Reports > Administration > Providers > MIPS – Quality...2019 Clinical Quality Measure Scoring Guide December 12, 2018 4 Closing the Referral Loop: Receipt of Specialist Report (CMS50v7)

2019 Clinical Quality Measure Scoring Guide

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Clinical quality measures, or CQMs, are statistics that seek to quantify the quality of services performed by health care providers. These statistics involve data related to a provider’s ability to deliver certain services or their compliance with long-term health care goals. Electronic versions of these measures, known as eCQMs, are automatically tracked by certified EHR technology based on actions a provider might take within the system. eCQMs represent an efficient and more accurate way to submit data for the Quality performance category of the Merit-based Incentive Payment System (MIPS). The purpose of this document is to describe how each of the measures tracked by RevolutionEHR is scored. To locate the MIPS - Quality scorecard, navigate to Reports > Administration > Providers > MIPS – Quality:

2019 Clinical Quality Measure Scoring Guide December 12, 2018 2

Table of Contents

Diabetes: Eye Exam (CMS131v7) ............................................................................................. 3

Closing the Referral Loop: Receipt of Specialist Report (CMS50v7) .......................................... 4

Documentation of Current Medications in the Medical Record (CMS68v8) .............................. 5

Use of High-Risk Medications in the Elderly (CMS156v7) ......................................................... 6

Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Surgery (CMS133v7) ......... 7

Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures (CMS132v7) ............................................................................................. 9

POAG: Optic Nerve Evaluation (CMS143v7) ........................................................................... 11

Diabetic Retinopathy: Communication with Physician Managing Diabetes Care (CMS142v7) 12

Appendix A: ICD Codes Included in Diabetes: Eye Exam ........................................................ 14

Appendix B: High-Risk Medications for the Elderly ................................................................ 26

Appendix C: High-Risk Medications for the Elderly with Days Supply Criteria ........................ 38

Appendix D: SNOMED Codes for Cataract Surgery ................................................................. 39

Appendix E: SNOMED Codes for Operative Procedures Related to Cataract Surgery Complications ....................................................................................................................... 41

Appendix F: ICD Codes Included in POAG: Optic Nerve Head Evaluation ................................ 44

Appendix G: ICD Codes Included in Diabetic Retinopathy Measure ........................................ 46

Appendix H: Clinical Exception Codes: Medical Reason ......................................................... 55

Appendix I: Clinical Exception Codes: Patient Reason ............................................................ 56


Diabetes: Eye Exam (CMS131v7) Denominator: Patients 18-75 years of age with diabetes and a visit during the performance period.

• Exclusion: patients who were in Hospice care during the measurement year

Numerator: Patients in the denominator who had at least one of the following:

1. A retinal or dilated eye exam by an eye care professional in the performance period

• A “retinal or dilated examination” is an encounter where the Fundus test is used to document at least one value

2. A negative retinal exam (no evidence of retinopathy) by an eye care professional < 12 months prior to the performance period

• “No evidence of retinopathy” is a Fundus test where both the following are true for both eyes: • “Diab Ret Grd” is “None”; and • “DME Y/N” is “N”

Notes:

• “Visit” is an encounter with at least one service from the following list of CPT codes: 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99337, 99385, 99386, 99387, 99395, 99396, 99397, 92002, 92004, 92012, 92014, G0438, G0439

• “Patients who were in Hospice care during the measurement year” is a patient with a SNOMED code of 385763009 – Hospice care (regime/therapy) or 385765002 – Hospice care management (procedure)

• “Diabetes” ICD codes can be found in Appendix A


Closing the Referral Loop: Receipt of Specialist Report (CMS50v7) Denominator: Number of patients who were both referred by one provider to another during the performance period as documented in the Referrals component and who had a visit during the performance period. Numerator: Number of patients in denominator for whom the referring provider received a report from the provider to whom the patient was referred

• “Received a report” requires the “Report Received” box in the Referrals component to be checked

Notes • “Visit” is an encounter with at least one service with CPT code: 99201, 99202, 99203, 99204, 99205, 99212,

99213, 99214, 99215, 99391, 99392, 99393, 99394, 99395, 99396, 99397, 99385, 99386, 99387, 99381, 99382, 99383, 99384, 92002, 92004, 92012, 92014


Documentation of Current Medications in the Medical Record (CMS68v8) Denominator: All visits occurring during the 12-month performance period for patients aged 18 years and older.

• An exception is available for medical reasons where the patient is in an urgent or emergent situation where time is of the essence and the delay of treatment would jeopardize the patient’s health status.

Numerator: Eligible professional attests to documenting, updating or reviewing the patient's current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosages, frequency and route of administration

• “Attests to documenting” requires the provider to select “Review” on the Medications screen in the encounter prior to signing

Notes

• “Visit” is an encounter with at least one service with CPT code: 90791, 90792, 90832, 90834, 90837, 90839, 92002, 92004, 92012, 92014, 92507, 92508, 92526, 92541, 92542, 92544, 92545, 92547, 92548, 92550, 92557, 92567, 92568, 92570, 92585, 92588, 92626, 96116, 96150, 96151, 96152, 97001, 97002, 97003, 97004, 97532, 97802, 97803, 97804, 98960, 98961, 98962, 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99385, 99386, 99387, 99395, 99396, 99397, 99495, 99496, 59400, 59510, 59610, 59618, 99024, 99221, 99222, 99223, 99281, 99282, 99283, 99284, 99285, G0101, G0108, G0270, G0402, G0438, G0439, G0515

• Allowed Clinical Exception SNOMED codes:

183932001 Procedure contraindicated (situation)

397745006 Medical contraindication (finding)

407563006 Treatment not tolerated (situation)

428119001 Procedure not indicated (situation)


Use of High-Risk Medications in the Elderly (CMS156v7) Denominator: Patients 65 years and older who had a visit during the performance period.

• Exclusion: patients who were in Hospice care during the measurement year Numerator 1: Patients with an order for at least one high-risk medication during the performance period OR an order for at least one high-risk medication with days supply criteria with a cumulative medication duration > 90 days during the performance period. Numerator 2: Patients with at least two orders for the same high-risk medication during the performance period OR at least two orders for the same high-risk medication with days supply criteria with a cumulative medication duration > 90 days during the performance period. Notes:

• A lower score indicates better quality

• Measure pertains to medications prescribed by the doctor being measured, not those medications prescribed by others

• “Visit” is an encounter with at least one service with CPT code: 92002, 92012, 92004, 92014, 99201,

99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99337, 99385, 99386, 99387, 99395, 99396, 99397, 92002, 92004, 92012, 92014, G0438, G0439

• “Cumulative medication duration” is an individual's total number of medication days over a specific

period; the period counts multiple prescriptions with gaps in between, but does not count the gaps during which a medication was not dispensed.

Example: a patient has an original prescription for 30 days with 2 refills for thirty days each. After a gap of 3 months, the medication was prescribed again for 60 days with 1 refill for 60 days. The cumulative medication duration is (30 x 3) + (60 x 2) = 210 days over the 10 month period.

• “Patients who were in Hospice care during the measurement year” is a patient with a SNOMED code of

385763009 – Hospice care (regime/therapy) or 385765002 – Hospice care management (procedure)

• “High-risk medications” are listed in Appendix B

• “High-risk medications with days supply criteria” are listed in Appendix C


Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Surgery (CMS133v7) Denominator: All patients aged 18 years and older who had cataract surgery during but greater than 92 days prior to the end of the performance period as documented within the Surgery History component.

• Exclusions: o Patients with significant ocular conditions that impact the visual outcome of surgery o Cataract procedures performed during October 1 – December 31

Numerator: Patients who had best-corrected visual acuity of 20/40 or better (distance or near) achieved within 90 days following cataract surgery.

Notes

• “Cataract surgery” is a surgery with SNOMED code from Appendix D logged in Surgery History:

• “Significant ocular conditions that impact the visual outcome or surgery” must start prior to surgical date and be active on day of surgery. They include:

Acute and Subacute Iridocyclitis, Pathologic Myopia, Retinal Detachment with Retinal Defect, Retinal Vascular Occlusion, Purulent Endophthalmitis, Certain Types of Iridocyclitis, Glaucoma Associated with Congenital Anomalies, Dystrophies, and Systemic Syndromes, Chronic Iridocyclitis, Choroidal Degenerations, Optic Neuritis, Other Background Retinopathy and Retinal Vascular Changes, Other Corneal Deformities, Cloudy Cornea, Other Retinal Disorders, Prior Penetrating Keratoplasty, Other and Unspecified forms of Chorioretinitis and Retinochoroiditis, Amblyopia, Corneal Edema, Nystagmus and other Irregular Eye Movements, Moderate or Severe Impairment, Better Eye, Profound Impairment Lesser Eye, Hereditary Choroidal Dystrophies, Hereditary Retinal Dystrophies, Burn Confined to Eye and Adnexa, Scleritis and Episcleritis, Other Disorders of Sclera, Focal Chorioretinitis and Focal Retinochoroiditis, Degenerative Disorders of Globe, Degeneration of Macula and Posterior Pole, Disseminated Chorioretinitis and Disseminated Retinochoroiditis, Diabetic Macular Edema, Uveitis, Profound Impairment, Both Eyes, Other Proliferative Retinopathy, Cataract Secondary to Ocular Disorders, Disorders of Visual


Cortex, Choroidal Detachment, Disorders of Optic Chiasm, Injury to Optic Nerve and Pathways, Choroidal Hemorrhage and Rupture, Other Disorders of Optic Nerve, Glaucoma, Chorioretinal Scars, Hereditary Corneal Dystrophies, Central Corneal Ulcer, Corneal Opacity and other Disorders of Cornea, Optic Atrophy, Open Wound of Eyeball, Other Endophthalmitis, Separation of Retinal Layers, Diabetic Retinopathy, Visual Field Defects

• Visual acuity of 20/40 or better” is an encounter where the VA of OU, OD, or OS is 20/40 or better in any

of the following tests:

Final Refraction with Prism Refraction - Distance Refraction - Nearpoint Technical Refraction Aided Visual Acuity Uncorrected Visual Acuity

• Per CMS guidance: “This measure is to be reported by the clinician performing the cataract surgery

procedure. Clinicians who provide only preoperative or postoperative management of cataract patients are not eligible for this measure.”

To account for this, RevolutionEHR will only score the measure for the provider appearing in the patient’s Demographics if he/she is also the provider listed as the surgeon in the Surgery History component. This will prevent the measure from being scored for ODs.


Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures (CMS132v7) Denominator: All patients aged 18 years and older who had cataract surgery during the performance period as documented in the Surgery History component and no significant ocular conditions impacting the surgical complication rate.

• Exclusion: patients with any one of a specified list of significant ocular conditions that impact the surgical complication rate

Numerator: Patients who had one or more specified operative procedures for any of the following major complications within 30 days following cataract surgery: retained nuclear fragments, endophthalmitis, dislocated or wrong power IOL, retinal detachment, or wound dehiscence as documented in the Surgery History component.

Notes

• A lower score indicates better quality

• “Cataract surgery” is a surgery with a SNOMED code from Appendix D logged in Surgery History:

• Surgical procedures that count in the numerator for “retained nuclear fragments, endophthalmitis, dislocated or wrong power IOL, retinal detachment, or wound dehiscence” refer to procedures with a SNOMED code from Appendix E logged in Surgery History

• “Significant ocular conditions that impact the surgical complication rate” that count toward denominator exclusions include any of the following:

o Diagnoses made prior to and still active on day of surgery:

§ Acute and Subacute Iridocyclitis, Adhesions and Disruptions of Iris and Ciliary Body, Central Corneal Ulcer, Burn Confined to Eye and Adnexa, Pseudoexfoliation Syndrome, Senile Cataract, Hypotony of Eye, Cataract Secondary to Ocular Disorders, High Hyperopia, Injury to Optic Nerve and Pathways, Cataract (congenital), Cysts of Iris, Ciliary Body, and Anterior Chamber, Glaucoma, Cataract, Mature or Hypermature,


Traumatic Cataract, Cataract, Posterior Polar, Pathologic Myopia, Open Wound of Eyeball, Certain Types of Iridocyclitis, Vascular Disorders of Iris and Ciliary Body, Hereditary Corneal Dystrophies, Enophthalmos, Uveitis, Chronic Iridocyclitis, Corneal Opacity and other Disorders of Cornea, Cloudy Cornea, Posterior Lenticonus, Aphakia and other Disorders of Lens, Corneal Edema, Retrolental Fibroplasias, Anomalies of Pupillary Function.

o Medication Rx written prior to surgical date and active on day of surgery:

RxNORM Code

Description

197625 Doxazosin 1 MG Oral Tablet 197626 Doxazosin 2 MG Oral Tablet 197627 Doxazosin 4 MG Oral Tablet 197628 Doxazosin 8 MG Oral Tablet 198141 Prazosin 5 MG Oral Capsule 199797 Prazosin 1 MG Oral Tablet 199798 Prazosin 2 MG Oral Tablet 199799 Prazosin 5 MG Oral Tablet 260376 Terazosin 10 MG Oral Capsule 312481 Polythiazide 0.5 MG / Prazosin 1 MG Oral Capsule 312482 Polythiazide 0.5 MG / Prazosin 2 MG Oral Capsule 312483 Polythiazide 0.5 MG / Prazosin 5 MG Oral Capsule 312593 Prazosin 1 MG Oral Capsule 312594 Prazosin 2 MG Oral Capsule 313215 Terazosin 1 MG Oral Capsule 313217 Terazosin 2 MG Oral Capsule 313219 Terazosin 5 MG Oral Capsule 636360 24 HR Doxazosin 4 MG Extended Release Oral Tablet 636361 24 HR Doxazosin 8 MG Extended Release Oral Tablet 861132 24 HR Alfuzosin hydrochloride 10 MG Extended Release Oral Tablet 861402 Phenoxybenzamine Hydrochloride 10 MG Oral Capsule 863669 Tamsulosin hydrochloride 0.4 MG Oral Capsule 996097 Dutasteride 0.5 MG / Tamsulosin hydrochloride 0.4 MG Oral Capsule

o Surgery with SNOMED code 87021001 (Mechanical vitrectomy by pars plana approach) prior to

cataract surgery

• Per CMS guidance: “This measure is to be reported by the clinician performing the cataract surgery procedure. Clinicians who provide only preoperative or postoperative management of cataract patients are not eligible for this measure.”

To account for this, RevolutionEHR will only score the measure for the provider appearing in the patient’s Demographics if he/she is also the provider listed as the surgeon in the Surgery History component. This will prevent the measure from being scored for ODs.


POAG: Optic Nerve Evaluation (CMS143v7) Denominator: All patients aged 18 years and older with an active diagnosis of primary open-angle glaucoma and one or more office visits during the performance period.

• An exception is available when a medical reason is provided for not performing an optic nerve head evaluation

Numerator: Patients who have an optic nerve head evaluation during one or more office visits within the performance period

Notes

• “Office visit” is an encounter with at least one service with CPT code: 99201, 99202, 99203, 99204, 99205,

99212, 99213, 99214, 99215, 99241, 99242, 99243, 99244, 99245, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 92002, 92004, 92012, 92014

• “Optic nerve evaluation” requires use of the Optic Nerve test to document each of the following for at

least one eye: Vert C/D, NR Rim, Color, Margins

• Included primary open-angle glaucoma ICD codes can be found in Appendix F

• Allowed medical reason exception SNOMED codes can be found in Appendix G


Diabetic Retinopathy: Communication with Physician Managing Diabetes Care (CMS142v7) Denominator: All patients aged 18 years and older with an active diagnosis of diabetic retinopathy who had an office visit and dilated macular or fundus exam performed during the performance period.

• An exception is available when a medical or patient reason is documented for not communicating the findings of the dilated macular or fundus exam to the physician who manages the ongoing care of the patient with diabetes

Numerator: Patients with documentation, at least once within the performance period, of the findings of the dilated macular or fundus exam via communication to the physician who manages the patient's diabetic care. Notes

• “Office visit” is an encounter with at least one service with CPT code: 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99241, 99242, 99243, 99244, 99245, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 92002, 92004, 92012, 92014

• “Dilated macular or fundus exam performed” requires use of the Fundus test to document the following

for at least one eye: “Diab Ret Grd” , “DME Y/N”

• “Diab Ret Grd” cannot be “None” as this represents an inconsistency between the active diagnosis diabetic retinopathy (in Diagnosis History) and the clinical findings. In cases where active retinopathy is not present, the diagnosis should be resolved prior to signing the encounter.

• “Communication” requires:

o use of the “Comm” button on the screen header bar within the encounter where the dilated macular or fundus exam was performed to start a letter:


o use of any of the following templates for the letter: § “Diabetes Encounter Summary for PCP” § “Vision Source Diabetes Encounter Summary for PCP” § “Vision Source Diabetes and Glaucoma Encounter Summary for PCP”

§ Any other communication template marked for inclusion in the measure through Admin (available for any Flex template that has been “converted” to HTML)

o the designated recipient to be a “Clinician” or “External Provider”

• Included diabetic retinopathy ICD codes can be found in Appendix G

• Allowed medical reason exception SNOMED codes can be found in Appendix H

• Allowed patient reason exception SNOMED codes can be found in Appendix I


Appendix A: ICD Codes Included in Diabetes: Eye Exam

Code Description Code System

250.00 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled

ICD9CM

250.01 Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled

ICD9CM

250.02 Diabetes mellitus without mention of complication, type II or unspecified type, uncontrolled

ICD9CM

250.03 Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled

ICD9CM

250.10 Diabetes with ketoacidosis, type II or unspecified type, not stated as uncontrolled ICD9CM 250.11 Diabetes with ketoacidosis, type I [juvenile type], not stated as uncontrolled ICD9CM 250.12 Diabetes with ketoacidosis, type II or unspecified type, uncontrolled ICD9CM 250.13 Diabetes with ketoacidosis, type I [juvenile type], uncontrolled ICD9CM 250.20 Diabetes with hyperosmolarity, type II or unspecified type, not stated as

uncontrolled ICD9CM

250.21 Diabetes with hyperosmolarity, type I [juvenile type], not stated as uncontrolled ICD9CM 250.22 Diabetes with hyperosmolarity, type II or unspecified type, uncontrolled ICD9CM 250.23 Diabetes with hyperosmolarity, type I [juvenile type], uncontrolled ICD9CM 250.30 Diabetes with other coma, type II or unspecified type, not stated as uncontrolled ICD9CM 250.31 Diabetes with other coma, type I [juvenile type], not stated as uncontrolled ICD9CM 250.32 Diabetes with other coma, type II or unspecified type, uncontrolled ICD9CM 250.33 Diabetes with other coma, type I [juvenile type], uncontrolled ICD9CM 250.40 Diabetes with renal manifestations, type II or unspecified type, not stated as

uncontrolled ICD9CM

250.41 Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled

ICD9CM

250.42 Diabetes with renal manifestations, type II or unspecified type, uncontrolled ICD9CM 250.43 Diabetes with renal manifestations, type I [juvenile type], uncontrolled ICD9CM 250.50 Diabetes with ophthalmic manifestations, type II or unspecified type, not stated as

uncontrolled ICD9CM

250.51 Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled

ICD9CM

250.52 Diabetes with ophthalmic manifestations, type II or unspecified type, uncontrolled ICD9CM 250.53 Diabetes with ophthalmic manifestations, type I [juvenile type], uncontrolled ICD9CM 250.60 Diabetes with neurological manifestations, type II or unspecified type, not stated as

uncontrolled ICD9CM

250.61 Diabetes with neurological manifestations, type I [juvenile type], not stated as uncontrolled

ICD9CM

250.62 Diabetes with neurological manifestations, type II or unspecified type, uncontrolled ICD9CM 250.63 Diabetes with neurological manifestations, type I [juvenile type], uncontrolled ICD9CM 250.70 Diabetes with peripheral circulatory disorders, type II or unspecified type, not

stated as uncontrolled ICD9CM

250.71 Diabetes with peripheral circulatory disorders, type I [juvenile type], not stated as uncontrolled

ICD9CM

250.72 Diabetes with peripheral circulatory disorders, type II or unspecified type, uncontrolled

ICD9CM

250.73 Diabetes with peripheral circulatory disorders, type I [juvenile type], uncontrolled ICD9CM


250.80 Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled

ICD9CM

250.81 Diabetes with other specified manifestations, type I [juvenile type], not stated as uncontrolled

ICD9CM

250.82 Diabetes with other specified manifestations, type II or unspecified type, uncontrolled

ICD9CM

250.83 Diabetes with other specified manifestations, type I [juvenile type], uncontrolled ICD9CM 250.90 Diabetes with unspecified complication, type II or unspecified type, not stated as

uncontrolled ICD9CM

250.91 Diabetes with unspecified complication, type I [juvenile type], not stated as uncontrolled

ICD9CM

250.92 Diabetes with unspecified complication, type II or unspecified type, uncontrolled ICD9CM 250.93 Diabetes with unspecified complication, type I [juvenile type], uncontrolled ICD9CM 357.2 Polyneuropathy in diabetes ICD9CM 362.01 Background diabetic retinopathy ICD9CM 362.02 Proliferative diabetic retinopathy ICD9CM 362.03 Nonproliferative diabetic retinopathy NOS ICD9CM 362.04 Mild nonproliferative diabetic retinopathy ICD9CM 362.05 Moderate nonproliferative diabetic retinopathy ICD9CM 362.06 Severe nonproliferative diabetic retinopathy ICD9CM 362.07 Diabetic macular edema ICD9CM 366.41 Diabetic cataract ICD9CM 648.00 Diabetes mellitus of mother, complicating pregnancy, childbirth, or the

puerperium, unspecified as to episode of care or not applicable ICD9CM

648.01 Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition

ICD9CM

648.02 Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with mention of postpartum complication

ICD9CM

648.03 Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication

ICD9CM

648.04 Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, postpartum condition or complication

ICD9CM

E10.10 Type 1 diabetes mellitus with ketoacidosis without coma ICD10CM E10.11 Type 1 diabetes mellitus with ketoacidosis with coma ICD10CM E10.21 Type 1 diabetes mellitus with diabetic nephropathy ICD10CM E10.22 Type 1 diabetes mellitus with diabetic chronic kidney disease ICD10CM E10.29 Type 1 diabetes mellitus with other diabetic kidney complication ICD10CM E10.311 Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema ICD10CM E10.319 Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular

edema ICD10CM

E10.321 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema

ICD10CM

E10.3211 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye

ICD10CM

E10.3212 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye

ICD10CM

E10.3213 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral

ICD10CM

E10.3219 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye

ICD10CM


E10.329 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema

ICD10CM

E10.3291 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye

ICD10CM

E10.3292 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye

ICD10CM

E10.3293 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral

ICD10CM

E10.3299 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye

ICD10CM

E10.331 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema

ICD10CM

E10.3311 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye

ICD10CM

E10.3312 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye

ICD10CM

E10.3313 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral

ICD10CM

E10.3319 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye

ICD10CM

E10.339 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema

ICD10CM

E10.3391 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye

ICD10CM

E10.3392 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye

ICD10CM

E10.3393 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral

ICD10CM

E10.3399 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye

ICD10CM

E10.341 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema

ICD10CM

E10.3411 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye

ICD10CM

E10.3412 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye

ICD10CM

E10.3413 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral

ICD10CM

E10.3419 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye

ICD10CM

E10.349 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema

ICD10CM

E10.3491 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye

ICD10CM

E10.3492 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye

ICD10CM

E10.3493 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral

ICD10CM

E10.3499 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye

ICD10CM


E10.351 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema

ICD10CM

E10.3511 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye

ICD10CM

E10.3512 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye

ICD10CM

E10.3513 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral

ICD10CM

E10.3519 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye

ICD10CM

E10.3521 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye

ICD10CM

E10.3522 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye

ICD10CM

E10.3523 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral

ICD10CM

E10.3529 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye

ICD10CM

E10.3531 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye

ICD10CM

E10.3532 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye

ICD10CM

E10.3533 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral

ICD10CM

E10.3539 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye

ICD10CM

E10.3541 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye

ICD10CM

E10.3542 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye

ICD10CM

E10.3543 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral

ICD10CM

E10.3549 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye

ICD10CM

E10.3551 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, right eye ICD10CM E10.3552 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, left eye ICD10CM E10.3553 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral ICD10CM E10.3559 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified

eye ICD10CM

E10.359 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema

ICD10CM

E10.3591 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye

ICD10CM

E10.3592 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye

ICD10CM

E10.3593 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral

ICD10CM

E10.3599 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye

ICD10CM

E10.36 Type 1 diabetes mellitus with diabetic cataract ICD10CM


E10.37X1 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye

ICD10CM

E10.37X2 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye

ICD10CM

E10.37X3 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral

ICD10CM

E10.37X9 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye

ICD10CM

E10.39 Type 1 diabetes mellitus with other diabetic ophthalmic complication ICD10CM E10.40 Type 1 diabetes mellitus with diabetic neuropathy, unspecified ICD10CM E10.41 Type 1 diabetes mellitus with diabetic mononeuropathy ICD10CM E10.42 Type 1 diabetes mellitus with diabetic polyneuropathy ICD10CM E10.43 Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy ICD10CM E10.44 Type 1 diabetes mellitus with diabetic amyotrophy ICD10CM E10.49 Type 1 diabetes mellitus with other diabetic neurological complication ICD10CM E10.51 Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene ICD10CM E10.52 Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene ICD10CM E10.59 Type 1 diabetes mellitus with other circulatory complications ICD10CM E10.610 Type 1 diabetes mellitus with diabetic neuropathic arthropathy ICD10CM E10.618 Type 1 diabetes mellitus with other diabetic arthropathy ICD10CM E10.620 Type 1 diabetes mellitus with diabetic dermatitis ICD10CM E10.621 Type 1 diabetes mellitus with foot ulcer ICD10CM E10.622 Type 1 diabetes mellitus with other skin ulcer ICD10CM E10.628 Type 1 diabetes mellitus with other skin complications ICD10CM E10.630 Type 1 diabetes mellitus with periodontal disease ICD10CM E10.638 Type 1 diabetes mellitus with other oral complications ICD10CM E10.641 Type 1 diabetes mellitus with hypoglycemia with coma ICD10CM E10.649 Type 1 diabetes mellitus with hypoglycemia without coma ICD10CM E10.65 Type 1 diabetes mellitus with hyperglycemia ICD10CM E10.69 Type 1 diabetes mellitus with other specified complication ICD10CM E10.8 Type 1 diabetes mellitus with unspecified complications ICD10CM E10.9 Type 1 diabetes mellitus without complications ICD10CM E11.00 Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-

hyperosmolar coma (NKHHC) ICD10CM

E11.01 Type 2 diabetes mellitus with hyperosmolarity with coma ICD10CM E11.10 Type 2 diabetes mellitus with ketoacidosis without coma ICD10CM E11.11 Type 2 diabetes mellitus with ketoacidosis with coma ICD10CM E11.21 Type 2 diabetes mellitus with diabetic nephropathy ICD10CM E11.22 Type 2 diabetes mellitus with diabetic chronic kidney disease ICD10CM E11.29 Type 2 diabetes mellitus with other diabetic kidney complication ICD10CM E11.311 Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema ICD10CM E11.319 Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular

edema ICD10CM

E11.321 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema

ICD10CM


ICD10CM


ICD10CM


ICD10CM


E11.3219 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye

ICD10CM

E11.329 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema

ICD10CM


ICD10CM


ICD10CM


ICD10CM

E11.3299 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye

ICD10CM

E11.331 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema

ICD10CM


ICD10CM


ICD10CM


ICD10CM

E11.3319 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye

ICD10CM

E11.339 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema

ICD10CM


ICD10CM


ICD10CM


ICD10CM

E11.3399 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye

ICD10CM

E11.341 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema

ICD10CM


ICD10CM


ICD10CM


ICD10CM

E11.3419 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye

ICD10CM

E11.349 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema

ICD10CM


ICD10CM


ICD10CM


ICD10CM


E11.3499 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye

ICD10CM

E11.351 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema

ICD10CM


ICD10CM


ICD10CM


ICD10CM

E11.3519 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye

ICD10CM


ICD10CM


ICD10CM


ICD10CM

E11.3529 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye

ICD10CM


ICD10CM


ICD10CM


ICD10CM

E11.3539 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye

ICD10CM


ICD10CM


ICD10CM


ICD10CM

E11.3549 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye

ICD10CM

E11.3551 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, right eye ICD10CM E11.3552 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, left eye ICD10CM E11.3553 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral ICD10CM E11.3559 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified

eye ICD10CM

E11.359 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema

ICD10CM


ICD10CM


ICD10CM


ICD10CM


E11.3599 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye

ICD10CM

E11.36 Type 2 diabetes mellitus with diabetic cataract ICD10CM E11.37X1 Type 2 diabetes mellitus with diabetic macular edema, resolved following

treatment, right eye ICD10CM

E11.37X2 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye

ICD10CM

E11.37X3 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral

ICD10CM

E11.37X9 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye

ICD10CM

E11.39 Type 2 diabetes mellitus with other diabetic ophthalmic complication ICD10CM E11.40 Type 2 diabetes mellitus with diabetic neuropathy, unspecified ICD10CM E11.41 Type 2 diabetes mellitus with diabetic mononeuropathy ICD10CM E11.42 Type 2 diabetes mellitus with diabetic polyneuropathy ICD10CM E11.43 Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy ICD10CM E11.44 Type 2 diabetes mellitus with diabetic amyotrophy ICD10CM E11.49 Type 2 diabetes mellitus with other diabetic neurological complication ICD10CM E11.51 Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene ICD10CM E11.52 Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene ICD10CM E11.59 Type 2 diabetes mellitus with other circulatory complications ICD10CM E11.610 Type 2 diabetes mellitus with diabetic neuropathic arthropathy ICD10CM E11.618 Type 2 diabetes mellitus with other diabetic arthropathy ICD10CM E11.620 Type 2 diabetes mellitus with diabetic dermatitis ICD10CM E11.621 Type 2 diabetes mellitus with foot ulcer ICD10CM E11.622 Type 2 diabetes mellitus with other skin ulcer ICD10CM E11.628 Type 2 diabetes mellitus with other skin complications ICD10CM E11.630 Type 2 diabetes mellitus with periodontal disease ICD10CM E11.638 Type 2 diabetes mellitus with other oral complications ICD10CM E11.641 Type 2 diabetes mellitus with hypoglycemia with coma ICD10CM E11.649 Type 2 diabetes mellitus with hypoglycemia without coma ICD10CM E11.65 Type 2 diabetes mellitus with hyperglycemia ICD10CM E11.69 Type 2 diabetes mellitus with other specified complication ICD10CM E11.8 Type 2 diabetes mellitus with unspecified complications ICD10CM E11.9 Type 2 diabetes mellitus without complications ICD10CM E13.00 Other specified diabetes mellitus with hyperosmolarity without nonketotic

hyperglycemic-hyperosmolar coma (NKHHC) ICD10CM

E13.01 Other specified diabetes mellitus with hyperosmolarity with coma ICD10CM E13.10 Other specified diabetes mellitus with ketoacidosis without coma ICD10CM E13.11 Other specified diabetes mellitus with ketoacidosis with coma ICD10CM E13.21 Other specified diabetes mellitus with diabetic nephropathy ICD10CM E13.22 Other specified diabetes mellitus with diabetic chronic kidney disease ICD10CM E13.29 Other specified diabetes mellitus with other diabetic kidney complication ICD10CM E13.311 Other specified diabetes mellitus with unspecified diabetic retinopathy with

macular edema ICD10CM

E13.319 Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema

ICD10CM

E13.321 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema

ICD10CM

E13.3211 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye

ICD10CM


E13.3212 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye

ICD10CM

E13.3213 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral

ICD10CM

E13.3219 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye

ICD10CM

E13.329 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema

ICD10CM

E13.3291 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye

ICD10CM

E13.3292 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye

ICD10CM

E13.3293 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral

ICD10CM

E13.3299 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye

ICD10CM

E13.331 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema

ICD10CM

E13.3311 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye

ICD10CM

E13.3312 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye

ICD10CM

E13.3313 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral

ICD10CM

E13.3319 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye

ICD10CM

E13.339 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema

ICD10CM

E13.3391 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye

ICD10CM

E13.3392 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye

ICD10CM

E13.3393 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral

ICD10CM

E13.3399 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye

ICD10CM

E13.341 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema

ICD10CM

E13.3411 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye

ICD10CM

E13.3412 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye

ICD10CM

E13.3413 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral

ICD10CM

E13.3419 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye

ICD10CM

E13.349 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema

ICD10CM

E13.3491 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye

ICD10CM


E13.3492 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye

ICD10CM

E13.3493 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral

ICD10CM

E13.3499 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye

ICD10CM

E13.351 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema

ICD10CM

E13.3511 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye

ICD10CM

E13.3512 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye

ICD10CM

E13.3513 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral

ICD10CM

E13.3519 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye

ICD10CM

E13.3521 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye

ICD10CM

E13.3522 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye

ICD10CM

E13.3523 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral

ICD10CM

E13.3529 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye

ICD10CM

E13.3531 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye

ICD10CM

E13.3532 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye

ICD10CM

E13.3533 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral

ICD10CM

E13.3539 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye

ICD10CM

E13.3541 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye

ICD10CM

E13.3542 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye

ICD10CM

E13.3543 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral

ICD10CM

E13.3549 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye

ICD10CM

E13.3551 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, right eye

ICD10CM

E13.3552 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, left eye

ICD10CM

E13.3553 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, bilateral

ICD10CM

E13.3559 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye

ICD10CM


E13.359 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema

ICD10CM

E13.3591 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye

ICD10CM

E13.3592 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye

ICD10CM

E13.3593 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral

ICD10CM

E13.3599 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye

ICD10CM

E13.36 Other specified diabetes mellitus with diabetic cataract ICD10CM E13.37X1 Other specified diabetes mellitus with diabetic macular edema, resolved following

treatment, right eye ICD10CM

E13.37X2 Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, left eye

ICD10CM

E13.37X3 Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral

ICD10CM

E13.37X9 Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye

ICD10CM

E13.39 Other specified diabetes mellitus with other diabetic ophthalmic complication ICD10CM E13.40 Other specified diabetes mellitus with diabetic neuropathy, unspecified ICD10CM E13.41 Other specified diabetes mellitus with diabetic mononeuropathy ICD10CM E13.42 Other specified diabetes mellitus with diabetic polyneuropathy ICD10CM E13.43 Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy ICD10CM E13.44 Other specified diabetes mellitus with diabetic amyotrophy ICD10CM E13.49 Other specified diabetes mellitus with other diabetic neurological complication ICD10CM E13.51 Other specified diabetes mellitus with diabetic peripheral angiopathy without

gangrene ICD10CM

E13.52 Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene

ICD10CM

E13.59 Other specified diabetes mellitus with other circulatory complications ICD10CM E13.610 Other specified diabetes mellitus with diabetic neuropathic arthropathy ICD10CM E13.618 Other specified diabetes mellitus with other diabetic arthropathy ICD10CM E13.620 Other specified diabetes mellitus with diabetic dermatitis ICD10CM E13.621 Other specified diabetes mellitus with foot ulcer ICD10CM E13.622 Other specified diabetes mellitus with other skin ulcer ICD10CM E13.628 Other specified diabetes mellitus with other skin complications ICD10CM E13.630 Other specified diabetes mellitus with periodontal disease ICD10CM E13.638 Other specified diabetes mellitus with other oral complications ICD10CM E13.641 Other specified diabetes mellitus with hypoglycemia with coma ICD10CM E13.649 Other specified diabetes mellitus with hypoglycemia without coma ICD10CM E13.65 Other specified diabetes mellitus with hyperglycemia ICD10CM E13.69 Other specified diabetes mellitus with other specified complication ICD10CM E13.8 Other specified diabetes mellitus with unspecified complications ICD10CM E13.9 Other specified diabetes mellitus without complications ICD10CM O24.011 Pre-existing type 1 diabetes mellitus, in pregnancy, first trimester ICD10CM O24.012 Pre-existing type 1 diabetes mellitus, in pregnancy, second trimester ICD10CM O24.013 Pre-existing type 1 diabetes mellitus, in pregnancy, third trimester ICD10CM O24.019 Pre-existing type 1 diabetes mellitus, in pregnancy, unspecified trimester ICD10CM O24.02 Pre-existing type 1 diabetes mellitus, in childbirth ICD10CM O24.03 Pre-existing type 1 diabetes mellitus, in the puerperium ICD10CM


O24.111 Pre-existing type 2 diabetes mellitus, in pregnancy, first trimester ICD10CM O24.112 Pre-existing type 2 diabetes mellitus, in pregnancy, second trimester ICD10CM O24.113 Pre-existing type 2 diabetes mellitus, in pregnancy, third trimester ICD10CM O24.119 Pre-existing type 2 diabetes mellitus, in pregnancy, unspecified trimester ICD10CM O24.12 Pre-existing type 2 diabetes mellitus, in childbirth ICD10CM O24.13 Pre-existing type 2 diabetes mellitus, in the puerperium ICD10CM O24.311 Unspecified pre-existing diabetes mellitus in pregnancy, first trimester ICD10CM O24.312 Unspecified pre-existing diabetes mellitus in pregnancy, second trimester ICD10CM O24.313 Unspecified pre-existing diabetes mellitus in pregnancy, third trimester ICD10CM O24.319 Unspecified pre-existing diabetes mellitus in pregnancy, unspecified trimester ICD10CM O24.32 Unspecified pre-existing diabetes mellitus in childbirth ICD10CM O24.33 Unspecified pre-existing diabetes mellitus in the puerperium ICD10CM O24.811 Other pre-existing diabetes mellitus in pregnancy, first trimester ICD10CM O24.812 Other pre-existing diabetes mellitus in pregnancy, second trimester ICD10CM O24.813 Other pre-existing diabetes mellitus in pregnancy, third trimester ICD10CM O24.819 Other pre-existing diabetes mellitus in pregnancy, unspecified trimester ICD10CM O24.82 Other pre-existing diabetes mellitus in childbirth ICD10CM O24.83 Other pre-existing diabetes mellitus in the puerperium ICD10CM


Appendix B: High-Risk Medications for the Elderly

RxNORM Code Description 1000351 Estrogens, Conjugated (USP) 0.3 MG / medroxyprogesterone acetate 1.5 MG Oral Tablet 1000352 Estrogens, Conjugated (USP) 0.45 MG / medroxyprogesterone acetate 1.5 MG Oral Tablet 1000355 Estrogens, Conjugated (USP) 0.625 MG / medroxyprogesterone acetate 2.5 MG Oral Tablet 1000356 Estrogens, Conjugated (USP) 0.625 MG / medroxyprogesterone acetate 5 MG Oral Tablet 1012904 Carbinoxamine maleate 4 MG Oral Tablet 1013619 Chlorpheniramine Maleate 3 MG / Phenylephrine Hydrochloride 10 MG Oral Tablet 1020477 Diphenhydramine Hydrochloride 50 MG Oral Capsule 1038876 Acetaminophen 32 MG/ML / Chlorpheniramine Maleate 0.2 MG/ML / Dextromethorphan

Hydrobromide 1 MG/ML Oral Solution 1041814 thyroid (USP) 97.5 MG Oral Tablet 1042684 Acetaminophen 33.3 MG/ML / Dextromethorphan Hydrobromide 1 MG/ML / doxylamine

succinate 0.417 MG/ML Oral Solution 1042688 Acetaminophen 325 MG / Chlorpheniramine Maleate 2 MG / Dextromethorphan

Hydrobromide 10 MG / Phenylephrine Hydrochloride 5 MG Oral Capsule 1043400 Acetaminophen 21.7 MG/ML / Dextromethorphan Hydrobromide 1 MG/ML / doxylamine

succinate 0.417 MG/ML Oral Solution 1046751 Acetaminophen 325 MG / Diphenhydramine Hydrochloride 25 MG / Phenylephrine

Hydrochloride 5 MG Oral Tablet 1046770 12 HR Hyoscyamine Sulfate 0.375 MG Extended Release Oral Tablet 1046781 Acetaminophen 325 MG / Chlorpheniramine Maleate 2 MG / Phenylephrine Hydrochloride

5 MG Oral Tablet 1046799 {12 (Acetaminophen 325 MG / Chlorpheniramine Maleate 2 MG / Phenylephrine

Hydrochloride 5 MG Oral Tablet) / 12 (Acetaminophen 325 MG / Phenylephrine Hydrochloride 5 MG Oral Tablet) } Pack

1046815 Atropine Sulfate 0.0194 MG / Hyoscyamine Sulfate 0.1037 MG / Phenobarbital 16.2 MG / Scopolamine Hydrobromide 0.0065 MG Oral Tablet

1046982 Hyoscyamine Sulfate 0.125 MG Sublingual Tablet 1046985 Hyoscyamine Sulfate 0.125 MG Disintegrating Oral Tablet 1047786 Hyoscyamine Sulfate 0.12 MG / Methenamine 81.6 MG / Methylene blue 10.8 MG / phenyl

salicylate 36.2 MG / Sodium Phosphate, Monobasic 40.8 MG Oral Tablet 1047881 Hyoscyamine Sulfate 0.025 MG/ML Oral Solution 1047895 Hyoscyamine Sulfate 0.125 MG/ML Oral Solution 1047905 Hyoscyamine Sulfate 0.125 MG Oral Tablet 1047916 1 ML Hyoscyamine Sulfate 0.5 MG/ML Injection 1048147 Atropine Sulfate 0.0582 MG / Hyoscyamine Sulfate 0.3111 MG / Phenobarbital 48.6 MG /

Scopolamine Hydrobromide 0.0195 MG Extended Release Oral Tablet 1048307 Hyoscyamine Sulfate 0.12 MG / Methenamine 120 MG / Methylene blue 10 MG / phenyl

salicylate 36 MG / Sodium Phosphate, Monobasic 40.8 MG Oral Capsule 1048336 Hyoscyamine Sulfate 0.12 MG / Methenamine 81 MG / Methylene blue 10.8 MG / phenyl

salicylate 32.4 MG / Sodium Phosphate, Monobasic 40.8 MG Oral Tablet 1049289 1 ML Diphenhydramine Hydrochloride 50 MG/ML Prefilled Syringe 1049630 Diphenhydramine Hydrochloride 25 MG Oral Tablet 1049633 Diphenhydramine Hydrochloride 50 MG/ML Injectable Solution 1049900 Diphenhydramine Hydrochloride 12.5 MG Chewable Tablet 1049904 Diphenhydramine Hydrochloride 12.5 MG Oral Strip 1049906 Diphenhydramine Hydrochloride 2.5 MG/ML Oral Solution 1049909 Diphenhydramine Hydrochloride 25 MG Oral Capsule


1050325 Hyoscyamine Sulfate 0.12 MG / Methenamine 81.6 MG / Methylene blue 10.8 MG / Sodium Phosphate, Monobasic 40.8 MG Oral Tablet

1052462 Acetaminophen 325 MG / Diphenhydramine Hydrochloride 12.5 MG Oral Tablet 1052467 Acetaminophen 500 MG / Diphenhydramine Hydrochloride 12.5 MG Oral Tablet 1052679 Acetaminophen 500 MG / Chlorpheniramine Maleate 2 MG / Phenylephrine Hydrochloride

5 MG Oral Tablet 1052928 Diphenhydramine Hydrochloride 25 MG / Phenylephrine Hydrochloride 10 MG Oral Tablet 1053624 Chlorpheniramine Maleate 1 MG / Pseudoephedrine Hydrochloride 15 MG Chewable

Tablet 1085945 Diphenhydramine Hydrochloride 50 MG Oral Tablet 1086463 Chlorpheniramine Maleate 0.8 MG/ML / Phenylephrine Hydrochloride 2 MG/ML Oral

Solution 1086750 Acetaminophen 32 MG/ML / Chlorpheniramine Maleate 0.2 MG/ML / Dextromethorphan

Hydrobromide 1 MG/ML Oral Suspension 1086991 Acetaminophen 325 MG / Chlorpheniramine Maleate 2 MG / Dextromethorphan

Hydrobromide 10 MG / Phenylephrine Hydrochloride 5 MG Oral Tablet 1087365 Hyoscyamine Sulfate 0.12 MG / Methenamine 118 MG / Methylene blue 10 MG / phenyl

salicylate 36 MG / Sodium Phosphate, Monobasic 40.8 MG Oral Capsule 1087459 12 HR CHLORPHENIRAMINE POLISTIREX 1.6 MG/ML / HYDROCODONE POLISTIREX 2 MG/ML

Extended Release Suspension 1087607 Acetaminophen 500 MG / Diphenhydramine Hydrochloride 50 MG Oral Tablet 1088934 Chlorzoxazone 375 MG Oral Tablet 1088936 Chlorzoxazone 750 MG Oral Tablet 1089968 Acetaminophen 500 MG / Chlorpheniramine Maleate 2 MG / Dextromethorphan

Hydrobromide 15 MG / Pseudoephedrine Hydrochloride 30 MG Oral Tablet 1090443 Chlorpheniramine Maleate 4 MG / Phenylephrine Hydrochloride 10 MG Oral Tablet 1090463 Brompheniramine Maleate 0.2 MG/ML / Dextromethorphan Hydrobromide 1 MG/ML /

Phenylephrine Hydrochloride 0.5 MG/ML Oral Solution 1090699 Chlorpheniramine Maleate 2 MG / Pseudoephedrine Hydrochloride 30 MG Oral Tablet 1092189 Acetaminophen 500 MG / Diphenhydramine Hydrochloride 25 MG Oral Tablet 1092373 Acetaminophen 33.3 MG/ML / Diphenhydramine Hydrochloride 1.67 MG/ML Oral Solution 1093098 Diphenhydramine Hydrochloride 25 MG Disintegrating Oral Tablet 1094549 Acetaminophen 325 MG / Dextromethorphan Hydrobromide 15 MG / doxylamine succinate

6.25 MG Oral Capsule 1098496 Acetaminophen 500 MG / Chlorpheniramine Maleate 2 MG / Dextromethorphan

Hydrobromide 15 MG Oral Tablet 1098497 Brompheniramine Maleate 0.2 MG/ML / Dextromethorphan Hydrobromide 1 MG/ML /

Pseudoephedrine Hydrochloride 3 MG/ML Oral Solution 1098498 Brompheniramine Maleate 0.2 MG/ML / Pseudoephedrine Hydrochloride 3 MG/ML Oral

Solution 1099288 Desipramine Hydrochloride 10 MG Oral Tablet 1099292 Desipramine Hydrochloride 100 MG Oral Tablet 1099296 Desipramine Hydrochloride 150 MG Oral Tablet 1099300 Desipramine Hydrochloride 25 MG Oral Tablet 1099304 Desipramine Hydrochloride 50 MG Oral Tablet 1099308 Pseudoephedrine Hydrochloride 6 MG/ML / Triprolidine Hydrochloride 0.25 MG/ML Oral

Solution 1099316 Desipramine Hydrochloride 75 MG Oral Tablet 1099446 Pseudoephedrine Hydrochloride 60 MG / Triprolidine Hydrochloride 2.5 MG Oral Tablet 1099668 Pseudoephedrine Hydrochloride 10 MG/ML / Triprolidine Hydrochloride 0.938 MG/ML Oral

Solution


1099872 Acetaminophen 500 MG / Diphenhydramine Citrate 38 MG Oral Tablet 1099948 thyroid (USP) 48.75 MG Oral Tablet 1101555 {12 (Acetaminophen 500 MG / Chlorpheniramine Maleate 2 MG / Phenylephrine


1111440 Chlorpheniramine Maleate 0.2 MG/ML / Dextromethorphan Hydrobromide 1.5 MG/ML Oral Solution

1112220 Chlorpheniramine Maleate 0.8 MG/ML / Hydrocodone Bitartrate 1 MG/ML / Pseudoephedrine Hydrochloride 12 MG/ML Oral Solution

1113397 Acetaminophen 32 MG/ML / Chlorpheniramine Maleate 0.2 MG/ML / Dextromethorphan Hydrobromide 1 MG/ML / Phenylephrine Hydrochloride 0.5 MG/ML Oral Suspension

1113522 Acetaminophen 32 MG/ML / Chlorpheniramine Maleate 0.2 MG/ML / Dextromethorphan Hydrobromide 1.5 MG/ML Oral Solution

1114361 Chlorpheniramine Maleate 0.133 MG/ML / Dextromethorphan Hydrobromide 1 MG/ML Oral Solution

1117245 Acetaminophen 500 MG / Diphenhydramine Hydrochloride 25 MG Oral Capsule 1117392 Chlorpheniramine Maleate 0.2 MG/ML / Dextromethorphan Hydrobromide 1 MG/ML /

Pseudoephedrine Hydrochloride 3 MG/ML Oral Solution 1147619 Acetaminophen 650 MG / Diphenhydramine Hydrochloride 25 MG / Phenylephrine

Hydrochloride 10 MG Oral Tablet 1147795 Acetaminophen 325 MG / Chlorpheniramine Maleate 2 MG / Dextromethorphan

Hydrobromide 10 MG / Pseudoephedrine Hydrochloride 30 MG Oral Tablet 1148155 Brompheniramine Maleate 0.8 MG/ML / Dextromethorphan Hydrobromide 4 MG/ML /

Phenylephrine Hydrochloride 2 MG/ML Oral Solution 1149632 84 HR Estradiol 0.00313 MG/HR Transdermal System 1190568 Atropine Sulfate 0.005 MG/ML / Diphenoxylate Hydrochloride 0.5 MG/ML Oral Solution 1190572 Atropine Sulfate 0.025 MG / Diphenoxylate Hydrochloride 2.5 MG Oral Tablet 1190600 Dexbrompheniramine maleate 0.133 MG/ML / Dextromethorphan Hydrobromide 2 MG/ML

/ Pseudoephedrine Hydrochloride 4 MG/ML Oral Solution 1190738 Atropine Sulfate 0.025 MG / Difenoxin hydrochloride 1 MG Oral Tablet 1190748 5 ML Atropine Sulfate 0.14 MG/ML / Edrophonium Chloride 10 MG/ML Injection 1190931 Acetaminophen 650 MG / Dexbrompheniramine maleate 2 MG Oral Tablet 1192477 Brompheniramine Maleate 4 MG / Pseudoephedrine Hydrochloride 60 MG Oral Capsule 1193293 Acetaminophen 325 MG / Chlorpheniramine Maleate 4 MG / Phenylephrine Hydrochloride

10 MG Oral Tablet 1233546 {20 (Acetaminophen 325 MG / Dextromethorphan Hydrobromide 10 MG / Phenylephrine

Hydrochloride 5 MG Oral Capsule) / 20 (Acetaminophen 325 MG / Dextromethorphan Hydrobromide 15 MG / doxylamine succinate 6.25 MG Oral Capsule) } Pack

1233575 Acetaminophen 325 MG / Diphenhydramine Hydrochloride 12.5 MG / Phenylephrine Hydrochloride 5 MG Oral Tablet

1234386 Dextromethorphan Hydrobromide 1 MG/ML / doxylamine succinate 0.417 MG/ML Oral Solution

1234941 Chlorpheniramine Maleate 0.4 MG/ML / dihydrocodeine bitartrate 0.6 MG/ML / Phenylephrine Hydrochloride 1.5 MG/ML Oral Solution

1244523 Brompheniramine Maleate 1.2 MG/ML / Phenylephrine Hydrochloride 2 MG/ML Oral Suspension

1244951 {10 (Acetaminophen 325 MG / Chlorpheniramine Maleate 2 MG / Phenylephrine Hydrochloride 5 MG Oral Tablet) / 10 (Acetaminophen 325 MG / Phenylephrine Hydrochloride 5 MG Oral Tablet) } Pack

1245291 Chlorpheniramine Maleate 1 MG / Dextromethorphan Hydrobromide 5 MG / Pseudoephedrine Hydrochloride 15 MG Chewable Tablet


1245706 chlophedianol hydrochloride 4.8 MG/ML / Chlorpheniramine Maleate 0.8 MG/ML / Phenylephrine Hydrochloride 2 MG/ML Oral Suspension

1248354 Diphenhydramine Hydrochloride 1.67 MG/ML Oral Solution 1248750 chlophedianol hydrochloride 8 MG/ML / Chlorpheniramine Maleate 1.25 MG/ML /

Phenylephrine Hydrochloride 2.5 MG/ML Oral Suspension 1249617 Acetaminophen 300 MG / butalbital 50 MG Oral Tablet 1251614 Butabarbital sodium 30 MG Oral Tablet 1251621 Butabarbital sodium 50 MG Oral Tablet 1251802 Brompheniramine Maleate 1 MG / Phenylephrine Hydrochloride 2.5 MG Chewable Tablet 1251811 Chlorpheniramine Maleate 1 MG / Dextromethorphan Hydrobromide 5 MG Chewable

Tablet 1291711 Acetaminophen 500 MG / Diphenhydramine Hydrochloride 25 MG / Pseudoephedrine

Hydrochloride 30 MG Oral Tablet 1293239 Dexchlorpheniramine maleate 2 MG / Pseudoephedrine Hydrochloride 60 MG Oral Tablet 1293298 Acetaminophen 325 MG / Chlorpheniramine Maleate 2 MG / Dextromethorphan

Hydrobromide 15 MG / Pseudoephedrine Hydrochloride 30 MG Oral Tablet 1293344 Acetaminophen 325 MG / Chlorpheniramine Maleate 2 MG / Pseudoephedrine

Hydrochloride 30 MG Oral Tablet 1293487 Chlorpheniramine Tannate 9 MG / Phenylephrine Tannate 25 MG Oral Tablet 1294201 Acetaminophen 325 MG / Chlorpheniramine Maleate 2 MG / Pseudoephedrine

Hydrochloride 30 MG Oral Capsule 1297288 Acetaminophen 325 MG / Dextromethorphan Hydrobromide 10 MG / doxylamine succinate

6.25 MG / Phenylephrine Hydrochloride 5 MG Oral Capsule 1297390 Chlorpheniramine Maleate 2 MG / Ibuprofen 200 MG / Pseudoephedrine Hydrochloride 30

MG Oral Tablet 1297404 {8 (Acetaminophen 325 MG / Dextromethorphan Hydrobromide 10 MG / doxylamine

succinate 6.25 MG / Phenylephrine Hydrochloride 5 MG Oral Capsule) / 12 (Acetaminophen 325 MG / Dextromethorphan Hydrobromide 10 MG / Phenylephrine Hydrochloride 5 MG Oral Capsule) } Pack

1297947 Acetaminophen 500 MG / Diphenhydramine Citrate 38 MG Oral Powder 1298433 Dexchlorpheniramine maleate 0.2 MG/ML / Dextromethorphan Hydrobromide 3 MG/ML /

Pseudoephedrine Hydrochloride 6 MG/ML Oral Solution 1298799 Isoxsuprine Hydrochloride 20 MG Oral Tablet 1298834 Isoxsuprine Hydrochloride 10 MG Oral Tablet 1299143 Dexbrompheniramine maleate 0.2 MG/ML / Pseudoephedrine Hydrochloride 6 MG/ML

Oral Solution 1299646 Acetaminophen 325 MG / Chlorpheniramine Maleate 2 MG / Dextromethorphan

Hydrobromide 15 MG / Pseudoephedrine Hydrochloride 30 MG Oral Capsule 1299662 Acetaminophen 325 MG / Chlorpheniramine Maleate 2 MG / Dextromethorphan

Hydrobromide 10 MG / Pseudoephedrine Hydrochloride 30 MG Oral Capsule 1300164 Dexbrompheniramine maleate 0.4 MG/ML / Dextromethorphan Hydrobromide 4 MG/ML /

Phenylephrine Hydrochloride 2 MG/ML Oral Solution 1300195 Dexbrompheniramine maleate 0.5 MG/ML / Dextromethorphan Hydrobromide 5 MG/ML /

Phenylephrine Hydrochloride 2.5 MG/ML Oral Solution 1303797 Dexbrompheniramine maleate 1 MG/ML / Dextromethorphan Hydrobromide 10 MG/ML /

Phenylephrine Hydrochloride 5 MG/ML Oral Solution 1304105 Brompheniramine Maleate 4 MG / Dextromethorphan Hydrobromide 20 MG /

Phenylephrine Hydrochloride 10 MG Oral Tablet 1313969 Acetaminophen 325 MG / Chlorpheniramine Maleate 2 MG / Phenylephrine Hydrochloride

5 MG Oral Capsule


1356797 Brompheniramine Maleate 4 MG / Codeine Phosphate 10 MG / Phenylephrine Hydrochloride 10 MG Oral Tablet

1356807 Brompheniramine Maleate 4 MG / Codeine Phosphate 20 MG Oral Tablet 1356812 Brompheniramine Maleate 4 MG / Dextromethorphan Hydrobromide 20 MG /

Pseudoephedrine Hydrochloride 40 MG Oral Tablet 1356815 Brompheniramine Maleate 4 MG / Phenylephrine Hydrochloride 10 MG Oral Tablet 1356838 Brompheniramine Maleate 0.8 MG/ML / Dextromethorphan Hydrobromide 4 MG/ML /

Pseudoephedrine Hydrochloride 4 MG/ML Oral Solution 1356841 Brompheniramine Maleate 0.8 MG/ML / Phenylephrine Hydrochloride 2 MG/ML Oral

Solution 1357010 Brompheniramine Maleate 0.4 MG/ML / Dextromethorphan Hydrobromide 2 MG/ML /

Pseudoephedrine Hydrochloride 6 MG/ML Oral Solution 1357553 Acetaminophen 32 MG/ML / Chlorpheniramine Maleate 0.2 MG/ML / Dextromethorphan

Hydrobromide 1 MG/ML / Phenylephrine Hydrochloride 0.5 MG/ML Oral Solution 1359123 Estradiol 0.5 MG / norethindrone acetate 0.1 MG Oral Tablet 1359124 {28 (Estradiol 0.5 MG / norethindrone acetate 0.1 MG Oral Tablet) } Pack 1359126 Estradiol 1 MG / norethindrone acetate 0.5 MG Oral Tablet 1359127 {28 (Estradiol 1 MG / norethindrone acetate 0.5 MG Oral Tablet) } Pack 1363288 12 HR Chlorpheniramine Maleate 12 MG Extended Release Oral Tablet 1363309 Chlorpheniramine Maleate 4 MG Oral Tablet 1363513 Dexbrompheniramine maleate 2 MG / Pseudoephedrine Hydrochloride 60 MG Oral Tablet 1363780 12 HR Chlorpheniramine Maleate 12 MG / Pseudoephedrine Hydrochloride 120 MG

Extended Release Oral Tablet 1366653 {8 (Acetaminophen 325 MG / Chlorpheniramine Maleate 2 MG / Phenylephrine


1366825 Acetaminophen 80 MG / Chlorpheniramine Maleate 0.5 MG / Dextromethorphan Hydrobromide 2.5 MG / Pseudoephedrine Hydrochloride 7.5 MG Chewable Tablet

1367227 Chlorpheniramine Maleate 3.5 MG / Phenylephrine Hydrochloride 10 MG Oral Tablet 1368963 chlophedianol hydrochloride 25 MG / Chlorpheniramine Maleate 4 MG / Phenylephrine

Hydrochloride 15 MG Oral Tablet 1369403 chlophedianol hydrochloride 2.5 MG/ML / Dexbrompheniramine maleate 0.2 MG/ML /

Phenylephrine Hydrochloride 1 MG/ML Oral Solution 1369424 chlophedianol hydrochloride 2.5 MG/ML / Dexchlorpheniramine maleate 0.2 MG/ML /

Pseudoephedrine Hydrochloride 6 MG/ML Oral Solution 1369971 chlophedianol hydrochloride 6.25 MG/ML / Dexchlorpheniramine maleate 0.5 MG/ML /

Pseudoephedrine Hydrochloride 15 MG/ML Oral Solution 1369972 chlophedianol hydrochloride 5 MG/ML / Dexchlorpheniramine maleate 0.4 MG/ML /

Pseudoephedrine Hydrochloride 12 MG/ML Oral Solution 1370125 Chlorpheniramine Maleate 0.4 MG/ML / Dextromethorphan Hydrobromide 3 MG/ML Oral

Solution 1370963 12 HR Dexbrompheniramine maleate 6 MG / Pseudoephedrine sulfate 120 MG Extended

Release Oral Tablet 1372265 Chlorpheniramine Maleate 0.8 MG/ML / Hydrocodone Bitartrate 1 MG/ML Oral Solution 1372312 Acetaminophen 32 MG/ML / Chlorpheniramine Maleate 0.2 MG/ML / Phenylephrine

Hydrochloride 0.5 MG/ML Oral Suspension 1421985 Chlorpheniramine Maleate 4 MG / Dextromethorphan Hydrobromide 30 MG Oral Tablet 1423702 Brompheniramine Maleate 0.4 MG/ML / Dextromethorphan Hydrobromide 2 MG/ML /

Phenylephrine Hydrochloride 1 MG/ML Oral Solution 1423711 Chlorpheniramine Maleate 0.4 MG/ML / Dextromethorphan Hydrobromide 2 MG/ML /

Pseudoephedrine Hydrochloride 6 MG/ML Oral Solution


1424872 chlophedianol hydrochloride 24 MG / Chlorpheniramine Maleate 3.5 MG / Phenylephrine Hydrochloride 10 MG Oral Tablet

1428880 {6 (Acetaminophen 650 MG / Dextromethorphan Hydrobromide 20 MG / Phenylephrine Hydrochloride 10 MG Granules for Oral Solution) / 6 (Acetaminophen 650 MG / Diphenhydramine Hydrochloride 25 MG / Phenylephrine Hydrochloride 10 MG Granules for Oral Solution) } Pack

1428927 Triprolidine Hydrochloride 0.625 MG/ML Oral Solution 1429345 Chlorpheniramine Maleate 0.2 MG/ML / Phenylephrine Hydrochloride 0.5 MG/ML Oral

Solution 1430122 Paroxetine mesylate 7.5 MG Oral Capsule 1431286 Acetaminophen 300 MG / butalbital 50 MG / Caffeine 40 MG / Codeine Phosphate 30 MG

Oral Capsule 1440869 Hyoscyamine Sulfate 0.12 MG / Methenamine 120 MG / Methylene blue 10.8 MG / phenyl

salicylate 36.2 MG / Sodium Phosphate, Monobasic 40.8 MG Oral Tablet 1483549 drospirenone 0.25 MG / Estradiol 0.5 MG Oral Tablet 1483550 {28 (drospirenone 0.25 MG / Estradiol 0.5 MG Oral Tablet) } Pack 1483552 drospirenone 0.5 MG / Estradiol 1 MG Oral Tablet 1483553 {28 (drospirenone 0.5 MG / Estradiol 1 MG Oral Tablet) } Pack 1486964 Brompheniramine Maleate 0.8 MG/ML / Dextromethorphan Hydrobromide 3 MG/ML /

Phenylephrine Hydrochloride 1.5 MG/ML Oral Solution 1490727 Indomethacin 20 MG Oral Capsule 1491529 Indomethacin 40 MG Oral Capsule 1491649 Triprolidine Hydrochloride 0.938 MG/ML Oral Solution 1492052 Dextromethorphan Hydrobromide 4 MG/ML / Phenylephrine Hydrochloride 2 MG/ML /

Triprolidine Hydrochloride 0.5 MG/ML Oral Solution 1492380 {16 (Acetaminophen 325 MG / Dextromethorphan Hydrobromide 10 MG / Phenylephrine

Hydrochloride 5 MG Oral Capsule) / 8 (Acetaminophen 325 MG / Dextromethorphan Hydrobromide 15 MG / doxylamine succinate 6.25 MG Oral Capsule) } Pack

1535923 Chlorpheniramine Maleate 1 MG/ML / Dextromethorphan Hydrobromide 3 MG/ML / Phenylephrine Hydrochloride 2 MG/ML Oral Solution

1536862 Chlorpheniramine Maleate 2 MG / Dextromethorphan Hydrobromide 10 MG / Phenylephrine Hydrochloride 5 MG Effervescent Oral Tablet

1536931 Acetaminophen 250 MG / Chlorpheniramine Maleate 2 MG / Phenylephrine Hydrochloride 5 MG Effervescent Oral Tablet

1536999 Acetaminophen 250 MG / Dextromethorphan Hydrobromide 10 MG / doxylamine succinate 6.25 MG / Phenylephrine Hydrochloride 5 MG Effervescent Oral Tablet

1537767 thyroid (USP) 162.5 MG Oral Tablet 1537803 thyroid (USP) 113.75 MG Oral Tablet 1537807 thyroid (USP) 146.25 MG Oral Tablet 1537811 thyroid (USP) 81.25 MG Oral Tablet 1546700 Acetaminophen 325 MG / Dexbrompheniramine maleate 1 MG Oral Tablet 1546881 Acetaminophen 325 MG / Dextromethorphan Hydrobromide 10 MG / doxylamine succinate

6.25 MG / Phenylephrine Hydrochloride 5 MG Oral Tablet 1551286 chlophedianol hydrochloride 2.5 MG/ML / Dexbrompheniramine maleate 0.2 MG/ML Oral

Solution 1598634 Hyoscyamine Sulfate 0.12 MG / Methenamine 120 MG / Methylene blue 10 MG / Sodium

Phosphate, Monobasic 40.8 MG Oral Capsule 1659960 Acetaminophen 650 MG / Diphenhydramine Hydrochloride 25 MG / Phenylephrine

Hydrochloride 10 MG Granules for Oral Solution 1661319 Codeine Phosphate 2 MG/ML / Phenylephrine Hydrochloride 2 MG/ML / Triprolidine

Hydrochloride 0.5 MG/ML Oral Solution


1665697 1 ML Meperidine Hydrochloride 50 MG/ML Injection 1666116 {1 (120 ML) (Brompheniramine Maleate 0.2 MG/ML / Dextromethorphan Hydrobromide 1

MG/ML / Phenylephrine Hydrochloride 0.5 MG/ML Oral Solution) / 1 (120 ML) (Diphenhydramine Hydrochloride 1.25 MG/ML / Phenylephrine Hydrochloride 0.5 MG/ML Oral Solution) } Pack

1723740 1 ML Diphenhydramine Hydrochloride 50 MG/ML Injection 1723776 1 ML Diphenhydramine Hydrochloride 50 MG/ML Cartridge 1724446 Acetaminophen 325 MG / butalbital 25 MG Oral Tablet 1730190 {1 (118 ML) (Dextromethorphan Hydrobromide 1 MG/ML / Phenylephrine Hydrochloride

0.5 MG/ML Oral Solution) / 1 (118 ML) (Diphenhydramine Hydrochloride 1.25 MG/ML / Phenylephrine Hydrochloride 0.5 MG/ML Oral Solution) } Pack

1738483 Paroxetine Hydrochloride 10 MG Oral Tablet 1738495 Paroxetine Hydrochloride 20 MG Oral Tablet 1738503 Paroxetine Hydrochloride 30 MG Oral Tablet 1738511 Paroxetine Hydrochloride 40 MG Oral Tablet 1738515 Paroxetine mesylate 10 MG Oral Tablet 1738519 Paroxetine mesylate 20 MG Oral Tablet 1738523 Paroxetine mesylate 30 MG Oral Tablet 1738527 Paroxetine mesylate 40 MG Oral Tablet 1738803 24 HR Paroxetine Hydrochloride 12.5 MG Extended Release Oral Tablet 1738805 24 HR Paroxetine Hydrochloride 25 MG Extended Release Oral Tablet 1738807 24 HR Paroxetine Hydrochloride 37.5 MG Extended Release Oral Tablet 1797855 Ketorolac Tromethamine 15.8 MG/ACTUAT Metered Dose Nasal Spray 1804449 {6 (Acetaminophen 500 MG / Dextromethorphan Hydrobromide 20 MG / Phenylephrine

Hydrochloride 10 MG Granules for Oral Solution) / 6 (Acetaminophen 650 MG / Diphenhydramine Hydrochloride 25 MG / Phenylephrine Hydrochloride 10 MG Granules for Oral Solution) } Pack

1807886 Biphasic 12 HR Hyoscyamine Sulfate 0.375 MG Extended Release Oral Tablet 1812101 Dexbrompheniramine maleate 0.4 MG/ML / Dextromethorphan Hydrobromide 3 MG/ML /

Phenylephrine Hydrochloride 1.5 MG/ML Oral Solution 1876117 Chlorpheniramine Maleate 0.4 MG/ML / Phenylephrine Hydrochloride 1 MG/ML Oral

Solution 1946979 Dexbrompheniramine maleate 2 MG / Dextromethorphan Hydrobromide 20 MG /

Phenylephrine Hydrochloride 10 MG Oral Tablet 197363 Amoxapine 100 MG Oral Tablet 197364 Amoxapine 150 MG Oral Tablet 197365 Amoxapine 25 MG Oral Tablet 197366 Amoxapine 50 MG Oral Tablet 197426 Acetaminophen 325 MG / butalbital 50 MG Oral Tablet 197446 Carisoprodol 350 MG Oral Tablet 197495 Chlorpropamide 100 MG Oral Tablet 197496 Chlorpropamide 250 MG Oral Tablet 197502 Chlorzoxazone 500 MG Oral Tablet 197622 Dipyridamole 50 MG Oral Tablet 197657 Estradiol 0.5 MG Oral Tablet 197658 Estradiol 1 MG Oral Tablet 197659 Estradiol 2 MG Oral Tablet 197660 Estrogens, Conjugated (USP) 0.3 MG Oral Tablet 197661 Estrogens, Conjugated (USP) 0.9 MG Oral Tablet 197662 Estrogens, Conjugated (USP) 1.25 MG Oral Tablet 197666 Estrogens, Esterified (USP) 0.3 MG Oral Tablet


197667 Estrogens, Esterified (USP) 0.625 MG Oral Tablet 197668 Estrogens, Esterified (USP) 1.25 MG Oral Tablet 197669 Estrogens, Esterified (USP) 2.5 MG Oral Tablet 197670 Estrogens, Esterified (USP) 1.25 MG / Methyltestosterone 2.5 MG Oral Tablet 197737 Glyburide 1.25 MG Oral Tablet 197745 Guanfacine 1 MG Oral Tablet 197746 Guanfacine 2 MG Oral Tablet 197817 Indomethacin 25 MG Oral Capsule 197818 Indomethacin 50 MG Oral Capsule 197928 Meprobamate 200 MG Oral Tablet 197929 Meprobamate 400 MG Oral Tablet 197935 metaxalone 400 MG Oral Tablet 197943 Methocarbamol 500 MG Oral Tablet 197944 Methocarbamol 750 MG Oral Tablet 197956 Methyldopa 250 MG Oral Tablet 197958 Methyldopa 500 MG Oral Tablet 197960 Hydrochlorothiazide 25 MG / Methyldopa 250 MG Oral Tablet 197963 Hydrochlorothiazide 15 MG / Methyldopa 250 MG Oral Tablet 198032 Nifedipine 10 MG Oral Capsule 198033 Nifedipine 20 MG Oral Capsule 198045 Nortriptyline 10 MG Oral Capsule 198046 Nortriptyline 50 MG Oral Capsule 198047 Nortriptyline 75 MG Oral Capsule 198083 Phenobarbital 100 MG Oral Tablet 198085 Phenobarbital 16 MG Oral Tablet 198086 Phenobarbital 16.2 MG Oral Tablet 198089 Phenobarbital 60 MG Oral Tablet 198165 Propantheline 15 MG Oral Tablet 198277 thyroid (USP) 130 MG Oral Tablet 198278 thyroid (USP) 180 MG Oral Tablet 198368 Phenobarbital 65 MG/ML Injectable Solution 198602 Dimenhydrinate 25 MG Oral Tablet 198603 Dimenhydrinate 50 MG Oral Tablet 199164 Phenobarbital 97.2 MG Oral Tablet 199167 Phenobarbital 32.4 MG Oral Tablet 199168 Phenobarbital 64.8 MG Oral Tablet 199407 Phenobarbital 40 MG/ML Injectable Solution 205333 Estradiol 1.5 MG Oral Tablet 208545 thyroid (USP) 120 MG Oral Tablet 238003 168 HR Estradiol 0.00208 MG/HR Transdermal System 238004 168 HR Estradiol 0.00417 MG/HR Transdermal System 238006 Estrogens, Esterified (USP) 0.625 MG / Methyltestosterone 1.25 MG Oral Tablet 238134 Aspirin 325 MG / butalbital 50 MG / Caffeine 40 MG Oral Capsule 238135 Aspirin 325 MG / butalbital 50 MG / Caffeine 40 MG Oral Tablet 238153 Acetaminophen 325 MG / butalbital 50 MG / Caffeine 40 MG Oral Capsule 238154 Acetaminophen 325 MG / butalbital 50 MG / Caffeine 40 MG Oral Tablet 239981 Chlorpheniramine 2 MG Chewable Tablet 240826 dexbrompheniramine 2 MG Oral Tablet 241527 168 HR Estradiol 0.00312 MG/HR Transdermal System 241946 84 HR Estradiol 0.00156 MG/HR Transdermal System


242333 168 HR Estradiol 0.00104 MG/HR Transdermal System 242891 84 HR Estradiol 0.00208 MG/HR Transdermal System 242892 84 HR Estradiol 0.00417 MG/HR Transdermal System 245385 Phenobarbital 120 MG/ML Injectable Solution 247069 Indomethacin 10 MG/ML Ophthalmic Solution 248478 84 HR Estradiol 0.00104 MG/HR Transdermal System 251050 Chlorpheniramine 2 MG / Phenylephrine 10 MG / phenyltoloxamine 25 MG Oral Tablet 309249 Chlorpheniramine 8 MG Extended Release Oral Capsule 309914 Dimenhydrinate 50 MG/ML Injectable Solution 309952 Dipyridamole 25 MG Oral Tablet 309955 Dipyridamole 75 MG Oral Tablet 309958 Disopyramide 100 MG Oral Capsule 309960 Disopyramide 150 MG Oral Capsule 310197 Estrogens, Conjugated (USP) 0.625 MG Oral Tablet 310204 synthetic conjugated estrogens, A 0.625 MG Oral Tablet 310206 synthetic conjugated estrogens, A 1.25 MG Oral Tablet 310212 estropipate 0.75 MG Oral Tablet 310213 estropipate 1.5 MG Oral Tablet 310215 estropipate 3 MG Oral Tablet 310534 Glyburide 2.5 MG Oral Tablet 310536 Glyburide 3 MG Oral Tablet 310537 Glyburide 5 MG Oral Tablet 310539 Glyburide 6 MG Oral Tablet 310991 Indomethacin 5 MG/ML Oral Suspension 310992 Indomethacin 75 MG Extended Release Oral Capsule 312036 Nortriptyline 2 MG/ML Oral Solution 312242 Paroxetine Hydrochloride 2 MG/ML Oral Suspension 312357 Phenobarbital 15 MG Oral Tablet 312362 Phenobarbital 30 MG Oral Tablet 312370 Phenobarbital 130 MG/ML Injectable Solution 313385 thyroid (USP) 240 MG Oral Tablet 313386 thyroid (USP) 260 MG Oral Tablet 313387 thyroid (USP) 30 MG Oral Tablet 313389 thyroid (USP) 325 MG Oral Tablet 313391 thyroid (USP) 60 MG Oral Tablet 313393 thyroid (USP) 90 MG Oral Tablet 313396 thyroid (USP) 65 MG Oral Tablet 313496 Trimipramine 100 MG Oral Capsule 313498 Trimipramine 25 MG Oral Capsule 313499 Trimipramine 50 MG Oral Capsule 314000 Glyburide 1.5 MG Oral Tablet 314267 thyroid (USP) 15 MG Oral Tablet 315234 thyroid (USP) 195 MG Oral Tablet 315235 thyroid (USP) 300 MG Oral Tablet 317136 Nortriptyline 25 MG Oral Capsule 347151 thyroid (USP) 32.5 MG Oral Tablet 349271 Chlorpheniramine 2 MG / Phenylephrine 10 MG / Pyrilamine 10 MG Extended Release Oral

Tablet 351254 metaxalone 800 MG Oral Tablet 359370 Chlorpheniramine 2 MG / Phenylephrine 10 MG / Pyrilamine 10 MG Oral Tablet


402250 168 HR Estradiol 0.00188 MG/HR / Levonorgestrel 0.000625 MG/HR Transdermal System 403849 Estrogens, Conjugated (USP) 0.45 MG Oral Tablet 403922 168 HR Estradiol 0.00156 MG/HR Transdermal System 403923 168 HR Estradiol 0.0025 MG/HR Transdermal System 476540 synthetic conjugated estrogens, A 0.45 MG Oral Tablet 477045 Chlorpheniramine Maleate 2 MG/ML Oral Solution 577027 Estradiol 0.45 MG Oral Tablet 577029 Estradiol 1.8 MG Oral Tablet 618368 synthetic conjugated estrogens, B 0.3 MG Oral Tablet 618370 synthetic conjugated estrogens, B 0.45 MG Oral Tablet 618376 synthetic conjugated estrogens, B 0.625 MG Oral Tablet 618378 synthetic conjugated estrogens, B 1.25 MG Oral Tablet 636568 Chlorpheniramine Maleate 0.2 MG/ML / Dextromethorphan Hydrobromide 1 MG/ML Oral

Solution 636793 12 HR Disopyramide 100 MG Extended Release Oral Capsule 636794 12 HR Disopyramide 150 MG Extended Release Oral Capsule 700851 Brompheniramine Maleate 1 MG/ML Oral Solution 728581 thyroid (USP) 16.25 MG Oral Tablet 730794 Carisoprodol 250 MG Oral Tablet 730878 synthetic conjugated estrogens, B 0.9 MG Oral Tablet 731007 Brompheniramine 6 MG / Phenylephrine 19 MG Extended Release Oral Tablet 749850 {15 (Estradiol 1 MG / norgestimate 0.09 MG Oral Tablet) / 15 (Estradiol 1 MG Oral Tablet) }

Pack 804145 Chlorpheniramine 4 MG / Dextromethorphan 20 MG Oral Tablet 828299 Cyclobenzaprine hydrochloride 7.5 MG Oral Tablet 828320 Cyclobenzaprine hydrochloride 5 MG Oral Tablet 828348 Cyclobenzaprine hydrochloride 10 MG Oral Tablet 828353 24 HR Cyclobenzaprine hydrochloride 30 MG Extended Release Oral Capsule 828358 24 HR Cyclobenzaprine hydrochloride 15 MG Extended Release Oral Capsule 834022 Ketorolac Tromethamine 10 MG Oral Tablet 835564 Imipramine Hydrochloride 25 MG Oral Tablet 835568 Imipramine Hydrochloride 50 MG Oral Tablet 835572 Imipramine pamoate 75 MG Oral Capsule 835577 Imipramine pamoate 150 MG Oral Capsule 835589 Imipramine pamoate 125 MG Oral Capsule 835591 Imipramine pamoate 100 MG Oral Capsule 835593 Imipramine Hydrochloride 10 MG Oral Tablet 856706 Amitriptyline Hydrochloride 10 MG / Perphenazine 2 MG Oral Tablet 856720 Amitriptyline Hydrochloride 10 MG / Perphenazine 4 MG Oral Tablet 856762 Amitriptyline Hydrochloride 100 MG Oral Tablet 856769 Amitriptyline Hydrochloride 12.5 MG / Chlordiazepoxide 5 MG Oral Tablet 856773 Amitriptyline Hydrochloride 150 MG Oral Tablet 856783 Amitriptyline Hydrochloride 10 MG Oral Tablet 856792 Amitriptyline Hydrochloride 25 MG / Chlordiazepoxide 10 MG Oral Tablet 856797 Amitriptyline Hydrochloride 25 MG / Perphenazine 2 MG Oral Tablet 856825 Amitriptyline Hydrochloride 25 MG / Perphenazine 4 MG Oral Tablet 856834 Amitriptyline Hydrochloride 25 MG Oral Tablet 856840 Amitriptyline Hydrochloride 50 MG / Perphenazine 4 MG Oral Tablet 856845 Amitriptyline Hydrochloride 50 MG Oral Tablet 856853 Amitriptyline Hydrochloride 75 MG Oral Tablet 857297 Clomipramine Hydrochloride 25 MG Oral Capsule


857301 Clomipramine Hydrochloride 50 MG Oral Capsule 857305 Clomipramine Hydrochloride 75 MG Oral Capsule 857416 Clemastine Fumarate 1.34 MG Oral Tablet 857461 Clemastine Fumarate 2.68 MG Oral Tablet 857510 12 HR CHLORPHENIRAMINE POLISTIREX 4 MG / HYDROCODONE POLISTIREX 5 MG Extended

Release Oral Capsule 857512 12 HR CHLORPHENIRAMINE POLISTIREX 8 MG / HYDROCODONE POLISTIREX 10 MG

Extended Release Oral Capsule 860092 1 ML Ketorolac Tromethamine 15 MG/ML Injection 860096 Ketorolac Tromethamine 30 MG/ML Injectable Solution 860215 Megestrol Acetate 20 MG Oral Tablet 860221 Megestrol Acetate 40 MG Oral Tablet 860225 Megestrol Acetate 40 MG/ML Oral Suspension 860792 1 ML Meperidine Hydrochloride 75 MG/ML Cartridge 861447 Meperidine Hydrochloride 10 MG/ML Injectable Solution 861455 Meperidine Hydrochloride 100 MG Oral Tablet 861459 Meperidine Hydrochloride 100 MG/ML Injectable Solution 861463 Meperidine Hydrochloride 50 MG/ML Injectable Solution 861467 Meperidine Hydrochloride 50 MG Oral Tablet 861476 1 ML Meperidine Hydrochloride 25 MG/ML Injection 861743 Glyburide 1.25 MG / Metformin hydrochloride 250 MG Oral Tablet 861748 Glyburide 2.5 MG / Metformin hydrochloride 500 MG Oral Tablet 861753 Glyburide 5 MG / Metformin hydrochloride 500 MG Oral Tablet 862006 24 HR Guanfacine 1 MG Extended Release Oral Tablet 862013 24 HR Guanfacine 2 MG Extended Release Oral Tablet 862019 24 HR Guanfacine 3 MG Extended Release Oral Tablet 862025 24 HR Guanfacine 4 MG Extended Release Oral Tablet 866021 Cyproheptadine hydrochloride 0.4 MG/ML Oral Solution 866144 Cyproheptadine hydrochloride 4 MG Oral Tablet 882504 Diphenhydramine Hydrochloride 12.5 MG Disintegrating Oral Tablet 885209 benztropine mesylate 2 MG Oral Tablet 885213 benztropine mesylate 1 MG Oral Tablet 885219 benztropine mesylate 0.5 MG Oral Tablet 889520 Acetaminophen 300 MG / butalbital 50 MG / Caffeine 40 MG Oral Capsule 889614 Chlordiazepoxide Hydrochloride 5 MG / Clidinium bromide 2.5 MG Oral Capsule 895664 Diphenhydramine Citrate 38 MG / Ibuprofen 200 MG Oral Tablet 901814 Diphenhydramine Hydrochloride 25 MG / Ibuprofen 200 MG Oral Capsule 905168 Protriptyline Hydrochloride 10 MG Oral Tablet 905172 Protriptyline Hydrochloride 5 MG Oral Tablet 905269 Trihexyphenidyl Hydrochloride 2 MG Oral Tablet 905283 Trihexyphenidyl Hydrochloride 5 MG Oral Tablet 978944 dienogest 2 MG / estradiol valerate 2 MG Oral Tablet 978946 dienogest 3 MG / estradiol valerate 2 MG Oral Tablet 991061 Dicyclomine Hydrochloride 10 MG Oral Capsule 991065 2 ML Dicyclomine Hydrochloride 10 MG/ML Injection 991082 Dicyclomine Hydrochloride 2 MG/ML Oral Solution 991086 Dicyclomine Hydrochloride 20 MG Oral Tablet 992432 Promethazine Hydrochloride 1.25 MG/ML Oral Solution 992438 Promethazine Hydrochloride 12.5 MG Oral Tablet 992441 Promethazine Hydrochloride 12.5 MG Rectal Suppository 992447 Promethazine Hydrochloride 25 MG Oral Tablet


992454 Promethazine Hydrochloride 25 MG Rectal Suppository 992460 1 ML Promethazine Hydrochloride 25 MG/ML Injection 992475 Promethazine Hydrochloride 50 MG Oral Tablet 992478 Promethazine Hydrochloride 50 MG Rectal Suppository 992858 1 ML Promethazine Hydrochloride 50 MG/ML Injection 993943 Acetaminophen 325 MG / butalbital 50 MG / Caffeine 40 MG / Codeine Phosphate 30 MG

Oral Capsule 994289 Brompheniramine Maleate 0.27 MG/ML / Codeine Phosphate 1.27 MG/ML /

Pseudoephedrine Hydrochloride 2 MG/ML Oral Solution 994402 Brompheniramine Maleate 0.4 MG/ML / Codeine Phosphate 1.5 MG/ML /

Pseudoephedrine Hydrochloride 6 MG/ML Oral Solution 995211 Chlorpheniramine 4 MG / Codeine Phosphate 10 MG Oral Tablet 995214 Chlorpheniramine 4 MG / Codeine Phosphate 20 MG Oral Tablet 995218 Hydroxyzine Hydrochloride 10 MG Oral Tablet 995232 Hydroxyzine Pamoate 100 MG Oral Capsule 995235 Hydroxyzine Hydrochloride 100 MG Oral Tablet 995253 Hydroxyzine Pamoate 25 MG Oral Capsule 995258 Hydroxyzine Hydrochloride 25 MG Oral Tablet 995278 Hydroxyzine Pamoate 50 MG Oral Capsule 995281 Hydroxyzine Hydrochloride 50 MG Oral Tablet 995285 Hydroxyzine Hydrochloride 50 MG/ML Injectable Solution 995624 Meclizine Hydrochloride 12.5 MG Oral Tablet 995632 Meclizine Hydrochloride 25 MG Chewable Tablet 995666 Meclizine Hydrochloride 25 MG Oral Tablet 995686 Meclizine Hydrochloride 50 MG Oral Tablet 998254 Chlorpheniramine Maleate 4 MG / Pseudoephedrine Hydrochloride 60 MG Oral Tablet 998726 Hyoscyamine Sulfate 0.0625 MG / Phenyltoloxamine citrate 15 MG Oral Capsule


Appendix C: High-Risk Medications for the Elderly with Days Supply Criteria

RxNORM Code Description 1232194 Zolpidem tartrate 1.75 MG Sublingual Tablet 1232202 Zolpidem tartrate 3.5 MG Sublingual Tablet 1648755 NITROFURANTOIN, MACROCRYSTALS 25 MG / Nitrofurantoin, Monohydrate 75 MG Oral

Capsule 1648759 NITROFURANTOIN, MACROCRYSTALS 100 MG Oral Capsule 311989 Nitrofurantoin 5 MG/ML Oral Suspension 311991 Nitrofurantoin 50 MG Oral Tablet 311994 NITROFURANTOIN, MACROCRYSTALS 25 MG Oral Capsule 311995 NITROFURANTOIN, MACROCRYSTALS 50 MG Oral Capsule 313761 zaleplon 10 MG Oral Capsule 313762 zaleplon 5 MG Oral Capsule 485440 Eszopiclone 1 MG Oral Tablet 485442 Eszopiclone 2 MG Oral Tablet 485465 Eszopiclone 3 MG Oral Tablet 828692 Zolpidem tartrate 5 MG/ACTUAT Oral Spray 836641 Zolpidem tartrate 10 MG Sublingual Tablet 836647 Zolpidem tartrate 5 MG Sublingual Tablet 854873 Zolpidem tartrate 10 MG Oral Tablet 854876 Zolpidem tartrate 5 MG Oral Tablet 854880 Zolpidem tartrate 12.5 MG Extended Release Oral Tablet 854894 Zolpidem tartrate 6.25 MG Extended Release Oral Tablet


Appendix D: SNOMED Codes for Cataract Surgery

Code Description 10178000 Extracapsular extraction of cataract by inferior temporal route (procedure) 110473004 Cataract surgery (procedure) 112963003 Aspiration of cataract (procedure) 112964009 Extraction of cataract by rotoextraction with aspiration (procedure) 12163000 Needling of secondary cataract (procedure) 231744001 Cataract extraction, insertion of intraocular lens and trabeculectomy (procedure) 308694002 Extracapsular cataract extraction and insertion of intraocular lens (procedure) 308695001 Intracapsular cataract extraction and insertion of intraocular lens (procedure) 313999004 Small incision phacoemulsification of cataract and insertion of intraocular lens

(procedure) 31705006 Extraction of cataract by rotoextraction with aspiration by posterior route (procedure) 335636001 Extraction of primary membranous cataract by phacofragmentation (procedure) 336651000 Extraction of primary membranous cataract by mechanical fragmentation (procedure) 35717002 Discission of congenital cataract (procedure) 361191005 Extraction of cataract by ultrasonic phacofragmentation (procedure) 385468004 Cataract extraction and insertion of intraocular lens (procedure) 39243005 Mechanical fragmentation of cataract with extraction by posterior route (procedure) 397544007 Complicated cataract surgery (procedure) 404628003 Intracapsular cataract extraction (procedure) 415089008 Phacoemulsification of cataract with intraocular lens implantation (procedure) 417493007 Small incision manual extracapsular cataract extraction (procedure) 418430006 Bimanual phacoemulsification of cataract with intraocular lens implantation

(procedure) 419767009 Bimanual microincisional phacoemulsification of cataract with intraocular lens

implantation (procedure) 420260004 Bimanual phacoemulsification (procedure) 420526005 Coaxial phacoemulsfication (procedure) 424945000 Torsional phacoemulsification (procedure) 446548003 Extraction of cataract and trabeculectomy (procedure) 46309001 Extraction of primary membranous cataract by excision (procedure) 46426006 Cryoextraction of cataract by inferior temporal route (procedure) 46562009 Incisional discission of secondary membranous cataract and anterior hyaloid

(procedure) 50538003 Discission of membranous cataract, primary (procedure) 5130002 Extraction of primary membranous cataract by discission (procedure) 51839008 Extraction of primary membranous cataract by needling (procedure) 54885007 Extraction of cataract (procedure) 65812008 Removal of secondary membranous cataract with iridectomy (procedure) 67760003 Extracapsular extraction of cataract by rotoextraction with aspiration (procedure)


69360005 Extracapsular extraction of cataract by mechanical fragmentation with aspiration by posterior route (procedure)

74490003 Mechanical fragmentation of primary membranous cataract (procedure) 75814005 Erysiphake extraction of cataract by inferior temporal route (procedure) 79611007 Extracapsular extraction of cataract by curette evacuation (procedure) 82155009 Extracapsular extraction of cataract by emulsification with aspiration (procedure) 84149000 Aspiration of cataract by phacoemulsification (procedure) 85622008 Cryoextraction of cataract by intracapsular approach (procedure) 88282000 Extracapsular extraction of cataract by mechanical fragmentation with aspiration

(procedure) 89153001 Extracapsular extraction of cataract by rotoextraction with aspiration by posterior route

(procedure) 9137006 Discission of membranous cataract, secondary (procedure)


Appendix E: SNOMED Codes for Operative Procedures Related to Cataract Surgery Complications

Code Description

13767004 Removal of foreign body from choroid without use of magnet (procedure)

172426003 Removal of foreign body from cornea (procedure)

172498005 Removal of foreign body from iris (procedure)

172548007 Surgical removal of foreign body from lens (procedure)

18752000 Magnet extraction of intraocular foreign body from anterior chamber of eye (procedure)

20647004 Removal of foreign body from vitreous without use of magnet (procedure)

21491001 Removal of foreign body of ciliary body without use of magnet (procedure)

223217009 Removal of embedded foreign body from conjunctiva by incision (procedure)

224227005 Removal of subconjunctival foreign body (procedure)

225184003 Removal of embedded foreign body from conjunctiva (procedure)

287233001 Anterior chamber foreign body removal by magnet (procedure)

287236009 Conjunctival foreign body removal by incision (procedure)

287242008 Posterior chamber of eye foreign body removal by incision (procedure)

30113009 Removal of foreign body of anterior chamber of eye by incision (procedure)

31530007 Removal of foreign body of iris without use of magnet (procedure)

35552007 Repair of nonperforating laceration of cornea with removal of foreign body (procedure)

360405005 Removal of foreign body of lens by incision (procedure)

360411008 Capsulotomy of lens with removal of foreign body (procedure)

363726008 Removal of foreign body of cornea by incision (procedure)

37332006 Magnet extraction of foreign body from sclera (procedure)

37958004 Removal of foreign body of sclera by incision (procedure)

417297006 Removal of viscoelastic from anterior chamber (procedure)

430833007 Removal of rust ring from cornea (procedure)

43908008 Magnet extraction of foreign body from choroid (procedure)

444600006 Removal of magnetic foreign body from eye (procedure)

445023004 Removal of penetrating foreign body from eye by incision (procedure)

445024005 Removal of penetrating foreign body from eye using magnet (procedure)

4503005 Removal of foreign body of sclera without use of magnet (procedure)

45817009 Removal of foreign body from retina by incision (procedure)

48933009 Removal of foreign body from posterior segment of eye (procedure)

50737005 Magnet extraction of foreign body from vitreous (procedure)


51281007 Removal of superficial foreign body from conjunctiva (procedure)

53570002 Removal of foreign body from eye (procedure)

54085006 Removal of foreign body of ciliary body by incision (procedure)

54211003 Nonmagnetic extraction of foreign body from lens without extraction of lens (procedure)

54362002 Removal of intraocular foreign body from anterior segment of eye (procedure)

5671007 Magnet extraction of foreign body from ciliary body (procedure)

58689006 Magnet extraction of foreign body from lens (procedure)

61220009 Removal of foreign body of external eye, scleral nonperforating (procedure)

64340000 Removal of foreign body from retina without use of magnet (procedure)

66134002 Magnet extraction of foreign body from cornea (procedure)

67546003 Removal of penetrating foreign body from eye (procedure)

72199008 Removal of foreign body from vitreous by incision (procedure)

74948004 Magnet extraction of foreign body from retina (procedure)

75734004 Removal of foreign body from choroid by incision (procedure)

78191003 Capsulotomy of lens with removal of foreign body by magnet extraction (procedure)

78290008 Magnet extraction of foreign body from iris (procedure)

78362007 Removal of foreign body from conjunctiva (procedure)

84016007 Removal of foreign body from lens (procedure)

84542000 Removal of foreign body of anterior chamber of eye by incision with use of magnet

(procedure)

85145001 Removal of foreign body of cornea with slit lamp (procedure)

8813000 Removal of intraocular foreign body from anterior segment of eye with use of magnet

(procedure)

89788006 Magnet extraction of foreign body from posterior segment of eye (procedure)

89942008 Removal of foreign body of iris by incision (procedure)

90997007 Removal of foreign body from posterior segment of eye without use of magnet

(procedure)

9255007 Removal of foreign body from anterior chamber of eye without use of magnet

(procedure)

438601000 Lysis of adhesions of anterior segment of eye using laser (procedure)

76240002 Lysis of corneovitreal adhesions (procedure) 2536007 Injection of medication in anterior chamber of eye (procedure) 30246007 Injection of liquid in anterior chamber of eye (procedure) 4143006 Injection of anterior chamber of eye (procedure) 416773006 Injection of viscoelastic in anterior chamber of eye (procedure)


49789002 Injection of air in anterior chamber of eye (procedure) 231751005 Exchange of intraocular lens (procedure) 231752003 Repositioning of intraocular lens (procedure) 312705004 Removal of retained lens matter (procedure) 312706003 Removal of retained lens nucleus (procedure) 312707007 Removal of soft lens matter (procedure) 312714009 Relocation of intraocular lens from vitreous cavity (procedure) 46562009 Incisional discission of secondary membranous cataract and anterior hyaloid (procedure) 65812008 Removal of secondary membranous cataract with iridectomy (procedure) 9137006 Discission of membranous cataract, secondary (procedure) 231780001 Injection of perfluorocarbon liquid into vitreous (procedure) 296867007 Anterior sclerotomy with removal of vitreous (procedure) 3499006 Aspiration of vitreous with replacement (procedure) 48671003 Injection of vitreous substitute, pars plana approach (procedure) 10006000 Repair of retinal detachment with xenon arc photocoagulation (procedure) 12651006 Sclerectomy for retinal reattachment (procedure) 14707009 Lamellar resection of sclera for retinal reattachment (procedure) 172451002 Overlay scleroplasty (procedure) 172574001 Reposition plombage for detachment (procedure) 22768003 Suture of retina for reattachment (procedure) 3938007 Cerclage for retinal reattachment (procedure) 4344007 Cryopexy (procedure) 47470009 Shortening of sclera for repair of retinal detachment (procedure) 57103007 Reattachment of retina by diathermy (procedure) 68999001 Reattachment of retina by electrocoagulation (procedure) 77950003 Repair of retina for retinal detachment by cryotherapy (procedure) 78917001 Repair of retina for retinal detachment by photocoagulation (procedure) 85231002 Repair of retinal detachment by laser photocoagulation (procedure) 8920006 Repair of retina for retinal detachment (procedure) 10807008 Scleral reinforcement with graft (procedure) 67250 Scleral reinforcement (separate procedure); without graft 67255 Scleral reinforcement (separate procedure); with graft 84077007 Reinforcement of sclera (procedure) 120119003 Anterior segment of eye repair (procedure) 12868007 Revision of operative wound of anterior segment of eye (procedure) 231741009 Revision of anterior chamber (procedure)


Appendix F: ICD Codes Included in POAG: Optic Nerve Head Evaluation

Code Description Code System 365.10 Open-angle glaucoma, unspecified ICD9CM 365.11 Primary open angle glaucoma ICD9CM 365.12 Low tension open-angle glaucoma ICD9CM 365.15 Residual stage of open angle glaucoma ICD9CM H40.10X0 Unspecified open-angle glaucoma, stage unspecified ICD10CM H40.10X1 Unspecified open-angle glaucoma, mild stage ICD10CM H40.10X2 Unspecified open-angle glaucoma, moderate stage ICD10CM H40.10X3 Unspecified open-angle glaucoma, severe stage ICD10CM H40.10X4 Unspecified open-angle glaucoma, indeterminate stage ICD10CM H40.1110 Primary open-angle glaucoma, right eye, stage unspecified ICD10CM H40.1111 Primary open-angle glaucoma, right eye, mild stage ICD10CM H40.1112 Primary open-angle glaucoma, right eye, moderate stage ICD10CM H40.1113 Primary open-angle glaucoma, right eye, severe stage ICD10CM H40.1114 Primary open-angle glaucoma, right eye, indeterminate stage ICD10CM H40.1120 Primary open-angle glaucoma, left eye, stage unspecified ICD10CM H40.1121 Primary open-angle glaucoma, left eye, mild stage ICD10CM H40.1122 Primary open-angle glaucoma, left eye, moderate stage ICD10CM H40.1123 Primary open-angle glaucoma, left eye, severe stage ICD10CM H40.1124 Primary open-angle glaucoma, left eye, indeterminate stage ICD10CM H40.1130 Primary open-angle glaucoma, bilateral, stage unspecified ICD10CM H40.1131 Primary open-angle glaucoma, bilateral, mild stage ICD10CM H40.1132 Primary open-angle glaucoma, bilateral, moderate stage ICD10CM H40.1133 Primary open-angle glaucoma, bilateral, severe stage ICD10CM H40.1134 Primary open-angle glaucoma, bilateral, indeterminate stage ICD10CM H40.1210 Low-tension glaucoma, right eye, stage unspecified ICD10CM H40.1211 Low-tension glaucoma, right eye, mild stage ICD10CM H40.1212 Low-tension glaucoma, right eye, moderate stage ICD10CM H40.1213 Low-tension glaucoma, right eye, severe stage ICD10CM H40.1214 Low-tension glaucoma, right eye, indeterminate stage ICD10CM H40.1220 Low-tension glaucoma, left eye, stage unspecified ICD10CM H40.1221 Low-tension glaucoma, left eye, mild stage ICD10CM H40.1222 Low-tension glaucoma, left eye, moderate stage ICD10CM H40.1223 Low-tension glaucoma, left eye, severe stage ICD10CM H40.1224 Low-tension glaucoma, left eye, indeterminate stage ICD10CM H40.1230 Low-tension glaucoma, bilateral, stage unspecified ICD10CM H40.1231 Low-tension glaucoma, bilateral, mild stage ICD10CM H40.1232 Low-tension glaucoma, bilateral, moderate stage ICD10CM H40.1233 Low-tension glaucoma, bilateral, severe stage ICD10CM H40.1234 Low-tension glaucoma, bilateral, indeterminate stage ICD10CM


H40.151 Residual stage of open-angle glaucoma, right eye ICD10CM H40.152 Residual stage of open-angle glaucoma, left eye ICD10CM H40.153 Residual stage of open-angle glaucoma, bilateral ICD10CM


Appendix G: ICD Codes Included in Diabetic Retinopathy Measure

Code Description Code System(s) 362.01 Background diabetic retinopathy ICD9CM 362.02 Proliferative diabetic retinopathy ICD9CM 362.03 Nonproliferative diabetic retinopathy NOS ICD9CM 362.04 Mild nonproliferative diabetic retinopathy ICD9CM 362.05 Moderate nonproliferative diabetic retinopathy ICD9CM 362.06 Severe nonproliferative diabetic retinopathy ICD9CM E08.311 Diabetes mellitus due to underlying condition with unspecified diabetic

retinopathy with macular edema ICD10CM

E08.319 Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy without macular edema

ICD10CM

E08.3211 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, right eye

ICD10CM

E08.3212 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, left eye

ICD10CM

E08.3213 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, bilateral

ICD10CM

E08.3291 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema, right eye

ICD10CM

E08.3292 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema, left eye

ICD10CM

E08.3293 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema, bilateral

ICD10CM

E08.3311 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, right eye

ICD10CM

E08.3312 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, left eye

ICD10CM

E08.3313 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, bilateral

ICD10CM

E08.3391 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema, right eye

ICD10CM

E08.3392 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema, left eye

ICD10CM

E08.3393 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema, bilateral

ICD10CM

E08.3411 Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, right eye

ICD10CM

E08.3412 Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, left eye

ICD10CM

E08.3413 Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, bilateral

ICD10CM

E08.3491 Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular edema, right eye

ICD10CM

E08.3492 Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular edema, left eye

ICD10CM

E08.3493 Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular edema, bilateral

ICD10CM

E08.3511 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, right eye

ICD10CM


E08.3512 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, left eye

ICD10CM

E08.3513 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, bilateral

ICD10CM

E08.3521 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye

ICD10CM

E08.3522 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye

ICD10CM

E08.3523 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral

ICD10CM

E08.3531 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye

ICD10CM

E08.3532 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye

ICD10CM

E08.3533 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral

ICD10CM

E08.3541 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye

ICD10CM

E08.3542 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye

ICD10CM

E08.3543 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral

ICD10CM

E08.3551 Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, right eye

ICD10CM

E08.3552 Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, left eye

ICD10CM

E08.3553 Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, bilateral

ICD10CM

E08.3591 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, right eye

ICD10CM

E08.3592 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, left eye

ICD10CM

E08.3593 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, bilateral

ICD10CM

E09.311 Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy with macular edema

ICD10CM

E09.319 Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy without macular edema

ICD10CM

E09.3211 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye

ICD10CM

E09.3212 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye

ICD10CM


E09.3213 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral

ICD10CM

E09.3291 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye

ICD10CM

E09.3292 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye

ICD10CM

E09.3293 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral

ICD10CM

E09.3311 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye

ICD10CM

E09.3312 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye

ICD10CM

E09.3313 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral

ICD10CM

E09.3391 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye

ICD10CM

E09.3392 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye

ICD10CM

E09.3393 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral

ICD10CM

E09.3411 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye

ICD10CM

E09.3412 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye

ICD10CM

E09.3413 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral

ICD10CM

E09.3491 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye

ICD10CM

E09.3492 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye

ICD10CM

E09.3493 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral

ICD10CM

E09.3511 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye

ICD10CM

E09.3512 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye

ICD10CM

E09.3513 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral

ICD10CM

E09.3521 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye

ICD10CM

E09.3522 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye

ICD10CM

E09.3523 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral

ICD10CM

E09.3531 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye

ICD10CM


E09.3532 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye

ICD10CM

E09.3533 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral

ICD10CM

E09.3541 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye

ICD10CM

E09.3542 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye

ICD10CM

E09.3543 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral

ICD10CM

E09.3551 Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, right eye

ICD10CM

E09.3552 Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, left eye

ICD10CM

E09.3553 Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, bilateral

ICD10CM

E09.3591 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye

ICD10CM

E09.3592 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye

ICD10CM

E09.3593 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral

ICD10CM

E10.311 Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema

ICD10CM

E10.319 Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema

ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM



ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM

E10.3551 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, right eye

ICD10CM

E10.3552 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, left eye

ICD10CM

E10.3553 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral

ICD10CM


ICD10CM



ICD10CM


ICD10CM

E11.311 Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema

ICD10CM

E11.319 Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema

ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM



ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM


ICD10CM

E11.3551 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, right eye

ICD10CM

E11.3552 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, left eye

ICD10CM

E11.3553 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral

ICD10CM


ICD10CM


ICD10CM


ICD10CM

E13.311 Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema

ICD10CM

E13.319 Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema

ICD10CM

E13.3211 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye

ICD10CM

E13.3212 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye

ICD10CM

E13.3213 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral

ICD10CM

E13.3291 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye

ICD10CM

E13.3292 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye

ICD10CM

E13.3293 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral

ICD10CM

E13.3311 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye

ICD10CM


E13.3312 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye

ICD10CM

E13.3313 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral

ICD10CM

E13.3391 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye

ICD10CM

E13.3392 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye

ICD10CM

E13.3393 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral

ICD10CM

E13.3411 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye

ICD10CM

E13.3412 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye

ICD10CM

E13.3413 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral

ICD10CM

E13.3491 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye

ICD10CM

E13.3492 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye

ICD10CM

E13.3493 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral

ICD10CM

E13.3511 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye

ICD10CM

E13.3512 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye

ICD10CM

E13.3513 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral

ICD10CM

E13.3521 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye

ICD10CM

E13.3522 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye

ICD10CM

E13.3523 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral

ICD10CM

E13.3531 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye

ICD10CM

E13.3532 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye

ICD10CM

E13.3533 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral

ICD10CM

E13.3541 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye

ICD10CM

E13.3542 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye

ICD10CM

E13.3543 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral

ICD10CM

E13.3551 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, right eye

ICD10CM


E13.3552 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, left eye

ICD10CM

E13.3553 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, bilateral

ICD10CM

E13.3591 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye

ICD10CM

E13.3592 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye

ICD10CM

E13.3593 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral

ICD10CM


Appendix H: Clinical Exception Codes: Medical Reason

Code Description 183932001 Procedure contraindicated (situation) 183964008 Treatment not indicated (situation) 183966005 Drug treatment not indicated (situation) 216952002 Failure in dosage (event) 266721009 Absent response to treatment (situation) 269191009 Late effect of medical and surgical care complication (disorder) 274512008 Drug therapy discontinued (situation) 31438003 Drug resistance (disorder) 35688006 Complication of medical care (disorder) 371133007 Treatment modification (procedure) 397745006 Medical contraindication (finding) 407563006 Treatment not tolerated (situation) 410534003 Not indicated (qualifier value) 410536001 Contraindicated (qualifier value) 416098002 Drug allergy (disorder) 416406003 Procedure discontinued (situation) 428119001 Procedure not indicated (situation) 445528004 Treatment changed (situation) 59037007 Drug intolerance (disorder) 62014003 Adverse reaction caused by drug (disorder) 79899007 Drug interaction (finding)


Appendix I: Clinical Exception Codes: Patient Reason

Code Description 105480006 Refusal of treatment by patient (situation) 160932005 Financial problem (finding) 160934006 Financial circumstances change (finding) 182890002 Patient requests alternative treatment (finding) 182895007 Drug declined by patient (situation) 182897004 Drug declined by patient - side effects (situation) 182900006 Drug declined by patient - patient beliefs (situation) 182902003 Drug declined by patient - cannot pay script (situation) 183944003 Procedure refused (situation) 183945002 Procedure refused for religious reason (situation) 184081006 Patient has moved away (finding) 185479006 Patient dissatisfied with result (finding) 185481008 Dissatisfied with doctor (finding) 224187001 Variable income (finding) 225928004 Patient self-discharge against medical advice (procedure) 266710000 Drugs not taken/completed (situation) 266966009 Family illness (situation) 275694009 Patient defaulted from follow-up (finding) 275936005 Patient noncompliance - general (situation) 281399006 Did not attend (finding) 310343007 Further opinion sought (finding) 373787003 Treatment delay - patient choice (finding) 406149000 Medication refused (situation) 408367005 Patient forgets to take medication (finding) 413310006 Patient non-compliant - refused access to services (situation) 413311005 Patient non-compliant - refused intervention / support (situation) 413312003 Patient non-compliant - refused service (situation) 416432009 Procedure not wanted (situation) 423656007 Income insufficient to buy necessities (finding) 424739004 Income sufficient to buy only necessities (finding) 443390004 Refused (qualifier value) 713247000 Procedure discontinued by patient (situation)

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Reports > Administration > Providers > MIPS – Quality...2019 Clinical Quality Measure Scoring Guide December 12, 2018 4 Closing the Referral Loop: Receipt of Specialist Report (CMS50v7)