Aexcel Methodology 2018 External · 2017-07-25 · o PPC-PCMH (Physician Practice Connections) ABMS or AOA Performance-based Improvement Module: At least 50% of specialists in a group

Aexcel Performance Network Designation

Measurement Methodology

2018

03/31/2017

1

Aexcel Performance Network Designation Measurement Methodology 2018

Contents

Background on Aexcel performance networks .......................................................................................... 3 How we evaluate physicians ..................................................................................................................... 3 Clinical performance ................................................................................................................................. 4 Application of claims based measures ...................................................................................................... 7 General terms and definitions for claims based clinical performance measures ....................................... 9 30 day readmission rate - managing physician ....................................................................................... 12 Adverse event rate/acute inpatient hospitalization - managing physician ............................................... 14 Adverse event rate - outpatient procedure .............................................................................................. 16 Digoxin: Persistent use with lab monitoring ............................................................................................ 18 Diabetes: Hemoglobin A1c testing diabetes measures ........................................................................... 20 Diabetes: Hemoglobin A1c poor control (>9.0%) .................................................................................... 22 Diabetes: Medical attention for nephropathy ........................................................................................... 24 Diabetes: Retinal eye exam .................................................................................................................... 27 ACE-I/ARB: Persistent use with lab monitoring....................................................................................... 29 Diuretics: Persistent use with lab monitoring........................................................................................... 31 Migraine: Frequent use of acute meds/receiving prophylactic meds ....................................................... 33 Tympanostomy tube insertion - Pediatric: Hearing test ........................................................................... 35 Breast cancer screening ......................................................................................................................... 37 Cervical cancer screening ....................................................................................................................... 39 Cesarean section rate in singleton low-risk deliveries ............................................................................. 41 Episiotomy in vaginal deliveries .............................................................................................................. 42 General statement on the physician efficiency measure ......................................................................... 43 Efficiency measurement specification ..................................................................................................... 47 Aexcel designation model process.......................................................................................................... 49 Appendix A: Specialty ETG groupings .................................................................................................... 51 Appendix B: 2018 Aexcel Markets .......................................................................................................... 73 Appendix C: ETG adjuster ...................................................................................................................... 74 Appendix D: Cesarean section rate in singleton low-risk deliveries exclusion code ................................ 75

03/31/2017

2

Background on Aexcel performance networks As one of the oldest and largest insurers in America, Aetna has an obligation and an opportunity to transform health care. We believe a better health care system is more transparent and consumer friendly and also recognizes physicians for their efficient and effective use of health care resources. As the health care system transforms from fee-for-service payment models to outcomes, value-based payment models, demonstrating clinical quality and efficiency will be critical to increasing patient base and optimizing revenue for physicians.

Our Aexcel physician performance program is just one component of our network strategy. Aexcel is a designation for specialists who:

are part of the broader Aetna network of participating providers

have met certain clinical performance and efficiency standards

Aexcel originated from discussions with large employer groups who were challenged by rising health care costs. Patients, in turn, were becoming increasingly engaged as consumers of health care. As such, they wanted access to information about physicians to help them make informed health care decisions before seeking care from a physician.

Aexcel is implemented in 39 markets throughout the country; we make sure that affected physicians are aware of its introduction to their area beforehand. We also review the program with specialty societies and other groups within organized medicine. Our goal is to work collaboratively with providers to build sustainable models of health care that deliver better outcomes and lower overall costs. We believe that together with providers, we will help drive much-needed change to the quality, delivery and cost of health care in America.

We chose to address physician specialty care in developing this program for several reasons:

1. Specialty care is more episodic than primary care

2. Specialty care drives most of the advances in treatment, procedures, pharmaceuticals and diagnostic imaging, as well as the cost increases that accompany these advances

3. The following specialty categories chosen as part of Aexcel represent approximately 70 percent of specialty costs and control approximately 50 percent of our plan sponsors’ total medical costs

How we evaluate physicians The Aexcel designation process is conducted every two years and includes four key criteria:

Volume Clinical performance Efficiency Network adequacy.

Case Volume All physicians participating in Aetna’s network are evaluated for clinical performance using 5 categories of clinical performance criteria. However, in order to be evaluated for claims-based clinical measures, each physician group must have at least 10 cases in one of the applicable claims based measures or 30 case across the applicable claims based measures.

For evaluation of efficiency, we identify specialists/groups currently participating in Aetna’s network who have managed at least 20 episodes of care for Aetna members over the past 3 years.

Physicians must pass clinical performance criteria and have the minimum volume of episodes for efficiency to be considered for Aexcel designation.

03/31/2017

3

Clinical performance The clinical performance evaluation process requires that a specialist or specialist group meet at least one of the 5 clinical performance criteria outlined below before they are evaluated for Aexcel on the basis of efficiency.

Certification by external entity: At least 50% of specialists in the group have either Bridges to Excellence (BTE) recognitions and/or

National Committee for Quality Assurance (NCQA) from one of the programs below:

Bridges to Excellence Recognition Programs o Asthma o Cardiac Care o Cardiology Practice Recognition o Coronary artery disease o Congestive heart failure o Diabetes o Hypertension o Physician Office Systems

NCQA Recognition Programs o Diabetes o Heart/Stroke o PCMH (Patient-Centered Medical Home) o PCSP (Patient-Centered Specialty Practice) o PPC-PCMH (Physician Practice Connections)

ABMS or AOA Performance-based Improvement Module: At least 50% of specialists in a group have completed the Performance Improvement Module (PIMs)

activity, generally in combination with the maintenance of board certification, within the previous two years and on or after September 1, 2014. If a physician's board does not identify a Performance Improvement Module, a physician may still be able to qualify by completing MOC Part 4 activity requirements within their specialty. MOC Part 4 activity is a practice improvement program specifically designated by the appropriate board.

Meaningful Use 1 or 2, participation in the reporting to PQRS either through a registry or directly, or participation in a VBC with Aetna:

An attestation to the Meaningful Use 1 or 2 guidelines as required by the CMS EHR Incentive Program.

An attestation to at least 50% of the specialists in a group have completed participation in the Physician Quality Reporting System (PQRS) program as outlined by CMS for 2015 or 2016. PQRS is a quality reporting program that encourages individual eligible professionals (EPs) and group practices to report information on the quality of care to Medicare.

Participation in a Value Based Contract (VBC) with Aetna. Value Based Contracts include quality measures with incentives to improve or reach targets. The VBC quality measures include those measures already being used elsewhere in Aetna’s PQ program. Aetna VBC arrangements that qualify included:

1. Accountable Care Organization (ACO): An ACO is accountable for the quality of care for a defined population. Payment strategy encourages efficiency and quality care improvement and includes a robust set of efficiency and clinical quality measures.

03/31/2017

4

2. Patient-Centered Medical Home (PCMH): A PCMH encourages physicians to transform theirpractice to center around the patient, and rewards physicians who perform well on a set of costand quality metrics for attributed patients.

3. Bundled Payments: This program defines pay for care at an episode level and encouragescoordination across health providers and hospitals.

4. Pay for Performance: This program is a value-based solution that is performance-based. Itsupports physicians as they move up the value chain or maintain high cost/quality performance.

Alignment with Aetna Institutes of Quality® (IOQ)

At least 75% of specialists in a group have maintained an active medical staff appointment at an AetnaInstitutes of Quality (IOQ) facility for bariatric surgery, cardiac or orthopedic care. The primary specialtyof the physician has to be the specialty for which the facility is recognized. IOQ is a designation forfacilities that have demonstrated quality care based on measures of clinical performance and efficiency.Additional information about Aetna’s IOQ program can be found at www.aetna.com.

Claims based measures Measures are created for each of the specialties listed below:

Cardiology Cardiothoracic Surgery Otolaryngology Neurology

Neurosurgery OB/GYN Orthopedic Surgery Plastic Surgery

Surgery Vascular Surgery Urology Gastroenterology

The quality measures listed below includes the specialty attribution.

Measure Description Specialty attribution 30 day readmission rate - managing physician

This measure calculates the percentage of acute care inpatient hospitalizations followed by a subsequent acute care inpatient hospitalization within 30 days of the discharge date of the first hospitalization. This measure excludes readmissions that would have been expected based on the clinical nature of the case.

All specialties included in Aexcel

Adverse event rate/acute inpatient hospitalization -managing physician

This measure calculates the percentage of acute care inpatient hospitalizations that include an identified undesirable (adverse) event during the hospitalization.

All specialties included in Aexcel

Adverse event rate - outpatient procedure

The measure calculates, for members having selected outpatient procedures, the frequency of an adverse event within the 30 days after a procedure.

Gastroenterology, Obstetrics/Gynecology, Orthopedics, Otolaryngology, Plastic Surgery, Surgery, Urology

Digoxin: Persistent use with lab monitoring

This measure calculates the percentage of members age 18 and older who received at least a 180-day supply of digoxin and therapeutic monitoring testing: a digoxin level and a metabolic panel or a serum potassium and a serum creatinine.

Cardiology

Diabetes: Hemoglobin A1c testing

This measure calculates the percentage of members age 18 to 75 with diabetes receiving annual HbA1c testing.

Cardiology, Gastroenterology, Obstetrics/Gynecology

03/31/2017

5

http://www.aetna.com

This measure calculates the percentage of members age 18 to 75 with diabetes receiving an annual retinal eye exam by an ophthalmologist or optometrist or had a negative eye exam for retinopathy in the prior year.

Diabetes: Hemoglobin A1c poor control (>9.0%)

This measure calculates the percentage of members age 18 to 75 with diabetes that demonstrate poor glycemic control, based on an HbA1c level greater than 9%.


Diabetes: Medical attention for nephropathy

This measure calculates the percentage of members age 18 to 75 with diabetes receiving medical attention for nephropathy.


Diabetes: Retinal eye exam

This measure calculates the percentage of members age 18 to 75 with diabetes receiving an annual retinal eye exam by an ophthalmologist or optometrist or had a negative eye exam for retinopathy in the prior year.


ACE-I/ARB: Persistent use with lab monitoring

This measure calculates the percentage of members age 18 and older who received at least a 180-day supply for ACE-I or ARB therapy and therapeutic monitoring testing: a metabolic panel or a serum potassium and a serum creatinine.

Cardiology

Diuretics: Persistent use with lab monitoring

This measure calculates the percentage of members age 18 and older who received at least a 180-day supply of diuretics and therapeutic monitoring testing: at least a metabolic panel or a serum potassium and a serum creatinine.

Cardiology

Migraine: Frequent use of acute meds/receiving prophylactic meds

This measure calculates the percentage of members age 18 or older with migraines frequently taking acute (abortive) medications and taking a prophylactic medication for migraine control.

Neurology, Obstetrics/Gynecology

Tympanostomy tube insertion - Pediatric: Hearing test

This measure calculates the percentage of children, age 2 to 12 with otitis media with effusion who received tympanostomy tube(s) insertion and had a hearing test performed within 6 months prior to the initial tube placement.

Otolaryngology

Breast cancer screening

This measure calculates the percentage of women age 50 to 74 who had a mammogram to screen for breast cancer within the 27 month measurement timeframe.

Obstetrics/Gynecology

Cervical cancer screening

This measure calculates the percentage of women age 21 to 64 who had a Pap test to screen for cervical cancer within the 3-year measurement timeframe. For members ages 30-64 years old without cervical cancer screening in 3 years there is a second check for evidence of cervical cancer screening and HPV screening within the last 5 years.


Cesarean section rate in singleton low-risk deliveries

This measure calculates the percentage of members delivered by the Ob/Gyn doctor or group that do not have a high risk medical indication requiring a cesarean delivery and deliver a term, singleton live birth in a vertex position by cesarean section.


Episiotomy in vaginal deliveries This measure calculates the percentage of women managed by

the Ob/Gyn doctor or group with a vaginal delivery who have an episiotomy, excluding deliveries with evidence of shoulder dystocia.


03/31/2017

6

Application of claims based measures

Step 1 All Aetna participating physicians in a geographic market1 who practice in the selected specialty (for example, all cardiologists in the Aetna network in Atlanta) are reviewed.

Physicians are rank-ordered according to an overall index score. Index measures are based on established, evidence-based measures of clinical performance.

Each measure is case-mix adjusted as appropriate and a physician or physician group must have at least 10 cases in any given measure or 30 cases across their claims based measures, for claims-based clinical performance measures evaluation. The denominator can represent unique members or events depending on the measure. In some measures, such as breast cancer screening, the denominator is members. In some measures, such as adverse event rate, the denominator is each event, and a member can have multiple events. Only scored measures are included in the index score; measures are weighted according to the number of eligible cases.

Step 2 We identify physicians with the lowest index scores. Physicians whose measured outcomes fall at or below the 4th percentile of the peer group are then reviewed further (Steps 3-6) and may be excluded from consideration for Aexcel designation, unless other clinical criteria is met.

Step 3 For all physicians and physician groups as identified at or below the 4th percentile of their peer group, we calculate the probability that the total number of successes across all appropriate measures is less than or equal to the total number of observed successes for each physician or physician group. Our calculations are based on the multivariate binomial probability distribution. Thus we calculate: Pr {Y ≤ x1 + x2 + ∙∙∙ + xk } Where Y = X1 + X2 + ··· + Xk is the sum of k independent binomial random variables;

Xi , i =1,2,...,k denotes the ith summand with distribution X i ~ Bi (ni , pi );xi , i =1,2,… ,k denotes the number of successes observed for the ith measure;

ni denotes the number of cases for the ith measure; and

pi denotes the observed success rate of the peer group for the ith measure.

The distribution of Y is given by the discrete convolution formula; namely,

1 In 2018, Aexcel is offered in 39 markets including, Arizona, Atlanta, Austin, Central Valley CA, Chicago IL, Cincinnati, Cleveland, Colorado, Columbus, Connecticut, Dallas/Fort Worth, Delaware, Detroit, El Paso, TX; Houston, Indianapolis, Kansas City, KS and MO; Las Vegas; Los Angeles, Louisville, Maine, Massachusetts; Metropolitan DC (including Maryland, DC and Northern Virginia), Metropolitan New York, North Florida, Northern CA, Northern New Jersey, Oklahoma City, Orlando, Pittsburgh, Richmond, San Antonio TX, San Diego, Seattle/W. Washington, South FL (Dade and Broward Counties),Southern New Jersey, Tampa, Toledo, and Tulsa

03/31/2017

7

where the last step follows by independence. For physicians and physician groups with a large number of cases and a large number of appropriate measures, Pr {Y ≤ x1 + x2 + ∙∙∙ + xk } is estimated based on the normal approximation for binomial distribution; namely,

Pr{Y ≤ y}= Pr{X 1 + X 2 + ∙∙∙ +X k ≤ y}

≈Pr{W1 + W 2 + ∙∙∙ +Wk ≤y}

=Pr {W ≤y}

where Wi , i =1,2,…,k are normal distributed random variables with mean ni pi and variance

ni pi(1− pi). Thus, W is normally distributed with mean and variance If

this lower tailed probability is less than 0.05; the physician or physician group is excluded from Aexcel designation.

Step 4 An Aetna medical director reviews measure detail reports of physicians remaining in the lowest group using available clinical data. Some cases have logical clinical explanations and are eliminated from the index score, allowing additional physicians to be considered for Aexcel designation.

Step 5 Detailed clinical performance data for each measure is mailed to the physicians remaining in the lowest group. An Aetna medical director is available to discuss this data. Every physician has the opportunity to provide additional information for reconsideration. For example, a physician still has the opportunity to provide information about the use of NQF-endorsed health information technology.

Step 6 Physicians who meet the clinical performance standards are then evaluated on the efficiency of their care.

03/31/2017

8

General terms and definitions for claims based clinical performance measures Current Procedure Terminology (CPT) All references are to Current Procedure Terminology © 2016 American Medical Association. All rights reserved.

Pharmacy data integrity When measures calculate the rate of medication used for a specific population, we require not only that the member have a pharmacy benefit plan in the given timeframe, but also that they have used their pharmacy benefit. We check this by looking for at least one claim for a prescription medication within the measurement timeframe.

Continuous enrollment When a measure timeframe extends beyond the current measurement year, the member enrollment for the denominator population is checked first for the current 12 months of the assessment year. If the member does not have evidence of the required service (numerator positive indication of the service expected) and does not have the enrollment for the full timeframe of the measure, the member is dropped from the denominator. This is done to show the positive care the provider delivers in the current assessment year. For example, breast cancer screening allows 27 months to find the mammogram. We check first for continuous enrollment for current measurement year of 12 months. For members who have had a mammogram, the provider is given credit. For the remaining members without evidence of a mammogram, we check for a full 27 months of enrollment. If the member does not have the 27 months enrollment history, the member is dropped from the measure because there is not a full 27 months of claims to know if the member had the test or not. This approach varies from the HEDIS specification that requires the full 27 months enrollment for the membership considered for this measure.

Claims lag We add three months to the end of the measurement timeframe to allow for medical claim lag. This ensures the majority of medical claims billed within the measure timeframe are included in our data. No lag is required for pharmacy claims because they are adjudicated in real-time.

Case mix adjustment Case mix classifies data characteristics into similar groups. This allows a basis of comparison. We apply a case mix adjustment to each clinical performance measure, as appropriate. We consider variables for case mix adjustment in measures where we see variation in rates for members. Depending on the measure, this could include different age groups, different lines of business (commercial vs. Medicare) and/or different risk levels, if the variation is considered to be out of the physician’s control. There are additional variables that are also considered and the particular mix depends on the specific measure. The expected value for all measures, except adverse event, is calculated based on the results of indirect standardization to create the case mix adjustment. The expected value for adverse event is calculated using regression analysis.

Medical case Aetna medical case logic summarizes clinical events by linking or associating all of the claims sent for a member during the same treatment occurrence. All Aetna Data Warehouse claim and encounter details are run through medical case logic. All specialist and ancillary claims that are within the starting and ending dates of service for these cases are attached to the case. For inpatient cases, a room and board bill is required, based on the revenue code. A bill from a different facility would trigger a new case. An example would be a transfer to an acute care facility, skilled nursing or rehabilitation facility.

Managing provider logic applied within medical case Medical Case assigns a managing provider for each medical case from all the physician providers caring for the member during the inpatient stay or outpatient care. For surgical cases the surgeon that performed the major procedure is assigned. If there are multiple procedures the procedure with the highest allowed amount drives the assignment of the managing provider. For medical cases the provider with the highest visit count is assigned.

03/31/2017

9

Health profile database The Aetna Informatics Health Profile Database (HPD) is a foundation database that we use identify our members with any of 86 chronic diseases or medical conditions tracked in the HPD table. The identification algorithms include medical, pharmacy and clinical laboratory data from physician claims and encounters, specialist claims, pharmacy, facilities, laboratories and others. We refresh the HPD database monthly. The HPD has two major components:

Disease identification and prevalence: We select the chronic diseases and medical conditions that are included in HPD based on the following considerations: 1) the disease is chronic in nature, 2) represents a significant burden of illness, and 3) generates significant medical costs. Also, we chose diseases where improved processes of care might lead to better outcomes.

We established clinical selection criteria for each disease in HPD. The Aetna Clinical Groups is used to generate these criteria. These groups are a hierarchical grouping of diagnosis and procedure codes used for classifying all International Classification of Diseases 9th revision (ICD-9), International Classification of Diseases 10th revision (ICD10) and Current Procedure Terminology© (CPT-4) codes.

We select members for inclusion in one or more HPD disease categories using “one hit” criteria, or one occurrence of any of the specific diagnosis criteria, including ICD, CPT, pharmacy and laboratory codes. This selection process is designed to loosely identify members for the calculation of prevalence of chronic diseases, and clinical conditions in a population. It also identifies a pool of members for more rigorous identification and ad-hoc reporting.

Disease indicator flag This is a more stringent identification criteria for members with chronic diseases and clinical conditions. It is beneficial for targeted interventions, case management and member education through disease management programs. The use of multiple selection criteria improves the sensitivity of the identification process.

DM=Y - Members flagged with a disease identification indicator of “Y” have fully met the disease-specific identification criteria defined as “hits” in 2 of 5 databases, or a total of 3 “hits” in any of the databases, except where exclusion logic applies. One date of service must fall within the prior 18 months. The 18-month timeframe is calculated from the file effective date.

DM=N – Members flagged with a disease identification indicator of “N” have not fully met the identification criteria. This category may potentially be useful for early identification of chronic diseases.

DM=H – Members flagged with a disease identification indicator of “H” were at one time identified, but have either termed or no longer meet the criteria for identification; for example, no date of service in the last 18 months.

Use of HPD in clinical measures: For members to be included in a specific measure, the more stringent identification criteria (DM=Y or H) is used to ensure that the member is being treated for the specific disease or condition within the assessment period. For measures that require member exclusion, based on knowledge of another disease or condition, the existence of that disease code in the HPD (DM=N) allows a single claim for that condition to count as evidence of the excluded value.

Clinical group definitionsUPG, or Aetna Procedure Groups, represent the grouping of similar CPT and ICD procedure codes that refer to specific procedures performed for similar pathophysiologic processes for the same organ system. Currently, there are over 95,000 procedure codes. These codes map into 191 internally defined procedure groups, or UPGs.

UDG, or Aetna Diagnosis Groups, represent a grouping of similar ICD diagnosis codes that refer to the same pathophysiologic process affecting the same organ system. Currently, there are over 86,000 diagnosis codes, which map into 198 diagnosis groups, or UDGs.

DRG, Diagnosis Related Group is an industry standard that the federal government originally devised. A DRG code is one of over 750 classifications of diagnoses and procedure-driven reasons for inpatient care, for which patients demonstrate similar resource consumption and length of stay patterns. We assign a DRG to each case, using DRG

03/31/2017

10

Grouper software. The codes we feed in to the Grouper are arranged based on a clinical algorithm and service date basis. This delivers the most clinically appropriate DRG for the case.

IDRG, Internal Diagnostic Related Group is an aggregate of HCFA DRGs. The IDRG logic is used in the medical case adverse event and length of stay modeling. It groups the DRGs into similar subsets, based on the member’s critical path (clinical reason for hospitalization) and then into the IDRG specialty for modeling.

ERG, Symmetry Episode Risk Groups® (ERGs®) predict current and future health care usage for individuals and groups by creating individual risk measures that incorporate episodes-of-care methodology, medical and pharmacy claims information and demographic variables.

Procedure tracking table:--There are performance measures, such as breast cancer screening, that are looking for a specific indication of a historic procedure. We have defined sets of procedures, such as bilateral mastectomy (that would exclude the member from needing a breast cancer screening). We identify these procedures in claims data and store the information.in a table for future reference.

03/31/2017

11

http://information.in

30 day readmission rate - managing physician

This measure calculates the percentage of acute care inpatient hospitalizations followed by a subsequent acute care inpatient hospitalization within 30 days of the discharge date of the first hospitalization. This measure excludes readmissions that would have been expected based on the clinical nature of the case.

Aetna measure #100252: Aetna internally developed measure

Eligible population

Product lines Commercial, Medicare.

Ages Greater than or equal to 1 years of age at time of admission.

Continuous enrollment During the month of the inpatient admission through the month after discharge

Measurement period 23 month denominator period and 24 month numerator period

Benefit Medical

Administrative specification

Denominator All primary acute inpatient cases that are relevant to the specialties core practice. The DRG reflects the most significant clinical reason for a Medical Case. A DRG subset is used to identify the most appropriate inpatient cases to be evaluated based on the provider’s specialty.

This measure excludes counting admissions in any of the following conditions:

The age of the members is <1 year,

The length of stay of the primary admission is an outlier

The discharge status indicates the member expired, a transfer to an acute inpatient facility or discharge against medical advice.

The DRG on the case indicates transplant or maternity care

Numerator Readmission is defined as the proportion of acute care inpatient hospitalizations followed by a subsequent acute care inpatient hospitalization within 1 to 30 days of the original discharge date. This measure excludes counting readmissions that would have been expected based on the clinical nature of the case such as elective surgery, delivery, chemotherapy and acute injury that, by nature cannot be related to a previous admission. The readmission is counted based any of the following attributes:

If the Managing Specialist is the same on both cases; The Major Diagnostic Category of the DRG on the admission is the same on both cases (for example:

cardiac, digestive, orthopedic) The DRG on the second admission is considered a complication of the prior admission such as respiratory

infection/pneumonia, septicemia, acute myocardial infarction, deep vein thrombophlebitis, gastrointestinalbleed, or cellulitis.

Exclusions: Exclude primary admissions that meet any of the following criteria:

Length of stay outliers. We calculate the 99th percentile threshold for length of stay based on Aetna’s national database foreach DRG for all inpatient stays. If the case is in the 99th percentile, the case is excluded from the expected calculation andthe denominator for the provider.

Admissions where the discharge status indicates the member expired, a transfer to an acute inpatient facility or dischargeagainst medical advice (Table A).

03/31/2017

12

Table A: Codes to identify expired or transfer to acute inpatient facility or against medical advice

Description Discharge status codes Expired, transfer to acute inpatient facility or against medical advice.

02, 07, 61, 20, 21, 22, 23, 24, 25, 26, 29, 41, 42

Exclude counting the secondary admission (readmissions) that meet any of the following criteria The admission date occurs on the same day as the primary admission discharge date (assumes this is a transfer or planned

care). The admission date and the primary admissions discharge date days difference =1 and discharge status on the primary

admission is expired, transfer to acute inpatient facility or against medical advice (Table A): The admission is for elective surgery: where the DRG is surgical and the admit type is elective The admission is any admission type (elective, urgent or emergency) and the DRG indicates care that predictably follows the

primary admission and represents appropriate care) that, by nature, cannot be related to a previous admission(Chemotherapy, Transplant, delivery, or an acute injury).

Provider attribution

This measure is evaluating specialists or specialist groups assigned as the managing specialist on medical case with cardiology, cardiothoracic surgery, gastroenterology, neurosurgery, neurology, obstetrics/gynecology, orthopedic surgery, otolaryngology, plastic surgery, surgery, urology or vascular surgery specialty designation. For each member/physician/IP stay combination credit/no credit is given

Case mix adjustment

DRG

03/31/2017

13

Adverse event rate/acute inpatient hospitalization - managing physician This measure calculates the percentage of acute care inpatient hospitalizations that include an identified undesirable (adverse) event during the hospitalization.

Aetna measure #100256: Aetna internally developed measure, based on AHRQ/RAND specifications.

Understanding Adverse Events An adverse event is a negative, unanticipated consequence of care. Examples include a wound infection within an elective surgery case, hospital-acquired pneumonia or deep vein thrombosis after hip replacement surgery. Medical case logic assigns an adverse event to a case if there is a diagnosis that has all of the following characteristics: • The diagnosis is not Present on Admission (POA = N or U).• The diagnosis is unlikely to be a coexisting condition.• The diagnosis is unlikely to reflect the normal progression of the principal diagnosis.• The diagnosis is logically consistent with the occurrence of an adverse event.

Modeling Adverse Events Medical case obtains its original data from medical, pharmacy, and lab claims as well as member and provider data. When considering a case, we take into account factors that are not under the control of the provider that may have an impact on the likelihood of having an adverse event. Examples of patient specific factors that impact outcomes include age, gender, admission type (elective, emergency, transfer from another facility, etc.), and co morbidities (clinical conditions present at the time of hospital admission). A regression-based methodology is applied to the inpatient data to account and adjust for these patient specific factors. With this approach, adjusted expected rates are calculated. Expected rates are compared with observed rates. This comparison of observed to expected provides a valid measure of performance specific to the population of interest. And, since the calculated data has been adjusted for clinical and demographic factors, an equitable comparison can be made across providers.

Cases are grouped by DRG to align with provider practice specialties such as cardiology, cardiothoracic surgery, gastroenterology and general surgery. Each group of DRG cases are modeled based on the specialty definition.

Each case is interrogated for secondary diagnosis codes that Aetna has targeted as representing a possible adverse event. The case is checked to see if it is an elective admission or an emergency admission. Due to the known instability of members admitted for urgent care, some adverse event diagnosis codes are only considered for elective admissions.

Some complications are anticipated, such as the member that has cardiac surgery but goes on to have a post-operative heart attack. This diagnosis code would not be counted as an adverse event. The exclusion logic organized by specialty model, excludes the count for adverse event diagnosis codes present in an admission, based on the IDRG of the case to avoid the inappropriate counting of complications that are unfortunate but anticipated.

Eligible population


Ages Age at inpatient admission greater than or equal to 1.

Continuous enrollment Continuous medical enrollment from the hospitalization admission date through the discharge date. One day gaps are considered administrative and not counted.

Measurement period 24 Months.

Benefit Medical.


Denominator All acute inpatient cases that are relevant to the specialties core practice. The DRG reflects the most significant clinical reason for a Medical Case. A DRG subset is used to identify the most appropriate inpatient cases to be evaluated based on the provider’s specialty.

This measure excludes counting admissions in any of the following conditions:

03/31/2017

14

The age of the members is <1 year,

The length of stay of the admission is an outlier

Numerator The adverse events indicator is based on secondary diagnosis codes within the claims of a hospitalization using the Aetna’s adverse event generic screen. The numerator is the adverse event count, based on the adverse events indicator on the denominator cases. Additionally, the observed adverse event rate can be compared to the expected adverse event rate for all the denominator cases.

Exclusions: Exclude admissions that are length of stay outliers. We calculate the 99th percentile threshold for length of stay based on Aetna’s national data base for each DRG for all inpatient stays. If the case is in the 99th percentile, the case is excluded from the expected calculation and the denominator for the provider.

Exclude from the adverse event count diagnosis codes that could indicate complications that are anticipated.


This measure is evaluating specialists or specialist groups assigned as the managing specialist on medical case with cardiology, cardiothoracic surgery, gastroenterology, neurosurgery, neurology, obstetrics/gynecology, orthopedic surgery, otolaryngology, plastic surgery, surgery, urology or vascular surgery specialty designation. For each member/physician/IP stay combination credit/no credit is given

Case mix adjustment

An adjusted average rate is generated and is expressed as the expected adverse event rate. Every case generates this expected or predicted probability. The expected value is calculated based on the results of case-mix regression modeling that take into account many clinical and demographic variables that include, but are not limited to age, gender, region, product, admission type, discharge status, co-existing condition and the DRG group. A p value is generated and applied if statistically significant.

03/31/2017

15

Adverse event rate - outpatient procedure The measure calculates, for members having selected outpatient procedures, the frequency of an adverse event within the 30 days after a procedure.

Aetna measure #100320: Aetna internally developed measure, based on AHRQ/RAND specifications

Understanding adverse events An adverse event is a negative, unanticipated consequence of care. Examples include a wound infection or deep vein thrombosis after an outpatient procedure. A sub-set of outpatient procedures are included.

Medical case logic assigns an adverse event to a case if there evidence of claim after the procedure with a diagnosis that has all of the following characteristics: • The diagnosis is unlikely to have been present at the time of the initial surgery.• The diagnosis is unlikely to be a coexisting condition.• The diagnosis is unlikely to reflect the normal progression of the principal diagnosis.• The diagnosis is logically consistent with the occurrence of an adverse event.

Modeling adverse events Medical case obtains its original data from medical, pharmacy, and lab claims on a given day as well as member and provider demographic information. When considering a case, we take into account factors that are not under the control of the provider that may have an impact on the likelihood of having an adverse event. Examples of patient specific factors that impact outcomes include clinical risk score of the member (Symmetry ERG risk score includes evidence of co-morbid conditions) and the type of procedure performed. An indirect standardization methodology is applied to the outpatient procedure data to create normative values to account and adjust for these patient specific factors. With this approach, adjusted expected rates are calculated. Expected rates are compared with observed rates. This comparison of observed to expected provides a valid measure of performance specific to the population of interest. And, since the calculated data has been adjusted for clinical and demographic factors, an equitable comparison can be made across providers or geography.

Cases are selected by procedure group (Upper GI Endoscopy, Lower GI Endoscopy). Procedures that indicate treatment for infection or revision of prior surgery have been excluded from measurement since these cases by nature represent complicated care.

There are multiple steps to assure that the adverse event is assigned to the correct procedure event in cases where a member may have multiple procedures, ER visits or and inpatient stays within a 5 week window of time. The medical claims for a member are reviewed:

Within the 7 days prior to the surgical procedure for evidence of another procedure, ER visit or inpatient stay that might have caused an adverse event. If this kind of clinical activity is evident, the outpatient procedure case is excluded from the analysis.

Within the following 30 days after the case for evidence of a second procedure, ER visit or inpatient stay. If a second event is found we evaluate the second event. If the second event contains a diagnosis code that indicates that the care is for treatment of adverse event this care is identified as adverse event activity. If the second event is not an adverse event we discontinue evaluating the initial event because, based on this additional care, a future adverse event activity could be caused by either the first event or the second event. Some diagnosis codes that could indicate complications are anticipated related to specific procedures, such as the member that has GI endoscopy but goes on to have a diagnosis of gastrointestinal bleeding. This diagnosis code would not be counted as an adverse event. Specific exclusions are applied to each procedure group that is evaluated.

Eligible population


Ages Age at the time of the procedure greater than or equal to 1 year.

Continuous enrollment Medical continuous enrollment during the 7 days before the outpatient procedure through the 30 days after the procedure date. One day gaps are considered administrative and not counted.

Measurement period Denominator 23 Months, Numerator 24 months

Benefit Medical

03/31/2017

16


Denominator All selected outpatient procedures for each specialty: The Aetna procedure group (UPG) on an outpatient surgery case identifies the surgery performed. A subset of procedures are included based on the provider’s specialty.

Numerator The adverse events indicator is based the existence of a claim-based adverse event diagnosis code from 0 to 30 days of the procedure depending on the adverse event rules for that procedure.. The numerator is the adverse event count, based on the adverse events indicator on the denominator cases. Additionally, this observed adverse event rate can be compared to the expected adverse event rate for all the denominator cases.

Exclusions:

From the denominator procedures that meet and of the following: Denied cases Skin graft procedures with burn diagnosis.

From the adverse event count diagnosis codes that could indicate complications that are anticipated related to specific procedures: Procedure group/adverse event category.


This measure is evaluating specialists or specialist groups assigned as the managing specialist on medical case with gastroenterology, obstetrics/gynecology, otolaryngology, orthopedic surgery, plastic surgery, surgery, or urology specialty designation. For each member/physician/outpatient procedure combination credit/no credit is given.

Case mix adjustment

Clinical risk score of the member (Symmetry ERG risk score includes evidence of co-morbid conditions) and procedure group of the case.

03/31/2017

17

Digoxin: Persistent use with lab monitoring This measure calculates the percentage of members age 18 and older who received at least a 180-day supply of digoxin and therapeutic monitoring testing: a digoxin level and a metabolic panel or a serum potassium and a serum creatinine.

Aetna measure #ID: 100136: based on NCQA specifications. Eligible population


Ages Members 18 years of age and older. Continuous enrollment 12 months of continuous medical enrollment, ending at the end of the 12 month measurement period.

A single gap up to 45 days in enrollment is allowed. Gaps of only 1 day are administrative and are not counted as a distinct enrollment gap.

Measurement period 12 months. Benefit Medical and pharmacy: There is no need to check for use because the denominator requirement is

pharmacy use.


Denominator Members who received at least a 180-day supply of digoxin (Table E)

Table E: Drugs to identify members on digoxin Description Inotropic agents

Numerator Members in the denominator that have a digoxin level and also have one of the two criteria (Table B): Have had a metabolic panel test (lab panel) Have had a serum potassium and a serum creatinine therapeutic monitoring tests in the measurement

period. The two tests do not need to occur on the same service date, only within the measurement period.

Table B: Codes to identify lab panel, serum potassium, serum creatinine and digoxin level. Description CPT LOINC

Lab panel 80047, 80048,80050, 80053,80069

Serum

potassium (K+) 80051, 84132 2824-1, 2823-3, 6298-4, 12812-4, 12813-2, 22760-3, 29349-8, 32713-0,

39789-3, 39790-1, 41656-0, 51618-7, 75940-7 Serum creatinine (SCr)

82565, 82575 2160-0, 2163-4, 2164-2, 11041-1, 11042-9, 12195-4, 13441-1, 13442-9, 13443-7, 13446-0, 13447-8, 13449-4, 13450-2, 14682-9, 16188-5, 16189-3, 21232-4, 26752-6, 31045-8, 33558-8, 35203-9, 35591-7, 35592-5, 35593-3, 35594-1, 38483-4, 39955-0, 39956-8, 39957-6, 39958-4, 39959-2, 39960-0, 39961-8, 39962-6, 39963-4, 39964-2, 39965-9, 39966-7, 39967-5, 39968-3, 39969-1, 39970-9, 39971-7, 39972-5, 39973-3, 39974-1, 39975-8, 39976-6, 40112-5, 40113-3, 40114-1, 40115-8, 40116-6, 40117-4, 40118-2, 40119-0, 40120-8, 40121-6, 40122-4, 40123-2, 40124-0, 40125-7, 40126-5, 40127-3, 40128-1, 40248-7, 40249-5, 40250-3, 40251-1, 40252-9, 40253-7, 40254-5, 40255-2, 40256-0, 40257-8, 40258-6, 40264-4, 40265-1, 40266-9, 40267-7, 40268-5, 40269-3, 40270-1, 40271-9, 40272-7, 40273-5, 44784-7, 50380-5, 50381-3, 51619-5, 51620-3, 59826-8, 59834-2, 62425-4

Digoxin level 80162 3563-4, 10535-3

Exclusions: Members who had any inpatient stay (acute or non-acute) during the assessment period.

03/31/2017

18


This measure is evaluating specialists or specialist groups with cardiology specialty designation . Members remain in a measure based on the following:

Had at least 1 outpatient visit with the provider during the 12 month numerator assessment period is evaluated. If the lab testing is not found a second visit is required in the measurement year or the year prior to the measurement. If there is not a second visit the member/provider combination is dropped from the measure.

The provider ordering the testing may or may not have been associated with the qualifying outpatient provider visit. Only 1 provider per group per member is attributed. The visit date selected is the most recent. Duplications of the same provider/provider group and member combination are eliminated

Case mix adjustment

Age, line of business.

03/31/2017

19

Diabetes: Hemoglobin A1c testing diabetes measures This measure calculates the percentage of members age 18 to 75 with diabetes receiving annual HbA1c testing.

Aetna measure #100024: Endorsed by NQF measure #057, based on NCQA measure specifications

Eligible population


Ages Member age 18 -75 years old.

Continuous enrollment 12 months of continuous medical enrollment, ending at the end of the 12 month measurement period. A single gap up to 45 days in enrollment is allowed. Gaps of only 1 day are administrative and are not counted as a distinct enrollment gap.


Benefit Medical.


Denominator Members 18–75 years of age having diabetes defined by Aetna’s HPD (Table AB).

Table AB: Diagnosis codes to identify diabetes. ICD-CM Diagnosis 250 – 250.93, 357.2, 362.0 – 362.07, 366.41, E10*, E11*, E13*, O24.011-O24.83

Numerator Members in denominator who had an HbA1C test performed any time during the 12 month assessment period. Table: AC: Codes to identify HbA1c tests

CPT CPT II LOINC 83036, 83037 3044F, 3045F, 3046F 4548-4, 4549-2, 17856-6,

Exclusions: Exclude members for whom both of the following applies:

Have a diagnosis of polycystic ovaries, gestational or steroid induced diabetes or obesity (Table AD) Did not have a face-to-face encounter with a diagnosis of diabetes.

Table AD: Codes to identify polycystic ovaries, gestational or steroid induced diabetes, or obesity Description ICD-CM Diagnosis Polycystic ovaries 256.4 E28.2 Steroid induced 251.8, 962.0 E09.00, E09.01, E09.10, E09.11, E09.21, E09.22, E09.29, E09.311,

E09.319, E09.321, E09.329, E09.331, E09.339, E09.341, E09.349, E09.351, E09.359, E09.36, E09.39, E09.40, E09.41, E09.42, E09.43, E09.44, E09.49, E09.51, E09.52, E09.59, E09.610, E09.618, E09.620, E09.621, E09.622, E09.628, E09.630, E09.638, E09.641, E09.649, E09.65, E09.69, E09.8, E09.9

Gestational diabetes 648.8 O24.410, O24.414, O24.419, O24.420, O24.424, O24.429, O24.430, O24.434, O24.439, O24.911, O24.912, O24.913, O24.919, O24.92, O24.93

Obesity 278-278.02, E6601-E66.9


This measure is evaluating specialists or specialist groups with cardiology, gastroenterology, obstetrics/gynecology specialty designation. Members remain in a measure based on the following:

Had at least 1 outpatient visit with the provider during the 12 month numerator assessment period is evaluated. If the testing is not found a second visit is required in the measurement year or the year prior to the measurement. If there is not a second visit the member/provider combination is dropped from the measure.

03/31/2017

20


Case mix adjustment

Line of business, age

03/31/2017

21

Diabetes: Hemoglobin A1c poor control (>9.0%) This measure calculates the percentage of members age 18 to 75 with diabetes that demonstrate poor glycemic control, based on an HbA1c level greater than 9%.

Aetna measure #100244, based on NCQA measure specifications with modifications The eligible population is limited to members with evidence of laboratory result data.

Eligible population


Ages Member age 18 through 75 years

Continuous Enrollment 12 months of continuous medical enrollment, ending at the end of the 12 month measurement period. A single gap up to 45 days in enrollment is allowed. Gaps of only 1 day are administrative and are not counted as a distinct enrollment gap.

Measurement Period 12 Months.

Benefit Medical.


Denominator Members 18–75 years of age that have both Diabetes as defined by Aetna’s HPD (Table AB) Evidence of valid results for HbA1c testing (Table AC)

Table AB: Diagnosis codes to identify diabetes ICD-CM Diagnosis 250 – 250.93, 357.2, 362.0 – 362.07, 366.41, E10*, E11*, E13*, O24.011-O24.83

AND Table AC: CPT ll or valid laboratory HbA1C testing

CPT II LOINC 3044F, 3045F, 3046F 4548-4, 4549-2, 17856-6

Numerator Members

where the result for the most recent HbA1c test during the measurement year reflects poor control based on a valid lab result that is >9.0% (Table AD and AE)

Table: AD: Codes to identify valid HbA1c test results >9.0% LOINC 4548-4, 4549-2, 17856-6

Table AE: Codes to identify HbA1c levels >9.0% CPT II Description 3046F HbA1c >9


Have a diagnosis of polycystic ovaries, gestational or steroid induced diabetes or obesity (Table AD) Did not have a face-to-face encounter with a diagnosis of diabetes

Table AD: Codes to identify polycystic ovaries, gestational or steroid induced diabetes or obesity. Description ICD-CM diagnosis Polycystic ovaries 256.4 E28.2 Steroid induced 251.8, 962.0 E09.00, E09.01, E09.10, E09.11, E09.21, E09.22, E09.29, E09.311, E09.319, E09.321,

E09.329, E09.331, E09.339, E09.341, E09.349, E09.351, E09.359, E09.36, E09.39, E09.40, E09.41, E09.42, E09.43, E09.44, E09.49, E09.51, E09.52, E09.59, E09.610, E09.618, E09.620, E09.621, E09.622, E09.628, E09.630, E09.638, E09.641, E09.649, E09.65, E09.69, E09.8, E09.9

Gestational diabetes 648.8 O24.410, O24.414, O24.419, O24.420, O24.424, O24.429, O24.430, O24.434, O24.439, O24.911, O24.912, O24.913, O24.919, O24.92, O24.93

Obesity 278-278.02, E6601-E66.9

03/31/2017

22

Provider attribution This measure is evaluating specialists or specialist groups with cardiology, gastroenterology or obstetrics/gynecology specialty designation. Members who have at least 2 outpatient visits with the provider during the 12 month numerator assessment period remain in the measure. The provider ordering the test may or may not have been associated with the qualifying outpatient provider visit. Only 1 provider per group per member is attributed. The visit date selected is the most recent. Duplications of the same provider/provider group and member combination are eliminated

Case mix adjustment

Age and specialty

03/31/2017

23

03/31/2017

24

Diabetes: Medical attention for nephropathy This measure calculates the percentage of members age 18 to 75 with diabetes receiving medical attention for nephropathy.

Measure #100160: based on NCQA specifications with modifications. If there is no indication of laboratory testing or evidence of treatment of nephropathy, the eligible population is limited to members with evidence of use of the pharmacy plan before checking for ACE-I/ARB treatment.

Eligible Population


Ages Members age 18 through 75 years old

Continuous enrollment Medical and pharmacy continuous enrollment during the assessment period. A single gap up to 45 days in enrollment is allowed. Gaps of only 1 day are administrative and are not counted as a distinct enrollment gap.

Measurement period 12 Months

Benefit Medical and pharmacy. Additionally, evidence of use of the pharmacy plan is required, based on a pharmacy claim received at any time during the 12-month assessment period.


Denominator Members 18–75 years of age having diabetes as defined by Aetna’s HPD (Table AB)


Numerator Members in the denominator with evidence of medical attention for nephropathy which can include any of the following:

A nephropathy screening test (Table I) A diagnosis of proteinuria or renal failure Evidence of dialysis treatment, A visit to a nephrologist (Table J) Evidence of ACE-I/ARB therapy (Table K) anytime during the measurement period

Table I: Codes to Identify Nephropathy Screening Tests CPT CPT

Category II LOINC

82042, 82043, 82044, 84156 81000, 81001, 81002, 81003, 81005

3060F, 3061F, 3062F

1753-3, 1754-1, 1755-8, 1757-4, 2887-8, 2888-6, 2889-4, 2890-2, 9318-7, 11218-5, 12842-1, 13801-6, 14956-7,14957-5, 14958-3, 14959-1, 13705-9, 14585-4, 18373-1, 20621-9, 21059-1, 21482-5, 26801-1, 27298-9, 30000-4, 30001-2, 30003-8, 32209-9, 32294-1, 32551-4, 34366-5, 35663-4, 40486-3, 40662-9, 40663-7, 43605-5, 43606-3, 43607-1, 44292-1, 47558-2, 49023-5, 50949-7, 53121-0, 53530-2, 53531-0, 53532-8, 56553-1, 57369-1, 58448-2, 58992-9, 59159-4, 60678-0, 63474-1, 5804-0, 20454-5, 50561-0, 53525-2, 57735-3, 76401-9, 77158-4, 77253-3, 77254-1

Table J: Codes to Identify Evidence of Nephropathy

Description

CPT CPT Categ ory II*

HCPCS ICD-CM Procedure

ICD-CM Diagnosis

Evidence of treatment for nephropathy

36147, 36800, 36810, 36815, 36818, 36819-36821, 36831-36833, 50300, 50320, 50340, 50360, 50365, 50370, 50380, 90935, 90937, 90940, 90945,

30306666FF GG00257257S9339

38.95, 39.27, 39.42, 39.43, 39.53, 39.93-39.95, 54.98, 55.61, 55.62,3E1M39Z, 5A1D00Z, 5A1D60Z, 0TY00Z0, 0TY00Z1, 0TY00Z2, 0TY10Z0,

250.4*, 403*, 404*, 405.01, 405.11, 405.91, 580.*-588.*, 753.0, 753.1*, 791.0, V42.0, V45.11, V45.12, E08.2*, E09.2*, E10.2*, E11.2*, E13.2*, I12.0, I12.9, I13*, I15.0 ,

90947, 90957-90962, 90965, 90966, 90969, 90970, 90989, 90993, 90997, 90999, 99512

0TY10Z1, 0TY10Z2 I15.1, N00.0 - N08, N14.*, N17.0 - N19*,N25.0 - N26.*, Q60.0 - Q61.*, R80.*

ACE inhibitor/ARB therapy

4010F

Table K: Codes to Identify ACE Inhibitors Description Prescription

Angiotensin converting enzyme inhibitors

Benazepril Captopril

Enalapril Fosinopril

Lisinopril Moexipril

Perindopril Quinapril

Ramipril Trandolapril

Angiotensin II inhibitors

Azilsartan Candesartan

Eprosartan Irbesartan

Losartan Olmesartan

Telmisartan Valsartan

Antihypertensive combinations

Aliskiren-valsartan Aliskiren-hydrochlorothiazide-

amlodipine Amlodipine-benazepril Amlodipine-hydrochlorothiazide-

valsartan Amlodipine-hydrochlorothiazide olmesartan Amlodipine-olmesartan Amlodipine-telmisartan Amlodipine-valsartan

Benazepril-hydrochlorothiazide Candesartan-

hydrochlorothiazide Captopril-hydrochlorothiazide Enalapril-hydrochlorothiazide Eprosartan-hydrochlorothiazide Fosinopril-hydrochlorothiazide Hydrochlorothiazide-irbesartan Hydrochlorothiazide-lisinopril

Hydrochlorothiazide-losartan Hydrochlorothiazide-moexipril Hydrochlorothiazide-olmesartan Hydrochlorothiazide-quinapril Hydrochlorothiazide-telmisartan Hydrochlorothiazide-valsartan Trandolapril-verapami


Have a diagnosis of polycystic ovaries, gestational or steroid induced diabetes (Table AD) Did not have a face-to-face encounter with a diagnosis of diabetes

Table AD: Codes to identify polycystic ovaries, gestational or steroid induced diabetes Description ICD-CM diagnosis Polycystic ovaries 256.4, E28.2 Steroid induced 251.8, 962.0, 09.00, E09.01, E09.10, E09.11, E09.21, E09.22, E09.29, E09.311, E09.319, E09.321,

E09.329, E09.331, E09.339, E09.341, E09.349, E09.351, E09.359, E09.36, E09.39, E09.40, E09.41, E09.42, E09.43, E09.44, E09.49, E09.51, E09.52, .E09.59, E09.610, E09.618, E09.620, E09.621, E09.622, E09.628, E09.630, E09.638, E09.641, E09.649, E09.65, E09.69, E09.8, E09.9

Gestational diabetes 648.8, O24.410, O24.414, O24.419, O24.420, O24.424, O24.429, O24.430, O24.434, O24.439, O24.911, O24.912, O24.913, O24.919, O24.92, O24.93

Obesity 278-278.02, E6601-E66.9


This measure is evaluating specialists or specialist groups with cardiology, gastroenterology or obstetrics/gynecology specialty designation. Members remain in a measure based on the following:

Had at least 1 outpatient visit with the provider during the 12 month numerator assessment period is evaluated. If the evidence of medical attention for nephropathy is not found a second visit is required in the measurement year or the year

prior to the measurement. If there is not a second visit the member/provider combination is dropped from the measure.

The provider ordering the indicators of medical attention for nephropathy may or may not have been associated with the qualifying outpatient provider visit. Only 1 provider per group per member is attributed. The visit date selected is the most recent. Duplications of the same provider/provider group and member combination are eliminated

03/31/2017

25

Case mix adjustment

Line of business, age

03/31/2017

26

Diabetes: Retinal eye exam This measure calculates the percentage of members age 18 to 75 with diabetes receiving an annual retinal eye exam.

Aetna measure #100016: Endorsed by NQF measure #055, based on NCQA measure specification.

Eligible population


Ages Members age 18 through 75 years



Benefit Medical.


Denominator Members 18–75 years of age having diabetes as defined by Aetna’s HPD (Table AB)


Numerator Members in denominator who had: 1) a retinal exam (Table HI) performed any time during the 12 month assessment period billed by an

optometrist or ophthalmologist or 2) a negative eye examination for retinopathy in the prior year.

Table HI: Codes to Indicate retinal exam

CPT HCPCS 67028, 67030, 67031, 67036, 67039-67043, 67101, 67105, 67107, 67108, 67110, 67112, 67113, 67121, 67141, 67145, 67208, 67210, 67218, 67220, 67221, 67227, 67228, 92002, 92004, 92012, 92014, 92018, 92019, 92134, 92225-92228, 92230, 92235, 92240, 92250, 92260, 99203-99205, 99213-99215, 99242-99245, 3072F, 2022F,2024F, 2026F

S0620, S0621, S3000


Have a diagnosis of polycystic ovaries, gestational or steroid induced diabetes or obesity (Table AD) Did not have a face-to-face encounter with a diagnosis of diabetes

Table AD: Codes to identify polycystic ovaries, gestational or steroid induced diabetes or obesity

Description ICD-CM Diagnosis Polycystic ovaries 256.4, E28.2 Steroid induced 251.8, 962.0, E09.00, E09.01, E09.10, E09.11, E09.21, E09.22, E09.29, E09.311, E09.319, E09.321,

E09.329, E09.331, E09.339, E09.341, E09.349, E09.351, E09.359, E09.36, E09.39, E09.40, E09.41, E09.42, E09.43, E09.44, E09.49, E09.51, E09.52, .E09.59, E09.610, E09.618, E09.620, E09.621, E09.622, E09.628, E09.630, E09.638, E09.641, E09.649, E09.65, E09.69, E09.8, E09.9

Gestational diabetes 648.8, O24.410, O24.414, O24.419, O24.420, O24.424, O24.429, O24.430, O24.434, O24.439, O24.911, O24.912, O24.913, O24.919, O24.92, O24.93

Obesity 278-278.02, E6601-E66.9

03/31/2017

27

Provider attribution This measure is evaluating specialists or specialist groups with cardiology, gastroenterology or obstetrics/gynecology specialty designation. Members remain in a measure based on the following:

Had at least 1 outpatient visit with the provider during the 12 month numerator assessment period is evaluated. If the evidence of retinal eye exam is not found a second visit is required in the measurement year or the year prior to the

measurement. If there is not a second visit the member/provider combination is dropped from the measure.

The provider ordering the retinal eye exam may or may not have been associated with the qualifying outpatient provider visit. Only 1 provider per group per member is attributed. The visit date selected is the most recent. Duplications of the same provider/provider group and member combination are eliminated

Case mix adjustment Line of business

03/31/2017

28

ACE-I/ARB: Persistent use with lab monitoring This measure calculates the percentage of members age 18 and older who received at least a 180-day supply for ACE-I or ARB therapy and therapeutic monitoring testing: a metabolic panel or a serum potassium and a serum creatinine.

Aetna measure #100128 based on NCQA measure specifications.

Eligible population

Product lines Commercial, Medicare

Ages 18 years of age and older


Measurement period 12 months.

Benefit Medical.


Denominator Members who received at least a 180-day supply of ambulatory medication therapy for ACE-I or ARB (Table A)

Table A: ACE-I/ARB Description Angiotensin converting enzyme inhibitors Angiotensin II inhibitors Antihypertensive combinations

Note: Members may switch therapy with any specific medications during the measurement period and have the days supply for those medications count toward the total 180-days supply (i.e., a member who received 90 days of ACE inhibitors and 90 days of an ARB will meet the denominator)

Numerator Members in the denominator that meet 1 of the following criteria: Have had a metabolic panel test (lab panel) Have had a serum potassium and a serum creatinine (Table B) therapeutic monitoring tests in the

measurement period. The two tests do not need to occur on the same service date, only within themeasurement period.

Table B: Codes to identify lab panel, serum potassium, serum creatinine and BUN.

Description CPT LOINCLab panel 80047,

80048, 80050, 80053, 80069

Serum potassium (K+)

80051, 84132

2824-1, 2823-3, 6298-4, 12812-4, 12813-2, 22760-3, 29349-8, 32713-0, 39789-3, 39790-1, 41656-0, 51618-7, 75940-7

Serum creatinine (SCr)

82565, 82575

2160-0, 2163-4, 2164-2, 11041-1, 11042-9, 12195-4, 13441-1, 13442-9, 13443-7, 13446-0, 13447-8, 13449-4, 13450-2, 14682-9, 16188-5, 16189-3, 21232-4, 26752-6, 31045-8, 33558-8, 35203-9, 35591-7, 35592-5, 35593-3, 35594-1, 38483-4, 39955-0, 39956-8, 39957-6, 39958-4, 39959-2, 39960-0, 39961-8, 39962-6, 39963-4, 39964-2, 39965-9, 39966-7, 39967-5, 39968-3, 39969-1, 39970-9, 39971-7, 39972-5, 39973-3, 39974-1, 39975-8, 39976-6, 40112-5, 40113-3, 40114-1, 40115-8, 40116-6, 40117-4, 40118-2, 40119-0, 40120-8, 40121-6, 40122-4, 40123-2, 40124-0, 40125-7, 40126-5, 40127-3, 40128-1, 40248-7, 40249-5, 40250-3, 40251-1, 40252-9, 40253-7, 40254-5, 40255-2, 40256-0, 40257-8, 40258-6, 40264-4, 40265-1, 40266-9, 40267-7, 40268-5, 40269-3, 40270-1, 40271-9, 40272-7, 40273-5, 44784-7, 50380-5, 50381-3, 51619-5, 51620-3, 59826-8, 59834-2, 62425-4

29

03/31/2017

Exclusions: Exclude members who had any inpatient stay (acute or non-acute) during the assessment period, based on evidence of an inpatient case that is defined as either acute or non-acute.


This measure is evaluating specialists or specialist groups with cardiology specialty designation. Members remain in a measure based on the following:

Had at least 1 outpatient visit with the provider during the 12 month numerator assessment period is evaluated. If the drug is not found a second visit is required in the measurement year or the year prior to the measurement. If there is not a second visit the member/provider combination is dropped from the measure.

The provider ordering the drug may or may not have been associated with the qualifying outpatient provider visit. Only 1 provider per group per member is attributed. The visit date selected is the most recent. Duplications of the same provider/provider group and member combination are eliminated

Case mix adjustment


03/31/2017

30

Diuretics: Persistent use with lab monitoring This measure calculates the percentage of members age 18 and older who received at least a 180-day supply ofdiuretics and therapeutic monitoring testing: at least a metabolic panel or a serum potassium and a serum creatinine.

Aetna measure #100132 based on NCQA measure specifications.

Eligible population


Ages 18 years of age and older.


Measurement period 12 months.

Benefit Medical.


Denominator Members who received at least a 180-day supply of a listed diuretic (Table F) during the assessment period

Table F: Drugs to identify members on diuretics

. Description

Antihypertensive combinations

Loop diuretics

Potassium-sparing diuretics

Thiazide diuretics

Numerator Members in the denominator that meet at least1 of the following criteria: Have had a metabolic panel test (lab panel) Have had a serum potassium and a serum creatinine (Table B) therapeutic monitoring tests in the

measurement period. The two tests do not need to occur on the same service date, only within themeasurement period.

Table B: Codes to identify lab panel, serum potassium, serum creatinine Description CPT LOINC

Lab panel 80047, 80048, 80050, 80053, 80069

Serum potassium (K+)

80051, 84132

2824-1, 2823-3, 6298-4, 12812-4, 12813-2, 22760-3, 29349-8, 32713-0, 39789-3, 39790-1, 41656-0, 51618-7, 75940-7

Serum creatinine (SCr)

82565, 82575

2160-0, 2163-4, 2164-2, 11041-1, 11042-9, 12195-4, 13441-1, 13442-9, 13443-7, 13446-0, 13447-8, 13449-4, 13450-2, 14682-9, 16188-5, 16189-3, 21232-4, 26752-6, 31045-8, 33558-8, 35203-9, 35591-7, 35592-5, 35593-3, 35594-1, 38483-4, 39955-0, 39956-8, 39957-6, 39958-4, 39959-2, 39960-0, 39961-8, 39962-6, 39963-4, 39964-2, 39965-9, 39966-7, 39967-5, 39968-3, 39969-1, 39970-9, 39971-7, 39972-5, 39973-3, 39974-1, 39975-8, 39976-6, 40112-5, 40113-3, 40114-1, 40115-8, 40116-6, 40117-4, 40118-2, 40119-0, 40120-8,

03/31/2017

31

40121-6, 40122-4, 40123-2, 40124-0, 40125-7, 40126-5, 40127-3, 40128-1, 40248-7, 40249-5, 40250-3, 40251-1, 40252-9, 40253-7, 40254-5, 40255-2, 40256-0, 40257-8, 40258-6, 40264-4, 40265-1, 40266-9, 40267-7, 40268-5, 40269-3, 40270-1, 40271-9, 40272-7, 40273-5, 44784-7, 50380-5, 50381-3, 51619-5, 51620-3, 59826-8, 59834-2, 62425-4

Exclusions: Exclude members who had any inpatient stay (acute or non-acute) during the assessment period, based on evidence of an Inpatient CASE that is defined as either acute or non-acute. Provider attribution

This measure is evaluating specialists or specialist groups with cardiology specialty designation. Members remain in a measure based on the following:

Had at least 1 outpatient visit with the provider during the 12 month numerator assessment period is evaluated. If the testing is not found a second visit is required in the measurement year or the year prior to the measurement. If there is not a second visit the member/provider combination is dropped from the measure.

The provider ordering the testing may or may not have been associated with the qualifying outpatient provider visit. Only 1 provider per group per member is attributed. The visit date selected is the most recent. Duplications of the same provider/provider group and member combination are eliminated.

Case mix adjustment


03/31/2017

32

Migraine: Frequent use of acute meds/receiving prophylactic meds This measure calculates the percentage of members age 18 or older with migraines frequently taking acute (abortive) medications and taking a prophylactic medication for migraine control

Aetna measure #100312: based on OPTUM specifications, updated with current medications to manage migraine headaches.

Eligible population


Ages Members age 18 or greater at the start of the assessment period.

Continuous enrollment Continuous medical and pharmacy enrollment during the rolling 210 days assessment period starting with the index date. No gaps in enrollment of medical or pharmacy during the assessment period. The Index date = The 1st dispense date that meets the 90 day criteria for the denominator.

Measurement period 210 days.

Benefit Medical and pharmacy.


Denominator Members 18 years and older at the beginning of the 210 day assessment period that meet both criteria: Having migraine headaches as defined by Aetna's HPD (Table GP) Taking frequent acute (abortive) medications (Table GQ).

Table GP: Diagnosis codes to identify migraine Diagnosis codes

339.00-339.89, 346-346.93, 784.0, G43-G44.89, R51

Table GQ: Drugs to identify acute (abortive) medications for migraine headaches

Drug

Triptan Butorphanol Tartrate Dihydroergotamine Mesylate Butalbital Midrin

Numerator Members who filled a prescription for a prophylactic medication for migraine control during the following time period: the 120 days of the denominator period through 90 days after the end of the denominator period (Table GR).

Table GR: Prophylactic medication for migraine control Drugs Anticonvulsant

Beta-Blocker-containing

Calcium Channel Blocker-containing

Tricyclic antidepressant

03/31/2017

33


This measure is evaluating specialists or specialist groups with neurology or obstetrics/gynecology specialty designation. Members remain in a measure based on the following:

Had at least 1 outpatient visit with the provider during the 12 month numerator assessment period is evaluated. If the prophylactic medication for migraine control is not found a second visit is required in the measurement year or the year

prior to the measurement. If there is not a second visit the member/provider combination is dropped from the measure.

The provider ordering the prophylactic medication for migraine control may or may not have been associated with the qualifying outpatient provider visit. Only 1 provider per group per member is attributed. The visit date selected is the most recent. Duplications of the same provider/provider group and member combination are eliminated

Case mix adjustment

Line of business

03/31/2017

34

''''

03/31/2017

35

Description CPT ICD-CM Diagnosis

Description CPT ICD-CM Procedure

Description CPT ICD-CM Procedure UB Revenue

Tympanostomy tube insertion - Pediatric: Hearing test This measure calculates the percentage of children, age 2 to 12 with otitis media with effusion who received tympanostomy tube(s) insertion and had a hearing test performed within 6 months prior to the initial tube placement.

Aetna measure #100272: Endorsed by NQF measure #587, based on Resolution Health Measure specifications

Eligible population


Ages Member 2 to12 years old

Continuous enrollment

Continuous medical enrollment during the 6 month period prior to or same day as the 'index tube insertion date with no gaps in enrollment.

Measurement period Denominator: 18 Months.

Numerator: 6 months prior to the denominator event of tympanostomy tube(s) insertion during the measurement year.

Benefit Medical.

Administrative specificationAdministrative specification

Denominator Members age 2 to 12 years old that meet the following criteria: Otitis media visit (Table XX) Received tympanostomy tube(s) insertion table XY) during the 12 month assessment period (this may be

prior to the actual measurement period) Have no history of a tympanostomy tube insertion (Table XY) in the prior 6 months.

Table XX Otitis media diagnosis codes and visit codes. Description CPT ICD-CM Diagnosis

Otitis Media with Effusion (Diagnosis)

381.10, 381.19, 381.20, 381.29, 381.3, 381.4 H65.20 - H65.93

Otitis Visit (Procedure) 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99241, 99242, 99243, 99244, 99245, 99381, 99382, 99383, 99384, 99385, 99386, 99387, 99391, 99392, 99393, 99394, 99395, 99396, 99397

Table XY Tympanostomy tube insertion procedure codes: Description CPT ICD-CM Procedure

Tympanostomy Tube Insertion (Procedure)

69433, 69436 20.01 099500Z,'099600Z,'099700Z, 099730Z,'099740Z,'099770Z, 099780Z,'099800Z,'099830Z, 099840Z,'099870Z,'099880Z

Numerator Members from the denominator who underwent hearing testing within 6 months prior to the initial tympanostomy tube(s) insertion (Table G):

Table G: Codes to identify hearing test. Description CPT ICD-CM Procedure UB

RevenueHearing Test

92506, 92551, 92552, 92553, 92555, 92556, 92557, 92561, 92562, 92563, 92564, 92567, 92568, 92569, 92571,

95.41, 95.42, 95.43, 95.47 'F13Z0ZZ,'F13Z10Z,'F13Z11Z,'F13Z12Z, 'F13Z1ZZ,'F13Z20Z,'F13Z21Z,'F13Z22Z,

0471

92572, 92575, 92576, 92577, 92579, 92582, 92583, 92585, 92586, 92587

'F13Z2ZZ,'F13Z31Z,'F13Z32Z,'F13Z3ZZ, 'F13Z41Z,'F13Z42Z,'F13Z4KZ,'F13Z4ZZ, 'F13Z51Z,'F13Z52Z,'F13Z5KZ,'F13Z5ZZ, 'F13Z61Z,'F13Z62Z,'F13Z6ZZ,

Exclusions: Exclude members with a history of a tympanostomy tube Insertion (Table XY) in the 6 months prior to the 'index tube insertion date'

Table XY: Tympanostomy tube Insertion procedure codes: Description CPT ICD-CM Procedure

Tympanostomy Tube Insertion

69433, 69436 20.01,'099500Z,'099600Z,'099700Z,'099730Z,'099740Z,'099770Z, '099780Z,'099800Z,'099830Z,'099840Z,'099870Z,'099880Z


This measure is evaluating specialists or specialist groups with otolaryngology specialty designation. Members remain in a measure based on the following:

The provider sees the members for at least 1 outpatient visit with diagnosis of otitis media on or before the Tympanostomy Tube insertion date

The provider performed the index tube insertion during the 12 month numerator assessment period.

The provider ordering the hearing test may or may not have been associated with the qualifying outpatient provider visit. Only 1 provider per group per member is attributed. The visit date selected is the most recent. Duplications of the same provider/provider group and member combination are eliminated

Case mix adjustment

Line of business

03/31/2017

36

Breast cancer screening This measure calculates the percentage of women age 50 to 74 who had a mammogram to screen for breast cancer within the 27 month assessment period.

Aetna measure #100360, based on NCQA specifications Eligible population Product lines Commercial, Medicare.

Ages Women 50–74 years

Continuous enrollment Medical coverage required for most recent 12 months of the assessment period. For members with no numerator event (screening mammogram), 27 months continuous enrollment is required. A single gap up to 45 days in enrollment is allowed each 12-month period.

Measurement period 27 months to identify the numerator.

Benefit Medical.


Denominator Women 50-74 years old.

Numerator Members in the denominator who received at least a single mammogram (Table G) anytime during the assessment period

Table G: Codes to identify breast cancer screening

CPT HCPCS ICD-9-CM Procedure UB Revenue 77055-77057 G0202, G0204, G0206 87.36, 87.37 (no ICD10 codes added) 0401, 0403

Exclusions: Exclude members with either:

A bilateral mastectomy. A unilateral mastectomy (performed on two different dates of service at least 14 days apart) at any time prior or on the last day

of the assessment period (Table H).

Aetna maintains procedure tracking to identify historic procedures

Table H: Codes to identify bilateral mastectomy exclusions. Description CPT ICD-CM Procedure ICD-CM

Diagnosis Bilateral mastectomy 19180, 19200, 19220, 19240, 19303-19307

With Modifier 50 or modifier code 09950*

modifier codes indicate the procedure was bilateral and performed during the same

operative session

85.42, 85.44, 85.46, 85.48, 0HTV0ZZ

Unilateral mastectomy (members must have 2 separate occurrences on 2 different dates of service)

19180, 19200, 19220, 19240, 19303-19307 85.41, 85.43, 85.45, 85.47, 0HTU0ZZ, 0HTT0ZZ

Right Side Modifier RT Left side Modifier LT Absence of Left Breast Z90.12

03/31/2017

37

Absence of Right Breast Z90.11

History of Bilateral Mastectomy

Z90.13


This measure is evaluating specialists or specialist groups with obstetrics/gynecology specialty designation. Members remain in a measure based on the following:

Had at least 1 outpatient visit within the current measurement year and a mammogram during the 24-month numerator assessment period. If the testing is not found a second visit is required in the measurement year or the year prior to the measurement.

If there is not a second visit the member/provider combination is dropped from the measure.


Case mix adjustment

Line of business

03/31/2017

38

Cervical cancer screening This measure calculates the percentage of women age 21 to 64 who had a Pap test to screen for cervical cancer within 3 years. For members ages 30-64 years old without cervical cancer screening in 3 years there is a second check for evidence of cervical cancer screening and HPV screening within the last 5 years.

Aetna Measure #100364: Endorsed by NQF measure #032, based on NCQA specifications

Eligible population


Ages Women 21–64 years old.

Continuous enrollment Medical coverage for the most recent 12 months of the assessment period. For members with no numerator event (PAP test) 36 months continuous enrollment is required. A single gap up to 45 days in enrollment each year is allowed each 12-month period.

Measurement period 36-months to identify the numerator, 60 months for age 30-64.

Benefit Medical


Denominator Women 21–64 years old.

Numerator Members in the denominator who had one or more Pap tests (Table I) during the 36 month assessment period.

Table I: Codes to identify cervical cancer screening

CPT HCPCS UB

Revenue LOINC 88141-88143, 88147, 88148, 88150, 88152-88154, 88164-88167, 88174, 88175

G0123, G0124, G0141, G0143-G0145, G0147, G0148, P3000, P3001, Q0091

0923 10524-7, 18500-9, 19762-4, 19764-0, 19765-7, 19766-5, 19774-9, 33717-0, 47527-7, 47528-5

Or

For members age 30-64 who during the had one or more PAP tests (Table I)

AND

a HPV test (Table J) with service dates for the two tests four or less days apart during the 60 month assessment period.

Table J: codes to identify HPV screening CPT LOINC

87622, 87621, 87620 87624, G0476 87625

38372-9, 21440-3, 49896-4, 30167-1, 59420-0, 75406-9, 75694-0, 59263-4, 59264-2, 69002-4, 71431-1, 77379-6, 77399-4, 77400-0

Exclusions: Exclude members with a history of total hysterectomy (no residual cervix) at any time prior to the end of the assessment period. (Table J). Aetna maintains procedure tracking to identify historic procedures.

03/31/2017

39

Description CPT ICD-CM Diagnosis ICD-CM

Procedure Hysterectomy 51925, 56308, 57540, 57545, 57550, 57555, 57556, 58150, 58152,

58200, 58210, 58240, 58260, 58262, 58263, 58267, 58270, 58275, 58280, 58285, 58290-58294, 58548, 58550-58554, 58570-58573 , 58951, 58953, 58954, 58956, 59135

618.5, V88.01, V88.03, 752.43, Q51.5, Z90.710, Z90.712

68.4-68.8, 0UTC0ZZ, 0UTC4ZZ, 0UTC7ZZ, 0UTC8ZZ


This measure is evaluating specialists or specialist groups with obstetrics/gynecology specialty designation. Members remain in a measure based on the following:

Had at least 1 outpatient visit within the current measurement year and a testing during the 36-month numerator assessmentperiod.

If the testing is not found a second visit is required in the measurement year or the 2 years prior to the measurement year. If there is not a second visit the member/provider combination is dropped from the measure.


Case mix adjustment

Line of business

03/31/2017

40

Cesarean section rate in singleton low-risk deliveries This measure calculates the percentage of members delivered by the Ob/Gyn doctor or group that meet both of the following criteria:

Do not have a high risk medical indication requiring a Cesarean section Deliver a term, singleton live birth in a vertex position by Cesarean section

Based on indications of high risk and modified from The Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) and endorsed by NQF. Measure specification reviewed by the Society for Maternal-Fetal Medicine (SMFM) and JCAHO. The American Journal of Obstetrics & Gynecology published the measure in a SMFM Special Report February 2016, titled Comparing variation in hospital rates of cesarean delivery among low-risk women using 3 different measures. .

Eligible population


Ages All ages greater than or equal to 8 years.

Continuous enrollment Member must be active as of the hospitalization admission date through the hospitalization discharge date within the 12 month assessment period.

Measurement period 12 Months .

Benefit Medical


Denominator Members that deliver a term, singleton live birth in a vertex position, without a medical indication of high risk, by Ob/Gyn doctor, excluding perinatologists.

Numerator Members in the denominator that deliver by cesarean section.

Exclusion: Measure excludes members with an indication of high risk pregnancy, based on diagnosis codes within the delivery hospitalization (Appendix D) or delivered by a perinatologist.


This measure is evaluating specialists or specialist groups assigned as the managing specialist on medical case with, obstetrics/gynecology, excluding perinatologists, specialty designation. For each member/physician/IP stay combination credit/no credit is given

Case mix adjustment

Risk adjustment has been applied by removing the high risk members from the denominator population (methods above).

03/31/2017

41

Episiotomy in vaginal deliveries This measure calculates the percentage of women managed by the Ob/Gyn doctor or group with a vaginal delivery who have an episiotomy, excluding deliveries with evidence of shoulder dystocia.

Aetna Measure #100348. Based on specification from NQF endorsed measure #0470 defined by Christiana Care Health System

Eligible population


Ages All ages.

Continuous enrollment No continuous enrollment required.

Measurement period 12 Months .

Benefit Medical


Denominator Vaginal deliveries excluding those with evidence of shoulder dystocia (660.41, O66.0) shoulder dystocia)..

Numerator Deliveries with evidence of an episiotomy (Table C):

Table C: Procedures indicating episiotomy

Description ICD-CM Procedure codes

Episiotomy 72.1, 72.21, 72.31, 72.31, 73.6, 0W8NXZZ, 0WQNXZZ, 10D07Z3, 10D07Z4, 10D07Z5, 10D07Z6


This measure is evaluating specialists or specialist groups assigned as the managing specialist on medical case with, obstetrics/gynecology specialty designation. For each member/physician/IP stay combination credit/no credit is given

03/31/2017

42

General statement on the physician efficiency measure Episode of care (EOC) methodology “Episode of care” is a methodology to assist in understanding medical cost and utilization drivers. An "episode of care" for a member represents treatment and service utilization across time for an identified health condition. The doctor, hospital, pharmacy and ancillary testing, as well as other costs and utilization relating to an episode of illness, are rolled up into a single entity based on a specific condition. An episode of care spans from the onset of symptoms until treatment is complete.

Aetna uses Optum Symmetry® Episode Treatment Group® (ETG) software version 8.2 illness classification system to build episodes of care data in the Aetna Data Warehouse.

The ETG technology is distributed in the form of "grouper" software. The software accepts health care claims (service line detail) and returns the ETG value, along with other patient information. The grouper software rolls up all doctor, hospital, pharmacy and ancillary testing claims data together to create episodes of illness or surgery that are clinically defined and identified by ETG codes for analysis purposes.

Symmetry ETGs as a measure of physician group efficiency Symmetry’s ETGs offer the ability to identify, quantify and compare the total medical costs of a clinically based episode of care spanning hospitalizations, ambulatory visits and all ancillary services, including the use of pharmaceuticals. Medical claims and pharmacy claims are fed into the grouper software, and medical episodes are created from these claims.

Symmetry creates ETGs that categorize the episodes into different medical groupings. ETGs are attributed to a physician who is involved in a patient’s care as demonstrated by that provider’s claims detail within that episode. The physician who is attributed the episode is referred to as the “responsible provider.” Aetna has developed the “responsible provider logic” that is used to assign an episode of care to a physician.

There are many variables that can affect the use of health care resources for a condition. There can be variation in resource use to treat a condition that is a direct result of the population differences or level of illness. To adjust for the variation in resource use, a case-mix-adjusted “expected allowed amount” is created for each ETG that is attributed to a physician group. That case-mix-adjusted expected allowed amount is then compared to the “actual allowed amount” for that episode of care.

The efficiency measure created for Aexcel provides the ability to evaluate medical cost and utilization patterns among physicians treating similar, severity-adjusted illnesses. Providers are ranked in terms of resource efficiency after adjusting for differences in patient demographics and case mix, and then are compared to their peers. The peer group is defined as physicians of the same specialty in the same Aexcel market or market type if volume is low.

There can be variation in efficiency indexes over time period analysis. Variation has been noted in physician groups whose episode counts over the given time period are low. To evaluate physicians and determine potential for variation, the statistical significance of a provider group’s efficiency score is evaluated with a .10 significance level.

Aetna’s provider attribution for Symmetry episodes of care – Aetna attributes one responsible provider for each episode of care.

If an episode contains a surgical procedure as defined by Symmetry and it is also a major surgery as defined by Aetna, the episode is attributed to the physician who performed that procedure.

If there are 2 major surgeries, then the episode is attributed to the physician with the most allowed amounts

If there is not a major surgery in the episode, but a minor surgery is found, the episode is attributed to the physician who performed the minor surgery.

If there are 2 minor surgeries, the episode is attributed to the physician with the most allowed amounts.

If there is no surgery present, the episode is attributed to the physician with the highest number of visits based on management records as defined by symmetry

03/31/2017

43

For physicians tied for highest number of visits, the episode is attributed to the physicianwith the most direct treatment provided.

If there is still more than one physician with the same amount of visits and treatments, theepisode is attributed to the physician with the highest allowed amount.

Provider attribution for Aexcel specialties Aexcel uses the responsible provider of the episode for attribution but limits the ETGs used for evaluation of efficiency in the Aexcel Network selection process. Each specialty has a specialty specific list of ETGs that are used in the evaluation process and they are limited to the ETGs that are most frequently attributed to that particular specialty (see Appendix A). For physicians with multiple Aexcel specialties, they are assigned the appropriate specialty limited ETGs for each of their specialties listed in our provider data system. Upon request, Aetna will discuss with physicians more detailed information regarding the ETGs that were managed by the physicians.

Assigning specialty to a responsible provider with more than one specialty There are many physicians who have more than one specialty and can manage cases associated with those specialties. Because of this, the assignment of the specialty to an episode should have clinical logic that assigns the most appropriate specialty to the episode of the condition the physician is managing. Clinical logic is applied such that it picks the most appropriate specialty for that condition where a physician has more than one specialty and that physician is assigned as the responsible provider of the episode of care.

Provider minimum episode volume We identify those physicians who have managed at least 20 episodes of care within their specialty specific ETGs for Aetna members over the past 3 years. A reasonable volume of Aetna members is necessary to credibly measure performance.

Symmetry clean period Each ETG has its own clean period. It is defined as the absence of treatment for a specified period of time. For example, ETG 438300 (Acute Bronchitis) has a 30 day clean period which means that any claims related to that diagnosis that fall within a 30 day period will be considered a recurrence of the same condition. When an episode is started for this ETG, all clinically consistent claims activity for acute bronchitis group to this episode until the point where 30 days passes without any corresponding clinically consistent treatment. If a claim for this condition is received after 30 days, a new episode is triggered. Only full year or complete episodes are used for Aexcel. Complete episodes are those that met the clean periods before and after the measure or the episode lasted 365 days. Aetna limits chronic episodes (example, diabetes, congestive heart failure) to a maximum of 365 days.

Claims lag There is a claims lag of three months used in the episodes of care measurement. When episodes of care are used for Aexcel, we also apply a lag to allow for as many episodes to become complete or full-year episodes as possible for the measurement period.

Episode severity Episode severity is a term used to describe the severity of a member’s condition. ETG methodology takes advantage of the relevant complication and comorbidity factors (indicating a sicker member who may require more extensive treatment for a related condition) when determining an episode’s severity. The result is a severity score and severity level for episodes. Typically, the higher the severity score, the more severe that condition is than for other members with a lower severity score for the same condition.

For example, if a member has an episode of diabetes and does not have complications or comorbidities associated with them it would be expected that this member’s severity score is relatively low. For a member with an episode of diabetes that has associated complications and comorbidities, it would be expected that this member’s severity score is higher. Severity adjusting episodes provides a powerful unit of analysis for comparing provider performance when different providers care for members with the same condition and different severity levels.

03/31/2017

44

… … … … … … … … … …

Aetna case mix adjustment

The case mix adjustment includes the following default variables: Variable within each ETG Values

Aexcel Market See Appendix B ETG Condition First 4 digits of the ETG Code ETG Adjuster The ETG Adjustor value for a given ETG based on the ETG group (See

Appendix C ) Specialty Specialty assigned to the episode Age Group Age group ranges:

Member age 0 to 20 Member age 21to 49 Member age 55 to 64

(Episodes with member’s age 65 and greater are excluded from the efficiency measurement.)

Gender Male or female Year of Episode Three rolling years based on episode start date beginning July 1, 2011 through June 30,

2014 Severity Level As indicated on the episode based on Symmetry. (Values are 0 to 4) Product HMO , PPO .Indemnity Pharmacy Usage Whether or not the member has a pharmacy plan and has utilized the benefit: Yes or No

(Adjusts whether there were dispenses within the episode using the pharmacy benefit)

All variables are evaluated yearly. The above variables are used in indirect standardization to create a grid of averages based on allowed dollars broken out by all of the above variables. If there are fewer than 22 episodes produced for any given combination cell2 at the Aexcel market level then the cell is too small to create a norm and we move from an Aexcel market to a market type average allowed amount. The market type is a grouping of each market/specialty/MPC combination that has similar costs. If there continues to be less than 22 episodes produced in a combination cell at the market type, then a national average is created when there continues to be low volume at the market type level. If there are not at least 22 episodes at the national level, then the episode is considered an outlier.

For example, the following 7 members would each fall into a separate case mix category and produce a different peer average for the case mix: ETG Provider

Specialty Aexcel Market

Age/Age Group

Gender Pharmacy Benefit

Product Year of Episode

Severity Average Allowed Amount3

386500100 Cardiology Atlanta 18(0 - 20) Male Yes PPO 2011 3 $2,271386500100 Cardiology Atlanta 25(21-50) Male Yes PPO 2011 3 $2.308386500100 Cardiology Atlanta 60(51-64) Male Yes PPO 2011 3 $2,700386500100 Cardiology Atlanta 18(0 - 20) Female Yes PPO 2011 3 $2,100386500100 Cardiology Atlanta 25(21-50) Female Yes PPO 2011 3 $2,232386500100 Cardiology Atlanta 60(51-64) Female Yes PPO 2011 3 $2,552386500100 Cardiology Atlanta 18(0 - 20) Male Yes HMO 2011 3 $1,800

In the table above, the difference between the first three case mix categories is age. The fourth case mix category yields a difference in age between case mix categories two and three and a difference in gender from case mix category one. Each of these groups would be considered a different case mix category and would yield a different expected value. This applies for every variable combination that is encountered. Each combination of the case-mix variables produces their own expected value. This allows for a provider to be assessed while adjusting for the case-mix of the members he/she is treating, thus allowing for a more even playing field to be used when comparing one provider to another and to the specialty/market average for each ETG.

2 A cell is the unique combination of: Market, Specialty, ETG Condition, ETG Adjuster, Pharmacy Usage, Year, Product, Age Cell, Gender and ETGSeverity 3 Average allowed amounts in this chart are for illustration purposes only. They do not represent actual average allowed amounts.

03/31/2017

45

Aetna outlier logic Outlier logic is applied at the case-mix category level as described above. When case-mix categories are created, the highest and lowest 5 percent of episodes within each case-mix category, based on the total cost, are considered outliers and therefore excluded.

03/31/2017

46

Efficiency measurement specification

Eligible population

Product lines All medical products

Ages Members less than 65

Continuous enrollment Complete and full year episodes are included, which means the episode began and

came to an end according to the rules of clean periods or were 12 month episodes. Episodes longer than 12 months for chronic conditions are not created by Aetna’s warehouse to enable comparisons. For example, if a chronic episode for one person is only 12 months long it would not be comparable to an episode for another person with the same condition that is 3 years long.

Measurement time frame Three full years of episodes where the episode ends within the three year

timeframe. Benefit

Medical (pharmacy if available) Provider specialty category Cardiology, cardiothoracic surgery, gastroenterology, general surgery, neurology,

neurosurgery, obstetrics/gynecology, orthopedic, otolaryngology, plastic surgery, urology, vascular surgery


Denominator Denominator is the sum of the expected allowed amounts for the episodes being attributed to the group (Appendix A). The expected allowed amount is the case mix adjusted average for each ETG and its combination of variables as described above.

Number of episodes The volume threshold for a provider/provider group to be considered for Aexcel is a minimum of 20 episodes.

Total Allowed $ Episodes must be greater than $0

Numerator Numerator is the sum of the actual allowed amounts for the same episodes in the denominator being attributed to the group

Exclusion All members age 65 and older.

Provider grouping The market identifies which providers are practicing as a group so their information is aggregated together. To accomplish this, provider data is sent to each region in the “Aexcel Designation Model” for provider group selection. Provider groups can be either an individual or a group based on how individual providers conduct business. Provider groups are created by using either an individual PIN (EPDB Provider ID number), TIN (Tax ID), Group PIN (non-individual

03/31/2017

47

EPDB PIN associated with a group practice), risk group (provider group identifier), PORG (Provider Organization) or custom provider group within a distinct Aexcel market.

Provider scoring Scoring is done at the provider group level for volume. A provider group can include from 1 to many individual providers. Each provider group has the potential to be scored for efficiency, but they must meet the measure threshold of 20 or more episodes.

Each group meeting the 20 or more threshold is considered for designation as long as it passes at least 1 of the clinical performance measures. Each group will receive an observed (actual rate) to expected (case-mix-adjusted) ratio score. The expected value for this score is the case-mix-adjusted average allowed amount for each episode attributed to that group.

Statistical significance of efficiency index Statistical significance is determined by using a weighted students t-test to compare each physician’s overall efficiency index to the peer group's efficiency index as determined by indirect standardization of the episode index for each age, gender, chronic disease risk, pharmacy insurance coverage and utilization, year of episode, and insurance product type combination as shown above in the case mix adjustment section. Each physician/physician group is compared within specialty and market to the to the peer’s mean observed/expected index. The weights for each episodic observation are the expected dollars for the episode. All hypothesis tests are two-tailed and conducted at the 0.10 significance level. Physician/physician groups can be placed into 4 categories of statistical significance of efficiency:

ESS- Efficient and statistically so NSS- Efficiency is not statistically significantly different from the peer average ISS- Did not meet efficiency standards and statistically significant NA-not enough volume to determine efficiency and statistical significance

Physicians whose results are efficient (lower cost relative to their peers) and statistically significant (ESS) during the measurement period for that Aexcel designation cycle meet the efficiency criteria for Aexcel participation.

Next, the Aexcel network is further fortified with adding physicians until the network size is one where members have adequate access within an Aexcel market. To be added back the following criteria is used:

Their efficiency index is the closest to the mean index of the peer group They score statistically significantly higher (t-test) than the groups not selected.

Summary and detailed reports can be run for each physician, upon request, so physicians may see how their use of resources compares to their peers.

03/31/2017

48

Aexcel designation model process

The Aexcel designation process includes four key criteria:

Volume

Clinical performance

Efficiency

Network adequacy

For specialists who meet the case volume and clinical performance standards for Aexcel network designation, a measure of the efficiency of their care is developed and compared to their peers.

Designation process (performed by specialty in each market’s designation model) 1. As described above, provider groups are assigned one of the following efficiency/statistical significance type:

a.

ESSb. NSSc. ISSd. NA

2. Provider groups are non-designated for Aexcel, regardless of efficiency/statistical significance type if:a. They do not pass at least 1 of the clinical measures, orb. They are under investigation by the Special Investigation Unit.

3. Provider groups are moved from a non-designated to a designated status, regardless of efficiency/statisticalsignificance type if they were not in a non-designated status in the preceding step, and if one of the following istrue:

a. They are required to be included for contractual reasonsb. They perform unique services within the marketc. They are a multi-specialty group and the weighted average of all of their specialties as a whole are

deemed to meet the efficiency and until the network size is one where members have adequate access tophysicians within an Aexcel market

4. After designation/non-designation, the eligible network for each market and specialty category is built byautomatically including all physician groups that are ESS; however, additional providers can be added in, by add-in priority order, until the network size is sufficient to meet general access and penetration requirements (see notebelow regarding network adequacy). The add-in priority order is determined by rank ordering T-Test scores for allprovider groups. By using the T-Test score, physicians are added back first whose efficiency index is closest tothe mean and with statistical significance at the 0.10 level.

5. A GeoAccess analysis is then conducted to determine if there are gaps in each market’s geographic coverageusing a radius threshold of up to 75-miles. If gaps are identified, providers are added to the network, in Add-InPriority Order, to address the geographic gaps.

Aexcel network adequacy The Aexcel designation model produces a baseline Aexcel network based on the evaluation of volume, clinical performance, fraud flags and efficiency. Some physicians or physician groups may be included in the Aexcel network based on contractual obligations. The network team completes the following steps to maintain sufficient network access to certain specialty care for Aexcel members.

1. Review the baseline network2. Review the county coverage; the designation model identifies in which county each physician/physician group is

located

03/31/2017

49

3. If there are adequacy gaps, physicians/physician groups (based on the Aexcel 12 specialty categories) are evaluated and selected to fill those gaps. The selections are based on geographic access, ensuring the appropriate number of specialist within a geographic area*; member disruption, the anticipation that a significant number of Aetna members could be impacted by the physician or groups exclusion; and volume and efficiency measures. Some physicians may not have met the volume and/or efficiency criteria, but all add-backs must meet the clinical performance criteria.

4. Once completed, the network configuration is sent to MSU for geo access mapping. The process has been set up to map the 12 Aexcel specialty categories into the model so that the county gaps identified are based on the Aexcel specialties.

5. The underlying network configuration is not impacted by Aexcel and it includes all other participating providers (any specialist not in the 12 Aexcel specialty categories, primary care physicians, hospitals, and ancillary providers).

*The network geography mirrors the underlying Aetna medical plans, Aexcel market defined access and state mandates for network adequacy.

03/31/2017

50

Appendix A: Specialty ETG groupings Cardiology

ETG8.2_CD ETG_FUL_LONG_DESC 162200000 Hypo-functioning thyroid gland, w/o complication, w/o surgery 163000010 Diabetes, w/o complication, with comorbidity, w/o surgery 164700000 Hyperlipidemia, other 386500000 Ischemic heart disease, w/o complication, w/o comorbidity, w/o surgery 386500001 Ischemic heart disease, w/o complication, w/o comorbidity, with angioplasty 386500010 Ischemic heart disease, w/o complication, with comorbidity, w/o surgery 386500011 Ischemic heart disease, w/o complication, with comorbidity, with angioplasty 386500100 Ischemic heart disease, with complication, w/o comorbidity, w/o surgery 386500101 Ischemic heart disease, with complication, w/o comorbidity, with angioplasty 386500110 Ischemic heart disease, with complication, with comorbidity, w/o surgery 386500111 Ischemic heart disease, with complication, with comorbidity, with angioplasty 386600000 Pulmonary heart disease, w/o surgery 386800000 Congestive heart failure, w/o complication, w/o comorbidity, w/o surgery 386800010 Congestive heart failure, w/o complication, with comorbidity, w/o surgery 386800100 Congestive heart failure, with complication, w/o comorbidity, w/o surgery 386800110 Congestive heart failure, with complication, with comorbidity, w/o surgery 386900000 Cardiomyopathy, w/o complication, w/o comorbidity, w/o surgery 386900010 Cardiomyopathy, w/o complication, with comorbidity, w/o surgery 387000000 Aortic aneurysm, w/o complication, w/o surgery 387000100 Aortic aneurysm, with complication, w/o surgery 387100000 Heart failure, diastolic, w/o complication, w/o comorbidity, w/o surgery 387100010 Heart failure, diastolic, w/o complication, with comorbidity, w/o surgery 387200000 Cardiac infection, w/o comorbidity, w/o surgery 387200010 Cardiac infection, with comorbidity, w/o surgery 387400000 Valvular dis, w/o complication, w/o comorbidity, w/o surgery 387400010 Valvular dis, w/o complication, with comorbidity, w/o surgery 387400100 Valvular dis, with complication, w/o comorbidity, w/o surgery 387400110 Valvular dis, with complication, with comorbidity, w/o surgery 387500000 Severe ventricular rhythms 387600000 Severe heart block, w/o surgery 387600001 Severe heart block, with surgery 387700000 Other conduction diss, w/o complication, w/o comorbidity 387700010 Other conduction diss, w/o complication, with comorbidity 387700100 Other conduction diss, with complication, w/o comorbidity 387700110 Other conduction diss, with complication, with comorbidity 387800100 Atrial fibrillation & flutter, with complication, w/o comorbidity, w/o surgery 387800101 Atrial fibrillation & flutter, with complication, w/o comorbidity, with surgery 387800110 Atrial fibrillation & flutter, with complication, with comorbidity, w/o surgery 387800111 Atrial fibrillation & flutter, with complication, with comorbidity, with surgery 388100000 Hypertension, w/o complication, w/o comorbidity 388100010 Hypertension, w/o complication, with comorbidity 388100100 Hypertension, with complication, w/o comorbidity 388100110 Hypertension, with complication, with comorbidity 388300000 Cardiac congenital dis, w/o comorbidity, w/o surgery 388300010 Cardiac congenital dis, with comorbidity, w/o surgery 388700000 Other cardiac diseases, w/o surgery 389000000 Arterial inflammation, w/o complication, w/o comorbidity, w/o surgery 389000010 Arterial inflammation, w/o complication, with comorbidity, w/o surgery 389500000 Atherosclerosis, w/o complication, w/o comorbidity, w/o surgery

03/31/2017

51

ETG8.2_CD ETG_FUL_LONG_DESC 389500010 Atherosclerosis, w/o complication, with comorbidity, w/o surgery 389500110 Atherosclerosis, with complication, with comorbidity, w/o surgery 390300000 Embolism & thrombosis of veins, w/o complication, w/o surgery 390300100 Embolism & thrombosis of veins, with complication, w/o surgery 390500000 Phlebitis & thrombophlebitis of veins, w/o surgery 390600000 Varicose veins of lower extremity, w/o surgery 391000000 Other diseases of veins, w/o surgery 399900000 Cardiovascular diseases signs & symptoms 779400000 Routine exam 779700000 Conditional exam

Cardiothoracic Surgery ETG8.2_CD ETG_FUL_LONG_DESC 386500000 Ischemic heart disease, w/o complication, w/o comorbidity, w/o surgery 386500003 Ischemic heart disease, w/o complication, w/o comorbidity, with CABG 386500004 Ischemic heart disease, w/o complication, w/o comorbidity, with valve surgery 386500005 Ischemic heart disease, w/o complication, w/o comorbidity, with valve surgery & CABG 386500010 Ischemic heart disease, w/o complication, with comorbidity, w/o surgery 386500013 Ischemic heart disease, w/o complication, with comorbidity, with CABG 386500014 Ischemic heart disease, w/o complication, with comorbidity, with valve surgery 386500015 Ischemic heart disease, w/o complication, with comorbidity, with valve surgery & CABG 386500103 Ischemic heart disease, with complication, w/o comorbidity, with CABG 386500104 Ischemic heart disease, with complication, w/o comorbidity, with valve surgery 386500113 Ischemic heart disease, with complication, with comorbidity, with CABG 386500114 Ischemic heart disease, with complication, with comorbidity, with valve surgery 386500115 Ischemic heart disease, with complication, with comorbidity, with valve surgery & CABG 387000000 Aortic aneurysm, w/o complication, w/o surgery 387000001 Aortic aneurysm, w/o complication, with surgery 387000100 Aortic aneurysm, with complication, w/o surgery 387000101 Aortic aneurysm, with complication, with surgery 387200011 Cardiac infection, with comorbidity, with surgery 387400014 Valvular disorder, w/o complication, with comorbidity, with valve surgery 387400114 Valvular disorder, with complication, with comorbidity, with valve surgery 388300010 Cardiac congenital dis, with comorbidity, w/o surgery 388300014 Cardiac congenital disorder, with comorbidity, with valve surgery 389000000 Arterial inflammation, w/o complication, w/o comorbidity, w/o surgery 389000010 Arterial inflammation, w/o complication, with comorbidity, w/o surgery 389000011 Arterial inflammation, w/o complication, with comorbidity, with surgery 389200001 Arterial embolism/thrombosis, with surgery 389500010 Atherosclerosis, w/o complication, with comorbidity, w/o surgery 389500011 Atherosclerosis, w/o complication, with comorbidity, with surgery 389500111 Atherosclerosis, with complication, with comorbidity, with surgery 389700001 Arterial aneurysm, except aorta, with surgery 390600000 Varicose veins of lower extremity, w/o surgery 390600001 Varicose veins of lower extremity, with surgery 391000000 Other diseases of veins, w/o surgery 437400010 Bacterial lung infections, w/o complication, with comorbidity 437400110 Bacterial lung infections, with complication, with comorbidity 439800001 Other inflammatory lung diseases, with surgery 440100001 Malignant neoplasm of pulmonary system, w/o comorbidity, with surgery, w/o active mgmt 440100011 Malignant neoplasm of pulmonary system, with comorbidity, with surgery, w/o active mgmt 440300001 Non-malignant neoplasm of pulmonary system, with surgery 441500001 Other pulmonary disorders, with surgery

03/31/2017

52

Gastroenterology ETG8.2_CD ETG_FUL_LONG_DESC 208200000 Iron deficiency anemia, w/o complication, w/o comorbidity 208200010 Iron deficiency anemia, w/o complication, with comorbidity 208200100 Iron deficiency anemia, with complication, w/o comorbidity 208200110 Iron deficiency anemia, with complication, with comorbidity 473100000 Infection of stomach & esophagus, w/o comorbidity, w/o surgery 473100001 Infection of stomach & esophagus, w/o comorbidity, with surgery 473100010 Infection of stomach & esophagus, with comorbidity, w/o surgery 473100011 Infection of stomach & esophagus, with comorbidity, with surgery 473300000 Inflammation of esophagus, w/o complication, w/o comorbidity, w/o surgery 473300001 Inflammation of esophagus, w/o complication, w/o comorbidity, with surgery 473300010 Inflammation of esophagus, w/o complication, with comorbidity, w/o surgery 473300011 Inflammation of esophagus, w/o complication, with comorbidity, with surgery 473300100 Inflammation of esophagus, with complication, w/o comorbidity, w/o surgery 473300101 Inflammation of esophagus, with complication, w/o comorbidity, with surgery 473300110 Inflammation of esophagus, with complication, with comorbidity, w/o surgery 473300111 Inflammation of esophagus, with complication, with comorbidity, with surgery 473500000 Gastritis &/or duodenitis, w/o complication, w/o comorbidity, w/o surgery 473500001 Gastritis &/or duodenitis, w/o complication, w/o comorbidity, with surgery 473500010 Gastritis &/or duodenitis, w/o complication, with comorbidity, w/o surgery 473500011 Gastritis &/or duodenitis, w/o complication, with comorbidity, with surgery 473500100 Gastritis &/or duodenitis, with complication, w/o comorbidity, w/o surgery 473500110 Gastritis &/or duodenitis, with complication, with comorbidity, w/o surgery 473800000 Ulcer, w/o complication, w/o comorbidity, w/o surgery 473800001 Ulcer, w/o complication, w/o comorbidity, with surgery 473800010 Ulcer, w/o complication, with comorbidity, w/o surgery 473800011 Ulcer, w/o complication, with comorbidity, with surgery 473800100 Ulcer, with complication, w/o comorbidity, w/o surgery 473800101 Ulcer, with complication, w/o comorbidity, with surgery 473800110 Ulcer, with complication, with comorbidity, w/o surgery 473800111 Ulcer, with complication, with comorbidity, with surgery 474000000 Malignant neoplasm of stomach & esophagus, w/o surgery, w/o active mgmt 474000001 Malignant neoplasm of stomach & esophagus, with surgery, w/o active mgmt 474200000 Non-malignant neoplasm of stomach & esophagus, w/o surgery 474200001 Non-malignant neoplasm of stomach & esophagus, with surgery 474400000 Trauma of stomach or esophagus, w/o surgery 474400001 Trauma of stomach or esophagus, with surgery 474500000 Anomaly of stomach or esophagus, w/o surgery 474500001 Anomaly of stomach or esophagus, with surgery 474900000 Diverticulitis, w/o complication, w/o comorbidity, w/o surgery 474900001 Diverticulitis, w/o complication, w/o comorbidity, with surgery 474900010 Diverticulitis, w/o complication, with comorbidity, w/o surgery 474900011 Diverticulitis, w/o complication, with comorbidity, with surgery 474900100 Diverticulitis, with complication, w/o comorbidity, w/o surgery 474900101 Diverticulitis, with complication, w/o comorbidity, with surgery 474900110 Diverticulitis, with complication, with comorbidity, w/o surgery 474900111 Diverticulitis, with complication, with comorbidity, with surgery 475000000 Other infectious diseases of intestines & abdomen, w/o surgery 475200000 Other inflammation of intestines & abdomen, w/o complication, w/o comorbidity, w/o surgery 475200010 Other inflammation of intestines & abdomen, w/o complication, with comorbidity, w/o surgery 475200100 Other inflammation of intestines & abdomen, with complication, w/o comorbidity, w/o surgery 475200110 Other inflammation of intestines & abdomen, with complication, with comorbidity, w/o surgery 475400000 Malignant neoplasm of large intestine, w/o comorbidity, w/o surgery, w/o active mgmt

03/31/2017

53

ETG8.2_CD ETG_FUL_LONG_DESC 475400001 Malignant neoplasm of large intestine, w/o comorbidity, with surgery, w/o active mgmt 475400011 Malignant neoplasm of large intestine, with comorbidity, with surgery, w/o active mgmt 475500000 Malignant neoplasm of small intestine & abdomen, w/o surgery, w/o active mgmt 475600000 Non-malignant neoplasm of intestines & abdomen, w/o surgery 475600001 Non-malignant neoplasm of intestines & abdomen, with surgery 476000000 Congenital anomalies of intestines & abdomen, w/o surgery 476000001 Congenital anomalies of intestines & abdomen, with surgery 476100000 Vascular diseases of intestines & abdomen, w/o surgery 476300000 Bowel obstruction, w/o complication, w/o surgery 476300001 Bowel obstruction, w/o complication, with surgery 476300100 Bowel obstruction, with complication, w/o surgery 476400000 Irritable bowel syndrome 476600000 Hernias, except hiatal, w/o complication, w/o surgery 476800000 Hiatal hernia, w/o surgery 476800001 Hiatal hernia, with surgery 476900000 Other diseases of intestines & abdomen, w/o surgery 476900001 Other diseases of intestines & abdomen, with surgery 477100000 Infection of rectum or anus, w/o surgery 477400000 Hemorrhoids, w/o complication, w/o surgery 477400001 Hemorrhoids, w/o complication, with surgery 477400100 Hemorrhoids, with complication, w/o surgery 477400101 Hemorrhoids, with complication, with surgery 477600000 Inflammation of rectum or anus, w/o surgery 477800000 Malignant neoplasm of rectum or anus, w/o comorbidity, w/o surgery, w/o active mgmt 477800001 Malignant neoplasm of rectum or anus, w/o comorbidity, with surgery, w/o active mgmt 477800010 Malignant neoplasm of rectum or anus, with comorbidity, w/o surgery, w/o active mgmt 477800011 Malignant neoplasm of rectum or anus, with comorbidity, with surgery, w/o active mgmt 478000000 Non-malignant neoplasm of rectum or anus, w/o surgery 478000001 Non-malignant neoplasm of rectum or anus, with surgery 478500000 Other diseases & disorders of rectum & anus, w/o surgery 478500001 Other diseases & disorders of rectum & anus, with surgery 479900000 Gastroenterology diseases signs & symptoms 521400000 Infectious hepatitis, w/o complication, w/o comorbidity 521400010 Infectious hepatitis, w/o complication, with comorbidity 521400100 Infectious hepatitis, with complication, w/o comorbidity 521400110 Infectious hepatitis, with complication, with comorbidity 521600000 Non-infectious hepatitis, w/o complication 521800000 Cirrhosis, w/o complication, w/o comorbidity, w/o surgery 521800001 Cirrhosis, w/o complication, w/o comorbidity, with surgery 521800010 Cirrhosis, w/o complication, with comorbidity, w/o surgery 521800011 Cirrhosis, w/o complication, with comorbidity, with surgery 521800100 Cirrhosis, with complication, w/o comorbidity, w/o surgery 521800101 Cirrhosis, with complication, w/o comorbidity, with surgery 521800110 Cirrhosis, with complication, with comorbidity, w/o surgery 521800111 Cirrhosis, with complication, with comorbidity, with surgery 521900000 Acute pancreatitis, w/o surgery 521900001 Acute pancreatitis, with surgery 522000000 Chronic pancreatitis, w/o surgery 522000001 Chronic pancreatitis, with surgery 522300000 Cholelithiasis, w/o complication, w/o comorbidity, w/o surgery 522300001 Cholelithiasis, w/o complication, w/o comorbidity, with surgery 522300010 Cholelithiasis, w/o complication, with comorbidity, w/o surgery 522300011 Cholelithiasis, w/o complication, with comorbidity, with surgery 522300100 Cholelithiasis, with complication, w/o comorbidity, w/o surgery

03/31/2017

54

ETG8.2_CD ETG_FUL_LONG_DESC 522300101 Cholelithiasis, with complication, w/o comorbidity, with surgery 522300110 Cholelithiasis, with complication, with comorbidity, w/o surgery 522300111 Cholelithiasis, with complication, with comorbidity, with surgery 523200000 Other diseases of hepatobiliary system, w/o surgery 523200001 Other diseases of hepatobiliary system, with surgery 529900000 Hepatology diseases signs & symptoms 779400000 Routine exam

Neurology ETG8.2_CD ETG_FUL_LONG_DESC 239000000 Dementia 239100000 Organic drug or metabolic disorders 239200000 Autism & child psychoses 240100000 Attention deficit dis, w/o complication 240100100 Attention deficit dis, with complication 240600000 Other neuropsychological or behavioral disorders 314000000 Viral meningitis, w/o surgery 314100000 Bacterial & fungal meningitis, w/o surgery 314200000 Viral encephalitis, w/o surgery 314300000 Nonviral encephalitis, w/o surgery 315000000 Inflammation of central nervous system, other, w/o surgery 315200000 Epilepsy, w/o surgery 315200010 Epilepsy, w/o complication, with comorbidity, w/o surgery 315200100 Epilepsy, with complication, w/o comorbidity, w/o surgery 315200110 Epilepsy, with complication, with comorbidity, w/o surgery 315400000 Malignant neoplasm of central nervous system, w/o surgery, w/o active mgmt 315600000 Non-malignant neoplasm of central nervous system, w/o surgery 316000000 Cerebral vascular accident, w/o complication, w/o comorbidity, w/o surgery 316000010 Cerebral vascular accident, w/o complication, with comorbidity, w/o surgery 316000100 Cerebral vascular accident, with complication, w/o comorbidity, w/o surgery 316000110 Cerebral vascular accident, with complication, with comorbidity, w/o surgery 316300000 Brain trauma, w/o complication, w/o comorbidity, w/o surgery 316300010 Brain trauma, w/o complication, with comorbidity, w/o surgery 316300100 Brain trauma, with complication, w/o comorbidity, w/o surgery 316300110 Brain trauma, with complication, with comorbidity, w/o surgery 316400000 Alzheimer's disease 316500010 Spinal trauma, w/o complication, with comorbidity, w/o surgery 316500100 Spinal trauma, with complication, w/o comorbidity, w/o surgery 316500110 Spinal trauma, with complication, with comorbidity, w/o surgery 316600000 Amyotrophic lateral sclerosis, w/o surgery 316700000 Hereditary & degenerative diseases of central nervous system, other, w/o comorbidity, w/o surgery 316700010 Hereditary & degenerative diseases of central nervous system, other, with comorbidity, w/o surgery 316800000 Parkinson's disease, w/o surgery 316900000 Migraine headache, w/o complication, w/o comorbidity 316900010 Migraine headache, w/o complication, with comorbidity 316900100 Migraine headache, with complication, w/o comorbidity 316900110 Migraine headache, with complication, with comorbidity 317100000 Congenital disorders of central nervous system, w/o comorbidity, w/o surgery 317100010 Congenital disorders of central nervous system, with comorbidity, w/o surgery 317300000 Inflammation of cranial nerves, w/o surgery 317300100 Inflammation of cranial nerves, with complication, w/o surgery 317500000 Carpal tunnel syndrome, w/o surgery 317700000 Inflammation of non-cranial nerves, except carpal tunnel, w/o complication, w/o surgery 317700100 Inflammation of non-cranial nerves, except carpal tunnel, with complication, w/o surgery

03/31/2017

55

ETG8.2_CD ETG_FUL_LONG_DESC 317900000 Peripheral nerve neoplasm, w/o surgery 318300000 Traumatic disorders of non-cranial nerves, w/o surgery 318400000 Congenital diss of peripheral nerves, w/o surgery 318600000 Other neurological diseases, w/o surgery 319900000 Neurological diseases signs & symptoms 350600000 Inflammatory eye disease, w/o surgery 353600000 Visual disturbances, w/o complication, w/o surgery 353600100 Visual disturbances, with complication, w/o surgery 405300000 Other disorders of ear/nose/throat, w/o surgery 712208000 Joint degeneration, localized - back, w/o complication, w/o comorbidity, w/o surgery 712208010 Joint degeneration, localized - back, w/o complication, with comorbidity, w/o surgery 712208100 Joint degeneration, localized - back, with complication, w/o comorbidity, w/o surgery 712208110 Joint degeneration, localized - back, with complication, with comorbidity, w/o surgery 712211000 Joint degeneration, localized - neck, w/o complication, w/o comorbidity, w/o surgery 712211010 Joint degeneration, localized - neck, w/o complication, with comorbidity, w/o surgery 712211100 Joint degeneration, localized - neck, with complication, w/o comorbidity, w/o surgery 712211110 Joint degeneration, localized - neck, with complication, with comorbidity, w/o surgery 714608000 Minor orthopedic trauma - back 714611000 Minor orthopedic trauma - neck, w/o surgery 714908000 Other minor orthopedic disorders - back 714911000 Other minor orthopedic diss - neck, w/o surgery 719908000 Orthopedic signs & symptoms - back 719911000 Orthopedic signs & symptoms - neck, w/o surgery 779400000 Routine exam 779700000 Conditional exam

Neurosurgery ETG8.2_CD ETG_FUL_LONG_DESC 163400000 Non-malignant neoplasm of pituitary gland, w/o complication, w/o surgery 163400001 Non-malignant neoplasm of pituitary gland, w/o complication, with surgery 315000001 Inflammation of central nervous system, other, with surgery 315200011 Epilepsy, w/o complication, with comorbidity, with surgery 315200111 Epilepsy, with complication, with comorbidity, with surgery 315300001 Malignant central nervous system metastases, with surgery, w/o active mgmt 315400000 Malignant neoplasm of central nervous system, w/o surgery, w/o active mgmt 315400001 Malignant neoplasm of central nervous system, with surgery, w/o active mgmt 315600000 Non-malignant neoplasm of central nervous system, w/o surgery 315600001 Non-malignant neoplasm of central nervous system, with surgery 316000000 Cerebral vascular accident, w/o complication, w/o comorbidity, w/o surgery 316000001 Cerebral vascular accident, w/o complication, w/o comorbidity, with surgery 316000010 Cerebral vascular accident, w/o complication, with comorbidity, w/o surgery 316000011 Cerebral vascular accident, w/o complication, with comorbidity, with surgery 316000100 Cerebral vascular accident, with complication, w/o comorbidity, w/o surgery 316000101 Cerebral vascular accident, with complication, w/o comorbidity, with surgery 316000110 Cerebral vascular accident, with complication, with comorbidity, w/o surgery 316000111 Cerebral vascular accident, with complication, with comorbidity, with surgery 316300000 Brain trauma, w/o complication, w/o comorbidity, w/o surgery 316300010 Brain trauma, w/o complication, with comorbidity, w/o surgery 316300011 Brain trauma, w/o complication, with comorbidity, with surgery 316300100 Brain trauma, with complication, w/o comorbidity, w/o surgery 316300110 Brain trauma, with complication, with comorbidity, w/o surgery 316300111 Brain trauma, with complication, with comorbidity, with surgery

03/31/2017

56

ETG8.2_CD ETG_FUL_LONG_DESC 316500100 Spinal trauma, with complication, w/o comorbidity, w/o surgery 316500101 Spinal trauma, with complication, w/o comorbidity, with surgery 316500110 Spinal trauma, with complication, with comorbidity, w/o surgery 316500111 Spinal trauma, with complication, with comorbidity, with surgery 316700000 Hereditary & degenerative diseases of central nervous system, other, w/o comorbidity, w/o surgery 316700010 Hereditary & degenerative diseases of central nervous system, other, with comorbidity, w/o surgery 316700011 Hereditary & degenerative diseases of central nervous system, other, with comorbidity, with surgery 316800001 Parkinson's disease, with surgery 317100000 Congenital disorders of central nervous system, w/o comorbidity, w/o surgery 317100001 Congenital disorders of central nervous system, w/o comorbidity, with surgery 317100010 Congenital disorders of central nervous system, with comorbidity, w/o surgery 317100011 Congenital disorders of central nervous system, with comorbidity, with surgery 317300100 Inflammation of cranial nerves, with complication, w/o surgery 317300101 Inflammation of cranial nerves, with complication, with surgery 317500000 Carpal tunnel syndrome, w/o surgery 317500001 Carpal tunnel syndrome, with surgery 317700000 Inflammation of non-cranial nerves, except carpal tunnel, w/o complication, w/o surgery 317700001 Inflammation of non-cranial nerves, except carpal tunnel, w/o complication, with surgery 317700100 Inflammation of non-cranial nerves, except carpal tunnel, with complication, w/o surgery 318400000 Congenital diss of peripheral nerves, w/o surgery 318600000 Other neurological diseases, w/o surgery 318600001 Other neurological diseases, with surgery 319900000 Neurological diseases signs & symptoms 712208000 Joint degeneration, localized - back, w/o complication, w/o comorbidity, w/o surgery 712208001 Joint degeneration, localized - back, w/o complication, w/o comorbidity, with surgery 712208010 Joint degeneration, localized - back, w/o complication, with comorbidity, w/o surgery 712208011 Joint degeneration, localized - back, w/o complication, with comorbidity, with surgery 712208100 Joint degeneration, localized - back, with complication, w/o comorbidity, w/o surgery 712208101 Joint degeneration, localized - back, with complication, w/o comorbidity, with surgery 712208110 Joint degeneration, localized - back, with complication, with comorbidity, w/o surgery 712208111 Joint degeneration, localized - back, with complication, with comorbidity, with surgery 712211000 Joint degeneration, localized - neck, w/o complication, w/o comorbidity, w/o surgery 712211001 Joint degeneration, localized - neck, w/o complication, w/o comorbidity, with surgery 712211010 Joint degeneration, localized - neck, w/o complication, with comorbidity, w/o surgery 712211011 Joint degeneration, localized - neck, w/o complication, with comorbidity, with surgery 712211100 Joint degeneration, localized - neck, with complication, w/o comorbidity, w/o surgery 712211101 Joint degeneration, localized - neck, with complication, w/o comorbidity, with surgery 712211110 Joint degeneration, localized - neck, with complication, with comorbidity, w/o surgery 712211111 Joint degeneration, localized - neck, with complication, with comorbidity, with surgery 714608000 Minor orthopedic trauma - back 714611000 Minor orthopedic trauma - neck, w/o surgery 714908000 Other minor orthopedic disorders - back 714911000 Other minor orthopedic diss - neck, w/o surgery 715107000 Orthopedic deformity - head & face, w/o surgery 715108000 Orthopedic deformity - back, w/o surgery 715108001 Orthopedic deformity - back, with surgery 719908000 Orthopedic signs & symptoms - back 719911000 Orthopedic signs & symptoms - neck, w/o surgery

03/31/2017

57

Obstetrics/Gynecology ETG8.2_CD ETG_FUL_LONG_DESC 164300000 Female sex gland disorders, w/o comorbidity, w/o surgery 164300001 Female sex gland disorders, w/o comorbidity, with surgery 164300010 Female sex gland disorders, with comorbidity, w/o surgery 164300011 Female sex gland disorders, with comorbidity, with surgery 587200000 Sexually transmitted diseases, primary 587300000 Sexually transmitted diseases, disseminated 587400000 Infection of lower genitourinary system, not sexually transmitted, w/o complication, w/o comorbidity 587400010 Infection of lower genitourinary system, not sexually transmitted, w/o complication, with comorbidity 587400100 Infection of lower genitourinary system, not sexually transmitted, with complication, w/o comorbidity 587400110 Infection of lower genitourinary system, not sexually transmitted, with complication, with comorbidity 588000000 Inflammation of genitourinary system, except kidney stones, w/o complication, w/o comorbidity, w/o surgery 588000010 Inflammation of genitourinary system, except kidney stones, w/o complication, with comorbidity, w/o surgery 588000100 Inflammation of genitourinary system, except kidney stones, with complication, w/o comorbidity, w/o surgery 588000110 Inflammation of genitourinary system, except kidney stones, with complication, with comorbidity, w/o surgery 588800000 Non-malignant neoplasm of genitourinary system, except prostate, w/o surgery 589200000 Urinary incontinence, w/o comorbidity, w/o surgery 589200001 Urinary incontinence, w/o comorbidity, with surgery 589200010 Urinary incontinence, with comorbidity, w/o surgery 589200011 Urinary incontinence, with comorbidity, with surgery 589500000 Other diseases of genitourinary system, w/o surgery 589900000 Urological diseases signs & symptoms 601100000 Pregnancy, with delivery, w/o complication, w/o comorbidity, w/o caesarean section 601100001 Pregnancy, with delivery, w/o complication, w/o comorbidity, with caesarean section 601100010 Pregnancy, with delivery, w/o complication, with comorbidity, w/o caesarean section 601100011 Pregnancy, with delivery, w/o complication, with comorbidity, with caesarean section 601100100 Pregnancy, with delivery, with complication, w/o comorbidity, w/o caesarean section 601100101 Pregnancy, with delivery, with complication, w/o comorbidity, with caesarean section 601100110 Pregnancy, with delivery, with complication, with comorbidity, w/o caesarean section 601100111 Pregnancy, with delivery, with complication, with comorbidity, with caesarean section 602100000 Ectopic pregnancy, w/o surgery 602100001 Ectopic pregnancy, with surgery 602200000 Spontaneous abortion 602300000 Induced abortion 602400000 Pregnancy, not yet delivered, w/o complication, w/o comorbidity 602400010 Pregnancy, not yet delivered, w/o complication, with comorbidity 602400100 Pregnancy, not yet delivered, with complication, w/o comorbidity 602400110 Pregnancy, not yet delivered, with complication, with comorbidity 609900000 Obstetric signs & symptoms 633200000 Infection of ovary &/or fallopian tubes, w/o comorbidity, w/o surgery 633200001 Infection of ovary &/or fallopian tubes, w/o comorbidity, with surgery 633200010 Infection of ovary &/or fallopian tubes, with comorbidity, w/o surgery 633200011 Infection of ovary &/or fallopian tubes, with comorbidity, with surgery 633500000 Infection of uterus, w/o comorbidity, w/o surgery 633500001 Infection of uterus, w/o comorbidity, with surgery 633500010 Infection of uterus, with comorbidity, w/o surgery 633500011 Infection of uterus, with comorbidity, with surgery 633700000 Infection of cervix 633900000 Monilial infection of vagina (yeast) 634000000 Infection of vagina except monilial 634200000 Endometriosis, w/o surgery 634200001 Endometriosis, with surgery 634300000 Inflammatory condition of female genital tract, except endometriosis, w/o surgery

03/31/2017

58

ETG8.2_CD ETG_FUL_LONG_DESC 634300001 Inflammatory condition of female genital tract, except endometriosis, with surgery 634400000 Malignant neoplasm of cervix, w/o surgery, w/o active mgmt 634400001 Malignant neoplasm of cervix, with surgery, w/o active mgmt 634500000 Malignant neoplasm of ovaries, w/o surgery, w/o active mgmt 634500001 Malignant neoplasm of ovaries, with surgery, w/o active mgmt 634600000 Malignant neoplasm of uterus, w/o surgery, w/o active mgmt 634600001 Malignant neoplasm of uterus, with surgery, w/o active mgmt 634700000 Non-malignant neoplasm of female genital tract, w/o complication, w/o comorbidity, w/o surgery 634700001 Non-malignant neoplasm of female genital tract, w/o complication, w/o comorbidity, with surgery 634700010 Non-malignant neoplasm of female genital tract, w/o complication, with comorbidity, w/o surgery 634700011 Non-malignant neoplasm of female genital tract, w/o complication, with comorbidity, with surgery 634700100 Non-malignant neoplasm of female genital tract, with complication, w/o comorbidity, w/o surgery 634700101 Non-malignant neoplasm of female genital tract, with complication, w/o comorbidity, with surgery 634700110 Non-malignant neoplasm of female genital tract, with complication, with comorbidity, w/o surgery 634700111 Non-malignant neoplasm of female genital tract, with complication, with comorbidity, with surgery 634900000 Conditions associated with menstruation, w/o complication, w/o surgery 634900001 Conditions associated with menstruation, w/o complication, with surgery 634900100 Conditions associated with menstruation, with complication, w/o surgery 634900101 Conditions associated with menstruation, with complication, with surgery 635100000 Conditions associated with infertility, w/o surgery 635100001 Conditions associated with infertility, with surgery 635300000 Other diseases of female genital tract, w/o surgery 635300001 Other diseases of female genital tract, with surgery 635800000 Non-malignant neoplasm of breast, w/o complication, w/o surgery 635800001 Non-malignant neoplasm of breast, w/o complication, with surgery 635800100 Non-malignant neoplasm of breast, with complication, w/o surgery 635800101 Non-malignant neoplasm of breast, with complication, with surgery 636000000 Other disorders of breast, w/o surgery 639900000 Gynecological signs & symptoms 667300000 Viral skin infection 712000000 Osteoporosis 779000000 Exposure to infectious diseases 779100000 Routine inoculation 779300000 Prophylactic procedures, other than inoculation & exposure to infectious diseases 779400000 Routine exam 779600000 Contraceptive management, w/o surgery 779600001 Contraceptive management, with surgery 779700000 Conditional exam 780100000 Other preventative & administrative services

Orthopedics ETG8.2_CD ETG_FUL_LONG_DESC 317500000 Carpal tunnel syndrome, w/o surgery 317500001 Carpal tunnel syndrome, with surgery 317700000 Inflammation of non-cranial nerves, except carpal tunnel, w/o complication, w/o surgery 317700001 Inflammation of non-cranial nerves, except carpal tunnel, w/o complication, with surgery 669001000 Skin trauma, except burn & Op wound - foot & ankle, w/o complication, w/o comorbidity, w/o surgery 669001010 Skin trauma, except burn & Op wound - foot & ankle, w/o complication, with comorbidity, w/o surgery 669002000 Skin trauma, except burn & Op wound - L leg, w/o complication, w/o comorbidity, w/o surgery 669002010 Skin trauma, except burn & Op wound - L leg, w/o complication, with comorbidity, w/o surgery 669003000 Skin trauma, except burn & Op wound - hip & thigh, w/o complication, w/o comorbidity, w/o surgery 669003010 Skin trauma, except burn & Op wound - hip & thigh, w/o complication, with comorbidity, w/o surgery

03/31/2017

59

ETG8.2_CD ETG_FUL_LONG_DESC 669004000 Skin trauma, except burn & Op wound - hand & forearm, w/o complication, w/o surgery 669004100 Skin trauma, except burn & Op wound - hand & forearm, with complication, w/o surgery 669005000 Skin trauma, except burn & Op wound - elbow & upper arm, w/o complication, w/o surgery 669006000 Skin trauma, except burn & Op wound - shoulder, w/o complication, w/o surgery 669009000 Skin trauma, except burn & Op wound - trunk, w/o complication, w/o comorbidity, w/o surgery 669009010 Skin trauma, except burn & Op wound - trunk, w/o complication, with comorbidity, w/o surgery 669010000 Skin trauma, except burn & Op wound - other, w/o complication, w/o surgery 669012000 Skin trauma, except burn & Op wound - unspecified, w/o complication, w/o surgery 711101000 Infection of bone & joint - foot & ankle, w/o surgery 711101001 Infection of bone & joint - foot & ankle, with surgery 711102000 Infection of bone & joint - knee & lower leg, w/o surgery 711102001 Infection of bone & joint - knee & lower leg, with surgery 711103000 Infection of bone & joint - thigh, hip & pelvis, w/o surgery 711104001 Infection of bone & joint - hand, wrist & forearm, with surgery 711105000 Infection of bone & joint - elbow & upper arm, w/o surgery 711105001 Infection of bone & joint - elbow & upper arm, with surgery 711106000 Infection of bone & joint - shoulder, w/o surgery 711112001 Infection of bone & joint - unspecified, with surgery 711901000 Major joint inflammation - foot & ankle, w/o surgery 711901001 Major joint inflammation - foot & ankle, with surgery 711902000 Major joint inflammation - knee & lower leg, w/o surgery 711902001 Major joint inflammation - knee & lower leg, with surgery 711903000 Major joint inflammation - thigh, hip & pelvis, w/o surgery 711903001 Major joint inflammation - thigh, hip & pelvis, with surgery 711904000 Major joint inflammation - hand, wrist & forearm, w/o surgery 711904001 Major joint inflammation - hand, wrist & forearm, with surgery 711905000 Major joint inflammation - elbow & upper arm, w/o surgery 711905001 Major joint inflammation - elbow & upper arm, with surgery 711906000 Major joint inflammation - shoulder, w/o surgery 711906001 Major joint inflammation - shoulder, with surgery 711908000 Major joint inflammation - back, w/o surgery 711908001 Major joint inflammation - back, with surgery 711910000 Major joint inflammation - other, w/o surgery 711910001 Major joint inflammation - other, with surgery 711912000 Major joint inflammation - unspecified, w/o surgery 712000000 Osteoporosis 712201000 Joint degeneration, localized - foot & ankle, w/o surgery 712201001 Joint degeneration, localized - foot & ankle, with surgery 712202000 Joint degeneration, localized - knee & L leg, w/o complication, w/o comorbidity, w/o surgery 712202001 Joint degeneration, localized - knee & L leg, w/o complication, w/o comorbidity, with surgery 712202010 Joint degeneration, localized - knee & L leg, w/o complication, with comorbidity, w/o surgery 712202011 Joint degeneration, localized - knee & L leg, w/o complication, with comorbidity, with surgery 712202100 Joint degeneration, localized - knee & L leg, with complication, w/o comorbidity, w/o surgery 712202101 Joint degeneration, localized - knee & L leg, with complication, w/o comorbidity, with surgery 712202110 Joint degeneration, localized - knee & L leg, with complication, with comorbidity, w/o surgery 712202111 Joint degeneration, localized - knee & L leg, with complication, with comorbidity, with surgery 712203000 Joint degeneration, localized - thigh, hip & pelvis, w/o complication, w/o comorbidity, w/o surgery 712203001 Joint degeneration, localized - thigh, hip & pelvis, w/o complication, w/o comorbidity, with surgery 712203010 Joint degeneration, localized - thigh, hip & pelvis, w/o complication, with comorbidity, w/o surgery 712203011 Joint degeneration, localized - thigh, hip & pelvis, w/o complication, with comorbidity, with surgery 712203100 Joint degeneration, localized - thigh, hip & pelvis, with complication, w/o comorbidity, w/o surgery 712203101 Joint degeneration, localized - thigh, hip & pelvis, with complication, w/o comorbidity, with surgery 712203110 Joint degeneration, localized - thigh, hip & pelvis, with complication, with comorbidity, w/o surgery 712203111 Joint degeneration, localized - thigh, hip & pelvis, with complication, with comorbidity, with surgery

03/31/2017

60

ETG8.2_CD ETG_FUL_LONG_DESC 712204000 Joint degeneration, localized - hand, wrist & forearm, w/o surgery 712204001 Joint degeneration, localized - hand, wrist & forearm, with surgery 712205000 Joint degeneration, localized - elbow & upper arm, w/o surgery 712205001 Joint degeneration, localized - elbow & upper arm, with surgery 712206000 Joint degeneration, localized - shoulder, w/o surgery 712206001 Joint degeneration, localized - shoulder, with surgery 712208000 Joint degeneration, localized - back, w/o complication, w/o comorbidity, w/o surgery 712208001 Joint degeneration, localized - back, w/o complication, w/o comorbidity, with surgery 712208010 Joint degeneration, localized - back, w/o complication, with comorbidity, w/o surgery 712208011 Joint degeneration, localized - back, w/o complication, with comorbidity, with surgery 712208100 Joint degeneration, localized - back, with complication, w/o comorbidity, w/o surgery 712208101 Joint degeneration, localized - back, with complication, w/o comorbidity, with surgery 712208110 Joint degeneration, localized - back, with complication, with comorbidity, w/o surgery 712208111 Joint degeneration, localized - back, with complication, with comorbidity, with surgery 712211000 Joint degeneration, localized - neck, w/o complication, w/o comorbidity, w/o surgery 712211001 Joint degeneration, localized - neck, w/o complication, w/o comorbidity, with surgery 712211010 Joint degeneration, localized - neck, w/o complication, with comorbidity, w/o surgery 712211011 Joint degeneration, localized - neck, w/o complication, with comorbidity, with surgery 712211100 Joint degeneration, localized - neck, with complication, w/o comorbidity, w/o surgery 712211101 Joint degeneration, localized - neck, with complication, w/o comorbidity, with surgery 712211110 Joint degeneration, localized - neck, with complication, with comorbidity, w/o surgery 712211111 Joint degeneration, localized - neck, with complication, with comorbidity, with surgery 712212000 Joint degeneration, localized - unspecified, w/o surgery 712212001 Joint degeneration, localized - unspecified, with surgery 712901000 Open fracture or dislocation of lower extremity - foot & ankle 712902000 Open fracture or dislocation of lower extremity - knee & lower leg 712903000 Open fracture or dislocation - thigh, hip & pelvis 712904000 Open fracture or dislocation of upper extremity - hand, wrist & forearm 712905000 Open fracture or dislocation of upper extremity - elbow & upper arm 712906000 Open fracture or dislocation of upper extremity - shoulder 712909000 Open fracture or dislocation - trunk 713101000 Cl fracture or dislocation of lower extremity - foot & ankle, w/o complication, w/o surgery 713101001 Cl fracture or dislocation of lower extremity - foot & ankle, w/o complication, with surgery 713101100 Cl fracture or dislocation of lower extremity - foot & ankle, with complication, w/o surgery 713101101 Closed fracture or dislocation of lower extremity - foot & ankle, with complication, with surgery 713102000 Cl fracture or dislocation of lower extremity - knee & L leg, w/o surgery 713102001 Closed fracture or dislocation of lower extremity - knee & lower leg, with surgery 713103000 Cl fracture or dislocation - thigh, hip & pelvis, w/o complication, w/o comorbidity, w/o surgery 713103001 Cl fracture or dislocation - thigh, hip & pelvis, w/o complication, w/o comorbidity, with surgery 713103010 Cl fracture or dislocation - thigh, hip & pelvis, w/o complication, with comorbidity, w/o surgery 713103011 Cl fracture or dislocation - thigh, hip & pelvis, w/o complication, with comorbidity, with surgery 713103101 Cl fracture or dislocation - thigh, hip & pelvis, with complication, w/o comorbidity, with surgery 713103110 Cl fracture or dislocation - thigh, hip & pelvis, with complication, with comorbidity, w/o surgery 713103111 Cl fracture or dislocation - thigh, hip & pelvis, with complication, with comorbidity, with surgery 713104100 Cl fracture or dislocation of upper extremity - hand, wrist & forearm, with complication,w/o comorbidity,w/o surgery

713104101 Cl fracture or dislocation of upper extremity - hand, wrist & forearm, with complication, w/o comorbidity, with surgery

713104110 Cl fracture or dislocation of upper extremity - hand, wrist & forearm,with complication, with comorbidity,w/o surgery

713104111 Cl fracture or dislocation of upper extremity - hand, wrist & forearm, with complication, with comorbidity, with surgery

713105000 Cl fracture or dislocation of upper extremity - elbow & upper arm, w/o comorbidity, w/o surgery 713105001 Cl fracture or dislocation of upper extremity - elbow & upper arm, w/o comorbidity, with surgery 713105010 Cl fracture or dislocation of upper extremity - elbow & upper arm, with comorbidity, w/o surgery 713105011 Cl fracture or dislocation of upper extremity - elbow & upper arm, with comorbidity, with surgery 713106000 Closed fracture or dislocation of upper extremity - shoulder, w/o surgery

03/31/2017

61

ETG8.2_CD ETG_FUL_LONG_DESC 713106001 Closed fracture or dislocation of upper extremity - shoulder, with surgery 713109000 Closed fracture or dislocation of trunk, w/o surgery 713109001 Closed fracture or dislocation of trunk, with surgery 713900000 Malignant neoplasm of bone & connective tissue, other than head & neck, w/o surgery, w/o active mgmt 714100000 Non-malignant neoplasm of bone & connective tissue, other than head & neck, w/o surgery 714100001 Non-malignant neoplasm of bone & connective tissue, other than head & neck, with surgery 714301000 Joint derangement - foot & ankle, w/o surgery 714301001 Joint derangement - foot & ankle, with surgery 714302000 Joint derangement - knee & lower leg, w/o surgery 714302001 Joint derangement - knee & lower leg, with surgery 714303000 Joint derangement - thigh, hip & pelvis, w/o surgery 714303001 Joint derangement - thigh, hip & pelvis, with surgery 714304000 Joint derangement - hand, wrist & forearm, w/o surgery 714304001 Joint derangement - hand, wrist & forearm, with surgery 714305000 Joint derangement - elbow & upper arm, w/o surgery 714305001 Joint derangement - elbow & upper arm, with surgery 714306000 Joint derangement - shoulder, w/o surgery 714306001 Joint derangement - shoulder, with surgery 714312000 Joint derangement - unspecified, w/o surgery 714312001 Joint derangement - unspecified, with surgery 714501000 Major trauma, other than fracture or dislocation - foot & ankle, w/o surgery 714501001 Major trauma, other than fracture or dislocation - foot & ankle, with surgery 714502000 Major trauma, other than fracture or dislocation - knee & L leg, w/o surgery 714502001 Major trauma, other than fracture or dislocation - knee & L leg, with surgery 714503000 Major trauma, other than fracture or dislocation - thigh, hip & pelvis, w/o surgery 714503001 Major trauma, other than fracture or dislocation - thigh, hip & pelvis, with surgery 714504000 Major trauma, other than fracture or dislocation - hand, wrist & forearm, w/o surgery 714504001 Major trauma, other than fracture or dislocation - hand, wrist & forearm, with surgery 714505000 Major trauma, other than fracture or dislocation - elbow & upper arm, w/o surgery 714505001 Major trauma, other than fracture or dislocation - elbow & upper arm, with surgery 714506000 Major trauma, other than fracture or dislocation - shoulder, w/o surgery 714506001 Major trauma, other than fracture or dislocation - shoulder, with surgery 714509000 Major trauma, other than fracture or dislocation - trunk, w/o surgery 714509001 Major trauma, other than fracture or dislocation - trunk, with surgery 714512000 Major trauma, other than fracture or dislocation - unspecified, w/o surgery 714512001 Major trauma, other than fracture or dislocation - unspecified, with surgery 714601000 Minor orthopedic trauma - foot & ankle 714602000 Minor orthopedic trauma - knee & lower leg 714603000 Minor orthopedic trauma - thigh, hip & pelvis 714604000 Minor orthopedic trauma - hand, wrist & forearm 714605000 Minor orthopedic trauma - elbow & upper arm 714606000 Minor orthopedic trauma - shoulder 714608000 Minor orthopedic trauma - back 714609000 Minor orthopedic trauma - trunk 714611000 Minor orthopedic trauma - neck, w/o surgery 714612000 Minor orthopedic trauma - unspecified 714801000 Bursitis & tendinitis - foot & ankle, w/o surgery 714801001 Bursitis & tendinitis - foot & ankle, with surgery 714802000 Bursitis & tendinitis - knee & L leg, w/o surgery 714802001 Bursitis & tendinitis - knee & L leg, with surgery 714803000 Bursitis & tendinitis - thigh, hip & pelvis, w/o surgery 714803001 Bursitis & tendinitis - thigh, hip & pelvis, with surgery 714804000 Bursitis & tendinitis - hand, wrist & forearm, w/o surgery 714804001 Bursitis & tendinitis - hand, wrist & forearm, with surgery

03/31/2017

62

ETG8.2_CD ETG_FUL_LONG_DESC 714805000 Bursitis & tendinitis - elbow & upper arm, w/o surgery 714805001 Bursitis & tendinitis - elbow & upper arm, with surgery 714806000 Bursitis & tendinitis - shoul, w/o complication, w/o surgery 714806001 Bursitis & tendinitis - shoul, w/o complication, with surgery 714806100 Bursitis & tendinitis - shoul, with complication, w/o surgery 714806101 Bursitis & tendinitis - shoul, with complication, with surgery 714812000 Bursitis & tendinitis - unspecified, w/o surgery 714901000 Other minor orthopedic disorders - foot & ankle 714902000 Other minor orthopedic disorders - knee & lower leg 714903000 Other minor orthopedic disorders - thigh, hip & pelvis 714904000 Other minor orthopedic disorders - hand, wrist & forearm 714905000 Other minor orthopedic disorders - elbow & upper arm 714906000 Other minor orthopedic disorders - shoulder 714908000 Other minor orthopedic disorders - back 714911000 Other minor orthopedic diss - neck, w/o surgery 714912000 Other minor orthopedic disorders - unspecified 715101000 Orthopedic deformity - foot & ankle, w/o surgery 715101001 Orthopedic deformity - foot & ankle, with surgery 715102000 Orthopedic deformity - knee & L leg, w/o surgery 715102001 Orthopedic deformity - knee & lower leg, with surgery 715103000 Orthopedic deformity - thigh, hip & pelvis, w/o surgery 715103001 Orthopedic deformity - thigh, hip & pelvis, with surgery 715104000 Orthopedic deformity - hand, wrist & forearm, w/o surgery 715104001 Orthopedic deformity - hand, wrist & forearm, with surgery 715105000 Orthopedic deformity - elbow & upper arm, w/o surgery 715105001 Orthopedic deformity - elbow & upper arm, with surgery 715106000 Orthopedic deformity - shoulder, w/o surgery 715108000 Orthopedic deformity - back, w/o surgery 715108001 Orthopedic deformity - back, with surgery 715109000 Orthopedic deformity - trunk, w/o surgery 715109001 Orthopedic deformity - trunk, with surgery 715111000 Orthopedic deformity - neck, w/o surgery 715111001 Orthopedic deformity - neck, with surgery 715112000 Orthopedic deformity - unspecified, w/o surgery 715112001 Orthopedic deformity - unspecified, with surgery 719901000 Orthopedic signs & symptoms - foot & ankle 719902000 Orthopedic signs & symptoms - knee & lower leg 719903000 Orthopedic signs & symptoms - thigh, hip & pelvis 719904000 Orthopedic signs & symptoms - hand, wrist & forearm 719905000 Orthopedic signs & symptoms - elbow & upper arm 719906000 Orthopedic signs & symptoms - shoulder 719908000 Orthopedic signs & symptoms - back 719911000 Orthopedic signs & symptoms - neck, w/o surgery 719912000 Orthopedic signs & symptoms - unspecified 779700000 Conditional exam

03/31/2017

63

Otolaryngology ETG8.2_CD ETG_FUL_LONG_DESC 319900000 Neurological diseases signs & symptoms 402000000 Infections of oral cavity, w/o surgery 402200000 Inflammation of oral cavity, w/o surgery 402200001 Inflammation of oral cavity, with surgery 402400000 Trauma of oral cavity, w/o surgery 402900000 Otitis media, w/o complication, w/o comorbidity, w/o surgery 402900001 Otitis media, w/o complication, w/o comorbidity, with minor surgery 402900003 Otitis media, w/o complication, w/o comorbidity, with major surgery 402900010 Otitis media, w/o complication, with comorbidity, w/o surgery 402900011 Otitis media, w/o complication, with comorbidity, with minor surgery 402900100 Otitis media, with complication, w/o comorbidity, w/o surgery 402900101 Otitis media, with complication, w/o comorbidity, with minor surgery 402900103 Otitis media, with complication, w/o comorbidity, with major surgery 402900110 Otitis media, with complication, with comorbidity, w/o surgery 402900111 Otitis media, with complication, with comorbidity, with minor surgery 402900113 Otitis media, with complication, with comorbidity, with major surgery 403100000 Tonsillitis, adenoiditis or pharyngitis, w/o complication, w/o comorbidity, w/o surgery 403100001 Tonsillitis, adenoiditis or pharyngitis, w/o complication, w/o comorbidity, with surgery 403100010 Tonsillitis, adenoiditis or pharyngitis, w/o complication, with comorbidity, w/o surgery 403100011 Tonsillitis, adenoiditis or pharyngitis, w/o complication, with comorbidity, with surgery 403100100 Tonsillitis, adenoiditis or pharyngitis, with complication, w/o comorbidity, w/o surgery 403100101 Tonsillitis, adenoiditis or pharyngitis, with complication, w/o comorbidity, with surgery 403100110 Tonsillitis, adenoiditis or pharyngitis, with complication, with comorbidity, w/o surgery 403100111 Tonsillitis, adenoiditis or pharyngitis, with complication, with comorbidity, with surgery 403200000 Allergic rhinitis, w/o surgery 403200001 Allergic rhinitis, with surgery 403300000 Acute sinusitis, w/o surgery 403300001 Acute sinusitis, with surgery 403500000 Chronic sinusitis, w/o comorbidity, w/o surgery 403500001 Chronic sinusitis, w/o comorbidity, with surgery 403500010 Chronic sinusitis, with comorbidity, w/o surgery 403500011 Chronic sinusitis, with comorbidity, with surgery 403700000 Other infections of ear/nose/throat, w/o surgery 403700001 Other infections of ear/nose/throat, with surgery 404100000 Other inflammatory conditions of ear/nose/throat, w/o complication, w/o comorbidity, w/o surgery 404100010 Other inflammatory conditions of ear/nose/throat, w/o complication, with comorbidity, w/o surgery 404100100 Other inflammatory conditions of ear/nose/throat, with complication, w/o comorbidity, w/o surgery 404100101 Other inflammatory conditions of ear/nose/throat, with complication, w/o comorbidity, with surgery 404100110 Other inflammatory conditions of ear/nose/throat, with complication, with comorbidity, w/o surgery 404100111 Other inflammatory conditions of ear/nose/throat, with complication, with comorbidity, with surgery 404300000 Malignant neoplasm of ear/nose/throat, w/o surgery, w/o active mgmt 404300001 Malignant neoplasm of ear/nose/throat, with surgery, w/o active mgmt 404500000 Non-malignant neoplasm of ear/nose/throat, w/o surgery 404500001 Non-malignant neoplasm of ear/nose/throat, with surgery 404700000 Congenital & acquired anomalies of ear/nose/throat, w/o surgery 404700001 Congenital & acquired anomalies of ear/nose/throat, with surgery 404900000 Hearing disorders, w/o surgery 404900001 Hearing disorders, with surgery 405100000 Trauma to ear/nose/throat, w/o surgery 405100001 Trauma to ear/nose/throat, with surgery 405300000 Other disorders of ear/nose/throat, w/o surgery 405300001 Other disorders of ear/nose/throat, with surgery

03/31/2017

64

ETG8.2_CD ETG_FUL_LONG_DESC 409900000 Otolaryngology diseases signs & symptoms 667200000 Bacterial infection of skin, w/o complication, w/o comorbidity 667200010 Bacterial infection of skin, w/o complication, with comorbidity 667200100 Bacterial infection of skin, with complication, w/o comorbidity 667200110 Bacterial infection of skin, with complication, with comorbidity 667500000 Fungal skin infection 667800000 Other inflammation of skin, w/o complication, w/o comorbidity 667800010 Other inflammation of skin, w/o complication, with comorbidity 668000000 Malignant neoplasm of skin, major, w/o comorbidity, w/o surgery, w/o active mgmt 668000001 Malignant neoplasm of skin, major, w/o comorbidity, with surgery, w/o active mgmt 668000010 Malignant neoplasm of skin, major, with comorbidity, w/o surgery, w/o active mgmt 668000011 Malignant neoplasm of skin, major, with comorbidity, with surgery, w/o active mgmt 668200000 Non-malignant neoplasm of skin, w/o complication, w/o surgery 668200001 Non-malignant neoplasm of skin, w/o complication, with surgery 779400000 Routine exam 779700000 Conditional exam

Plastic Surgery ETG8.2_CD ETG_FUL_LONG_DESC 317500000 Carpal tunnel syndrome, w/o surgery 317500001 Carpal tunnel syndrome, with surgery 350900001 Malignant neoplasm of eye, external, with surgery 351900000 Trauma of eye, w/o surgery 351900001 Trauma of eye, with surgery 390600000 Varicose veins of lower extremity, w/o surgery 390600001 Varicose veins of lower extremity, with surgery 404100100 Other inflammatory conditions of ear/nose/throat, with complication, w/o comorbidity, w/o surgery 404300000 Malignant neoplasm of ear/nose/throat, w/o surgery, w/o active mgmt 404700000 Congenital & acquired anomalies of ear/nose/throat, w/o surgery 404700001 Congenital & acquired anomalies of ear/nose/throat, with surgery 405100000 Trauma to ear/nose/throat, w/o surgery 405100001 Trauma to ear/nose/throat, with surgery 635600000 Malignant neoplasm of breast, w/o complication, w/o comorbidity, w/o surgery, w/o active mgmt 635600001 Malignant neoplasm of breast, w/o complication, w/o comorbidity, with surgery, w/o active mgmt 635600010 Malignant neoplasm of breast, w/o complication, with comorbidity, w/o surgery, w/o active mgmt 635600011 Malignant neoplasm of breast, w/o complication, with comorbidity, with surgery, w/o active mgmt 635800000 Non-malignant neoplasm of breast, w/o complication, w/o surgery 635800001 Non-malignant neoplasm of breast, w/o complication, with surgery 635800100 Non-malignant neoplasm of breast, with complication, w/o surgery 635800101 Non-malignant neoplasm of breast, with complication, with surgery 636000000 Other disorders of breast, w/o surgery 636000001 Other disorders of breast, with surgery 667000110 Chronic skin ulcers, with complication, with comorbidity, w/o surgery 667000111 Chronic skin ulcers, with complication, with comorbidity, with surgery 667200000 Bacterial infection of skin, w/o complication, w/o comorbidity 667200010 Bacterial infection of skin, w/o complication, with comorbidity 667200100 Bacterial infection of skin, with complication, w/o comorbidity 667200110 Bacterial infection of skin, with complication, with comorbidity 667800000 Other inflammation of skin, w/o complication, w/o comorbidity 667800010 Other inflammation of skin, w/o complication, with comorbidity 667800100 Other inflammation of skin, with complication, w/o comorbidity 667800110 Other inflammation of skin, with complication, with comorbidity

03/31/2017

65

ETG8.2_CD ETG_FUL_LONG_DESC 668000000 Malignant neoplasm of skin, major, w/o comorbidity, w/o surgery, w/o active mgmt 668000001 Malignant neoplasm of skin, major, w/o comorbidity, with surgery, w/o active mgmt 668000010 Malignant neoplasm of skin, major, with comorbidity, w/o surgery, w/o active mgmt 668000011 Malignant neoplasm of skin, major, with comorbidity, with surgery, w/o active mgmt 668200000 Non-malignant neoplasm of skin, w/o complication, w/o surgery 668200001 Non-malignant neoplasm of skin, w/o complication, with surgery 668200100 Non-malignant neoplasm of skin, with complication, w/o surgery 668200101 Non-malignant neoplasm of skin, with complication, with surgery 668901100 Op wound - foot & ankle, with complication, w/o surgery 668901101 Open wound - foot & ankle, with complication, with surgery 668902000 Op wound - lower leg, w/o complication, w/o surgery 668902100 Open wound - lower leg, with complication, w/o surgery 668902101 Open wound - lower leg, with complication, with surgery 668903000 Op wound - hip & thigh, w/o complication, w/o surgery 668903001 Open wound - hip & thigh, w/o complication, with surgery 668903100 Open wound - hip & thigh, with complication, w/o surgery 668903101 Open wound - hip & thigh, with complication, with surgery 668904000 Op wound - hand & forearm, w/o complication, w/o surgery 668904001 Open wound - hand & forearm, w/o complication, with surgery 668904100 Open wound - hand & forearm, with complication, w/o surgery 668904101 Open wound - hand & forearm, with complication, with surgery 668905000 Op wound - elbow & upper arm, w/o complication, w/o surgery 668905100 Op wound - elbow & upper arm, with complication, w/o surgery 668905101 Op wound - elbow & upper arm, with complication, with surgery 668906000 Open wound - shoulder, w/o complication, w/o surgery 668906001 Open wound - shoulder, w/o complication, with surgery 668907000 Op wound - head & face, w/o complication, w/o surgery 668907001 Open wound - head & face, w/o complication, with surgery 668907100 Open wound - head & face, with complication, w/o surgery 668907101 Open wound - head & face, with complication, with surgery 668909000 Open wound - trunk, w/o complication, w/o surgery 668909001 Open wound - trunk, w/o complication, with surgery 668909100 Open wound - trunk, with complication, w/o surgery 668909101 Open wound - trunk, with complication, with surgery 669004000 Skin trauma, except burn & Op wound - hand & forearm, w/o complication, w/o surgery 669007000 Skin trauma, except burn & Op wound - head & face, w/o complication, w/o comorbidity, w/o surgery 669009000 Skin trauma, except burn & Op wound - trunk, w/o complication, w/o comorbidity, w/o surgery 669100000 Other skin disorders, w/o surgery 669100001 Other skin disorders, with surgery 712204000 Joint degeneration, localized - hand, wrist & forearm, w/o surgery 712204001 Joint degeneration, localized - hand, wrist & forearm, with surgery 712904000 Open fracture or dislocation of upper extremity - hand, wrist & forearm 712907000 Open fracture or dislocation - head & face 713104100 Cl fracture or dislocation of upper extremity - hand, wrist & forearm, with complication,w/o comorbidity,w/o surgery 713104101 Cl fracture or dislocation of upper extremity - hand, wrist & forearm, with complication, w/o comorbidity, with surgery 713104110 Cl fracture or dislocation of upper extremity - hand, wrist & forearm,with complication, with comorbidity,w/o surgery 713104111 Cl fracture or dislocation of upper extremity - hand, wrist & forearm, with complication, with comorbidity, with surgery 713107000 Closed fracture or dislocation - head & face, w/o surgery 713107001 Closed fracture or dislocation - head & face, with surgery 714000000 Non-malignant neoplasm of bone & connective tissue, head & neck, w/o surgery 714000001 Non-malignant neoplasm of bone & connective tissue, head & neck, with surgery 714100000 Non-malignant neoplasm of bone & connective tissue, other than head & neck, w/o surgery 714100001 Non-malignant neoplasm of bone & connective tissue, other than head & neck, with surgery 714304000 Joint derangement - hand, wrist & forearm, w/o surgery

03/31/2017

66

ETG8.2_CD ETG_FUL_LONG_DESC 714304001 Joint derangement - hand, wrist & forearm, with surgery 714504001 Major trauma, other than fracture or dislocation - hand, wrist & forearm, with surgery 714604000 Minor orthopedic trauma - hand, wrist & forearm 714607000 Minor orthopedic trauma - head & face 714904000 Other minor orthopedic disorders - hand, wrist & forearm 715104000 Orthopedic deformity - hand, wrist & forearm, w/o surgery 715104001 Orthopedic deformity - hand, wrist & forearm, with surgery 715107000 Orthopedic deformity - head & face, w/o surgery 715107001 Orthopedic deformity - head & face, with surgery 779400000 Routine exam 779700000 Conditional exam 779800000 Major specific procedures not classified elsewhere 821000000 Late effects & late complications

Surgery ETG8.2_CD ETG_FUL_LONG_DESC 162100001 Hyper-functioning thyroid gland, with surgery 162200001 Hypo-functioning thyroid gland, w/o complication, with surgery 162300001 Non-toxic goiter, with surgery 162400001 Malignant neoplasm of thyroid gland, with surgery, w/o active mgmt 162500001 Non-malignant neoplasm of thyroid gland, with surgery 163100001 Malignant neoplasm of pancreatic gland, with surgery, w/o active mgmt 163900001 Hyper-functioning parathyroid gland, with surgery 164200001 Non-malignant neoplasm of parathyroid gland, with surgery 164800000 Obesity, w/o complication, w/o surgery 164800001 Obesity, w/o complication, with surgery 164800100 Obesity, with complication, w/o surgery 164800101 Obesity, with complication, with surgery 387000000 Aortic aneurysm, w/o complication, w/o surgery 387000001 Aortic aneurysm, w/o complication, with surgery 387000100 Aortic aneurysm, with complication, w/o surgery 387000101 Aortic aneurysm, with complication, with surgery 389000000 Arterial inflammation, w/o complication, w/o comorbidity, w/o surgery 389000010 Arterial inflammation, w/o complication, with comorbidity, w/o surgery 389000011 Arterial inflammation, w/o complication, with comorbidity, with surgery 389200000 Arterial embolism/thrombosis, w/o surgery 389200001 Arterial embolism/thrombosis, with surgery 389500000 Atherosclerosis, w/o complication, w/o comorbidity, w/o surgery 389500010 Atherosclerosis, w/o complication, with comorbidity, w/o surgery 389500011 Atherosclerosis, w/o complication, with comorbidity, with surgery 389500100 Atherosclerosis, with complication, w/o comorbidity, w/o surgery 389500101 Atherosclerosis, with complication, w/o comorbidity, with surgery 389500110 Atherosclerosis, with complication, with comorbidity, w/o surgery 389500111 Atherosclerosis, with complication, with comorbidity, with surgery 389700000 Arterial aneurysm, except aorta, w/o surgery 389700001 Arterial aneurysm, except aorta, with surgery 390300000 Embolism & thrombosis of veins, w/o complication, w/o surgery 390300001 Embolism & thrombosis of veins, w/o complication, with surgery 390300101 Embolism & thrombosis of veins, with complication, with surgery 390500000 Phlebitis & thrombophlebitis of veins, w/o surgery 390500001 Phlebitis & thrombophlebitis of veins, with surgery 390600000 Varicose veins of lower extremity, w/o surgery

03/31/2017

67

ETG8.2_CD ETG_FUL_LONG_DESC 390600001 Varicose veins of lower extremity, with surgery 391000000 Other diseases of veins, w/o surgery 391000001 Other diseases of veins, with surgery 473300000 Inflammation of esophagus, w/o complication, w/o comorbidity, w/o surgery 473300001 Inflammation of esophagus, w/o complication, w/o comorbidity, with surgery 473300010 Inflammation of esophagus, w/o complication, with comorbidity, w/o surgery 473300011 Inflammation of esophagus, w/o complication, with comorbidity, with surgery 473300100 Inflammation of esophagus, with complication, w/o comorbidity, w/o surgery 473300101 Inflammation of esophagus, with complication, w/o comorbidity, with surgery 473300110 Inflammation of esophagus, with complication, with comorbidity, w/o surgery 473300111 Inflammation of esophagus, with complication, with comorbidity, with surgery 473800011 Ulcer, w/o complication, with comorbidity, with surgery 473800101 Ulcer, with complication, w/o comorbidity, with surgery 473800111 Ulcer, with complication, with comorbidity, with surgery 474000001 Malignant neoplasm of stomach & esophagus, with surgery, w/o active mgmt 474200001 Non-malignant neoplasm of stomach & esophagus, with surgery 474400001 Trauma of stomach or esophagus, with surgery 474500001 Anomaly of stomach or esophagus, with surgery 474700000 Appendicitis, w/o complication 474700100 Appendicitis, with complication 474900000 Diverticulitis, w/o complication, w/o comorbidity, w/o surgery 474900001 Diverticulitis, w/o complication, w/o comorbidity, with surgery 474900010 Diverticulitis, w/o complication, with comorbidity, w/o surgery 474900011 Diverticulitis, w/o complication, with comorbidity, with surgery 474900100 Diverticulitis, with complication, w/o comorbidity, w/o surgery 474900101 Diverticulitis, with complication, w/o comorbidity, with surgery 474900110 Diverticulitis, with complication, with comorbidity, w/o surgery 474900111 Diverticulitis, with complication, with comorbidity, with surgery 475200000 Other inflammation of intestines & abdomen, w/o complication, w/o comorbidity, w/o surgery 475200001 Other inflammation of intestines & abdomen, w/o complication, w/o comorbidity, with surgery 475200010 Other inflammation of intestines & abdomen, w/o complication, with comorbidity, w/o surgery 475200011 Other inflammation of intestines & abdomen, w/o complication, with comorbidity, with surgery 475200100 Other inflammation of intestines & abdomen, with complication, w/o comorbidity, w/o surgery 475200101 Other inflammation of intestines & abdomen, with complication, w/o comorbidity, with surgery 475200110 Other inflammation of intestines & abdomen, with complication, with comorbidity, w/o surgery 475200111 Other inflammation of intestines & abdomen, with complication, with comorbidity, with surgery 475300011 Inflammatory bowel disease, w/o complication, with comorbidity, with surgery 475300101 Inflammatory bowel disease, with complication, w/o comorbidity, with surgery 475300111 Inflammatory bowel disease, with complication, with comorbidity, with surgery 475400000 Malignant neoplasm of large intestine, w/o comorbidity, w/o surgery, w/o active mgmt 475400001 Malignant neoplasm of large intestine, w/o comorbidity, with surgery, w/o active mgmt 475400010 Malignant neoplasm of large intestine, with comorbidity, w/o surgery, w/o active mgmt 475400011 Malignant neoplasm of large intestine, with comorbidity, with surgery, w/o active mgmt 475500001 Malignant neoplasm of small intestine & abdomen, with surgery, w/o active mgmt 475600000 Non-malignant neoplasm of intestines & abdomen, w/o surgery 475600001 Non-malignant neoplasm of intestines & abdomen, with surgery 475800001 Trauma of intestines & abdomen, with surgery 476000001 Congenital anomalies of intestines & abdomen, with surgery 476100000 Vascular diseases of intestines & abdomen, w/o surgery 476100001 Vascular diseases of intestines & abdomen, with surgery 476300000 Bowel obstruction, w/o complication, w/o surgery 476300001 Bowel obstruction, w/o complication, with surgery 476300100 Bowel obstruction, with complication, w/o surgery 476300101 Bowel obstruction, with complication, with surgery

03/31/2017

68

ETG8.2_CD ETG_FUL_LONG_DESC 476600000 Hernias, except hiatal, w/o complication, w/o surgery 476600001 Hernias, except hiatal, w/o complication, with surgery 476600100 Hernias, except hiatal, with complication, w/o surgery 476600101 Hernias, except hiatal, with complication, with surgery 476800000 Hiatal hernia, w/o surgery 476800001 Hiatal hernia, with surgery 476900000 Other diseases of intestines & abdomen, w/o surgery 476900001 Other diseases of intestines & abdomen, with surgery 477100000 Infection of rectum or anus, w/o surgery 477100001 Infection of rectum or anus, with surgery 477400000 Hemorrhoids, w/o complication, w/o surgery 477400001 Hemorrhoids, w/o complication, with surgery 477400100 Hemorrhoids, with complication, w/o surgery 477400101 Hemorrhoids, with complication, with surgery 477600000 Inflammation of rectum or anus, w/o surgery 477600001 Inflammation of rectum or anus, with surgery 477800000 Malignant neoplasm of rectum or anus, w/o comorbidity, w/o surgery, w/o active mgmt 477800001 Malignant neoplasm of rectum or anus, w/o comorbidity, with surgery, w/o active mgmt 477800010 Malignant neoplasm of rectum or anus, with comorbidity, w/o surgery, w/o active mgmt 477800011 Malignant neoplasm of rectum or anus, with comorbidity, with surgery, w/o active mgmt 478000000 Non-malignant neoplasm of rectum or anus, w/o surgery 478000001 Non-malignant neoplasm of rectum or anus, with surgery 478500000 Other diseases & disorders of rectum & anus, w/o surgery 478500001 Other diseases & disorders of rectum & anus, with surgery 479900000 Gastroenterology diseases signs & symptoms 521900001 Acute pancreatitis, with surgery 522000001 Chronic pancreatitis, with surgery 522300000 Cholelithiasis, w/o complication, w/o comorbidity, w/o surgery 522300001 Cholelithiasis, w/o complication, w/o comorbidity, with surgery 522300010 Cholelithiasis, w/o complication, with comorbidity, w/o surgery 522300011 Cholelithiasis, w/o complication, with comorbidity, with surgery 522300100 Cholelithiasis, with complication, w/o comorbidity, w/o surgery 522300101 Cholelithiasis, with complication, w/o comorbidity, with surgery 522300110 Cholelithiasis, with complication, with comorbidity, w/o surgery 522300111 Cholelithiasis, with complication, with comorbidity, with surgery 522500001 Malignant neoplasm of hepatobiliary system, with surgery, w/o active mgmt 522700001 Non-malignant neoplasm of hepatobiliary system, with surgery 523200001 Other diseases of hepatobiliary system, with surgery 635600000 Malignant neoplasm of breast, w/o complication, w/o comorbidity, w/o surgery, w/o active mgmt 635600001 Malignant neoplasm of breast, w/o complication, w/o comorbidity, with surgery, w/o active mgmt 635600010 Malignant neoplasm of breast, w/o complication, with comorbidity, w/o surgery, w/o active mgmt 635600011 Malignant neoplasm of breast, w/o complication, with comorbidity, with surgery, w/o active mgmt 635800000 Non-malignant neoplasm of breast, w/o complication, w/o surgery 635800001 Non-malignant neoplasm of breast, w/o complication, with surgery 635800100 Non-malignant neoplasm of breast, with complication, w/o surgery 635800101 Non-malignant neoplasm of breast, with complication, with surgery 636000000 Other disorders of breast, w/o surgery 636000001 Other disorders of breast, with surgery 639900000 Gynecological signs & symptoms 667200000 Bacterial infection of skin, w/o complication, w/o comorbidity 667200010 Bacterial infection of skin, w/o complication, with comorbidity 667200100 Bacterial infection of skin, with complication, w/o comorbidity 667200110 Bacterial infection of skin, with complication, with comorbidity 667800000 Other inflammation of skin, w/o complication, w/o comorbidity

03/31/2017

69

ETG8.2_CD ETG_FUL_LONG_DESC 667800010 Other inflammation of skin, w/o complication, with comorbidity 667800100 Other inflammation of skin, with complication, w/o comorbidity 667800110 Other inflammation of skin, with complication, with comorbidity 668000000 Malignant neoplasm of skin, major, w/o comorbidity, w/o surgery, w/o active mgmt 668000001 Malignant neoplasm of skin, major, w/o comorbidity, with surgery, w/o active mgmt 668000010 Malignant neoplasm of skin, major, with comorbidity, w/o surgery, w/o active mgmt 668000011 Malignant neoplasm of skin, major, with comorbidity, with surgery, w/o active mgmt 668200000 Non-malignant neoplasm of skin, w/o complication, w/o surgery 668200001 Non-malignant neoplasm of skin, w/o complication, with surgery 668200100 Non-malignant neoplasm of skin, with complication, w/o surgery 668200101 Non-malignant neoplasm of skin, with complication, with surgery 668901001 Op wound - foot & ankle, w/o complication, with surgery 668901100 Op wound - foot & ankle, with complication, w/o surgery 668901101 Open wound - foot & ankle, with complication, with surgery 668902000 Op wound - lower leg, w/o complication, w/o surgery 668902001 Open wound - lower leg, w/o complication, with surgery 668902100 Open wound - lower leg, with complication, w/o surgery 668902101 Open wound - lower leg, with complication, with surgery 668903000 Op wound - hip & thigh, w/o complication, w/o surgery 668903001 Open wound - hip & thigh, w/o complication, with surgery 668903100 Open wound - hip & thigh, with complication, w/o surgery 668903101 Open wound - hip & thigh, with complication, with surgery 668904000 Op wound - hand & forearm, w/o complication, w/o surgery 668904001 Open wound - hand & forearm, w/o complication, with surgery 668904100 Open wound - hand & forearm, with complication, w/o surgery 668904101 Open wound - hand & forearm, with complication, with surgery 668905000 Op wound - elbow & upper arm, w/o complication, w/o surgery 668905001 Op wound - elbow & upper arm, w/o complication, with surgery 668905100 Op wound - elbow & upper arm, with complication, w/o surgery 668905101 Op wound - elbow & upper arm, with complication, with surgery 668906000 Open wound - shoulder, w/o complication, w/o surgery 668906001 Open wound - shoulder, w/o complication, with surgery 668907000 Op wound - head & face, w/o complication, w/o surgery 668907001 Open wound - head & face, w/o complication, with surgery 668907101 Open wound - head & face, with complication, with surgery 668909000 Open wound - trunk, w/o complication, w/o surgery 668909001 Open wound - trunk, w/o complication, with surgery 668909100 Open wound - trunk, with complication, w/o surgery 668909101 Open wound - trunk, with complication, with surgery 669001000 Skin trauma, except burn & Op wound - foot & ankle, w/o complication, w/o comorbidity, w/o surgery 669001010 Skin trauma, except burn & Op wound - foot & ankle, w/o complication, with comorbidity, w/o surgery 669002000 Skin trauma, except burn & Op wound - L leg, w/o complication, w/o comorbidity, w/o surgery 669002010 Skin trauma, except burn & Op wound - L leg, w/o complication, with comorbidity, w/o surgery 669003000 Skin trauma, except burn & Op wound - hip & thigh, w/o complication, w/o comorbidity, w/o surgery 669003010 Skin trauma, except burn & Op wound - hip & thigh, w/o complication, with comorbidity, w/o surgery 669004000 Skin trauma, except burn & Op wound - hand & forearm, w/o complication, w/o surgery 669005000 Skin trauma, except burn & Op wound - elbow & upper arm, w/o complication, w/o surgery 669006000 Skin trauma, except burn & Op wound - shoulder, w/o complication, w/o surgery 669007000 Skin trauma, except burn & Op wound - head & face, w/o complication, w/o comorbidity, w/o surgery 669007010 Skin trauma, except burn & Op wound - head & face, w/o complication, with comorbidity, w/o surgery 669009000 Skin trauma, except burn & Op wound - trunk, w/o complication, w/o comorbidity, w/o surgery 669009010 Skin trauma, except burn & Op wound - trunk, w/o complication, with comorbidity, w/o surgery 779400000 Routine exam 779700000 Conditional exam

03/31/2017

70

ETG8.2_CD ETG_FUL_LONG_DESC 821000000 Late effects & late complications

Urology ETG8.2_CD ETG_FUL_LONG_DESC 164400000 Male sex gland disorders, w/o surgery 164400001 Male sex gland disorders, with surgery 587100000 Infection of upper genitourinary system, w/o surgery 587400000 Infection of lower genitourinary system, not sexually transmitted, w/o complication, w/o comorbidity 587400010 Infection of lower genitourinary system, not sexually transmitted, w/o complication, with comorbidity 587400100 Infection of lower genitourinary system, not sexually transmitted, with complication, w/o comorbidity 587400110 Infection of lower genitourinary system, not sexually transmitted, with complication, with comorbidity 587800000 Kidney stones, w/o complication, w/o comorbidity, w/o surgery 587800010 Kidney stones, w/o complication, with comorbidity, w/o surgery 587800100 Kidney stones, with complication, w/o comorbidity, w/o surgery 587800101 Kidney stones, with complication, w/o comorbidity, with surgery 587800110 Kidney stones, with complication, with comorbidity, w/o surgery 587800111 Kidney stones, with complication, with comorbidity, with surgery 588000000 Inflammation of genitourinary system, except kidney stones, w/o complication, w/o comorbidity, w/o surgery 588000001 Inflammation of genitourinary system, except kidney stones, w/o complication, w/o comorbidity, with surgery 588000010 Inflammation of genitourinary system, except kidney stones, w/o complication, with comorbidity, w/o surgery 588000011 Inflammation of genitourinary system, except kidney stones, w/o complication, with comorbidity, with surgery 588000100 Inflammation of genitourinary system, except kidney stones, with complication, w/o comorbidity, w/o surgery 588000101 Inflammation of genitourinary system, except kidney stones, with complication, w/o comorbidity, with surgery 588000110 Inflammation of genitourinary system, except kidney stones, with complication, with comorbidity, w/o surgery 588000111 Inflammation of genitourinary system, except kidney stones, with complication, with comorbidity, with surgery 588200000 Malignant neoplasm of prostate, w/o comorbidity, w/o surgery, w/o active mgmt 588200001 Malignant neoplasm of prostate, w/o comorbidity, with surgery, w/o active mgmt 588200010 Malignant neoplasm of prostate, with comorbidity, w/o surgery, w/o active mgmt 588200011 Malignant neoplasm of prostate, with comorbidity, with surgery, w/o active mgmt 588400000 Non-malignant neoplasm of prostate, w/o surgery 588400001 Non-malignant neoplasm of prostate, with surgery 588600000 Malignant neoplasm of genitourinary system, except prostate, w/o surgery, w/o active mgmt 588600001 Malignant neoplasm of genitourinary system, except prostate, with surgery, w/o active mgmt 588800000 Non-malignant neoplasm of genitourinary system, except prostate, w/o surgery 588800001 Non-malignant neoplasm of genitourinary system, except prostate, with surgery 589000000 Trauma to genitourinary system, w/o surgery 589000001 Trauma to genitourinary system, with surgery 589200000 Urinary incontinence, w/o comorbidity, w/o surgery 589200001 Urinary incontinence, w/o comorbidity, with surgery 589200010 Urinary incontinence, with comorbidity, w/o surgery 589200011 Urinary incontinence, with comorbidity, with surgery 589300000 Male infertility, w/o surgery 589300001 Male infertility, with surgery 589500000 Other diseases of genitourinary system, w/o surgery 589500001 Other diseases of genitourinary system, with surgery 589900000 Urological diseases signs & symptoms 635300000 Other diseases of female genital tract, w/o surgery 635300001 Other diseases of female genital tract, with surgery 667300000 Viral skin infection 779400000 Routine exam 779600001 Contraceptive management, with surgery 779700000 Conditional exam

03/31/2017

71

Vascular Surgery ETG8.2_CD ETG_FUL_LONG_DESC 316000000 Cerebral vascular accident, w/o complication, w/o comorbidity, w/o surgery 316000001 Cerebral vascular accident, w/o complication, w/o comorbidity, with surgery 316000010 Cerebral vascular accident, w/o complication, with comorbidity, w/o surgery 316000011 Cerebral vascular accident, w/o complication, with comorbidity, with surgery 387000000 Aortic aneurysm, w/o complication, w/o surgery 387000001 Aortic aneurysm, w/o complication, with surgery 387000100 Aortic aneurysm, with complication, w/o surgery 387000101 Aortic aneurysm, with complication, with surgery 389000000 Arterial inflammation, w/o complication, w/o comorbidity, w/o surgery 389000001 Arterial inflammation, w/o complication, w/o comorbidity, with surgery 389000010 Arterial inflammation, w/o complication, with comorbidity, w/o surgery 389000011 Arterial inflammation, w/o complication, with comorbidity, with surgery 389000100 Arterial inflammation, with complication, w/o comorbidity, w/o surgery 389000110 Arterial inflammation, with complication, with comorbidity, w/o surgery 389200000 Arterial embolism/thrombosis, w/o surgery 389200001 Arterial embolism/thrombosis, with surgery 389500000 Atherosclerosis, w/o complication, w/o comorbidity, w/o surgery 389500010 Atherosclerosis, w/o complication, with comorbidity, w/o surgery 389500011 Atherosclerosis, w/o complication, with comorbidity, with surgery 389500110 Atherosclerosis, with complication, with comorbidity, w/o surgery 389500111 Atherosclerosis, with complication, with comorbidity, with surgery 389700000 Arterial aneurysm, except aorta, w/o surgery 389700001 Arterial aneurysm, except aorta, with surgery 389800000 Other non-inflammatory arterial diseases, w/o complication, w/o comorbidity, w/o surgery 389800010 Other non-inflammatory arterial diseases, w/o complication, with comorbidity, w/o surgery 390300000 Embolism & thrombosis of veins, w/o complication, w/o surgery 390300001 Embolism & thrombosis of veins, w/o complication, with surgery 390300101 Embolism & thrombosis of veins, with complication, with surgery 390400000 Disorders of lymphatic channels, w/o surgery 390500000 Phlebitis & thrombophlebitis of veins, w/o surgery 390500001 Phlebitis & thrombophlebitis of veins, with surgery 390600000 Varicose veins of lower extremity, w/o surgery 390600001 Varicose veins of lower extremity, with surgery 391000000 Other diseases of veins, w/o surgery 667200000 Bacterial infection of skin, w/o complication, w/o comorbidity 667200010 Bacterial infection of skin, w/o complication, with comorbidity 667200100 Bacterial infection of skin, with complication, w/o comorbidity 667200110 Bacterial infection of skin, with complication, with comorbidity 667800000 Other inflammation of skin, w/o complication, w/o comorbidity 667800010 Other inflammation of skin, w/o complication, with comorbidity 667800100 Other inflammation of skin, with complication, w/o comorbidity 667800110 Other inflammation of skin, with complication, with comorbidity 668200000 Non-malignant neoplasm of skin, w/o complication, w/o surgery 668200001 Non-malignant neoplasm of skin, w/o complication, with surgery 668200101 Non-malignant neoplasm of skin, with complication, with surgery 779400000 Routine exam 779700000 Conditional exam 821000000 Late effects & late complications

03/31/2017

72

Appendix B: 2018 Aexcel Markets Arizona Atlanta, GA Austin, TX Central Valley, CA Chicago, IL Cincinnati, OH Cleveland, OH Colorado Columbus, OH Connecticut Dallas/Fort Worth, TX Delaware Detroit, MI El Paso, TX Houston, TX Indianapolis, IN Kansas City (KS and MO) Las Vegas, NV Los Angeles, CA Louisville, KY Maine Massachusetts Metropolitan DC (including MD, DC and N. VA) Metropolitan New York North Florida Northern CA Northern New Jersey Oklahoma City, OK Orlando, FL Pittsburgh, PA Richmond, VA San Antonio, TX San Diego, CA Seattle/W. Washington Southern New Jersey South FL (Dade and Broward Counties) Tampa, FL Toledo, OH Tulsa, OK

03/31/2017

73

Appendix C: ETG adjuster The ETG adjuster is one of the variables we case-mix adjust ETGs by and represents a roll-up of ETGs within a base ETG condition to allow for a greater chance of creating a comparative cell of at least 22 episodes. We found that when only using the base ETG condition, there was not a homogeneous group of members for providers to be compared against.

We reviewed different scenarios of bundling various ETGs together and determined that we should keep non-surgical and surgical ETGs separate and grouped together by similar body system/part, treatments that would be expected within the condition, progression of disease within a condition and the dollars associated with that group of ETGs. So as not to penalize a provider with more intense services, we also separated ETGs “with complication” from ETGs “without complication.” After a review of the ETG descriptions and the “complication” flag that is written out by the Symmetry software, we determined that complications were not necessarily the result of a physician, but rather the type of presenting symptoms or level of treatment necessary. For example for ETGs that describe a burn, the complication flag is set based on whether the burn itself presented as 1st, 2nd, or 3rd degree. We did not adjust the ETG grouping based on comorbidity because we are already using the severity indicator on the episode based on Symmetry as its own adjuster for all ETG combinations.

For application to the physician’s review, if a physician is assigned a particular ETG, he/she will be compared to the normative value created based on their ETG within that grouping. For example, ETG 38650010 is within a group with an adjuster grouping code of 10, so all the ETGs within that base of 3865 and an adjustment code of 10 will create a norm for which the physician’s average dollar for ETG 38650010 is compared.

ETG ETG DESCRIPTION ETG ADJ CODE

386500100 Isch hrt dis, w comp, wo comorb, wo surg 10 386500110 Isch hrt dis, w comp, w comorb, wo surg 10

03/31/2017

74

Appendix D: Cesarean section rate in singleton low-risk deliveriesexclusion code

ICD diagnosis codes that identify high risk for cesarean delivery

ICD code ICD Description Risk Factor Classification

ICD code type

Maternal Factors 42 HUMAN IMMUNODEFICIENCY VIRUS (HIV) DISEASE Maternal Factors ICD9 B20 HUMAN IMMUNODEFICIENCY VIRUS [HIV] DISEASE Maternal Factors ICD10 O98.711 HUMAN IMMUNODEFICIENCY VIRUS HIV DISEASE COMPLICATING PREGNANCY, FIRST TRIMESTER Maternal Factors ICD10 O98.712 HUMAN IMMUNODEFICIENCY VIRUS HIV DISEASE COMPLICATING PREGNANCY, SECOND TRIMESTER Maternal Factors ICD10 O98.713 HUMAN IMMUNODEFICIENCY VIRUS HIV DISEASE COMPLICATING PREGNANCY, THIRD TRIMESTER Maternal Factors ICD10

O98.719 HUMAN IMMUNODEFICIENCY VIRUS HIV DISEASE COMPLICATING PREGNANCY, UNSPECIFIED TRIMESTER Maternal Factors ICD10

O98.72 HUMAN IMMUNODEFICIENCY VIRUS HIV DISEASE COMPLICATING CHILDBIRTH Maternal Factors ICD10 O98.73 HUMAN IMMUNODEFICIENCY VIRUS HIV DISEASE COMPLICATING THE PUERPERIUM Maternal Factors ICD10 V08 ASYMPTOMATIC HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION STATUS Maternal Factors ICD9 Z21 ASYMPTOMATIC HUMAN IMMUNODEFICIENCY VIRUS [HIV] INFECTION STATUS Maternal Factors ICD10 642.6 ECLAMPSIA, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Maternal Factors ICD9 O15.00 ECLAMPSIA IN PREGNANCY, UNSPECIFIED TRIMESTER Maternal Factors ICD10 O15.9 ECLAMPSIA, UNSPECIFIED AS TO TIME PERIOD Maternal Factors ICD10 642.61 ECLAMPSIA, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Maternal Factors ICD9 O15.02 ECLAMPSIA IN PREGNANCY, SECOND TRIMESTER Maternal Factors ICD10 O15.03 ECLAMPSIA IN PREGNANCY, THIRD TRIMESTER Maternal Factors ICD10 O15.1 ECLAMPSIA IN LABOR Maternal Factors ICD10 642.62 ECLAMPSIA, DELIVERED, WITH MENTION OF POSTPARTUM COMPLICATION Maternal Factors ICD9 642.63 ECLAMPSIA, ANTEPARTUM CONDITION OR COMPLICATION Maternal Factors ICD9 O15.2 ECLAMPSIA IN THE PUERPERIUM Maternal Factors ICD10 O14.20 HELLP SYNDROME (HELLP), UNSPECIFIED TRIMESTER Maternal Factors ICD10 O14.22 HELLP SYNDROME (HELLP), SECOND TRIMESTER Maternal Factors ICD10 O14.23 HELLP SYNDROME (HELLP), THIRD TRIMESTER Maternal Factors ICD10 O14.24 HELLP SYNDROME (HELLP), COMPLICATING CHILDBIRTH Maternal Factors ICD10

648.51 CONGENITAL CARDIOVASCULAR DISORDERS OF MOTHER, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Maternal Factors ICD9

648.52 CONGENITAL CARDIOVASCULAR DISORDERS OF MOTHER, DELIVERED, WITH MENTION OF POSTPARTUM COMPLICATION Maternal Factors ICD9

648.53 CONGENITAL CARDIOVASCULAR DISORDERS OF MOTHER, ANTEPARTUM CONDITION OR COMPLICATION Maternal Factors ICD9 648.54 CONGENITAL CARDIOVASCULAR DISORDERS OF MOTHER, POSTPARTUM CONDITION OR COMPLICATION Maternal Factors ICD9

648.6 OTHER CARDIOVASCULAR DISEASES OF MOTHER , UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Maternal Factors ICD9

648.61 OTHER CARDIOVASCULAR DISEASES OF MOTHER, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Maternal Factors ICD9

648.62 OTHER CARDIOVASCULAR DISEASES OF MOTHER, DELIVERED, WITH MENTION OF POSTPARTUM COMPLICATION Maternal Factors ICD9

648.63 OTHER CARDIOVASCULAR DISEASES OF MOTHER, ANTEPARTUM CONDITION OR COMPLICATION Maternal Factors ICD9 648.64 OTHER CARDIOVASCULAR DISEASES OF MOTHER, POSTPARTUM CONDITION OR COMPLICATION Maternal Factors ICD9 O99.411 DISEASES OF THE CIRCULATORY SYSTEM COMPLICATING PREGNANCY, FIRST TRIMESTER Maternal Factors ICD10 O99.412 DISEASES OF THE CIRCULATORY SYSTEM COMPLICATING PREGNANCY, SECOND TRIMESTER Maternal Factors ICD10 O99.413 DISEASES OF THE CIRCULATORY SYSTEM COMPLICATING PREGNANCY, THIRD TRIMESTER Maternal Factors ICD10 O99.42 DISEASES OF THE CIRCULATORY SYSTEM COMPLICATING CHILDBIRTH Maternal Factors ICD10 Z87.74 PERSONAL HISTORY OF CONGENITAL MALFORM OF HEART AND CIRC SYS Maternal Factors ICD10 O99.43 DISEASES OF THE CIRCULATORY SYSTEM COMPLICATING THE PUERPERIUM Maternal Factors ICD10

03/31/2017

75


ICD code type

O99.419 DISEASES OF THE CIRCULATORY SYSTEM COMPLICATING PREGNANCY, UNSPECIFIED TRIMESTER Maternal Factors ICD10 O10.22 PRE-EXISTING HYP CHRONIC KIDNEY DISEASE COMP CHILDBIRTH Maternal Factors ICD10 O10.32 PRE-EXIST HYP HEART AND CHRONIC KIDNEY DISEASE COMP CHLDBRTH Maternal Factors ICD10 O22.50 CEREBRAL VENOUS THROMBOSIS IN PREGNANCY, UNSP TRIMESTER Maternal Factors ICD10 O22.51 CEREBRAL VENOUS THROMBOSIS IN PREGNANCY, FIRST TRIMESTER Maternal Factors ICD10 O22.52 CEREBRAL VENOUS THROMBOSIS IN PREGNANCY, SECOND TRIMESTER Maternal Factors ICD10 O22.53 CEREBRAL VENOUS THROMBOSIS IN PREGNANCY, THIRD TRIMESTER Maternal Factors ICD10

Preterm Birth 644.2 EARLY ONSET OF DELIVERY, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Preterm Birth ICD9 O60.10X0 PRETERM LABOR WITH PRETERM DELIVERY, UNSPECIFIED TRIMESTER, NOT APPLICABLE OR UNSPECIFIED Preterm Birth ICD10 644.21 EARLY ONSET OF DELIVERY, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Preterm Birth ICD9

O60.12X0 PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY SECOND TRIMESTER, NOT APPLICABLE OR UNSPECIFIED

Preterm Birth ICD10

O60.13X0 PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED Preterm Birth ICD10

O60.14X0 PRETERM LABOR THIRD TRIMESTER WITH PRETERM DELIVERY THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED

Preterm Birth ICD10

Z3A.08 8 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.09 9 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.10 10 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.11 11 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.12 12 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.13 13 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.14 14 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.15 15 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.16 16 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.17 17 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.18 18 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.19 19 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.20 20 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.21 21 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.22 22 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.23 23 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.24 24 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.25 25 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.26 26 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.27 27 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.28 28 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.29 29 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.30 30 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.31 31 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.32 32 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.33 33 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.34 34 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.35 35 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10 Z3A.36 36 WEEKS GESTATION OF PREGNANCY Preterm Birth ICD10

Stillborn 646 PAPYRACEOUS FETUS, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Stillborn ICD9 646.01 PAPYRACEOUS FETUS, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Stillborn ICD9 646.03 PAPYRACEOUS FETUS, ANTEPARTUM CONDITION OR COMPLICATION Stillborn ICD9 O31.00X0 PAPYRACEOUS FETUS, UNSPECIFIED TRIMESTER, NOT APPLICABLE OR UNSPECIFIED Stillborn ICD10 O31.01X0 PAPYRACEOUS FETUS, FIRST TRIMESTER, NOT APPLICABLE OR UNSPECIFIED Stillborn ICD10 O31.02X0 PAPYRACEOUS FETUS, SECOND TRIMESTER, NOT APPLICABLE OR UNSPECIFIED Stillborn ICD10 O31.03X0 PAPYRACEOUS FETUS, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED Stillborn ICD10

03/31/2017

76


ICD code type

656.4 INTRAUTERINE DEATH, AFFECTING MANAGEMENT OF MOTHER, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Stillborn ICD9

656.41 INTRAUTERINE DEATH, AFFECTING MANAGEMENT OF MOTHER, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Stillborn ICD9

656.43 INTRAUTERINE DEATH, AFFECTING MANAGEMENT OF MOTHER, ANTEPARTUM CONDITION OR COMPLICATION

Stillborn ICD9

O36.4XX0 MATERNAL CARE FOR INTRAUTERINE DEATH, NOT APPLICABLE OR UNSPECIFIED Stillborn ICD10 V27.1 OUTCOME OF DELIVERY, SINGLE STILLBORN Stillborn ICD9 V27.3 OUTCOME OF DELIVERY, TWINS, ONE LIVEBORN AND ONE STILLBORN Stillborn ICD9 V27.4 OUTCOME OF DELIVERY, TWINS, BOTH STILLBORN Stillborn ICD9 V27.7 OUTCOME OF DELIVERY, OTHER MULTIPLE BIRTH, ALL STILLBORN Stillborn ICD9 Z37.1 SINGLE STILLBIRTH Stillborn ICD10 Z37.3 TWINS, ONE LIVEBORN AND ONE STILLBORN Stillborn ICD10 Z37.4 TWINS, BOTH STILLBORN Stillborn ICD10 Z37.7 OTHER MULTIPLE BIRTHS, ALL STILLBORN Stillborn ICD10

Malpresentation

652.21 BREECH PRESENTATION WITHOUT MENTION OF VERSION, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Malpresentation ICD9

669.6 BREECH EXTRACTION, WITHOUT MENTION OF INDICATION, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE

Malpresentation ICD9

669.61 BREECH EXTRACTION, WITHOUT MENTION OF INDICATION, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Malpresentation ICD9

O32.1XX0 MATERNAL CARE FOR BREECH PRESENTATION, NOT APPLICABLE OR UNSPECIFIED Malpresentation ICD10 O64.1XX0 OBSTRUCTED LABOR DUE TO BREECH PRESENTATION, NOT APPLICABLE OR UNSPECIFIED Malpresentation ICD10

652.31 TRANSVERSE OR OBLIQUE PRESENTATION, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION


O32.2XX0 MATERNAL CARE FOR TRANSVERSE AND OBLIQUE LIE, NOT APPLICABLE OR UNSPECIFIED Malpresentation ICD10 O64.4XX0 OBSTRUCTED LABOR DUE TO SHOULDER PRESENTATION, UNSP Malpresentation ICD10 O64.5XX0 OBSTRUCTED LABOR DUE TO COMPOUND PRESENTATION, UNSP Malpresentation ICD10

652.41 FACE OR BROW PRESENTATION, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Malpresentation ICD9

O32.3XX0 MATERNAL CARE FOR FACE, BROW AND CHIN PRESENTATION, NOT APPLICABLE OR UNSPECIFIED Malpresentation ICD10 O64.2XX0 OBSTRUCTED LABOR DUE TO FACE PRESENTATION, NOT APPLICABLE OR UNSPECIFIED Malpresentation ICD10 O64.3XX0 OBSTRUCTED LABOR DUE TO BROW PRESENTATION, NOT APPLICABLE OR UNSPECIFIED Malpresentation ICD10 652.7 PROLAPSED ARM OF FETUS, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Malpresentation ICD9 652.71 PROLAPSED ARM OF FETUS, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Malpresentation ICD9

660.3 DEEP TRANSVERSE ARREST AND PERSISTENT OCCIPITOPOSTERIOR POSITION, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Malpresentation ICD9

660.31 DEEP TRANSVERSE ARREST AND PERSISTENT OCCIPITOPOSTERIOR POSITION, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION


O64.0XX0 OBSTRUCTED LABOR DUE TO INCOMPLETE ROTATION OF FETAL HEAD, NOT APPLICABLE OR UNSPECIFIED Malpresentation ICD9 Fetal Factors

653.6 HYDROCEPHALIC FETUS CAUSING DISPROPORTION, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Fetal Factors ICD9

653.61 HYDROCEPHALIC FETUS CAUSING DISPROPORTION, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION

Fetal Factors ICD9

653.63 HYDROCEPHALIC FETUS CAUSING DISPROPORTION, ANTEPARTUM CONDITION OR COMPLICATION Fetal Factors ICD9

O33.6XX0 MATERNAL CARE FOR DISPROPORTION DUE TO HYDROCEPHALIC FETUS, NOT APPLICABLE OR UNSPECIFIED Fetal Factors ICD10

653.71 OTHER FETAL ABNORMALITY CAUSING DISPROPORTION, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION

Fetal Factors ICD9

O33.7 MATERNAL CARE FOR DISPROPORTION DUE TO OTHER FETAL DEFORMITIES Fetal Factors ICD10

655.01 CENTRAL NERVOUS SYSTEM MALFORMATION IN FETUS, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Fetal Factors ICD9

O35.0XX0 MATERNAL CARE FOR (SUSPECTED) CENTRAL NERVOUS SYSTEM MALFORMATION IN FETUS, NOT APPLICABLE OR UNSPECIFIED

Fetal Factors ICD10

678.1 FETAL CONJOINED TWINS, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Fetal Factors ICD9

03/31/2017

77


ICD code type

678.11 FETAL CONJOINED TWINS, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Fetal Factors ICD9 678.13 FETAL CONJOINED TWINS, ANTEPARTUM CONDITION OR COMPLICATION Fetal Factors ICD9 O30.029 CONJOINED TWIN PREGNANCY, UNSPECIFIED TRIMESTER Fetal Factors ICD10 O30.021 CONJOINED TWIN PREGNANCY, FIRST TRIMESTER Fetal Factors ICD10 O30.022 CONJOINED TWIN PREGNANCY, SECOND TRIMESTER Fetal Factors ICD10 O30.023 CONJOINED TWIN PREGNANCY, THIRD TRIMESTER Fetal Factors ICD10

Uterine/Placental Factors

641.01 PLACENTA PREVIA WITHOUT HEMORRHAGE, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Uterine/Placental Factors ICD9

641.11 HEMORRHAGE FROM PLACENTA PREVIA, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION

Uterine/Placental Factors ICD9

O43.212 PLACENTA ACCRETA, SECOND TRIMESTER Uterine/Placental Factors ICD10 O43.213 PLACENTA ACCRETA, THIRD TRIMESTER Uterine/Placental Factors ICD10 O43.219 PLACENTA ACCRETA, UNSPECIFIED TRIMESTER Uterine/Placental Factors ICD10 O43.222 PLACENTA INCRETA, SECOND TRIMESTER Uterine/Placental Factors ICD10 O43.223 PLACENTA INCRETA, THIRD TRIMESTER Uterine/Placental Factors ICD10 O43.229 PLACENTA INCRETA, UNSPECIFIED TRIMESTER Uterine/Placental Factors ICD10 O43.232 PLACENTA PERCRETA, SECOND TRIMESTER Uterine/Placental Factors ICD10 O43.233 PLACENTA PERCRETA, THIRD TRIMESTER Uterine/Placental Factors ICD10 O43.239 PLACENTA PERCRETA, UNSPECIFIED TRIMESTER Uterine/Placental Factors ICD10 O44.00 COMPLETE PLACENTA PREVIA NOS OR WITHOUT HEMORRHAGE, UNSPECIFIED TRIMESTER Uterine/Placental Factors ICD10 O44.02 COMPLETE PLACENTA PREVIA NOS OR WITHOUT HEMORRHAGE, SECOND TRIMESTER Uterine/Placental Factors ICD10 O44.03 COMPLETE PLACENTA PREVIA NOS OR WITHOUT HEMORRHAGE, THIRD TRIMESTER Uterine/Placental Factors ICD10 O44.10 COMPLETE PLACENTA PREVIA WITH HEMORRHAGE, UNSPECIFIED TRIMESTER Uterine/Placental Factors ICD10 O44.12 COMPLETE PLACENTA PREVIA WITH HEMORRHAGE, SECOND TRIMESTER Uterine/Placental Factors ICD10 O44.13 COMPLETE PLACENTA PREVIA WITH HEMORRHAGE, THIRD TRIMESTER Uterine/Placental Factors ICD10 O44.20 PARTIAL PLACENTA PREVIA NOS OR WITHOUT HEMORRHAGE, UNSPECIFIED TRIMESTER Uterine/Placental Factors ICD9 O44.22 PARTIAL PLACENTA PREVIA NOS OR WITHOUT HEMORRHAGE, SECOND TRIMESTER Uterine/Placental Factors ICD9 O44.23 PARTIAL PLACENTA PREVIA NOS OR WITHOUT HEMORRHAGE, THIRD TRIMESTER Uterine/Placental Factors ICD9 O44.30 PARTIAL PLACENTA PREVIA WITH HEMORRHAGE, UNSPECIFIED TRIMESTER Uterine/Placental Factors ICD9 O44.32 PARTIAL PLACENTA PREVIA WITH HEMORRHAGE, SECOND TRIMESTER Uterine/Placental Factors ICD9 O44.33 PARTIAL PLACENTA PREVIA WITH HEMORRHAGE, THIRD TRIMESTER Uterine/Placental Factors ICD9 O44.40 LOW LYING PLACENTA NOS OR WITHOUT HEMORRHAGE, UNSPECIFIED TRIMESTER Uterine/Placental Factors ICD9 O44.42 LOW LYING PLACENTA NOS OR WITHOUT HEMORRHAGE, SECOND TRIMESTER Uterine/Placental Factors ICD9 O44.43 LOW LYING PLACENTA NOS OR WITHOUT HEMORRHAGE, THIRD TRIMESTER Uterine/Placental Factors ICD9 O44.50 LOW LYING PLACENTA WITH HEMORRHAGE, UNSPECIFIED TRIMESTER Uterine/Placental Factors ICD9 O44.52 LOW LYING PLACENTA WITH HEMORRHAGE, SECOND TRIMESTER Uterine/Placental Factors ICD9 O44.53 LOW LYING PLACENTA WITH HEMORRHAGE, THIRD TRIMESTER Uterine/Placental Factors ICD9

O45.002 PREMATURE SEPARATION OF PLACENTA WITH COAGULATION DEFECT, UNSPECIFIED, SECOND TRIMESTER Uterine/Placental Factors ICD9

O45.003 PREMATURE SEPARATION OF PLACENTA WITH COAGULATION DEFECT, UNSPECIFIED, THIRD TRIMESTER Uterine/Placental Factors ICD9

O45.009 PREMATURE SEPARATION OF PLACENTA WITH COAGULATION DEFECT, UNSPECIFIED, UNSPECIFIED TRIMESTER Uterine/Placental Factors ICD9

O45.012 PREMATURE SEPARATION OF PLACENTA WITH AFIBRINOGENEMIA, SECOND TRIMESTER Uterine/Placental Factors ICD9 O45.013 PREMATURE SEPARATION OF PLACENTA WITH AFIBRINOGENEMIA, THIRD TRIMESTER Uterine/Placental Factors ICD9 O45.019 PREMATURE SEPARATION OF PLACENTA WITH AFIBRINOGENEMIA, UNSPECIFIED TRIMESTER Uterine/Placental Factors ICD9

O45.022 PREMATURE SEPARATION OF PLACENTA WITH DISSEMINATED INTRAVASCULAR COAGULATION, SECOND TRIMESTER


O45.023 PREMATURE SEPARATION OF PLACENTA WITH DISSEMINATED INTRAVASCULAR COAGULATION, THIRD TRIMESTER Uterine/Placental Factors ICD9

O45.029 PREMATURE SEPARATION OF PLACENTA WITH DISSEMINATED INTRAVASCULAR COAGULATION, UNSPECIFIED TRIMESTER


O45.092 PREMATURE SEPARATION OF PLACENTA WITH OTHER COAGULATION DEFECT, SECOND TRIMESTER Uterine/Placental Factors ICD9 O45.093 PREMATURE SEPARATION OF PLACENTA WITH OTHER COAGULATION DEFECT, THIRD TRIMESTER Uterine/Placental Factors ICD9 O45.099 PREMATURE SEPARATION OF PLACENTA WITH OTHER COAGULATION DEFECT, UNSPECIFIED TRIMESTER Uterine/Placental Factors ICD9

03/31/2017

78


ICD code type

654.2 PREVIOUS CESAREAN DELIVERY, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Uterine/Placental Factors ICD9 654.21 PREVIOUS CESAREAN DELIVERY, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Uterine/Placental Factors ICD9 654.23 PREVIOUS CESAREAN DELIVERY, ANTEPARTUM CONDITION OR COMPLICATION Uterine/Placental Factors ICD9 O34.21 MATERNAL CARE FOR SCAR FROM PREVIOUS CESAREAN DELIVERY Uterine/Placental Factors ICD9 O34.211 MATERNAL CARE FOR LOW TRANSVERSE SCAR FROM PREVIOUS CESAREAN DELIVERY Uterine/Placental Factors ICD9 O34.212 MATERNAL CARE FOR VERTICAL SCAR FROM PREVIOUS CESAREAN DELIVERY Uterine/Placental Factors ICD9 O34.219 MATERNAL CARE FOR UNSPECIFIED TYPE SCAR FROM PREVIOUS CESAREAN DELIVERY Uterine/Placental Factors ICD9

654.3 RETROVERTED AND INCARCERATED GRAVID UTERUS, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Uterine/Placental Factors ICD9

654.31 RETROVERTED AND INCARCERATED GRAVID UTERUS, DELIVERED, WITH MENTION OF ANTEPARTUM CONDITION Uterine/Placental Factors ICD9

654.32 RETROVERTED AND INCARCERATED GRAVID UTERUS, DELIVERED, WITH MENTION OF POSTPARTUM COMPLICATION Uterine/Placental Factors ICD9

654.33 RETROVERTED AND INCARCERATED GRAVID UTERUS, ANTEPARTUM CONDITION OR COMPLICATION Uterine/Placental Factors ICD9 654.34 RETROVERTED AND INCARCERATED GRAVID UTERUS, POSTPARTUM CONDITION OR COMPLICATION Uterine/Placental Factors ICD9 O34.513 MATERNAL CARE FOR INCARCERATION OF GRAVID UTERUS, THIRD TRIMESTER Uterine/Placental Factors ICD9

663 PROLAPSE OF CORD COMPLICATING LABOR AND DELIVERY, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Uterine/Placental Factors ICD9

663.01 PROLAPSE OF CORD COMPLICATING LABOR AND DELIVERY, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Uterine/Placental Factors ICD9

663.03 PROLAPSE OF CORD COMPLICATING LABOR AND DELIVERY, ANTEPARTUM CONDITION OR COMPLICATION Uterine/Placental Factors ICD9

O69.0XX0 LABOR AND DELIVERY COMPLICATED BY PROLAPSE OF CORD, NOT APPLICABLE OR UNSPECIFIED Uterine/Placental Factors ICD9

663.5 VASA PREVIA COMPLICATING LABOR AND DELIVERY, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Uterine/Placental Factors ICD9

663.51 VASA PREVIA COMPLICATING LABOR AND DELIVERY, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Uterine/Placental Factors ICD9

663.53 VASA PREVIA COMPLICATING LABOR AND DELIVERY, ANTEPARTUM CONDITION OR COMPLICATION Uterine/Placental Factors ICD9 O69.4XX0 LABOR AND DELIVERY COMPLICATED BY VASA PREVIA, NOT APPLICABLE OR UNSPECIFIED Uterine/Placental Factors ICD10

665 RUPTURE OF UTERUS BEFORE ONSET OF LABOR, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Uterine/Placental Factors ICD9

665.01 RUPTURE OF UTERUS BEFORE ONSET OF LABOR, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Uterine/Placental Factors ICD9

665.03 RUPTURE OF UTERUS BEFORE ONSET OF LABOR, ANTEPARTUM CONDITION OR COMPLICATION Uterine/Placental Factors ICD9 665.1 RUPTURE OF UTERUS DURING LABOR, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Uterine/Placental Factors ICD9

665.11 RUPTURE OF UTERUS DURING LABOR, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Uterine/Placental Factors ICD9

665.12 RUPTURE UTERUS DURING/AFTER LABOR DELIVERED WITH POSTPARTUM COMPLICATION Uterine/Placental Factors ICD9 665.14 RUPTURE UTERUS DURING/AFTER LABOR POSTPARTUM CONDITION OR COMPLICATION Uterine/Placental Factors ICD9 O71.00 RUPTURE OF UTERUS BEFORE ONSET OF LABOR, UNSPECIFIED TRIMESTER Uterine/Placental Factors ICD10 O71.02 RUPTURE OF UTERUS BEFORE ONSET OF LABOR, SECOND TRIMESTER Uterine/Placental Factors ICD10 O71.03 RUPTURE OF UTERUS BEFORE ONSET OF LABOR, THIRD TRIMESTER Uterine/Placental Factors ICD10 O71.1 RUPTURE OF UTERUS DURING LABOR Uterine/Placental Factors ICD10

Conduct of Labor

660.7 FAILED FORCEPS OR VACUUM EXTRACTOR, UNSPECIFIED, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Conduct of Labor ICD9

660.71 FAILED FORCEPS OR VACUUM EXTRACTOR, UNSPECIFIED, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Conduct of Labor ICD9

660.73 FAILED FORCEPS OR VACUUM EXTRACTOR, UNSPECIFIED, ANTEPARTUM CONDITION OR COMPLICATION Conduct of Labor ICD9 O66.41 FAILED ATTEMPT VAGINAL BIRTH AFTER PREVIOUS CESAREAN DEL Conduct of Labor ICD10 O66.5 ATTEMPTED APPLICATION OF VACUUM EXTRACTOR AND FORCEPS Conduct of Labor ICD10

Multiple Gestation 651 TWIN PREGNANCY, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Multiple Gestation ICD9 651.01 TWIN PREGNANCY, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Multiple Gestation ICD9 651.03 TWIN PREGNANCY, ANTEPARTUM CONDITION OR COMPLICATION Multiple Gestation ICD9 V91.00 TWIN GESTATION, UNSPECIFIED NUMBER OF PLACENTA, UNSPECIFIED NUMBER OF AMNIOTIC SACS Multiple Gestation ICD9

03/31/2017

79


ICD code type

V91.01 TWIN GESTATION, MONOCHORIONIC/MONOAMNIOTIC (ONE PLACENTA, ONE AMNIOTIC SAC) Multiple Gestation ICD9 V91.02 TWIN GESTATION, MONOCHORIONIC/DIAMNIOTIC (ONE PLACENTA, TWO AMNIOTIC SACS) Multiple Gestation ICD9 V91.03 TWIN GESTATION, DICHORIONIC/DIAMNIOTIC (TWO PLACENTAE, TWO AMNIOTIC SACS) Multiple Gestation ICD9 V91.09 TWIN GESTATION, UNABLE TO DETERMINE NUMBER OF PLACENTA AND NUMBER OF AMNIOTIC SACS Multiple Gestation ICD9

O30.009 TWIN PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED NUMBER OF AMNIOTIC SACS, UNSPECIFIED TRIMESTER Multiple Gestation ICD10

O30.019 TWIN PREGNANCY, MONOCHORIONIC/MONOAMNIOTIC, UNSPECIFIED TRIMESTER Multiple Gestation ICD10 O30.039 TWIN PREGNANCY, MONOCHORIONIC/DIAMNIOTIC, UNSPECIFIED TRIMESTER Multiple Gestation ICD10 O30.049 TWIN PREGNANCY, DICHORIONIC/DIAMNIOTIC, UNSPECIFIED TRIMESTER Multiple Gestation ICD10

O30.099 TWIN PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA AND NUMBER OF AMNIOTIC SACS, UNSPECIFIED TRIMESTER Multiple Gestation ICD10

O30.001 TWIN PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED NUMBER OF AMNIOTIC SACS, FIRST TRIMESTER Multiple Gestation ICD10

O30.002 TWIN PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED NUMBER OF AMNIOTIC SACS, SECOND TRIMESTER

Multiple Gestation ICD10

O30.003 TWIN PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED NUMBER OF AMNIOTIC SACS, THIRD TRIMESTER Multiple Gestation ICD10

O30.011 TWIN PREGNANCY, MONOCHORIONIC/MONOAMNIOTIC, FIRST TRIMESTER Multiple Gestation ICD10 O30.012 TWIN PREGNANCY, MONOCHORIONIC/MONOAMNIOTIC, SECOND TRIMESTER Multiple Gestation ICD10 O30.013 TWIN PREGNANCY, MONOCHORIONIC/MONOAMNIOTIC, THIRD TRIMESTER Multiple Gestation ICD10 O30.031 TWIN PREGNANCY, MONOCHORIONIC/DIAMNIOTIC, FIRST TRIMESTER Multiple Gestation ICD10 O30.032 TWIN PREGNANCY, MONOCHORIONIC/DIAMNIOTIC, SECOND TRIMESTER Multiple Gestation ICD10 O30.033 TWIN PREGNANCY, MONOCHORIONIC/DIAMNIOTIC, THIRD TRIMESTER Multiple Gestation ICD10 O30.041 TWIN PREGNANCY, DICHORIONIC/DIAMNIOTIC, FIRST TRIMESTER Multiple Gestation ICD10 O30.042 TWIN PREGNANCY, DICHORIONIC/DIAMNIOTIC, SECOND TRIMESTER Multiple Gestation ICD10 O30.043 TWIN PREGNANCY, DICHORIONIC/DIAMNIOTIC, THIRD TRIMESTER Multiple Gestation ICD10

O30.091 TWIN PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA AND NUMBER OF AMNIOTIC SACS, FIRST TRIMESTER Multiple Gestation ICD10

O30.092 TWIN PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA AND NUMBER OF AMNIOTIC SACS, SECOND TRIMESTER Multiple Gestation ICD10

O30.093 TWIN PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA AND NUMBER OF AMNIOTIC SACS, THIRD TRIMESTER Multiple Gestation ICD10

651.1 TRIPLET PREGNANCY, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Multiple Gestation ICD9 651.11 TRIPLET PREGNANCY, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Multiple Gestation ICD9 651.13 TRIPLET PREGNANCY, ANTEPARTUM CONDITION OR COMPLICATION Multiple Gestation ICD9

V91.10 TRIPLET GESTATION, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED NUMBER OF AMNIOTIC SACS Multiple Gestation ICD9

V91.11 TRIPLET GESTATION, WITH TWO OR MORE MONOCHORIONIC FETUSES Multiple Gestation ICD9 V91.12 TRIPLET GESTATION, WITH TWO OR MORE MONOAMNIOTIC FETUSES Multiple Gestation ICD9 V91.19 TRIPLET GESTATION, UNABLE TO DETERMINE NUMBER OF PLACENTA AND NUMBER OF AMNIOTIC SACS Multiple Gestation ICD9

O30.109 TRIPLET PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED NUMBER OF AMNIOTIC SACS, UNSPECIFIED TRIMESTER


O30.119 TRIPLET PREGNANCY WITH TWO OR MORE MONOCHORIONIC FETUSES, UNSPECIFIED TRIMESTER Multiple Gestation ICD10 O30.129 TRIPLET PREGNANCY WITH TWO OR MORE MONOAMNIOTIC FETUSES, UNSPECIFIED TRIMESTER Multiple Gestation ICD10

O30.199 TRIPLET PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA AND NUMBER OF AMNIOTIC SACS, UNSPECIFIED TRIMESTER Multiple Gestation ICD10

O30.101 TRIPLET PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED NUMBER OF AMNIOTIC SACS, FIRST TRIMESTER Multiple Gestation ICD10

O30.102 TRIPLET PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED NUMBER OF AMNIOTIC SACS, SECOND TRIMESTER Multiple Gestation ICD10

O30.103 TRIPLET PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED NUMBER OF AMNIOTIC SACS, THIRD TRIMESTER


O30.111 TRIPLET PREGNANCY WITH TWO OR MORE MONOCHORIONIC FETUSES, FIRST TRIMESTER Multiple Gestation ICD10 O30.112 TRIPLET PREGNANCY WITH TWO OR MORE MONOCHORIONIC FETUSES, SECOND TRIMESTER Multiple Gestation ICD10 O30.113 TRIPLET PREGNANCY WITH TWO OR MORE MONOCHORIONIC FETUSES, THIRD TRIMESTER Multiple Gestation ICD10 O30.121 TRIPLET PREGNANCY WITH TWO OR MORE MONOAMNIOTIC FETUSES, FIRST TRIMESTER Multiple Gestation ICD10

03/31/2017

80


ICD code type

O30.122 TRIPLET PREGNANCY WITH TWO OR MORE MONOAMNIOTIC FETUSES, SECOND TRIMESTER Multiple Gestation ICD10 O30.123 TRIPLET PREGNANCY WITH TWO OR MORE MONOAMNIOTIC FETUSES, THIRD TRIMESTER Multiple Gestation ICD10

O30.191 TRIPLET PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA AND NUMBER OF AMNIOTIC SACS, FIRST TRIMESTER Multiple Gestation ICD10

O30.192 TRIPLET PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA AND NUMBER OF AMNIOTIC SACS, SECOND TRIMESTER


O30.193 TRIPLET PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA AND NUMBER OF AMNIOTIC SACS, THIRD TRIMESTER Multiple Gestation ICD10

651.2 QUADRUPLET PREGNANCY, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Multiple Gestation ICD9 651.21 QUADRUPLET PREGNANCY, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Multiple Gestation ICD9 651.23 QUADRUPLET PREGNANCY, ANTEPARTUM CONDITION OR COMPLICATION Multiple Gestation ICD9

V91.20 QUADRUPLET GESTATION, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED NUMBER OF AMNIOTIC SACS


V91.22 QUADRUPLET GESTATION, WITH TWO OR MORE MONOAMNIOTIC FETUSES Multiple Gestation ICD9

V91.29 QUADRUPLET GESTATION, UNABLE TO DETERMINE NUMBER OF PLACENTA AND NUMBER OF AMNIOTIC SACS Multiple Gestation ICD9

V91.90 OTHER SPECIFIED MULTIPLE GESTATION, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED NUMBER OF AMNIOTIC SACS


O30.209 QUADRUPLET PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED NUMBER OF AMNIOTIC SACS, UNSPECIFIED TRIMESTER Multiple Gestation ICD10

O30.229 QUADRUPLET PREGNANCY WITH TWO OR MORE MONOAMNIOTIC FETUSES, UNSPECIFIED TRIMESTER Multiple Gestation ICD10

O30.299 QUADRUPLET PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA AND NUMBER OF AMNIOTIC SACS, UNSPECIFIED TRIMESTER


O30.201 QUADRUPLET PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED NUMBER OF AMNIOTIC SACS, FIRST TRIMESTER Multiple Gestation ICD10

O30.202 QUADRUPLET PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED NUMBER OF AMNIOTIC SACS, SECOND TRIMESTER


O30.203 QUADRUPLET PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED NUMBER OF AMNIOTIC SACS, THIRD TRIMESTER Multiple Gestation ICD10

O30.211 QUADRUPLET PREGNANCY WITH TWO OR MORE MONOCHORIONIC FETUSES, FIRST TRIMESTER Multiple Gestation ICD10 O30.212 QUADRUPLET PREGNANCY WITH TWO OR MORE MONOCHORIONIC FETUSES, SECOND TRIMESTER Multiple Gestation ICD10 O30.213 QUADRUPLET PREGNANCY WITH TWO OR MORE MONOCHORIONIC FETUSES, THIRD TRIMESTER Multiple Gestation ICD10 O30.221 QUADRUPLET PREGNANCY WITH TWO OR MORE MONOAMNIOTIC FETUSES, FIRST TRIMESTER Multiple Gestation ICD10 O30.222 QUADRUPLET PREGNANCY WITH TWO OR MORE MONOAMNIOTIC FETUSES, SECOND TRIMESTER Multiple Gestation ICD10 O30.223 QUADRUPLET PREGNANCY WITH TWO OR MORE MONOAMNIOTIC FETUSES, THIRD TRIMESTER Multiple Gestation ICD10

O30.291 QUADRUPLET PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA AND NUMBER OF AMNIOTIC SACS, FIRST TRIMESTER Multiple Gestation ICD10

O30.292 QUADRUPLET PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA AND NUMBER OF AMNIOTIC SACS, SECOND TRIMESTER Multiple Gestation ICD10

O30.293 QUADRUPLET PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA AND NUMBER OF AMNIOTIC SACS, THIRD TRIMESTER Multiple Gestation ICD10

651.3 TWIN PREGNANCY WITH FETAL LOSS AND RETENTION OF ONE FETUS, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Multiple Gestation ICD9

651.31 TWIN PREGNANCY WITH FETAL LOSS AND RETENTION OF ONE FETUS, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION


651.33 TWIN PREGNANCY WITH FETAL LOSS AND RETENTION OF ONE FETUS, ANTEPARTUM CONDITION OR COMPLICATION Multiple Gestation ICD9

651.4 TRIPLET PREGNANCY WITH FETAL LOSS AND RETENTION OF ONE OR MORE FETUS(ES), UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE


651.41 TRIPLET PREGNANCY WITH FETAL LOSS AND RETENTION OF ONE OR MORE FETUS(ES), DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Multiple Gestation ICD9

651.43 TRIPLET PREGNANCY WITH FETAL LOSS AND RETENTION OF ONE OR MORE FETUS(ES), ANTEPARTUM CONDITION OR COMPLICATION


651.5 QUADRUPLET PREGNANCY WITH FETAL LOSS AND RETENTION OF ONE OR MORE FETUS(ES), UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Multiple Gestation ICD9

651.51 QUADRUPLET PREGNANCY WITH FETAL LOSS AND RETENTION OF ONE OR MORE FETUS(ES), DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Multiple Gestation ICD9

651.53 QUADRUPLET PREGNANCY WITH FETAL LOSS AND RETENTION OF ONE OR MORE FETUS(ES), Multiple Gestation ICD9

03/31/2017

81


ICD code type

ANTEPARTUM CONDITION OR COMPLICATION

651.6 OTHER MULTIPLE PREGNANCY WITH FETAL LOSS AND RETENTION OF ONE OR MORE FETUS(ES), UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Multiple Gestation ICD9

651.61 OTHER MULTIPLE PREGNANCY WITH FETAL LOSS AND RETENTION OF ONE OR MORE FETUS(ES), DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Multiple Gestation ICD9

651.63 OTHER MULTIPLE PREGNANCY WITH FETAL LOSS AND RETENTION OF ONE OR MORE FETUS(ES), ANTEPARTUM CONDITION OR COMPLICATION Multiple Gestation ICD9

O31.10X0 CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR MORE, UNSPECIFIED TRIMESTER, NOT APPLICABLE OR UNSPECIFIED Multiple Gestation ICD10

O31.10X1 CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR MORE, UNSPECIFIED TRIMESTER, FETUS 1


O31.10X2 CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR MORE, UNSPECIFIED TRIMESTER, FETUS 2 Multiple Gestation ICD10



O31.10X4 CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR MORE, UNSPECIFIED TRIMESTER, FETUS 4 Multiple Gestation ICD10



O31.10X9 CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR MORE, UNSPECIFIED TRIMESTER, OTHER FETUS Multiple Gestation ICD10

O31.20X0 CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR MORE, UNSPECIFIED TRIMESTER, NOT APPLICABLE OR UNSPECIFIED


O31.20X1 CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR MORE, UNSPECIFIED TRIMESTER, FETUS 1 Multiple Gestation ICD10




O31.20X5 CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR MORE, UNSPECIFIED TRIMESTER, FETUS 5


O31.20X9 CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR MORE, UNSPECIFIED TRIMESTER, OTHER FETUS Multiple Gestation ICD10

O31.11X0 CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR MORE, FIRST TRIMESTER, NOT APPLICABLE OR UNSPECIFIED


O31.11X1 CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR MORE, FIRST TRIMESTER, FETUS 1 Multiple Gestation ICD10

O31.11X2 CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR MORE, FIRST TRIMESTER, FETUS 2





O31.11X9 CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR MORE, FIRST TRIMESTER, OTHER FETUS Multiple Gestation ICD10

O31.12X0 CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR MORE, SECOND TRIMESTER, NOT APPLICABLE OR UNSPECIFIED Multiple Gestation ICD10

O31.12X1 CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR MORE, SECOND TRIMESTER, FETUS 1 Multiple Gestation ICD10

O31.12X2 CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR MORE, SECOND TRIMESTER, FETUS 2



O31.12X4 CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR MORE, SECOND TRIMESTER, FETUS 4


03/31/2017

82


ICD code type


O31.12X9 CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR MORE, SECOND TRIMESTER, OTHER FETUS Multiple Gestation ICD10

O31.13X0 CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR MORE, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED


O31.13X1 CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR MORE, THIRD TRIMESTER, FETUS 1 Multiple Gestation ICD10

O31.13X2 CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR MORE, THIRD TRIMESTER, FETUS 2



O31.13X4 CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR MORE, THIRD TRIMESTER, FETUS 4



O31.13X9 CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR MORE, THIRD TRIMESTER, OTHER FETUS


O31.21X0 CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR MORE, FIRST TRIMESTER, NOT APPLICABLE OR UNSPECIFIED Multiple Gestation ICD10

O31.21X1 CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR MORE, FIRST TRIMESTER, FETUS 1 Multiple Gestation ICD10



O31.21X4 CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR MORE, FIRST TRIMESTER, FETUS 4



O31.21X9 CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR MORE, FIRST TRIMESTER, OTHER FETUS


O31.22X0 CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR MORE, SECOND TRIMESTER, NOT APPLICABLE OR UNSPECIFIED Multiple Gestation ICD10

O31.22X1 CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR MORE, SECOND TRIMESTER, FETUS 1


O31.22X2 CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR MORE, SECOND TRIMESTER, FETUS 2 Multiple Gestation ICD10

O31.22X3 CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR MORE, SECOND TRIMESTER, FETUS 3




O31.22X9 CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR MORE, SECOND TRIMESTER, OTHER FETUS Multiple Gestation ICD10

O31.23X0 CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR MORE, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED Multiple Gestation ICD10

O31.23X1 CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR MORE, THIRD TRIMESTER, FETUS 1


O31.23X2 CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR MORE, THIRD TRIMESTER, FETUS 2 Multiple Gestation ICD10



O31.23X4 CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR MORE, THIRD TRIMESTER, FETUS 4 Multiple Gestation ICD10



O31.23X9 CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR MORE, THIRD TRIMESTER, OTHER FETUS Multiple Gestation ICD10

03/31/2017

83


ICD code type

651.7 MULTIPLE GESTATION FOLLOWING (ELECTIVE) FETAL REDUCTION, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Multiple Gestation ICD9

651.71 MULTIPLE GESTATION FOLLOWING (ELECTIVE) FETAL REDUCTION,DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Multiple Gestation ICD9

651.73 MULTIPLE GESTATION FOLLOWING (ELECTIVE) FETAL REDUCTION, ANTEPARTUM CONDITION OR COMPLICATION


O31.30X0 CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS OR MORE, UNSPECIFIED TRIMESTER, NOT APPLICABLE OR UNSPECIFIED Multiple Gestation ICD10

O31.30X1 CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS OR MORE, UNSPECIFIED TRIMESTER, FETUS 1


O31.30X2 CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS OR MORE, UNSPECIFIED TRIMESTER, FETUS 2 Multiple Gestation ICD10



O31.30X4 CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS OR MORE, UNSPECIFIED TRIMESTER, FETUS 4 Multiple Gestation ICD10



O31.30X9 CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS OR MORE, UNSPECIFIED TRIMESTER, OTHER FETUS Multiple Gestation ICD10

O31.31X0 CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS OR MORE, FIRST TRIMESTER, NOT APPLICABLE OR UNSPECIFIED Multiple Gestation ICD10

O31.31X1 CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS OR MORE, FIRST TRIMESTER, FETUS 1 Multiple Gestation ICD10


O31.31X3 CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS OR MORE, FIRST TRIMESTER, FETUS 3



O31.31X5 CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS OR MORE, FIRST TRIMESTER, FETUS 5


O31.31X9 CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS OR MORE, FIRST TRIMESTER, OTHER FETUS Multiple Gestation ICD10

O31.32X0 CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS OR MORE, SECOND TRIMESTER, NOT APPLICABLE OR UNSPECIFIED


O31.32X1 CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS OR MORE, SECOND TRIMESTER, FETUS 1 Multiple Gestation ICD10

O31.32X2 CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS OR MORE, SECOND TRIMESTER, FETUS 2





O31.32X9 CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS OR MORE, SECOND TRIMESTER, OTHER FETUS Multiple Gestation ICD10

O31.33X0 CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS OR MORE, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED


O31.33X1 CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS OR MORE, THIRD TRIMESTER, FETUS 1 Multiple Gestation ICD10

O31.33X2 CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS OR MORE, THIRD TRIMESTER, FETUS 2



O31.33X4 CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS OR MORE, THIRD TRIMESTER, FETUS 4



03/31/2017

84


ICD code type

O31.33X9 CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS OR MORE, THIRD TRIMESTER, OTHER FETUS Multiple Gestation ICD10

651.8 OTHER SPECIFIED MULTIPLE GESTATION, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Multiple Gestation ICD9

651.81 OTHER SPECIFIED MULTIPLE GESTATION, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Multiple Gestation ICD9

651.83 OTHER SPECIFIED MULTIPLE GESTATION, ANTEPARTUM CONDITION OR COMPLICATION Multiple Gestation ICD9

O30.809 OTHER SPECIFIED MULTIPLE GESTATION, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED NUMBER OF AMNIOTIC SACS, UNSPECIFIED TRIMESTER Multiple Gestation ICD10

O30.829 OTHER SPECIFIED MULTIPLE GESTATION WITH TWO OR MORE MONOAMNIOTIC FETUSES, UNSPECIFIED TRIMESTER Multiple Gestation ICD10

O30.899 OTHER SPECIFIED MULTIPLE GESTATION, UNABLE TO DETERMINE NUMBER OF PLACENTA AND NUMBER OF AMNIOTIC SACS, UNSPECIFIED TRIMESTER Multiple Gestation ICD10

O30.801 OTHER SPECIFIED MULTIPLE GESTATION, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED NUMBER OF AMNIOTIC SACS, FIRST TRIMESTER Multiple Gestation ICD10

O30.802 OTHER SPECIFIED MULTIPLE GESTATION, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED NUMBER OF AMNIOTIC SACS, SECOND TRIMESTER


O30.803 OTHER SPECIFIED MULTIPLE GESTATION, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED NUMBER OF AMNIOTIC SACS, THIRD TRIMESTER Multiple Gestation ICD10

O30.821 OTHER SPECIFIED MULTIPLE GESTATION WITH TWO OR MORE MONOAMNIOTIC FETUSES, FIRST TRIMESTER


O30.822 OTHER SPECIFIED MULTIPLE GESTATION WITH TWO OR MORE MONOAMNIOTIC FETUSES, SECOND TRIMESTER Multiple Gestation ICD10

O30.823 OTHER SPECIFIED MULTIPLE GESTATION WITH TWO OR MORE MONOAMNIOTIC FETUSES, THIRD TRIMESTER


O30.891 OTHER SPECIFIED MULTIPLE GESTATION, UNABLE TO DETERMINE NUMBER OF PLACENTA AND NUMBER OF AMNIOTIC SACS, FIRST TRIMESTER Multiple Gestation ICD10

O30.892 OTHER SPECIFIED MULTIPLE GESTATION, UNABLE TO DETERMINE NUMBER OF PLACENTA AND NUMBER OF AMNIOTIC SACS, SECOND TRIMESTER


O30.893 OTHER SPECIFIED MULTIPLE GESTATION, UNABLE TO DETERMINE NUMBER OF PLACENTA AND NUMBER OF AMNIOTIC SACS, THIRD TRIMESTER Multiple Gestation ICD10

O31.8X10 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, FIRST TRIMESTER, NOT APPLICABLE OR UNSPECIFIED Multiple Gestation ICD10

O31.8X11 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, FIRST TRIMESTER, FETUS 1 Multiple Gestation ICD10 O31.8X12 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, FIRST TRIMESTER, FETUS 2 Multiple Gestation ICD10 O31.8X13 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, FIRST TRIMESTER, FETUS 3 Multiple Gestation ICD10 O31.8X14 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, FIRST TRIMESTER, FETUS 4 Multiple Gestation ICD10 O31.8X15 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, FIRST TRIMESTER, FETUS 5 Multiple Gestation ICD10 O31.8X19 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, FIRST TRIMESTER, OTHER FETUS Multiple Gestation ICD10

O31.8X20 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, SECOND TRIMESTER, NOT APPLICABLE OR UNSPECIFIED Multiple Gestation ICD10

O31.8X21 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, SECOND TRIMESTER, FETUS 1 Multiple Gestation ICD10 O31.8X22 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, SECOND TRIMESTER, FETUS 2 Multiple Gestation ICD10 O31.8X23 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, SECOND TRIMESTER, FETUS 3 Multiple Gestation ICD10 O31.8X24 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, SECOND TRIMESTER, FETUS 4 Multiple Gestation ICD10 O31.8X25 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, SECOND TRIMESTER, FETUS 5 Multiple Gestation ICD10 O31.8X29 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, SECOND TRIMESTER, OTHER FETUS Multiple Gestation ICD10

O31.8X30 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED Multiple Gestation ICD10

O31.8X31 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, THIRD TRIMESTER, FETUS 1 Multiple Gestation ICD10 O31.8X32 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, THIRD TRIMESTER, FETUS 2 Multiple Gestation ICD10 O31.8X33 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, THIRD TRIMESTER, FETUS 3 Multiple Gestation ICD10 O31.8X34 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, THIRD TRIMESTER, FETUS 4 Multiple Gestation ICD10 O31.8X35 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, THIRD TRIMESTER, FETUS 5 Multiple Gestation ICD10 O31.8X39 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, THIRD TRIMESTER, OTHER FETUS Multiple Gestation ICD10

O30.811 OTHER SPECIFIED MULTIPLE GESTATION WITH TWO OR MORE MONOCHORIONIC FETUSES, FIRST TRIMESTER Multiple Gestation ICD10

O30.812 OTHER SPECIFIED MULTIPLE GESTATION WITH TWO OR MORE MONOCHORIONIC FETUSES, SECOND Multiple Gestation ICD10

03/31/2017

85


ICD code type

TRIMESTER 651.9 UNSPECIFIED MULTIPLE GESTATION, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Multiple Gestation ICD9

651.91 UNSPECIFIED MULTIPLE GESTATION, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Multiple Gestation ICD9

651.93 UNSPECIFIED MULTIPLE GESTATION, ANTEPARTUM CONDITION OR COMPLICATION Multiple Gestation ICD9 O30.90 MULTIPLE GESTATION, UNSPECIFIED, UNSPECIFIED TRIMESTER Multiple Gestation ICD10 O30.91 MULTIPLE GESTATION, UNSPECIFIED, FIRST TRIMESTER Multiple Gestation ICD10 O30.92 MULTIPLE GESTATION, UNSPECIFIED, SECOND TRIMESTER Multiple Gestation ICD10 O30.93 MULTIPLE GESTATION, UNSPECIFIED, THIRD TRIMESTER Multiple Gestation ICD10

O31.8X90 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, UNSPECIFIED TRIMESTER, NOT APPLICABLE OR UNSPECIFIED Multiple Gestation ICD10

O31.8X91 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, UNSPECIFIED TRIMESTER, FETUS 1 Multiple Gestation ICD10 O31.8X92 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, UNSPECIFIED TRIMESTER, FETUS 2 Multiple Gestation ICD10 O31.8X93 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, UNSPECIFIED TRIMESTER, FETUS 3 Multiple Gestation ICD10 O31.8X94 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, UNSPECIFIED TRIMESTER, FETUS 4 Multiple Gestation ICD10 O31.8X95 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, UNSPECIFIED TRIMESTER, FETUS 5 Multiple Gestation ICD10 O31.8X99 OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, UNSPECIFIED TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O32.0XX1 MATERNAL CARE FOR UNSTABLE LIE, FETUS 1 Multiple Gestation ICD10 O32.0XX2 MATERNAL CARE FOR UNSTABLE LIE, FETUS 2 Multiple Gestation ICD10 O32.0XX3 MATERNAL CARE FOR UNSTABLE LIE, FETUS 3 Multiple Gestation ICD10 O32.0XX4 MATERNAL CARE FOR UNSTABLE LIE, FETUS 4 Multiple Gestation ICD10 O32.0XX5 MATERNAL CARE FOR UNSTABLE LIE, FETUS 5 Multiple Gestation ICD10 O32.0XX9 MATERNAL CARE FOR UNSTABLE LIE, OTHER FETUS Multiple Gestation ICD10 O33.7XX0 MATERNAL CARE FOR DISPROPORTION DUE TO OTHER FETAL DEFORMITIES, FETUS 1 Multiple Gestation ICD10 O33.7XX1 MATERNAL CARE FOR DISPROPORTION DUE TO OTHER FETAL DEFORMITIES, FETUS 2 Multiple Gestation ICD10 O33.7XX2 MATERNAL CARE FOR DISPROPORTION DUE TO OTHER FETAL DEFORMITIES, FETUS 3 Multiple Gestation ICD10 O33.7XX3 MATERNAL CARE FOR DISPROPORTION DUE TO OTHER FETAL DEFORMITIES, FETUS 4 Multiple Gestation ICD10 O33.7XX4 MATERNAL CARE FOR DISPROPORTION DUE TO OTHER FETAL DEFORMITIES, FETUS 5 Multiple Gestation ICD10 O33.7XX5 MATERNAL CARE FOR DISPROPORTION DUE TO OTHER FETAL DEFORMITIES, FETUS 6 Multiple Gestation ICD10 O33.7XX9 MATERNAL CARE FOR DISPROPORTION DUE TO OTHER FETAL DEFORMITIES, OTHER FETUS Multiple Gestation ICD10 O64.8XX1 OBSTRUCTED LABOR DUE TO OTH MALPOS AND MALPRESENT, FETUS 1 Multiple Gestation ICD10 O64.8XX2 OBSTRUCTED LABOR DUE TO OTH MALPOS AND MALPRESENT, FETUS 2 Multiple Gestation ICD10 O64.8XX3 OBSTRUCTED LABOR DUE TO OTH MALPOS AND MALPRESENT, FETUS 3 Multiple Gestation ICD10 O64.8XX4 OBSTRUCTED LABOR DUE TO OTH MALPOS AND MALPRESENT, FETUS 4 Multiple Gestation ICD10 O64.8XX5 OBSTRUCTED LABOR DUE TO OTH MALPOS AND MALPRESENT, FETUS 5 Multiple Gestation ICD10 O64.8XX9 OBSTRUCTED LABOR DUE TO OTH MALPOSITION AND MALPRESENT, OTH Multiple Gestation ICD10 O64.9XX1 OBSTRUCTED LABOR DUE TO MALPOS AND MALPRESENT, UNSP, FETUS 1 Multiple Gestation ICD10 O64.9XX2 OBSTRUCTED LABOR DUE TO MALPOS AND MALPRESENT, UNSP, FETUS 2 Multiple Gestation ICD10 O64.9XX3 OBSTRUCTED LABOR DUE TO MALPOS AND MALPRESENT, UNSP, FETUS 3 Multiple Gestation ICD10 O64.9XX4 OBSTRUCTED LABOR DUE TO MALPOS AND MALPRESENT, UNSP, FETUS 4 Multiple Gestation ICD10 O64.9XX5 OBSTRUCTED LABOR DUE TO MALPOS AND MALPRESENT, UNSP, FETUS 5 Multiple Gestation ICD10 O64.9XX9 OBSTRUCTED LABOR DUE TO MALPOS AND MALPRESENT, UNSP, OTH Multiple Gestation ICD10

652.6 MULTIPLE GESTATION WITH MALPRESENTATION OF ONE FETUS OR MORE, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Multiple Gestation ICD9

652.61 MULTIPLE GESTATION WITH MALPRESENTATION OF ONE FETUS OR MORE, DELIVERED, Multiple Gestation ICD9 652.63 MULTIPLE GESTATION WITH MALPRESENTATION OF ONE FETUS OR MORE, ANTEPARTUM Multiple Gestation ICD9 O32.9XX1 MATERNAL CARE FOR MALPRESENTATION OF FETUS, UNSPECIFIED, FETUS 1 Multiple Gestation ICD10 O32.9XX2 MATERNAL CARE FOR MALPRESENTATION OF FETUS, UNSPECIFIED, FETUS 2 Multiple Gestation ICD10 O32.9XX3 MATERNAL CARE FOR MALPRESENTATION OF FETUS, UNSPECIFIED, FETUS 3 Multiple Gestation ICD10 O32.9XX4 MATERNAL CARE FOR MALPRESENTATION OF FETUS, UNSPECIFIED, FETUS 4 Multiple Gestation ICD10 O32.9XX5 MATERNAL CARE FOR MALPRESENTATION OF FETUS, UNSPECIFIED, FETUS 5 Multiple Gestation ICD10 O32.9XX9 MATERNAL CARE FOR MALPRESENTATION OF FETUS, UNSPECIFIED, OTHER FETUS Multiple Gestation ICD10 O66.6 OBSTRUCTED LABOR DUE TO OTHER MULTIPLE FETUSES Multiple Gestation ICD10 V27.2 OUTCOME OF DELIVERY, TWINS, BOTH LIVEBORN Multiple Gestation ICD9

03/31/2017

86


ICD code type

V27.5 OUTCOME OF DELIVERY, OTHER MULTIPLE BIRTH, ALL LIVEBORN Multiple Gestation ICD9 V27.6 OUTCOME OF DELIVERY, OTHER MULTIPLE BIRTH, SOME LIVEBORN Multiple Gestation ICD9 Z37.2 TWINS, BOTH LIVEBORN Multiple Gestation ICD10 Z37.50 MULTIPLE BIRTHS, UNSPECIFIED, ALL LIVEBORN Multiple Gestation ICD10 Z37.51 TRIPLETS, ALL LIVEBORN Multiple Gestation ICD10 Z37.52 QUADRUPLETS, ALL LIVEBORN Multiple Gestation ICD10 Z37.53 QUINTUPLETS, ALL LIVEBORN Multiple Gestation ICD10 Z37.54 SEXTUPLETS, ALL LIVEBORN Multiple Gestation ICD10 Z37.59 OTHER MULTIPLE BIRTHS, ALL LIVEBORN Multiple Gestation ICD10 Z37.60 MULTIPLE BIRTHS, UNSPECIFIED, SOME LIVEBORN Multiple Gestation ICD10 Z37.61 TRIPLETS, SOME LIVEBORN Multiple Gestation ICD10 Z37.62 QUADRUPLETS, SOME LIVEBORN Multiple Gestation ICD10 Z37.63 QUINTUPLETS, SOME LIVEBORN Multiple Gestation ICD10 Z37.64 SEXTUPLETS, SOME LIVEBORN Multiple Gestation ICD10 Z37.69 OTHER MULTIPLE BIRTHS, SOME LIVEBORN Multiple Gestation ICD10 V91.21 QUADRUPLET GESTATION, WITH TWO OR MORE MONOCHORIONIC FETUSES Multiple Gestation ICD9 V91.91 OTHER SPECIFIED MULTIPLE GESTATION, WITH TWO OR MORE MONOCHORIONIC FETUSES Multiple Gestation ICD9 V91.92 OTHER SPECIFIED MULTIPLE GESTATION, WITH TWO OR MORE MONOAMNIOTIC FETUSES Multiple Gestation ICD9

V91.99 OTHER SPECIFIED MULTIPLE GESTATION, UNABLE TO DETERMINE NUMBER OF PLACENTA AND NUMBER OF AMNIOTIC SACS Multiple Gestation ICD9

O30.219 QUADRUPLET PREGNANCY WITH TWO OR MORE MONOCHORIONIC FETUSES, UNSPECIFIED TRIMESTER Multiple Gestation ICD10

O30.813 OTHER SPECIFIED MULTIPLE GESTATION WITH TWO OR MORE MONOCHORIONIC FETUSES, THIRD TRIMESTER Multiple Gestation ICD10

O30.819 OTHER SPECIFIED MULTIPLE GESTATION WITH TWO OR MORE MONOCHORIONIC FETUSES, UNSPECIFIED TRIMESTER Multiple Gestation ICD10

660.5 LOCKED TWINS, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Multiple Gestation ICD9 660.51 LOCKED TWINS, DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION Multiple Gestation ICD9 660.53 LOCKED TWINS, ANTEPARTUM CONDITION OR COMPLICATION Multiple Gestation ICD9 O66.1 OBSTRUCTED LABOR DUE TO LOCKED TWINS Multiple Gestation ICD10 761.5 MULTIPLE PREGNANCY AFFECTING FETUS OR NEWBORN Multiple Gestation ICD9 P01.5 NEWBORN (SUSPECTED TO BE) AFFECTED BY MULTIPLE PREGNANCY Multiple Gestation ICD10

662.3 DELAYED DELIVERY OF SECOND TWIN, TRIPLET, ETC., UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE Multiple Gestation ICD9

662.31 DELAYED DELIVERY OF SECOND TWIN, TRIPLET, ETC., DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION


662.33 DELAYED DELIVERY OF SECOND TWIN, TRIPLET, ETC., ANTEPARTUM CONDITION OR COMPLICATION Multiple Gestation ICD9 O63.2 DELAYED DELIVERY OF SECOND TWIN, TRIPLET, ETC. Multiple Gestation ICD10 O31.00X1 PAPYRACEOUS FETUS, UNSPECIFIED TRIMESTER, FETUS 1 Multiple Gestation ICD10 O31.00X2 PAPYRACEOUS FETUS, UNSPECIFIED TRIMESTER, FETUS 2 Multiple Gestation ICD10 O31.00X3 PAPYRACEOUS FETUS, UNSPECIFIED TRIMESTER, FETUS 3 Multiple Gestation ICD10 O31.00X4 PAPYRACEOUS FETUS, UNSPECIFIED TRIMESTER, FETUS 4 Multiple Gestation ICD10 O31.00X5 PAPYRACEOUS FETUS, UNSPECIFIED TRIMESTER, FETUS 5 Multiple Gestation ICD10 O31.00X9 PAPYRACEOUS FETUS, UNSPECIFIED TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O31.01X1 PAPYRACEOUS FETUS, FIRST TRIMESTER, FETUS 1 Multiple Gestation ICD10 O31.01X2 PAPYRACEOUS FETUS, FIRST TRIMESTER, FETUS 2 Multiple Gestation ICD10 O31.01X3 PAPYRACEOUS FETUS, FIRST TRIMESTER, FETUS 3 Multiple Gestation ICD10 O31.01X4 PAPYRACEOUS FETUS, FIRST TRIMESTER, FETUS 4 Multiple Gestation ICD10 O31.01X5 PAPYRACEOUS FETUS, FIRST TRIMESTER, FETUS 5 Multiple Gestation ICD10 O31.01X9 PAPYRACEOUS FETUS, FIRST TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O31.02X1 PAPYRACEOUS FETUS, SECOND TRIMESTER, FETUS 1 Multiple Gestation ICD10 O31.02X2 PAPYRACEOUS FETUS, SECOND TRIMESTER, FETUS 2 Multiple Gestation ICD10 O31.02X3 PAPYRACEOUS FETUS, SECOND TRIMESTER, FETUS 3 Multiple Gestation ICD10 O31.02X4 PAPYRACEOUS FETUS, SECOND TRIMESTER, FETUS 4 Multiple Gestation ICD10 O31.02X5 PAPYRACEOUS FETUS, SECOND TRIMESTER, FETUS 5 Multiple Gestation ICD10

03/31/2017

87


ICD code type

O31.02X9 PAPYRACEOUS FETUS, SECOND TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O31.03X1 PAPYRACEOUS FETUS, THIRD TRIMESTER, FETUS 1 Multiple Gestation ICD10 O31.03X2 PAPYRACEOUS FETUS, THIRD TRIMESTER, FETUS 2 Multiple Gestation ICD10 O31.03X3 PAPYRACEOUS FETUS, THIRD TRIMESTER, FETUS 3 Multiple Gestation ICD10 O31.03X4 PAPYRACEOUS FETUS, THIRD TRIMESTER, FETUS 4 Multiple Gestation ICD10 O31.03X5 PAPYRACEOUS FETUS, THIRD TRIMESTER, FETUS 5 Multiple Gestation ICD10 O31.03X9 PAPYRACEOUS FETUS, THIRD TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O32.1XX1 MATERNAL CARE FOR BREECH PRESENTATION, FETUS 1 Multiple Gestation ICD10 O32.1XX2 MATERNAL CARE FOR BREECH PRESENTATION, FETUS 2 Multiple Gestation ICD10 O32.1XX3 MATERNAL CARE FOR BREECH PRESENTATION, FETUS 3 Multiple Gestation ICD10 O32.1XX4 MATERNAL CARE FOR BREECH PRESENTATION, FETUS 4 Multiple Gestation ICD10 O32.1XX5 MATERNAL CARE FOR BREECH PRESENTATION, FETUS 5 Multiple Gestation ICD10 O32.1XX9 MATERNAL CARE FOR BREECH PRESENTATION, OTHER FETUS Multiple Gestation ICD10 O32.2XX1 MATERNAL CARE FOR TRANSVERSE AND OBLIQUE LIE, FETUS 1 Multiple Gestation ICD10 O32.2XX2 MATERNAL CARE FOR TRANSVERSE AND OBLIQUE LIE, FETUS 2 Multiple Gestation ICD10 O32.2XX3 MATERNAL CARE FOR TRANSVERSE AND OBLIQUE LIE, FETUS 3 Multiple Gestation ICD10 O32.2XX4 MATERNAL CARE FOR TRANSVERSE AND OBLIQUE LIE, FETUS 4 Multiple Gestation ICD10 O32.2XX5 MATERNAL CARE FOR TRANSVERSE AND OBLIQUE LIE, FETUS 5 Multiple Gestation ICD10 O32.2XX9 MATERNAL CARE FOR TRANSVERSE AND OBLIQUE LIE, OTHER FETUS Multiple Gestation ICD10 O32.3XX1 MATERNAL CARE FOR FACE, BROW AND CHIN PRESENTATION, FETUS 1 Multiple Gestation ICD10 O32.3XX2 MATERNAL CARE FOR FACE, BROW AND CHIN PRESENTATION, FETUS 2 Multiple Gestation ICD10 O32.3XX3 MATERNAL CARE FOR FACE, BROW AND CHIN PRESENTATION, FETUS 3 Multiple Gestation ICD10 O32.3XX4 MATERNAL CARE FOR FACE, BROW AND CHIN PRESENTATION, FETUS 4 Multiple Gestation ICD10 O32.3XX5 MATERNAL CARE FOR FACE, BROW AND CHIN PRESENTATION, FETUS 5 Multiple Gestation ICD10 O32.3XX9 MATERNAL CARE FOR FACE, BROW AND CHIN PRESENTATION, OTHER FETUS Multiple Gestation ICD10 O32.4XX1 MATERNAL CARE FOR HIGH HEAD AT TERM, FETUS 1 Multiple Gestation ICD10 O32.4XX2 MATERNAL CARE FOR HIGH HEAD AT TERM, FETUS 2 Multiple Gestation ICD10 O32.4XX3 MATERNAL CARE FOR HIGH HEAD AT TERM, FETUS 3 Multiple Gestation ICD10 O32.4XX4 MATERNAL CARE FOR HIGH HEAD AT TERM, FETUS 4 Multiple Gestation ICD10 O32.4XX5 MATERNAL CARE FOR HIGH HEAD AT TERM, FETUS 5 Multiple Gestation ICD10 O32.4XX9 MATERNAL CARE FOR HIGH HEAD AT TERM, OTHER FETUS Multiple Gestation ICD10 O32.6XX1 MATERNAL CARE FOR COMPOUND PRESENTATION, FETUS 1 Multiple Gestation ICD10 O32.6XX2 MATERNAL CARE FOR COMPOUND PRESENTATION, FETUS 2 Multiple Gestation ICD10 O32.6XX3 MATERNAL CARE FOR COMPOUND PRESENTATION, FETUS 3 Multiple Gestation ICD10 O32.6XX4 MATERNAL CARE FOR COMPOUND PRESENTATION, FETUS 4 Multiple Gestation ICD10 O32.6XX5 MATERNAL CARE FOR COMPOUND PRESENTATION, FETUS 5 Multiple Gestation ICD10 O32.6XX9 MATERNAL CARE FOR COMPOUND PRESENTATION, OTHER FETUS Multiple Gestation ICD10 O32.8XX1 MATERNAL CARE FOR OTHER MALPRESENTATION OF FETUS, FETUS 1 Multiple Gestation ICD10 O32.8XX2 MATERNAL CARE FOR OTHER MALPRESENTATION OF FETUS, FETUS 2 Multiple Gestation ICD10 O32.8XX3 MATERNAL CARE FOR OTHER MALPRESENTATION OF FETUS, FETUS 3 Multiple Gestation ICD10 O32.8XX4 MATERNAL CARE FOR OTHER MALPRESENTATION OF FETUS, FETUS 4 Multiple Gestation ICD10 O32.8XX5 MATERNAL CARE FOR OTHER MALPRESENTATION OF FETUS, FETUS 5 Multiple Gestation ICD10 O32.8XX9 MATERNAL CARE FOR OTH MALPRESENTATION OF FETUS, OTHER FETUS Multiple Gestation ICD10 O33.3XX1 MATERN CARE FOR DISPROPRTN D/T OUTLET CONTRCTN OF PELV, FTS1 Multiple Gestation ICD10 O33.3XX2 MATERN CARE FOR DISPROPRTN D/T OUTLET CONTRCTN OF PELV, FTS2 Multiple Gestation ICD10 O33.3XX3 MATERN CARE FOR DISPROPRTN D/T OUTLET CONTRCTN OF PELV, FTS3 Multiple Gestation ICD10 O33.3XX4 MATERN CARE FOR DISPROPRTN D/T OUTLET CONTRCTN OF PELV, FTS4 Multiple Gestation ICD10 O33.3XX5 MATERN CARE FOR DISPROPRTN D/T OUTLET CONTRCTN OF PELV, FTS5 Multiple Gestation ICD10 O33.3XX9 MATERN CARE FOR DISPROPRTN D/T OUTLET CONTRCTN OF PELV, OTH Multiple Gestation ICD10 O33.4XX1 MATERN CARE FOR DISPROPRTN OF MIX MATERN & FETL ORIGIN, FTS1 Multiple Gestation ICD10 O33.4XX2 MATERN CARE FOR DISPROPRTN OF MIX MATERN & FETL ORIGIN, FTS2 Multiple Gestation ICD10 O33.4XX3 MATERN CARE FOR DISPROPRTN OF MIX MATERN & FETL ORIGIN, FTS3 Multiple Gestation ICD10 O33.4XX4 MATERN CARE FOR DISPROPRTN OF MIX MATERN & FETL ORIGIN, FTS4 Multiple Gestation ICD10

03/31/2017

88


ICD code type

O33.4XX5 MATERN CARE FOR DISPROPRTN OF MIX MATERN & FETL ORIGIN, FTS5 Multiple Gestation ICD10 O33.4XX9 MATERN CARE FOR DISPROPRTN OF MIX MATERN & FETL ORIGIN, OTH Multiple Gestation ICD10 O33.5XX1 MATERN CARE FOR DISPROPRTN D/T UNUSUALLY LARGE FETUS, FTS1 Multiple Gestation ICD10 O33.5XX2 MATERN CARE FOR DISPROPRTN D/T UNUSUALLY LARGE FETUS, FTS2 Multiple Gestation ICD10 O33.5XX3 MATERN CARE FOR DISPROPRTN D/T UNUSUALLY LARGE FETUS, FTS3 Multiple Gestation ICD10 O33.5XX4 MATERN CARE FOR DISPROPRTN D/T UNUSUALLY LARGE FETUS, FTS4 Multiple Gestation ICD10 O33.5XX5 MATERN CARE FOR DISPROPRTN D/T UNUSUALLY LARGE FETUS, FTS5 Multiple Gestation ICD10 O33.5XX9 MATERN CARE FOR DISPROPRTN DUE TO UNUSUALLY LARGE FETUS, OTH Multiple Gestation ICD10 O33.6XX1 MATERNAL CARE FOR DISPROPORTION DUE TO HYDROCEPHALIC FETUS, FETUS 1 Multiple Gestation ICD10 O33.6XX2 MATERNAL CARE FOR DISPROPORTION DUE TO HYDROCEPHALIC FETUS, FETUS 2 Multiple Gestation ICD10 O33.6XX3 MATERNAL CARE FOR DISPROPORTION DUE TO HYDROCEPHALIC FETUS, FETUS 3 Multiple Gestation ICD10 O33.6XX4 MATERNAL CARE FOR DISPROPORTION DUE TO HYDROCEPHALIC FETUS, FETUS 4 Multiple Gestation ICD10 O33.6XX5 MATERNAL CARE FOR DISPROPORTION DUE TO HYDROCEPHALIC FETUS, FETUS 5 Multiple Gestation ICD10 O33.6XX9 MATERNAL CARE FOR DISPROPORTION DUE TO HYDROCEPHALIC FETUS, OTHER FETUS Multiple Gestation ICD10 O35.0XX1 MATERNAL CARE FOR (SUSPECTED) CENTRAL NERVOUS SYSTEM MALFORMATION IN FETUS, FETUS 1 Multiple Gestation ICD10 O35.0XX2 MATERNAL CARE FOR (SUSPECTED) CENTRAL NERVOUS SYSTEM MALFORMATION IN FETUS, FETUS 2 Multiple Gestation ICD10 O35.0XX3 MATERNAL CARE FOR (SUSPECTED) CENTRAL NERVOUS SYSTEM MALFORMATION IN FETUS, FETUS 3 Multiple Gestation ICD10 O35.0XX4 MATERNAL CARE FOR (SUSPECTED) CENTRAL NERVOUS SYSTEM MALFORMATION IN FETUS, FETUS 4 Multiple Gestation ICD10 O35.0XX5 MATERNAL CARE FOR (SUSPECTED) CENTRAL NERVOUS SYSTEM MALFORMATION IN FETUS, FETUS 5 Multiple Gestation ICD10

O35.0XX9 MATERNAL CARE FOR (SUSPECTED) CENTRAL NERVOUS SYSTEM MALFORMATION IN FETUS, OTHER FETUS Multiple Gestation ICD10

O35.1XX1 MATERNAL CARE FOR CHROMOSOMAL ABNORMALITY IN FETUS, FETUS 1 Multiple Gestation ICD10 O35.1XX2 MATERNAL CARE FOR CHROMOSOMAL ABNORMALITY IN FETUS, FETUS 2 Multiple Gestation ICD10 O35.1XX3 MATERNAL CARE FOR CHROMOSOMAL ABNORMALITY IN FETUS, FETUS 3 Multiple Gestation ICD10 O35.1XX4 MATERNAL CARE FOR CHROMOSOMAL ABNORMALITY IN FETUS, FETUS 4 Multiple Gestation ICD10 O35.1XX5 MATERNAL CARE FOR CHROMOSOMAL ABNORMALITY IN FETUS, FETUS 5 Multiple Gestation ICD10 O35.1XX9 MATERNAL CARE FOR CHROMOSOMAL ABNORMALITY IN FETUS, OTH Multiple Gestation ICD10 O35.2XX1 MATERNAL CARE FOR HEREDITARY DISEASE IN FETUS, FETUS 1 Multiple Gestation ICD10 O35.2XX2 MATERNAL CARE FOR HEREDITARY DISEASE IN FETUS, FETUS 2 Multiple Gestation ICD10 O35.2XX3 MATERNAL CARE FOR HEREDITARY DISEASE IN FETUS, FETUS 3 Multiple Gestation ICD10 O35.2XX4 MATERNAL CARE FOR HEREDITARY DISEASE IN FETUS, FETUS 4 Multiple Gestation ICD10 O35.2XX5 MATERNAL CARE FOR HEREDITARY DISEASE IN FETUS, FETUS 5 Multiple Gestation ICD10 O35.2XX9 MATERNAL CARE FOR HEREDITARY DISEASE IN FETUS, OTH Multiple Gestation ICD10 O35.3XX1 MATERN CARE FOR DAMAG TO FTS FROM VIRAL DIS IN MOTHER, FTS1 Multiple Gestation ICD10 O35.3XX2 MATERN CARE FOR DAMAG TO FTS FROM VIRAL DIS IN MOTHER, FTS2 Multiple Gestation ICD10 O35.3XX3 MATERN CARE FOR DAMAG TO FTS FROM VIRAL DIS IN MOTHER, FTS3 Multiple Gestation ICD10 O35.3XX4 MATERN CARE FOR DAMAG TO FTS FROM VIRAL DIS IN MOTHER, FTS4 Multiple Gestation ICD10 O35.3XX5 MATERN CARE FOR DAMAG TO FTS FROM VIRAL DIS IN MOTHER, FTS5 Multiple Gestation ICD10 O35.3XX9 MATERN CARE FOR DAMAG TO FETUS FROM VIRAL DIS IN MOTHER, OTH Multiple Gestation ICD10 O35.4XX1 MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS FROM ALCOHOL, FETUS 1 Multiple gestation ICD10 O35.4XX2 MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS FROM ALCOHOL, FETUS 2 Multiple gestation ICD10 O35.4XX3 MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS FROM ALCOHOL, FETUS 3 Multiple gestation ICD10 O35.4XX4 MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS FROM ALCOHOL, FETUS 4 Multiple gestation ICD10 O35.4XX5 MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS FROM ALCOHOL, FETUS 5 Multiple gestation ICD10 O35.4XX9 MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS FROM ALCOHOL, OTHER FETUS Multiple gestation ICD10 O35.5XX1 MATERNAL CARE FOR DAMAGE TO FETUS BY DRUGS, FETUS 1 Multiple Gestation ICD10 O35.5XX2 MATERNAL CARE FOR DAMAGE TO FETUS BY DRUGS, FETUS 2 Multiple Gestation ICD10 O35.5XX3 MATERNAL CARE FOR DAMAGE TO FETUS BY DRUGS, FETUS 3 Multiple Gestation ICD10 O35.5XX4 MATERNAL CARE FOR DAMAGE TO FETUS BY DRUGS, FETUS 4 Multiple Gestation ICD10 O35.5XX5 MATERNAL CARE FOR DAMAGE TO FETUS BY DRUGS, FETUS 5 Multiple Gestation ICD10 O35.5XX9 MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY DRUGS, OTH Multiple Gestation ICD10 O35.6XX1 MATERNAL CARE FOR DAMAGE TO FETUS BY RADIATION, FETUS 1 Multiple Gestation ICD10 O35.6XX2 MATERNAL CARE FOR DAMAGE TO FETUS BY RADIATION, FETUS 2 Multiple Gestation ICD10

03/31/2017

89


ICD code type

O35.6XX3 MATERNAL CARE FOR DAMAGE TO FETUS BY RADIATION, FETUS 3 Multiple Gestation ICD10 O35.6XX4 MATERNAL CARE FOR DAMAGE TO FETUS BY RADIATION, FETUS 4 Multiple Gestation ICD10 O35.6XX5 MATERNAL CARE FOR DAMAGE TO FETUS BY RADIATION, FETUS 5 Multiple Gestation ICD10 O35.6XX9 MATERNAL CARE FOR DAMAGE TO FETUS BY RADIATION, OTH Multiple Gestation ICD10 O35.7XX1 MATERN CARE FOR DAMAGE TO FETUS BY OTH MEDICAL PROC, FETUS 1 Multiple Gestation ICD10 O35.7XX2 MATERN CARE FOR DAMAGE TO FETUS BY OTH MEDICAL PROC, FETUS 2 Multiple Gestation ICD10 O35.7XX3 MATERN CARE FOR DAMAGE TO FETUS BY OTH MEDICAL PROC, FETUS 3 Multiple Gestation ICD10 O35.7XX4 MATERN CARE FOR DAMAGE TO FETUS BY OTH MEDICAL PROC, FETUS 4 Multiple Gestation ICD10 O35.7XX5 MATERN CARE FOR DAMAGE TO FETUS BY OTH MEDICAL PROC, FETUS 5 Multiple Gestation ICD10 O35.7XX9 MATERNAL CARE FOR DAMAGE TO FETUS BY OTH MEDICAL PROC, OTH Multiple Gestation ICD10 O35.8XX1 MATERNAL CARE FOR OTH FETAL ABNORMALITY AND DAMAGE, FETUS 1 Multiple Gestation ICD10 O35.8XX2 MATERNAL CARE FOR OTH FETAL ABNORMALITY AND DAMAGE, FETUS 2 Multiple Gestation ICD10 O35.8XX3 MATERNAL CARE FOR OTH FETAL ABNORMALITY AND DAMAGE, FETUS 3 Multiple Gestation ICD10 O35.8XX4 MATERNAL CARE FOR OTH FETAL ABNORMALITY AND DAMAGE, FETUS 4 Multiple Gestation ICD10 O35.8XX5 MATERNAL CARE FOR OTH FETAL ABNORMALITY AND DAMAGE, FETUS 5 Multiple Gestation ICD10 O35.8XX9 MATERNAL CARE FOR OTH FETAL ABNORMALITY AND DAMAGE, OTH Multiple Gestation ICD10 O35.9XX1 MATERNAL CARE FOR FETAL ABNLT AND DAMAGE, UNSP, FETUS 1 Multiple Gestation ICD10 O35.9XX2 MATERNAL CARE FOR FETAL ABNLT AND DAMAGE, UNSP, FETUS 2 Multiple Gestation ICD10 O35.9XX3 MATERNAL CARE FOR FETAL ABNLT AND DAMAGE, UNSP, FETUS 3 Multiple Gestation ICD10 O35.9XX4 MATERNAL CARE FOR FETAL ABNLT AND DAMAGE, UNSP, FETUS 4 Multiple Gestation ICD10 O35.9XX5 MATERNAL CARE FOR FETAL ABNLT AND DAMAGE, UNSP, FETUS 5 Multiple Gestation ICD10 O35.9XX9 MATERNAL CARE FOR FETAL ABNORMALITY AND DAMAGE, UNSP, OTH Multiple Gestation ICD10 O36.0111 MATERNAL CARE FOR ANTI-D ANTIBODIES, FIRST TRI, FETUS 1 Multiple Gestation ICD10 O36.0112 MATERNAL CARE FOR ANTI-D ANTIBODIES, FIRST TRI, FETUS 2 Multiple Gestation ICD10 O36.0113 MATERNAL CARE FOR ANTI-D ANTIBODIES, FIRST TRI, FETUS 3 Multiple Gestation ICD10 O36.0114 MATERNAL CARE FOR ANTI-D ANTIBODIES, FIRST TRI, FETUS 4 Multiple Gestation ICD10 O36.0115 MATERNAL CARE FOR ANTI-D ANTIBODIES, FIRST TRI, FETUS 5 Multiple Gestation ICD10 O36.0119 MATERNAL CARE FOR ANTI-D ANTIBODIES, FIRST TRIMESTER, OTH Multiple Gestation ICD10 O36.0121 MATERNAL CARE FOR ANTI-D ANTIBODIES, SECOND TRI, FETUS 1 Multiple Gestation ICD10 O36.0122 MATERNAL CARE FOR ANTI-D ANTIBODIES, SECOND TRI, FETUS 2 Multiple Gestation ICD10 O36.0123 MATERNAL CARE FOR ANTI-D ANTIBODIES, SECOND TRI, FETUS 3 Multiple Gestation ICD10 O36.0124 MATERNAL CARE FOR ANTI-D ANTIBODIES, SECOND TRI, FETUS 4 Multiple Gestation ICD10 O36.0125 MATERNAL CARE FOR ANTI-D ANTIBODIES, SECOND TRI, FETUS 5 Multiple Gestation ICD10 O36.0129 MATERNAL CARE FOR ANTI-D ANTIBODIES, SECOND TRIMESTER, OTH Multiple Gestation ICD10 O36.0131 MATERNAL CARE FOR ANTI-D ANTIBODIES, THIRD TRI, FETUS 1 Multiple Gestation ICD10 O36.0132 MATERNAL CARE FOR ANTI-D ANTIBODIES, THIRD TRI, FETUS 2 Multiple Gestation ICD10 O36.0133 MATERNAL CARE FOR ANTI-D ANTIBODIES, THIRD TRI, FETUS 3 Multiple Gestation ICD10 O36.0134 MATERNAL CARE FOR ANTI-D ANTIBODIES, THIRD TRI, FETUS 4 Multiple Gestation ICD10 O36.0135 MATERNAL CARE FOR ANTI-D ANTIBODIES, THIRD TRI, FETUS 5 Multiple Gestation ICD10 O36.0139 MATERNAL CARE FOR ANTI-D ANTIBODIES, THIRD TRIMESTER, OTH Multiple Gestation ICD10 O36.0191 MATERNAL CARE FOR ANTI-D ANTIBODIES, UNSP TRIMESTER, FETUS 1 Multiple Gestation ICD10 O36.0192 MATERNAL CARE FOR ANTI-D ANTIBODIES, UNSP TRIMESTER, FETUS 2 Multiple Gestation ICD10 O36.0193 MATERNAL CARE FOR ANTI-D ANTIBODIES, UNSP TRIMESTER, FETUS 3 Multiple Gestation ICD10 O36.0194 MATERNAL CARE FOR ANTI-D ANTIBODIES, UNSP TRIMESTER, FETUS 4 Multiple Gestation ICD10 O36.0195 MATERNAL CARE FOR ANTI-D ANTIBODIES, UNSP TRIMESTER, FETUS 5 Multiple Gestation ICD10 O36.0199 MATERNAL CARE FOR ANTI-D ANTIBODIES, UNSP TRIMESTER, OTH Multiple Gestation ICD10 O36.0911 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, FIRST TRI, FETUS 1 Multiple Gestation ICD10 O36.0912 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, FIRST TRI, FETUS 2 Multiple Gestation ICD10 O36.0913 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, FIRST TRI, FETUS 3 Multiple Gestation ICD10 O36.0914 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, FIRST TRI, FETUS 4 Multiple Gestation ICD10 O36.0915 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, FIRST TRI, FETUS 5 Multiple Gestation ICD10 O36.0919 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, FIRST TRIMESTER, OTH Multiple Gestation ICD10 O36.0921 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, SECOND TRI, FETUS 1 Multiple Gestation ICD10

03/31/2017

90


ICD code type

O36.0922 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, SECOND TRI, FETUS 2 Multiple Gestation ICD10 O36.0923 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, SECOND TRI, FETUS 3 Multiple Gestation ICD10 O36.0924 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, SECOND TRI, FETUS 4 Multiple Gestation ICD10 O36.0925 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, SECOND TRI, FETUS 5 Multiple Gestation ICD10 O36.0929 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, SECOND TRIMESTER, OTH Multiple Gestation ICD10 O36.0931 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, THIRD TRI, FETUS 1 Multiple Gestation ICD10 O36.0932 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, THIRD TRI, FETUS 2 Multiple Gestation ICD10 O36.0933 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, THIRD TRI, FETUS 3 Multiple Gestation ICD10 O36.0934 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, THIRD TRI, FETUS 4 Multiple Gestation ICD10 O36.0935 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, THIRD TRI, FETUS 5 Multiple Gestation ICD10 O36.0939 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, THIRD TRIMESTER, OTH Multiple Gestation ICD10 O36.0991 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, UNSP TRI, FETUS 1 Multiple Gestation ICD10 O36.0992 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, UNSP TRI, FETUS 2 Multiple Gestation ICD10 O36.0993 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, UNSP TRI, FETUS 3 Multiple Gestation ICD10 O36.0994 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, UNSP TRI, FETUS 4 Multiple Gestation ICD10 O36.0995 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, UNSP TRI, FETUS 5 Multiple Gestation ICD10 O36.0999 MATERNAL CARE FOR OTH RHESUS ISOIMMUN, UNSP TRIMESTER, OTH Multiple Gestation ICD10 O36.1111 MATERNAL CARE FOR ANTI-A SENSITIZATION, FIRST TRI, FETUS 1 Multiple Gestation ICD10 O36.1112 MATERNAL CARE FOR ANTI-A SENSITIZATION, FIRST TRI, FETUS 2 Multiple Gestation ICD10 O36.1113 MATERNAL CARE FOR ANTI-A SENSITIZATION, FIRST TRI, FETUS 3 Multiple Gestation ICD10 O36.1114 MATERNAL CARE FOR ANTI-A SENSITIZATION, FIRST TRI, FETUS 4 Multiple Gestation ICD10 O36.1115 MATERNAL CARE FOR ANTI-A SENSITIZATION, FIRST TRI, FETUS 5 Multiple Gestation ICD10 O36.1119 MATERNAL CARE FOR ANTI-A SENSITIZATION, FIRST TRIMESTER, OTH Multiple Gestation ICD10 O36.1121 MATERNAL CARE FOR ANTI-A SENSITIZATION, SECOND TRI, FETUS 1 Multiple Gestation ICD10 O36.1122 MATERNAL CARE FOR ANTI-A SENSITIZATION, SECOND TRI, FETUS 2 Multiple Gestation ICD10 O36.1123 MATERNAL CARE FOR ANTI-A SENSITIZATION, SECOND TRI, FETUS 3 Multiple Gestation ICD10 O36.1124 MATERNAL CARE FOR ANTI-A SENSITIZATION, SECOND TRI, FETUS 4 Multiple Gestation ICD10 O36.1125 MATERNAL CARE FOR ANTI-A SENSITIZATION, SECOND TRI, FETUS 5 Multiple Gestation ICD10 O36.1129 MATERNAL CARE FOR ANTI-A SENSITIZATION, SECOND TRI, OTH Multiple Gestation ICD10 O36.1131 MATERNAL CARE FOR ANTI-A SENSITIZATION, THIRD TRI, FETUS 1 Multiple Gestation ICD10 O36.1132 MATERNAL CARE FOR ANTI-A SENSITIZATION, THIRD TRI, FETUS 2 Multiple Gestation ICD10 O36.1133 MATERNAL CARE FOR ANTI-A SENSITIZATION, THIRD TRI, FETUS 3 Multiple Gestation ICD10 O36.1134 MATERNAL CARE FOR ANTI-A SENSITIZATION, THIRD TRI, FETUS 4 Multiple Gestation ICD10 O36.1135 MATERNAL CARE FOR ANTI-A SENSITIZATION, THIRD TRI, FETUS 5 Multiple Gestation ICD10 O36.1139 MATERNAL CARE FOR ANTI-A SENSITIZATION, THIRD TRIMESTER, OTH Multiple Gestation ICD10 O36.1191 MATERNAL CARE FOR ANTI-A SENSITIZATION, UNSP TRI, FETUS 1 Multiple Gestation ICD10 O36.1192 MATERNAL CARE FOR ANTI-A SENSITIZATION, UNSP TRI, FETUS 2 Multiple Gestation ICD10 O36.1193 MATERNAL CARE FOR ANTI-A SENSITIZATION, UNSP TRI, FETUS 3 Multiple Gestation ICD10 O36.1194 MATERNAL CARE FOR ANTI-A SENSITIZATION, UNSP TRI, FETUS 4 Multiple Gestation ICD10 O36.1195 MATERNAL CARE FOR ANTI-A SENSITIZATION, UNSP TRI, FETUS 5 Multiple Gestation ICD10 O36.1199 MATERNAL CARE FOR ANTI-A SENSITIZATION, UNSP TRIMESTER, OTH Multiple Gestation ICD10 O36.1911 MATERNAL CARE FOR OTH ISOIMMUN, FIRST TRIMESTER, FETUS 1 Multiple Gestation ICD10 O36.1912 MATERNAL CARE FOR OTH ISOIMMUN, FIRST TRIMESTER, FETUS 2 Multiple Gestation ICD10 O36.1913 MATERNAL CARE FOR OTH ISOIMMUN, FIRST TRIMESTER, FETUS 3 Multiple Gestation ICD10 O36.1914 MATERNAL CARE FOR OTH ISOIMMUN, FIRST TRIMESTER, FETUS 4 Multiple Gestation ICD10 O36.1915 MATERNAL CARE FOR OTH ISOIMMUN, FIRST TRIMESTER, FETUS 5 Multiple Gestation ICD10 O36.1919 MATERNAL CARE FOR OTH ISOIMMUNIZATION, FIRST TRIMESTER, OTH Multiple Gestation ICD10 O36.1921 MATERNAL CARE FOR OTH ISOIMMUN, SECOND TRIMESTER, FETUS 1 Multiple Gestation ICD10 O36.1922 MATERNAL CARE FOR OTH ISOIMMUN, SECOND TRIMESTER, FETUS 2 Multiple Gestation ICD10 O36.1923 MATERNAL CARE FOR OTH ISOIMMUN, SECOND TRIMESTER, FETUS 3 Multiple Gestation ICD10 O36.1924 MATERNAL CARE FOR OTH ISOIMMUN, SECOND TRIMESTER, FETUS 4 Multiple Gestation ICD10 O36.1925 MATERNAL CARE FOR OTH ISOIMMUN, SECOND TRIMESTER, FETUS 5 Multiple Gestation ICD10 O36.1929 MATERNAL CARE FOR OTH ISOIMMUNIZATION, SECOND TRIMESTER, OTH Multiple Gestation ICD10

03/31/2017

91


ICD code type

O36.1931 MATERNAL CARE FOR OTH ISOIMMUN, THIRD TRIMESTER, FETUS 1 Multiple Gestation ICD10 O36.1932 MATERNAL CARE FOR OTH ISOIMMUN, THIRD TRIMESTER, FETUS 2 Multiple Gestation ICD10 O36.1933 MATERNAL CARE FOR OTH ISOIMMUN, THIRD TRIMESTER, FETUS 3 Multiple Gestation ICD10 O36.1934 MATERNAL CARE FOR OTH ISOIMMUN, THIRD TRIMESTER, FETUS 4 Multiple Gestation ICD10 O36.1935 MATERNAL CARE FOR OTH ISOIMMUN, THIRD TRIMESTER, FETUS 5 Multiple Gestation ICD10 O36.1939 MATERNAL CARE FOR OTH ISOIMMUNIZATION, THIRD TRIMESTER, OTH Multiple Gestation ICD10 O36.1991 MATERNAL CARE FOR OTH ISOIMMUN, UNSP TRIMESTER, FETUS 1 Multiple Gestation ICD10 O36.1992 MATERNAL CARE FOR OTH ISOIMMUN, UNSP TRIMESTER, FETUS 2 Multiple Gestation ICD10 O36.1993 MATERNAL CARE FOR OTH ISOIMMUN, UNSP TRIMESTER, FETUS 3 Multiple Gestation ICD10 O36.1994 MATERNAL CARE FOR OTH ISOIMMUN, UNSP TRIMESTER, FETUS 4 Multiple Gestation ICD10 O36.1995 MATERNAL CARE FOR OTH ISOIMMUN, UNSP TRIMESTER, FETUS 5 Multiple Gestation ICD10 O36.1999 MATERNAL CARE FOR OTH ISOIMMUNIZATION, UNSP TRIMESTER, OTH Multiple Gestation ICD10 O36.20X1 MATERNAL CARE FOR HYDROPS FETALIS, UNSP TRIMESTER, FETUS 1 Multiple Gestation ICD10 O36.20X2 MATERNAL CARE FOR HYDROPS FETALIS, UNSP TRIMESTER, FETUS 2 Multiple Gestation ICD10 O36.20X3 MATERNAL CARE FOR HYDROPS FETALIS, UNSP TRIMESTER, FETUS 3 Multiple Gestation ICD10 O36.20X4 MATERNAL CARE FOR HYDROPS FETALIS, UNSP TRIMESTER, FETUS 4 Multiple Gestation ICD10 O36.20X5 MATERNAL CARE FOR HYDROPS FETALIS, UNSP TRIMESTER, FETUS 5 Multiple Gestation ICD10 O36.20X9 MATERNAL CARE FOR HYDROPS FETALIS, UNSP TRIMESTER, OTH FETUS Multiple Gestation ICD10 O36.21X1 MATERNAL CARE FOR HYDROPS FETALIS, FIRST TRIMESTER, FETUS 1 Multiple Gestation ICD10 O36.21X2 MATERNAL CARE FOR HYDROPS FETALIS, FIRST TRIMESTER, FETUS 2 Multiple Gestation ICD10 O36.21X3 MATERNAL CARE FOR HYDROPS FETALIS, FIRST TRIMESTER, FETUS 3 Multiple Gestation ICD10 O36.21X4 MATERNAL CARE FOR HYDROPS FETALIS, FIRST TRIMESTER, FETUS 4 Multiple Gestation ICD10 O36.21X5 MATERNAL CARE FOR HYDROPS FETALIS, FIRST TRIMESTER, FETUS 5 Multiple Gestation ICD10 O36.21X9 MATERNAL CARE FOR HYDROPS FETALIS, FIRST TRIMESTER, OTH Multiple Gestation ICD10 O36.22X1 MATERNAL CARE FOR HYDROPS FETALIS, SECOND TRIMESTER, FETUS 1 Multiple Gestation ICD10 O36.22X2 MATERNAL CARE FOR HYDROPS FETALIS, SECOND TRIMESTER, FETUS 2 Multiple Gestation ICD10 O36.22X3 MATERNAL CARE FOR HYDROPS FETALIS, SECOND TRIMESTER, FETUS 3 Multiple Gestation ICD10 O36.22X4 MATERNAL CARE FOR HYDROPS FETALIS, SECOND TRIMESTER, FETUS 4 Multiple Gestation ICD10 O36.22X5 MATERNAL CARE FOR HYDROPS FETALIS, SECOND TRIMESTER, FETUS 5 Multiple Gestation ICD10 O36.22X9 MATERNAL CARE FOR HYDROPS FETALIS, SECOND TRIMESTER, OTH Multiple Gestation ICD10 O36.23X1 MATERNAL CARE FOR HYDROPS FETALIS, THIRD TRIMESTER, FETUS 1 Multiple Gestation ICD10 O36.23X2 MATERNAL CARE FOR HYDROPS FETALIS, THIRD TRIMESTER, FETUS 2 Multiple Gestation ICD10 O36.23X3 MATERNAL CARE FOR HYDROPS FETALIS, THIRD TRIMESTER, FETUS 3 Multiple Gestation ICD10 O36.23X4 MATERNAL CARE FOR HYDROPS FETALIS, THIRD TRIMESTER, FETUS 4 Multiple Gestation ICD10 O36.23X5 MATERNAL CARE FOR HYDROPS FETALIS, THIRD TRIMESTER, FETUS 5 Multiple Gestation ICD10 O36.23X9 MATERNAL CARE FOR HYDROPS FETALIS, THIRD TRIMESTER, OTH Multiple Gestation ICD10 O36.4XX1 MATERNAL CARE FOR INTRAUTERINE DEATH, FETUS 1 Multiple Gestation ICD10 O36.4XX2 MATERNAL CARE FOR INTRAUTERINE DEATH, FETUS 2 Multiple Gestation ICD10 O36.4XX3 MATERNAL CARE FOR INTRAUTERINE DEATH, FETUS 3 Multiple Gestation ICD10 O36.4XX4 MATERNAL CARE FOR INTRAUTERINE DEATH, FETUS 4 Multiple Gestation ICD10 O36.4XX5 MATERNAL CARE FOR INTRAUTERINE DEATH, FETUS 5 Multiple Gestation ICD10 O36.4XX9 MATERNAL CARE FOR INTRAUTERINE DEATH, OTHER FETUS Multiple Gestation ICD10 O36.5111 MATERN CARE FOR KNOWN OR SUSP PLACNTL INSUFF, 1ST TRI, FTS1 Multiple Gestation ICD10 O36.5112 MATERN CARE FOR KNOWN OR SUSP PLACNTL INSUFF, 1ST TRI, FTS2 Multiple Gestation ICD10 O36.5113 MATERN CARE FOR KNOWN OR SUSP PLACNTL INSUFF, 1ST TRI, FTS3 Multiple Gestation ICD10 O36.5114 MATERN CARE FOR KNOWN OR SUSP PLACNTL INSUFF, 1ST TRI, FTS4 Multiple Gestation ICD10 O36.5115 MATERN CARE FOR KNOWN OR SUSP PLACNTL INSUFF, 1ST TRI, FTS5 Multiple Gestation ICD10 O36.5119 MATERN CARE FOR KNOWN OR SUSP PLACNTL INSUFF, FIRST TRI, OTH Multiple Gestation ICD10 O36.5121 MATERN CARE FOR KNOWN OR SUSP PLACNTL INSUFF, 2ND TRI, FTS1 Multiple Gestation ICD10 O36.5122 MATERN CARE FOR KNOWN OR SUSP PLACNTL INSUFF, 2ND TRI, FTS2 Multiple Gestation ICD10 O36.5123 MATERN CARE FOR KNOWN OR SUSP PLACNTL INSUFF, 2ND TRI, FTS3 Multiple Gestation ICD10 O36.5124 MATERN CARE FOR KNOWN OR SUSP PLACNTL INSUFF, 2ND TRI, FTS4 Multiple Gestation ICD10 O36.5125 MATERN CARE FOR KNOWN OR SUSP PLACNTL INSUFF, 2ND TRI, FTS5 Multiple Gestation ICD10

03/31/2017

92


ICD code type

O36.5129 MATERN CARE FOR KNOWN OR SUSP PLACNTL INSUFF, 2ND TRI, OTH Multiple Gestation ICD10 O36.5131 MATERN CARE FOR OR SUSP PLACNTL INSUFF, THIRD TRI, FTS1 Multiple Gestation ICD10 O36.5132 MATERN CARE FOR OR SUSP PLACNTL INSUFF, THIRD TRI, FTS2 Multiple Gestation ICD10 O36.5133 MATERN CARE FOR OR SUSP PLACNTL INSUFF, THIRD TRI, FTS3 Multiple Gestation ICD10 O36.5134 MATERN CARE FOR OR SUSP PLACNTL INSUFF, THIRD TRI, FTS4 Multiple Gestation ICD10 O36.5135 MATERN CARE FOR OR SUSP PLACNTL INSUFF, THIRD TRI, FTS5 Multiple Gestation ICD10 O36.5139 MATERN CARE FOR KNOWN OR SUSP PLACNTL INSUFF, THIRD TRI, OTH Multiple Gestation ICD10 O36.5191 MATERN CARE FOR KNOWN OR SUSP PLACNTL INSUFF, UNSP TRI, FTS1 Multiple Gestation ICD10 O36.5192 MATERN CARE FOR KNOWN OR SUSP PLACNTL INSUFF, UNSP TRI, FTS2 Multiple Gestation ICD10 O36.5193 MATERN CARE FOR KNOWN OR SUSP PLACNTL INSUFF, UNSP TRI, FTS3 Multiple Gestation ICD10 O36.5194 MATERN CARE FOR KNOWN OR SUSP PLACNTL INSUFF, UNSP TRI, FTS4 Multiple Gestation ICD10 O36.5195 MATERN CARE FOR KNOWN OR SUSP PLACNTL INSUFF, UNSP TRI, FTS5 Multiple Gestation ICD10 O36.5199 MATERN CARE FOR KNOWN OR SUSP PLACNTL INSUFF, UNSP TRI, OTH Multiple Gestation ICD10 O36.5911 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, 1ST TRI, FTS1 Multiple Gestation ICD10 O36.5912 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, 1ST TRI, FTS2 Multiple Gestation ICD10 O36.5913 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, 1ST TRI, FTS3 Multiple Gestation ICD10 O36.5914 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, 1ST TRI, FTS4 Multiple Gestation ICD10 O36.5915 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, 1ST TRI, FTS5 Multiple Gestation ICD10 O36.5919 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, 1ST TRI, OTH Multiple Gestation ICD10 O36.5921 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, 2ND TRI, FTS1 Multiple Gestation ICD10 O36.5922 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, 2ND TRI, FTS2 Multiple Gestation ICD10 O36.5923 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, 2ND TRI, FTS3 Multiple Gestation ICD10 O36.5924 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, 2ND TRI, FTS4 Multiple Gestation ICD10 O36.5925 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, 2ND TRI, FTS5 Multiple Gestation ICD10 O36.5929 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, 2ND TRI, OTH Multiple Gestation ICD10 O36.5931 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, THIRD TRI, FTS1 Multiple Gestation ICD10 O36.5932 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, THIRD TRI, FTS2 Multiple Gestation ICD10 O36.5933 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, THIRD TRI, FTS3 Multiple Gestation ICD10 O36.5934 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, THIRD TRI, FTS4 Multiple Gestation ICD10 O36.5935 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, THIRD TRI, FTS5 Multiple Gestation ICD10 O36.5939 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, THIRD TRI, OTH Multiple Gestation ICD10 O36.5991 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, UNSP TRI, FTS1 Multiple Gestation ICD10 O36.5992 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, UNSP TRI, FTS2 Multiple Gestation ICD10 O36.5993 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, UNSP TRI, FTS3 Multiple Gestation ICD10 O36.5994 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, UNSP TRI, FTS4 Multiple Gestation ICD10 O36.5995 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, UNSP TRI, FTS5 Multiple Gestation ICD10 O36.5999 MATERN CARE FOR OTH OR SUSP POOR FETL GRTH, UNSP TRI, OTH Multiple Gestation ICD10 O36.60X1 MATERNAL CARE FOR EXCESS FETAL GROWTH, UNSP TRI, FETUS 1 Multiple Gestation ICD10 O36.60X2 MATERNAL CARE FOR EXCESS FETAL GROWTH, UNSP TRI, FETUS 2 Multiple Gestation ICD10 O36.60X3 MATERNAL CARE FOR EXCESS FETAL GROWTH, UNSP TRI, FETUS 3 Multiple Gestation ICD10 O36.60X4 MATERNAL CARE FOR EXCESS FETAL GROWTH, UNSP TRI, FETUS 4 Multiple Gestation ICD10 O36.60X5 MATERNAL CARE FOR EXCESS FETAL GROWTH, UNSP TRI, FETUS 5 Multiple Gestation ICD10 O36.60X9 MATERNAL CARE FOR EXCESS FETAL GROWTH, UNSP TRIMESTER, OTH Multiple Gestation ICD10 O36.61X1 MATERNAL CARE FOR EXCESS FETAL GROWTH, FIRST TRI, FETUS 1 Multiple Gestation ICD10 O36.61X2 MATERNAL CARE FOR EXCESS FETAL GROWTH, FIRST TRI, FETUS 2 Multiple Gestation ICD10 O36.61X3 MATERNAL CARE FOR EXCESS FETAL GROWTH, FIRST TRI, FETUS 3 Multiple Gestation ICD10 O36.61X4 MATERNAL CARE FOR EXCESS FETAL GROWTH, FIRST TRI, FETUS 4 Multiple Gestation ICD10 O36.61X5 MATERNAL CARE FOR EXCESS FETAL GROWTH, FIRST TRI, FETUS 5 Multiple Gestation ICD10 O36.61X9 MATERNAL CARE FOR EXCESS FETAL GROWTH, FIRST TRIMESTER, OTH Multiple Gestation ICD10 O36.62X1 MATERNAL CARE FOR EXCESS FETAL GROWTH, SECOND TRI, FETUS 1 Multiple Gestation ICD10 O36.62X2 MATERNAL CARE FOR EXCESS FETAL GROWTH, SECOND TRI, FETUS 2 Multiple Gestation ICD10 O36.62X3 MATERNAL CARE FOR EXCESS FETAL GROWTH, SECOND TRI, FETUS 3 Multiple Gestation ICD10 O36.62X4 MATERNAL CARE FOR EXCESS FETAL GROWTH, SECOND TRI, FETUS 4 Multiple Gestation ICD10

03/31/2017

93


ICD code type

O36.62X5 MATERNAL CARE FOR EXCESS FETAL GROWTH, SECOND TRI, FETUS 5 Multiple Gestation ICD10 O36.62X9 MATERNAL CARE FOR EXCESS FETAL GROWTH, SECOND TRIMESTER, OTH Multiple Gestation ICD10 O36.63X1 MATERNAL CARE FOR EXCESS FETAL GROWTH, THIRD TRI, FETUS 1 Multiple Gestation ICD10 O36.63X2 MATERNAL CARE FOR EXCESS FETAL GROWTH, THIRD TRI, FETUS 2 Multiple Gestation ICD10 O36.63X3 MATERNAL CARE FOR EXCESS FETAL GROWTH, THIRD TRI, FETUS 3 Multiple Gestation ICD10 O36.63X4 MATERNAL CARE FOR EXCESS FETAL GROWTH, THIRD TRI, FETUS 4 Multiple Gestation ICD10 O36.63X5 MATERNAL CARE FOR EXCESS FETAL GROWTH, THIRD TRI, FETUS 5 Multiple Gestation ICD10 O36.63X9 MATERNAL CARE FOR EXCESS FETAL GROWTH, THIRD TRIMESTER, OTH Multiple Gestation ICD10 O36.70X1 MATERN CARE FOR VIABLE FETUS IN ABD PREG, UNSP TRI, FETUS 1 Multiple Gestation ICD10 O36.70X2 MATERN CARE FOR VIABLE FETUS IN ABD PREG, UNSP TRI, FETUS 2 Multiple Gestation ICD10 O36.70X3 MATERN CARE FOR VIABLE FETUS IN ABD PREG, UNSP TRI, FETUS 3 Multiple Gestation ICD10 O36.70X4 MATERN CARE FOR VIABLE FETUS IN ABD PREG, UNSP TRI, FETUS 4 Multiple Gestation ICD10 O36.70X5 MATERN CARE FOR VIABLE FETUS IN ABD PREG, UNSP TRI, FETUS 5 Multiple Gestation ICD10 O36.70X9 MATERNAL CARE FOR VIABLE FETUS IN ABD PREG, UNSP TRI, OTH Multiple Gestation ICD10 O36.71X1 MATERN CARE FOR VIABLE FETUS IN ABD PREG, FIRST TRI, FETUS 1 Multiple Gestation ICD10 O36.71X2 MATERN CARE FOR VIABLE FETUS IN ABD PREG, FIRST TRI, FETUS 2 Multiple Gestation ICD10 O36.71X3 MATERN CARE FOR VIABLE FETUS IN ABD PREG, FIRST TRI, FETUS 3 Multiple Gestation ICD10 O36.71X4 MATERN CARE FOR VIABLE FETUS IN ABD PREG, FIRST TRI, FETUS 4 Multiple Gestation ICD10 O36.71X5 MATERN CARE FOR VIABLE FETUS IN ABD PREG, FIRST TRI, FETUS 5 Multiple Gestation ICD10 O36.71X9 MATERNAL CARE FOR VIABLE FETUS IN ABD PREG, FIRST TRI, OTH Multiple Gestation ICD10 O36.72X1 MATERN CARE FOR VIABLE FETUS IN ABD PREG, SECOND TRI, FTS1 Multiple Gestation ICD10 O36.72X2 MATERN CARE FOR VIABLE FETUS IN ABD PREG, SECOND TRI, FTS2 Multiple Gestation ICD10 O36.72X3 MATERN CARE FOR VIABLE FETUS IN ABD PREG, SECOND TRI, FTS3 Multiple Gestation ICD10 O36.72X4 MATERN CARE FOR VIABLE FETUS IN ABD PREG, SECOND TRI, FTS4 Multiple Gestation ICD10 O36.72X5 MATERN CARE FOR VIABLE FETUS IN ABD PREG, SECOND TRI, FTS5 Multiple Gestation ICD10 O36.72X9 MATERNAL CARE FOR VIABLE FETUS IN ABD PREG, SECOND TRI, OTH Multiple Gestation ICD10 O36.73X0 MATERNAL CARE FOR VIABLE FETUS IN ABD PREG, THIRD TRI, UNSP Multiple Gestation ICD10 O36.73X1 MATERN CARE FOR VIABLE FETUS IN ABD PREG, THIRD TRI, FETUS 1 Multiple Gestation ICD10 O36.73X2 MATERN CARE FOR VIABLE FETUS IN ABD PREG, THIRD TRI, FETUS 2 Multiple Gestation ICD10 O36.73X3 MATERN CARE FOR VIABLE FETUS IN ABD PREG, THIRD TRI, FETUS 3 Multiple Gestation ICD10 O36.73X4 MATERN CARE FOR VIABLE FETUS IN ABD PREG, THIRD TRI, FETUS 4 Multiple Gestation ICD10 O36.73X5 MATERN CARE FOR VIABLE FETUS IN ABD PREG, THIRD TRI, FETUS 5 Multiple Gestation ICD10 O36.73X9 MATERNAL CARE FOR VIABLE FETUS IN ABD PREG, THIRD TRI, OTH Multiple Gestation ICD10 O36.80X1 PREGNANCY WITH INCONCLUSIVE FETAL VIABILITY, FETUS 1 Multiple Gestation ICD10 O36.80X2 PREGNANCY WITH INCONCLUSIVE FETAL VIABILITY, FETUS 2 Multiple Gestation ICD10 O36.80X3 PREGNANCY WITH INCONCLUSIVE FETAL VIABILITY, FETUS 3 Multiple Gestation ICD10 O36.80X4 PREGNANCY WITH INCONCLUSIVE FETAL VIABILITY, FETUS 4 Multiple Gestation ICD10 O36.80X5 PREGNANCY WITH INCONCLUSIVE FETAL VIABILITY, FETUS 5 Multiple Gestation ICD10 O36.80X9 PREGNANCY WITH INCONCLUSIVE FETAL VIABILITY, OTHER FETUS Multiple Gestation ICD10 O36.8121 DECREASED FETAL MOVEMENTS, SECOND TRIMESTER, FETUS 1 Multiple Gestation ICD10 O36.8122 DECREASED FETAL MOVEMENTS, SECOND TRIMESTER, FETUS 2 Multiple Gestation ICD10 O36.8123 DECREASED FETAL MOVEMENTS, SECOND TRIMESTER, FETUS 3 Multiple Gestation ICD10 O36.8124 DECREASED FETAL MOVEMENTS, SECOND TRIMESTER, FETUS 4 Multiple Gestation ICD10 O36.8125 DECREASED FETAL MOVEMENTS, SECOND TRIMESTER, FETUS 5 Multiple Gestation ICD10 O36.8129 DECREASED FETAL MOVEMENTS, SECOND TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O36.8131 DECREASED FETAL MOVEMENTS, THIRD TRIMESTER, FETUS 1 Multiple Gestation ICD10 O36.8132 DECREASED FETAL MOVEMENTS, THIRD TRIMESTER, FETUS 2 Multiple Gestation ICD10 O36.8133 DECREASED FETAL MOVEMENTS, THIRD TRIMESTER, FETUS 3 Multiple Gestation ICD10 O36.8134 DECREASED FETAL MOVEMENTS, THIRD TRIMESTER, FETUS 4 Multiple Gestation ICD10 O36.8135 DECREASED FETAL MOVEMENTS, THIRD TRIMESTER, FETUS 5 Multiple Gestation ICD10 O36.8139 DECREASED FETAL MOVEMENTS, THIRD TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O36.8191 DECREASED FETAL MOVEMENTS, UNSPECIFIED TRIMESTER, FETUS 1 Multiple Gestation ICD10 O36.8192 DECREASED FETAL MOVEMENTS, UNSPECIFIED TRIMESTER, FETUS 2 Multiple Gestation ICD10

03/31/2017

94


ICD code type

O36.8193 DECREASED FETAL MOVEMENTS, UNSPECIFIED TRIMESTER, FETUS 3 Multiple Gestation ICD10 O36.8194 DECREASED FETAL MOVEMENTS, UNSPECIFIED TRIMESTER, FETUS 4 Multiple Gestation ICD10 O36.8195 DECREASED FETAL MOVEMENTS, UNSPECIFIED TRIMESTER, FETUS 5 Multiple Gestation ICD10 O36.8199 DECREASED FETAL MOVEMENTS, UNSP TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O36.8211 FETAL ANEMIA AND THROMBOCYTOPENIA, FIRST TRIMESTER, FETUS 1 Multiple Gestation ICD10 O36.8212 FETAL ANEMIA AND THROMBOCYTOPENIA, FIRST TRIMESTER, FETUS 2 Multiple Gestation ICD10 O36.8213 FETAL ANEMIA AND THROMBOCYTOPENIA, FIRST TRIMESTER, FETUS 3 Multiple Gestation ICD10 O36.8214 FETAL ANEMIA AND THROMBOCYTOPENIA, FIRST TRIMESTER, FETUS 4 Multiple Gestation ICD10 O36.8215 FETAL ANEMIA AND THROMBOCYTOPENIA, FIRST TRIMESTER, FETUS 5 Multiple Gestation ICD10 O36.8219 FETAL ANEMIA AND THROMBOCYTOPENIA, FIRST TRIMESTER, OTH Multiple Gestation ICD10 O36.8221 FETAL ANEMIA AND THROMBOCYTOPENIA, SECOND TRIMESTER, FETUS 1 Multiple Gestation ICD10 O36.8222 FETAL ANEMIA AND THROMBOCYTOPENIA, SECOND TRIMESTER, FETUS 2 Multiple Gestation ICD10 O36.8223 FETAL ANEMIA AND THROMBOCYTOPENIA, SECOND TRIMESTER, FETUS 3 Multiple Gestation ICD10 O36.8224 FETAL ANEMIA AND THROMBOCYTOPENIA, SECOND TRIMESTER, FETUS 4 Multiple Gestation ICD10 O36.8225 FETAL ANEMIA AND THROMBOCYTOPENIA, SECOND TRIMESTER, FETUS 5 Multiple Gestation ICD10 O36.8229 FETAL ANEMIA AND THROMBOCYTOPENIA, SECOND TRIMESTER, OTH Multiple Gestation ICD10 O36.8231 FETAL ANEMIA AND THROMBOCYTOPENIA, THIRD TRIMESTER, FETUS 1 Multiple Gestation ICD10 O36.8232 FETAL ANEMIA AND THROMBOCYTOPENIA, THIRD TRIMESTER, FETUS 2 Multiple Gestation ICD10 O36.8233 FETAL ANEMIA AND THROMBOCYTOPENIA, THIRD TRIMESTER, FETUS 3 Multiple Gestation ICD10 O36.8234 FETAL ANEMIA AND THROMBOCYTOPENIA, THIRD TRIMESTER, FETUS 4 Multiple Gestation ICD10 O36.8235 FETAL ANEMIA AND THROMBOCYTOPENIA, THIRD TRIMESTER, FETUS 5 Multiple Gestation ICD10 O36.8239 FETAL ANEMIA AND THROMBOCYTOPENIA, THIRD TRIMESTER, OTH Multiple Gestation ICD10 O36.8291 FETAL ANEMIA AND THROMBOCYTOPENIA, UNSP TRIMESTER, FETUS 1 Multiple Gestation ICD10 O36.8292 FETAL ANEMIA AND THROMBOCYTOPENIA, UNSP TRIMESTER, FETUS 2 Multiple Gestation ICD10 O36.8293 FETAL ANEMIA AND THROMBOCYTOPENIA, UNSP TRIMESTER, FETUS 3 Multiple Gestation ICD10 O36.8294 FETAL ANEMIA AND THROMBOCYTOPENIA, UNSP TRIMESTER, FETUS 4 Multiple Gestation ICD10 O36.8295 FETAL ANEMIA AND THROMBOCYTOPENIA, UNSP TRIMESTER, FETUS 5 Multiple Gestation ICD10 O36.8299 FETAL ANEMIA AND THROMBOCYTOPENIA, UNSP TRIMESTER, OTH FETUS Multiple Gestation ICD10 O36.8911 MATERNAL CARE FOR OTH FETAL PROBLEMS, FIRST TRI, FETUS 1 Multiple Gestation ICD10 O36.8912 MATERNAL CARE FOR OTH FETAL PROBLEMS, FIRST TRI, FETUS 2 Multiple Gestation ICD10 O36.8913 MATERNAL CARE FOR OTH FETAL PROBLEMS, FIRST TRI, FETUS 3 Multiple Gestation ICD10 O36.8914 MATERNAL CARE FOR OTH FETAL PROBLEMS, FIRST TRI, FETUS 4 Multiple Gestation ICD10 O36.8915 MATERNAL CARE FOR OTH FETAL PROBLEMS, FIRST TRI, FETUS 5 Multiple Gestation ICD10 O36.8919 MATERNAL CARE FOR OTH FETAL PROBLEMS, FIRST TRIMESTER, OTH Multiple Gestation ICD10 O36.8921 MATERNAL CARE FOR OTH FETAL PROBLEMS, SECOND TRI, FETUS 1 Multiple Gestation ICD10 O36.8922 MATERNAL CARE FOR OTH FETAL PROBLEMS, SECOND TRI, FETUS 2 Multiple Gestation ICD10 O36.8923 MATERNAL CARE FOR OTH FETAL PROBLEMS, SECOND TRI, FETUS 3 Multiple Gestation ICD10 O36.8924 MATERNAL CARE FOR OTH FETAL PROBLEMS, SECOND TRI, FETUS 4 Multiple Gestation ICD10 O36.8925 MATERNAL CARE FOR OTH FETAL PROBLEMS, SECOND TRI, FETUS 5 Multiple Gestation ICD10 O36.8929 MATERNAL CARE FOR OTH FETAL PROBLEMS, SECOND TRIMESTER, OTH Multiple Gestation ICD10 O36.8931 MATERNAL CARE FOR OTH FETAL PROBLEMS, THIRD TRI, FETUS 1 Multiple Gestation ICD10 O36.8932 MATERNAL CARE FOR OTH FETAL PROBLEMS, THIRD TRI, FETUS 2 Multiple Gestation ICD10 O36.8933 MATERNAL CARE FOR OTH FETAL PROBLEMS, THIRD TRI, FETUS 3 Multiple Gestation ICD10 O36.8934 MATERNAL CARE FOR OTH FETAL PROBLEMS, THIRD TRI, FETUS 4 Multiple Gestation ICD10 O36.8935 MATERNAL CARE FOR OTH FETAL PROBLEMS, THIRD TRI, FETUS 5 Multiple Gestation ICD10 O36.8939 MATERNAL CARE FOR OTH FETAL PROBLEMS, THIRD TRIMESTER, OTH Multiple Gestation ICD10 O36.8991 MATERNAL CARE FOR OTH FETAL PROBLEMS, UNSP TRI, FETUS 1 Multiple Gestation ICD10 O36.8992 MATERNAL CARE FOR OTH FETAL PROBLEMS, UNSP TRI, FETUS 2 Multiple Gestation ICD10 O36.8993 MATERNAL CARE FOR OTH FETAL PROBLEMS, UNSP TRI, FETUS 3 Multiple Gestation ICD10 O36.8994 MATERNAL CARE FOR OTH FETAL PROBLEMS, UNSP TRI, FETUS 4 Multiple Gestation ICD10 O36.8995 MATERNAL CARE FOR OTH FETAL PROBLEMS, UNSP TRI, FETUS 5 Multiple Gestation ICD10 O36.8999 MATERNAL CARE FOR OTH FETAL PROBLEMS, UNSP TRIMESTER, OTH Multiple Gestation ICD10 O36.90X1 MATERNAL CARE FOR FETAL PROBLEM, UNSP, UNSP TRI, FETUS 1 Multiple Gestation ICD10

03/31/2017

95


ICD code type

O36.90X2 MATERNAL CARE FOR FETAL PROBLEM, UNSP, UNSP TRI, FETUS 2 Multiple Gestation ICD10 O36.90X3 MATERNAL CARE FOR FETAL PROBLEM, UNSP, UNSP TRI, FETUS 3 Multiple Gestation ICD10 O36.90X4 MATERNAL CARE FOR FETAL PROBLEM, UNSP, UNSP TRI, FETUS 4 Multiple Gestation ICD10 O36.90X5 MATERNAL CARE FOR FETAL PROBLEM, UNSP, UNSP TRI, FETUS 5 Multiple Gestation ICD10 O36.90X9 MATERNAL CARE FOR FETAL PROBLEM, UNSP, UNSP TRIMESTER, OTH Multiple Gestation ICD10 O36.91X1 MATERNAL CARE FOR FETAL PROBLEM, UNSP, FIRST TRI, FETUS 1 Multiple Gestation ICD10 O36.91X2 MATERNAL CARE FOR FETAL PROBLEM, UNSP, FIRST TRI, FETUS 2 Multiple Gestation ICD10 O36.91X3 MATERNAL CARE FOR FETAL PROBLEM, UNSP, FIRST TRI, FETUS 3 Multiple Gestation ICD10 O36.91X4 MATERNAL CARE FOR FETAL PROBLEM, UNSP, FIRST TRI, FETUS 4 Multiple Gestation ICD10 O36.91X5 MATERNAL CARE FOR FETAL PROBLEM, UNSP, FIRST TRI, FETUS 5 Multiple Gestation ICD10 O36.91X9 MATERNAL CARE FOR FETAL PROBLEM, UNSP, FIRST TRIMESTER, OTH Multiple Gestation ICD10 O36.92X1 MATERNAL CARE FOR FETAL PROBLEM, UNSP, SECOND TRI, FETUS 1 Multiple Gestation ICD10 O36.92X2 MATERNAL CARE FOR FETAL PROBLEM, UNSP, SECOND TRI, FETUS 2 Multiple Gestation ICD10 O36.92X3 MATERNAL CARE FOR FETAL PROBLEM, UNSP, SECOND TRI, FETUS 3 Multiple Gestation ICD10 O36.92X4 MATERNAL CARE FOR FETAL PROBLEM, UNSP, SECOND TRI, FETUS 4 Multiple Gestation ICD10 O36.92X5 MATERNAL CARE FOR FETAL PROBLEM, UNSP, SECOND TRI, FETUS 5 Multiple Gestation ICD10 O36.92X9 MATERNAL CARE FOR FETAL PROBLEM, UNSP, SECOND TRIMESTER, OTH Multiple Gestation ICD10 O36.93X1 MATERNAL CARE FOR FETAL PROBLEM, UNSP, THIRD TRI, FETUS 1 Multiple Gestation ICD10 O36.93X2 MATERNAL CARE FOR FETAL PROBLEM, UNSP, THIRD TRI, FETUS 2 Multiple Gestation ICD10 O36.93X3 MATERNAL CARE FOR FETAL PROBLEM, UNSP, THIRD TRI, FETUS 3 Multiple Gestation ICD10 O36.93X4 MATERNAL CARE FOR FETAL PROBLEM, UNSP, THIRD TRI, FETUS 4 Multiple Gestation ICD10 O36.93X5 MATERNAL CARE FOR FETAL PROBLEM, UNSP, THIRD TRI, FETUS 5 Multiple Gestation ICD10 O36.93X9 MATERNAL CARE FOR FETAL PROBLEM, UNSP, THIRD TRIMESTER, OTH Multiple Gestation ICD10 O40.1XX1 POLYHYDRAMNIOS, FIRST TRIMESTER, FETUS 1 Multiple Gestation ICD10 O40.1XX2 POLYHYDRAMNIOS, FIRST TRIMESTER, FETUS 2 Multiple Gestation ICD10 O40.1XX3 POLYHYDRAMNIOS, FIRST TRIMESTER, FETUS 3 Multiple Gestation ICD10 O40.1XX4 POLYHYDRAMNIOS, FIRST TRIMESTER, FETUS 4 Multiple Gestation ICD10 O40.1XX5 POLYHYDRAMNIOS, FIRST TRIMESTER, FETUS 5 Multiple Gestation ICD10 O40.1XX9 POLYHYDRAMNIOS, FIRST TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O40.2XX1 POLYHYDRAMNIOS, SECOND TRIMESTER, FETUS 1 Multiple Gestation ICD10 O40.2XX2 POLYHYDRAMNIOS, SECOND TRIMESTER, FETUS 2 Multiple Gestation ICD10 O40.2XX3 POLYHYDRAMNIOS, SECOND TRIMESTER, FETUS 3 Multiple Gestation ICD10 O40.2XX4 POLYHYDRAMNIOS, SECOND TRIMESTER, FETUS 4 Multiple Gestation ICD10 O40.2XX5 POLYHYDRAMNIOS, SECOND TRIMESTER, FETUS 5 Multiple Gestation ICD10 O40.2XX9 POLYHYDRAMNIOS, SECOND TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O40.3XX1 POLYHYDRAMNIOS, THIRD TRIMESTER, FETUS 1 Multiple Gestation ICD10 O40.3XX2 POLYHYDRAMNIOS, THIRD TRIMESTER, FETUS 2 Multiple Gestation ICD10 O40.3XX3 POLYHYDRAMNIOS, THIRD TRIMESTER, FETUS 3 Multiple Gestation ICD10 O40.3XX4 POLYHYDRAMNIOS, THIRD TRIMESTER, FETUS 4 Multiple Gestation ICD10 O40.3XX5 POLYHYDRAMNIOS, THIRD TRIMESTER, FETUS 5 Multiple Gestation ICD10 O40.3XX9 POLYHYDRAMNIOS, THIRD TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O40.9XX1 POLYHYDRAMNIOS, UNSPECIFIED TRIMESTER, FETUS 1 Multiple Gestation ICD10 O40.9XX2 POLYHYDRAMNIOS, UNSPECIFIED TRIMESTER, FETUS 2 Multiple Gestation ICD10 O40.9XX3 POLYHYDRAMNIOS, UNSPECIFIED TRIMESTER, FETUS 3 Multiple Gestation ICD10 O40.9XX4 POLYHYDRAMNIOS, UNSPECIFIED TRIMESTER, FETUS 4 Multiple Gestation ICD10 O40.9XX5 POLYHYDRAMNIOS, UNSPECIFIED TRIMESTER, FETUS 5 Multiple Gestation ICD10 O40.9XX9 POLYHYDRAMNIOS, UNSPECIFIED TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O41.00X1 OLIGOHYDRAMNIOS, UNSPECIFIED TRIMESTER, FETUS 1 Multiple Gestation ICD10 O41.00X2 OLIGOHYDRAMNIOS, UNSPECIFIED TRIMESTER, FETUS 2 Multiple Gestation ICD10 O41.00X3 OLIGOHYDRAMNIOS, UNSPECIFIED TRIMESTER, FETUS 3 Multiple Gestation ICD10 O41.00X4 OLIGOHYDRAMNIOS, UNSPECIFIED TRIMESTER, FETUS 4 Multiple Gestation ICD10 O41.00X5 OLIGOHYDRAMNIOS, UNSPECIFIED TRIMESTER, FETUS 5 Multiple Gestation ICD10 O41.00X9 OLIGOHYDRAMNIOS, UNSPECIFIED TRIMESTER, OTHER FETUS Multiple Gestation ICD10

03/31/2017

96


ICD code type

O41.01X1 OLIGOHYDRAMNIOS, FIRST TRIMESTER, FETUS 1 Multiple Gestation ICD10 O41.01X2 OLIGOHYDRAMNIOS, FIRST TRIMESTER, FETUS 2 Multiple Gestation ICD10 O41.01X3 OLIGOHYDRAMNIOS, FIRST TRIMESTER, FETUS 3 Multiple Gestation ICD10 O41.01X4 OLIGOHYDRAMNIOS, FIRST TRIMESTER, FETUS 4 Multiple Gestation ICD10 O41.01X5 OLIGOHYDRAMNIOS, FIRST TRIMESTER, FETUS 5 Multiple Gestation ICD10 O41.01X9 OLIGOHYDRAMNIOS, FIRST TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O41.02X1 OLIGOHYDRAMNIOS, SECOND TRIMESTER, FETUS 1 Multiple Gestation ICD10 O41.02X2 OLIGOHYDRAMNIOS, SECOND TRIMESTER, FETUS 2 Multiple Gestation ICD10 O41.02X3 OLIGOHYDRAMNIOS, SECOND TRIMESTER, FETUS 3 Multiple Gestation ICD10 O41.02X4 OLIGOHYDRAMNIOS, SECOND TRIMESTER, FETUS 4 Multiple Gestation ICD10 O41.02X5 OLIGOHYDRAMNIOS, SECOND TRIMESTER, FETUS 5 Multiple Gestation ICD10 O41.02X9 OLIGOHYDRAMNIOS, SECOND TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O41.03X1 OLIGOHYDRAMNIOS, THIRD TRIMESTER, FETUS 1 Multiple Gestation ICD10 O41.03X2 OLIGOHYDRAMNIOS, THIRD TRIMESTER, FETUS 2 Multiple Gestation ICD10 O41.03X3 OLIGOHYDRAMNIOS, THIRD TRIMESTER, FETUS 3 Multiple Gestation ICD10 O41.03X4 OLIGOHYDRAMNIOS, THIRD TRIMESTER, FETUS 4 Multiple Gestation ICD10 O41.03X5 OLIGOHYDRAMNIOS, THIRD TRIMESTER, FETUS 5 Multiple Gestation ICD10 O41.03X9 OLIGOHYDRAMNIOS, THIRD TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O41.1011 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, FIRST TRI, FETUS 1 Multiple Gestation ICD10 O41.1012 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, FIRST TRI, FETUS 2 Multiple Gestation ICD10 O41.1013 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, FIRST TRI, FETUS 3 Multiple Gestation ICD10 O41.1014 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, FIRST TRI, FETUS 4 Multiple Gestation ICD10 O41.1015 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, FIRST TRI, FETUS 5 Multiple Gestation ICD10 O41.1019 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, FIRST TRI, OTH Multiple Gestation ICD10 O41.1021 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, SECOND TRI, FETUS 1 Multiple Gestation ICD10 O41.1022 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, SECOND TRI, FETUS 2 Multiple Gestation ICD10 O41.1023 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, SECOND TRI, FETUS 3 Multiple Gestation ICD10 O41.1024 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, SECOND TRI, FETUS 4 Multiple Gestation ICD10 O41.1025 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, SECOND TRI, FETUS 5 Multiple Gestation ICD10 O41.1029 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, SECOND TRI, OTH Multiple Gestation ICD10 O41.1031 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, THIRD TRI, FETUS 1 Multiple Gestation ICD10 O41.1032 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, THIRD TRI, FETUS 2 Multiple Gestation ICD10 O41.1033 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, THIRD TRI, FETUS 3 Multiple Gestation ICD10 O41.1034 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, THIRD TRI, FETUS 4 Multiple Gestation ICD10 O41.1035 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, THIRD TRI, FETUS 5 Multiple Gestation ICD10 O41.1039 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, THIRD TRI, OTH Multiple Gestation ICD10 O41.1091 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, UNSP TRI, FETUS 1 Multiple Gestation ICD10 O41.1092 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, UNSP TRI, FETUS 2 Multiple Gestation ICD10 O41.1093 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, UNSP TRI, FETUS 3 Multiple Gestation ICD10 O41.1094 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, UNSP TRI, FETUS 4 Multiple Gestation ICD10 O41.1095 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, UNSP TRI, FETUS 5 Multiple Gestation ICD10 O41.1099 INFCT OF AMNIOTIC SAC AND MEMBRNS, UNSP, UNSP TRIMESTER, OTH Multiple Gestation ICD10 O41.1211 CHORIOAMNIONITIS, FIRST TRIMESTER, FETUS 1 Multiple Gestation ICD10 O41.1212 CHORIOAMNIONITIS, FIRST TRIMESTER, FETUS 2 Multiple Gestation ICD10 O41.1213 CHORIOAMNIONITIS, FIRST TRIMESTER, FETUS 3 Multiple Gestation ICD10 O41.1214 CHORIOAMNIONITIS, FIRST TRIMESTER, FETUS 4 Multiple Gestation ICD10 O41.1215 CHORIOAMNIONITIS, FIRST TRIMESTER, FETUS 5 Multiple Gestation ICD10 O41.1219 CHORIOAMNIONITIS, FIRST TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O41.1221 CHORIOAMNIONITIS, SECOND TRIMESTER, FETUS 1 Multiple Gestation ICD10 O41.1222 CHORIOAMNIONITIS, SECOND TRIMESTER, FETUS 2 Multiple Gestation ICD10 O41.1223 CHORIOAMNIONITIS, SECOND TRIMESTER, FETUS 3 Multiple Gestation ICD10 O41.1224 CHORIOAMNIONITIS, SECOND TRIMESTER, FETUS 4 Multiple Gestation ICD10 O41.1225 CHORIOAMNIONITIS, SECOND TRIMESTER, FETUS 5 Multiple Gestation ICD10

03/31/2017

97


ICD code type

O41.1229 CHORIOAMNIONITIS, SECOND TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O41.1231 CHORIOAMNIONITIS, THIRD TRIMESTER, FETUS 1 Multiple Gestation ICD10 O41.1232 CHORIOAMNIONITIS, THIRD TRIMESTER, FETUS 2 Multiple Gestation ICD10 O41.1233 CHORIOAMNIONITIS, THIRD TRIMESTER, FETUS 3 Multiple Gestation ICD10 O41.1234 CHORIOAMNIONITIS, THIRD TRIMESTER, FETUS 4 Multiple Gestation ICD10 O41.1235 CHORIOAMNIONITIS, THIRD TRIMESTER, FETUS 5 Multiple Gestation ICD10 O41.1239 CHORIOAMNIONITIS, THIRD TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O41.1291 CHORIOAMNIONITIS, UNSPECIFIED TRIMESTER, FETUS 1 Multiple Gestation ICD10 O41.1292 CHORIOAMNIONITIS, UNSPECIFIED TRIMESTER, FETUS 2 Multiple Gestation ICD10 O41.1293 CHORIOAMNIONITIS, UNSPECIFIED TRIMESTER, FETUS 3 Multiple Gestation ICD10 O41.1294 CHORIOAMNIONITIS, UNSPECIFIED TRIMESTER, FETUS 4 Multiple Gestation ICD10 O41.1295 CHORIOAMNIONITIS, UNSPECIFIED TRIMESTER, FETUS 5 Multiple Gestation ICD10 O41.1299 CHORIOAMNIONITIS, UNSPECIFIED TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O41.1411 PLACENTITIS, FIRST TRIMESTER, FETUS 1 Multiple Gestation ICD10 O41.1412 PLACENTITIS, FIRST TRIMESTER, FETUS 2 Multiple Gestation ICD10 O41.1413 PLACENTITIS, FIRST TRIMESTER, FETUS 3 Multiple Gestation ICD10 O41.1414 PLACENTITIS, FIRST TRIMESTER, FETUS 4 Multiple Gestation ICD10 O41.1415 PLACENTITIS, FIRST TRIMESTER, FETUS 5 Multiple Gestation ICD10 O41.1419 PLACENTITIS, FIRST TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O41.1421 PLACENTITIS, SECOND TRIMESTER, FETUS 1 Multiple Gestation ICD10 O41.1422 PLACENTITIS, SECOND TRIMESTER, FETUS 2 Multiple Gestation ICD10 O41.1423 PLACENTITIS, SECOND TRIMESTER, FETUS 3 Multiple Gestation ICD10 O41.1424 PLACENTITIS, SECOND TRIMESTER, FETUS 4 Multiple Gestation ICD10 O41.1425 PLACENTITIS, SECOND TRIMESTER, FETUS 5 Multiple Gestation ICD10 O41.1429 PLACENTITIS, SECOND TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O41.1431 PLACENTITIS, THIRD TRIMESTER, FETUS 1 Multiple Gestation ICD10 O41.1432 PLACENTITIS, THIRD TRIMESTER, FETUS 2 Multiple Gestation ICD10 O41.1433 PLACENTITIS, THIRD TRIMESTER, FETUS 3 Multiple Gestation ICD10 O41.1434 PLACENTITIS, THIRD TRIMESTER, FETUS 4 Multiple Gestation ICD10 O41.1435 PLACENTITIS, THIRD TRIMESTER, FETUS 5 Multiple Gestation ICD10 O41.1439 PLACENTITIS, THIRD TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O41.1491 PLACENTITIS, UNSPECIFIED TRIMESTER, FETUS 1 Multiple Gestation ICD10 O41.1492 PLACENTITIS, UNSPECIFIED TRIMESTER, FETUS 2 Multiple Gestation ICD10 O41.1493 PLACENTITIS, UNSPECIFIED TRIMESTER, FETUS 3 Multiple Gestation ICD10 O41.1494 PLACENTITIS, UNSPECIFIED TRIMESTER, FETUS 4 Multiple Gestation ICD10 O41.1495 PLACENTITIS, UNSPECIFIED TRIMESTER, FETUS 5 Multiple Gestation ICD10 O41.1499 PLACENTITIS, UNSPECIFIED TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O41.8X11 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, FIRST TRI, FETUS 1 Multiple Gestation ICD10 O41.8X12 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, FIRST TRI, FETUS 2 Multiple Gestation ICD10 O41.8X13 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, FIRST TRI, FETUS 3 Multiple Gestation ICD10 O41.8X14 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, FIRST TRI, FETUS 4 Multiple Gestation ICD10 O41.8X15 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, FIRST TRI, FETUS 5 Multiple Gestation ICD10 O41.8X19 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, FIRST TRI, OTH Multiple Gestation ICD10 O41.8X21 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, SECOND TRI, FETUS 1 Multiple Gestation ICD10 O41.8X22 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, SECOND TRI, FETUS 2 Multiple Gestation ICD10 O41.8X23 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, SECOND TRI, FETUS 3 Multiple Gestation ICD10 O41.8X24 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, SECOND TRI, FETUS 4 Multiple Gestation ICD10 O41.8X25 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, SECOND TRI, FETUS 5 Multiple Gestation ICD10 O41.8X29 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, SECOND TRI, OTH Multiple Gestation ICD10 O41.8X31 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, THIRD TRI, FETUS 1 Multiple Gestation ICD10 O41.8X32 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, THIRD TRI, FETUS 2 Multiple Gestation ICD10 O41.8X33 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, THIRD TRI, FETUS 3 Multiple Gestation ICD10 O41.8X34 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, THIRD TRI, FETUS 4 Multiple Gestation ICD10

03/31/2017

98


ICD code type

O41.8X35 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, THIRD TRI, FETUS 5 Multiple Gestation ICD10 O41.8X39 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, THIRD TRI, OTH Multiple Gestation ICD10 O41.8X91 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, UNSP TRI, FETUS 1 Multiple Gestation ICD10 O41.8X92 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, UNSP TRI, FETUS 2 Multiple Gestation ICD10 O41.8X93 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, UNSP TRI, FETUS 3 Multiple Gestation ICD10 O41.8X94 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, UNSP TRI, FETUS 4 Multiple Gestation ICD10 O41.8X95 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, UNSP TRI, FETUS 5 Multiple Gestation ICD10 O41.8X99 OTH DISRD OF AMNIOTIC FLUID AND MEMBRNS, UNSP TRIMESTER, OTH Multiple Gestation ICD10 O41.90X1 DISORDER OF AMNIO FLUID AND MEMBRNS, UNSP, UNSP TRI, FETUS 1 Multiple Gestation ICD10 O41.90X2 DISORDER OF AMNIO FLUID AND MEMBRNS, UNSP, UNSP TRI, FETUS 2 Multiple Gestation ICD10 O41.90X3 DISORDER OF AMNIO FLUID AND MEMBRNS, UNSP, UNSP TRI, FETUS 3 Multiple Gestation ICD10 O41.90X4 DISORDER OF AMNIO FLUID AND MEMBRNS, UNSP, UNSP TRI, FETUS 4 Multiple Gestation ICD10 O41.90X5 DISORDER OF AMNIO FLUID AND MEMBRNS, UNSP, UNSP TRI, FETUS 5 Multiple Gestation ICD10 O41.90X9 DISORDER OF AMNIOTIC FLUID AND MEMBRNS, UNSP, UNSP TRI, OTH Multiple Gestation ICD10 O41.91X1 DISORD OF AMNIO FLUID AND MEMBRNS, UNSP, FIRST TRI, FETUS 1 Multiple Gestation ICD10 O41.91X2 DISORD OF AMNIO FLUID AND MEMBRNS, UNSP, FIRST TRI, FETUS 2 Multiple Gestation ICD10 O41.91X3 DISORD OF AMNIO FLUID AND MEMBRNS, UNSP, FIRST TRI, FETUS 3 Multiple Gestation ICD10 O41.91X4 DISORD OF AMNIO FLUID AND MEMBRNS, UNSP, FIRST TRI, FETUS 4 Multiple Gestation ICD10 O41.91X5 DISORD OF AMNIO FLUID AND MEMBRNS, UNSP, FIRST TRI, FETUS 5 Multiple Gestation ICD10 O41.91X9 DISORDER OF AMNIOTIC FLUID AND MEMBRNS, UNSP, FIRST TRI, OTH Multiple Gestation ICD10 O41.92X1 DISORD OF AMNIO FLUID AND MEMBRNS, UNSP, SECOND TRI, FETUS 1 Multiple Gestation ICD10 O41.92X2 DISORD OF AMNIO FLUID AND MEMBRNS, UNSP, SECOND TRI, FETUS 2 Multiple Gestation ICD10 O41.92X3 DISORD OF AMNIO FLUID AND MEMBRNS, UNSP, SECOND TRI, FETUS 3 Multiple Gestation ICD10 O41.92X4 DISORD OF AMNIO FLUID AND MEMBRNS, UNSP, SECOND TRI, FETUS 4 Multiple Gestation ICD10 O41.92X5 DISORD OF AMNIO FLUID AND MEMBRNS, UNSP, SECOND TRI, FETUS 5 Multiple Gestation ICD10 O41.92X9 DISORDER OF AMNIO FLUID AND MEMBRNS, UNSP, SECOND TRI, OTH Multiple Gestation ICD10 O41.93X1 DISORD OF AMNIO FLUID AND MEMBRNS, UNSP, THIRD TRI, FETUS 1 Multiple Gestation ICD10 O41.93X2 DISORD OF AMNIO FLUID AND MEMBRNS, UNSP, THIRD TRI, FETUS 2 Multiple Gestation ICD10 O41.93X3 DISORD OF AMNIO FLUID AND MEMBRNS, UNSP, THIRD TRI, FETUS 3 Multiple Gestation ICD10 O41.93X4 DISORD OF AMNIO FLUID AND MEMBRNS, UNSP, THIRD TRI, FETUS 4 Multiple Gestation ICD10 O41.93X5 DISORD OF AMNIO FLUID AND MEMBRNS, UNSP, THIRD TRI, FETUS 5 Multiple Gestation ICD10 O41.93X9 DISORDER OF AMNIOTIC FLUID AND MEMBRNS, UNSP, THIRD TRI, OTH Multiple Gestation ICD10 O60.10X1 PRETERM LABOR WITH PRETERM DELIVERY, UNSPECIFIED TRIMESTER, FETUS 1 Multiple Gestation ICD10 O60.10X2 PRETERM LABOR WITH PRETERM DELIVERY, UNSPECIFIED TRIMESTER, FETUS 2 Multiple Gestation ICD10 O60.10X3 PRETERM LABOR WITH PRETERM DELIVERY, UNSPECIFIED TRIMESTER, FETUS 3 Multiple Gestation ICD10 O60.10X4 PRETERM LABOR WITH PRETERM DELIVERY, UNSPECIFIED TRIMESTER, FETUS 4 Multiple Gestation ICD10 O60.10X5 PRETERM LABOR WITH PRETERM DELIVERY, UNSPECIFIED TRIMESTER, FETUS 5 Multiple Gestation ICD10 O60.10X9 PRETERM LABOR WITH PRETERM DELIVERY, UNSPECIFIED TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O60.12X1 PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY SECOND TRIMESTER, FETUS 1 Multiple Gestation ICD10 O60.12X2 PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY SECOND TRIMESTER, FETUS 2 Multiple Gestation ICD10 O60.12X3 PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY SECOND TRIMESTER, FETUS 3 Multiple Gestation ICD10 O60.12X4 PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY SECOND TRIMESTER, FETUS 4 Multiple Gestation ICD10 O60.12X5 PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY SECOND TRIMESTER, FETUS 5 Multiple Gestation ICD10 O60.12X9 PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY SECOND TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O60.13X1 PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY THIRD TRIMESTER, FETUS 1 Multiple Gestation ICD10 O60.13X2 PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY THIRD TRIMESTER, FETUS 2 Multiple Gestation ICD10 O60.13X3 PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY THIRD TRIMESTER, FETUS 3 Multiple Gestation ICD10 O60.13X4 PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY THIRD TRIMESTER, FETUS 4 Multiple Gestation ICD10 O60.13X5 PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY THIRD TRIMESTER, FETUS 5 Multiple Gestation ICD10 O60.13X9 PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY THIRD TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O60.14X1 PRETERM LABOR THIRD TRIMESTER WITH PRETERM DELIVERY THIRD TRIMESTER, FETUS 1 Multiple Gestation ICD10 O60.14X2 PRETERM LABOR THIRD TRIMESTER WITH PRETERM DELIVERY THIRD TRIMESTER, FETUS 2 Multiple Gestation ICD10 O60.14X3 PRETERM LABOR THIRD TRIMESTER WITH PRETERM DELIVERY THIRD TRIMESTER, FETUS 3 Multiple Gestation ICD10

03/31/2017

99


ICD code type

O60.14X4 PRETERM LABOR THIRD TRIMESTER WITH PRETERM DELIVERY THIRD TRIMESTER, FETUS 4 Multiple Gestation ICD10 O60.14X5 PRETERM LABOR THIRD TRIMESTER WITH PRETERM DELIVERY THIRD TRIMESTER, FETUS 5 Multiple Gestation ICD10 O60.14X9 PRETERM LABOR THIRD TRIMESTER WITH PRETERM DELIVERY THIRD TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O60.20X1 TERM DELIVERY WITH PRETERM LABOR, UNSPECIFIED TRIMESTER, FETUS 1 Multiple Gestation ICD10 O60.20X2 TERM DELIVERY WITH PRETERM LABOR, UNSPECIFIED TRIMESTER, FETUS 2 Multiple Gestation ICD10 O60.20X3 TERM DELIVERY WITH PRETERM LABOR, UNSPECIFIED TRIMESTER, FETUS 3 Multiple Gestation ICD10 O60.20X4 TERM DELIVERY WITH PRETERM LABOR, UNSPECIFIED TRIMESTER, FETUS 4 Multiple Gestation ICD10 O60.20X5 TERM DELIVERY WITH PRETERM LABOR, UNSPECIFIED TRIMESTER, FETUS 5 Multiple Gestation ICD10 O60.20X9 TERM DELIVERY WITH PRETERM LABOR, UNSPECIFIED TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O60.22X1 TERM DELIVERY WITH PRETERM LABOR, SECOND TRIMESTER, FETUS 1 Multiple Gestation ICD10 O60.22X2 TERM DELIVERY WITH PRETERM LABOR, SECOND TRIMESTER, FETUS 2 Multiple Gestation ICD10 O60.22X3 TERM DELIVERY WITH PRETERM LABOR, SECOND TRIMESTER, FETUS 3 Multiple Gestation ICD10 O60.22X4 TERM DELIVERY WITH PRETERM LABOR, SECOND TRIMESTER, FETUS 4 Multiple Gestation ICD10 O60.22X5 TERM DELIVERY WITH PRETERM LABOR, SECOND TRIMESTER, FETUS 5 Multiple Gestation ICD10 O60.22X9 TERM DELIVERY WITH PRETERM LABOR, SECOND TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O60.23X1 TERM DELIVERY WITH PRETERM LABOR, THIRD TRIMESTER, FETUS 1 Multiple Gestation ICD10 O60.23X2 TERM DELIVERY WITH PRETERM LABOR, THIRD TRIMESTER, FETUS 2 Multiple Gestation ICD10 O60.23X3 TERM DELIVERY WITH PRETERM LABOR, THIRD TRIMESTER, FETUS 3 Multiple Gestation ICD10 O60.23X4 TERM DELIVERY WITH PRETERM LABOR, THIRD TRIMESTER, FETUS 4 Multiple Gestation ICD10 O60.23X5 TERM DELIVERY WITH PRETERM LABOR, THIRD TRIMESTER, FETUS 5 Multiple Gestation ICD10 O60.23X9 TERM DELIVERY WITH PRETERM LABOR, THIRD TRIMESTER, OTHER FETUS Multiple Gestation ICD10 O64.0XX1 OBSTRUCTED LABOR DUE TO INCOMPLETE ROTATION OF FETAL HEAD, FETUS 1 Multiple Gestation ICD10 O64.0XX2 OBSTRUCTED LABOR DUE TO INCOMPLETE ROTATION OF FETAL HEAD, FETUS 2 Multiple Gestation ICD10 O64.0XX3 OBSTRUCTED LABOR DUE TO INCOMPLETE ROTATION OF FETAL HEAD, FETUS 3 Multiple Gestation ICD10 O64.0XX4 OBSTRUCTED LABOR DUE TO INCOMPLETE ROTATION OF FETAL HEAD, FETUS 4 Multiple Gestation ICD10 O64.0XX5 OBSTRUCTED LABOR DUE TO INCOMPLETE ROTATION OF FETAL HEAD, FETUS 5 Multiple Gestation ICD10 O64.0XX9 OBSTRUCTED LABOR DUE TO INCOMPLETE ROTATION OF FETAL HEAD, OTHER FETUS Multiple Gestation ICD10 O64.1XX1 OBSTRUCTED LABOR DUE TO BREECH PRESENTATION, FETUS 1 Multiple Gestation ICD10 O64.1XX2 OBSTRUCTED LABOR DUE TO BREECH PRESENTATION, FETUS 2 Multiple Gestation ICD10 O64.1XX3 OBSTRUCTED LABOR DUE TO BREECH PRESENTATION, FETUS 3 Multiple Gestation ICD10 O64.1XX4 OBSTRUCTED LABOR DUE TO BREECH PRESENTATION, FETUS 4 Multiple Gestation ICD10 O64.1XX5 OBSTRUCTED LABOR DUE TO BREECH PRESENTATION, FETUS 5 Multiple Gestation ICD10 O64.1XX9 OBSTRUCTED LABOR DUE TO BREECH PRESENTATION, OTHER FETUS Multiple Gestation ICD10 O64.2XX1 OBSTRUCTED LABOR DUE TO FACE PRESENTATION, FETUS 1 Multiple Gestation ICD10 O64.2XX2 OBSTRUCTED LABOR DUE TO FACE PRESENTATION, FETUS 2 Multiple Gestation ICD10 O64.2XX3 OBSTRUCTED LABOR DUE TO FACE PRESENTATION, FETUS 3 Multiple Gestation ICD10 O64.2XX4 OBSTRUCTED LABOR DUE TO FACE PRESENTATION, FETUS 4 Multiple Gestation ICD10 O64.2XX5 OBSTRUCTED LABOR DUE TO FACE PRESENTATION, FETUS 5 Multiple Gestation ICD10 O64.2XX9 OBSTRUCTED LABOR DUE TO FACE PRESENTATION, OTHER FETUS Multiple Gestation ICD10 O64.3XX1 OBSTRUCTED LABOR DUE TO BROW PRESENTATION, FETUS 1 Multiple Gestation ICD10 O64.3XX2 OBSTRUCTED LABOR DUE TO BROW PRESENTATION, FETUS 2 Multiple Gestation ICD10 O64.3XX3 OBSTRUCTED LABOR DUE TO BROW PRESENTATION, FETUS 3 Multiple Gestation ICD10 O64.3XX4 OBSTRUCTED LABOR DUE TO BROW PRESENTATION, FETUS 4 Multiple Gestation ICD10 O64.3XX5 OBSTRUCTED LABOR DUE TO BROW PRESENTATION, FETUS 5 Multiple Gestation ICD10 O64.3XX9 OBSTRUCTED LABOR DUE TO BROW PRESENTATION, OTHER FETUS Multiple Gestation ICD10 O64.4XX1 OBSTRUCTED LABOR DUE TO SHOULDER PRESENTATION, FETUS 1 Multiple Gestation ICD10 O64.4XX2 OBSTRUCTED LABOR DUE TO SHOULDER PRESENTATION, FETUS 2 Multiple Gestation ICD10 O64.4XX3 OBSTRUCTED LABOR DUE TO SHOULDER PRESENTATION, FETUS 3 Multiple Gestation ICD10 O64.4XX4 OBSTRUCTED LABOR DUE TO SHOULDER PRESENTATION, FETUS 4 Multiple Gestation ICD10 O64.4XX5 OBSTRUCTED LABOR DUE TO SHOULDER PRESENTATION, FETUS 5 Multiple Gestation ICD10 O64.4XX9 OBSTRUCTED LABOR DUE TO SHOULDER PRESENTATION, OTHER FETUS Multiple Gestation ICD10 O64.5XX1 OBSTRUCTED LABOR DUE TO COMPOUND PRESENTATION, FETUS 1 Multiple Gestation ICD10 O64.5XX2 OBSTRUCTED LABOR DUE TO COMPOUND PRESENTATION, FETUS 2 Multiple Gestation ICD10

03/31/2017

100


ICD code type

O64.5XX3 OBSTRUCTED LABOR DUE TO COMPOUND PRESENTATION, FETUS 3 Multiple Gestation ICD10 O64.5XX4 OBSTRUCTED LABOR DUE TO COMPOUND PRESENTATION, FETUS 4 Multiple Gestation ICD10 O64.5XX5 OBSTRUCTED LABOR DUE TO COMPOUND PRESENTATION, FETUS 5 Multiple Gestation ICD10 O64.5XX9 OBSTRUCTED LABOR DUE TO COMPOUND PRESENTATION, OTHER FETUS Multiple Gestation ICD10 O69.0XX1 LABOR AND DELIVERY COMPLICATED BY PROLAPSE OF CORD, FETUS 1 Multiple Gestation ICD10 O69.0XX2 LABOR AND DELIVERY COMPLICATED BY PROLAPSE OF CORD, FETUS 2 Multiple Gestation ICD10 O69.0XX3 LABOR AND DELIVERY COMPLICATED BY PROLAPSE OF CORD, FETUS 3 Multiple Gestation ICD10 O69.0XX4 LABOR AND DELIVERY COMPLICATED BY PROLAPSE OF CORD, FETUS 4 Multiple Gestation ICD10 O69.0XX5 LABOR AND DELIVERY COMPLICATED BY PROLAPSE OF CORD, FETUS 5 Multiple Gestation ICD10 O69.0XX9 LABOR AND DELIVERY COMPLICATED BY PROLAPSE OF CORD, OTHER FETUS Multiple Gestation ICD10 O69.1XX1 LABOR AND DEL COMP BY CORD AROUND NECK, W COMPRSN, FETUS 1 Multiple Gestation ICD10 O69.1XX2 LABOR AND DEL COMP BY CORD AROUND NECK, W COMPRSN, FETUS 2 Multiple Gestation ICD10 O69.1XX3 LABOR AND DEL COMP BY CORD AROUND NECK, W COMPRSN, FETUS 3 Multiple Gestation ICD10 O69.1XX4 LABOR AND DEL COMP BY CORD AROUND NECK, W COMPRSN, FETUS 4 Multiple Gestation ICD10 O69.1XX5 LABOR AND DEL COMP BY CORD AROUND NECK, W COMPRSN, FETUS 5 Multiple Gestation ICD10 O69.1XX9 LABOR AND DELIVERY COMP BY CORD AROUND NECK, W COMPRSN, OTH Multiple Gestation ICD10 O69.2XX1 LABOR AND DEL COMP BY OTH CORD ENTANGLE, W COMPRSN, FETUS 1 Multiple Gestation ICD10 O69.2XX2 LABOR AND DEL COMP BY OTH CORD ENTANGLE, W COMPRSN, FETUS 2 Multiple Gestation ICD10 O69.2XX3 LABOR AND DEL COMP BY OTH CORD ENTANGLE, W COMPRSN, FETUS 3 Multiple Gestation ICD10 O69.2XX4 LABOR AND DEL COMP BY OTH CORD ENTANGLE, W COMPRSN, FETUS 4 Multiple Gestation ICD10 O69.2XX5 LABOR AND DEL COMP BY OTH CORD ENTANGLE, W COMPRSN, FETUS 5 Multiple Gestation ICD10 O69.2XX9 LABOR AND DELIVERY COMP BY OTH CORD ENTANGLE, W COMPRSN, OTH Multiple Gestation ICD10 O69.3XX1 LABOR AND DELIVERY COMPLICATED BY SHORT CORD, FETUS 1 Multiple Gestation ICD10 O69.3XX2 LABOR AND DELIVERY COMPLICATED BY SHORT CORD, FETUS 2 Multiple Gestation ICD10 O69.3XX3 LABOR AND DELIVERY COMPLICATED BY SHORT CORD, FETUS 3 Multiple Gestation ICD10 O69.3XX4 LABOR AND DELIVERY COMPLICATED BY SHORT CORD, FETUS 4 Multiple Gestation ICD10 O69.3XX5 LABOR AND DELIVERY COMPLICATED BY SHORT CORD, FETUS 5 Multiple Gestation ICD10 O69.3XX9 LABOR AND DELIVERY COMPLICATED BY SHORT CORD, OTHER FETUS Multiple Gestation ICD10 O69.4XX1 LABOR AND DELIVERY COMPLICATED BY VASA PREVIA, FETUS 1 Multiple Gestation ICD10 O69.4XX2 LABOR AND DELIVERY COMPLICATED BY VASA PREVIA, FETUS 2 Multiple Gestation ICD10 O69.4XX3 LABOR AND DELIVERY COMPLICATED BY VASA PREVIA, FETUS 3 Multiple Gestation ICD10 O69.4XX4 LABOR AND DELIVERY COMPLICATED BY VASA PREVIA, FETUS 4 Multiple Gestation ICD10 O69.4XX5 LABOR AND DELIVERY COMPLICATED BY VASA PREVIA, FETUS 5 Multiple Gestation ICD10 O69.4XX9 LABOR AND DELIVERY COMPLICATED BY VASA PREVIA, OTHER FETUS Multiple Gestation ICD10 O69.5XX1 LABOR AND DELIVERY COMP BY VASCULAR LESION OF CORD, FETUS 1 Multiple Gestation ICD10 O69.5XX2 LABOR AND DELIVERY COMP BY VASCULAR LESION OF CORD, FETUS 2 Multiple Gestation ICD10 O69.5XX3 LABOR AND DELIVERY COMP BY VASCULAR LESION OF CORD, FETUS 3 Multiple Gestation ICD10 O69.5XX4 LABOR AND DELIVERY COMP BY VASCULAR LESION OF CORD, FETUS 4 Multiple Gestation ICD10 O69.5XX5 LABOR AND DELIVERY COMP BY VASCULAR LESION OF CORD, FETUS 5 Multiple Gestation ICD10 O69.5XX9 LABOR AND DELIVERY COMP BY VASCULAR LESION OF CORD, OTH Multiple Gestation ICD10 O69.81X1 LABOR AND DEL COMP BY CORD AROUND NECK, W/O COMPRSN, FETUS 1 Multiple Gestation ICD10 O69.81X2 LABOR AND DEL COMP BY CORD AROUND NECK, W/O COMPRSN, FETUS 2 Multiple Gestation ICD10 O69.81X3 LABOR AND DEL COMP BY CORD AROUND NECK, W/O COMPRSN, FETUS 3 Multiple Gestation ICD10 O69.81X4 LABOR AND DEL COMP BY CORD AROUND NECK, W/O COMPRSN, FETUS 4 Multiple Gestation ICD10 O69.81X5 LABOR AND DEL COMP BY CORD AROUND NECK, W/O COMPRSN, FETUS 5 Multiple Gestation ICD10 O69.81X9 LABOR AND DEL COMP BY CORD AROUND NECK, W/O COMPRSN, OTH Multiple Gestation ICD10 O69.82X1 LABOR AND DEL COMP BY OTH CORD ENTANGLE, W/O COMPRSN, FTS1 Multiple Gestation ICD10 O69.82X2 LABOR AND DEL COMP BY OTH CORD ENTANGLE, W/O COMPRSN, FTS2 Multiple Gestation ICD10 O69.82X3 LABOR AND DEL COMP BY OTH CORD ENTANGLE, W/O COMPRSN, FTS3 Multiple Gestation ICD10 O69.82X4 LABOR AND DEL COMP BY OTH CORD ENTANGLE, W/O COMPRSN, FTS4 Multiple Gestation ICD10 O69.82X5 LABOR AND DEL COMP BY OTH CORD ENTANGLE, W/O COMPRSN, FTS5 Multiple Gestation ICD10 O69.82X9 LABOR AND DEL COMP BY OTH CORD ENTANGLE, W/O COMPRSN, OTH Multiple Gestation ICD10 O69.89X1 LABOR AND DELIVERY COMPLICATED BY OTH CORD COMP, FETUS 1 Multiple Gestation ICD10

03/31/2017

101


ICD code type

O69.89X2 LABOR AND DELIVERY COMPLICATED BY OTH CORD COMP, FETUS 2 Multiple Gestation ICD10 O69.89X3 LABOR AND DELIVERY COMPLICATED BY OTH CORD COMP, FETUS 3 Multiple Gestation ICD10 O69.89X4 LABOR AND DELIVERY COMPLICATED BY OTH CORD COMP, FETUS 4 Multiple Gestation ICD10 O69.89X5 LABOR AND DELIVERY COMPLICATED BY OTH CORD COMP, FETUS 5 Multiple Gestation ICD10 O69.89X9 LABOR AND DELIVERY COMPLICATED BY OTH CORD COMP, OTH Multiple Gestation ICD10 O69.9XX1 LABOR AND DELIVERY COMPLICATED BY CORD COMP, UNSP, FETUS 1 Multiple Gestation ICD10 O69.9XX2 LABOR AND DELIVERY COMPLICATED BY CORD COMP, UNSP, FETUS 2 Multiple Gestation ICD10 O69.9XX3 LABOR AND DELIVERY COMPLICATED BY CORD COMP, UNSP, FETUS 3 Multiple Gestation ICD10 O69.9XX4 LABOR AND DELIVERY COMPLICATED BY CORD COMP, UNSP, FETUS 4 Multiple Gestation ICD10 O69.9XX5 LABOR AND DELIVERY COMPLICATED BY CORD COMP, UNSP, FETUS 5 Multiple Gestation ICD10 O69.9XX9 LABOR AND DELIVERY COMPLICATED BY CORD COMP, UNSP, OTH Multiple Gestation ICD10

03/31/2017

102

Documents

Aexcel Methodology 2018 External · 2017-07-25 · o PPC-PCMH (Physician Practice Connections) ABMS or AOA Performance-based Improvement Module: At least 50% of specialists in a group