Statin Therapy for the Prevention and Treatment of Cardiovascular Disease (2022)

eCQMs / NQF #: CMS347v5 / XXXX
Measure: Percentage of the following patients – all considered at high risk of cardiovascular events – who were prescribed or were on statin therapy during the measurement period:

*All patients who were previously diagnosed with or currently have an active diagnosis of clinical atherosclerotic cardiovascular disease (ASCVD), including an ASCVD procedure; OR

*Patients aged >= 20 years who have ever had a low-density lipoprotein cholesterol (LDL-C) level >= 190 mg/dL or were previously diagnosed with or currently have an active diagnosis of familial hypercholesterolemia; OR

*Patients aged 40-75 years with a diagnosis of diabetes

Numerator: Patients who are actively using or who receive an order (prescription) for statin therapy at any time during the measurement period
Denominator: Population 1: All patients who were previously diagnosed with or currently have an active diagnosis of clinical ASCVD, including an ASCVD procedure.

Population 2: Patients aged >= 20 years at the beginning of the measurement period who have ever had a laboratory result of LDL-C >=190 mg/dL or were previously diagnosed with or currently have an active diagnosis of familial hypercholesterolemia.

Population 3: Patients aged 40 to 75 years at the beginning of the measurement period with Type 1 or Type 2 diabetes.

Denominator Exclusions:   Patients who have a diagnosis of pregnancy at any time during the measurement period.

Patients who are breastfeeding at any time during the measurement period.

Patients who have a diagnosis of rhabdomyolysis at any time during the measurement period.

Denominator Exceptions: Patients with statin-associated muscle symptoms or an allergy to statin medication.

Patients who are receiving palliative or hospice care.

Patients with active liver disease or hepatic disease or insufficiency.

Patients with end-stage renal disease (ESRD).

Domain: Effective Clinical Care

 

In ChartMaker Clinical:

In order to qualify for this measure, the provider must have seen the patient for an encounter during the reporting period and have the appropriate information documented in the chart:

Required Data Elements for the Denominator: 

Population 1: 

Patients who were previously diagnosed with or currently have an active diagnosis of clinical ASCVD, including an ASCVD procedure; and who had a valid encounter during the measurement period.

This is captured by adding a diagnosis with a valid ICD10 or SNOMED code using the Diagnosis widget in a note.

Atherosclerosis and Peripheral Arterial Disease

ICD-10:  
Code Description
E08.51 Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy without gangrene
E08.52 Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy with gangrene
E09.51 Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy without gangrene
E09.52 Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy with gangrene
I25.10 Atherosclerotic heart disease of native coronary artery without angina pectoris
I25.110 Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
I25.111 Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm
I25.118 Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris
I25.119 Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris
I25.700 Atherosclerosis of coronary artery bypass graft(s), unspecified, with unstable angina pectoris
I25.701 Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris with documented spasm
I25.708 Atherosclerosis of coronary artery bypass graft(s), unspecified, with other forms of angina pectoris
I25.709 Atherosclerosis of coronary artery bypass graft(s), unspecified, with unspecified angina pectoris
I25.710 Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris
I25.711 Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.718 Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris
I25.719 Atherosclerosis of autologous vein coronary artery bypass graft(s) with unspecified angina pectoris
I25.720 Atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris
I25.721 Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.728 Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris
I25.729 Atherosclerosis of autologous artery coronary artery bypass graft(s) with unspecified angina pectoris
I25.730 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unstable angina pectoris
I25.731 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.738 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with other forms of angina pectoris
I25.739 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unspecified angina pectoris
I25.750 Atherosclerosis of native coronary artery of transplanted heart with unstable angina
I25.751 Atherosclerosis of native coronary artery of transplanted heart with angina pectoris with documented spasm
I25.758 Atherosclerosis of native coronary artery of transplanted heart with other forms of angina pectoris
I25.759 Atherosclerosis of native coronary artery of transplanted heart with unspecified angina pectoris
I25.760 Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina
I25.761 Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm
I25.768 Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris
I25.769 Atherosclerosis of bypass graft of coronary artery of transplanted heart with unspecified angina pectoris
I25.790 Atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris
I25.791 Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.798 Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris
I25.799 Atherosclerosis of other coronary artery bypass graft(s) with unspecified angina pectoris
I25.810 Atherosclerosis of coronary artery bypass graft(s) without angina pectoris
I25.811 Atherosclerosis of native coronary artery of transplanted heart without angina pectoris
I25.812 Atherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris
I25.83 Coronary atherosclerosis due to lipid rich plaque
I25.84 Coronary atherosclerosis due to calcified coronary lesion
I25.89 Other forms of chronic ischemic heart disease
I67.2 Cerebral atherosclerosis
I70.0 Atherosclerosis of aorta
I70.1 Atherosclerosis of renal artery
I70.201 Unspecified atherosclerosis of native arteries of extremities, right leg
I70.202 Unspecified atherosclerosis of native arteries of extremities, left leg
I70.203 Unspecified atherosclerosis of native arteries of extremities, bilateral legs
I70.208 Unspecified atherosclerosis of native arteries of extremities, other extremity
I70.209 Unspecified atherosclerosis of native arteries of extremities, unspecified extremity
I70.211 Atherosclerosis of native arteries of extremities with intermittent claudication, right leg
I70.212 Atherosclerosis of native arteries of extremities with intermittent claudication, left leg
I70.213 Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs
I70.218 Atherosclerosis of native arteries of extremities with intermittent claudication, other extremity
I70.219 Atherosclerosis of native arteries of extremities with intermittent claudication, unspecified extremity
I70.221 Atherosclerosis of native arteries of extremities with rest pain, right leg
I70.222 Atherosclerosis of native arteries of extremities with rest pain, left leg
I70.223 Atherosclerosis of native arteries of extremities with rest pain, bilateral legs
I70.228 Atherosclerosis of native arteries of extremities with rest pain, other extremity
I70.229 Atherosclerosis of native arteries of extremities with rest pain, unspecified extremity
I70.231 Atherosclerosis of native arteries of right leg with ulceration of thigh
I70.232 Atherosclerosis of native arteries of right leg with ulceration of calf
I70.233 Atherosclerosis of native arteries of right leg with ulceration of ankle
I70.234 Atherosclerosis of native arteries of right leg with ulceration of heel and midfoot
I70.235 Atherosclerosis of native arteries of right leg with ulceration of other part of foot
I70.238 Atherosclerosis of native arteries of right leg with ulceration of other part of lower leg
I70.239 Atherosclerosis of native arteries of right leg with ulceration of unspecified site
I70.241 Atherosclerosis of native arteries of left leg with ulceration of thigh
I70.242 Atherosclerosis of native arteries of left leg with ulceration of calf
I70.243 Atherosclerosis of native arteries of left leg with ulceration of ankle
I70.244 Atherosclerosis of native arteries of left leg with ulceration of heel and midfoot
I70.245 Atherosclerosis of native arteries of left leg with ulceration of other part of foot
I70.248 Atherosclerosis of native arteries of left leg with ulceration of other part of lower leg
I70.249 Atherosclerosis of native arteries of left leg with ulceration of unspecified site
I70.25 Atherosclerosis of native arteries of other extremities with ulceration
I70.261 Atherosclerosis of native arteries of extremities with gangrene, right leg
I70.262 Atherosclerosis of native arteries of extremities with gangrene, left leg
I70.263 Atherosclerosis of native arteries of extremities with gangrene, bilateral legs
I70.268 Atherosclerosis of native arteries of extremities with gangrene, other extremity
I70.269 Atherosclerosis of native arteries of extremities with gangrene, unspecified extremity
I70.291 Other atherosclerosis of native arteries of extremities, right leg
I70.292 Other atherosclerosis of native arteries of extremities, left leg
I70.293 Other atherosclerosis of native arteries of extremities, bilateral legs
I70.298 Other atherosclerosis of native arteries of extremities, other extremity
I70.299 Other atherosclerosis of native arteries of extremities, unspecified extremity
I70.301 Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, right leg
I70.302 Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, left leg
I70.303 Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, bilateral legs
I70.308 Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, other extremity
I70.309 Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, unspecified extremity
I70.311 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, right leg
I70.312 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, left leg
I70.313 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, bilateral legs
I70.318 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, other extremity
I70.319 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, unspecified extremity
I70.321 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, right leg
I70.322 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, left leg
I70.323 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, bilateral legs
I70.328 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, other extremity
I70.329 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, unspecified extremity
I70.331 Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of thigh
I70.332 Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of calf
I70.333 Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of ankle
I70.334 Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.335 Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of other part of foot
I70.338 Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.339 Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of unspecified site
I70.341 Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of thigh
I70.342 Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of calf
I70.343 Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of ankle
I70.344 Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.345 Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of other part of foot
I70.348 Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of other part of lower leg
I70.349 Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of unspecified site
I70.35 Atherosclerosis of unspecified type of bypass graft(s) of other extremity with ulceration
I70.361 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, right leg
I70.362 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, left leg
I70.363 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, bilateral legs
I70.368 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, other extremity
I70.369 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, unspecified extremity
I70.391 Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, right leg
I70.392 Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, left leg
I70.393 Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, bilateral legs
I70.398 Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, other extremity
I70.399 Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, unspecified extremity
I70.401 Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, right leg
I70.402 Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, left leg
I70.403 Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, bilateral legs
I70.408 Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, other extremity
I70.409 Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, unspecified extremity
I70.411 Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, right leg
I70.412 Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, left leg
I70.413 Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, bilateral legs
I70.418 Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, other extremity
I70.419 Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, unspecified extremity
I70.421 Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, right leg
I70.422 Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, left leg
I70.423 Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, bilateral legs
I70.428 Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, other extremity
I70.429 Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, unspecified extremity
I70.431 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of thigh
I70.432 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of calf
I70.433 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of ankle
I70.434 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.435 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of other part of foot
I70.438 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.439 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of unspecified site
I70.441 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of thigh
I70.442 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of calf
I70.443 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of ankle
I70.444 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.445 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of other part of foot
I70.448 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of other part of lower leg
I70.449 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of unspecified site
I70.45 Atherosclerosis of autologous vein bypass graft(s) of other extremity with ulceration
I70.461 Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, right leg
I70.462 Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, left leg
I70.463 Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, bilateral legs
I70.468 Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, other extremity
I70.469 Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, unspecified extremity
I70.491 Other atherosclerosis of autologous vein bypass graft(s) of the extremities, right leg
I70.492 Other atherosclerosis of autologous vein bypass graft(s) of the extremities, left leg
I70.493 Other atherosclerosis of autologous vein bypass graft(s) of the extremities, bilateral legs
I70.498 Other atherosclerosis of autologous vein bypass graft(s) of the extremities, other extremity
I70.499 Other atherosclerosis of autologous vein bypass graft(s) of the extremities, unspecified extremity
I70.501 Unspecified atherosclerosis of nonautologous biological bypass graft(s) of the extremities, right leg
I70.502 Unspecified atherosclerosis of nonautologous biological bypass graft(s) of the extremities, left leg
I70.503 Unspecified atherosclerosis of nonautologous biological bypass graft(s) of the extremities, bilateral legs
I70.508 Unspecified atherosclerosis of nonautologous biological bypass graft(s) of the extremities, other extremity
I70.509 Unspecified atherosclerosis of nonautologous biological bypass graft(s) of the extremities, unspecified extremity
I70.511 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, right leg
I70.512 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, left leg
I70.513 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, bilateral legs
I70.518 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, other extremity
I70.519 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, unspecified extremity
I70.521 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, right leg
I70.522 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, left leg
I70.523 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, bilateral legs
I70.528 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, other extremity
I70.529 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, unspecified extremity
I70.531 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of thigh
I70.532 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of calf
I70.533 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of ankle
I70.534 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.535 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of other part of foot
I70.538 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.539 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of unspecified site
I70.541 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of thigh
I70.542 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of calf
I70.543 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of ankle
I70.544 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.545 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of other part of foot
I70.548 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of other part of lower leg
I70.549 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of unspecified site
I70.55 Atherosclerosis of nonautologous biological bypass graft(s) of other extremity with ulceration
I70.561 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, right leg
I70.562 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, left leg
I70.563 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, bilateral legs
I70.568 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, other extremity
I70.569 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, unspecified extremity
I70.591 Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, right leg
I70.592 Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, left leg
I70.593 Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, bilateral legs
I70.598 Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, other extremity
I70.599 Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, unspecified extremity
I70.601 Unspecified atherosclerosis of nonbiological bypass graft(s) of the extremities, right leg
I70.602 Unspecified atherosclerosis of nonbiological bypass graft(s) of the extremities, left leg
I70.603 Unspecified atherosclerosis of nonbiological bypass graft(s) of the extremities, bilateral legs
I70.608 Unspecified atherosclerosis of nonbiological bypass graft(s) of the extremities, other extremity
I70.609 Unspecified atherosclerosis of nonbiological bypass graft(s) of the extremities, unspecified extremity
I70.611 Atherosclerosis of nonbiological bypass graft(s) of the extremities with intermittent claudication, right leg
I70.612 Atherosclerosis of nonbiological bypass graft(s) of the extremities with intermittent claudication, left leg
I70.613 Atherosclerosis of nonbiological bypass graft(s) of the extremities with intermittent claudication, bilateral legs
I70.618 Atherosclerosis of nonbiological bypass graft(s) of the extremities with intermittent claudication, other extremity
I70.619 Atherosclerosis of nonbiological bypass graft(s) of the extremities with intermittent claudication, unspecified extremity
I70.621 Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, right leg
I70.622 Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, left leg
I70.623 Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, bilateral legs
I70.628 Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, other extremity
I70.629 Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, unspecified extremity
I70.631 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of thigh
I70.632 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of calf
I70.633 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of ankle
I70.634 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.635 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of other part of foot
I70.638 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.639 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of unspecified site
I70.641 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of thigh
I70.642 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of calf
I70.643 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of ankle
I70.644 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.645 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of other part of foot
I70.648 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of other part of lower leg
I70.649 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of unspecified site
I70.65 Atherosclerosis of nonbiological bypass graft(s) of other extremity with ulceration
I70.661 Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, right leg
I70.662 Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, left leg
I70.663 Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, bilateral legs
I70.668 Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, other extremity
I70.669 Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, unspecified extremity
I70.691 Other atherosclerosis of nonbiological bypass graft(s) of the extremities, right leg
I70.692 Other atherosclerosis of nonbiological bypass graft(s) of the extremities, left leg
I70.693 Other atherosclerosis of nonbiological bypass graft(s) of the extremities, bilateral legs
I70.698 Other atherosclerosis of nonbiological bypass graft(s) of the extremities, other extremity
I70.699 Other atherosclerosis of nonbiological bypass graft(s) of the extremities, unspecified extremity
I70.701 Unspecified atherosclerosis of other type of bypass graft(s) of the extremities, right leg
I70.702 Unspecified atherosclerosis of other type of bypass graft(s) of the extremities, left leg
I70.703 Unspecified atherosclerosis of other type of bypass graft(s) of the extremities, bilateral legs
I70.708 Unspecified atherosclerosis of other type of bypass graft(s) of the extremities, other extremity
I70.709 Unspecified atherosclerosis of other type of bypass graft(s) of the extremities, unspecified extremity
I70.711 Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, right leg
I70.712 Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, left leg
I70.713 Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, bilateral legs
I70.718 Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, other extremity
I70.719 Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, unspecified extremity
I70.721 Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, right leg
I70.722 Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, left leg
I70.723 Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, bilateral legs
I70.728 Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, other extremity
I70.729 Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, unspecified extremity
I70.731 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of thigh
I70.732 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of calf
I70.733 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of ankle
I70.734 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.735 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of other part of foot
I70.738 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.739 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of unspecified site
I70.741 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of thigh
I70.742 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of calf
I70.743 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of ankle
I70.744 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.745 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of other part of foot
I70.748 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of other part of lower leg
I70.749 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of unspecified site
I70.75 Atherosclerosis of other type of bypass graft(s) of other extremity with ulceration
I70.761 Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, right leg
I70.762 Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, left leg
I70.763 Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, bilateral legs
I70.768 Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, other extremity
I70.769 Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, unspecified extremity
I70.791 Other atherosclerosis of other type of bypass graft(s) of the extremities, right leg
I70.792 Other atherosclerosis of other type of bypass graft(s) of the extremities, left leg
I70.793 Other atherosclerosis of other type of bypass graft(s) of the extremities, bilateral legs
I70.798 Other atherosclerosis of other type of bypass graft(s) of the extremities, other extremity
I70.799 Other atherosclerosis of other type of bypass graft(s) of the extremities, unspecified extremity
I70.8 Atherosclerosis of other arteries
I70.90 Unspecified atherosclerosis
I70.91 Generalized atherosclerosis
I70.92 Chronic total occlusion of artery of the extremities

 

SNOMED:  
Code Description
127014009 Peripheral angiopathy due to diabetes mellitus (disorder)
13954005 Ischemic ulcer (disorder)
233955003 Abdominal aortic atherosclerosis (disorder)
233956002 Aortoiliac atherosclerosis (disorder)
238794007 Ischemic foot ulcer (disorder)
284871000119105 Atherosclerosis of left carotid artery (disorder)
284881000119108 Atherosclerosis of right carotid artery (disorder)
300920004 Carotid atherosclerosis (disorder)
39823006 Generalized atherosclerosis (disorder)
399957001 Peripheral arterial occlusive disease (disorder)
413838009 Chronic ischemic heart disease (disorder)
421365002 Peripheral circulatory disorder due to type 1 diabetes mellitus (disorder)
421895002 Peripheral vascular disorder due to diabetes mellitus (disorder)
422166005 Peripheral circulatory disorder due to type 2 diabetes mellitus (disorder)
429768000 Ischemic ulcer of toe (disorder)
441574008 Atherosclerosis of artery (disorder)
442439008 Atherosclerosis of bypass graft of limb (disorder)
442693003 Atherosclerosis of autologous vein bypass graft of limb (disorder)
442701004 Atherosclerosis of nonautologous biological bypass graft of limb (disorder)
442735001 Atherosclerosis of nonautologous bypass graft of limb (disorder)
443502000 Atherosclerosis of coronary artery (disorder)
45281005 Atherosclerosis of renal artery (disorder)
51274000 Atherosclerosis of arteries of the extremities (disorder)
55382008 Cerebral atherosclerosis (disorder)
63491006 Intermittent claudication (finding)
709584004 Atherosclerosis of bypass graft of lower limb (disorder)
709585003 Atherosclerosis of nonautologous biological bypass graft of lower limb (disorder)
792843009 Gangrene of limb due to atherosclerosis of artery of limb (disorder)
792844003 Limb pain at rest due to atherosclerosis of artery of lower limb (disorder)
792845002 Intermittent claudication due to atherosclerosis of artery of limb (finding)
8001000119106 Atherosclerosis of aortoiliac bypass graft (disorder)
81817003 Atherosclerosis of aorta (disorder)

Cerebrovascular Disease, Stroke, TIA

ICD-10:  
Code Description
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
G46.3 Brain stem stroke syndrome
G46.4 Cerebellar stroke syndrome
G46.5 Pure motor lacunar syndrome
G46.6 Pure sensory lacunar syndrome
G46.7 Other lacunar syndromes
G46.8 Other vascular syndromes of brain in cerebrovascular diseases
I63.00 Cerebral infarction due to thrombosis of unspecified precerebral artery
I63.011 Cerebral infarction due to thrombosis of right vertebral artery
I63.012 Cerebral infarction due to thrombosis of left vertebral artery
I63.013 Cerebral infarction due to thrombosis of bilateral vertebral arteries
I63.019 Cerebral infarction due to thrombosis of unspecified vertebral artery
I63.02 Cerebral infarction due to thrombosis of basilar artery
I63.031 Cerebral infarction due to thrombosis of right carotid artery
I63.032 Cerebral infarction due to thrombosis of left carotid artery
I63.033 Cerebral infarction due to thrombosis of bilateral carotid arteries
I63.039 Cerebral infarction due to thrombosis of unspecified carotid artery
I63.09 Cerebral infarction due to thrombosis of other precerebral artery
I63.10 Cerebral infarction due to embolism of unspecified precerebral artery
I63.111 Cerebral infarction due to embolism of right vertebral artery
I63.112 Cerebral infarction due to embolism of left vertebral artery
I63.113 Cerebral infarction due to embolism of bilateral vertebral arteries
I63.119 Cerebral infarction due to embolism of unspecified vertebral artery
I63.12 Cerebral infarction due to embolism of basilar artery
I63.131 Cerebral infarction due to embolism of right carotid artery
I63.132 Cerebral infarction due to embolism of left carotid artery
I63.133 Cerebral infarction due to embolism of bilateral carotid arteries
I63.139 Cerebral infarction due to embolism of unspecified carotid artery
I63.19 Cerebral infarction due to embolism of other precerebral artery
I63.20 Cerebral infarction due to unspecified occlusion or stenosis of unspecified precerebral arteries
I63.211 Cerebral infarction due to unspecified occlusion or stenosis of right vertebral artery
I63.212 Cerebral infarction due to unspecified occlusion or stenosis of left vertebral artery
I63.213 Cerebral infarction due to unspecified occlusion or stenosis of bilateral vertebral arteries
I63.219 Cerebral infarction due to unspecified occlusion or stenosis of unspecified vertebral artery
I63.22 Cerebral infarction due to unspecified occlusion or stenosis of basilar artery
I63.231 Cerebral infarction due to unspecified occlusion or stenosis of right carotid arteries
I63.232 Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries
I63.233 Cerebral infarction due to unspecified occlusion or stenosis of bilateral carotid arteries
I63.239 Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid artery
I63.29 Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries
I63.30 Cerebral infarction due to thrombosis of unspecified cerebral artery
I63.311 Cerebral infarction due to thrombosis of right middle cerebral artery
I63.312 Cerebral infarction due to thrombosis of left middle cerebral artery
I63.313 Cerebral infarction due to thrombosis of bilateral middle cerebral arteries
I63.319 Cerebral infarction due to thrombosis of unspecified middle cerebral artery
I63.321 Cerebral infarction due to thrombosis of right anterior cerebral artery
I63.322 Cerebral infarction due to thrombosis of left anterior cerebral artery
I63.323 Cerebral infarction due to thrombosis of bilateral anterior cerebral arteries
I63.329 Cerebral infarction due to thrombosis of unspecified anterior cerebral artery
I63.331 Cerebral infarction due to thrombosis of right posterior cerebral artery
I63.332 Cerebral infarction due to thrombosis of left posterior cerebral artery
I63.333 Cerebral infarction due to thrombosis of bilateral posterior cerebral arteries
I63.339 Cerebral infarction due to thrombosis of unspecified posterior cerebral artery
I63.341 Cerebral infarction due to thrombosis of right cerebellar artery
I63.342 Cerebral infarction due to thrombosis of left cerebellar artery
I63.343 Cerebral infarction due to thrombosis of bilateral cerebellar arteries
I63.349 Cerebral infarction due to thrombosis of unspecified cerebellar artery
I63.39 Cerebral infarction due to thrombosis of other cerebral artery
I63.40 Cerebral infarction due to embolism of unspecified cerebral artery
I63.411 Cerebral infarction due to embolism of right middle cerebral artery
I63.412 Cerebral infarction due to embolism of left middle cerebral artery
I63.413 Cerebral infarction due to embolism of bilateral middle cerebral arteries
I63.419 Cerebral infarction due to embolism of unspecified middle cerebral artery
I63.421 Cerebral infarction due to embolism of right anterior cerebral artery
I63.422 Cerebral infarction due to embolism of left anterior cerebral artery
I63.423 Cerebral infarction due to embolism of bilateral anterior cerebral arteries
I63.429 Cerebral infarction due to embolism of unspecified anterior cerebral artery
I63.431 Cerebral infarction due to embolism of right posterior cerebral artery
I63.432 Cerebral infarction due to embolism of left posterior cerebral artery
I63.433 Cerebral infarction due to embolism of bilateral posterior cerebral arteries
I63.439 Cerebral infarction due to embolism of unspecified posterior cerebral artery
I63.441 Cerebral infarction due to embolism of right cerebellar artery
I63.442 Cerebral infarction due to embolism of left cerebellar artery
I63.443 Cerebral infarction due to embolism of bilateral cerebellar arteries
I63.449 Cerebral infarction due to embolism of unspecified cerebellar artery
I63.49 Cerebral infarction due to embolism of other cerebral artery
I63.50 Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery
I63.511 Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery
I63.512 Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery
I63.513 Cerebral infarction due to unspecified occlusion or stenosis of bilateral middle cerebral arteries
I63.519 Cerebral infarction due to unspecified occlusion or stenosis of unspecified middle cerebral artery
I63.521 Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery
I63.522 Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery
I63.523 Cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior cerebral arteries
I63.529 Cerebral infarction due to unspecified occlusion or stenosis of unspecified anterior cerebral artery
I63.531 Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral artery
I63.532 Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery
I63.533 Cerebral infarction due to unspecified occlusion or stenosis of bilateral posterior cerebral arteries
I63.539 Cerebral infarction due to unspecified occlusion or stenosis of unspecified posterior cerebral artery
I63.541 Cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery
I63.542 Cerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery
I63.543 Cerebral infarction due to unspecified occlusion or stenosis of bilateral cerebellar arteries
I63.549 Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebellar artery
I63.59 Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery
I63.6 Cerebral infarction due to cerebral venous thrombosis, nonpyogenic
I63.81 Other cerebral infarction due to occlusion or stenosis of small artery
I63.89 Other cerebral infarction
I63.9 Cerebral infarction, unspecified
I69.00 Unspecified sequelae of nontraumatic subarachnoid hemorrhage
I69.010 Attention and concentration deficit following nontraumatic subarachnoid hemorrhage
I69.011 Memory deficit following nontraumatic subarachnoid hemorrhage
I69.012 Visuospatial deficit and spatial neglect following nontraumatic subarachnoid hemorrhage
I69.013 Psychomotor deficit following nontraumatic subarachnoid hemorrhage
I69.014 Frontal lobe and executive function deficit following nontraumatic subarachnoid hemorrhage
I69.015 Cognitive social or emotional deficit following nontraumatic subarachnoid hemorrhage
I69.018 Other symptoms and signs involving cognitive functions following nontraumatic subarachnoid hemorrhage
I69.019 Unspecified symptoms and signs involving cognitive functions following nontraumatic subarachnoid hemorrhage
I69.020 Aphasia following nontraumatic subarachnoid hemorrhage
I69.021 Dysphasia following nontraumatic subarachnoid hemorrhage
I69.022 Dysarthria following nontraumatic subarachnoid hemorrhage
I69.023 Fluency disorder following nontraumatic subarachnoid hemorrhage
I69.028 Other speech and language deficits following nontraumatic subarachnoid hemorrhage
I69.031 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting right dominant side
I69.032 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting left dominant side
I69.033 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting right non-dominant side
I69.034 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side
I69.039 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting unspecified side
I69.041 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting right dominant side
I69.042 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left dominant side
I69.043 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting right non-dominant side
I69.044 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side
I69.049 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting unspecified side
I69.051 Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting right dominant side
I69.052 Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting left dominant side
I69.053 Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting right non-dominant side
I69.054 Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting left non-dominant side
I69.059 Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting unspecified side
I69.061 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting right dominant side
I69.062 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting left dominant side
I69.063 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting right non-dominant side
I69.064 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting left non-dominant side
I69.065 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage, bilateral
I69.069 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting unspecified side
I69.090 Apraxia following nontraumatic subarachnoid hemorrhage
I69.091 Dysphagia following nontraumatic subarachnoid hemorrhage
I69.092 Facial weakness following nontraumatic subarachnoid hemorrhage
I69.093 Ataxia following nontraumatic subarachnoid hemorrhage
I69.098 Other sequelae following nontraumatic subarachnoid hemorrhage
I69.10 Unspecified sequelae of nontraumatic intracerebral hemorrhage
I69.110 Attention and concentration deficit following nontraumatic intracerebral hemorrhage
I69.111 Memory deficit following nontraumatic intracerebral hemorrhage
I69.112 Visuospatial deficit and spatial neglect following nontraumatic intracerebral hemorrhage
I69.113 Psychomotor deficit following nontraumatic intracerebral hemorrhage
I69.114 Frontal lobe and executive function deficit following nontraumatic intracerebral hemorrhage
I69.115 Cognitive social or emotional deficit following nontraumatic intracerebral hemorrhage
I69.118 Other symptoms and signs involving cognitive functions following nontraumatic intracerebral hemorrhage
I69.119 Unspecified symptoms and signs involving cognitive functions following nontraumatic intracerebral hemorrhage
I69.120 Aphasia following nontraumatic intracerebral hemorrhage
I69.121 Dysphasia following nontraumatic intracerebral hemorrhage
I69.122 Dysarthria following nontraumatic intracerebral hemorrhage
I69.123 Fluency disorder following nontraumatic intracerebral hemorrhage
I69.128 Other speech and language deficits following nontraumatic intracerebral hemorrhage
I69.131 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right dominant side
I69.132 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left dominant side
I69.133 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side
I69.134 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side
I69.139 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting unspecified side
I69.141 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right dominant side
I69.142 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left dominant side
I69.143 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side
I69.144 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side
I69.149 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting unspecified side
I69.151 Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting right dominant side
I69.152 Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting left dominant side
I69.153 Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting right non-dominant side
I69.154 Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting left non-dominant side
I69.159 Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting unspecified side
I69.161 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting right dominant side
I69.162 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting left dominant side
I69.163 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting right non-dominant side
I69.164 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting left non-dominant side
I69.165 Other paralytic syndrome following nontraumatic intracerebral hemorrhage, bilateral
I69.169 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting unspecified side
I69.190 Apraxia following nontraumatic intracerebral hemorrhage
I69.191 Dysphagia following nontraumatic intracerebral hemorrhage
I69.192 Facial weakness following nontraumatic intracerebral hemorrhage
I69.193 Ataxia following nontraumatic intracerebral hemorrhage
I69.198 Other sequelae of nontraumatic intracerebral hemorrhage
I69.20 Unspecified sequelae of other nontraumatic intracranial hemorrhage
I69.210 Attention and concentration deficit following other nontraumatic intracranial hemorrhage
I69.211 Memory deficit following other nontraumatic intracranial hemorrhage
I69.212 Visuospatial deficit and spatial neglect following other nontraumatic intracranial hemorrhage
I69.213 Psychomotor deficit following other nontraumatic intracranial hemorrhage
I69.214 Frontal lobe and executive function deficit following other nontraumatic intracranial hemorrhage
I69.215 Cognitive social or emotional deficit following other nontraumatic intracranial hemorrhage
I69.218 Other symptoms and signs involving cognitive functions following other nontraumatic intracranial hemorrhage
I69.219 Unspecified symptoms and signs involving cognitive functions following other nontraumatic intracranial hemorrhage
I69.220 Aphasia following other nontraumatic intracranial hemorrhage
I69.221 Dysphasia following other nontraumatic intracranial hemorrhage
I69.222 Dysarthria following other nontraumatic intracranial hemorrhage
I69.223 Fluency disorder following other nontraumatic intracranial hemorrhage
I69.228 Other speech and language deficits following other nontraumatic intracranial hemorrhage
I69.231 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right dominant side
I69.232 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left dominant side
I69.233 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side
I69.234 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side
I69.239 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting unspecified side
I69.241 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right dominant side
I69.242 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left dominant side
I69.243 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side
I69.244 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side
I69.249 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting unspecified side
I69.251 Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right dominant side
I69.252 Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting left dominant side
I69.253 Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right non-dominant side
I69.254 Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting left non-dominant side
I69.259 Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting unspecified side
I69.261 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right dominant side
I69.262 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left dominant side
I69.263 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right non-dominant side
I69.264 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left non-dominant side
I69.265 Other paralytic syndrome following other nontraumatic intracranial hemorrhage, bilateral
I69.269 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting unspecified side
I69.290 Apraxia following other nontraumatic intracranial hemorrhage
I69.291 Dysphagia following other nontraumatic intracranial hemorrhage
I69.292 Facial weakness following other nontraumatic intracranial hemorrhage
I69.293 Ataxia following other nontraumatic intracranial hemorrhage
I69.298 Other sequelae of other nontraumatic intracranial hemorrhage
I69.30 Unspecified sequelae of cerebral infarction
I69.310 Attention and concentration deficit following cerebral infarction
I69.311 Memory deficit following cerebral infarction
I69.312 Visuospatial deficit and spatial neglect following cerebral infarction
I69.313 Psychomotor deficit following cerebral infarction
I69.314 Frontal lobe and executive function deficit following cerebral infarction
I69.315 Cognitive social or emotional deficit following cerebral infarction
I69.318 Other symptoms and signs involving cognitive functions following cerebral infarction
I69.319 Unspecified symptoms and signs involving cognitive functions following cerebral infarction
I69.320 Aphasia following cerebral infarction
I69.321 Dysphasia following cerebral infarction
I69.322 Dysarthria following cerebral infarction
I69.323 Fluency disorder following cerebral infarction
I69.328 Other speech and language deficits following cerebral infarction
I69.331 Monoplegia of upper limb following cerebral infarction affecting right dominant side
I69.332 Monoplegia of upper limb following cerebral infarction affecting left dominant side
I69.333 Monoplegia of upper limb following cerebral infarction affecting right non-dominant side
I69.334 Monoplegia of upper limb following cerebral infarction affecting left non-dominant side
I69.339 Monoplegia of upper limb following cerebral infarction affecting unspecified side
I69.341 Monoplegia of lower limb following cerebral infarction affecting right dominant side
I69.342 Monoplegia of lower limb following cerebral infarction affecting left dominant side
I69.343 Monoplegia of lower limb following cerebral infarction affecting right non-dominant side
I69.344 Monoplegia of lower limb following cerebral infarction affecting left non-dominant side
I69.349 Monoplegia of lower limb following cerebral infarction affecting unspecified side
I69.351 Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side
I69.352 Hemiplegia and hemiparesis following cerebral infarction affecting left dominant side
I69.353 Hemiplegia and hemiparesis following cerebral infarction affecting right non-dominant side
I69.354 Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side
I69.359 Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side
I69.361 Other paralytic syndrome following cerebral infarction affecting right dominant side
I69.362 Other paralytic syndrome following cerebral infarction affecting left dominant side
I69.363 Other paralytic syndrome following cerebral infarction affecting right non-dominant side
I69.364 Other paralytic syndrome following cerebral infarction affecting left non-dominant side
I69.365 Other paralytic syndrome following cerebral infarction, bilateral
I69.369 Other paralytic syndrome following cerebral infarction affecting unspecified side
I69.390 Apraxia following cerebral infarction
I69.391 Dysphagia following cerebral infarction
I69.392 Facial weakness following cerebral infarction
I69.393 Ataxia following cerebral infarction
I69.398 Other sequelae of cerebral infarction
I69.80 Unspecified sequelae of other cerebrovascular disease
I69.810 Attention and concentration deficit following other cerebrovascular disease
I69.811 Memory deficit following other cerebrovascular disease
I69.812 Visuospatial deficit and spatial neglect following other cerebrovascular disease
I69.813 Psychomotor deficit following other cerebrovascular disease
I69.814 Frontal lobe and executive function deficit following other cerebrovascular disease
I69.815 Cognitive social or emotional deficit following other cerebrovascular disease
I69.818 Other symptoms and signs involving cognitive functions following other cerebrovascular disease
I69.819 Unspecified symptoms and signs involving cognitive functions following other cerebrovascular disease
I69.820 Aphasia following other cerebrovascular disease
I69.821 Dysphasia following other cerebrovascular disease
I69.822 Dysarthria following other cerebrovascular disease
I69.831 Monoplegia of upper limb following other cerebrovascular disease affecting right dominant side
I69.832 Monoplegia of upper limb following other cerebrovascular disease affecting left dominant side
I69.833 Monoplegia of upper limb following other cerebrovascular disease affecting right non-dominant side
I69.834 Monoplegia of upper limb following other cerebrovascular disease affecting left non-dominant side
I69.839 Monoplegia of upper limb following other cerebrovascular disease affecting unspecified side
I69.841 Monoplegia of lower limb following other cerebrovascular disease affecting right dominant side
I69.842 Monoplegia of lower limb following other cerebrovascular disease affecting left dominant side
I69.843 Monoplegia of lower limb following other cerebrovascular disease affecting right non-dominant side
I69.844 Monoplegia of lower limb following other cerebrovascular disease affecting left non-dominant side
I69.849 Monoplegia of lower limb following other cerebrovascular disease affecting unspecified side
I69.863 Other paralytic syndrome following other cerebrovascular disease affecting right non-dominant side
I69.864 Other paralytic syndrome following other cerebrovascular disease affecting left non-dominant side
I69.865 Other paralytic syndrome following other cerebrovascular disease, bilateral
I69.869 Other paralytic syndrome following other cerebrovascular disease affecting unspecified side
I69.890 Apraxia following other cerebrovascular disease
I69.892 Facial weakness following other cerebrovascular disease
I69.893 Ataxia following other cerebrovascular disease
I69.898 Other sequelae of other cerebrovascular disease
I69.90 Unspecified sequelae of unspecified cerebrovascular disease
I69.910 Attention and concentration deficit following unspecified cerebrovascular disease
I69.911 Memory deficit following unspecified cerebrovascular disease
I69.912 Visuospatial deficit and spatial neglect following unspecified cerebrovascular disease
I69.913 Psychomotor deficit following unspecified cerebrovascular disease
I69.914 Frontal lobe and executive function deficit following unspecified cerebrovascular disease
I69.915 Cognitive social or emotional deficit following unspecified cerebrovascular disease
I69.918 Other symptoms and signs involving cognitive functions following unspecified cerebrovascular disease
I69.919 Unspecified symptoms and signs involving cognitive functions following unspecified cerebrovascular disease
I69.920 Aphasia following unspecified cerebrovascular disease
I69.921 Dysphasia following unspecified cerebrovascular disease
I69.922 Dysarthria following unspecified cerebrovascular disease
I69.923 Fluency disorder following unspecified cerebrovascular disease
I69.928 Other speech and language deficits following unspecified cerebrovascular disease
I69.931 Monoplegia of upper limb following unspecified cerebrovascular disease affecting right dominant side
I69.932 Monoplegia of upper limb following unspecified cerebrovascular disease affecting left dominant side
I69.933 Monoplegia of upper limb following unspecified cerebrovascular disease affecting right non-dominant side
I69.934 Monoplegia of upper limb following unspecified cerebrovascular disease affecting left non-dominant side
I69.939 Monoplegia of upper limb following unspecified cerebrovascular disease affecting unspecified side
I69.941 Monoplegia of lower limb following unspecified cerebrovascular disease affecting right dominant side
I69.942 Monoplegia of lower limb following unspecified cerebrovascular disease affecting left dominant side
I69.943 Monoplegia of lower limb following unspecified cerebrovascular disease affecting right non-dominant side
I69.944 Monoplegia of lower limb following unspecified cerebrovascular disease affecting left non-dominant side
I69.949 Monoplegia of lower limb following unspecified cerebrovascular disease affecting unspecified side
I69.990 Apraxia following unspecified cerebrovascular disease
I69.991 Dysphagia following unspecified cerebrovascular disease
I69.992 Facial weakness following unspecified cerebrovascular disease
I69.993 Ataxia following unspecified cerebrovascular disease
I69.998 Other sequelae following unspecified cerebrovascular disease
Z86.73 Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits

 

SNOMED:  
Code Description
102831000119104 Paralytic syndrome of both lower limbs as sequela of stroke (disorder)
103761000119107 Paralytic syndrome of all four limbs as sequela of stroke (disorder)
108691000119102 Spasticity as sequela of stroke (disorder)
111297002 Nonparalytic stroke (disorder)
111298007 Chronic cerebral ischemia (disorder)
116288000 Paralytic stroke (disorder)
133981000119106 Dysarthria as late effects of cerebrovascular disease (disorder)
133991000119109 Fluency disorder as sequela of cerebrovascular disease (disorder)
134771000119108 Alteration of sensation as late effect of stroke (disorder)
137991000119103 Seizure disorder as sequela of stroke (disorder)
140281000119108 Hemiparesis as late effect of cerebrovascular disease (disorder)
140911000119109 Ischemic stroke with coma (disorder)
140921000119102 Ischemic stroke without coma (disorder)
145741000119101 Apraxia as late effect of cerebrovascular disease (disorder)
148871000119109 Weakness as a late effect of cerebrovascular accident (disorder)
149821000119103 Cerebral infarction due to carotid artery occlusion (disorder)
161511000 History of transient ischemic attack (situation)
18761000119108 Monoplegia of arm dominant side as sequela of cerebrovascular disease (disorder)
192813004 Cerebral degeneration due to cerebrovascular disease (disorder)
195185009 Cerebral infarct due to thrombosis of precerebral arteries (disorder)
195186005 Cerebral infarction due to embolism of precerebral arteries (disorder)
195189003 Cerebral infarction due to thrombosis of cerebral arteries (disorder)
195190007 Cerebral infarction due to embolism of cerebral arteries (disorder)
195212005 Brainstem stroke syndrome (disorder)
195213000 Cerebellar stroke syndrome (disorder)
195230003 Cerebral infarction due to cerebral venous thrombosis, non-pyogenic (disorder)
195239002 Late effects of cerebrovascular disease (disorder)
195243003 Sequelae of cerebral infarction (disorder)
20059004 Occlusion of cerebral artery (disorder)
230690007 Cerebrovascular accident (disorder)
230693009 Anterior cerebral circulation infarction (disorder)
230694003 Total anterior cerebral circulation infarction (disorder)
230695002 Partial anterior cerebral circulation infarction (disorder)
230696001 Posterior cerebral circulation infarction (disorder)
230698000 Lacunar infarction (disorder)
230706003 Hemorrhagic cerebral infarction (disorder)
230707007 Anterior cerebral circulation hemorrhagic infarction (disorder)
230708002 Posterior cerebral circulation hemorrhagic infarction (disorder)
230713003 Stroke of uncertain pathology (disorder)
230714009 Anterior circulation stroke of uncertain pathology (disorder)
230715005 Posterior circulation stroke of uncertain pathology (disorder)
230738008 Asymptomatic cerebrovascular disease (disorder)
23671000119107 Sequela of ischemic cerebral infarction (disorder)
25133001 Completed stroke (disorder)
26021000119107 Vertigo as sequela of cerebrovascular disease (disorder)
266257000 Transient ischemic attack (disorder)
275434003 Stroke in the puerperium (disorder)
275526006 History of cerebrovascular accident (situation)
276219001 Occipital cerebral infarction (disorder)
281240008 Extension of cerebrovascular accident (disorder)
288723005 Acute ill-defined cerebrovascular disease (disorder)
29941000119105 Ataxia as sequela of cerebrovascular disease (disorder)
302909007 Diffuse cerebrovascular disease (disorder)
307766002 Left sided cerebral infarction (disorder)
307767006 Right sided cerebral infarction (disorder)
33301000119105 Sequela of cardioembolic stroke (disorder)
33331000119103 Sequela of lacunar stroke (disorder)
34191000119104 Cerebral infarction due to vertebral artery occlusion (disorder)
361000119103 Paralytic syndrome on one side of the body as late effect of cerebrovascular accident (disorder)
371040005 Thrombotic stroke (disorder)
371041009 Embolic stroke (disorder)
373606000 Occlusive stroke (disorder)
390936003 Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (disorder)
40161000119102 Weakness of face muscles as sequela of stroke (disorder)
413102000 Infarction of basal ganglia (disorder)
413758000 Cardioembolic stroke (disorder)
422504002 Ischemic stroke (disorder)
425642008 Monoplegia of dominant lower limb as a late effect of cerebrovascular accident (disorder)
425882004 Paralytic syndrome as late effect of stroke (disorder)
426033005 Dysphagia as a late effect of cerebrovascular accident (disorder)
426788002 Vertigo as late effect of stroke (disorder)
426983002 Infarction of medulla oblongata (disorder)
427065003 Monoplegia of dominant upper limb as a late effect of cerebrovascular accident (disorder)
427296003 Thalamic infarction (disorder)
427432001 Paralytic syndrome as late effect of thalamic stroke (disorder)
428668000 Apraxia due to cerebrovascular accident (disorder)
430947007 Paralytic syndrome of nondominant side as late effect of stroke (disorder)
430959006 Paralytic syndrome of dominant side as late effect of stroke (disorder)
432504007 Cerebral infarction (disorder)
433183000 Neurogenic bladder as late effect of cerebrovascular accident (disorder)
433891000124100 Cerebral infarction due to cerebral artery occlusion (disorder)
433911000124103 Cerebral infarction due to posterior cerebral artery occlusion (disorder)
433931000124109 Cerebral infarction due to internal carotid artery occlusion (disorder)
433941000124104 Occlusion and stenosis of middle cerebral artery with infarction (disorder)
433951000124102 Occlusion and stenosis of posterior cerebral artery with infarction (disorder)
433961000124100 Cerebral infarction due to cerebral venous thrombosis (disorder)
433971000124107 Cerebral venous thrombosis of cortical vein with infarction (disorder)
434141000124103 Chronic cerebrovascular accident (disorder)
434151000124101 Cerebral infarction due to anterior cerebral artery occlusion (disorder)
434961000124102 Cerebral infarction due to middle cerebral artery occlusion (disorder)
434991000124105 Cerebral infarction due to basilar artery stenosis (disorder)
441526008 Infarct of cerebrum due to iatrogenic cerebrovascular accident (disorder)
441529001 Dysphasia as late effect of cerebrovascular disease (disorder)
441630004 Aphasia as late effect of cerebrovascular disease (disorder)
441735003 Sensory disorder as a late effect of cerebrovascular disease (disorder)
441759008 Abnormal vision as a late effect of cerebrovascular disease (disorder)
441887006 Monoplegia of lower limb as late effect of cerebrovascular disease (disorder)
441894009 Monoplegia of nondominant lower limb as a late effect of cerebrovascular accident (disorder)
441960006 Speech and language deficit as late effect of cerebrovascular accident (disorder)
441991000 Hemiparesis as late effect of cerebrovascular accident (disorder)
442024001 Hemiplegia as late effect of cerebrovascular disease (disorder)
442097001 Monoplegia of upper limb as late effect of cerebrovascular disease (disorder)
442181008 Monoplegia of nondominant upper limb as a late effect of cerebrovascular accident (disorder)
442212003 Residual cognitive deficit as late effect of cerebrovascular accident (disorder)
442617003 Aphasia as late effect of cerebrovascular accident (disorder)
442668000 Hemiplegia of nondominant side as late effect of cerebrovascular disease (disorder)
442676003 Hemiplegia of dominant side as late effect of cerebrovascular disease (disorder)
442733008 Hemiplegia as late effect of cerebrovascular accident (disorder)
443929000 Small vessel cerebrovascular disease (disorder)
46421000119102 Behavior disorder as sequela of cerebral infarction (disorder)
48601000119107 Paralytic syndrome on one side of the body as effect of cerebrovascular accident (disorder)
5571000124103 Cerebrovascular accident with intracranial hemorrhage (disorder)
57981008 Progressing stroke (disorder)
62914000 Cerebrovascular disease (disorder)
703163006 Secondary cerebrovascular disease (disorder)
705128004 Cerebral infarction due to embolism of middle cerebral artery (disorder)
705130002 Cerebral infarction due to thrombosis of middle cerebral artery (disorder)
87551000119101 Visual disturbance as sequela of cerebrovascular disease (disorder)
91601000119109 Sequela of thrombotic stroke (disorder)
92341000119107 Weakness of extremities as sequela of stroke (disorder)
95457000 Brain stem infarction (disorder)
9901000119100 Occlusion of cerebral artery with stroke (disorder)
99451000119105 Cerebral infarction due to stenosis of carotid artery (disorder)

Ischemic Heart Disease or Other Related Diagnoses

ICD-10:  
Code Description
I23.0 Hemopericardium as current complication following acute myocardial infarction
I23.1 Atrial septal defect as current complication following acute myocardial infarction
I23.2 Ventricular septal defect as current complication following acute myocardial infarction
I23.3 Rupture of cardiac wall without hemopericardium as current complication following acute myocardial infarction
I23.4 Rupture of chordae tendineae as current complication following acute myocardial infarction
I23.5 Rupture of papillary muscle as current complication following acute myocardial infarction
I23.6 Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction
I23.8 Other current complications following acute myocardial infarction
I24.0 Acute coronary thrombosis not resulting in myocardial infarction
I24.8 Other forms of acute ischemic heart disease
I24.9 Acute ischemic heart disease, unspecified
I25.5 Ischemic cardiomyopathy
I25.6 Silent myocardial ischemia
I25.82 Chronic total occlusion of coronary artery
I25.89 Other forms of chronic ischemic heart disease
I25.9 Chronic ischemic heart disease, unspecified

 

SNOMED:  
Code Description
10365005 Right main coronary artery thrombosis (disorder)
123641001 Left coronary artery occlusion (disorder)
123642008 Right coronary artery occlusion (disorder)
194821006 Coronary thrombosis not resulting in myocardial infarction (disorder)
194862000 Hemopericardium due to and following acute myocardial infarction (disorder)
194863005 Atrial septal defect due to and following acute myocardial infarction (disorder)
194865003 Rupture of cardiac wall without hemopericardium as current complication following acute myocardial infarction (disorder)
194867006 Rupture of papillary muscle as current complication following acute myocardial infarction (disorder)
194868001 Thrombosis of atrium, auricular appendage, and ventricle due to and following acute myocardial infarction (disorder)
233823002 Silent myocardial ischemia (disorder)
233846000 Post-infarction ventricular septal defect (disorder)
233847009 Cardiac rupture due to and following acute myocardial infarction (disorder)
233860003 Post-infarction mitral papillary muscle rupture (disorder)
233889001 Post-infarction hemopericardium (disorder)
28248000 Left anterior descending coronary artery thrombosis (disorder)
28931004 Coronary artery rupture (disorder)
315026000 Transient myocardial ischemia (disorder)
398274000 Coronary artery thrombosis (disorder)
408546009 Coronary artery bypass graft occlusion (disorder)
413439005 Acute ischemic heart disease (disorder)
413444003 Acute myocardial ischemia (disorder)
413838009 Chronic ischemic heart disease (disorder)
413844008 Chronic myocardial ischemia (disorder)
414545008 Ischemic heart disease (disorder)
414795007 Myocardial ischemia (disorder)
421327009 Coronary artery stent thrombosis (disorder)
428196007 Mixed myocardial ischemia and infarction (disorder)
457592003 Occlusion of coronary sinus (disorder)
46109009 Subendocardial ischemia (disorder)
461417000 Acquired occlusion of coronary sinus (disorder)
56276002 Left main coronary artery thrombosis (disorder)
63739005 Coronary occlusion (disorder)
697976003 Microvascular ischemia of myocardium (disorder)
703328007 Mitral valve regurgitation due to acute myocardial infarction without papillary muscle and chordal rupture (disorder)
703330009 Mitral valve regurgitation due to acute myocardial infarction with papillary muscle and chordal rupture (disorder)
712866001 Resting ischemia co-occurrent and due to ischemic heart disease (disorder)
713405002 Subacute ischemic heart disease (disorder)
78741000119103 Acute coronary artery occlusion not resulting in myocardial infarction (disorder)

Myocardial Infarction

ICD-10:  
Code Description
I21.01 ST elevation (STEMI) myocardial infarction involving left main coronary artery
I21.02 ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery
I21.09 ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall
I21.11 ST elevation (STEMI) myocardial infarction involving right coronary artery
I21.19 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall
I21.21 ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery
I21.29 ST elevation (STEMI) myocardial infarction involving other sites
I21.3 ST elevation (STEMI) myocardial infarction of unspecified site
I21.4 Non-ST elevation (NSTEMI) myocardial infarction
I21.9 Acute myocardial infarction, unspecified
I21.A1 Myocardial infarction type 2
I21.A9 Other myocardial infarction type
I22.0 Subsequent ST elevation (STEMI) myocardial infarction of anterior wall
I22.1 Subsequent ST elevation (STEMI) myocardial infarction of inferior wall
I22.2 Subsequent non-ST elevation (NSTEMI) myocardial infarction
I22.8 Subsequent ST elevation (STEMI) myocardial infarction of other sites
I22.9 Subsequent ST elevation (STEMI) myocardial infarction of unspecified site

 

SNOMED:  
Code Description
10273003 Acute infarction of papillary muscle (disorder)
129574000 Postoperative myocardial infarction (disorder)
15990001 Acute myocardial infarction of posterolateral wall (disorder)
194802003 True posterior myocardial infarction (disorder)
194809007 Acute atrial infarction (disorder)
194856005 Subsequent myocardial infarction (disorder)
22298006 Myocardial infarction (disorder)
233835003 Acute widespread myocardial infarction (disorder)
233838001 Acute posterior myocardial infarction (disorder)
233843008 Silent myocardial infarction (disorder)
30277009 Rupture of ventricle due to acute myocardial infarction (disorder)
304914007 Acute Q wave myocardial infarction (disorder)
307140009 Acute non-Q wave infarction (disorder)
314207007 Non-Q wave myocardial infarction (disorder)
32574007 Past myocardial infarction diagnosed on electrocardiogram AND/OR other special investigation, but currently presenting no symptoms (disorder)
371068009 Myocardial infarction with complication (disorder)
394710008 First myocardial infarction (disorder)
401303003 Acute ST segment elevation myocardial infarction (disorder)
401314000 Acute non-ST segment elevation myocardial infarction (disorder)
418044006 Myocardial infarction in recovery phase (disorder)
42531007 Microinfarct of heart (disorder)
428196007 Mixed myocardial ischemia and infarction (disorder)
428752002 Recent myocardial infarction (situation)
52035003 Acute anteroapical myocardial infarction (disorder)
54329005 Acute myocardial infarction of anterior wall (disorder)
57054005 Acute myocardial infarction (disorder)
58612006 Acute myocardial infarction of lateral wall (disorder)
62695002 Acute anteroseptal myocardial infarction (disorder)
65547006 Acute myocardial infarction of inferolateral wall (disorder)
70211005 Acute myocardial infarction of anterolateral wall (disorder)
70422006 Acute subendocardial infarction (disorder)
73795002 Acute myocardial infarction of inferior wall (disorder)
79009004 Acute myocardial infarction of septum (disorder)

Stable and Unstable Angina

ICD-10:  
Code Description
I20.0 Unstable angina
I20.1 Angina pectoris with documented spasm
I20.8 Other forms of angina pectoris
I20.9 Angina pectoris, unspecified
I23.7 Postinfarction angina

 

SNOMED:  
Code Description
194828000 Angina (disorder)
233819005 Stable angina (disorder)
233821000 New onset angina (disorder)
314116003 Post infarct angina (disorder)
4557003 Preinfarction syndrome (disorder)
59021001 Angina decubitus (disorder)

This is captured by adding a procedure with a valid CPT/HCPCS or SNOMED code using the Procedure widget in a note.

Carotid Intervention

SNOMED:  
Code Description
112823003 Creation of aorta-carotid-brachial vascular bypass (procedure)
15023006 Thromboendarterectomy with graft of carotid artery by neck incision (procedure)
175363002 Reconstruction of carotid artery (procedure)
175364008 Replacement of carotid artery using graft (procedure)
175365009 Intracranial bypass to carotid artery (procedure)
175367001 Endarterectomy of carotid artery and patch repair of carotid artery (procedure)
175373000 Ligation of carotid artery (procedure)
175374006 Open embolectomy of carotid artery (procedure)
175376008 Operation on aneurysm of carotid artery (procedure)
175379001 Transluminal operations on carotid artery (procedure)
175380003 Percutaneous transluminal angioplasty of carotid artery (procedure)
175398004 Anastomosis of circle of Willis (procedure)
18674003 Creation of carotid-vertebral artery shunt (procedure)
22928005 Ligation of internal carotid artery (procedure)
233259003 Angioplasty of external carotid artery (procedure)
233260008 Percutaneous balloon angioplasty of extracranial carotid artery (procedure)
233296007 Endarterectomy of internal carotid artery (procedure)
233297003 Endarterectomy of external carotid artery (procedure)
233298008 Endarterectomy of common carotid artery (procedure)
233405004 Insertion of carotid artery stent (procedure)
241219006 Internal carotid arteriogram (procedure)
276949008 Percutaneous endarterectomy of internal carotid artery (procedure)
276950008 Percutaneous endarterectomy of external carotid artery (procedure)
276951007 Percutaneous endarterectomy of common carotid artery (procedure)
287606009 Selective carotid artery arteriography (procedure)
302053004 Embolectomy of carotid artery (procedure)
303161001 Patch repair of carotid artery (procedure)
31573003 Anastomosis of carotid-subclavian artery (procedure)
34214004 Creation of aorta-subclavian-carotid vascular bypass (procedure)
39887009 Thrombectomy with catheter of carotid artery by neck incision (procedure)
405326004 Angioplasty of internal carotid artery (procedure)
405379009 Repair of internal carotid artery (procedure)
405407008 Endarterectomy and angioplasty of internal carotid artery (procedure)
405408003 Endarterectomy and angioplasty of internal carotid artery with prosthesis (procedure)
405409006 Endarterectomy and angioplasty of internal carotid artery with vein (procedure)
405411002 Endarterectomy and angioplasty of external carotid artery (procedure)
405412009 Endarterectomy of internal carotid artery with eversion and end-to-end anastomosis (procedure)
405415006 Angioplasty of internal carotid artery with vein (procedure)
417884003 Fluoroscopic angioplasty of external carotid artery (procedure)
418405008 Fluoroscopic angiography of carotid artery and insertion of stent (procedure)
418838006 Fluoroscopic angiography of internal carotid artery (procedure)
419014003 Fluoroscopic angioplasty of internal carotid artery (procedure)
420026003 Fluoroscopic angioplasty of common carotid artery (procedure)
420046008 Fluoroscopic angioplasty of carotid artery (procedure)
420171008 Fluoroscopic angiography of carotid artery (procedure)
425611003 Percutaneous transluminal insertion of stent into carotid artery (procedure)
427486009 Bypass of carotid artery by anastomosis of superficial temporal artery to middle cerebral artery (procedure)
428802000 Endovascular repair of carotid artery (procedure)
429287007 Angioplasty of carotid artery (procedure)
431515004 Fluoroscopic angiography of external carotid artery using contrast with insertion of stent (procedure)
431519005 Fluoroscopic angiography of common carotid artery using contrast with insertion of stent (procedure)
431535003 Percutaneous transluminal angioplasty of external carotid artery using fluoroscopic guidance (procedure)
431659001 Percutaneous transluminal angioplasty of common carotid artery using fluoroscopic guidance (procedure)
432039002 Percutaneous transluminal angioplasty of internal carotid artery using fluoroscopic guidance (procedure)
432785007 Fluoroscopic angiography of common carotid artery using contrast with insertion of drug eluting stent (procedure)
433056003 Fluoroscopic angiography of internal carotid artery using contrast with insertion of stent (procedure)
433061001 Fluoroscopic intravenous digital subtraction angiography of carotid artery (procedure)
433591001 Fluoroscopic angiography of common carotid artery using contrast with insertion of stent graft (procedure)
433683001 Fluoroscopic angiography of internal carotid artery using contrast with insertion of drug eluting stent (procedure)
433690006 Fluoroscopic angiography of external carotid artery using contrast with insertion of drug eluting stent (procedure)
433711000 Percutaneous transluminal cutting balloon angioplasty of external carotid artery using fluoroscopic guidance (procedure)
433734009 Percutaneous transluminal cutting balloon angioplasty of internal carotid artery using fluoroscopic guidance (procedure)
434159001 Fluoroscopic angiography of external carotid artery using contrast with insertion of stent graft (procedure)
434378006 Fluoroscopic angiography of internal carotid artery using contrast with insertion of stent graft (procedure)
434433007 Percutaneous transluminal cutting balloon angioplasty of common carotid artery using fluoroscopic guidance (procedure)
43628009 Insertion of needle into carotid artery (procedure)
438615003 Procedure on carotid artery using imaging guidance (procedure)
440221006 Bypass of carotid artery to brachial artery using vein graft (procedure)
440453000 Fluoroscopic angiography of aortic arch and carotid artery (procedure)
440518005 Fluoroscopic angiography of carotid artery with direct puncture (procedure)
449242004 Clipping of carotid artery by cervical approach (procedure)
46912008 Ligation of external carotid artery for nasal hemorrhage (procedure)
51382002 Creation of carotid-carotid shunt (procedure)
53412000 Ligation of common carotid artery (procedure)
59012002 Carotid-subclavian artery bypass graft with vein (procedure)
59109003 Ligation of external carotid artery (procedure)
66951008 Carotid endarterectomy (procedure)
74720005 Embolectomy with catheter of carotid artery by neck incision (procedure)
79507006 Carotid-vertebral artery bypass graft with vein (procedure)
80102005 Creation of external-internal carotid bypass (procedure)
80104006 Exteriorization of carotid artery (procedure)
87314005 Exploration of carotid artery (procedure)
90931006 Introduction of catheter into carotid artery (procedure)
9339002 Perfusion of carotid artery (procedure)

CABG, PCI Procedure

CPT/HCPCS:  
Code Description
33510 Coronary artery bypass, vein only; single coronary venous graft
33511 Coronary artery bypass, vein only; 2 coronary venous grafts
33512 Coronary artery bypass, vein only; 3 coronary venous grafts
33513 Coronary artery bypass, vein only; 4 coronary venous grafts
33514 Coronary artery bypass, vein only; 5 coronary venous grafts
33516 Coronary artery bypass, vein only; 6 or more coronary venous grafts
33517 Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (List separately in addition to code for primary procedure)
33518 Coronary artery bypass, using venous graft(s) and arterial graft(s); 2 venous grafts (List separately in addition to code for primary procedure)
33519 Coronary artery bypass, using venous graft(s) and arterial graft(s); 3 venous grafts (List separately in addition to code for primary procedure)
33521 Coronary artery bypass, using venous graft(s) and arterial graft(s); 4 venous grafts (List separately in addition to code for primary procedure)
33522 Coronary artery bypass, using venous graft(s) and arterial graft(s); 5 venous grafts (List separately in addition to code for primary procedure)
33523 Coronary artery bypass, using venous graft(s) and arterial graft(s); 6 or more venous grafts (List separately in addition to code for primary procedure)
33533 Coronary artery bypass, using arterial graft(s); single arterial graft
33534 Coronary artery bypass, using arterial graft(s); 2 coronary arterial grafts
33535 Coronary artery bypass, using arterial graft(s); 3 coronary arterial grafts
33536 Coronary artery bypass, using arterial graft(s); 4 or more coronary arterial grafts
92920 Percutaneous transluminal coronary angioplasty; single major coronary artery or branch
92924 Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; single major coronary artery or branch
92928 Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch
92933 Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch
92937 Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel
92941 Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel
92943 Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; single vessel
S2205 Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), single coronary arterial graft
S2206 Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), two coronary arterial grafts
S2207 Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using venous graft only, single coronary venous graft
S2208 Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using single arterial and venous graft(s), single venous graft
S2209 Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using two arterial grafts and single venous graft

CABG Surgeries

SNOMED:  
Code Description
10190003 Aortocoronary bypass of four or more coronary arteries (procedure)
10326007 Coronary artery bypass with autogenous graft, three grafts (procedure)
119564002 Internal mammary-coronary artery bypass graft (procedure)
119565001 Coronary artery bypass graft, anastomosis of artery of thorax to coronary artery (procedure)
14323007 Aortocoronary bypass of three coronary arteries (procedure)
17073005 Aortocoronary artery bypass graft with vein graft (procedure)
175021005 Allograft bypass of coronary artery (procedure)
175029007 Prosthetic bypass of coronary artery (procedure)
175036008 Revision of bypass for coronary artery (procedure)
175037004 Revision of bypass for one coronary artery (procedure)
175038009 Revision of bypass for two coronary arteries (procedure)
175039001 Revision of bypass for three coronary arteries (procedure)
175040004 Revision of bypass for four or more coronary arteries (procedure)
175066001 Percutaneous transluminal balloon angioplasty of bypass graft of coronary artery (procedure)
232717009 Coronary artery bypass grafting (procedure)
232719007 Coronary artery bypass graft x 1 (procedure)
232720001 Coronary artery bypass grafts x 2 (procedure)
232721002 Coronary artery bypass grafts x 3 (procedure)
232722009 Coronary artery bypass grafts x 4 (procedure)
232723004 Coronary artery bypass grafts x 5 (procedure)
232724005 Coronary artery bypass grafts greater than 5 (procedure)
252427007 Coronary bypass graft angiography (procedure)
29819009 Aortocoronary bypass of one coronary artery (procedure)
309814006 Aortocoronary bypass grafting (procedure)
3546002 Aortocoronary artery bypass graft with saphenous vein graft (procedure)
359597003 Single internal mammary-coronary artery bypass (procedure)
359601003 Coronary artery bypass with autogenous graft of internal mammary artery, single graft (procedure)
39202005 Coronary artery bypass with autogenous graft, four grafts (procedure)
39724006 Anastomosis of internal mammary artery to coronary artery, double vessel (procedure)
405598005 Aortocoronary artery bypass graft with two vein grafts (procedure)
405599002 Aortocoronary artery bypass graft with three vein grafts (procedure)
414088005 Emergency coronary artery bypass graft (procedure)
418551006 Laparoscopic coronary artery bypass using robotic assistance (procedure)
419132001 Minimally invasive direct coronary artery bypass (procedure)
438530000 Magnetic resonance angiography of coronary artery bypass graft (procedure)
440332008 Fluoroscopic angiography of left ventricle and coronary artery bypass graft (procedure)
450506009 Computed tomography angiography of coronary artery bypass graft (procedure)
67166004 Aortocoronary artery bypass graft (procedure)
736970002 Allograft bypass of four or more coronary arteries (procedure)
736971003 Allograft bypass of one coronary artery (procedure)
736972005 Allograft bypass of three coronary arteries (procedure)
736973000 Allograft bypass of two coronary arteries (procedure)
74371005 Coronary artery bypass with autogenous graft, two grafts (procedure)
82247006 Coronary artery bypass with autogenous graft, five grafts (procedure)
8876004 Aortocoronary artery bypass graft with prosthesis (procedure)
90487008 Aortocoronary bypass of two coronary arteries (procedure)

This is captured by adding a procedure with a valid CPT/HCPCS or SNOMED code using the Procedure widget in a note.

CPT/HCPCS:  
Code Description
99201 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
99202 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter.
99203 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter.
99204 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter.
99205 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter.
99212 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 10-19 minutes of total time is spent on the date of the encounter.
99213 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter.
99214 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter.
99215 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.
99241 Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 15 minutes are spent face-to-face with the patient and/or family.
99242 Office consultation for a new or established patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of low severity. Typically, 30 minutes are spent face-to-face with the patient and/or family.
99243 Office consultation for a new or established patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate severity. Typically, 40 minutes are spent face-to-face with the patient and/or family.
99244 Office consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family.
99245 Office consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 80 minutes are spent face-to-face with the patient and/or family.
99385 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years
99386 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years
99387 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 65 years and older
99395 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years
99396 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years
99397 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 65 years and older
99401 Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes
99402 Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes
99403 Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes
99404 Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes
99429 Unlisted preventive medicine service
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

 

SNOMED:  
Code Description
108219001 Physician visit with evaluation AND/OR management service (procedure)
108220007 Evaluation AND/OR management – new patient (procedure)
108221006 Evaluation AND/OR management – established patient (procedure)
108224003 Preventive patient evaluation (procedure)
14736009 History and physical examination with evaluation and management of patient (procedure)
185349003 Encounter for check up (procedure)
185389009 Follow-up visit (procedure)
185463005 Visit out of hours (procedure)
185464004 Out of hours visit – not night visit (procedure)
185465003 Weekend visit (procedure)
270427003 Patient-initiated encounter (procedure)
270430005 Provider-initiated encounter (procedure)
281036007 Follow-up consultation (procedure)
30346009 Evaluation and management of established outpatient in office or other outpatient facility (procedure)
308335008 Patient encounter procedure (procedure)
3391000175108 Office visit for pediatric care and assessment (procedure)
37894004 Evaluation and management of new outpatient in office or other outpatient facility (procedure)
390906007 Follow-up encounter (procedure)
410187005 Physical evaluation management (procedure)
439740005 Postoperative follow-up visit (procedure)
444971000124105 Annual wellness visit (procedure)
456201000124103 Medicare Annual Wellness Visit (procedure)
77406008 Confirmatory medical consultation (procedure)
78318003 History and physical examination, annual for health maintenance (procedure)
86013001 Periodic reevaluation and management of healthy individual (procedure)
90526000 Initial evaluation and management of healthy individual (procedure)

OR,

Population 2:

Patients aged 20 years or older at the beginning of the measurement period who have ever had a laboratory result of LDL-C greater than or equal to 190 mg/dL or were previously diagnosed with or currently have an active diagnosis of familial hypercholesterolemia; and who had a valid encounter during the measurement period.

This is captured by adding a procedure with a valid CPT/HCPCS or SNOMED code using the Procedure widget in a note.

CPT/HCPCS:  
Code Description
99201 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
99202 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter.
99203 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter.
99204 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter.
99205 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter.
99212 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 10-19 minutes of total time is spent on the date of the encounter.
99213 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter.
99214 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter.
99215 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.
99241 Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 15 minutes are spent face-to-face with the patient and/or family.
99242 Office consultation for a new or established patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of low severity. Typically, 30 minutes are spent face-to-face with the patient and/or family.
99243 Office consultation for a new or established patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate severity. Typically, 40 minutes are spent face-to-face with the patient and/or family.
99244 Office consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family.
99245 Office consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 80 minutes are spent face-to-face with the patient and/or family.
99385 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years
99386 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years
99387 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 65 years and older
99395 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years
99396 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years
99397 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 65 years and older
99401 Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes
99402 Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes
99403 Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes
99404 Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes
99429 Unlisted preventive medicine service
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

 

SNOMED:  
Code Description
108219001 Physician visit with evaluation AND/OR management service (procedure)
108220007 Evaluation AND/OR management – new patient (procedure)
108221006 Evaluation AND/OR management – established patient (procedure)
108224003 Preventive patient evaluation (procedure)
14736009 History and physical examination with evaluation and management of patient (procedure)
185349003 Encounter for check up (procedure)
185389009 Follow-up visit (procedure)
185463005 Visit out of hours (procedure)
185464004 Out of hours visit – not night visit (procedure)
185465003 Weekend visit (procedure)
270427003 Patient-initiated encounter (procedure)
270430005 Provider-initiated encounter (procedure)
281036007 Follow-up consultation (procedure)
30346009 Evaluation and management of established outpatient in office or other outpatient facility (procedure)
308335008 Patient encounter procedure (procedure)
3391000175108 Office visit for pediatric care and assessment (procedure)
37894004 Evaluation and management of new outpatient in office or other outpatient facility (procedure)
390906007 Follow-up encounter (procedure)
410187005 Physical evaluation management (procedure)
439740005 Postoperative follow-up visit (procedure)
444971000124105 Annual wellness visit (procedure)
456201000124103 Medicare Annual Wellness Visit (procedure)
77406008 Confirmatory medical consultation (procedure)
78318003 History and physical examination, annual for health maintenance (procedure)
86013001 Periodic reevaluation and management of healthy individual (procedure)
90526000 Initial evaluation and management of healthy individual (procedure)

AND

If a LDL-C laboratory test was performed, it can be captured by:

  • An electronic lab result with a valid LOINC code,
  • Adding a numeric result with a valid LOINC code using a numeric control in a note,

or

  • Adding a procedure with a valid LOINC code using the Procedure widget in a note
LOINC:  
Code Description
13457-7 Cholesterol in LDL [Mass/volume] in Serum or Plasma by calculation
18261-8 Cholesterol in LDL [Mass/volume] in Serum or Plasma ultracentrifugate
18262-6 Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay
2089-1 Cholesterol in LDL [Mass/volume] in Serum or Plasma
43394-6 Cholesterol in LDL acylated [Mass/volume] in Serum or Plasma
49132-4 Cholesterol in LDL [Mass/volume] in Serum or Plasma by Electrophoresis
50193-2 Cholesterol in LDL.narrow density [Mass/volume] in Serum or Plasma
55440-2 Cholesterol.in LDL (real) [Mass/volume] in Serum or Plasma by VAP
86911-5 Cholesterol in LDL goal [Mass/volume] Serum or Plasma
90364-1 Cholesterol.in LDL.small dense [Mass/volume] in Serum by Immunoassay
91105-7 Cholesterol in LDL 1 [Mass/volume] in Serum or Plasma
91106-5 Cholesterol in LDL 2 [Mass/volume] in Serum or Plasma
91107-3 Cholesterol in LDL 3 [Mass/volume] in Serum or Plasma
91108-1 Cholesterol in LDL 4 [Mass/volume] in Serum or Plasma
91109-9 Cholesterol in LDL 5 [Mass/volume] in Serum or Plasma
91110-7 Cholesterol in LDL 6 [Mass/volume] in Serum or Plasma
91111-5 Cholesterol in LDL 7 [Mass/volume] in Serum or Plasma
96259-7 Cholesterol in LDL [Mass/volume] in Serum or Plasma by Calculated by Martin-Hopkins
96597-0 Cholesterol in LDL [Mass/volume] in DBS by Direct assay

OR

This is captured by adding a diagnosis with a valid ICD10 or SNOMED code using the Diagnosis widget in a note.

ICD-10:  
Code Description
E78.01 Familial hypercholesterolemia

 

SNOMED:  
Code Description
13644009 Hypercholesterolemia (disorder)
238076009 Primary hypercholesterolemia (disorder)
238077000 Polygenic hypercholesterolemia (disorder)
238078005 Familial hypercholesterolemia – homozygous (disorder)
238079002 Familial hypercholesterolemia – heterozygous (disorder)
238082007 Secondary hypercholesterolemia (disorder)
398036000 Familial hypercholesterolemia (disorder)
398796005 Familial type 3 hyperlipoproteinemia (disorder)
403829002 Familial hypercholesterolemia due to heterozygous low density lipoprotein receptor mutation (disorder)
403830007 Familial hypercholesterolemia due to homozygous low density lipoprotein receptor mutation (disorder)
403831006 Familial hypercholesterolemia due to genetic defect of apolipoprotein B (disorder)

OR,

Population 3:

Patients aged 40 to 75 years at the beginning of the measurement period with Type 1 or Type 2 diabetes; and who had a valid encounter during the measurement period.

This is captured by adding a diagnosis with a valid ICD10 or SNOMED code using the Diagnosis widget in a note.

ICD-10:  
Code Description
E10.10 Type 1 diabetes mellitus with ketoacidosis without coma
E10.11 Type 1 diabetes mellitus with ketoacidosis with coma
E10.21 Type 1 diabetes mellitus with diabetic nephropathy
E10.22 Type 1 diabetes mellitus with diabetic chronic kidney disease
E10.29 Type 1 diabetes mellitus with other diabetic kidney complication
E10.311 Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema
E10.319 Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema
E10.3211 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye
E10.3212 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye
E10.3213 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral
E10.3219 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye
E10.3291 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye
E10.3292 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye
E10.3293 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral
E10.3299 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye
E10.3311 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye
E10.3312 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye
E10.3313 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral
E10.3319 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye
E10.3391 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye
E10.3392 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye
E10.3393 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral
E10.3399 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye
E10.3411 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye
E10.3412 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye
E10.3413 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral
E10.3419 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye
E10.3491 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye
E10.3492 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye
E10.3493 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral
E10.3499 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye
E10.3511 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
E10.3512 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye
E10.3513 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral
E10.3519 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye
E10.3521 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye
E10.3522 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye
E10.3523 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral
E10.3529 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye
E10.3531 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye
E10.3532 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye
E10.3533 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral
E10.3539 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye
E10.3541 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye
E10.3542 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye
E10.3543 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral
E10.3549 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye
E10.3551 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, right eye
E10.3552 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, left eye
E10.3553 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral
E10.3559 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye
E10.3591 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye
E10.3592 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye
E10.3593 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral
E10.3599 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye
E10.36 Type 1 diabetes mellitus with diabetic cataract
E10.37X1 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye
E10.37X2 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye
E10.37X3 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral
E10.37X9 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye
E10.39 Type 1 diabetes mellitus with other diabetic ophthalmic complication
E10.40 Type 1 diabetes mellitus with diabetic neuropathy, unspecified
E10.41 Type 1 diabetes mellitus with diabetic mononeuropathy
E10.42 Type 1 diabetes mellitus with diabetic polyneuropathy
E10.43 Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy
E10.44 Type 1 diabetes mellitus with diabetic amyotrophy
E10.49 Type 1 diabetes mellitus with other diabetic neurological complication
E10.51 Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E10.52 Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E10.59 Type 1 diabetes mellitus with other circulatory complications
E10.610 Type 1 diabetes mellitus with diabetic neuropathic arthropathy
E10.618 Type 1 diabetes mellitus with other diabetic arthropathy
E10.620 Type 1 diabetes mellitus with diabetic dermatitis
E10.621 Type 1 diabetes mellitus with foot ulcer
E10.622 Type 1 diabetes mellitus with other skin ulcer
E10.628 Type 1 diabetes mellitus with other skin complications
E10.630 Type 1 diabetes mellitus with periodontal disease
E10.638 Type 1 diabetes mellitus with other oral complications
E10.641 Type 1 diabetes mellitus with hypoglycemia with coma
E10.649 Type 1 diabetes mellitus with hypoglycemia without coma
E10.65 Type 1 diabetes mellitus with hyperglycemia
E10.69 Type 1 diabetes mellitus with other specified complication
E10.8 Type 1 diabetes mellitus with unspecified complications
E10.9 Type 1 diabetes mellitus without complications
E11.00 Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E11.01 Type 2 diabetes mellitus with hyperosmolarity with coma
E11.10 Type 2 diabetes mellitus with ketoacidosis without coma
E11.11 Type 2 diabetes mellitus with ketoacidosis with coma
E11.21 Type 2 diabetes mellitus with diabetic nephropathy
E11.22 Type 2 diabetes mellitus with diabetic chronic kidney disease
E11.29 Type 2 diabetes mellitus with other diabetic kidney complication
E11.311 Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema
E11.319 Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema
E11.3211 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye
E11.3212 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye
E11.3213 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral
E11.3219 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye
E11.3291 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye
E11.3292 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye
E11.3293 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral
E11.3299 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye
E11.3311 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye
E11.3312 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye
E11.3313 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral
E11.3319 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye
E11.3391 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye
E11.3392 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye
E11.3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral
E11.3399 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye
E11.3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye
E11.3412 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye
E11.3413 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral
E11.3419 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye
E11.3491 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye
E11.3492 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye
E11.3493 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral
E11.3499 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye
E11.3511 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
E11.3512 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye
E11.3513 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral
E11.3519 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye
E11.3521 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye
E11.3522 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye
E11.3523 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral
E11.3529 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye
E11.3531 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye
E11.3532 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye
E11.3533 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral
E11.3539 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye
E11.3541 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye
E11.3542 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye
E11.3543 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral
E11.3549 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye
E11.3551 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, right eye
E11.3552 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, left eye
E11.3553 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral
E11.3559 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye
E11.3591 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye
E11.3592 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye
E11.3593 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral
E11.3599 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye
E11.36 Type 2 diabetes mellitus with diabetic cataract
E11.37X1 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye
E11.37X2 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye
E11.37X3 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral
E11.37X9 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye
E11.39 Type 2 diabetes mellitus with other diabetic ophthalmic complication
E11.40 Type 2 diabetes mellitus with diabetic neuropathy, unspecified
E11.41 Type 2 diabetes mellitus with diabetic mononeuropathy
E11.42 Type 2 diabetes mellitus with diabetic polyneuropathy
E11.43 Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy
E11.44 Type 2 diabetes mellitus with diabetic amyotrophy
E11.49 Type 2 diabetes mellitus with other diabetic neurological complication
E11.51 Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E11.52 Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E11.59 Type 2 diabetes mellitus with other circulatory complications
E11.610 Type 2 diabetes mellitus with diabetic neuropathic arthropathy
E11.618 Type 2 diabetes mellitus with other diabetic arthropathy
E11.620 Type 2 diabetes mellitus with diabetic dermatitis
E11.621 Type 2 diabetes mellitus with foot ulcer
E11.622 Type 2 diabetes mellitus with other skin ulcer
E11.628 Type 2 diabetes mellitus with other skin complications
E11.630 Type 2 diabetes mellitus with periodontal disease
E11.638 Type 2 diabetes mellitus with other oral complications
E11.641 Type 2 diabetes mellitus with hypoglycemia with coma
E11.649 Type 2 diabetes mellitus with hypoglycemia without coma
E11.65 Type 2 diabetes mellitus with hyperglycemia
E11.69 Type 2 diabetes mellitus with other specified complication
E11.8 Type 2 diabetes mellitus with unspecified complications
E11.9 Type 2 diabetes mellitus without complications
E13.00 Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E13.01 Other specified diabetes mellitus with hyperosmolarity with coma
E13.10 Other specified diabetes mellitus with ketoacidosis without coma
E13.11 Other specified diabetes mellitus with ketoacidosis with coma
E13.21 Other specified diabetes mellitus with diabetic nephropathy
E13.22 Other specified diabetes mellitus with diabetic chronic kidney disease
E13.29 Other specified diabetes mellitus with other diabetic kidney complication
E13.311 Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema
E13.319 Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema
E13.3211 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye
E13.3212 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye
E13.3213 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral
E13.3219 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye
E13.3291 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye
E13.3292 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye
E13.3293 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral
E13.3299 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye
E13.3311 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye
E13.3312 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye
E13.3313 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral
E13.3319 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye
E13.3391 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye
E13.3392 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye
E13.3393 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral
E13.3399 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye
E13.3411 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye
E13.3412 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye
E13.3413 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral
E13.3419 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye
E13.3491 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye
E13.3492 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye
E13.3493 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral
E13.3499 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye
E13.3511 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
E13.3512 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye
E13.3513 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral
E13.3519 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye
E13.3521 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye
E13.3522 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye
E13.3523 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral
E13.3529 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye
E13.3531 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye
E13.3532 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye
E13.3533 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral
E13.3539 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye
E13.3541 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye
E13.3542 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye
E13.3543 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral
E13.3549 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye
E13.3551 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, right eye
E13.3552 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, left eye
E13.3553 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, bilateral
E13.3559 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye
E13.3591 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye
E13.3592 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye
E13.3593 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral
E13.3599 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye
E13.36 Other specified diabetes mellitus with diabetic cataract
E13.37X1 Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, right eye
E13.37X2 Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, left eye
E13.37X3 Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral
E13.37X9 Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye
E13.39 Other specified diabetes mellitus with other diabetic ophthalmic complication
E13.40 Other specified diabetes mellitus with diabetic neuropathy, unspecified
E13.41 Other specified diabetes mellitus with diabetic mononeuropathy
E13.42 Other specified diabetes mellitus with diabetic polyneuropathy
E13.43 Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy
E13.44 Other specified diabetes mellitus with diabetic amyotrophy
E13.49 Other specified diabetes mellitus with other diabetic neurological complication
E13.51 Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene
E13.52 Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene
E13.59 Other specified diabetes mellitus with other circulatory complications
E13.610 Other specified diabetes mellitus with diabetic neuropathic arthropathy
E13.618 Other specified diabetes mellitus with other diabetic arthropathy
E13.620 Other specified diabetes mellitus with diabetic dermatitis
E13.621 Other specified diabetes mellitus with foot ulcer
E13.622 Other specified diabetes mellitus with other skin ulcer
E13.628 Other specified diabetes mellitus with other skin complications
E13.630 Other specified diabetes mellitus with periodontal disease
E13.638 Other specified diabetes mellitus with other oral complications
E13.641 Other specified diabetes mellitus with hypoglycemia with coma
E13.649 Other specified diabetes mellitus with hypoglycemia without coma
E13.65 Other specified diabetes mellitus with hyperglycemia
E13.69 Other specified diabetes mellitus with other specified complication
E13.8 Other specified diabetes mellitus with unspecified complications
E13.9 Other specified diabetes mellitus without complications
O24.011 Pre-existing type 1 diabetes mellitus, in pregnancy, first trimester
O24.012 Pre-existing type 1 diabetes mellitus, in pregnancy, second trimester
O24.013 Pre-existing type 1 diabetes mellitus, in pregnancy, third trimester
O24.019 Pre-existing type 1 diabetes mellitus, in pregnancy, unspecified trimester
O24.02 Pre-existing type 1 diabetes mellitus, in childbirth
O24.03 Pre-existing type 1 diabetes mellitus, in the puerperium
O24.111 Pre-existing type 2 diabetes mellitus, in pregnancy, first trimester
O24.112 Pre-existing type 2 diabetes mellitus, in pregnancy, second trimester
O24.113 Pre-existing type 2 diabetes mellitus, in pregnancy, third trimester
O24.119 Pre-existing type 2 diabetes mellitus, in pregnancy, unspecified trimester
O24.12 Pre-existing type 2 diabetes mellitus, in childbirth
O24.13 Pre-existing type 2 diabetes mellitus, in the puerperium
O24.311 Unspecified pre-existing diabetes mellitus in pregnancy, first trimester
O24.312 Unspecified pre-existing diabetes mellitus in pregnancy, second trimester
O24.313 Unspecified pre-existing diabetes mellitus in pregnancy, third trimester
O24.319 Unspecified pre-existing diabetes mellitus in pregnancy, unspecified trimester
O24.32 Unspecified pre-existing diabetes mellitus in childbirth
O24.33 Unspecified pre-existing diabetes mellitus in the puerperium
O24.811 Other pre-existing diabetes mellitus in pregnancy, first trimester
O24.812 Other pre-existing diabetes mellitus in pregnancy, second trimester
O24.813 Other pre-existing diabetes mellitus in pregnancy, third trimester
O24.819 Other pre-existing diabetes mellitus in pregnancy, unspecified trimester
O24.82 Other pre-existing diabetes mellitus in childbirth
O24.83 Other pre-existing diabetes mellitus in the puerperium

 

SNOMED:  
Code Description
102781000119107 Sensory neuropathy due to type 1 diabetes mellitus (disorder)
104941000119109 Ischemia of retina due to type 1 diabetes mellitus (disorder)
104961000119108 Ischemia of retina due to type 2 diabetes mellitus (disorder)
109171000119104 Retinal edema due to type 1 diabetes mellitus (disorder)
110181000119105 Peripheral sensory neuropathy due to type 2 diabetes mellitus (disorder)
138881000119106 Mild nonproliferative retinopathy due to type 1 diabetes mellitus (disorder)
138891000119109 Moderate nonproliferative retinopathy due to type 1 diabetes mellitus (disorder)
138901000119108 Severe nonproliferative retinopathy due to diabetes mellitus type 1 (disorder)
138911000119106 Mild nonproliferative retinopathy due to type 2 diabetes mellitus (disorder)
138921000119104 Moderate nonproliferative retinopathy due to type 2 diabetes mellitus (disorder)
138941000119105 Severe nonproliferative retinopathy due to diabetes mellitus type 2 (disorder)
1481000119100 Diabetes mellitus type 2 without retinopathy (disorder)
1501000119109 Proliferative retinopathy due to type 2 diabetes mellitus (disorder)
1511000119107 Peripheral neuropathy due to type 2 diabetes mellitus (disorder)
1551000119108 Nonproliferative retinopathy due to type 2 diabetes mellitus (disorder)
190330002 Hyperosmolar coma due to type 1 diabetes mellitus (disorder)
190331003 Hyperosmolar coma due to type 2 diabetes mellitus (disorder)
190368000 Type I diabetes mellitus with ulcer (disorder)
190372001 Type I diabetes mellitus maturity onset (disorder)
190389009 Type II diabetes mellitus with ulcer (disorder)
199229001 Pre-existing type 1 diabetes mellitus (disorder)
199230006 Pre-existing type 2 diabetes mellitus (disorder)
23045005 Insulin dependent diabetes mellitus type IA (disorder)
237599002 Insulin treated type 2 diabetes mellitus (disorder)
237604008 Maturity onset diabetes of the young, type 2 (disorder)
28032008 Insulin dependent diabetes mellitus type IB (disorder)
28331000119107 Retinal edema due to type 2 diabetes mellitus (disorder)
31211000119101 Peripheral angiopathy due to type 1 diabetes mellitus (disorder)
31321000119102 Diabetes mellitus type 1 without retinopathy (disorder)
313435000 Type I diabetes mellitus without complication (disorder)
313436004 Type II diabetes mellitus without complication (disorder)
314893005 Arthropathy due to type 1 diabetes mellitus (disorder)
314902007 Peripheral angiopathy due to type 2 diabetes mellitus (disorder)
314903002 Arthropathy due to type 2 diabetes mellitus (disorder)
359642000 Diabetes mellitus type 2 in nonobese (disorder)
368101000119109 Periodontal disease co-occurrent and due to diabetes mellitus type 2 (disorder)
368521000119107 Disorder of nerve co-occurrent and due to type 1 diabetes mellitus (disorder)
368581000119106 Neuropathy due to type 2 diabetes mellitus (disorder)
41911000119107 Glaucoma due to type 2 diabetes mellitus (disorder)
420279001 Renal disorder due to type 2 diabetes mellitus (disorder)
420436000 Mononeuropathy due to type 2 diabetes mellitus (disorder)
420486006 Exudative maculopathy due to type 1 diabetes mellitus (disorder)
420789003 Retinopathy due to type 1 diabetes mellitus (disorder)
420918009 Mononeuropathy due to type 1 diabetes mellitus (disorder)
421075007 Ketoacidotic coma due to type 1 diabetes mellitus (disorder)
421326000 Disorder of nervous system due to type 2 diabetes mellitus (disorder)
421365002 Peripheral circulatory disorder due to type 1 diabetes mellitus (disorder)
421437000 Hypoglycemic coma due to type 1 diabetes mellitus (disorder)
421468001 Disorder of nervous system due to type 1 diabetes mellitus (disorder)
421779007 Exudative maculopathy due to type 2 diabetes mellitus (disorder)
421847006 Ketoacidotic coma due to type 2 diabetes mellitus (disorder)
421893009 Renal disorder due to type 1 diabetes mellitus (disorder)
422034002 Retinopathy due to type 2 diabetes mellitus (disorder)
422099009 Disorder of eye due to type 2 diabetes mellitus (disorder)
422166005 Peripheral circulatory disorder due to type 2 diabetes mellitus (disorder)
427027005 Lumbosacral radiculoplexus neuropathy due to type 2 diabetes mellitus (disorder)
427571000 Lumbosacral radiculoplexus neuropathy due to type 1 diabetes mellitus (disorder)
428007007 Erectile dysfunction due to type 2 diabetes mellitus (disorder)
44054006 Diabetes mellitus type 2 (disorder)
46635009 Diabetes mellitus type 1 (disorder)
60951000119105 Blindness due to type 2 diabetes mellitus (disorder)
609562003 Maturity onset diabetes of the young, type 1 (disorder)
609564002 Pre-existing type 1 diabetes mellitus in pregnancy (disorder)
609566000 Pregnancy and type 1 diabetes mellitus (disorder)
609567009 Pre-existing type 2 diabetes mellitus in pregnancy (disorder)
60961000119107 Nonproliferative diabetic retinopathy due to type 1 diabetes mellitus (disorder)
60971000119101 Proliferative retinopathy due to type 1 diabetes mellitus (disorder)
60991000119100 Blindness due to type 1 diabetes mellitus (disorder)
691000119103 Erectile dysfunction due to type 1 diabetes mellitus (disorder)
712882000 Autonomic neuropathy due to type 1 diabetes mellitus (disorder)
712883005 Autonomic neuropathy due to type 2 diabetes mellitus (disorder)
713702000 Gastroparesis due to type 1 diabetes mellitus (disorder)
713703005 Gastroparesis due to type 2 diabetes mellitus (disorder)
713705003 Polyneuropathy due to type 1 diabetes mellitus (disorder)
713706002 Polyneuropathy due to type 2 diabetes mellitus (disorder)
71441000119104 Nephrotic syndrome due to type 2 diabetes mellitus (disorder)
71721000119101 Nephrotic syndrome due to type 1 diabetes mellitus (disorder)
71791000119104 Peripheral neuropathy due to type 1 diabetes mellitus (disorder)
719216001 Hypoglycemic coma due to type 2 diabetes mellitus (disorder)
739681000 Disorder of eye due to type 1 diabetes mellitus (disorder)
770098001 Cranial nerve palsy due to type 1 diabetes mellitus (disorder)
81531005 Diabetes mellitus type 2 in obese (disorder)
82541000119100 Traction detachment of retina due to type 2 diabetes mellitus (disorder)
82551000119103 Rubeosis iridis due to type 2 diabetes mellitus (disorder)
82571000119107 Traction detachment of retina due to type 1 diabetes mellitus (disorder)
82581000119105 Rubeosis iridis due to type 1 diabetes mellitus (disorder)
87921000119104 Cranial nerve palsy due to type 2 diabetes mellitus (disorder)
97331000119101 Macular edema and retinopathy due to type 2 diabetes mellitus (disorder)
9859006 Acanthosis nigricans due to type 2 diabetes mellitus (disorder)

This is captured by adding a procedure with a valid CPT/HCPCS or SNOMED code using the Procedure widget in a note.

CPT/HCPCS:  
Code Description
99201 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
99202 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter.
99203 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter.
99204 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter.
99205 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter.
99212 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 10-19 minutes of total time is spent on the date of the encounter.
99213 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter.
99214 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter.
99215 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.
99241 Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 15 minutes are spent face-to-face with the patient and/or family.
99242 Office consultation for a new or established patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of low severity. Typically, 30 minutes are spent face-to-face with the patient and/or family.
99243 Office consultation for a new or established patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate severity. Typically, 40 minutes are spent face-to-face with the patient and/or family.
99244 Office consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family.
99245 Office consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 80 minutes are spent face-to-face with the patient and/or family.
99385 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years
99386 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years
99387 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 65 years and older
99395 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years
99396 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years
99397 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 65 years and older
99401 Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes
99402 Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes
99403 Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes
99404 Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes
99429 Unlisted preventive medicine service
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

 

SNOMED:  
Code Description
108219001 Physician visit with evaluation AND/OR management service (procedure)
108220007 Evaluation AND/OR management – new patient (procedure)
108221006 Evaluation AND/OR management – established patient (procedure)
108224003 Preventive patient evaluation (procedure)
14736009 History and physical examination with evaluation and management of patient (procedure)
185349003 Encounter for check up (procedure)
185389009 Follow-up visit (procedure)
185463005 Visit out of hours (procedure)
185464004 Out of hours visit – not night visit (procedure)
185465003 Weekend visit (procedure)
270427003 Patient-initiated encounter (procedure)
270430005 Provider-initiated encounter (procedure)
281036007 Follow-up consultation (procedure)
30346009 Evaluation and management of established outpatient in office or other outpatient facility (procedure)
308335008 Patient encounter procedure (procedure)
3391000175108 Office visit for pediatric care and assessment (procedure)
37894004 Evaluation and management of new outpatient in office or other outpatient facility (procedure)
390906007 Follow-up encounter (procedure)
410187005 Physical evaluation management (procedure)
439740005 Postoperative follow-up visit (procedure)
444971000124105 Annual wellness visit (procedure)
456201000124103 Medicare Annual Wellness Visit (procedure)
77406008 Confirmatory medical consultation (procedure)
78318003 History and physical examination, annual for health maintenance (procedure)
86013001 Periodic reevaluation and management of healthy individual (procedure)
90526000 Initial evaluation and management of healthy individual (procedure)

Denominator Exclusions & Exceptions:
Denominator exclusions include patients who have been diagnosed with pregnancy, or are breastfeeding, or have been diagnosed with rhabdomyolysis, any time during the measurement period.

Denominator exceptions include patients with statin-associated muscle symptoms or an allergy to statin medication, patients receiving palliative or hospice care, patient with an active liver disease or hepatic disease or insufficiency, or patients with end-stage renal disease (ESRD).

If one of the following is documented in the chart, the patient will not be included in the denominator:

This is captured by adding a diagnosis with a valid ICD10 or SNOMED code using the Diagnosis widget in a note.

ICD-10:  
Code Description
O00.00 Abdominal pregnancy without intrauterine pregnancy
O00.01 Abdominal pregnancy with intrauterine pregnancy
O00.101 Right tubal pregnancy without intrauterine pregnancy
O00.102 Left tubal pregnancy without intrauterine pregnancy
O00.109 Unspecified tubal pregnancy without intrauterine pregnancy
O00.111 Right tubal pregnancy with intrauterine pregnancy
O00.112 Left tubal pregnancy with intrauterine pregnancy
O00.119 Unspecified tubal pregnancy with intrauterine pregnancy
O00.201 Right ovarian pregnancy without intrauterine pregnancy
O00.202 Left ovarian pregnancy without intrauterine pregnancy
O00.209 Unspecified ovarian pregnancy without intrauterine pregnancy
O00.211 Right ovarian pregnancy with intrauterine pregnancy
O00.212 Left ovarian pregnancy with intrauterine pregnancy
O00.219 Unspecified ovarian pregnancy with intrauterine pregnancy
O00.80 Other ectopic pregnancy without intrauterine pregnancy
O00.81 Other ectopic pregnancy with intrauterine pregnancy
O00.90 Unspecified ectopic pregnancy without intrauterine pregnancy
O00.91 Unspecified ectopic pregnancy with intrauterine pregnancy
O01.9 Hydatidiform mole, unspecified
O02.0 Blighted ovum and nonhydatidiform mole
O02.1 Missed abortion
O03.0 Genital tract and pelvic infection following incomplete spontaneous abortion
O03.1 Delayed or excessive hemorrhage following incomplete spontaneous abortion
O03.2 Embolism following incomplete spontaneous abortion
O03.30 Unspecified complication following incomplete spontaneous abortion
O03.31 Shock following incomplete spontaneous abortion
O03.32 Renal failure following incomplete spontaneous abortion
O03.33 Metabolic disorder following incomplete spontaneous abortion
O03.34 Damage to pelvic organs following incomplete spontaneous abortion
O03.37 Sepsis following incomplete spontaneous abortion
O03.39 Incomplete spontaneous abortion with other complications
O03.4 Incomplete spontaneous abortion without complication
O03.5 Genital tract and pelvic infection following complete or unspecified spontaneous abortion
O03.6 Delayed or excessive hemorrhage following complete or unspecified spontaneous abortion
O03.7 Embolism following complete or unspecified spontaneous abortion
O03.80 Unspecified complication following complete or unspecified spontaneous abortion
O03.81 Shock following complete or unspecified spontaneous abortion
O03.82 Renal failure following complete or unspecified spontaneous abortion
O03.83 Metabolic disorder following complete or unspecified spontaneous abortion
O03.84 Damage to pelvic organs following complete or unspecified spontaneous abortion
O03.85 Other venous complications following complete or unspecified spontaneous abortion
O03.86 Cardiac arrest following complete or unspecified spontaneous abortion
O03.87 Sepsis following complete or unspecified spontaneous abortion
O03.88 Urinary tract infection following complete or unspecified spontaneous abortion
O03.89 Complete or unspecified spontaneous abortion with other complications
O03.9 Complete or unspecified spontaneous abortion without complication
O04.5 Genital tract and pelvic infection following (induced) termination of pregnancy
O04.6 Delayed or excessive hemorrhage following (induced) termination of pregnancy
O04.7 Embolism following (induced) termination of pregnancy
O04.80 (Induced) termination of pregnancy with unspecified complications
O04.81 Shock following (induced) termination of pregnancy
O04.82 Renal failure following (induced) termination of pregnancy
O04.83 Metabolic disorder following (induced) termination of pregnancy
O04.84 Damage to pelvic organs following (induced) termination of pregnancy
O04.85 Other venous complications following (induced) termination of pregnancy
O04.86 Cardiac arrest following (induced) termination of pregnancy
O04.87 Sepsis following (induced) termination of pregnancy
O04.88 Urinary tract infection following (induced) termination of pregnancy
O04.89 (Induced) termination of pregnancy with other complications
O07.0 Genital tract and pelvic infection following failed attempted termination of pregnancy
O07.1 Delayed or excessive hemorrhage following failed attempted termination of pregnancy
O07.2 Embolism following failed attempted termination of pregnancy
O07.30 Failed attempted termination of pregnancy with unspecified complications
O07.31 Shock following failed attempted termination of pregnancy
O07.32 Renal failure following failed attempted termination of pregnancy
O07.33 Metabolic disorder following failed attempted termination of pregnancy
O07.34 Damage to pelvic organs following failed attempted termination of pregnancy
O07.35 Other venous complications following failed attempted termination of pregnancy
O07.36 Cardiac arrest following failed attempted termination of pregnancy
O07.37 Sepsis following failed attempted termination of pregnancy
O07.38 Urinary tract infection following failed attempted termination of pregnancy
O07.39 Failed attempted termination of pregnancy with other complications
O07.4 Failed attempted termination of pregnancy without complication
O08.0 Genital tract and pelvic infection following ectopic and molar pregnancy
O08.1 Delayed or excessive hemorrhage following ectopic and molar pregnancy
O08.2 Embolism following ectopic and molar pregnancy
O08.3 Shock following ectopic and molar pregnancy
O08.4 Renal failure following ectopic and molar pregnancy
O08.5 Metabolic disorders following an ectopic and molar pregnancy
O08.6 Damage to pelvic organs and tissues following an ectopic and molar pregnancy
O08.7 Other venous complications following an ectopic and molar pregnancy
O08.81 Cardiac arrest following an ectopic and molar pregnancy
O08.82 Sepsis following ectopic and molar pregnancy
O08.83 Urinary tract infection following an ectopic and molar pregnancy
O08.89 Other complications following an ectopic and molar pregnancy
O08.9 Unspecified complication following an ectopic and molar pregnancy
O09.00 Supervision of pregnancy with history of infertility, unspecified trimester
O09.10 Supervision of pregnancy with history of ectopic pregnancy, unspecified trimester
O09.11 Supervision of pregnancy with history of ectopic pregnancy, first trimester
O09.12 Supervision of pregnancy with history of ectopic pregnancy, second trimester
O09.13 Supervision of pregnancy with history of ectopic pregnancy, third trimester
O09.211 Supervision of pregnancy with history of pre-term labor, first trimester
O09.291 Supervision of pregnancy with other poor reproductive or obstetric history, first trimester
O09.30 Supervision of pregnancy with insufficient antenatal care, unspecified trimester
O09.40 Supervision of pregnancy with grand multiparity, unspecified trimester
O09.41 Supervision of pregnancy with grand multiparity, first trimester
O09.42 Supervision of pregnancy with grand multiparity, second trimester
O09.43 Supervision of pregnancy with grand multiparity, third trimester
O09.511 Supervision of elderly primigravida, first trimester
O09.512 Supervision of elderly primigravida, second trimester
O09.513 Supervision of elderly primigravida, third trimester
O09.519 Supervision of elderly primigravida, unspecified trimester
O09.521 Supervision of elderly multigravida, first trimester
O09.522 Supervision of elderly multigravida, second trimester
O09.523 Supervision of elderly multigravida, third trimester
O09.529 Supervision of elderly multigravida, unspecified trimester
O09.611 Supervision of young primigravida, first trimester
O09.621 Supervision of young multigravida, first trimester
O09.819 Supervision of pregnancy resulting from assisted reproductive technology, unspecified trimester
O09.821 Supervision of pregnancy with history of in utero procedure during previous pregnancy, first trimester
O09.822 Supervision of pregnancy with history of in utero procedure during previous pregnancy, second trimester
O09.823 Supervision of pregnancy with history of in utero procedure during previous pregnancy, third trimester
O09.829 Supervision of pregnancy with history of in utero procedure during previous pregnancy, unspecified trimester
O09.891 Supervision of other high risk pregnancies, first trimester
O09.892 Supervision of other high risk pregnancies, second trimester
O09.893 Supervision of other high risk pregnancies, third trimester
O09.899 Supervision of other high risk pregnancies, unspecified trimester
O09.90 Supervision of high risk pregnancy, unspecified, unspecified trimester
O09.91 Supervision of high risk pregnancy, unspecified, first trimester
O09.92 Supervision of high risk pregnancy, unspecified, second trimester
O09.93 Supervision of high risk pregnancy, unspecified, third trimester
O09.A0 Supervision of pregnancy with history of molar pregnancy, unspecified trimester
O09.A1 Supervision of pregnancy with history of molar pregnancy, first trimester
O09.A2 Supervision of pregnancy with history of molar pregnancy, second trimester
O09.A3 Supervision of pregnancy with history of molar pregnancy, third trimester
O10.011 Pre-existing essential hypertension complicating pregnancy, first trimester
O10.012 Pre-existing essential hypertension complicating pregnancy, second trimester
O10.013 Pre-existing essential hypertension complicating pregnancy, third trimester
O10.019 Pre-existing essential hypertension complicating pregnancy, unspecified trimester
O10.03 Pre-existing essential hypertension complicating the puerperium
O10.111 Pre-existing hypertensive heart disease complicating pregnancy, first trimester
O10.112 Pre-existing hypertensive heart disease complicating pregnancy, second trimester
O10.113 Pre-existing hypertensive heart disease complicating pregnancy, third trimester
O10.119 Pre-existing hypertensive heart disease complicating pregnancy, unspecified trimester
O10.12 Pre-existing hypertensive heart disease complicating childbirth
O10.13 Pre-existing hypertensive heart disease complicating the puerperium
O10.211 Pre-existing hypertensive chronic kidney disease complicating pregnancy, first trimester
O10.212 Pre-existing hypertensive chronic kidney disease complicating pregnancy, second trimester
O10.213 Pre-existing hypertensive chronic kidney disease complicating pregnancy, third trimester
O10.219 Pre-existing hypertensive chronic kidney disease complicating pregnancy, unspecified trimester
O10.22 Pre-existing hypertensive chronic kidney disease complicating childbirth
O10.23 Pre-existing hypertensive chronic kidney disease complicating the puerperium
O10.311 Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, first trimester
O10.312 Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, second trimester
O10.313 Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, third trimester
O10.319 Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, unspecified trimester
O10.32 Pre-existing hypertensive heart and chronic kidney disease complicating childbirth
O10.33 Pre-existing hypertensive heart and chronic kidney disease complicating the puerperium
O10.411 Pre-existing secondary hypertension complicating pregnancy, first trimester
O10.412 Pre-existing secondary hypertension complicating pregnancy, second trimester
O10.413 Pre-existing secondary hypertension complicating pregnancy, third trimester
O10.419 Pre-existing secondary hypertension complicating pregnancy, unspecified trimester
O10.42 Pre-existing secondary hypertension complicating childbirth
O10.43 Pre-existing secondary hypertension complicating the puerperium
O10.911 Unspecified pre-existing hypertension complicating pregnancy, first trimester
O10.912 Unspecified pre-existing hypertension complicating pregnancy, second trimester
O10.913 Unspecified pre-existing hypertension complicating pregnancy, third trimester
O10.919 Unspecified pre-existing hypertension complicating pregnancy, unspecified trimester
O10.92 Unspecified pre-existing hypertension complicating childbirth
O10.93 Unspecified pre-existing hypertension complicating the puerperium
O11.1 Pre-existing hypertension with pre-eclampsia, first trimester
O11.2 Pre-existing hypertension with pre-eclampsia, second trimester
O11.3 Pre-existing hypertension with pre-eclampsia, third trimester
O11.4 Pre-existing hypertension with pre-eclampsia, complicating childbirth
O11.5 Pre-existing hypertension with pre-eclampsia, complicating the puerperium
O11.9 Pre-existing hypertension with pre-eclampsia, unspecified trimester
O12.00 Gestational edema, unspecified trimester
O12.01 Gestational edema, first trimester
O12.02 Gestational edema, second trimester
O12.03 Gestational edema, third trimester
O12.04 Gestational edema, complicating childbirth
O12.05 Gestational edema, complicating the puerperium
O12.10 Gestational proteinuria, unspecified trimester
O12.11 Gestational proteinuria, first trimester
O12.12 Gestational proteinuria, second trimester
O12.13 Gestational proteinuria, third trimester
O12.20 Gestational edema with proteinuria, unspecified trimester
O12.21 Gestational edema with proteinuria, first trimester
O12.22 Gestational edema with proteinuria, second trimester
O12.23 Gestational edema with proteinuria, third trimester
O12.24 Gestational edema with proteinuria, complicating childbirth
O12.25 Gestational edema with proteinuria, complicating the puerperium
O13.1 Gestational [pregnancy-induced] hypertension without significant proteinuria, first trimester
O13.2 Gestational [pregnancy-induced] hypertension without significant proteinuria, second trimester
O13.3 Gestational [pregnancy-induced] hypertension without significant proteinuria, third trimester
O13.4 Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating childbirth
O13.5 Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating the puerperium
O13.9 Gestational [pregnancy-induced] hypertension without significant proteinuria, unspecified trimester
O14.00 Mild to moderate pre-eclampsia, unspecified trimester
O14.02 Mild to moderate pre-eclampsia, second trimester
O14.03 Mild to moderate pre-eclampsia, third trimester
O14.04 Mild to moderate pre-eclampsia, complicating childbirth
O14.05 Mild to moderate pre-eclampsia, complicating the puerperium
O14.10 Severe pre-eclampsia, unspecified trimester
O14.12 Severe pre-eclampsia, second trimester
O14.13 Severe pre-eclampsia, third trimester
O14.14 Severe pre-eclampsia complicating childbirth
O14.15 Severe pre-eclampsia, complicating the puerperium
O14.20 HELLP syndrome (HELLP), unspecified trimester
O14.22 HELLP syndrome (HELLP), second trimester
O14.23 HELLP syndrome (HELLP), third trimester
O14.24 HELLP syndrome, complicating childbirth
O14.25 HELLP syndrome, complicating the puerperium
O14.90 Unspecified pre-eclampsia, unspecified trimester
O14.92 Unspecified pre-eclampsia, second trimester
O14.93 Unspecified pre-eclampsia, third trimester
O14.94 Unspecified pre-eclampsia, complicating childbirth
O14.95 Unspecified pre-eclampsia, complicating the puerperium
O15.02 Eclampsia complicating pregnancy, second trimester
O15.03 Eclampsia complicating pregnancy, third trimester
O15.1 Eclampsia complicating labor
O15.2 Eclampsia complicating the puerperium
O16.1 Unspecified maternal hypertension, first trimester
O16.2 Unspecified maternal hypertension, second trimester
O16.3 Unspecified maternal hypertension, third trimester
O16.4 Unspecified maternal hypertension, complicating childbirth
O16.5 Unspecified maternal hypertension, complicating the puerperium
O16.9 Unspecified maternal hypertension, unspecified trimester
O20.0 Threatened abortion
O20.8 Other hemorrhage in early pregnancy
O20.9 Hemorrhage in early pregnancy, unspecified
O21.0 Mild hyperemesis gravidarum
O21.2 Late vomiting of pregnancy
O21.8 Other vomiting complicating pregnancy
O21.9 Vomiting of pregnancy, unspecified
O22.00 Varicose veins of lower extremity in pregnancy, unspecified trimester
O22.01 Varicose veins of lower extremity in pregnancy, first trimester
O22.02 Varicose veins of lower extremity in pregnancy, second trimester
O22.03 Varicose veins of lower extremity in pregnancy, third trimester
O22.10 Genital varices in pregnancy, unspecified trimester
O22.11 Genital varices in pregnancy, first trimester
O22.12 Genital varices in pregnancy, second trimester
O22.13 Genital varices in pregnancy, third trimester
O22.20 Superficial thrombophlebitis in pregnancy, unspecified trimester
O22.21 Superficial thrombophlebitis in pregnancy, first trimester
O22.22 Superficial thrombophlebitis in pregnancy, second trimester
O22.23 Superficial thrombophlebitis in pregnancy, third trimester
O22.30 Deep phlebothrombosis in pregnancy, unspecified trimester
O22.31 Deep phlebothrombosis in pregnancy, first trimester
O22.32 Deep phlebothrombosis in pregnancy, second trimester
O22.33 Deep phlebothrombosis in pregnancy, third trimester
O22.40 Hemorrhoids in pregnancy, unspecified trimester
O22.41 Hemorrhoids in pregnancy, first trimester
O22.42 Hemorrhoids in pregnancy, second trimester
O22.43 Hemorrhoids in pregnancy, third trimester
O22.50 Cerebral venous thrombosis in pregnancy, unspecified trimester
O22.51 Cerebral venous thrombosis in pregnancy, first trimester
O22.52 Cerebral venous thrombosis in pregnancy, second trimester
O22.53 Cerebral venous thrombosis in pregnancy, third trimester
O22.90 Venous complication in pregnancy, unspecified, unspecified trimester
O22.91 Venous complication in pregnancy, unspecified, first trimester
O22.92 Venous complication in pregnancy, unspecified, second trimester
O22.93 Venous complication in pregnancy, unspecified, third trimester
O23.00 Infections of kidney in pregnancy, unspecified trimester
O23.10 Infections of bladder in pregnancy, unspecified trimester
O23.20 Infections of urethra in pregnancy, unspecified trimester
O23.30 Infections of other parts of urinary tract in pregnancy, unspecified trimester
O23.40 Unspecified infection of urinary tract in pregnancy, unspecified trimester
O23.41 Unspecified infection of urinary tract in pregnancy, first trimester
O23.42 Unspecified infection of urinary tract in pregnancy, second trimester
O23.43 Unspecified infection of urinary tract in pregnancy, third trimester
O23.519 Infections of cervix in pregnancy, unspecified trimester
O23.529 Salpingo-oophoritis in pregnancy, unspecified trimester
O23.599 Infection of other part of genital tract in pregnancy, unspecified trimester
O23.90 Unspecified genitourinary tract infection in pregnancy, unspecified trimester
O23.91 Unspecified genitourinary tract infection in pregnancy, first trimester
O23.92 Unspecified genitourinary tract infection in pregnancy, second trimester
O23.93 Unspecified genitourinary tract infection in pregnancy, third trimester
O24.319 Unspecified pre-existing diabetes mellitus in pregnancy, unspecified trimester
O24.32 Unspecified pre-existing diabetes mellitus in childbirth
O24.415 Gestational diabetes mellitus in pregnancy, controlled by oral hypoglycemic drugs
O24.419 Gestational diabetes mellitus in pregnancy, unspecified control
O24.425 Gestational diabetes mellitus in childbirth, controlled by oral hypoglycemic drugs
O24.429 Gestational diabetes mellitus in childbirth, unspecified control
O24.435 Gestational diabetes mellitus in puerperium, controlled by oral hypoglycemic drugs
O24.439 Gestational diabetes mellitus in the puerperium, unspecified control
O24.911 Unspecified diabetes mellitus in pregnancy, first trimester
O24.912 Unspecified diabetes mellitus in pregnancy, second trimester
O24.913 Unspecified diabetes mellitus in pregnancy, third trimester
O24.92 Unspecified diabetes mellitus in childbirth
O24.93 Unspecified diabetes mellitus in the puerperium
O25.10 Malnutrition in pregnancy, unspecified trimester
O25.11 Malnutrition in pregnancy, first trimester
O25.12 Malnutrition in pregnancy, second trimester
O25.13 Malnutrition in pregnancy, third trimester
O25.2 Malnutrition in childbirth
O25.3 Malnutrition in the puerperium
O26.00 Excessive weight gain in pregnancy, unspecified trimester
O26.01 Excessive weight gain in pregnancy, first trimester
O26.02 Excessive weight gain in pregnancy, second trimester
O26.03 Excessive weight gain in pregnancy, third trimester
O26.11 Low weight gain in pregnancy, first trimester
O26.12 Low weight gain in pregnancy, second trimester
O26.13 Low weight gain in pregnancy, third trimester
O26.20 Pregnancy care for patient with recurrent pregnancy loss, unspecified trimester
O26.21 Pregnancy care for patient with recurrent pregnancy loss, first trimester
O26.22 Pregnancy care for patient with recurrent pregnancy loss, second trimester
O26.23 Pregnancy care for patient with recurrent pregnancy loss, third trimester
O26.41 Herpes gestationis, first trimester
O26.42 Herpes gestationis, second trimester
O26.43 Herpes gestationis, third trimester
O26.50 Maternal hypotension syndrome, unspecified trimester
O26.51 Maternal hypotension syndrome, first trimester
O26.52 Maternal hypotension syndrome, second trimester
O26.53 Maternal hypotension syndrome, third trimester
O26.611 Liver and biliary tract disorders in pregnancy, first trimester
O26.612 Liver and biliary tract disorders in pregnancy, second trimester
O26.613 Liver and biliary tract disorders in pregnancy, third trimester
O26.619 Liver and biliary tract disorders in pregnancy, unspecified trimester
O26.62 Liver and biliary tract disorders in childbirth
O26.811 Pregnancy related exhaustion and fatigue, first trimester
O26.812 Pregnancy related exhaustion and fatigue, second trimester
O26.813 Pregnancy related exhaustion and fatigue, third trimester
O26.819 Pregnancy related exhaustion and fatigue, unspecified trimester
O26.821 Pregnancy related peripheral neuritis, first trimester
O26.822 Pregnancy related peripheral neuritis, second trimester
O26.823 Pregnancy related peripheral neuritis, third trimester
O26.829 Pregnancy related peripheral neuritis, unspecified trimester
O26.831 Pregnancy related renal disease, first trimester
O26.832 Pregnancy related renal disease, second trimester
O26.833 Pregnancy related renal disease, third trimester
O26.839 Pregnancy related renal disease, unspecified trimester
O26.841 Uterine size-date discrepancy, first trimester
O26.842 Uterine size-date discrepancy, second trimester
O26.843 Uterine size-date discrepancy, third trimester
O26.849 Uterine size-date discrepancy, unspecified trimester
O26.851 Spotting complicating pregnancy, first trimester
O26.852 Spotting complicating pregnancy, second trimester
O26.853 Spotting complicating pregnancy, third trimester
O26.859 Spotting complicating pregnancy, unspecified trimester
O26.872 Cervical shortening, second trimester
O26.873 Cervical shortening, third trimester
O26.879 Cervical shortening, unspecified trimester
O26.891 Other specified pregnancy related conditions, first trimester
O26.892 Other specified pregnancy related conditions, second trimester
O26.893 Other specified pregnancy related conditions, third trimester
O26.899 Other specified pregnancy related conditions, unspecified trimester
O26.90 Pregnancy related conditions, unspecified, unspecified trimester
O30.001 Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester
O30.002 Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester
O30.003 Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester
O30.009 Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester
O30.021 Conjoined twin pregnancy, first trimester
O30.022 Conjoined twin pregnancy, second trimester
O30.023 Conjoined twin pregnancy, third trimester
O30.029 Conjoined twin pregnancy, unspecified trimester
O30.101 Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester
O30.102 Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester
O30.103 Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester
O30.109 Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester
O30.201 Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester
O30.202 Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester
O30.203 Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester
O30.209 Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester
O30.801 Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, first trimester
O30.802 Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, second trimester
O30.803 Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, third trimester
O30.809 Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester
O30.90 Multiple gestation, unspecified, unspecified trimester
O30.91 Multiple gestation, unspecified, first trimester
O30.92 Multiple gestation, unspecified, second trimester
O30.93 Multiple gestation, unspecified, third trimester
O33.0 Maternal care for disproportion due to deformity of maternal pelvic bones
O33.1 Maternal care for disproportion due to generally contracted pelvis
O33.2 Maternal care for disproportion due to inlet contraction of pelvis
O33.7XX0 Maternal care for disproportion due to other fetal deformities, not applicable or unspecified
O33.7XX1 Maternal care for disproportion due to other fetal deformities, fetus 1
O33.7XX2 Maternal care for disproportion due to other fetal deformities, fetus 2
O33.7XX3 Maternal care for disproportion due to other fetal deformities, fetus 3
O33.7XX4 Maternal care for disproportion due to other fetal deformities, fetus 4
O33.7XX5 Maternal care for disproportion due to other fetal deformities, fetus 5
O33.7XX9 Maternal care for disproportion due to other fetal deformities, other fetus
O33.8 Maternal care for disproportion of other origin
O33.9 Maternal care for disproportion, unspecified
O34.00 Maternal care for unspecified congenital malformation of uterus, unspecified trimester
O34.01 Maternal care for unspecified congenital malformation of uterus, first trimester
O34.02 Maternal care for unspecified congenital malformation of uterus, second trimester
O34.03 Maternal care for unspecified congenital malformation of uterus, third trimester
O34.10 Maternal care for benign tumor of corpus uteri, unspecified trimester
O34.11 Maternal care for benign tumor of corpus uteri, first trimester
O34.12 Maternal care for benign tumor of corpus uteri, second trimester
O34.13 Maternal care for benign tumor of corpus uteri, third trimester
O34.211 Maternal care for low transverse scar from previous cesarean delivery
O34.212 Maternal care for vertical scar from previous cesarean delivery
O34.218 Maternal care for other type scar from previous cesarean delivery
O34.219 Maternal care for unspecified type scar from previous cesarean delivery
O34.22 Maternal care for cesarean scar defect (isthmocele)
O34.29 Maternal care due to uterine scar from other previous surgery
O34.30 Maternal care for cervical incompetence, unspecified trimester
O34.31 Maternal care for cervical incompetence, first trimester
O34.32 Maternal care for cervical incompetence, second trimester
O34.33 Maternal care for cervical incompetence, third trimester
O34.40 Maternal care for other abnormalities of cervix, unspecified trimester
O34.41 Maternal care for other abnormalities of cervix, first trimester
O34.42 Maternal care for other abnormalities of cervix, second trimester
O34.43 Maternal care for other abnormalities of cervix, third trimester
O34.511 Maternal care for incarceration of gravid uterus, first trimester
O34.512 Maternal care for incarceration of gravid uterus, second trimester
O34.513 Maternal care for incarceration of gravid uterus, third trimester
O34.519 Maternal care for incarceration of gravid uterus, unspecified trimester
O34.521 Maternal care for prolapse of gravid uterus, first trimester
O34.522 Maternal care for prolapse of gravid uterus, second trimester
O34.523 Maternal care for prolapse of gravid uterus, third trimester
O34.529 Maternal care for prolapse of gravid uterus, unspecified trimester
O34.531 Maternal care for retroversion of gravid uterus, first trimester
O34.532 Maternal care for retroversion of gravid uterus, second trimester
O34.533 Maternal care for retroversion of gravid uterus, third trimester
O34.539 Maternal care for retroversion of gravid uterus, unspecified trimester
O34.591 Maternal care for other abnormalities of gravid uterus, first trimester
O34.592 Maternal care for other abnormalities of gravid uterus, second trimester
O34.593 Maternal care for other abnormalities of gravid uterus, third trimester
O34.599 Maternal care for other abnormalities of gravid uterus, unspecified trimester
O34.60 Maternal care for abnormality of vagina, unspecified trimester
O34.61 Maternal care for abnormality of vagina, first trimester
O34.62 Maternal care for abnormality of vagina, second trimester
O34.63 Maternal care for abnormality of vagina, third trimester
O34.70 Maternal care for abnormality of vulva and perineum, unspecified trimester
O34.71 Maternal care for abnormality of vulva and perineum, first trimester
O34.72 Maternal care for abnormality of vulva and perineum, second trimester
O34.73 Maternal care for abnormality of vulva and perineum, third trimester
O34.80 Maternal care for other abnormalities of pelvic organs, unspecified trimester
O34.81 Maternal care for other abnormalities of pelvic organs, first trimester
O34.82 Maternal care for other abnormalities of pelvic organs, second trimester
O34.83 Maternal care for other abnormalities of pelvic organs, third trimester
O34.90 Maternal care for abnormality of pelvic organ, unspecified, unspecified trimester
O34.91 Maternal care for abnormality of pelvic organ, unspecified, first trimester
O34.92 Maternal care for abnormality of pelvic organ, unspecified, second trimester
O34.93 Maternal care for abnormality of pelvic organ, unspecified, third trimester
O35.7XX0 Maternal care for (suspected) damage to fetus by other medical procedures, not applicable or unspecified
O35.7XX1 Maternal care for (suspected) damage to fetus by other medical procedures, fetus 1
O35.7XX2 Maternal care for (suspected) damage to fetus by other medical procedures, fetus 2
O35.7XX3 Maternal care for (suspected) damage to fetus by other medical procedures, fetus 3
O35.7XX4 Maternal care for (suspected) damage to fetus by other medical procedures, fetus 4
O35.7XX5 Maternal care for (suspected) damage to fetus by other medical procedures, fetus 5
O35.7XX9 Maternal care for (suspected) damage to fetus by other medical procedures, other fetus
O35.8XX0 Maternal care for other (suspected) fetal abnormality and damage, not applicable or unspecified
O35.8XX1 Maternal care for other (suspected) fetal abnormality and damage, fetus 1
O35.8XX2 Maternal care for other (suspected) fetal abnormality and damage, fetus 2
O35.8XX3 Maternal care for other (suspected) fetal abnormality and damage, fetus 3
O35.8XX4 Maternal care for other (suspected) fetal abnormality and damage, fetus 4
O35.8XX5 Maternal care for other (suspected) fetal abnormality and damage, fetus 5
O35.8XX9 Maternal care for other (suspected) fetal abnormality and damage, other fetus
O36.0110 Maternal care for anti-D [Rh] antibodies, first trimester, not applicable or unspecified
O36.0120 Maternal care for anti-D [Rh] antibodies, second trimester, not applicable or unspecified
O36.0130 Maternal care for anti-D [Rh] antibodies, third trimester, not applicable or unspecified
O36.0190 Maternal care for anti-D [Rh] antibodies, unspecified trimester, not applicable or unspecified
O36.0910 Maternal care for other rhesus isoimmunization, first trimester, not applicable or unspecified
O36.0920 Maternal care for other rhesus isoimmunization, second trimester, not applicable or unspecified
O36.0930 Maternal care for other rhesus isoimmunization, third trimester, not applicable or unspecified
O36.0990 Maternal care for other rhesus isoimmunization, unspecified trimester, not applicable or unspecified
O36.1110 Maternal care for Anti-A sensitization, first trimester, not applicable or unspecified
O36.1120 Maternal care for Anti-A sensitization, second trimester, not applicable or unspecified
O36.1130 Maternal care for Anti-A sensitization, third trimester, not applicable or unspecified
O36.1190 Maternal care for Anti-A sensitization, unspecified trimester, not applicable or unspecified
O36.1910 Maternal care for other isoimmunization, first trimester, not applicable or unspecified
O36.1920 Maternal care for other isoimmunization, second trimester, not applicable or unspecified
O36.1930 Maternal care for other isoimmunization, third trimester, not applicable or unspecified
O36.1990 Maternal care for other isoimmunization, unspecified trimester, not applicable or unspecified
O36.5110 Maternal care for known or suspected placental insufficiency, first trimester, not applicable or unspecified
O36.5120 Maternal care for known or suspected placental insufficiency, second trimester, not applicable or unspecified
O36.5130 Maternal care for known or suspected placental insufficiency, third trimester, not applicable or unspecified
O36.5190 Maternal care for known or suspected placental insufficiency, unspecified trimester, not applicable or unspecified
O36.5910 Maternal care for other known or suspected poor fetal growth, first trimester, not applicable or unspecified
O36.5920 Maternal care for other known or suspected poor fetal growth, second trimester, not applicable or unspecified
O36.5930 Maternal care for other known or suspected poor fetal growth, third trimester, not applicable or unspecified
O36.5990 Maternal care for other known or suspected poor fetal growth, unspecified trimester, not applicable or unspecified
O36.8120 Decreased fetal movements, second trimester, not applicable or unspecified
O36.8130 Decreased fetal movements, third trimester, not applicable or unspecified
O36.8190 Decreased fetal movements, unspecified trimester, not applicable or unspecified
O36.8210 Fetal anemia and thrombocytopenia, first trimester, not applicable or unspecified
O36.8220 Fetal anemia and thrombocytopenia, second trimester, not applicable or unspecified
O36.8230 Fetal anemia and thrombocytopenia, third trimester, not applicable or unspecified
O36.8290 Fetal anemia and thrombocytopenia, unspecified trimester, not applicable or unspecified
O36.8910 Maternal care for other specified fetal problems, first trimester, not applicable or unspecified
O36.8920 Maternal care for other specified fetal problems, second trimester, not applicable or unspecified
O36.8930 Maternal care for other specified fetal problems, third trimester, not applicable or unspecified
O36.8990 Maternal care for other specified fetal problems, unspecified trimester, not applicable or unspecified
O41.1010 Infection of amniotic sac and membranes, unspecified, first trimester, not applicable or unspecified
O41.1020 Infection of amniotic sac and membranes, unspecified, second trimester, not applicable or unspecified
O41.1030 Infection of amniotic sac and membranes, unspecified, third trimester, not applicable or unspecified
O41.1090 Infection of amniotic sac and membranes, unspecified, unspecified trimester, not applicable or unspecified
O41.1210 Chorioamnionitis, first trimester, not applicable or unspecified
O41.1220 Chorioamnionitis, second trimester, not applicable or unspecified
O41.1230 Chorioamnionitis, third trimester, not applicable or unspecified
O41.1290 Chorioamnionitis, unspecified trimester, not applicable or unspecified
O41.1410 Placentitis, first trimester, not applicable or unspecified
O41.1420 Placentitis, second trimester, not applicable or unspecified
O41.1430 Placentitis, third trimester, not applicable or unspecified
O41.1490 Placentitis, unspecified trimester, not applicable or unspecified
O42.00 Premature rupture of membranes, onset of labor within 24 hours of rupture, unspecified weeks of gestation
O42.011 Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, first trimester
O42.012 Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, second trimester
O42.013 Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, third trimester
O42.02 Full-term premature rupture of membranes, onset of labor within 24 hours of rupture
O42.10 Premature rupture of membranes, onset of labor more than 24 hours following rupture, unspecified weeks of gestation
O42.111 Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, first trimester
O42.112 Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, second trimester
O42.113 Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, third trimester
O42.12 Full-term premature rupture of membranes, onset of labor more than 24 hours following rupture
O43.011 Fetomaternal placental transfusion syndrome, first trimester
O43.019 Fetomaternal placental transfusion syndrome, unspecified trimester
O43.101 Malformation of placenta, unspecified, first trimester
O43.102 Malformation of placenta, unspecified, second trimester
O43.103 Malformation of placenta, unspecified, third trimester
O43.199 Other malformation of placenta, unspecified trimester
O43.211 Placenta accreta, first trimester
O43.212 Placenta accreta, second trimester
O43.213 Placenta accreta, third trimester
O43.221 Placenta increta, first trimester
O43.222 Placenta increta, second trimester
O43.223 Placenta increta, third trimester
O43.231 Placenta percreta, first trimester
O43.232 Placenta percreta, second trimester
O43.233 Placenta percreta, third trimester
O43.239 Placenta percreta, unspecified trimester
O43.811 Placental infarction, first trimester
O43.812 Placental infarction, second trimester
O43.813 Placental infarction, third trimester
O43.819 Placental infarction, unspecified trimester
O43.91 Unspecified placental disorder, first trimester
O43.92 Unspecified placental disorder, second trimester
O43.93 Unspecified placental disorder, third trimester
O44.00 Complete placenta previa NOS or without hemorrhage, unspecified trimester
O44.01 Complete placenta previa NOS or without hemorrhage, first trimester
O44.02 Complete placenta previa NOS or without hemorrhage, second trimester
O44.03 Complete placenta previa NOS or without hemorrhage, third trimester
O44.10 Complete placenta previa with hemorrhage, unspecified trimester
O44.11 Complete placenta previa with hemorrhage, first trimester
O44.12 Complete placenta previa with hemorrhage, second trimester
O44.13 Complete placenta previa with hemorrhage, third trimester
O44.20 Partial placenta previa NOS or without hemorrhage, unspecified trimester
O44.21 Partial placenta previa NOS or without hemorrhage, first trimester
O44.22 Partial placenta previa NOS or without hemorrhage, second trimester
O44.23 Partial placenta previa NOS or without hemorrhage, third trimester
O44.30 Partial placenta previa with hemorrhage, unspecified trimester
O44.31 Partial placenta previa with hemorrhage, first trimester
O44.32 Partial placenta previa with hemorrhage, second trimester
O44.33 Partial placenta previa with hemorrhage, third trimester
O44.40 Low lying placenta NOS or without hemorrhage, unspecified trimester
O44.41 Low lying placenta NOS or without hemorrhage, first trimester
O44.42 Low lying placenta NOS or without hemorrhage, second trimester
O44.43 Low lying placenta NOS or without hemorrhage, third trimester
O44.50 Low lying placenta with hemorrhage, unspecified trimester
O44.51 Low lying placenta with hemorrhage, first trimester
O44.52 Low lying placenta with hemorrhage, second trimester
O44.53 Low lying placenta with hemorrhage, third trimester
O45.001 Premature separation of placenta with coagulation defect, unspecified, first trimester
O45.002 Premature separation of placenta with coagulation defect, unspecified, second trimester
O45.003 Premature separation of placenta with coagulation defect, unspecified, third trimester
O45.011 Premature separation of placenta with afibrinogenemia, first trimester
O45.012 Premature separation of placenta with afibrinogenemia, second trimester
O45.013 Premature separation of placenta with afibrinogenemia, third trimester
O45.021 Premature separation of placenta with disseminated intravascular coagulation, first trimester
O45.022 Premature separation of placenta with disseminated intravascular coagulation, second trimester
O45.023 Premature separation of placenta with disseminated intravascular coagulation, third trimester
O45.091 Premature separation of placenta with other coagulation defect, first trimester
O45.092 Premature separation of placenta with other coagulation defect, second trimester
O45.093 Premature separation of placenta with other coagulation defect, third trimester
O45.91 Premature separation of placenta, unspecified, first trimester
O45.92 Premature separation of placenta, unspecified, second trimester
O45.93 Premature separation of placenta, unspecified, third trimester
O46.001 Antepartum hemorrhage with coagulation defect, unspecified, first trimester
O46.002 Antepartum hemorrhage with coagulation defect, unspecified, second trimester
O46.003 Antepartum hemorrhage with coagulation defect, unspecified, third trimester
O46.009 Antepartum hemorrhage with coagulation defect, unspecified, unspecified trimester
O46.011 Antepartum hemorrhage with afibrinogenemia, first trimester
O46.012 Antepartum hemorrhage with afibrinogenemia, second trimester
O46.013 Antepartum hemorrhage with afibrinogenemia, third trimester
O46.019 Antepartum hemorrhage with afibrinogenemia, unspecified trimester
O46.021 Antepartum hemorrhage with disseminated intravascular coagulation, first trimester
O46.022 Antepartum hemorrhage with disseminated intravascular coagulation, second trimester
O46.023 Antepartum hemorrhage with disseminated intravascular coagulation, third trimester
O46.029 Antepartum hemorrhage with disseminated intravascular coagulation, unspecified trimester
O46.091 Antepartum hemorrhage with other coagulation defect, first trimester
O46.092 Antepartum hemorrhage with other coagulation defect, second trimester
O46.093 Antepartum hemorrhage with other coagulation defect, third trimester
O46.099 Antepartum hemorrhage with other coagulation defect, unspecified trimester
O46.90 Antepartum hemorrhage, unspecified, unspecified trimester
O46.91 Antepartum hemorrhage, unspecified, first trimester
O46.92 Antepartum hemorrhage, unspecified, second trimester
O46.93 Antepartum hemorrhage, unspecified, third trimester
O47.00 False labor before 37 completed weeks of gestation, unspecified trimester
O47.02 False labor before 37 completed weeks of gestation, second trimester
O47.03 False labor before 37 completed weeks of gestation, third trimester
O47.1 False labor at or after 37 completed weeks of gestation
O47.9 False labor, unspecified
O48.0 Post-term pregnancy
O48.1 Prolonged pregnancy
O60.00 Preterm labor without delivery, unspecified trimester
O60.02 Preterm labor without delivery, second trimester
O60.03 Preterm labor without delivery, third trimester
O61.0 Failed medical induction of labor
O61.1 Failed instrumental induction of labor
O61.9 Failed induction of labor, unspecified
O62.0 Primary inadequate contractions
O62.1 Secondary uterine inertia
O62.2 Other uterine inertia
O62.3 Precipitate labor
O62.4 Hypertonic, incoordinate, and prolonged uterine contractions
O62.9 Abnormality of forces of labor, unspecified
O63.0 Prolonged first stage (of labor)
O63.1 Prolonged second stage (of labor)
O63.2 Delayed delivery of second twin, triplet, etc.
O63.9 Long labor, unspecified
O65.4 Obstructed labor due to fetopelvic disproportion, unspecified
O65.5 Obstructed labor due to abnormality of maternal pelvic organs
O65.9 Obstructed labor due to maternal pelvic abnormality, unspecified
O66.0 Obstructed labor due to shoulder dystocia
O66.1 Obstructed labor due to locked twins
O66.40 Failed trial of labor, unspecified
O66.5 Attempted application of vacuum extractor and forceps
O66.8 Other specified obstructed labor
O66.9 Obstructed labor, unspecified
O67.0 Intrapartum hemorrhage with coagulation defect
O67.8 Other intrapartum hemorrhage
O67.9 Intrapartum hemorrhage, unspecified
O68 Labor and delivery complicated by abnormality of fetal acid-base balance
O70.0 First degree perineal laceration during delivery
O70.1 Second degree perineal laceration during delivery
O70.20 Third degree perineal laceration during delivery, unspecified
O70.21 Third degree perineal laceration during delivery, IIIa
O70.22 Third degree perineal laceration during delivery, IIIb
O70.23 Third degree perineal laceration during delivery, IIIc
O70.3 Fourth degree perineal laceration during delivery
O70.4 Anal sphincter tear complicating delivery, not associated with third degree laceration
O70.9 Perineal laceration during delivery, unspecified
O71.00 Rupture of uterus before onset of labor, unspecified trimester
O71.02 Rupture of uterus before onset of labor, second trimester
O71.03 Rupture of uterus before onset of labor, third trimester
O71.1 Rupture of uterus during labor
O71.2 Postpartum inversion of uterus
O71.3 Obstetric laceration of cervix
O71.4 Obstetric high vaginal laceration alone
O71.5 Other obstetric injury to pelvic organs
O71.6 Obstetric damage to pelvic joints and ligaments
O71.7 Obstetric hematoma of pelvis
O71.82 Other specified trauma to perineum and vulva
O71.89 Other specified obstetric trauma
O71.9 Obstetric trauma, unspecified
O72.0 Third-stage hemorrhage
O72.1 Other immediate postpartum hemorrhage
O72.2 Delayed and secondary postpartum hemorrhage
O72.3 Postpartum coagulation defects
O73.0 Retained placenta without hemorrhage
O73.1 Retained portions of placenta and membranes, without hemorrhage
O74.1 Other pulmonary complications of anesthesia during labor and delivery
O74.2 Cardiac complications of anesthesia during labor and delivery
O74.3 Central nervous system complications of anesthesia during labor and delivery
O74.8 Other complications of anesthesia during labor and delivery
O74.9 Complication of anesthesia during labor and delivery, unspecified
O75.0 Maternal distress during labor and delivery
O75.1 Shock during or following labor and delivery
O75.2 Pyrexia during labor, not elsewhere classified
O75.3 Other infection during labor
O75.4 Other complications of obstetric surgery and procedures
O75.5 Delayed delivery after artificial rupture of membranes
O75.81 Maternal exhaustion complicating labor and delivery
O75.89 Other specified complications of labor and delivery
O75.9 Complication of labor and delivery, unspecified
O76 Abnormality in fetal heart rate and rhythm complicating labor and delivery
O77.0 Labor and delivery complicated by meconium in amniotic fluid
O80 Encounter for full-term uncomplicated delivery
O82 Encounter for cesarean delivery without indication
O85 Puerperal sepsis
O86.00 Infection of obstetric surgical wound, unspecified
O86.01 Infection of obstetric surgical wound, superficial incisional site
O86.02 Infection of obstetric surgical wound, deep incisional site
O86.03 Infection of obstetric surgical wound, organ and space site
O86.04 Sepsis following an obstetrical procedure
O86.09 Infection of obstetric surgical wound, other surgical site
O86.11 Cervicitis following delivery
O86.12 Endometritis following delivery
O86.13 Vaginitis following delivery
O86.19 Other infection of genital tract following delivery
O86.20 Urinary tract infection following delivery, unspecified
O86.21 Infection of kidney following delivery
O86.22 Infection of bladder following delivery
O86.29 Other urinary tract infection following delivery
O86.4 Pyrexia of unknown origin following delivery
O86.81 Puerperal septic thrombophlebitis
O86.89 Other specified puerperal infections
O87.0 Superficial thrombophlebitis in the puerperium
O87.1 Deep phlebothrombosis in the puerperium
O87.2 Hemorrhoids in the puerperium
O87.3 Cerebral venous thrombosis in the puerperium
O87.4 Varicose veins of lower extremity in the puerperium
O87.8 Other venous complications in the puerperium
O87.9 Venous complication in the puerperium, unspecified
O88.011 Air embolism in pregnancy, first trimester
O88.012 Air embolism in pregnancy, second trimester
O88.013 Air embolism in pregnancy, third trimester
O88.019 Air embolism in pregnancy, unspecified trimester
O88.02 Air embolism in childbirth
O88.03 Air embolism in the puerperium
O88.111 Amniotic fluid embolism in pregnancy, first trimester
O88.112 Amniotic fluid embolism in pregnancy, second trimester
O88.113 Amniotic fluid embolism in pregnancy, third trimester
O88.119 Amniotic fluid embolism in pregnancy, unspecified trimester
O88.12 Amniotic fluid embolism in childbirth
O88.13 Amniotic fluid embolism in the puerperium
O88.211 Thromboembolism in pregnancy, first trimester
O88.212 Thromboembolism in pregnancy, second trimester
O88.213 Thromboembolism in pregnancy, third trimester
O88.219 Thromboembolism in pregnancy, unspecified trimester
O88.22 Thromboembolism in childbirth
O88.23 Thromboembolism in the puerperium
O88.311 Pyemic and septic embolism in pregnancy, first trimester
O88.312 Pyemic and septic embolism in pregnancy, second trimester
O88.313 Pyemic and septic embolism in pregnancy, third trimester
O88.319 Pyemic and septic embolism in pregnancy, unspecified trimester
O88.32 Pyemic and septic embolism in childbirth
O88.33 Pyemic and septic embolism in the puerperium
O88.811 Other embolism in pregnancy, first trimester
O88.812 Other embolism in pregnancy, second trimester
O88.813 Other embolism in pregnancy, third trimester
O88.819 Other embolism in pregnancy, unspecified trimester
O88.82 Other embolism in childbirth
O88.83 Other embolism in the puerperium
O89.09 Other pulmonary complications of anesthesia during the puerperium
O89.1 Cardiac complications of anesthesia during the puerperium
O89.2 Central nervous system complications of anesthesia during the puerperium
O89.8 Other complications of anesthesia during the puerperium
O89.9 Complication of anesthesia during the puerperium, unspecified
O90.0 Disruption of cesarean delivery wound
O90.1 Disruption of perineal obstetric wound
O90.2 Hematoma of obstetric wound
O90.3 Peripartum cardiomyopathy
O90.4 Postpartum acute kidney failure
O90.5 Postpartum thyroiditis
O90.6 Postpartum mood disturbance
O90.81 Anemia of the puerperium
O90.89 Other complications of the puerperium, not elsewhere classified
O90.9 Complication of the puerperium, unspecified
O91.011 Infection of nipple associated with pregnancy, first trimester
O91.012 Infection of nipple associated with pregnancy, second trimester
O91.013 Infection of nipple associated with pregnancy, third trimester
O91.019 Infection of nipple associated with pregnancy, unspecified trimester
O91.02 Infection of nipple associated with the puerperium
O91.111 Abscess of breast associated with pregnancy, first trimester
O91.112 Abscess of breast associated with pregnancy, second trimester
O91.113 Abscess of breast associated with pregnancy, third trimester
O91.119 Abscess of breast associated with pregnancy, unspecified trimester
O91.12 Abscess of breast associated with the puerperium
O91.211 Nonpurulent mastitis associated with pregnancy, first trimester
O91.212 Nonpurulent mastitis associated with pregnancy, second trimester
O91.213 Nonpurulent mastitis associated with pregnancy, third trimester
O91.219 Nonpurulent mastitis associated with pregnancy, unspecified trimester
O91.22 Nonpurulent mastitis associated with the puerperium
O91.23 Nonpurulent mastitis associated with lactation
O92.011 Retracted nipple associated with pregnancy, first trimester
O92.012 Retracted nipple associated with pregnancy, second trimester
O92.013 Retracted nipple associated with pregnancy, third trimester
O92.019 Retracted nipple associated with pregnancy, unspecified trimester
O92.03 Retracted nipple associated with lactation
O92.111 Cracked nipple associated with pregnancy, first trimester
O92.112 Cracked nipple associated with pregnancy, second trimester
O92.113 Cracked nipple associated with pregnancy, third trimester
O92.119 Cracked nipple associated with pregnancy, unspecified trimester
O92.13 Cracked nipple associated with lactation
O92.20 Unspecified disorder of breast associated with pregnancy and the puerperium
O92.29 Other disorders of breast associated with pregnancy and the puerperium
O92.3 Agalactia
O92.5 Suppressed lactation
O92.6 Galactorrhea
O92.70 Unspecified disorders of lactation
O92.79 Other disorders of lactation
O94 Sequelae of complication of pregnancy, childbirth, and the puerperium
O98.011 Tuberculosis complicating pregnancy, first trimester
O98.012 Tuberculosis complicating pregnancy, second trimester
O98.013 Tuberculosis complicating pregnancy, third trimester
O98.019 Tuberculosis complicating pregnancy, unspecified trimester
O98.02 Tuberculosis complicating childbirth
O98.03 Tuberculosis complicating the puerperium
O98.111 Syphilis complicating pregnancy, first trimester
O98.112 Syphilis complicating pregnancy, second trimester
O98.113 Syphilis complicating pregnancy, third trimester
O98.119 Syphilis complicating pregnancy, unspecified trimester
O98.12 Syphilis complicating childbirth
O98.13 Syphilis complicating the puerperium
O98.211 Gonorrhea complicating pregnancy, first trimester
O98.212 Gonorrhea complicating pregnancy, second trimester
O98.213 Gonorrhea complicating pregnancy, third trimester
O98.219 Gonorrhea complicating pregnancy, unspecified trimester
O98.22 Gonorrhea complicating childbirth
O98.23 Gonorrhea complicating the puerperium
O98.311 Other infections with a predominantly sexual mode of transmission complicating pregnancy, first trimester
O98.312 Other infections with a predominantly sexual mode of transmission complicating pregnancy, second trimester
O98.313 Other infections with a predominantly sexual mode of transmission complicating pregnancy, third trimester
O98.319 Other infections with a predominantly sexual mode of transmission complicating pregnancy, unspecified trimester
O98.32 Other infections with a predominantly sexual mode of transmission complicating childbirth
O98.33 Other infections with a predominantly sexual mode of transmission complicating the puerperium
O98.42 Viral hepatitis complicating childbirth
O98.43 Viral hepatitis complicating the puerperium
O98.511 Other viral diseases complicating pregnancy, first trimester
O98.512 Other viral diseases complicating pregnancy, second trimester
O98.513 Other viral diseases complicating pregnancy, third trimester
O98.519 Other viral diseases complicating pregnancy, unspecified trimester
O98.52 Other viral diseases complicating childbirth
O98.53 Other viral diseases complicating the puerperium
O98.611 Protozoal diseases complicating pregnancy, first trimester
O98.612 Protozoal diseases complicating pregnancy, second trimester
O98.613 Protozoal diseases complicating pregnancy, third trimester
O98.619 Protozoal diseases complicating pregnancy, unspecified trimester
O98.62 Protozoal diseases complicating childbirth
O98.63 Protozoal diseases complicating the puerperium
O98.811 Other maternal infectious and parasitic diseases complicating pregnancy, first trimester
O98.812 Other maternal infectious and parasitic diseases complicating pregnancy, second trimester
O98.813 Other maternal infectious and parasitic diseases complicating pregnancy, third trimester
O98.819 Other maternal infectious and parasitic diseases complicating pregnancy, unspecified trimester
O98.82 Other maternal infectious and parasitic diseases complicating childbirth
O98.83 Other maternal infectious and parasitic diseases complicating the puerperium
O98.911 Unspecified maternal infectious and parasitic disease complicating pregnancy, first trimester
O98.912 Unspecified maternal infectious and parasitic disease complicating pregnancy, second trimester
O98.913 Unspecified maternal infectious and parasitic disease complicating pregnancy, third trimester
O98.919 Unspecified maternal infectious and parasitic disease complicating pregnancy, unspecified trimester
O98.92 Unspecified maternal infectious and parasitic disease complicating childbirth
O98.93 Unspecified maternal infectious and parasitic disease complicating the puerperium
O99.011 Anemia complicating pregnancy, first trimester
O99.012 Anemia complicating pregnancy, second trimester
O99.013 Anemia complicating pregnancy, third trimester
O99.019 Anemia complicating pregnancy, unspecified trimester
O99.02 Anemia complicating childbirth
O99.03 Anemia complicating the puerperium
O99.111 Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, first trimester
O99.112 Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, second trimester
O99.113 Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, third trimester
O99.119 Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, unspecified trimester
O99.12 Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating childbirth
O99.13 Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating the puerperium
O99.210 Obesity complicating pregnancy, unspecified trimester
O99.211 Obesity complicating pregnancy, first trimester
O99.212 Obesity complicating pregnancy, second trimester
O99.213 Obesity complicating pregnancy, third trimester
O99.214 Obesity complicating childbirth
O99.215 Obesity complicating the puerperium
O99.280 Endocrine, nutritional and metabolic diseases complicating pregnancy, unspecified trimester
O99.281 Endocrine, nutritional and metabolic diseases complicating pregnancy, first trimester
O99.282 Endocrine, nutritional and metabolic diseases complicating pregnancy, second trimester
O99.283 Endocrine, nutritional and metabolic diseases complicating pregnancy, third trimester
O99.284 Endocrine, nutritional and metabolic diseases complicating childbirth
O99.285 Endocrine, nutritional and metabolic diseases complicating the puerperium
O99.320 Drug use complicating pregnancy, unspecified trimester
O99.321 Drug use complicating pregnancy, first trimester
O99.322 Drug use complicating pregnancy, second trimester
O99.323 Drug use complicating pregnancy, third trimester
O99.324 Drug use complicating childbirth
O99.325 Drug use complicating the puerperium
O99.330 Smoking (tobacco) complicating pregnancy, unspecified trimester
O99.331 Smoking (tobacco) complicating pregnancy, first trimester
O99.332 Smoking (tobacco) complicating pregnancy, second trimester
O99.333 Smoking (tobacco) complicating pregnancy, third trimester
O99.334 Smoking (tobacco) complicating childbirth
O99.335 Smoking (tobacco) complicating the puerperium
O99.340 Other mental disorders complicating pregnancy, unspecified trimester
O99.341 Other mental disorders complicating pregnancy, first trimester
O99.342 Other mental disorders complicating pregnancy, second trimester
O99.343 Other mental disorders complicating pregnancy, third trimester
O99.344 Other mental disorders complicating childbirth
O99.345 Other mental disorders complicating the puerperium
O99.350 Diseases of the nervous system complicating pregnancy, unspecified trimester
O99.351 Diseases of the nervous system complicating pregnancy, first trimester
O99.352 Diseases of the nervous system complicating pregnancy, second trimester
O99.353 Diseases of the nervous system complicating pregnancy, third trimester
O99.354 Diseases of the nervous system complicating childbirth
O99.355 Diseases of the nervous system complicating the puerperium
O99.411 Diseases of the circulatory system complicating pregnancy, first trimester
O99.412 Diseases of the circulatory system complicating pregnancy, second trimester
O99.413 Diseases of the circulatory system complicating pregnancy, third trimester
O99.419 Diseases of the circulatory system complicating pregnancy, unspecified trimester
O99.42 Diseases of the circulatory system complicating childbirth
O99.43 Diseases of the circulatory system complicating the puerperium
O99.810 Abnormal glucose complicating pregnancy
O99.814 Abnormal glucose complicating childbirth
O99.815 Abnormal glucose complicating the puerperium
O99.834 Other infection carrier state complicating childbirth
O99.835 Other infection carrier state complicating the puerperium
O99.840 Bariatric surgery status complicating pregnancy, unspecified trimester
O99.841 Bariatric surgery status complicating pregnancy, first trimester
O99.842 Bariatric surgery status complicating pregnancy, second trimester
O99.843 Bariatric surgery status complicating pregnancy, third trimester
O99.844 Bariatric surgery status complicating childbirth
O99.845 Bariatric surgery status complicating the puerperium
O99.891 Other specified diseases and conditions complicating pregnancy
O99.892 Other specified diseases and conditions complicating childbirth
O99.893 Other specified diseases and conditions complicating puerperium
Z33.1 Pregnant state, incidental
Z33.2 Encounter for elective termination of pregnancy
Z33.3 Pregnant state, gestational carrier
Z34.00 Encounter for supervision of normal first pregnancy, unspecified trimester
Z34.01 Encounter for supervision of normal first pregnancy, first trimester
Z34.02 Encounter for supervision of normal first pregnancy, second trimester
Z34.03 Encounter for supervision of normal first pregnancy, third trimester
Z34.80 Encounter for supervision of other normal pregnancy, unspecified trimester
Z34.81 Encounter for supervision of other normal pregnancy, first trimester
Z34.82 Encounter for supervision of other normal pregnancy, second trimester
Z34.83 Encounter for supervision of other normal pregnancy, third trimester
Z34.90 Encounter for supervision of normal pregnancy, unspecified, unspecified trimester
Z34.91 Encounter for supervision of normal pregnancy, unspecified, first trimester
Z34.92 Encounter for supervision of normal pregnancy, unspecified, second trimester
Z34.93 Encounter for supervision of normal pregnancy, unspecified, third trimester
Z36.0 Encounter for antenatal screening for chromosomal anomalies
Z36.1 Encounter for antenatal screening for raised alphafetoprotein level
Z36.2 Encounter for other antenatal screening follow-up
Z36.3 Encounter for antenatal screening for malformations
Z36.4 Encounter for antenatal screening for fetal growth retardation
Z36.5 Encounter for antenatal screening for isoimmunization
Z36.81 Encounter for antenatal screening for hydrops fetalis
Z36.82 Encounter for antenatal screening for nuchal translucency
Z36.84 Encounter for antenatal screening for fetal lung maturity
Z36.85 Encounter for antenatal screening for Streptococcus B
Z36.86 Encounter for antenatal screening for cervical length
Z36.87 Encounter for antenatal screening for uncertain dates
Z36.88 Encounter for antenatal screening for fetal macrosomia
Z36.89 Encounter for other specified antenatal screening
Z36.8A Encounter for antenatal screening for other genetic defects
Z36.9 Encounter for antenatal screening, unspecified

 

SNOMED:  
Code Description
10231000132102 In-vitro fertilization pregnancy (finding)
102872000 Pregnancy on oral contraceptive (finding)
102875003 Surrogate pregnancy (finding)
11082009 Abnormal pregnancy (finding)
127363001 Number of pregnancies, currently pregnant (finding)
127364007 Primigravida (finding)
134781000119106 High risk pregnancy due to recurrent miscarriage (finding)
14080002 Illegitimate pregnancy, life event (finding)
14418008 Precocious pregnancy (finding)
16356006 Multiple pregnancy (disorder)
16836261000119107 Ectopic pregnancy of left ovary (disorder)
16836351000119100 Ectopic pregnancy of right ovary (disorder)
16836391000119105 Pregnancy of left fallopian tube (disorder)
16836891000119104 Pregnancy of right fallopian tube (disorder)
169488004 Contraceptive intrauterine device failure – pregnant (finding)
169560008 Pregnant – urine test confirms (finding)
169561007 Pregnant – blood test confirms (finding)
169562000 Pregnant – vaginal examination confirms (finding)
169563005 Pregnant – on history (finding)
169564004 Pregnant – on abdominal palpation (finding)
169565003 Pregnant – planned (finding)
169566002 Pregnancy unplanned but wanted (finding)
169567006 Pregnancy unplanned and unwanted (finding)
169568001 Unplanned pregnancy unknown if child is wanted (finding)
17285009 Intraperitoneal pregnancy (disorder)
198624007 Membranous pregnancy (disorder)
198626009 Mesenteric pregnancy (disorder)
198627000 Angular pregnancy (disorder)
199064003 Post-term pregnancy – not delivered (disorder)
199306007 Continuing pregnancy after abortion of one fetus or more (disorder)
199715003 Grand multiparity with antenatal problem (finding)
22281000119101 Post-term pregnancy of 40 to 42 weeks (disorder)
237233002 Concealed pregnancy (finding)
237238006 Pregnancy with uncertain dates (finding)
237239003 Low risk pregnancy (finding)
237240001 Teenage pregnancy (finding)
237241002 Viable pregnancy (finding)
237242009 Non-viable pregnancy (finding)
237244005 Single pregnancy (finding)
237254009 Unruptured tubal pregnancy (disorder)
239101008 Pregnancy eruption (disorder)
248985009 Presentation of pregnancy (finding)
276367008 Wanted pregnancy (finding)
276881003 Secondary abdominal pregnancy (disorder)
281307002 Uncertain viability of pregnancy (finding)
29399001 Elderly primigravida (finding)
314204000 Early stage of pregnancy (finding)
31601007 Combined pregnancy (disorder)
34801009 Ectopic pregnancy (disorder)
35381000119101 Quadruplet pregnancy with loss of one or more fetuses (disorder)
35656003 Intraligamentous pregnancy (disorder)
36801000119105 Continuing triplet pregnancy after spontaneous abortion of one or more fetuses (disorder)
38720006 Septuplet pregnancy (disorder)
41587001 Third trimester pregnancy (finding)
41991004 Angiectasis pregnancy (disorder)
429187001 Continuing pregnancy after intrauterine death of twin fetus (disorder)
43990006 Sextuplet pregnancy (disorder)
442478007 Multiple pregnancy involving intrauterine pregnancy and tubal pregnancy (disorder)
444661007 High risk pregnancy due to history of preterm labor (finding)
44782008 Molar pregnancy (disorder)
45307008 Extrachorial pregnancy (finding)
457811000124103 Normal pregnancy in primigravida (finding)
457821000124106 Normal pregnancy in multigravida (finding)
459167000 Monochorionic twin pregnancy (disorder)
459169002 Monochorionic diamniotic twin pregnancy with similar amniotic fluid volumes (disorder)
459170001 Monochorionic diamniotic twin pregnancy with dissimilar amniotic fluid volumes (disorder)
47200007 High risk pregnancy (finding)
472321009 Continuing pregnancy after intrauterine death of one twin with intrauterine retention of dead twin (disorder)
57630001 First trimester pregnancy (finding)
58532003 Unwanted pregnancy (finding)
59466002 Second trimester pregnancy (finding)
60000008 Mesometric pregnancy (disorder)
60810003 Quadruplet pregnancy (disorder)
64254006 Triplet pregnancy (disorder)
65147003 Twin pregnancy (disorder)
65727000 Intrauterine pregnancy (finding)
713575004 Dizygotic twin pregnancy (disorder)
713576003 Monozygotic twin pregnancy (disorder)
72892002 Normal pregnancy (finding)
77386006 Pregnant (finding)
786067000 Intramural ectopic pregnancy of myometrium (disorder)
79290002 Cervical pregnancy (disorder)
79586000 Tubal pregnancy (disorder)
80997009 Quintuplet pregnancy (disorder)
82661006 Abdominal pregnancy (disorder)
83074005 Unplanned pregnancy (finding)
87527008 Term pregnancy (finding)
87605005 Cornual pregnancy (disorder)
90968009 Prolonged pregnancy (disorder)
9279009 Extra-amniotic pregnancy (finding)
9899009 Ovarian pregnancy (disorder)

This is captured by adding a diagnosis with a valid ICD10 or SNOMED code using the Diagnosis widget in a note.

ICD-10:  
Code Description
O91.03 Infection of nipple associated with lactation
O91.13 Abscess of breast associated with lactation
O91.23 Nonpurulent mastitis associated with lactation
O92.03 Retracted nipple associated with lactation
O92.13 Cracked nipple associated with lactation
O92.5 Suppressed lactation
O92.70 Unspecified disorders of lactation
O92.79 Other disorders of lactation
Z39.1 Encounter for care and examination of lactating mother

 

SNOMED:  
Code Description
169643005 Feeding intention – breast (finding)
169745008 Breastfeeding started (finding)
199004 Decreased lactation (finding)
200416006 Breast engorgement in pregnancy, the puerperium or lactation (finding)
200418007 Breast engorgement in pregnancy, the puerperium or lactation – delivered (finding)
200419004 Breast engorgement in pregnancy, the puerperium or lactation – delivered with postnatal complication (finding)
200420005 Breast engorgement in pregnancy, the puerperium or lactation with antenatal complication (finding)
200430001 Breastfeeding painful (finding)
225604004 Lactation established (finding)
247415009 Painful lactation (finding)
289084000 Difficulty performing breast-feeding (finding)
290122005 Finding of lactation (finding)
290124006 Finding of quantity of lactation (finding)
290126008 Finding of measures of lactation (finding)
58219009 Lactation problem (finding)
69840006 Normal breast feeding (finding)
82374005 Lactation normal (finding)
866041003 Mother currently breastfeeding (situation)

This is captured by adding a diagnosis with a valid ICD10 or SNOMED code using the Diagnosis widget in a note.

ICD-10:  
Code Description
M62.82 Rhabdomyolysis
T79.6XXA Traumatic ischemia of muscle, initial encounter
T79.6XXD Traumatic ischemia of muscle, subsequent encounter
T79.6XXS Traumatic ischemia of muscle, sequela

 

SNOMED:  
Code Description
23697004 Crush syndrome (disorder)
240125008 Muscle crush syndrome (disorder)
240131006 Rhabdomyolysis (disorder)
240132004 Non-traumatic rhabdomyolysis (disorder)
72960004 Exertional rhabdomyolysis (disorder)

This is captured by entering a medication with a valid RXNORM or SNOMED code in the Allergy widget.

RXNORM:  
Code Description
301542 rosuvastatin
36567 simvastatin
41127 fluvastatin
42463 pravastatin
6472 lovastatin
83367 atorvastatin
861634 pitavastatin

 

SNOMED:  
Code Description
372912004 Substance with 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitor mechanism of action (substance)

This is captured by adding a diagnosis with a valid ICD10 or SNOMED code using the Diagnosis widget in a note.

ICD-10:  
Code Description
G72.0 Drug-induced myopathy
G72.9 Myopathy, unspecified
M60.9 Myositis, unspecified
M79.10 Myalgia, unspecified site

 

SNOMED:  
Code Description
16462851000119106 Myalgia caused by statin (finding)
240101000 Drug-induced myopathy (disorder)
288225004 Myalgia/myositis – multiple (finding)

This is captured by adding a procedure with a valid SNOMED code using the Procedure widget in a note.

SNOMED:  
Code Description
103735009 Palliative care (regime/therapy)
133918004 Comfort measures (regime/therapy)
182964004 Terminal care (regime/therapy)
305284002 Admission by palliative care physician (procedure)
305381007 Admission to palliative care department (procedure)
305981001 Referral by palliative care physician (procedure)
306237005 Referral to palliative care service (procedure)
306288008 Referral to palliative care physician (procedure)
385736008 Dying care (regime/therapy)
385763009 Hospice care (regime/therapy)
385765002 Hospice care management (procedure)

This is captured by adding a diagnosis with a valid ICD10 or SNOMED code using the Diagnosis widget in a note.

ICD-10:  
Code Description
B15.0 Hepatitis A with hepatic coma
B15.9 Hepatitis A without hepatic coma

 

SNOMED:  
Code Description
165997004 Hepatitis A test positive (finding)
18917003 Acute fulminating type A viral hepatitis (disorder)
206373002 Congenital hepatitis A infection (disorder)
25102003 Acute type A viral hepatitis (disorder)
278971009 Hepatitis A immune (finding)
310875001 Hepatitis A – current infection (finding)
40468003 Viral hepatitis, type A (disorder)
424758008 Viral hepatitis A without hepatic coma, without hepatitis delta (disorder)
428030001 History of hepatitis A (situation)
43634002 Relapsing type A viral hepatitis (disorder)
79031007 Anicteric type A viral hepatitis (disorder)

This is captured by adding a diagnosis with a valid ICD10 or SNOMED code using the Diagnosis widget in a note.

ICD-10:  
Code Description
B16.0 Acute hepatitis B with delta-agent with hepatic coma
B16.1 Acute hepatitis B with delta-agent without hepatic coma
B16.2 Acute hepatitis B without delta-agent with hepatic coma
B16.9 Acute hepatitis B without delta-agent and without hepatic coma
B18.0 Chronic viral hepatitis B with delta-agent
B18.1 Chronic viral hepatitis B without delta-agent
B19.10 Unspecified viral hepatitis B without hepatic coma
B19.11 Unspecified viral hepatitis B with hepatic coma

 

SNOMED:  
Code Description
1116000 Chronic aggressive type B viral hepatitis (disorder)
111891008 Viral hepatitis B without hepatic coma (disorder)
13265006 Acute fulminating type B viral hepatitis (disorder)
186624004 Hepatic coma due to acute hepatitis B with delta agent (disorder)
186626002 Acute hepatitis B with delta-agent (coinfection) without hepatic coma (disorder)
186639003 Chronic viral hepatitis B without delta-agent (disorder)
235864009 Acute hepatitis B with hepatitis D (disorder)
235865005 Hepatitis D superinfection of hepatitis B carrier (disorder)
235869004 Chronic viral hepatitis B with hepatitis D (disorder)
235871004 Hepatitis B carrier (finding)
26206000 Hepatic coma due to viral hepatitis B (disorder)
38662009 Chronic persistent type B viral hepatitis (disorder)
424099008 Hepatic coma due to acute hepatitis B (disorder)
424340000 Hepatic coma due to chronic hepatitis B (disorder)
442134007 Hepatitis B associated with Human immunodeficiency virus infection (disorder)
442374005 Hepatitis B and hepatitis C (disorder)
446698005 Reactivation of hepatitis B viral hepatitis (disorder)
50167007 Chronic active type B viral hepatitis (disorder)
53425008 Anicteric type B viral hepatitis (disorder)
60498001 Congenital viral hepatitis B infection (disorder)
61977001 Chronic type B viral hepatitis (disorder)
66071002 Viral hepatitis type B (disorder)
76795007 Acute type B viral hepatitis (disorder)

This is captured by adding a diagnosis with a valid ICD10 or SNOMED code using the Diagnosis widget in a note.

ICD-10:  
Code Description
B17.0 Acute delta-(super) infection of hepatitis B carrier
B17.10 Acute hepatitis C without hepatic coma
B17.11 Acute hepatitis C with hepatic coma
B17.2 Acute hepatitis E
B17.8 Other specified acute viral hepatitis
B17.9 Acute viral hepatitis, unspecified
B18.2 Chronic viral hepatitis C
B18.8 Other chronic viral hepatitis
B18.9 Chronic viral hepatitis, unspecified
B19.0 Unspecified viral hepatitis with hepatic coma
B19.20 Unspecified viral hepatitis C without hepatic coma
B19.21 Unspecified viral hepatitis C with hepatic coma
B19.9 Unspecified viral hepatitis without hepatic coma
K70.0 Alcoholic fatty liver
K70.10 Alcoholic hepatitis without ascites
K70.11 Alcoholic hepatitis with ascites
K70.2 Alcoholic fibrosis and sclerosis of liver
K70.30 Alcoholic cirrhosis of liver without ascites
K70.31 Alcoholic cirrhosis of liver with ascites
K70.40 Alcoholic hepatic failure without coma
K70.41 Alcoholic hepatic failure with coma
K70.9 Alcoholic liver disease, unspecified
K71.0 Toxic liver disease with cholestasis
K71.10 Toxic liver disease with hepatic necrosis, without coma
K71.11 Toxic liver disease with hepatic necrosis, with coma
K71.2 Toxic liver disease with acute hepatitis
K71.3 Toxic liver disease with chronic persistent hepatitis
K71.4 Toxic liver disease with chronic lobular hepatitis
K71.50 Toxic liver disease with chronic active hepatitis without ascites
K71.51 Toxic liver disease with chronic active hepatitis with ascites
K71.6 Toxic liver disease with hepatitis, not elsewhere classified
K71.7 Toxic liver disease with fibrosis and cirrhosis of liver
K71.8 Toxic liver disease with other disorders of liver
K71.9 Toxic liver disease, unspecified
K72.00 Acute and subacute hepatic failure without coma
K72.01 Acute and subacute hepatic failure with coma
K72.10 Chronic hepatic failure without coma
K72.11 Chronic hepatic failure with coma
K72.90 Hepatic failure, unspecified without coma
K72.91 Hepatic failure, unspecified with coma
K73.0 Chronic persistent hepatitis, not elsewhere classified
K73.1 Chronic lobular hepatitis, not elsewhere classified
K73.2 Chronic active hepatitis, not elsewhere classified
K73.8 Other chronic hepatitis, not elsewhere classified
K73.9 Chronic hepatitis, unspecified
K74.00 Hepatic fibrosis, unspecified
K74.01 Hepatic fibrosis, early fibrosis
K74.02 Hepatic fibrosis, advanced fibrosis
K74.1 Hepatic sclerosis
K74.2 Hepatic fibrosis with hepatic sclerosis
K74.3 Primary biliary cirrhosis
K74.4 Secondary biliary cirrhosis
K74.5 Biliary cirrhosis, unspecified
K74.60 Unspecified cirrhosis of liver
K74.69 Other cirrhosis of liver
K75.4 Autoimmune hepatitis
O98.411 Viral hepatitis complicating pregnancy, first trimester
O98.412 Viral hepatitis complicating pregnancy, second trimester
O98.413 Viral hepatitis complicating pregnancy, third trimester
O98.419 Viral hepatitis complicating pregnancy, unspecified trimester

 

SNOMED:  
Code Description
10295004 Chronic viral hepatitis (disorder)
10759111000119102 Viral hepatitis in mother complicating childbirth (disorder)
10759151000119101 Viral hepatitis in mother complicating pregnancy (disorder)
109819003 Obstructive biliary cirrhosis (disorder)
111896003 Viral hepatitis without hepatic coma (disorder)
123717006 Advanced cirrhosis (disorder)
128302006 Chronic hepatitis C (disorder)
16069000 Toxic noninfectious hepatitis (disorder)
186628001 Hepatic coma due to viral hepatitis C (disorder)
197268000 Acute and subacute liver necrosis (disorder)
197270009 Acute hepatic failure (disorder)
197271008 Acute hepatitis – non-infective (disorder)
197279005 Cirrhosis and chronic liver disease (disorder)
197284004 Chronic active hepatitis (disorder)
197286002 Recurrent hepatitis (disorder)
197352008 Toxic hepatitis (disorder)
197359004 Toxic liver disease with chronic persistent hepatitis (disorder)
197360009 Toxic liver disease with chronic lobular hepatitis (disorder)
197361008 Toxic liver disease with chronic active hepatitis (disorder)
199203001 Viral hepatitis complicating pregnancy, childbirth and the puerperium (disorder)
19943007 Cirrhosis of liver (disorder)
206372007 Congenital viral hepatitis (disorder)
235865005 Hepatitis D superinfection of hepatitis B carrier (disorder)
235866006 Acute hepatitis C (disorder)
235867002 Acute hepatitis E (disorder)
235869004 Chronic viral hepatitis B with hepatitis D (disorder)
235875008 Alcoholic hepatitis (disorder)
235876009 Drug-induced hepatitis (disorder)
235889003 Drug-induced chronic hepatitis (disorder)
266468003 Cirrhosis – non-alcoholic (disorder)
278929008 Congenital hepatitis C infection (disorder)
307757001 Chronic alcoholic hepatitis (disorder)
31005002 Hepatorenal syndrome due to a procedure (disorder)
328383001 Chronic liver disease (disorder)
347891000119103 Chronic hepatitis C with stage 3 fibrosis (disorder)
370889009 Lymphocytic portal hepatitis (disorder)
3738000 Viral hepatitis (disorder)
37871000 Acute hepatitis (disorder)
397575003 Viral hepatitis, type G (disorder)
408335007 Autoimmune hepatitis (disorder)
41309000 Alcoholic liver damage (disorder)
41889008 Chronic persistent hepatitis (disorder)
420054005 Alcoholic cirrhosis (disorder)
425413006 Drug-induced cirrhosis of liver (disorder)
435091000124105 Hepatitis with hepatic coma (disorder)
435101000124104 Chronic viral hepatitis C with hepatic coma (disorder)
450880008 Chronic hepatitis E (disorder)
4846001 Anicteric viral hepatitis (disorder)
4896000 Acute toxic hepatitis (disorder)
50325005 Alcoholic fatty liver (disorder)
50711007 Viral hepatitis type C (disorder)
51292008 Hepatorenal syndrome (disorder)
57412004 Acute viral hepatitis (disorder)
58282009 Relapsing viral hepatitis (disorder)
59927004 Hepatic failure (disorder)
60037002 Chronic persistent viral hepatitis (disorder)
62216007 Familial arthrogryposis-cholestatic hepatorenal syndrome (disorder)
66870002 Chronic active viral hepatitis (disorder)
702969000 Reactivation of hepatitis C viral hepatitis (disorder)
703866000 Chronic hepatitis C with stage 2 fibrosis (disorder)
707341005 Viral hepatitis type D (disorder)
708198006 Chronic active hepatitis C (disorder)
72445008 Subacute noninfective hepatitis (disorder)
76783007 Chronic hepatitis (disorder)
79720007 Chronic nonalcoholic liver disease (disorder)
831000119103 Cirrhosis of liver due to chronic hepatitis C (disorder)
89789003 Chronic aggressive viral hepatitis (disorder)
95556007 Cholestatic hepatitis (disorder)
9953008 Acute alcoholic liver disease (disorder)

This is captured by adding a diagnosis with a valid ICD10 or SNOMED code using the Diagnosis widget in a note.

ICD-10:  
Code Description
N18.6 End stage renal disease

 

SNOMED:  
Code Description
236434000 End stage renal failure untreated by renal replacement therapy (disorder)
236435004 End stage renal failure on dialysis (disorder)
236436003 End stage renal failure with renal transplant (disorder)
46177005 End-stage renal disease (disorder)

Required Data Elements for the Numerator:

This is captured by prescribing or renewing a medication with a valid RXNORM code.

Low Intensity Statin Therapy

RXNORM:  
Code Description
1790679 simvastatin 4 MG/ML Oral Suspension
1944264 simvastatin 8 MG/ML Oral Suspension
197903 lovastatin 10 MG Oral Tablet
197904 lovastatin 20 MG Oral Tablet
2001254 pitavastatin magnesium 1 MG Oral Tablet
310404 fluvastatin 20 MG Oral Capsule
310405 fluvastatin 40 MG Oral Capsule
312962 simvastatin 5 MG Oral Tablet
314231 simvastatin 10 MG Oral Tablet
433849 24 HR lovastatin 20 MG Extended Release Oral Tablet
476345 ezetimibe 10 MG / simvastatin 10 MG Oral Tablet
861643 pitavastatin calcium 1 MG Oral Tablet
904458 pravastatin sodium 10 MG Oral Tablet
904467 pravastatin sodium 20 MG Oral Tablet

Moderate Intensity Statin Therapy

RXNORM:  
Code Description
1790679 simvastatin 4 MG/ML Oral Suspension
1944264 simvastatin 8 MG/ML Oral Suspension
197905 lovastatin 40 MG Oral Tablet
198211 simvastatin 40 MG Oral Tablet
2001262 pitavastatin magnesium 2 MG Oral Tablet
2001266 pitavastatin magnesium 4 MG Oral Tablet
200345 simvastatin 80 MG Oral Tablet
2167557 rosuvastatin 10 MG Oral Capsule
2167573 rosuvastatin 5 MG Oral Capsule
310405 fluvastatin 40 MG Oral Capsule
312961 simvastatin 20 MG Oral Tablet
359731 24 HR lovastatin 40 MG Extended Release Oral Tablet
359732 24 HR lovastatin 60 MG Extended Release Oral Tablet
360507 24 HR fluvastatin 80 MG Extended Release Oral Tablet
476349 ezetimibe 10 MG / simvastatin 20 MG Oral Tablet
476350 ezetimibe 10 MG / simvastatin 40 MG Oral Tablet
597967 amlodipine 10 MG / atorvastatin 20 MG Oral Tablet
597971 amlodipine 2.5 MG / atorvastatin 10 MG Oral Tablet
597974 amlodipine 2.5 MG / atorvastatin 20 MG Oral Tablet
597977 amlodipine 5 MG / atorvastatin 10 MG Oral Tablet
597980 amlodipine 5 MG / atorvastatin 20 MG Oral Tablet
597987 amlodipine 10 MG / atorvastatin 10 MG Oral Tablet
617310 atorvastatin 20 MG Oral Tablet
617312 atorvastatin 10 MG Oral Tablet
859424 rosuvastatin calcium 5 MG Oral Tablet
859747 rosuvastatin calcium 10 MG Oral Tablet
861648 pitavastatin calcium 2 MG Oral Tablet
861652 pitavastatin calcium 4 MG Oral Tablet
904475 pravastatin sodium 40 MG Oral Tablet
904481 pravastatin sodium 80 MG Oral Tablet

High Intensity Statin Therapy

RXNORM:  
Code Description
2167565 rosuvastatin 20 MG Oral Capsule
2167569 rosuvastatin 40 MG Oral Capsule
259255 atorvastatin 80 MG Oral Tablet
404011 amlodipine 5 MG / atorvastatin 80 MG Oral Tablet
404013 amlodipine 10 MG / atorvastatin 80 MG Oral Tablet
476351 ezetimibe 10 MG / simvastatin 80 MG Oral Tablet
597984 amlodipine 5 MG / atorvastatin 40 MG Oral Tablet
597990 amlodipine 10 MG / atorvastatin 40 MG Oral Tablet
597993 amlodipine 2.5 MG / atorvastatin 40 MG Oral Tablet
617311 atorvastatin 40 MG Oral Tablet
859419 rosuvastatin calcium 40 MG Oral Tablet
859751 rosuvastatin calcium 20 MG Oral Tablet

Measure Guidance:

Initial Population Guidance:

The initial population covers three distinct populations. Use the following process to prevent counting patients more than once.

Initial Population 1:

All patients who were previously diagnosed with or currently have an active diagnosis of clinical ASCVD, including an ASCVD procedure, before the end of the measurement period

-If YES, meets Initial Population 1 risk category

-If NO, screen for next risk category

Initial Population 2:

Patients aged >= 20 years at the beginning of the measurement period who have ever had a laboratory test result of LDL-C >= 190 mg/dL or were previously diagnosed with or currently have an active diagnosis of familial hypercholesterolemia

-If YES, meets Initial Population 2 risk category

-If NO, screen for next risk category

Initial Population 3:

Patients aged 40 to 75 years at the beginning of the measurement period with an active diagnosis of Type 1 or Type 2 diabetes at any time during the measurement period

-If YES, meets Initial Population 3 risk category

-If NO, patient does NOT meet Initial Population criteria and is NOT eligible for measure inclusion

Initial Population Guidance for Encounter:

In order for the patient to be included in the Initial Population, the patient must have ONE initial population-eligible visit, defined as follows: outpatient visit, initial or established office visit, face-to-face interaction, preventive care services, or annual wellness visit.

LDL-C Laboratory test result options:

The measure can be reported for all patients with a documented LDL-C level recorded as follows:

To meet Initial Population 1:

There is no LDL-C result required.

To meet Initial Population 2:

If a patient has ANY previous laboratory result of LDL-C >= 190 mg/dL, report the highest value >= 190 mg/dL.

To meet Initial Population 3:

There is no LDL-C result required.

Numerator instructions and guidance:

-Current statin therapy use must be documented in the patient’s current medication list or ordered during the measurement period.

-ONLY statin therapy meets the measure Numerator criteria (NOT other cholesterol lowering medications).

-Prescription or order does NOT need to be linked to an encounter or visit; it may be called to the pharmacy.

-Statin medication “samples” provided to patients can be documented as “current statin therapy” if documented in the medication list in health/medical record.

-Patients who meet the denominator criteria for inclusion, but are not prescribed or using statin therapy, will NOT meet performance for this measure unless they have an allowable denominator exception. Patients with an allowable denominator exception should be removed from the denominator of the measure and reported as a valid exception.

-There is only one performance rate calculated for this measure: the weighted average of the three populations.

-Adherence to statin therapy is not calculated in this measure.

-It may not be appropriate to prescribe statin therapy for some patients (see exceptions and exclusions for the complete list).

Intensity of statin therapy in primary and secondary prevention:

The expert panel of the 2018 ACC/AHA/MS Guidelines (Grundy et al., 2019) defines recommended intensity of statin therapy on the basis of the average expected LDL-C response to specific statin and dose. Although intensity of statin therapy is important in managing cholesterol, this measure assesses prescription of ANY statin therapy, irrespective of intensity. Assessment of appropriate intensity and dosage documentation added too much complexity to allow inclusion of statin therapy intensity in the measure at this time.

Lifestyle modification coaching:

A healthy lifestyle is important for the prevention of cardiovascular disease. However, lifestyle modification monitoring and documentation added too much complexity to allow its inclusion in the measure at this time.