LCD/NCD Portal
Automated World Health
L28907 MAGNETIC RESONANCE IMAGING OF UPPER EXTREMITY
10/01/2011
Indications and Limitations of Coverage and/or Medical Necessity
Medicare will consider MRI of the upper extremity CPT codes (73218-73223) medically reasonable and necessary under the following conditions:
Indications:
• Soft Tissues
o Evaluating soft tissue masses and subtle bone injuries.
o Evaluation of traumatic muscle and tendon injuries, hematomas, compartment syndromes, entrapment syndromes, tendinosis, tenosynovitis, and bursitis.
o Evaluation of infections, abscesses and myositis.
o Evaluation of masses such as simple non-neoplastic cysts, abscesses, ganglion cysts, paramensical cysts, hematomas, muscle tears, and ligament and tendon tears.
o Detection, staging, and characterization of benign and malignant soft tissue neoplasms and for the follow-up evaluation of neoplastic disease and therapy.
• Bones
o In trauma, for the evaluation of suspected x-ray occult injuries of the metaphysis and epiphysis and to assess fracture union.
o To detect and size acute and chronic osteomyelitis and to evaluate periprosthetic infections in selected cases.
o To detect and stage primary bone tumors, both non-neoplastic and neoplastic. (Please also consider whether follow-up for local recurrence of bone tumor should also be included).
o To detect and stage occult bony metastases.
• Joints – Diseases affecting all joints. MRI can be used to evaluate the following:
o Pain or loss of function of undetermined etiology.
o Joint instability and internal derangement.
o Selected articular cartilage injuries.
o Degenerated joint disease.
o Traumatic injuries to joints and adjacent muscles, tendons, and ligaments.
o Articular cartilage injuries.
o Bursitis and synovitis from overuse, fragment stability and cartilage status in osteochondritis dissecans.
o Posttraumatic osteonecrosis and degenerative joint disease.
o Loose bodies and tenosynovitis.
o Joint infections (noninfectious inflammatory joint disease such as rheumatoid and the seronegative arthritis, overuse synovitis, tenosynovitis, and tendonopathy).
o Ganglion cysts, bursal cysts with bursitis, abscesses, benign neoplastic masses, and primary and metastatic masses.
o Osteonecrosis including avascular necrosis, and degenerative joint disease.
• Elbow Joints MRI can be used in the evaluation of:
o Medical epicondylitis (tennis elbow).
o Fractures in children.
o Osteochondral defects, and osteonecrosis.
o Evaluation of suspected collateral ligament tear and suspected biceps tendon teat and/or bursitis.
• Wrist, Hand, and Fingers MRI can be used in the detection and evaluation of:
o Carpal tunnel syndrome.
o Tendon and ligamentous injuries.
o Triangular fibrocartilage injuries.
o Extensor and flexor tenosynovitis.
o De Quervain’s syndrome.
o Keinbach’s disease.
o Injuries of the flexor and extensor tendons.
o Tenosynovitis and masses.
Limitations of Coverage
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.
o MRI during a viable pregnancy is also contraindicated at this time.
o 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.
o 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 Noncovered Indications
• The CMS has determined that MRI of cortical bone and calcifications, and procedures involving spatial resolution of bone and calcifications, are not considered reasonable and necessary indications within the meaning of section 1862(a)(1)(A) of the Social Security Act, and are therefore noncovered.
• Coverage is limited to MRI units that have FDA premarket approval, and such units must be operated within the parameters specified by the approval.
o In addition, the services must be reasonable and necessary for the diagnosis or treatment of the specific patient involved.
CPT/HCPCS Codes
73218 MAGNETIC RESONANCE (EG, PROTON) IMAGING, UPPER EXTREMITY, OTHER THAN JOINT; WITHOUT CONTRAST MATERIAL(S)
73219 MAGNETIC RESONANCE (EG, PROTON) IMAGING, UPPER EXTREMITY, OTHER THAN JOINT; WITH CONTRAST MATERIAL(S)
73220 MAGNETIC RESONANCE (EG, PROTON) IMAGING, UPPER EXTREMITY, OTHER THAN JOINT; WITHOUT CONTRAST MATERIAL(S), FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SEQUENCES
73221 MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF UPPER EXTREMITY; WITHOUT CONTRAST MATERIAL(S)
73222 MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF UPPER EXTREMITY; WITH CONTRAST MATERIAL(S)
73223 MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF UPPER EXTREMITY; WITHOUT CONTRAST MATERIAL(S), FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SEQUENCES
ICD-9 Codes that Support Medical Necessity
003.24 SALMONELLA OSTEOMYELITIS
115.10 INFECTION BY HISTOPLASMA DUBOISII WITHOUT MANIFESTATION
115.11 HISTOPLASMA DUBOISII MENINGITIS
115.12 HISTOPLASMA DUBOISII RETINITIS
115.13 HISTOPLASMA DUBOISII PERICARDITIS
115.14 HISTOPLASMA DUBOISII ENDOCARDITIS
115.15 HISTOPLASMA DUBOISII PNEUMONIA
115.19 INFECTION BY HISTOPLASMA DUBOISII WITH OTHER MANIFESTATION
170.4 MALIGNANT NEOPLASM OF SCAPULA AND LONG BONES OF UPPER LIMB
170.5 MALIGNANT NEOPLASM OF SHORT BONES OF UPPER LIMB
170.9 MALIGNANT NEOPLASM OF BONE AND ARTICULAR CARTILAGE SITE UNSPECIFIED
171.0 MALIGNANT NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF HEAD FACE AND NECK
171.2 MALIGNANT NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF UPPER LIMB INCLUDING SHOULDER
171.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF CONNECTIVE AND OTHER SOFT TISSUE
172.6 MALIGNANT MELANOMA OF SKIN OF UPPER LIMB INCLUDING SHOULDER
173.60 UNSPECIFIED MALIGNANT NEOPLASM OF SKIN OF UPPER LIMB, INCLUDING SHOULDER
173.61 BASAL CELL CARCINOMA OF SKIN OF UPPER LIMB, INCLUDING SHOULDER
173.62 SQUAMOUS CELL CARCINOMA OF SKIN OF UPPER LIMB, INCLUDING SHOULDER
173.69 OTHER SPECIFIED MALIGNANT NEOPLASM OF SKIN OF UPPER LIMB, INCLUDING SHOULDER
194.6 MALIGNANT NEOPLASM OF AORTIC BODY AND OTHER PARAGANGLIA
195.4 MALIGNANT NEOPLASM OF UPPER LIMB
196.3 SECONDARY AND UNSPECIFIED MALIGNANT NEOPLASM OF LYMPH NODES OF AXILLA AND UPPER LIMB
196.8 SECONDARY AND UNSPECIFIED MALIGNANT NEOPLASM OF LYMPH NODES OF MULTIPLE SITES
196.9 SECONDARY AND UNSPECIFIED MALIGNANT NEOPLASM OF LYMPH NODES SITE UNSPECIFIED
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
208.90 UNSPECIFIED LEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION
208.92 UNSPECIFIED LEUKEMIA, IN RELAPSE
213.4 BENIGN NEOPLASM OF SCAPULA AND LONG BONES OF UPPER LIMB
213.5 BENIGN NEOPLASM OF SHORT BONES OF UPPER LIMB
213.9 BENIGN NEOPLASM OF BONE AND ARTICULAR CARTILAGE SITE UNSPECIFIED
215.2 OTHER BENIGN NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF UPPER LIMB INCLUDING SHOULDER
215.8 OTHER BENIGN NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF OTHER SPECIFIED SITES
216.6 BENIGN NEOPLASM OF SKIN OF UPPER LIMB INCLUDING SHOULDER
227.6 BENIGN NEOPLASM OF AORTIC BODY AND OTHER PARAGANGLIA
228.1 LYMPHANGIOMA ANY SITE
232.6 CARCINOMA IN SITU OF SKIN OF UPPER LIMB INCLUDING SHOULDER
234.8 CARCINOMA IN SITU OF OTHER SPECIFIED SITES
237.3 NEOPLASM OF UNCERTAIN BEHAVIOR OF PARAGANGLIA
237.70 NEUROFIBROMATOSIS UNSPECIFIED
237.71 NEUROFIBROMATOSIS TYPE 1 VON RECKLINGHAUSEN'S DISEASE
237.72 NEUROFIBROMATOSIS TYPE 2 ACOUSTIC NEUROFIBROMATOSIS
237.73 SCHWANNOMATOSIS
237.79 OTHER NEUROFIBROMATOSIS
238.0 NEOPLASM OF UNCERTAIN BEHAVIOR OF BONE AND ARTICULAR CARTILAGE
238.1 NEOPLASM OF UNCERTAIN BEHAVIOR OF CONNECTIVE AND OTHER SOFT TISSUE
238.71 ESSENTIAL THROMBOCYTHEMIA
238.72 LOW GRADE MYELODYSPLASTIC SYNDROME LESIONS
238.73 HIGH GRADE MYELODYSPLASTIC SYNDROME LESIONS
238.74 MYELODYSPLASTIC SYNDROME WITH 5Q DELETION
238.75 MYELODYSPLASTIC SYNDROME, UNSPECIFIED
238.76 MYELOFIBROSIS WITH MYELOID METAPLASIA
238.77 POST-TRANSPLANT LYMPHOPROLIFERATIVE DISORDER (PTLD)
238.79 OTHER LYMPHATIC AND HEMATOPOIETIC TISSUES
239.2 NEOPLASM OF UNSPECIFIED NATURE OF BONE SOFT TISSUE AND SKIN
239.7 NEOPLASM OF UNSPECIFIED NATURE OF ENDOCRINE GLANDS AND OTHER PARTS OF NERVOUS SYSTEM
274.00 GOUTY ARTHROPATHY, UNSPECIFIED
274.01 ACUTE GOUTY ARTHROPATHY
274.02 CHRONIC GOUTY ARTHROPATHY WITHOUT MENTION OF TOPHUS (TOPHI)
274.03 CHRONIC GOUTY ARTHROPATHY WITH TOPHUS (TOPHI)
333.84 ORGANIC WRITERS' CRAMP
353.0 BRACHIAL PLEXUS LESIONS
354.0 CARPAL TUNNEL SYNDROME
354.1 OTHER LESION OF MEDIAN NERVE
354.2 LESION OF ULNAR NERVE
354.3 LESION OF RADIAL NERVE
354.4 CAUSALGIA OF UPPER LIMB
354.5 MONONEURITIS MULTIPLEX
354.8 OTHER MONONEURITIS OF UPPER LIMB
354.9 MONONEURITIS OF UPPER LIMB UNSPECIFIED
359.21 MYOTONIC MUSCULAR DYSTROPHY
359.22 MYOTONIA CONGENITAL
359.23 MYOTONIC CHONDRODYSTROPHY
359.24 DRUG INDUCED MYOTONIA
359.29 OTHER SPECIFIED MYOTONIC DISORDER
359.3 PERIODIC PARALYSIS
359.71 INCLUSION BODY MYOSITIS
442.0 ANEURYSM OF ARTERY OF UPPER EXTREMITY
442.1 ANEURYSM OF RENAL ARTERY
442.2 ANEURYSM OF ILIAC ARTERY
442.3 ANEURYSM OF ARTERY OF LOWER EXTREMITY
442.81 ANEURYSM OF ARTERY OF NECK
442.82 ANEURYSM OF SUBCLAVIAN ARTERY
442.83 ANEURYSM OF SPLENIC ARTERY
442.84 ANEURYSM OF OTHER VISCERAL ARTERY
442.89 ANEURYSM OF OTHER SPECIFIED SITE
442.9 OTHER ANEURYSM OF UNSPECIFIED SITE
444.21 ARTERIAL EMBOLISM AND THROMBOSIS OF UPPER EXTREMITY
444.9 EMBOLISM AND THROMBOSIS OF UNSPECIFIED ARTERY
447.0 ARTERIOVENOUS FISTULA ACQUIRED
447.70 AORTIC ECTASIA, UNSPECIFIED SITE
447.71 THORACIC AORTIC ECTASIA
447.72 ABDOMINAL AORTIC ECTASIA
447.73 THORACOABDOMINAL AORTIC ECTASIA
457.0 POSTMASTECTOMY LYMPHEDEMA SYNDROME
457.1 OTHER LYMPHEDEMA
682.3 CELLULITIS AND ABSCESS OF UPPER ARM AND FOREARM
696.0 PSORIATIC ARTHROPATHY
711.01 PYOGENIC ARTHRITIS INVOLVING SHOULDER REGION
711.02 PYOGENIC ARTHRITIS INVOLVING UPPER ARM
711.03 PYOGENIC ARTHRITIS INVOLVING FOREARM
711.04 PYOGENIC ARTHRITIS INVOLVING HAND
711.41 ARTHROPATHY INVOLVING SHOULDER REGION ASSOCIATED WITH OTHER BACTERIAL DISEASES
711.42 ARTHROPATHY INVOLVING UPPER ARM ASSOCIATED WITH OTHER BACTERIAL DISEASES
711.43 ARTHROPATHY INVOLVING FOREARM ASSOCIATED WITH OTHER BACTERIAL DISEASES
711.44 ARTHROPATHY INVOLVING HAND ASSOCIATED WITH OTHER BACTERIAL DISEASES
711.45 ARTHROPATHY INVOLVING PELVIC REGION AND THIGH ASSOCIATED WITH OTHER BACTERIAL DISEASES
711.46 ARTHROPATHY INVOLVING LOWER LEG ASSOCIATED WITH OTHER BACTERIAL DISEASES
711.47 ARTHROPATHY INVOLVING ANKLE AND FOOT ASSOCIATED WITH OTHER BACTERIAL DISEASE
711.61 ARTHROPATHY INVOLVING SHOULDER REGION ASSOCIATED WITH MYCOSES
711.62 ARTHROPATHY INVOLVING UPPER ARM ASSOCIATED WITH MYCOSES
711.63 ARTHROPATHY INVOLVING FOREARM ASSOCIATED WITH MYCOSES
711.64 ARTHROPATHY INVOLVING HAND ASSOCIATED WITH MYCOSES
711.65 ARTHROPATHY INVOLVING PELVIC REGION AND THIGH ASSOCIATED WITH MYCOSES
711.66 ARTHROPATHY INVOLVING LOWER LEG ASSOCIATED WITH MYCOSES
711.67 ARTHROPATHY INVOLVING ANKLE AND FOOT ASSOCIATED WITH MYCOSES
711.91 UNSPECIFIED INFECTIVE ARTHRITIS INVOLVING SHOULDER REGION
711.92 UNSPECIFIED INFECTIVE ARTHRITIS INVOLVING UPPER ARM
711.93 UNSPECIFIED INFECTIVE ARTHRITIS INVOLVING FOREARM
711.94 UNSPECIFIED INFECTIVE ARTHRITIS INVOLVING HAND
711.95 UNSPECIFIED INFECTIVE ARTHRITIS INVOLVING PELVIC REGION AND THIGH
711.96 UNSPECIFIED INFECTIVE ARTHRITIS INVOLVING LOWER LEG
711.97 UNSPECIFIED INFECTIVE ARTHRITIS INVOLVING ANKLE AND FOOT
714.0 RHEUMATOID ARTHRITIS
714.30 CHRONIC OR UNSPECIFIED POLYARTICULAR JUVENILE RHEUMATOID ARTHRITIS
714.31 ACUTE POLYARTICULAR JUVENILE RHEUMATOID ARTHRITIS
714.9 UNSPECIFIED INFLAMMATORY POLYARTHROPATHY
715.00 OSTEOARTHROSIS GENERALIZED INVOLVING UNSPECIFIED SITE
715.04 OSTEOARTHROSIS GENERALIZED INVOLVING HAND
715.09 OSTEOARTHROSIS GENERALIZED INVOLVING MULTIPLE SITES
715.11 OSTEOARTHROSIS LOCALIZED PRIMARY INVOLVING SHOULDER REGION
715.12 OSTEOARTHROSIS LOCALIZED PRIMARY INVOLVING UPPER ARM
715.13 OSTEOARTHROSIS LOCALIZED PRIMARY INVOLVING FOREARM
715.14 OSTEOARTHROSIS LOCALIZED PRIMARY INVOLVING HAND
715.20 OSTEOARTHROSIS LOCALIZED SECONDARY INVOLVING UNSPECIFIED SITE
715.21 OSTEOARTHROSIS LOCALIZED SECONDARY INVOLVING SHOULDER REGION
715.22 OSTEOARTHROSIS LOCALIZED SECONDARY INVOLVING UPPER ARM
715.23 OSTEOARTHROSIS LOCALIZED SECONDARY INVOLVING FOREARM
715.24 OSTEOARTHROSIS LOCALIZED SECONDARY INVOLVING HAND
715.30 OSTEOARTHROSIS LOCALIZED NOT SPECIFIED WHETHER PRIMARY OR SECONDARY INVOLVING UNSPECIFIED SITE
715.31 OSTEOARTHROSIS LOCALIZED NOT SPECIFIED WHETHER PRIMARY OR SECONDARY INVOLVING SHOULDER REGION
715.32 OSTEOARTHROSIS LOCALIZED NOT SPECIFIED WHETHER PRIMARY OR SECONDARY INVOLVING UPPER ARM
715.33 OSTEOARTHROSIS LOCALIZED NOT SPECIFIED WHETHER PRIMARY OR SECONDARY INVOLVING FOREARM
715.34 OSTEOARTHROSIS LOCALIZED NOT SPECIFIED WHETHER PRIMARY OR SECONDARY INVOLVING HAND
715.80 OSTEOARTHROSIS INVOLVING OR WITH MORE THAN ONE SITE BUT NOT SPECIFIED AS GENERALIZED AND INVOLVING UNSPECIFIED SITE
715.89 OSTEOARTHROSIS INVOLVING OR WITH MULTIPLE SITES BUT NOT SPECIFIED AS GENERALIZED
715.90 OSTEOARTHROSIS UNSPECIFIED WHETHER GENERALIZED OR LOCALIZED INVOLVING UNSPECIFIED SITE
715.91 OSTEOARTHROSIS UNSPECIFIED WHETHER GENERALIZED OR LOCALIZED INVOLVING SHOULDER REGION
715.92 OSTEOARTHROSIS UNSPECIFIED WHETHER GENERALIZED OR LOCALIZED INVOLVING UPPER ARM
715.93 OSTEOARTHROSIS UNSPECIFIED WHETHER GENERALIZED OR LOCALIZED INVOLVING FOREARM
715.94 OSTEOARTHROSIS UNSPECIFIED WHETHER GENERALIZED OR LOCALIZED INVOLVING HAND
715.98 OSTEOARTHROSIS UNSPECIFIED WHETHER GENERALIZED OR LOCALIZED INVOLVING OTHER SPECIFIED SITES
716.11 TRAUMATIC ARTHROPATHY INVOLVING SHOULDER REGION
716.12 TRAUMATIC ARTHROPATHY INVOLVING UPPER ARM
716.13 TRAUMATIC ARTHROPATHY INVOLVING FOREARM
716.14 TRAUMATIC ARTHROPATHY INVOLVING HAND
716.81 OTHER SPECIFIED ARTHROPATHY INVOLVING SHOULDER REGION
716.82 OTHER SPECIFIED ARTHROPATHY INVOLVING UPPER ARM
716.83 OTHER SPECIFIED ARTHROPATHY INVOLVING FOREARM
716.84 OTHER SPECIFIED ARTHROPATHY INVOLVING HAND
716.85 OTHER SPECIFIED ARTHROPATHY INVOLVING PELVIC REGION AND THIGH
716.86 OTHER SPECIFIED ARTHROPATHY INVOLVING LOWER LEG
716.87 OTHER SPECIFIED ARTHROPATHY INVOLVING ANKLE AND FOOT
716.88 OTHER SPECIFIED ARTHROPATHY INVOLVING OTHER SPECIFIED SITES
716.89 OTHER SPECIFIED ARTHROPATHY INVOLVING MULTIPLE SITES
716.91 UNSPECIFIED ARTHROPATHY INVOLVING SHOULDER REGION
716.92 UNSPECIFIED ARTHROPATHY INVOLVING UPPER ARM
716.93 UNSPECIFIED ARTHROPATHY INVOLVING FOREARM
716.94 UNSPECIFIED ARTHROPATHY INVOLVING HAND
716.95 UNSPECIFIED ARTHROPATHY INVOLVING PELVIC REGION AND THIGH
716.96 UNSPECIFIED ARTHROPATHY INVOLVING LOWER LEG
716.97 UNSPECIFIED ARTHROPATHY INVOLVING ANKLE AND FOOT
716.98 UNSPECIFIED ARTHROPATHY INVOLVING OTHER SPECIFIED SITES
716.99 UNSPECIFIED ARTHROPATHY INVOLVING MULTIPLE SITES
718.00 ARTICULAR CARTILAGE DISORDER SITE UNSPECIFIED
718.01 ARTICULAR CARTILAGE DISORDER INVOLVING SHOULDER REGION
718.02 ARTICULAR CARTILAGE DISORDER INVOLVING UPPER ARM
718.03 ARTICULAR CARTILAGE DISORDER INVOLVING FOREARM
718.04 ARTICULAR CARTILAGE DISORDER INVOLVING HAND
718.08 ARTICULAR CARTILAGE DISORDER INVOLVING OTHER SPECIFIED SITES
718.09 ARTICULAR CARTILAGE DISORDER INVOLVING MULTIPLE SITES
718.10 LOOSE BODY IN JOINT SITE UNSPECIFIED
718.11 LOOSE BODY IN JOINT OF SHOULDER REGION
718.12 LOOSE BODY IN UPPER ARM JOINT
718.13 LOOSE BODY IN FOREARM JOINT
718.14 LOOSE BODY IN HAND JOINT
718.18 LOOSE BODY IN JOINT OF OTHER SPECIFIED SITES
718.19 LOOSE BODY IN JOINT OF MULTIPLE SITES
718.20 PATHOLOGICAL DISLOCATION OF JOINT SITE UNSPECIFIED
718.21 PATHOLOGICAL DISLOCATION OF JOINT OF SHOULDER REGION
718.22 PATHOLOGICAL DISLOCATION OF UPPER ARM JOINT
718.23 PATHOLOGICAL DISLOCATION OF FOREARM JOINT
718.24 PATHOLOGICAL DISLOCATION OF HAND JOINT
718.29 PATHOLOGICAL DISLOCATION OF JOINT OF MULTIPLE SITES
718.30 RECURRENT DISLOCATION OF JOINT SITE UNSPECIFIED
718.31 RECURRENT DISLOCATION OF JOINT OF SHOULDER REGION
718.32 RECURRENT DISLOCATION OF UPPER ARM JOINT
718.33 RECURRENT DISLOCATION OF FOREARM JOINT
718.34 RECURRENT DISLOCATION OF HAND JOINT
718.39 RECURRENT DISLOCATION OF JOINT OF MULTIPLE SITES
718.40 CONTRACTURE OF JOINT SITE UNSPECIFIED
718.41 CONTRACTURE OF JOINT OF SHOULDER REGION
718.42 CONTRACTURE OF UPPER ARM JOINT
718.43 CONTRACTURE OF FOREARM JOINT
718.44 CONTRACTURE OF HAND JOINT
718.49 CONTRACTURE OF JOINT OF MULTIPLE SITES
718.50 ANKYLOSIS OF JOINT SITE UNSPECIFIED
718.51 ANKYLOSIS OF JOINT OF SHOULDER REGION
718.52 ANKYLOSIS OF UPPER ARM JOINT
718.53 ANKYLOSIS OF FOREARM JOINT
718.54 ANKYLOSIS OF HAND JOINT
718.59 ANKYLOSIS OF JOINT OF MULTIPLE SITES
718.80 OTHER JOINT DERANGEMENT NOT ELSEWHERE CLASSIFIED INVOLVING UNSPECIFIED SITE
718.81 OTHER JOINT DERANGEMENT NOT ELSEWHERE CLASSIFIED INVOLVING SHOULDER REGION
718.82 OTHER JOINT DERANGEMENT NOT ELSEWHERE CLASSIFIED INVOLVING UPPER ARM
718.83 OTHER JOINT DERANGEMENT NOT ELSEWHERE CLASSIFIED INVOLVING FOREARM
718.84 OTHER JOINT DERANGEMENT NOT ELSEWHERE CLASSIFIED INVOLVING HAND
718.90 UNSPECIFIED DERANGEMENT OF JOINT SITE UNSPECIFIED
718.91 UNSPECIFIED DERANGEMENT OF JOINT OF SHOULDER REGION
718.92 UNSPECIFIED DERANGEMENT OF UPPER ARM JOINT
718.93 UNSPECIFIED DERANGEMENT OF FOREARM JOINT
718.94 UNSPECIFIED DERANGEMENT OF HAND JOINT
718.98 UNSPECIFIED DERANGEMENT OF JOINT OF OTHER SPECIFIED SITES
719.01 EFFUSION OF JOINT OF SHOULDER REGION
719.02 EFFUSION OF UPPER ARM JOINT
719.03 EFFUSION OF FOREARM JOINT
719.04 EFFUSION OF HAND JOINT
719.11 HERARTHROSIS INVOLVING SHOULDER REGION
719.12 HEMARTHORSIS INVOLVING UPPER ARM
719.13 HEMARTHROSIS INVOLVING FOREARM
719.14 HEMARTHROSIS INVOLVING HAND
719.21 VILLONODULAR SYNOVITIS INVOLVING SHOULDER REGION
719.22 VILLONODULAR SYNOVITIS INVOLVING UPPER ARM
719.23 VILLONODULAR SYNOVITIS INVOLVING FOREARM
719.24 VILLONODULAR SYNOVITIS INVOLVING HAND
719.41 PAIN IN JOINT INVOLVING SHOULDER REGION
719.42 PAIN IN JOINT INVOLVING UPPER ARM
719.43 PAIN IN JOINT INVOLVING FOREARM
719.44 PAIN IN JOINT INVOLVING HAND
719.51 STIFFNESS OF JOINT NOT ELSEWHERE CLASSIFIED INVOLVING SHOULDER REGION
719.52 STIFFNESS OF JOINT NOT ELSEWHERE CLASSIFIED INVOLVING UPPER ARM
719.53 STIFFNESS OF JOINT NOT ELSEWHERE CLASSIFIED INVOLVING FOREARM
719.54 STIFFNESS OF JOINT NOT ELSEWHERE CLASSIFIED INVOLVING HAND
719.55 STIFFNESS OF JOINT NOT ELSEWHERE CLASSIFIED INVOLVING PELVIC REGION AND THIGH
719.56 STIFFNESS OF JOINT NOT ELSEWHERE CLASSIFIED INVOLVING LOWER LEG
719.57 STIFFNESS OF JOINT NOT ELSEWHERE CLASSIFIED INVOLVING ANKLE AND FOOT
719.61 OTHER SYMPTOMS REFERABLE TO JOINT OF SHOULDER REGION
719.62 OTHER SYMPTOMS REFERABLE TO UPPER ARM JOINT
719.63 OTHER SYMPTOMS REFERABLE TO FOREARM JOINT
719.64 OTHER SYMPTOMS REFERABLE TO HAND JOINT
719.65 OTHER SYMPTOMS REFERABLE TO JOINT OF PELVIC REGION AND THIGH
719.66 OTHER SYMPTOMS REFERABLE TO LOWER LEG JOINT
719.67 OTHER SYMPTOMS REFERABLE TO ANKLE AND FOOT JOINT
719.81 OTHER SPECIFIED DISORDERS OF JOINT OF SHOULDER REGION
719.82 OTHER SPECIFIED DISORDERS OF UPPER ARM JOINT
719.83 OTHER SPECIFIED DISORDERS OF FOREARM JOINT
719.84 OTHER SPECIFIED DISORDERS OF HAND JOINT
719.85 OTHER SPECIFIED DISORDERS OF JOINT OF PELVIC REGION AND THIGH
719.86 OTHER SPECIFIED DISORDERS OF LOWER LEG JOINT
719.87 OTHER SPECIFIED DISORDERS OF ANKLE AND FOOT JOINT
726.0 ADHESIVE CAPSULITIS OF SHOULDER
726.10 DISORDERS OF BURSAE AND TENDONS IN SHOULDER REGION UNSPECIFIED
726.11 CALCIFYING TENDINITIS OF SHOULDER
726.12 BICIPITAL TENOSYNOVITIS
726.13 PARTIAL TEAR OF ROTATOR CUFF
726.19 OTHER SPECIFIED DISORDERS OF BURSAE AND TENDONS IN SHOULDER REGION
726.2 OTHER AFFECTIONS OF SHOULDER REGION NOT ELSEWHERE CLASSIFIED
726.33 OLECRANON BURSITIS
726.4 ENTHESOPATHY OF WRIST AND CARPUS
727.00 SYNOVITIS AND TENOSYNOVITIS UNSPECIFIED
727.02 GIANT CELL TUMOR OF TENDON SHEATH
727.03 TRIGGER FINGER (ACQUIRED)
727.04 RADIAL STYLOID TENOSYNOVITIS
727.05 OTHER TENOSYNOVITIS OF HAND AND WRIST
727.40 SYNOVIAL CYST UNSPECIFIED
727.41 GANGLION OF JOINT
727.42 GANGLION OF TENDON SHEATH
727.51 SYNOVIAL CYST OF POPLITEAL SPACE
727.61 COMPLETE RUPTURE OF ROTATOR CUFF
727.62 NONTRAUMATIC RUPTURE OF TENDONS OF BICEPS (LONG HEAD)
727.63 NONTRAUMATIC RUPTURE OF EXTENSOR TENDONS OF HAND AND WRIST
727.64 NONTRAUMATIC RUPTURE OF FLEXOR TENDONS OF HAND AND WRIST
728.11 PROGRESSIVE MYOSITIS OSSIFICANS
728.12 TRAUMATIC MYOSITIS OSSIFICANS
728.19 OTHER MUSCULAR CALCIFICATION AND OSSIFICATION
728.86 NECROTIZING FASCIITIS
729.5 PAIN IN LIMB
729.71 NONTRAUMATIC COMPARTMENT SYNDROME OF UPPER EXTREMITY
730.01 ACUTE OSTEOMYELITIS INVOLVING SHOULDER REGION
730.02 ACUTE OSTEOMYELITIS INVOLVING UPPER ARM
730.03 ACUTE OSTEOMYELITIS INVOLVING FOREARM
730.04 ACUTE OSTEOMYELITIS INVOLVING HAND
730.08 ACUTE OSTEOMYELITIS INVOLVING OTHER SPECIFIED SITES
730.11 CHRONIC OSTEOMYELITIS INVOLVING SHOULDER REGION
730.12 CHRONIC OSTEOMYELITIS INVOLVING UPPER ARM
730.13 CHRONIC OSTEOMYELITIS INVOLVING FOREARM
730.14 CHRONIC OSTEOMYELITIS INVOLVING HAND
730.18 CHRONIC OSTEOMYELITIS INVOLVING OTHER SPECIFIED SITES
730.19 CHRONIC OSTEOMYELITIS INVOLVING MULTIPLE SITES
730.20 UNSPECIFIED OSTEOMYELITIS SITE UNSPECIFIED
730.21 UNSPECIFIED OSTEOMYELITIS INVOLVING SHOULDER REGION
730.22 UNSPECIFIED OSTEOMYELITIS INVOLVING UPPER ARM
730.23 UNSPECIFIED OSTEOMYELITIS INVOLVING FOREARM
730.24 UNSPECIFIED OSTEOMYELITIS INVOLVING HAND
730.91 UNSPECIFIED INFECTION OF BONE OF SHOULDER REGION
730.92 UNSPECIFIED INFECTION OF UPPER ARM BONE
730.93 UNSPECIFIED INFECTION OF FOREARM BONE
730.94 UNSPECIFIED INFECTION OF HAND BONE
731.0 OSTEITIS DEFORMANS WITHOUT BONE TUMOR
732.3 JUVENILE OSTEOCHONDROSIS OF UPPER EXTREMITY
732.9 UNSPECIFIED OSTEOCHONDROPATHY
733.00 OSTEOPOROSIS UNSPECIFIED
733.01 SENILE OSTEOPOROSIS
733.02 IDIOPATHIC OSTEOPOROSIS
733.03 DISUSE OSTEOPOROSIS
733.09 OTHER OSTEOPOROSIS
733.11 PATHOLOGICAL FRACTURE OF HUMERUS
733.12 PATHOLOGICAL FRACTURE OF DISTAL RADIUS AND ULNA
733.20 CYST OF BONE (LOCALIZED) UNSPECIFIED
733.21 SOLITARY BONE CYST
733.22 ANEURYSMAL BONE CYST
733.29 OTHER BONE CYST
733.40 ASEPTIC NECROSIS OF BONE SITE UNSPECIFIED
733.41 ASEPTIC NECROSIS OF HEAD OF HUMERUS
733.42 ASEPTIC NECROSIS OF HEAD AND NECK OF FEMUR
733.43 ASEPTIC NECROSIS OF MEDIAL FEMORAL CONDYLE
733.44 ASEPTIC NECROSIS OF TALUS
733.45 ASEPTIC NECROSIS OF BONE, JAW
733.49 ASEPTIC NECROSIS OF OTHER BONE SITES
733.81 MALUNION OF FRACTURE
733.82 NONUNION OF FRACTURE
733.90 DISORDER OF BONE AND CARTILAGE UNSPECIFIED
747.63 UPPER LIMB VESSEL ANOMALY
755.20 UNSPECIFIED REDUCTION DEFORMITY OF UPPER LIMB CONGENITAL
755.21 TRANSVERSE DEFICIENCY OF UPPER LIMB
755.22 LONGITUDINAL DEFICIENCY OF UPPER LIMB NOT ELSEWHERE CLASSIFIED
755.23 LONGITUDINAL DEFICIENCY COMBINED INVOLVING HUMERUS RADIUS AND ULNA (COMPLETE OR INCOMPLETE)
755.24 LONGITUDINAL DEFICIENCY HUMERAL COMPLETE OR PARTIAL (WITH OR WITHOUT DISTAL DEFICIENCIES INCOMPLETE)
755.25 LONGITUDINAL DEFICIENCY RADIOULNAR COMPLETE OR PARTIAL (WITH OR WITHOUT DISTAL DEFICIENCIES INCOMPLETE)
755.26 LONGITUDINAL DEFICIENCY RADIAL COMPLETE OR PARTIAL (WITH OR WITHOUT DISTAL DEFICIENCIES INCOMPLETE)
755.27 LONGITUDINAL DEFICIENCY ULNAR COMPLETE OR PARTIAL (WITH OR WITHOUT DISTAL DEFICIENCIES INCOMPLETE)
755.28 LONGITUDINAL DEFICIENCY CARPALS OR METACARPALS COMPLETE OR PARTIAL (WITH OR WITHOUT INCOMPLETE PHALANGEAL DEFICIENCY)
755.29 LONGITUDINAL DEFICIENCY PHALANGES COMPLETE OR PARTIAL
755.50 UNSPECIFIED ANOMALY OF UPPER LIMB CONGENITAL
755.51 CONGENITAL DEFORMITY OF CLAVICLE
755.52 CONGENITAL ELEVATION OF SCAPULA
755.53 RADIOULNAR SYNOSTOSIS
755.54 MADELUNG'S DEFORMITY
755.55 ACROCEPHALOSYNDACTYLY
755.56 ACCESSORY CARPAL BONES
755.57 MACRODACTYLIA (FINGERS)
755.58 CLEFT HAND CONGENITAL
755.59 OTHER CONGENITAL ANOMALIES OF UPPER LIMB INCLUDING SHOULDER GIRDLE
782.0 DISTURBANCE OF SKIN SENSATION
785.6 ENLARGEMENT OF LYMPH NODES
793.7 NONSPECIFIC (ABNORMAL) FINDINGS ON RADIOLOGICAL AND OTHER EXAMINATION OF MUSCULOSKELETAL SYSTEM
795.4 OTHER NONSPECIFIC ABNORMAL HISTOLOGICAL FINDINGS
796.4 OTHER ABNORMAL CLINICAL FINDINGS
831.00 CLOSED DISLOCATION OF SHOULDER UNSPECIFIED SITE
831.01 CLOSED ANTERIOR DISLOCATION OF HUMERUS
831.02 CLOSED POSTERIOR DISLOCATION OF HUMERUS
831.03 CLOSED INFERIOR DISLOCATION OF HUMERUS
831.04 CLOSED DISLOCATION OF ACROMIOCLAVICULAR (JOINT)
831.09 CLOSED DISLOCATION OF OTHER SITE OF SHOULDER
831.10 OPEN DISLOCATION OF SHOULDER UNSPECIFIED
831.11 OPEN ANTERIOR DISLOCATION OF HUMERUS
831.12 OPEN POSTERIOR DISLOCATION OF HUMERUS
831.13 OPEN INFERIOR DISLOCATION OF HUMERUS
831.14 OPEN DISLOCATION OF ACROMIOCLAVICULAR (JOINT)
831.19 OPEN DISLOCATION OF OTHER SITE OF SHOULDER
832.00 CLOSED DISLOCATION OF ELBOW UNSPECIFIED SITE
832.01 CLOSED ANTERIOR DISLOCATION OF ELBOW
832.02 CLOSED POSTERIOR DISLOCATION OF ELBOW
832.03 CLOSED MEDIAL DISLOCATION OF ELBOW
832.04 CLOSED LATERAL DISLOCATION OF ELBOW
832.10 OPEN DISLOCATION OF ELBOW UNSPECIFIED SITE
832.11 OPEN ANTERIOR DISLOCATION OF ELBOW
832.12 OPEN POSTERIOR DISLOCATION OF ELBOW
832.13 OPEN MEDIAL DISLOCATION OF ELBOW
832.14 OPEN LATERAL DISLOCATION OF ELBOW
833.00 CLOSED DISLOCATION OF WRIST UNSPECIFIED PART
833.01 CLOSED DISLOCATION OF RADIOULNAR (JOINT) DISTAL
833.02 CLOSED DISLOCATION OF RADIOCARPAL (JOINT)
833.03 CLOSED DISLOCATION OF MIDCARPAL (JOINT)
833.04 CLOSED DISLOCATION OF CARPOMETACARPAL (JOINT)
833.05 CLOSED DISLOCATION OF METACARPAL (BONE) PROXIMAL END
833.09 CLOSED DISLOCATION OF OTHER PART OF WRIST
833.10 OPEN DISLOCATION OF WRIST UNSPECIFIED PART
833.11 OPEN DISLOCATION OF RADIOULNAR (JOINT) DISTAL
833.12 OPEN DISLOCATION OF RADIOCARPAL (JOINT)
833.13 OPEN DISLOCATION OF MIDCARPAL (JOINT)
833.14 OPEN DISLOCATION OF CARPOMETACARPAL (JOINT)
833.15 OPEN DISLOCATION OF METACARPAL (BONE) PROXIMAL END
833.19 OPEN DISLOCATION OF OTHER PART OF WRIST
834.00 CLOSED DISLOCATION OF FINGER UNSPECIFIED PART
834.01 CLOSED DISLOCATION OF METACARPOPHALANGEAL (JOINT)
834.02 CLOSED DISLOCATION OF INTERPHALANGEAL (JOINT) HAND
834.10 OPEN DISLOCATION OF FINGER UNSPECIFIED PART
834.11 OPEN DISLOCATION OF METACARPOPHALANGEAL (JOINT)
834.12 OPEN DISLOCATION INTERPHALANGEAL (JOINT) HAND
840.0 ACROMIOCLAVICULAR (JOINT) (LIGAMENT) SPRAIN
840.1 CORACOCLAVICULAR (LIGAMENT) SPRAIN
840.2 CORACOHUMERAL (LIGAMENT) SPRAIN
840.3 INFRASPINATUS (MUSCLE) (TENDON) SPRAIN
840.4 ROTATOR CUFF (CAPSULE) SPRAIN
840.5 SUBSCAPULARIS (MUSCLE) SPRAIN
840.6 SUPRASPINATUS (MUSCLE) (TENDON) SPRAIN
840.7 SUPERIOR GLENOID LABRUM LESION
840.8 SPRAIN OF OTHER SPECIFIED SITES OF SHOULDER AND UPPER ARM
840.9 SPRAIN OF UNSPECIFIED SITE OF SHOULDER AND UPPER ARM
841.0 RADIAL COLLATERAL LIGAMENT SPRAIN
841.1 ULNAR COLLATERAL LIGAMENT SPRAIN
841.2 RADIOHUMERAL (JOINT) SPRAIN
841.3 ULNOHUMERAL (JOINT) SPRAIN
841.8 SPRAIN OF OTHER SPECIFIED SITES OF ELBOW AND FOREARM
841.9 SPRAIN OF UNSPECIFIED SITE OF ELBOW AND FOREARM
842.00 SPRAIN OF UNSPECIFIED SITE OF WRIST
842.01 SPRAIN OF CARPAL (JOINT) OF WRIST
842.02 SPRAIN OF RADIOCARPAL (JOINT) (LIGAMENT) OF WRIST
842.09 OTHER WRIST SPRAIN
842.10 SPRAIN OF UNSPECIFIED SITE OF HAND
842.11 SPRAIN OF CARPOMETACARPAL (JOINT) OF HAND
842.12 SPRAIN OF METACARPOPHALANGEAL (JOINT) OF HAND
842.13 SPRAIN OF INTERPHALANGEAL (JOINT) OF HAND
842.19 OTHER HAND SPRAIN
905.8 LATE EFFECT OF TENDON INJURY
909.2 LATE EFFECT OF RADIATION
927.00 CRUSHING INJURY OF SHOULDER REGION
927.01 CRUSHING INJURY OF SCAPULAR REGION
927.02 CRUSHING INJURY OF AXILLARY REGION
927.03 CRUSHING INJURY OF UPPER ARM
927.09 CRUSHING INJURY OF MULTIPLE SITES OF UPPER ARM
927.10 CRUSHING INJURY OF FOREARM
927.11 CRUSHING INJURY OF ELBOW
927.20 CRUSHING INJURY OF HAND(S)
927.21 CRUSHING INJURY OF WRIST
927.3 CRUSHING INJURY OF FINGER(S)
927.8 CRUSHING INJURY OF MULTIPLE SITES OF UPPER LIMB
927.9 CRUSHING INJURY OF UNSPECIFIED SITE OF UPPER LIMB
958.91 TRAUMATIC COMPARTMENT SYNDROME OF UPPER EXTREMITY
959.2 OTHER AND UNSPECIFIED INJURY TO SHOULDER AND UPPER ARM
959.3 OTHER AND UNSPECIFIED INJURY TO ELBOW FOREARM AND WRIST
959.4 OTHER AND UNSPECIFIED INJURY TO HAND EXCEPT FINGER
959.5 OTHER AND UNSPECIFIED INJURY TO FINGER
996.1 MECHANICAL COMPLICATION OF OTHER VASCULAR DEVICE IMPLANT AND GRAFT
996.40 UNSPECIFIED MECHANICAL COMPLICATION OF INTERNAL ORTHOPEDIC DEVICE, IMPLANT, AND GRAFT
996.41 MECHANICAL LOOSENING OF PROSTHETIC JOINT
996.42 DISLOCATION OF PROSTHETIC JOINT
996.43 BROKEN PROSTHETIC JOINT IMPLANT
996.44 PERI-PROSTHETIC FRACTURE AROUND PROSTHETIC JOINT
996.45 PERI-PROSTHETIC OSTEOLYSIS
996.46 ARTICULAR BEARING SURFACE WEAR OF PROSTHETIC JOINT
996.47 OTHER MECHANICAL COMPLICATION OF PROSTHETIC JOINT IMPLANT
996.49 OTHER MECHANICAL COMPLICATION OF OTHER INTERNAL ORTHOPEDIC DEVICE, IMPLANT, AND GRAFT
996.62 INFECTION AND INFLAMMATORY REACTION DUE TO OTHER VASCULAR DEVICE IMPLANT AND GRAFT
996.90 COMPLICATIONS OF UNSPECIFIED REATTACHED EXTREMITY
996.91 COMPLICATIONS OF REATTACHED FOREARM
996.92 COMPLICATIONS OF REATTACHED HAND
996.93 COMPLICATIONS OF REATTACHED FINGER(S)
996.94 COMPLICATIONS OF REATTACHED UPPER EXTREMITY OTHER AND UNSPECIFIED
999.2 OTHER VASCULAR COMPLICATIONS OF MEDICAL CARE NOT ELSEWHERE CLASSIFIED
999.31 OTHER AND UNSPECIFIED INFECTION DUE TO CENTRAL VENOUS CATHETER
999.32 BLOODSTREAM INFECTION DUE TO CENTRAL VENOUS CATHETER
999.33 LOCAL INFECTION DUE TO CENTRAL VENOUS CATHETER
999.34 ACUTE INFECTION FOLLOWING TRANSFUSION, INFUSION, OR INJECTION OF BLOOD AND BLOOD PRODUCTS
999.39 INFECTION FOLLOWING OTHER INFUSION, INJECTION, TRANSFUSION, OR VACCINATION
V10.81 PERSONAL HISTORY OF MALIGNANT NEOPLASM OF BONE
V67.00 FOLLOW-UP EXAMINATION FOLLOWING UNSPECIFIED SURGERY
V67.1 FOLLOW-UP EXAMINATION FOLLOWING RADIOTHERAPY
V67.2 FOLLOW-UP EXAMINATION FOLLOWING CHEMOTHERAPY
Documentation Requirements
• The documentation of the study requires a formal written report, with clear identifying demographics, the name of the interpreting provider, reason for the test, and interpretive report and copies of all images obtained.
o 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.
o 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.
o 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).
Treatment Logic
• Magnetic Resonance Imaging (MRI) is a non-invasive imaging technique used for a variety of diagnostic visualizations.
• Unlike computed tomography (CT) scanning, MRI does not make use of ionizing radiation or require iodinated contrast material to distinguish normal from pathologic tissue.
• Rather, the process employs the magnetic properties of the hydrogen nucleus (proton) and its interaction with strong external magnetic fields and radio frequency pulses.
• The patient is placed in a strong magnetic field and radio frequency pulses are transmitted into the patient in an extremely controlled and defined manner.
• The protons within the patient will subsequently emit a radio frequency signal, which is processed by a computer to produce an image.
• MRI provides superior tissue contrast when compared to CT, is able to image in multiple planes, is not affected by bone artifact, provides vascular imaging capability, and makes use of safer contrast media.
• Its major disadvantages over CT include longer scanning times, which make MRI less useful in emergency evaluations.
• The use of MRI on certain soft tissue structures for the purpose of detecting disruptive, neoplastic, degenerative, or inflammatory lesions has now become established in medical practice.
Sources of Information and Basis for Decision
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 Radiology-Society of Skeletal Radiology (2007). Practice guideline for the performance of magnetic resonance imaging (MRI) of the wrist. Retrieved from http://www.acr.org/SecondaryMainMenuCategories/quality_safety/guidelines.aspx
American College of Radiology-Society of Skeletal Radiology (2010). Practice guideline for the performance and interpretation of magnetic resonance imaging (MRI) of the shoulder. Retrieved from http://www.acr.org/SecondaryMainMenuCategories/quality_safety/guidelines.aspx
American College of Radiology-Society of Skeletal Radiology (2006). Practice guideline for the performance and interpretation of magnetic resonance imaging (MRI) of the elbow. Retrieved from http://www.acr.org/SecondaryMainMenuCategories/quality_safety/guidelines.aspx
Goldman, L., & Bennett, C., (2000). Cecil Textbook of Medicine, (21st ed.). Philadelphia: W.B. Saunders. Source used to define further indications for intra-articular and periarticular soft tissue structures.
American College of Radiology. (2000). ACR Appropriateness CriteriaTM Radiology, 215 (Suppl), 107-112, 225-229, 299-302, 333-338, 339-343, 375-378, 597-605, 1029-1040. Source used for indications and limitations.
FCSO LCD 29223, Magnetic Resonance Imaging of Upper Extremity, 10/01/2011. The official local coverage determination (LCD) is the version on the Medicare coverage database at www.cms.gov/medicare-coverage-database/.
Magnetic Resonance Imaging Clinics of North America. (May, 2004). MR Imaging of Tumors and tumor-like lesions of the upper extremity, 12(2): 349-59.
Primary Care: Clinics In Office Practice. (2004). Rotator cuff injuries and treatment, 31, 807-829.
AMA CPT 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.
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