C.M.R. 10, 144, ch. 101, ch. III, 144-101-III-45, app 144-101-III-45-B

Current through 2024-44, October 30, 2024
Appendix 144-101-III-45-B - NON-EMERGENT USE OF THE EMERGENCY DEPARTMENT

The following shall apply to non-emergent use of the emergency department (see Sec. 45.03-1(D)(1)(c) and 45.03-1(D)(2)(b))

ICD-10 codes will be used to identify non-emergent use of the emergency department for services delivered beginning October 1, 2015.

ICD-10 Code

ICD-10 Code Description

J02.0

Streptococcal pharyngitis

J03.00

Acute streptococcal tonsillitis, unspecified

J03.01

Acute recurrent streptococcal tonsillitis

B97.10

Unspecified enterovirus as the cause of diseases classified elsewhere

B97.89

Other viral agents as the cause of diseases classified elsewhere

F41.9

Anxiety disorder, unspecified

F41.1

Generalized anxiety disorder

H10.30

Unspecified acute conjunctivitis, unspecified eye

H10.31

Unspecified acute conjunctivitis, right eye

H10.32

Unspecified acute conjunctivitis, left eye

H10.33

Unspecified acute conjunctivitis, bilateral

H10.9

Unspecified conjunctivitis

H60.00

Abscess of external ear, unspecified ear

H60.01

Abscess of right external ear

H60.02

Abscess of left external ear

H60.03

Abscess of external ear, bilateral

H60.10

Cellulitis of external ear, unspecified ear

H60.11

Cellulitis of right external ear

H60.12

Cellulitis of left external ear

H60.13

Cellulitis of external ear, bilateral

H60.311

Diffuse otitis externa, right ear

H60.312

Diffuse otitis externa, left ear

H60.313

Diffuse otitis externa, bilateral

H60.319

Diffuse otitis externa, unspecified ear

H60.321

Hemorrhagic otitis externa, right ear

H60.322

Hemorrhagic otitis externa, left ear

H60.323

Hemorrhagic otitis externa, bilateral

H60.329

Hemorrhagic otitis externa, unspecified ear

H60.391

Other infective otitis externa, right ear

H60.392

Other infective otitis externa, left ear

H60.393

Other infective otitis externa, bilateral

H60.399

Other infective otitis externa, unspecified ear

H65.00

Acute serous otitis media, unspecified ear

H65.01

Acute serous otitis media, right ear

H65.02

Acute serous otitis media, left ear

H65.03

Acute serous otitis media, bilateral

H65.04

Acute serous otitis media recurrent, right ear

H65.05

Acute serous otitis media recurrent, left ear

H65.06

Acute serous otitis media, recurrent, bilateral

H65.07

Acute serous otitis media, recurrent, unspecified ear

H65.90

Unspecified nonsuppurative otitis media, unspecified ear

H65.91

Unspecified nonsuppurative otitis media, right ear

H65.92

Unspecified nonsuppurative otitis media, left ear

H65.93

Unspecified nonsuppurative otitis media, bilateral

H66.001

Acute suppurative otitis media without spontaneous rupture of the ear drum, right ear

H66.002

Acute suppurative otitis media without spontaneous rupture of the ear drum, left ear

H66.003

Acute suppurative otitis media without spontaneous rupture of the ear drum, bilateral

H66.004

Acute suppurative otitis media without spontaneous rupture of the ear drum, recurrent, right ear

H66.005

Acute suppurative otitis media without spontaneous rupture of the ear drum, recurrent, left ear

H66.006

Acute suppurative otitis media without spontaneous rupture of the ear drum, recurrent, bilateral

H66.007

Acute suppurative otitis media without spontaneous rupture of the ear drum, recurrent, unspecified ear

H66.009

Acute suppurative otitis media without spontaneous rupture of the ear drum, unspecified ear

H66.90

Otitis media, unspecified, unspecified ear

H66.91

Otitis media, unspecified. right ear

H66.92

Otitis media, unspecified, left ear

H66.93

Otitis media, unspecified, bilateral

J01.90

Acute sinusitis, unspecified

J01.91

Acute recurrent sinusitis, unspecified

J02.8

Acute pharyngitis due to other specified organisms

J02.9

Acute pharyngitis, unspecified

J06.9

Acute upper respiratory infection, unspecified

J20.0

Acute bronchitis due to Mycoplasma pneumoniae

J20.1

Acute bronchitis due to Hemophilus influenzae

J20.2

Acute bronchitis due to streptococcus

J20.3

Acute bronchitis due to coxsackievirus

J20.4

Acute bronchitis due to parainfluenza virus

J20.5

Acute bronchitis due to respiratory syncytial virus

J20.6

Acute bronchitis due to rhinovirus

J20.7

Acute bronchitis due to echovirus

J20.8

Acute bronchitis due to other specified organisms

J20.9

Acute bronchitis, unspecified

J32.9

Chronic sinusitis, unspecified

J40

Bronchitis, not specified as acute or chronic

J45.20

Mild intermittent asthma, uncomplicated

J45.30

Mild persistent asthma, uncomplicated

J45.40

Moderate persistent asthma, uncomplicated

J45.50

Severe persistent asthma, uncomplicated

J45.21

Mild intermittent asthma w/ (acute) exacerbation

J45.31

Mild persistent asthma w/ (acute) exacerbation

J45.41

Moderate persist asthma w/ (acute) exacerbation

J45.51

Severe persist asthma w/ (acute) exacerbation

J45.20

Mild intermittent asthma, uncomplicated

J45.30

Mild persistent asthma, uncomplicated

J45.40

Moderate persistent asthma, uncomplicated

J45.50

Severe persistent asthma, uncomplicated

J45.21

Mild intermittent asthma w/ (acute) exacerbation

J45.31

Mild persistent asthma w/ (acute) exacerbations

J45.41

Moderate persist asthma w/ (acute) exacerbation

J45.51

Severe persist asthma w/ (acute) exacerbation

J44.9

Chronic obstructive pulmonary disease, unspecified

J44.1

Chronic obstructive pulmonary disease w/ (acute) exacerbation

J45.990

Exercise induced bronchospasm

J45.991

Cough variant asthma

J45.909

Unspecified asthma, uncomplicated

J45.998

Other asthma

J45.901

Unspecified asthma with (acute) exacerbation

L22

Diaper dermatitis

L20.0

Besnier's prurigo

L20.81

Atopic neurodermatitis

L20.82

Flexural eczema

L20.84

Intrinsic (allergic) eczema

L20.89

Other atopic dermatitis

L20.9

Atopic dermatitis, unspecified

L23.7

Allergic contact dermatitis due to plants, except food

L24.7

Irritant contact dermatitis due to plants, except food

L25.5

Unspecified contact dermatitis due to plants, except food

L23.9

Allergic contact dermatitis, unspecified cause

L24.9

Irritant contact dermatitis, unspecified cause

L25.9

Unspecified contact dermatitis, unspecified cause

L30.0

Nummular dermatitis

L30.2

Cutaneous autosensitization

L30.8

Other specified dermatitis

L30.9

Dermatitis, unspecified

M25.512

Pain in left shoulder

M25.519

Pain in unspecified shoulder

M25.521

Pain in right elbow

M25.522

Pain in left elbow

M25.529

Pain in unspecified elbow

M25.531

Pain in right wrist

M25.532

Pain in left wrist

M25.539

Pain in unspecified wrist

M79.643

Pain in unspecified hand

M79.646

Pain in unspecified finger(s)

M25.551

Pain in right hip

M25.552

Pain in left hip

M25.559

Pain in unspecified hip

M25.561

Pain in right knee

M25.562

Pain in left knee

M25.569

Pain in unspecified knee

M25.571

Pain in right ankle and joints of right foot

M25.572

Pain in left ankle and joints of left foot

M25.579

Pain in unspecified ankle and joints of unspecified foot

M54.5

Low back pain

M54.89

Other dorsalgia

M54.9

Dorsalgia, unspecified

M60.80

Other myositis, unspecified site

M60.811

Other myositis, right shoulder

M60.812

Other myositis, left shoulder

M60.819

Other myositis, unspecified shoulder

M60.821

Other myositis, right upper arm

M60.822

Other myositis, left upper arm

M60.829

Other myositis, unspecified upper arm

M60.831

Other myositis, right forearm

M60.832

Other myositis, left forearm

M60.839

Other myositis, unspecified forearm

M60.841

Other myositis, right hand

M60.842

Other myositis, left hand

M60.849

Other myositis, unspecified hand

M60.851

Other myositis, right thigh

M60.852

Other myositis, left thigh

M60.859

Other myositis, unspecified thigh

M60.861

Other myositis, right lower leg

M60.862

Other myositis, left lower leg

M60.869

Other myositis, unspecified lower leg

M60.871

Other myositis, right ankle and foot

M60.872

Other myositis, left ankle and foot

M60.879

Other myositis, unspecified ankle and foot

M60.88

Other myositis, other site

M60.89

Other myositis, multiple sites

M60.9

Myositis, unspecified

M79.1

Myalgia

M79.7

Fibromyalgia

M79.601

Pain in right arm

M79.602

Pain in left arm

M79.603

Pain in arm, unspecified

M79.604

Pain in right leg

M79.605

Pain in left leg

M79.606

Pain in leg, unspecified

M79.609

Pain in unspecified limb

M79.621

Pain in right upper arm

M79.622

Pain in left upper arm

M79.629

Pain in unspecified upper arm

M79.631

Pain in right forearm

M79.632

Pain in left forearm

M79.639

Pain in unspecified forearm

M79.641

Pain in right hand

M79.642

Pain in left hand

M79.643

Pain in unspecified hand

M79.644

Pain in right finger(s)

M79.645

Pain in left finger(s)

M79.646

Pain in unspecified finger(s)

M79.651

Pain in right thigh

M79.652

Pain in left thigh

M79.659

Pain in unspecified thigh

M79.661

Pain in right lower leg

M79.662

Pain in left lower leg

M79.669

Pain in unspecified lower leg

M79.671

Pain in right foot

M79.672

Pain in left foot

M79.673

Pain in unspecified foot

M79.674

Pain in right toe(s)

M79.675

Pain in left toe(s)

M79.676

Pain in unspecified toe(s)

G93.3

Postviral fatigue syndrome

R53.0

Neoplastic (malignant) related fatigue

R53.1

Weakness

R53.81

Other malaise

R58.83

Other fatigue

R21

Rash and other nonspecific skin eruption

G44.1

Vascular headache, not elsewhere classified

R51

Headache

R05

Cough

C.M.R. 10, 144, ch. 101, ch. III, 144-101-III-45, app 144-101-III-45-B