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Appendix F: Diagnostic Codes Used to Define Health Outcomes
Pages 171-180

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From page 171...
... Betapropiolactone Cancer (malignant 140.x-209.x Malignant neoplasms C00-C97 Malignant neoplasms neoplasms) , any 230.x-234.x Carcinoma in situ C7A.x Malignant neuroendocrine V10.xx Personal history of malignant tumors neoplasm C7B.x Secondary neuroendocrine tumors D00-D09 In situ neoplasms Z85 Personal history of malignant neoplasm Coxiella burnetii Endocarditis 421.x Acute and subacute endocarditis I33 Acute and subacute endocarditis 424.9x Endocarditis, valve unspecified I38 Endocarditis, valve unspecified 424.99 Other endocarditis, valve I39 Endocarditis and heart valve unspecified disorders in diseases classified elsewhere Fatigue syndrome 300.5 Neurasthenia F48 Other nonpsychotic mental F-1
From page 172...
... 558.x Other and unspecified K51.x Ulcerative colitis noninfectious gastroenteritis and K52.x Other noninfective colitis gastroenteritis and colitis 564.1 Irritable bowel syndrome K58.x Irritable bowel syndrome Sarin Neurological 290.xx Dementias F00.x Dementia in Alzheimer's disease effects: Central 323.7x Toxic encephalitis, myelitis, F01.xx Vascular dementia nervous system and encephalomyelitis F03.xx Unspecified dementia 323.8x Other causes of encephalitis, G92 Toxic encephalopathy myelitis, and encephalomyelitis G04.8x Other encephalitis, myelitis and 327.xx Organic sleep disorders encephalomyelitis 331.xx Other cerebral degenerations G47.xx Sleep disorders (organic) (e.g., Alzheimer's disease, G30.x Alzheimer's disease frontotemporal dementia, senile G31.xx Other degenerative diseases of degeneration of brain)
From page 173...
... ALS) G12.2x Motor Neuron disease 336.x Other diseases of spinal cord G12.8 Other spinal muscular atrophies 337.xx Disorders of the autonomic and related syndromes nervous system G12.9 Spinal muscular atrophy, 338.0 Central pain syndrome unspecified 338.29 Other chronic pain G95.xx Other diseases of spinal cord 338.4 Chronic pain syndrome G90.xx Disorders of autonomic nervous 339.xx Other Headache Syndromes system 340 Multiple sclerosis G89.0 Central pain syndrome 341.xx Other demyelinating diseases G89.29 Other chronic pain of central nervous system G89.4 Chronic pain syndrome 342.xx Hemiplegia and hemiparesis G44.xxx Other headache syndromes 344.xx Other paralytic syndromes G35 Multiple sclerosis 345.xx Epilepsy and recurrent seizures G36.x Other acute disseminated (excluding 345.6 Infantile spasms)
From page 174...
... and musculoskeletal systems otherwise classified 784.0 Headache G96.8 Other specified disorders of 780.96 Generalized pain central nervous system 794.0x Nonspecific abnormal results G96.9 Disorder of central nervous of function study of brain and system, unspecified central nervous system G92 Toxic encephalopathy 799.5 Signs and symptoms involving G98.x Other disorders of nervous cognition system not elsewhere classified R25.xxx-R29.xxx Symptoms and signs involving the nervous and musculoskeletal systems R51 Headache R52 Pain, not elsewhere classified R94.0x Abnormal findings of function studies of central nervous system R41.xx Other symptoms and signs involving cognitive functions and awareness R43.x Disturbances of smell and taste Neurological 350.x Trigeminal nerve disorders G50.x Disorders of trigeminal nerve effects: 351.x Facial nerve disorders G51.x Facial nerve disorders Peripheral 352.x Disorders of other cranial G52.x Disorders of other cranial nerves nervous system nerves G54.x Nerve root and plexus disorders 353.x Nerve root and plexus disorders G55 Nerve root and plexus 354.x Mononeuritis of upper limb and compressions in diseases classified mononeuritis multiplex elsewhere 355.x Mononeuritis of lower limb and G56.xx Mononeuropathies of upper unspecified site limb 357.7 Polyneuropathy due to other G57.xx Mononeuropathies of lower toxic agents limb 357.9 Unspecified inflammatory and G58.x Other mononeuropathies toxic neuropathy G62.2 Polyneuropathy due to other 358.xx Myoneural disorders toxic agents 359.3 Periodic paralysis G61.9 Inflammatory polyneuropathy, 359.4 Toxic myopathy unspecified 359.9 Myopathy, unspecified G70.xx Myasthenia gravis and other 781.xx Symptoms involving nervous myoneural disorders and musculoskeletal systems G72.3 Periodic paralysis 794.1x Nonspecific abnormal results G72.2 Myopathy due to other toxic of function study of peripheral agents nervous system G72.9 Myopathy, unspecified 357.8x Other inflammatory and toxic R25.xx-R29.xx Symptoms and signs neuropathy involving the nervous and 359.5 Myopathy in endocrine diseases musculoskeletal systems classified elsewhere R94.1xx Abnormal results of function 359.6 Symptomatic inflammatory studies of peripheral nervous system myopathy in diseases classified G61.8x Other inflammatory
From page 175...
... elsewhere polyneuropathies 359.7x Inflammatory and immune G62.8 Other specified polyneuropathies myopathies, not elsewhere G72.4x Inflammatory myopathy, not classified elsewhere classified G64 Other disorders of peripheral nervous system Neurological 389.xx Hearing loss H90.xx Conductive and sensorineural effects: Hearing 385.0x Tympanosclerosis hearing loss loss 385.1x Adhesive middle ear disease H91.xx Other hearing loss 385.2x Other acquired abnormality of H74.0x Tympanosclerosis ear ossicles H74.1x Adhesive middle ear disease 387.x Otosclerosis H74.3x Other acquired abnormalities of 388.xx Other disorders of ear ear ossicles H80.xx Otosclerosis H93.xxx-H94.xxx Other disorders of ear Psychological 293.xx Transient mental disorders due F02.8 Dementia in other specified symptoms to conditions classified elsewhere diseases classified elsewhere 294.xx Persistent mental disorders due F03 Unspecified dementia to conditions classified elsewhere F04 Organic amnesic syndrome, not 295.xx Schizophrenic disorders induced by alcohol and other 296.xx Episodic mood disorders psychoactive substances 297.x Delusional disorders F05 Delirium not induced by alcohol 298.x Other nonorganic psychoses and other psychoactive substances 300.xx Anxiety, dissociative and F06 Other mental disorders due to brain somatoform disorders damage and dysfunction and to 301.xx Personality disorders physical disease 303.xx Alcohol dependence syndrome F07 Personality and behavioral 304.xx Drug dependence disorders due to brain disease, 305.xx Nondependent abuse of drugs damage, and dysfunction 306.xx Physiological malfunction F09 Unspecified organic or arising from mental factors symptomatic mental disorder 307.xx Special symptoms or F10-F19 Mental and behavioral syndromes not elsewhere classified disorders due to psychoactive (e.g., sleep, eating, tics) substance use 309.xx Adjustment reaction F20-F29 Schizophrenia, schizotypal and 311 Depressive disorder, not delusional disorders elsewhere classified F30-39 Mood [affective]
From page 176...
... Graves' disease 242.xx Thyrotoxicosis with or without E05.xx Thyrotoxicosis (includes goiter Graves' disease) Multiple sclerosis 340 Multiple sclerosis G35 Multiple sclerosis Rheumatoid 714.0 Rheumatoid arthritis M05.xxx Rheumatoid arthritis with arthritis: Broad 714.1 Felty's syndrome rheumatoid factor definition 714.2 Other rheumatoid arthritis with M06.xx Other rheumatoid arthritis visceral or systemic involvement M15.xxx Polyosteoarthritis 715.xx Osteoarthrosis and allied M16.xxx Osteoarthritis of hip disorders M17.xxx Osteoarthritis of knee 720.0 Ankylosing spondylitis M18.xxx Osteoarthritis of first 721.x Spondylosis carpometacarpal joint M19.xxx Other and unspecified osteoarthritis M45.xxx Ankylosing spondylitis M47.xxx Spondylosis M48.xxx Other spondylopathies Rheumatoid 714.0 Rheumatoid arthritis M05.xxx Rheumatoid arthritis with arthritis: 714.1 Felty's syndrome rheumatoid factor Narrow 714.2 Other rheumatoid arthritis with M06.xxx Other rheumatoid arthritis definition visceral or systemic involvement M45.xxx Ankylosing spondylitis 720.0 Ankylosing spondylitis Zinc cadmium sulfide Lung cancer 162.2, 162.3, 162.4, 162.5, 162.8, C34.xx Malignant neoplasm of 162.9 Malignant neoplasm of bronchus and lung bronchus or lung (excluding 162.0 D02.20 Carcinoma in situ of bronchus Malignant neoplasm of trachea)
From page 177...
... specified as acute or chronic N17 Acute renal failure 584.x Acute kidney failure) N18 Chronic kidney disease 585.x Chronic kidney disease N19 Unspecified kidney failure 586 Renal failure, unspecified N26 Unspecified contracted kidney 587 Renal sclerosis, unspecified N25 Disorders resulting from impaired 588.xx Disorders resulting from renal tubular function impaired renal function N13.1, 13.2, 13.3 Hydronephrosis 591 Hydronephrosis R94.4 Abnormal results of kidney 794.4 Nonspecific abnormal results of function studies kidney function study E08.22, E09.22, E10.22, E11.22 249.4x Secondary diabetes mellitus E13.22 diabetic chronic kidney disease with renal manifestations M10.3x Gout due to renal impairment, 250.4x Diabetes with renal unspecified site manifestations D59.3 Hemolytic-uremic syndrome 271.4 Renal glycosuria N27 Small kidney of unknown cause 274.10 Gout nephropathy 283.11 Hemolytic uremic syndrome 589.x Small kidney of unknown origin Chronic kidney 440.1 Atherosclerosis of renal artery I70.1 Atherosclerosis of renal artery disease: Narrow 581.xx Nephrotic syndrome N04 Nephrotic syndrome definition 582.xx Chronic glomerulonephritis N03 Chronic nephritic syndrome 583.xx Nephritis and nephropathy not N05 Unspecified nephritic syndrome specified as acute or chronic N18 Chronic kidney disease 585.x Chronic kidney disease N19 Unspecified kidney failure 586 Renal failure, unspecified N26 Unspecified contracted kidney 587 Renal sclerosis, unspecified N25 Disorders resulting from impaired 588.xx Disorders resulting from renal tubular function impaired renal function R94.4 Abnormal results of kidney 794.4 Nonspecific abnormal results of function studies kidney function study N00 Acute nephritic syndrome 580.xx Acute glomerulonephritis N17 Acute Renal failure 584.x Acute kidney failure N27 Small kidney of unknown cause 589.x Small kidney of unknown origin NOTE: An x in a code indicates that all versions of the code category preceding the x are included.
From page 178...
... , any Cardiovascular disease 390-459 I00-I99 [Circulatory disease] Ischemic heart disease 410-414 I20-I25 Other heart disease 390-409, 415-459 I00-I19, I26-I99 Respiratory disease 460-519 J00-J99 Endocrine and metabolic 240-279 E00-E90 diseases Infectious diseases 001-139 A00-B99 Injury/external causes 800-959, E codes 800-999 S00-T98, V01-X84 Neurocognitive problems 290-319, 320-327 F00-F99, G00-G09
From page 179...
... V10.xx Endocrine and metabolic diseases 240-279 Diseases of the blood and blood-forming 280-289 organs Mental disorders 290-319 Nervous system and sense organs 320-389 Circulatory disease 390-459 Ischemic heart disease 410-414 Other heart disease 390-409, 415-459 Respiratory disease 460-519 Digestive disease 520-579 Genitourinary disease 580-629 Skin disease 680-709 Musculoskeletal disease 710-739 Symptoms, signs and abnormal clinical 780-799 and laboratory findings, not elsewhere classified Injury 800-959, E codes 800-999 Neurocognitive problems 290-319, 320-327 NOTES: Claims criteria: At least 1 inpatient, or 2 HOP or Carrier claims with diagnosis codes during the 1-year period; codes have to be on 2 different days. HHA = home health agency; HOP = hospital outpatient.


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