114 Yes Yes D8139 Other adenosine deaminase deficiency 47 114 Yes Yes D815 Purine nucleoside phosphorylase [PNP] deficiency 47 114 Yes Yes D816 Major histocompatibility complex class I deficiency 47 114 Yes Yes D817 Major histocompatibility complex class II deficiency 47 114 Yes Yes D8182 Activated Phosphoinositide 3-kinase Delta Syndrome [APDS] 47 114 Yes Yes D8189 Other combined immunodeficiencies 47 114 Yes Yes D819 Combined immunodeficiency, unspecified 47 114 Yes Yes D830 Common variable immunodeficiency with predominant abnormalities of B-cell n 47 114 Yes Yes D831 Common variable immunodeficiency with predominant immunoregulatory T-ce 47 114 Yes Yes D832 Common variable immunodeficiency with autoantibodies to B- or T-cells 47 114 Yes Yes D838 Other common variable immunodeficiencies 47 114 Yes Yes D839 Common variable immunodeficiency, unspecified 47 114 Yes Yes D700 Congenital agranulocytosis 47 115 Yes Yes D704 Cyclic neutropenia 47 115 Yes Yes D71 Functional disorders of polymorphonuclear neutrophils 47 115 Yes Yes D720 Genetic anomalies of leukocytes 47 115 Yes Yes D761 Hemophagocytic lymphohistiocytosis 47 115 Yes Yes D763 Other histiocytosis syndromes 47 115 Yes Yes D800 Hereditary hypogammaglobulinemia 47 115 Yes Yes D802 Selective deficiency of immunoglobulin A [IgA] 47 115 Yes Yes D803 Selective deficiency of immunoglobulin G [IgG] subclasses 47 115 Yes Yes D804 Selective deficiency of immunoglobulin M [IgM] 47 115 Yes Yes D805 Immunodeficiency with increased immunoglobulin M [IgM] 47 115 Yes Yes D814 Nezelof's syndrome 47 115 Yes Yes D820 Wiskott-Aldrich syndrome 47 115 Yes Yes D821 Di George's syndrome 47 115 Yes Yes D841 Defects in the complement system 23 115 Yes Yes D89810 Acute graft-versus-host disease 47 454 Yes Yes D89811 Chronic graft-versus-host disease 47 454 Yes Yes D89812 Acute on chronic graft-versus-host disease 47 454 Yes Yes D89813 Graft-versus-host disease, unspecified 47 454 Yes Yes D590 Drug-induced autoimmune hemolytic anemia 46 Yes No D592 Drug-induced nonautoimmune hemolytic anemia 46 Yes No D601 Transient acquired pure red cell aplasia 46 Yes No D611 Drug-induced aplastic anemia 46 Yes No D619 Aplastic anemia, unspecified 46 Yes No D61810 Antineoplastic chemotherapy induced pancytopenia 47 Yes No D61811 Other drug-induced pancytopenia 47 Yes No D701 Agranulocytosis secondary to cancer chemotherapy 47 Yes No

D702 Other drug-induced agranulocytosis 47 Yes No D703 Neutropenia due to infection 47 Yes No D708 Other neutropenia 47 Yes No D709 Neutropenia, unspecified 47 Yes No D762 Hemophagocytic syndrome, infection-associated 47 Yes No D801 Nonfamilial hypogammaglobulinemia 47 Yes No D806 Antibody deficiency with near-normal immunoglobulins or with hyperimmunogl 47 Yes No D807 Transient hypogammaglobulinemia of infancy 47 Yes No D808 Other immunodeficiencies with predominantly antibody defects 47 Yes No D809 Immunodeficiency with predominantly antibody defects, unspecified 47 Yes No D822 Immunodeficiency with short-limbed stature 47 Yes No D823 Immunodeficiency following hereditary defective response to Epstein-Barr virus 47 Yes No D824 Hyperimmunoglobulin E [IgE] syndrome 47 Yes No D828 Immunodeficiency associated with other specified major defects 47 Yes No D829 Immunodeficiency associated with major defect, unspecified 47 Yes No D840 Lymphocyte function antigen-1 [LFA-1] defect 47 Yes No D8481 Immunodeficiency due to conditions classified elsewhere 47 Yes No D84821 Immunodeficiency due to drugs 47 Yes No D84822 Immunodeficiency due to external causes 47 Yes No D8489 Other immunodeficiencies 47 Yes No D849 Immunodeficiency, unspecified 47 Yes No D893 Immune reconstitution syndrome 47 Yes No D8940 Mast cell activation, unspecified 47 Yes No D8941 Monoclonal mast cell activation syndrome 47 Yes No D8942 Idiopathic mast cell activation syndrome 47 Yes No D8943 Secondary mast cell activation 47 Yes No D8944 Hereditary alpha tryptasemia 47 Yes No D8949 Other mast cell activation disorder 47 Yes No D8982 Autoimmune lymphoproliferative syndrome [ALPS] 47 Yes No D8989 Other specified disorders involving the immune mechanism, not elsewhere class 47 Yes No D899 Disorder involving the immune mechanism, unspecified 47 Yes No D550 Anemia due to glucose-6-phosphate dehydrogenase [G6PD] deficiency 48 Yes No D551 Anemia due to other disorders of glutathione metabolism 48 Yes No D5521 Anemia due to pyruvate kinase deficiency 48 Yes No D5529 Anemia due to other disorders of glycolytic enzymes 48 Yes No D553 Anemia due to disorders of nucleotide metabolism 48 Yes No D558 Other anemias due to enzyme disorders 48 Yes No D559 Anemia due to enzyme disorder, unspecified 48 Yes No D560 Alpha thalassemia 48 Yes No D564 Hereditary persistence of fetal hemoglobin [HPFH] 48 Yes No D568 Other thalassemias 48 Yes No D573 Sickle-cell trait 48 Yes No D580 Hereditary spherocytosis 48 Yes No D581 Hereditary elliptocytosis 48 Yes No D582 Other hemoglobinopathies 48 Yes No D588 Other specified hereditary hemolytic anemias 48 Yes No D589 Hereditary hemolytic anemia, unspecified 48 Yes No D642 Secondary sideroblastic anemia due to drugs and toxins 48 Yes No D65 Disseminated intravascular coagulation [defibrination syndrome] 48 Yes No D68312 Antiphospholipid antibody with hemorrhagic disorder 48 Yes No D68318 Other hemorrhagic disorder due to intrinsic circulating anticoagulants, antibodie 48 Yes No D6832 Hemorrhagic disorder due to extrinsic circulating anticoagulants 48 Yes No D684 Acquired coagulation factor deficiency 48 Yes No D6851 Activated protein C resistance 48 Yes No D6852 Prothrombin gene mutation 48 Yes No

D6859 Other primary thrombophilia 48 Yes No D6861 Antiphospholipid syndrome 48 Yes No D6862 Lupus anticoagulant syndrome 48 Yes No D6869 Other thrombophilia 48 Yes No D688 Other specified coagulation defects 48 Yes No D689 Coagulation defect, unspecified 48 Yes No D690 Allergic purpura 48 Yes No D692 Other nonthrombocytopenic purpura 48 Yes No D696 Thrombocytopenia, unspecified 48 Yes No D698 Other specified hemorrhagic conditions 48 Yes No D699 Hemorrhagic condition, unspecified 48 Yes No D7582 Heparin induced thrombocytopenia (HIT) 48 Yes No D75821 Non-immune heparin-induced thrombocytopenia 48 Yes No D75822 Immune-mediated heparin-induced thrombocytopenia 48 Yes No D75828 Other heparin-induced thrombocytopenia syndrome 48 Yes No D75829 Heparin-induced thrombocytopenia, unspecified 48 Yes No

Cogni�ve Disease Group V24 V28 Cognitive Disease Group: 2 HCCs Cognitive Disease Group: 3 HCCs • HCC 51 (Dementia With Complications) • HCC 125 (Dementia, Severe) • HCC 52 (Dementia Without Complication) • HCC 126 (Dementia, Moderate) • HCC 127 (Dementia, Mild or Unspecified)

ICD 10 Desccriptor V24 V28 V24 V28 F01C11 Vascular dementia, severe, with agitation 51 125 Yes Yes F01C18 Vascular dementia, severe, with other behavioral disturbance 51 125 Yes Yes F01C2 Vascular dementia, severe, with psychotic disturbance 51 125 Yes Yes F01C3 Vascular dementia, severe, with mood disturbance 51 125 Yes Yes F01C4 Vascular dementia, severe, with anxiety 51 125 Yes Yes F02C11 Dementia in other diseases classified elsewhere, severe, with agitation 51 125 Yes Yes F02C18 Dementia in other diseases classified elsewhere, severe, with other behavioral disturbance 51 125 Yes Yes F02C2 Dementia in other diseases classified elsewhere, severe, with psychotic disturbance 51 125 Yes Yes F02C3 Dementia in other diseases classified elsewhere, severe, with mood disturbance 51 125 Yes Yes F02C4 Dementia in other diseases classified elsewhere, severe, with anxiety 51 125 Yes Yes F03C11 Unspecified dementia, severe, with agitation 51 125 Yes Yes F03C18 Unspecified dementia, severe, with other behavioral disturbance 51 125 Yes Yes F03C2 Unspecified dementia, severe, with psychotic disturbance 51 125 Yes Yes F03C3 Unspecified dementia, severe, with mood disturbance 51 125 Yes Yes F03C4 Unspecified dementia, severe, with anxiety 51 125 Yes Yes F01C0 Vascular dementia, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety 52 125 Yes Yes F02C0 Dementia in other diseases classified elsewhere, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and an 52 125 Yes Yes F03C0 Unspecified dementia, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety 52 125 Yes Yes F01B11 Vascular dementia, moderate, with agitation 51 126 Yes Yes F01B18 Vascular dementia, moderate, with other behavioral disturbance 51 126 Yes Yes F01B2 Vascular dementia, moderate, with psychotic disturbance 51 126 Yes Yes F01B3 Vascular dementia, moderate, with mood disturbance 51 126 Yes Yes F01B4 Vascular dementia, moderate, with anxiety 51 126 Yes Yes F02B11 Dementia in other diseases classified elsewhere, moderate, with agitation 51 126 Yes Yes F02B18 Dementia in other diseases classified elsewhere, moderate, with other behavioral disturbance 51 126 Yes Yes F02B2 Dementia in other diseases classified elsewhere, moderate, with psychotic disturbance 51 126 Yes Yes F02B3 Dementia in other diseases classified elsewhere, moderate, with mood disturbance 51 126 Yes Yes F02B4 Dementia in other diseases classified elsewhere, moderate, with anxiety 51 126 Yes Yes F03B11 Unspecified dementia, moderate, with agitation 51 126 Yes Yes F03B18 Unspecified dementia, moderate, with other behavioral disturbance 51 126 Yes Yes F03B2 Unspecified dementia, moderate, with psychotic disturbance 51 126 Yes Yes F03B3 Unspecified dementia, moderate, with mood disturbance 51 126 Yes Yes F03B4 Unspecified dementia, moderate, with anxiety 51 126 Yes Yes F01B0 Vascular dementia, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety 52 126 Yes Yes F02B0 Dementia in other diseases classified elsewhere, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and 52 126 Yes Yes F03B0 Unspecified dementia, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety 52 126 Yes Yes F0151 Vascular dementia with behavioral disturbance 51 127 Yes Yes F01511 Vascular dementia, unspecified severity, with agitation 51 127 Yes Yes F01518 Vascular dementia, unspecified severity, with other behavioral disturbance 51 127 Yes Yes F0152 Vascular dementia, unspecified severity, with psychotic disturbance 51 127 Yes Yes F0153 Vascular dementia, unspecified severity, with mood disturbance 51 127 Yes Yes F0154 Vascular dementia, unspecified severity, with anxiety 51 127 Yes Yes F01A11 Vascular dementia, mild, with agitation 51 127 Yes Yes F01A18 Vascular dementia, mild, with other behavioral disturbance 51 127 Yes Yes F01A2 Vascular dementia, mild, with psychotic disturbance 51 127 Yes Yes F01A3 Vascular dementia, mild, with mood disturbance 51 127 Yes Yes F01A4 Vascular dementia, mild, with anxiety 51 127 Yes Yes F0281 Dementia in other diseases classified elsewhere with behavioral disturbance 51 127 Yes Yes F02811 Dementia in other diseases classified elsewhere, unspecified severity, with agitation 51 127 Yes Yes F02818 Dementia in other diseases classified elsewhere, unspecified severity, with other behavioral disturbance 51 127 Yes Yes F0282 Dementia in other diseases classified elsewhere, unspecified severity, with psychotic disturbance 51 127 Yes Yes F0283 Dementia in other diseases classified elsewhere, unspecified severity, with mood disturbance 51 127 Yes Yes F0284 Dementia in other diseases classified elsewhere, unspecified severity, with anxiety 51 127 Yes Yes F02A11 Dementia in other diseases classified elsewhere, mild, with agitation 51 127 Yes Yes F02A18 Dementia in other diseases classified elsewhere, mild, with other behavioral disturbance 51 127 Yes Yes F02A2 Dementia in other diseases classified elsewhere, mild, with psychotic disturbance 51 127 Yes Yes F02A3 Dementia in other diseases classified elsewhere, mild, with mood disturbance 51 127 Yes Yes F02A4 Dementia in other diseases classified elsewhere, mild, with anxiety 51 127 Yes Yes F0391 Unspecified dementia with behavioral disturbance 51 127 Yes Yes F03911 Unspecified dementia, unspecified severity, with agitation 51 127 Yes Yes F03918 Unspecified dementia, unspecified severity, with other behavioral disturbance 51 127 Yes Yes F0392 Unspecified dementia, unspecified severity, with psychotic disturbance 51 127 Yes Yes F0393 Unspecified dementia, unspecified severity, with mood disturbance 51 127 Yes Yes F0394 Unspecified dementia, unspecified severity, with anxiety 51 127 Yes Yes F03A11 Unspecified dementia, mild, with agitation 51 127 Yes Yes F03A18 Unspecified dementia, mild, with other behavioral disturbance 51 127 Yes Yes F03A2 Unspecified dementia, mild, with psychotic disturbance 51 127 Yes Yes F03A3 Unspecified dementia, mild, with mood disturbance 51 127 Yes Yes F03A4 Unspecified dementia, mild, with anxiety 51 127 Yes Yes G910 Communicating hydrocephalus 51 127 Yes Yes G911 Obstructive hydrocephalus 51 127 Yes Yes G912 (Idiopathic) normal pressure hydrocephalus 51 127 Yes Yes G913 Post-traumatic hydrocephalus, unspecified 51 127 Yes Yes G914 Hydrocephalus in diseases classified elsewhere 51 127 Yes Yes G918 Other hydrocephalus 51 127 Yes Yes

G919 Hydrocephalus, unspecified 51 127 Yes Yes A8100 Creutzfeldt-Jakob disease, unspecified 52 127 Yes Yes A8101 Variant Creutzfeldt-Jakob disease 52 127 Yes Yes A8109 Other Creutzfeldt-Jakob disease 52 127 Yes Yes A811 Subacute sclerosing panencephalitis 52 127 Yes Yes A812 Progressive multifocal leukoencephalopathy 52 127 Yes Yes A8181 Kuru 52 127 Yes Yes A8182 Gerstmann-Straussler-Scheinker syndrome 52 127 Yes Yes A8183 Fatal familial insomnia 52 127 Yes Yes A8189 Other atypical virus infections of central nervous system 52 127 Yes Yes A819 Atypical virus infection of central nervous system, unspecified 52 127 Yes Yes F0150 Vascular dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety 52 127 Yes Yes F01A0 Vascular dementia, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety 52 127 Yes Yes F0280 Dementia in other diseases classified elsewhere, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturb 52 127 Yes Yes F02A0 Dementia in other diseases classified elsewhere, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxie 52 127 Yes Yes F0390 Unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety 52 127 Yes Yes F03A0 Unspecified dementia, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety 52 127 Yes Yes G300 Alzheimer's disease with early onset 52 127 Yes Yes G301 Alzheimer's disease with late onset 52 127 Yes Yes G308 Other Alzheimer's disease 52 127 Yes Yes G309 Alzheimer's disease, unspecified 52 127 Yes Yes G3101 Pick's disease 52 127 Yes Yes G3109 Other frontotemporal neurocognitive disorder 52 127 Yes Yes G3181 Alpers disease 52 127 Yes Yes G3182 Leigh's disease 52 127 Yes Yes G3183 Neurocognitive disorder with Lewy bodies 52 127 Yes Yes G937 Reye's syndrome 52 127 Yes Yes I673 Progressive vascular leukoencephalopathy 52 127 Yes Yes E7500 GM2 gangliosidosis, unspecified 52 Yes No E7501 Sandhoff disease 52 Yes No E7502 Tay-Sachs disease 52 Yes No E7509 Other GM2 gangliosidosis 52 Yes No E7510 Unspecified gangliosidosis 52 Yes No E7511 Mucolipidosis IV 52 Yes No E7519 Other gangliosidosis 52 Yes No E7523 Krabbe disease 52 Yes No E7525 Metachromatic leukodystrophy 52 Yes No E7526 Sulfatase deficiency 52 Yes No E7529 Other sphingolipidosis 52 Yes No E754 Neuronal ceroid lipofuscinosis 52 Yes No F04 Amnestic disorder due to known physiological condition 52 Yes No G132 Systemic atrophy primarily affecting the central nervous system in myxedema 52 Yes No G138 Systemic atrophy primarily affecting central nervous system in other diseases classified elsewhere 52 Yes No G311 Senile degeneration of brain, not elsewhere classified 52 Yes No G312 Degeneration of nervous system due to alcohol 52 Yes No G3185 Corticobasal degeneration 52 Yes No G3189 Other specified degenerative diseases of nervous system 52 Yes No G319 Degenerative disease of nervous system, unspecified 52 Yes No

Substance Use Disorder Disease Group V24 V28 Substance Use Disorder Disease Group: 3 HCCs • HCC 54 (Substance Use with Psychotic Complications) • HCC 55 (Substance Use Disorder, Moderate/Severe, or Substance Use with Complications) • HCC 56 (Substance Use Disorder, Mild, Except Alcohol and Cannabis) Substance Use Disorder Disease Group: 5 HCCs • HCC 135 (Drug Use with Psychotic Complications) • HCC 136 (Alcohol Use with Psychotic Complications) • HCC 137 (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications) • HCC 138 (Drug Use Disorder, Mild, Uncomplicated, Except Cannabis) • HCC 139 (Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications)

ICD 10 Desccriptor V24 V28 V24 V28 F11150 Opioid abuse with opioid-induced psychotic disorder with delusions 54 135 Yes Yes F11151 Opioid abuse with opioid-induced psychotic disorder with hallucinations 54 135 Yes Yes F11159 Opioid abuse with opioid-induced psychotic disorder, unspecified 54 135 Yes Yes F11250 Opioid dependence with opioid-induced psychotic disorder with delusions 54 135 Yes Yes F11251 Opioid dependence with opioid-induced psychotic disorder with hallucinations 54 135 Yes Yes F11259 Opioid dependence with opioid-induced psychotic disorder, unspecified 54 135 Yes Yes F11950 Opioid use, unspecified with opioid-induced psychotic disorder with delusions 54 135 Yes Yes F11951 Opioid use, unspecified with opioid-induced psychotic disorder with hallucinations 54 135 Yes Yes F11959 Opioid use, unspecified with opioid-induced psychotic disorder, unspecified 54 135 Yes Yes F12150 Cannabis abuse with psychotic disorder with delusions 54 135 Yes Yes F12151 Cannabis abuse with psychotic disorder with hallucinations 54 135 Yes Yes F12159 Cannabis abuse with psychotic disorder, unspecified 54 135 Yes Yes F12250 Cannabis dependence with psychotic disorder with delusions 54 135 Yes Yes F12251 Cannabis dependence with psychotic disorder with hallucinations 54 135 Yes Yes F12259 Cannabis dependence with psychotic disorder, unspecified 54 135 Yes Yes F12950 Cannabis use, unspecified with psychotic disorder with delusions 54 135 Yes Yes F12951 Cannabis use, unspecified with psychotic disorder with hallucinations 54 135 Yes Yes F12959 Cannabis use, unspecified with psychotic disorder, unspecified 54 135 Yes Yes F13131 Sedative, hypnotic or anxiolytic abuse with withdrawal delirium 54 135 Yes Yes F13132 Sedative, hypnotic or anxiolytic abuse with withdrawal with perceptual disturbance 54 135 Yes Yes F13150 Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions 54 135 Yes Yes F13151 Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations 54 135 Yes Yes F13159 Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecified 54 135 Yes Yes F13231 Sedative, hypnotic or anxiolytic dependence with withdrawal delirium 54 135 Yes Yes F13232 Sedative, hypnotic or anxiolytic dependence with withdrawal with perceptual disturbance 54 135 Yes Yes F13250 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions 54 135 Yes Yes F13251 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations 54 135 Yes Yes F13259 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecified 54 135 Yes Yes F1326 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced persisting amnestic disorder 54 135 Yes Yes F1327 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced persisting dementia 54 135 Yes Yes F13931 Sedative, hypnotic or anxiolytic use, unspecified with withdrawal delirium 54 135 Yes Yes F13932 Sedative, hypnotic or anxiolytic use, unspecified with withdrawal with perceptual disturbances 54 135 Yes Yes F13950 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions 54 135 Yes Yes F13951 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations 54 135 Yes Yes F13959 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecified 54 135 Yes Yes F1396 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced persisting amnestic disorder 54 135 Yes Yes F1397 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced persisting dementia 54 135 Yes Yes F14150 Cocaine abuse with cocaine-induced psychotic disorder with delusions 54 135 Yes Yes F14151 Cocaine abuse with cocaine-induced psychotic disorder with hallucinations 54 135 Yes Yes F14159 Cocaine abuse with cocaine-induced psychotic disorder, unspecified 54 135 Yes Yes F14250 Cocaine dependence with cocaine-induced psychotic disorder with delusions 54 135 Yes Yes F14251 Cocaine dependence with cocaine-induced psychotic disorder with hallucinations 54 135 Yes Yes F14259 Cocaine dependence with cocaine-induced psychotic disorder, unspecified 54 135 Yes Yes F14950 Cocaine use, unspecified with cocaine-induced psychotic disorder with delusions 54 135 Yes Yes F14951 Cocaine use, unspecified with cocaine-induced psychotic disorder with hallucinations 54 135 Yes Yes F14959 Cocaine use, unspecified with cocaine-induced psychotic disorder, unspecified 54 135 Yes Yes F15150 Other stimulant abuse with stimulant-induced psychotic disorder with delusions 54 135 Yes Yes F15151 Other stimulant abuse with stimulant-induced psychotic disorder with hallucinations 54 135 Yes Yes F15159 Other stimulant abuse with stimulant-induced psychotic disorder, unspecified 54 135 Yes Yes F15250 Other stimulant dependence with stimulant-induced psychotic disorder with delusions 54 135 Yes Yes F15251 Other stimulant dependence with stimulant-induced psychotic disorder with hallucinations 54 135 Yes Yes F15259 Other stimulant dependence with stimulant-induced psychotic disorder, unspecified 54 135 Yes Yes F15950 Other stimulant use, unspecified with stimulant-induced psychotic disorder with delusions 54 135 Yes Yes F15951 Other stimulant use, unspecified with stimulant-induced psychotic disorder with hallucinations 54 135 Yes Yes F15959 Other stimulant use, unspecified with stimulant-induced psychotic disorder, unspecified 54 135 Yes Yes F16150 Hallucinogen abuse with hallucinogen-induced psychotic disorder with delusions 54 135 Yes Yes F16151 Hallucinogen abuse with hallucinogen-induced psychotic disorder with hallucinations 54 135 Yes Yes F16159 Hallucinogen abuse with hallucinogen-induced psychotic disorder, unspecified 54 135 Yes Yes F16250 Hallucinogen dependence with hallucinogen-induced psychotic disorder with delusions 54 135 Yes Yes F16251 Hallucinogen dependence with hallucinogen-induced psychotic disorder with hallucinations 54 135 Yes Yes F16259 Hallucinogen dependence with hallucinogen-induced psychotic disorder, unspecified 54 135 Yes Yes F16950 Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder with delusions 54 135 Yes Yes F16951 Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder with hallucinations 54 135 Yes Yes F16959 Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder, unspecified 54 135 Yes Yes F18150 Inhalant abuse with inhalant-induced psychotic disorder with delusions 54 135 Yes Yes F18151 Inhalant abuse with inhalant-induced psychotic disorder with hallucinations 54 135 Yes Yes F18159 Inhalant abuse with inhalant-induced psychotic disorder, unspecified 54 135 Yes Yes F1817 Inhalant abuse with inhalant-induced dementia 54 135 Yes Yes F18250 Inhalant dependence with inhalant-induced psychotic disorder with delusions 54 135 Yes Yes F18251 Inhalant dependence with inhalant-induced psychotic disorder with hallucinations 54 135 Yes Yes F18259 Inhalant dependence with inhalant-induced psychotic disorder, unspecified 54 135 Yes Yes F1827 Inhalant dependence with inhalant-induced dementia 54 135 Yes Yes F18950 Inhalant use, unspecified with inhalant-induced psychotic disorder with delusions 54 135 Yes Yes F18951 Inhalant use, unspecified with inhalant-induced psychotic disorder with hallucinations 54 135 Yes Yes

F18959 Inhalant use, unspecified with inhalant-induced psychotic disorder, unspecified 54 135 Yes Yes F1897 Inhalant use, unspecified with inhalant-induced persisting dementia 54 135 Yes Yes F19131 Other psychoactive substance abuse with withdrawal delirium 54 135 Yes Yes F19132 Other psychoactive substance abuse with withdrawal with perceptual disturbance 54 135 Yes Yes F19150 Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder with delusions 54 135 Yes Yes F19151 Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder with hallucinations 54 135 Yes Yes F19159 Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder, unspecified 54 135 Yes Yes F1916 Other psychoactive substance abuse with psychoactive substance-induced persisting amnestic disorder 54 135 Yes Yes F1917 Other psychoactive substance abuse with psychoactive substance-induced persisting dementia 54 135 Yes Yes F19231 Other psychoactive substance dependence with withdrawal delirium 54 135 Yes Yes F19232 Other psychoactive substance dependence with withdrawal with perceptual disturbance 54 135 Yes Yes F19250 Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder with delusions 54 135 Yes Yes F19251 Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder with hallucinations 54 135 Yes Yes F19259 Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder, unspecified 54 135 Yes Yes F1926 Other psychoactive substance dependence with psychoactive substance-induced persisting amnestic disorder 54 135 Yes Yes F1927 Other psychoactive substance dependence with psychoactive substance-induced persisting dementia 54 135 Yes Yes F19931 Other psychoactive substance use, unspecified with withdrawal delirium 54 135 Yes Yes F19932 Other psychoactive substance use, unspecified with withdrawal with perceptual disturbance 54 135 Yes Yes F19950 Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder with delusions 54 135 Yes Yes F19951 Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder with hallucinations 54 135 Yes Yes F19959 Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder, unspecified 54 135 Yes Yes F1996 Other psychoactive substance use, unspecified with psychoactive substance-induced persisting amnestic disorder 54 135 Yes Yes F1997 Other psychoactive substance use, unspecified with psychoactive substance-induced persisting dementia 54 135 Yes Yes F10131 Alcohol abuse with withdrawal delirium 54 136 Yes Yes F10132 Alcohol abuse with withdrawal with perceptual disturbance 54 136 Yes Yes F10150 Alcohol abuse with alcohol-induced psychotic disorder with delusions 54 136 Yes Yes F10151 Alcohol abuse with alcohol-induced psychotic disorder with hallucinations 54 136 Yes Yes F10159 Alcohol abuse with alcohol-induced psychotic disorder, unspecified 54 136 Yes Yes F10231 Alcohol dependence with withdrawal delirium 54 136 Yes Yes F10232 Alcohol dependence with withdrawal with perceptual disturbance 54 136 Yes Yes F10250 Alcohol dependence with alcohol-induced psychotic disorder with delusions 54 136 Yes Yes F10251 Alcohol dependence with alcohol-induced psychotic disorder with hallucinations 54 136 Yes Yes F10259 Alcohol dependence with alcohol-induced psychotic disorder, unspecified 54 136 Yes Yes F1026 Alcohol dependence with alcohol-induced persisting amnestic disorder 54 136 Yes Yes F1027 Alcohol dependence with alcohol-induced persisting dementia 54 136 Yes Yes F10931 Alcohol use, unspecified with withdrawal delirium 54 136 Yes Yes F10932 Alcohol use, unspecified with withdrawal with perceptual disturbance 54 136 Yes Yes F10950 Alcohol use, unspecified with alcohol-induced psychotic disorder with delusions 54 136 Yes Yes F10951 Alcohol use, unspecified with alcohol-induced psychotic disorder with hallucinations 54 136 Yes Yes F10959 Alcohol use, unspecified with alcohol-induced psychotic disorder, unspecified 54 136 Yes Yes F1096 Alcohol use, unspecified with alcohol-induced persisting amnestic disorder 54 136 Yes Yes F1097 Alcohol use, unspecified with alcohol-induced persisting dementia 54 136 Yes Yes F11120 Opioid abuse with intoxication, uncomplicated 55 137 Yes Yes F11121 Opioid abuse with intoxication delirium 55 137 Yes Yes F11122 Opioid abuse with intoxication with perceptual disturbance 55 137 Yes Yes F11129 Opioid abuse with intoxication, unspecified 55 137 Yes Yes F1113 Opioid abuse with withdrawal 55 137 Yes Yes F1114 Opioid abuse with opioid-induced mood disorder 55 137 Yes Yes F11181 Opioid abuse with opioid-induced sexual dysfunction 55 137 Yes Yes F11182 Opioid abuse with opioid-induced sleep disorder 55 137 Yes Yes F11188 Opioid abuse with other opioid-induced disorder 55 137 Yes Yes F1119 Opioid abuse with unspecified opioid-induced disorder 55 137 Yes Yes F1120 Opioid dependence, uncomplicated 55 137 Yes Yes F1121 Opioid dependence, in remission 55 137 Yes Yes F11220 Opioid dependence with intoxication, uncomplicated 55 137 Yes Yes F11221 Opioid dependence with intoxication delirium 55 137 Yes Yes F11222 Opioid dependence with intoxication with perceptual disturbance 55 137 Yes Yes F11229 Opioid dependence with intoxication, unspecified 55 137 Yes Yes F1123 Opioid dependence with withdrawal 55 137 Yes Yes F1124 Opioid dependence with opioid-induced mood disorder 55 137 Yes Yes F11281 Opioid dependence with opioid-induced sexual dysfunction 55 137 Yes Yes F11282 Opioid dependence with opioid-induced sleep disorder 55 137 Yes Yes F11288 Opioid dependence with other opioid-induced disorder 55 137 Yes Yes F1129 Opioid dependence with unspecified opioid-induced disorder 55 137 Yes Yes F11920 Opioid use, unspecified with intoxication, uncomplicated 55 137 Yes Yes F11921 Opioid use, unspecified with intoxication delirium 55 137 Yes Yes F11922 Opioid use, unspecified with intoxication with perceptual disturbance 55 137 Yes Yes F11929 Opioid use, unspecified with intoxication, unspecified 55 137 Yes Yes F1193 Opioid use, unspecified with withdrawal 55 137 Yes Yes F1194 Opioid use, unspecified with opioid-induced mood disorder 55 137 Yes Yes F11981 Opioid use, unspecified with opioid-induced sexual dysfunction 55 137 Yes Yes F11982 Opioid use, unspecified with opioid-induced sleep disorder 55 137 Yes Yes F11988 Opioid use, unspecified with other opioid-induced disorder 55 137 Yes Yes F1199 Opioid use, unspecified with unspecified opioid-induced disorder 55 137 Yes Yes F1213 Cannabis abuse with withdrawal 55 137 Yes Yes F12180 Cannabis abuse with cannabis-induced anxiety disorder 55 137 Yes Yes

F12188 Cannabis abuse with other cannabis-induced disorder 55 137 Yes Yes F1220 Cannabis dependence, uncomplicated 55 137 Yes Yes F1221 Cannabis dependence, in remission 55 137 Yes Yes F12220 Cannabis dependence with intoxication, uncomplicated 55 137 Yes Yes F12221 Cannabis dependence with intoxication delirium 55 137 Yes Yes F12222 Cannabis dependence with intoxication with perceptual disturbance 55 137 Yes Yes F12229 Cannabis dependence with intoxication, unspecified 55 137 Yes Yes F1223 Cannabis dependence with withdrawal 55 137 Yes Yes F12280 Cannabis dependence with cannabis-induced anxiety disorder 55 137 Yes Yes F12288 Cannabis dependence with other cannabis-induced disorder 55 137 Yes Yes F1229 Cannabis dependence with unspecified cannabis-induced disorder 55 137 Yes Yes F1293 Cannabis use, unspecified with withdrawal 55 137 Yes Yes F12980 Cannabis use, unspecified with anxiety disorder 55 137 Yes Yes F12988 Cannabis use, unspecified with other cannabis-induced disorder 55 137 Yes Yes F13120 Sedative, hypnotic or anxiolytic abuse with intoxication, uncomplicated 55 137 Yes Yes F13121 Sedative, hypnotic or anxiolytic abuse with intoxication delirium 55 137 Yes Yes F13129 Sedative, hypnotic or anxiolytic abuse with intoxication, unspecified 55 137 Yes Yes F13130 Sedative, hypnotic or anxiolytic abuse with withdrawal, uncomplicated 55 137 Yes Yes F13139 Sedative, hypnotic or anxiolytic abuse with withdrawal, unspecified 55 137 Yes Yes F1314 Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced mood disorder 55 137 Yes Yes F13180 Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced anxiety disorder 55 137 Yes Yes F13181 Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced sexual dysfunction 55 137 Yes Yes F13182 Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced sleep disorder 55 137 Yes Yes F13188 Sedative, hypnotic or anxiolytic abuse with other sedative, hypnotic or anxiolytic-induced disorder 55 137 Yes Yes F1319 Sedative, hypnotic or anxiolytic abuse with unspecified sedative, hypnotic or anxiolytic-induced disorder 55 137 Yes Yes F1320 Sedative, hypnotic or anxiolytic dependence, uncomplicated 55 137 Yes Yes F1321 Sedative, hypnotic or anxiolytic dependence, in remission 55 137 Yes Yes F13220 Sedative, hypnotic or anxiolytic dependence with intoxication, uncomplicated 55 137 Yes Yes F13221 Sedative, hypnotic or anxiolytic dependence with intoxication delirium 55 137 Yes Yes F13229 Sedative, hypnotic or anxiolytic dependence with intoxication, unspecified 55 137 Yes Yes F13230 Sedative, hypnotic or anxiolytic dependence with withdrawal, uncomplicated 55 137 Yes Yes F13239 Sedative, hypnotic or anxiolytic dependence with withdrawal, unspecified 55 137 Yes Yes F1324 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced mood disorder 55 137 Yes Yes F13280 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced anxiety disorder 55 137 Yes Yes F13281 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sexual dysfunction 55 137 Yes Yes F13282 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sleep disorder 55 137 Yes Yes F13288 Sedative, hypnotic or anxiolytic dependence with other sedative, hypnotic or anxiolytic-induced disorder 55 137 Yes Yes F1329 Sedative, hypnotic or anxiolytic dependence with unspecified sedative, hypnotic or anxiolytic-induced disorder 55 137 Yes Yes F13920 Sedative, hypnotic or anxiolytic use, unspecified with intoxication, uncomplicated 55 137 Yes Yes F13921 Sedative, hypnotic or anxiolytic use, unspecified with intoxication delirium 55 137 Yes Yes F13929 Sedative, hypnotic or anxiolytic use, unspecified with intoxication, unspecified 55 137 Yes Yes F13930 Sedative, hypnotic or anxiolytic use, unspecified with withdrawal, uncomplicated 55 137 Yes Yes F13939 Sedative, hypnotic or anxiolytic use, unspecified with withdrawal, unspecified 55 137 Yes Yes F1394 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced mood disorder 55 137 Yes Yes F13980 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced anxiety disorder 55 137 Yes Yes F13981 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced sexual dysfunction 55 137 Yes Yes F13982 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced sleep disorder 55 137 Yes Yes F13988 Sedative, hypnotic or anxiolytic use, unspecified with other sedative, hypnotic or anxiolytic-induced disorder 55 137 Yes Yes F1399 Sedative, hypnotic or anxiolytic use, unspecified with unspecified sedative, hypnotic or anxiolytic-induced disorder 55 137 Yes Yes F14120 Cocaine abuse with intoxication, uncomplicated 55 137 Yes Yes F14121 Cocaine abuse with intoxication with delirium 55 137 Yes Yes F14122 Cocaine abuse with intoxication with perceptual disturbance 55 137 Yes Yes F14129 Cocaine abuse with intoxication, unspecified 55 137 Yes Yes F1413 Cocaine abuse, unspecified with withdrawal 55 137 Yes Yes F1414 Cocaine abuse with cocaine-induced mood disorder 55 137 Yes Yes F14180 Cocaine abuse with cocaine-induced anxiety disorder 55 137 Yes Yes F14181 Cocaine abuse with cocaine-induced sexual dysfunction 55 137 Yes Yes F14182 Cocaine abuse with cocaine-induced sleep disorder 55 137 Yes Yes F14188 Cocaine abuse with other cocaine-induced disorder 55 137 Yes Yes F1419 Cocaine abuse with unspecified cocaine-induced disorder 55 137 Yes Yes F1420 Cocaine dependence, uncomplicated 55 137 Yes Yes F1421 Cocaine dependence, in remission 55 137 Yes Yes F14220 Cocaine dependence with intoxication, uncomplicated 55 137 Yes Yes F14221 Cocaine dependence with intoxication delirium 55 137 Yes Yes F14222 Cocaine dependence with intoxication with perceptual disturbance 55 137 Yes Yes F14229 Cocaine dependence with intoxication, unspecified 55 137 Yes Yes F1423 Cocaine dependence with withdrawal 55 137 Yes Yes F1424 Cocaine dependence with cocaine-induced mood disorder 55 137 Yes Yes F14280 Cocaine dependence with cocaine-induced anxiety disorder 55 137 Yes Yes F14281 Cocaine dependence with cocaine-induced sexual dysfunction 55 137 Yes Yes F14282 Cocaine dependence with cocaine-induced sleep disorder 55 137 Yes Yes F14288 Cocaine dependence with other cocaine-induced disorder 55 137 Yes Yes F1429 Cocaine dependence with unspecified cocaine-induced disorder 55 137 Yes Yes F14920 Cocaine use, unspecified with intoxication, uncomplicated 55 137 Yes Yes F14921 Cocaine use, unspecified with intoxication delirium 55 137 Yes Yes F14922 Cocaine use, unspecified with intoxication with perceptual disturbance 55 137 Yes Yes

F14929 Cocaine use, unspecified with intoxication, unspecified 55 137 Yes Yes F1493 Cocaine use, unspecified with withdrawal 55 137 Yes Yes F1494 Cocaine use, unspecified with cocaine-induced mood disorder 55 137 Yes Yes F14980 Cocaine use, unspecified with cocaine-induced anxiety disorder 55 137 Yes Yes F14981 Cocaine use, unspecified with cocaine-induced sexual dysfunction 55 137 Yes Yes F14982 Cocaine use, unspecified with cocaine-induced sleep disorder 55 137 Yes Yes F14988 Cocaine use, unspecified with other cocaine-induced disorder 55 137 Yes Yes F1499 Cocaine use, unspecified with unspecified cocaine-induced disorder 55 137 Yes Yes F15120 Other stimulant abuse with intoxication, uncomplicated 55 137 Yes Yes F15121 Other stimulant abuse with intoxication delirium 55 137 Yes Yes F15122 Other stimulant abuse with intoxication with perceptual disturbance 55 137 Yes Yes F15129 Other stimulant abuse with intoxication, unspecified 55 137 Yes Yes F1513 Other stimulant abuse with withdrawal 55 137 Yes Yes F1514 Other stimulant abuse with stimulant-induced mood disorder 55 137 Yes Yes F15180 Other stimulant abuse with stimulant-induced anxiety disorder 55 137 Yes Yes F15181 Other stimulant abuse with stimulant-induced sexual dysfunction 55 137 Yes Yes F15182 Other stimulant abuse with stimulant-induced sleep disorder 55 137 Yes Yes F15188 Other stimulant abuse with other stimulant-induced disorder 55 137 Yes Yes F1519 Other stimulant abuse with unspecified stimulant-induced disorder 55 137 Yes Yes F1520 Other stimulant dependence, uncomplicated 55 137 Yes Yes F1521 Other stimulant dependence, in remission 55 137 Yes Yes F15220 Other stimulant dependence with intoxication, uncomplicated 55 137 Yes Yes F15221 Other stimulant dependence with intoxication delirium 55 137 Yes Yes F15222 Other stimulant dependence with intoxication with perceptual disturbance 55 137 Yes Yes F15229 Other stimulant dependence with intoxication, unspecified 55 137 Yes Yes F1523 Other stimulant dependence with withdrawal 55 137 Yes Yes F1524 Other stimulant dependence with stimulant-induced mood disorder 55 137 Yes Yes F15280 Other stimulant dependence with stimulant-induced anxiety disorder 55 137 Yes Yes F15281 Other stimulant dependence with stimulant-induced sexual dysfunction 55 137 Yes Yes F15282 Other stimulant dependence with stimulant-induced sleep disorder 55 137 Yes Yes F15288 Other stimulant dependence with other stimulant-induced disorder 55 137 Yes Yes F1529 Other stimulant dependence with unspecified stimulant-induced disorder 55 137 Yes Yes F15920 Other stimulant use, unspecified with intoxication, uncomplicated 55 137 Yes Yes F15921 Other stimulant use, unspecified with intoxication delirium 55 137 Yes Yes F15922 Other stimulant use, unspecified with intoxication with perceptual disturbance 55 137 Yes Yes F15929 Other stimulant use, unspecified with intoxication, unspecified 55 137 Yes Yes F1593 Other stimulant use, unspecified with withdrawal 55 137 Yes Yes F1594 Other stimulant use, unspecified with stimulant-induced mood disorder 55 137 Yes Yes F15980 Other stimulant use, unspecified with stimulant-induced anxiety disorder 55 137 Yes Yes F15981 Other stimulant use, unspecified with stimulant-induced sexual dysfunction 55 137 Yes Yes F15982 Other stimulant use, unspecified with stimulant-induced sleep disorder 55 137 Yes Yes F15988 Other stimulant use, unspecified with other stimulant-induced disorder 55 137 Yes Yes F1599 Other stimulant use, unspecified with unspecified stimulant-induced disorder 55 137 Yes Yes F16120 Hallucinogen abuse with intoxication, uncomplicated 55 137 Yes Yes F16121 Hallucinogen abuse with intoxication with delirium 55 137 Yes Yes F16122 Hallucinogen abuse with intoxication with perceptual disturbance 55 137 Yes Yes F16129 Hallucinogen abuse with intoxication, unspecified 55 137 Yes Yes F1614 Hallucinogen abuse with hallucinogen-induced mood disorder 55 137 Yes Yes F16180 Hallucinogen abuse with hallucinogen-induced anxiety disorder 55 137 Yes Yes F16183 Hallucinogen abuse with hallucinogen persisting perception disorder (flashbacks) 55 137 Yes Yes F16188 Hallucinogen abuse with other hallucinogen-induced disorder 55 137 Yes Yes F1619 Hallucinogen abuse with unspecified hallucinogen-induced disorder 55 137 Yes Yes F1620 Hallucinogen dependence, uncomplicated 55 137 Yes Yes F1621 Hallucinogen dependence, in remission 55 137 Yes Yes F16220 Hallucinogen dependence with intoxication, uncomplicated 55 137 Yes Yes F16221 Hallucinogen dependence with intoxication with delirium 55 137 Yes Yes F16229 Hallucinogen dependence with intoxication, unspecified 55 137 Yes Yes F1624 Hallucinogen dependence with hallucinogen-induced mood disorder 55 137 Yes Yes F16280 Hallucinogen dependence with hallucinogen-induced anxiety disorder 55 137 Yes Yes F16283 Hallucinogen dependence with hallucinogen persisting perception disorder (flashbacks) 55 137 Yes Yes F16288 Hallucinogen dependence with other hallucinogen-induced disorder 55 137 Yes Yes F1629 Hallucinogen dependence with unspecified hallucinogen-induced disorder 55 137 Yes Yes F16920 Hallucinogen use, unspecified with intoxication, uncomplicated 55 137 Yes Yes F16921 Hallucinogen use, unspecified with intoxication with delirium 55 137 Yes Yes F16929 Hallucinogen use, unspecified with intoxication, unspecified 55 137 Yes Yes F1694 Hallucinogen use, unspecified with hallucinogen-induced mood disorder 55 137 Yes Yes F16980 Hallucinogen use, unspecified with hallucinogen-induced anxiety disorder 55 137 Yes Yes F16983 Hallucinogen use, unspecified with hallucinogen persisting perception disorder (flashbacks) 55 137 Yes Yes F16988 Hallucinogen use, unspecified with other hallucinogen-induced disorder 55 137 Yes Yes F1699 Hallucinogen use, unspecified with unspecified hallucinogen-induced disorder 55 137 Yes Yes F18120 Inhalant abuse with intoxication, uncomplicated 55 137 Yes Yes F18121 Inhalant abuse with intoxication delirium 55 137 Yes Yes F18129 Inhalant abuse with intoxication, unspecified 55 137 Yes Yes F1814 Inhalant abuse with inhalant-induced mood disorder 55 137 Yes Yes F18180 Inhalant abuse with inhalant-induced anxiety disorder 55 137 Yes Yes F18188 Inhalant abuse with other inhalant-induced disorder 55 137 Yes Yes

F1819 Inhalant abuse with unspecified inhalant-induced disorder 55 137 Yes Yes F1820 Inhalant dependence, uncomplicated 55 137 Yes Yes F1821 Inhalant dependence, in remission 55 137 Yes Yes F18220 Inhalant dependence with intoxication, uncomplicated 55 137 Yes Yes F18221 Inhalant dependence with intoxication delirium 55 137 Yes Yes F18229 Inhalant dependence with intoxication, unspecified 55 137 Yes Yes F1824 Inhalant dependence with inhalant-induced mood disorder 55 137 Yes Yes F18280 Inhalant dependence with inhalant-induced anxiety disorder 55 137 Yes Yes F18288 Inhalant dependence with other inhalant-induced disorder 55 137 Yes Yes F1829 Inhalant dependence with unspecified inhalant-induced disorder 55 137 Yes Yes F18920 Inhalant use, unspecified with intoxication, uncomplicated 55 137 Yes Yes F18921 Inhalant use, unspecified with intoxication with delirium 55 137 Yes Yes F18929 Inhalant use, unspecified with intoxication, unspecified 55 137 Yes Yes F1894 Inhalant use, unspecified with inhalant-induced mood disorder 55 137 Yes Yes F18980 Inhalant use, unspecified with inhalant-induced anxiety disorder 55 137 Yes Yes F18988 Inhalant use, unspecified with other inhalant-induced disorder 55 137 Yes Yes F1899 Inhalant use, unspecified with unspecified inhalant-induced disorder 55 137 Yes Yes F19120 Other psychoactive substance abuse with intoxication, uncomplicated 55 137 Yes Yes F19121 Other psychoactive substance abuse with intoxication delirium 55 137 Yes Yes F19122 Other psychoactive substance abuse with intoxication with perceptual disturbances 55 137 Yes Yes F19129 Other psychoactive substance abuse with intoxication, unspecified 55 137 Yes Yes F19130 Other psychoactive substance abuse with withdrawal, uncomplicated 55 137 Yes Yes F19139 Other psychoactive substance abuse with withdrawal, unspecified 55 137 Yes Yes F1914 Other psychoactive substance abuse with psychoactive substance-induced mood disorder 55 137 Yes Yes F19180 Other psychoactive substance abuse with psychoactive substance-induced anxiety disorder 55 137 Yes Yes F19181 Other psychoactive substance abuse with psychoactive substance-induced sexual dysfunction 55 137 Yes Yes F19182 Other psychoactive substance abuse with psychoactive substance-induced sleep disorder 55 137 Yes Yes F19188 Other psychoactive substance abuse with other psychoactive substance-induced disorder 55 137 Yes Yes F1919 Other psychoactive substance abuse with unspecified psychoactive substance-induced disorder 55 137 Yes Yes F1920 Other psychoactive substance dependence, uncomplicated 55 137 Yes Yes F1921 Other psychoactive substance dependence, in remission 55 137 Yes Yes F19220 Other psychoactive substance dependence with intoxication, uncomplicated 55 137 Yes Yes F19221 Other psychoactive substance dependence with intoxication delirium 55 137 Yes Yes F19222 Other psychoactive substance dependence with intoxication with perceptual disturbance 55 137 Yes Yes F19229 Other psychoactive substance dependence with intoxication, unspecified 55 137 Yes Yes F19230 Other psychoactive substance dependence with withdrawal, uncomplicated 55 137 Yes Yes F19239 Other psychoactive substance dependence with withdrawal, unspecified 55 137 Yes Yes F1924 Other psychoactive substance dependence with psychoactive substance-induced mood disorder 55 137 Yes Yes F19280 Other psychoactive substance dependence with psychoactive substance-induced anxiety disorder 55 137 Yes Yes F19281 Other psychoactive substance dependence with psychoactive substance-induced sexual dysfunction 55 137 Yes Yes F19282 Other psychoactive substance dependence with psychoactive substance-induced sleep disorder 55 137 Yes Yes F19288 Other psychoactive substance dependence with other psychoactive substance-induced disorder 55 137 Yes Yes F1929 Other psychoactive substance dependence with unspecified psychoactive substance-induced disorder 55 137 Yes Yes F19920 Other psychoactive substance use, unspecified with intoxication, uncomplicated 55 137 Yes Yes F19921 Other psychoactive substance use, unspecified with intoxication with delirium 55 137 Yes Yes F19922 Other psychoactive substance use, unspecified with intoxication with perceptual disturbance 55 137 Yes Yes F19929 Other psychoactive substance use, unspecified with intoxication, unspecified 55 137 Yes Yes F19930 Other psychoactive substance use, unspecified with withdrawal, uncomplicated 55 137 Yes Yes F19939 Other psychoactive substance use, unspecified with withdrawal, unspecified 55 137 Yes Yes F1994 Other psychoactive substance use, unspecified with psychoactive substance-induced mood disorder 55 137 Yes Yes F19980 Other psychoactive substance use, unspecified with psychoactive substance-induced anxiety disorder 55 137 Yes Yes F19981 Other psychoactive substance use, unspecified with psychoactive substance-induced sexual dysfunction 55 137 Yes Yes F19982 Other psychoactive substance use, unspecified with psychoactive substance-induced sleep disorder 55 137 Yes Yes F19988 Other psychoactive substance use, unspecified with other psychoactive substance-induced disorder 55 137 Yes Yes F1999 Other psychoactive substance use, unspecified with unspecified psychoactive substance-induced disorder 55 137 Yes Yes T400X1A Poisoning by opium, accidental (unintentional), initial encounter 55 137 Yes Yes T400X4A Poisoning by opium, undetermined, initial encounter 55 137 Yes Yes T401X1A Poisoning by heroin, accidental (unintentional), initial encounter 55 137 Yes Yes T401X4A Poisoning by heroin, undetermined, initial encounter 55 137 Yes Yes T402X1A Poisoning by other opioids, accidental (unintentional), initial encounter 55 137 Yes Yes T402X4A Poisoning by other opioids, undetermined, initial encounter 55 137 Yes Yes T403X1A Poisoning by methadone, accidental (unintentional), initial encounter 55 137 Yes Yes T403X4A Poisoning by methadone, undetermined, initial encounter 55 137 Yes Yes T40411A Poisoning by fentanyl or fentanyl analogs, accidental (unintentional), initial encounter 55 137 Yes Yes T40414A Poisoning by fentanyl or fentanyl analogs, undetermined, initial encounter 55 137 Yes Yes T40421A Poisoning by tramadol, accidental (unintentional), initial encounter 55 137 Yes Yes T40424A Poisoning by tramadol, undetermined, initial encounter 55 137 Yes Yes T40491A Poisoning by other synthetic narcotics, accidental (unintentional), initial encounter 55 137 Yes Yes T40494A Poisoning by other synthetic narcotics, undetermined, initial encounter 55 137 Yes Yes T405X1A Poisoning by cocaine, accidental (unintentional), initial encounter 55 137 Yes Yes T405X4A Poisoning by cocaine, undetermined, initial encounter 55 137 Yes Yes T40601A Poisoning by unspecified narcotics, accidental (unintentional), initial encounter 55 137 Yes Yes T40604A Poisoning by unspecified narcotics, undetermined, initial encounter 55 137 Yes Yes T40691A Poisoning by other narcotics, accidental (unintentional), initial encounter 55 137 Yes Yes T40694A Poisoning by other narcotics, undetermined, initial encounter 55 137 Yes Yes T408X1A Poisoning by lysergide [LSD], accidental (unintentional), initial encounter 55 137 Yes Yes

T408X4A Poisoning by lysergide [LSD], undetermined, initial encounter 55 137 Yes Yes T40901A Poisoning by unspecified psychodysleptics [hallucinogens], accidental (unintentional), initial encounter 55 137 Yes Yes T40904A Poisoning by unspecified psychodysleptics [hallucinogens], undetermined, initial encounter 55 137 Yes Yes T40991A Poisoning by other psychodysleptics [hallucinogens], accidental (unintentional), initial encounter 55 137 Yes Yes T40994A Poisoning by other psychodysleptics [hallucinogens], undetermined, initial encounter 55 137 Yes Yes T43601A Poisoning by unspecified psychostimulants, accidental (unintentional), initial encounter 55 137 Yes Yes T43604A Poisoning by unspecified psychostimulants, undetermined, initial encounter 55 137 Yes Yes T43611A Poisoning by caffeine, accidental (unintentional), initial encounter 55 137 Yes Yes T43614A Poisoning by caffeine, undetermined, initial encounter 55 137 Yes Yes T43621A Poisoning by amphetamines, accidental (unintentional), initial encounter 55 137 Yes Yes T43624A Poisoning by amphetamines, undetermined, initial encounter 55 137 Yes Yes T43631A Poisoning by methylphenidate, accidental (unintentional), initial encounter 55 137 Yes Yes T43634A Poisoning by methylphenidate, undetermined, initial encounter 55 137 Yes Yes T43641A Poisoning by ecstasy, accidental (unintentional), initial encounter 55 137 Yes Yes T43644A Poisoning by ecstasy, undetermined, initial encounter 55 137 Yes Yes T43651A Poisoning by methamphetamines accidental (unintentional), initial encounter 55 137 Yes Yes T43654A Poisoning by methamphetamines, undetermined, initial encounter 55 137 Yes Yes T43691A Poisoning by other psychostimulants, accidental (unintentional), initial encounter 55 137 Yes Yes T43694A Poisoning by other psychostimulants, undetermined, initial encounter 55 137 Yes Yes P040 Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery 137 No Yes P0411 Newborn affected by maternal antineoplastic chemotherapy 137 No Yes P0412 Newborn affected by maternal cytotoxic drugs 137 No Yes P0413 Newborn affected by maternal use of anticonvulsants 137 No Yes P0414 Newborn affected by maternal use of opiates 137 No Yes P0415 Newborn affected by maternal use of antidepressants 137 No Yes P0416 Newborn affected by maternal use of amphetamines 137 No Yes P0417 Newborn affected by maternal use of sedative-hypnotics 137 No Yes P0418 Newborn affected by other maternal medication 137 No Yes P0419 Newborn affected by maternal use of unspecified medication 137 No Yes P041A Newborn affected by maternal use of anxiolytics 137 No Yes P042 Newborn affected by maternal use of tobacco 137 No Yes P043 Newborn affected by maternal use of alcohol 137 No Yes P0440 Newborn affected by maternal use of unspecified drugs of addiction 137 No Yes P0441 Newborn affected by maternal use of cocaine 137 No Yes P0442 Newborn affected by maternal use of hallucinogens 137 No Yes P0449 Newborn affected by maternal use of other drugs of addiction 137 No Yes P045 Newborn affected by maternal use of nutritional chemical substances 137 No Yes P046 Newborn affected by maternal exposure to environmental chemical substances 137 No Yes P0481 Newborn affected by maternal use of cannabis 137 No Yes P0489 Newborn affected by other maternal noxious substances 137 No Yes P049 Newborn affected by maternal noxious substance, unspecified 137 No Yes P930 Grey baby syndrome 137 No Yes P938 Other reactions and intoxications due to drugs administered to newborn 137 No Yes P961 Neonatal withdrawal symptoms from maternal use of drugs of addiction 137 No Yes P962 Withdrawal symptoms from therapeutic use of drugs in newborn 137 No Yes F1110 Opioid abuse, uncomplicated 56 138 Yes Yes F1111 Opioid abuse, in remission 56 138 Yes Yes F1310 Sedative, hypnotic or anxiolytic abuse, uncomplicated 56 138 Yes Yes F1311 Sedative, hypnotic or anxiolytic abuse, in remission 56 138 Yes Yes F1410 Cocaine abuse, uncomplicated 56 138 Yes Yes F1411 Cocaine abuse, in remission 56 138 Yes Yes F1510 Other stimulant abuse, uncomplicated 56 138 Yes Yes F1511 Other stimulant abuse, in remission 56 138 Yes Yes F1610 Hallucinogen abuse, uncomplicated 56 138 Yes Yes F1611 Hallucinogen abuse, in remission 56 138 Yes Yes F1810 Inhalant abuse, uncomplicated 56 138 Yes Yes F1811 Inhalant abuse, in remission 56 138 Yes Yes F1910 Other psychoactive substance abuse, uncomplicated 56 138 Yes Yes F1911 Other psychoactive substance abuse, in remission 56 138 Yes Yes F10130 Alcohol abuse with withdrawal, uncomplicated 55 139 Yes Yes F10139 Alcohol abuse with withdrawal, unspecified 55 139 Yes Yes F1014 Alcohol abuse with alcohol-induced mood disorder 55 139 Yes Yes F10180 Alcohol abuse with alcohol-induced anxiety disorder 55 139 Yes Yes F10181 Alcohol abuse with alcohol-induced sexual dysfunction 55 139 Yes Yes F10182 Alcohol abuse with alcohol-induced sleep disorder 55 139 Yes Yes F10188 Alcohol abuse with other alcohol-induced disorder 55 139 Yes Yes F1020 Alcohol dependence, uncomplicated 55 139 Yes Yes F1021 Alcohol dependence, in remission 55 139 Yes Yes F10220 Alcohol dependence with intoxication, uncomplicated 55 139 Yes Yes F10221 Alcohol dependence with intoxication delirium 55 139 Yes Yes F10229 Alcohol dependence with intoxication, unspecified 55 139 Yes Yes F10230 Alcohol dependence with withdrawal, uncomplicated 55 139 Yes Yes F10239 Alcohol dependence with withdrawal, unspecified 55 139 Yes Yes F1024 Alcohol dependence with alcohol-induced mood disorder 55 139 Yes Yes F10280 Alcohol dependence with alcohol-induced anxiety disorder 55 139 Yes Yes F10281 Alcohol dependence with alcohol-induced sexual dysfunction 55 139 Yes Yes

F10282 Alcohol dependence with alcohol-induced sleep disorder 55 139 Yes Yes F10288 Alcohol dependence with other alcohol-induced disorder 55 139 Yes Yes F1029 Alcohol dependence with unspecified alcohol-induced disorder 55 139 Yes Yes F10930 Alcohol use, unspecified with withdrawal, uncomplicated 55 139 Yes Yes F10939 Alcohol use, unspecified with withdrawal, unspecified 55 139 Yes Yes F1094 Alcohol use, unspecified with alcohol-induced mood disorder 55 139 Yes Yes F10980 Alcohol use, unspecified with alcohol-induced anxiety disorder 55 139 Yes Yes F10981 Alcohol use, unspecified with alcohol-induced sexual dysfunction 55 139 Yes Yes F10982 Alcohol use, unspecified with alcohol-induced sleep disorder 55 139 Yes Yes F10988 Alcohol use, unspecified with other alcohol-induced disorder 55 139 Yes Yes F10120 Alcohol abuse with intoxication, uncomplicated 55 Yes No F10121 Alcohol abuse with intoxication delirium 55 Yes No F10129 Alcohol abuse with intoxication, unspecified 55 Yes No F1019 Alcohol abuse with unspecified alcohol-induced disorder 55 Yes No F10920 Alcohol use, unspecified with intoxication, uncomplicated 55 Yes No F10921 Alcohol use, unspecified with intoxication delirium 55 Yes No F10929 Alcohol use, unspecified with intoxication, unspecified 55 Yes No F1099 Alcohol use, unspecified with unspecified alcohol-induced disorder 55 Yes No F12120 Cannabis abuse with intoxication, uncomplicated 55 Yes No F12121 Cannabis abuse with intoxication delirium 55 Yes No F12122 Cannabis abuse with intoxication with perceptual disturbance 55 Yes No F12129 Cannabis abuse with intoxication, unspecified 55 Yes No F1219 Cannabis abuse with unspecified cannabis-induced disorder 55 Yes No F12920 Cannabis use, unspecified with intoxication, uncomplicated 55 Yes No F12921 Cannabis use, unspecified with intoxication delirium 55 Yes No F12922 Cannabis use, unspecified with intoxication with perceptual disturbance 55 Yes No F12929 Cannabis use, unspecified with intoxication, unspecified 55 Yes No F1299 Cannabis use, unspecified with unspecified cannabis-induced disorder 55 Yes No T510X1A Toxic effect of ethanol, accidental (unintentional), initial encounter 55 Yes No T510X4A Toxic effect of ethanol, undetermined, initial encounter 55 Yes No

Psychiatric Disease Group V24 V28 Psychiatric Disease Group: 4 HCCs Psychiatric Disease Group: 5 HCCs • HCC 57 (Schizophrenia) • HCC 151 (Schizophrenia) • HCC 58 (Reactive and Unspecified Psychosis) • HCC 152 (Psychosis, Except Schizophrenia) • HCC 59 (Major Depressive, Bipolar, and Paranoid • HCC 153 (Personality Disorders; Anorexia/Bulimia Disorders) Nervosa) • HCC 60 (Personality Disorders) • HCC 154 (Bipolar Disorders without Psychosis) • HCC 155 (Major Depression, Moderate or Severe, without Psychosis)

ICD 10 Desccriptor V24 V28 V24 V28 F200 Paranoid schizophrenia 57 151 Yes Yes F201 Disorganized schizophrenia 57 151 Yes Yes F202 Catatonic schizophrenia 57 151 Yes Yes F203 Undifferentiated schizophrenia 57 151 Yes Yes F205 Residual schizophrenia 57 151 Yes Yes F2081 Schizophreniform disorder 57 151 Yes Yes F2089 Other schizophrenia 57 151 Yes Yes F209 Schizophrenia, unspecified 57 151 Yes Yes F250 Schizoaffective disorder, bipolar type 57 151 Yes Yes F251 Schizoaffective disorder, depressive type 57 151 Yes Yes F258 Other schizoaffective disorders 57 151 Yes Yes F259 Schizoaffective disorder, unspecified 57 151 Yes Yes F23 Brief psychotic disorder 58 152 Yes Yes F28 Other psychotic disorder not due to a substance or known physiological condition 58 152 Yes Yes F29 Unspecified psychosis not due to a substance or known physiological condition 58 152 Yes Yes F531 Puerperal psychosis 58 152 Yes Yes F22 Delusional disorders 59 152 Yes Yes F24 Shared psychotic disorder 59 152 Yes Yes F302 Manic episode, severe with psychotic symptoms 59 152 Yes Yes F312 Bipolar disorder, current episode manic severe with psychotic features 59 152 Yes Yes F315 Bipolar disorder, current episode depressed, severe, with psychotic features 59 152 Yes Yes F3164 Bipolar disorder, current episode mixed, severe, with psychotic features 59 152 Yes Yes F323 Major depressive disorder, single episode, severe with psychotic features 59 152 Yes Yes F333 Major depressive disorder, recurrent, severe with psychotic symptoms 59 152 Yes Yes F3010 Manic episode without psychotic symptoms, unspecified 59 154 Yes Yes F3011 Manic episode without psychotic symptoms, mild 59 154 Yes Yes F3012 Manic episode without psychotic symptoms, moderate 59 154 Yes Yes F3013 Manic episode, severe, without psychotic symptoms 59 154 Yes Yes F303 Manic episode in partial remission 59 154 Yes Yes F308 Other manic episodes 59 154 Yes Yes F309 Manic episode, unspecified 59 154 Yes Yes F310 Bipolar disorder, current episode hypomanic 59 154 Yes Yes F3110 Bipolar disorder, current episode manic without psychotic features, unspecified 59 154 Yes Yes F3111 Bipolar disorder, current episode manic without psychotic features, mild 59 154 Yes Yes F3112 Bipolar disorder, current episode manic without psychotic features, moderate 59 154 Yes Yes F3113 Bipolar disorder, current episode manic without psychotic features, severe 59 154 Yes Yes F3130 Bipolar disorder, current episode depressed, mild or moderate severity, unspecified 59 154 Yes Yes F3131 Bipolar disorder, current episode depressed, mild 59 154 Yes Yes F3132 Bipolar disorder, current episode depressed, moderate 59 154 Yes Yes F314 Bipolar disorder, current episode depressed, severe, without psychotic features 59 154 Yes Yes F3160 Bipolar disorder, current episode mixed, unspecified 59 154 Yes Yes F3161 Bipolar disorder, current episode mixed, mild 59 154 Yes Yes F3162 Bipolar disorder, current episode mixed, moderate 59 154 Yes Yes F3163 Bipolar disorder, current episode mixed, severe, without psychotic features 59 154 Yes Yes F3171 Bipolar disorder, in partial remission, most recent episode hypomanic 59 154 Yes Yes F3173 Bipolar disorder, in partial remission, most recent episode manic 59 154 Yes Yes F3175 Bipolar disorder, in partial remission, most recent episode depressed 59 154 Yes Yes F3177 Bipolar disorder, in partial remission, most recent episode mixed 59 154 Yes Yes F3181 Bipolar II disorder 59 154 Yes Yes F3189 Other bipolar disorder 59 154 Yes Yes F319 Bipolar disorder, unspecified 59 154 Yes Yes F321 Major depressive disorder, single episode, moderate 59 155 Yes Yes F322 Major depressive disorder, single episode, severe without psychotic features 59 155 Yes Yes F331 Major depressive disorder, recurrent, moderate 59 155 Yes Yes F332 Major depressive disorder, recurrent severe without psychotic features 59 155 Yes Yes R4588 Nonsuicidal self-harm 59 155 Yes Yes T1491XA Suicide attempt, initial encounter 59 155 Yes Yes T360X2A Poisoning by penicillins, intentional self-harm, initial encounter 59 155 Yes Yes T361X2A Poisoning by cephalosporins and other beta-lactam antibiotics, intentional self-harm, initial encounter 59 155 Yes Yes T362X2A Poisoning by chloramphenicol group, intentional self-harm, initial encounter 59 155 Yes Yes T363X2A Poisoning by macrolides, intentional self-harm, initial encounter 59 155 Yes Yes T364X2A Poisoning by tetracyclines, intentional self-harm, initial encounter 59 155 Yes Yes T365X2A Poisoning by aminoglycosides, intentional self-harm, initial encounter 59 155 Yes Yes T366X2A Poisoning by rifampicins, intentional self-harm, initial encounter 59 155 Yes Yes T367X2A Poisoning by antifungal antibiotics, systemically used, intentional self-harm, initial encounter 59 155 Yes Yes T368X2A Poisoning by other systemic antibiotics, intentional self-harm, initial encounter 59 155 Yes Yes T3692XA Poisoning by unspecified systemic antibiotic, intentional self-harm, initial encounter 59 155 Yes Yes T370X2A Poisoning by sulfonamides, intentional self-harm, initial encounter 59 155 Yes Yes T371X2A Poisoning by antimycobacterial drugs, intentional self-harm, initial encounter 59 155 Yes Yes T372X2A Poisoning by antimalarials and drugs acting on other blood protozoa, intentional self-harm, initial encounter 59 155 Yes Yes T373X2A Poisoning by other antiprotozoal drugs, intentional self-harm, initial encounter 59 155 Yes Yes T374X2A Poisoning by anthelminthics, intentional self-harm, initial encounter 59 155 Yes Yes T375X2A Poisoning by antiviral drugs, intentional self-harm, initial encounter 59 155 Yes Yes T378X2A Poisoning by other specified systemic anti-infectives and antiparasitics, intentional self-harm, initial encounter 59 155 Yes Yes T3792XA Poisoning by unspecified systemic anti-infective and antiparasitics, intentional self-harm, initial encounter 59 155 Yes Yes

T380X2A Poisoning by glucocorticoids and synthetic analogues, intentional self-harm, initial encounter 59 155 Yes Yes T381X2A Poisoning by thyroid hormones and substitutes, intentional self-harm, initial encounter 59 155 Yes Yes T382X2A Poisoning by antithyroid drugs, intentional self-harm, initial encounter 59 155 Yes Yes T383X2A Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, intentional self-harm, initial encounter 59 155 Yes Yes T384X2A Poisoning by oral contraceptives, intentional self-harm, initial encounter 59 155 Yes Yes T385X2A Poisoning by other estrogens and progestogens, intentional self-harm, initial encounter 59 155 Yes Yes T386X2A Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, intentional self-harm, initial encounter 59 155 Yes Yes T387X2A Poisoning by androgens and anabolic congeners, intentional self-harm, initial encounter 59 155 Yes Yes T38802A Poisoning by unspecified hormones and synthetic substitutes, intentional self-harm, initial encounter 59 155 Yes Yes T38812A Poisoning by anterior pituitary [adenohypophyseal] hormones, intentional self-harm, initial encounter 59 155 Yes Yes T38892A Poisoning by other hormones and synthetic substitutes, intentional self-harm, initial encounter 59 155 Yes Yes T38902A Poisoning by unspecified hormone antagonists, intentional self-harm, initial encounter 59 155 Yes Yes T38992A Poisoning by other hormone antagonists, intentional self-harm, initial encounter 59 155 Yes Yes T39012A Poisoning by aspirin, intentional self-harm, initial encounter 59 155 Yes Yes T39092A Poisoning by salicylates, intentional self-harm, initial encounter 59 155 Yes Yes T391X2A Poisoning by 4-Aminophenol derivatives, intentional self-harm, initial encounter 59 155 Yes Yes T392X2A Poisoning by pyrazolone derivatives, intentional self-harm, initial encounter 59 155 Yes Yes T39312A Poisoning by propionic acid derivatives, intentional self-harm, initial encounter 59 155 Yes Yes T39392A Poisoning by other nonsteroidal anti-inflammatory drugs [NSAID], intentional self-harm, initial encounter 59 155 Yes Yes T394X2A Poisoning by antirheumatics, not elsewhere classified, intentional self-harm, initial encounter 59 155 Yes Yes T398X2A Poisoning by other nonopioid analgesics and antipyretics, not elsewhere classified, intentional self-harm, initial encounter 59 155 Yes Yes T3992XA Poisoning by unspecified nonopioid analgesic, antipyretic and antirheumatic, intentional self-harm, initial encounter 59 155 Yes Yes T400X2A Poisoning by opium, intentional self-harm, initial encounter 59 155 Yes Yes T401X2A Poisoning by heroin, intentional self-harm, initial encounter 59 155 Yes Yes T402X2A Poisoning by other opioids, intentional self-harm, initial encounter 59 155 Yes Yes T403X2A Poisoning by methadone, intentional self-harm, initial encounter 59 155 Yes Yes T40412A Poisoning by fentanyl or fentanyl analogs, intentional self-harm, initial encounter 59 155 Yes Yes T40422A Poisoning by tramadol, intentional self-harm, initial encounter 59 155 Yes Yes T40492A Poisoning by other synthetic narcotics, intentional self-harm, initial encounter 59 155 Yes Yes T405X2A Poisoning by cocaine, intentional self-harm, initial encounter 59 155 Yes Yes T40602A Poisoning by unspecified narcotics, intentional self-harm, initial encounter 59 155 Yes Yes T40692A Poisoning by other narcotics, intentional self-harm, initial encounter 59 155 Yes Yes T40712A Poisoning by cannabis, intentional self-harm, initial encounter 59 155 Yes Yes T40722A Poisoning by synthetic cannabinoids, intentional self-harm, initial encounter 59 155 Yes Yes T408X2A Poisoning by lysergide [LSD], intentional self-harm, initial encounter 59 155 Yes Yes T40902A Poisoning by unspecified psychodysleptics [hallucinogens], intentional self-harm, initial encounter 59 155 Yes Yes T40992A Poisoning by other psychodysleptics [hallucinogens], intentional self-harm, initial encounter 59 155 Yes Yes T410X2A Poisoning by inhaled anesthetics, intentional self-harm, initial encounter 59 155 Yes Yes T411X2A Poisoning by intravenous anesthetics, intentional self-harm, initial encounter 59 155 Yes Yes T41202A Poisoning by unspecified general anesthetics, intentional self-harm, initial encounter 59 155 Yes Yes T41292A Poisoning by other general anesthetics, intentional self-harm, initial encounter 59 155 Yes Yes T413X2A Poisoning by local anesthetics, intentional self-harm, initial encounter 59 155 Yes Yes T4142XA Poisoning by unspecified anesthetic, intentional self-harm, initial encounter 59 155 Yes Yes T415X2A Poisoning by therapeutic gases, intentional self-harm, initial encounter 59 155 Yes Yes T420X2A Poisoning by hydantoin derivatives, intentional self-harm, initial encounter 59 155 Yes Yes T421X2A Poisoning by iminostilbenes, intentional self-harm, initial encounter 59 155 Yes Yes T422X2A Poisoning by succinimides and oxazolidinediones, intentional self-harm, initial encounter 59 155 Yes Yes T423X2A Poisoning by barbiturates, intentional self-harm, initial encounter 59 155 Yes Yes T424X2A Poisoning by benzodiazepines, intentional self-harm, initial encounter 59 155 Yes Yes T425X2A Poisoning by mixed antiepileptics, intentional self-harm, initial encounter 59 155 Yes Yes T426X2A Poisoning by other antiepileptic and sedative-hypnotic drugs, intentional self-harm, initial encounter 59 155 Yes Yes T4272XA Poisoning by unspecified antiepileptic and sedative-hypnotic drugs, intentional self-harm, initial encounter 59 155 Yes Yes T428X2A Poisoning by antiparkinsonism drugs and other central muscle-tone depressants, intentional self-harm, initial encounter 59 155 Yes Yes T43012A Poisoning by tricyclic antidepressants, intentional self-harm, initial encounter 59 155 Yes Yes T43022A Poisoning by tetracyclic antidepressants, intentional self-harm, initial encounter 59 155 Yes Yes T431X2A Poisoning by monoamine-oxidase-inhibitor antidepressants, intentional self-harm, initial encounter 59 155 Yes Yes T43202A Poisoning by unspecified antidepressants, intentional self-harm, initial encounter 59 155 Yes Yes T43212A Poisoning by selective serotonin and norepinephrine reuptake inhibitors, intentional self-harm, initial encounter 59 155 Yes Yes T43222A Poisoning by selective serotonin reuptake inhibitors, intentional self-harm, initial encounter 59 155 Yes Yes T43292A Poisoning by other antidepressants, intentional self-harm, initial encounter 59 155 Yes Yes T433X2A Poisoning by phenothiazine antipsychotics and neuroleptics, intentional self-harm, initial encounter 59 155 Yes Yes T434X2A Poisoning by butyrophenone and thiothixene neuroleptics, intentional self-harm, initial encounter 59 155 Yes Yes T43502A Poisoning by unspecified antipsychotics and neuroleptics, intentional self-harm, initial encounter 59 155 Yes Yes T43592A Poisoning by other antipsychotics and neuroleptics, intentional self-harm, initial encounter 59 155 Yes Yes T43602A Poisoning by unspecified psychostimulants, intentional self-harm, initial encounter 59 155 Yes Yes T43612A Poisoning by caffeine, intentional self-harm, initial encounter 59 155 Yes Yes T43622A Poisoning by amphetamines, intentional self-harm, initial encounter 59 155 Yes Yes T43632A Poisoning by methylphenidate, intentional self-harm, initial encounter 59 155 Yes Yes T43642A Poisoning by ecstasy, intentional self-harm, initial encounter 59 155 Yes Yes T43652A Poisoning by methamphetamines intentional self-harm, initial encounter 59 155 Yes Yes T43692A Poisoning by other psychostimulants, intentional self-harm, initial encounter 59 155 Yes Yes T438X2A Poisoning by other psychotropic drugs, intentional self-harm, initial encounter 59 155 Yes Yes T4392XA Poisoning by unspecified psychotropic drug, intentional self-harm, initial encounter 59 155 Yes Yes T440X2A Poisoning by anticholinesterase agents, intentional self-harm, initial encounter 59 155 Yes Yes T441X2A Poisoning by other parasympathomimetics [cholinergics], intentional self-harm, initial encounter 59 155 Yes Yes T442X2A Poisoning by ganglionic blocking drugs, intentional self-harm, initial encounter 59 155 Yes Yes

T443X2A Poisoning by other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, intentional self-harm, initial encounter 59 155 Yes Yes T444X2A Poisoning by predominantly alpha-adrenoreceptor agonists, intentional self-harm, initial encounter 59 155 Yes Yes T445X2A Poisoning by predominantly beta-adrenoreceptor agonists, intentional self-harm, initial encounter 59 155 Yes Yes T446X2A Poisoning by alpha-adrenoreceptor antagonists, intentional self-harm, initial encounter 59 155 Yes Yes T447X2A Poisoning by beta-adrenoreceptor antagonists, intentional self-harm, initial encounter 59 155 Yes Yes T448X2A Poisoning by centrally-acting and adrenergic-neuron-blocking agents, intentional self-harm, initial encounter 59 155 Yes Yes T44902A Poisoning by unspecified drugs primarily affecting the autonomic nervous system, intentional self-harm, initial encounter 59 155 Yes Yes T44992A Poisoning by other drug primarily affecting the autonomic nervous system, intentional self-harm, initial encounter 59 155 Yes Yes T450X2A Poisoning by antiallergic and antiemetic drugs, intentional self-harm, initial encounter 59 155 Yes Yes T451X2A Poisoning by antineoplastic and immunosuppressive drugs, intentional self-harm, initial encounter 59 155 Yes Yes T452X2A Poisoning by vitamins, intentional self-harm, initial encounter 59 155 Yes Yes T453X2A Poisoning by enzymes, intentional self-harm, initial encounter 59 155 Yes Yes T454X2A Poisoning by iron and its compounds, intentional self-harm, initial encounter 59 155 Yes Yes T45512A Poisoning by anticoagulants, intentional self-harm, initial encounter 59 155 Yes Yes T45522A Poisoning by antithrombotic drugs, intentional self-harm, initial encounter 59 155 Yes Yes T45602A Poisoning by unspecified fibrinolysis-affecting drugs, intentional self-harm, initial encounter 59 155 Yes Yes T45612A Poisoning by thrombolytic drug, intentional self-harm, initial encounter 59 155 Yes Yes T45622A Poisoning by hemostatic drug, intentional self-harm, initial encounter 59 155 Yes Yes T45692A Poisoning by other fibrinolysis-affecting drugs, intentional self-harm, initial encounter 59 155 Yes Yes T457X2A Poisoning by anticoagulant antagonists, vitamin K and other coagulants, intentional self-harm, initial encounter 59 155 Yes Yes T458X2A Poisoning by other primarily systemic and hematological agents, intentional self-harm, initial encounter 59 155 Yes Yes T4592XA Poisoning by unspecified primarily systemic and hematological agent, intentional self-harm, initial encounter 59 155 Yes Yes T460X2A Poisoning by cardiac-stimulant glycosides and drugs of similar action, intentional self-harm, initial encounter 59 155 Yes Yes T461X2A Poisoning by calcium-channel blockers, intentional self-harm, initial encounter 59 155 Yes Yes T462X2A Poisoning by other antidysrhythmic drugs, intentional self-harm, initial encounter 59 155 Yes Yes T463X2A Poisoning by coronary vasodilators, intentional self-harm, initial encounter 59 155 Yes Yes T464X2A Poisoning by angiotensin-converting-enzyme inhibitors, intentional self-harm, initial encounter 59 155 Yes Yes T465X2A Poisoning by other antihypertensive drugs, intentional self-harm, initial encounter 59 155 Yes Yes T466X2A Poisoning by antihyperlipidemic and antiarteriosclerotic drugs, intentional self-harm, initial encounter 59 155 Yes Yes T467X2A Poisoning by peripheral vasodilators, intentional self-harm, initial encounter 59 155 Yes Yes T468X2A Poisoning by antivaricose drugs, including sclerosing agents, intentional self-harm, initial encounter 59 155 Yes Yes T46902A Poisoning by unspecified agents primarily affecting the cardiovascular system, intentional self-harm, initial encounter 59 155 Yes Yes T46992A Poisoning by other agents primarily affecting the cardiovascular system, intentional self-harm, initial encounter 59 155 Yes Yes T470X2A Poisoning by histamine H2-receptor blockers, intentional self-harm, initial encounter 59 155 Yes Yes T471X2A Poisoning by other antacids and anti-gastric-secretion drugs, intentional self-harm, initial encounter 59 155 Yes Yes T472X2A Poisoning by stimulant laxatives, intentional self-harm, initial encounter 59 155 Yes Yes T473X2A Poisoning by saline and osmotic laxatives, intentional self-harm, initial encounter 59 155 Yes Yes T474X2A Poisoning by other laxatives, intentional self-harm, initial encounter 59 155 Yes Yes T475X2A Poisoning by digestants, intentional self-harm, initial encounter 59 155 Yes Yes T476X2A Poisoning by antidiarrheal drugs, intentional self-harm, initial encounter 59 155 Yes Yes T477X2A Poisoning by emetics, intentional self-harm, initial encounter 59 155 Yes Yes T478X2A Poisoning by other agents primarily affecting gastrointestinal system, intentional self-harm, initial encounter 59 155 Yes Yes T4792XA Poisoning by unspecified agents primarily affecting the gastrointestinal system, intentional self-harm, initial encounter 59 155 Yes Yes T480X2A Poisoning by oxytocic drugs, intentional self-harm, initial encounter 59 155 Yes Yes T481X2A Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], intentional self-harm, initial encounter 59 155 Yes Yes T48202A Poisoning by unspecified drugs acting on muscles, intentional self-harm, initial encounter 59 155 Yes Yes T48292A Poisoning by other drugs acting on muscles, intentional self-harm, initial encounter 59 155 Yes Yes T483X2A Poisoning by antitussives, intentional self-harm, initial encounter 59 155 Yes Yes T484X2A Poisoning by expectorants, intentional self-harm, initial encounter 59 155 Yes Yes T485X2A Poisoning by other anti-common-cold drugs, intentional self-harm, initial encounter 59 155 Yes Yes T486X2A Poisoning by antiasthmatics, intentional self-harm, initial encounter 59 155 Yes Yes T48902A Poisoning by unspecified agents primarily acting on the respiratory system, intentional self-harm, initial encounter 59 155 Yes Yes T48992A Poisoning by other agents primarily acting on the respiratory system, intentional self-harm, initial encounter 59 155 Yes Yes T490X2A Poisoning by local antifungal, anti-infective and anti-inflammatory drugs, intentional self-harm, initial encounter 59 155 Yes Yes T491X2A Poisoning by antipruritics, intentional self-harm, initial encounter 59 155 Yes Yes T492X2A Poisoning by local astringents and local detergents, intentional self-harm, initial encounter 59 155 Yes Yes T493X2A Poisoning by emollients, demulcents and protectants, intentional self-harm, initial encounter 59 155 Yes Yes T494X2A Poisoning by keratolytics, keratoplastics, and other hair treatment drugs and preparations, intentional self-harm, initial encounter 59 155 Yes Yes T495X2A Poisoning by ophthalmological drugs and preparations, intentional self-harm, initial encounter 59 155 Yes Yes T496X2A Poisoning by otorhinolaryngological drugs and preparations, intentional self-harm, initial encounter 59 155 Yes Yes T497X2A Poisoning by dental drugs, topically applied, intentional self-harm, initial encounter 59 155 Yes Yes T498X2A Poisoning by other topical agents, intentional self-harm, initial encounter 59 155 Yes Yes T4992XA Poisoning by unspecified topical agent, intentional self-harm, initial encounter 59 155 Yes Yes T500X2A Poisoning by mineralocorticoids and their antagonists, intentional self-harm, initial encounter 59 155 Yes Yes T501X2A Poisoning by loop [high-ceiling] diuretics, intentional self-harm, initial encounter 59 155 Yes Yes T502X2A Poisoning by carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics, intentional self-harm, initial encounter 59 155 Yes Yes T503X2A Poisoning by electrolytic, caloric and water-balance agents, intentional self-harm, initial encounter 59 155 Yes Yes T504X2A Poisoning by drugs affecting uric acid metabolism, intentional self-harm, initial encounter 59 155 Yes Yes T505X2A Poisoning by appetite depressants, intentional self-harm, initial encounter 59 155 Yes Yes T506X2A Poisoning by antidotes and chelating agents, intentional self-harm, initial encounter 59 155 Yes Yes T507X2A Poisoning by analeptics and opioid receptor antagonists, intentional self-harm, initial encounter 59 155 Yes Yes T508X2A Poisoning by diagnostic agents, intentional self-harm, initial encounter 59 155 Yes Yes T50902A Poisoning by unspecified drugs, medicaments and biological substances, intentional self-harm, initial encounter 59 155 Yes Yes T50912A Poisoning by multiple unspecified drugs, medicaments and biological substances, intentional self-harm, initial encounter 59 155 Yes Yes T50992A Poisoning by other drugs, medicaments and biological substances, intentional self-harm, initial encounter 59 155 Yes Yes

T50A12A Poisoning by pertussis vaccine, including combinations with a pertussis component, intentional self-harm, initial encounter 59 155 Yes Yes T50A22A Poisoning by mixed bacterial vaccines without a pertussis component, intentional self-harm, initial encounter 59 155 Yes Yes T50A92A Poisoning by other bacterial vaccines, intentional self-harm, initial encounter 59 155 Yes Yes T50B12A Poisoning by smallpox vaccines, intentional self-harm, initial encounter 59 155 Yes Yes T50B92A Poisoning by other viral vaccines, intentional self-harm, initial encounter 59 155 Yes Yes T50Z12A Poisoning by immunoglobulin, intentional self-harm, initial encounter 59 155 Yes Yes T50Z92A Poisoning by other vaccines and biological substances, intentional self-harm, initial encounter 59 155 Yes Yes T510X2A Toxic effect of ethanol, intentional self-harm, initial encounter 59 155 Yes Yes T511X2A Toxic effect of methanol, intentional self-harm, initial encounter 59 155 Yes Yes T512X2A Toxic effect of 2-Propanol, intentional self-harm, initial encounter 59 155 Yes Yes T513X2A Toxic effect of fusel oil, intentional self-harm, initial encounter 59 155 Yes Yes T518X2A Toxic effect of other alcohols, intentional self-harm, initial encounter 59 155 Yes Yes T5192XA Toxic effect of unspecified alcohol, intentional self-harm, initial encounter 59 155 Yes Yes T520X2A Toxic effect of petroleum products, intentional self-harm, initial encounter 59 155 Yes Yes T521X2A Toxic effect of benzene, intentional self-harm, initial encounter 59 155 Yes Yes T522X2A Toxic effect of homologues of benzene, intentional self-harm, initial encounter 59 155 Yes Yes T523X2A Toxic effect of glycols, intentional self-harm, initial encounter 59 155 Yes Yes T524X2A Toxic effect of ketones, intentional self-harm, initial encounter 59 155 Yes Yes T528X2A Toxic effect of other organic solvents, intentional self-harm, initial encounter 59 155 Yes Yes T5292XA Toxic effect of unspecified organic solvent, intentional self-harm, initial encounter 59 155 Yes Yes T530X2A Toxic effect of carbon tetrachloride, intentional self-harm, initial encounter 59 155 Yes Yes T531X2A Toxic effect of chloroform, intentional self-harm, initial encounter 59 155 Yes Yes T532X2A Toxic effect of trichloroethylene, intentional self-harm, initial encounter 59 155 Yes Yes T533X2A Toxic effect of tetrachloroethylene, intentional self-harm, initial encounter 59 155 Yes Yes T534X2A Toxic effect of dichloromethane, intentional self-harm, initial encounter 59 155 Yes Yes T535X2A Toxic effect of chlorofluorocarbons, intentional self-harm, initial encounter 59 155 Yes Yes T536X2A Toxic effect of other halogen derivatives of aliphatic hydrocarbons, intentional self-harm, initial encounter 59 155 Yes Yes T537X2A Toxic effect of other halogen derivatives of aromatic hydrocarbons, intentional self-harm, initial encounter 59 155 Yes Yes T5392XA Toxic effect of unspecified halogen derivatives of aliphatic and aromatic hydrocarbons, intentional self-harm, initial encounter 59 155 Yes Yes T540X2A Toxic effect of phenol and phenol homologues, intentional self-harm, initial encounter 59 155 Yes Yes T541X2A Toxic effect of other corrosive organic compounds, intentional self-harm, initial encounter 59 155 Yes Yes T542X2A Toxic effect of corrosive acids and acid-like substances, intentional self-harm, initial encounter 59 155 Yes Yes T543X2A Toxic effect of corrosive alkalis and alkali-like substances, intentional self-harm, initial encounter 59 155 Yes Yes T5492XA Toxic effect of unspecified corrosive substance, intentional self-harm, initial encounter 59 155 Yes Yes T550X2A Toxic effect of soaps, intentional self-harm, initial encounter 59 155 Yes Yes T551X2A Toxic effect of detergents, intentional self-harm, initial encounter 59 155 Yes Yes T560X2A Toxic effect of lead and its compounds, intentional self-harm, initial encounter 59 155 Yes Yes T561X2A Toxic effect of mercury and its compounds, intentional self-harm, initial encounter 59 155 Yes Yes T562X2A Toxic effect of chromium and its compounds, intentional self-harm, initial encounter 59 155 Yes Yes T563X2A Toxic effect of cadmium and its compounds, intentional self-harm, initial encounter 59 155 Yes Yes T564X2A Toxic effect of copper and its compounds, intentional self-harm, initial encounter 59 155 Yes Yes T565X2A Toxic effect of zinc and its compounds, intentional self-harm, initial encounter 59 155 Yes Yes T566X2A Toxic effect of tin and its compounds, intentional self-harm, initial encounter 59 155 Yes Yes T567X2A Toxic effect of beryllium and its compounds, intentional self-harm, initial encounter 59 155 Yes Yes T56812A Toxic effect of thallium, intentional self-harm, initial encounter 59 155 Yes Yes T56892A Toxic effect of other metals, intentional self-harm, initial encounter 59 155 Yes Yes T5692XA Toxic effect of unspecified metal, intentional self-harm, initial encounter 59 155 Yes Yes T570X2A Toxic effect of arsenic and its compounds, intentional self-harm, initial encounter 59 155 Yes Yes T571X2A Toxic effect of phosphorus and its compounds, intentional self-harm, initial encounter 59 155 Yes Yes T572X2A Toxic effect of manganese and its compounds, intentional self-harm, initial encounter 59 155 Yes Yes T573X2A Toxic effect of hydrogen cyanide, intentional self-harm, initial encounter 59 155 Yes Yes T578X2A Toxic effect of other specified inorganic substances, intentional self-harm, initial encounter 59 155 Yes Yes T5792XA Toxic effect of unspecified inorganic substance, intentional self-harm, initial encounter 59 155 Yes Yes T5802XA Toxic effect of carbon monoxide from motor vehicle exhaust, intentional self-harm, initial encounter 59 155 Yes Yes T5812XA Toxic effect of carbon monoxide from utility gas, intentional self-harm, initial encounter 59 155 Yes Yes T582X2A Toxic effect of carbon monoxide from incomplete combustion of other domestic fuels, intentional self-harm, initial encounter 59 155 Yes Yes T588X2A Toxic effect of carbon monoxide from other source, intentional self-harm, initial encounter 59 155 Yes Yes T5892XA Toxic effect of carbon monoxide from unspecified source, intentional self-harm, initial encounter 59 155 Yes Yes T590X2A Toxic effect of nitrogen oxides, intentional self-harm, initial encounter 59 155 Yes Yes T591X2A Toxic effect of sulfur dioxide, intentional self-harm, initial encounter 59 155 Yes Yes T592X2A Toxic effect of formaldehyde, intentional self-harm, initial encounter 59 155 Yes Yes T593X2A Toxic effect of lacrimogenic gas, intentional self-harm, initial encounter 59 155 Yes Yes T594X2A Toxic effect of chlorine gas, intentional self-harm, initial encounter 59 155 Yes Yes T595X2A Toxic effect of fluorine gas and hydrogen fluoride, intentional self-harm, initial encounter 59 155 Yes Yes T596X2A Toxic effect of hydrogen sulfide, intentional self-harm, initial encounter 59 155 Yes Yes T597X2A Toxic effect of carbon dioxide, intentional self-harm, initial encounter 59 155 Yes Yes T59812A Toxic effect of smoke, intentional self-harm, initial encounter 59 155 Yes Yes T59892A Toxic effect of other specified gases, fumes and vapors, intentional self-harm, initial encounter 59 155 Yes Yes T5992XA Toxic effect of unspecified gases, fumes and vapors, intentional self-harm, initial encounter 59 155 Yes Yes T600X2A Toxic effect of organophosphate and carbamate insecticides, intentional self-harm, initial encounter 59 155 Yes Yes T601X2A Toxic effect of halogenated insecticides, intentional self-harm, initial encounter 59 155 Yes Yes T602X2A Toxic effect of other insecticides, intentional self-harm, initial encounter 59 155 Yes Yes T603X2A Toxic effect of herbicides and fungicides, intentional self-harm, initial encounter 59 155 Yes Yes T604X2A Toxic effect of rodenticides, intentional self-harm, initial encounter 59 155 Yes Yes T608X2A Toxic effect of other pesticides, intentional self-harm, initial encounter 59 155 Yes Yes T6092XA Toxic effect of unspecified pesticide, intentional self-harm, initial encounter 59 155 Yes Yes

T6102XA Ciguatera fish poisoning, intentional self-harm, initial encounter 59 155 Yes Yes T6112XA Scombroid fish poisoning, intentional self-harm, initial encounter 59 155 Yes Yes T61772A Other fish poisoning, intentional self-harm, initial encounter 59 155 Yes Yes T61782A Other shellfish poisoning, intentional self-harm, initial encounter 59 155 Yes Yes T618X2A Toxic effect of other seafood, intentional self-harm, initial encounter 59 155 Yes Yes T6192XA Toxic effect of unspecified seafood, intentional self-harm, initial encounter 59 155 Yes Yes T620X2A Toxic effect of ingested mushrooms, intentional self-harm, initial encounter 59 155 Yes Yes T621X2A Toxic effect of ingested berries, intentional self-harm, initial encounter 59 155 Yes Yes T622X2A Toxic effect of other ingested (parts of) plant(s), intentional self-harm, initial encounter 59 155 Yes Yes T628X2A Toxic effect of other specified noxious substances eaten as food, intentional self-harm, initial encounter 59 155 Yes Yes T6292XA Toxic effect of unspecified noxious substance eaten as food, intentional self-harm, initial encounter 59 155 Yes Yes T63002A Toxic effect of unspecified snake venom, intentional self-harm, initial encounter 59 155 Yes Yes T63012A Toxic effect of rattlesnake venom, intentional self-harm, initial encounter 59 155 Yes Yes T63022A Toxic effect of coral snake venom, intentional self-harm, initial encounter 59 155 Yes Yes T63032A Toxic effect of taipan venom, intentional self-harm, initial encounter 59 155 Yes Yes T63042A Toxic effect of cobra venom, intentional self-harm, initial encounter 59 155 Yes Yes T63062A Toxic effect of venom of other North and South American snake, intentional self-harm, initial encounter 59 155 Yes Yes T63072A Toxic effect of venom of other Australian snake, intentional self-harm, initial encounter 59 155 Yes Yes T63082A Toxic effect of venom of other African and Asian snake, intentional self-harm, initial encounter 59 155 Yes Yes T63092A Toxic effect of venom of other snake, intentional self-harm, initial encounter 59 155 Yes Yes T63112A Toxic effect of venom of gila monster, intentional self-harm, initial encounter 59 155 Yes Yes T63122A Toxic effect of venom of other venomous lizard, intentional self-harm, initial encounter 59 155 Yes Yes T63192A Toxic effect of venom of other reptiles, intentional self-harm, initial encounter 59 155 Yes Yes T632X2A Toxic effect of venom of scorpion, intentional self-harm, initial encounter 59 155 Yes Yes T63302A Toxic effect of unspecified spider venom, intentional self-harm, initial encounter 59 155 Yes Yes T63312A Toxic effect of venom of black widow spider, intentional self-harm, initial encounter 59 155 Yes Yes T63322A Toxic effect of venom of tarantula, intentional self-harm, initial encounter 59 155 Yes Yes T63332A Toxic effect of venom of brown recluse spider, intentional self-harm, initial encounter 59 155 Yes Yes T63392A Toxic effect of venom of other spider, intentional self-harm, initial encounter 59 155 Yes Yes T63412A Toxic effect of venom of centipedes and venomous millipedes, intentional self-harm, initial encounter 59 155 Yes Yes T63422A Toxic effect of venom of ants, intentional self-harm, initial encounter 59 155 Yes Yes T63432A Toxic effect of venom of caterpillars, intentional self-harm, initial encounter 59 155 Yes Yes T63442A Toxic effect of venom of bees, intentional self-harm, initial encounter 59 155 Yes Yes T63452A Toxic effect of venom of hornets, intentional self-harm, initial encounter 59 155 Yes Yes T63462A Toxic effect of venom of wasps, intentional self-harm, initial encounter 59 155 Yes Yes T63482A Toxic effect of venom of other arthropod, intentional self-harm, initial encounter 59 155 Yes Yes T63512A Toxic effect of contact with stingray, intentional self-harm, initial encounter 59 155 Yes Yes T63592A Toxic effect of contact with other venomous fish, intentional self-harm, initial encounter 59 155 Yes Yes T63612A Toxic effect of contact with Portuguese Man-o-war, intentional self-harm, initial encounter 59 155 Yes Yes T63622A Toxic effect of contact with other jellyfish, intentional self-harm, initial encounter 59 155 Yes Yes T63632A Toxic effect of contact with sea anemone, intentional self-harm, initial encounter 59 155 Yes Yes T63692A Toxic effect of contact with other venomous marine animals, intentional self-harm, initial encounter 59 155 Yes Yes T63712A Toxic effect of contact with venomous marine plant, intentional self-harm, initial encounter 59 155 Yes Yes T63792A Toxic effect of contact with other venomous plant, intentional self-harm, initial encounter 59 155 Yes Yes T63812A Toxic effect of contact with venomous frog, intentional self-harm, initial encounter 59 155 Yes Yes T63822A Toxic effect of contact with venomous toad, intentional self-harm, initial encounter 59 155 Yes Yes T63832A Toxic effect of contact with other venomous amphibian, intentional self-harm, initial encounter 59 155 Yes Yes T63892A Toxic effect of contact with other venomous animals, intentional self-harm, initial encounter 59 155 Yes Yes T6392XA Toxic effect of contact with unspecified venomous animal, intentional self-harm, initial encounter 59 155 Yes Yes T6402XA Toxic effect of aflatoxin, intentional self-harm, initial encounter 59 155 Yes Yes T6482XA Toxic effect of other mycotoxin food contaminants, intentional self-harm, initial encounter 59 155 Yes Yes T650X2A Toxic effect of cyanides, intentional self-harm, initial encounter 59 155 Yes Yes T651X2A Toxic effect of strychnine and its salts, intentional self-harm, initial encounter 59 155 Yes Yes T65212A Toxic effect of chewing tobacco, intentional self-harm, initial encounter 59 155 Yes Yes T65222A Toxic effect of tobacco cigarettes, intentional self-harm, initial encounter 59 155 Yes Yes T65292A Toxic effect of other tobacco and nicotine, intentional self-harm, initial encounter 59 155 Yes Yes T653X2A Toxic effect of nitroderivatives and aminoderivatives of benzene and its homologues, intentional self-harm, initial encounter 59 155 Yes Yes T654X2A Toxic effect of carbon disulfide, intentional self-harm, initial encounter 59 155 Yes Yes T655X2A Toxic effect of nitroglycerin and other nitric acids and esters, intentional self-harm, initial encounter 59 155 Yes Yes T656X2A Toxic effect of paints and dyes, not elsewhere classified, intentional self-harm, initial encounter 59 155 Yes Yes T65812A Toxic effect of latex, intentional self-harm, initial encounter 59 155 Yes Yes T65822A Toxic effect of harmful algae and algae toxins, intentional self-harm, initial encounter 59 155 Yes Yes T65832A Toxic effect of fiberglass, intentional self-harm, initial encounter 59 155 Yes Yes T65892A Toxic effect of other specified substances, intentional self-harm, initial encounter 59 155 Yes Yes T6592XA Toxic effect of unspecified substance, intentional self-harm, initial encounter 59 155 Yes Yes T71112A Asphyxiation due to smothering under pillow, intentional self-harm, initial encounter 59 155 Yes Yes T71122A Asphyxiation due to plastic bag, intentional self-harm, initial encounter 59 155 Yes Yes T71132A Asphyxiation due to being trapped in bed linens, intentional self-harm, initial encounter 59 155 Yes Yes T71152A Asphyxiation due to smothering in furniture, intentional self-harm, initial encounter 59 155 Yes Yes T71162A Asphyxiation due to hanging, intentional self-harm, initial encounter 59 155 Yes Yes T71192A Asphyxiation due to mechanical threat to breathing due to other causes, intentional self-harm, initial encounter 59 155 Yes Yes T71222A Asphyxiation due to being trapped in a car trunk, intentional self-harm, initial encounter 59 155 Yes Yes T71232A Asphyxiation due to being trapped in a (discarded) refrigerator, intentional self-harm, initial encounter 59 155 Yes Yes X710XXA Intentional self-harm by drowning and submersion while in bathtub, initial encounter 59 155 Yes Yes X711XXA Intentional self-harm by drowning and submersion while in swimming pool, initial encounter 59 155 Yes Yes X712XXA Intentional self-harm by drowning and submersion after jump into swimming pool, initial encounter 59 155 Yes Yes

X713XXA Intentional self-harm by drowning and submersion in natural water, initial encounter 59 155 Yes Yes X718XXA Other intentional self-harm by drowning and submersion, initial encounter 59 155 Yes Yes X719XXA Intentional self-harm by drowning and submersion, unspecified, initial encounter 59 155 Yes Yes X72XXXA Intentional self-harm by handgun discharge, initial encounter 59 155 Yes Yes X730XXA Intentional self-harm by shotgun discharge, initial encounter 59 155 Yes Yes X731XXA Intentional self-harm by hunting rifle discharge, initial encounter 59 155 Yes Yes X732XXA Intentional self-harm by machine gun discharge, initial encounter 59 155 Yes Yes X738XXA Intentional self-harm by other larger firearm discharge, initial encounter 59 155 Yes Yes X739XXA Intentional self-harm by unspecified larger firearm discharge, initial encounter 59 155 Yes Yes X7401XA Intentional self-harm by airgun, initial encounter 59 155 Yes Yes X7402XA Intentional self-harm by paintball gun, initial encounter 59 155 Yes Yes X7409XA Intentional self-harm by other gas, air or spring-operated gun, initial encounter 59 155 Yes Yes X748XXA Intentional self-harm by other firearm discharge, initial encounter 59 155 Yes Yes X749XXA Intentional self-harm by unspecified firearm discharge, initial encounter 59 155 Yes Yes X75XXXA Intentional self-harm by explosive material, initial encounter 59 155 Yes Yes X76XXXA Intentional self-harm by smoke, fire and flames, initial encounter 59 155 Yes Yes X770XXA Intentional self-harm by steam or hot vapors, initial encounter 59 155 Yes Yes X771XXA Intentional self-harm by hot tap water, initial encounter 59 155 Yes Yes X772XXA Intentional self-harm by other hot fluids, initial encounter 59 155 Yes Yes X773XXA Intentional self-harm by hot household appliances, initial encounter 59 155 Yes Yes X778XXA Intentional self-harm by other hot objects, initial encounter 59 155 Yes Yes X779XXA Intentional self-harm by unspecified hot objects, initial encounter 59 155 Yes Yes X780XXA Intentional self-harm by sharp glass, initial encounter 59 155 Yes Yes X781XXA Intentional self-harm by knife, initial encounter 59 155 Yes Yes X782XXA Intentional self-harm by sword or dagger, initial encounter 59 155 Yes Yes X788XXA Intentional self-harm by other sharp object, initial encounter 59 155 Yes Yes X789XXA Intentional self-harm by unspecified sharp object, initial encounter 59 155 Yes Yes X79XXXA Intentional self-harm by blunt object, initial encounter 59 155 Yes Yes X80XXXA Intentional self-harm by jumping from a high place, initial encounter 59 155 Yes Yes X810XXA Intentional self-harm by jumping or lying in front of motor vehicle, initial encounter 59 155 Yes Yes X811XXA Intentional self-harm by jumping or lying in front of (subway) train, initial encounter 59 155 Yes Yes X818XXA Intentional self-harm by jumping or lying in front of other moving object, initial encounter 59 155 Yes Yes X820XXA Intentional collision of motor vehicle with other motor vehicle, initial encounter 59 155 Yes Yes X821XXA Intentional collision of motor vehicle with train, initial encounter 59 155 Yes Yes X822XXA Intentional collision of motor vehicle with tree, initial encounter 59 155 Yes Yes X828XXA Other intentional self-harm by crashing of motor vehicle, initial encounter 59 155 Yes Yes X830XXA Intentional self-harm by crashing of aircraft, initial encounter 59 155 Yes Yes X831XXA Intentional self-harm by electrocution, initial encounter 59 155 Yes Yes X832XXA Intentional self-harm by exposure to extremes of cold, initial encounter 59 155 Yes Yes X838XXA Intentional self-harm by other specified means, initial encounter 59 155 Yes Yes F304 Manic episode in full remission 59 Yes No F3170 Bipolar disorder, currently in remission, most recent episode unspecified 59 Yes No F3172 Bipolar disorder, in full remission, most recent episode hypomanic 59 Yes No F3174 Bipolar disorder, in full remission, most recent episode manic 59 Yes No F3176 Bipolar disorder, in full remission, most recent episode depressed 59 Yes No F3178 Bipolar disorder, in full remission, most recent episode mixed 59 Yes No F320 Major depressive disorder, single episode, mild 59 Yes No F324 Major depressive disorder, single episode, in partial remission 59 Yes No F325 Major depressive disorder, single episode, in full remission 59 Yes No F330 Major depressive disorder, recurrent, mild 59 Yes No F3340 Major depressive disorder, recurrent, in remission, unspecified 59 Yes No F3341 Major depressive disorder, recurrent, in partial remission 59 Yes No F3342 Major depressive disorder, recurrent, in full remission 59 Yes No F338 Other recurrent depressive disorders 59 Yes No F339 Major depressive disorder, recurrent, unspecified 59 Yes No F3481 Disruptive mood dysregulation disorder 59 Yes No F3489 Other specified persistent mood disorders 59 Yes No F349 Persistent mood [affective] disorder, unspecified 59 Yes No F39 Unspecified mood [affective] disorder 59 Yes No T1491XD Suicide attempt, subsequent encounter 59 Yes No T1491XS Suicide attempt, sequela 59 Yes No T360X2S Poisoning by penicillins, intentional self-harm, sequela 59 Yes No T361X2S Poisoning by cephalosporins and other beta-lactam antibiotics, intentional self-harm, sequela 59 Yes No T362X2S Poisoning by chloramphenicol group, intentional self-harm, sequela 59 Yes No T363X2S Poisoning by macrolides, intentional self-harm, sequela 59 Yes No T364X2S Poisoning by tetracyclines, intentional self-harm, sequela 59 Yes No T365X2S Poisoning by aminoglycosides, intentional self-harm, sequela 59 Yes No T366X2S Poisoning by rifampicins, intentional self-harm, sequela 59 Yes No T367X2S Poisoning by antifungal antibiotics, systemically used, intentional self-harm, sequela 59 Yes No T368X2S Poisoning by other systemic antibiotics, intentional self-harm, sequela 59 Yes No T3692XS Poisoning by unspecified systemic antibiotic, intentional self-harm, sequela 59 Yes No T370X2S Poisoning by sulfonamides, intentional self-harm, sequela 59 Yes No T371X2S Poisoning by antimycobacterial drugs, intentional self-harm, sequela 59 Yes No T372X2S Poisoning by antimalarials and drugs acting on other blood protozoa, intentional self-harm, sequela 59 Yes No T373X2S Poisoning by other antiprotozoal drugs, intentional self-harm, sequela 59 Yes No T374X2S Poisoning by anthelminthics, intentional self-harm, sequela 59 Yes No

T375X2S Poisoning by antiviral drugs, intentional self-harm, sequela 59 Yes No T378X2S Poisoning by other specified systemic anti-infectives and antiparasitics, intentional self-harm, sequela 59 Yes No T3792XS Poisoning by unspecified systemic anti-infective and antiparasitics, intentional self-harm, sequela 59 Yes No T380X2S Poisoning by glucocorticoids and synthetic analogues, intentional self-harm, sequela 59 Yes No T381X2S Poisoning by thyroid hormones and substitutes, intentional self-harm, sequela 59 Yes No T382X2S Poisoning by antithyroid drugs, intentional self-harm, sequela 59 Yes No T383X2S Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, intentional self-harm, sequela 59 Yes No T384X2S Poisoning by oral contraceptives, intentional self-harm, sequela 59 Yes No T385X2S Poisoning by other estrogens and progestogens, intentional self-harm, sequela 59 Yes No T386X2S Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, intentional self-harm, sequela 59 Yes No T387X2S Poisoning by androgens and anabolic congeners, intentional self-harm, sequela 59 Yes No T38802S Poisoning by unspecified hormones and synthetic substitutes, intentional self-harm, sequela 59 Yes No T38812S Poisoning by anterior pituitary [adenohypophyseal] hormones, intentional self-harm, sequela 59 Yes No T38892S Poisoning by other hormones and synthetic substitutes, intentional self-harm, sequela 59 Yes No T38902S Poisoning by unspecified hormone antagonists, intentional self-harm, sequela 59 Yes No T38992S Poisoning by other hormone antagonists, intentional self-harm, sequela 59 Yes No T39012S Poisoning by aspirin, intentional self-harm, sequela 59 Yes No T39092S Poisoning by salicylates, intentional self-harm, sequela 59 Yes No T391X2S Poisoning by 4-Aminophenol derivatives, intentional self-harm, sequela 59 Yes No T392X2S Poisoning by pyrazolone derivatives, intentional self-harm, sequela 59 Yes No T39312S Poisoning by propionic acid derivatives, intentional self-harm, sequela 59 Yes No T39392S Poisoning by other nonsteroidal anti-inflammatory drugs [NSAID], intentional self-harm, sequela 59 Yes No T394X2S Poisoning by antirheumatics, not elsewhere classified, intentional self-harm, sequela 59 Yes No T398X2S Poisoning by other nonopioid analgesics and antipyretics, not elsewhere classified, intentional self-harm, sequela 59 Yes No T3992XS Poisoning by unspecified nonopioid analgesic, antipyretic and antirheumatic, intentional self-harm, sequela 59 Yes No T400X2S Poisoning by opium, intentional self-harm, sequela 59 Yes No T401X2S Poisoning by heroin, intentional self-harm, sequela 59 Yes No T402X2S Poisoning by other opioids, intentional self-harm, sequela 59 Yes No T403X2S Poisoning by methadone, intentional self-harm, sequela 59 Yes No T40412S Poisoning by fentanyl or fentanyl analogs, intentional self-harm, sequela 59 Yes No T40422S Poisoning by tramadol, intentional self-harm, sequela 59 Yes No T40492S Poisoning by other synthetic narcotics, intentional self-harm, sequela 59 Yes No T405X2S Poisoning by cocaine, intentional self-harm, sequela 59 Yes No T40602S Poisoning by unspecified narcotics, intentional self-harm, sequela 59 Yes No T40692S Poisoning by other narcotics, intentional self-harm, sequela 59 Yes No T40712S Poisoning by cannabis, intentional self-harm, sequela 59 Yes No T40722S Poisoning by synthetic cannabinoids, intentional self-harm, sequela 59 Yes No T408X2S Poisoning by lysergide [LSD], intentional self-harm, sequela 59 Yes No T40902S Poisoning by unspecified psychodysleptics [hallucinogens], intentional self-harm, sequela 59 Yes No T40992S Poisoning by other psychodysleptics [hallucinogens], intentional self-harm, sequela 59 Yes No T410X2S Poisoning by inhaled anesthetics, intentional self-harm, sequela 59 Yes No T411X2S Poisoning by intravenous anesthetics, intentional self-harm, sequela 59 Yes No T41202S Poisoning by unspecified general anesthetics, intentional self-harm, sequela 59 Yes No T41292S Poisoning by other general anesthetics, intentional self-harm, sequela 59 Yes No T413X2S Poisoning by local anesthetics, intentional self-harm, sequela 59 Yes No T4142XS Poisoning by unspecified anesthetic, intentional self-harm, sequela 59 Yes No T415X2S Poisoning by therapeutic gases, intentional self-harm, sequela 59 Yes No T420X2S Poisoning by hydantoin derivatives, intentional self-harm, sequela 59 Yes No T421X2S Poisoning by iminostilbenes, intentional self-harm, sequela 59 Yes No T422X2S Poisoning by succinimides and oxazolidinediones, intentional self-harm, sequela 59 Yes No T423X2S Poisoning by barbiturates, intentional self-harm, sequela 59 Yes No T424X2S Poisoning by benzodiazepines, intentional self-harm, sequela 59 Yes No T425X2S Poisoning by mixed antiepileptics, intentional self-harm, sequela 59 Yes No T426X2S Poisoning by other antiepileptic and sedative-hypnotic drugs, intentional self-harm, sequela 59 Yes No T4272XS Poisoning by unspecified antiepileptic and sedative-hypnotic drugs, intentional self-harm, sequela 59 Yes No T428X2S Poisoning by antiparkinsonism drugs and other central muscle-tone depressants, intentional self-harm, sequela 59 Yes No T43012S Poisoning by tricyclic antidepressants, intentional self-harm, sequela 59 Yes No T43022S Poisoning by tetracyclic antidepressants, intentional self-harm, sequela 59 Yes No T431X2S Poisoning by monoamine-oxidase-inhibitor antidepressants, intentional self-harm, sequela 59 Yes No T43202S Poisoning by unspecified antidepressants, intentional self-harm, sequela 59 Yes No T43212S Poisoning by selective serotonin and norepinephrine reuptake inhibitors, intentional self-harm, sequela 59 Yes No T43222S Poisoning by selective serotonin reuptake inhibitors, intentional self-harm, sequela 59 Yes No T43292S Poisoning by other antidepressants, intentional self-harm, sequela 59 Yes No T433X2S Poisoning by phenothiazine antipsychotics and neuroleptics, intentional self-harm, sequela 59 Yes No T434X2S Poisoning by butyrophenone and thiothixene neuroleptics, intentional self-harm, sequela 59 Yes No T43502S Poisoning by unspecified antipsychotics and neuroleptics, intentional self-harm, sequela 59 Yes No T43592S Poisoning by other antipsychotics and neuroleptics, intentional self-harm, sequela 59 Yes No T43602S Poisoning by unspecified psychostimulants, intentional self-harm, sequela 59 Yes No T43612S Poisoning by caffeine, intentional self-harm, sequela 59 Yes No T43622S Poisoning by amphetamines, intentional self-harm, sequela 59 Yes No T43632S Poisoning by methylphenidate, intentional self-harm, sequela 59 Yes No T43642S Poisoning by ecstasy, intentional self-harm, sequela 59 Yes No T43652S Poisoning by methamphetamines intentional self-harm, sequela 59 Yes No T43692S Poisoning by other psychostimulants, intentional self-harm, sequela 59 Yes No T438X2S Poisoning by other psychotropic drugs, intentional self-harm, sequela 59 Yes No T4392XS Poisoning by unspecified psychotropic drug, intentional self-harm, sequela 59 Yes No

T440X2S Poisoning by anticholinesterase agents, intentional self-harm, sequela 59 Yes No T441X2S Poisoning by other parasympathomimetics [cholinergics], intentional self-harm, sequela 59 Yes No T442X2S Poisoning by ganglionic blocking drugs, intentional self-harm, sequela 59 Yes No T443X2S Poisoning by other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, intentional self-harm, sequela 59 Yes No T444X2S Poisoning by predominantly alpha-adrenoreceptor agonists, intentional self-harm, sequela 59 Yes No T445X2S Poisoning by predominantly beta-adrenoreceptor agonists, intentional self-harm, sequela 59 Yes No T446X2S Poisoning by alpha-adrenoreceptor antagonists, intentional self-harm, sequela 59 Yes No T447X2S Poisoning by beta-adrenoreceptor antagonists, intentional self-harm, sequela 59 Yes No T448X2S Poisoning by centrally-acting and adrenergic-neuron-blocking agents, intentional self-harm, sequela 59 Yes No T44902S Poisoning by unspecified drugs primarily affecting the autonomic nervous system, intentional self-harm, sequela 59 Yes No T44992S Poisoning by other drug primarily affecting the autonomic nervous system, intentional self-harm, sequela 59 Yes No T450X2S Poisoning by antiallergic and antiemetic drugs, intentional self-harm, sequela 59 Yes No T451X2S Poisoning by antineoplastic and immunosuppressive drugs, intentional self-harm, sequela 59 Yes No T452X2S Poisoning by vitamins, intentional self-harm, sequela 59 Yes No T453X2S Poisoning by enzymes, intentional self-harm, sequela 59 Yes No T454X2S Poisoning by iron and its compounds, intentional self-harm, sequela 59 Yes No T45512S Poisoning by anticoagulants, intentional self-harm, sequela 59 Yes No T45522S Poisoning by antithrombotic drugs, intentional self-harm, sequela 59 Yes No T45602S Poisoning by unspecified fibrinolysis-affecting drugs, intentional self-harm, sequela 59 Yes No T45612S Poisoning by thrombolytic drug, intentional self-harm, sequela 59 Yes No T45622S Poisoning by hemostatic drug, intentional self-harm, sequela 59 Yes No T45692S Poisoning by other fibrinolysis-affecting drugs, intentional self-harm, sequela 59 Yes No T457X2S Poisoning by anticoagulant antagonists, vitamin K and other coagulants, intentional self-harm, sequela 59 Yes No T458X2S Poisoning by other primarily systemic and hematological agents, intentional self-harm, sequela 59 Yes No T4592XS Poisoning by unspecified primarily systemic and hematological agent, intentional self-harm, sequela 59 Yes No T460X2S Poisoning by cardiac-stimulant glycosides and drugs of similar action, intentional self-harm, sequela 59 Yes No T461X2S Poisoning by calcium-channel blockers, intentional self-harm, sequela 59 Yes No T462X2S Poisoning by other antidysrhythmic drugs, intentional self-harm, sequela 59 Yes No T463X2S Poisoning by coronary vasodilators, intentional self-harm, sequela 59 Yes No T464X2S Poisoning by angiotensin-converting-enzyme inhibitors, intentional self-harm, sequela 59 Yes No T465X2S Poisoning by other antihypertensive drugs, intentional self-harm, sequela 59 Yes No T466X2S Poisoning by antihyperlipidemic and antiarteriosclerotic drugs, intentional self-harm, sequela 59 Yes No T467X2S Poisoning by peripheral vasodilators, intentional self-harm, sequela 59 Yes No T468X2S Poisoning by antivaricose drugs, including sclerosing agents, intentional self-harm, sequela 59 Yes No T46902S Poisoning by unspecified agents primarily affecting the cardiovascular system, intentional self-harm, sequela 59 Yes No T46992S Poisoning by other agents primarily affecting the cardiovascular system, intentional self-harm, sequela 59 Yes No T470X2S Poisoning by histamine H2-receptor blockers, intentional self-harm, sequela 59 Yes No T471X2S Poisoning by other antacids and anti-gastric-secretion drugs, intentional self-harm, sequela 59 Yes No T472X2S Poisoning by stimulant laxatives, intentional self-harm, sequela 59 Yes No T473X2S Poisoning by saline and osmotic laxatives, intentional self-harm, sequela 59 Yes No T474X2S Poisoning by other laxatives, intentional self-harm, sequela 59 Yes No T475X2S Poisoning by digestants, intentional self-harm, sequela 59 Yes No T476X2S Poisoning by antidiarrheal drugs, intentional self-harm, sequela 59 Yes No T477X2S Poisoning by emetics, intentional self-harm, sequela 59 Yes No T478X2S Poisoning by other agents primarily affecting gastrointestinal system, intentional self-harm, sequela 59 Yes No T4792XS Poisoning by unspecified agents primarily affecting the gastrointestinal system, intentional self-harm, sequela 59 Yes No T480X2S Poisoning by oxytocic drugs, intentional self-harm, sequela 59 Yes No T481X2S Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], intentional self-harm, sequela 59 Yes No T48202S Poisoning by unspecified drugs acting on muscles, intentional self-harm, sequela 59 Yes No T48292S Poisoning by other drugs acting on muscles, intentional self-harm, sequela 59 Yes No T483X2S Poisoning by antitussives, intentional self-harm, sequela 59 Yes No T484X2S Poisoning by expectorants, intentional self-harm, sequela 59 Yes No T485X2S Poisoning by other anti-common-cold drugs, intentional self-harm, sequela 59 Yes No T486X2S Poisoning by antiasthmatics, intentional self-harm, sequela 59 Yes No T48902S Poisoning by unspecified agents primarily acting on the respiratory system, intentional self-harm, sequela 59 Yes No T48992S Poisoning by other agents primarily acting on the respiratory system, intentional self-harm, sequela 59 Yes No T490X2S Poisoning by local antifungal, anti-infective and anti-inflammatory drugs, intentional self-harm, sequela 59 Yes No T491X2S Poisoning by antipruritics, intentional self-harm, sequela 59 Yes No T492X2S Poisoning by local astringents and local detergents, intentional self-harm, sequela 59 Yes No T493X2S Poisoning by emollients, demulcents and protectants, intentional self-harm, sequela 59 Yes No T494X2S Poisoning by keratolytics, keratoplastics, and other hair treatment drugs and preparations, intentional self-harm, sequela 59 Yes No T495X2S Poisoning by ophthalmological drugs and preparations, intentional self-harm, sequela 59 Yes No T496X2S Poisoning by otorhinolaryngological drugs and preparations, intentional self-harm, sequela 59 Yes No T497X2S Poisoning by dental drugs, topically applied, intentional self-harm, sequela 59 Yes No T498X2S Poisoning by other topical agents, intentional self-harm, sequela 59 Yes No T4992XS Poisoning by unspecified topical agent, intentional self-harm, sequela 59 Yes No T500X2S Poisoning by mineralocorticoids and their antagonists, intentional self-harm, sequela 59 Yes No T501X2S Poisoning by loop [high-ceiling] diuretics, intentional self-harm, sequela 59 Yes No T502X2S Poisoning by carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics, intentional self-harm, sequela 59 Yes No T503X2S Poisoning by electrolytic, caloric and water-balance agents, intentional self-harm, sequela 59 Yes No T504X2S Poisoning by drugs affecting uric acid metabolism, intentional self-harm, sequela 59 Yes No T505X2S Poisoning by appetite depressants, intentional self-harm, sequela 59 Yes No T506X2S Poisoning by antidotes and chelating agents, intentional self-harm, sequela 59 Yes No T507X2S Poisoning by analeptics and opioid receptor antagonists, intentional self-harm, sequela 59 Yes No T508X2S Poisoning by diagnostic agents, intentional self-harm, sequela 59 Yes No T50902S Poisoning by unspecified drugs, medicaments and biological substances, intentional self-harm, sequela 59 Yes No

T50912S Poisoning by multiple unspecified drugs, medicaments and biological substances, intentional self-harm, sequela 59 Yes No T50992S Poisoning by other drugs, medicaments and biological substances, intentional self-harm, sequela 59 Yes No T50A12S Poisoning by pertussis vaccine, including combinations with a pertussis component, intentional self-harm, sequela 59 Yes No T50A22S Poisoning by mixed bacterial vaccines without a pertussis component, intentional self-harm, sequela 59 Yes No T50A92S Poisoning by other bacterial vaccines, intentional self-harm, sequela 59 Yes No T50B12S Poisoning by smallpox vaccines, intentional self-harm, sequela 59 Yes No T50B92S Poisoning by other viral vaccines, intentional self-harm, sequela 59 Yes No T50Z12S Poisoning by immunoglobulin, intentional self-harm, sequela 59 Yes No T50Z92S Poisoning by other vaccines and biological substances, intentional self-harm, sequela 59 Yes No T510X2S Toxic effect of ethanol, intentional self-harm, sequela 59 Yes No T511X2S Toxic effect of methanol, intentional self-harm, sequela 59 Yes No T512X2S Toxic effect of 2-Propanol, intentional self-harm, sequela 59 Yes No T513X2S Toxic effect of fusel oil, intentional self-harm, sequela 59 Yes No T518X2S Toxic effect of other alcohols, intentional self-harm, sequela 59 Yes No T5192XS Toxic effect of unspecified alcohol, intentional self-harm, sequela 59 Yes No T520X2S Toxic effect of petroleum products, intentional self-harm, sequela 59 Yes No T521X2S Toxic effect of benzene, intentional self-harm, sequela 59 Yes No T522X2S Toxic effect of homologues of benzene, intentional self-harm, sequela 59 Yes No T523X2S Toxic effect of glycols, intentional self-harm, sequela 59 Yes No T524X2S Toxic effect of ketones, intentional self-harm, sequela 59 Yes No T528X2S Toxic effect of other organic solvents, intentional self-harm, sequela 59 Yes No T5292XS Toxic effect of unspecified organic solvent, intentional self-harm, sequela 59 Yes No T530X2S Toxic effect of carbon tetrachloride, intentional self-harm, sequela 59 Yes No T531X2S Toxic effect of chloroform, intentional self-harm, sequela 59 Yes No T532X2S Toxic effect of trichloroethylene, intentional self-harm, sequela 59 Yes No T533X2S Toxic effect of tetrachloroethylene, intentional self-harm, sequela 59 Yes No T534X2S Toxic effect of dichloromethane, intentional self-harm, sequela 59 Yes No T535X2S Toxic effect of chlorofluorocarbons, intentional self-harm, sequela 59 Yes No T536X2S Toxic effect of other halogen derivatives of aliphatic hydrocarbons, intentional self-harm, sequela 59 Yes No T537X2S Toxic effect of other halogen derivatives of aromatic hydrocarbons, intentional self-harm, sequela 59 Yes No T5392XS Toxic effect of unspecified halogen derivatives of aliphatic and aromatic hydrocarbons, intentional self-harm, sequela 59 Yes No T540X2S Toxic effect of phenol and phenol homologues, intentional self-harm, sequela 59 Yes No T541X2S Toxic effect of other corrosive organic compounds, intentional self-harm, sequela 59 Yes No T542X2S Toxic effect of corrosive acids and acid-like substances, intentional self-harm, sequela 59 Yes No T543X2S Toxic effect of corrosive alkalis and alkali-like substances, intentional self-harm, sequela 59 Yes No T5492XS Toxic effect of unspecified corrosive substance, intentional self-harm, sequela 59 Yes No T550X2S Toxic effect of soaps, intentional self-harm, sequela 59 Yes No T551X2S Toxic effect of detergents, intentional self-harm, sequela 59 Yes No T560X2S Toxic effect of lead and its compounds, intentional self-harm, sequela 59 Yes No T561X2S Toxic effect of mercury and its compounds, intentional self-harm, sequela 59 Yes No T562X2S Toxic effect of chromium and its compounds, intentional self-harm, sequela 59 Yes No T563X2S Toxic effect of cadmium and its compounds, intentional self-harm, sequela 59 Yes No T564X2S Toxic effect of copper and its compounds, intentional self-harm, sequela 59 Yes No T565X2S Toxic effect of zinc and its compounds, intentional self-harm, sequela 59 Yes No T566X2S Toxic effect of tin and its compounds, intentional self-harm, sequela 59 Yes No T567X2S Toxic effect of beryllium and its compounds, intentional self-harm, sequela 59 Yes No T56812S Toxic effect of thallium, intentional self-harm, sequela 59 Yes No T56892S Toxic effect of other metals, intentional self-harm, sequela 59 Yes No T5692XS Toxic effect of unspecified metal, intentional self-harm, sequela 59 Yes No T570X2S Toxic effect of arsenic and its compounds, intentional self-harm, sequela 59 Yes No T571X2S Toxic effect of phosphorus and its compounds, intentional self-harm, sequela 59 Yes No T572X2S Toxic effect of manganese and its compounds, intentional self-harm, sequela 59 Yes No T573X2S Toxic effect of hydrogen cyanide, intentional self-harm, sequela 59 Yes No T578X2S Toxic effect of other specified inorganic substances, intentional self-harm, sequela 59 Yes No T5792XS Toxic effect of unspecified inorganic substance, intentional self-harm, sequela 59 Yes No T5802XS Toxic effect of carbon monoxide from motor vehicle exhaust, intentional self-harm, sequela 59 Yes No T5812XS Toxic effect of carbon monoxide from utility gas, intentional self-harm, sequela 59 Yes No T582X2S Toxic effect of carbon monoxide from incomplete combustion of other domestic fuels, intentional self-harm, sequela 59 Yes No T588X2S Toxic effect of carbon monoxide from other source, intentional self-harm, sequela 59 Yes No T5892XS Toxic effect of carbon monoxide from unspecified source, intentional self-harm, sequela 59 Yes No T590X2S Toxic effect of nitrogen oxides, intentional self-harm, sequela 59 Yes No T591X2S Toxic effect of sulfur dioxide, intentional self-harm, sequela 59 Yes No T592X2S Toxic effect of formaldehyde, intentional self-harm, sequela 59 Yes No T593X2S Toxic effect of lacrimogenic gas, intentional self-harm, sequela 59 Yes No T594X2S Toxic effect of chlorine gas, intentional self-harm, sequela 59 Yes No T595X2S Toxic effect of fluorine gas and hydrogen fluoride, intentional self-harm, sequela 59 Yes No T596X2S Toxic effect of hydrogen sulfide, intentional self-harm, sequela 59 Yes No T597X2S Toxic effect of carbon dioxide, intentional self-harm, sequela 59 Yes No T59812S Toxic effect of smoke, intentional self-harm, sequela 59 Yes No T59892S Toxic effect of other specified gases, fumes and vapors, intentional self-harm, sequela 59 Yes No T5992XS Toxic effect of unspecified gases, fumes and vapors, intentional self-harm, sequela 59 Yes No T600X2S Toxic effect of organophosphate and carbamate insecticides, intentional self-harm, sequela 59 Yes No T601X2S Toxic effect of halogenated insecticides, intentional self-harm, sequela 59 Yes No T602X2S Toxic effect of other insecticides, intentional self-harm, sequela 59 Yes No T603X2S Toxic effect of herbicides and fungicides, intentional self-harm, sequela 59 Yes No T604X2S Toxic effect of rodenticides, intentional self-harm, sequela 59 Yes No

T608X2S Toxic effect of other pesticides, intentional self-harm, sequela 59 Yes No T6092XS Toxic effect of unspecified pesticide, intentional self-harm, sequela 59 Yes No T6102XS Ciguatera fish poisoning, intentional self-harm, sequela 59 Yes No T6112XS Scombroid fish poisoning, intentional self-harm, sequela 59 Yes No T61772S Other fish poisoning, intentional self-harm, sequela 59 Yes No T61782S Other shellfish poisoning, intentional self-harm, sequela 59 Yes No T618X2S Toxic effect of other seafood, intentional self-harm, sequela 59 Yes No T6192XS Toxic effect of unspecified seafood, intentional self-harm, sequela 59 Yes No T620X2S Toxic effect of ingested mushrooms, intentional self-harm, sequela 59 Yes No T621X2S Toxic effect of ingested berries, intentional self-harm, sequela 59 Yes No T622X2S Toxic effect of other ingested (parts of) plant(s), intentional self-harm, sequela 59 Yes No T628X2S Toxic effect of other specified noxious substances eaten as food, intentional self-harm, sequela 59 Yes No T6292XS Toxic effect of unspecified noxious substance eaten as food, intentional self-harm, sequela 59 Yes No T63002S Toxic effect of unspecified snake venom, intentional self-harm, sequela 59 Yes No T63012S Toxic effect of rattlesnake venom, intentional self-harm, sequela 59 Yes No T63022S Toxic effect of coral snake venom, intentional self-harm, sequela 59 Yes No T63032S Toxic effect of taipan venom, intentional self-harm, sequela 59 Yes No T63042S Toxic effect of cobra venom, intentional self-harm, sequela 59 Yes No T63062S Toxic effect of venom of other North and South American snake, intentional self-harm, sequela 59 Yes No T63072S Toxic effect of venom of other Australian snake, intentional self-harm, sequela 59 Yes No T63082S Toxic effect of venom of other African and Asian snake, intentional self-harm, sequela 59 Yes No T63092S Toxic effect of venom of other snake, intentional self-harm, sequela 59 Yes No T63112S Toxic effect of venom of gila monster, intentional self-harm, sequela 59 Yes No T63122S Toxic effect of venom of other venomous lizard, intentional self-harm, sequela 59 Yes No T63192S Toxic effect of venom of other reptiles, intentional self-harm, sequela 59 Yes No T632X2S Toxic effect of venom of scorpion, intentional self-harm, sequela 59 Yes No T63302S Toxic effect of unspecified spider venom, intentional self-harm, sequela 59 Yes No T63312S Toxic effect of venom of black widow spider, intentional self-harm, sequela 59 Yes No T63322S Toxic effect of venom of tarantula, intentional self-harm, sequela 59 Yes No T63332S Toxic effect of venom of brown recluse spider, intentional self-harm, sequela 59 Yes No T63392S Toxic effect of venom of other spider, intentional self-harm, sequela 59 Yes No T63412S Toxic effect of venom of centipedes and venomous millipedes, intentional self-harm, sequela 59 Yes No T63422S Toxic effect of venom of ants, intentional self-harm, sequela 59 Yes No T63432S Toxic effect of venom of caterpillars, intentional self-harm, sequela 59 Yes No T63442S Toxic effect of venom of bees, intentional self-harm, sequela 59 Yes No T63452S Toxic effect of venom of hornets, intentional self-harm, sequela 59 Yes No T63462S Toxic effect of venom of wasps, intentional self-harm, sequela 59 Yes No T63482S Toxic effect of venom of other arthropod, intentional self-harm, sequela 59 Yes No T63512S Toxic effect of contact with stingray, intentional self-harm, sequela 59 Yes No T63592S Toxic effect of contact with other venomous fish, intentional self-harm, sequela 59 Yes No T63612S Toxic effect of contact with Portuguese Man-o-war, intentional self-harm, sequela 59 Yes No T63622S Toxic effect of contact with other jellyfish, intentional self-harm, sequela 59 Yes No T63632S Toxic effect of contact with sea anemone, intentional self-harm, sequela 59 Yes No T63692S Toxic effect of contact with other venomous marine animals, intentional self-harm, sequela 59 Yes No T63712S Toxic effect of contact with venomous marine plant, intentional self-harm, sequela 59 Yes No T63792S Toxic effect of contact with other venomous plant, intentional self-harm, sequela 59 Yes No T63812S Toxic effect of contact with venomous frog, intentional self-harm, sequela 59 Yes No T63822S Toxic effect of contact with venomous toad, intentional self-harm, sequela 59 Yes No T63832S Toxic effect of contact with other venomous amphibian, intentional self-harm, sequela 59 Yes No T63892S Toxic effect of contact with other venomous animals, intentional self-harm, sequela 59 Yes No T6392XS Toxic effect of contact with unspecified venomous animal, intentional self-harm, sequela 59 Yes No T6402XS Toxic effect of aflatoxin, intentional self-harm, sequela 59 Yes No T6482XS Toxic effect of other mycotoxin food contaminants, intentional self-harm, sequela 59 Yes No T650X2S Toxic effect of cyanides, intentional self-harm, sequela 59 Yes No T651X2S Toxic effect of strychnine and its salts, intentional self-harm, sequela 59 Yes No T65212S Toxic effect of chewing tobacco, intentional self-harm, sequela 59 Yes No T65222S Toxic effect of tobacco cigarettes, intentional self-harm, sequela 59 Yes No T65292S Toxic effect of other tobacco and nicotine, intentional self-harm, sequela 59 Yes No T653X2S Toxic effect of nitroderivatives and aminoderivatives of benzene and its homologues, intentional self-harm, sequela 59 Yes No T654X2S Toxic effect of carbon disulfide, intentional self-harm, sequela 59 Yes No T655X2S Toxic effect of nitroglycerin and other nitric acids and esters, intentional self-harm, sequela 59 Yes No T656X2S Toxic effect of paints and dyes, not elsewhere classified, intentional self-harm, sequela 59 Yes No T65812S Toxic effect of latex, intentional self-harm, sequela 59 Yes No T65822S Toxic effect of harmful algae and algae toxins, intentional self-harm, sequela 59 Yes No T65832S Toxic effect of fiberglass, intentional self-harm, sequela 59 Yes No T65892S Toxic effect of other specified substances, intentional self-harm, sequela 59 Yes No T6592XS Toxic effect of unspecified substance, intentional self-harm, sequela 59 Yes No T71112S Asphyxiation due to smothering under pillow, intentional self-harm, sequela 59 Yes No T71122S Asphyxiation due to plastic bag, intentional self-harm, sequela 59 Yes No T71132S Asphyxiation due to being trapped in bed linens, intentional self-harm, sequela 59 Yes No T71152S Asphyxiation due to smothering in furniture, intentional self-harm, sequela 59 Yes No T71162S Asphyxiation due to hanging, intentional self-harm, sequela 59 Yes No T71192S Asphyxiation due to mechanical threat to breathing due to other causes, intentional self-harm, sequela 59 Yes No T71222S Asphyxiation due to being trapped in a car trunk, intentional self-harm, sequela 59 Yes No T71232S Asphyxiation due to being trapped in a (discarded) refrigerator, intentional self-harm, sequela 59 Yes No X710XXD Intentional self-harm by drowning and submersion while in bathtub, subsequent encounter 59 Yes No

X710XXS Intentional self-harm by drowning and submersion while in bathtub, sequela 59 Yes No X711XXD Intentional self-harm by drowning and submersion while in swimming pool, subsequent encounter 59 Yes No X711XXS Intentional self-harm by drowning and submersion while in swimming pool, sequela 59 Yes No X712XXD Intentional self-harm by drowning and submersion after jump into swimming pool, subsequent encounter 59 Yes No X712XXS Intentional self-harm by drowning and submersion after jump into swimming pool, sequela 59 Yes No X713XXD Intentional self-harm by drowning and submersion in natural water, subsequent encounter 59 Yes No X713XXS Intentional self-harm by drowning and submersion in natural water, sequela 59 Yes No X718XXD Other intentional self-harm by drowning and submersion, subsequent encounter 59 Yes No X718XXS Other intentional self-harm by drowning and submersion, sequela 59 Yes No X719XXD Intentional self-harm by drowning and submersion, unspecified, subsequent encounter 59 Yes No X719XXS Intentional self-harm by drowning and submersion, unspecified, sequela 59 Yes No X72XXXD Intentional self-harm by handgun discharge, subsequent encounter 59 Yes No X72XXXS Intentional self-harm by handgun discharge, sequela 59 Yes No X730XXD Intentional self-harm by shotgun discharge, subsequent encounter 59 Yes No X730XXS Intentional self-harm by shotgun discharge, sequela 59 Yes No X731XXD Intentional self-harm by hunting rifle discharge, subsequent encounter 59 Yes No X731XXS Intentional self-harm by hunting rifle discharge, sequela 59 Yes No X732XXD Intentional self-harm by machine gun discharge, subsequent encounter 59 Yes No X732XXS Intentional self-harm by machine gun discharge, sequela 59 Yes No X738XXD Intentional self-harm by other larger firearm discharge, subsequent encounter 59 Yes No X738XXS Intentional self-harm by other larger firearm discharge, sequela 59 Yes No X739XXD Intentional self-harm by unspecified larger firearm discharge, subsequent encounter 59 Yes No X739XXS Intentional self-harm by unspecified larger firearm discharge, sequela 59 Yes No X7401XD Intentional self-harm by airgun, subsequent encounter 59 Yes No X7401XS Intentional self-harm by airgun, sequela 59 Yes No X7402XD Intentional self-harm by paintball gun, subsequent encounter 59 Yes No X7402XS Intentional self-harm by paintball gun, sequela 59 Yes No X7409XD Intentional self-harm by other gas, air or spring-operated gun, subsequent encounter 59 Yes No X7409XS Intentional self-harm by other gas, air or spring-operated gun, sequela 59 Yes No X748XXD Intentional self-harm by other firearm discharge, subsequent encounter 59 Yes No X748XXS Intentional self-harm by other firearm discharge, sequela 59 Yes No X749XXD Intentional self-harm by unspecified firearm discharge, subsequent encounter 59 Yes No X749XXS Intentional self-harm by unspecified firearm discharge, sequela 59 Yes No X75XXXD Intentional self-harm by explosive material, subsequent encounter 59 Yes No X75XXXS Intentional self-harm by explosive material, sequela 59 Yes No X76XXXD Intentional self-harm by smoke, fire and flames, subsequent encounter 59 Yes No X76XXXS Intentional self-harm by smoke, fire and flames, sequela 59 Yes No X770XXD Intentional self-harm by steam or hot vapors, subsequent encounter 59 Yes No X770XXS Intentional self-harm by steam or hot vapors, sequela 59 Yes No X771XXD Intentional self-harm by hot tap water, subsequent encounter 59 Yes No X771XXS Intentional self-harm by hot tap water, sequela 59 Yes No X772XXD Intentional self-harm by other hot fluids, subsequent encounter 59 Yes No X772XXS Intentional self-harm by other hot fluids, sequela 59 Yes No X773XXD Intentional self-harm by hot household appliances, subsequent encounter 59 Yes No X773XXS Intentional self-harm by hot household appliances, sequela 59 Yes No X778XXD Intentional self-harm by other hot objects, subsequent encounter 59 Yes No X778XXS Intentional self-harm by other hot objects, sequela 59 Yes No X779XXD Intentional self-harm by unspecified hot objects, subsequent encounter 59 Yes No X779XXS Intentional self-harm by unspecified hot objects, sequela 59 Yes No X780XXD Intentional self-harm by sharp glass, subsequent encounter 59 Yes No X780XXS Intentional self-harm by sharp glass, sequela 59 Yes No X781XXD Intentional self-harm by knife, subsequent encounter 59 Yes No X781XXS Intentional self-harm by knife, sequela 59 Yes No X782XXD Intentional self-harm by sword or dagger, subsequent encounter 59 Yes No X782XXS Intentional self-harm by sword or dagger, sequela 59 Yes No X788XXD Intentional self-harm by other sharp object, subsequent encounter 59 Yes No X788XXS Intentional self-harm by other sharp object, sequela 59 Yes No X789XXD Intentional self-harm by unspecified sharp object, subsequent encounter 59 Yes No X789XXS Intentional self-harm by unspecified sharp object, sequela 59 Yes No X79XXXD Intentional self-harm by blunt object, subsequent encounter 59 Yes No X79XXXS Intentional self-harm by blunt object, sequela 59 Yes No X80XXXD Intentional self-harm by jumping from a high place, subsequent encounter 59 Yes No X80XXXS Intentional self-harm by jumping from a high place, sequela 59 Yes No X810XXD Intentional self-harm by jumping or lying in front of motor vehicle, subsequent encounter 59 Yes No X810XXS Intentional self-harm by jumping or lying in front of motor vehicle, sequela 59 Yes No X811XXD Intentional self-harm by jumping or lying in front of (subway) train, subsequent encounter 59 Yes No X811XXS Intentional self-harm by jumping or lying in front of (subway) train, sequela 59 Yes No X818XXD Intentional self-harm by jumping or lying in front of other moving object, subsequent encounter 59 Yes No X818XXS Intentional self-harm by jumping or lying in front of other moving object, sequela 59 Yes No X820XXD Intentional collision of motor vehicle with other motor vehicle, subsequent encounter 59 Yes No X820XXS Intentional collision of motor vehicle with other motor vehicle, sequela 59 Yes No X821XXD Intentional collision of motor vehicle with train, subsequent encounter 59 Yes No X821XXS Intentional collision of motor vehicle with train, sequela 59 Yes No X822XXD Intentional collision of motor vehicle with tree, subsequent encounter 59 Yes No X822XXS Intentional collision of motor vehicle with tree, sequela 59 Yes No X828XXD Other intentional self-harm by crashing of motor vehicle, subsequent encounter 59 Yes No

X828XXS Other intentional self-harm by crashing of motor vehicle, sequela 59 Yes No X830XXD Intentional self-harm by crashing of aircraft, subsequent encounter 59 Yes No X830XXS Intentional self-harm by crashing of aircraft, sequela 59 Yes No X831XXD Intentional self-harm by electrocution, subsequent encounter 59 Yes No X831XXS Intentional self-harm by electrocution, sequela 59 Yes No X832XXD Intentional self-harm by exposure to extremes of cold, subsequent encounter 59 Yes No X832XXS Intentional self-harm by exposure to extremes of cold, sequela 59 Yes No X838XXD Intentional self-harm by other specified means, subsequent encounter 59 Yes No X838XXS Intentional self-harm by other specified means, sequela 59 Yes No F21 Schizotypal disorder 60 153 Yes Yes F440 Dissociative amnesia 60 153 Yes Yes F441 Dissociative fugue 60 153 Yes Yes F4481 Dissociative identity disorder 60 153 Yes Yes F481 Depersonalization-derealization syndrome 60 153 Yes Yes F600 Paranoid personality disorder 60 153 Yes Yes F601 Schizoid personality disorder 60 153 Yes Yes F602 Antisocial personality disorder 60 153 Yes Yes F603 Borderline personality disorder 60 153 Yes Yes F604 Histrionic personality disorder 60 153 Yes Yes F605 Obsessive-compulsive personality disorder 60 153 Yes Yes F606 Avoidant personality disorder 60 153 Yes Yes F607 Dependent personality disorder 60 153 Yes Yes F6081 Narcissistic personality disorder 60 153 Yes Yes F6089 Other specific personality disorders 60 153 Yes Yes F609 Personality disorder, unspecified 60 153 Yes Yes F5000 Anorexia nervosa, unspecified 153 No Yes F5001 Anorexia nervosa, restricting type 153 No Yes F5002 Anorexia nervosa, binge eating/purging type 153 No Yes F502 Bulimia nervosa 153 No Yes

Spinal Disease Group V24 V28 Spinal Disease Group: 3 HCCs Spinal Disease Group: 3 HCCs • HCC 70 (Quadriplegia) • HCC 180 (Quadriplegia) • HCC 71 (Paraplegia) • HCC 181 (Paraplegia) • HCC 72 (Spinal Cord Disorders/Injuries) • HCC 182 (Spinal Cord Disorders/Injuries)

ICD 10 Desccriptor V24 V28 V24 V28 G8250 Quadriplegia, unspecified 70 180 Yes Yes G8251 Quadriplegia, C1-C4 complete 70 180 Yes Yes G8252 Quadriplegia, C1-C4 incomplete 70 180 Yes Yes G8253 Quadriplegia, C5-C7 complete 70 180 Yes Yes G8254 Quadriplegia, C5-C7 incomplete 70 180 Yes Yes R532 Functional quadriplegia 70 180 Yes Yes S14111A Complete lesion at C1 level of cervical spinal cord, initial encounter 70 180 Yes Yes S14111D Complete lesion at C1 level of cervical spinal cord, subsequent encounter 70 180 Yes Yes S14111S Complete lesion at C1 level of cervical spinal cord, sequela 70 180 Yes Yes S14112A Complete lesion at C2 level of cervical spinal cord, initial encounter 70 180 Yes Yes S14112D Complete lesion at C2 level of cervical spinal cord, subsequent encounter 70 180 Yes Yes S14112S Complete lesion at C2 level of cervical spinal cord, sequela 70 180 Yes Yes S14113A Complete lesion at C3 level of cervical spinal cord, initial encounter 70 180 Yes Yes S14113D Complete lesion at C3 level of cervical spinal cord, subsequent encounter 70 180 Yes Yes S14113S Complete lesion at C3 level of cervical spinal cord, sequela 70 180 Yes Yes S14114A Complete lesion at C4 level of cervical spinal cord, initial encounter 70 180 Yes Yes S14114D Complete lesion at C4 level of cervical spinal cord, subsequent encounter 70 180 Yes Yes S14114S Complete lesion at C4 level of cervical spinal cord, sequela 70 180 Yes Yes S14115A Complete lesion at C5 level of cervical spinal cord, initial encounter 70 180 Yes Yes S14115D Complete lesion at C5 level of cervical spinal cord, subsequent encounter 70 180 Yes Yes S14115S Complete lesion at C5 level of cervical spinal cord, sequela 70 180 Yes Yes S14116A Complete lesion at C6 level of cervical spinal cord, initial encounter 70 180 Yes Yes S14116D Complete lesion at C6 level of cervical spinal cord, subsequent encounter 70 180 Yes Yes S14116S Complete lesion at C6 level of cervical spinal cord, sequela 70 180 Yes Yes S14117A Complete lesion at C7 level of cervical spinal cord, initial encounter 70 180 Yes Yes S14117D Complete lesion at C7 level of cervical spinal cord, subsequent encounter 70 180 Yes Yes S14117S Complete lesion at C7 level of cervical spinal cord, sequela 70 180 Yes Yes S14118A Complete lesion at C8 level of cervical spinal cord, initial encounter 70 180 Yes Yes S14118D Complete lesion at C8 level of cervical spinal cord, subsequent encounter 70 180 Yes Yes S14118S Complete lesion at C8 level of cervical spinal cord, sequela 70 180 Yes Yes S14119A Complete lesion at unspecified level of cervical spinal cord, initial encounter 70 180 Yes Yes S14119D Complete lesion at unspecified level of cervical spinal cord, subsequent encounter 70 180 Yes Yes S14119S Complete lesion at unspecified level of cervical spinal cord, sequela 70 180 Yes Yes G8220 Paraplegia, unspecified 71 181 Yes Yes G8221 Paraplegia, complete 71 181 Yes Yes G8222 Paraplegia, incomplete 71 181 Yes Yes S24111A Complete lesion at T1 level of thoracic spinal cord, initial encounter 71 181 Yes Yes S24111D Complete lesion at T1 level of thoracic spinal cord, subsequent encounter 71 181 Yes Yes S24111S Complete lesion at T1 level of thoracic spinal cord, sequela 71 181 Yes Yes S24112A Complete lesion at T2-T6 level of thoracic spinal cord, initial encounter 71 181 Yes Yes S24112D Complete lesion at T2-T6 level of thoracic spinal cord, subsequent encounter 71 181 Yes Yes S24112S Complete lesion at T2-T6 level of thoracic spinal cord, sequela 71 181 Yes Yes S24113A Complete lesion at T7-T10 level of thoracic spinal cord, initial encounter 71 181 Yes Yes S24113D Complete lesion at T7-T10 level of thoracic spinal cord, subsequent encounter 71 181 Yes Yes S24113S Complete lesion at T7-T10 level of thoracic spinal cord, sequela 71 181 Yes Yes S24114A Complete lesion at T11-T12 level of thoracic spinal cord, initial encounter 71 181 Yes Yes S24114D Complete lesion at T11-T12 level of thoracic spinal cord, subsequent encounter 71 181 Yes Yes S24114S Complete lesion at T11-T12 level of thoracic spinal cord, sequela 71 181 Yes Yes S24119A Complete lesion at unspecified level of thoracic spinal cord, initial encounter 71 181 Yes Yes S24119D Complete lesion at unspecified level of thoracic spinal cord, subsequent encounter 71 181 Yes Yes S24119S Complete lesion at unspecified level of thoracic spinal cord, sequela 71 181 Yes Yes B0082 Herpes simplex myelitis 72 182 Yes Yes B0112 Varicella myelitis 72 182 Yes Yes B0224 Postherpetic myelitis 72 182 Yes Yes G041 Tropical spastic paraplegia 72 182 Yes Yes G0482 Acute flaccid myelitis 72 182 Yes Yes G0489 Other myelitis 72 182 Yes Yes G0491 Myelitis, unspecified 72 182 Yes Yes G054 Myelitis in diseases classified elsewhere 72 182 Yes Yes G320 Subacute combined degeneration of spinal cord in diseases classified elsewhere 72 182 Yes Yes G3281 Cerebellar ataxia in diseases classified elsewhere 72 182 Yes Yes G373 Acute transverse myelitis in demyelinating disease of central nervous system 72 182 Yes Yes G374 Subacute necrotizing myelitis of central nervous system 72 182 Yes Yes G834 Cauda equina syndrome 72 182 Yes Yes G901 Familial dysautonomia [Riley-Day] 72 182 Yes Yes G950 Syringomyelia and syringobulbia 72 182 Yes Yes G9511 Acute infarction of spinal cord (embolic) (nonembolic) 72 182 Yes Yes G9519 Other vascular myelopathies 72 182 Yes Yes G9520 Unspecified cord compression 72 182 Yes Yes G9529 Other cord compression 72 182 Yes Yes G9581 Conus medullaris syndrome 72 182 Yes Yes G9589 Other specified diseases of spinal cord 72 182 Yes Yes G959 Disease of spinal cord, unspecified 72 182 Yes Yes G992 Myelopathy in diseases classified elsewhere 72 182 Yes Yes Q000 Anencephaly 72 182 Yes Yes

Q001 Craniorachischisis 72 182 Yes Yes Q002 Iniencephaly 72 182 Yes Yes Q010 Frontal encephalocele 72 182 Yes Yes Q011 Nasofrontal encephalocele 72 182 Yes Yes Q012 Occipital encephalocele 72 182 Yes Yes Q018 Encephalocele of other sites 72 182 Yes Yes Q019 Encephalocele, unspecified 72 182 Yes Yes Q02 Microcephaly 72 182 Yes Yes Q030 Malformations of aqueduct of Sylvius 72 182 Yes Yes Q031 Atresia of foramina of Magendie and Luschka 72 182 Yes Yes Q038 Other congenital hydrocephalus 72 182 Yes Yes Q039 Congenital hydrocephalus, unspecified 72 182 Yes Yes Q040 Congenital malformations of corpus callosum 72 182 Yes Yes Q041 Arhinencephaly 72 182 Yes Yes Q042 Holoprosencephaly 72 182 Yes Yes Q043 Other reduction deformities of brain 72 182 Yes Yes Q044 Septo-optic dysplasia of brain 72 182 Yes Yes Q045 Megalencephaly 72 182 Yes Yes Q046 Congenital cerebral cysts 72 182 Yes Yes Q048 Other specified congenital malformations of brain 72 182 Yes Yes Q049 Congenital malformation of brain, unspecified 72 182 Yes Yes Q050 Cervical spina bifida with hydrocephalus 72 182 Yes Yes Q051 Thoracic spina bifida with hydrocephalus 72 182 Yes Yes Q052 Lumbar spina bifida with hydrocephalus 72 182 Yes Yes Q053 Sacral spina bifida with hydrocephalus 72 182 Yes Yes Q054 Unspecified spina bifida with hydrocephalus 72 182 Yes Yes Q055 Cervical spina bifida without hydrocephalus 72 182 Yes Yes Q056 Thoracic spina bifida without hydrocephalus 72 182 Yes Yes Q057 Lumbar spina bifida without hydrocephalus 72 182 Yes Yes Q058 Sacral spina bifida without hydrocephalus 72 182 Yes Yes Q059 Spina bifida, unspecified 72 182 Yes Yes Q060 Amyelia 72 182 Yes Yes Q061 Hypoplasia and dysplasia of spinal cord 72 182 Yes Yes Q062 Diastematomyelia 72 182 Yes Yes Q063 Other congenital cauda equina malformations 72 182 Yes Yes Q064 Hydromyelia 72 182 Yes Yes Q068 Other specified congenital malformations of spinal cord 72 182 Yes Yes Q069 Congenital malformation of spinal cord, unspecified 72 182 Yes Yes Q0700 Arnold-Chiari syndrome without spina bifida or hydrocephalus 72 182 Yes Yes Q0701 Arnold-Chiari syndrome with spina bifida 72 182 Yes Yes Q0702 Arnold-Chiari syndrome with hydrocephalus 72 182 Yes Yes Q0703 Arnold-Chiari syndrome with spina bifida and hydrocephalus 72 182 Yes Yes Q078 Other specified congenital malformations of nervous system 72 182 Yes Yes Q079 Congenital malformation of nervous system, unspecified 72 182 Yes Yes S140XXA Concussion and edema of cervical spinal cord, initial encounter 72 182 Yes Yes S140XXD Concussion and edema of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14101A Unspecified injury at C1 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14101D Unspecified injury at C1 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14102A Unspecified injury at C2 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14102D Unspecified injury at C2 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14103A Unspecified injury at C3 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14103D Unspecified injury at C3 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14104A Unspecified injury at C4 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14104D Unspecified injury at C4 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14105A Unspecified injury at C5 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14105D Unspecified injury at C5 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14106A Unspecified injury at C6 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14106D Unspecified injury at C6 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14107A Unspecified injury at C7 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14107D Unspecified injury at C7 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14108A Unspecified injury at C8 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14108D Unspecified injury at C8 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14109A Unspecified injury at unspecified level of cervical spinal cord, initial encounter 72 182 Yes Yes S14109D Unspecified injury at unspecified level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14121A Central cord syndrome at C1 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14121D Central cord syndrome at C1 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14122A Central cord syndrome at C2 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14122D Central cord syndrome at C2 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14123A Central cord syndrome at C3 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14123D Central cord syndrome at C3 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14124A Central cord syndrome at C4 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14124D Central cord syndrome at C4 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14125A Central cord syndrome at C5 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14125D Central cord syndrome at C5 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14126A Central cord syndrome at C6 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14126D Central cord syndrome at C6 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes

S14127A Central cord syndrome at C7 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14127D Central cord syndrome at C7 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14128A Central cord syndrome at C8 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14128D Central cord syndrome at C8 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14129A Central cord syndrome at unspecified level of cervical spinal cord, initial encounter 72 182 Yes Yes S14129D Central cord syndrome at unspecified level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14131A Anterior cord syndrome at C1 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14131D Anterior cord syndrome at C1 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14132A Anterior cord syndrome at C2 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14132D Anterior cord syndrome at C2 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14133A Anterior cord syndrome at C3 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14133D Anterior cord syndrome at C3 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14134A Anterior cord syndrome at C4 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14134D Anterior cord syndrome at C4 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14135A Anterior cord syndrome at C5 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14135D Anterior cord syndrome at C5 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14136A Anterior cord syndrome at C6 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14136D Anterior cord syndrome at C6 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14137A Anterior cord syndrome at C7 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14137D Anterior cord syndrome at C7 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14138A Anterior cord syndrome at C8 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14138D Anterior cord syndrome at C8 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14139A Anterior cord syndrome at unspecified level of cervical spinal cord, initial encounter 72 182 Yes Yes S14139D Anterior cord syndrome at unspecified level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14141A Brown-Sequard syndrome at C1 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14141D Brown-Sequard syndrome at C1 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14142A Brown-Sequard syndrome at C2 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14142D Brown-Sequard syndrome at C2 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14143A Brown-Sequard syndrome at C3 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14143D Brown-Sequard syndrome at C3 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14144A Brown-Sequard syndrome at C4 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14144D Brown-Sequard syndrome at C4 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14145A Brown-Sequard syndrome at C5 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14145D Brown-Sequard syndrome at C5 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14146A Brown-Sequard syndrome at C6 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14146D Brown-Sequard syndrome at C6 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14147A Brown-Sequard syndrome at C7 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14147D Brown-Sequard syndrome at C7 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14148A Brown-Sequard syndrome at C8 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14148D Brown-Sequard syndrome at C8 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14149A Brown-Sequard syndrome at unspecified level of cervical spinal cord, initial encounter 72 182 Yes Yes S14149D Brown-Sequard syndrome at unspecified level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14151A Other incomplete lesion at C1 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14151D Other incomplete lesion at C1 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14152A Other incomplete lesion at C2 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14152D Other incomplete lesion at C2 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14153A Other incomplete lesion at C3 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14153D Other incomplete lesion at C3 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14154A Other incomplete lesion at C4 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14154D Other incomplete lesion at C4 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14155A Other incomplete lesion at C5 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14155D Other incomplete lesion at C5 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14156A Other incomplete lesion at C6 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14156D Other incomplete lesion at C6 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14157A Other incomplete lesion at C7 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14157D Other incomplete lesion at C7 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14158A Other incomplete lesion at C8 level of cervical spinal cord, initial encounter 72 182 Yes Yes S14158D Other incomplete lesion at C8 level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S14159A Other incomplete lesion at unspecified level of cervical spinal cord, initial encounter 72 182 Yes Yes S14159D Other incomplete lesion at unspecified level of cervical spinal cord, subsequent encounter 72 182 Yes Yes S240XXA Concussion and edema of thoracic spinal cord, initial encounter 72 182 Yes Yes S240XXD Concussion and edema of thoracic spinal cord, subsequent encounter 72 182 Yes Yes S24101A Unspecified injury at T1 level of thoracic spinal cord, initial encounter 72 182 Yes Yes S24101D Unspecified injury at T1 level of thoracic spinal cord, subsequent encounter 72 182 Yes Yes S24102A Unspecified injury at T2-T6 level of thoracic spinal cord, initial encounter 72 182 Yes Yes S24102D Unspecified injury at T2-T6 level of thoracic spinal cord, subsequent encounter 72 182 Yes Yes S24103A Unspecified injury at T7-T10 level of thoracic spinal cord, initial encounter 72 182 Yes Yes S24103D Unspecified injury at T7-T10 level of thoracic spinal cord, subsequent encounter 72 182 Yes Yes S24104A Unspecified injury at T11-T12 level of thoracic spinal cord, initial encounter 72 182 Yes Yes S24104D Unspecified injury at T11-T12 level of thoracic spinal cord, subsequent encounter 72 182 Yes Yes S24109A Unspecified injury at unspecified level of thoracic spinal cord, initial encounter 72 182 Yes Yes S24109D Unspecified injury at unspecified level of thoracic spinal cord, subsequent encounter 72 182 Yes Yes S24131A Anterior cord syndrome at T1 level of thoracic spinal cord, initial encounter 72 182 Yes Yes S24131D Anterior cord syndrome at T1 level of thoracic spinal cord, subsequent encounter 72 182 Yes Yes S24132A Anterior cord syndrome at T2-T6 level of thoracic spinal cord, initial encounter 72 182 Yes Yes S24132D Anterior cord syndrome at T2-T6 level of thoracic spinal cord, subsequent encounter 72 182 Yes Yes

S24133A Anterior cord syndrome at T7-T10 level of thoracic spinal cord, initial encounter 72 182 Yes Yes S24133D Anterior cord syndrome at T7-T10 level of thoracic spinal cord, subsequent encounter 72 182 Yes Yes S24134A Anterior cord syndrome at T11-T12 level of thoracic spinal cord, initial encounter 72 182 Yes Yes S24134D Anterior cord syndrome at T11-T12 level of thoracic spinal cord, subsequent encounter 72 182 Yes Yes S24139A Anterior cord syndrome at unspecified level of thoracic spinal cord, initial encounter 72 182 Yes Yes S24139D Anterior cord syndrome at unspecified level of thoracic spinal cord, subsequent encounter 72 182 Yes Yes S24141A Brown-Sequard syndrome at T1 level of thoracic spinal cord, initial encounter 72 182 Yes Yes S24141D Brown-Sequard syndrome at T1 level of thoracic spinal cord, subsequent encounter 72 182 Yes Yes S24142A Brown-Sequard syndrome at T2-T6 level of thoracic spinal cord, initial encounter 72 182 Yes Yes S24142D Brown-Sequard syndrome at T2-T6 level of thoracic spinal cord, subsequent encounter 72 182 Yes Yes S24143A Brown-Sequard syndrome at T7-T10 level of thoracic spinal cord, initial encounter 72 182 Yes Yes S24143D Brown-Sequard syndrome at T7-T10 level of thoracic spinal cord, subsequent encounter 72 182 Yes Yes S24144A Brown-Sequard syndrome at T11-T12 level of thoracic spinal cord, initial encounter 72 182 Yes Yes S24144D Brown-Sequard syndrome at T11-T12 level of thoracic spinal cord, subsequent encounter 72 182 Yes Yes S24149A Brown-Sequard syndrome at unspecified level of thoracic spinal cord, initial encounter 72 182 Yes Yes S24149D Brown-Sequard syndrome at unspecified level of thoracic spinal cord, subsequent encounter 72 182 Yes Yes S24151A Other incomplete lesion at T1 level of thoracic spinal cord, initial encounter 72 182 Yes Yes S24151D Other incomplete lesion at T1 level of thoracic spinal cord, subsequent encounter 72 182 Yes Yes S24152A Other incomplete lesion at T2-T6 level of thoracic spinal cord, initial encounter 72 182 Yes Yes S24152D Other incomplete lesion at T2-T6 level of thoracic spinal cord, subsequent encounter 72 182 Yes Yes S24153A Other incomplete lesion at T7-T10 level of thoracic spinal cord, initial encounter 72 182 Yes Yes S24153D Other incomplete lesion at T7-T10 level of thoracic spinal cord, subsequent encounter 72 182 Yes Yes S24154A Other incomplete lesion at T11-T12 level of thoracic spinal cord, initial encounter 72 182 Yes Yes S24154D Other incomplete lesion at T11-T12 level of thoracic spinal cord, subsequent encounter 72 182 Yes Yes S24159A Other incomplete lesion at unspecified level of thoracic spinal cord, initial encounter 72 182 Yes Yes S24159D Other incomplete lesion at unspecified level of thoracic spinal cord, subsequent encounter 72 182 Yes Yes S3401XA Concussion and edema of lumbar spinal cord, initial encounter 72 182 Yes Yes S3401XD Concussion and edema of lumbar spinal cord, subsequent encounter 72 182 Yes Yes S3402XA Concussion and edema of sacral spinal cord, initial encounter 72 182 Yes Yes S3402XD Concussion and edema of sacral spinal cord, subsequent encounter 72 182 Yes Yes S34101A Unspecified injury to L1 level of lumbar spinal cord, initial encounter 72 182 Yes Yes S34101D Unspecified injury to L1 level of lumbar spinal cord, subsequent encounter 72 182 Yes Yes S34102A Unspecified injury to L2 level of lumbar spinal cord, initial encounter 72 182 Yes Yes S34102D Unspecified injury to L2 level of lumbar spinal cord, subsequent encounter 72 182 Yes Yes S34103A Unspecified injury to L3 level of lumbar spinal cord, initial encounter 72 182 Yes Yes S34103D Unspecified injury to L3 level of lumbar spinal cord, subsequent encounter 72 182 Yes Yes S34104A Unspecified injury to L4 level of lumbar spinal cord, initial encounter 72 182 Yes Yes S34104D Unspecified injury to L4 level of lumbar spinal cord, subsequent encounter 72 182 Yes Yes S34105A Unspecified injury to L5 level of lumbar spinal cord, initial encounter 72 182 Yes Yes S34105D Unspecified injury to L5 level of lumbar spinal cord, subsequent encounter 72 182 Yes Yes S34109A Unspecified injury to unspecified level of lumbar spinal cord, initial encounter 72 182 Yes Yes S34109D Unspecified injury to unspecified level of lumbar spinal cord, subsequent encounter 72 182 Yes Yes S34111A Complete lesion of L1 level of lumbar spinal cord, initial encounter 72 182 Yes Yes S34111D Complete lesion of L1 level of lumbar spinal cord, subsequent encounter 72 182 Yes Yes S34112A Complete lesion of L2 level of lumbar spinal cord, initial encounter 72 182 Yes Yes S34112D Complete lesion of L2 level of lumbar spinal cord, subsequent encounter 72 182 Yes Yes S34113A Complete lesion of L3 level of lumbar spinal cord, initial encounter 72 182 Yes Yes S34113D Complete lesion of L3 level of lumbar spinal cord, subsequent encounter 72 182 Yes Yes S34114A Complete lesion of L4 level of lumbar spinal cord, initial encounter 72 182 Yes Yes S34114D Complete lesion of L4 level of lumbar spinal cord, subsequent encounter 72 182 Yes Yes S34115A Complete lesion of L5 level of lumbar spinal cord, initial encounter 72 182 Yes Yes S34115D Complete lesion of L5 level of lumbar spinal cord, subsequent encounter 72 182 Yes Yes S34119A Complete lesion of unspecified level of lumbar spinal cord, initial encounter 72 182 Yes Yes S34119D Complete lesion of unspecified level of lumbar spinal cord, subsequent encounter 72 182 Yes Yes S34121A Incomplete lesion of L1 level of lumbar spinal cord, initial encounter 72 182 Yes Yes S34121D Incomplete lesion of L1 level of lumbar spinal cord, subsequent encounter 72 182 Yes Yes S34122A Incomplete lesion of L2 level of lumbar spinal cord, initial encounter 72 182 Yes Yes S34122D Incomplete lesion of L2 level of lumbar spinal cord, subsequent encounter 72 182 Yes Yes S34123A Incomplete lesion of L3 level of lumbar spinal cord, initial encounter 72 182 Yes Yes S34123D Incomplete lesion of L3 level of lumbar spinal cord, subsequent encounter 72 182 Yes Yes S34124A Incomplete lesion of L4 level of lumbar spinal cord, initial encounter 72 182 Yes Yes S34124D Incomplete lesion of L4 level of lumbar spinal cord, subsequent encounter 72 182 Yes Yes S34125A Incomplete lesion of L5 level of lumbar spinal cord, initial encounter 72 182 Yes Yes S34125D Incomplete lesion of L5 level of lumbar spinal cord, subsequent encounter 72 182 Yes Yes S34129A Incomplete lesion of unspecified level of lumbar spinal cord, initial encounter 72 182 Yes Yes S34129D Incomplete lesion of unspecified level of lumbar spinal cord, subsequent encounter 72 182 Yes Yes S34131A Complete lesion of sacral spinal cord, initial encounter 72 182 Yes Yes S34131D Complete lesion of sacral spinal cord, subsequent encounter 72 182 Yes Yes S34132A Incomplete lesion of sacral spinal cord, initial encounter 72 182 Yes Yes S34132D Incomplete lesion of sacral spinal cord, subsequent encounter 72 182 Yes Yes S34139A Unspecified injury to sacral spinal cord, initial encounter 72 182 Yes Yes S34139D Unspecified injury to sacral spinal cord, subsequent encounter 72 182 Yes Yes S343XXA Injury of cauda equina, initial encounter 72 182 Yes Yes G120 Infantile spinal muscular atrophy, type I [Werdnig-Hoffman] 72 190 Yes Yes G121 Other inherited spinal muscular atrophy 72 190 Yes Yes G128 Other spinal muscular atrophies and related syndromes 72 190 Yes Yes