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U-M Premier Care Therapy Diagnosis Codes ICD-9 code ICD-9 code ICD-10 code Description 140.9 140.9 C00.2 Lip, unspecified vermillion border C00.9 Malignant neoplasm of lip, unspecified 141 141 C02 Malignant neoplasm tongue 141.2 141.2 C02.1 Malignant neoplasm tip and lateral border of tongue 141.4 141.4 C02.3 Malignant neoplasm anterior two-thirds of tongue, part unspecified 142 142 C07 Malignant neoplasm of major salivary glands 142.1 142.1 C08.0 Malignant neoplasm submandibular gland 144.9 144.9 C04.9 Malignant neoplasm floor of mouth, part unspecified 145.2 145.2 C05.0 Malignant neoplasm hard palate 145.3 145.3 C05.1 Malignant neoplasm soft palate 145.5 145.5 C05.9 Malignant neoplasm plate, unspecified C05.8 Malignant neoplasm of overlapping sites of palate 145.6 145.6 C06.2 Malignant neoplasm retromolar area 145.9 145.9 C06.9 Malignant neoplasm mouth, unspecified 146 146 C09.9 Malignant neoplasm of oropharynx C09.8 Malignant neoplasm of overlapping sites of tonsil 146.1 146.1 C09.0 Malignant neoplasm tonsillar fossa 147.9 147.9 C11.9 Malignant neoplasm nasopharynx, unspecified 148 148 C13.0 Malignant neoplasm of hypopharynx 148.1 148.1 C12 Malignant neoplasm pyriform sinus 148.9 148.9 C13.9 Malignant neoplasm hypopharynx, unspecified 149 149 C14.0 Malignant neoplasm of other and ill-defined sites within the lip, oral cavity and pharynx 149.1 C14.2 Malignant neoplasm of waldeyer's ring 149.8 C14.8 Malignant neuroplasm of overlapping sites of lip, oral cavity and pharynx 150.9 150.9 C15.9 Malignant neoplasm esophagus, unspecified 160 160 C30.0 Malignant neoplasm of nasal cavities, middle ear and accessory sinuses 160.2 160.2 C31.0 Malignant neoplasm maxillary sinus 160.3 160.3 C31.1 Malignant neoplasm ethmoidal sinus 160.4 160.4 C31.2 Malignant neoplasm frontal sinus 160.5 160.5 C31.3 Malignant neoplasm sphenoidal sinus 161 161 C32.0 Malignant neoplasm of Larynx 161.1 161.1 C32.1 Malignant neoplasm supraglottis 161.2 161.2 C32.2 Malignant neoplasm subglottis 161.9 161.9 C32.9 Malignant neoplasm larynx, unspecified Page 1 of 57 2/12/2018

U-M Premier Care Therapy Diagnosis Codes ICD-9 …ereferrals.bcbsm.com/UM_premier_care_diagnosis_codes.pdfU-M Premier Care Therapy Diagnosis Codes ICD-9 code ICD-9 code ICD-10 code

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  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code Description140.9 140.9 C00.2 Lip, unspecified vermillion border

    C00.9 Malignant neoplasm of lip, unspecified141 141 C02 Malignant neoplasm tongue141.2 141.2 C02.1 Malignant neoplasm tip and lateral border of tongue141.4 141.4 C02.3 Malignant neoplasm anterior two-thirds of tongue, part unspecified142 142 C07 Malignant neoplasm of major salivary glands142.1 142.1 C08.0 Malignant neoplasm submandibular gland144.9 144.9 C04.9 Malignant neoplasm floor of mouth, part unspecified145.2 145.2 C05.0 Malignant neoplasm hard palate145.3 145.3 C05.1 Malignant neoplasm soft palate145.5 145.5 C05.9 Malignant neoplasm plate, unspecified

    C05.8 Malignant neoplasm of overlapping sites of palate145.6 145.6 C06.2 Malignant neoplasm retromolar area145.9 145.9 C06.9 Malignant neoplasm mouth, unspecified146 146 C09.9 Malignant neoplasm of oropharynx

    C09.8 Malignant neoplasm of overlapping sites of tonsil146.1 146.1 C09.0 Malignant neoplasm tonsillar fossa147.9 147.9 C11.9 Malignant neoplasm nasopharynx, unspecified148 148 C13.0 Malignant neoplasm of hypopharynx148.1 148.1 C12 Malignant neoplasm pyriform sinus148.9 148.9 C13.9 Malignant neoplasm hypopharynx, unspecified149 149 C14.0 Malignant neoplasm of other and ill-defined sites within the lip, oral cavity and pharynx

    149.1 C14.2 Malignant neoplasm of waldeyer's ring149.8 C14.8 Malignant neuroplasm of overlapping sites of lip, oral cavity and pharynx

    150.9 150.9 C15.9 Malignant neoplasm esophagus, unspecified160 160 C30.0 Malignant neoplasm of nasal cavities, middle ear and accessory sinuses160.2 160.2 C31.0 Malignant neoplasm maxillary sinus160.3 160.3 C31.1 Malignant neoplasm ethmoidal sinus160.4 160.4 C31.2 Malignant neoplasm frontal sinus160.5 160.5 C31.3 Malignant neoplasm sphenoidal sinus161 161 C32.0 Malignant neoplasm of Larynx161.1 161.1 C32.1 Malignant neoplasm supraglottis161.2 161.2 C32.2 Malignant neoplasm subglottis161.9 161.9 C32.9 Malignant neoplasm larynx, unspecified

    Page 1 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code Description162 162 C33 Malignant neoplasm of trachea, bronchus and lung

    162.2 C34.00 Malignant neoplasm of unspecified main bronchusC34.01 Malignant neoplasm of right main bronchusC34.02 Malignant neuroplasm of left main bronchus

    162.4 C34.10 Malignant neoplasm of upper lobe, unspecified main bronchus or lungC34.11 Malignant neoplasm of upper lobe, right bronchus or lungC34.12 Malignant neoplasm of upper lobe, left bronchus or lungC34.2 Malignant neoplasm of middle lobe, bronchus or lung

    162.5 C34.31 Malignant neoplasm of lower lobe, right bronchus or lungC34.32 Malignant neoplasm of lower lobe, left bronchus or lungC34.30 Malignant neoplasm of lower lobe, unspecified bronchus or lung

    162.8 C34.80 Malignant neoplasm of overlapping sites of unspecified bronchus and lung C34.82 Malignant neoplasm of overlapping sites of left bronchus and lung

    162.9 C34.90 Malignant neoplasm of unspecified part of unspecified bronchus of lungC34.91 Malignant neoplasm of unspecified part of right bronchus or lungC34.92 Malignant neoplasm of unspecified part of left bronchus or lung

    170 170 C41.0 Malignant neoplasm of bone and articular cartilage170.1 170.1 C41.1 Malignant neoplasm mandible173.2 173.2 C44.20 Malignant neoplasm of skin or unspecified ear and external auricular canal

    C44.201 Malignant neoplasm skin of other and unspecified parts of faceC44.21 Malignant neoplasm of skin of right ear and external auricular canalC44.22 Malignant neoplasm of skin of left ear and external aricular canal

    190.9 190.9 C69.90 Malignant neoplasm eye, part unspecifiedC69.91 Malignant neoplasm of unspecified site of right eyeC69.92 Malignant neoplasm of unspecified site or left eye

    191.0 191.0 C71.0 Malignant neoplasm of the brain193 193 C73 Malignant neoplasm of thyroid gland195 195 C76.0 Malignant neoplasm of other and ill-defined sites within the lip, oral cavity and pharynx

    195.1 C76.1 Malignant neoplasm of thorax195.2 C76.2 Malignant neoplasm of abdomen195.3 C76.3 Malignant neoplasm of pelvis195.4 C76.40 Malignant neoplasm of unspecified upper limb

    C76.41 Malignant neoplasm of right upper limbC76.42 Malignant neoplasm of left upper limb

    Page 2 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code Description195.5 C76.50 Malignant neoplasm of unspecified lower limb

    C76.51 Malignant neoplasm of right lower limb C76.52 Malignant neoplasm of left lower limb

    195.8 C76.8 Malignant neoplasm of other specified ill-defined sitesC457 Mesothelioma of other sites

    196 C77.0 Secondary and unspecified malignant neoplasm of lymph nodes196.1 C77.1 Secondary and unsp malignant neoplasm of intrathorac nodes196.2 C77.2 Secondary and unsp malignant neoplasm of intra-abd nodes196.3 C77.3 Sec and unsp malig neoplasm of axilla and upper limb nodes196.5 C77.4 Sec and unsp malig neoplasm of inguinal and lower limb nodes196.6 C77.5 Secondary and unsp malignant neoplasm of intrapelv nodes196.8 C77.8 Sec and unsp malig neoplasm of nodes of multiple regions196.9 C77.9 Secondary and unsp malignant neoplasm of lymph node, unsp

    332.0 332.0 G20 Parkinson's diseaseG21.4 Vascular parkinsonism

    342.0 342.0 Flaccid Hemiplegia342.00 342.00 G81.00 Flaccid hemiplegia affecting unspecified side342.01 342.01 Flaccid hemiplegia affecting dominant side

    G81.01 Flaccid hemiplegia affecting right dominant sideG81.02 Flaccid hemiplegia affecting left dominant side

    342.02 342.02 Flaccid hemiplegia affecting non dominant sideG81.03 Flaccid hemiplegia affecting right nondominant sideG81.04 Flaccid hemiplegia affecting left nondominant side

    342.1 342.1 Spastic hemiplegia342.10 342.10 G81.10 Spastic hemiplegia affecting unspecified side342.11 342.11 Spastic hemiplegia affecting dominant side

    G81.11 Spastic hemiplegia affecting right dominant sideG81.12 Spastic hemiplegia affecting left dominant side

    342.12 342.12 Spastic hemiplegia affecting nondominant sideG81.13 Spastic hemiplegia affecting right nondominant sideG81.14 Spastic hemiplegia affecting left nondominant side

    342.8 342.8 Other specified hemiplegia342.80 342.80 G81.90 Hemiplegia unspecified affecting unspecified side342.81 342.81 Hemiplegia unspecified affecting dominant side

    Page 3 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionG81.91 Hemiplegia unspecified affecting right dominant sideG81.92 Hemiplegia, unspecified affecting left dominant side

    342.82 342.82 Hemiplegia, unspecified affecting nondominant sideG81.93 Hemiplegia, unspecified affecting right nondominant sideG81.94 Hemiplegia, unspecified affecting left nondominant side

    342.9 342.9 Hemiplegia, unspecified342.90 342.90 G81.90 Hemiplegia unspecified affecting unspecified side342.91 342.91 Hemiplegia unspecified affecting dominant side

    G81.91 Hemiplegia unspecified affecting right dominant sideG81.92 Hemiplegia unspecified affecting left dominant side

    342.92 Hemiplegia, unspecified affecting nondominant sideG81.93 Hemiplegia, unspecified affecting right nondominant sideG81.94 Hemiplegia, unspecified affecting left nondominant side

    344.1 344.1 G82.20 ParaplegiaG04.1 Tropical spastic paraplegiaG82.21 Paraplegia, completeG82.22 Paraplegia, incomplete

    348.1 348.1 G93.1 Anoxic brain damage, not elsewhere classified348.3 348.3 Encephalopathy, not elsewhere classified

    G93.40 Encephalopathy, unspecified348.31 348.31 G93.41 Encephalopathy-metabolic348.39 348.39 G93.49 Encephalopathy-other349.10 349.1 G93.1 Encephalopathy-anoxic353.0 353.0 G54.0 Nerve root and plexus disorders354.3 354.3 Lesion of radial nerve

    G56.30 Mononeuritis of upper limb and monoeuritis multiplex lesion of radial nerveG56.31 Lesion of radial nerve, right upper limbG56.32 Lesion of radial nerve, left upper limbG56.33 Lesion of radial nerve, bilateral upper limb

    357.0 357.0 Acute infective polyneruritisG61.0 Guillain-Bare syndrome

    357.81 357.81 G61.81 Chronic inflammatory demyelinating polyneuritis430 430 Subarachnoid hemorrhage

    I60.00 Ntrm subarach hemorrhage from unsp carotid siphon and bifurc

    Page 4 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionI60.01 Ntrm subarach hemor from right carotid siphon and bifurcI60.02 Ntrm subarach hemorrhage from left carotid siphon and bifurcI60.10 Ntrm subarach hemorrhage from unsp middle cerebral arteryI60.11 Ntrm subarach hemorrhage from right middle cerebral arteryI60.12 Ntrm subarach hemorrhage from left middle cerebral arteryI60.30 Ntrm subarach hemor from unsp posterior communicating arteryI60.31 Ntrm subarach hemor from right post communicating arteryI60.32 Ntrm subarach hemor from left posterior communicating arteryI60.4 Nontraumatic subarachnoid hemorrhage from basilar arteryI60.50 Nontraumatic subarachnoid hemorrhage from unsp verteb artI60.51 Nontraumatic subarachnoid hemorrhage from r verteb artI60.52 Nontraumatic subarachnoid hemorrhage from l verteb artI60.6 Nontraumatic subarachnoid hemorrhage from oth intracran artI60.7 Nontraumatic subarachnoid hemorrhage from unsp intracran artI60.8 Other nontraumatic subarachnoid hemorrhageI60.9 Nontraumatic subarachnoid hemorrhage, unspecified

    431 431 Intracerebral hemorrhageI61.0 Nontraumatic intracerebral hemorrhage in hemisphere corticalI61.1 Nontraumatic intracerebral hemorrhage in hemisphere subcorticalI61.2 Nontraumatic intracerebral hemorrhage in hemisphere unspecifiedI61.3 Nontraumatic intracerebral hemorrhage in brain stemI61.4 Nontraumatic intracerebral hemorrhage in cerebellumI61.5 Nontraumatic intracerebral hemorrhage inventraventricularI61.6 Nontraumatic intracerebral hemorrhage, multiple localizedI61.8 Other nontraumatic intracerebral hemorrhageI61.9 Nontraumatic intracerebral hemorrhage, unspecified

    434.91 Cerebral artery occlusion, unspecifiedI63.50 Cereb infrc d/t unsp occls or stenos of unsp cereb artI63.511 Cereb infrc d/t unsp occls or stenos of right mid cereb artI63.512 Cereb infrc d/t unsp occls or stenos of left mid cereb artI63.519 Cereb infrc d/t unsp occls or stenos of unsp mid cereb artI63.521 Cereb infrc d/t unsp occls or stenos of right ant cereb artI63.522 Cereb infrc d/t unsp occls or stenos of left ant cereb artI63.529 Cereb infrc d/t unsp occls or stenos of unsp ant cereb art

    Page 5 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionI63.531 Cereb infrc d/t unsp occls or stenos of right post cereb artI63.532 Cereb infrc d/t unsp occls or stenos of left post cereb artI63.539 Cereb infrc d/t unsp occls or stenos of unsp post cereb artI63.541 Cereb infrc due to unsp occls or stenos of right cereblr artI63.542 Cereb infrc due to unsp occls or stenos of left cereblr artI63.549 Cereb infrc due to unsp occls or stenos of unsp cereblr artI63.59 Cereb infrc due to unsp occls or stenosis of cerebral arteryI63.8 Other cerebral infarctionI63.9 Cerebral infarction, unspecified

    457.0 457.0 I97.2 Post mastectomy lymphedema syndrome457.1 457.1 I89.0 Other Lymphedema457.2 457.2 I89.1 Lymphangitis457.8 457.8 I89.8 Other noninfectious disorders of lymphatic channels457.9 457.9 I89.9 Unspecified noninfectious disorder of lymphatic channels526.89 526.89 M27.8 Other specified diseases of the jaws528.9 528.9 Other and unspecified diseases of the oral soft tissues

    K13.1 Cheek and lip bitingK13.4 Granuloma and granuloma-like lesions of oral mucosaK13.6 Irritative hyperplasia of oral mucosaK13.70 Unspecified lesions of oral mucosaK13.79 Other lesions of oral mucosa

    714.0 714.0 Rheumatoid arthritisM05.40 Rheumatoid myopathy with rheumatoid arthritis of unsp siteM05.411 Rheumatoid myopathy w rheumatoid arthritis of right shoulderM05.412 Rheumatoid myopathy w rheumatoid arthritis of left shoulderM05.419 Rheumatoid myopathy w rheumatoid arthritis of unsp shoulderM05.421 Rheumatoid myopathy with rheumatoid arthritis of right elbowM05.422 Rheumatoid myopathy with rheumatoid arthritis of left elbowM05.429 Rheumatoid myopathy with rheumatoid arthritis of unsp elbowM05.431 Rheumatoid myopathy with rheumatoid arthritis of right wristM05.432 Rheumatoid myopathy with rheumatoid arthritis of left wristM05.439 Rheumatoid myopathy with rheumatoid arthritis of unsp wristM05.441 Rheumatoid myopathy with rheumatoid arthritis of right handM05.442 Rheumatoid myopathy with rheumatoid arthritis of left hand

    Page 6 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionM05.449 Rheumatoid myopathy with rheumatoid arthritis of unsp handM05.451 Rheumatoid myopathy with rheumatoid arthritis of right hipM05.452 Rheumatoid myopathy with rheumatoid arthritis of left hipM05.459 Rheumatoid myopathy with rheumatoid arthritis of unsp hipM05.461 Rheumatoid myopathy with rheumatoid arthritis of right kneeM05.462 Rheumatoid myopathy with rheumatoid arthritis of left kneeM05.469 Rheumatoid myopathy with rheumatoid arthritis of unsp kneeM05.471 Rheumatoid myopathy w rheumatoid arthritis of right ank/ftM05.472 Rheumatoid myopathy w rheumatoid arthritis of left ank/ftM05.479 Rheumatoid myopathy w rheumatoid arthritis of unsp ank/ftM05.49 Rheumatoid myopathy w rheumatoid arthritis of multiple sitesM05.50 Rheumatoid polyneurop w rheumatoid arthritis of unsp siteM05.511 Rheumatoid polyneurop w rheumatoid arthritis of r shoulderM05.512 Rheumatoid polyneurop w rheumatoid arthritis of l shoulderM05.519 Rheu polyneurop w rheumatoid arthritis of unsp shoulderM05.521 Rheumatoid polyneurop w rheumatoid arthritis of right elbowM05.522 Rheumatoid polyneurop w rheumatoid arthritis of left elbowM05.529 Rheumatoid polyneurop w rheumatoid arthritis of unsp elbowM05.531 Rheumatoid polyneurop w rheumatoid arthritis of right wristM05.532 Rheumatoid polyneurop w rheumatoid arthritis of left wristM05.539 Rheumatoid polyneurop w rheumatoid arthritis of unsp wristM05.541 Rheumatoid polyneurop w rheumatoid arthritis of right handM05.542 Rheumatoid polyneurop w rheumatoid arthritis of left handM05.549 Rheumatoid polyneurop w rheumatoid arthritis of unsp handM05.551 Rheumatoid polyneurop w rheumatoid arthritis of right hipM05.552 Rheumatoid polyneuropathy w rheumatoid arthritis of left hipM05.559 Rheumatoid polyneuropathy w rheumatoid arthritis of unsp hipM05.561 Rheumatoid polyneurop w rheumatoid arthritis of right kneeM05.562 Rheumatoid polyneurop w rheumatoid arthritis of left kneeM05.569 Rheumatoid polyneurop w rheumatoid arthritis of unsp kneeM05.571 Rheumatoid polyneurop w rheumatoid arthritis of right ank/ftM05.572 Rheumatoid polyneurop w rheumatoid arthritis of left ank/ftM05.579 Rheumatoid polyneurop w rheumatoid arthritis of unsp ank/ftM05.59 Rheumatoid polyneuropathy w rheumatoid arthritis mult site

    Page 7 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionM05.70 Rheu arthritis w rheu factor of unsp site w/o org/sys involvM05.711 Rheu arthritis w rheu factor of r shoulder w/o org/sys involvM05.712 Rheu arthritis w rheu factor of l shoulder w/o org/sys involvM05.719 Rheu arthritis w rheu factor of unsp shldr w/o org/sys involvM05.721 Rheu arthritis w rheu factor of r elbow w/o org/sys involvM05.722 Rheu arthritis w rheu factor of l elbow w/o org/sys involvM05.729 Rheu arthritis w rheu factor of unsp elbow w/o org/sys involvM05.731 Rheu arthritis w rheu factor of r wrist w/o org/sys involvM05.732 Rheu arthritis w rheu factor of l wrist w/o org/sys involvM05.739 Rheu arthritis w rheu factor of unsp wrist w/o org/sys involvM05.741 Rheu arthritis w rheu factor of r hand w/o org/sys involvM05.742 Rheu arthritis w rheu factor of left hand w/o org/sys involvM05.749 Rheu arthritis w rheu factor of unsp hand w/o org/sys involvM05.751 Rheu arthritis w rheu factor of right hip w/o org/sys involvM05.752 Rheu arthritis w rheu factor of left hip w/o org/sys involvM05.759 Rheu arthritis w rheu factor of unsp hip w/o org/sys involvM05.761 Rheu arthritis w rheu factor of r knee w/o org/sys involvM05.762 Rheu arthritis w rheu factor of left knee w/o org/sys involvM05.769 Rheu arthritis w rheu factor of unsp knee w/o org/sys involvM05.771 Rheu arthritis w rheu fctr of right ank/ft w/o org/sys involvM05.772 Rheu arthritis w rheu factor of left ank/ft w/o org/sys involvM05.779 Rheu arthritis w rheu factor of unsp ank/ft w/o org/sys involvM05.79 Rheu arthritis w rheu factor mult site w/o org/sys involvM05.80 Oth rheumatoid arthritis with rheumatoid factor of unsp siteM05.811 Oth rheumatoid arthritis w rheumatoid factor of r shoulderM05.812 Oth rheumatoid arthritis w rheumatoid factor of l shoulderM05.819 Oth rheu arthritis w rheumatoid factor of unsp shoulderM05.821 Oth rheumatoid arthritis w rheumatoid factor of right elbowM05.822 Oth rheumatoid arthritis w rheumatoid factor of left elbowM05.829 Oth rheumatoid arthritis w rheumatoid factor of unsp elbowM05.831 Oth rheumatoid arthritis w rheumatoid factor of right wristM05.832 Oth rheumatoid arthritis w rheumatoid factor of left wristM05.839 Oth rheumatoid arthritis w rheumatoid factor of unsp wristM05.841 Oth rheumatoid arthritis w rheumatoid factor of right hand

    Page 8 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionM05.842 Oth rheumatoid arthritis with rheumatoid factor of left handM05.849 Oth rheumatoid arthritis with rheumatoid factor of unsp handM05.851 Oth rheumatoid arthritis with rheumatoid factor of right hipM05.852 Oth rheumatoid arthritis with rheumatoid factor of left hipM05.859 Oth rheumatoid arthritis with rheumatoid factor of unsp hipM05.861 Oth rheumatoid arthritis w rheumatoid factor of right kneeM05.862 Oth rheumatoid arthritis with rheumatoid factor of left kneeM05.869 Oth rheumatoid arthritis with rheumatoid factor of unsp kneeM05.871 Oth rheumatoid arthritis w rheumatoid factor of right ank/ftM05.872 Oth rheumatoid arthritis w rheumatoid factor of left ank/ftM05.879 Oth rheumatoid arthritis w rheumatoid factor of unsp ank/ftM05.89 Oth rheumatoid arthritis w rheumatoid factor mult siteM05.9 Rheumatoid arthritis with rheumatoid factor, unspecifiedM06.00 Rheumatoid arthritis without rheumatoid factor, unsp siteM06.011 Rheumatoid arthritis w/o rheumatoid factor, right shoulderM06.012 Rheumatoid arthritis w/o rheumatoid factor, left shoulderM06.019 Rheumatoid arthritis w/o rheumatoid factor, unsp shoulderM06.021 Rheumatoid arthritis without rheumatoid factor, right elbowM06.022 Rheumatoid arthritis without rheumatoid factor, left elbowM06.029 Rheumatoid arthritis without rheumatoid factor, unsp elbowM06.031 Rheumatoid arthritis without rheumatoid factor, right wristM06.032 Rheumatoid arthritis without rheumatoid factor, left wristM06.039 Rheumatoid arthritis without rheumatoid factor, unsp wristM06.041 Rheumatoid arthritis without rheumatoid factor, right handM06.042 Rheumatoid arthritis without rheumatoid factor, left handM06.049 Rheumatoid arthritis without rheumatoid factor, unsp handM06.051 Rheumatoid arthritis without rheumatoid factor, right hipM06.052 Rheumatoid arthritis without rheumatoid factor, left hipM06.059 Rheumatoid arthritis without rheumatoid factor, unsp hipM06.061 Rheumatoid arthritis without rheumatoid factor, right kneeM06.062 Rheumatoid arthritis without rheumatoid factor, left kneeM06.069 Rheumatoid arthritis without rheumatoid factor, unsp kneeM06.071 Rheumatoid arthritis w/o rheumatoid factor, right ank/ftM06.072 Rheumatoid arthritis w/o rheumatoid factor, left ank/ft

    Page 9 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionM06.079 Rheumatoid arthritis w/o rheumatoid factor, unsp ank/ftM06.08 Rheumatoid arthritis without rheumatoid factor, vertebraeM06.09 Rheumatoid arthritis w/o rheumatoid factor, multiple sitesM06.20 Rheumatoid bursitis, unspecified siteM06.211 Rheumatoid bursitis, right shoulderM06.212 Rheumatoid bursitis, left shoulderM06.219 Rheumatoid bursitis, unspecified shoulderM06.221 Rheumatoid bursitis, right elbowM06.222 Rheumatoid bursitis, left elbowM06.229 Rheumatoid bursitis, unspecified elbowM06.231 Rheumatoid bursitis, right wristM06.232 Rheumatoid bursitis, left wristM06.239 Rheumatoid bursitis, unspecified wristM06.241 Rheumatoid bursitis, right handM06.242 Rheumatoid bursitis, left handM06.249 Rheumatoid bursitis, unspecified handM06.251 Rheumatoid bursitis, right hipM06.252 Rheumatoid bursitis, left hipM06.259 Rheumatoid bursitis, unspecified hipM06.261 Rheumatoid bursitis, right kneeM06.262 Rheumatoid bursitis, left kneeM06.269 Rheumatoid bursitis, unspecified kneeM06.271 Rheumatoid bursitis, right ankle and footM06.272 Rheumatoid bursitis, left ankle and footM06.279 Rheumatoid bursitis, unspecified ankle and footM06.28 Rheumatoid bursitis, vertebraeM06.29 Rheumatoid bursitis, multiple sitesM06.30 Rheumatoid nodule, unspecified siteM06.311 Rheumatoid nodule, right shoulderM06.312 Rheumatoid nodule, left shoulderM06.319 Rheumatoid nodule, unspecified shoulderM06.321 Rheumatoid nodule, right elbowM06.322 Rheumatoid nodule, left elbowM06.329 Rheumatoid nodule, unspecified elbow

    Page 10 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionM06.331 Rheumatoid nodule, right wristM06.332 Rheumatoid nodule, left wristM06.339 Rheumatoid nodule, unspecified wristM06.341 Rheumatoid nodule, right handM06.342 Rheumatoid nodule, left handM06.349 Rheumatoid nodule, unspecified handM06.351 Rheumatoid nodule, right hipM06.352 Rheumatoid nodule, left hipM06.359 Rheumatoid nodule, unspecified hipM06.361 Rheumatoid nodule, right kneeM06.362 Rheumatoid nodule, left kneeM06.369 Rheumatoid nodule, unspecified kneeM06.371 Rheumatoid nodule, right ankle and footM06.372 Rheumatoid nodule, left ankle and footM06.379 Rheumatoid nodule, unspecified ankle and footM06.38 Rheumatoid nodule, vertebraeM06.39 Rheumatoid nodule, multiple sitesM06.80 Other specified rheumatoid arthritis, unspecified siteM06.811 Other specified rheumatoid arthritis, right shoulderM06.812 Other specified rheumatoid arthritis, left shoulderM06.819 Other specified rheumatoid arthritis, unspecified shoulderM06.821 Other specified rheumatoid arthritis, right elbowM06.822 Other specified rheumatoid arthritis, left elbowM06.829 Other specified rheumatoid arthritis, unspecified elbowM06.831 Other specified rheumatoid arthritis, right wristM06.832 Other specified rheumatoid arthritis, left wristM06.839 Other specified rheumatoid arthritis, unspecified wristM06.841 Other specified rheumatoid arthritis, right handM06.842 Other specified rheumatoid arthritis, left handM06.849 Other specified rheumatoid arthritis, unspecified handM06.851 Other specified rheumatoid arthritis, right hipM06.852 Other specified rheumatoid arthritis, left hipM06.859 Other specified rheumatoid arthritis, unspecified hipM06.861 Other specified rheumatoid arthritis, right knee

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  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionM06.862 Other specified rheumatoid arthritis, left kneeM06.869 Other specified rheumatoid arthritis, unspecified kneeM06.871 Other specified rheumatoid arthritis, right ankle and footM06.872 Other specified rheumatoid arthritis, left ankle and footM06.879 Oth rheumatoid arthritis, unspecified ankle and footM06.88 Other specified rheumatoid arthritis, vertebraeM06.89 Other specified rheumatoid arthritis, multiple sites

    M06.9 Rheumatoid arthritis unspecified715.04 715.04 Generalized osteoarthrosis, involving hand

    M15.1 Heberden's nodes (with arthropathy)M15.2 Bouchard's nodes (with arthropathy)

    715.95 715.95 Osteoarthritis, unspecified whether generalized or localized pelvic region and thighM16.9 Osteoarthritis of hip, unspecified

    715.96 M17.9 Other and unspecified arthropathies718.44 718.44 Contracture of hand joint

    M24.541 Contracture, right handM24.542 Contracture, left handM24.549 Contracture, unspecified hand

    718.56 718.56 Ankylosis of lower leg jointM24.661 Ankylosis, right kneeM24.662 Ankylosis, left kneeM24.669 Ankylosis, unspecified knee

    718.95 718.95 M24.9 Hip internal derangement719.55 719.55 Stiffness of joint, not elsewhere classified, pelvic region and thigh

    M25.651 Stiffness of right hip, not elsewhere classifiedM25.652 Stiffness of left hip, not elsewhere classifiedM25.659 Stiffness of joint, not elsewhere classified pelvic region

    723.5 723.5 Torticollis, unspecifiedM43.6 Torticollis

    726 726.0 M75.00 Adhesive capsulitis of shoulder unspecified shoulderM75.01 Adhesive capsulitis of right shoulderM75.02 Adhesive capsulitis of left shoulder

    727.61 727.61 Complete rupture of rotator cuffM75.120 Complete rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic

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  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionM75.121 Complete rotator cuff tear or rupture of right shoulder, not specified as traumaticM75.122 Complete rotator cuff tear or rupture of left shoulder, not specified as traumatic

    727.62 727.62 M66.221 Spontaneous rupture of extensor tendons, right upper armM66.222 Spontaneous rupture of extensor tendons, left upper armM66.229 Spontaneous rupture of extensor tendons, unsp upper armM66.30 Spontaneous rupture of flexor tendons, unspecified siteM66.311 Spontaneous rupture of flexor tendons, right shoulderM66.312 Spontaneous rupture of flexor tendons, left shoulderM66.319 Spontaneous rupture of flexor tendons, unspecified shoulderM66.321 Spontaneous rupture of flexor tendons, right upper armM66.322 Spontaneous rupture of flexor tendons, left upper armM66.329 Rupture of tendon, nontraumatic tendons of biceps (long head)M66.821 Spontaneous rupture of other tendons, right upper armM66.822 Spontaneous rupture of other tendons, left upper armM66.829 Spontaneous rupture of other tendons, unspecified upper armM66.831 Spontaneous rupture of other tendons, right forearmM66.832 Spontaneous rupture of other tendons, left forearmM66.839 Spontaneous rupture of other tendons, unspecified forearm

    727.64 727.64 Nontraumatic rupture of flexor tendons of hand and wristM66.331 Spontaneous rupture of flexor tendons, right forearmM66.332 Spontaneous rupture of flexor tendons, left forearmM66.339 Spontaneous rupture of flexor tendons, unspecified forearmM66.341 Spontaneous rupture of flexor tendons, right handM66.342 Spontaneous rupture of flexor tendons, left handM66.349 Spontaneous rupture of flexor tendons, unspecified handM66.841 Spontaneous rupture of other tendons, right handM66.842 Spontaneous rupture of other tendons, left handM66.849 Spontaneous rupture of other tendons, unspecified hand

    727.65 727.65 M66.259 Rupture of tendon, nontraumatic quadriceps tendonM66.251 Spontaneous rupture of extensor tendons, right thigh

    M66.252 Spontaneous rupture of extensor tendons, left thigh727.66 727.66 M66.261 Spontaneous rupture of extensor tendons, right lower leg

    M66.262 Spontaneous rupture of extensor tendons, left lower legM66.269 Spontaneous rupture of extensor tendons, unsp lower leg

    Page 13 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code Description727.67 727.67 M66.369 Rupture of tendon, nontraumatic Achilles tendon

    M66.361 Spontaneous rupture of flexor tendons, right lower leg M66.362 Spontaneous rupture of flexor tendons, left lower leg

    M66.861 Spontaneous rupture of other tendons, right lower legM66.862 Spontaneous rupture of other tendons, left lower legM66.869 Spontaneous rupture of other tendons, unspecified lower leg

    727.69 727.69 M66.88 Rupture of other tendonM66.28 Spontaneous rupture of extensor tendons, other siteM66.29 Spontaneous rupture of extensor tendons, multiple sitesM66.351 Spontaneous rupture of flexor tendons, right thighM66.352 Spontaneous rupture of flexor tendons, left thighM66.359 Spontaneous rupture of flexor tendons, unspecified thighM66.38 Spontaneous rupture of flexor tendons, other siteM66.39 Spontaneous rupture of flexor tendons, multiple sitesM66.80 Spontaneous rupture of other tendons, unspecified siteM66.851 Spontaneous rupture of other tendons, right thighM66.852 Spontaneous rupture of other tendons, left thighM66.859 Spontaneous rupture of other tendons, unspecified thigh

    727.81 727.81 Contracture of tendon (sheath)M67.00 Short Achilles tendon (acquired), unspecified ankleM67.01 Short Achilles tendon (acquired), right ankleM67.02 Short Achilles tendon (acquired), left ankle

    728.2728.2 M62.50 Muscular calcification and ossification muscular wasting and disuse atrophy, not elsewhere

    classifiedM62.511 Muscle wasting and atrophy, NEC, right shoulderM62.512 Muscle wasting and atrophy, NEC, left shoulderM62.519 Muscle wasting and atrophy, NEC, unsp shoulderM62.521 Muscle wasting and atrophy, NEC, right upper armM62.522 Muscle wasting and atrophy, NEC, left upper armM62.529 Muscle wasting and atrophy, NEC, unsp upper armM62.531 Muscle wasting and atrophy, NEC, right forearmM62.532 Muscle wasting and atrophy, NEC, left forearmM62.539 Muscle wasting and atrophy, NEC, unsp forearmM62.541 Muscle wasting and atrophy, NEC, right hand

    Page 14 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionM62.542 Muscle wasting and atrophy, NEC, left handM62.549 Muscle wasting and atrophy, NEC, unsp handM62.551 Muscle wasting and atrophy, NEC, right thighM62.552 Muscle wasting and atrophy, NEC, left thighM62.559 Muscle wasting and atrophy, NEC, unsp thighM62.561 Muscle wasting and atrophy, NEC, right lower legM62.562 Muscle wasting and atrophy, NEC, left lower legM62.569 Muscle wasting and atrophy, NEC, unsp lower legM62.571 Muscle wasting and atrophy, NEC, right ankle and footM62.572 Muscle wasting and atrophy, NEC, left ankle and footM62.579 Muscle wasting and atrophy, NEC, unsp ankle and footM62.58 Muscle wasting and atrophy, NEC, oth siteM62.59 Muscle wasting and atrophy, NEC, multiple sites

    728.6 728.6 M72.0 Muscular calcification and ossification contracture of palmar fascia728.85 M62.838 Spasm of muscle

    M6240 Contracture of muscle unspecified siteM62.411 Contracture of muscle, right shoulderM62.412 Contracture of muscle, left shoulderM62.419 Contracture of muscle, unspecified shoulderM62.421 Contracture of muscle, right upper armM62.422 Contracture of muscle, left upper armM62.429 Contracture of muscle, unspecified upper armM62.431 Contracture of muscle, right forearmM62.432 Contracture of muscle, left forearmM62.439 Contracture of muscle, unspecified forearmM62.441 Contracture of muscle, right handM62.442 Contracture of muscle, left handM62.449 Contracture of muscle, unspecified handM62.451 Contracture of muscle, right thighM62.452 Contracture of muscle, left thighM62.459 Contracture of muscle, unspecified thighM62.461 Contracture of muscle, right lower legM62.462 Contracture of muscle, left lower legM62.469 Contracture of muscle, unspecified lower leg

    Page 15 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionM62.471 Contracture of muscle, right ankle and footM62.472 Contracture of muscle, left ankle and footM62.479 Contracture of muscle, unspecified ankle and footM62.48 Contracture of muscle, other siteM62.49 Contracture of muscle, multiple sitesM62.831 Muscle spasm of calf

    728.86 728.86 M72.6 Other disorders of muscle, necrotizing fascitis730.18 730.18 M86.38 Chronic multifocal osteomyelitis, other site

    M86.48 Chronic osteomyelitis with draining sinus, other siteM86.58 Other chronic hematogenous osteomyelitis, other siteM86.68 Other chronic osteomyelitis, other siteM86.8X8 Other osteomyelitis, other site

    737.3 737.30 Scoliosis (and kyphoscoliosis) idiopathicM41.112 Juvenile idiopathic scoliosis, cervical regionM41.113 Juvenile idiopathic scoliosis, cervicothoracic regionM41.114 Juvenile idiopathic scoliosis, thoracic regionM41.115 Juvenile idiopathic scoliosis, thoracolumbar regionM41.116 Juvenile idiopathic scoliosis, lumbar regionM41.117 Juvenile idiopathic scoliosis, lumbosacral regionM41.119 Juvenile idiopathic scoliosis, site unspecifiedM41.122 Adolescent idiopathic scoliosis, cervical regionM41.123 Adolescent idiopathic scoliosis, cervicothoracic regionM41.124 Adolescent idiopathic scoliosis, thoracic regionM41.125 Adolescent idiopathic scoliosis, thoracolumbar regionM41.126 Adolescent idiopathic scoliosis, lumbar regionM41.127 Adolescent idiopathic scoliosis, lumbosacral regionM41.129 Adolescent idiopathic scoliosis, site unspecifiedM86.60 Chronic osteomyelitis other specified sitesM41.20 Kyphoscoliosis and scoliosisM41.22 Other idiopathic scoliosis, cervical regionM41.23 Other idiopathic scoliosis, cervicothoracic regionM41.24 Other idiopathic scoliosis, thoracic regionM41.25 Other idiopathic scoliosis, thoracolumbar regionM41.26 Other idiopathic scoliosis, lumbar region

    Page 16 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionM41.27 Other idiopathic scoliosis, lumbosacral regionM86.38 Chronic multifocal osteomyelitis, other siteM86.48 Chronic osteomyelitis with draining sinus, other siteM86.58 Other chronic hematogenous osteomyelitis, other siteM86.68 Other chronic osteomyelitis, other siteM86.8X8 Other osteomyelitis, other site

    749.0 749.0 Cleft palateQ35.1 Cleft hard palateQ35.3 Cleft soft palateQ35.5 Cleft hard palate with cleft soft palateQ35.9 Cleft Palate unspecified

    749.20 749.20 Q37.9 Cleft lip and palate781.3 781.3 R27.9 Lack of coordination

    R27.0 Ataxia, unspecifiedR27.8 Other lack of coordination

    781.93 781.93 R29.891 Ocular torticollis784.3 784.3 R47.01 Aphasia813.41 813.41 S52.531A Colles' fracture of right radius, init for clos fx

    S52.531D Colles' fracture of right radius, subsequent for clos fxS52.531S Colles' fracture of right radius, sequelaS52.532A Colles' fracture of left radius, init for clos fxS52.532D Colles' fracture of left radius, subsequent for clos fx S52.532S Colles' fracture of left radius, sequela S52.539A Colles' fracture of unsp radius, init for clos fxS52.539D Colles' fracture of unspecified radius, subsequent for clos fxS52.539S Colles' fracture of unspecified radius, sequela

    813.43 813.43 S52.609A Unsp Fracture of lower end of unsp ulna init for clos fxS52.609D Unsp Fracture of lower end of unsp ulna subsequent for clos fxS52.609S Unsp Fracture of lower end of unsp ulna sequelaS52.601A Unsp fracture of lower end of right ulna, init for clos fxS52.601D Unsp fracture of lower end of right ulna, subsequent for clos fxS52.601S Unsp fracture of lower end of right ulna, sequelaS52.602A Unsp fracture of lower end of left ulna, init for clos fxS52.602D Unsp fracture of lower end of left ulna, subsequent for clos fx

    Page 17 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionS52.602S Unsp fracture of lower end of left ulna, sequelaS52.611A Disp fx of right ulna styloid process, init for clos fxS52.611D Disp fx of right ulna styloid process, subsequent for clos fxS52.611S Disp fx of right ulna styloid process, sequelaS52.612A Disp fx of left ulna styloid process, init for clos fxS52.612D Disp fx of left ulna styloid process, subsequent for clos fxS52.612S Disp fx of left ulna styloid process, sequelaS52.613A Disp fx of unsp ulna styloid process, init for clos fxS52.613D Disp fx of unsp ulna styloid process, subsequent for clos fxS52.613S Disp fx of unsp ulna styloid process, sequelaS52.614A Nondisp fx of right ulna styloid process, init for clos fxS52.614D Nondisp fx of right ulna styloid process, subsequent for clos fxS52.614S Nondisp fx of right ulna styloid process, sequelaS52.615A Nondisp fx of left ulna styloid process, init for clos fxS52.615D Nondisp fx of left ulna styloid process, subsequent for clos fxS52.615S Nondisp fx of left ulna styloid process, sequelaS52.616A Nondisp fx of unsp ulna styloid process, init for clos fxS52.616D Nondisp fx of unsp ulna styloid process, subsequent for clos fxS52.616S Nondisp fx of unsp ulna styloid process, sequelaS52.691A Oth fracture of lower end of right ulna, init for clos fxS52.691D Oth fracture of lower end of right ulna, subsequent for clos fxS52.691S Oth fracture of lower end of right ulna, sequelaS52.692A Oth fracture of lower end of left ulna, init for clos fxS52.692D Oth fracture of lower end of left ulna, subsequent for clos fxS52.692S Oth fracture of lower end of left ulna, sequelaS52.699A Oth fracture of lower end of unsp ulna, init for clos fxS52.699D Oth fracture of lower end of unsp ulna, subsequent for clos fxS52.699S Oth fracture of lower end of unsp ulna, sequelaS59.001A Unsp physeal fracture of lower end of ulna, right arm, initS59.001D Unsp physeal fracture of lower end of ulna, right arm, subsequentS59.001S Unsp physeal fracture of lower end of ulna, right arm, sequelaS59.002A Unsp physeal fracture of lower end of ulna, left arm, initS59.002D Unsp physeal fracture of lower end of ulna, left arm, subsequentS59.002S Unsp physeal fracture of lower end of ulna, left arm, sequela

    Page 18 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionS59.009A Unsp physeal fracture of lower end of ulna, unsp arm, initS59.009D Unsp physeal fracture of lower end of ulna, unsp arm, subsequentS59.009S Unsp physeal fracture of lower end of ulna, unsp arm, sequelaS59.011A Sltr-haris Type I physl fx lower end ulna, right arm, initS59.011D Sltr-haris Type I physl fx lower end ulna, right arm, subsequentS59.011S Sltr-haris Type I physl fx lower end ulna, right arm, sequelaS59.012A Sltr-haris Type I physl fx lower end of ulna, left arm, initS59.012D Sltr-haris Type I physl fx lower end of ulna, left arm, subsequentS59.012S Sltr-haris Type I physl fx lower end of ulna, left arm, sequelaS59.019A Sltr-haris Type I physl fx lower end of ulna, unsp arm, initS59.019D Sltr-haris Type I physl fx lower end of ulna, unsp arm, subsequentS59.019S Sltr-haris Type I physl fx lower end of ulna, unsp arm, sequelaS59.021A Sltr-haris Type II physl fx lower end ulna, right arm, initS59.021D Sltr-haris Type II physl fx lower end ulna, right arm, subsequentS59.021S Sltr-haris Type II physl fx lower end ulna, right arm, sequelaS59.022A Sltr-haris Type II physl fx lower end ulna, left arm, initS59.022D Sltr-haris Type II physl fx lower end ulna, left arm, subsequentS59.022S Sltr-haris Type II physl fx lower end ulna, left arm, sequelaS59.029A Sltr-haris Type II physl fx lower end ulna, unsp arm, initS59.029D Sltr-haris Type II physl fx lower end ulna, unsp arm, subsequentS59.029S Sltr-haris Type II physl fx lower end ulna, unsp arm, sequelaS59.031A Sltr-haris Type III physl fx lower end ulna, right arm, initS59.031D Sltr-haris Type III physl fx lower end ulna, right arm, subsequentS59.031S Sltr-haris Type III physl fx lower end ulna, right arm, sequelaS59.032A Sltr-haris Type III physl fx lower end ulna, left arm, initS59.032D Sltr-haris Type III physl fx lower end ulna, left arm, subsequentS59.032S Sltr-haris Type III physl fx lower end ulna, left arm, sequelaS59.039A Sltr-haris Type III physl fx lower end ulna, unsp arm, initS59.039D Sltr-haris Type III physl fx lower end ulna, unsp arm, subsequentS59.039S Sltr-haris Type III physl fx lower end ulna, unsp arm, sequelaS59.041A Sltr-haris Type IV physl fx lower end ulna, right arm, initS59.041D Sltr-haris Type IV physl fx lower end ulna, right arm, subsequentS59.041S Sltr-haris Type IV physl fx lower end ulna, right arm, sequelaS59.042A Sltr-haris Type IV physl fx lower end ulna, left arm, init

    Page 19 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionS59.042D Sltr-haris Type IV physl fx lower end ulna, left arm, subsequentS59.042S Sltr-haris Type IV physl fx lower end ulna, left arm, sequelaS59.049A Sltr-haris Type IV physl fx lower end ulna, unsp arm, initS59.049D Sltr-haris Type IV physl fx lower end ulna, unsp arm, subsequentS59.049S Sltr-haris Type IV physl fx lower end ulna, unsp arm, sequelaS59.091A Oth physeal fracture of lower end of ulna, right arm, initS59.091D Oth physeal fracture of lower end of ulna, right arm, subsequentS59.091S Oth physeal fracture of lower end of ulna, right arm, sequelaS59.092A Oth physeal fracture of lower end of ulna, left arm, initS59.092D Oth physeal fracture of lower end of ulna, left arm, subsequentS59.092S Oth physeal fracture of lower end of ulna, left arm, sequelaS59.099A Oth physeal fracture of lower end of ulna, unsp arm, initS59.099D Oth physeal fracture of lower end of ulna, unsp arm, subsequentS59.099S Oth physeal fracture of lower end of ulna, unsp arm, sequelaS62.101A Fracture of unsp carpal bone, right wrist, init for clos fxS62.101D Fracture of unsp carpal bone, right wrist, subsequent for clos fxS62.101S Fracture of unsp carpal bone, right wrist, sequelaS62.102A Fracture of unsp carpal bone, left wrist, init for clos fxS62.102D Fracture of unsp carpal bone, left wrist, subsequent for clos fxS62.102S Fracture of unsp carpal bone, left wrist, sequela

    814 814 S62.109A Fracture of unsp carpal bone unspecified wrist initial closed S62.109D Fracture of unsp carpal bone unspecified wrist subsequent closed

    S62.109S Fracture of unsp carpal bone unspecified wrist sequela closed814.01 S62.001A Unsp fracture of navicular bone of right wrist, init

    S62.001D Unsp fracture of navicular bone of right wrist, subsequentS62.001S Unsp fracture of navicular bone of right wrist, sequelaS62.002A Unsp fracture of navicular bone of left wrist, initS62.002D Unsp fracture of navicular bone of left wrist, subsequentS62.002S Unsp fracture of navicular bone of left wrist, sequelaS62.009A Unsp fracture of navicular bone of unsp wrist, initS62.009D Unsp fracture of navicular bone of unsp wrist, subsequentS62.009S Unsp fracture of navicular bone of unsp wrist, sequelaS62.011A Disp fx of distal pole of navicular bone of r wrist, initS62.011D Disp fx of distal pole of navicular bone of r wrist, subsequent

    Page 20 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionS62.011S Disp fx of distal pole of navicular bone of r wrist, sequelaS62.012A Disp fx of distal pole of navicular bone of left wrist, initS62.012D Disp fx of distal pole of navicular bone of left wrist, subsequentS62.012S Disp fx of distal pole of navicular bone of left wrist, sequelaS62.013A Disp fx of distal pole of navicular bone of unsp wrist, initS62.013D Disp fx of distal pole of navicular bone of unsp wrist, subsequentS62.013S Disp fx of distal pole of navicular bone of unsp wrist, sequelaS62.014A Nondisp fx of distal pole of navicular bone of r wrist, initS62.014D Nondisp fx of distal pole of navicular bone of r wrist, subsequentS62.014S Nondisp fx of distal pole of navicular bone of r wrist, sequelaS62.015A Nondisp fx of distal pole of navicular bone of l wrist, initS62.015D Nondisp fx of distal pole of navicular bone of l wrist, subsequentS62.015S Nondisp fx of distal pole of navicular bone of l wrist, sequelaS62.016A Nondisp fx of distal pole of navic bone of unsp wrist, initS62.016D Nondisp fx of distal pole of navic bone of unsp wrist, subsequentS62.016S Nondisp fx of distal pole of navic bone of unsp wrist, sequelaS62.021A Disp fx of middle third of navicular bone of r wrist, initS62.021D Disp fx of middle third of navicular bone of r wrist, subsequentS62.021S Disp fx of middle third of navicular bone of r wrist, sequelaS62.022A Disp fx of middle third of navicular bone of l wrist, initS62.022D Disp fx of middle third of navicular bone of l wrist, subsequentS62.022S Disp fx of middle third of navicular bone of l wrist, sequelaS62.023A Disp fx of middle third of navic bone of unsp wrist, initS62.023A Disp fx of middle third of navic bone of unsp wrist, subsequentS62.023A Disp fx of middle third of navic bone of unsp wrist, sequelaS62.024A Nondisp fx of middle third of navic bone of r wrist, init

    S62.024D Nondisp fx of middle third of navic bone of r wrist, subsequentS62.024S Nondisp fx of middle third of navic bone of r wrist, sequelaS62.025A Nondisp fx of middle third of navic bone of l wrist, initS62.025D Nondisp fx of middle third of navic bone of l wrist, subsequentS62.025S Nondisp fx of middle third of navic bone of l wrist, sequelaS62.026A Nondisp fx of middle third of navic bone of unsp wrist, initS62.026D Nondisp fx of middle third of navic bone of unsp wrist, subsequentS62.026S Nondisp fx of middle third of navic bone of unsp wrist, sequela

    Page 21 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionS62.031A Disp fx of proximal third of navicular bone of r wrist, initS62.031D Disp fx of proximal third of navicular bone of r wrist, subsequentS62.031S Disp fx of proximal third of navicular bone of r wrist, sequelaS62.032A Disp fx of proximal third of navicular bone of l wrist, initS62.032D Disp fx of proximal third of navicular bone of l wrist, subsequentS62.032S Disp fx of proximal third of navicular bone of l wrist, sequelaS62.033A Disp fx of proximal third of navic bone of unsp wrist, initS62.033D Disp fx of proximal third of navic bone of unsp wrist, subsequentS62.033S Disp fx of proximal third of navic bone of unsp wrist, sequelaS62.034A Nondisp fx of proximal third of navic bone of r wrist, initS62.034D Nondisp fx of proximal third of navic bone of r wrist, subsequentS62.034S Nondisp fx of proximal third of navic bone of r wrist, sequelaS62.035A Nondisp fx of proximal third of navic bone of l wrist, initS62.035D Nondisp fx of proximal third of navic bone of l wrist, subsequentS62.035S Nondisp fx of proximal third of navic bone of l wrist, sequelaS62.036A Nondisp fx of prox third of navic bone of unsp wrist, initS62.036D Nondisp fx of prox third of navic bone of unsp wrist, subsequentS62.036S Nondisp fx of prox third of navic bone of unsp wrist, sequela

    814.02 S62.121A Disp fx of lunate, right wrist, init for clos fxS62.121D Disp fx of lunate, right wrist, subsequent for clos fxS62.121S Disp fx of lunate, right wrist, sequelaS62.122A Disp fx of lunate, left wrist, init for clos fxS62.122D Disp fx of lunate, left wrist, subsequent for clos fxS62.122S Disp fx of lunate, left wrist, sequelaS62.123A Disp fx of lunate, unsp wrist, init for clos fxS62.123D Disp fx of lunate, unsp wrist, subsequent for clos fxS62.123S Disp fx of lunate, unsp wrist, sequelaS62.124A Nondisp fx of lunate, right wrist, init for clos fxS62.124D Nondisp fx of lunate, right wrist, subsequent for clos fxS62.124S Nondisp fx of lunate, right wrist, sequelaS62.125A Nondisp fx of lunate, left wrist, init for clos fxS62.125D Nondisp fx of lunate, left wrist, subsequent for clos fxS62.125S Nondisp fx of lunate, left wrist, sequelaS62.126A Nondisp fx of lunate, unsp wrist, init for clos fx

    Page 22 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionS62.126D Nondisp fx of lunate, unsp wrist, subsequent for clos fxS62.126S Nondisp fx of lunate, unsp wrist, sequela

    814.03 S62.111A Disp fx of triquetrum bone, right wrist, init for clos fxS62.111D Disp fx of triquetrum bone, right wrist, subsequent for clos fxS62.111S Disp fx of triquetrum bone, right wrist, sequelaS62.112A Disp fx of triquetrum bone, left wrist, init for clos fxS62.112D Disp fx of triquetrum bone, left wrist, subsequent for clos fxS62.112S Disp fx of triquetrum bone, left wrist, sequelaS62.113A Disp fx of triquetrum bone, unsp wrist, init for clos fxS62.113D Disp fx of triquetrum bone, unsp wrist, subsequent for clos fxS62.113S Disp fx of triquetrum bone, unsp wrist, sequelaS62.114A Nondisp fx of triquetrum bone, right wrist, init for clos fxS62.114D Nondisp fx of triquetrum bone, right wrist, subsequent for clos fxS62.114S Nondisp fx of triquetrum bone, right wrist, sequelaS62.115A Nondisp fx of triquetrum bone, left wrist, init for clos fxS62.115D Nondisp fx of triquetrum bone, left wrist, subsequent for clos fxS62.115S Nondisp fx of triquetrum bone, left wrist, S62.116A Nondisp fx of triquetrum bone, unsp wrist, init for clos fxS62.116D Nondisp fx of triquetrum bone, unsp wrist, subsequent for clos fxS62.116S Nondisp fx of triquetrum bone, unsp wrist, sequela

    814.04 S62.161A Disp fx of pisiform, right wrist, init for clos fxS62.161D Disp fx of pisiform, right wrist, subsequent for clos fxS62.161S Disp fx of pisiform, right wrist, sequelaS62.162A Disp fx of pisiform, left wrist, init for clos fxS62.162D Disp fx of pisiform, left wrist, subsequent for clos fxS62.162S Disp fx of pisiform, left wrist, sequelaS62.163A Disp fx of pisiform, unsp wrist, init for clos fxS62.163D Disp fx of pisiform, unsp wrist, subsequent for clos fxS62.163S Disp fx of pisiform, unsp wrist, sequelaS62.164A Nondisp fx of pisiform, right wrist, init for clos fxS62.164D Nondisp fx of pisiform, right wrist, subsequent for clos fxS62.164S Nondisp fx of pisiform, right wrist, sequelaS62.165A Nondisp fx of pisiform, left wrist, init for clos fxS62.165D Nondisp fx of pisiform, left wrist, subsequent for clos fx

    Page 23 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionS62.165S Nondisp fx of pisiform, left wrist, sequelaS62.166A Nondisp fx of pisiform, unsp wrist, init for clos fxS62.166D Nondisp fx of pisiform, unsp wrist, subsequent for clos fxS62.166S Nondisp fx of pisiform, unsp wrist, sequela

    814.05 S62.171A Disp fx of trapezium, right wrist, init for clos fxS62.171D Disp fx of trapezium, right wrist, subsequent for clos fxS62.171S Disp fx of trapezium, right wrist, sequelaS62.172A Disp fx of trapezium, left wrist, init for clos fxS62.172D Disp fx of trapezium, left wrist, subsequent for clos fxS62.172S Disp fx of trapezium, left wrist, sequelaS62.173A Disp fx of trapezium, unsp wrist, init for clos fxS62.173D Disp fx of trapezium, unsp wrist, subsequent for clos fxS62.173S Disp fx of trapezium, unsp wrist, sequelaS62.174A Nondisp fx of trapezium, right wrist, init for clos fxS62.174D Nondisp fx of trapezium, right wrist, subsequent for clos fxS62.174S Nondisp fx of trapezium, right wrist, sequelaS62.175A Nondisp fx of trapezium, left wrist, init for clos fxS62.175D Nondisp fx of trapezium, left wrist, subsequent for clos fxS62.175S Nondisp fx of trapezium, left wrist, sequelaS62.176A Nondisp fx of trapezium, unsp wrist, init for clos fxS62.176D Nondisp fx of trapezium, unsp wrist, subsequent for clos fxS62.176S Nondisp fx of trapezium, unsp wrist, sequela

    814.06 S62.181A Disp fx of trapezoid, right wrist, init for clos fxS62.181D Disp fx of trapezoid, right wrist, subsequent for clos fxS62.181S Disp fx of trapezoid, right wrist, sequelaS62.182A Disp fx of trapezoid, left wrist, init for clos fxS62.182D Disp fx of trapezoid, left wrist, subsequent for clos fxS62.182S Disp fx of trapezoid, left wrist, sequelaS62.183A Disp fx of trapezoid, unsp wrist, init for clos fxS62.183D Disp fx of trapezoid, unsp wrist, subsequent for clos fxS62.183S Disp fx of trapezoid, unsp wrist, sequelaS62.184A Nondisp fx of trapezoid, right wrist, init for clos fxS62.184D Nondisp fx of trapezoid, right wrist, subsequent for clos fxS62.184S Nondisp fx of trapezoid, right wrist, sequela

    Page 24 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionS62.185A Nondisp fx of trapezoid, left wrist, init for clos fxS62.185D Nondisp fx of trapezoid, left wrist, subsequent for clos fxS62.185S Nondisp fx of trapezoid, left wrist, sequelaS62.186A Nondisp fx of trapezoid, unsp wrist, init for clos fxS62.186D Nondisp fx of trapezoid, unsp wrist, subsequent for clos fxS62.186S Nondisp fx of trapezoid, unsp wrist, sequela

    814.07 S62.131A Disp fx of capitate bone, right wrist, init for clos fxS62.131D Disp fx of capitate bone, right wrist, subsequent for clos fxS62.131S Disp fx of capitate bone, right wrist, sequelaS62.132A Disp fx of capitate bone, left wrist, init for clos fxS62.132D Disp fx of capitate bone, left wrist, subsequent for clos fxS62.132S Disp fx of capitate bone, left wrist, sequelaS62.133A Disp fx of capitate bone, unsp wrist, init for clos fxS62.133D Disp fx of capitate bone, unsp wrist, subsequent for clos fxS62.133S Disp fx of capitate bone, unsp wrist, sequelaS62.134A Nondisp fx of capitate bone, right wrist, init for clos fxS62.134D Nondisp fx of capitate bone, right wrist, subsequent for clos fxS62.134S Nondisp fx of capitate bone, right wrist, sequelaS62.135A Nondisp fx of capitate bone, left wrist, init for clos fxS62.135D Nondisp fx of capitate bone, left wrist, subsequentS62.135S Nondisp fx of capitate bone, left wrist, sequelaS62.136A Nondisp fx of capitate bone, unsp wrist, init for clos fxS62.136D Nondisp fx of capitate bone, unsp wrist, subsequent for clos fxS62.136S Nondisp fx of capitate bone, unsp wrist, sequela

    814.08 S62.141A Disp fx of body of hamate bone, right wrist, initS62.141D Disp fx of body of hamate bone, right wrist, subsequentS62.141S Disp fx of body of hamate bone, right wrist, sequelaS62.142A Disp fx of body of hamate bone, left wrist, init for clos fxS62.142D Disp fx of body of hamate bone, left wrist, subsequent for clos fxS62.142S Disp fx of body of hamate bone, left wrist, sequelaS62.143A Disp fx of body of hamate bone, unsp wrist, init for clos fxS62.143D Disp fx of body of hamate bone, unsp wrist, subsequent for clos fxS62.143S Disp fx of body of hamate bone, unsp wrist, sequelaS62.144A Nondisp fx of body of hamate bone, right wrist, init

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  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionS62.144D Nondisp fx of body of hamate bone, right wrist, subsequentS62.144S Nondisp fx of body of hamate bone, sequelaS62.145A Nondisp fx of body of hamate bone, left wrist, initS62.145D Nondisp fx of body of hamate bone, left wrist, subsequentS62.145S Nondisp fx of body of hamate bone, left wrist, sequelaS62.146A Nondisp fx of body of hamate bone, unsp wrist, initS62.146D Nondisp fx of body of hamate bone, unsp wrist, subsequentS62.146S Nondisp fx of body of hamate bone, unsp wrist, sequela

    814.09 S62.151A Disp fx of hook process of hamate bone, right wrist, initS62.151D Disp fx of hook process of hamate bone, right wrist, subsequentS62.151S Disp fx of hook process of hamate bone, right wrist, sequelaS62.152A Disp fx of hook process of hamate bone, left wrist, initS62.152D Disp fx of hook process of hamate bone, left wrist, subsequentS62.152S Disp fx of hook process of hamate bone, left wrist, sequelaS62.153A Disp fx of hook process of hamate bone, unsp wrist, initS62.153D Disp fx of hook process of hamate bone, unsp wrist, subsequentS62.153S Disp fx of hook process of hamate bone, unsp wrist, sequelaS62.154A Nondisp fx of hook process of hamate bone, right wrist, initS62.154D Nondisp fx of hook process of hamate bone, right wrist, subsequentS62.154S Nondisp fx of hook process of hamate bone, right wrist, sequelaS62.155A Nondisp fx of hook process of hamate bone, left wrist, initS62.155D Nondisp fx of hook process of hamate bone, left wrist, subsequentS62.155S Nondisp fx of hook process of hamate bone, left wrist, sequelaS62.156A Nondisp fx of hook process of hamate bone, unsp wrist, initS62.156D Nondisp fx of hook process of hamate bone, unsp wrist, subsequentS62.156S Nondisp fx of hook process of hamate bone, unsp wrist, sequela

    814.10 S62.101B Fracture of unsp carpal bone, right wrist, init for opn fxS62.101D Fracture of unsp carpal bone, right wrist, subsequent for opn fxS62.101S Fracture of unsp carpal bone, right wrist, sequela for opn fxS62.102B Fracture of unsp carpal bone, left wrist, init for opn fxS62.102D Fracture of unsp carpal bone, left wrist, subsequent for opn fxS62.102S Fracture of unsp carpal bone, left wrist, sequela for opn fxS62.109B Fracture of unsp carpal bone, unsp wrist, init for opn fxS62.109D Fracture of unsp carpal bone, unsp wrist, subsequent for opn fx

    Page 26 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionS62.109S Fracture of unsp carpal bone, unsp wrist, sequela for opn fx

    814.11 S62.001B Unsp fx navicular bone of right wrist, init for opn fxS62.001D Unsp fx navicular bone of right wrist, subsequent for opn fxS62.001S Unsp fx navicular bone of right wrist, sequela for opn fxS62.002B Unsp fx navicular bone of left wrist, init for opn fxS62.002D Unsp fx navicular bone of left wrist, subsequent for opn fxS62.002S Unsp fx navicular bone of left wrist, sequela for opn fxS62.009B Unsp fx navicular bone of unsp wrist, init for opn fxS62.009D Unsp fx navicular bone of unsp wrist, subsequent for opn fxS62.009S Unsp fx navicular bone of unsp wrist, sequela for opn fxS62.011B Disp fx of dist pole of navic bone of r wrs, init for opn fxS62.011D Disp fx of dist pole of navic bone of r wrs, subsequent for opn fxS62.011S Disp fx of dist pole of navic bone of r wrs, sequela for opn fxS62.012B Disp fx of dist pole of navic bone of l wrs, init for opn fxS62.012D Disp fx of dist pole of navic bone of l wrs, subsequent for opn fxS62.012S Disp fx of dist pole of navic bone of l wrs, sequela for opn fxS62.013B Disp fx of dist pole of navic bone of unsp wrs, 7thB initS62.013D Disp fx of dist pole of navic bone of unsp wrs, 7thB subsequentS62.013S Disp fx of dist pole of navic bone of unsp wrs, 7thB sequelaS62.014B Nondisp fx of dist pole of navic bone of r wrs, 7thB initS62.014D Nondisp fx of dist pole of navic bone of r wrs, 7thB subsequentS62.014S Nondisp fx of dist pole of navic bone of r wrs, 7thB sequelaS62.015B Nondisp fx of distal pole of navicular bone of l wrist, 7thB initS62.015D Nondisp fx of distal pole of navicular bone of l wrist, 7thB subsequentS62.015S Nondisp fx of distal pole of navicular bone of l wrist, 7thB sequelaS62.015B Nondisp fx of dist pole of navic bone of l wrs, 7thB initS62.015D Nondisp fx of dist pole of navic bone of l wrs, 7thB subsequentS62.015S Nondisp fx of dist pole of navic bone of l wrs, 7thB sequelaS62.016B Nondisp fx of dist pole of navic bone of unsp wrs, 7thB initS62.016D Nondisp fx of dist pole of navic bone of unsp wrs, 7thB subsequentS62.016S Nondisp fx of dist pole of navic bone of unsp wrs, 7thB sequelaS62.021B Disp fx of mid 3rd of navic bone of r wrist, init for opn fxS62.021D Disp fx of mid 3rd of navic bone of r wrist, subsequent for opn fxS62.021S Disp fx of mid 3rd of navic bone of r wrist, sequela for opn fx

    Page 27 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionS62.022B Disp fx of mid 3rd of navic bone of l wrist, init for opn fxS62.022D Disp fx of mid 3rd of navic bone of l wrist, subsequent for opn fxS62.022S Disp fx of mid 3rd of navic bone of l wrist, sequela for opn fxS62.023B Disp fx of mid 3rd of navic bone of unsp wrs, 7thBS62.023D Disp fx of mid 3rd of navic bone of unsp wrs, 7thB subsequentS62.023S Disp fx of mid 3rd of navic bone of unsp wrs, 7thB sequelaS62.024B Nondisp fx of mid 3rd of navic bone of r wrs, 7thBS62.024D Nondisp fx of mid 3rd of navic bone of r wrs, 7thB subsequentS62.024S Nondisp fx of mid 3rd of navic bone of r wrs, 7thB sequelaS62.025B Nondisp fx of mid 3rd of navic bone of l wrs, 7thBS62.025D Nondisp fx of mid 3rd of navic bone of l wrs, 7thB subsequentS62.025S Nondisp fx of mid 3rd of navic bone of l wrs, 7thB sequelaS62.026B Nondisp fx of mid 3rd of navic bone of unsp wrs, 7thBS62.026D Nondisp fx of mid 3rd of navic bone of unsp wrs, 7thB subsequentS62.026S Nondisp fx of mid 3rd of navic bone of unsp wrs, 7thB sequelaS62.031B Disp fx of prox 3rd of navic bone of r wrs, init for opn fxS62.031D Disp fx of prox 3rd of navic bone of r wrs, subsequent for opn fxS62.031S Disp fx of prox 3rd of navic bone of r wrs, sequela for opn fxS62.032B Disp fx of prox 3rd of navic bone of l wrs, init for opn fxS62.032D Disp fx of prox 3rd of navic bone of l wrs, subsequent for opn fxS62.032S Disp fx of prox 3rd of navic bone of l wrs, sequela for opn fxS62.033B Disp fx of prox 3rd of navic bone of unsp wrs, 7thBS62.033D Disp fx of prox 3rd of navic bone of unsp wrs, 7thB subsequentS62.033S Disp fx of prox 3rd of navic bone of unsp wrs, 7thB sequelaS62.034B Nondisp fx of prox 3rd of navic bone of r wrs, 7thBS62.034D Nondisp fx of prox 3rd of navic bone of r wrs, 7thB subsequentS62.034S Nondisp fx of prox 3rd of navic bone of r wrs, 7thB sequelaS62.035B Nondisp fx of prox 3rd of navic bone of l wrs, 7thBS62.035D Nondisp fx of prox 3rd of navic bone of l wrs, 7thB subsequentS62.035S Nondisp fx of prox 3rd of navic bone of l wrs, 7thB sequelaS62.036B Nondisp fx of prox 3rd of navic bone of unsp wrs, 7thBS62.036D Nondisp fx of prox 3rd of navic bone of unsp wrs, 7thB subsequentS62.036S Nondisp fx of prox 3rd of navic bone of unsp wrs, 7thB sequela

    814.12 S62.121B Disp fx of lunate, right wrist, init for opn fx

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  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionS62.121D Disp fx of lunate, right wrist, subsequent for opn fxS62.121S Disp fx of lunate, right wrist, sequela for opn fxS62.122B Disp fx of lunate, left wrist, init encntr for open fractureS62.122D Disp fx of lunate, left wrist, subsequent encntr for open fractureS62.122S Disp fx of lunate, left wrist, sequela encntr for open fractureS62.123B Disp fx of lunate, unsp wrist, init encntr for open fractureS62.123D Disp fx of lunate, unsp wrist, subsequent encntr for open fractureS62.123S Disp fx of lunate, unsp wrist, sequela encntr for open fractureS62.124B Nondisp fx of lunate, right wrist, init for opn fxS62.124D Nondisp fx of lunate, right wrist, subsequent for opn fxS62.124S Nondisp fx of lunate, right wrist, sequela for opn fxS62.125B Nondisp fx of lunate, left wrist, init for opn fxS62.125D Nondisp fx of lunate, left wrist, subsequent for opn fxS62.125S Nondisp fx of lunate, left wrist, sequela for opn fxS62.126B Nondisp fx of lunate, unsp wrist, init for opn fxS62.126B Nondisp fx of lunate, unsp wrist, subsequent for opn fxS62.126B Nondisp fx of lunate, unsp wrist, sequela for opn fx

    814.13 S62.111B Disp fx of triquetrum bone, right wrist, init for opn fxS62.111D Disp fx of triquetrum bone, right wrist, subsequent for opn fxS62.111S Disp fx of triquetrum bone, right wrist, sequela for opn fxS62.112B Disp fx of triquetrum bone, left wrist, init for opn fxS62.112D Disp fx of triquetrum bone, left wrist, subsequent for opn fxS62.112S Disp fx of triquetrum bone, left wrist, sequela for opn fxS62.113B Disp fx of triquetrum bone, unsp wrist, init for opn fxS62.113D Disp fx of triquetrum bone, unsp wrist, subsequent for opn fxS62.113S Disp fx of triquetrum bone, unsp wrist, sequela for opn fxS62.114B Nondisp fx of triquetrum bone, right wrist, init for opn fxS62.114D Nondisp fx of triquetrum bone, right wrist, subsequent for opn fxS62.114S Nondisp fx of triquetrum bone, right wrist, sequela for opn fxS62.115B Nondisp fx of triquetrum bone, left wrist, init for opn fxS62.115D Nondisp fx of triquetrum bone, left wrist, subsequent for opn fxS62.115S Nondisp fx of triquetrum bone, left wrist, sequela for opn fxS62.116B Nondisp fx of triquetrum bone, unsp wrist, init for opn fxS62.116D Nondisp fx of triquetrum bone, unsp wrist, subsequent for opn fx

    Page 29 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionS62.116S Nondisp fx of triquetrum bone, unsp wrist, sequela for opn fx

    814.14 S62.161B Disp fx of pisiform, right wrist, init for opn fx S62.161D Disp fx of pisiform, right wrist, subsequent for opn fx S62.161S Disp fx of pisiform, right wrist, sequela for opn fx

    S62.162B Disp fx of pisiform, left wrist, init for opn fxS62.162D Disp fx of pisiform, left wrist, subsequent for opn fxS62.162S Disp fx of pisiform, left wrist, sequela for opn fxS62.163B Disp fx of pisiform, unsp wrist, init for opn fxS62.163D Disp fx of pisiform, unsp wrist, subsequent for opn fxS62.163S Disp fx of pisiform, unsp wrist, sequela for opn fxS62.164B Nondisp fx of pisiform, right wrist, init for opn fxS62.164D Nondisp fx of pisiform, right wrist, subsequent for opn fxS62.164S Nondisp fx of pisiform, right wrist, sequela for opn fxS62.165B Nondisp fx of pisiform, left wrist, init for opn fxS62.165D Nondisp fx of pisiform, left wrist, init for opn fxS62.165S Nondisp fx of pisiform, left wrist, init for opn fxS62.166B Nondisp fx of pisiform, unsp wrist, init for opn fxS62.166D Nondisp fx of pisiform, unsp wrist, subsequent for opn fxS62.166S Nondisp fx of pisiform, unsp wrist, sequela for opn fx

    814.15 S62.171B Disp fx of trapezium, right wrist, init for opn fxS62.171D Disp fx of trapezium, right wrist, subsequent for opn fxS62.171S Disp fx of trapezium, right wrist, sequela for opn fxS62.172B Disp fx of trapezium, left wrist, init for opn fxS62.172D Disp fx of trapezium, left wrist, subsequent for opn fxS62.172S Disp fx of trapezium, left wrist, sequela for opn fxS62.173B Disp fx of trapezium, unsp wrist, init for opn fxS62.173D Disp fx of trapezium, unsp wrist, subsequent for opn fxS62.173S Disp fx of trapezium, unsp wrist, sequela for opn fxS62.174B Nondisp fx of trapezium, right wrist, init for opn fxS62.174D Nondisp fx of trapezium, right wrist, subsequent for opn fxS62.174S Nondisp fx of trapezium, right wrist, sequela for opn fxS62.175B Nondisp fx of trapezium, left wrist, init for opn fxS62.175D Nondisp fx of trapezium, left wrist, subsequent for opn fxS62.175S Nondisp fx of trapezium, left wrist, sequela for opn fx

    Page 30 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionS62.176B Nondisp fx of trapezium, unsp wrist, init for opn fxS62.176D Nondisp fx of trapezium, unsp wrist, subsequent for opn fxS62.176S Nondisp fx of trapezium, unsp wrist, sequela for opn fxS62.176B Nondisp fx of trapezium, unsp wrist, init for opn fxS62.176D Nondisp fx of trapezium, unsp wrist, subsequent for opn fxS62.176S Nondisp fx of trapezium, unsp wrist, sequela for opn fxS62.176B Nondisp fx of trapezium, unsp wrist, init for opn fxS62.176D Nondisp fx of trapezium, unsp wrist, subsequent for opn fxS62.176S Nondisp fx of trapezium, unsp wrist, sequela for opn fx

    814.16 S62.181B Disp fx of trapezoid, right wrist, init for opn fxS62.181D Disp fx of trapezoid, right wrist, subsequent for opn fxS62.181S Disp fx of trapezoid, right wrist, sequela for opn fxS62.181B Disp fx of trapezoid, right wrist, init for opn fxS62.181D Disp fx of trapezoid, right wrist, subsequent for opn fxS62.181S Disp fx of trapezoid, right wrist, sequela for opn fxS62.181B Disp fx of trapezoid, right wrist, init for opn fxS62.181D Disp fx of trapezoid, right wrist, subsequent for opn fxS62.181S Disp fx of trapezoid, right wrist, sequela for opn fxS62.182B Disp fx of trapezoid, left wrist, init for opn fxS62.182B Disp fx of trapezoid, left wrist, subsequent for opn fxS62.182B Disp fx of trapezoid, left wrist, sequela for opn fxS62.182B Disp fx of trapezoid, left wrist, init for opn fxS62.182B Disp fx of trapezoid, left wrist, subsequent for opn fxS62.182B Disp fx of trapezoid, left wrist, sequela for opn fxS62.182B Disp fx of trapezoid, left wrist, init for opn fxS62.182D Disp fx of trapezoid, left wrist, subsequent for opn fxS62.182S Disp fx of trapezoid, left wrist, sequela for opn fxS62.183B Disp fx of trapezoid, unsp wrist, init for opn fxS62.183B Disp fx of trapezoid, unsp wrist, subsequent for opn fxS62.183B Disp fx of trapezoid, unsp wrist, sequela for opn fxS62.183B Disp fx of trapezoid, unsp wrist, init for opn fxS62.183D Disp fx of trapezoid, unsp wrist, subsequent for opn fxS62.183S Disp fx of trapezoid, unsp wrist, sequela for opn fxS62.183B Disp fx of trapezoid, unsp wrist, init for opn fx

    Page 31 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionS62.183D Disp fx of trapezoid, unsp wrist, subsequent for opn fxS62.183S Disp fx of trapezoid, unsp wrist, sequela for opn fxS62.184B Nondisp fx of trapezoid, right wrist, init for opn fxS62.184D Nondisp fx of trapezoid, right wrist, subsequent for opn fxS62.184S Nondisp fx of trapezoid, right wrist, sequela for opn fxS62.185B Nondisp fx of trapezoid, left wrist, init for opn fxS62.185D Nondisp fx of trapezoid, left wrist, subsequent for opn fxS62.185S Nondisp fx of trapezoid, left wrist, sequela for opn fxS62.186B Nondisp fx of trapezoid, unsp wrist, init for opn fxS62.186D Nondisp fx of trapezoid, unsp wrist, subsequent for opn fxS62.186S Nondisp fx of trapezoid, unsp wrist, sequela for opn fx

    814.17 S62.131B Disp fx of capitate bone, right wrist, init for opn fxS62.131D Disp fx of capitate bone, right wrist, subsequent for opn fxS62.131S Disp fx of capitate bone, right wrist, sequela for opn fxS62.132B Disp fx of capitate bone, left wrist, init for opn fxS62.132D Disp fx of capitate bone, left wrist, subsequent for opn fxS62.132S Disp fx of capitate bone, left wrist, sequela for opn fxS62.133B Disp fx of capitate bone, unsp wrist, init for opn fxS62.133D Disp fx of capitate bone, unsp wrist, subsequent for opn fxS62.133S Disp fx of capitate bone, unsp wrist, sequela for opn fxS62.134B Nondisp fx of capitate bone, right wrist, init for opn fxS62.134D Nondisp fx of capitate bone, right wrist, subsequent for opn fxS62.134S Nondisp fx of capitate bone, right wrist, sequela for opn fxS62.135B Nondisp fx of capitate bone, left wrist, init for opn fxS62.135D Nondisp fx of capitate bone, left wrist, subsequent for opn fxS62.135S Nondisp fx of capitate bone, left wrist, sequela for opn fxS62.136B Nondisp fx of capitate bone, unsp wrist, init for opn fxS62.136D Nondisp fx of capitate bone, unsp wrist, subsequent for opn fxS62.136S Nondisp fx of capitate bone, unsp wrist, sequela for opn fx

    814.18 S62.141B Disp fx of body of hamate bone, right wrist, init for opn fxS62.141D Disp fx of body of hamate bone, right wrist, subsequent for opn fxS62.141S Disp fx of body of hamate bone, right wrist, sequela for opn fxS62.142B Disp fx of body of hamate bone, left wrist, init for opn fxS62.142D Disp fx of body of hamate bone, left wrist, subsequent for opn fx

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  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionS62.142S Disp fx of body of hamate bone, left wrist, sequela for opn fxS62.143B Disp fx of body of hamate bone, unsp wrist, init for opn fxS62.143D Disp fx of body of hamate bone, unsp wrist, subsequent for opn fxS62.143S Disp fx of body of hamate bone, unsp wrist, sequela for opn fxS62.144B Nondisp fx of body of hamate bone, r wrist, init for opn fxS62.144D Nondisp fx of body of hamate bone, r wrist, subsequent for opn fxS62.144S Nondisp fx of body of hamate bone, r wrist, sequela for opn fxS62.145B Nondisp fx of body of hamate bone, l wrist, init for opn fxS62.145D Nondisp fx of body of hamate bone, l wrist, subsequent for opn fxS62.145S Nondisp fx of body of hamate bone, l wrist sequela for opn fxS62.146B Nondisp fx of body of hamate bone, unsp wrs, init for opn fxS62.146D Nondisp fx of body of hamate bone, unsp wrs, subsequent for opn fxS62.146S Nondisp fx of body of hamate bone, unsp wrs, sequela for opn fx

    814.19 S62.151B Disp fx of hook pro of hamate bone, r wrist, init for opn fxS62.151D Disp fx of hook pro of hamate bone, r wrist, subsequent for opn fxS62.151S Disp fx of hook pro of hamate bone, r wrist, sequela for opn fxS62.152B Disp fx of hook pro of hamate bone, l wrist, init for opn fxS62.152D Disp fx of hook pro of hamate bone, l wrist, subsequent for opn fxS62.152S Disp fx of hook pro of hamate bone, l wrist, sequela for opn fxS62.153B Disp fx of hook pro of hamate bone, unsp wrs, 7thBS62.153D Disp fx of hook pro of hamate bone, unsp wrs, 7thB subsequentS62.153S Disp fx of hook pro of hamate bone, unsp wrs, 7thB sequelaS62.154B Nondisp fx of hook pro of hamate bone, r wrs, 7thBS62.154D Nondisp fx of hook pro of hamate bone, r wrs, 7thB subsequentS62.154S Nondisp fx of hook pro of hamate bone, r wrs, 7thB sequelaS62.155B Nondisp fx of hook pro of hamate bone, l wrs, 7thBS62.155D Nondisp fx of hook pro of hamate bone, l wrs, 7thB subsequentS62.155S Nondisp fx of hook pro of hamate bone, l wrs, 7thB sequelaS62.156B Nondisp fx of hook pro of hamate bone, unsp wrs, 7thBS62.156D Nondisp fx of hook pro of hamate bone, unsp wrs, 7thB subsequentS62.156S Nondisp fx of hook pro of hamate bone, unsp wrs, 7thB sequela

    815.09 815.09 S62.291A Oth fracture of first metacarpal bone, right hand, initS62.291D Oth fracture of first metacarpal bone, right hand, subsequentS62.291S Oth fracture of first metacarpal bone, right hand, sequela

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  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionS62.292A Oth fracture of first metacarpal bone, left hand, initS62.292D Oth fracture of first metacarpal bone, left hand, subsequentS62.292S Oth fracture of first metacarpal bone, left hand, sequelaS62.299A Oth fracture of first metacarpal bone, unsp hand, initS62.299D Oth fracture of first metacarpal bone, unsp hand, subsequentS62.299S Oth fracture of first metacarpal bone, unsp hand, sequelaS62.300A Unsp fracture of second metacarpal bone, right hand, initS62.300D Unsp fracture of second metacarpal bone, right hand, subsequentS62.300S Unsp fracture of second metacarpal bone, right hand, sequelaS62.301A Unsp fracture of second metacarpal bone, left hand, initS62.301D Unsp fracture of second metacarpal bone, left hand, subsequentS62.301S Unsp fracture of second metacarpal bone, left hand, sequelaS62.302A Unsp fracture of third metacarpal bone, right hand, initS62.302D Unsp fracture of third metacarpal bone, right hand, subsequentS62.302S Unsp fracture of third metacarpal bone, right hand, sequelaS62.303A Unsp fracture of third metacarpal bone, left hand, initS62.303D Unsp fracture of third metacarpal bone, left hand, subsequentS62.303A Unsp fracture of third metacarpal bone, left hand, sequelaS62.304A Unsp fracture of fourth metacarpal bone, right hand, initS62.304D Unsp fracture of fourth metacarpal bone, right hand, subsequentS62.304A Unsp fracture of fourth metacarpal bone, right hand, sequelaS62.305A Unsp fracture of fourth metacarpal bone, left hand, initS62.305D Unsp fracture of fourth metacarpal bone, left hand, subsequentS62.305S Unsp fracture of fourth metacarpal bone, left hand, sequelaS62.306A Unsp fracture of fifth metacarpal bone, right hand, initS62.306D Unsp fracture of fifth metacarpal bone, right hand, subsequentS62.306S Unsp fracture of fifth metacarpal bone, right hand, sequelaS62.307A Unsp fracture of fifth metacarpal bone, left hand, initS62.307D Unsp fracture of fifth metacarpal bone, left hand, subsequentS62.307S Unsp fracture of fifth metacarpal bone, left hand, sequelaS62.308A Unsp fracture of oth metacarpal bone, init for clos fxS62.308D Unsp fracture of oth metacarpal bone, subsequent for clos fxS62.308S Unsp fracture of oth metacarpal bone, sequela for clos fxS62.309A Fracture of metacarpal bone closed multiple sire of metacarpus

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  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionS62.309D Fracture of metacarpal bone closed multiple sire of metacarpus, subsequentS62.309S Fracture of metacarpal bone closed multiple sire of metacarpus, sequelaS62.390A Oth fracture of second metacarpal bone, right hand, initS62.390D Oth fracture of second metacarpal bone, right hand, subsequentS62.390S Oth fracture of second metacarpal bone, right hand, sequelaS62.391A Oth fracture of second metacarpal bone, left hand, initS62.391D Oth fracture of second metacarpal bone, left hand, subsequentS62.391S Oth fracture of second metacarpal bone, left hand, sequelaS62.392A Oth fracture of third metacarpal bone, right hand, initS62.392D Oth fracture of third metacarpal bone, right hand, subsequentS62.392S Oth fracture of third metacarpal bone, right hand, sequelaS62.393A Oth fracture of third metacarpal bone, left hand, initS62.393D Oth fracture of third metacarpal bone, left hand, subsequentS62.393S Oth fracture of third metacarpal bone, left hand, sequelaS62.394A Oth fracture of fourth metacarpal bone, right hand, initS62.394D Oth fracture of fourth metacarpal bone, right hand, subsequentS62.394S Oth fracture of fourth metacarpal bone, right hand, sequelaS62.395A Oth fracture of fourth metacarpal bone, left hand, initS62.395D Oth fracture of fourth metacarpal bone, left hand, subsequentS62.395S Oth fracture of fourth metacarpal bone, left hand, sequelaS62.396A Oth fracture of fifth metacarpal bone, right hand, initS62.396D Oth fracture of fifth metacarpal bone, right hand, subsequentS62.396S Oth fracture of fifth metacarpal bone, right hand, sequelaS62.397A Oth fracture of fifth metacarpal bone, left hand, initS62.397D Oth fracture of fifth metacarpal bone, left hand, subsequentS62.397S Oth fracture of fifth metacarpal bone, left hand, sequelaS62.398A Oth fracture of oth metacarpal bone, init for clos fxS62.398D Oth fracture of oth metacarpal bone, subsequent for clos fxS62.398S Oth fracture of oth metacarpal bone, sequela for clos fxS62.399A Oth fracture of unsp metacarpal bone, init for clos fxS62.399D Oth fracture of unsp metacarpal bone, subsequent for clos fxS62.399S Oth fracture of unsp metacarpal bone, sequela for clos fx

    821.00 821.00 S72.8X1A Oth fracture of right femur, init encntr for closed fractureS72.8X1D Oth fracture of right femur, subsequent encntr for closed fracture

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  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionS72.8X1S Oth fracture of right femur, sequela encntr for closed fractureS72.8X2A Oth fracture of left femur, init encntr for closed fractureS72.8X2D Oth fracture of left femur, subsequent encntr for closed fractureS72.8X2S Oth fracture of left femur, sequela encntr for closed fractureS72.8X9A Oth fracture of unsp femur, init encntr for closed fractureS72.8X9S Oth fracture of unsp femur, subsequent encntr for closed fractureS72.8X9D Oth fracture of unsp femur, sequela encntr for closed fractureS72.90XA Fracture of shaft and unspecified parts of femur, closedS72.91XA Unsp fracture of right femur, init for clos fxS72.91XD Unsp fracture of right femur, subsequent for clos fxS72.91XS Unsp fracture of right femur, sequela for clos fxS72.92XA Unsp fracture of left femur, init encntr for closed fractureS72.92XD Unsp fracture of left femur, subsequent encntr for closed fractureS72.92XA Unsp fracture of left femur, sequela encntr for closed fracture

    821.23 821.23 S72.451A Displ suprcndl fx w/o intrcndl extn lower end r femur, initS72.451D Displ suprcndl fx w/o intrcndl extn lower end r femur, subsequentS72.451S Displ suprcndl fx w/o intrcndl extn lower end r femur, sequelaS72.452A Displ suprcndl fx w/o intrcndl extn lower end l femur, initS72.452D Displ suprcndl fx w/o intrcndl extn lower end l femur, subsequentS72.452S Displ suprcndl fx w/o intrcndl extn lower end l femur, sequelaS72.453A Fracture of other and unspecified part of femur lower end closed, supracondylar fractureS72.454A Nondisp suprcndl fx w/o intrcndl extn lower end r femr, initS72.454D Nondisp suprcndl fx w/o intrcndl extn lower end r femr, subsequentS72.454S Nondisp suprcndl fx w/o intrcndl extn lower end r femr, sequelaS72.455A Nondisp suprcndl fx w/o intrcndl extn lower end l femr, initS72.455D Nondisp suprcndl fx w/o intrcndl extn lower end l femr, subsequentS72.455S Nondisp suprcndl fx w/o intrcndl extn lower end l femr, sequelaS72.456A Nondisp suprcndl fx w/o intrcndl extn low end unsp femr, initS72.456D Nondisp suprcndl fx w/o intrcndl extn low end unsp femr, subsequentS72.456S Nondisp suprcndl fx w/o intrcndl extn low end unsp femr, sequelaS72.461A Displ suprcndl fx w intrcndl extn lower end of r femur, initS72.461D Displ suprcndl fx w intrcndl extn lower end of r femur, subsequentS72.461S Displ suprcndl fx w intrcndl extn lower end of r femur, sequelaS72.462A Displ suprcndl fx w intrcndl extn lower end of l femur, init

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  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionS72.462D Displ suprcndl fx w intrcndl extn lower end of l femur, subsequentS72.462S Displ suprcndl fx w intrcndl extn lower end of l femur, sequelaS72.463A Displ suprcndl fx w intrcndl extn lower end unsp femur, initS72.463D Displ suprcndl fx w intrcndl extn lower end unsp femur, subsequentS72.463S Displ suprcndl fx w intrcndl extn lower end unsp femur, sequelaS72.464A Nondisp suprcndl fx w intrcndl extn lower end r femur, initS72.464D Nondisp suprcndl fx w intrcndl extn lower end r femur, subsequentS72.464S Nondisp suprcndl fx w intrcndl extn lower end r femur, sequelaS72.465A Nondisp suprcndl fx w intrcndl extn lower end l femur, initS72.465D Nondisp suprcndl fx w intrcndl extn lower end l femur, subsequentS72.465D Nondisp suprcndl fx w intrcndl extn lower end l femur, sequelaS72.466A Nondisp suprcndl fx w intrcndl extn low end unsp femr, initS72.466D Nondisp suprcndl fx w intrcndl extn low end unsp femr, subsequentS72.466S Nondisp suprcndl fx w intrcndl extn low end unsp femr, sequela

    831.00 831.00 S43.001A Unspecified subluxation of right shoulder joint, init encntrS43.001D Unspecified subluxation of right shoulder joint, subsequent encntrS43.001S Unspecified subluxation of right shoulder joint, sequela encntrS43.002A Unspecified subluxation of left shoulder joint, init encntrS43.002D Unspecified subluxation of left shoulder joint, subsequent encntrS43.002S Unspecified subluxation of left shoulder joint, sequela encntrS43.003A Unsp subluxation of unspecified shoulder joint, init encntrS43.003D Unsp subluxation of unspecified shoulder joint, subsequent encntrS43.003S Unsp subluxation of unspecified shoulder joint, sequela encntrS43.004A Unspecified dislocation of right shoulder joint, init encntrS43.004D Unspecified dislocation of right shoulder joint, subsequent encntrS43.004S Unspecified dislocation of right shoulder joint, sequela encntrS43.005A Unspecified dislocation of left shoulder joint, init encntrS43.005D Unspecified dislocation of left shoulder joint, subsequent encntrS43.005S Unspecified dislocation of left shoulder joint, sequela encntrS43.006A Dislocation of shoulder closed, unspecified

    831.01 831.01 S43.011A Anterior subluxation of right humerus, initial encounterS43.011D Anterior subluxation of right humerus, subsequent encounterS43.011S Anterior subluxation of right humerus, sequela encounterS43.012A Anterior subluxation of left humerus, initial encounter

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  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionS43.012D Anterior subluxation of left humerus, subsequent encounterS43.012S Anterior subluxation of left humerus, sequela encounterS43.013A Anterior subluxation of unspecified humerus, init encntrS43.013D Anterior subluxation of unspecified humerus, subsequent encntrS43.013S Anterior subluxation of unspecified humerus sequela encntrS43.014A Anterior dislocation of right humerus, initial encounterS43.014D Anterior dislocation of right humerus, subsequent encounterS43.014S Anterior dislocation of right humerus, sequela encounterS43.015A Anterior dislocation of left humerus, initial encounterS43.015D Anterior dislocation of left humerus, subsequent encounterS43.015S Anterior dislocation of left humerus, sequela encounterS43.016A Anterior dislocation of unspecified humerus, init encntrS43.016D Anterior dislocation of unspecified humerus, subsequent encntrS43.016S Anterior dislocation of unspecified humerus, sequela encntr

    832.00 832.00 S53.001A Unspecified subluxation of right radial head, init encntrS53.001D Unspecified subluxation of right radial head, subsequent encntrS53.001S Unspecified subluxation of right radial head, sequela encntrS53.002A Unspecified subluxation of left radial head, init encntrS53.002D Unspecified subluxation of left radial head, subsequent encntrS53.002S Unspecified subluxation of left radial head, sequela encntrS53.003A Unsp subluxation of unspecified radial head, init encntrS53.003D Unsp subluxation of unspecified radial head, subsequent encntrS53.003S Unsp subluxation of unspecified radial head, sequela encntrS53.004A Unspecified dislocation of right radial head, init encntrS53.004D Unspecified dislocation of right radial head, subsequent encntrS53.004S Unspecified dislocation of right radial head, sequela encntrS53.005A Unspecified dislocation of left radial head, init encntrS53.005D Unspecified dislocation of left radial head, subsequent encntrS53.005S Unspecified dislocation of left radial head, sequela encntrS42.016A Dislocation of shoulder closed, anterior dislocation of humerusS53.006A Dislocation of elbow closed, unspecifiedS53.101A Unsp subluxation of right ulnohumeral joint, init encntrS53.101D Unsp subluxation of right ulnohumeral joint, subsequent encntrS53.101S Unsp subluxation of right ulnohumeral joint, sequela encntr

    Page 38 of 57 2/12/2018

  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionS53.102A Unsp subluxation of left ulnohumeral joint, init encntrS53.102D Unsp subluxation of left ulnohumeral joint, subsequent encntrS53.102S Unsp subluxation of left ulnohumeral joint, sequela encntrS53.103A Unsp subluxation of unsp ulnohumeral joint, init encntrS53.103D Unsp subluxation of unsp ulnohumeral joint, subsequent encntrS53.103S Unsp subluxation of unsp ulnohumeral joint, sequela encntrS53.104A Unsp dislocation of right ulnohumeral joint, init encntrS53.104D Unsp dislocation of right ulnohumeral joint, subsequent encntrS53.104S Unsp dislocation of right ulnohumeral joint, sequela encntrS53.105A Unsp dislocation of left ulnohumeral joint, init encntrS53.105D Unsp dislocation of left ulnohumeral joint, subsequent encntrS53.105S Unsp dislocation of left ulnohumeral joint, sequela encntrS53.106A Unsp dislocation of unsp ulnohumeral joint, init encntrS53.106D Unsp dislocation of unsp ulnohumeral joint, subsequent encntrS53.106S Unsp dislocation of unsp ulnohumeral joint, sequela encntr

    836 836.0 S83.211A Bucket-hndl tear of medial mensc, crnt injury, r knee, initS83.211D Bucket-hndl tear of medial mensc, crnt injury, r knee, subsequentS83.211S Bucket-hndl tear of medial mensc, crnt injury, r knee, sequelaS83.212A Bucket-hndl tear of medial mensc, crnt injury, l knee, initS83.212D Bucket-hndl tear of medial mensc, crnt injury, l knee, subsequentS83.212S Bucket-hndl tear of medial mensc, crnt injury, l knee, sequelaS83.219A Dislocation of knee, tear of medical cartilage or meniscusS83.221A Prph tear of medial meniscus, current injury, r knee, initS83.221D Prph tear of medial meniscus, current injury, r knee, subsequentS83.221S Prph tear of medial meniscus, current injury, r knee, sequelaS83.222A Prph tear of medial meniscus, current injury, l knee, initS83.222D Prph tear of medial meniscus, current injury, l knee, subsequentS83.222S Prph tear of medial meniscus, current injury, l knee, sequelaS83.229A Prph tear of medial mensc, current injury, unsp knee, initS83.229D Prph tear of medial mensc, current injury, unsp knee, subsequentS83.229S Prph tear of medial mensc, current injury, unsp knee, sequelaS83.231A Complex tear of medial mensc, current injury, r knee, initS83.231D Complex tear of medial mensc, current injury, r knee, subsequentS83.231S Complex tear of medial mensc, current injury, r knee, sequela

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  • U-M Premier Care Therapy Diagnosis Codes

    ICD-9 code ICD-9 code ICD-10 code DescriptionS83.232A Complex tear of medial mensc, current injury, l knee, initS83.232D Complex tear of medial mensc, current injury, l knee, subsequentS83.232S Complex tear of medial mensc, current injury, l knee, sequelaS83.239A Cmplx tear of medial mensc, current injury, unsp knee, initS83.239D Cmplx tear of medial mensc, current injury, unsp knee, subsequentS83.239S Cmplx tear of medial mensc, current injury, unsp knee, sequelaS83.241A Oth tear of medial meniscus, current injury, r knee, initS83.241D Oth tear of medial meniscus, current injury, r knee, subsequentS83.241S Oth tear of medial meniscus, current injury, r knee, sequelaS83.242A Oth tear of medial meniscus, current injury, left knee, initS83.242D Oth tear of medial meniscus, current injury, left knee, subsequentS83.242S Oth tear of medial meniscus, current injury, left knee, sequelaS83.249A Oth tear of medial meniscus, cu