Superbill

Back to CPT Codes

Ear:   otitis media  | eustachian tube  |  TM Hearing loss  | EAC  | ext ear  Vertigo  Otalgia  Anomalies  |  Misc Ear  
Eye:  eye  | eyelid
Nose:  Septum  turbinates  Rhinitis Nasal polyps  |  Misc nose Acute sinusitis  | Chr sinusitis  polyps  |  Misc sinus  
Thyroid:  enlarge/goiter  Hypo  |  hyper  |  thyroiditis  parathyroid 
Oral:  Dental/peridontal/skeletal  Stomatitis  |  infections lips  leukoplakia misc  
Oropharynx/tonsils:  Acute infection  |  Abscess  |  Chr infections  |  Hypertrophy  |  Misc
Nasopharynx:  
Salivary glands:  
Larynx:  Acute infection  |  Chr infections  VC paralysis  VC abnormalities  voice disturbance  |  Stridor  Trachea  |  Misc  Tracheotomy  |  Voice prosth |  Airway Obstruction | Resiratory failure |  Respiratory distress
Neck:  Lymphadenitis Other neck mass  Misc
Esophagus:
Periph nervous system/cranial nerves:  
Headache/facial pain: 
Migraine  |  other
Asthma/COPD:  Asthma  COPD,Emphysema  Bronchitis  Pulm infections
Skin:  Dermatitis |  Eczema | Urticaria  |  Angioedema |  Misc
Wounds:  Hematoma  | Open ear |  Open head  | Open neck  |  Crush |  Abrasion  |  Burns  | Complications
Trauma: Foreign body  |  Bld vs |  Facial bones  |  Larynx/trachea
Tumors: Malignant primary |  Secondary sites  |  Benign  | Uncertain behavior | Leukoplakia |  Personal history
Allergy:  Autoimmune/hypersensitivity  | Adverse rxn  | Venom | Other  |  Allergy to  |
Systemic disease: Misc  | Personal history  | Substance abuse
Sign & symptoms: 
Encounter for (V codes)  |  Eval for condition not found
OSA:  sleep apnea 


Otitis Media

381.00 Acute Nonsuppurative
381.01 Acute Serous
381.02 Acute Mucoid
381.03 Acute Sanguinous
381.04 Acute Allergic Serous
381.06 Acute Allergic Sanguinous
381.05 Acute allergic mucoid
382.00 Acute Suppurative w/o perf
382.01 Acute Suppurative with perf
382.02 Acute Suppurative with Specific Dz
    code 1st underlying disease
    487.8 Influenza
    055.2 Post Measles
    034.1 Scarlet Fever
381.3 Chronic Allergic Secretory
381.3 Chronic Exudative, Transudate w/ Effusion

381.10 Chronic Serous Simple/NOS
381.20 Chronic Mucoid Simple/NOS
381.19 Chronic Serosanguinous
381.29 Chronic Mucosanguinous
381.3 Chronic Nonsupp, Other, NOS
381.4 Nonsuppurative, NOS as to Acute/Chronic
382.1 Chronic Suppurative Tubotympanic w/ Anterior Perf
382.3 Chronic Suppurative, NOS
017.4 Tuberculous
382.9 Unspecified OM
383.00 Acute Mastoiditis w/o complic
383.1 Chronic Mastoiditis
388.69 Otorrhagia
388.61 Otorrhea due to CSF
388.60 Otorrhea, Unspecified

Eustachian Tube Problems

381.50 Salpingitis, Unspecified
381.51 Salpingitis, Acute
381.52    Chronic
381.60 Eustachian Tube Obstruction
381.61    by Cholesteatoma / Polyp
381.61    Osseous Obstruction
381.62    Intrinsic Cartilaginous
381.63     Extrinsic Cartilaginous
381.7 Patulous 
381.81 Eustachian Tube Dysfunction
381.9 Other Disorder of ET

Tympanic Membrane

384.01 Bullous Myringitis
384.20 TM Perf, Non-Traumatic, NOS
384.21 Central Perf
384.22 Attic Perforation
384.22 Pars Flaccida Perf
384.23 Other Marginal Perf
384.24 Multiple perfs
384.25 Total Perf
384.81 Healed Perf
872.61 TM Perf, Traumatic
384.82 Atrophic, Non-flaccid TM
385.00 Tympanosclerosis

Hearing Loss

315.34 Speech & language developmental delay due to HL
388.5 Acquired auditory processing disorder
389.00 Conductive, Unspecified
389.08    Combined Type
389.01    External Ear
389.02    TM
389.03    Middle Ear
389.04    Inner ear
389.05    Unilateral
389.06    Bilateral
389.10 Sensorineural Unspecified
389.11 Sensory
389.12 Noise-induced
389.12 Neural
389.13 Sensory HL, unilateral
389.14 Central HL
389.17 Sensorineural HL, unilateral
389.18 Sensorineural HL, bilateral
388.01 Presbycusis
389.20    Unspecified
389.21    Unilateral
389.22    Bilateral
388.2 Sudden
388.43 Impaired Hearing
389.7 Deaf, non-speaking, not elsewhere classified
387.9 Otosclerosis
V72.12 Encounter for hearing conservation & treatment

External Auditory Canal

380.4 Cerumen Impaction
380.22 Actinic/ Chemical/ Contact
380.10 Acute Infective, NOS
380.13 Acute, of specific cause   
    Code first underlying disease
     035           Erysipelas       
     053.71       Herpes Zoster   
     054.73       Herpes Simplex
      684          Impetigo          
      690.10      Seborrheic Dermatitis   
380.11 Acute Infection of the Pinna
380.12 swimmer's Ear
380.12 Beach Ear
380.16 Chronic Infective
380.15 Chronic Mycotic
        Code first the underlying disease
        117.3    Aspergillosis
        112.82   Candidiasis
        111.9    Otomycosis, NOS
380.22Eczemoid / Reactive
680.0  Furuncle, Ear
680.0  Furuncular
380.14 Malignant
380.22 Otitis Externa, Acute
380.23 Otitis Externa, Chronic
931      Foreign Body
698.9   Pruritus of Ear
380.21 Cholesteatoma of External Ear
388.8   Ear Canal Mass
910.0   Abrasion, Ear Canal
111.8    Dermatomycoses
 

External Ear

744.29 Anomaly of Ear
744.1 Accessory Auricle
738.7 Cauliflower Ear , Acquired
706.2 Sebaceous Cyst
744.3 Congenital Anomaly Ear, NOS
380.31 Hematoma-Auricle/Pinna
701.4 Keloid Scar
872.00 Laceration of External Ear
744.47 PreAuricular Cyst
380.01 Perichondritis, Acute

Vertigo

780.4 Vertigo
386.10 Vertigo, Peripheral
386.35 Viral Labyrinthitis
386.11 Positional Vertigo, Benign
386.00 Meniere's Disease
435.1 Vertebral Artery Insufficiency
386.19 Aural Vertigo
386.2  Central Positional
386.12 Vestibular Neuronitis

Otalgia

388.70 Unspecified Otalgia
388.71 Otogenic
388.72 Referred

Anomalies

744.01 Absence of External Ear
744.02 Atresia or Stricture of EAC
744.46 Pre-Auricular Sinus or Fistula
744.47 Pre-Auricular Cyst

Miscellaneous Ear

225.1 Acoustic Neuroma
388.60 Otorrhea
388.30 Tinnitus, Unspecified
388.31 Tinnitus, Subjective
388.32 Tinnitus, Objective
385.30 Cholesteatoma NOS
385.32 Cholesteatoma Middle Ear
385.33 Cholesteatoma ME/Mastoid

Septum

470 Deviation, Acquired
754.0 Deviation, Congenital
478.1 Perforation, Abscess, Ulcer
920 Hematoma

Turbinates

472.0 Atrophic Rhinitis
478.0 Hypertrophy
748.1 Deformity of Wall of Nasal Sinus, Concha Bullosum, Congenital Nasal Deformity

Rhinitis

460 Acute Rhinitis Acute Nasopharyngitis (Common Cold)
477.0 Allergic, Due to Pollen
477.1 Allergic, Due to Food
477.2 Allergic, due to animal hair and dander
477.8 Allergic, Other Allergen
477.9 Allergic, Unspecified
472.0 Chronic, Atrophic, Etc.

Nasal Polyps

471.0 Antral Choanal
471.8 Sinus Polyps
471.9 Unspecified

Miscellaneous, Nose

781.1 Anosmia, Parosmia
748.0 Choanal Atresia
738.0 Acquired Deformity of Nose
784.7 Epistaxis
932 Foreign Body
212.02 Papilloma, Mass, Nasal Vestibule
784.9 Sneezing
478.1 Other Diseases of Nasal Cavity & Sinuses, e.g. Cyst, Rhinolith Nasal Obstruction
465.9 URI (Excluding Common Cold, which is 460)
478.1 Nasal Vestibulitis

Sinusitis/Acute

461.0 Maxillary
461.1 Frontal
461.2 Ethmoid
461.3 Sphenoid
461.8 Pan Sinusitis
461.9 Acute Sinusitis, Unspecified

Sinusitis/Chronic

473.0 Maxillary
473.1 Frontal
473.2 Ethmoid
473.3 Sphenoid
473.8 Pan Sinusitis
473.9 Unspecified

Polyps

471.0 Antral Choanal
471.8 Sinus Polyp
471.1 Polypoid Sinus Degeneration
212.0 Adenomatous Polyps

Miscellaneous, Sinus

478.1 Cyst or Mucocele
213.0 Osteoma, Frontal Sinus

Enlargement/Goiter

193 Malignancy
240.9 Thyroid Enlargement
241.0 Thyroid Nodule
241.1 Multi-Nodular Goiter, Non-Toxic
246.2 Thyroid Cyst
226 Benign Neoplasm
759.2 Thyroglossal Duct Cyst or Accessory Thyroid Gland

Hypothyroidism

244.0 Post-Surgical
244.1 Post-Irradiation
244.3 Iatrogenic
244.9 Primary

Thyroiditis

245.0 Acute
245.1 Subacute
245.2 Chronic, Hashimoto's, Autoimmune
245.3 Chronic, Riedel's
245.8 Chronic
245.9 Unspec.

Hyperthyroidism

242.00 Grave's Disease
242.10 Toxic Nodule
242.3 Toxic Nodular Goiter, Unspec.
242.90 Hyperthyroidism NOS

Parathyroid Glands

252.01 Primary Hyperparathyroidism
252.02 Secondary, non-renal hyperparathyroidism
252.08 Other hyperpareathyroidism
252.1 Hypoparathyroidism
252.8 Cyst or Hemorrhage of Parathyroid
252.9 Unspec. Disorder
227.1 Benign Neoplasm

Dental/Periodontal/ Facial Skeleton

521.0 Dental Caries
522.5 Periapical Abscess w/o Sinus
522.7 Periapical Abscess With Fistula/Sinus
523.0 Acute Gingivitis
523.1 Chronic Gingivitis
054.2 Herpetic Gingivostomatitis
528.6 Leukoplakia of Gingiva
524.10 Prognathism-Retrognathism
733.29 Fibrous Dysplasia
524.2 Maxillomandibular Malocclusion (Crossbite, Open Bite, Etc.)
524.5 Malocclusion Due to Nasal Obstruction
524.60 TMJ
525.1 Acquired Absence of Teeth
525.40 Complete edentulism, unspecified
525.50 Partial edentulism, unspecified
526.0 Developmental Odontogenic Cyst
526.81 Torus
526.89 Osteoradionecrosis of Jaw

Stomatitis

528.2 Apthous Stomatitis
054.2 Herpetic Stomatitis
528.0 Stomatitis NOS

Oral Cavity Infections

112.0 Candidiasis/Thrush
528.3 Ludwig's Angina, Cellulitis of FOM, Oral Fistula
528.5 Cellulitis/Abscess of Lip

Lips

528.6 Leukoplakia
528.5 Cheilitis, Infections

Leukoplakia

528.6 All Oral Mucosa, Including Tongue

Miscellaneous/Oral Soft Tissue

528.9 Cheek, Lip Biting, Denture, Sore Mouth, Pyogenic Granuloma, Etc.
697.0 Lichen Planus Tongue
529.1 Geographic Tongue
529.2 Median Rhomboid Glossitis
529.3 Hypertrophy of Papillae
529.4 Atrophy of Papillae
529.5 Scrotal/Fissured Tongue
529.6 Glossodynia
529.8 Hypertrophic or Atrophic Tongue
750.0 Tongue Tie
750.15 Macroglossia
749.01 Bifid Uvula
749.00 Cleft Palate, Unspecified
749.10 Cleft Lip, Unspecified
749.20 Cleft Palate and Lip, Unspecified

Salivary Glands

527.0 Atrophy
527.1 Hypertrophy
527.2 Sialoadenitis
527.3 Abscess
527.4 Fistula
527.5 Sialolithiasis
527.6 Mucocele/Ranula
527.7 Sialorrhea or Xerostomia
527.8 Benign Lymphoepithelial Lesion, or Ductal Stricture
072.9 Mumps/Infectious Parotitis

Acute Infections

460 Nasopharyngitis (Common Cold)
462 Pharyngitis
463 Tonsillitis
465.0 Laryngopharyngitis
034.0 Strep Throat
075 Infectious Mononucleosis
074.0 Herpangina
478.21 Cellulitis, Pharynx or Nasopharynx

Abscess

475 Peritonsillar (Includes Cellulitis)
478.29 Pharyngeal, Nasopharyngeal
478.22 Parapharyngeal
478.24 Retropharyngeal

Chronic Infections

474.00 Chronic Tonsillitis
474.01 Chronic adenoiditis
474.02 Chronic tonsillitis & adenoiditis
472.1 Chronic Pharyngitis
472.2 Chronic Nasopharyngitis

Hypertrophy

474.10 Tonsils and Adenoids
474.11 Tonsils Alone
474.12 Adenoids Alone

Nasopharynx

748.8 Nasopharyngeal Atresia
478.25 Nasopharyngeal Edema
478.26 Nasopharyngeal Cyst
528.9 VPI, Acquired
750.29 VPI, Congenital
478.2 Adenoid Vegetations

Miscellaneous, Throat

478.20 Unspecified Disease of Pharynx
787.2 Dysphagia
933.0 Foreign Body of Pharynx
786.3 Hemoptysis
784.1 Throat Pain

Acute Infections


464.00 Acute Laryngitis
 464.01 Acute Laryngitis w/Obstruct.
 464.50 Supraglottitis
 464.51 Supraglottitis, w/Obstruction
487.1 Laryngitis with Influenza
464.10 Tracheitis
464.11 Tracheitis w/Obstruction
464.20 Laryngotracheitis
464.21 Laryngotracheitis w/Obstruct.
464.30 Epiglottitis
464.31 Epiglottitis w/Obstruction
464.4 Croup
465.0 Laryngopharyngitis

Chronic Infections

476.0 Chronic Laryngitis
476.1 Chronic Laryngotracheitis
491.8 Chronic Tracheitis

Vocal Cord Paralysis

478.30 Unspecified
478.31 Unilateral, Partial
478.32 Unilateral, Complete
478.33 Bilateral, Partial
478.34 Bilateral, Complete

Vocal Cord Abnormalities, Other

212.1 Laryngeal Papillomas
478.4 Polyp
478.5 Granuloma, Leukoplakia, Nodules, Hemorrhage
478.6 Edema
478.71 Cellulitis, Perichondritis
478.74 Stenosis
478.75 Laryngeal Spasm
478.79 Radionecrosis, Ulcer
920 Hematoma

Voice Disturbances

748.3 Congenital, laryngomalacia
784.41 Aphonia
784.49 Dysphonia, Hoarseness, Hypernasality, Hyponasality
784.5 Dysarthria, Dysphasia
306.1 Psychogenic Voice Disorder* (*use with caution)

Stridor

748.3 Congenital, Laryngomalacia
786.1 Adult

Trachea

V44.0 Status Post Tracheostomy
V55.0 Tracheostomy, Requiring Care
519.00 Tracheostomy Complication, unspecified
519.01 Infection of tracheostomy

519.02 Mechanical complication of tracheostomy
519.09 Other tracheostomy complication

519.1 Stenosis of Trachea
530.84 T-E Fistula
934.0  Tracheal foreign body

Airway Obstruction


519.8 Obstruction NEC
496    Obstruction chronic
934.9 Secondary to foreign body
506.9 Secondary to inhalation of fumes
478.75 Due to laryngospasm

Respiratory failure

518.81   NOS
528.82  Acute
518.84  Acute and chronic
518.83  Chronic
518.5  due to trauma/ shock
770.84  Newborn or perinatal
799.02 Hypoxemia

Respiratory distress

786.09 NOS
518.82  Acute
518.82  Acute, NEC
770.89  Newborn and perinatal
518.5   Adult due to trauma, shock surgery
518.82  Adult due to trauma, surgery, shock, specified NEC
769      Syndrome, newborn

 


 

NECK

Lymphadenitis

683 Acute
289.1 Chronic

Other Neck Masses

784.2 Swelling, Mass, Lump
196.0 Metastatic Nodal
229.0 Benign Neck Node Mass
744.41 Branchial Cleft Sinus or Fistula
744.42 Branchial Cleft Cyst
759.2 Thyroglossal Duct Cyst
227.6 Glomus Jugulare, Benign
227.5 Carotid Body Tumor, Benign
237.3 Carotid Body or Glomus Jugulare Tumor, Uncertain Behavior
228.00 Hemangioma of Unspec. Site
228.01 Hemangioma of Skin and SubQ tissues
228.1 Lymphangioma, Congenital
214.1 Lipoma
706.2 Sebaceous Cyst
337.0 Carotidynia

Miscellaneous, Neck

682.1 Abscess or Cellulitis of Neck
744.46 Preauricular Sinus or Fistula
744.9 Unspec. Anomaly of Neck
874 Open Wound of Neck (See Trauma Codes)
723.1  Cervicalgia

ESOPHAGUS

530.10 Esophagitis, unspecified
530.11 Reflux Esophagitis
 530.12 Acute Esophagitis
530.19 Other Esophagitis
530.2 Ulcer of Esophagus
530.3 Stricture, Stenosis, Compression
530.4 Perforation, Non-Traumatic
530.5 Esophageal Spasm
947.2 Burn due to Caustic Ingestion
787.20 Dysphagia, unspecified
787.21    oral phase
787.22    Oropharyngeal phase
787.23    Pharyngeal phase
787.24    Pharyngo-esophageal phase
787.29    Other
530.6 Diverticulum, Acquired
530.81 GE Reflux
935.1 Foreign Body of Esophagus
300.11 Globus Hystericus* (*Psych code, use with caution)
787.1 Heart Burn
553.3 Hiatal Hernia
530.83 Leukoplakia
530.84 T-E Fistula
787.01 Nausea and Vomiting
787.02 Nausea alone

787.03 Vomiting alone

PERIPHERAL NERVOUS SYSTEM/CRANIAL NERVES

350.1 Trigeminal Neuralgia
053.12 Post-Herpetic Trigeminal Neuralgia
350.2 Atypical Face Pain
350.9 Trigeminal Nerve Disorder, Unspecified
351.0 Facial Nerve Palsy, Bell's Palsy
351.9 Facial Nerve Disorder, Unspecified
053.11 Herpetic Geniculate Ganglionitis
352.0 Disorders of Olfactory Nerve
388.5 Acoustic Neuritis or Degeneration
225.1 Acoustic Neuroma
352.1 Glossopharyngeal Neuralgia
352.3 Disorders of Vagus Nerve, Excluding Vocal Cord Paralysis
352.4 Disorders of Accessory Nerve
352.5 Disorders of Hypoglossal Nerve
352.6 Multiple Cranial Nerve Palsies
337.0 Idiopathic Peripheral Autonomic Neuropathy- Carotid Sinus Syncope
337.1 Peripheral Autonomic Neuropathy Due to Diabetes (250.6)
340 Multiple Sclerosis
344.00 Quadriplegia, Unspecified
358.0 Myasthenia Gravis

HEADACHE/FACIAL PAIN

Migraine

346.00 Classical w/o mention of intractable migraine
346.01 Classical with intractable migraine

346.10 Common Migraine, "sick headache"

346.20 Variants of migraine w/o mention of intractable migraine
346.21 Variants of migraine with intractable migraine
346.90 Unspecified w/o intractable migraine
346.91 Unspecified with intractable migraine

Other Headache/Facial Pain

339.00 Cluster
    339.01 Episodic cluster
    339.02 Chronic cluster
    339.03 Episodic paroxysmal hemicrania
    339.04 Chronic paroxysmal hemicrania
    339.05 Short lasting unilateral neuralgiform HA with conjunctival injection
    339.09 other trigeminal autonomic cephalgias
351.1 Trigeminal Neuralgia
350.2 Atypical
339.1 Tension Headache
    339.10 tension type, unspecified
    339.11 episodic tension
    339.12 chronic tension
339.2 Post-traumatic
    339.20 unspecified
    339.21 acute
    339.22 chronic
339.3 Drug induced not elsewhere classified
339.4 Complicated headache syndrome
    393.41 hemicrania continum
    339.42 new daily persistent HA
    339.43 primary thunderclap HA
    339.44 other complicated HA syndrome
339.8 Other complicated HA syndrome
    339.81 Hypnic HA
    339.82 HA associated with sexual activity
    339.83 primary cough HA
    339.84 primary exertional HA
    339.85 primary stabbing HA
    339.89 other specified HA syndrome
784.0 Facial Pain, NOS
524.60 TMJ

ASTHMA & COPD

493.00 Extrinsic, Without Status Asthmaticus
493.10 Intrinsic, Without Status Asthmaticus
493.20 Chronic, with COPD
493.90 Unspec., without Status Asthmaticus
493.01 Extrinsic, with Status Asthmaticus
493.11 Intrinsic, with Status Asthmaticus
493.21 Chronic, with COPD, with Status Asthmaticus
493.91 Unspec., with Status Asthmaticus
519.1 Exercise Induced Bronchospasm
786.0 Dyspnea

COPD, Emphysema, Etc.

492.8 Emphysema
491.20 Emphysema with Chronic Bronchitis
491.21 Emphysema with Both Acute and Chronic Bronchitis
496 COPD, NOS
508.1 Pulmonary Fibrosis Following Radiation
508.9 Reactive Airway Disease

BRONCHITIS

466.0 Acute
491.0 Simple, Chronic

491.20 Chronic Bronchitis w/o acute exacerbation
491.21 Chronic Bronchitis with acute exacerbation

491.8 Other, Chronic
490 Not Specified as Acute or Chronic

494.0 Bronchiectasis w/o acute exacerbation
494.1 Bronchiectasis with acute exacerbation

PULMONARY INFECTIONS

480.0 Pneumonia Due to Adenovirus
482.9 Pneumonia, Bacterial, Unspecified
486 Pneumonia, Organism Unspecified
487.0 Pneumonia with Influenza
487.1 Influenza with other Respiratory Manifestations
487.8 Influenza with Other Manifestations
511.1 Pleurisy, Bacterial Cause Other than TB with Effusion
465.9 URI
V12.01 Personal History, TB
V46.1 Ventilator Dependence

Dermatitis

691.8 Atopic
692.0 Contact, Due to Detergents
692.3 Due to Drugs and Medicines in Contact with Skin

692.4 Due to Other Chemical Products

692.5 Contact, Due to Food
692.6 Due to Plants
692.81 Due to Cosmetics
693.9 Due to Unspecified Substance Taken Internally
692.89 Due to Other Unspec. Agent (Dye, Weather, UV Rays Except from Sun,Etc.)
693.0 Medicamentosa
694.0 Herpetiformis
694.8 Bullous
111.8 Dermatomycosis, Other

Eczema

691.8 Infantile
692.9 Other

Urticaria

708.0 Allergic
708.1 Idiopathic
708.3 Dermatographic
708.9 Unspecified, Hives
708.8 Chronic or Recurrent Periodic

Angioedema

995.1 Angioneurotic Edema
277.6 Angioedema, Hereditary

Miscellaneous

374.34 Blepharochalasis
701.8 Facial Ptosis
053.20 Herpes Zoster
684 Impetigo
695.89 Intertrigo
214.1 Lipoma
698.9 Pruritus, Unspecified
695.3 Rosacea
782.2 SubQ Nodules
695.0 Toxic Erythema
695.1 Erythema Multiforme
695.2 Erythema Nodosum
694.4 Penphigus
694.5 Penphigoid
443.0 Raynaud's Syndrome
287.0 Purpura, Allergic; Allergic Vasculitis
112.1 Candidiasis, Vaginal
112.3 Candidiasis, Skin or Nails
112.89 Candidiasis, Other Specif.Site
035 Erysipelas
228.01 Hemangioma of Skin and SubQ tissues
078.10 Condyloma, Viral Warts

Hematoma

920 Of Face, Scalp, Neck (Except Eyes)
376.32 Orbital Hemorrhage

Open Wound of Ear, Complicated

872.11 Pinna
872.12 Ear Canal
872.71 TM

Open Wound of Head, Complic.

873.1 Scalp
873.30 Nose
873.31 Nasal Septum
873.32 Nasal Cavity
873.50 Face, Unspecified Site
873.51 Cheek
873.52 Forehead, Eyebrow
873.53 Lip
873.54 Jaw
873.70 Mouth
873.71 Buccal Mucosa
873.72 Alveolus
873.73 Tooth (Broken)
873.74 Tongue and FOM
873.75 Palate
873.9 Unspecified

Open Wound of Neck, Complic.

874.10 Larynx with Trachea
874.11 Larynx
874.12 Trachea
874.3 Thyroid Gland
874.5 Pharynx, Cervical Esophagus
874.9 Unspecified

Crushing Injuries

925.1 Face, Scalp, Ear
925.2 Larynx, Pharynx, Throat

Abrasion of Face, Neck, Scalp

910.0 Non-infected
910.1 Infected

Burns (Including Chemical)

947.0 Mouth and Pharynx
947.1 Larynx, Trachea
947.2 Esophagus
941.XX Face, Head, and Neck

Foreign Body

931 Auditory Canal
932 Nose, Sinus
933.0 Pharynx, Nasopharynx
933.1 Larynx
934.0 Trachea
934.1 Main Stem Bronchus
935.0 Mouth
935.1 Esophagus

Injury to Blood Vessels

900.01 Common Carotid
900.02 External Carotid
900.03 Internal Carotid
900.1 Internal Jugular Vein
900.81 External Jugular Vein
900.82 Multiple Vessels
900.89 Other
ACTURE

Facial Bones

802.0 Nasal Bones, Closed
802.1 Nasal Bones, Open
802.20 Mandible, Closed, Unspec. Site
802.30 Mandible, Open, Unspec. Site
802.4 Malar/Maxillary Bones, Closed
802.5 Malar/Maxillary Bones, Open
802.6 Orbital Floor, Closed

802.7 Orbital Floor, Open
802.8 Other, Closed, Including Palate
802.9 Other, Open, Including Palate

Larynx and Tracheal Fracture

807.5 Closed
807.6 Open

Miscellaneous Larynx & Trachea

748.2 Laryngeal Web
748.3 Anomaly, Atresia, Laryngocele
786.3 Hemoptysis
933.1 Foreign Body, Larynx
934.0 Foreign Body, Trachea
786.8 Hiccough
478.74 Laryngeal Stenosis
V10.21 History of Laryngeal Cancer
V10.12 History of Tracheal Cancer
V52.8 Fitting/Adjustment of other specified prosthetic device

Wound complications

998.11 Hemorrhage complicating a procedure
998.12 Hematoma complicating a procedure
998.13 Seroma complicating a procedure
998.3 Disruption of Operative Wound
998.4 Retained Foreign Body
998.51 Infected postoperative
seroma
998.59 Other postoperative infection
998.6 Persistent Fistula
V51 Unacceptable Cosmetic Appearance of Healed Wound,
Scarring
701.4 Keloid
701.5 Granulation Tissue
996.67 Infection Reaction Due to Plate or Screw
996.69 Infection Reaction Due to Other Prosthesis or Implant
, MALIGNANT

Malignant

Primary Sites

170.0 Bone, Skull Face
170.1 Bone, Mandible
145.0 Buccal Mucosa
171.0 Connective Tissue of Head & Neck
150.0 Cervical Esophagus
172.0 Ear/EAC
143.0 Gums, Upper
143.1 Gums, Lower
148.9 Hypopharynx
161.9 Larynx, Unspecified
140.0 Upper lip cutaneous cancer
173.0 Lower lip cutaneous cancer
140.9 Lip, Upper, Border, Unspecified
140.3 Lip, Upper, Inner
140.4 Lip, Lower, Inner
230.0 Lip/In Situ
202.81 Lymphoma
162.9 Lung, Bronchus, Unspec.
172.4 Melanoma/Scalp-Neck
172.3 Melanoma/Skin of Face
144.0 Floor of mouth, anterior
144.1 Floor of mouth, lateral
144.9 Mouth, Floor, Unspecified
145.1 Mouth, Vestibule
160.0 Nasal Cavity
147.9 Nasopharynx
145.9 Oral Cavity
230.0 Oral Cavity/In Situ
146.9 Oropharynx, Unspecified
146.6 Oropharynx, Lateral Wall
146.7 Oropharynx, Posterior Wall
145.2 Palate, Hard
145.3 Palate, Soft
142.0 Parotid Gland
149.0 Pharynx, Unspecified
148.1 Pyriform Sinus
145.6 Retromolar Area
145.9 Salivary Gland, Minor
173.4 Scalp/Skin of Neck
160.3 Sinus, Ethmoid
160.4 Sinus, Frontal
160.2 Sinus, Maxillary
160.5 Sinus, Sphenoid
173.2 Skin, Ear, External
173.1 Skin, Eyelid
173.3 Skin, Face
173.0 Skin, Lip
173.4 Skin, Neck & Scalp
142.1 Submandibular Gland
164.0 Thymus
193 Thyroid
141.0 Tongue, Base
141.4 Tongue, Anterior 2/3rds
141.2 Tongue, Lateral
146.0 Tonsil
146.2 Tonsillar Pillars
162.0 Trachea
145.4 Uvula

Secondary Sites

198.5 Bone, Skull, Face
198.5 Bone, Mandible
197.8 Esophagus/Spleen
198.89 Gums, Upper
198.89 Gums, Lower
197.3 Larynx
198.89 Lip, Upper, Border
198.89 Lip, Upper, Inner
198.89 Lip, Lower, Inner
197.0 Lung/Bronchus
196.0 Lymph Nodes
198.89 Mouth, Floor, Unspecified
198.89 Mouth, Vestibule
197.3 Nasal Cavity
198.89 Nasopharynx, Posterior
198.89 Palate, Hard
198.89 Palate, Soft
198.89 Parotid Gland
198.89 Pharynx, Unspecified
197.3 Sinus, Ethmoid
197.3 Sinus, Frontal
197.3 Sinus, Maxillary
197.3 Sinus, Sphenoid
198.2 Skin, Ear, External
198.2 Skin, Eyelid
198.2 Skin, Lip
198.2 Skin, Neck & Scalp
198.89 Thymus
198.89 Tongue, Base
198.89 Tonsil
198.89 Uvula

Benign tumors

210.1 Anterior Tongue
225.1 Cranial Nerve
212.1 Larynx, Laryngeal Papillomas
210.2 Major Salivary Gland/Parotid
210.4 Mouth
210.0 Lips
212.0 Nasal Cavity/Sinuses
229.8 Nose
210.6 Oropharynx
227.1 Parathyroid
216.4 Scalp/Skin of Neck
216.0 Skin of Lip
216.1 Skin of Eyelid
216.2 Skin of Ear and EAC
216.3 Skin of Face, NOS
216.8 Skin, Other Sites
226 Thyroid
228.1 Lymphangioma, Any site
237.3 Glomus jugulare

Uncertain behavior
235.0 Major salivary glands
235.1 Lip, oral cavity, and pharynx
235.5 Esophagus
235.6
Larynx Exclude:
aryepiglottic fold or interarytenoid fold:
NOS (235.1)
hypopharyngeal aspect (235.1)
marginal zone (235.1)
235.7 Trachea, bronchus and lung
235.8 Pleura, thymus and mediastinum
235.9
Other and unspecified respiratory organs
Accessory sinuses
Middle ear
Nasal cavities
Respiratory organ NOS
Exclude:
ear (external) (skin) (238.2)
nose (238.8)
skin (238.2)

Leukoplakia

528.6 Oral
478.5 Vocal Cords

Autoimmune/Hypersensitivity

390 Rheumatic Fever
443.0 Raynaud's Syndrome
446.4 Wegener's Syndrome

446.20 Hypersensitivity Angitis, unspecified
446.21 Goodpasture’s syndrome
446.29 Other specified hypersensitivity angitis

447.6 Arteritis, Unspecified
695.4 Lupus Erythematosus
710.0 SLE
710.1 Scleroderma
710.2 Sjogren's Disease
710.4 Polymyocitis
446.1 Kawasaki Disease
279.4 Autoimmune Disease, NOS

795.71 Non-specific serologic evidence of HIV
795.79 Other and unspecified nonspecific immunological findings

799.3 Immune Dysfunction Syndrome

Miscellaneous

112.89 Candidiasis (yeast), Other Specified Site
343 Cerebral Palsy
250.61 Diabetes Mellitus, type
428.0 CHF
300.11 Conversion Disorder

Substance Abuse

303.91 Alcoholism, Chronic, Continuous
303.92 Alcoholism, Chronic, Episodic
303.93 Alcoholism, Chronic, In Remission
357.5 Alcoholic Polyneuropathy
305.60 Cocaine Abuse, Unspecified
305.61 Cocaine Abuse, Continuous
305.62 Cocaine Abuse, episodic
305.63 Cocaine Abuse, in remission
305.1 Tobacco Dependence
V15.82 History of Tobacco Use

Adverse Reactions

995.2 Hypersensitivity, Allergic Reaction, Etc., Due to Medication
995.3 Allergic Reaction or Hypersensitivity, NOS
995.0 Anaphylactic Reaction

Venom

989.5 Snakes, Lizards, Spiders, Bee

Other Allergy

558.9 GI Allergy

See Also: Skin and SubQ Tissue, Rhinitis Codes

Allergy To

V14.9 Unspecified Medicinal Agent
V15.01 Peanuts
V15.02 Milk Products
V15.03 Eggs
V15.04 Seafood
V15.05 Other Foods
V15.06 Insects
V15.07 Latex
V15.08 Radiographic dye
V15.09 Other Allergy, other than
to medicinal agents

Signs and Symptoms

783.0 Anorexia
781.1 Anosmia
784.3 Aphasia
786.03 Apnea
784.9 Choking
786.2 Cough
491.0 Cough, Smoker's
375.15 Dry Eyes
787.2 Dysphagia
784.5 Dysphasia-Dysarthria
784.49 Dysphonia
786.00 Respiratory abnormality, unspecified
786.01 Hyperventilation
787.0 Emesis
375.20 Epiphora
784.7 Epistaxis
780.71 Chronic Fatigue Syndrome
780.79 Fatigue & Other Malaise
780.6 Fever
300.11 Globus Hystericus*(*Psych code, use with caution)
784.9 Halitosis
784.0 Headache-Facial Pain
787.1 Heartburn
784.8 Hemorrhage from Throat
786.3 Hemoptysis
487.1 Influenza
785.6 Lymphadenopathy
289.1 Lymphadenopathy, Chronic
780.71 Malaise, Chronic FatigueSyndrome
780.79 Malaise & Fatigue ,Other
784.9 Mouth Breathing
784.2 Mass, Head or Neck
278.00 Obesity, unspecified
278.01 Obesity, Morbid
787.01 Nausea and Vomiting
787.02 Nausea alone
787.03 Vomiting alone
388.71 Otalgia, Otogenic388.72 Otalgia, Referred
782.0 Paresthesia, Numbness, Etc.
782.1 Rash
786.05 Shortness of Breath
784.9 Sneezing
786.1 Stridor
780.2 Syncope
786.06 Tachypnea
784.1 Throat Pain
435.9 TIA
465.9 URI
V15.82 Tobacco Use History
780.4 Vertigo
786.07 Wheezing
527.7 Xerostomia
V CODES

Personal History of Cancer

V10.12 Trachea
V10.11 Bronchus and Lung
V10.21 Larynx
V10.22 Nasal Cavity, Sinuses
V10.22 Middle Ear
V10.60 Leukemia, Unspec.
V10.72 Hodgkin's Disease
V10.82 Malignant Melanoma
V10.87 Thyroid
V10.88 Other Endocrine Glands
V10.01 Tongue
V10.02 Oral Cavity and Pharynx
V10.03 Esophagus
V10.9 Other, Unspec.

Personal History, Other

V12.01 TB
V12.71 Peptic Ulcer Disease
V13.4 Arthritis
V15.3 Previous Exposure to Radiation
V15.82 History of Tobacco Abuse
V15.81 Non-Compliance with Medical Treatment

Personal History, Disorders of

V12.42 infections of CNS
V12.60 unspecified disease of respiratory system
V12.61 recurrent pneumonia
V15.88 fall

Tracheostomy

V44.0 Tracheostomy, Without Need for Care
V55.0 Tracheostomy, Requiring Care

Voice Prosthesis

V44.9 T-E Puncture, Not Requiring Care
V55.9 T-E Puncture, Requiring Care
V52.8 Fitting/Adjustment of other
Specified Prosthetic Device

Encounter for other proceduresand after care


V58.3 Dressing Change, Suture Removal
V58.49 Other specified aftercare following surgery
V58.41 Encounter for Planned Postoperative Wound Closure
V67.00 Follow-up exam, Unspecified Surgery
V67.6 Follow-up Only Following Completed Combined Modality Treatment
 V70.7 Exam of Participant in Clinical

Observation And Evaluation For Suspected Conditions Not Found

V71.1 Suspected Malignant Neoplasm
V71.3 Following Accident at Work
V71.4 Following MVA
V71.6 Following Other Inflicted Injury

Sleep Apnea

780.53 Hypersomnia with Sleep Apnea
780.51 Insomnia with Sleep Apnea
780.52 Insomnia, Organic NOS
327.01 Insomnia due to medical condition classified elsewhere
327.11 Hypersomnia, idiopathic with long sleep time
327.12 Hypersomnia, idiopathic without long sleep time
327.23 Obstructive sleep apnea
327.26 Sleep-related hyperventilation or hypemia in conditions classified elsewhere
327.27 Central sleep apnea in conditions classified elsewhere
786.09 Snoring
780.50 Sleep Disturbance, Unspecified
780.57 Sleep Apnea, Unspecified
347 Cataplexy & Narcolepsy

Eye

374.34 Blepharochalasis
372.00 Conjunctivitis, Acute, Unspecified
372.14 Conjunctivitis, Chronic, Allergic
372.11 Conjunctivitis, Chronic, Simple
372.20 Blepharoconjunctivitis, Unspecified

378.20 Intermittent heterotropia, Unspecified
378.21 Intermittent esotropia, monocular
378.22 Intermittent esotropia, alternating
378.23 Intermittent exotropia, monocular
378.24 Intermittent exotropia, alternating

375.15 Dry Eyes
374.12 Ectropion, Cicatricial
376.52 Enophthalmos Due to

Trauma or Surgery
374.04 Entropion, Cicatricial
376.01 Orbital Cellulitis
376.32 Orbital Hemorrhage

Eyelid

374.41  Lag or retraction

 

Rev 07/01

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