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Reimbursement & Patient Assistance Program | ICD-9 Codes

Pfizer does not take responsibility for the completeness or accuracy of this collection of codes, which is licensed by Doctor's ToolBox, Inc. Neither Pfizer nor Doctor's ToolBox can be held liable for any damages arising from the use, or misuse, of any codes contained in this reference. Copyright 2004-2012, Doctor's ToolBox, Inc. All rights reserved. Unauthorized reproduction, duplication or dissemination, in part or in total, by any means, is a violation of copyright law.

 

Add required 5th digit to groups 203-208:
0 - Without mention of having achieved remission
1 - In remission
2 - In relapse

Add required 5th digit to groups 200-202 to specify lymph node site:
0 - Unspecified site, extranodal and solid organ sites
1 - Head, face, and neck
2 - Intrathoracic
3 - Intra-abdominal
4 - Axilla and upper limb
5 - Inguinal region/lower limb

6 - Intrapelvic
7 - Spleen
8 - Multiple sites

Add required 5th digit to groups 715, 716, 719, and 730:
0 - Site unspecified
1 - Shoulder region
2 - Upper arm
3 - Forearm
4 - Hand
5 - Pelvic region and thigh
6 - Lower leg
7 - Ankle and foot
8 - Other specified sites
9 - Multiple sites

Add required 5th digit to group 789:
0 - Unspecified site
1 - Right upper quadrant
2 - Left upper quadrant
3 - Right lower quadrant
4 - Left lower quadrant
5 - Periumbilic
6 - Epigastric
7 - Generalized
8 - Other or multiple sites

ICD-9 Codes Valid from October 1, 2011 to September 30, 2012

A

Abnormal Exam/Test Result, Alkaline phosphatase­  790.5
Abnormal Exam/Test Result, Antinuclear antibody ­  795.79 
Abnormal Exam/Test Result, Bence-Jones proteinuria  791.0 
Abnormal Exam/Test Result, Blood chemistry  790.6 
Abnormal Exam/Test Result, CA 125 ­  795.82 
Abnormal Exam/Test Result, CEA ­  795.81 
Abnormal Exam/Test Result, Cholesterol  272.9 
Abnormal Exam/Test Result, Chromosomal study  795.2 
Abnormal Exam/Test Result, Coagulation profile  790.92 
Abnormal Exam/Test Result, CSF  792.0 
Abnormal Exam/Test Result, Echocardiogram  793.2 
Abnormal Exam/Test Result, EKG/ECG  794.31 
Abnormal Exam/Test Result, GTT/Glucose tolerance  790.22 
Abnormal Exam/Test Result, Hemoglobin level ­  282.7 
Abnormal Exam/Test Result, HIV inconclusive  795.71 
Abnormal Exam/Test Result, HIV positive, asymptomatic  V08 
Abnormal Exam/Test Result, Iron level  790.6 
Abnormal Exam/Test Result, Liver enzyme ­  790.6 
Abnormal Exam/Test Result, Liver function study  794.8 
Abnormal Exam/Test Result, Lung scan  794.2 
Abnormal Exam/Test Result, Mammogram  793.80 
Abnormal Exam/Test Result, Mantoux test  795.51
Abnormal Exam/Test Result, PAP smear, Anus  796.70 
Abnormal Exam/Test Result, PAP smear, Anus and anal HPV  796.79
Abnormal Exam/Test Result, PAP smear, Anus with ASC-H  796.72
Abnormal Exam/Test Result, PAP smear, Anus with ASC-US  796.71
Abnormal Exam/Test Result, PAP smear, Anus with cytologic evidence of malignancy  796.76
Abnormal Exam/Test Result, PAP smear, Anus with HGSIL  796.74
Abnormal Exam/Test Result, PAP smear, Anus with high risk HPV DNA test positive  796.75
Abnormal Exam/Test Result, PAP smear, Anus with LGSIL  796.73
Abnormal Exam/Test Result, PAP smear, Anus, satisfactory smear but lacking transformation zone  796.77
Abnormal Exam/Test Result, PAP smear, Anus, unsatisfactory  796.78
Abnormal Exam/Test Result, Pap smear, Cervix  795.00 
Abnormal Exam/Test Result, PAP smear, Vagina  795.10 
Abnormal Exam/Test Result, PAP smear, Vagina cannot exclude ASC-H  795.12 
Abnormal Exam/Test Result, PAP smear, Vagina high risk HPV DNA test positive  795.15 
Abnormal Exam/Test Result, PAP smear,Vagina unsatisfactory cytology smear 795.18 
Abnormal Exam/Test Result, PAP smear, Vagina with ASC-US  795.11 
Abnormal Exam/Test Result, PAP smear, Vagina with cytologic evidence of malignancy  795.16 
Abnormal Exam/Test Result, PAP smear, Vagina with HGSIL  795.14 
Abnormal Exam/Test Result, PAP smear, Vagina with LGSIL  795.13 
Abnormal Exam/Test Result, PAP smear, Vagina and vaginal HPV  795.19 
Abnormal Exam/Test Result, Proteinuria  791.0 
Abnormal Exam/Test Result, PSA ­  790.93 
Abnormal Exam/Test Result, Pulmonary function study  794.2 
Abnormal Exam/Test Result, Radiological exam, Unspecified result  793.99
Abnormal Exam/Test Result, Radiological/Ultrasound exams Abdomen, Unspecified result  793.6
Abnormal Exam/Test Result, Radiological/Ultrasound exams Biliary tract/GB, Unspecified result  793.3
Abnormal Exam/Test Result, Radiological/Ultrasound exams Breast/Mammogram, Other  793.89
Abnormal Exam/Test Result, Radiological/Ultrasound exams Gastrointestinal tract, Unspecified result  793.4
Abnormal Exam/Test Result, Radiological/Ultrasound exams Genitourinary organs, Unspecified result  793.5
Abnormal Exam/Test Result, Radiological/Ultrasound exams Head/Skull, Unspecified result  793.0

  
Abnormal Exam/Test Result, Radiological/Ultrasound exams Inconclusive due to excess body fat, Unspecified result  793.91
Abnormal Exam/Test Result, Radiological/Ultrasound exams Lung field, Unspecified result  793.19
Abnormal Exam/Test Result, Radiological/Ultrasound exams Mammogram Inconclusive  793.82
Abnormal Exam/Test Result, Radiological/Ultrasound exams Mammogram Microcalcification  793.81
Abnormal Exam/Test Result, Radiological/Ultrasound exams Mammogram, Unspecified result  793.80
Abnormal Exam/Test Result, Radiological/Ultrasound exams Musculoskeletal system, Unspecified result  793.7
Abnormal Exam/Test Result, Radiological/Ultrasound exams Retroperitoneum, Unspecified result  793.6
Abnormal Exam/Test Result, Radiological/Ultrasound exams Thoracic Parts/Heart, Unspecified result  793.2
Abnormal Exam/Test Result, RBC Morphology/Size  790.09 
Abnormal Exam/Test Result, Saliva  792.4 
Abnormal Exam/Test Result, Sedimentation rate­  790.1 
Abnormal Exam/Test Result, Serum enzymes  790.5 
Abnormal Exam/Test Result, Sputum  795.39 
Abnormal Exam/Test Result, Stool, bloody  578.1 
Abnormal Exam/Test Result, Stool/Occult blood  792.1 
Abnormal Exam/Test Result, Transaminase/LDH ­  790.4 
Abnormal Exam/Test Result, Triglycerides  272.9 
Abnormal Exam/Test Result, Tumor associated antigens [TAA] ­  795.89 
Abnormal Exam/Test Result, Tumor specific antigens [TSA] ­  795.89 
Abnormal Exam/Test Result, Urinalysis unspecified  791.9 
Abnormal Exam/Test Result, Urinalysis, Acetone  791.6 
Abnormal Exam/Test Result, Urinalysis, Bile  791.4 
Abnormal Exam/Test Result, Urinalysis, Cells/Casts  791.7 
Abnormal Exam/Test Result, Urinalysis, Chyle  791.1 
Abnormal Exam/Test Result, Urinalysis, Glucose  791.5 
Abnormal Exam/Test Result, Urinalysis, Hemoglobin  791.2 
Abnormal Exam/Test Result, Urinalysis, Myoglobinuria  791.3 
Abnormal Exam/Test Result, Urinalysis, Protein  791.0 
Abnormal Exam/Test Result, Urinalysis, Pus  791.9 
Abnormal Exam/Test Tumor Markers, other specified  795.89 
Abortion, threatened  640.00
Abscess unspecified  682.9 
Abscess, Abdominal wall  682.2 
Abscess, Anorectal  566 
Abscess, Any part of skin  682.9 
Abscess, Arm  682.3 
Abscess, Brain  324.0 
Abscess, Breast  611.0 
Abscess, Buttock  682.5 
Abscess, Chest  510.9 
Abscess, Elbow  682.3 
Abscess, Eye  360.00 
Abscess, Face  682.0 
Abscess, Female genital  616.9 
Abscess, Fingers  681.00 
Abscess, Gluteal region  682.5 
Abscess, Hand  682.4 
Abscess, Head/Skull  682.8 
Abscess, Leg, except foot  682.6 
Abscess, Lung  513.0 
Abscess, Male genital  608.4 
Abscess, Mouth  528.3 
Abscess, Neck  682.1 
Abscess, Perianal  566 
Abscess, Peritoneal  567.22 
Abscess, Subdural  324.9 
Abscess, Tooth  522.5 
Acidosis  276.2 
Acidosis, renal tubular  588.89 
Acne  706.1 
Acoustic nerve disorder  388.5 
ADD  314.00 
Addison's disease  255.41 
Adenitis axillary  289.3 
Adenoma, prostrate  600.20 
Adenomyosis  671.0 
Adrenal gland disorder  255.9 
Adrenal insufficiency  255.41 
Agammaglobulinemia  279.00 
Agenesis vagina  752.49 
Agitation  307.9 
Agranulocytosis  288.09 
AIDS  042 
Albinism  270.2 
Alcohol abuse unspecified  305.00 
Allergic dermatitis  692.9 
Allergic purpura  287.0 
Allergic reaction  995.3 
Allergic reaction, Dandruff  477.8 
Allergic reaction, Insect bite  477.8 
Allergic reaction, Medicine  995.27
Allergic rhinitis/sinusitus  477.9 
Alopecia  704.00 
Altered mental status  780.97 
Alzheimer's dementia  331.0
Amenorrhea  626.0 
Amino acid metabolic disturbance  270.9

  
Amyloidosis  277.39
Anaphylactic reaction to correct substance properly adminstered  995.0
Anaplastic large cell lymphoma, intra-abdominal lymph nodes  200.63 
Anaplastic large cell lymphoma, intrapelvic lymph nodes  200.66 
Anaplastic large cell lymphoma, intrathoracic lymph nodes  200.62 
Anaplastic large cell lymphoma, lymph nodes of axilla and upper limb  200.64 
Anaplastic large cell lymphoma, lymph nodes of head, face and neck  200.61 
Anaplastic large cell lymphoma, lymph nodes of inguinal region and lower limb  200.65 
Anaplastic large cell lymphoma, lymph nodes of multiple sites  200.68 
Anaplastic large cell lymphoma, spleen  200.67 
Anaplastic large cell lymphoma, unspecified site, extranodal and solid organ sites  200.60 
Anasarca  782.3 
Anemia Aplastic  284.9 
Anemia in Chronic disease, other  285.29 
Anemia in Chronic kidney disease  285.21 
Anemia in Neoplastic disease  285.22 
Anemia of Prematurity  776.6 
Anemia unspecified  285.9 
Anemia, Aplastic Constitutional  284.01 
Anemia, Aplastic Due to Chronic disease  284.89 
Anemia, Aplastic Due to Drugs  284.89
Anemia, Aplastic Due to Infection  284.89 
Anemia, Aplastic Due to Radiation  284.89 
Anemia, Aplastic Idiopathic/Unspecified  284.9 
Anemia, Autohemolytic  282.2 
Anemia, Autoimmune hemolytic  283.0 
Anemia, Blood loss, acute  285.1 
Anemia, Blood loss, chronic  280.0 
Anemia, Chronic simple  281.9 
Anemia, Elliptocytosis  282.1 
Anemia, ESRD  285.21 
Anemia, Folic acid deficiency  281.2 
Anemia, Hemoglobin deficiency  285.9 
Anemia, Hemolytic acquired  283.9 
Anemia, Hypoplastic  284.9 
Anemia, Iron deficiency  280.9 
Anemia, Macrocytic  281.9 
Anemia, Megaloblastic  281.9 
Anemia, Microcytic  280.9 
Anemia, Myelophthisic  284.2 
Anemia, Newborn  773.2 
Anemia, Normocytic  285.9 
Anemia, Nutritional  281.9 
Anemia, Pernicious  281.0 
Anemia, Refractory, primary  238.72 
Anemia, Secondary  285.9 
Anemia, Sickle cell  282.60 
Anemia, Sideroblastic  285.0 
Anemia, Thalassemias  282.49 
Anemia, Vitamin B12 deficiency  281.1 
Angina  413.9 
Angiomatosis  757.32 
Angioneurotic edema  995.1 
Anomaly, Arteriovenous peripheral system NEC  747.60 
Anomaly, Genitourinary system NEC  752.9 
Anomaly, Heart  746.9 
Anomaly, Peripheral vascular system NEC  747.60 
Anorexia  783.0 
Anticardiolipin antibody syndrome  795.79 
Anticoagulation Rx long-term  V58.61 
Anusitis  569.49 
Anxiety, depression reaction  300.4 
Anxiety, neurosis  300.00 
Aphthous ulcer  528.2 
Aplasia, Red cell acquired  284.81 
Aplasia, Red cell congenital  284.01 
Aplasia, Spinal cord  742.59 
Appendicitis  541 
Appetite loss  783.0 
Arrhythmia  427.9 
Arterial embolism  444.9 
Arterial obstruction  444.9 
Arterial thrombosis  444.9 
Arteriosclerosis  440.9 
Arteriosclerotic cardiovascular disease  429.2 
Arteriosclerotic heart disease  414.00 
Arthralgia, site unspecified  719.4x 
Arthritis, site unspecified  716.9x 
Ascites  789.59 
Aseptic necrosis of bone  733.40 
Aspergillosis  117.3 
Aspiration pneumonia  507.0 
Asthenia, senile  797 
Atelectasis  518.0 
Atrophic gastritis  535.10 
Atrophic vagina  627.3 
Atrophic vulva  624.1 
Attention to Gastrostomy  V55.1 
Attention to Hickman catheter  V55.8 
Autism  299.00 
Azotemia  790.6