Diagnosis Codes
Covered Diagnosis Codes for A4619, A7003, A7004, A7005, A7013, A7014, A7015, A7525, E0570, J3490, J7605, J7606, J7608, J7611, J7612, J7613, J7614, J7626, J7631, J7644, J7669, S0142
A15.0 |
A22.1 |
A31.0 |
A31.2 |
A37.01 |
A37.11 |
A37.81 |
A37.91 |
A48.1 |
B20 |
B25.0 |
B34.2 |
B44.0 |
B59 |
B77.81 |
B97.21 |
B97.29 |
E84.0 |
E84.11 |
E84.19 |
E84.8 |
E84.9 |
J05.0 |
J09.X1 |
J09.X2 |
J09.X3 |
J09.X9 |
J10.1 |
J10.2 |
J10.00 |
J10.01 |
J10.08 |
J10.81 |
J10.82 |
J10.83 |
J10.89 |
J11.1 |
J11.2 |
J11.00 |
J11.08 |
J11.81 |
J11.82 |
J11.83 |
J11.89 |
J12.0 |
J12.1 |
J12.2 |
J12.3 |
J12.9 |
J12.81 |
J12.82 |
J12.89 |
J13 |
J14 |
J15.0 |
J15.1 |
J15.3 |
J15.4 |
J15.5 |
J15.61 |
J15.69 |
J15.7 |
J15.8 |
J15.9 |
J15.20 |
J15.29 |
J15.211 |
J15.212 |
J16.0 |
J16.8 |
J18.0 |
J18.1 |
J18.8 |
J18.9 |
J20.8 |
J21.0 |
J21.1 |
J21.8 |
J21.9 |
J22 |
J40 |
J41.0 |
J41.1 |
J44.89 |
J41.8 |
J42 |
J43.0 |
J43.1 |
J43.2 |
J43.8 |
J43.9 |
J44.0 |
J44.1 |
J44.9 |
J45.20 |
J45.21 |
J45.22 |
J45.30 |
J45.31 |
J45.32 |
J45.40 |
J45.41 |
J45.42 |
J45.50 |
J45.51 |
J45.52 |
J45.901 |
J45.902 |
J45.909 |
J45.990 |
J45.991 |
J45.998 |
J47.0 |
J47.1 |
J47.9 |
J60 |
J61 |
J62.0 |
J62.8 |
J63.0 |
J63.1 |
J63.2 |
J63.3 |
J63.4 |
J63.5 |
J63.6 |
J64 |
J65 |
J66.0 |
J66.1 |
J66.2 |
J66.8 |
J67.0 |
J67.1 |
J67.2 |
J67.3 |
J67.4 |
J67.5 |
J67.6 |
J67.7 |
J67.8 |
J67.9 |
J68.0 |
J68.1 |
J68.2 |
J68.3 |
J68.4 |
J68.8 |
J68.9 |
J69.0 |
J69.1 |
J69.8 |
J70.0 |
J70.1 |
J70.2 |
J70.3 |
J70.4 |
J70.5 |
J70.8 |
J70.9 |
J80 |
J98.8 |
Q33.4 |
T86.5 |
T86.00 |
T86.01 |
T86.02 |
T86.03 |
T86.09 |
T86.10 |
T86.11 |
T86.12 |
T86.13 |
T86.19 |
T86.20 |
T86.21 |
T86.22 |
T86.23 |
T86.30 |
T86.31 |
T86.32 |
T86.33 |
T86.39 |
T86.40 |
T86.41 |
T86.42 |
T86.43 |
T86.49 |
T86.90 |
T86.91 |
T86.92 |
T86.93 |
T86.99 |
T86.290 |
T86.298 |
T86.810 |
T86.811 |
T86.812 |
T86.818 |
T86.819 |
T86.830 |
T86.831 |
T86.832 |
T86.838 |
T86.839 |
T86.850 |
T86.851 |
T86.852 |
T86.858 |
T86.859 |
T86.890 |
T86.891 |
T86.892 |
T86.898 |
T86.899 |
U07.1 |
Covered Diagnosis Codes for A7006, A7013, A7014, E0565, E0570, E0572, J2545
B20 |
B34.2 |
B59 |
B97.21 |
B97.29 |
J12.81 |
J12.82 |
J12.89 |
J20.8 |
J22 |
J40 |
J80 |
J98.8 |
T86.5 |
T86.00 |
T86.01 |
T86.02 |
T86.03 |
T86.09 |
T86.10 |
T86.11 |
T86.12 |
T86.13 |
T86.19 |
T86.20 |
T86.21 |
T86.22 |
T86.23 |
T86.30 |
T86.31 |
T86.32 |
T86.33 |
T86.39 |
T86.40 |
T86.41 |
T86.42 |
T86.43 |
T86.49 |
T86.90 |
T86.91 |
T86.92 |
T86.93 |
T86.99 |
T86.290 |
T86.298 |
T86.810 |
T86.811 |
T86.812 |
T86.818 |
T86.819 |
T86.830 |
T86.831 |
T86.832 |
T86.838 |
T86.839 |
T86.850 |
T86.851 |
T86.852 |
T86.858 |
T86.859 |
T86.890 |
T86.891 |
T86.892 |
T86.898 |
T86.899 |
U07.1 |
Covered Diagnosis Codes for A4619, A7010, A7012, A7013, A7014, A7015, A7017, A7525, A7526, E0565, E0572, E0585, E1372
A15.0 |
A22.1 |
A37.01 |
A37.11 |
A37.81 |
A37.91 |
A48.1 |
B20 |
B25.0 |
B34.2 |
B44.0 |
B59 |
B77.81 |
B97.21 |
B97.29 |
E84.0 |
J09.X1 |
J09.X2 |
J09.X3 |
J09.X9 |
J10.1 |
J10.2 |
J10.00 |
J10.01 |
J10.08 |
J10.81 |
J10.82 |
J10.83 |
J10.89 |
J11.1 |
J11.2 |
J11.00 |
J11.08 |
J11.81 |
J11.82 |
J11.83 |
J11.89 |
J12.0 |
J12.1 |
J12.2 |
J12.3 |
J12.9 |
J12.81 |
J12.82 |
J12.89 |
J13 |
J14 |
J15.0 |
J15.1 |
J15.3 |
J15.4 |
J15.5 |
J15.61 |
J15.69 |
J15.7 |
J15.8 |
J15.9 |
J15.20 |
J15.29 |
J15.211 |
J15.212 |
J16.0 |
J16.8 |
J18.0 |
J18.1 |
J18.8 |
J18.9 |
J20.8 |
J22 |
J39.8 |
J40 |
J41.0 |
J41.1 |
J41.8 |
J42 |
J43.0 |
J43.1 |
J43.2 |
J43.8 |
J43.9 |
J44.0 |
J44.1 |
J44.89 |
J44.9 |
J45.20 |
J45.21 |
J45.22 |
J45.30 |
J45.31 |
J45.32 |
J45.40 |
J45.41 |
J45.42 |
J45.50 |
J45.51 |
J45.52 |
J45.901 |
J45.902 |
J45.909 |
J45.990 |
J45.991 |
J45.998 |
J47.0 |
J47.1 |
J47.9 |
J60 |
J61 |
J62.0 |
J62.8 |
J63.0 |
J63.1 |
J63.2 |
J63.3 |
J63.4 |
J63.5 |
J63.6 |
J64 |
J65 |
J66.0 |
J66.1 |
J66.2 |
J66.8 |
J67.0 |
J67.1 |
J67.2 |
J67.3 |
J67.4 |
J67.5 |
J67.6 |
J67.7 |
J67.8 |
J67.9 |
J68.0 |
J68.1 |
J68.2 |
J68.3 |
J68.4 |
J68.8 |
J68.9 |
J69.0 |
J69.1 |
J69.8 |
J70.0 |
J70.1 |
J70.2 |
J70.3 |
J70.4 |
J70.5 |
J70.8 |
J70.9 |
J80 |
J98.09 |
J98.8 |
Q33.4 |
T86.5 |
T86.00 |
T86.01 |
T86.02 |
T86.03 |
T86.09 |
T86.10 |
T86.11 |
T86.12 |
T86.13 |
T86.19 |
T86.20 |
T86.21 |
T86.22 |
T86.23 |
T86.30 |
T86.31 |
T86.32 |
T86.33 |
T86.39 |
T86.40 |
T86.41 |
T86.42 |
T86.43 |
T86.49 |
T86.90 |
T86.91 |
T86.92 |
T86.93 |
T86.99 |
T86.290 |
T86.298 |
T86.810 |
T86.811 |
T86.812 |
T86.818 |
T86.819 |
T86.830 |
T86.831 |
T86.832 |
T86.838 |
T86.839 |
T86.850 |
T86.851 |
T86.852 |
T86.858 |
T86.859 |
T86.890 |
T86.891 |
T86.892 |
T86.898 |
T86.899 |
U07.1 |
Z43.0 |
Z93.0 |
Covered Diagnosis Codes for A7013, A7014, A7016, E0574
A15.0 |
E84.0 |
J47.0 |
J47.1 |
J47.9 |
Q33.4 |