ICD-10 Diagnosis Codes Description - Missouri

ICD-10 Diagnosis Codes A51.0 A51.1 A51.2 A51.5 A51.9 A54.00 A54.29 A54.01 A54.03 A54.24 A54.24 A54.31 A54.32 A54.33 A54.39 A54.41 A54.42 A54.49 A54.49 A54.5 A54.6 A54.81 A54.83 A54.83 A54.83 A54.85 A54.89 A54.89 A56.00 A56.19 A56.2 A56.3 A56.4 A74.81 A56.8 A57. A59.00 A59.01 A59.03 A59.09 A59.8 A59.9

Missouri Department of Social Services 1

1115 Demonstration Extension Application? Attachment 2

Description Primary genital syphilis Primary anal syphilis Primary syphilis of other sites Early syphilis, latent, serological relapse after treatment Early syphilis, unspecified Gonococcal infection, acute, of lower genitourinary tract Gonococcal infection, acute, of upper genitourinary tract Gonococcal cystitis Gonococcal cervicitis, acute or chronic Gonococcal endometritis, acute or chronic Gonococcal salpingitis, acute or chronic Gonococcal conjunctivitis Gonococcal iridocyclitis Gonococcal keratitis Gonococcal endophthalmia Gonococcal spondylitis Gonococcal infection of joint Gonococcal synovitis & tenosynovitis Gonococcal bursitis Gonococcal infection of pharynx Gonococcal infection of anus and rectum Gonococcal meningitis Gonococcal pericarditis Gonococcal endocarditis Gonococcal heart disease Gonococcal peritonitis Gonococcal keratosis Gonococcal infection of other specified sites Chlamydial infection lower genitourinary sites Other chlamydial genitourinary infection Chlamydial infection of genitourinary tract, unspecified Chlamydial infection of anus and rectum Chlamydial infection of pharynx Chlamydial peritonitis Chlamydial infection, sexually transmitted, infection of other sites Chancroid Trichomoniasis urogenitalis Trichomonal vaginitis Trichomonal urethritis Trichomoniasis, other urogenital Trichomoniasis of other sites Trichomoniasis, unspecified

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10/2016

A60.04 A60.04 A60.09 A60.9 A60.09 A63.0 A63.8 A64 A74.89 B07.9 B37.0 B37.3 B37.49 B85.2 B85.3 B85.4 N34.1 N76.0 Z11.51 R87.810 R87.811 R87.820 R87.821 B86 Z11.3 Z11.4 Z11.3 Z11.3 Z11.8 Z11.3 Z20.6 Z20.2 Z20.6 Z20.7 Z20.2 Z20.2 Z20.2 Z30.011 Z30.012 Z30.013 Z30.014 Z30.015 Z30.016

Missouri Department of Social Services 2

1115 Demonstration Extension Application? Attachment 2

Vaginitis, due to herpesviral infection Herpesviral infection vulva Herpesviral infection of other urogenital tract Genital herpes anogenital Herpes genital, female Condyloma acuminatum Other specified predominantly sexually transmitted disease Unspecified sexually transmitted disease Other chlamydial diseases Viral warts, unspecified Candidiasis of mouth Candidiasis of vulva and vagina Candidiasis of other urogenital sites Pediculosis, unspecified Phthirus pubis Pediculosis, mixed Other Nonvenereal Vaginitis NOS Human Papillomavirus (HPV) screening for Human Papillomavirus (HPV), high risk, cervix Human Papillomavirus (HPV), high risk, vagina Human Papillomavirus (HPV), low risk, cervix Human Papillomavirus (HPV), low risk, vagina Scabies, any site Screening for sexually-transmitted disease Screening for human immunodeficiency virus (HIV) Screening for venereal disease Screening for syphilis Screening for chlamydial disease Screening for gonorrhea Contact (with) AIDS virus Contact (with) gonorrhea Contact (with) HIV Contact (with) pediculosis Contact (with) sexually transmitted disease Contact (with) syphilis Contact (with) venereal disease Encounter for initial prescription of contraceptive pills Encounter for prescription of emergency contraception Encounter for initial prescription of injectable contraceptive Encounter for initial prescription of intrauterine contraceptive device Encounter for initial prescription of vaginal hormonal contraceptive Encounter for initial prescription of transdermal patch hormonal

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10/2016

Z30.017 Z30.018 Z30.019 Z30.02 Z30.09 Z30.2 Z30.40 Z30.41 Z30.42 Z30.430 Z30.431 Z30.432 Z30.433 Z30.44 Z30.45

Z30.46

Z30.49 Z30.8 Z30.9

Missouri Department of Social Services 3

1115 Demonstration Extension Application? Attachment 2

contraceptive device Encounter for initial prescription of implantable subdermal contraceptive Encounter for initial prescription of other contraceptives Encounter for initial prescription of contraceptives, unspecified Counseling and instruction in natural family planning to avoid pregnancy Encounter for other general counseling and advice on contraception Encounter for sterilization Encounter for surveillance of contraceptives, unspecified Encounter for surveillance of contraceptive pills Encounter for surveillance of injectable contraceptive Encounter for insertion of intrauterine contraceptive device Encounter for routine checking of intrauterine contraceptive device Encounter for removal of intrauterine contraceptive device Encounter for removal and reinsertion of intrauterine contraceptive device Encounter for surveillance of vaginal ring hormonal contraceptive device Encounter for surveillance of transdermal patch hormonal contraceptive device Encounter for surveillance of implantable subdermal contraceptive. Encounter for checking, reinsertion or removal of implantable subdermal contraceptive Encounter for surveillance of other contraceptives Encounter for other contraceptive management Encounter for contraceptive management, unspecified

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10/2016

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