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Clinical Concept Categories (CCSR)

The 553 clinically meaningful diagnosis categories of AHRQ's Clinical Classifications Software Refined, each grouping the ICD-10-CM codes that describe one clinical concept. A code can belong to more than one category.

BLD

  • BLD001 — Nutritional anemia (19 codes)
  • BLD002 — Hemolytic anemia (39 codes)
  • BLD003 — Aplastic anemia (28 codes)
  • BLD004 — Acute posthemorrhagic anemia (1 codes)
  • BLD005 — Sickle cell trait/anemia (51 codes)
  • BLD006 — Coagulation and hemorrhagic disorders (52 codes)
  • BLD007 — Diseases of white blood cells (38 codes)
  • BLD008 — Immunity disorders (85 codes)
  • BLD009 — Postprocedural or postoperative complications of the spleen (12 codes)
  • BLD010 — Other specified and unspecified hematologic conditions (21 codes)

CIR

  • CIR001 — Chronic rheumatic heart disease (27 codes)
  • CIR002 — Acute rheumatic heart disease (8 codes)
  • CIR003 — Nonrheumatic and unspecified valve disorders (25 codes)
  • CIR004 — Endocarditis and endocardial disease (18 codes)
  • CIR005 — Myocarditis and cardiomyopathy (33 codes)
  • CIR006 — Pericarditis and pericardial disease (19 codes)
  • CIR007 — Essential hypertension (19 codes)
  • CIR008 — Hypertension with complications and secondary hypertension (58 codes)
  • CIR009 — Acute myocardial infarction (18 codes)
  • CIR010 — Complications of acute myocardial infarction (10 codes)
  • CIR011 — Coronary atherosclerosis and other heart disease (68 codes)
  • CIR012 — Nonspecific chest pain (3 codes)
  • CIR013 — Acute pulmonary embolism (10 codes)
  • CIR014 — Pulmonary heart disease (22 codes)
  • CIR015 — Other and ill-defined heart disease (36 codes)
  • CIR016 — Conduction disorders (24 codes)
  • CIR017 — Cardiac dysrhythmias (29 codes)
  • CIR018 — Cardiac arrest and ventricular fibrillation (18 codes)
  • CIR019 — Heart failure (35 codes)
  • CIR020 — Cerebral infarction (143 codes)
  • CIR021 — Acute hemorrhagic cerebrovascular disease (33 codes)
  • CIR022 — Sequela of hemorrhagic cerebrovascular disease (123 codes)
  • CIR023 — Occlusion or stenosis of precerebral or cerebral arteries without infarction (26 codes)
  • CIR024 — Other and ill-defined cerebrovascular disease (29 codes)
  • CIR025 — Sequela of cerebral infarction and other cerebrovascular disease (123 codes)
  • CIR026 — Peripheral and visceral vascular disease (276 codes)
  • CIR027 — Arterial dissections (19 codes)
  • CIR028 — Gangrene (55 codes)
  • CIR029 — Aortic; peripheral; and visceral artery aneurysms (41 codes)
  • CIR030 — Aortic and peripheral arterial embolism or thrombosis (22 codes)
  • CIR031 — Hypotension (11 codes)
  • CIR032 — Other specified and unspecified circulatory disease (34 codes)
  • CIR033 — Acute phlebitis; thrombophlebitis and thromboembolism (127 codes)
  • CIR034 — Chronic phlebitis; thrombophlebitis and thromboembolism (69 codes)
  • CIR035 — Varicose veins of lower extremity (62 codes)
  • CIR036 — Postthrombotic syndrome and venous insufficiency/hypertension (43 codes)
  • CIR037 — Vasculitis (49 codes)
  • CIR038 — Postprocedural or postoperative circulatory system complication (46 codes)
  • CIR039 — Other specified diseases of veins and lymphatics (25 codes)

DEN

  • DEN001 — Any dental condition including traumatic injury (634 codes)
  • DEN002 — Nontraumatic dental conditions (309 codes)
  • DEN003 — Caries, periodontitis, and other preventable dental conditions (134 codes)

DIG

  • DIG001 — Intestinal infection (57 codes)
  • DIG002 — Disorders of teeth and gingiva (231 codes)
  • DIG003 — Diseases of mouth; excluding dental (51 codes)
  • DIG004 — Esophageal disorders (31 codes)
  • DIG005 — Gastroduodenal ulcer (20 codes)
  • DIG006 — Gastrointestinal and biliary perforation (23 codes)
  • DIG007 — Gastritis and duodenitis (18 codes)
  • DIG008 — Other specified and unspecified disorders of stomach and duodenum (25 codes)
  • DIG009 — Appendicitis and other appendiceal conditions (26 codes)
  • DIG010 — Abdominal hernia (45 codes)
  • DIG011 — Regional enteritis and ulcerative colitis (77 codes)
  • DIG012 — Intestinal obstruction and ileus (50 codes)
  • DIG013 — Diverticulosis and diverticulitis (24 codes)
  • DIG014 — Hemorrhoids (13 codes)
  • DIG015 — Anal and rectal conditions (59 codes)
  • DIG016 — Peritonitis and intra-abdominal abscess (53 codes)
  • DIG017 — Biliary tract disease (66 codes)
  • DIG018 — Hepatic failure (9 codes)
  • DIG019 — Other specified and unspecified liver disease (54 codes)
  • DIG020 — Pancreatic disorders (excluding diabetes) (35 codes)
  • DIG021 — Gastrointestinal hemorrhage (62 codes)
  • DIG022 — Noninfectious gastroenteritis (15 codes)
  • DIG023 — Noninfectious hepatitis (15 codes)
  • DIG024 — Postprocedural or postoperative digestive system complication (49 codes)
  • DIG025 — Other specified and unspecified gastrointestinal disorders (85 codes)

EAR

  • EAR001 — Otitis media (88 codes)
  • EAR002 — Diseases of middle ear and mastoid (except otitis media) (225 codes)
  • EAR003 — Diseases of inner ear and related conditions (77 codes)
  • EAR004 — Hearing loss (48 codes)
  • EAR005 — Postprocedural or postoperative ear and/or mastoid process complication (36 codes)
  • EAR006 — Other specified and unspecified disorders of the ear (211 codes)

END

  • END001 — Thyroid disorders (56 codes)
  • END002 — Diabetes mellitus without complication (55 codes)
  • END003 — Diabetes mellitus with complication (463 codes)
  • END004 — Diabetes mellitus, Type 1 (101 codes)
  • END005 — Diabetes mellitus, Type 2 (101 codes)
  • END006 — Diabetes mellitus, due to underlying condition, drug or chemical induced, or other specified type (278 codes)
  • END007 — Nutritional deficiencies (44 codes)
  • END008 — Malnutrition (14 codes)
  • END009 — Obesity (35 codes)
  • END010 — Disorders of lipid metabolism (13 codes)
  • END011 — Fluid and electrolyte disorders (18 codes)
  • END012 — Cystic fibrosis (6 codes)
  • END013 — Pituitary disorders (13 codes)
  • END014 — Postprocedural or postoperative endocrine or metabolic complication (20 codes)
  • END015 — Other specified and unspecified endocrine disorders (104 codes)
  • END016 — Other specified and unspecified nutritional and metabolic disorders (279 codes)
  • END017 — Sequela of malnutrition and other nutritional deficiencies (7 codes)

EXT

  • EXT001 — External cause codes: cut/pierce; initial encounter (52 codes)
  • EXT002 — External cause codes: drowning/submersion; initial encounter (125 codes)
  • EXT003 — External cause codes: fall; initial encounter (98 codes)
  • EXT004 — External cause codes: fire/burn; initial encounter (112 codes)
  • EXT005 — External cause codes: firearm; initial encounter (74 codes)
  • EXT006 — External cause codes: machinery; initial encounter (18 codes)
  • EXT007 — External cause codes: motor vehicle traffic (MVT); initial encounter (475 codes)
  • EXT008 — External cause codes: pedal cyclist; not MVT; initial encounter (120 codes)
  • EXT009 — External cause codes: pedestrian; not MVT; initial encounter (77 codes)
  • EXT010 — External cause codes: transport; not MVT; initial encounter (598 codes)
  • EXT011 — External cause codes: natural/environment; initial encounter (141 codes)
  • EXT012 — External cause codes: bites; initial encounter (176 codes)
  • EXT013 — External cause codes: overexertion; initial encounter (10 codes)
  • EXT014 — External cause codes: poisoning by drug (716 codes)
  • EXT015 — External cause codes: poisoning by non-drug (387 codes)
  • EXT016 — External cause codes: struck by; against; initial encounter (100 codes)
  • EXT017 — External cause codes: suffocation/inhalation; initial encounter (71 codes)
  • EXT018 — External cause codes: other specified, classifiable and NEC; initial encounter (442 codes)
  • EXT019 — External cause codes: unspecified mechanism (15 codes)
  • EXT020 — External cause codes: intent of injury, accidental/unintentional (2308 codes)
  • EXT021 — External cause codes: intent of injury, self-harm (368 codes)
  • EXT022 — External cause codes: intent of injury, assault (490 codes)
  • EXT023 — External cause codes: intent of injury, undetermined (359 codes)
  • EXT024 — External cause codes: intent of injury, legal intervention/war (284 codes)
  • EXT025 — External cause codes: complications of medical and surgical care, initial encounter (117 codes)
  • EXT026 — External cause codes: activity codes (114 codes)
  • EXT027 — External cause codes: place of occurrence of the external cause (209 codes)
  • EXT028 — External cause codes: evidence of alcohol involvement (10 codes)
  • EXT029 — External cause codes: subsequent encounter (2322 codes)
  • EXT030 — External cause codes: sequela (2322 codes)

EYE

  • EYE001 — Cornea and external disease (810 codes)
  • EYE002 — Cataract and other lens disorders (124 codes)
  • EYE003 — Glaucoma (273 codes)
  • EYE004 — Uveitis and ocular inflammation (159 codes)
  • EYE005 — Retinal and vitreous conditions (748 codes)
  • EYE006 — Neuro-ophthalmology (129 codes)
  • EYE007 — Strabismus (104 codes)
  • EYE008 — Oculofacial plastics and orbital conditions (528 codes)
  • EYE009 — Refractive error (37 codes)
  • EYE010 — Blindness and vision defects (137 codes)
  • EYE011 — Postprocedural or postoperative eye complication (66 codes)
  • EYE012 — Other specified eye disorders (281 codes)

FAC

  • FAC001 — Encounter for administrative purposes (15 codes)
  • FAC002 — Encounter for mental health services related to abuse (8 codes)
  • FAC003 — Encounter for observation and examination for conditions ruled out (excludes infectious disease, neoplasm, mental disorders) (63 codes)
  • FAC004 — Encounter for prophylactic or other procedures (17 codes)
  • FAC005 — Encounter for prophylactic measures (excludes immunization) (9 codes)
  • FAC006 — Encounter for antineoplastic therapies (3 codes)
  • FAC007 — Encounter for mental health conditions (5 codes)
  • FAC008 — Neoplasm-related encounters (22 codes)
  • FAC009 — Implant, device or graft related encounter (139 codes)
  • FAC010 — Other aftercare encounter (50 codes)
  • FAC011 — Counseling related to sexual behavior or orientation (6 codes)
  • FAC012 — Other specified encounters and counseling (24 codes)
  • FAC013 — Contraceptive and procreative management (48 codes)
  • FAC014 — Medical examination/evaluation (36 codes)
  • FAC015 — Resistance to antimicrobial drugs (19 codes)
  • FAC016 — Exposure, encounters, screening or contact with infectious disease (36 codes)
  • FAC017 — No immunization or underimmunization (18 codes)
  • FAC018 — Screening for neurocognitive or neurodevelopmental condition (5 codes)
  • FAC019 — Socioeconomic/psychosocial factors (123 codes)
  • FAC020 — Lifestyle/life management factors (28 codes)
  • FAC022 — Acquired absence of limb or organ (71 codes)
  • FAC023 — Organ transplant status (15 codes)
  • FAC024 — Carrier status (26 codes)
  • FAC025 — Other specified status (253 codes)
  • FAC026 — Personal history of nicotine dependence (1 codes)
  • FAC027 — Personal history of malignant neoplasm (64 codes)
  • FAC028 — Family history of disease (65 codes)
  • FAC029 — Genetic susceptibility to disease (26 codes)
  • FAC030 — Personal history of other disease (121 codes)

GEN

  • GEN001 — Nephritis; nephrosis; renal sclerosis (133 codes)
  • GEN002 — Acute and unspecified renal failure (12 codes)
  • GEN003 — Chronic kidney disease (27 codes)
  • GEN004 — Urinary tract infections (61 codes)
  • GEN005 — Calculus of urinary tract (10 codes)
  • GEN006 — Other specified and unspecified diseases of kidney and ureters (37 codes)
  • GEN007 — Other specified and unspecified diseases of bladder and urethra (64 codes)
  • GEN008 — Urinary incontinence (15 codes)
  • GEN009 — Hematuria (24 codes)
  • GEN010 — Proteinuria (33 codes)
  • GEN011 — Vesicoureteral reflux (8 codes)
  • GEN012 — Hyperplasia of prostate (4 codes)
  • GEN013 — Inflammatory conditions of male genital organs (33 codes)
  • GEN014 — Erectile dysfunction (15 codes)
  • GEN015 — Male infertility (16 codes)
  • GEN016 — Other specified male genital disorders (66 codes)
  • GEN017 — Nonmalignant breast conditions (86 codes)
  • GEN018 — Inflammatory diseases of female pelvic organs (64 codes)
  • GEN019 — Endometriosis (144 codes)
  • GEN020 — Prolapse of female genital organs (16 codes)
  • GEN021 — Menstrual disorders (16 codes)
  • GEN022 — Benign ovarian cyst (17 codes)
  • GEN023 — Menopausal disorders (9 codes)
  • GEN024 — Female infertility (8 codes)
  • GEN025 — Other specified female genital disorders (115 codes)
  • GEN026 — Postprocedural or postoperative genitourinary system complication (48 codes)

INF

  • INF001 — Tuberculosis (59 codes)
  • INF002 — Septicemia (51 codes)
  • INF003 — Bacterial infections (400 codes)
  • INF004 — Fungal infections (107 codes)
  • INF005 — Foodborne intoxications (9 codes)
  • INF006 — HIV infection (10 codes)
  • INF007 — Hepatitis (37 codes)
  • INF008 — Viral infection (310 codes)
  • INF009 — Parasitic, other specified and unspecified infections (256 codes)
  • INF010 — Sexually transmitted infections (excluding HIV and hepatitis) (160 codes)
  • INF011 — Sequela of specified infectious disease conditions (12 codes)
  • INF012 — COVID-19 (3 codes)

INJ

  • INJ001 — Fracture of head and neck, initial encounter (152 codes)
  • INJ002 — Fracture of the spine and back, initial encounter (330 codes)
  • INJ003 — Fracture of torso, initial encounter (215 codes)
  • INJ004 — Fracture of the upper limb, initial encounter (1555 codes)
  • INJ005 — Fracture of the lower limb (except hip), initial encounter (1431 codes)
  • INJ006 — Fracture of the neck of the femur (hip), initial encounter (209 codes)
  • INJ007 — Dislocations, initial encounter (538 codes)
  • INJ008 — Traumatic brain injury (TBI); concussion, initial encounter (215 codes)
  • INJ009 — Spinal cord injury (SCI), initial encounter (105 codes)
  • INJ010 — Internal organ injury, initial encounter (264 codes)
  • INJ011 — Open wounds of head and neck, initial encounter (157 codes)
  • INJ012 — Open wounds to limbs, initial encounter (606 codes)
  • INJ013 — Open wounds of trunk, initial encounter (288 codes)
  • INJ014 — Amputation of a limb, initial encounter (172 codes)
  • INJ015 — Amputation of other body parts, initial encounter (23 codes)
  • INJ016 — Injury to blood vessels, initial encounter (571 codes)
  • INJ017 — Superficial injury; contusion, initial encounter (764 codes)
  • INJ018 — Crushing injury, initial encounter (78 codes)
  • INJ019 — Burn and corrosion, initial encounter (936 codes)
  • INJ020 — Effect of foreign body entering opening, initial encounter (87 codes)
  • INJ021 — Effect of other external causes, initial encounter (170 codes)
  • INJ022 — Poisoning by drugs, initial encounter (712 codes)
  • INJ023 — Toxic effects, initial encounter (544 codes)
  • INJ024 — Sprains and strains, initial encounter (489 codes)
  • INJ025 — Injury to nerves, muscles and tendons, initial encounter (490 codes)
  • INJ026 — Other specified injury (69 codes)
  • INJ027 — Other unspecified injury (58 codes)
  • INJ028 — Adverse effects of drugs and medicaments, initial encounter (175 codes)
  • INJ029 — Underdosing of drugs and medicaments, initial encounter (175 codes)
  • INJ030 — Drug induced or toxic related condition (248 codes)
  • INJ031 — Allergic reactions (114 codes)
  • INJ032 — Maltreatment/abuse (47 codes)
  • INJ033 — Complication of cardiovascular device, implant or graft, initial encounter (99 codes)
  • INJ034 — Complication of genitourinary device, implant or graft, initial encounter (82 codes)
  • INJ035 — Complication of internal orthopedic device or implant, initial encounter (117 codes)
  • INJ036 — Complication of transplanted organs or tissue, initial encounter (97 codes)
  • INJ037 — Complication of other surgical or medical care, injury, initial encounter (251 codes)
  • INJ038 — Fracture of head and neck, subsequent encounter (228 codes)
  • INJ039 — Fracture of the spine and back, subsequent encounter (494 codes)
  • INJ040 — Fracture of torso, subsequent encounter (315 codes)
  • INJ041 — Fracture of the upper limb, subsequent encounter (4348 codes)
  • INJ042 — Fracture of lower limb (except hip), subsequent encounter (4698 codes)
  • INJ043 — Fracture of the neck of the femur (hip), subsequent encounter (830 codes)
  • INJ044 — Dislocations, subsequent encounter (538 codes)
  • INJ045 — Traumatic brain injury (TBI); concussion, subsequent encounter (177 codes)
  • INJ046 — Spinal cord injury (SCI), subsequent encounter (105 codes)
  • INJ047 — Internal organ injury, subsequent encounter (263 codes)
  • INJ048 — Open wounds of head and neck, subsequent encounter (157 codes)
  • INJ049 — Open wounds to limbs, subsequent encounter (606 codes)
  • INJ050 — Open wounds of trunk, subsequent encounter (288 codes)
  • INJ051 — Amputation of a limb, subsequent encounter (172 codes)
  • INJ052 — Amputation of other body parts, subsequent encounter (23 codes)
  • INJ053 — Injury to blood vessels, subsequent encounter (571 codes)
  • INJ054 — Superficial injury; contusion, subsequent encounter (764 codes)
  • INJ055 — Crushing injury, subsequent encounter (78 codes)
  • INJ056 — Burns and corrosion, subsequent encounter (824 codes)
  • INJ057 — Effect of foreign body entering opening, subsequent encounter (87 codes)
  • INJ058 — Effect of other external causes, subsequent encounter (170 codes)
  • INJ059 — Poisoning by drugs, subsequent encounter (712 codes)
  • INJ060 — Toxic effects, subsequent encounter (544 codes)
  • INJ061 — Sprains and strains, subsequent encounter (489 codes)
  • INJ062 — Injury to nerves, muscles and tendons, subsequent encounter (490 codes)
  • INJ063 — Other specified injury, subsequent encounter (69 codes)
  • INJ064 — Other unspecified injuries, subsequent encounter (47 codes)
  • INJ065 — Adverse effects of drugs and medicaments, subsequent encounter (175 codes)
  • INJ066 — Underdosing of drugs and medicaments, subsequent encounter (175 codes)
  • INJ067 — Allergic reactions, subsequent encounter (27 codes)
  • INJ068 — Maltreatment/abuse, subsequent encounter (29 codes)
  • INJ069 — Complication of cardiovascular device, implant or graft, subsequent encounter (99 codes)
  • INJ070 — Complication of genitourinary device, implant or graft, subsequent encounter (82 codes)
  • INJ071 — Complication of internal orthopedic device or implant, subsequent encounter (116 codes)
  • INJ072 — Complication of other surgical or medical care, injury, subsequent encounter (230 codes)
  • INJ073 — Injury, sequela (7579 codes)
  • INJ074 — Effect of other external causes, sequela (199 codes)
  • INJ075 — Poisoning/toxic effect/adverse effects/underdosing, sequela (1607 codes)
  • INJ076 — Complication, sequela (527 codes)

MAL

  • MAL001 — Cardiac and circulatory congenital anomalies (108 codes)
  • MAL002 — Digestive congenital anomalies (62 codes)
  • MAL003 — Genitourinary congenital anomalies (158 codes)
  • MAL004 — Nervous system congenital anomalies (50 codes)
  • MAL005 — Congenital malformations of eye, ear, face, neck (62 codes)
  • MAL006 — Cleft lip or palate (16 codes)
  • MAL007 — Respiratory congenital malformations (31 codes)
  • MAL008 — Musculoskeletal congenital conditions (266 codes)
  • MAL009 — Chromosomal abnormalities (77 codes)
  • MAL010 — Other specified and unspecified congenital anomalies (80 codes)

MBD

  • MBD001 — Schizophrenia spectrum and other psychotic disorders (104 codes)
  • MBD002 — Depressive disorders (23 codes)
  • MBD003 — Bipolar and related disorders (34 codes)
  • MBD004 — Other specified and unspecified mood disorders (6 codes)
  • MBD005 — Anxiety and fear-related disorders (55 codes)
  • MBD006 — Obsessive-compulsive and related disorders (8 codes)
  • MBD007 — Trauma- and stressor-related disorders (28 codes)
  • MBD008 — Disruptive, impulse-control and conduct disorders (12 codes)
  • MBD009 — Personality disorders (15 codes)
  • MBD010 — Feeding and eating disorders (34 codes)
  • MBD011 — Somatic disorders (14 codes)
  • MBD012 — Suicidal ideation/attempt/intentional self-harm (369 codes)
  • MBD013 — Miscellaneous mental and behavioral disorders/conditions (53 codes)
  • MBD014 — Neurodevelopmental disorders (45 codes)
  • MBD017 — Alcohol-related disorders (82 codes)
  • MBD018 — Opioid-related disorders (85 codes)
  • MBD019 — Cannabis-related disorders (47 codes)
  • MBD020 — Sedative-related disorders (65 codes)
  • MBD021 — Stimulant-related disorders (129 codes)
  • MBD022 — Hallucinogen-related disorders (55 codes)
  • MBD023 — Inhalant-related disorders (41 codes)
  • MBD024 — Tobacco-related disorders (22 codes)
  • MBD025 — Other specified substance-related disorders (73 codes)
  • MBD026 — Mental and substance use disorders in remission (44 codes)
  • MBD027 — Suicide attempt/intentional self-harm; subsequent encounter (363 codes)
  • MBD028 — Opioid-related disorders; subsequent encounter (44 codes)
  • MBD029 — Stimulant-related disorders; subsequent encounter (39 codes)
  • MBD030 — Cannabis-related disorders; subsequent encounter (10 codes)
  • MBD031 — Hallucinogen-related disorders; subsequent encounter (18 codes)
  • MBD032 — Sedative-related disorders; subsequent encounter (10 codes)
  • MBD033 — Inhalant-related disorders; subsequent encounter (5 codes)
  • MBD034 — Mental and substance use disorders; sequela (460 codes)

MUS

  • MUS001 — Infective arthritis (132 codes)
  • MUS002 — Osteomyelitis (195 codes)
  • MUS003 — Rheumatoid arthritis and related disease (341 codes)
  • MUS004 — Juvenile arthritis (125 codes)
  • MUS005 — Other specified chronic arthropathy (28 codes)
  • MUS006 — Osteoarthritis (98 codes)
  • MUS007 — Other specified joint disorders (742 codes)
  • MUS008 — Immune-mediated/reactive arthropathies (98 codes)
  • MUS009 — Tendon and synovial disorders (452 codes)
  • MUS010 — Musculoskeletal pain, not low back pain (89 codes)
  • MUS011 — Spondylopathies/spondyloarthropathy (including infective) (362 codes)
  • MUS012 — Biomechanical lesions (91 codes)
  • MUS013 — Osteoporosis (57 codes)
  • MUS014 — Pathological fracture, initial encounter (156 codes)
  • MUS015 — Pathological fracture, subsequent encounter (624 codes)
  • MUS016 — Stress fracture, initial encounter (56 codes)
  • MUS017 — Stress fracture, subsequent encounter (188 codes)
  • MUS018 — Atypical fracture, initial encounter (10 codes)
  • MUS019 — Atypical fracture, subsequent encounter (40 codes)
  • MUS020 — Pathological, stress and atypical fractures, sequela (222 codes)
  • MUS021 — Acquired foot deformities (48 codes)
  • MUS022 — Scoliosis and other postural dorsopathic deformities (111 codes)
  • MUS023 — Acquired deformities (excluding foot) (145 codes)
  • MUS024 — Systemic lupus erythematosus and connective tissue disorders (93 codes)
  • MUS025 — Other specified connective tissue disease (305 codes)
  • MUS026 — Muscle disorders (399 codes)
  • MUS027 — Musculoskeletal abscess (47 codes)
  • MUS028 — Other specified bone disease and musculoskeletal deformities (701 codes)
  • MUS029 — Disorders of jaw (105 codes)
  • MUS030 — Aseptic necrosis and osteonecrosis (279 codes)
  • MUS031 — Traumatic arthropathy (24 codes)
  • MUS032 — Neurogenic/neuropathic arthropathy (25 codes)
  • MUS033 — Gout (363 codes)
  • MUS034 — Crystal arthropathies (excluding gout) (97 codes)
  • MUS035 — Osteomalacia (9 codes)
  • MUS036 — Autoinflammatory syndromes (4 codes)
  • MUS037 — Postprocedural or postoperative musculoskeletal system complication (31 codes)
  • MUS038 — Low back pain (42 codes)

NEO

  • NEO001 — Head and neck cancers - eye (30 codes)
  • NEO002 — Head and neck cancers - lip and oral cavity (43 codes)
  • NEO003 — Head and neck cancers - throat (7 codes)
  • NEO004 — Head and neck cancers - salivary gland (4 codes)
  • NEO005 — Head and neck cancers - nasopharyngeal (6 codes)
  • NEO006 — Head and neck cancers - hypopharyngeal (6 codes)
  • NEO007 — Head and neck cancers - pharyngeal (3 codes)
  • NEO008 — Head and neck cancers - laryngeal (7 codes)
  • NEO009 — Head and neck cancers - tonsils (4 codes)
  • NEO010 — Head and neck cancers - all other types (10 codes)
  • NEO011 — Cardiac cancers (5 codes)
  • NEO012 — Gastrointestinal cancers - esophagus (7 codes)
  • NEO013 — Gastrointestinal cancers - stomach (11 codes)
  • NEO014 — Gastrointestinal cancers - small intestine (8 codes)
  • NEO015 — Gastrointestinal cancers - colorectal (19 codes)
  • NEO016 — Gastrointestinal cancers - anus (5 codes)
  • NEO017 — Gastrointestinal cancers - liver (8 codes)
  • NEO018 — Gastrointestinal cancers - bile duct (1 codes)
  • NEO019 — Gastrointestinal cancers - gallbladder (1 codes)
  • NEO020 — Gastrointestinal cancers - peritoneum (3 codes)
  • NEO021 — Gastrointestinal cancers - all other types (12 codes)
  • NEO022 — Respiratory cancers (26 codes)
  • NEO023 — Bone cancer (24 codes)
  • NEO024 — Sarcoma (26 codes)
  • NEO025 — Skin cancers - melanoma (51 codes)
  • NEO026 — Skin cancers - basal cell carcinoma (26 codes)
  • NEO027 — Skin cancers - squamous cell carcinoma (26 codes)
  • NEO028 — Skin cancers - all other types (106 codes)
  • NEO029 — Breast cancer - ductal carcinoma in situ (DCIS) (3 codes)
  • NEO030 — Breast cancer - all other types (66 codes)
  • NEO031 — Female reproductive system cancers - uterus (6 codes)
  • NEO032 — Female reproductive system cancers - cervix (8 codes)
  • NEO033 — Female reproductive system cancers - ovary (4 codes)
  • NEO034 — Female reproductive system cancers - fallopian tube (3 codes)
  • NEO035 — Female reproductive system cancers - endometrium (2 codes)
  • NEO036 — Female reproductive system cancers - vulva (2 codes)
  • NEO037 — Female reproductive system cancers - vagina (2 codes)
  • NEO038 — Female reproductive system cancers - all other types (18 codes)
  • NEO039 — Male reproductive system cancers - prostate (2 codes)
  • NEO040 — Male reproductive system cancers - testis (9 codes)
  • NEO041 — Male reproductive system cancers - penis (6 codes)
  • NEO042 — Male reproductive system cancers - all other types (13 codes)
  • NEO043 — Urinary system cancers - bladder (11 codes)
  • NEO044 — Urinary system cancers - ureter and renal pelvis (6 codes)
  • NEO045 — Urinary system cancers - kidney (3 codes)
  • NEO046 — Urinary system cancers - urethra (2 codes)
  • NEO047 — Urinary system cancers - all other types (4 codes)
  • NEO048 — Nervous system cancers - brain (13 codes)
  • NEO049 — Nervous system cancers - all other types (27 codes)
  • NEO050 — Endocrine system cancers - thyroid (4 codes)
  • NEO051 — Endocrine system cancers - pancreas (8 codes)
  • NEO052 — Endocrine system cancers - thymus (1 codes)
  • NEO053 — Endocrine system cancers - adrenocortical (3 codes)
  • NEO054 — Endocrine system cancers - parathyroid (1 codes)
  • NEO055 — Endocrine system cancers - pituitary gland (1 codes)
  • NEO056 — Endocrine system cancers - all other types (12 codes)
  • NEO057 — Hodgkin lymphoma (70 codes)
  • NEO058 — Non-Hodgkin lymphoma (318 codes)
  • NEO059 — Leukemia - acute lymphoblastic leukemia (ALL) (2 codes)
  • NEO060 — Leukemia - acute myeloid leukemia (AML) (16 codes)
  • NEO061 — Leukemia - chronic lymphocytic leukemia (CLL) (2 codes)
  • NEO062 — Leukemia - chronic myeloid leukemia (CML) (6 codes)
  • NEO063 — Leukemia - hairy cell (2 codes)
  • NEO064 — Leukemia - all other types (37 codes)
  • NEO065 — Multiple myeloma (8 codes)
  • NEO066 — Malignant neuroendocrine tumors (31 codes)
  • NEO067 — Mesothelioma (5 codes)
  • NEO068 — Myelodysplastic syndrome (MDS) (11 codes)
  • NEO069 — Cancer of other sites (11 codes)
  • NEO070 — Secondary malignancies (45 codes)
  • NEO071 — Malignant neoplasm, unspecified (6 codes)
  • NEO072 — Neoplasms of unspecified nature or uncertain behavior (121 codes)
  • NEO073 — Benign neoplasms (273 codes)
  • NEO074 — Conditions due to neoplasm or the treatment of neoplasm (57 codes)
  • NEO075 — Leukemia in remission (40 codes)
  • NEO076 — Hodgkin lymphoma in remission (7 codes)
  • NEO077 — Non-Hodgkin lymphoma in remission (33 codes)
  • NEO078 — Myeloma in remission (4 codes)

NVS

  • NVS001 — Meningitis (48 codes)
  • NVS002 — Encephalitis (56 codes)
  • NVS003 — Other specified CNS infection and poliomyelitis (31 codes)
  • NVS004 — Parkinson's disease (6 codes)
  • NVS005 — Multiple sclerosis (9 codes)
  • NVS006 — Other nervous system disorders (often hereditary or degenerative) (104 codes)
  • NVS007 — Cerebral palsy (7 codes)
  • NVS008 — Paralysis (other than cerebral palsy) (48 codes)
  • NVS009 — Epilepsy; convulsions (63 codes)
  • NVS010 — Headache; including migraine (91 codes)
  • NVS011 — Neurocognitive disorders (98 codes)
  • NVS012 — Transient cerebral ischemia (7 codes)
  • NVS013 — Coma; stupor; and brain damage (34 codes)
  • NVS014 — CNS abscess (8 codes)
  • NVS015 — Polyneuropathies (63 codes)
  • NVS016 — Sleep wake disorders (63 codes)
  • NVS017 — Nerve and nerve root disorders (115 codes)
  • NVS018 — Myopathies (74 codes)
  • NVS019 — Nervous system pain and pain syndromes (25 codes)
  • NVS020 — Other nervous system disorders (neither hereditary nor degenerative) (118 codes)
  • NVS021 — Postprocedural or postoperative nervous system complication (18 codes)
  • NVS022 — Sequela of specified nervous system conditions (6 codes)

PNL

  • PNL001 — Liveborn (18 codes)
  • PNL002 — Short gestation; low birth weight; and fetal growth retardation (49 codes)
  • PNL003 — Neonatal acidemia and hypoxia (5 codes)
  • PNL004 — Neonatal cerebral disorders (20 codes)
  • PNL005 — Respiratory distress syndrome (3 codes)
  • PNL006 — Respiratory perinatal condition (54 codes)
  • PNL007 — Hemolytic jaundice and perinatal jaundice (26 codes)
  • PNL008 — Birth trauma (44 codes)
  • PNL009 — Perinatal infections (78 codes)
  • PNL010 — Newborn affected by maternal conditions or complications of labor/delivery (74 codes)
  • PNL011 — Hemorrhagic and hematologic disorders of newborn (41 codes)
  • PNL012 — Neonatal digestive and feeding disorders (29 codes)
  • PNL013 — Other specified and unspecified perinatal conditions (95 codes)
  • PNL014 — Neonatal abstinence syndrome (13 codes)
  • PNL015 — Fetal alcohol syndrome (2 codes)

PRG

  • PRG001 — Antenatal screening (18 codes)
  • PRG002 — Gestational weeks (38 codes)
  • PRG003 — Spontaneous abortion and complications of spontaneous abortion (28 codes)
  • PRG004 — Induced abortion and complications of termination of pregnancy (28 codes)
  • PRG005 — Ectopic pregnancy and complications of ectopic pregnancy (55 codes)
  • PRG006 — Molar pregnancy and other abnormal products of conception (8 codes)
  • PRG007 — Complications following ectopic and/or molar pregnancy (13 codes)
  • PRG008 — Supervision of high-risk pregnancy (64 codes)
  • PRG009 — Early, first or unspecified trimester hemorrhage (35 codes)
  • PRG010 — Hemorrhage after first trimester (38 codes)
  • PRG011 — Early or threatened labor (79 codes)
  • PRG012 — Multiple gestation (228 codes)
  • PRG013 — Maternal care related to fetal conditions (595 codes)
  • PRG014 — Polyhydramnios and other problems of amniotic cavity (112 codes)
  • PRG015 — Obstetric history affecting care in pregnancy (16 codes)
  • PRG016 — Previous C-section (6 codes)
  • PRG017 — Maternal care for abnormality of pelvic organs (48 codes)
  • PRG018 — Maternal care related to disorders of the placenta and placental implantation (124 codes)
  • PRG019 — Diabetes or abnormal glucose tolerance complicating pregnancy; childbirth; or the puerperium (45 codes)
  • PRG020 — Hypertension and hypertensive-related conditions complicating pregnancy; childbirth; and the puerperium (80 codes)
  • PRG021 — Maternal intrauterine infection (84 codes)
  • PRG022 — Prolonged pregnancy (2 codes)
  • PRG023 — Complications specified during childbirth (112 codes)
  • PRG024 — Malposition, disproportion or other labor complications (260 codes)
  • PRG025 — Anesthesia complications during pregnancy (66 codes)
  • PRG026 — OB-related trauma to perineum and vulva (11 codes)
  • PRG027 — Complications specified during the puerperium (134 codes)
  • PRG028 — Other specified complications in pregnancy (319 codes)
  • PRG029 — Uncomplicated pregnancy, delivery or puerperium (43 codes)
  • PRG030 — Maternal outcome of delivery (19 codes)

RSP

  • RSP001 — Sinusitis (21 codes)
  • RSP002 — Pneumonia (except that caused by tuberculosis) (69 codes)
  • RSP003 — Influenza (21 codes)
  • RSP004 — Acute and chronic tonsillitis (15 codes)
  • RSP005 — Acute bronchitis (15 codes)
  • RSP006 — Other specified upper respiratory infections (27 codes)
  • RSP007 — Other specified and unspecified upper respiratory disease (45 codes)
  • RSP008 — Chronic obstructive pulmonary disease and bronchiectasis (19 codes)
  • RSP009 — Asthma (18 codes)
  • RSP010 — Aspiration pneumonitis (10 codes)
  • RSP011 — Pleurisy, pleural effusion and pulmonary collapse (18 codes)
  • RSP012 — Respiratory failure; insufficiency; arrest (16 codes)
  • RSP013 — Lung disease due to external agents (45 codes)
  • RSP014 — Pneumothorax (8 codes)
  • RSP015 — Mediastinal disorders (4 codes)
  • RSP016 — Other specified and unspecified lower respiratory disease (80 codes)
  • RSP017 — Postprocedural or postoperative respiratory system complication (32 codes)

SKN

  • SKN001 — Skin and subcutaneous tissue infections (171 codes)
  • SKN002 — Other specified inflammatory condition of skin (166 codes)
  • SKN003 — Pressure ulcer of skin (185 codes)
  • SKN004 — Non-pressure ulcer of skin (304 codes)
  • SKN005 — Contact dermatitis (49 codes)
  • SKN006 — Postprocedural or postoperative skin complication (12 codes)
  • SKN007 — Other specified and unspecified skin disorders (158 codes)

SYM

  • SYM001 — Syncope (2 codes)
  • SYM002 — Fever (6 codes)
  • SYM003 — Shock (16 codes)
  • SYM004 — Nausea and vomiting (15 codes)
  • SYM005 — Dysphagia (7 codes)
  • SYM006 — Abdominal pain and other digestive/abdomen signs and symptoms (79 codes)
  • SYM007 — Malaise and fatigue (6 codes)
  • SYM008 — Symptoms of mental and substance use conditions (26 codes)
  • SYM009 — Abnormal findings related to substance use (7 codes)
  • SYM010 — Nervous system signs and symptoms (159 codes)
  • SYM011 — Genitourinary signs and symptoms (59 codes)
  • SYM012 — Circulatory signs and symptoms (12 codes)
  • SYM013 — Respiratory signs and symptoms (41 codes)
  • SYM014 — Skin/Subcutaneous signs and symptoms (26 codes)
  • SYM015 — General sensation/perception signs and symptoms (13 codes)
  • SYM016 — Other general signs and symptoms (59 codes)
  • SYM017 — Abnormal findings without diagnosis (204 codes)
  • SYM018 — Prediabetes (1 codes)
  • SYM019 — Flank pain and tenderness (8 codes)

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, Rockville, MD. All data sources.