error
Website downtime is planned for Saturday, October 31st from 8:00 AM to 12:00 PM. Some functions may be unavailable during this time period.
Website downtime is planned for Saturday, October 31st from 8:00 AM to 12:00 PM. Some functions may be unavailable during this time period.
Printer Friendly Version
Printer Friendly Version
Printer Friendly Version
L.6.01.403
Computerized (or computed) tomography, and often formerly referred to as computerized axial tomography (CAT) scan, is a radiologic procedure that combines many images with the aid of a computer to generate cross-sectional views and, if needed, three-dimensional images of the internal organs and structures of the body. Computerized tomography is more commonly known by its abbreviated names, CT scan or CAT scan. A CT scan is used to define normal and abnormal structures in the body and/or assist in procedures by helping to accurately guide the placement of instruments or treatments.
A large donut-shaped machine or scanner takes images at many different angles around the body. These images are processed by a computer to produce cross-sectional pictures of the body. In each of these pictures the body is seen as a "slice" of the body, which is recorded on a film. This recorded image is called a tomogram. "Computerized axial tomography" refers to the recorded tomogram "sections" at different levels of the body.
A CT provides clinical information in the detection, differentiation, and demarcation of disease. It is the primary diagnostic modality for a variety of presenting problems and is widely accepted as a supplement to other imaging techniques. CT examinations should be performed only for a valid medical reason and with the minimum exposure that provides the image quality necessary for adequate diagnostic information.
CT angiography (CTA) is a CT examination that is primarily performed for assessment of the heart, arteries, or veins of the body. It requires at a minimum a thin section helical (spiral) CT acquisition coupled with a power injection of intravenous iodinated contrast medium. Three dimensional rendering and multiplanar reformations are important components of many CTA examinations.
Related policies are -
Computed Tomography (CAT Scan) and Computed Tomographic Angiography (CTA) of the Chest and Thorax
Computed Tomography (CAT Scan) and Computed Tomographic Angiography (CTA) of the Abdomen and Pelvis
Computed Tomography (CAT Scan) and Computed Tomographic Angiography (CTA) of Extremity or Joint
Computed Tomography (CAT Scan) of Cervical, Thoracic, and Lumbar Spine
Provider Accreditation for CT – Network Providers
All Network Providers billing the technical component of the CT must be accredited in CT by the Intersocietal Accreditation Commission (IAC) or a CT module by the American College of Radiology (ACR) or RadSite. The professional component of the CT will be reimbursed based upon the accreditation of the facility as the ACR, IAC or RadSite facility accreditations require that interpreting professional physicians also be accredited.
I. Computed Tomography (CAT Scan)
A. Computed tomography (CAT scan) of the head or brain is considered medically necessary for the following indications:
Stroke
Transient ischemia attack (TIA)
Suspected subarachnoid hemorrhage (SAH)
Headache
Seizure
Central nervous system (CNS) infection or abscess
Follow-up evaluation of AVM
Hydrocephalus
Trauma
Decreased level of consciousness
Altered mental status
Tumor of primary CNS origin
Dementia
Suspected neonatal hemorrhage
Palpable mass of the skull or scalp
Follow-up evaluation of intracranial abscess
Follow-up evaluation of intracranial infection
Follow-up evaluation of primary brain tumor
Central nervous system evaluation for brain metastases
Follow-up evaluation of post-intracranial procedure, e.g. craniotomy, craniectomy
Follow-up evaluation post CNS shunt placement
Suspected CNS involvement with systemic disease, including but not limited to:
Systemic lupus erythematosus
Vasculitis
HIV
Sarcoidosis
Macrocephaly
Microcephaly
Craniosynostosis
Suspected subdural hematoma (SDH)
Arnold Chiari Malformation
Dandy Walker Cyst
Fibrous Dysplasia
Encephalocele
B. Computed tomography (CAT scan) of the maxillofacial area or neck is considered medically necessary for the following indications:
Complicated acute sinusitis with progression of symptoms even with medical management
Recurrent acute sinusitis (3 or more episodes within 1 year)
Chronic sinusitis (rhinosinusitis) (symptoms lasting 8 weeks or longer of varying intensity)
Suspected sinus or nasopharyngeal tumor
Submandibular or salivary gland mass or pathology
Mucocele or nasal polyp
Head or neck cancer
Trauma
Suspected submandibular duct stone or other salivary gland pathology
Cough, work up of chronic (cough lasting more than 3 weeks)
Parotid mass
Suspected head and neck abscess
Neck mass after equivocal ultrasound
Airway obstruction by neck mass
Suspected parathyroid tumor or pathology
Thyroid nodule, goiter or mass
Mucocele or nasal polyp
Suspected recurrent medullary thyroid carcinoma
Suspected submandibular duct stone
Suspected laryngeal fracture
Facial, orbital or head trauma
Suspected sinus malignancy
Evaluation of vocal cord paralysis or hoarseness
Lymphoma
Lymphadenopathy
Foreign body evaluation
C. Computed tomography (CAT scan) of the temporal bone, orbit, sella or posterior fossa, outer, or middle ear is considered medically necessary for the following indications:
Head or neck cancer
Suspected orbital tumor or other pathology
Suspected unilateral proptosis, orbital, periorbital mass or tumor
Unusual presentation of Bell’s Palsy
Suspected temporal bone, mastoid or ear disease, including but not limited to:
Mastoiditis
Cholesteatoma
Tinnitus
Conductive hearing loss
Nystagmus
Acoustic neuroma
Sensorineural hearing loss
Cerebellar pontine angle tumor
Trauma
Extraocular myopathy
Optic neuritis or suspected optic neuritis
Unusual presentation of Bell’s Palsy
Suspected temporal bone, mastoid or ear disease including but not limited to evaluation of tinnitus
Evaluation of vertigo
Evaluation of congenital anomaly of the ear
Evaluation of severe infections of the ear
Cochlear implant evaluation
Congenital hearing loss
Visual field loss
Congenital anomaly of the orbit
Otosclerosis
Suspected pituitary disease
Suspected cerebrospinal fluid leak with or without intrathecal contrast injection
D. Computed tomography (CAT scan) of the head and neck is considered not medically necessary for all other indications, including when performed for screening purposes in asymptomatic patients (absence of signs, symptoms, or disease).
II. Computed Tomographic Angiography (CTA)
A. Computed tomographic angiography (CTA) for pre-operative study for carotid endarterectomy or angioplasty is considered medically necessary for the following indications:
Symptomatic and asymptomatic carotid stenosis
Suspected anterior circulation ischemia
B. Computed tomographic angiography (CTA) of the head and neck is considered medically necessary for the following indications:
Cavernous hemangioma
Arterial and venous aneurysm
Subarachnoid hemorrhage (SAH)
Traumatic injuries to arteries and veins
Arterial dissection and intramural hematoma
Arterial and venous thromboembolism
Non-atherosclerotic, noninflammatory vasculopathy
Congenital vascular anomalies
Anatomic variants
Vascular interventions (percutaneous and surgical)
Vasculitis and collagen vascular diseases
Vascular infection
Vertebro-basilar insufficiency
Known or suspected parathyroid adenoma
Carotid body tumor
Known or suspected dural venous sinus thrombosis
Aneurysm follow up with or without prior treatment
Preoperative evaluation of neck mass
TIA by history with clinical changes
Pre-treatment planning of acute stroke intervention
Pre-treatment planning for parathyroidectomy
C. Computed tomographic angiography (CTA) of the head and neck is considered not medically necessary for all other indications, including when performed for screening purposes in asymptomatic patients (absence of signs, symptoms, or disease).
State Health Plan (SHP) Members: For dates of service on or prior to 12/31/2015, this policy applies to CAT scans of the head and CTA of the head when performed in the emergency room and non-emergency room settings. This policy applies to CAT scans of the neck and CTA of the neck when performed in the emergency room. This policy does not apply to CAT scans of the neck and CTA of the neck performed in non-emergency room settings. CAT scans of the neck and CTA of the neck performed in non-emergency room settings require pre-certification by the Plan’s Utilization Review Vendor.
Effective 01/01/2016, this policy applies to CAT scans and CTA of the Head and Neck performed in all settings for State Health Plan Members.
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language.
Medically Necessary is defined as those services, treatments, procedures, equipment, drugs, devices, items or supplies furnished by a covered Provider that are required to identify or treat a Member's illness, injury or Mental Health Disorders, and which Company determines are covered under this Benefit Plan based on the criteria as follows in A through D:
A. consistent with the symptoms or diagnosis and treatment of the Member's condition, illness, or injury; and
B. appropriate with regard to standards of good medical practice; and
C. not solely for the convenience of the Member, his or her Provider; and
D. the most appropriate supply or level of care which can safely be provided to Member. When applied to the care of an Inpatient, it further means that services for the Member's medical symptoms or conditions require that the services cannot be safely provided to the Member as an Outpatient.
For the definition of medical necessity, “standards of good medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of medical practitioners practicing in relevant clinical areas and any other relevant factors. BCBSMS makes no payment for services, treatments, procedures, equipment, drugs, devices, items or supplies which are not documented to be Medically Necessary. The fact that a Physician or other Provider has prescribed, ordered, recommended, or approved a service or supply does not in itself, make it Medically Necessary.
Investigative is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized as a generally accepted standard of good medical practice for the treatment of the condition being treated and; therefore, is not considered medically necessary. For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of medical practitioners practicing in relevant clinical areas and any other relevant factors. In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting.
05/19/2014: New policy added. Approved by Radiology Physician Advisory Committee and Medical Policy Advisory Committee. Effective 08/15/2014.
06/30/2014: Policy Exceptions section updated regarding SHP members to state that this policy applies to CAT scans of the head and CTA of the head when performed in the emergency room and non-emergency room settings. This policy applies to CAT scans of the neck and CTA of the neck when performed in the emergency room. This policy does not apply to CAT scans of the neck and CTA of the neck performed in non-emergency room settings. CAT scans of the neck and CTA of the neck performed in non-emergency room settings require pre-certification by the Plan’s Utilization Review Vendor.
08/25/2014: Added ICD-9 Diagnosis codes 373.13, 376.01, and 376.11 to the Code Reference section.
01/09/2015: Added ICD-9 diagnosis code range 850.0 - 850.9 to the Code Reference section.
05/15/2015: Added ICD-9 diagnosis code range 146.0 - 146.8 to the Code Reference section.
05/18/2015: Code Reference section updated to expand ICD-9 diagnosis code range 434.00-434.91.
09/01/2015: Medical policy revised to add ICD-10 codes. Code Reference section updated to extend ICD-9 diagnosis code 017.4 to the fifth digit (017.40 – 017.46). Corrected ICD-9 diagnosis code 053.4. The correct code is 053.14.
12/31/2015: Policy Exceptions section updated to state that effective 01/01/2016, this policy applies to CAT scans and CTA of the Head and Neck performed in all settings for State Health Plan Members.
02/10/2016: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to make the following corrections: C75 should be C75.0 and L03.811 - L08.818 should be L03.811 - L03.818. Code description updated for code range L03.811 - L03.818.
06/08/2016: Policy number L.6.01.403 added.
07/27/2016: Code Reference section updated to remove invalid diagnosis code. ICD-10 diagnosis code S08.819A - S08.819S should be S08.119A - S08.119S.
09/30/2016: Code Reference section updated to add new ICD-10 diagnosis codes G97.61, G97.62, H90.A11, H90.A12, H90.A21, H90.A22, A90.A31, H90.A32, I72.5, I77.75, S02.101A - S02.101S, S02.102A - S02.102S, S02.109A - S02.109S, S02.11AA - S02.11HS, S02.30XA - S02.30XS, S02.31XA - S02.31XS, S02.32XA - S02.32XS, T85.730D, T85.730S, T85.731A - T85.731S, T85.735A - T85.735S, T85.738A - T85.738S, and T85.810 - T85.810S. Revised code description for ICD-10 diagnosis code I77.79.
09/29/2017: Code Reference section updated to add new ICD-10 diagnosis codes C96.20, C96.21, C96.22, C96.29, H54.0X33, H54.0X34, H54.0X35, H54.0X43, H54.0X44, H54.0X45, H54.0X53, H54.0X54, H54.0X55, H54.1131, H54.1132, H54.1141, H54.1142, H54.1151, H54.1152, H54.1213, H54.1214, H54.1215, H54.1223, H54.1224, H54.1225, H54.2X11, H54.2X12, H54.2X21, H54.2X22, H54.413A, H54.414A, H54.415A, H54.42A3, H54.42A4, H54.42A5, H54.511A, H54.512A, H54.52A1, H54.52A2, M33.03, M33.13, and M33.93, effective 10/01/2017. Removed deleted ICD-10 diagnosis codes S02.10XA, S02.10XB, S02.10XD, S02.10XG, S02.10XK, S02.10XS, and S02.3XXA - S02.3XXS.
09/24/2018: Code Reference section updated to add new ICD-10 diagnosis codes C4A.111, C4A.112, C4A.121, C4A.122, I63.81, I63.89, I67.858, and R93.89, effective 10/01/2018.
11/30/2018: Code Reference section updated to add ICD-10 diagnosis codes S02.600A - S02.69XS, S02.80XA - S02.82XS, and S02.92XA - S02.92XS. Removed deleted ICD-10 diagnosis codes C96.2 and H54.0.
09/24/2019: Code Reference section updated to add new ICD-10 diagnosis codes T67.01XA, T67.01XD, T67.01XS, T67.02XA, T67.02XD, T67.02XS, T67.09XA, T67.09XD, and T67.09XS. Revised code description for ICD-10 diagnosis code Z45.42. Effective 10/01/2019.
09/24/2020: Code Reference section updated to add new ICD-10 diagnosis codes A84.81, A84.89, G40.833, G40.834, G96.00, G96.01, G96.02, G96.08, G96.09, H55.82, P91.821, P91.822, P91.823, P91.829, R51.0, and R51.9, effective 10/01/2020. Removed deleted ICD-10 diagnosis codes C4A.11, C4A.12, I63.8, and R93.8.
10/01/2021: Code Reference section updated to add new ICD-10 diagnosis codes G92.00-G92.9, R05.1-R05.9, and S06.A0XA-S06.A1XS, effective 10/01/2021.
12/21/2021: Code Reference section updated to revise code description for ICD-10 diagnosis code range M35.00 - M35.09. Removed deleted ICD-10 diagnosis codes G96.0, R51, T67.0XXA, T67.0XXD, and T67.0XXS.
09/21/2022: Policy reviewed. Policy statements unchanged. Policy Guidelines updated to change "Nervous/Mental Conditions" to "Mental Health Disorders" and "Medically Necessary" to "medical necessity." Code Reference section updated to add new ICD-10 diagnosis codes F01.511, F01.518, F01.52, F01.53, F01.54, F01.A0, F01.A11, F01.A18, F01.A2, F01.A3, F01.A4, F01.B0, F01.B11, F01.B18, F01.B2, F01.B3, F01.B4, F01.C0, F01.C11, F01.C18, F01.C2, F01.C3, F01.C4, S06.0XAA, S06.0XAD, S06.0XAS, S06.1XAA, S06.1XAD, S06.1XAS, S06.2XAA, S06.2XAD, S06.2XAS, S06.30AA, S06.30AD, S06.30AS, S06.31AA, S06.31AD, S06.31AS, S06.32AA, S06.32AD, S06.32AS, S06.33AA, S06.33AD, S06.33AS, S06.34AA, S06.34AD, S06.34AS, S06.35AA, S06.35AD, S06.35AS, S06.36AA, S06.36AD, S06.36AS, S06.37AA, S06.37AD, S06.37AS, S06.38AA, S06.38AD, S06.38AS, S06.4XAA, S06.4XAD, S06.4XAS, S06.5XAA, S06.5XAD, S06.5XAS, S06.6XAA, S06.6XAD, S06.6XAS, S06.81AA, S06.81AD, S06.81AS, S06.82AA, S06.82AD, S06.82AS, S06.89AA, S06.89AD, S06.89AS, S06.8A0A, S06.8A0D, S06.8A0S, S06.8A1A, S06.8A1D, S06.8A1S, S06.8A2A, S06.8A2D, S06.8A2S, S06.8A3A, S06.8A3D, S06.8A3S, S06.8A4A, S06.8A4D, S06.8A4S, S06.8A5A, S06.8A5D, S06.8A5S, S06.8A6A, S06.8A6D, S06.8A6S, S06.8A7A, S06.8A8A, S06.8A9A, S06.8A9D, S06.8A96, S06.8AAA, S06.8AAD, S06.8AAS, S06.9XAA, S06.9XAD, and S06.9XAS effective 10/01/2022. Revised code description for ICD-10 diagnosis code F03.90.
09/27/2023: Code Reference section updated to add new ICD-10 diagnosis codes D48.110, G43.E01, G43.E09, G43.E11, G43.E19, Q75.001, Q75.002, Q75.009, Q75.01, Q75.021, Q75.022, Q75.029, Q75.03, Q75.041, Q75.042, Q75.049, Q75.051, Q75.052, Q75.058, and Q75.08, effective 10/01/2023. Removed deleted ICD-10 diagnosis codes G92 and R05.
10/17/2023: Policy reviewed. Policy statements unchanged. Code Reference section updated to remove deleted ICD-10 diagnosis code F01.51.
10/01/2024: Code Reference section updated to add new ICD-10 diagnosis codes C86.50, C86.51, C86.60, C86.00, C86.01, C86.10, C86.20, C86.21, C86.30, C86.31, C86.40, C86.41, J34.8200, J34.8201, J34.8202, J34.8210, J34.8211, J34.8212, and J34.829.
12/01/2024: Code Reference section updated to add ICD-10 diagnosis codes J36, M54.2, R22.9, R29.818, R47.81, R47.89, R47.9, and R55.
12/12/2024: Policy reviewed; no changes.
11/01/2025: Added RadSite as an imaging accreditation body.
01/01/2026: Code Reference section updated to add new CPT code 70471.
10/01/2026: Code Reference section updated to remove ICD-9 diagnosis codes and deleted ICD-10 diagnosis codes C86.0, C86.1, C86.2, C86.3, C86.4, C86.5, C86.6, D48.1, and Q75.0. Added new ICD-10 diagnosis codes J34.830, J34.831, J34.832, J34.833, J34.839, M86.8X80, M86.8X81, M86.8X89, and QA1.792.
American College of Radiology. ACR Practice Guideline for Performing and Interpreting Diagnostic Computed Tomography (CT), 2011.
Computed Tomography and Computed Tomographic Angiography of the Head and Neck, Blue Cross and Blue Shield of Alabama
Medical Policy Advisory Committee
Radiology Physician Advisory Committee
This may not be a comprehensive list of procedure codes applicable to this policy.
The code(s) listed below are ONLY medically necessary if the procedure is performed according to the "Policy" section of this document.
Covered Codes
Code Number | Description |
CPT-4 | |
70450 | Computed tomography, head or brain; without contrast material |
70460 | Computed tomography, head or brain; with contrast material(s) |
70470 | Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections |
70471 | Computed tomographic angiography (CTA), head and neck, with contrast material(s), including noncontrast images, when performed, and image postprocessing (New 01/01/2026) |
70480 | Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material |
70481 | Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) |
70482 | Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections |
70486 | Computed tomography, maxillofacial area; without contrast material |
70487 | Computed tomography, maxillofacial area; with contrast material(s) |
70488 | Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections |
70490 | Computed tomography, soft tissue neck; without contrast material |
70491 | Computed tomography, soft tissue neck; with contrast material(s) |
70492 | Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections |
70496 | Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing |
70498 | Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing |
76380 | Computed tomography, limited or localized follow-up study |
HCPCS | |
ICD-10 Procedure | |
ICD-10 Diagnosis | |
A17.82 | Tuberculous meningoencephalitis |
A17.83 | Tuberculous neuritis |
A18.03 | Tuberculosis of other bones |
A18.6 | Tuberculosis of (inner) (middle) ear |
A39.81 | Meningococcal encephalitis |
B20 | Human immunodeficiency virus [HIV] disease |
A81.89 | Other atypical virus infections of central nervous system |
A81.9 | Atypical virus infection of central nervous system, unspecified |
A88.0 | Enteroviral exanthematous fever [Boston exanthem] |
A86 | Unspecified viral encephalitis |
A89 | Unspecified viral infection of central nervous system |
B01.11 | Varicella encephalitis and encephalomyelitis |
B02.24 | Postherpetic myelitis |
B02.8 | Zoster with other complications |
B00.3 | Herpesviral meningitis |
B00.1 | Herpesviral vesicular dermatitis |
B05.3 | Measles complicated by otitis media |
B10.01 | Human herpesvirus 6 encephalitis |
B10.09 | Other human herpesvirus encephalitis |
A83.0 - A83.9 | Mosquito-borne viral encephalitis |
A84.0 - A84.9, A84.81, A84.89 | Tick-borne viral encephalitis |
B26.2 | Mumps encephalitis |
A88.1 | Epidemic vertigo |
A50.42 | Late congenital syphilitic encephalitis |
A50.41 | Late congenital syphilitic meningitis |
A52.14 | Late syphilitic encephalitis |
A52.19 | Other symptomatic neurosyphilis |
B37.84 | Candidal otitis externa |
B58.2 | Toxoplasma meningoencephalitis |
D86.0 - D86.9 | Sarcoidosis |
B94.1 | Sequelae of viral encephalitis |
C07 | Malignant neoplasm of parotid gland |
C09.0 – C09.9 | Malignant neoplasm of tonsil |
C10.0 – C10.8 | Malignant neoplasm of oropharynx |
C30.0 | Malignant neoplasm of nasal cavity |
C30.1 | Malignant neoplasm of middle ear |
C31.0 - C31.9 | Malignant neoplasm of accessory sinuses |
C32.0 - C32.9 | Malignant neoplasm of larynx |
C47.0 | Malignant neoplasm of peripheral nerves of head, face and neck |
C49.0 | Malignant neoplasm of connective and soft tissue of head, face and neck |
C69.60 - C69.62 | Malignant neoplasm of orbit |
C71.0 - C71.9 | Malignant neoplasm of brain |
C73 | Malignant neoplasm of thyroid gland |
C75.0 | Malignant neoplasm of parathyroid gland |
C75.1 | Malignant neoplasm of pituitary gland |
C75.2 | Malignant neoplasm of craniopharyngeal duct |
C75.4 | Malignant neoplasm of carotid body |
C76.0 | Malignant neoplasm of head, face and neck |
C77.0 | Secondary and unspecified malignant neoplasm of lymph nodes of head, face and neck |
C79.31 | Secondary malignant neoplasm of brain |
C79.89 | Secondary malignant neoplasm of other specified sites |
C79.9 | Secondary malignant neoplasm of unspecified site |
C83.30 - C83.39 | Diffuse large B-cell lymphoma |
C83.50 - C83.59 | Lymphoblastic (diffuse) lymphoma |
C83.70 - C83.79 | Burkitt lymphoma |
C83.80 - C83.89 | Other non-follicular lymphoma |
C83.10 - C83.19 | Mantle cell lymphoma |
C83.31 - C83.39 | Diffuse large B-cell lymphoma |
C83.80 - C83.89 | Other non-follicular lymphoma |
C84.60 - C84.69 | Anaplastic large cell lymphoma, ALK-positive |
C84.70 - C84.79 | Anaplastic large cell lymphoma, ALK-negative |
C83.31 - C83.39 | Diffuse large B-cell lymphoma |
C85.20 - C85.29 | Mediastinal (thymic) large B-cell lymphoma |
C83.00 - C83.09 | Small cell B-cell lymphoma |
C83.80 - C83.89 | Other non-follicular lymphoma |
C83.90 - C83.99 | Non-follicular (diffuse) lymphoma, unspecified |
C86.50 | Angioimmunoblastic T-cell lymphoma not having achieved remission |
C86.51 | Angioimmunoblastic T-cell lymphoma, in remission |
C86.60 | Primary cutaneous CD30-positive T-cell proliferations not having achieved remission |
C81.90 - C81.99 | Hodgkin lymphoma, unspecified |
C82.00 - C82.98 | Nodular lymphoma Range |
C96.A | Histiocytic sarcoma |
C96.20, C96.21, C96.22, C96.29 | Malignant mast cell tumor |
C84.40 - C84.49 | Peripheral T-cell lymphoma, not classified |
C82.50 - C82.59 | Diffuse follicle center lymphoma |
C84.90 - C84.99 | Mature T/NK-cell lymphomas, unspecified |
C84.A0 - C84.A9 | Cutaneous T-cell lymphoma, unspecified |
C84.Z0 - C84.Z9 | Other mature T/NK-cell lymphomas |
C85.10 - C85.99 | Other specified and unspecified types of non-Hodgkin lymphoma |
C86.00 | Extranodal NK/T-cell lymphoma, nasal type not having achieved remission |
C86.01 | Extranodal NK/T-cell lymphoma, nasal type, in remission |
C86.10 | Hepatosplenic T-cell lymphoma not having achieved remission |
C86.20 | Enteropathy-type (intestinal) T-cell lymphoma not having achieved remission |
C86.21 | Enteropathy-type (intestinal) T-cell lymphoma, in remission |
C86.30 | Subcutaneous panniculitis-like T-cell lymphoma not having achieved remission |
C86.31 | Subcutaneous panniculitis-like T-cell lymphoma, in remission |
C86.40 | Blastic NK-cell lymphoma not having achieved remission |
C86.41 | Blastic NK-cell lymphoma, in remission |
C96.9 | Malignant neoplasm of lymphoid, hematopoietic and related tissue, unspecified |
C96.Z | Other specified malignant neoplasms of lymphoid, hematopoietic and related tissue |
C4A.0 | Merkel cell carcinoma of lip |
C4A.10 - C4A.122 | Merkel cell carcinoma of eyelid, including canthus |
C4A.20 - C4A.22 | Merkel cell carcinoma of ear and external auricular canal |
C4A.30 - C4A.39 | Merkel cell carcinoma of other and unspecified parts of face |
C4A.4 | Merkel cell carcinoma of scalp and neck |
C7B.09 | Secondary carcinoid tumors of other sites |
C7B.8 | Other secondary neuroendocrine tumors |
D11.0 | Benign neoplasm of parotid gland |
D11.7 | Benign neoplasm of other major salivary glands |
D11.9 | Benign neoplasm of major salivary gland, unspecified |
D10.6 | Benign neoplasm of nasopharynx |
D14.0 | Benign neoplasm of middle ear, nasal cavity and accessory sinuses |
D31.60 - D31.62 | Benign neoplasm of unspecified site of orbit |
D33.0 | Benign neoplasm of brain, supratentorial |
D33.1 | Benign neoplasm of brain, infratentorial |
D33.2 | Benign neoplasm of brain, unspecified |
D33.3 | Benign neoplasm of cranial nerves |
D32.0 | Benign neoplasm of cerebral meninges |
D32.9 | Benign neoplasm of meninges, unspecified |
D35.1 | Benign neoplasm of parathyroid gland |
D35.2 | Benign neoplasm of pituitary gland |
D35.3 | Benign neoplasm of craniopharyngeal duct |
D35.4 | Benign neoplasm of pineal gland |
D18.02 | Hemangioma of intracranial structures |
D00.00 - D00.08 | Carcinoma in situ of lip, oral cavity and pharynx |
D04.4 | Carcinoma in situ of skin of scalp and neck |
D09.20 - D09.22 | Carcinoma in situ of eye |
D09.3 | Carcinoma in situ of thyroid and other endocrine glands |
D09.8 | Carcinoma in situ of other specified sites |
D37.030 - D37.039 | Neoplasm of uncertain behavior of the major salivary glands |
D37.01 | Neoplasm of uncertain behavior of lip |
D37.02 | Neoplasm of uncertain behavior of tongue |
D37.04 | Neoplasm of uncertain behavior of the minor salivary glands |
D37.05 | Neoplasm of uncertain behavior of pharynx |
D37.09 | Neoplasm of uncertain behavior of other specified sites of the oral cavity |
D44.3 | Neoplasm of uncertain behavior of pituitary gland |
D44.4 | Neoplasm of uncertain behavior of craniopharyngeal duct |
D44.6 | Neoplasm of uncertain behavior of carotid body |
D44.7 | Neoplasm of uncertain behavior of aortic body and other paraganglia |
D44.0 - D44.9 | Neoplasm of uncertain behavior of adrenal gland |
D43.0 | Neoplasm of uncertain behavior of brain, supratentorial |
D43.1 | Neoplasm of uncertain behavior of brain, infratentorial |
D43.2 | Neoplasm of uncertain behavior of brain, unspecified |
D43.4 | Neoplasm of uncertain behavior of spinal cord |
D48.110 | Desmoid tumor of head and neck |
D48.2 | Neoplasm of uncertain behavior of peripheral nerves and autonomic nervous system |
D49.6 | Neoplasm of unspecified behavior of brain |
D49.7 | Neoplasm of unspecified behavior of endocrine glands and other parts of nervous system |
E04.0 | Nontoxic diffuse goiter |
E01.0 | Iodine-deficiency related diffuse (endemic) goiter |
E01.2 | Iodine-deficiency related (endemic) goiter, unspecified |
E04.9 | Nontoxic goiter, unspecified |
E01.1 | Iodine-deficiency related multinodular (endemic) goiter |
E04.1 - E04.9 | Iodine-deficiency related thyroid disorders and allied conditions |
E05.00 - E05.01 | Thyrotoxicosis with diffuse goiter |
E05.10 - E05.11 | Thyrotoxicosis with toxic single thyroid nodule |
E05.20 - E05.21 | Thyrotoxicosis with toxic multinodular goiter |
E05.30 - E05.31 | Thyrotoxicosis from ectopic thyroid tissue |
E00.0 - E00.9 | Congenital iodine-deficiency syndrome |
E03.0 | Congenital hypothyroidism with diffuse goiter |
E03.1 | Congenital hypothyroidism without goiter |
E07.1 | Dyshormogenetic goiter |
E04.1 | Nontoxic single thyroid nodule |
E21.4 | Other specified disorders of parathyroid gland |
E22.0 - E22.9 | Hyperfunction of pituitary gland |
E23.0 - E23.7 | Hypofunction and other disorders of the pituitary gland |
E24.1 | Nelson's syndrome |
E34.4 | Constitutional tall stature |
E89.3 | Postprocedural hypopituitarism |
D69.0 | Allergic purpura |
F01.50 | Vascular dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety |
F01.511, F01.518, F01.52, F01.53, F01.54 | Vascular dementia, unspecified severity |
F01.A0, F01.A11, F01.A18, F01.A2, F01.A3, F01.A4 | Vascular dementia, mild |
F01.B0, F01.B11, F01.B18, F01.B2, F01.B3, F01.B4 | Vascular dementia, moderate |
F01.C0, F01.C11, F01.C18, F01.C2, F01.C3, F01.C4 | Vascular dementia, severe |
F03.90 | Unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety |
F05 | Delirium due to known physiological condition |
G44.209 | Tension-type headache, unspecified, not intractable |
G00.0 | Hemophilus meningitis |
G01 | Meningitis in bacterial diseases classified elsewhere |
G04.00 - G04.02 | Acute disseminated encephalitis and encephalomyelitis (ADEM) |
G04.30 - G04.39 | Acute necrotizing hemorrhagic encephalopathy |
G04.81 - G04.89 | Other encephalitis, myelitis and encephalomyelitis |
G04.90 - G04.91 | Encephalitis, myelitis and encephalomyelitis, unspecified |
G05.3 - G05.4 | Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere |
G92.00 - G92.9 | Toxic encephalopathy code range |
G06.0 - G06.2 | Intracranial and intraspinal abscess and granuloma |
G07 | Intracranial and intraspinal abscess and granuloma in diseases classified elsewhere |
G09 | Sequelae of inflammatory diseases of central nervous system |
G91.0 | Communicating hydrocephalus |
G91.1 | Obstructive hydrocephalus |
G91.3 | Post-traumatic hydrocephalus, unspecified |
G91.8 | Other hydrocephalus |
G91.9 | Hydrocephalus, unspecified |
G91.2 | (Idiopathic) normal pressure hydrocephalus |
G44.001 - G44.89 | Other headache syndromes |
G40.001 - G40.B19 | Epilepsy and recurrent seizures |
G40.833, G40.834 | Dravet syndrome |
G43.001 - G43.D1 | Migraine |
G43.E01 | Chronic migraine with aura, not intractable, with status migrainosus |
G43.E09 | Chronic migraine with aura, not intractable, without status migrainosus |
G43.E11 | Chronic migraine with aura, intractable, with status migrainosus |
G43.E19 | Chronic migraine with aura, intractable, without status migrainosus |
G93.5 | Compression of brain |
G97.1 | Other reaction to spinal and lumbar puncture |
G96.00, G96.01, G96.02, G96.08, G96.09 | Cerebrospinal fluid leak |
G51.0 | Bell's palsy |
H53.131 - H53.139 | Sudden visual loss |
H53.121 - H53.129 | Transient visual loss |
H54.0X33 - H54.0X55, H54.10 - H54.8 | Blindness and low vision |
H00.031 - H00.039 | Abscess of eyelid |
H05.011 - H05.019 | Cellulitis of orbit |
H05.111 - H05.119 | Granuloma of orbit |
H05.20 - H05.269 | Exophthalmic conditions |
H05.811 - H05.819 | Cyst of orbit |
H05.821 - H05.829 | Myopathy of extraocular muscles |
H47.49 | Disorders of optic chiasm in (due to) other disorders |
H55.00 - H55.89, H55.82 | Nystagmus and other irregular eye movements |
H60.00 - H60.93 | Otitis externa |
H61.001 - H61.93 | Other disorders of external ear |
H62.40 - H62.8X9 | Disorders of external ear in diseases classified elsewhere |
H65.00 - H65.93 | Nonsuppurative otitis media |
H68.001 - H68.139 | Eustachian salpingitis and obstruction |
H69.00 - H69.93 | Other and unspecified disorders of Eustachian tube |
H66.001 - H66.93 | Suppurative and unspecified otitis media |
H67.1 - H67.9 | Otitis media in diseases classified elsewhere |
H70.001 - H70.93 | Mastoiditis and related conditions |
H75.00 - H75.83 | Other disorders of middle ear and mastoid in diseases classified elsewhere |
H75.00 - H75.03 | Recurrent cholesteatoma of postmastoidectomy cavity |
H95.111 - H95.199 | Other disorders of ear and mastoid process following mastoidectomy |
H73.001 - H73.009 | Unspecified acute myringitis |
H73.20 - H73.23 | Unspecified myringitis |
H73.011 - H73.019 | Bullous myringitis |
H73.091 - H73.099 | Other acute myringitis |
H73.10 - H73.13 | Chronic myringitis |
H71.00 - H71.93 | Cholesteatoma of middle ear |
H74.01 - H74.93 | Other disorders of middle ear mastoid |
H80.00 - H80.93 | Otosclerosis |
G96.0 | Cerebrospinal fluid leak |
H83.3X1 - H83.3X9 | Noise effects on inner ear |
H91.10 - H91.13 | Presbycusis |
H91.20 - H91.23 | Sudden idiopathic hearing loss |
H92.01 - H92.23 | Otalgia and effusion of ear |
H93.011 - H93.93 | Other disorders of ear, not elsewhere classified |
H94.00 - H94.83 | Other disorders of ear in diseases classified elsewhere |
H90.0 | Conductive hearing loss, bilateral |
H90.11 - H90.12 | Conductive hearing loss, unilateral with unrestricted hearing on the contralateral side |
H90.2 | Conductive hearing loss, unspecified |
H90.A11, H90.A12, H90.A21, H90.A22, H90.A31, H90.A32 | Conductive and sensorineural hearing loss with restricted hearing on the contralateral side |
H90.3 | Sensorineural hearing loss, bilateral |
H90.41 - H90.42 | Sensorineural hearing loss, unilateral with unrestricted hearing on the contralateral side |
H90.5 | Unspecified sensorineural hearing loss |
H90.6 | Mixed conductive and sensorineural hearing loss, bilateral |
H90.71 - H90.72 | Mixed conductive and sensorineural hearing loss, unilateral with unrestricted hearing on the contralateral side |
H90.8 | Mixed conductive and sensorineural hearing loss, unspecified |
H91.90 - H91.93 | Unspecified hearing loss |
I60.00 - I60.9 | Nontraumatic subarachnoid hemorrhage |
I62.1 | Nontraumatic extradural hemorrhage |
I62.00 - I62.03 | Nontraumatic subdural hemorrhage |
I65.21 - I65.29 | Occlusion and stenosis of carotid artery |
I63.031 - I63.039 | Cerebral infarction due to thrombosis of carotid artery |
I63.131 - I63.139 | Cerebral infarction due to embolism of carotid artery |
I63.231 - I63.239 | Cerebral infarction due to unspecified occlusion or stenosis of carotid arteries |
I65.8 | Occlusion and stenosis of other precerebral arteries |
I63.59 | Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery |
I63.30 – I63.39 | Cerebral infarction due to thrombosis of cerebral arteries |
I63.40 – I63.49 | Cerebral infarction due to embolism of cerebral arteries |
I63.50 – I63.59 | Cerebral infarction due to unspecified occlusion or stenosis of cerebral arteries |
I63.6 | Cerebral infarction due to cerebral venous thrombosis, nonpyogenic |
I63.81, I63.89 | Other cerebral infarction |
I63.9 | Cerebral infarction, unspecified |
I66.01 – I66.9 | Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction |
G45.0 | Vertebro-basilar artery syndrome |
G45.1 | Carotid artery syndrome (hemispheric) |
G45.2 | Multiple and bilateral precerebral artery syndromes |
G45.8 | Other transient cerebral ischemic attacks and related syndromes |
G45.9 | Transient cerebral ischemic attack, unspecified |
G46.0 | Middle cerebral artery syndrome |
G46.1 | Anterior cerebral artery syndrome |
G46.2 | Posterior cerebral artery syndrome |
I67.841 - I67.848 | Cerebral vasospasm and vasoconstriction |
I67.89 | Other cerebrovascular disease |
I67.858 | Other hereditary cerebrovascular disease |
I67.81 | Acute cerebrovascular insufficiency |
I67.82 | Cerebral ischemia |
I67.89 | Other cerebrovascular disease |
I67.1 | Cerebral aneurysm, nonruptured |
I67.6 | Nonpyogenic thrombosis of intracranial venous system |
I69.00 - I69.998 | Sequelae of cerebrovascular disease |
I71.00 | Dissection of unspecified site of aorta |
I72.0 | Aneurysm of carotid artery |
I72.5 | Aneurysm of other precerebral arteries |
I72.8 | Aneurysm of other specified arteries |
I77.71 | Dissection of carotid artery |
I77.74 | Dissection of vertebral artery |
I77.75 | Dissection of other precerebral arteries |
I67.0 | Dissection of cerebral arteries, nonruptured |
I77.79 | Dissection of other specified artery |
I77.6 | Arteritis, unspecified |
I86.4 | Gastric varices |
I86.8 | Varicose veins of other specified sites |
I87.9 | Disorder of vein, unspecified |
I99.9 | Unspecified disorder of circulatory system |
J01.00 - J01.91 | Acute sinusitis |
J33.0 | Polyp of nasal cavity |
J33.1 | Polypoid sinus degeneration |
J33.8 | Other polyp of sinus |
J33.9 | Nasal polyp, unspecified |
J32.0 - J32.9 | Chronic sinusitis |
J34.0 | Abscess, furuncle and carbuncle of nose |
J34.1 | Cyst and mucocele of nose and nasal sinus |
J34.8200, J34.8201, J34.8202 | Internal nasal valve collapse |
J34.8210, J34.8211, J34.8212 | External nasal valve collapse |
J34.829 | Nasal valve collapse |
J34.830 | Odontogenic sinusitis, maxillary sinus (New 10/01/2026) |
J34.831 | Odontogenic sinusitis, ethmoid sinus (New 10/01/2026) |
J34.832 | Odontogenic sinusitis, frontal sinus (New 10/01/2026) |
J34.833 | Odontogenic sinusitis, sphenoid sinus (New 10/01/2026) |
J34.839 | Odontogenic sinusitis, unspecified (New 10/01/2026) |
J34.89 | Other specified disorders of nose and nasal sinuses |
J34.9 | Unspecified disorder of nose and nasal sinuses |
R09.81 | Nasal congestion |
J36 | Peritonsillar abscess |
J38.00 - J38.02 | Paralysis of vocal cords and larynx |
J41.0 | Simple chronic bronchitis |
J22 | Unspecified acute lower respiratory infection |
J98.8 | Other specified respiratory disorders |
M27.8 | Other specified diseases of jaws |
K11.0 - K11.9 | Diseases of salivary glands |
R68.2 | Dry mouth, unspecified |
E23.0 | Hypopituitarism |
O90.5 | Postpartum thyroiditis |
O99.280 - O99.285 | Other endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and the puerperium |
O99.350 - O99.355 | Diseases of the nervous system complicating pregnancy, childbirth, and the puerperium |
O99.411 - O99.419 | Diseases of the circulatory system complicating pregnancy |
O99.42 | Diseases of the circulatory system complicating childbirth |
O99.43 | Diseases of the circulatory system complicating the puerperium |
L02.11 | Cutaneous abscess of neck |
L03.221 | Cellulitis of neck |
L03.222 | Acute lymphangitis of neck |
L02.811 - L02.818 | Cutaneous abscess of other sites |
L03.811 - L03.818 | Cellulitis of other sites |
L03.891 - L03.898 | Acute lymphangitis of other sites |
L93.0 - L93.2 | Lupus erythematosus |
M32.0 - M32.9 | Systemic lupus erythematosus (SLE) |
M33.00 - M33.99 | Dermatomyositis |
M34.0 - M34.9 | Systemic sclerosis [scleroderma] |
M35.00 - M35.09 | Sjogren syndrome |
M35.1 | Other overlap syndromes |
M35.5 | Multifocal fibrosclerosis |
M35.8 | Other specified systemic involvement of connective tissue |
M35.9 | Systemic involvement of connective tissue, unspecified |
M36.0 | Dermato(poly)myositis in neoplastic disease |
M36.8 | Systemic disorders of connective tissue in other diseases classified elsewhere |
M54.2 | Cervicalgia |
M85.00 - M85.09 | Fibrous dysplasia (monostotic) |
M85.60 - M85.69 | Other cyst of bone |
M86.8X80 | Other osteomyelitis, skull (New 10/01/2026) |
M86.8X81 | Other osteomyelitis, face and sinuses (New 10/01/2026) |
M86.8X89 | Other osteomyelitis, other site (New 10/01/2026) |
Q05.0 | Cervical spina bifida with hydrocephalus |
Q05.1 | Thoracic spina bifida with hydrocephalus |
Q05.2 | Lumbar spina bifida with hydrocephalus |
Q05.3 | Sacral spina bifida with hydrocephalus |
Q05.4 | Unspecified spina bifida with hydrocephalus |
Q05.9 | Spina bifida, unspecified |
Q07.01 | Arnold-Chiari syndrome with spina bifida |
Q07.02 | Arnold-Chiari syndrome with hydrocephalus |
Q07.03 | Arnold-Chiari syndrome with spina bifida and hydrocephalus |
Q01.0 - Q01.9 | Encephalocele |
Q02 | Microcephaly |
Q04.0 | Congenital malformations of corpus callosum |
Q04.1 | Arhinencephaly |
Q04.2 | Holoprosencephaly |
Q04.3 | Other reduction deformities of brain |
Q03.0 - Q03.9 | Congenital hydrocephalus |
Q10.7 | Congenital malformation of orbit |
Q15.9 | Congenital malformation of eye, unspecified |
Q16.0 | Congenital absence of (ear) auricle |
Q16.1 | Congenital absence, atresia and stricture of auditory canal (external) |
Q16.3 | Congenital malformation of ear ossicles |
Q16.4 | Other congenital malformations of middle ear |
Q16.5 | Congenital malformation of inner ear |
Q16.9 | Congenital malformation of ear causing impairment of hearing, unspecified |
Q16.2 | Absence of eustachian tube |
Q17.1 | Macrotia |
Q17.2 | Microtia |
Q17.3 | Other misshapen ear |
Q17.4 | Misplaced ear |
Q17.5 | Prominent ear |
Q17.8 | Other specified congenital malformations of ear |
Q17.9 | Congenital malformation of ear, unspecified |
Q27.9 | Congenital malformation of peripheral vascular system, unspecified |
Q27.39 | Arteriovenous malformation, other site |
Q27.8 | Other specified congenital malformations of peripheral vascular system |
Q28.2 | Arteriovenous malformation of cerebral vessels |
Q28.3 | Other malformations of cerebral vessels |
Q38.4 | Congenital malformations of salivary glands and ducts |
Q75.001 - Q75.9 | Other congenital malformations of skull and face bones |
Q87.0 | Congenital malformation syndromes predominantly affecting facial appearance |
Q78.1 | Polyostotic fibrous dysplasia |
Q77.3 | Chondrodysplasia punctata |
Q78.5 | Metaphyseal dysplasia |
Q78.6 | Multiple congenital exostoses |
Q78.8 | Other specified osteochondrodysplasias |
Q89.2 | Congenital malformations of other endocrine glands |
QA1.792 | Li Fraumeni syndrome (New 10/01/2026) |
P10.0 | Subdural hemorrhage due to birth injury |
P10.1 | Cerebral hemorrhage due to birth injury |
P10.4 | Tentorial tear due to birth injury |
P10.8 | Other intracranial lacerations and hemorrhages due to birth injury |
P10.9 | Unspecified intracranial laceration and hemorrhage due to birth injury |
P11.0 | Cerebral edema due to birth injury |
P11.2 | Unspecified brain damage due to birth injury |
P11.9 | Birth injury to central nervous system, unspecified |
P52.4 | Intracerebral (nontraumatic) hemorrhage of newborn |
P52.6 | Cerebellar (nontraumatic) and posterior fossa hemorrhage of newborn |
P52.8 | Other intracranial (nontraumatic) hemorrhages of newborn |
P52.9 | Intracranial (nontraumatic) hemorrhage of newborn, unspecified |
P12.0 | Cephalhematoma due to birth injury |
P12.1 | Chignon (from vacuum extraction) due to birth injury |
P12.3 | Bruising of scalp due to birth injury |
P12.4 | Injury of scalp of newborn due to monitoring equipment |
P12.81 | Caput succedaneum |
P12.89 | Other birth injuries to scalp |
P12.9 | Birth injury to scalp, unspecified |
P11.3 | Birth injury to facial nerve |
P10.3 | Subarachnoid hemorrhage due to birth injury |
P52.5 | Subarachnoid (nontraumatic) hemorrhage of newborn |
P90 | Convulsions of newborn |
P91.0 | Neonatal cerebral ischemia |
P91.1 | Acquired periventricular cysts of newborn |
P91.3 | Neonatal cerebral irritability |
P91.4 | Neonatal cerebral depression |
P91.5 | Neonatal coma |
P91.821, P91.822, P91.823, P91.829 | Neonatal cerebral infarction |
R40.0 | Somnolence |
R40.1 | Stupor |
R56.00 | Simple febrile convulsions |
R56.01 | Complex febrile convulsions |
R56.1 | Post traumatic seizures |
R56.9 | Unspecified convulsions |
R42 | Dizziness and giddiness |
R41.0 | Disorientation, unspecified |
R41.82 | Altered mental status, unspecified |
G44.1 | Vascular headache, not elsewhere classified |
R51.0, R51.9 | Headache |
R22.0 | Localized swelling, mass and lump, head |
R22.1 | Localized swelling, mass and lump, neck |
R90.0 | Intracranial space-occupying lesion found on diagnostic imaging of central nervous system |
R49.0 | Dysphonia |
R59.0 - R59.9 | Enlarged lymph nodes |
R05.1 - R05.9 | Cough code range |
R04.89 | Hemorrhage from other sites in respiratory passages |
R22.9 | Localized swelling, mass and lump, unspecified |
R29.818 | Other symptoms and signs involving the nervous system |
R47.81 | Slurred speech |
R47.89 | Other speech disturbances |
R47.9 | Unspecified speech disturbances |
R55 | Syncope and collapse |
R90.89 | Other abnormal findings on diagnostic imaging of central nervous system |
R93.89 | Abnormal findings on diagnostic imaging of other specified body structures |
S02.0XXA - S02.0XXS | Fracture of vault of skull |
S02.101A - S02.101S, S02.102A - S02.102S, S02.109A - S02.109S, S02.110A - S02.110S, S02.111A - S02.111S, S02.112A - S02.112S, S02.113A - S02.113S, S02.118A - S02.118S, S02.119A - S02.119S, S02.11AA - S02.11AS, S02.11BA - S02.11BS, S02.11CA - S02.11CS, S02.11DA - S02.11DS, S02.11EA - S02.11ES, S02.11FA - S02.11FS, S02.11GA - S02.11GS, S02.11HA - S02.11HS, S02.19XA - S02.19XS | Fracture of base of skull |
S02.30XA - S02.30XS, S02.31XA - S02.31XS, S02.32XA - S02.32XS | Fracture of orbital floor |
S02.2XXA - S02.2XXS | Fracture of nasal bones |
S02.400A - S02.42XS | Fracture of malar, maxillary and zygoma bones |
S02.600A - S02.69XS | Fracture of mandible |
S02.80XA - S02.82XS | Fractures of other specified skull and facial bones |
S02.92XA - S02.92XS | Unspecified fracture of facial bones |
S02.91XA - S02.91XS | Unspecified fracture of skull |
S12.8XXA - S12.8XXS | Fracture of other parts of neck |
S13.4XXA - S13.4XXS | Sprain of ligaments of cervical spine |
S13.8XXA - S13.8XXS | Sprain of joints and ligaments of other parts of neck |
S13.9XXA - S13.9XXS | Sprain of joints and ligaments of unspecified parts of neck |
S16.1XXA - S16.1XXS | Strain of muscle, fascia and tendon at neck level |
S06.0X0A - S06.0X9S | Concussion |
S06.0XAA, S06.0XAD, S06.0XAS | Concussion with loss of consciousness status unknown |
S06.1XAA, S06.1XAD, S06.1XAS | Traumatic cerebral edema with loss of consciousness status unknown |
S06.2XAA, S06.2XAD, S06.2XAS | Diffuse traumatic brain injury with loss of consciousness status unknown |
S06.30AA, S06.30AD, S06.30AS | Unspecified focal traumatic brain injury with loss of consciousness status unknown |
S06.31AA, S06.31AD, S06.31AS | Contusion and laceration of right cerebrum with loss of consciousness status unknown |
S06.32AA, S06.32AD, S06.32AS | Contusion and laceration of left cerebrum with loss of consciousness status unknown |
S06.33AA, S06.33AD, S06.33AS | Contusion and laceration of cerebrum, unspecified, with loss of consciousness status unknown |
S01.90XA - S01.90XS | Unspecified open wound of unspecified part of head |
S01.90XA - S01.90XS | Unspecified open wound of unspecified part of head |
S01.90XA - S01.90XS | Unspecified open wound of unspecified part of head |
S06.340A - S06.349S | Traumatic hemorrhage of right cerebrum |
S06.34AA, S06.34AD, S06.34AS | Traumatic hemorrhage of right cerebrum with loss of consciousness status unknown |
S06.350A - S06.359S | Traumatic hemorrhage of left cerebrum |
S06.35AA, S06.35AD, S06.35AS | Traumatic hemorrhage of left cerebrum with loss of consciousness status unknown |
S06.360A - S06.369S | Traumatic hemorrhage of cerebrum, unspecified |
S06.36AA, S06.36AD, S06.36AS | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness status unknown |
S06.37AA, S06.37AD, S06.37AS | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness status unknown |
S06.38AA, S06.38AD, S06.38AS | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness status unknown |
S06.4XAA, S06.4XAD, S06.4XAS | Epidural hemorrhage with loss of consciousness status unknown |
S06.5XAA, S06.5XAD, S06.5XAS | Traumatic subdural hemorrhage with loss of consciousness status unknown |
S06.6XAA, S06.6XAD, S06.6XAS | Traumatic subarachnoid hemorrhage with loss of consciousness status unknown |
S06.81AA, S06.81AD, S06.81AS | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown |
S06.82AA, S06.82AD, S06.82AS | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown |
S06.89AA, S06.89AD, S06.89AS | Other specified intracranial injury with loss of consciousness status unknown |
S06.8A0A, S06.8A0D, S06.8A0S | Primary blast injury of brain, not elsewhere classified without loss of consciousness |
S06.8A1A, S06.8A1D, S06.8A1S | Primary blast injury of brain, not elsewhere classified with loss of consciousness of 30 minutes or less |
S06.8A2A, S06.8A2D, S06.8A2S | Primary blast injury of brain, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes |
S06.8A3A, S06.8A3D, S06.8A3S | Primary blast injury of brain, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes |
S06.8A4A, S06.8A4D, S06.8A4S | Primary blast injury of brain, not elsewhere classified with loss of consciousness of 6 hours to 24 hours |
S06.8A5A, S06.8A5D, S06.8A5S | Primary blast injury of brain, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level |
S06.8A6A, S06.8A6D, S06.8A6S | Primary blast injury of brain, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving |
S06.8A7A | Primary blast injury of brain, not elsewhere classified with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter |
S06.8A8A | Primary blast injury of brain, not elsewhere classified with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter |
S06.8A9A, S06.8A9D, S06.8A96 | Primary blast injury of brain, not elsewhere classified with loss of consciousness of unspecified duration |
S06.8AAA, S06.8AAD, S06.8AAS | Primary blast injury of brain, not elsewhere classified with loss of consciousness status unknown |
S06.9XAA, S06.9XAD, S06.9XAS | Unspecified intracranial injury with loss of consciousness status unknown |
S01.90XA - S01.90XS | Unspecified open wound of unspecified part of head |
S06.0X0A - S06.0X0S | Concussion without loss of consciousness |
S06.1X0A - S06.1X9S | Traumatic cerebral edema |
S06.2X0A - S06.2X9S | Diffuse traumatic brain injury |
S06.300A - S06.309S | Unspecified focal traumatic brain injury |
S06.A0XA - S06.A1XS | Traumatic brain compression |
S01.101A - S01.159S | Open wound of eyelid and periocular area |
S05.40XA - S05.42XS | Penetrating wound of orbit with or without foreign body |
S01.301A - S01.359S | Open wound of ear |
S08.111A - S08.129S | Traumatic amputation of ear |
S09.20XA - S09.22XS | Traumatic rupture of ear drum |
S09.301A - S09.399S | Other specified and unspecified injury of middle and inner ear |
S09.8XXA - S09.8XXS | Other specified injuries of head |
S09.91XA - S09.91XS | Unspecified injury of ear |
S01.00XA - S01.05XS | Open wound of scalp |
S01.20XA - S01.25XS | Open wound of nose |
S01.401A - S01.459S | Open wound of cheek and temporomandibular area |
S01.501A - S01.552S | Open wound of lip and oral cavity |
S01.80XA - S01.85XS | Open wound of other parts of head |
S01.90XA - S01.95XS | Open wound of unspecified part of head |
S02.5XXA - S02.5XXS | Fracture of tooth (traumatic) |
S03.2XXA - S03.2XXS | Dislocation of tooth |
S08.0XXA - S08.0XXS | Avulsion of scalp |
S08.811A - S08.811S | Complete traumatic amputation of nose |
S08.812A - S08.812S | Partial traumatic amputation of nose |
S08.89XA - S08.89XS | Traumatic amputation of other parts of head |
S09.12XA - S09.12XS | Laceration of muscle and tendon of head |
S09.8XXA - S09.8XXS | Other specified injuries of head |
S09.90XA - S09.90XS | Unspecified injury of head |
S09.93XA - S09.93XS | Unspecified injury of face |
S11.011A - S11.95XS | Open wound of neck |
S16.2XXA - S16.2XXS | Laceration of muscle, fascia and tendon at neck level |
S09.0XXA - S09.0XXS | Injury of blood vessels of head, not elsewhere classified |
S15.001A - S15.9XXS | Injury of blood vessels at neck level |
S25.101A - S25.199S | Injury of innominate or subclavian artery |
S25.301A - S25.399S | Injury of innominate or subclavian vein |
T20.20XS - T20.29XS | Burn of second degree of head, face, and neck, sequela |
T20.30XS - T20.39XS | Burn of third degree of head, face, and neck, sequela |
T20.60XS - T20.69XS | Corrosion of second degree of head, face, and neck, sequel |
T20.70XS - T20.79XS | Corrosion of third degree of head, face, and neck, sequela |
S00.00XA - S00.02XS, S00.04XA - S00.07XS, S00.30XA - S00.32XS, S00.34XA - S00.429S, S00.441A - S00.522S, S00.541A - S00.82XS, S00.84XA - S00.92XS, S00.94XA - S00.97XS | Superficial injury of head |
S10.10XA - S10.82XS, S10.84XA - S10.92XS, S10.94XA - S10.97XS | Superficial injury of neck |
S00.201A - S00.279S | Other and unspecified superficial injuries of eyelid and periocular area |
S00.03XA - S00.03XS | Contusion of scalp |
S00.33XA - S00.33XS | Contusion of nose |
S00.431A - S00.439S | Contusion of ear |
S00.531A - S00.532S | Contusion of lip and oral cavity |
S00.83XA - S00.83XS | Contusion of other part of head |
S00.93XA - S00.93XS | Contusion of unspecified part of head |
S10.0XXA - S10.0XXS | Contusion of throat |
S10.83XA - S10.83XS | Contusion of other specified part of neck |
S10.93XA - S10.93XS | Contusion of unspecified part of neck |
S05.10XA - S05.12XS | Contusion of eyeball and orbital tissues |
S07.0XXA - S07.9XXS | Crushing injury of head |
S17.0XXA - S17.9XXS | Crushing injury of neck |
S04.50XA - S04.52XS | Injury of facial nerve |
S04.60XA - S04.62XS | Injury of acoustic nerve |
S14.4XXA - S14.4XXS | Injury of peripheral nerves of neck |
S14.8XXA - S14.8XXS | Injury of other specified nerves of neck |
S09.10XA - S09.10XS | Unspecified injury of muscle and tendon of head |
S09.11XA - S09.11XS | Strain of muscle and tendon of head |
S09.19XA - S09.19XS | Other specified injury of muscle and tendon of head |
S09.8XXA - S09.8XXS | Other specified injuries of head |
S09.90XA - S09.90XS | Unspecified injury of head |
S09.10XA - S09.10XS | Unspecified injury of muscle and tendon of head |
S09.11XA - S09.11XS | Strain of muscle and tendon of head |
S09.19XA - S09.19XS | Other specified injury of muscle and tendon of head |
S09.8XXA - S09.8XXS | Other specified injuries of head |
S09.90XA - S09.90XS | Unspecified injury of head |
T67.01XA, T67.01XD, T67.01XS, T67.02XA, T67.02XD, T67.02XS, T67.09XA, T67.09XD, T67.09XS | Heatstroke and sunstroke |
G97.61, G97.62 | Postprocedural hematoma of a nervous system organ or structure following a procedure |
T85.730D, T85.730S, T85.731A - T85.731S, T85.735A - T85.735S, T85.738A - T85.738S | Infection and inflammatory reaction due to nervous system devices, implants and graft |
T85.810A - T85.810S | Embolism due to nervous system prosthetic devices, implants and grafts |
G97.31 - G97.32 | Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedure |
I97.810 - I97.811 | Intraoperative cerebrovascular infarction |
I97.820 - I97.821 | Postprocedural cerebrovascular infarction |
D78.11 - D78.12 | Accidental puncture and laceration of the spleen during a procedure |
E36.11 - E36.12 | Accidental puncture and laceration of an endocrine system organ or structure during a procedure |
G97.48 | Accidental puncture and laceration of other nervous system organ or structure during a nervous system procedure |
G97.49 | Accidental puncture and laceration of other nervous system organ or structure during other procedure |
H59.211 - H59.229 | Accidental puncture and laceration of eye and adnexa during a procedure |
H95.31 - H93.32 | Accidental puncture and laceration of ear and mastoid process during a procedure |
I97.51 - I97.52 | Accidental puncture and laceration of a circulatory system organ or structure during a procedure |
J95.71 - J95.72 | Accidental puncture and laceration of a respiratory system organ or structure during a procedure |
K91.71 - K91.72 | Accidental puncture and laceration of a digestive system organ or structure during a procedure |
L76.11 - L76.12 | Accidental puncture and laceration of skin and subcutaneous tissue during a procedure |
M96.820 - M96.821 | Accidental puncture and laceration of a musculoskeletal structure during a procedure |
N99.71 - N99.72 | Accidental puncture and laceration of a genitourinary system organ or structure during a procedure |
T88.8XXA - T88.8XXS | Other specified complications of surgical and medical care, not elsewhere classified, initial encounter |
Z21 | Asymptomatic human immunodeficiency virus [HIV] infection status |
Z85.841 | Personal history of malignant neoplasm of brain |
Z85.858 | Personal history of malignant neoplasm of other endocrine glands |
Z86.011 | Personal history of benign neoplasm of the brain |
Z86.73 | Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits |
Z87.820 | Personal history of traumatic brain injury |
Z98.2 | Presence of cerebrospinal fluid drainage device |
Z45.41 | Encounter for adjustment and management of cerebrospinal fluid drainage device |
Z45.42 | Encounter for adjustment and management of neurostimulator |
Z45.31 - Z45.328 | Encounter for adjustment and management of implanted devices of the special senses |
Z45.49 | Encounter for adjustment and management of other implanted nervous system device |
Z46.2 | Encounter for fitting and adjustment of other devices related to nervous system and special senses |
Z48.3 | Aftercare following surgery for neoplasm |
Z48.89 | Encounter for other specified surgical aftercareEncounter for other specified surgical aftercare |
Z48.811 | Encounter for surgical aftercare following surgery on the nervous system |
Z08 | Encounter for follow-up examination after completed treatment for malignant neoplasm |
Z09 | Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm |
Z03.89 | Encounter for observation for other suspected diseases and conditions ruled out |
Z03.6 | Encounter for observation for suspected toxic effect from ingested substance ruled out |
Z01.12 | Encounter for hearing conservation and treatment |
Z01.818 | Encounter for other preprocedural examination |
Z13.850 | Encounter for screening for traumatic brain injury |
CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.