Diagnosis Codes
Covered Diagnosis Codes for procedure codes 93268, 93270, 93271, and 93272
I25.111 |
I25.118 |
I25.119 |
I25.701 |
I25.708 |
I25.709 |
I25.711 |
I25.718 |
I25.719 |
I25.721 |
I25.728 |
I25.729 |
I25.731 |
I25.738 |
I25.739 |
I25.751 |
I25.758 |
I25.759 |
I25.761 |
I25.768 |
I25.769 |
I25.791 |
I25.798 |
I25.799 |
I46.2 |
I46.8 |
I46.9 |
I47.0 |
I47.20 |
I47.29 |
I49.3 |
I49.01 |
I49.02 |
I50.1 |
Q24.6 |
Q25.21 |
Q25.29 |
Q25.40 |
Q25.41 |
Q25.42 |
Q25.43 |
Q25.44 |
Q25.45 |
Q25.46 |
Q25.47 |
Q25.48 |
Q25.49 |
R06.3 |
R06.83 |
R06.89 |
R07.82 |
R40.4 |
Covered Diagnosis Codes for procedure codes 93228, 93229, 93268, 93270, 93271, and 93272
I20.1 |
I20.8 |
I20.9 |
I44.0 |
I44.1 |
I44.2 |
I44.4 |
I44.5 |
I44.7 |
I44.30 |
I44.39 |
I44.60 |
I44.69 |
I45.0 |
I45.2 |
I45.3 |
I45.4 |
I45.5 |
I45.6 |
I45.10 |
I45.19 |
I45.89 |
I47.1 |
I47.9 |
I48.0 |
I48.11 |
I48.19 |
I48.20 |
I48.21 |
I48.3 |
I48.4 |
I48.91 |
I48.92 |
I49.1 |
I49.49 |
I49.2 |
I49.5 |
R06.00 |
R06.01 |
R06.02 |
R06.09 |
R07.2 |
R07.9 |
R07.89 |
Covered Diagnosis Codes for procedure codes 33285, 33286, 93228, 93229, 93268, 93270, 93271, 93272, 93285, 93291, 93297, 93298, and E0616
I45.9 |
I45.81 |
I49.8 |
I49.9 |
I49.40 |
R00.1 |
R00.2 |
R42 |
R55 |
Covered Diagnosis Codes for procedure codes 33285, 33286, 93285, 93291,93297, 93298, and E0616
G45.9 |
I63.81 |
I63.89 |
I63.9 |
I63.50 |
I63.59 |
I63.313 |
I63.323 |
I63.333 |
I63.343 |
I63.413 |
I63.423 |
I63.433 |
I63.511 |
I63.512 |
I63.519 |
I63.521 |
I63.522 |
I63.529 |
I63.531 |
I63.532 |
I63.539 |
I63.541 |
I63.542 |
I63.549 |
I67.841 |
I67.848 |
Z45.09 |
Z86.73 |
Z95.818 |
Covered Diagnosis Codes for procedure codes 93228, and 93229
121.11 |
I20.8 |
I21.01 |
I21.02 |
I21.09 |
I21.9 |
I21.A1 |
I21.A9 |
I22.0 |
I22.1 |
I22.9 |
I24.1 |
I24.8 |
I24.9 |
I25.2 |
I25.5 |
I25.6 |
I49.2 |
R00.0 |
R00.8 |
R00.9 |
Z82.49 |
Z86.74 |