Medically Frail – ICD 10 Diagnosis Code List - Nebraska Department of ...

Code

A170 A171 A1781 A1782 A1783 A1789 A179 A1801 A1802 A1803 A1809 A1810 A1811 A1812 A1813 A1814 A1815 A1816 A1817 A1818 A182 A1831 A1832 A1839 A184 A1850 A1851 A1852 A1853 A1854 A1859 A186 A187

Medically Frail ? ICD 10 Diagnosis Code List

Code Description

TUBERCULOUS MENINGITIS MENINGEAL TUBERCULOMA TUBERCULOMA OF BRAIN AND SPINAL CORD TUBERCULOUS MENINGOENCEPHALITIS TUBERCULOUS NEURITIS OTHER TUBERCULOSIS OF NERVOUS SYSTEM TUBERCULOSIS OF NERVOUS SYSTEM UNSPECIFIED TUBERCULOSIS OF SPINE TUBERCULOUS ARTHRITIS OF OTHER JOINTS TUBERCULOSIS OF OTHER BONES OTHER MUSCULOSKELETAL TUBERCULOSIS TUBERCULOSIS OF GENITOURINARYSYSTEM UNSPECIFIED TUBERCULOSIS OF KIDNEY AND URETER TUBERCULOSIS OF BLADDER TUBERCULOSIS OF OTHER URINARY ORGANS TUBERCULOSIS OF PROSTATE TUBERCULOSIS OF OTHER MALE GENITAL ORGANS TUBERCULOSIS OF CERVIX TUBERCULOUS FEMALE PELVIC INFLAMMATORY DISEASE TUBERCULOSIS OF OTHER FEMALE GENITAL ORGANS TUBERCULOUS PERIPHERAL LYMPHADENOPATHY TUBERCULOUS PERITONITIS TUBERCULOUS ENTERITIS RETROPERITONEAL TUBERCULOSIS TUBERCULOSIS OF SKIN AND SUBCUTANEOUS TISSUE TUBERCULOSIS OF EYE UNSPECIFIED TUBERCULOUS EPISCLERITIS TUBERCULOUS KERATITIS TUBERCULOUS CHORIORETINITIS TUBERCULOUS IRIDOCYCLITIS OTHER TUBERCULOSIS OF EYE TUBERCULOSIS OF INNER MIDDLE EAR TUBERCULOSIS OF ADRENAL GLANDS

Determination Period 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months

Code

A1881 A1882 A1883 A1884 A1885 A1889 B20 B900 B901 B902 B908 D561 D5700 D5701 D5702 D5703 D571 D5709

D5720 D57211 D57212 D57213

D57218

D57219 D5740 D57411 D57412 D57413

D57418

D57419 D5742 D57431

D57432

D57433

D57438

D57439

Code Description

Determination Period

TUBERCULOSIS OF THYROID GLAND

12 months

TUBERCULOSIS OF OTHER ENDOCRINE GLANDS

12 months

TUBERCULOSIS OF DIGESTIVE TRACT ORGANS NEC

12 months

TUBERCULOSIS OF HEART

12 months

TUBERCULOSIS OF SPLEEN

12 months

TUBERCULOSIS OF OTHER SITES

12 months

HUMAN IMMUNODEFICIENCY VIRUS DISEASE

12 months

SEQUELAE OF CENTRAL NERVOUS SYSTEM TUBERCULOSIS

12 months

SEQUELAE OF GENITOURINARY TUBERCULOSIS

12 months

SEQUELAE OF TUBERCULOSIS OF BONES AND JOINTS

12 months

SEQUELAE OF TUBERCULOSIS OF OTHER ORGANS

12 months

BETA THALASSEMIA

12 months

HB-SS DISEASE WITH CRISIS, UNSPECIFIED

36 months

HB-SS DISEASE WITH ACUTE CHEST SYNDROME

36 months

HB-SS DISEASE WITH SPLENIC SEQUESTRATION

36 months

HB-SS DISEASE WITH CEREBRAL VASCULAR INVOLVEMENT

36 months

SICKLE-CELL DISEASE WITHOUT CRISIS

36 months

HB-SS DISEASE WITH CRISIS WITH OTHER SPECIFIED COMPLICATION

36 months

SICKLE-CELL/HB-C DISEASE WITHOUT CRISIS

36 months

SICKLE-CELL/HB-C DISEASE WITH ACUTE CHEST SYNDROME

36 months

SICKLE-CELL/HB-C DISEASE WITH SPLENIC SEQUESTRATION

36 months

SICKLE-CELL/HB-C DISEASE WITH CEREBRAL VASCULAR INVOLVEMENT

36 months

SICKLE-CELL/HB-C DISEASE WITH CRISIS WITH OTHER SPECIFIED 36 months COMPLICATION

SICKLE-CELL/HB-C DISEASE WITH CRISIS, UNSPECIFIED

36 months

SICKLE-CELL THALASSEMIA WITHOUT CRISIS

36 months

SICKLE-CELL THALASSEMIA WITH ACUTE CHEST SYNDROME

36 months

SICKLE-CELL THALASSEMIA WITH SPLENIC SEQUESTRATION

36 months

SICKLE-CELL THALASSEMIA, UNSPECIFIED, WITH CEREBRAL VASCULAR INVOLVEMENT

36 months

SICKLE-CELL THALASSEMIA, UNSPECIFIED, WITH CRISIS WITH OTHER SPECIFIED COMPLICATION

36 months

SICKLE-CELL THALASSEMIA WITH CRISIS, UNSPECIFIED

36 months

SICKLE-CELL THALASSEMIA BETA ZERO WITHOUT CRISIS

36 months

SICKLE-CELL THALASSEMIA BETA ZERO WITH ACUTE CHEST SYNDROME

36 months

SICKLE-CELL THALASSEMIA BETA ZERO WITH SPLENIC SEQUESTRATION

36 months

SICKLE-CELL THALASSEMIA BETA ZERO WITH CEREBRAL VASCULAR 36 months INVOLVEMENT

SICKLE-CELL THALASSEMIA BETA ZERO WITH CRISIS WITH OTHER 36 months SPECIFIED COMPLICATION SICKLE-CELL THALASSEMIA BETA ZERO WITH CRISIS, UNSPECIFIED 36 months

Code

D5744 D57451

D57452

D57453

D57458

D57459 D5780 D57811 D57812 D57813

D57818

D57819 D5910 D5911 D5912 D5913 D5919 D808 D809 D810 D811 D812 D813 D814 D815 D816 D817 D81810 D81818 D81819 D8189 D819 D820 D821 D823 D828 D829 D830

Code Description

Determination Period

SICKLE-CELL THALASSEMIA BETA PLUS WITHOUT CRISIS

36 months

SICKLE-CELL THALASSEMIA BETA PLUS WITH ACUTE CHEST SYNDROME

36 months

SICKLE-CELL THALASSEMIA BETA PLUS WITH SPLENIC SEQUESTRATION

36 months

SICKLE-CELL THALASSEMIA BETA PLUS WITH CEREBRAL VASCULAR 36 months INVOLVEMENT

SICKLE-CELL THALASSEMIA BETA PLUS WITH CRISIS WITH OTHER 36 months SPECIFIED COMPLICATION

Sickle-cell thalassemia beta plus with crisis, unspecified

36 months

OTHER SICKLE-CELL DISORDERS WITHOUT CRISIS

36 months

OTHER SICKLE-CELL DISORDERS WITH ACUTE CHEST SYNDROME 36 months

OTHER SICKLE-CELL DISORDERS WITH SPLENIC SEQUESTRATION 36 months

OTHER SICKLE-CELL DISORDERS WITH CEREBRAL VASCULAR INVOLVEMENT

36 months

OTHER SICKLE-CELL DISORDERS WITH CRISIS WITH OTHER SPECIFIED COMPLICATION

36 months

OTHER SICKLE-CELL DISORDERS WITH CRISIS, UNSPECIFIED

36 months

AUTOIMMUNE HEMOLYTIC ANEMIA, UNSPECIFIED

12 months

WARM AUTOIMMUNE HEMOLYTIC ANEMIA

36 months

COLD AUTOIMMUNE HEMOLYTIC ANEMIA

36 months

MIXED TYPE AUTOIMMUNE HEMOLYTIC ANEMIA

36 months

OTHER AUTOIMMUNE HEMOLYTIC ANEMIA

12 months

OTHER IMMUNODEF W/PREDOMINANTLY ANTIBODYDEFECTS 36 months

IMMUNODEF W/PREDOMINANTLY ANTIBODY DEFECTS UNS

36 months

SEVERE COMBINED IMMUNODEF W/RETICULAR DYSGENESIS

36 months

SEVERE COMBINED IMMUNODEF LOW T & B-CELL NUMBERS

36 months

SEVERE COMBINED IMMULODEF W/NORMAL B-CELL NUMBRS 36 months

ADENOSINE DEAMINASE DEFICIENCY

36 months

NEZELOFS SYNDROME

36 months

PURINE NUCLEOSIDE PHOSPHORYLASE DEFICIENCY

36 months

MAJ HISTOCOMPATIBILITYCOMPLX CLASS I DEFICIENCY

36 months

MAJ HISTOCOMPATIBILTY COMPLX CLASS II DEFICIENCY

36 months

BIOTINIDASE DEFICIENCY

36 months

OTHER BIOTIN-DEPENDENT CARBOXYLASE DEFICIENCY

36 months

BIOTIN-DEPENDENT CARBOXYLASE DEFICIENCY UNS

36 months

OTHER COMBINED IMMUNODEFICIENCIES

36 months

COMBINED IMMUNODEFICIENCY UNSPECIFIED

36 months

WISKOTT-ALDRICH SYNDROME

36 months

DI GEORGES SYNDROME

36 months

IMMUNODEFIC FLW HEREDITARY DEFECT RESPONS TO EBV

36 months

IMMUNODEFIC ASSOCIATED W/OTH SPEC MAJOR DEFECT

36 months

IMMUNODEFICIENCY ASSOCIATED W/MAJOR DEFECTS UNS

36 months

CVI W/PREDOMINANT ABN OF B-CELL NUMBERS & FUNCT

36 months

Code

D831 D832 D89833 D89834 E701 E7081 E74810 E7502 E7521 E7522 E7523 E75240 E75241 E75242 E75243 E75248 E75249 E7525 E7529 E840 E8419 E848 E849 E8840 F0150 F0151 F0280 F0281 F0390 F0391 F04 F060

F061

F062

F10221 F10231 F10232 F1024 F10250 F10251

Code Description

CVI W/PREDOMINANT IMMUNOREGULATORY T-CELL D/O CVI WITH AUTOANTIBODIES TO B- OR T-CELLS CYTOKINE RELEASE SYNDROME, GRADE 3 CYTOKINE RELEASE SYNDROME, GRADE 4 OTHER HYPERPHENYLALANINEMIAS AROMATIC L-AMINO ACID DECARBOXYLASE DEFICIENCY GLUCOSE TRANSPORTER PROTEIN TYPE 1 DEFICIENCY TAY-SACHS DISEASE FABRY-ANDERSON DISEASE GAUCHER DISEASE KRABBE DISEASE NIEMANN-PICK DISEASE TYPE A NIEMANN-PICK DISEASE TYPE B NIEMANN-PICK DISEASE TYPE C NIEMANN-PICK DISEASE TYPE D OTHER NIEMANN-PICK DISEASE NIEMANN-PICK DISEASE UNSPECIFIED METACHROMATIC LEUKODYSTROPHY OTHER SPHINGOLIPIDOSIS CYSTIC FIBROSIS WITH PULMONARY MANIFESTATIONS CYSTIC FIBROSIS W/OTH INTESTINAL MANIFESTATIONS CYSTIC FIBROSIS WITH OTHER MANIFESTATIONS CYSTIC FIBROSIS UNSPECIFIED MITOCHONDRIAL METABOLISM DISORDER UNSPECIFIED VASCULAR DEMENTIA WITHOUT BEHAVIORAL DISTURBANCE VASCULAR DEMENTIA WITH BEHAVIORAL DISTURBANCE DEMENTIA OTH DZ CLASS ELSW W/O BEHAVRL DISTURB DEMENTIA OTH DISEAS CLASS W/BEHAVIORAL DISTURB UNSPEC DEMENTIA WITHOUT BEHAVIORAL DISTURBANCE UNSPECIFIED DEMENTIA WITH BEHAVIORAL DISTURBANCE AMNESTIC DISORDER DUE KNOWN PHYSIOLOGICAL COND PSYCHOTIC DISORDER W HALLUCIN DUE TO KNOWN PHYSIOL CONDITION CATATONIC DISORDER DUE TO KNOWN PHYSIOLOGICAL CONDITION PSYCHOTIC DISORDER W DELUSIONS DUE TO KNOWN PHYSIOL COND ALCOHOL DEPENDENCE WITH INTOXICATION DELIRIUM ALCOHOL DEPENDENCE WITH WITHDRAWAL DELIRIUM ALCOHOL DEPENDENCE WITHDRAWAL PERCEPTUAL DISTURB ALCOHOL DEPENDENCE W/ALCOHOL-INDUCED MOOD D/O ALCOHOL DEPENDENCE INDUCD PSYCHOT D/O DELUSION ALCOHOL DEPENDENCE INDUCED PSYCHOTIC D/O HALLUC

Determination Period 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 36 months 12 months

36 months

12 months

12 months 12 months 12 months 12 months 12 months 12 months

Code

F10259 F1026 F1027 F10280 F1097 F11221 F11222 F1123 F1124 F11250 F11251 F11259 F12250 F12251 F12259 F13221 F13231 F13232 F1324 F13250 F13251 F1326 F1327 F13280 F14221 F14222 F1423 F1424 F14250 F14251 F14259 F14280 F15221 F15222 F1523 F1524 F15250 F15251 F15259 F15280 F16221 F1624 F16250

Code Description

ALCOHOL DEPENDENCE W/INDUCED PSYCHOTIC D/O UNS ALCOHOL DEPENDENCE W/INDUCD-PERSIST AMNESTIC D/O ALCOHOL DEPENDENCE W/INDUCED-PERSISTING DEMENTIA ALCOHOL DEPENDENCE W/ALCOHOL-INDUCED ANXIETY D/O ALCOHOL USE UNS W/INDUCED-PERSISTING DEMENTIA OPIOID DEPEND W/ INTOXICATION DELIRIUM OPIOID DEPEND W/ INTOXICATION W/PERCEPTUAL DIST OPIOID DEPENDENCE WITH WITHDRAWAL OPIOID DEPEND W/INDUCD MOOD DISORDER OPIOID DEPEND W/INDUCD PSYCHOTIC D/O W/DELUSIONS OPIOID DEPEND W/INDUCD PSYCHOTIC D/O W/HALLUC OPIOID DEPEND W/INDUCD PSYCHOTIC D/O UNS CANNABIS DEPENDENCE W/PSYCHOTIC D/O W/DELUSIONS CANNABIS DEPENDENCE W/PSYCHOT D/O W/HALLUCIN CANNABIS DEPENDENCE W/PSYCHOTIC DISORDER UNS SEDATIVE HYP/ANXIOLYTIC DEPEND W/INTOX DELIRIUM SEDATV HYP/ANXIOLYTIC DEPEND W/WITHDRWL DELIRIUM SEDATV HYP/ANXIOLYTIC DEPEND W/D W/PERCEPTL DIST SEDATV HYP/ANXIOLYTIC DEPEND W/INDUCD MOOD D/O SEDATV HYP/ANXIOLYTIC DEPEND W/IND PSYCH D/O DEL SEDATV HYP/ANXIOLYT DEPEND IND PSYCH D/O HALLUC SEDATV HYP/ANXIOLYT DEPEND IND PERSIST AMNES D/O SEDATV HYP/ANXIOLYT DEPEND IND PERSIST DEMENTIA SEDATV HYP/ANXIOLYT DEPEND W/INDUC ANXIETY D/O COCAINE DEPENDENCE WITH INTOXICATION DELIRIUM COCAINE DEPENDENCE W/INTOX W/PERCEPTUAL DIST COCAINE DEPENDENCE WITH WITHDRAWAL COCAINE DEPENDENCE W/COCAINE-INDUCED MOOD D/O COCAINE DEPENDENCE W/INDUC PSYCHOT D/O W/DELUSN COCAINE DEPENDENCE W/INDUC PSYCHOT D/O W/HALLUC COCAINE DEPENDENCE W/INDUCED PSYCHOT D/O UNS COCAINE DEPENDENCE W/COCAINE-INDUCED ANXIETY D/O OTHER STIMULANT DEPENDENCE W/INTOX DELIRIUM OTHER STIMULANT DEPENDENCE INTOX W/PERCEPTL DIST OTHER STIMULANT DEPENDENCE WITH WITHDRAWAL OTH STIMULANT DEPEND W/INDUCED MOOD DISORDER OTH STIMULANT DEPEND W/INDUCED PSYCHOT D/O W/DEL OTH STIMULANT DEPEND INDUC PSYCHOT D/O W/HALLUC OTH STIMULANT DEPEND W/INDUCED PSYCHOT D/O UNS OTH STIMULANT DEPEND W/INDUCED ANXIETY DISORDER HALLUCINOGEN DEPENDENCE W/INTOX W/DELIRIUM HALLUCINOGEN DEPENDENCE W/INDUCED MOOD DISORDER HALLUCINOGEN DEPEND INDUC PSYCHOT D/O W/DELUSION

Determination Period 12 months 12 months 12 months 12 months 36 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months 12 months

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