Diagnosis Codes
Covered Diagnosis Codes for Procedure Codes: 95115, 95117, 95120, 95125, 95130, 95131, 95132, 95133, 95134, 95144, 95145, 95146, 95147, 95148, 95149, 95165, 95170, 95180
E905.3 |
H10.10 |
H10.11 |
H10.12 |
H10.13 |
H10.44 |
H10.45 |
J30.0 |
J30.1 |
J30.2 |
J30.81 |
J30.89 |
J30.9 |
J45.20 |
J45.21 |
J45.30 |
J45.31 |
J45.40 |
J45.41 |
J45.50 |
J45.51 |
J45.901 |
J45.902 |
J45.909 |
J45.991 |
J45.998 |
J82.81 |
J82.82 |
J82.89 |
T63.421A |
T63.421D |
T63.421S |
T63.441A |
T63.441D |
T63.441S |
T63.451A |
T63.451D |
T63.451S |
T63.461A |
T63.461D |
T63.461S |
T78.40XA |
T78.40XD |
T78.40XS |
T78.49XA |
T78.49XD |
T78.49XS |
Z51.6 |
Z91.030 |
Z91.038 |