Effective: September 30, 2007
Revised:
ATTACHMENT 1 TO FORMATS G99HS, G99IMM, AND G99HC
INTERNATIONAL CLASSIFICATION OF DISEASES (ICD) CODES
| ICD Code | Description |
|---|---|
| 000 | Unspecified Health Problem |
| 007.1 | Giardiasis |
| 034.0 | Strep Sore Throat |
| 052 | Chickenpox |
| 052.9 | Varicella Uncomplicated |
| 070.30 | Hepatitis, Viral, Type B |
| 078.1 | Viral Warts |
| 079.9 | Viral Infection Nos |
| 110.4 | Dermatophytosis of Foot |
| 110.9 | Dermatophytosis Site Nos |
| 127.4 | Enterobiasis |
| 129 | Intestin Parasitism Nos |
| 130 | Toxoplasmosis |
| 130.0 | Toxoplasm Meningoenceph |
| 132.0 | Pediculus Capitis |
| 133.0 | Scabies |
| 278.0 | Obesity |
| 280.9 | Iron Defic Anemia Nos |
| 281.9 | Deficiency Anemia Nos |
| 285.9 | Anemia Nos |
| 314.9 | Hyperkinetic Synd Nos |
| 343.9 | Cerebral Palsy Nos |
| 345.9 | Epilepsy Nos |
| 367 | Disorders of Refraction |
| 367.0 | Hypermetropia |
| 367.1 | Myopia |
| 367.2 | Astigmatism |
| 367.20 | Astigmatism Nos |
| 367.9 | Refraction Disorder Nos |
| 368 | Visual Disturbances |
| 368.0 | Amblyopia Ex Anopsia |
| 368.00 | Amblyopia Nos |
| 368.59 | Color Deficiency Nec |
| 368.9 | Visual Disturbance Nos |
| 372.0 | Acute Conjunctivitis |
| 372.30 | Conjunctivitis Nos |
| 378.0 | Esotropia |
| 378.9 | Eye Movemnt Disorder Nos |
| 380.1 | Infective Otitis Externa |
| 380.4 | Impacted Cerumen |
| 381 | Nonsuppur Otitis Media |
| 381.0 | AC Nonsup Otitus Media |
| 381.01 | AC Serous Otitus Media |
| 381.3 | CHR Nonsup OM Nos/Nec |
| 381.4 | Nonsupp Otitis Media Nos |
| 382 | Otitis Media Suppur/Nos |
| 382.0 | AC Suppur Otitis Media |
| 382.4 | Suppur Otitis Media |
| 382.9 | Otitis Media Nos |
| 384.2 | Perforation Tympan Memb |
| 389 | Hearing Loss |
| 389.1 | Sensorneural Hear Loss |
| 389.9 | Hearing Loss Nos |
| 401.9 | Hypertension Nos |
| 460 | Acute Nasopharyngitis |
| 461.9 | Acute Sinusitis Nos |
| 462 | Acute Pharyngitis |
| 463 | Acute Tonsillitis |
| 465.9 | Acute URI Nos |
| 466.0 | Acute Bronchitis |
| 472.0 | Chronic Rhinitis |
| 474.0 | Chronic Tonsillitis |
| 474.1 | T A Hypertrophy |
| 474.10 | Hypertrophy T and A |
| 474.11 | Hypertrophy Tonsils |
| 477 | Allergic Rhinitis |
| 477.9 | Allergis Rhinitis Nos |
| 486 | Pneumonia, Organism Nos |
| 487.1 | Flu W Resp Manifest Nec |
| 490 | Bronchitis Nos |
| 493.9 | Asthma Nos |
| 520.6 | Tooth Eruption Disturb |
| 521 | Hard Tissue Dis of Teeth |
| 521.0 | Dental Caries |
| 522.5 | Periapical Abcess |
| 523.0 | Acute Gingivitis |
| 523.6 | Accretions on Teeth |
| 524.3 | Tooth Position Anomaly |
| 524.4 | Malocclusion Nos |
| 525.1 | Loss of Teeth, Aquired |
| 525.9 | Dental Disorder Nos |
| 558.9 | Nonif Gastroenterit Nec |
| 573.3 | Hepatitis Nos |
| 599.0 | Urin Tract Infection Nos |
| 599.7 | Hematuria |
| 684 | Impetigo |
| 692.9 | Dermatitis Nos |
| 693.1 | Dermat D/T Food Ingest |
| 706.1 | Acne Nec |
| 729.5 | Pain in Limb |
| 737.30 | Idiopathic Scoliosis |
| 752.5 | Undescended Testicle |
| 780.3 | Convulsions |
| 780.6 | Pyrexia Unknown Origin |
| 783.4 | Lack Normal Phisiol Devel |
| 784.0 | Headache |
| 784.5 | Speech Disturbance Nec |
| 784.7 | Epistaxis |
| 785.2 | Cardiac Murmurs Nec |
| 785.6 | Enlargement Lymph Nodes |
| 788.3 | Incontinence of Urine |
| 789 | Oth Abdomen/Pelvis Symp |
| 789.0 | Abdominal Pain |
| 791 | Abnormal Urine Findings |
| 791.0 | Proteinuria |
| 795.5 | Tuberculin Test Reaction |
| 799.9 | Unkn Cause Morb/Mort Nec |
| 813 | Radius Ulna Fracture |
| 911.0 | Abrasion Trunk |
| 984.9 | Tox Eff Lead Compnd Nos |
| 989.5 | Toxic Effect Venom |
| 995.2 | Adv Eff Med/Biol Sub Nos |
| 995.3 | Allergy, unspecified |
| V03.1 | Vacc-Typhoid-Parathyroid |
| V03.2 | Vaccin for Tuberculosis |
| V03.6 | Vaccin for Pertussis |
| V03.7 | Tetanus Toxoid Inoculat |
| V03.8 | Vaccin for Bact Dis Nec |
| V04.01 | Polio Oral |
| V04.02 | Polio Immunization |
| V04.1 | Vaccin for Smallpox |
| V04.2 | Vaccin for Measles |
| V04.3 | Vaccin for Rubella |
| V04.6 | Vaccin for Mumps |
| V04.8 | Vaccin for Influenza |
| V06.1 | Vaccin for DTP |
| V06.12 | TD |
| V06.3 | Vaccin for DTP + Polio |
| V06.4 | Vac-Measle-Mumps-Rubella |
| V06.8 | Vac-Dis Combinations Nec |
| V10 | HX of Malignant Neoplasm |
| V12 | HX of Disease Nec |
| V12.0 | HX-Infect/Parasitic Dis |
| V12.01 | Measles |
| V12.02 | Rubella |
| V12.03 | Mumps |
| V12.04 | Chicken Pox |
| V12.05 | Whooping Cough |
| V12.06 | TB |
| V12.21 | Diabetes |
| V12.3 | HX-Blood Diseases |
| V12.4 | HX-Nerv Sys/Sens Org Dis |
| V12.41 | Epilepsy |
| V12.5 | HX-Circulatory Sys Dis |
| V12.51 | Rheumatic Fever |
| V12.6 | HX-Respiratory Sys Dis |
| V12.7 | HX of GI Disease |
| V13 | HX of Other Diseases |
| V13.0 | HX-Urinary System Disord |
| V14 | HX of Drug Allergy |
| V14.0 | HX-Penicillin Allergy |
| V15 | Oth HX of Health Hazards |
| V15.0 | HX of Allergy Nec |
| V15.2 | HX-Major Organ Surg Nec |
| V15.5 | HX of Injury |
| V15.8 | HX-Other Health Hazards |
| V16 | Family HX-Malignancy |
| V17 | Fam HX-Chr Disabling Dis |
| V17.1 | Family HX-Stroke |
| V17.2 | Fam HX-Neurolog Dis Nec |
| V17.21 | Epilepsy |
| V17.3 | Fam HX-Ischem Heart Dis |
| V17.4 | Fam HX-Cardiovas Dis Nec |
| V17.41 | Hypertension |
| V17.5 | Family HX-Asthma |
| V17.6 | Fam HX-Chr Resp Cond Nec |
| V17.7 | Family HX-Arthritis |
| V18.0 | Fam HX-Diabetes Mellitus |
| V18.2 | Family HX-Anemia |
| V18.4 | Family HX-Mental Retardat |
| V18.5 | Family HX-GI Disorders |
| V18.6 | Family HX-Kidney Disease |
| V18.8 | Fam HX-Infect/Parasit Dis |
| V19.0 | Family HX-Blindness |
| V19.2 | Family HX-Deafness |
| V19.4 | Family HX-Skin Condition |
| V19.5 | Fam HX-Congen Anomalies |
| V19.6 | Family HX-Allergic Dis |
| V20 | Health Supervision Child |
| V20.2 | Routine Child Health Exam |
| V20.3 | Med Exam Nec-Admin Purp |
| V70.5 | Health Exam-Group Survey |
| V71 | Observation-Suspect Cond |
| V71.2 | Observ-Suspect TB |
| V72 | Special Examinations |
| V72.0 | Eye Vision Examination |
| V72.1 | Ear Hearing Exam |
| V72.2 | Dental Examination |
| V72.8 | Examination Nec |
| V72.80 | Height |
| V72.81 | Weight |
| V74.1 | Screening-Pulmonary TB |
| V75.8 | Screen-Parasitic Dis Nec |
| V78.0 | Screen-Iron Defic Anemia |
| V78.2 | Screen-Sickle Cell Dis |
| V79.3 | Screen-Development Prob |
| V81.1 | Screen for Hypertension |
| V81.51 | Urinalysis (Dipstick) |
| V82.0 | Screen for Skin Cond |
| V82.5 | Screen-Contamination Nec |
| V82.81 | Scoliosis |