Diagnosis Codes
Covered Diagnosis codes for J0585 when billed with: 46505, 52287, 53899, 64611, 64612, 64615, 64616, 64617, 64642, 64643, 64644, 64645, 64646, 64647, 64999, 67345, 92265, 95873, 95874, S2340, S2341
F80.81
|
F95.2
|
F98.5
|
G04.1
|
G11.4
|
G20
|
G24.01
|
G24.02
|
G24.09
|
G24.1
|
G24.2
|
G24.3
|
G24.4
|
G24.5
|
G24.8
|
G24.9
|
G25.0
|
G25.3
|
G25.89
|
G35
|
G36.0
|
G36.8
|
G37.0
|
G37.1
|
G37.2
|
G37.4
|
G37.5
|
G37.8
|
G37.9
|
G43.011
|
G43.019
|
G43.111
|
G43.119
|
G43.701
|
G43.709
|
G43.711
|
G43.719
|
G44.301
|
G44.86
|
G50.0
|
G50.8
|
G51.0
|
G51.1
|
G51.2
|
G51.31
|
G51.32
|
G51.33
|
G51.39
|
G51.4
|
G51.8
|
G54.0
|
G56.81
|
G56.82
|
G56.83
|
G57.81
|
G57.82
|
G57.83
|
G80.0
|
G80.1
|
G80.2
|
G80.3
|
G80.4
|
G80.8
|
G80.9
|
G81.11
|
G81.12
|
G81.13
|
G81.14
|
G82.20
|
G82.21
|
G82.22
|
G82.50
|
G82.51
|
G82.52
|
G82.53
|
G82.54
|
G83.0
|
G83.10
|
G83.11
|
G83.12
|
G83.13
|
G83.14
|
G83.21
|
G83.22
|
G83.23
|
G83.24
|
G83.31
|
G83.32
|
G83.33
|
G83.34
|
G83.4
|
H04.211
|
H04.212
|
H04.213
|
H04.219
|
H49.00
|
H49.01
|
H49.02
|
H49.03
|
H49.11
|
H49.12
|
H49.13
|
H49.21
|
H49.22
|
H49.23
|
H49.31
|
H49.32
|
H49.33
|
H49.41
|
H49.42
|
H49.43
|
H49.881
|
H49.882
|
H49.883
|
H50.00
|
H50.011
|
H50.012
|
H50.021
|
H50.022
|
H50.031
|
H50.032
|
H50.041
|
H50.042
|
H50.05
|
H50.06
|
H50.07
|
H50.08
|
H50.10
|
H50.111
|
H50.112
|
H50.121
|
H50.122
|
H50.131
|
H50.132
|
H50.141
|
H50.142
|
H50.15
|
H50.16
|
H50.17
|
H50.18
|
H50.21
|
H50.22
|
H50.30
|
H50.311
|
H50.312
|
H50.32
|
H50.331
|
H50.332
|
H50.34
|
H50.40
|
H50.411
|
H50.412
|
H50.43
|
H50.50
|
H50.51
|
H50.52
|
H50.53
|
H50.60
|
H50.611
|
H50.612
|
H50.69
|
H50.89
|
I69.031
|
I69.032
|
I69.033
|
I69.034
|
I69.041
|
I69.042
|
I69.043
|
I69.044
|
I69.049
|
I69.051
|
I69.052
|
I69.053
|
I69.054
|
I69.061
|
I69.062
|
I69.063
|
I69.064
|
I69.065
|
I69.131
|
I69.132
|
I69.133
|
I69.134
|
I69.141
|
I69.142
|
I69.143
|
I69.144
|
I69.149
|
I69.151
|
I69.152
|
I69.153
|
I69.154
|
I69.161
|
I69.162
|
I69.163
|
I69.164
|
I69.165
|
I69.231
|
I69.232
|
I69.233
|
I69.234
|
I69.241
|
I69.242
|
I69.243
|
I69.244
|
I69.251
|
I69.252
|
I69.253
|
I69.254
|
I69.261
|
I69.262
|
I69.263
|
I69.264
|
I69.265
|
I69.331
|
I69.332
|
I69.333
|
I69.334
|
I69.341
|
I69.342
|
I69.343
|
I69.344
|
I69.349
|
I69.351
|
I69.352
|
I69.353
|
I69.354
|
I69.361
|
I69.362
|
I69.363
|
I69.364
|
I69.365
|
I69.831
|
I69.832
|
I69.833
|
I69.834
|
I69.841
|
I69.842
|
I69.843
|
I69.844
|
I69.849
|
I69.851
|
I69.852
|
I69.853
|
I69.854
|
I69.861
|
I69.862
|
I69.863
|
I69.864
|
I69.865
|
I69.869
|
I69.931
|
I69.932
|
I69.933
|
I69.934
|
I69.941
|
I69.942
|
I69.943
|
I69.944
|
I69.949
|
I69.951
|
I69.952
|
I69.953
|
I69.954
|
I69.961
|
I69.962
|
I69.963
|
I69.964
|
I69.965
|
J38.3
|
J38.5
|
J38.7
|
J39.2
|
K11.7
|
K22.0
|
K22.4
|
K60.2
|
L74.511
|
M26.601
|
M26.602
|
M26.603
|
M26.609
|
M26.69
|
M43.6
|
M77.10
|
M77.11
|
M77.12
|
M79.18
|
N31.0
|
N31.1
|
N31.8
|
N31.9
|
N32.81
|
N36.5
|
N39.3
|
N39.41
|
N39.43
|
N39.44
|
N39.45
|
N39.46
|
N39.498
|
N40.1
|
R13.13
|
R13.14
|
R25.0
|
R25.1
|
R25.2
|
R25.3
|
R25.8
|
R25.9
|
R32
|
R49.0
|
R49.8
|
S13.4XXA
|
S13.4XXD
|
S13.4XXS
|
|
|
|
|
|
Covered Diagnosis codes for J0586 when billed with: 64615, 64616, 64642, 64643, 64644, 64645, 95873, 95874
G11.4 |
G24.3 |
G25.89 |
G80.0 |
G80.1 |
G80.2 |
G80.8 |
G80.9 |
G81.10 |
G81.11 |
G81.12 |
G81.13 |
G81.14 |
G82.20 |
G82.21 |
G82.22 |
G82.50 |
G82.51 |
G82.52 |
G82.53 |
G82.54 |
G83.0 |
G83.10 |
G83.11 |
G83.12 |
G83.13 |
G83.14 |
G83.20 |
G83.21 |
G83.22 |
G83.23 |
G83.24 |
G83.31 |
G83.32 |
G83.33 |
G83.34 |
I69.031 |
I69.032 |
I69.033 |
I69.034 |
I69.039 |
I69.041 |
I69.042 |
I69.043 |
I69.044 |
I69.051 |
I69.052 |
I69.053 |
I69.054 |
I69.059 |
I69.061 |
I69.062 |
I69.063 |
I69.064 |
I69.065 |
I69.131 |
I69.132 |
I69.133 |
I69.134 |
I69.139 |
I69.141 |
I69.142 |
I69.143 |
I69.144 |
I69.151 |
I69.152 |
I69.153 |
I69.154 |
I69.161 |
I69.162 |
I69.163 |
I69.164 |
I69.165 |
I69.231 |
I69.232 |
I69.233 |
I69.234 |
I69.239 |
I69.241 |
I69.242 |
I69.243 |
I69.244 |
I69.251 |
I69.252 |
I69.253 |
I69.254 |
I69.259 |
I69.261 |
I69.262 |
I69.263 |
I69.264 |
I69.265 |
I69.331 |
I69.332 |
I69.333 |
I69.334 |
I69.339 |
I69.341 |
I69.342 |
I69.343 |
I69.344 |
I69.351 |
I69.352 |
I69.353 |
I69.354 |
I69.359 |
I69.361 |
I69.362 |
I69.363 |
I69.364 |
I69.365 |
I69.831 |
I69.832 |
I69.833 |
I69.834 |
I69.839 |
I69.841 |
I69.842 |
I69.843 |
I69.844 |
I69.851 |
I69.852 |
I69.853 |
I69.854 |
I69.859 |
I69.861 |
I69.862 |
I69.863 |
I69.864 |
I69.865 |
I69.931 |
I69.932 |
I69.933 |
I69.934 |
I69.939 |
I69.941 |
I69.942 |
I69.943 |
I69.944 |
I69.951 |
I69.952 |
I69.953 |
I69.954 |
I69.959 |
I69.961 |
I69.962 |
I69.963 |
I69.964 |
I69.965 |
R25.2 |
|
|
|
|
Covered Diagnosis codes for J0587 when billed with: 64611, 64616, 95873, 95874
Covered Diagnosis codes for J0588 when billed with: 64612, 64616, 64642, 64643, 64644, 64645, 95873, 95874
G24.3
|
G24.5
|
G56.81
|
G56.82
|
G56.83
|
G80.0
|
G80.1
|
G80.2
|
G80.3
|
G80.4
|
G80.8
|
G80.9
|
G81.11
|
G81.12
|
G81.13
|
G81.14
|
G83.21
|
G83.22
|
G83.23
|
G83.24
|
K11.7 |
R25.2
|