ICD-10 SPEpeCICIALal BULLET ulletIINn - TMHP€¦ · On October 1, 2016, ... The ICD-10-PCS procedure codes are inpatient hospital surgical procedure codes and must be submitted,

GENERAL INFORMATION

2017 ICD ImplementationOn October 1, 2016, Texas Medicaid & Healthcare Partnership (TMHP) applied the 2017 annual International Classification of Diseases (ICD) updates that are effective for dates of service on or after October 1, 2016. The annual ICD updates include the following:

• ICD-10 Clinical Modification (ICD-10-CM)

• ICD-10 Procedure Coding System (ICD-10-PCS)

This combined Special Bulletin includes the ICD updates for Texas Medicaid and the Children with Special Health Care Needs (CSHCN) Services Program. This bulletin is intended to notify providers of program and coding changes related to the 2017 updates for ICD and Current Procedural Terminology (CPT®).

All providers are encouraged to review the “General Information” section of this bulletin. Policy updates for a specific program or provider type are discussed in designated sections of the bulletin.

Claims FilingThe new 2017 ICD diagnosis codes and inpatient hospital surgical procedure codes may be billed beginning October 1, 2016.

Important: To avoid fraudulent billing, providers must submit the ICD codes that are most appropriate for the services provided.

The ICD-10-PCS procedure codes are inpatient hospital surgical procedure codes and must be submitted, as appli-cable, only on inpatient hospital claims.

Note: For professional and outpatient procedures and services, providers must continue to use the American Medical Association (AMA) Current Procedural Terminology (CPT) manual and the CMS Health Care Common Procedure Coding System (HCPCS) manual.

Prior Authorization FormsThe following prior authorization form instructions have been revised:

• CCP Prior Authorization Request Form Instructions

• Home Health Services (Title XIX) DME/Medical Supplies Physician Order Form Instructions

OCTOBER 2016

2017 International Classification of Diseases, Tenth Revision, Special Bulletin

ICD-10 SpeCIal BulletInICD-10 SpeCIal BulletIn

http://www.tmhp.com/Provider_Forms/PA_Forms/F00012_CCP_Prior_Authorization_Request_Form_Instructions.pdf

http://www.tmhp.com/Provider_Forms/PA_Forms/F00030_Home_Health_Title_XIX_DME_Medical_Supplies_Order_Form_Inst.pdf

In This Issue

General Information 12017 ICD Implementation ........................................................................................................................................ 1

Claims Filing ................................................................................................................................................................. 1

Prior Authorization Forms ....................................................................................................................................... 1

Medicaid Fee-for-Service and Managed Care Providers 3Texas Medicaid ICD Updates ...................................................................................................................................3

Home Health and Comprehensive Care Program (CCP) Providers 11Home Health Services Benefit Changes ........................................................................................................... 11

CCP Services Benefit Changes .............................................................................................................................12

Children With Special Health Care Needs (CSHCN) Services Program Providers 14

CSHCN Services Program Updates .................................................................................................................... 14

CSHCN Services Program Benefit Changes .................................................................................................... 14

All Code Changes: Added, Revised, and Discontinued 192017 ICD Diagnosis Code Additions .................................................................................................................. 19

Discontinued Diagnosis Codes ........................................................................................................................... 26

Diagnosis Code Description Changes .............................................................................................................. 28

Inpatient Hospital ICD-10-PCS 30Inpatient Hospital ICD-10-PCS Surgical Procedure Code Updates ......................................................... 30

Use of the AMA’s copyrighted CPT® is allowed in this publication with the following disclosure:

“Current Procedural Terminology (CPT) is copyright 2015 American Medical Association. All rights reserved. No fee schedules, basic

units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable

Federal Acquisition Regula tion System/ Defense Federal Acquisition Regulation Supplement (FARS/DFARS) apply.”

The American Dental Association requires the following copyright notice in all publications containing Current Dental Terminology

(CDT) codes:

“Current Dental Terminology (including procedure codes, nomenclature, descriptors, and other data contained therein) is copyright ©

2014 American Dental Association. All rights reserved. Applicable FARS/DFARS apply.”

MEDICAID FEE-FOR-SERVICE AND MANAGED CARE PROVIDERS

Texas Medicaid ICD UpdatesThe 2017 ICD updates for Texas Medicaid are included in the ICD tables in the “All Code Changes” section of this bulletin beginning on page “2017 ICD Diagnosis Code Additions” on page 19. The 2017 ICD deletions and replacements are effective October 1, 2016, for dates of service on or after October 1, 2016, for Texas Medicaid. Providers may refer to the “General Information” section for more information.

Texas Medicaid Benefit ChangesThe following Texas Medicaid benefit changes have been made to support the 2017 ICD-CM diagnosis code updates and are effective for dates of service on or after October 1, 2016. For more information, call the TMHP Contact Center at 1-800-925-9126.

Note: These changes apply to Texas Medicaid fee-for-service and Medicaid managed care claims and authorization requests that are submitted to TMHP for processing.

The policy articles in this bulletin contain the following information:

• Revised: The description has been revised for these diagnosis codes. Providers may refer to the appropriate copyright holder for the revised descriptions.

• Discontinued: Discontinued diagnosis codes are no longer reimbursed after September 30, 2016.

• Added: Added diagnosis codes are new diagnosis codes added by the Centers for Medicare & Medicaid Services (CMS).

Allergen ImmunotherapyThe following diagnosis codes may be reimbursed when submitted with procedure codes 95115, 95117, 95145, 95146, 95147, 95148, 95149, 95165, and 95170:

Added Diagnosis CodesM041 M042 M048 M049

The following diagnosis code may be reimbursed with procedure code 95180:Added Diagnosis CodeZ516

Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook, subsection 9.2.4.1, “Allergy Immunotherapy,” for more information.

Ambulatory ElectroencephalogramThe following diagnosis code may be reimbursed when submitted with procedure codes 95950, 95951, 95953, and 95956:

Added Diagnosis CodeZ052Discontinued Diagnosis CodesS060X2A S060X2D S060X2S

ICD-10 Special Bulletin, No. 10 3 2016 Texas Medicaid

Medicaid Fee-for-Service and Managed Care Providers

CPT only copyright 2015 American Medical Association. All rights reserved.

Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physicians Assistants Handbook, subsection 9.2.26.2, “Ambulatory Electroencephalogram (Ambulatory EEG),” for more information.

Cardiac RehabilitationThe following diagnosis codes may be reimbursed when submitted with procedure codes 93797, 93798, and S9472 and revenue code B943:Added Diagnosis CodesI160 I161 I169 Z98890

Refer to: The current Texas Medicaid Provider Procedures Manual, Inpatient and Outpatient Handbook, subsection 4.2.6, “Cardiac Rehabilitation,” for more information.

Clubfoot CastingThe following diagnosis codes may be reimbursed when submitted with procedure codes 29450 and 29750:

Added Diagnosis CodesQ6621 Q6622Discontinued Diagnosis CodeQ662

Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physicians Assistants Handbook, subsection 9.2.58.1, “Clubfoot Casting,” for more information.

Colony Stimulating FactorsThe following diagnosis codes may be reimbursed when submitted with procedure codes J1442, J1447, J2505, J2820, and Q5101:Added Diagnosis CodesC49A0 C49A1 C49A2 C49A3 C49A4 C49A5 C49A9 D49511 D49512 D49519D4959 D8940 D8941 D8942 D8943 D8949

Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physicians Assistants Handbook, subsection 9.2.39.37, “Colony Stimulating Factors (Filgrastim, Pegfil-grastim, and Sargramostim),” for more information.

Colorectal Cancer ScreeningThe following diagnosis codes may be reimbursed once every two years for clients who meet the definition of high-risk when they are submitted with procedure codes G0105 and G0120:Added Diagnosis CodesK523 K52831 K52832 K52838 K52839

Refer to: The current Texas Medicaid Provider Procedures Manual, Inpatient and Outpatient Hospital Services Handbook, subsection 4.2.8, “Colorectal Cancer Screening,” and the Medical and Nursing Specialists, Physicians, and Physicians Assistants Handbook, subsection 9.2.15.2, “Colorectal Cancer Screening,” for more information.




Cytogenetics TestingThe following diagnosis codes may be reimbursed when submitted with procedure codes 88230, 88233, 88235, 88237, 88239, 88245, 88248, 88249, 88261, 88262, 88263, 88264, 88271, 88272, 88273, 88274, 88275, 88280, 88283, 88285, 88289, and 88291:

Added Diagnosis CodesQ2521 Q2529 Q2540 Q2541 Q2542 Q2543 Q2544 Q2545Q2546 Q2547 Q2548 Q2549 Q52120 Q52121 Q52122 Q52123Q52124 Q52129 Q6621 Q6622 Q826 Q8782 Z317 Z333Z8482Discontinued Diagnosis CodesQ252 Q254 Q662

The combination diagnosis code table has been removed. Each of the paired codes is now listed as a single diagnosis code.

Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physicians Assistants Handbook, subsection 9.2.40.6, “Cytogenetics Testing,” for more information.

Developmental and Neurological Assessment and TestingThe following diagnosis codes may be reimbursed when submitted with procedure code 96116:

Added Diagnosis CodesF3281 F3289 F3481 F3489 F422 F423 F424 F428F429 F5081 F5089 F640 F8082 H93A1 H93A2 H93A3H93A9 I602 I63013 I63033 I63113 I63133 I63213 I63233I63313 I63323 I63333 I63343 I63413 I63423 I63433 I63443I63513 I63523 I63533 I63543 I69010 I69011 I69012 I69013I69014 I69015 I69018 I69019 I69110 I69111 I69112 I69113I69114 I69115 I69118 I69119 I69210 I69211 I69212 I69213I69214 I69215 I69218 I69219 I69310 I69311 I69312 I69313I69314 I69315 I69318 I69319 I69810 I69811 I69812 I69813I69814 I69815 I69818 I69819 I69910 I69911 I69912 I69913I69914 I69915 I69918 I69919Discontinued Diagnosis CodesF328 F348 F42 F508 I6020 I6021 I6022 I6901I6911 I6921 I6931 I6981 I6991 S060X2A S060X2D S060X2SS060X3A S060X3D S060X3S S060X4A S060X4D S060X4S S060X5A S060X5DS060X5S S060X6A S060X6D S060X6S

Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physicians Assistants Handbook, subsection 9.2.25, “Developmental and Neurological Assessment and Training,” for more information.




EchoencephalographyThe following diagnosis codes may be reimbursed when submitted with procedure code 76506:

Added Diagnosis CodesD47Z2 I602 I63523 I63533 I63543 I69210 I69211 I69212I69213 I69214 I69215 I69218 I69219Discontinued Diagnosis CodesI6020 I6021 I6022 S060X2A S060X2D S060X2S S060X3A S060X3DS060X3S S060X4A S060X4D S060X4S S060X5A S060X5D S060X5S S060X6AS060X6D S060X6S S060X8A S060X8D S060X8S

Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook, subsection 9.2.26.5, “Echoencephalography,” for more information.

Evoked Response Tests and Neuromuscular ProceduresThe following diagnosis codes may be reimbursed when submitted with electromyography (EMG) and nerve conduction studies (NCS) procedure codes:Added Diagnosis CodesG5603 G5613 G5623 G5633 G5643 G5683 G5693 G5703G5713 G5723 G5733 G5743 G5753 G5763 G5773 G5783G5793 G6182 K5903 K5904 M50020 M50021 M50022 M50023M50120 M50121 M50122 M50123 M50220 M50221 M50222 M50223M50320 M50321 M50322 M50323 M50820 M50821 M50822 M50823M50920 M50921 M50922 M50923 M6284 N39491 N39492 R29701R29702 R29703 R29704 R29705 R29706 R29707 R29708 R29709R29710 R29711 R29712 R29713 R29714 R29715 R29716 R29717R29718 R29719 R29720 R29721 R29722 R29723 R29724 R29725R29726 R29727 R29728 R29729 R29730 R29731 R29732 R29733R29734 R29735 R29736 R29737 R29738 R29739 R29740 R29741R29742 R39191 R39192 R39198 T85840A T85840D T85840SDiscontinued Diagnosis CodesM5002 M5012 M5022 M5032 M5082 M5092

Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physicians Assistants Handbook, subsection 9.2.28.2, “Evoked Response Tests and Neuromuscular Proce-dures,” for more information.

Gynecological and Reproductive Health ServicesThe following diagnosis codes may be reimbursed for family planning annual examinations when submitted with the applicable evaluation and management (E/M) procedure code:Added Diagnosis CodesZ30015 Z30016 Z30017 Z3044 Z3045 Z3046

Refer to: The current Texas Medicaid Provider Procedures Manual Gynecological and Reproductive Health and Family Planning Title XIX Services Handbook, subsection 2.2, “Services, Benefits, Limitations, and Prior Authori-zation,” and the Women’s Health Services Handbook, subsection 4.2, “Services, Benefits, Limitations, and Prior Authorization,” for more information.




Inpatient Behavioral HealthThe following diagnosis codes may be reimbursed for psychological and neurological testing procedure codes 96101 and 96118:Added Diagnosis CodesF3281 F3289 F3481 F3489 F422 F423 F424 F428F429 F5081 F5089 F640 F8082 H93A1 H93A2 H93A3H93A9 I602 I63013 I63033 I63113 I63133 I63213 I63233I63313 I63323 I63333 I63343 I63413 I63423 I63433 I63443I63513 I63523 I63533 I63543 I69010 I69011 I69012 I69013I69014 I69015 I69018 I69019 I69110 I69111 I69112 I69113I69114 I69115 I69118 I69119 I69210 I69211 I69212 I69213I69214 I69215 I69218 I69219 I69310 I69311 I69312 I69313I69314 I69315 I69318 I69319 I69810 I69811 I69812 I69813I69814 I69815 I69818 I69819 I69910 I69911 I69912 I69913I69914 I69915 I69918 I69919Discontinued Diagnosis CodesF328 F348 F42 F508 I6021 I6022 I6901 I6911I6921 I6931 I6981 S060X2A S060X2D S060X2S S060X3A S060X3DS060X3S S060X4A S060X4D S060X4S S060X5A S060X5D S060X5S S060X6AS060X6D S060X6S

The following diagnosis codes may be reimbursed for counseling and psychotherapy procedure codes 90832, 90833, 90834, 90836, 90837, 90838, 90847, and 90853 and for psychiatric diagnostic interview procedure codes 90791 and 90792:Added Diagnosis CodesF3281 F3289 F3481 F3489 F422 F423 F424 F428F429 F5081 F5089 F640 F8082Discontinued Diagnosis CodesF42 F508

Refer to: The current Texas Medicaid Provider Procedures Manual, Behavioral Health, Rehabilitation, and Case Management Services Handbook, subsection 4.2, “Services, Benefits, Limitations, and Prior Authorization,” subsection 6.10.2 “Psychiatric Diagnostic Evaluation with Medical Services,” subsection 6.11, “Psycho-logical and Neuropsychological Testing,” subsection 6.12, “Psychotherapy or Counseling,” for more information.

Otology and Audiometry ServicesThe following diagnosis codes may be reimbursed when submitted with procedure code 92568:

Added Diagnosis CodesH90A11 H90A12 H90A21 H90A22 H90A31 H90A32

Refer to: The current Texas Medicaid Provider Procedures Manual, Vision and Hearing Services Handbook, subsection 2.2, “Services, Benefits, Limitations, and Prior Authorization,” for more information.




Outpatient Behavioral Health The following diagnosis codes may be reimbursed for psychological and neurological testing procedure codes 96101 and 96118:Added Diagnosis CodesF3281 F3289 F3481 F3489 F422 F423 F424 F428F429 F5081 F5089 F640 F8082 H93A1 H93A2 H93A3H93A9 I602 I63013 I63033 I63113 I63133 I63213 I63233I63313 I63323 I63333 I63343 I63413 I63423 I63433 I63443I63513 I63523 I63533 I63543 I69010 I69011 I69012 I69013I69014 I69015 I69018 I69019 I69110 I69111 I69112 I69113I69114 I69115 I69118 I69119 I69210 I69211 I69212 I69213I69214 I69215 I69218 I69219 I69310 I69311 I69312 I69313I69314 I69315 I69318 I69319 I69810 I69811 I69812 I69813I69814 I69815 I69818 I69819 I69910 I69911 I69912 I69913I69914 I69915 I69918 I69919Discontinued Diagnosis CodesF328 F348 F42 F508 I6021 I6022 I6901 I6911I6921 I6931 I6981 S060X2A S060X2D S060X2S S060X3A S060X3DS060X3S S060X4A S060X4D S060X4S S060X5A S060X5D S060X5S S060X6AS060X6D S060X6S

The following diagnosis codes may be reimbursed for outpatient behavioral health counseling and psychotherapy procedure codes 90832, 90833, 90834, 90836, 90837, 90838, 90847, and 90853 and for psychiatric diagnostic interview procedure codes 90791 and 90792:Added Diagnosis CodesF3281 F3289 F3481 F3489 F422 F423 F424 F428F429 F5081 F5089 F640 F8082Discontinued Diagnosis CodesF42 F508

Refer to: The current Texas Medicaid Provider Procedures Manual, Behavioral Health, Rehabilitation, and Case Management Services Handbook, subsection 4.2, “Services, Benefits, Limitations, and Prior Authorization,” subsection 6.10.2 “Psychiatric Diagnostic Evaluation with Medical Services,” subsection 6.11, “Psycho-logical and Neuropsychological Testing,” subsection 6.12, “Psychotherapy or Counseling,” for more information.

Pathology and Laboratory Services – Urinalysis and ChemistryThe following diagnosis codes may be reimbursed when submitted with procedure code 83698:

Added Diagnosis CodesE7800 E7801Discontinued Diagnosis CodeE780

Refer to: The current Texas Medicaid Provider Procedures Manual, Radiology and Laboratory Services Handbook, subsection 2.2.15, “Urinalysis and Chemistry,” for more information.




Physician Evaluation and Management ServicesThe following diagnosis codes may be reimbursed when submitted with procedure code 99078:

Added Diagnosis CodesE083211 E083212 E083213 E083219 E083291 E083292 E083293 E083299E083311 E083312 E083313 E083319 E083391 E083392 E083393 E083399E083411 E083412 E083413 E083419 E083491 E083492 E083493 E083499E083511 E083512 E083513 E083519 E083521 E083522 E083523 E083529E083531 E083532 E083533 E083539 E083541 E083542 E083543 E083549E083551 E083552 E083553 E083559 E083591 E083592 E083593 E083599E0837X1 E0837X2 E0837X3 E0837X9 E093211 E093212 E093213 E093219E093291 E093292 E093293 E093299 E093311 E093312 E093313 E093319E093391 E093392 E093393 E093399 E093411 E093412 E093413 E093419E093491 E093492 E093493 E093499 E093511 E093512 E093513 E093519E093521 E093522 E093523 E093529 E093531 E093532 E093533 E093539E093541 E093542 E093543 E093549 E093551 E093552 E093553 E093559E093591 E093592 E093593 E093599 E0937X1 E0937X2 E0937X3 E0937X9E103211 E103212 E103213 E103219 E103291 E103292 E103293 E103299E103311 E103312 E103313 E103319 E103391 E103392 E103393 E103399E103411 E103412 E103413 E103419 E103491 E103492 E103493 E103499E103511 E103512 E103513 E103519 E103521 E103522 E103523 E103529E103531 E103532 E103533 E103539 E103541 E103542 E103543 E103549E103551 E103552 E103553 E103559 E103591 E103592 E103593 E103599E1037X1 E1037X2 E1037X3 E1037X9 E1100 E113211 E113212 E113213E113219 E113291 E113292 E113293 E113299 E113311 E113312 E113313E113319 E113391 E113392 E113393 E113399 E113411 E113412 E113413E113419 E113491 E113492 E113493 E113499 E113511 E113512 E113513E113519 E113521 E113522 E113523 E113529 E113531 E113532 E113533E113539 E113541 E113542 E113543 E113549 E113551 E113552 E113553E113559 E113591 E113592 E113593 E113599 E1137X1 E1137X2 E1137X3E1137X9 E1165 E133211 E133212 E133213 E133219 E133291 E133292E133293 E133299 E133311 E133312 E133313 E133319 E133391 E133392E133393 E133399 E133411 E133412 E133413 E133419 E133491 E133492E133493 E133499 E133511 E133512 E133513 E133519 E133521 E133522E133523 E133529 E133531 E133532 E133533 E133539 E133541 E133542E133543 E133549 E133551 E133552 E133553 E133559 E133591 E133592E133593 E133599 E1337X1 E1337X2 E1337X3 E1337X9 O09A0 O09A1O09A2 O09A3Discontinued Diagnosis CodesE10321 E10329 E10331 E10339 E10341 E10349 E10351 E10359E11321 E11329 E11331 E11339 E11341 E11349 E11351 E11359E13321 E13329 E13331 E13339 E13341 E13349 E13351 E13359

The combination diagnosis table has been removed. Each of the paired codes is now listed as a single diagnosis code for procedure code 99078.




Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialist, Physicians, and Physicians Assistants Handbook, subsection 9.2.56, “Physician Evaluation and Management (E/M) Services,” for more information.

Sleep StudiesThe following diagnosis codes may be reimbursed when submitted with polysomnography procedure codes 95782, 95783, 95808, 95810, and 95811:

Added Diagnosis CodesN5235 N5236 N5237

Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physicians Assistants Handbook, subsection 9.2.67, “Sleep Studies,” for more information.

Therapeutic ApheresisThe following diagnosis codes may be reimbursed when submitted with procedure codes 36511, 36512, 36513, 36514, 36515, and 36516:

Added Diagnosis CodesD47Z2 D8940 D8941 D8942 D8943 D8949 E7800 E7801 G6182Discontinued Diagnosis CodeE780

Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physicians Assistants Handbook, subsection 9.2.71, “Therapeutic Apheresis,” for more information.

Vision Services NonsurgicalThe following diagnosis codes may be reimbursed when submitted with ophthalmological ultrasound procedure code 76154 and gonioscopy procedure code 92020:Added Diagnosis CodesH401110 H401111 H401112 H401113 H401114 H401120 H401121 H401122H401123 H401124 H401130 H401131 H401132 H401133 H401134 H401190H401191 H401192 H401193 H401194Discontinued Diagnosis CodesH4011X0 H4011X1 H4011X2 H4011X3 H4011X4

The following diagnosis codes may be reimbursed when submitted with corneal topography procedure code 92065:Added Diagnosis CodesH53041 H53042 H53043 H53049

The following diagnosis codes may be reimbursed when submitted with polycarbonate lens procedure code V2784:Added Diagnosis CodesH53041 H53042 H53043 H53049 T85890A T85890D T85890S T85898AT85898D T85898S

Refer to: The current Texas Medicaid Provider Procedures Manual, subsection 4.3.5.6, “Gonioscopy,” and subsection 4.3.5, “Orthoptic or Pleoptic Training,” for more information.




Vitamin B12 (Cyanocobalamin) InjectionsThe following diagnosis codes may be reimbursed when submitted with vitamin B12 procedure code J3420:

Added Diagnosis CodesK9041 K9049

Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physicians Assistants Handbook, subsection 9.2.39.34, “Vitamin B12 (Cyanocobalamin) Injections,” for more information.

HOME HEALTH AND COMPREHENSIVE CARE PROGRAM (CCP) PROVIDERS

Home Health Services Benefit ChangesThe following Texas Medicaid Home Health Services benefit changes have been made to support the 2017 ICD updates and are effective for dates of service on or after October 1, 2016. For more information, call the TMHP Contact Center at 1-800-925-9126.

Diabetic Equipment and Supplies – Home HealthThe following diagnosis codes may be reimbursed without prior authorization when submitted with blood testing and supplies procedure codes:Added Diagnosis CodesE083211 E083212 E083213 E083219 E083291 E083292 E083293 E083299E083311 E083312 E083313 E083319 E083391 E083392 E083393 E083399E083411 E083412 E083413 E083419 E083491 E083492 E083493 E083499E083511 E083512 E083513 E083519 E083521 E083522 E083523 E083529E083531 E083532 E083533 E083539 E083541 E083542 E083543 E083549E083551 E083552 E083553 E083559 E083591 E083592 E083593 E083599E0837X1 E0837X2 E0837X3 E0837X9 E0852 E093211 E093212 E093213E093219 E093291 E093292 E093293 E093299 E093311 E093312 E093313E093319 E093391 E093392 E093393 E093399 E093411 E093412 E093413E093419 E093491 E093492 E093493 E093499 E093511 E093512 E093513E093519 E093521 E093522 E093523 E093529 E093531 E093532 E093533E093539 E093541 E093542 E093543 E093549 E093551 E093552 E093553E093559 E093591 E093592 E093593 E093599 E0937X1 E0937X2 E0937X3E0937X9 E103211 E103212 E103213 E103219 E103291 E103292 E103293E103299 E103311 E103312 E103313 E103319 E103391 E103392 E103393E103399 E103411 E103412 E103413 E103419 E103491 E103492 E103493E103499 E103511 E103512 E103513 E103519 E103521 E103522 E103523E103529 E103531 E103532 E103533 E103539 E103541 E103542 E103543E103549 E103551 E103552 E103553 E103559 E103591 E103592 E103593E103599 E1037X1 E1037X2 E1037X3 E1037X9 E113211 E113212 E113213E113219 E113291 E113292 E113293 E113299 E113311 E113312 E113313E113319 E113391 E113392 E113393 E113399 E113411 E113412 E113413E113419 E113491 E113492 E113493 E113499 E113511 E113512 E113513E113519 E113521 E113522 E113523 E113529 E113531 E113532 E113533


Home Health and Comprehensive Care Program (CCP) Providers


Added Diagnosis Codes (continued)E113539 E113541 E113542 E113543 E113549 E113551 E113552 E113553E113559 E113591 E113592 E113593 E113599 E1137X1 E1137X2 E1137X3E1137X9 E133211 E133212 E133213 E133219 E133291 E133292 E133293E133299 E133311 E133312 E133313 E133319 E133391 E133392 E133393E133399 E133411 E133412 E133413 E133419 E133491 E133492 E133493E133499 E133511 E133512 E133513 E133519 E133521 E133522 E133523E133529 E133531 E133532 E133533 E133539 E133541 E133542 E133543E133549 E133551 E133552 E133553 E133559 E133591 E133592 E133593E133599 E1337X1 E1337X2 E1337X3 E1337X9 O24415 O24425 O24435R7303Discontinued Diagnosis CodesE08321 E08329 E08331 E08339 E08341 E08349 E08351 E08359E09321 E09329 E09331 E09339 E09341 E09349 E09351 E09359E10321 E10329 E10331 E10339 E10341 E10349 E10351 E10359E11321 E11329 E11331 E11339 E11341 E11349 E11351 E11359E13321 E13329 E13331 E13339 E13341 E13349 E13351 E13359


Refer to: The current Texas Medicaid Provider Procedures Manual, Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook, subsection 2.2.11.3, “Glucose Testing Equipment and Other Supplies,” for more information.

CCP Services Benefit ChangesThe following Texas Medicaid CCP benefit changes have been made to support the 2017 ICD updates and are effective for dates of service on or after October 1, 2016. For more information, call the TMHP Contact Center at 1-800-925-9126.

Blood Pressure Devices – CCPThe following diagnosis codes may be reimbursed when submitted with procedure codes A4660 and A4670:

Added Diagnosis CodesI160 I161 I169 N130 T82855A T82855D T82855S T82856AT82856D T82856S


Refer to: The current Texas Medicaid Provider Procedures Manual, Children’s Services Handbook, subsection 2.6.4, “Blood Pressure Devices,” and the Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook, subsection 2.2.6, “Blood Pressure Devices,” for more information.




Nutritional Products – CCPThe following diagnosis code will no longer be covered for nutritional products procedure codes:

Discontinued Diagnosis CodeE780

Refer to: The current Texas Medicaid Provider Procedures Manual, Children’s Services Handbook, subsection 2.6.11, “Nutritional Products,” for more information.

Respiratory Care Equipment – CCPThe following diagnosis code may be reimbursed when submitted with procedure codes E0618 and E0619:

Added Diagnosis CodeZ8482

Refer to: The current Texas Medicaid Provider Procedures Manual, Children’s Services Handbook, subsection 2.6.5.1, “Services, Benefits, and Limitations,” for more information.




CHILDREN WITH SPECIAL HEALTH CARE NEEDS (CSHCN) SERVICES PROGRAM PROVIDERS

CSHCN Services Program UpdatesThe 2017 ICD updates for the CSHCN Services Program are included in the ICD tables in the “All Code Changes” section of this bulletin beginning on page “2017 ICD Diagnosis Code Additions” on page 19. The 2017 ICD deletions are effective October 1, 2016, for dates of service on or after October 1, 2016, for the CSHCN Services Program. Providers may refer to the “General Information” section for more information.

CSHCN Services Program Benefit ChangesThe following CSHCN Services Program benefit changes have been made to support the 2017 ICD updates and are effective for dates of service on or after October 1, 2016. For more information, call the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.

The policy articles below contain the following information:

• Revised: The description has been revised for these diagnosis codes. Providers may refer to the appropriate copyright holder for the revised descriptions.

• Discontinued: Discontinued diagnosis codes are no longer reimbursed after September 30, 2016.

• Added: Added diagnosis codes are new procedure codes added by the Centers for Medicare & Medicaid Services (CMS).

Ambulatory Blood Pressure Monitoring and DevicesThe following diagnosis codes may be reimbursed when submitted with procedure codes A4660 and A4670:

Added Diagnosis CodesI160 I161 I169

The combination diagnosis table has been removed. Each of the paired codes is now listed as a single diagnosis code.

Refer to: The current CSHCN Services Program Provider Manual, section 11.2.1.1, “Ambulatory Blood Pressure Monitoring,” for more information.

Cytogenetics TestingThe following diagnosis codes may be reimbursed when submitted with procedure codes 88230, 88233, 88237, 88239, 88245, 88248, 88249, 88261, 88262, 88263, 88264, 88271, 88272, 88273, 88274, 88275, 88280, 88283, 88285, 88289, and 88291:

Added Diagnosis CodesQ2521 Q2529 Q2540 Q2541 Q2542 Q2543 Q2544 Q2545Q2546 Q2547 Q2548 Q2549 Q6621 Q6622 Q826 Q8782Z8482Discontinued Diagnosis CodesQ252 Q254 Q662



Children With Special Health Care Needs (CSHCN) Services Program Providers


Refer to: The current CSHCN Services Program Provider Manual, section 31.2.275.5, “Cytogenetics Testing,” for more information.

Diabetic Equipment and SuppliesThe following diagnosis codes may be reimbursed without prior authorization when submitted with blood testing and supplies procedure codes:Added Diagnosis CodesE083211 E083212 E083213 E083219 E083291 E083292 E083293 E083299E083311 E083312 E083313 E083319 E083391 E083392 E083393 E083399E083411 E083412 E083413 E083419 E083491 E083492 E083493 E083499E083511 E083512 E083513 E083519 E083521 E083522 E083523 E083529E083531 E083532 E083533 E083539 E083541 E083542 E083543 E083549E083551 E083552 E083553 E083559 E083591 E083592 E083593 E083599E0837X1 E0837X2 E0837X3 E0837X9 E093211 E093212 E093213 E093219E093291 E093292 E093293 E093299 E093311 E093312 E093313 E093319E093391 E093392 E093393 E093399 E093411 E093412 E093413 E093419E093491 E093492 E093493 E093499 E093511 E093512 E093513 E093519E093521 E093522 E093523 E093529 E093531 E093532 E093533 E093539E093541 E093542 E093543 E093549 E093551 E093552 E093553 E093559E093591 E093592 E093593 E093599 E0937X1 E0937X2 E0937X3 E0937X9E103211 E103212 E103213 E103219 E103291 E103292 E103293 E103299E103311 E103312 E103313 E103319 E103391 E103392 E103393 E103411E103412 E103413 E103419 E103491 E103492 E103493 E103499 E103511E103512 E103513 E103519 E103521 E103522 E103523 E103529 E103531E103532 E103533 E103539 E103541 E103542 E103543 E103549 E103551E103552 E103553 E103559 E103591 E103592 E103593 E103599 E1037X1E1037X2 E1037X3 E1037X9 E113211 E113212 E113213 E113219 E113291E113292 E113293 E113299 E113311 E113312 E113313 E113319 E113391E113392 E113393 E113399 E113411 E113412 E113413 E113419 E113491E113492 E113493 E113499 E113511 E113512 E113513 E113519 E113521E113522 E113523 E113529 E113531 E113532 E113533 E113539 E113541E113542 E113543 E113549 E113551 E113552 E113553 E113559 E113591E113592 E113593 E113599 E1137X1 E1137X2 E1137X3 E1137X9 E133211E133212 E133213 E133219 E133291 E133292 E133293 E133299 E133311E133312 E133313 E133319 E133391 E133392 E133393 E133399 E133411E133412 E133413 E133419 E133491 E133492 E133493 E133499 E133511E133512 E133513 E133519 E133521 E133522 E133523 E133529 E133531E133532 E133533 E133539 E133541 E133542 E133543 E133549 E133551E133552 E133553 E133559 E133591 E133592 E133593 E133599 E1337X1E1337X2 E1337X3 E1337X9 R7303 Z7984Discontinued Diagnosis CodesE08321 E08329 E08331 E08339 E08341 E08349 E08351 E08359E09321 E09329 E09331 E09339 E09341 E09349 E09351 E09359E10321 E10329 E10331 E10339 E10341 E10349 E10351 E10359E11321 E11329 E11331 E11339 E11341 E11349 E11351 E11359E13321 E13329 E13331 E13339 E13341 E13349 E13351 E13359





Refer to: The current CSHCN Services Program Provider Manual, section 15.2.1, “Glucose Monitor and Supplies” for more information.

EchoencephalographyThe following diagnosis codes may be reimbursed when submitted with procedure code 76506:

Added Diagnosis CodesD47Z2 I602 I63523 I63533 I63543 I69210 I69211 I69212I69213 I69214 I69215 I69218 I69219Discontinued Diagnosis CodesI6020 I6021 I6022 S060X2A S060X2D S060X2S S060X3A S060X3DS060X3S S060X4A S060X4D S060X4S S060X5A S060X5D S060X5S S060X6AS060X6D S060X6S S0606X8A S060X8D S060X8S

Refer to: The current CSHCN Services Program Provider Manual, section 31.2.17, “Echoencephalography,” for more information.

Evoked Response Tests and Neuromuscular ProceduresThe following diagnosis codes may be reimbursed when submitted with Electromyography (EMG) and nerve conduction study (NCS) procedure codes:

Added Diagnosis CodesG5603 G5613 G5623 G5633 G5643 G5683 G5693 G5703G5713 G5723 G5733 G5743 G5753 G5763 G5773 G5783G5793 G6182 K5903 K5904 M50020 M50021 M50022 M50023M50120 M50121 M50122 M50123 M50220 M50221 M50222 M50223M50320 M50321 M50322 M50323 M50820 M50821 M50822 M50823M50920 M50921 M50922 M50923 M6284 N39492 R29701 R29702R29703 R29704 R29705 R29706 R29707 R29708 R29709 R29710R29711 R29712 R29713 R29714 R29715 R29716 R29717 R29718R29719 R29720 R29721 R29722 R29723 R29724 R29725 R29726R29727 R29728 R29729 R29730 R29731 R29732 R29733 R29734R29735 R29736 R29737 R29738 R29739 R29740 R29741 R29742R39191 R39192 R39198 T85840A T85840D T85840SDiscontinued Diagnosis CodesM5002 M5012 M5022 M5032 M5082 M5092

Refer to: The current CSHCN Services Program Provider Manual, section 31.2.19, “Evoked Response Tests and Neuromuscular Procedures,” for more information.




Expendable Medical SuppliesThe following diagnosis codes may be reimbursed when submitted with the appropriate diapers, briefs, pull-ups, or liners procedure code:

Added Diagnosis CodesN130 N99115 N99523 N99524 N99533 N99534 N99840 N99841N99842 N99843 R9382 T83011A T83011D T83011S T83021A T83021DT83021S T83031A T83031D T83031S T83032A T83032D T83032S T83091AT83091D T83091S T83092A T83092D T83092S T83511A T83511D T83511ST83518A T83518D T83518SRevised Diagnosis CodeN99113

The combination diagnosis table has been removed. Each of the paired codes is now listed as a single dianosis code.

Refer to: The current CSHCN Services Program Provider Manual, section 18.2.1,” Diapers, Briefs, Pull-ups, and Liners,” for more information.

Hearing ServicesThe following diagnosis codes may be reimbursed when submitted with procedure code 92568:

Added Diagnosis CodesH90A11 H90A12 H90A21 H90A22 H90A31 H90A32 H93A1 H93A2H93A3 H93A9

Refer to: The current CSHCN Services Program Provider Manual, section 20.2.3.5, “Limitations,” for more infor-mation.

Neurostimulators and Neuromuscular StimulatorsThe following diagnosis codes may be considered for prior authorization when submitted with the appropriate dorsal column neurostimulation (DCN), intracranial neurostimulation (ICN), or percutaneous electrical nerve stimulation (PENS) device procedure codes:

Added Diagnosis CodesG5773 G5783 G5793 M50020 M50021 M50022 M50023 M50120M50121 M50122 M50123 M50220 M50221 M50222 M50223Discontinued Diagnosis CodeM5022

Refer to: The current CSHCN Services Program Provider Manual, section 27.2.1, “Dorsal Column Neurostimula-tion (DCN),” section 27.2.2, “Intracranial Neurostimulation (INS),” and section 27.2.4, “Percutaneous Electrical Nerve Stimulation (PENS),” for more information.




Therapeutic ApheresisThe following diagnosis codes may be reimbursed when submitted with procedure codes 36511, 36512, 36513, 36514, 36515, and 36516:

Added Diagnosis CodesD8940 D8941 D8942 D8943 D8949 E7800 E7801 G6182Discontinued Diagnosis CodeE780

Refer to: The current CSHCN Services Program Provider Manual, section 31.2.40, “Therapeutic Apheresis,” for more information.

Vision Services NonsurgicalThe following diagnosis codes may be reimbursed when submitted with the appropriate contact lenses and their prescription and fitting procedure codes:

Added Diagnosis CodesH53041 H53042 H53043 H53049

Refer to: The current CSHCN Services Program Provider Manual, section 39.2.1.4, “Contact Lenses” for more information.




ALL CODE CHANGES: ADDED, REVISED, AND DISCONTINUED

2017 ICD Diagnosis Code AdditionsThe following is a list of new ICD diagnosis codes:

Added Diagnosis CodesA925 C49A0 C49A1 C49A2 C49A3 C49A4 C49A5C49A9 D47Z2 D49511 D49512 D49519 D4959 D7831D7832 D7833 D7834 D8940 D8941 D8942 D8943D8949 E083211 E083212 E083213 E083219 E083291 E083292E083293 E083299 E083311 E083312 E083313 E083319 E083391E083392 E083393 E083399 E083411 E083412 E083413 E083419E083491 E083492 E083493 E083499 E083511 E083512 E083513E083519 E083521 E083522 E083523 E083529 E083531 E083532E083533 E083539 E083541 E083542 E083543 E083549 E083551E083552 E083553 E083559 E083591 E083592 E083593 E083599E0837X1 E0837X2 E0837X3 E0837X9 E093211 E093212 E093213E093219 E093291 E093292 E093293 E093299 E093311 E093312E093313 E093319 E093391 E093392 E093393 E093399 E093411E093412 E093413 E093419 E093491 E093492 E093493 E093499E093511 E093512 E093513 E093519 E093521 E093522 E093523E093529 E093531 E093532 E093533 E093539 E093541 E093542E093543 E093549 E093551 E093552 E093553 E093559 E093591E093592 E093593 E093599 E0937X1 E0937X2 E0937X3 E0937X9E103211 E103212 E103213 E103219 E103291 E103292 E103293E103299 E103311 E103312 E103313 E103319 E103391 E103392E103393 E103399 E103411 E103412 E103413 E103419 E103491E103492 E103493 E103499 E103511 E103512 E103513 E103519E103521 E103522 E103523 E103529 E103531 E103532 E103533E103539 E103541 E103542 E103543 E103549 E103551 E103552E103553 E103559 E103591 E103592 E103593 E103599 E1037X1E1037X2 E1037X3 E1037X9 E113211 E113212 E113213 E113219E113291 E113292 E113293 E113299 E113311 E113312 E113313E113319 E113391 E113392 E113393 E113399 E113411 E113412E113413 E113419 E113491 E113492 E113493 E113499 E113511E113512 E113513 E113519 E113521 E113522 E113523 E113529E113531 E113532 E113533 E113539 E113541 E113542 E113543E113549 E113551 E113552 E113553 E113559 E113591 E113592E113593 E113599 E1137X1 E1137X2 E1137X3 E1137X9 E133211E133212 E133213 E133219 E133291 E133292 E133293 E133299E133311 E133312 E133313 E133319 E133391 E133392 E133393


All Code Changes: Added, Revised, and Discontinued


Added Diagnosis CodesE133399 E133411 E133412 E133413 E133419 E133491 E133492E133493 E133499 E133511 E133512 E133513 E133519 E133521E133522 E133523 E133529 E133531 E133532 E133533 E133539E133541 E133542 E133543 E133549 E133551 E133552 E133553E133559 E133591 E133592 E133593 E133599 E1337X1 E1337X2E1337X3 E1337X9 E7800 E7801 E89820 E89821 E89822E89823 F3281 F3289 F3481 F3489 F422 F423F424 F428 F429 F5081 F5089 F640 F8082G5603 G5613 G5623 G5633 G5643 G5683 G5693G5703 G5713 G5723 G5733 G5743 G5753 G5763G5773 G5783 G5793 G6182 G9761 G9762 G9763G9764 H348110 H348111 H348112 H348120 H348121 H348122H348130 H348131 H348132 H348190 H348191 H348192 H348310H348311 H348312 H348320 H348321 H348322 H348330 H348331H348332 H348390 H348391 H348392 H353110 H353111 H353112H353113 H353114 H353120 H353121 H353122 H353123 H353124H353130 H353131 H353132 H353133 H353134 H353190 H353191H353192 H353193 H353194 H353210 H353211 H353212 H353213H353220 H353221 H353222 H353223 H353230 H353231 H353232H353233 H353290 H353291 H353292 H353293 H401110 H401111H401112 H401113 H401114 H401120 H401121 H401122 H401123H401124 H401130 H401131 H401132 H401133 H401134 H401190H401191 H401192 H401193 H401194 H53041 H53042 H53043H53049 H59331 H59332 H59333 H59339 H59341 H59342H59343 H59349 H59351 H59352 H59353 H59359 H59361H59362 H59363 H59369 H90A11 H90A12 H90A21 H90A22H90A31 H90A32 H93A1 H93A2 H93A3 H93A9 H9551H9552 H9553 H9554 I160 I161 I169 I602I63013 I63033 I63113 I63133 I63213 I63233 I63313I63323 I63333 I63343 I63413 I63423 I63433 I63443I63513 I63523 I63533 I63543 I69010 I69011 I69012I69013 I69014 I69015 I69018 I69019 I69110 I69111I69112 I69113 I69114 I69115 I69118 I69119 I69210I69211 I69212 I69213 I69214 I69215 I69218 I69219I69310 I69311 I69312 I69313 I69314 I69315 I69318I69319 I69810 I69811 I69812 I69813 I69814 I69815I69818 I69819 I69910 I69911 I69912 I69913 I69914I69915 I69918 I69919 I725 I726 I7770 I7775I7776 I7777 I97620 I97621 I97622 I97630 I97631




Added Diagnosis CodesI97638 I97640 I97641 I97648 J95860 J95861 J95862J95863 J9851 J9859 K0401 K0402 K05211 K05212K05213 K05219 K05221 K05222 K05223 K05229 K05311K05312 K05313 K05319 K05321 K05322 K05323 K05329K063 K0881 K0882 K0889 K5221 K5222 K5229K523 K52831 K52832 K52838 K52839 K55011 K55012K55019 K55021 K55022 K55029 K55031 K55032 K55039K55041 K55042 K55049 K55051 K55052 K55059 K55061K55062 K55069 K5530 K5531 K5532 K5533 K581K582 K588 K5903 K5904 K5931 K5939 K8500K8501 K8502 K8510 K8511 K8512 K8520 K8521K8522 K8530 K8531 K8532 K8580 K8581 K8582K8590 K8591 K8592 K8681 K8689 K9041 K9049K91870 K91871 K91872 K91873 L03213 L7631 L7632L7633 L7634 L987 M041 M042 M048 M049M21611 M21612 M21619 M21621 M21622 M21629 M25541M25542 M25549 M26601 M26602 M26603 M26609 M26611M26612 M26613 M26619 M26621 M26622 M26623 M26629M26631 M26632 M26633 M26639 M50020 M50021 M50022M50023 M50120 M50121 M50122 M50123 M50220 M50221M50222 M50223 M50320 M50321 M50322 M50323 M50820M50821 M50822 M50823 M50920 M50921 M50922 M50923M6284 M84750A M84750D M84750G M84750K M84750P M84750SM84751A M84751D M84751G M84751K M84751P M84751S M84752AM84752D M84752G M84752K M84752P M84752S M84753A M84753DM84753G M84753K M84753P M84753S M84754A M84754D M84754GM84754K M84754P M84754S M84755A M84755D M84755G M84755KM84755P M84755S M84756A M84756D M84756G M84756K M84756PM84756S M84757A M84757D M84757G M84757K M84757P M84757SM84758A M84758D M84758G M84758K M84758P M84758S M84759AM84759D M84759G M84759K M84759P M84759S M96840 M96841M96842 M96843 M9701XA M9701XD M9701XS M9702XA M9702XDM9702XS M9711XA M9711XD M9711XS M9712XA M9712XD M9712XSM9721XA M9721XD M9721XS M9722XA M9722XD M9722XS M9731XAM9731XD M9731XS M9732XA M9732XD M9732XS M9741XA M9741XDM9741XS M9742XA M9742XD M9742XS M978XXA M978XXD M978XXSM979XXA M979XXD M979XXS N130 N39491 N39492 N4230N4231 N4232 N4239 N50811 N50812 N50819 N5082N5089 N5235 N5236 N5237 N610 N611 N8300




Added Diagnosis CodesN8301 N8302 N8310 N8311 N8312 N83201 N83202N83209 N83291 N83292 N83299 N83311 N83312 N83319N83321 N83322 N83329 N83331 N83332 N83339 N8340N8341 N8342 N83511 N83512 N83519 N83521 N83522N83529 N9060 N9061 N9069 N931 N9410 N9411N9412 N9419 N99115 N99523 N99524 N99533 N99534N99840 N99841 N99842 N99843 O0000 O0001 O0010O0011 O0020 O0021 O0080 O0081 O0090 O0091O09A0 O09A1 O09A2 O09A3 O114 O115 O1204O1205 O1214 O1215 O1224 O1225 O134 O135O1404 O1405 O1414 O1415 O1424 O1425 O1494O1495 O164 O165 O24415 O24425 O24435 O337XX0O337XX1 O337XX2 O337XX3 O337XX4 O337XX5 O337XX9 O34211O34212 O34219 O4420 O4421 O4422 O4423 O4430O4431 O4432 O4433 O4440 O4441 O4442 O4443O4450 O4451 O4452 O4453 O7020 O7021 O7022O7023 P0509 P0519 Q2521 Q2529 Q2540 Q2541Q2542 Q2543 Q2544 Q2545 Q2546 Q2547 Q2548Q2549 Q52120 Q52121 Q52122 Q52123 Q52124 Q52129Q6621 Q6622 Q826 Q8782 R29700 R29701 R29702R29703 R29704 R29705 R29706 R29707 R29708 R29709R29710 R29711 R29712 R29713 R29714 R29715 R29716R29717 R29718 R29719 R29720 R29721 R29722 R29723R29724 R29725 R29726 R29727 R29728 R29729 R29730R29731 R29732 R29733 R29734 R29735 R29736 R29737R29738 R29739 R29740 R29741 R29742 R3121 R3129R39191 R39192 R39198 R3982 R402410 R402411 R402412R402413 R402414 R402420 R402421 R402422 R402423 R402424R402430 R402431 R402432 R402433 R402434 R402440 R402441R402442 R402443 R402444 R7303 R8271 R8279 R9341R93421 R93422 R93429 R9349 R9720 R9721 S02101AS02101B S02101D S02101G S02101K S02101S S02102A S02102BS02102D S02102G S02102K S02102S S02109A S02109B S02109DS02109G S02109K S02109S S0211AA S0211AB S0211AD S0211AGS0211AK S0211AS S0211BA S0211BB S0211BD S0211BG S0211BKS0211BS S0211CA S0211CB S0211CD S0211CG S0211CK S0211CSS0211DA S0211DB S0211DD S0211DG S0211DK S0211DS S0211EAS0211EB S0211ED S0211EG S0211EK S0211ES S0211FA S0211FBS0211FD S0211FG S0211FK S0211FS S0211GA S0211GB S0211GD




Added Diagnosis CodesS0211GG S0211GK S0211GS S0211HA S0211HB S0211HD S0211HGS0211HK S0211HS S0230XA S0230XB S0230XD S0230XG S0230XKS0230XS S0231XA S0231XB S0231XD S0231XG S0231XK S0231XSS0232XA S0232XB S0232XD S0232XG S0232XK S0232XS S0240AAS0240AB S0240AD S0240AG S0240AK S0240AS S0240BA S0240BBS0240BD S0240BG S0240BK S0240BS S0240CA S0240CB S0240CDS0240CG S0240CK S0240CS S0240DA S0240DB S0240DD S0240DGS0240DK S0240DS S0240EA S0240EB S0240ED S0240EG S0240EKS0240ES S0240FA S0240FB S0240FD S0240FG S0240FK S0240FSS02601A S02601B S02601D S02601G S02601K S02601S S02602AS02602B S02602D S02602G S02602K S02602S S02610A S02610BS02610D S02610G S02610K S02610S S02611A S02611B S02611DS02611G S02611K S02611S S02612A S02612B S02612D S02612GS02612K S02612S S02620A S02620B S02620D S02620G S02620KS02620S S02621A S02621B S02621D S02621G S02621K S02621SS02622A S02622B S02622D S02622G S02622K S02622S S02630AS02630B S02630D S02630G S02630K S02630S S02631A S02631BS02631D S02631G S02631K S02631S S02632A S02632B S02632DS02632G S02632K S02632S S02640A S02640B S02640D S02640GS02640K S02640S S02641A S02641B S02641D S02641G S02641KS02641S S02642A S02642B S02642D S02642G S02642K S02642SS02650A S02650B S02650D S02650G S02650K S02650S S02651AS02651B S02651D S02651G S02651K S02651S S02652A S02652BS02652D S02652G S02652K S02652S S02670A S02670B S02670DS02670G S02670K S02670S S02671A S02671B S02671D S02671GS02671K S02671S S02672A S02672B S02672D S02672G S02672KS02672S S0280XA S0280XB S0280XD S0280XG S0280XK S0280XSS0281XA S0281XB S0281XD S0281XG S0281XK S0281XS S0282XAS0282XB S0282XD S0282XG S0282XK S0282XS S0300XA S0300XDS0300XS S0301XA S0301XD S0301XS S0302XA S0302XD S0302XSS0303XA S0303XD S0303XS S0340XA S0340XD S0340XS S0341XAS0341XD S0341XS S0342XA S0342XD S0342XS S0343XA S0343XDS0343XS S92811A S92811B S92811D S92811G S92811K S92811PS92811S S92812A S92812B S92812D S92812G S92812K S92812PS92812S S92819A S92819B S92819D S92819G S92819K S92819PS92819S S99001A S99001B S99001D S99001G S99001K S99001PS99001S S99002A S99002B S99002D S99002G S99002K S99002PS99002S S99009A S99009B S99009D S99009G S99009K S99009PS99009S S99011A S99011B S99011D S99011G S99011K S99011P




Added Diagnosis CodesS99011S S99012A S99012B S99012D S99012G S99012K S99012PS99012S S99019A S99019B S99019D S99019G S99019K S99019PS99019S S99021A S99021B S99021D S99021G S99021K S99021PS99021S S99022A S99022B S99022D S99022G S99022K S99022PS99022S S99029A S99029B S99029D S99029G S99029K S99029PS99029S S99031A S99031B S99031D S99031G S99031K S99031PS99031S S99032A S99032B S99032D S99032G S99032K S99032PS99032S S99039A S99039B S99039D S99039G S99039K S99039PS99039S S99041A S99041B S99041D S99041G S99041K S99041PS99041S S99042A S99042B S99042D S99042G S99042K S99042PS99042S S99049A S99049B S99049D S99049G S99049K S99049PS99049S S99091A S99091B S99091D S99091G S99091K S99091PS99091S S99092A S99092B S99092D S99092G S99092K S99092PS99092S S99099A S99099B S99099D S99099G S99099K S99099PS99099S S99101A S99101B S99101D S99101G S99101K S99101PS99101S S99102A S99102B S99102D S99102G S99102K S99102PS99102S S99109A S99109B S99109D S99109G S99109K S99109PS99109S S99111A S99111B S99111D S99111G S99111K S99111PS99111S S99112A S99112B S99112D S99112G S99112K S99112PS99112S S99119A S99119B S99119D S99119G S99119K S99119PS99119S S99121A S99121B S99121D S99121G S99121K S99121PS99121S S99122A S99122B S99122D S99122G S99122K S99122PS99122S S99129A S99129B S99129D S99129G S99129K S99129PS99129S S99131A S99131B S99131D S99131G S99131K S99131PS99131S S99132A S99132B S99132D S99132G S99132K S99132PS99132S S99139A S99139B S99139D S99139G S99139K S99139PS99139S S99141A S99141B S99141D S99141G S99141K S99141PS99141S S99142A S99142B S99142D S99142G S99142K S99142PS99142S S99149A S99149B S99149D S99149G S99149K S99149PS99149S S99191A S99191B S99191D S99191G S99191K S99191PS99191S S99192A S99192B S99192D S99192G S99192K S99192PS99192S S99199A S99199B S99199D S99199G S99199K S99199PS99199S S99201A S99201B S99201D S99201G S99201K S99201PS99201S S99202A S99202B S99202D S99202G S99202K S99202PS99202S S99209A S99209B S99209D S99209G S99209K S99209PS99209S S99211A S99211B S99211D S99211G S99211K S99211PS99211S S99212A S99212B S99212D S99212G S99212K S99212PS99212S S99219A S99219B S99219D S99219G S99219K S99219PS99219S S99221A S99221B S99221D S99221G S99221K S99221P




Added Diagnosis CodesS99221S S99222A S99222B S99222D S99222G S99222K S99222PS99222S S99229A S99229B S99229D S99229G S99229K S99229PS99229S S99231A S99231B S99231D S99231G S99231K S99231PS99231S S99232A S99232B S99232D S99232G S99232K S99232PS99232S S99239A S99239B S99239D S99239G S99239K S99239PS99239S S99241A S99241B S99241D S99241G S99241K S99241PS99241S S99242A S99242B S99242D S99242G S99242K S99242PS99242S S99249A S99249B S99249D S99249G S99249K S99249PS99249S S99291A S99291B S99291D S99291G S99291K S99291PS99291S S99292A S99292B S99292D S99292G S99292K S99292PS99292S S99299A S99299B S99299D S99299G S99299K S99299PS99299S T82855A T82855D T82855S T82856A T82856D T82856ST83011A T83011D T83011S T83012A T83012D T83012S T83021AT83021D T83021S T83022A T83022D T83022S T83031A T83031DT83031S T83032A T83032D T83032S T83091A T83091D T83091ST83092A T83092D T83092S T83113A T83113D T83113S T83123AT83123D T83123S T83193A T83193D T83193S T8324XA T8324XDT8324XS T8325XA T8325XD T8325XS T83411A T83411D T83411ST83421A T83421D T83421S T83491A T83491D T83491S T83510AT83510D T83510S T83511A T83511D T83511S T83512A T83512DT83512S T83518A T83518D T83518S T83590A T83590D T83590ST83591A T83591D T83591S T83592A T83592D T83592S T83593AT83593D T83593S T83598A T83598D T83598S T8361XA T8361XDT8361XS T8362XA T8362XD T8362XS T8369XA T8369XD T8369XST83712A T83712D T83712S T83713A T83713D T83713S T83714AT83714D T83714S T83719A T83719D T83719S T83722A T83722DT83722S T83723A T83723D T83723S T83724A T83724D T83724ST83729A T83729D T83729S T8379XA T8379XD T8379XS T85113AT85113D T85113S T85123A T85123D T85123S T85193A T85193DT85193S T85615A T85615D T85615S T85625A T85625D T85625ST85635A T85635D T85635S T85695A T85695D T85695S T85730AT85730D T85730S T85731A T85731D T85731S T85732A T85732DT85732S T85733A T85733D T85733S T85734A T85734D T85734ST85735A T85735D T85735S T85738A T85738D T85738S T85810AT85810D T85810S T85818A T85818D T85818S T85820A T85820DT85820S T85828A T85828D T85828S T85830A T85830D T85830ST85838A T85838D T85838S T85840A T85840D T85840S T85848AT85848D T85848S T85850A T85850D T85850S T85858A T85858DT85858S T85860A T85860D T85860S T85868A T85868D T85868S




Added Diagnosis CodesT85890A T85890D T85890S T85898A T85898D T85898S T8853XAT8853XD T8853XS V470XXA V470XXD V470XXS V471XXA V471XXDV471XXS V473XXA V473XXD V473XXS V475XXA V475XXD V475XXSV476XXA V476XXD V476XXS V479XXA V479XXD V479XXS W262XXAW262XXD W262XXS W268XXA W268XXD W268XXS W269XXA W269XXDW269XXS X500XXA X500XXD X500XXS X501XXA X501XXD X501XXSX503XXA X503XXD X503XXS X509XXA X509XXD X509XXS Y9385Z050 Z051 Z052 Z053 Z0541 Z0542 Z0543Z055 Z056 Z0571 Z0572 Z0573 Z058 Z059Z191 Z192 Z2911 Z2912 Z2913 Z2914 Z293Z298 Z299 Z30015 Z30016 Z30017 Z3044 Z3045Z3046 Z317 Z333 Z516 Z5331 Z5332 Z5333Z5339 Z7984 Z8342 Z8482 Z9284 Z98890 Z98891

For more information, call the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.

Discontinued Diagnosis CodesThe 2017 ICD discontinued diagnosis codes are no longer valid for claims submitted with dates of service on or after October 1, 2016. The following is a list of diagnosis codes that have been discontinued:

Diagnosis CodesD495 E08321 E08329 E08331 E08339 E08341 E08349E08351 E08359 E09321 E09329 E09331 E09339 E09341E09349 E09351 E09359 E10321 E10329 E10331 E10339E10341 E10349 E10351 E10359 E11321 E11329 E11331E11339 E11341 E11349 E11351 E11359 E13321 E13329E13331 E13339 E13341 E13349 E13351 E13359 E780F328 F348 F42 F508 H34811 H34812 H34813H34819 H34831 H34832 H34833 H34839 H3531 H3532H4011X0 H4011X1 H4011X2 H4011X3 H4011X4 I6020 I6021I6022 I6901 I6911 I6921 I6931 I6981 I6991I9762 J985 K040 K0521 K0522 K0531 K0532K088 K522 K550 K593 K850 K851 K852K853 K858 K859 K868 K904 M2660 M2661M2662 M2663 M5002 M5012 M5022 M5032 M5082M5092 N423 N508 N61 N830 N831 N8320N8329 N8331 N8332 N8333 N834 N8351 N8352N906 N941 O000 O001 O002 O008 O009O337 O3421 O702 Q252 Q254 Q5212 Q662




Diagnosis CodesR312 R3919 R40241 R40242 R40243 R40244 R827R934 R972 S0210XA S0210XB S0210XD S0210XG S0210XKS0210XS S023XXA S023XXB S023XXD S023XXG S023XXK S023XXSS0261XA S0261XB S0261XD S0261XG S0261XK S0261XS S0262XAS0262XB S0262XD S0262XG S0262XK S0262XS S0263XA S0263XBS0263XD S0263XG S0263XK S0263XS S0264XA S0264XB S0264XDS0264XG S0264XK S0264XS S0265XA S0265XB S0265XD S0265XGS0265XK S0265XS S0267XA S0267XB S0267XD S0267XG S0267XKS0267XS S028XXA S028XXB S028XXD S028XXG S028XXK S028XXSS030XXA S030XXD S030XXS S034XXA S034XXD S034XXS S060X2AS060X2D S060X2S S060X3A S060X3D S060X3S S060X4A S060X4DS060X4S S060X5A S060X5D S060X5S S060X6A S060X6D S060X6SS060X7A S060X7D S060X7S S060X8A S060X8D S060X8S T8351XAT8351XD T8351XS T8359XA T8359XD T8359XS T836XXA T836XXDT836XXS T84040A T84040D T84040S T84041A T84041D T84041ST84042A T84042D T84042S T84043A T84043D T84043S T84048AT84048D T84048S T84049A T84049D T84049S T8581XA T8581XDT8581XS T8582XA T8582XD T8582XS T8583XA T8583XD T8583XST8584XA T8584XD T8584XS T8585XA T8585XD T8585XS T8586XAT8586XD T8586XS T8589XA T8589XD T8589XS V4701XA V4701XDV4701XS V4702XA V4702XD V4702XS V4711XA V4711XD V4711XSV4712XA V4712XD V4712XS V4731XA V4731XD V4731XS V4732XAV4732XD V4732XS V4751XA V4751XD V4751XS V4752XA V4752XDV4752XS V4761XA V4761XD V4761XS V4762XA V4762XD V4762XSV4791XA V4791XD V4791XS V4792XA V4792XD V4792XS W451XXAW451XXD W451XXS W452XXA W452XXD W452XXS Z2250 Z2251Z2252 Z2259 Z9889


Diagnosis Code Description ChangesEffective for dates of service on or after October 1, 2016, the following diagnosis code descriptions have changed:

Revised Diagnosis CodesC7A094 C7A095 C7A096 C8110 C8111 C8112 C8113C8114 C8115 C8116 C8117 C8118 C8119 C8120C8121 C8122 C8123 C8124 C8125 C8126 C8127C8128 C8129 C8130 C8131 C8132 C8133 C8134C8135 C8136 C8137 C8138 C8139 C8140 C8141




Revised Diagnosis CodesC8142 C8143 C8144 C8145 C8146 C8147 C8148C8149 C8170 C8171 C8172 C8173 C8174 C8175C8176 C8177 C8178 C8179 D3A094 D3A095 D3A096D7821 D7822 E89810 E89811 F641 G9751 G9752H59311 H59312 H59313 H59319 H59321 H59322 H59323H59329 H9541 H9542 I7779 I97610 I97611 I97618I97820 I97821 J95830 J95831 K9161 K91840 K91841L705 L7621 L7622 M96830 M96831 N10 N400N401 N5239 N99113 N99520 N99521 N99522 N99528N99530 N99531 N99532 N99538 N99820 N99821 O0910O0911 O0912 O0913 O1500 O1502 O1503 O151O152 O24011 O24012 O24013 O24019 O2402 O2403O24111 O24112 O24113 O24119 O2412 O2413 O4400O4401 O4402 O4403 O4410 O4411 O4412 O4413P000 P001 P002 P003 P004 P005 P006P007 P0081 P0089 P009 P010 P011 P012P013 P014 P015 P016 P017 P018 P019P020 P021 P0220 P0229 P023 P024 P025P0260 P0269 P027 P028 P029 P030 P031P032 P033 P034 P035 P036 P03810 P03811P03819 P0389 P039 P040 P041 P042 P043P0441 P0449 P045 P046 P048 P049 S02110AS02110B S02110D S02110G S02110K S02110S S02111A S02111BS02111D S02111G S02111K S02111S S02112A S02112B S02112DS02112G S02112K S02112S S02118A S02118B S02118D S02118GS02118K S02118S S02400A S02400B S02400D S02400G S02400KS02400S S02401A S02401B S02401D S02401G S02401K S02401SS02402A S02402B S02402D S02402G S02402K S02402S S02600AS02600B S02600D S02600G S02600K S02600S S49031A S49031DS49031G S49031K S49031P S49031S S49032A S49032D S49032GS49032K S49032P S49032S S49039A S49039D S49039G S49039KS49039P S49039S S49131A S49131D S49131G S49131K S49131PS49131S S49132A S49132D S49132G S49132K S49132P S49132SS49139A S49139D S49139G S49139K S49139P S49139S S548X1AS548X1D S548X1S S548X2A S548X2D S548X2S S548X9A S548X9DS548X9S T82817A T82817D T82817S T82818A T82818D T82818ST82827A T82827D T82827S T82828A T82828D T82828S T82837AT82837D T82837S T82838A T82838D T82838S T82847A T82847DT82847S T82848A T82848D T82848S T82857A T82857D T82857S




Revised Diagnosis CodesT82858A T82858D T82858S T82867A T82867D T82867S T82868AT82868D T82868S T83018A T83018D T83018S T83028A T83028DT83028S T83038A T83038D T83038S T83098A T83098D T83098ST83111A T83111D T83111S T83112A T83112D T83112S T83121AT83121D T83121S T83122A T83122D T83122S T83191A T83191DT83191S T83192A T83192D T83192S T83410A T83410D T83410ST83420A T83420D T83420S T83490A T83490D T83490S T83711AT83711D T83711S T83718A T83718D T83718S T83721A T83721DT83721S T83728A T83728D T83728S T8381XA T8381XD T8381XST8382XA T8382XD T8382XS T8383XA T8383XD T8383XS T8384XAT8384XD T8384XS T8385XA T8385XD T8385XS T8386XA T8386XDT8386XS T85110A T85110D T85110S T85111A T85111D T85111ST85112A T85112D T85112S T85120A T85120D T85120S T85121AT85121D T85121S T85122A T85122D T85122S T85190A T85190DT85190S T85191A T85191D T85191S T85192A T85192D T85192ST85610A T85610D T85610S T85620A T85620D T85620S T85630AT85630D T85630S T85690A T85690D T85690S





INPATIENT HOSPITAL ICD-10-PCS

Inpatient Hospital ICD-10-PCS Surgical Procedure Code UpdatesThe ICD-10-PCS procedure codes are inpatient hospital surgical procedure codes and must be submitted, as appli-cable, only on inpatient hospital claims.

Note: For professional and outpatient procedures and services, providers must continue to use the American Medical Association (AMA) Current Procedural Terminology (CPT) manual and the CMS Health Care Common Procedure Coding System (HCPCS) manual.

This section lists the ICD-10-PCS inpatient hospital surgical procedure code changes for inpatient hospital providers. Providers should refer to the appropriate copyright holder’s code listing for the new, discontinued, and revised descriptions for the procedure codes indicated below. All discontinued codes will not be reimbursed for dates of service on or after October 1, 2016.

The following table lists all of the new, discontinued, and revised surgical procedure codes:

Note: These procedure codes are surgical codes used to assign the proper DRG for an inpatient hospital stay and are processed as informational only.

Added Procedure Codes 0210083 0210088 0210089 021008C 021008F 021008W 02104830210488 0210489 021048C 021048F 021048W 0211083 02110880211089 021108C 021108F 021108W 0211483 0211488 0211489021148C 021148F 021148W 0212083 0212088 0212089 021208C021208F 021208W 0212483 0212488 0212489 021248C 021248F021248W 0213083 0213088 0213089 021308C 021308F 021308W0213483 0213488 0213489 021348C 021348F 021348W 021608P021608Q 021608R 021648P 021648Q 021648R 021708P 021708Q021708R 021708S 021708T 021708U 021709S 021709T 021709U02170AS 02170AT 02170AU 02170JS 02170JT 02170JU 02170KS02170KT 02170KU 02170ZS 02170ZT 02170ZU 021748P 021748Q021748R 021748S 021748T 021748U 021749S 021749T 021749U02174AS 02174AT 02174AU 02174JS 02174JT 02174JU 02174KS02174KT 02174KU 02174ZS 02174ZT 02174ZU 021K08P 021K08Q021K08R 021K48P 021K48Q 021K48R 021L08P 021L08Q 021L08R021L48P 021L48Q 021L48R 021P08A 021P08B 021P08D 021P09A021P09B 021P09D 021P0AA 021P0AB 021P0AD 021P0JA 021P0JB021P0JD 021P0KA 021P0KB 021P0KD 021P0ZA 021P0ZB 021P0ZD021P48A 021P48B 021P48D 021P49A 021P49B 021P49D 021P4AA021P4AB 021P4AD 021P4JA 021P4JB 021P4JD 021P4KA 021P4KB021P4KD 021P4ZA 021P4ZB 021P4ZD 021Q08A 021Q08B 021Q08D021Q09A 021Q09B 021Q09D 021Q0AA 021Q0AB 021Q0AD 021Q0JA021Q0JB 021Q0JD 021Q0KA 021Q0KB 021Q0KD 021Q0ZA 021Q0ZB


Inpatient Hospital ICD-10-PCS


Added Procedure Codes 021Q0ZD 021Q48A 021Q48B 021Q48D 021Q49A 021Q49B 021Q49D021Q4AA 021Q4AB 021Q4AD 021Q4JA 021Q4JB 021Q4JD 021Q4KA021Q4KB 021Q4KD 021Q4ZA 021Q4ZB 021Q4ZD 021R08A 021R08B021R08D 021R09A 021R09B 021R09D 021R0AA 021R0AB 021R0AD021R0JA 021R0JB 021R0JD 021R0KA 021R0KB 021R0KD 021R0ZA021R0ZB 021R0ZD 021R48A 021R48B 021R48D 021R49A 021R49B021R49D 021R4AA 021R4AB 021R4AD 021R4JA 021R4JB 021R4JD021R4KA 021R4KB 021R4KD 021R4ZA 021R4ZB 021R4ZD 021V08P021V08Q 021V08R 021V08S 021V08T 021V08U 021V09S 021V09T021V09U 021V0AS 021V0AT 021V0AU 021V0JS 021V0JT 021V0JU021V0KS 021V0KT 021V0KU 021V0ZS 021V0ZT 021V0ZU 021V48P021V48Q 021V48R 021V48S 021V48T 021V48U 021V49S 021V49T021V49U 021V4AS 021V4AT 021V4AU 021V4JS 021V4JT 021V4JU021V4KS 021V4KT 021V4KU 021V4ZS 021V4ZT 021V4ZU 021W08B021W08D 021W08P 021W08Q 021W08R 021W48B 021W48D 021W48P021W48Q 021W48R 021X08B 021X08D 021X08P 021X08Q 021X08R021X09B 021X09D 021X09P 021X09Q 021X09R 021X0AB 021X0AD021X0AP 021X0AQ 021X0AR 021X0JB 021X0JD 021X0JP 021X0JQ021X0JR 021X0KB 021X0KD 021X0KP 021X0KQ 021X0KR 021X0ZB021X0ZD 021X0ZP 021X0ZQ 021X0ZR 021X48B 021X48D 021X48P021X48Q 021X48R 021X49B 021X49D 021X49P 021X49Q 021X49R021X4AB 021X4AD 021X4AP 021X4AQ 021X4AR 021X4JB 021X4JD021X4JP 021X4JQ 021X4JR 021X4KB 021X4KD 021X4KP 021X4KQ021X4KR 021X4ZB 021X4ZD 021X4ZP 021X4ZQ 021X4ZR 024F07J024F08J 024F0JJ 024F0KJ 024G072 024G082 024G0J2 024G0K2024J072 024J082 024J0J2 024J0K2 025X0ZZ 025X3ZZ 025X4ZZ0270056 027005Z 0270066 027006Z 0270076 027007Z 02700E602700EZ 02700F6 02700FZ 02700G6 02700GZ 0270356 027035Z0270366 027036Z 0270376 027037Z 02703E6 02703EZ 02703F602703FZ 02703G6 02703GZ 0270456 027045Z 0270466 027046Z0270476 027047Z 02704E6 02704EZ 02704F6 02704FZ 02704G602704GZ 0271056 027105Z 0271066 027106Z 0271076 027107Z02710E6 02710EZ 02710F6 02710FZ 02710G6 02710GZ 0271356027135Z 0271366 027136Z 0271376 027137Z 02713E6 02713EZ02713F6 02713FZ 02713G6 02713GZ 0271456 027145Z 0271466027146Z 0271476 027147Z 02714E6 02714EZ 02714F6 02714FZ02714G6 02714GZ 0272056 027205Z 0272066 027206Z 0272076027207Z 02720E6 02720EZ 02720F6 02720FZ 02720G6 02720GZ0272356 027235Z 0272366 027236Z 0272376 027237Z 02723E6




Added Procedure Codes 02723EZ 02723F6 02723FZ 02723G6 02723GZ 0272456 027245Z0272466 027246Z 0272476 027247Z 02724E6 02724EZ 02724F602724FZ 02724G6 02724GZ 0273056 027305Z 0273066 027306Z0273076 027307Z 02730E6 02730EZ 02730F6 02730FZ 02730G602730GZ 0273356 027335Z 0273366 027336Z 0273376 027337Z02733E6 02733EZ 02733F6 02733FZ 02733G6 02733GZ 0273456027345Z 0273466 027346Z 0273476 027347Z 02734E6 02734EZ02734F6 02734FZ 02734G6 02734GZ 027X04Z 027X0DZ 027X0ZZ027X34Z 027X3DZ 027X3ZZ 027X44Z 027X4DZ 027X4ZZ 02BX0ZX02BX0ZZ 02BX3ZX 02BX3ZZ 02BX4ZX 02BX4ZZ 02C00Z6 02C03Z602C04Z6 02C10Z6 02C13Z6 02C14Z6 02C20Z6 02C23Z6 02C24Z602C30Z6 02C33Z6 02C34Z6 02CX0ZZ 02CX3ZZ 02CX4ZZ 02H40NZ02H43NZ 02H44NZ 02H60NZ 02H63NZ 02H64NZ 02H70NZ 02H73NZ02H74NZ 02HK0NZ 02HK3NZ 02HK4NZ 02HL0NZ 02HL3NZ 02HL4NZ02HX00Z 02HX02Z 02HX03Z 02HX0DZ 02HX30Z 02HX32Z 02HX33Z02HX3DZ 02HX40Z 02HX42Z 02HX43Z 02HX4DZ 02LH0CZ 02LH0DZ02LH0ZZ 02LH3CZ 02LH3DZ 02LH3ZZ 02LH4CZ 02LH4DZ 02LH4ZZ02NX0ZZ 02NX3ZZ 02NX4ZZ 02PA0NZ 02PA3NZ 02PA4NZ 02QF0ZJ02QF3ZJ 02QF4ZJ 02QG0ZE 02QG3ZE 02QG4ZE 02QJ0ZG 02QJ3ZG02QJ4ZG 02QX0ZZ 02QX3ZZ 02QX4ZZ 02RX07Z 02RX08Z 02RX0JZ02RX0KZ 02RX47Z 02RX48Z 02RX4JZ 02RX4KZ 02S00ZZ 02S10ZZ02SX0ZZ 02UF07J 02UF08J 02UF0JJ 02UF0KJ 02UF37J 02UF38J02UF3JJ 02UF3KJ 02UF47J 02UF48J 02UF4JJ 02UF4KJ 02UG07E02UG08E 02UG0JE 02UG0KE 02UG37E 02UG38E 02UG3JE 02UG3KE02UG47E 02UG48E 02UG4JE 02UG4KE 02UJ07G 02UJ08G 02UJ0JG02UJ0KG 02UJ37G 02UJ38G 02UJ3JG 02UJ3KG 02UJ47G 02UJ48G02UJ4JG 02UJ4KG 02UX07Z 02UX08Z 02UX0JZ 02UX0KZ 02UX37Z02UX38Z 02UX3JZ 02UX3KZ 02UX47Z 02UX48Z 02UX4JZ 02UX4KZ02VW0EZ 02VW0FZ 02VW3EZ 02VW3FZ 02VW4EZ 02VW4FZ 02VX0CZ02VX0DZ 02VX0EZ 02VX0FZ 02VX0ZZ 02VX3CZ 02VX3DZ 02VX3EZ02VX3FZ 02VX3ZZ 02VX4CZ 02VX4DZ 02VX4EZ 02VX4FZ 02VX4ZZ02WA0NZ 02WA3NZ 02WA4NZ 02WAXNZ 0370046 0370056 037005Z0370066 037006Z 0370076 037007Z 03700D6 03700E6 03700EZ03700F6 03700FZ 03700G6 03700GZ 03700Z6 0370346 0370356037035Z 0370366 037036Z 0370376 037037Z 03703D6 03703E603703EZ 03703F6 03703FZ 03703G6 03703GZ 03703Z6 03704460370456 037045Z 0370466 037046Z 0370476 037047Z 03704D603704E6 03704EZ 03704F6 03704FZ 03704G6 03704GZ 03704Z60371046 0371056 037105Z 0371066 037106Z 0371076 037107Z




Added Procedure Codes 03710D6 03710E6 03710EZ 03710F6 03710FZ 03710G6 03710GZ03710Z6 0371346 0371356 037135Z 0371366 037136Z 0371376037137Z 03713D6 03713E6 03713EZ 03713F6 03713FZ 03713G603713GZ 03713Z6 0371446 0371456 037145Z 0371466 037146Z0371476 037147Z 03714D6 03714E6 03714EZ 03714F6 03714FZ03714G6 03714GZ 03714Z6 0372046 0372056 037205Z 0372066037206Z 0372076 037207Z 03720D6 03720E6 03720EZ 03720F603720FZ 03720G6 03720GZ 03720Z6 0372346 0372356 037235Z0372366 037236Z 0372376 037237Z 03723D6 03723E6 03723EZ03723F6 03723FZ 03723G6 03723GZ 03723Z6 0372446 0372456037245Z 0372466 037246Z 0372476 037247Z 03724D6 03724E603724EZ 03724F6 03724FZ 03724G6 03724GZ 03724Z6 03730460373056 037305Z 0373066 037306Z 0373076 037307Z 03730D603730E6 03730EZ 03730F6 03730FZ 03730G6 03730GZ 03730Z60373346 0373356 037335Z 0373366 037336Z 0373376 037337Z03733D6 03733E6 03733EZ 03733F6 03733FZ 03733G6 03733GZ03733Z6 0373446 0373456 037345Z 0373466 037346Z 0373476037347Z 03734D6 03734E6 03734EZ 03734F6 03734FZ 03734G603734GZ 03734Z6 0374046 0374056 037405Z 0374066 037406Z0374076 037407Z 03740D6 03740E6 03740EZ 03740F6 03740FZ03740G6 03740GZ 03740Z6 0374346 0374356 037435Z 0374366037436Z 0374376 037437Z 03743D6 03743E6 03743EZ 03743F603743FZ 03743G6 03743GZ 03743Z6 0374446 0374456 037445Z0374466 037446Z 0374476 037447Z 03744D6 03744E6 03744EZ03744F6 03744FZ 03744G6 03744GZ 03744Z6 0375046 0375056037505Z 0375066 037506Z 0375076 037507Z 03750D6 03750E603750EZ 03750F6 03750FZ 03750G6 03750GZ 03750Z6 03753460375356 037535Z 0375366 037536Z 0375376 037537Z 03753D603753E6 03753EZ 03753F6 03753FZ 03753G6 03753GZ 03753Z60375446 0375456 037545Z 0375466 037546Z 0375476 037547Z03754D6 03754E6 03754EZ 03754F6 03754FZ 03754G6 03754GZ03754Z6 0376046 0376056 037605Z 0376066 037606Z 0376076037607Z 03760D6 03760E6 03760EZ 03760F6 03760FZ 03760G603760GZ 03760Z6 0376346 0376356 037635Z 0376366 037636Z0376376 037637Z 03763D6 03763E6 03763EZ 03763F6 03763FZ03763G6 03763GZ 03763Z6 0376446 0376456 037645Z 0376466037646Z 0376476 037647Z 03764D6 03764E6 03764EZ 03764F603764FZ 03764G6 03764GZ 03764Z6 0377046 0377056 037705Z0377066 037706Z 0377076 037707Z 03770D6 03770E6 03770EZ




Added Procedure Codes 03770F6 03770FZ 03770G6 03770GZ 03770Z6 0377346 0377356037735Z 0377366 037736Z 0377376 037737Z 03773D6 03773E603773EZ 03773F6 03773FZ 03773G6 03773GZ 03773Z6 03774460377456 037745Z 0377466 037746Z 0377476 037747Z 03774D603774E6 03774EZ 03774F6 03774FZ 03774G6 03774GZ 03774Z60378046 0378056 037805Z 0378066 037806Z 0378076 037807Z03780D6 03780E6 03780EZ 03780F6 03780FZ 03780G6 03780GZ03780Z6 0378346 0378356 037835Z 0378366 037836Z 0378376037837Z 03783D6 03783E6 03783EZ 03783F6 03783FZ 03783G603783GZ 03783Z6 0378446 0378456 037845Z 0378466 037846Z0378476 037847Z 03784D6 03784E6 03784EZ 03784F6 03784FZ03784G6 03784GZ 03784Z6 0379046 0379056 037905Z 0379066037906Z 0379076 037907Z 03790D6 03790E6 03790EZ 03790F603790FZ 03790G6 03790GZ 03790Z6 0379346 0379356 037935Z0379366 037936Z 0379376 037937Z 03793D6 03793E6 03793EZ03793F6 03793FZ 03793G6 03793GZ 03793Z6 0379446 0379456037945Z 0379466 037946Z 0379476 037947Z 03794D6 03794E603794EZ 03794F6 03794FZ 03794G6 03794GZ 03794Z6 037A046037A056 037A05Z 037A066 037A06Z 037A076 037A07Z 037A0D6037A0E6 037A0EZ 037A0F6 037A0FZ 037A0G6 037A0GZ 037A0Z6037A346 037A356 037A35Z 037A366 037A36Z 037A376 037A37Z037A3D6 037A3E6 037A3EZ 037A3F6 037A3FZ 037A3G6 037A3GZ037A3Z6 037A446 037A456 037A45Z 037A466 037A46Z 037A476037A47Z 037A4D6 037A4E6 037A4EZ 037A4F6 037A4FZ 037A4G6037A4GZ 037A4Z6 037B046 037B056 037B05Z 037B066 037B06Z037B076 037B07Z 037B0D6 037B0E6 037B0EZ 037B0F6 037B0FZ037B0G6 037B0GZ 037B0Z6 037B346 037B356 037B35Z 037B366037B36Z 037B376 037B37Z 037B3D6 037B3E6 037B3EZ 037B3F6037B3FZ 037B3G6 037B3GZ 037B3Z6 037B446 037B456 037B45Z037B466 037B46Z 037B476 037B47Z 037B4D6 037B4E6 037B4EZ037B4F6 037B4FZ 037B4G6 037B4GZ 037B4Z6 037C046 037C056037C05Z 037C066 037C06Z 037C076 037C07Z 037C0D6 037C0E6037C0EZ 037C0F6 037C0FZ 037C0G6 037C0GZ 037C0Z6 037C346037C356 037C35Z 037C366 037C36Z 037C376 037C37Z 037C3D6037C3E6 037C3EZ 037C3F6 037C3FZ 037C3G6 037C3GZ 037C3Z6037C446 037C456 037C45Z 037C466 037C46Z 037C476 037C47Z037C4D6 037C4E6 037C4EZ 037C4F6 037C4FZ 037C4G6 037C4GZ037C4Z6 037D046 037D056 037D05Z 037D066 037D06Z 037D076037D07Z 037D0D6 037D0E6 037D0EZ 037D0F6 037D0FZ 037D0G6




Added Procedure Codes 037D0GZ 037D0Z6 037D346 037D356 037D35Z 037D366 037D36Z037D376 037D37Z 037D3D6 037D3E6 037D3EZ 037D3F6 037D3FZ037D3G6 037D3GZ 037D3Z6 037D446 037D456 037D45Z 037D466037D46Z 037D476 037D47Z 037D4D6 037D4E6 037D4EZ 037D4F6037D4FZ 037D4G6 037D4GZ 037D4Z6 037F046 037F056 037F05Z037F066 037F06Z 037F076 037F07Z 037F0D6 037F0E6 037F0EZ037F0F6 037F0FZ 037F0G6 037F0GZ 037F0Z6 037F346 037F356037F35Z 037F366 037F36Z 037F376 037F37Z 037F3D6 037F3E6037F3EZ 037F3F6 037F3FZ 037F3G6 037F3GZ 037F3Z6 037F446037F456 037F45Z 037F466 037F46Z 037F476 037F47Z 037F4D6037F4E6 037F4EZ 037F4F6 037F4FZ 037F4G6 037F4GZ 037F4Z6037G046 037G056 037G05Z 037G066 037G06Z 037G076 037G07Z037G0D6 037G0E6 037G0EZ 037G0F6 037G0FZ 037G0G6 037G0GZ037G0Z6 037G346 037G356 037G35Z 037G366 037G36Z 037G376037G37Z 037G3D6 037G3E6 037G3EZ 037G3F6 037G3FZ 037G3G6037G3GZ 037G3Z6 037G446 037G456 037G45Z 037G466 037G46Z037G476 037G47Z 037G4D6 037G4E6 037G4EZ 037G4F6 037G4FZ037G4G6 037G4GZ 037G4Z6 037H046 037H056 037H05Z 037H066037H06Z 037H076 037H07Z 037H0D6 037H0E6 037H0EZ 037H0F6037H0FZ 037H0G6 037H0GZ 037H0Z6 037H346 037H356 037H35Z037H366 037H36Z 037H376 037H37Z 037H3D6 037H3E6 037H3EZ037H3F6 037H3FZ 037H3G6 037H3GZ 037H3Z6 037H446 037H456037H45Z 037H466 037H46Z 037H476 037H47Z 037H4D6 037H4E6037H4EZ 037H4F6 037H4FZ 037H4G6 037H4GZ 037H4Z6 037J046037J056 037J05Z 037J066 037J06Z 037J076 037J07Z 037J0D6037J0E6 037J0EZ 037J0F6 037J0FZ 037J0G6 037J0GZ 037J0Z6037J346 037J356 037J35Z 037J366 037J36Z 037J376 037J37Z037J3D6 037J3E6 037J3EZ 037J3F6 037J3FZ 037J3G6 037J3GZ037J3Z6 037J446 037J456 037J45Z 037J466 037J46Z 037J476037J47Z 037J4D6 037J4E6 037J4EZ 037J4F6 037J4FZ 037J4G6037J4GZ 037J4Z6 037K046 037K056 037K05Z 037K066 037K06Z037K076 037K07Z 037K0D6 037K0E6 037K0EZ 037K0F6 037K0FZ037K0G6 037K0GZ 037K0Z6 037K346 037K356 037K35Z 037K366037K36Z 037K376 037K37Z 037K3D6 037K3E6 037K3EZ 037K3F6037K3FZ 037K3G6 037K3GZ 037K3Z6 037K446 037K456 037K45Z037K466 037K46Z 037K476 037K47Z 037K4D6 037K4E6 037K4EZ037K4F6 037K4FZ 037K4G6 037K4GZ 037K4Z6 037L046 037L056037L05Z 037L066 037L06Z 037L076 037L07Z 037L0D6 037L0E6037L0EZ 037L0F6 037L0FZ 037L0G6 037L0GZ 037L0Z6 037L346




Added Procedure Codes 037L356 037L35Z 037L366 037L36Z 037L376 037L37Z 037L3D6037L3E6 037L3EZ 037L3F6 037L3FZ 037L3G6 037L3GZ 037L3Z6037L446 037L456 037L45Z 037L466 037L46Z 037L476 037L47Z037L4D6 037L4E6 037L4EZ 037L4F6 037L4FZ 037L4G6 037L4GZ037L4Z6 037M046 037M056 037M05Z 037M066 037M06Z 037M076037M07Z 037M0D6 037M0E6 037M0EZ 037M0F6 037M0FZ 037M0G6037M0GZ 037M0Z6 037M346 037M356 037M35Z 037M366 037M36Z037M376 037M37Z 037M3D6 037M3E6 037M3EZ 037M3F6 037M3FZ037M3G6 037M3GZ 037M3Z6 037M446 037M456 037M45Z 037M466037M46Z 037M476 037M47Z 037M4D6 037M4E6 037M4EZ 037M4F6037M4FZ 037M4G6 037M4GZ 037M4Z6 037N046 037N056 037N05Z037N066 037N06Z 037N076 037N07Z 037N0D6 037N0E6 037N0EZ037N0F6 037N0FZ 037N0G6 037N0GZ 037N0Z6 037N346 037N356037N35Z 037N366 037N36Z 037N376 037N37Z 037N3D6 037N3E6037N3EZ 037N3F6 037N3FZ 037N3G6 037N3GZ 037N3Z6 037N446037N456 037N45Z 037N466 037N46Z 037N476 037N47Z 037N4D6037N4E6 037N4EZ 037N4F6 037N4FZ 037N4G6 037N4GZ 037N4Z6037P046 037P056 037P05Z 037P066 037P06Z 037P076 037P07Z037P0D6 037P0E6 037P0EZ 037P0F6 037P0FZ 037P0G6 037P0GZ037P0Z6 037P346 037P356 037P35Z 037P366 037P36Z 037P376037P37Z 037P3D6 037P3E6 037P3EZ 037P3F6 037P3FZ 037P3G6037P3GZ 037P3Z6 037P446 037P456 037P45Z 037P466 037P46Z037P476 037P47Z 037P4D6 037P4E6 037P4EZ 037P4F6 037P4FZ037P4G6 037P4GZ 037P4Z6 037Q046 037Q056 037Q05Z 037Q066037Q06Z 037Q076 037Q07Z 037Q0D6 037Q0E6 037Q0EZ 037Q0F6037Q0FZ 037Q0G6 037Q0GZ 037Q0Z6 037Q346 037Q356 037Q35Z037Q366 037Q36Z 037Q376 037Q37Z 037Q3D6 037Q3E6 037Q3EZ037Q3F6 037Q3FZ 037Q3G6 037Q3GZ 037Q3Z6 037Q446 037Q456037Q45Z 037Q466 037Q46Z 037Q476 037Q47Z 037Q4D6 037Q4E6037Q4EZ 037Q4F6 037Q4FZ 037Q4G6 037Q4GZ 037Q4Z6 037R046037R056 037R05Z 037R066 037R06Z 037R076 037R07Z 037R0D6037R0E6 037R0EZ 037R0F6 037R0FZ 037R0G6 037R0GZ 037R0Z6037R346 037R356 037R35Z 037R366 037R36Z 037R376 037R37Z037R3D6 037R3E6 037R3EZ 037R3F6 037R3FZ 037R3G6 037R3GZ037R3Z6 037R446 037R456 037R45Z 037R466 037R46Z 037R476037R47Z 037R4D6 037R4E6 037R4EZ 037R4F6 037R4FZ 037R4G6037R4GZ 037R4Z6 037S046 037S056 037S05Z 037S066 037S06Z037S076 037S07Z 037S0D6 037S0E6 037S0EZ 037S0F6 037S0FZ037S0G6 037S0GZ 037S0Z6 037S346 037S356 037S35Z 037S366




Added Procedure Codes 037S36Z 037S376 037S37Z 037S3D6 037S3E6 037S3EZ 037S3F6037S3FZ 037S3G6 037S3GZ 037S3Z6 037S446 037S456 037S45Z037S466 037S46Z 037S476 037S47Z 037S4D6 037S4E6 037S4EZ037S4F6 037S4FZ 037S4G6 037S4GZ 037S4Z6 037T046 037T056037T05Z 037T066 037T06Z 037T076 037T07Z 037T0D6 037T0E6037T0EZ 037T0F6 037T0FZ 037T0G6 037T0GZ 037T0Z6 037T346037T356 037T35Z 037T366 037T36Z 037T376 037T37Z 037T3D6037T3E6 037T3EZ 037T3F6 037T3FZ 037T3G6 037T3GZ 037T3Z6037T446 037T456 037T45Z 037T466 037T46Z 037T476 037T47Z037T4D6 037T4E6 037T4EZ 037T4F6 037T4FZ 037T4G6 037T4GZ037T4Z6 037U046 037U056 037U05Z 037U066 037U06Z 037U076037U07Z 037U0D6 037U0E6 037U0EZ 037U0F6 037U0FZ 037U0G6037U0GZ 037U0Z6 037U346 037U356 037U35Z 037U366 037U36Z037U376 037U37Z 037U3D6 037U3E6 037U3EZ 037U3F6 037U3FZ037U3G6 037U3GZ 037U3Z6 037U446 037U456 037U45Z 037U466037U46Z 037U476 037U47Z 037U4D6 037U4E6 037U4EZ 037U4F6037U4FZ 037U4G6 037U4GZ 037U4Z6 037V046 037V056 037V05Z037V066 037V06Z 037V076 037V07Z 037V0D6 037V0E6 037V0EZ037V0F6 037V0FZ 037V0G6 037V0GZ 037V0Z6 037V346 037V356037V35Z 037V366 037V36Z 037V376 037V37Z 037V3D6 037V3E6037V3EZ 037V3F6 037V3FZ 037V3G6 037V3GZ 037V3Z6 037V446037V456 037V45Z 037V466 037V46Z 037V476 037V47Z 037V4D6037V4E6 037V4EZ 037V4F6 037V4FZ 037V4G6 037V4GZ 037V4Z6037Y046 037Y056 037Y05Z 037Y066 037Y06Z 037Y076 037Y07Z037Y0D6 037Y0E6 037Y0EZ 037Y0F6 037Y0FZ 037Y0G6 037Y0GZ037Y0Z6 037Y346 037Y356 037Y35Z 037Y366 037Y36Z 037Y376037Y37Z 037Y3D6 037Y3E6 037Y3EZ 037Y3F6 037Y3FZ 037Y3G6037Y3GZ 037Y3Z6 037Y446 037Y456 037Y45Z 037Y466 037Y46Z037Y476 037Y47Z 037Y4D6 037Y4E6 037Y4EZ 037Y4F6 037Y4FZ037Y4G6 037Y4GZ 037Y4Z6 03C00Z6 03C03Z6 03C04Z6 03C10Z603C13Z6 03C14Z6 03C20Z6 03C23Z6 03C24Z6 03C30Z6 03C33Z603C34Z6 03C40Z6 03C43Z6 03C44Z6 03C50Z6 03C53Z6 03C54Z603C60Z6 03C63Z6 03C64Z6 03C70Z6 03C73Z6 03C74Z6 03C80Z603C83Z6 03C84Z6 03C90Z6 03C93Z6 03C94Z6 03CA0Z6 03CA3Z603CA4Z6 03CB0Z6 03CB3Z6 03CB4Z6 03CC0Z6 03CC3Z6 03CC4Z603CD0Z6 03CD3Z6 03CD4Z6 03CF0Z6 03CF3Z6 03CF4Z6 03CG0Z603CG3Z6 03CG4Z6 03CH0Z6 03CH3Z6 03CH4Z6 03CJ0Z6 03CJ3Z603CJ4Z6 03CK0Z6 03CK3Z6 03CK4Z6 03CL0Z6 03CL3Z6 03CL4Z603CM0Z6 03CM3Z6 03CM4Z6 03CN0Z6 03CN3Z6 03CN4Z6 03CP0Z6




Added Procedure Codes 03CP3Z6 03CP4Z6 03CQ0Z6 03CQ3Z6 03CQ4Z6 03CR0Z6 03CR3Z603CR4Z6 03CS0Z6 03CS3Z6 03CS4Z6 03CT0Z6 03CT3Z6 03CT4Z603CU0Z6 03CU3Z6 03CU4Z6 03CV0Z6 03CV3Z6 03CV4Z6 03CY0Z603CY3Z6 03CY4Z6 0470046 0470056 047005Z 0470066 047006Z0470076 047007Z 04700D6 04700E6 04700EZ 04700F6 04700FZ04700G6 04700GZ 04700Z6 0470346 0470356 047035Z 0470366047036Z 0470376 047037Z 04703D6 04703E6 04703EZ 04703F604703FZ 04703G6 04703GZ 04703Z6 0470446 0470456 047045Z0470466 047046Z 0470476 047047Z 04704D6 04704E6 04704EZ04704F6 04704FZ 04704G6 04704GZ 04704Z6 0471046 0471056047105Z 0471066 047106Z 0471076 047107Z 04710D6 04710E604710EZ 04710F6 04710FZ 04710G6 04710GZ 04710Z6 04713460471356 047135Z 0471366 047136Z 0471376 047137Z 04713D604713E6 04713EZ 04713F6 04713FZ 04713G6 04713GZ 04713Z60471446 0471456 047145Z 0471466 047146Z 0471476 047147Z04714D6 04714E6 04714EZ 04714F6 04714FZ 04714G6 04714GZ04714Z6 0472046 0472056 047205Z 0472066 047206Z 0472076047207Z 04720D6 04720E6 04720EZ 04720F6 04720FZ 04720G604720GZ 04720Z6 0472346 0472356 047235Z 0472366 047236Z0472376 047237Z 04723D6 04723E6 04723EZ 04723F6 04723FZ04723G6 04723GZ 04723Z6 0472446 0472456 047245Z 0472466047246Z 0472476 047247Z 04724D6 04724E6 04724EZ 04724F604724FZ 04724G6 04724GZ 04724Z6 0473046 0473056 047305Z0473066 047306Z 0473076 047307Z 04730D6 04730E6 04730EZ04730F6 04730FZ 04730G6 04730GZ 04730Z6 0473346 0473356047335Z 0473366 047336Z 0473376 047337Z 04733D6 04733E604733EZ 04733F6 04733FZ 04733G6 04733GZ 04733Z6 04734460473456 047345Z 0473466 047346Z 0473476 047347Z 04734D604734E6 04734EZ 04734F6 04734FZ 04734G6 04734GZ 04734Z60474046 0474056 047405Z 0474066 047406Z 0474076 047407Z04740D6 04740E6 04740EZ 04740F6 04740FZ 04740G6 04740GZ04740Z6 0474346 0474356 047435Z 0474366 047436Z 0474376047437Z 04743D6 04743E6 04743EZ 04743F6 04743FZ 04743G604743GZ 04743Z6 0474446 0474456 047445Z 0474466 047446Z0474476 047447Z 04744D6 04744E6 04744EZ 04744F6 04744FZ04744G6 04744GZ 04744Z6 0475046 0475056 047505Z 0475066047506Z 0475076 047507Z 04750D6 04750E6 04750EZ 04750F604750FZ 04750G6 04750GZ 04750Z6 0475346 0475356 047535Z0475366 047536Z 0475376 047537Z 04753D6 04753E6 04753EZ




Added Procedure Codes 04753F6 04753FZ 04753G6 04753GZ 04753Z6 0475446 0475456047545Z 0475466 047546Z 0475476 047547Z 04754D6 04754E604754EZ 04754F6 04754FZ 04754G6 04754GZ 04754Z6 04760460476056 047605Z 0476066 047606Z 0476076 047607Z 04760D604760E6 04760EZ 04760F6 04760FZ 04760G6 04760GZ 04760Z60476346 0476356 047635Z 0476366 047636Z 0476376 047637Z04763D6 04763E6 04763EZ 04763F6 04763FZ 04763G6 04763GZ04763Z6 0476446 0476456 047645Z 0476466 047646Z 0476476047647Z 04764D6 04764E6 04764EZ 04764F6 04764FZ 04764G604764GZ 04764Z6 0477046 0477056 047705Z 0477066 047706Z0477076 047707Z 04770D6 04770E6 04770EZ 04770F6 04770FZ04770G6 04770GZ 04770Z6 0477346 0477356 047735Z 0477366047736Z 0477376 047737Z 04773D6 04773E6 04773EZ 04773F604773FZ 04773G6 04773GZ 04773Z6 0477446 0477456 047745Z0477466 047746Z 0477476 047747Z 04774D6 04774E6 04774EZ04774F6 04774FZ 04774G6 04774GZ 04774Z6 0478046 0478056047805Z 0478066 047806Z 0478076 047807Z 04780D6 04780E604780EZ 04780F6 04780FZ 04780G6 04780GZ 04780Z6 04783460478356 047835Z 0478366 047836Z 0478376 047837Z 04783D604783E6 04783EZ 04783F6 04783FZ 04783G6 04783GZ 04783Z60478446 0478456 047845Z 0478466 047846Z 0478476 047847Z04784D6 04784E6 04784EZ 04784F6 04784FZ 04784G6 04784GZ04784Z6 0479046 0479056 047905Z 0479066 047906Z 0479076047907Z 04790D6 04790E6 04790EZ 04790F6 04790FZ 04790G604790GZ 04790Z6 0479346 0479356 047935Z 0479366 047936Z0479376 047937Z 04793D6 04793E6 04793EZ 04793F6 04793FZ04793G6 04793GZ 04793Z6 0479446 0479456 047945Z 0479466047946Z 0479476 047947Z 04794D6 04794E6 04794EZ 04794F604794FZ 04794G6 04794GZ 04794Z6 047A046 047A056 047A05Z047A066 047A06Z 047A076 047A07Z 047A0D6 047A0E6 047A0EZ047A0F6 047A0FZ 047A0G6 047A0GZ 047A0Z6 047A346 047A356047A35Z 047A366 047A36Z 047A376 047A37Z 047A3D6 047A3E6047A3EZ 047A3F6 047A3FZ 047A3G6 047A3GZ 047A3Z6 047A446047A456 047A45Z 047A466 047A46Z 047A476 047A47Z 047A4D6047A4E6 047A4EZ 047A4F6 047A4FZ 047A4G6 047A4GZ 047A4Z6047B046 047B056 047B05Z 047B066 047B06Z 047B076 047B07Z047B0D6 047B0E6 047B0EZ 047B0F6 047B0FZ 047B0G6 047B0GZ047B0Z6 047B346 047B356 047B35Z 047B366 047B36Z 047B376047B37Z 047B3D6 047B3E6 047B3EZ 047B3F6 047B3FZ 047B3G6




Added Procedure Codes 047B3GZ 047B3Z6 047B446 047B456 047B45Z 047B466 047B46Z047B476 047B47Z 047B4D6 047B4E6 047B4EZ 047B4F6 047B4FZ047B4G6 047B4GZ 047B4Z6 047C046 047C056 047C05Z 047C066047C06Z 047C076 047C07Z 047C0D6 047C0E6 047C0EZ 047C0F6047C0FZ 047C0G6 047C0GZ 047C0Z6 047C346 047C356 047C35Z047C366 047C36Z 047C376 047C37Z 047C3D6 047C3E6 047C3EZ047C3F6 047C3FZ 047C3G6 047C3GZ 047C3Z6 047C446 047C456047C45Z 047C466 047C46Z 047C476 047C47Z 047C4D6 047C4E6047C4EZ 047C4F6 047C4FZ 047C4G6 047C4GZ 047C4Z6 047D046047D056 047D05Z 047D066 047D06Z 047D076 047D07Z 047D0D6047D0E6 047D0EZ 047D0F6 047D0FZ 047D0G6 047D0GZ 047D0Z6047D346 047D356 047D35Z 047D366 047D36Z 047D376 047D37Z047D3D6 047D3E6 047D3EZ 047D3F6 047D3FZ 047D3G6 047D3GZ047D3Z6 047D446 047D456 047D45Z 047D466 047D46Z 047D476047D47Z 047D4D6 047D4E6 047D4EZ 047D4F6 047D4FZ 047D4G6047D4GZ 047D4Z6 047E046 047E056 047E05Z 047E066 047E06Z047E076 047E07Z 047E0D6 047E0E6 047E0EZ 047E0F6 047E0FZ047E0G6 047E0GZ 047E0Z6 047E346 047E356 047E35Z 047E366047E36Z 047E376 047E37Z 047E3D6 047E3E6 047E3EZ 047E3F6047E3FZ 047E3G6 047E3GZ 047E3Z6 047E446 047E456 047E45Z047E466 047E46Z 047E476 047E47Z 047E4D6 047E4E6 047E4EZ047E4F6 047E4FZ 047E4G6 047E4GZ 047E4Z6 047F046 047F056047F05Z 047F066 047F06Z 047F076 047F07Z 047F0D6 047F0E6047F0EZ 047F0F6 047F0FZ 047F0G6 047F0GZ 047F0Z6 047F346047F356 047F35Z 047F366 047F36Z 047F376 047F37Z 047F3D6047F3E6 047F3EZ 047F3F6 047F3FZ 047F3G6 047F3GZ 047F3Z6047F446 047F456 047F45Z 047F466 047F46Z 047F476 047F47Z047F4D6 047F4E6 047F4EZ 047F4F6 047F4FZ 047F4G6 047F4GZ047F4Z6 047H046 047H056 047H05Z 047H066 047H06Z 047H076047H07Z 047H0D6 047H0E6 047H0EZ 047H0F6 047H0FZ 047H0G6047H0GZ 047H0Z6 047H346 047H356 047H35Z 047H366 047H36Z047H376 047H37Z 047H3D6 047H3E6 047H3EZ 047H3F6 047H3FZ047H3G6 047H3GZ 047H3Z6 047H446 047H456 047H45Z 047H466047H46Z 047H476 047H47Z 047H4D6 047H4E6 047H4EZ 047H4F6047H4FZ 047H4G6 047H4GZ 047H4Z6 047J046 047J056 047J05Z047J066 047J06Z 047J076 047J07Z 047J0D6 047J0E6 047J0EZ047J0F6 047J0FZ 047J0G6 047J0GZ 047J0Z6 047J346 047J356047J35Z 047J366 047J36Z 047J376 047J37Z 047J3D6 047J3E6047J3EZ 047J3F6 047J3FZ 047J3G6 047J3GZ 047J3Z6 047J446




Added Procedure Codes 047J456 047J45Z 047J466 047J46Z 047J476 047J47Z 047J4D6047J4E6 047J4EZ 047J4F6 047J4FZ 047J4G6 047J4GZ 047J4Z6047K046 047K056 047K05Z 047K066 047K06Z 047K076 047K07Z047K0D6 047K0E6 047K0EZ 047K0F6 047K0FZ 047K0G6 047K0GZ047K0Z6 047K346 047K356 047K35Z 047K366 047K36Z 047K376047K37Z 047K3D6 047K3E6 047K3EZ 047K3F6 047K3FZ 047K3G6047K3GZ 047K3Z6 047K446 047K456 047K45Z 047K466 047K46Z047K476 047K47Z 047K4D6 047K4E6 047K4EZ 047K4F6 047K4FZ047K4G6 047K4GZ 047K4Z6 047L046 047L056 047L05Z 047L066047L06Z 047L076 047L07Z 047L0D6 047L0E6 047L0EZ 047L0F6047L0FZ 047L0G6 047L0GZ 047L0Z6 047L346 047L356 047L35Z047L366 047L36Z 047L376 047L37Z 047L3D6 047L3E6 047L3EZ047L3F6 047L3FZ 047L3G6 047L3GZ 047L3Z6 047L446 047L456047L45Z 047L466 047L46Z 047L476 047L47Z 047L4D6 047L4E6047L4EZ 047L4F6 047L4FZ 047L4G6 047L4GZ 047L4Z6 047M046047M056 047M05Z 047M066 047M06Z 047M076 047M07Z 047M0D6047M0E6 047M0EZ 047M0F6 047M0FZ 047M0G6 047M0GZ 047M0Z6047M346 047M356 047M35Z 047M366 047M36Z 047M376 047M37Z047M3D6 047M3E6 047M3EZ 047M3F6 047M3FZ 047M3G6 047M3GZ047M3Z6 047M446 047M456 047M45Z 047M466 047M46Z 047M476047M47Z 047M4D6 047M4E6 047M4EZ 047M4F6 047M4FZ 047M4G6047M4GZ 047M4Z6 047N046 047N056 047N05Z 047N066 047N06Z047N076 047N07Z 047N0D6 047N0E6 047N0EZ 047N0F6 047N0FZ047N0G6 047N0GZ 047N0Z6 047N346 047N356 047N35Z 047N366047N36Z 047N376 047N37Z 047N3D6 047N3E6 047N3EZ 047N3F6047N3FZ 047N3G6 047N3GZ 047N3Z6 047N446 047N456 047N45Z047N466 047N46Z 047N476 047N47Z 047N4D6 047N4E6 047N4EZ047N4F6 047N4FZ 047N4G6 047N4GZ 047N4Z6 047P046 047P056047P05Z 047P066 047P06Z 047P076 047P07Z 047P0D6 047P0E6047P0EZ 047P0F6 047P0FZ 047P0G6 047P0GZ 047P0Z6 047P346047P356 047P35Z 047P366 047P36Z 047P376 047P37Z 047P3D6047P3E6 047P3EZ 047P3F6 047P3FZ 047P3G6 047P3GZ 047P3Z6047P446 047P456 047P45Z 047P466 047P46Z 047P476 047P47Z047P4D6 047P4E6 047P4EZ 047P4F6 047P4FZ 047P4G6 047P4GZ047P4Z6 047Q046 047Q056 047Q05Z 047Q066 047Q06Z 047Q076047Q07Z 047Q0D6 047Q0E6 047Q0EZ 047Q0F6 047Q0FZ 047Q0G6047Q0GZ 047Q0Z6 047Q346 047Q356 047Q35Z 047Q366 047Q36Z047Q376 047Q37Z 047Q3D6 047Q3E6 047Q3EZ 047Q3F6 047Q3FZ047Q3G6 047Q3GZ 047Q3Z6 047Q446 047Q456 047Q45Z 047Q466




Added Procedure Codes 047Q46Z 047Q476 047Q47Z 047Q4D6 047Q4E6 047Q4EZ 047Q4F6047Q4FZ 047Q4G6 047Q4GZ 047Q4Z6 047R046 047R056 047R05Z047R066 047R06Z 047R076 047R07Z 047R0D6 047R0E6 047R0EZ047R0F6 047R0FZ 047R0G6 047R0GZ 047R0Z6 047R346 047R356047R35Z 047R366 047R36Z 047R376 047R37Z 047R3D6 047R3E6047R3EZ 047R3F6 047R3FZ 047R3G6 047R3GZ 047R3Z6 047R446047R456 047R45Z 047R466 047R46Z 047R476 047R47Z 047R4D6047R4E6 047R4EZ 047R4F6 047R4FZ 047R4G6 047R4GZ 047R4Z6047S046 047S056 047S05Z 047S066 047S06Z 047S076 047S07Z047S0D6 047S0E6 047S0EZ 047S0F6 047S0FZ 047S0G6 047S0GZ047S0Z6 047S346 047S356 047S35Z 047S366 047S36Z 047S376047S37Z 047S3D6 047S3E6 047S3EZ 047S3F6 047S3FZ 047S3G6047S3GZ 047S3Z6 047S446 047S456 047S45Z 047S466 047S46Z047S476 047S47Z 047S4D6 047S4E6 047S4EZ 047S4F6 047S4FZ047S4G6 047S4GZ 047S4Z6 047T046 047T056 047T05Z 047T066047T06Z 047T076 047T07Z 047T0D6 047T0E6 047T0EZ 047T0F6047T0FZ 047T0G6 047T0GZ 047T0Z6 047T346 047T356 047T35Z047T366 047T36Z 047T376 047T37Z 047T3D6 047T3E6 047T3EZ047T3F6 047T3FZ 047T3G6 047T3GZ 047T3Z6 047T446 047T456047T45Z 047T466 047T46Z 047T476 047T47Z 047T4D6 047T4E6047T4EZ 047T4F6 047T4FZ 047T4G6 047T4GZ 047T4Z6 047U046047U056 047U05Z 047U066 047U06Z 047U076 047U07Z 047U0D6047U0E6 047U0EZ 047U0F6 047U0FZ 047U0G6 047U0GZ 047U0Z6047U346 047U356 047U35Z 047U366 047U36Z 047U376 047U37Z047U3D6 047U3E6 047U3EZ 047U3F6 047U3FZ 047U3G6 047U3GZ047U3Z6 047U446 047U456 047U45Z 047U466 047U46Z 047U476047U47Z 047U4D6 047U4E6 047U4EZ 047U4F6 047U4FZ 047U4G6047U4GZ 047U4Z6 047V046 047V056 047V05Z 047V066 047V06Z047V076 047V07Z 047V0D6 047V0E6 047V0EZ 047V0F6 047V0FZ047V0G6 047V0GZ 047V0Z6 047V346 047V356 047V35Z 047V366047V36Z 047V376 047V37Z 047V3D6 047V3E6 047V3EZ 047V3F6047V3FZ 047V3G6 047V3GZ 047V3Z6 047V446 047V456 047V45Z047V466 047V46Z 047V476 047V47Z 047V4D6 047V4E6 047V4EZ047V4F6 047V4FZ 047V4G6 047V4GZ 047V4Z6 047W046 047W056047W05Z 047W066 047W06Z 047W076 047W07Z 047W0D6 047W0E6047W0EZ 047W0F6 047W0FZ 047W0G6 047W0GZ 047W0Z6 047W346047W356 047W35Z 047W366 047W36Z 047W376 047W37Z 047W3D6047W3E6 047W3EZ 047W3F6 047W3FZ 047W3G6 047W3GZ 047W3Z6047W446 047W456 047W45Z 047W466 047W46Z 047W476 047W47Z




Added Procedure Codes 047W4D6 047W4E6 047W4EZ 047W4F6 047W4FZ 047W4G6 047W4GZ047W4Z6 047Y046 047Y056 047Y05Z 047Y066 047Y06Z 047Y076047Y07Z 047Y0D6 047Y0E6 047Y0EZ 047Y0F6 047Y0FZ 047Y0G6047Y0GZ 047Y0Z6 047Y346 047Y356 047Y35Z 047Y366 047Y36Z047Y376 047Y37Z 047Y3D6 047Y3E6 047Y3EZ 047Y3F6 047Y3FZ047Y3G6 047Y3GZ 047Y3Z6 047Y446 047Y456 047Y45Z 047Y466047Y46Z 047Y476 047Y47Z 047Y4D6 047Y4E6 047Y4EZ 047Y4F6047Y4FZ 047Y4G6 047Y4GZ 047Y4Z6 04C00Z6 04C03Z6 04C04Z604C10Z6 04C13Z6 04C14Z6 04C20Z6 04C23Z6 04C24Z6 04C30Z604C33Z6 04C34Z6 04C40Z6 04C43Z6 04C44Z6 04C50Z6 04C53Z604C54Z6 04C60Z6 04C63Z6 04C64Z6 04C70Z6 04C73Z6 04C74Z604C80Z6 04C83Z6 04C84Z6 04C90Z6 04C93Z6 04C94Z6 04CA0Z604CA3Z6 04CA4Z6 04CB0Z6 04CB3Z6 04CB4Z6 04CC0Z6 04CC3Z604CC4Z6 04CD0Z6 04CD3Z6 04CD4Z6 04CE0Z6 04CE3Z6 04CE4Z604CF0Z6 04CF3Z6 04CF4Z6 04CH0Z6 04CH3Z6 04CH4Z6 04CJ0Z604CJ3Z6 04CJ4Z6 04CK0Z6 04CK3Z6 04CK4Z6 04CL0Z6 04CL3Z604CL4Z6 04CM0Z6 04CM3Z6 04CM4Z6 04CN0Z6 04CN3Z6 04CN4Z604CP0Z6 04CP3Z6 04CP4Z6 04CQ0Z6 04CQ3Z6 04CQ4Z6 04CR0Z604CR3Z6 04CR4Z6 04CS0Z6 04CS3Z6 04CS4Z6 04CT0Z6 04CT3Z604CT4Z6 04CU0Z6 04CU3Z6 04CU4Z6 04CV0Z6 04CV3Z6 04CV4Z604CW0Z6 04CW3Z6 04CW4Z6 04CY0Z6 04CY3Z6 04CY4Z6 04V00C604V00D6 04V00E6 04V00EZ 04V00F6 04V00FZ 04V00Z6 04V03C604V03D6 04V03E6 04V03EZ 04V03F6 04V03FZ 04V03Z6 04V04C604V04D6 04V04E6 04V04EZ 04V04F6 04V04FZ 04V04Z6 04VC0EZ04VC0FZ 04VC3EZ 04VC3FZ 04VC4EZ 04VC4FZ 04VD0EZ 04VD0FZ04VD3EZ 04VD3FZ 04VD4EZ 04VD4FZ 05H002Z 05H00MZ 05H032Z05H03MZ 05H042Z 05H04MZ 05H30MZ 05H33MZ 05H34MZ 05H40MZ05H43MZ 05H44MZ 05P002Z 05P00MZ 05P032Z 05P03MZ 05P042Z05P04MZ 05P0X2Z 05P0XMZ 05P30MZ 05P33MZ 05P34MZ 05P3XMZ05P40MZ 05P43MZ 05P44MZ 05P4XMZ 05W002Z 05W00MZ 05W032Z05W03MZ 05W042Z 05W04MZ 05W0X2Z 05W0XMZ 05W30MZ 05W33MZ05W34MZ 05W3XMZ 05W40MZ 05W43MZ 05W44MZ 05W4XMZ 0SPA0JZ0SPA3JZ 0SPA4JZ 0SPC0JC 0SPC3JC 0SPC4JC 0SPD0JC 0SPD3JC0SPD4JC 0SPE0JZ 0SPE3JZ 0SPE4JZ 0SPR0JZ 0SPR3JZ 0SPR4JZ0SPS0JZ 0SPS3JZ 0SPS4JZ 0SPT0JZ 0SPT3JZ 0SPT4JZ 0SPU0JZ0SPU3JZ 0SPU4JZ 0SPV0JZ 0SPV3JZ 0SPV4JZ 0SPW0JZ 0SPW3JZ0SPW4JZ 0SRC0L9 0SRC0LA 0SRC0LZ 0SRD0L9 0SRD0LA 0SRD0LZ0SWA0JZ 0SWA3JZ 0SWA4JZ 0SWAXJZ 0SWC0JC 0SWC3JC 0SWC4JC0SWCXJC 0SWD0JC 0SWD3JC 0SWD4JC 0SWDXJC 0SWE0JZ 0SWE3JZ




Added Procedure Codes 0SWE4JZ 0SWEXJZ 0SWR0JZ 0SWR3JZ 0SWR4JZ 0SWRXJZ 0SWS0JZ0SWS3JZ 0SWS4JZ 0SWSXJZ 0SWT0JZ 0SWT3JZ 0SWT4JZ 0SWTXJZ0SWU0JZ 0SWU3JZ 0SWU4JZ 0SWUXJZ 0SWV0JZ 0SWV3JZ 0SWV4JZ0SWVXJZ 0SWW0JZ 0SWW3JZ 0SWW4JZ 0SWWXJZ 0WY20Z0 0WY20Z10XYJ0Z0 0XYJ0Z1 0XYK0Z0 0XYK0Z1 30230G2 30230G3 30230G430230X2 30230X3 30230X4 30230Y2 30230Y3 30230Y4 30233G230233G3 30233G4 30233X2 30233X3 30233X4 30233Y2 30233Y330233Y4 30240G2 30240G3 30240G4 30240X2 30240X3 30240X430240Y2 30240Y3 30240Y4 30243G2 30243G3 30243G4 30243X230243X3 30243X4 30243Y2 30243Y3 30243Y4 3E0Q004 3E0Q0053E0Q00M 3E0Q028 3E0Q029 3E0Q03Z 3E0Q06Z 3E0Q07Z 3E0Q0BZ3E0Q0GC 3E0Q0HZ 3E0Q0KZ 3E0Q0NZ 3E0Q0SF 3E0Q0TZ 4A12XSH4A1BXSH 4A1GXSH 6AB50BZ 6ABB0BZ 6ABF0BZ 6ABT0BZ X2A5312X2RF032 X2RF332 X2RF432 XHRPXL2 XNS0032 XNS0432 XNS3032XNS3432 XNS4032 XNS4432 XRG0092 XRG1092 XRG2092 XRG4092XRG6092 XRG7092 XRG8092 XRGA092 XRGB092 XRGC092 XRGD092XW03372 XW03392 XW04372 XW04392 XW0DX82

Discontinued Procedure Codes30230G1 30230X1 30230Y1 30233G1 30233X1 30233Y1 30240G130240X1 30240Y1 30243G1 30243X1 30243Y1

Revised Procedure Codes0210093 0210098 0210099 021009C 021009F 021009W 02100A302100A8 02100A9 02100AC 02100AF 02100AW 02100J3 02100J802100J9 02100JC 02100JF 02100JW 02100K3 02100K8 02100K902100KC 02100KF 02100KW 02100Z3 02100Z8 02100Z9 02100ZC02100ZF 0210344 02103D4 0210444 0210493 0210498 0210499021049C 021049F 021049W 02104A3 02104A8 02104A9 02104AC02104AF 02104AW 02104D4 02104J3 02104J8 02104J9 02104JC02104JF 02104JW 02104K3 02104K8 02104K9 02104KC 02104KF02104KW 02104Z3 02104Z8 02104Z9 02104ZC 02104ZF 02110930211098 0211099 021109C 021109F 021109W 02110A3 02110A802110A9 02110AC 02110AF 02110AW 02110J3 02110J8 02110J902110JC 02110JF 02110JW 02110K3 02110K8 02110K9 02110KC02110KF 02110KW 02110Z3 02110Z8 02110Z9 02110ZC 02110ZF0211344 02113D4 0211444 0211493 0211498 0211499 021149C021149F 021149W 02114A3 02114A8 02114A9 02114AC 02114AF02114AW 02114D4 02114J3 02114J8 02114J9 02114JC 02114JF02114JW 02114K3 02114K8 02114K9 02114KC 02114KF 02114KW02114Z3 02114Z8 02114Z9 02114ZC 02114ZF 0212093 0212098




Revised Procedure Codes0212099 021209C 021209F 021209W 02120A3 02120A8 02120A902120AC 02120AF 02120AW 02120J3 02120J8 02120J9 02120JC02120JF 02120JW 02120K3 02120K8 02120K9 02120KC 02120KF02120KW 02120Z3 02120Z8 02120Z9 02120ZC 02120ZF 021234402123D4 0212444 0212493 0212498 0212499 021249C 021249F021249W 02124A3 02124A8 02124A9 02124AC 02124AF 02124AW02124D4 02124J3 02124J8 02124J9 02124JC 02124JF 02124JW02124K3 02124K8 02124K9 02124KC 02124KF 02124KW 02124Z302124Z8 02124Z9 02124ZC 02124ZF 0213093 0213098 0213099021309C 021309F 021309W 02130A3 02130A8 02130A9 02130AC02130AF 02130AW 02130J3 02130J8 02130J9 02130JC 02130JF02130JW 02130K3 02130K8 02130K9 02130KC 02130KF 02130KW02130Z3 02130Z8 02130Z9 02130ZC 02130ZF 0213344 02133D40213444 0213493 0213498 0213499 021349C 021349F 021349W02134A3 02134A8 02134A9 02134AC 02134AF 02134AW 02134D402134J3 02134J8 02134J9 02134JC 02134JF 02134JW 02134K302134K8 02134K9 02134KC 02134KF 02134KW 02134Z3 02134Z802134Z9 02134ZC 02134ZF 021W09B 021W09D 021W09P 021W09Q021W09R 021W0AB 021W0AD 021W0AP 021W0AQ 021W0AR 021W0JB021W0JD 021W0JP 021W0JQ 021W0JR 021W0KB 021W0KD 021W0KP021W0KQ 021W0KR 021W0ZB 021W0ZD 021W0ZP 021W0ZQ 021W0ZR021W49B 021W49D 021W49P 021W49Q 021W49R 021W4AB 021W4AD021W4AP 021W4AQ 021W4AR 021W4JB 021W4JD 021W4JP 021W4JQ021W4JR 021W4KB 021W4KD 021W4KP 021W4KQ 021W4KR 021W4ZB021W4ZD 021W4ZP 021W4ZQ 021W4ZR 025W0ZZ 025W3ZZ 025W4ZZ0270046 027004Z 02700D6 02700DZ 02700T6 02700TZ 02700Z602700ZZ 0270346 027034Z 02703D6 02703DZ 02703T6 02703TZ02703Z6 02703ZZ 0270446 027044Z 02704D6 02704DZ 02704T602704TZ 02704Z6 02704ZZ 0271046 027104Z 02710D6 02710DZ02710T6 02710TZ 02710Z6 02710ZZ 0271346 027134Z 02713D602713DZ 02713T6 02713TZ 02713Z6 02713ZZ 0271446 027144Z02714D6 02714DZ 02714T6 02714TZ 02714Z6 02714ZZ 0272046027204Z 02720D6 02720DZ 02720T6 02720TZ 02720Z6 02720ZZ0272346 027234Z 02723D6 02723DZ 02723T6 02723TZ 02723Z602723ZZ 0272446 027244Z 02724D6 02724DZ 02724T6 02724TZ02724Z6 02724ZZ 0273046 027304Z 02730D6 02730DZ 02730T602730TZ 02730Z6 02730ZZ 0273346 027334Z 02733D6 02733DZ02733T6 02733TZ 02733Z6 02733ZZ 0273446 027344Z 02734D602734DZ 02734T6 02734TZ 02734Z6 02734ZZ 027F04Z 027F34Z




Revised Procedure Codes027F44Z 027F4DZ 027G04Z 027G34Z 027G44Z 027H04Z 027H34Z027H44Z 027J04Z 027J34Z 027J44Z 027K04Z 027K34Z 027K44Z027P04Z 027P34Z 027P44Z 027Q04Z 027Q34Z 027Q44Z 027R04T027R04Z 027R34T 027R34Z 027R44T 027R44Z 027S04Z 027S34Z027S44Z 027T04Z 027T34Z 027T44Z 027V04Z 027V34Z 027V44Z027W04Z 027W0DZ 027W0ZZ 027W34Z 027W3DZ 027W3ZZ 027W44Z027W4DZ 027W4ZZ 02BW0ZX 02BW0ZZ 02BW3ZX 02BW3ZZ 02BW4ZX02BW4ZZ 02C00ZZ 02C03ZZ 02C04ZZ 02C10ZZ 02C13ZZ 02C14ZZ02C20ZZ 02C23ZZ 02C24ZZ 02C30ZZ 02C33ZZ 02C34ZZ 02CW0ZZ02CW3ZZ 02CW4ZZ 02HW00Z 02HW02Z 02HW03Z 02HW0DZ 02HW30Z02HW32Z 02HW33Z 02HW3DZ 02HW40Z 02HW42Z 02HW43Z 02HW4DZ02NW0ZZ 02NW3ZZ 02NW4ZZ 02Q00ZZ 02Q03ZZ 02Q04ZZ 02Q10ZZ02Q13ZZ 02Q14ZZ 02Q20ZZ 02Q23ZZ 02Q24ZZ 02Q30ZZ 02Q33ZZ02Q34ZZ 02QW0ZZ 02QW3ZZ 02QW4ZZ 02RF37H 02RF38H 02RF3JH02RF3KH 02RF47Z 02RF48Z 02RF4JZ 02RF4KZ 02RW07Z 02RW08Z02RW0JZ 02RW0KZ 02RW47Z 02RW48Z 02RW4JZ 02RW4KZ 02SW0ZZ02UW07Z 02UW08Z 02UW0JZ 02UW0KZ 02UW37Z 02UW38Z 02UW3JZ02UW3KZ 02UW47Z 02UW48Z 02UW4JZ 02UW4KZ 02VW0CZ 02VW0DZ02VW0ZZ 02VW3CZ 02VW3DZ 02VW3ZZ 02VW4CZ 02VW4DZ 02VW4ZZ02WF07Z 02WF0JZ 02WF0KZ 02WF47Z 02WF48Z 02WF4JZ 02WF4KZ037004Z 037034Z 037044Z 037104Z 037134Z 037144Z 037204Z037234Z 037244Z 037304Z 037334Z 037344Z 037404Z 037434Z037444Z 037504Z 037534Z 037544Z 037604Z 037634Z 037644Z037704Z 037734Z 037744Z 037804Z 037834Z 037844Z 037904Z037934Z 037944Z 037A04Z 037A34Z 037A44Z 037B04Z 037B34Z037B44Z 037C04Z 037C34Z 037C44Z 037D04Z 037D34Z 037D44Z037F04Z 037F34Z 037F44Z 037G04Z 037G34Z 037G44Z 037H04Z037H34Z 037H44Z 037J04Z 037J34Z 037J44Z 037K04Z 037K34Z037K44Z 037L04Z 037L34Z 037L44Z 037M04Z 037M34Z 037M44Z037N04Z 037N34Z 037N44Z 037P04Z 037P34Z 037P44Z 037Q04Z037Q34Z 037Q44Z 037R04Z 037R34Z 037R44Z 037S04Z 037S34Z037S44Z 037T04Z 037T34Z 037T44Z 037U04Z 037U34Z 037U44Z037V04Z 037V34Z 037V44Z 037Y04Z 037Y34Z 037Y44Z 047004Z047034Z 047044Z 047104Z 047134Z 047144Z 047204Z 047234Z047244Z 047304Z 047334Z 047344Z 047404Z 047434Z 047444Z047504Z 047534Z 047544Z 047604Z 047634Z 047644Z 047704Z047734Z 047744Z 047804Z 047834Z 047844Z 047904Z 047934Z047944Z 047A04Z 047A34Z 047A44Z 047B04Z 047B34Z 047B44Z




Revised Procedure Codes047C04Z 047C34Z 047C44Z 047D04Z 047D34Z 047D44Z 047E04Z047E34Z 047E44Z 047F04Z 047F34Z 047F44Z 047H04Z 047H34Z047H44Z 047J04Z 047J34Z 047J44Z 047K041 047K04Z 047K341047K34Z 047K441 047K44Z 047L041 047L04Z 047L341 047L34Z047L441 047L44Z 047M041 047M04Z 047M341 047M34Z 047M441047M44Z 047N041 047N04Z 047N341 047N34Z 047N441 047N44Z047P04Z 047P34Z 047P44Z 047Q04Z 047Q34Z 047Q44Z 047R04Z047R34Z 047R44Z 047S04Z 047S34Z 047S44Z 047T04Z 047T34Z047T44Z 047U04Z 047U34Z 047U44Z 047V04Z 047V34Z 047V44Z047W04Z 047W34Z 047W44Z 047Y04Z 047Y34Z 047Y44Z X2C0361X2C1361 X2C2361 X2C3361




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ICD-10 SPEpeCICIALal BULLET ulletIINn - TMHP€¦ · On October 1, 2016, ... The ICD-10-PCS procedure codes are inpatient hospital surgical procedure codes and must be submitted,