LCD/NCD Portal

L28906 MAGNETIC RESONANCE IMAGING OF THE SPINE

 

 

9/23/2011

 

 

Indications and Limitations of Coverage and/or Medical Necessity

 

• This is a covered procedure when used to aid in the diagnosis and to assist in therapeutic decision making of the following:

o Lesions in the spinal cord.

o Syringomyelia.

o Spinal cord demyelination or inflammation.

o Tumors of the spine and spinal cord.

o Spinal cord infarcts.

o Spinal trauma.

o Discitis and osteomyelitis.

o Epidural abscess.

o Dysraphism and other developmental abnormalities of the spine.

o Spinal stenosis.

o Spinal cord compression and post-operative scarring.

o Herniation of disc.

o Where soft tissue contrast is necessary.

o When bone artifacts limit CT, or coronal, coronosagittal or parasagittal images are desired.

o For procedures in which iodinated contrast material are contraindicated.

Contraindications:

• The MRI is not covered when the following patient-specific contraindications are present:

o MRI is NOT covered for patients with cardiac pacemakers or with metallic clips on vascular aneurysms unless the Medicare beneficiary meets the provisions of the following exceptions:

 Effective for claims with dates of service on or after July 7, 2011, the contraindications will not apply to pacemakers when used according to the FDA-approved labeling in an MRI environment, or effective for claims with dates of service on or after February 24, 2011, CMS believes that the evidence is promising although not yet convincing that MRI will improve patient health outcomes if certain safeguards are in place to ensure that the exposure of the device to an MRI environment adversely affects neither the interpretation of the MRI result nor the proper functioning of the implanted device itself.

 We believe that specific precautions (as listed below) could maximize benefits of MRI exposure for beneficiaries enrolled in clinical trials designed to assess the utility and safety of MRI exposure.

 Therefore, CMS determines that MRI will be covered by Medicare when provided in a clinical study under section 1862(a)(1)(E) (consistent with section 1142 of the Act) through the Coverage with Study Participation (CSP) form of Coverage with Evidence Development (CED) if the study meets the criteria in each of the three paragraphs in CMS Pub 100-03, CMS National Coverage Determination Manual, Chapter 1, Section 220.2.C.1.

• MRI during a viable pregnancy is also CONTRAINDICATED at this time.

• The danger inherent in bringing ferromagnetic materials within range of MRI units generally constrains the use of MRI on acutely ill patients requiring life support systems and monitoring devices that employ ferromagnetic materials.

• In addition, the long imaging time and the enclosed position of the patient may result in claustrophobia, making patients who have a history of claustrophobia unsuitable candidates for MRI procedures.

 

 

Nationally Non-Covered Indications:

 

• CMS has determined that MRI of:

 Cortical bone.

 Calcifications.

 Procedures involving spatial resolution of bone and calcifications.

o Are not considered reasonable and necessary indications and are therefore non-covered.

 

 

Coding Information

 

Bill Type Codes

 

• Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service.

• Absence of a Bill Type does not guarantee that the policy does not apply to that Bill Type.

• Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the policy should be assumed to apply equally to all claims.

 

12x Hospital Inpatient (Medicare Part B only)

13x Hospital Outpatient

14x Hospital - Laboratory Services Provided to Non-patients

21x Skilled Nursing - Inpatient (Including Medicare Part A)

22x Skilled Nursing - Inpatient (Medicare Part B only)

23x Skilled Nursing - Outpatient

85x Critical Access Hospital

 

 

Revenue Codes

 

• Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service.

• In most instances Revenue Codes are purely advisory; unless specified in the policy services reported under other Revenue Codes are equally subject to this coverage determination.

• Complete absence of all Revenue Codes indicates that coverage is not influenced by Revenue Code and the policy should be assumed to apply equally to all Revenue Codes.

 

 

 

0320 Radiology - Diagnostic - General Classification

0321 Radiology - Diagnostic - Angiocardiology

0322 Radiology - Diagnostic - Arthrography

0323 Radiology - Diagnostic - Arteriography

0324 Radiology - Diagnostic - Chest X-Ray

0329 Radiology - Diagnostic - Other Radiology - Diagnostic

0612 Magnetic Resonance Technology (MRT) - MRI - Spinal Cord/Spine

 

 

CPT/HCPCS Codes

 

 

72141 MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, CERVICAL; WITHOUT CONTRAST MATERIAL

72142 MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, CERVICAL; WITH CONTRAST MATERIAL(S)

72146 MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, THORACIC; WITHOUT CONTRAST MATERIAL

72147 MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, THORACIC; WITH CONTRAST MATERIAL(S)

72148 MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, LUMBAR; WITHOUT CONTRAST MATERIAL

72149 MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, LUMBAR; WITH CONTRAST MATERIAL(S)

72156 MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SEQUENCES; CERVICAL

72157 MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SEQUENCES; THORACIC

72158 MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SEQUENCES; LUMBAR

 

 

ICD-9 Codes that Support Medical Necessity

 

 

 

 

The following ICD-9 codes are allowed to establish a diagnosis or monitor treatment:

015.00 TUBERCULOSIS OF VERTEBRAL COLUMN UNSPECIFIED EXAMINATION

015.01 TUBERCULOSIS OF VERTEBRAL COLUMN BACTERIOLOGICAL OR HISTOLOGICAL EXAMINATION NOT DONE

015.02 TUBERCULOSIS OF VERTEBRAL COLUMN BACTERIOLOGICAL OR HISTOLOGICAL EXAMINATION RESULTS UNKNOWN (AT PRESENT)

015.03 TUBERCULOSIS OF VERTEBRAL COLUMN TUBERCLE BACILLI FOUND (IN SPUTUM) BY MICROSCOPY

015.04 TUBERCULOSIS OF VERTEBRAL COLUMN TUBERCLE BACILLI NOT FOUND (IN SPUTUM) BY MICROSCOPY BUT FOUND BY BACTERIAL CULTURE

015.05 TUBERCULOSIS OF VERTEBRAL COLUMN TUBERCLE BACILLI NOT FOUND BY BACTERIOLOGICAL EXAMINATION BUT TUBERCULOSIS CONFIRMED HISTOLOGICALLY

015.06 TUBERCULOSIS OF VERTEBRAL COLUMN TUBERCLE BACILLI NOT FOUND BY BACTERIOLOGICAL OR HISTOLOGICAL EXAMINATION BUT TUBERCULOSIS CONFIRMED BY OTHER METHODS (INOCULATION OF ANIMALS)

170.2 MALIGNANT NEOPLASM OF VERTEBRAL COLUMN EXCLUDING SACRUM AND COCCYX

170.6 MALIGNANT NEOPLASM OF PELVIC BONES SACRUM AND COCCYX

195.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES

198.3 SECONDARY MALIGNANT NEOPLASM OF BRAIN AND SPINAL CORD

198.4 SECONDARY MALIGNANT NEOPLASM OF OTHER PARTS OF NERVOUS SYSTEM

198.5 SECONDARY MALIGNANT NEOPLASM OF BONE AND BONE MARROW

198.89 SECONDARY MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES

200.00 RETICULOSARCOMA UNSPECIFIED SITE

200.01 RETICULOSARCOMA INVOLVING LYMPH NODES OF HEAD FACE AND NECK

200.02 RETICULOSARCOMA INVOLVING INTRATHORACIC LYMPH NODES

200.03 RETICULOSARCOMA INVOLVING INTRA-ABDOMINAL LYMPH NODES

200.04 RETICULOSARCOMA INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB

200.05 RETICULOSARCOMA INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

200.06 RETICULOSARCOMA INVOLVING INTRAPELVIC LYMPH NODES

200.07 RETICULOSARCOMA INVOLVING SPLEEN

200.08 RETICULOSARCOMA INVOLVING LYMPH NODES OF MULTIPLE SITES

200.10 LYMPHOSARCOMA UNSPECIFIED SITE

200.11 LYMPHOSARCOMA INVOLVING LYMPH NODES OF HEAD FACE AND NECK

200.12 LYMPHOSARCOMA INVOLVING INTRATHORACIC LYMPH NODES

200.13 LYMPHOSARCOMA INVOLVING INTRA-ABDOMINAL LYMPH NODES

200.14 LYMPHOSARCOMA INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB

200.15 LYMPHOSARCOMA INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

200.16 LYMPHOSARCOMA INVOLVING INTRAPELVIC LYMPH NODES

200.17 LYMPHOSARCOMA INVOLVING SPLEEN

200.18 LYMPHOSARCOMA INVOLVING LYMPH NODES OF MULTIPLE SITES

200.20 BURKITT'S TUMOR OR LYMPHOMA UNSPECIFIED SITE

200.21 BURKITT'S TUMOR OR LYMPHOMA INVOLVING LYMPH NODES OF HEAD FACE AND NECK

200.22 BURKITT'S TUMOR OR LYMPHOMA INVOLVING INTRATHORACIC LYMPH NODES

200.23 BURKITT'S TUMOR OR LYMPHOMA INVOLVING INTRA-ABDOMINAL LYMPH NODES

200.24 BURKITT'S TUMOR OR LYMPHOMA INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB

200.25 BURKITT'S TUMOR OR LYMPHOMA INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

200.26 BURKITT'S TUMOR OR LYMPHOMA INVOLVING INTRAPELVIC LYMPH NODES

200.27 BURKITT'S TUMOR OR LYMPHOMA INVOLVING SPLEEN

200.28 BURKITT'S TUMOR OR LYMPHOMA INVOLVING LYMPH NODES OF MULTIPLE SITES

200.30 MARGINAL ZONE LYMPHOMA, UNSPECIFIED SITE, EXTRANODAL AND SOLID ORGAN SITES

200.31 MARGINAL ZONE LYMPHOMA,LYMPH NODES OF HEAD, FACE, AND NECK

200.32 MARGINAL ZONE LYMPHOMA,INTRATHORACIC LYMPH NODES

200.33 MARGINAL ZONE LYMPHOMA, INTRAABDOMINAL LYMPH NODES

200.34 MARGINAL ZONE LYMPHOMA, LYMPH NODES OF AXILLA AND UPPER LIMB

200.35 MARGINAL ZONE LYMPHOMA, LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

200.36 MARGINAL ZONE LYMPHOMA, INTRAPELVIC LYMPH NODES

200.37 MARGINAL ZONE LYMPHOMA, SPLEEN

200.38 MARGINAL ZONE LYMPHOMA, LYMPH NODES OF MULTIPLE SITES

200.40 MANTLE CELL LYMPHOMA, UNSPECIFIED SITE, EXTRANODAL AND SOLID ORGAN SITES

200.41 MANTLE CELL LYMPHOMA, LYMPH NODES OF HEAD, FACE, AND NECK

200.42 MANTLE CELL LYMPHOMA, INTRATHORACIC LYMPH NODES

200.43 MANTLE CELL LYMPHOMA, INTRA-ABDOMINAL LYMPH NODES

200.44 MANTLE CELL LYMPHOMA, LYMPH NODES OF AXILLA AND UPPER LIMB

200.45 MANTLE CELL LYMPHOMA, LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

200.46 MANTLE CELL LYMPHOMA, INTRAPELVIC LYMPH NODES

200.47 MANTLE CELL LYMPHOMA, SPLEEN

200.48 MANTLE CELL LYMPHOMA, LYMPH NODES OF MULTIPLE SITES

200.50 PRIMARY CENTRAL NERVOUS SYSTEM LYMPHOMA, UNSPECIFIED SITE, EXTRANODAL AND SOLID ORGAN SITES

200.51 PRIMARY CENTRAL NERVOUS SYSTEM LYMPHOMA, LYMPH NODES OF HEAD, FACE, AND NECK

200.52 PRIMARY CENTRAL NERVOUS SYSTEM LYMPHOMA, INTRATHORACIC LYMPH NODES

200.53 PRIMARY CENTRAL NERVOUS SYSTEM LYMPHOMA, INTRA-ABDOMINAL LYMPH NODES

200.54 PRIMARY CENTRAL NERVOUS SYSTEM LYMPHOMA, LYMPH NODES OF AXILLA AND UPPER LIMB

200.55 PRIMARY CENTRAL NERVOUS SYSTEM LYMPHOMA, LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

200.56 PRIMARY CENTRAL NERVOUS SYSTEM LYMPHOMA, INTRAPELVIC LYMPH NODES

200.57 PRIMARY CENTRAL NERVOUS SYSTEM LYMPHOMA, SPLEEN

200.58 PRIMARY CENTRAL NERVOUS SYSTEM LYMPHOMA, LYMPH NODES OF MULTIPLE SITES

200.60 ANAPLASTIC LARGE CELL LYMPHOMA, UNSPECIFIED SITE, EXTRANODAL AND SOLID ORGAN SITES

200.61 ANAPLASTIC LARGE CELL LYMPHOMA, LYMPH NODES OF HEAD, FACE, AND NECK

200.62 ANAPLASTIC LARGE CELL LYMPHOMA, INTRATHORACIC LYMPH NODES

200.63 ANAPLASTIC LARGE CELL LYMPHOMA, INTRA-ABDOMINAL LYMPH NODES

200.64 ANAPLASTIC LARGE CELL LYMPHOMA, LYMPH NODES OF AXILLA AND UPPER LIMB

200.65 ANAPLASTIC LARGE CELL LYMPHOMA, LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

200.66 ANAPLASTIC LARGE CELL LYMPHOMA, INTRAPELVIC LYMPH NODES

200.67 ANAPLASTIC LARGE CELL LYMPHOMA, SPLEEN

200.68 ANAPLASTIC LARGE CELL LYMPHOMA, LYMPH NODES OF MULTIPLE SITES

200.70 LARGE CELL LYMPHOMA, UNSPECIFIED SITE, EXTRANODAL AND SOLID ORGAN SITES

200.71 LARGE CELL LYMPHOMA, LYMPH NODES OF HEAD, FACE, AND NECK

200.72 LARGE CELL LYMPHOMA, INTRATHORACIC LYMPH NODES

200.73 LARGE CELL LYMPHOMA, INTRA-ABDOMINAL LYMPH NODES

200.74 LARGE CELL LYMPHOMA, LYMPH NODES OF AXILLA AND UPPER LIMB

200.75 LARGE CELL LYMPHOMA, LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

200.76 LARGE CELL LYMPHOMA, INTRAPELVIC LYMPH NODES

200.77 LARGE CELL LYMPHOMA, SPLEEN

200.78 LARGE CELL LYMPHOMA, LYMPH NODES OF MULTIPLE SITES

200.80 OTHER NAMED VARIANTS OF LYMPHOSARCOMA AND RETICULOSARCOMA UNSPECIFIED SITE

200.81 OTHER NAMED VARIANTS OF LYMPHOSARCOMA AND RETICULOSARCOMA INVOLVING LYMPH NODES OF HEAD FACE AND NECK

200.82 OTHER NAMED VARIANTS OF LYMPHOSARCOMA AND RETICULOSARCOMA INVOLVING INTRATHORACIC LYMPH NODES

200.83 OTHER NAMED VARIANTS OF LYMPHOSARCOMA AND RETICULOSARCOMA INVOLVING INTRA-ABDOMINAL LYMPH NODES

200.84 OTHER NAMED VARIANTS OF LYMPHOSARCOMA AND RETICULOSARCOMA INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB

200.85 OTHER NAMED VARIANTS OF LYMPHOSARCOMA AND RETICULOSARCOMA INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

200.86 OTHER NAMED VARIANTS OF LYMPHOSARCOMA AND RETICULOSARCOMA INVOLVING INTRAPELVIC LYMPH NODES

200.87 OTHER NAMED VARIANTS OF LYMPHOSARCOMA AND RETICULOSARCOMA INVOLVING SPLEEN

200.88 OTHER NAMED VARIANTS OF LYMPHOSARCOMA AND RETICULOSARCOMA INVOLVING LYMPH NODES OF MULTIPLE SITES

201.00 HODGKIN'S PARAGRANULOMA UNSPECIFIED SITE

201.01 HODGKIN'S PARAGRANULOMA INVOLVING LYMPH NODES OF HEAD FACE AND NECK

201.02 HODGKIN'S PARAGRANULOMA INVOLVING INTRATHORACIC LYMPH NODES

201.03 HODGKIN'S PARAGRANULOMA INVOLVING INTRA-ABDOMINAL LYMPH NODES

201.04 HODGKIN'S PARAGRANULOMA INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB

201.05 HODGKIN'S PARAGRANULOMA INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

201.06 HODGKIN'S PARAGRANULOMA INVOLVING INTRAPELVIC LYMPH NODES

201.07 HODGKIN'S PARAGRANULOMA INVOLVING SPLEEN

201.08 HODGKIN'S PARAGRANULOMA INVOLVING LYMPH NODES OF MULTIPLE SITES

201.10 HODGKIN'S GRANULOMA UNSPECIFIED SITE

201.11 HODGKIN'S GRANULOMA INVOLVING LYMPH NODES OF HEAD FACE AND NECK

201.12 HODGKIN'S GRANULOMA INVOLVING INTRATHORACIC LYMPH NODES

201.13 HODGKIN'S GRANULOMA INVOLVING INTRA-ABDOMINAL LYMPH NODES

201.14 HODGKIN'S GRANULOMA INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB

201.15 HODGKIN'S GRANULOMA INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

201.16 HODGKIN'S GRANULOMA INVOLVING INTRAPELVIC LYMPH NODES

201.17 HODGKIN'S GRANULOMA INVOLVING SPLEEN

201.18 HODGKIN'S GRANULOMA INVOLVING LYMPH NODES OF MULTIPLE SITES

201.20 HODGKIN'S SARCOMA UNSPECIFIED SITE

201.21 HODGKIN'S SARCOMA INVOLVING LYMPH NODES OF HEAD FACE AND NECK

201.22 HODGKIN'S SARCOMA INVOLVING INTRATHORACIC LYMPH NODES

201.23 HODGKIN'S SARCOMA INVOLVING INTRA-ABDOMINAL LYMPH NODES

201.24 HODGKIN'S SARCOMA INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB

201.25 HODGKIN'S SARCOMA INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

201.26 HODGKIN'S SARCOMA INVOLVING INTRAPELVIC LYMPH NODES

201.27 HODGKIN'S SARCOMA INVOLVING SPLEEN

201.28 HODGKIN'S SARCOMA INVOLVING LYMPH NODES OF MULTIPLE SITES

201.40 HODGKIN'S DISEASE LYMPHOCYTIC-HISTIOCYTIC PREDOMINANCE UNSPECIFIED SITE

201.41 HODGKIN'S DISEASE LYMPHOCYTIC-HISTIOCYTIC PREDOMINANCE INVOLVING LYMPH NODES OF HEAD FACE AND NECK

201.42 HODGKIN'S DISEASE LYMPHOCYTIC-HISTIOCYTIC PREDOMINANCE INVOLVING INTRATHORACIC LYMPH NODES

201.43 HODGKIN'S DISEASE LYMPHOCYTIC-HISTIOCYTIC PREDOMINANCE INVOLVING INTRA-ABDOMINAL LYMPH NODES

201.44 HODGKIN'S DISEASE LYMPHOCYTIC-HISTIOCYTIC PREDOMINANCE INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB

201.45 HODGKIN'S DISEASE LYMPHOCYTIC-HISTIOCYTIC PREDOMINANCE INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

201.46 HODGKIN'S DISEASE LYMPHOCYTIC-HISTIOCYTIC PREDOMINANCE INVOLVING INTRAPELVIC LYMPH NODES

201.47 HODGKIN'S DISEASE LYMPHOCYTIC-HISTIOCYTIC PREDOMINANCE INVOLVING SPLEEN

201.48 HODGKIN'S DISEASE LYMPHOCYTIC-HISTIOCYTIC PREDOMINANCE INVOLVING LYMPH NODES OF MULTIPLE SITES

201.50 HODGKIN'S DISEASE NODULAR SCLEROSIS UNSPECIFIED SITE

201.51 HODGKIN'S DISEASE NODULAR SCLEROSIS INVOLVING LYMPH NODES OF HEAD FACE AND NECK

201.52 HODGKIN'S DISEASE NODULAR SCLEROSIS INVOLVING INTRATHORACIC LYMPH NODES

201.53 HODGKIN'S DISEASE NODULAR SCLEROSIS INVOLVING INTRA-ABDOMINAL LYMPH NODES

201.54 HODGKIN'S DISEASE NODULAR SCLEROSIS INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB

201.55 HODGKIN'S DISEASE NODULAR SCLEROSIS INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

201.56 HODGKIN'S DISEASE NODULAR SCLEROSIS INVOLVING INTRAPELVIC LYMPH NODES

201.57 HODGKIN'S DISEASE NODULAR SCLEROSIS INVOLVING SPLEEN

201.58 HODGKIN'S DISEASE NODULAR SCLEROSIS INVOLVING LYMPH NODES OF MULTIPLE SITES

201.60 HODGKIN'S DISEASE MIXED CELLULARITY UNSPECIFIED SITE

201.61 HODGKIN'S DISEASE MIXED CELLULARITY INVOLVING LYMPH NODES OF HEAD FACE AND NECK

201.62 HODGKIN'S DISEASE MIXED CELLULARITY INVOLVING INTRATHORACIC LYMPH NODES

201.63 HODGKIN'S DISEASE MIXED CELLULARITY INVOLVING INTRA-ABDOMINAL LYMPH NODES

201.64 HODGKIN'S DISEASE MIXED CELLULARITY INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB

201.65 HODGKIN'S DISEASE MIXED CELLULARITY INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

201.66 HODGKIN'S DISEASE MIXED CELLULARITY INVOLVING INTRAPELVIC LYMPH NODES

201.67 HODGKIN'S DISEASE MIXED CELLULARITY INVOLVING SPLEEN

201.68 HODGKIN'S DISEASE MIXED CELLULARITY INVOLVING LYMPH NODES OF MULTIPLE SITES

201.70 HODGKIN'S DISEASE LYMPHOCYTIC DEPLETION UNSPECIFIED SITE

201.71 HODGKIN'S DISEASE LYMPHOCYTIC DEPLETION INVOLVING LYMPH NODES OF HEAD FACE AND NECK

201.72 HODGKIN'S DISEASE LYMPHOCYTIC DEPLETION INVOLVING INTRATHORACIC LYMPH NODES

201.73 HODGKIN'S DISEASE LYMPHOCYTIC DEPLETION INVOLVING INTRA-ABDOMINAL LYMPH NODES

201.74 HODGKIN'S DISEASE LYMPHOCYTIC DEPLETION INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB

201.75 HODGKIN'S DISEASE LYMPHOCYTIC DEPLETION INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

201.76 HODGKIN'S DISEASE LYMPHOCYTIC DEPLETION INVOLVING INTRAPELVIC LYMPH NODES

201.77 HODGKIN'S DISEASE LYMPHOCYTIC DEPLETION INVOLVING SPLEEN

201.78 HODGKIN'S DISEASE LYMPHOCYTIC DEPLETION INVOLVING LYMPH NODES OF MULTIPLE SITES

201.90 HODGKIN'S DISEASE UNSPECIFIED TYPE UNSPECIFIED SITE

201.91 HODGKIN'S DISEASE UNSPECIFIED TYPE INVOLVING LYMPH NODES OF HEAD FACE AND NECK

201.92 HODGKIN'S DISEASE UNSPECIFIED TYPE INVOLVING INTRATHORACIC LYMPH NODES

201.93 HODGKIN'S DISEASE UNSPECIFIED TYPE INVOLVING INTRA-ABDOMINAL LYMPH NODES

201.94 HODGKIN'S DISEASE UNSPECIFIED TYPE INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB

201.95 HODGKIN'S DISEASE UNSPECIFIED TYPE INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

201.96 HODGKIN'S DISEASE UNSPECIFIED TYPE INVOLVING INTRAPELVIC LYMPH NODES

201.97 HODGKIN'S DISEASE UNSPECIFIED TYPE INVOLVING SPLEEN

201.98 HODGKIN'S DISEASE UNSPECIFIED TYPE INVOLVING LYMPH NODES OF MULTIPLE SITES

202.00 NODULAR LYMPHOMA UNSPECIFIED SITE

202.01 NODULAR LYMPHOMA INVOLVING LYMPH NODES OF HEAD FACE AND NECK

202.02 NODULAR LYMPHOMA INVOLVING INTRATHORACIC LYMPH NODES

202.03 NODULAR LYMPHOMA INVOLVING INTRA-ABDOMINAL LYMPH NODES

202.04 NODULAR LYMPHOMA INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB

202.05 NODULAR LYMPHOMA INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

202.06 NODULAR LYMPHOMA INVOLVING INTRAPELVIC LYMPH NODES

202.07 NODULAR LYMPHOMA INVOLVING SPLEEN

202.08 NODULAR LYMPHOMA INVOLVING LYMPH NODES OF MULTIPLE SITES

202.10 MYCOSIS FUNGOIDES UNSPECIFIED SITE

202.11 MYCOSIS FUNGOIDES INVOLVING LYMPH NODES OF HEAD FACE AND NECK

202.12 MYCOSIS FUNGOIDES INVOLVING INTRATHORACIC LYMPH NODES

202.13 MYCOSIS FUNGOIDES INVOLVING INTRA-ABDOMINAL LYMPH NODES

202.14 MYCOSIS FUNGOIDES INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB

202.15 MYCOSIS FUNGOIDES INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

202.16 MYCOSIS FUNGOIDES INVOLVING INTRAPELVIC LYMPH NODES

202.17 MYCOSIS FUNGOIDES INVOLVING SPLEEN

202.18 MYCOSIS FUNGOIDES INVOLVING LYMPH NODES OF MULTIPLE SITES

202.20 SEZARY'S DISEASE UNSPECIFIED SITE

202.21 SEZARY'S DISEASE INVOLVING LYMPH NODES OF HEAD FACE AND NECK

202.22 SEZARY'S DISEASE INVOLVING INTRATHORACIC LYMPH NODES

202.23 SEZARY'S DISEASE INVOLVING INTRA-ABDOMINAL LYMPH NODES

202.24 SEZARY'S DISEASE INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB

202.25 SEZARY'S DISEASE INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

202.26 SEZARY'S DISEASE INVOLVING INTRAPELVIC LYMPH NODES

202.27 SEZARY'S DISEASE INVOLVING SPLEEN

202.28 SEZARY'S DISEASE INVOLVING LYMPH NODES OF MULTIPLE SITES

202.30 MALIGNANT HISTIOCYTOSIS UNSPECIFIED SITE

202.31 MALIGNANT HISTIOCYTOSIS INVOLVING LYMPH NODES OF HEAD FACE AND NECK

202.32 MALIGNANT HISTIOCYTOSIS INVOLVING INTRATHORACIC LYMPH NODES

202.33 MALIGNANT HISTIOCYTOSIS INVOLVING INTRA-ABDOMINAL LYMPH NODES

202.34 MALIGNANT HISTIOCYTOSIS INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB

202.35 MALIGNANT HISTIOCYTOSIS INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

202.36 MALIGNANT HISTIOCYTOSIS INVOLVING INTRAPELVIC LYMPH NODES

202.37 MALIGNANT HISTIOCYTOSIS INVOLVING SPLEEN

202.38 MALIGNANT HISTIOCYTOSIS INVOLVING LYMPH NODES OF MULTIPLE SITES

202.40 LEUKEMIC RETICULOENDOTHELIOSIS UNSPECIFIED SITE

202.41 LEUKEMIC RETICULOENDOTHELIOSIS INVOLVING LYMPH NODES OF HEAD FACE AND NECK

202.42 LEUKEMIC RETICULOENDOTHELIOSIS INVOLVING INTRATHORACIC LYMPH NODES

202.43 LEUKEMIC RETICULOENDOTHELIOSIS INVOLVING INTRA-ABDOMINAL LYMPH NODES

202.44 LEUKEMIC RETICULOENDOTHELIOSIS INVOLVING LYMPH NODES OF AXILLA AND UPPER ARM

202.45 LEUKEMIC RETICULOENDOTHELIOSIS INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

202.46 LEUKEMIC RETICULOENDOTHELIOSIS INVOLVING INTRAPELVIC LYMPH NODES

202.47 LEUKEMIC RETICULOENDOTHELIOSIS INVOLVING SPLEEN

202.48 LEUKEMIC RETICULOENDOTHELIOSIS INVOLVING LYMPH NODES OF MULTIPLE SITES

202.50 LETTERER-SIWE DISEASE UNSPECIFIED SITE

202.51 LETTERER-SIWE DISEASE INVOLVING LYMPH NODES OF HEAD FACE AND NECK

202.52 LETTERER-SIWE DISEASE INVOLVING INTRATHORACIC LYMPH NODES

202.53 LETTERER-SIWE DISEASE INVOLVING INTRA-ABDOMINAL LYMPH NODES

202.54 LETTERER-SIWE DISEASE INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB

202.55 LETTERER-SIWE DISEASE INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

202.56 LETTERER-SIWE DISEASE INVOLVING INTRAPELVIC LYMPH NODES

202.57 LETTERER-SIWE DISEASE INVOLVING SPLEEN

202.58 LETTERER-SIWE DISEASE INVOLVING LYMPH NODES OF MULTIPLE SITES

202.60 MALIGNANT MAST CELL TUMORS UNSPECIFIED SITE

202.61 MALIGNANT MAST CELL TUMORS INVOLVING LYMPH NODES OF HEAD FACE AND NECK

202.62 MALIGNANT MAST CELL TUMORS INVOLVING INTRATHORACIC LYMPH NODES

202.63 MALIGNANT MAST CELL TUMORS INVOLVING INTRA-ABDOMINAL LYMPH NODES

202.64 MALIGNANT MAST CELL TUMORS INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB

202.65 MALIGNANT MAST CELL TUMORS INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

202.66 MALIGNANT MAST CELL TUMORS INVOLVING INTRAPELVIC LYMPH NODES

202.67 MALIGNANT MAST CELL TUMORS INVOLVING SPLEEN

202.68 MALIGNANT MAST CELL TUMORS INVOLVING LYMPH NODES OF MULTIPLE SITES

202.70 PERIPHERAL T CELL LYMPHOMA, UNSPECIFIED SITE, EXTRANODAL AND SOLID ORGAN SITES

202.71 PERIPHERAL T CELL LYMPHOMA, LYMPH NODES OF HEAD, FACE, AND NECK

202.72 PERIPHERAL T CELL LYMPHOMA, INTRATHORACIC LYMPH NODES

202.73 PERIPHERAL T CELL LYMPHOMA, INTRA-ABDOMINAL LYMPH NODES

202.74 PERIPHERAL T CELL LYMPHOMA, LYMPH NODES OF AXILLA AND UPPER LIMB

202.75 PERIPHERAL T CELL LYMPHOMA, LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

202.76 PERIPHERAL T CELL LYMPHOMA, INTRAPELVIC LYMPH NODES

202.77 PERIPHERAL T CELL LYMPHOMA, SPLEEN

202.78 PERIPHERAL T CELL LYMPHOMA, LYMPH NODES OF MULTIPLE SITES

202.80 OTHER MALIGNANT LYMPHOMAS UNSPECIFIED SITE

202.81 OTHER MALIGNANT LYMPHOMAS INVOLVING LYMPH NODES OF HEAD FACE AND NECK

202.82 OTHER MALIGNANT LYMPHOMAS INVOLVING INTRATHORACIC LYMPH NODES

202.83 OTHER MALIGNANT LYMPHOMAS INVOLVING INTRA-ABDOMINAL LYMPH NODES

202.84 OTHER MALIGNANT LYMPHOMAS INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB

202.85 OTHER MALIGNANT LYMPHOMAS INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

202.86 OTHER MALIGNANT LYMPHOMAS INVOLVING INTRAPELVIC LYMPH NODES

202.87 OTHER MALIGNANT LYMPHOMAS INVOLVING SPLEEN

202.88 OTHER MALIGNANT LYMPHOMAS INVOLVING LYMPH NODES OF MULTIPLE SITES

202.90 OTHER AND UNSPECIFIED MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUE UNSPECIFIED SITE

202.91 OTHER AND UNSPECIFIED MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUE INVOLVING LYMPH NODES OF HEAD FACE AND NECK

202.92 OTHER AND UNSPECIFIED MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUE INVOLVING INTRATHORACIC LYMPH NODES

202.93 OTHER AND UNSPECIFIED MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUE INVOLVING INTRA-ABDOMINAL LYMPH NODES

202.94 OTHER AND UNSPECIFIED MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUE INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB

202.95 OTHER AND UNSPECIFIED MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUE INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB

202.96 OTHER AND UNSPECIFIED MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUE INVOLVING INTRAPELVIC LYMPH NODES

202.97 OTHER AND UNSPECIFIED MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUE INVOLVING SPLEEN

202.98 OTHER AND UNSPECIFIED MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUE INVOLVING LYMPH NODES OF MULTIPLE SITES

203.00 MULTIPLE MYELOMA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

203.01 MULTIPLE MYELOMA IN REMISSION

203.02 MULTIPLE MYELOMA, IN RELAPSE

203.10 PLASMA CELL LEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

203.11 PLASMA CELL LEUKEMIA IN REMISSION

203.12 PLASMA CELL LEUKEMIA, IN RELAPSE

203.80 OTHER IMMUNOPROLIFERATIVE NEOPLASMS, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

203.81 OTHER IMMUNOPROLIFERATIVE NEOPLASMS IN REMISSION

203.82 OTHER IMMUNOPROLIFERATIVE NEOPLASMS, IN RELAPSE

204.00 ACUTE LYMPHOID LEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

204.01 LYMPHOID LEUKEMIA ACUTE IN REMISSION

204.02 ACUTE LYMPHOID LEUKEMIA, IN RELAPSE

204.10 CHRONIC LYMPHOID LEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

204.11 LYMPHOID LEUKEMIA CHRONIC IN REMISSION

204.12 CHRONIC LYMPHOID LEUKEMIA, IN RELAPSE

204.20 SUBACUTE LYMPHOID LEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

204.21 LYMPHOID LEUKEMIA SUBACUTE IN REMISSION

204.22 SUBACUTE LYMPHOID LEUKEMIA, IN RELAPSE

204.80 OTHER LYMPHOID LEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

204.81 OTHER LYMPHOID LEUKEMIA IN REMISSION

204.82 OTHER LYMPHOID LEUKEMIA, IN RELAPSE

204.90 UNSPECIFIED LYMPHOID LEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

204.91 UNSPECIFIED LYMPHOID LEUKEMIA IN REMISSION

204.92 UNSPECIFIED LYMPHOID LEUKEMIA, IN RELAPSE

205.00 ACUTE MYELOID LEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

205.01 MYELOID LEUKEMIA ACUTE IN REMISSION

205.02 ACUTE MYELOID LEUKEMIA, IN RELAPSE

205.10 CHRONIC MYELOID LEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

205.11 MYELOID LEUKEMIA CHRONIC IN REMISSION

205.12 CHRONIC MYELOID LEUKEMIA, IN RELAPSE

205.20 SUBACUTE MYELOID LEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

205.21 MYELOID LEUKEMIA SUBACUTE IN REMISSION

205.22 SUBACUTE MYELOID LEUKEMIA, IN RELAPSE

205.30 MYELOID SARCOMA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

205.31 MYELOID SARCOMA IN REMISSION

205.32 MYELOID SARCOMA, IN RELAPSE

205.80 OTHER MYELOID LEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

205.81 OTHER MYELOID LEUKEMIA IN REMISSION

205.82 OTHER MYELOID LEUKEMIA, IN RELAPSE

205.90 UNSPECIFIED MYELOID LEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

205.91 UNSPECIFIED MYELOID LEUKEMIA IN REMISSION

205.92 UNSPECIFIED MYELOID LEUKEMIA, IN RELAPSE

206.00 ACUTE MONOCYTIC LEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

206.01 MONOCYTIC LEUKEMIA ACUTE IN REMISSION

206.02 ACUTE MONOCYTIC LEUKEMIA, IN RELAPSE

206.10 CHRONIC MONOCYTIC LEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

206.11 MONOCYTIC LEUKEMIA CHRONIC IN REMISSION

206.12 CHRONIC MONOCYTIC LEUKEMIA, IN RELAPSE

206.20 SUBACUTE MONOCYTIC LEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

206.21 MONOCYTIC LEUKEMIA SUBACUTE IN REMISSION

206.22 SUBACUTE MONOCYTIC LEUKEMIA, IN RELAPSE

206.80 OTHER MONOCYTIC LEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

206.81 OTHER MONOCYTIC LEUKEMIA IN REMISSION

206.82 OTHER MONOCYTIC LEUKEMIA, IN RELAPSE

206.90 UNSPECIFIED MONOCYTIC LEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

206.91 UNSPECIFIED MONOCYTIC LEUKEMIA IN REMISSION

206.92 UNSPECIFIED MONOCYTIC LEUKEMIA, IN RELAPSE

207.00 ACUTE ERYTHREMIA AND ERYTHROLEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

207.01 ACUTE ERYTHREMIA AND ERYTHROLEUKEMIA IN REMISSION

207.02 ACUTE ERYTHREMIA AND ERYTHROLEUKEMIA, IN RELAPSE

207.10 CHRONIC ERYTHREMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

207.11 CHRONIC ERYTHREMIA IN REMISSION

207.12 CHRONIC ERYTHREMIA, IN RELAPSE

207.20 MEGAKARYOCYTIC LEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

207.21 MEGAKARYOCYTIC LEUKEMIA IN REMISSION

207.22 MEGAKARYOCYTIC LEUKEMIA, IN RELAPSE

207.80 OTHER SPECIFIED LEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

207.81 OTHER SPECIFIED LEUKEMIA IN REMISSION

207.82 OTHER SPECIFIED LEUKEMIA, IN RELAPSE

208.00 ACUTE LEUKEMIA OF UNSPECIFIED CELL TYPE, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

208.01 LEUKEMIA OF UNSPECIFIED CELL TYPE ACUTE IN REMISSION

208.02 ACUTE LEUKEMIA OF UNSPECIFIED CELL TYPE, IN RELAPSE

208.10 CHRONIC LEUKEMIA OF UNSPECIFIED CELL TYPE, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

208.11 LEUKEMIA OF UNSPECIFIED CELL TYPE CHRONIC IN REMISSION

208.12 CHRONIC LEUKEMIA OF UNSPECIFIED CELL TYPE, IN RELAPSE

208.20 SUBACUTE LEUKEMIA OF UNSPECIFIED CELL TYPE, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

208.21 LEUKEMIA OF UNSPECIFIED CELL TYPE SUBACUTE IN REMISSION

208.22 SUBACUTE LEUKEMIA OF UNSPECIFIED CELL TYPE, IN RELAPSE

208.80 OTHER LEUKEMIA OF UNSPECIFIED CELL TYPE, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

208.81 OTHER LEUKEMIA OF UNSPECIFIED CELL TYPE IN REMISSION

208.82 OTHER LEUKEMIA OF UNSPECIFIED CELL TYPE, IN RELAPSE

208.90 UNSPECIFIED LEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION

208.91 UNSPECIFIED LEUKEMIA IN REMISSION

208.92 UNSPECIFIED LEUKEMIA, IN RELAPSE

213.2 BENIGN NEOPLASM OF VERTEBRAL COLUMN EXCLUDING SACRUM AND COCCYX

213.6 BENIGN NEOPLASM OF PELVIC BONES SACRUM AND COCCYX

215.7 OTHER BENIGN NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF TRUNK UNSPECIFIED

225.3 BENIGN NEOPLASM OF SPINAL CORD

225.4 BENIGN NEOPLASM OF SPINAL MENINGES

228.00 HEMANGIOMA OF UNSPECIFIED SITE

228.01 HEMANGIOMA OF SKIN AND SUBCUTANEOUS TISSUE

228.02 HEMANGIOMA OF INTRACRANIAL STRUCTURES

228.03 HEMANGIOMA OF RETINA

228.04 HEMANGIOMA OF INTRA-ABDOMINAL STRUCTURES

228.09 HEMANGIOMA OF OTHER SITES

228.1 LYMPHANGIOMA ANY SITE

229.0 BENIGN NEOPLASM OF LYMPH NODES

229.8 BENIGN NEOPLASM OF OTHER SPECIFIED SITES

229.9 BENIGN NEOPLASM OF UNSPECIFIED SITE

238.0 NEOPLASM OF UNCERTAIN BEHAVIOR OF BONE AND ARTICULAR CARTILAGE

238.1 NEOPLASM OF UNCERTAIN BEHAVIOR OF CONNECTIVE AND OTHER SOFT TISSUE

238.2 NEOPLASM OF UNCERTAIN BEHAVIOR OF SKIN

239.89 NEOPLASMS OF UNSPECIFIED NATURE, OTHER SPECIFIED SITES

320.0 HEMOPHILUS MENINGITIS

320.1 PNEUMOCOCCAL MENINGITIS

320.2 STREPTOCOCCAL MENINGITIS

320.3 STAPHYLOCOCCAL MENINGITIS

320.7 MENINGITIS IN OTHER BACTERIAL DISEASES CLASSIFIED ELSEWHERE

320.81 ANAEROBIC MENINGITIS

320.82 MENINGITIS DUE TO GRAM-NEGATIVE BACTERIA NOT ELSEWHERE CLASSIFIED

320.89 MENINGITIS DUE TO OTHER SPECIFIED BACTERIA

320.9 MENINGITIS DUE TO UNSPECIFIED BACTERIUM

321.0 CRYPTOCOCCAL MENINGITIS

321.1 MENINGITIS IN OTHER FUNGAL DISEASES

321.2 MENINGITIS DUE TO VIRUSES NOT ELSEWHERE CLASSIFIED

321.3 MENINGITIS DUE TO TRYPANOSOMIASIS

321.4 MENINGITIS IN SARCOIDOSIS

321.8 MENINGITIS DUE TO OTHER NONBACTERIAL ORGANISMS CLASSIFIED ELSEWHERE

322.0 NONPYOGENIC MENINGITIS

322.1 EOSINOPHILIC MENINGITIS

322.2 CHRONIC MENINGITIS

322.9 MENINGITIS UNSPECIFIED

324.1 INTRASPINAL ABSCESS

324.9 INTRACRANIAL AND INTRASPINAL ABSCESS OF UNSPECIFIED SITE

335.0 WERDNIG-HOFFMANN DISEASE

335.10 SPINAL MUSCULAR ATROPHY UNSPECIFIED

335.11 KUGELBERG-WELANDER DISEASE

335.19 OTHER SPINAL MUSCULAR ATROPHY

335.20 AMYOTROPHIC LATERAL SCLEROSIS

335.21 PROGRESSIVE MUSCULAR ATROPHY

335.22 PROGRESSIVE BULBAR PALSY

335.23 PSEUDOBULBAR PALSY

335.24 PRIMARY LATERAL SCLEROSIS

335.29 OTHER MOTOR NEURON DISEASES

335.8 OTHER ANTERIOR HORN CELL DISEASES

335.9 ANTERIOR HORN CELL DISEASE UNSPECIFIED

336.0 SYRINGOMYELIA AND SYRINGOBULBIA

336.1 VASCULAR MYELOPATHIES

336.2 SUBACUTE COMBINED DEGENERATION OF SPINAL CORD IN DISEASES CLASSIFIED ELSEWHERE

336.3 MYELOPATHY IN OTHER DISEASES CLASSIFIED ELSEWHERE

336.8 OTHER MYELOPATHY

336.9 UNSPECIFIED DISEASE OF SPINAL CORD

337.00 IDIOPATHIC PERIPHERAL AUTONOMIC NEUROPATHY, UNSPECIFIED

337.01 CAROTID SINUS SYNDROME

337.09 OTHER IDIOPATHIC PERIPHERAL AUTONOMIC NEUROPATHY

337.1 PERIPHERAL AUTONOMIC NEUROPATHY IN DISORDERS CLASSIFIED ELSEWHERE

337.20 REFLEX SYMPATHETIC DYSTROPHY UNSPECIFIED

337.21 REFLEX SYMPATHETIC DYSTROPHY OF THE UPPER LIMB

337.22 REFLEX SYMPATHETIC DYSTROPHY OF THE LOWER LIMB

337.29 REFLEX SYMPATHETIC DYSTROPHY OF OTHER SPECIFIED SITE

337.3 AUTONOMIC DYSREFLEXIA

337.9 UNSPECIFIED DISORDER OF AUTONOMIC NERVOUS SYSTEM

340 MULTIPLE SCLEROSIS

341.0 NEUROMYELITIS OPTICA

341.1 SCHILDER'S DISEASE

341.20 ACUTE (TRANSVERSE) MYELITIS NOS

341.21 ACUTE (TRANSVERSE) MYELITIS IN CONDITIONS CLASSIFIED ELSEWHERE

341.22 IDIOPATHIC TRANSVERSE MYELITIS

341.8 OTHER DEMYELINATING DISEASES OF CENTRAL NERVOUS SYSTEM

341.9 DEMYELINATING DISEASE OF CENTRAL NERVOUS SYSTEM UNSPECIFIED

344.00 QUADRIPLEGIA UNSPECIFIED

344.01 QUADRIPLEGIA C1-C4 COMPLETE

344.02 QUADRIPLEGIA C1-C4 INCOMPLETE

344.03 QUADRIPLEGIA C5-C7 COMPLETE

344.04 QUADRIPLEGIA C5-C7 INCOMPLETE

344.09 OTHER QUADRIPLEGIA

344.1 PARAPLEGIA

344.2 DIPLEGIA OF UPPER LIMBS

344.30 MONOPLEGIA OF LOWER LIMB AFFECTING UNSPECIFIED SIDE

344.31 MONOPLEGIA OF LOWER LIMB AFFECTING DOMINANT SIDE

344.32 MONOPLEGIA OF LOWER LIMB AFFECTING NONDOMINANT SIDE

344.40 MONOPLEGIA OF UPPER LIMB AFFECTING UNSPECIFIED SIDE

344.41 MONOPLEGIA OF UPPER LIMB AFFECTING DOMINANT SIDE

344.42 MONOPLEGIA OF UPPER LIMB AFFECTING NONDOMINANT SDE

344.5 UNSPECIFIED MONOPLEGIA

344.60 CAUDA EQUINA SYNDROME WITHOUT NEUROGENIC BLADDER

344.61 CAUDA EQUINA SYNDROME WITH NEUROGENIC BLADDER

344.81 LOCKED-IN STATE

344.89 OTHER SPECIFIED PARALYTIC SYNDROME

344.9 PARALYSIS UNSPECIFIED

353.0 BRACHIAL PLEXUS LESIONS

353.1 LUMBOSACRAL PLEXUS LESIONS

353.2 CERVICAL ROOT LESIONS NOT ELSEWHERE CLASSIFIED

353.3 THORACIC ROOT LESIONS NOT ELSEWHERE CLASSIFIED

353.4 LUMBOSACRAL ROOT LESIONS NOT ELSEWHERE CLASSIFIED

353.8 OTHER NERVE ROOT AND PLEXUS DISORDERS

353.9 UNSPECIFIED NERVE ROOT AND PLEXUS DISORDER

357.0 ACUTE INFECTIVE POLYNEURITIS

715.18 OSTEOARTHROSIS LOCALIZED PRIMARY INVOLVING OTHER SPECIFIED SITES

715.28 OSTEOARTHROSIS LOCALIZED SECONDARY INVOLVING OTHER SPECIFIED SITES

715.38 OSTEOARTHROSIS LOCALIZED NOT SPECIFIED WHETHER PRIMARY OR SECONDARY INVOLVING OTHER SPECIFIED SITES

720.0 ANKYLOSING SPONDYLITIS

720.1 SPINAL ENTHESOPATHY

720.2 SACROILIITIS NOT ELSEWHERE CLASSIFIED

720.81 INFLAMMATORY SPONDYLOPATHIES IN DISEASES CLASSIFIED ELSEWHERE

720.89 OTHER INFLAMMATORY SPONDYLOPATHIES

720.9 UNSPECIFIED INFLAMMATORY SPONDYLOPATHY

721.0 CERVICAL SPONDYLOSIS WITHOUT MYELOPATHY

721.1 CERVICAL SPONDYLOSIS WITH MYELOPATHY

721.2 THORACIC SPONDYLOSIS WITHOUT MYELOPATHY

721.3 LUMBOSACRAL SPONDYLOSIS WITHOUT MYELOPATHY

721.41 SPONDYLOSIS WITH MYELOPATHY THORACIC REGION

721.42 SPONDYLOSIS WITH MYELOPATHY LUMBAR REGION

721.5 KISSING SPINE

721.6 ANKYLOSING VERTEBRAL HYPEROSTOSIS

721.7 TRAUMATIC SPONDYLOPATHY

721.8 OTHER ALLIED DISORDERS OF SPINE

721.90 SPONDYLOSIS OF UNSPECIFIED SITE WITHOUT MYELOPATHY

721.91 SPONDYLOSIS OF UNSPECIFIED SITE WITH MYELOPATHY

722.0 DISPLACEMENT OF CERVICAL INTERVERTEBRAL DISC WITHOUT MYELOPATHY

722.10 DISPLACEMENT OF LUMBAR INTERVERTEBRAL DISC WITHOUT MYELOPATHY

722.11 DISPLACEMENT OF THORACIC INTERVERTEBRAL DISC WITHOUT MYELOPATHY

722.2 DISPLACEMENT OF INTERVERTEBRAL DISC SITE UNSPECIFIED WITHOUT MYELOPATHY

722.30 SCHMORL'S NODES OF UNSPECIFIED REGION

722.31 SCHMORL'S NODES OF THORACIC REGION

722.32 SCHMORL'S NODES OF LUMBAR REGION

722.39 SCHMORL'S NODES OF OTHER SPINAL REGION

722.4 DEGENERATION OF CERVICAL INTERVERTEBRAL DISC

722.51 DEGENERATION OF THORACIC OR THORACOLUMBAR INTERVERTEBRAL DISC

722.52 DEGENERATION OF LUMBAR OR LUMBOSACRAL INTERVERTEBRAL DISC

722.6 DEGENERATION OF INTERVERTEBRAL DISC SITE UNSPECIFIED

722.70 INTERVERTEBRAL DISC DISORDER WITH MYELOPATHY UNSPECIFIED REGION

722.71 INTERVERTEBRAL DISC DISORDER WITH MYELOPATHY CERVICAL REGION

722.72 INTERVERTEBRAL DISC DISORDER WITH MYELOPATHY THORACIC REGION

722.73 INTERVERTEBRAL DISC DISORDER WITH MYELOPATHY LUMBAR REGION

722.80 POSTLAMINECTOMY SYNDROME OF UNSPECIFIED REGION

722.81 POSTLAMINECTOMY SYNDROME OF CERVICAL REGION

722.82 POSTLAMINECTOMY SYNDROME OF THORACIC REGION

722.83 POSTLAMINECTOMY SYNDROME OF LUMBAR REGION

722.90 OTHER AND UNSPECIFIED DISC DISORDER OF UNSPECIFIED REGION

722.91 OTHER AND UNSPECIFIED DISC DISORDER OF CERVICAL REGION

722.92 OTHER AND UNSPECIFIED DISC DISORDER OF THORACIC REGION

722.93 OTHER AND UNSPECIFIED DISC DISORDER OF LUMBAR REGION

723.0 SPINAL STENOSIS IN CERVICAL REGION

723.1 CERVICALGIA

723.2 CERVICOCRANIAL SYNDROME

723.3 CERVICOBRACHIAL SYNDROME (DIFFUSE)

723.4 BRACHIAL NEURITIS OR RADICULITIS NOS

723.9 UNSPECIFIED MUSCULOSKELETAL DISORDERS AND SYMPTOMS REFERABLE TO NECK

724.00 SPINAL STENOSIS OF UNSPECIFIED REGION

724.01 SPINAL STENOSIS OF THORACIC REGION

724.02 SPINAL STENOSIS, LUMBAR REGION, WITHOUT NEUROGENIC CLAUDICATION

724.03 SPINAL STENOSIS, LUMBAR REGION, WITH NEUROGENIC CLAUDICATION

724.09 SPINAL STENOSIS OF OTHER REGION

724.1 PAIN IN THORACIC SPINE

724.2 LUMBAGO

724.3 SCIATICA

724.4 THORACIC OR LUMBOSACRAL NEURITIS OR RADICULITIS UNSPECIFIED

724.5 BACKACHE UNSPECIFIED

724.6 DISORDERS OF SACRUM

724.70 UNSPECIFIED DISORDER OF COCCYX

724.9 OTHER UNSPECIFIED BACK DISORDERS

730.08 ACUTE OSTEOMYELITIS INVOLVING OTHER SPECIFIED SITES

730.18 CHRONIC OSTEOMYELITIS INVOLVING OTHER SPECIFIED SITES

730.28 UNSPECIFIED OSTEOMYELITIS INVOLVING OTHER SPECIFIED SITES

730.98 UNSPECIFIED INFECTION OF BONE OF OTHER SPECIFIED SITES

733.00 OSTEOPOROSIS UNSPECIFIED

733.01 SENILE OSTEOPOROSIS

733.02 IDIOPATHIC OSTEOPOROSIS

733.03 DISUSE OSTEOPOROSIS

733.09 OTHER OSTEOPOROSIS

733.10 PATHOLOGICAL FRACTURE UNSPECIFIED SITE

733.13 PATHOLOGICAL FRACTURE OF VERTEBRAE

733.40 ASEPTIC NECROSIS OF BONE SITE UNSPECIFIED

737.10 KYPHOSIS (ACQUIRED) (POSTURAL)

737.30 SCOLIOSIS (AND KYPHOSCOLIOSIS) IDIOPATHIC

737.31 RESOLVING INFANTILE IDIOPATHIC SCOLIOSIS

737.32 PROGRESSIVE INFANTILE IDIOPATHIC SCOLIOSIS

737.33 SCOLIOSIS DUE TO RADIATION

737.34 THORACOGENIC SCOLIOSIS

737.39 OTHER KYPHOSCOLIOSIS AND SCOLIOSIS

737.40 UNSPECIFIED CURVATURE OF SPINE ASSOCIATED WITH OTHER CONDITIONS

737.41 KYPHOSIS ASSOCIATED WITH OTHER CONDITIONS

737.42 LORDOSIS ASSOCIATED WITH OTHER CONDITIONS

737.43 SCOLIOSIS ASSOCIATED WITH OTHER CONDITIONS

737.8 OTHER CURVATURES OF SPINE ASSOCIATED WITH OTHER CONDITIONS

737.9 UNSPECIFIED CURVATURE OF SPINE ASSOCIATED WITH OTHER CONDITIONS

738.4 ACQUIRED SPONDYLOLISTHESIS

738.5 OTHER ACQUIRED DEFORMITY OF BACK OR SPINE

739.1 NONALLOPATHIC LESIONS OF CERVICAL REGION NOT ELSEWHERE CLASSIFIED

739.2 NONALLOPATHIC LESIONS OF THORACIC REGION NOT ELSEWHERE CLASSIFIED

739.3 NONALLOPATHIC LESIONS OF LUMBAR REGION NOT ELSEWHERE CLASSIFIED

739.4 NONALLOPATHIC LESIONS OF SACRAL REGION NOT ELSEWHERE CLASSIFIED

741.00 SPINA BIFIDA UNSPECIFIED REGION WITH HYDROCEPHALUS

741.01 SPINA BIFIDA CERVICAL REGION WITH HYDROCEPHALUS

741.02 SPINA BIFIDA DORSAL (THORACIC) REGION WITH HYDROCEPHALUS

741.03 SPINA BIFIDA LUMBAR REGION WITH HYDROCEPHALUS

741.90 SPINA BIFIDA UNSPECIFIED REGION WITHOUT HYDROCEPHALUS

741.91 SPINA BIFIDA CERVICAL REGION WITHOUT HYDROCEPHALUS

741.92 SPINA BIFIDA DORSAL (THORACIC) REGION WITHOUT HYDROCEPHALUS

741.93 SPINA BIFIDA LUMBAR REGION WITHOUT HYDROCEPHALUS

742.51 DIASTEMATOMYELIA

742.53 HYDROMYELIA

742.59 OTHER SPECIFIED CONGENITAL ANOMALIES OF SPINAL CORD

742.9 UNSPECIFIED CONGENITAL ANOMALY OF BRAIN SPINAL CORD AND NERVOUS SYSTEM

756.10 CONGENITAL ANOMALY OF SPINE UNSPECIFIED

756.11 CONGENITAL SPONDYLOLYSIS LUMBOSACRAL REGION

756.12 SPONDYLOLISTHESIS CONGENITAL

756.13 ABSENCE OF VERTEBRA CONGENITAL

756.14 HEMIVERTEBRA

756.15 FUSION OF SPINE (VERTEBRA) CONGENITAL

756.16 KLIPPEL-FEIL SYNDROME

756.17 SPINA BIFIDA OCCULTA

756.19 OTHER CONGENITAL ANOMALIES OF SPINE

781.0 ABNORMAL INVOLUNTARY MOVEMENTS

781.1 DISTURBANCES OF SENSATION OF SMELL AND TASTE

781.2 ABNORMALITY OF GAIT

781.3 LACK OF COORDINATION

781.4 TRANSIENT PARALYSIS OF LIMB

781.5 CLUBBING OF FINGERS

781.6 MENINGISMUS

781.7 TETANY

781.8 NEUROLOGIC NEGLECT SYNDROME

781.91 LOSS OF HEIGHT

781.92 ABNORMAL POSTURE

781.93 OCULAR TORTICOLLIS

781.94 FACIAL WEAKNESS

781.99 OTHER SYMPTOMS INVOLVING NERVOUS AND MUSCULOSKELETAL SYSTEMS

792.0 NONSPECIFIC ABNORMAL FINDINGS IN CEREBROSPINAL FLUID

793.91 IMAGE TEST INCONCLUSIVE DUE TO EXCESS BODY FAT

793.99 OTHER NONSPECIFIC (ABNORMAL) FINDINGS ON RADIOLOGICAL AND OTHER EXAMINATION OF BODY STRUCTURE

794.10 NONSPECIFIC ABNORMAL RESPONSE TO UNSPECIFIED NERVE STIMULATION

794.17 NONSPECIFIC ABNORMAL ELECTROMYOGRAM (EMG)

796.1 ABNORMAL REFLEX

805.00 CLOSED FRACTURE OF CERVICAL VERTEBRA UNSPECIFIED LEVEL

805.01 CLOSED FRACTURE OF FIRST CERVICAL VERTEBRA

805.02 CLOSED FRACTURE OF SECOND CERVICAL VERTEBRA

805.03 CLOSED FRACTURE OF THIRD CERVICAL VERTEBRA

805.04 CLOSED FRACTURE OF FOURTH CERVICAL VERTEBRA

805.05 CLOSED FRACTURE OF FIFTH CERVICAL VERTEBRA

805.06 CLOSED FRACTURE OF SIXTH CERVICAL VERTEBRA

805.07 CLOSED FRACTURE OF SEVENTH CERVICAL VERTEBRA

805.08 CLOSED FRACTURE OF MULTIPLE CERVICAL VERTEBRAE

805.10 OPEN FRACTURE OF CERVICAL VERTEBRA UNSPECIFIED LEVEL

805.11 OPEN FRACTURE OF FIRST CERVICAL VERTEBRA

805.12 OPEN FRACTURE OF SECOND CERVICAL VERTEBRA

805.13 OPEN FRACTURE OF THIRD CERVICAL VERTEBRA

805.14 OPEN FRACTURE OF FOURTH CERVICAL VERTEBRA

805.15 OPEN FRACTURE OF FIFTH CERVICAL VERTEBRA

805.16 OPEN FRACTURE OF SIXTH CERVICAL VERTEBRA

805.17 OPEN FRACTURE OF SEVENTH CERVICAL VERTEBRA

805.18 OPEN FRACTURE OF MULTIPLE CERVICAL VERTEBRAE

805.2 CLOSED FRACTURE OF DORSAL (THORACIC) VERTEBRA WITHOUT SPINAL CORD INJURY

805.3 OPEN FRACTURE OF DORSAL (THORACIC) VERTEBRA WITHOUT SPINAL CORD INJURY

805.4 CLOSED FRACTURE OF LUMBAR VERTEBRA WITHOUT SPINAL CORD INJURY

805.5 OPEN FRACTURE OF LUMBAR VERTEBRA WITHOUT SPINAL CORD INJURY

805.6 CLOSED FRACTURE OF SACRUM AND COCCYX WITHOUT SPINAL CORD INJURY

805.7 OPEN FRACTURE OF SACRUM AND COCCYX WITHOUT SPINAL CORD INJURY

805.8 CLOSED FRACTURE OF UNSPECIFIED PART OF VERTEBRAL COLUMN WITHOUT SPINAL CORD INJURY

805.9 OPEN FRACTURE OF UNSPECIFIED PART OF VERTEBRAL COLUMN WITHOUT SPINAL CORD INJURY

806.00 CLOSED FRACTURE OF C1-C4 LEVEL WITH UNSPECIFIED SPINAL CORD INJURY

806.01 CLOSED FRACTURE OF C1-C4 LEVEL WITH COMPLETE LESION OF CORD

806.02 CLOSED FRACTURE OF C1-C4 LEVEL WITH ANTERIOR CORD SYNDROME

806.03 CLOSED FRACTURE OF C1-C4 LEVEL WITH CENTRAL CORD SYNDROME

806.04 CLOSED FRACTURE OF C1-C4 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY

806.05 CLOSED FRACTURE OF C5-C7 LEVEL WITH UNSPECIFIED SPINAL CORD INJURY

806.06 CLOSED FRACTURE OF C5-C7 LEVEL WITH COMPLETE LESION OF CORD

806.07 CLOSED FRACTURE OF C5-C7 LEVEL WITH ANTERIOR CORD SYNDROME

806.08 CLOSED FRACTURE OF C5-C7 LEVEL WITH CENTRAL CORD SYNDROME

806.09 CLOSED FRACTURE OF C5-C7 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY

806.10 OPEN FRACTURE OF C1-C4 LEVEL WITH UNSPECIFIED SPINAL CORD INJURY

806.11 OPEN FRACTURE OF C1-C4 LEVEL WITH COMPLETE LESION OF CORD

806.12 OPEN FRACTURE OF C1-C4 LEVEL WITH ANTERIOR CORD SYNDROME

806.13 OPEN FRACTURE OF C1-C4 LEVEL WITH CENTRAL CORD SYNDROME

806.14 OPEN FRACTURE OF C1-C4 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY

806.15 OPEN FRACTURE OF C5-C7 LEVEL WITH UNSPECIFIED SPINAL CORD INJURY

806.16 OPEN FRACTURE OF C5-C7 LEVEL WITH COMPLETE LESION OF CORD

806.17 OPEN FRACTURE OF C5-C7 LEVEL WITH ANTERIOR CORD SYNDROME

806.18 OPEN FRACTURE OF C5-C7 LEVEL WITH CENTRAL CORD SYNDROME

806.19 OPEN FRACTURE OF C5-C7 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY

806.20 CLOSED FRACTURE OF T1-T6 LEVEL WITH UNSPECIFIED SPINAL CORD INJURY

806.21 CLOSED FRACTURE OF T1-T6 LEVEL WITH COMPLETE LESION OF CORD

806.22 CLOSED FRACTURE OF T1-T6 LEVEL WITH ANTERIOR CORD SYNDROME

806.23 CLOSED FRACTURE OF T1-T6 LEVEL WITH CENTRAL CORD SYNDROME

806.24 CLOSED FRACTURE OF T1-T6 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY

806.25 CLOSED FRACTURE OF T7-T12 LEVEL WITH UNSPECIFIED SPINAL CORD INJURY

806.26 CLOSED FRACTURE OF T7-T12 LEVEL WITH COMPLETE LESION OF CORD

806.27 CLOSED FRACTURE OF T7-T12 LEVEL WITH ANTERIOR CORD SYNDROME

806.28 CLOSED FRACTURE OF T7-T12 LEVEL WITH CENTRAL CORD SYNDROME

806.29 CLOSED FRACTURE OF T7-T12 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY

806.30 OPEN FRACTURE OF T1-T6 LEVEL WITH UNSPECIFIED SPINAL CORD INJURY

806.31 OPEN FRACTURE OF T1-T6 LEVEL WITH COMPLETE LESION OF CORD

806.32 OPEN FRACTURE OF T1-T6 LEVEL WITH ANTERIOR CORD SYNDROME

806.33 OPEN FRACTURE OF T1-T6 LEVEL WITH CENTRAL CORD SYNDROME

806.34 OPEN FRACTURE OF T1-T6 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY

806.35 OPEN FRACTURE OF T7-T12 LEVEL WITH UNSPECIFIED SPINAL CORD INJURY

806.36 OPEN FRACTURE OF T7-T12 LEVEL WITH COMPLETE LESION OF CORD

806.37 OPEN FRACTURE OF T7-T12 LEVEL WITH ANTERIOR CORD SYNDROME

806.38 OPEN FRACTURE OF T7-T12 LEVEL WITH CENTRAL CORD SYNDROME

806.39 OPEN FRACTURE OF T7-T12 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY

806.4 CLOSED FRACTURE OF LUMBAR SPINE WITH SPINAL CORD INJURY

806.5 OPEN FRACTURE OF LUMBAR SPINE WITH SPINAL CORD INJURY

806.60 CLOSED FRACTURE OF SACRUM AND COCCYX WITH UNSPECIFIED SPINAL CORD INJURY

806.61 CLOSED FRACTURE OF SACRUM AND COCCYX WITH COMPLETE CAUDA EQUINA LESION

806.62 CLOSED FRACTURE OF SACRUM AND COCCYX WITH OTHER CAUDA EQUINA INJURY

806.69 CLOSED FRACTURE OF SACRUM AND COCCYX WITH OTHER SPINAL CORD INJURY

806.70 OPEN FRACTURE OF SACRUM AND COCCYX WITH UNSPECIFIED SPINAL CORD INJURY

806.71 OPEN FRACTURE OF SACRUM AND COCCYX WITH COMPLETE CAUDA EQUINA LESION

806.72 OPEN FRACTURE OF SACRUM AND COCCYX WITH OTHER CAUDA EQUINA INJURY

806.79 OPEN FRACTURE OF SACRUM AND COCCYX WITH OTHER SPINAL CORD INJURY

806.8 CLOSED FRACTURE OF UNSPECIFIED VERTEBRA WITH SPINAL CORD INJURY

806.9 OPEN FRACTURE OF UNSPECIFIED VERTEBRA WITH SPINAL CORD INJURY

839.00 CLOSED DISLOCATION CERVICAL VERTEBRA UNSPECIFIED

839.01 CLOSED DISLOCATION FIRST CERVICAL VERTEBRA

839.02 CLOSED DISLOCATION SECOND CERVICAL VERTEBRA

839.03 CLOSED DISLOCATION THIRD CERVICAL VERTEBRA

839.04 CLOSED DISLOCATION FOURTH CERVICAL VERTEBRA

839.05 CLOSED DISLOCATION FIFTH CERVICAL VERTEBRA

839.06 CLOSED DISLOCATION SIXTH CERVICAL VERTEBRA

839.07 CLOSED DISLOCATION SEVENTH CERVICAL VERTEBRA

839.08 CLOSED DISLOCATION MULTIPLE CERVICAL VERTEBRAE

839.10 OPEN DISLOCATION CERVICAL VERTEBRA UNSPECIFIED

839.11 OPEN DISLOCATION FIRST CERVICAL VERTEBRA

839.12 OPEN DISLOCATION SECOND CERVICAL VERTEBRA

839.13 OPEN DISLOCATION THIRD CERVICAL VERTEBRA

839.14 OPEN DISLOCATION FOURTH CERVICAL VERTEBRA

839.15 OPEN DISLOCATION FIFTH CERVICAL VERTEBRA

839.16 OPEN DISLOCATION SIXTH CERVICAL VERTEBRA

839.17 OPEN DISLOCATION SEVENTH CERVICAL VERTEBRA

839.18 OPEN DISLOCATION MULTIPLE CERVICAL VERTEBRAE

839.20 CLOSED DISLOCATION LUMBAR VERTEBRA

839.21 CLOSED DISLOCATION THORACIC VERTEBRA

839.30 OPEN DISLOCATION LUMBAR VERTEBRA

839.31 OPEN DISLOCATION THORACIC VERTEBRA

839.40 CLOSED DISLOCATION VERTEBRA UNSPECIFIED SITE

839.41 CLOSED DISLOCATION COCCYX

839.42 CLOSED DISLOCATION SACRUM

839.49 CLOSED DISLOCATION OTHER VERTEBRA

839.50 OPEN DISLOCATION VERTEBRA UNSPECIFIED SITE

839.51 OPEN DISLOCATION COCCYX

839.52 OPEN DISLOCATION SACRUM

839.59 OPEN DISLOCATION OTHER VERTEBRA

952.00 C1-C4 LEVEL SPINAL CORD INJURY UNSPECIFIED

952.01 C1-C4 LEVEL WITH COMPLETE LESION OF SPINAL CORD

952.02 C1-C4 LEVEL WITH ANTERIOR CORD SYNDROME

952.03 C1-C4 LEVEL WITH CENTRAL CORD SYNDROME

952.04 C1-C4 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY

952.05 C5-C7 LEVEL SPINAL CORD INJURY UNSPECIFIED

952.06 C5-C7 LEVEL WITH COMPLETE LESION OF SPINAL CORD

952.07 C5-C7 LEVEL WITH ANTERIOR CORD SYNDROME

952.08 C5-C7 LEVEL WITH CENTRAL CORD SYNDROME

952.09 C5-C7 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY

952.10 T1-T6 LEVEL SPINAL CORD INJURY UNSPECIFIED

952.11 T1-T6 LEVEL WITH COMPLETE LESION OF SPINAL CORD

952.12 T1-T6 LEVEL WITH ANTERIOR CORD SYNDROME

952.13 T1-T6 LEVEL WITH CENTRAL CORD SYNDROME

952.14 T1-T6 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY

952.15 T7-T12 LEVEL SPINAL CORD INJURY UNSPECIFIED

952.16 T7-T12 LEVEL WITH COMPLETE LESION OF SPINAL CORD

952.17 T7-T12 LEVEL WITH ANTERIOR CORD SYNDROME

952.18 T7-T12 LEVEL WITH CENTRAL CORD SYNDROME

952.19 T7-T12 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY

952.2 LUMBAR SPINAL CORD INJURY WITHOUT SPINAL BONE INJURY

952.3 SACRAL SPINAL CORD INJURY WITHOUT SPINAL BONE INJURY

952.4 CAUDA EQUINA SPINAL CORD INJURY WITHOUT SPINAL BONE INJURY

952.8 MULTIPLE SITES OF SPINAL CORD INJURY WITHOUT SPINAL BONE INJURY

952.9 UNSPECIFIED SITE OF SPINAL CORD INJURY WITHOUT SPINAL BONE INJURY

953.0 INJURY TO CERVICAL NERVE ROOT

953.1 INJURY TO DORSAL NERVE ROOT

953.2 INJURY TO LUMBAR NERVE ROOT

953.3 INJURY TO SACRAL NERVE ROOT

953.4 INJURY TO BRACHIAL PLEXUS

953.5 INJURY TO LUMBOSACRAL PLEXUS

953.8 INJURY TO MULTIPLE SITES OF NERVE ROOTS AND SPINAL PLEXUS

953.9 INJURY TO UNSPECIFIED SITE OF NERVE ROOTS AND SPINAL PLEXUS

V10.81 PERSONAL HISTORY OF MALIGNANT NEOPLASM OF BONE

V10.86 PERSONAL HISTORY OF MALIGNANT NEOPLASM OF OTHER PARTS OF NERVOUS SYSTEM

Diagnoses that Support Medical Necessity

 

 

Documentation Requirements

 

• The documentation of the study requires:

o A formal written report.

 with clear identifying demographics.

o The name of the interpreting provider.

o Reason for the test.

o Interpretive report and copies of all images obtained.

• The computerized data with image reconstruction should also be maintained.

• The medical record must contain documentation, including a written or electronic request for the procedure which fully supports the medical necessity of the procedure performed.

• This documentation includes, but is not limited to relevant medical history, physical examination, diagnosis (if known), pertinent signs and symptoms and results of pertinent diagnostic tests and/or procedures.

• This entire documentation-not just the test report or the findings/diagnosis on the order, must be made available to Medicare upon request.

• When a CT scan and MRI are performed on the same day for the same anatomical area, the medical record must clearly reflect the medical necessity for performing both tests.

• Rules for Testing Facility to Furnish Additional Tests

o If the testing facility cannot reach the treating physician/practitioner to change the order or obtain a new order and documents this in the medical record, then the testing facility may furnish the additional diagnostic test if all of the following criteria apply:

 The testing center performs the diagnostic test ordered by the treating physician/practitioner.

 The interpreting physician at the testing facility determines and documents that, because of the abnormal result of the diagnostic test performed, an additional diagnostic test is medically necessary.

 Delaying the performance of the additional diagnostic test would have an adverse effect on the care of the beneficiary.

 The result of the test is communicated to and is used by the treating physician/practitioner in the treatment of the beneficiary.

 The interpreting physician at the testing facility documents in his/her report why additional testing was done.

• Rules for Testing Facility Interpreting Physician to Furnish Different or Additional Tests:

o The following applies to an interpreting physician of a testing facility who furnishes a diagnostic test to a beneficiary who is not a hospital inpatient or outpatient.

o The interpreting physician must document accordingly in his/her report to the treating physician/practitioner.

• Test Design:

o Unless specified in the order, the interpreting physician may determine, without notifying the treating physician/practitioner, the parameters of the diagnostic test

 (e.g., number of radiographic views obtained, thickness or tomographic sections acquired, use or non-use of contrast media).

o If the provider of the service is other than the ordering/referring physician, that provider must maintain hard copy documentation of test results and interpretation, along with copies of the ordering/referring physician’s order for the study.

o The physician must state the clinical indication/medical necessity for the study in his order for the test.

 

 

Treatment Logic

 

• Magnetic Resonance Imaging (MRI) is used to diagnose a variety of central nervous system disorders.

• Unlike computed tomography (CT) scanning, MRI does not make use of ionizing radiation or require iodinated contrast material (known for causing hypersensitivity reactions and nephrotoxicity in susceptible patients) to distinguish normal from pathologic tissue.

• Rather, the difference in the number of protons contained within hydrogen-rich molecules in the body (water, proteins, lipids, and other macromolecules) determines recorded image qualities and makes possible the distinction of spinal cord from intra- vertebral disc, tumor from normal tissue, and flowing blood within vascular structures.

• MRI is able to image in multiple planes, a distinct advantage in the diagnosis of spinal cord and vertebral column anomalies.

• MRI is also superior to myelography, a riskier, and more uncomfortable, and less informative procedure than MRI.

 

 

Sources of Information and Basis for Decision

 

American College of Physicians: Position Paper: Magnetic resonance imaging of the brain and spine. Annals of Internal Medicine, 120(10): 872-75.

 

American College of Radiology (2010). Practice guideline for communication of diagnostic imaging findings. Retrieved from http://www.acr.org/SecondaryMainMenuCategories/quality_safety/guidelines.aspx

 

American College of Radiology (2006). Practice guideline for performing and interpreting magnetic resonance imaging (MRI). Retrieved from http://www.acr.org/SecondaryMainMenuCategories/quality_safety/guidelines.aspx

 

American College of Physicians: Position Paper: Magnetic resonance imaging of the brain and spine. Annals of Internal Medicine, 120(10): 872-75.

 

American College of Radiology. (2002). Suspected Cervical Spine Trauma, ACR Appropriateness Criteria. [On-line] Available at http://www.acr.org/ac_pda.

 

American Journal of Neuroradiology. (2003). Nomenclature and Classification of Lumbar Disc Pathology. [On-line] Available at http://www.asnr.org/spine_nomenclature/Discterms-dec_14.shtml.

 

Eck, J.C., Hodges, S.D., Humphreys, S.C. (2002). Radiologic Decision-Making. American Family Physician, 65(11): 2299-306.

 

FCSO L29222, Magnetic Resonance Imaging of the Spine, 9/23/2011. The official local coverage determination (LCD) is the version on the Medicare coverage database at www.cms.gov/medicare-coverage-database/ .

 

AMA CPT / ADA CDT Copyright Statement

CPT codes, descriptions and other data only are copyright 2011 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Clauses Apply.

 

 

CMS LCD MAGNETIC RESONANCE IMAGING OF THE SPINE