excision gouty tophi finger cpt

No. MODIFIER CODE 09959 MAY BE USED AS AN ALTERNATE TO MODIFIER -59. Chicago, IL 60611. Genes assayed on the same date of service are considered to be assayed in parallel if the result of one assay does not affect the decision to complete the assay on another gene, and the two genes are being tested for the same indication. It appears to be a gouty tophus and x-rays show no bone involvement. The diagnosis was gouty tophus of the interphalangeal joint of the little finger and the op report states a longitudinal incision over the PIP joint and the tophaceous material was removed by rongeur and scissors. WebExcision of gouty tophi - numerous sites over two separate episodes of care (February and May 2004). Gout arthritis and joint inflammation are linked due to the fact that several way of living aspects, such as excess weight, high blood pressure, bad diet and absence of exercise, can bring about the growth of the joint problem. The 28092 is for the foot so I wouldnt recommend that code. Articles often contain coding or other guidelines that are related to a Local Coverage Determination (LCD). Intramuscular); 1.5 cm or greater MACs are Medicare contractors that develop LCDs and Articles along with processing of Medicare claims. Excision of gouty tophi | Safer Care Victoria Learn how to get the most out of your subscription. Get timely coding industry updates, webinar notices, product discounts and special offers. For a better experience, please enable JavaScript in your browser before proceeding. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. The ICD-10-CM Codes that Support Medical Necessity section has been revised to add ICD-10 codes as follows effective for dates of service on and after 12/12/2021: Group 2 for 81225 (B48.8* with an associated asterisk note), Group 3 for 81226, 0070U, 0071U, 0072U, 0073U, 0074U, 0075U, and 0076U (G47.411 and G47.419), Group 5 for 81227 (E78.00, E78.01, E78.1, E78.2, I25.10, M06.8A, M19.09, M19.29, Z86.73, and Z86.79, Group 9 for 81283 (B18.0*, B18.1*, B18.2*, C43.0*, C43.111*, C43.112*, C43.121*, C43.122*, C43.21*, C43.22*, C43.31*, C43.39*, C43.4*, C43.51*, C43.52*, C43.59*, C43.61*, C43.62*, C43.71*, C43.72*, C43.8*, and C43.9* with associated asterisk notes), Group 11 for 81328 (E11.8*, E11.9*, I25.10, and associated asterisk note), and Group 12 for 81350 (C50.011*, C50.012*, C50.021*, C50.022*, C50.111*, C50.112*, C50.121*, C50.122*, C50.211*, C50.212*, C50.221*, C50.222*, C50.311*, C50.312*, C50.321*, C50.322*, C50.411*, C50.412*, C50.421*, C50.422*, C50.511*, C50.512*, C50.521*, C50.522*, C50.611*, C50.612*, C50.621*, C50.622*, C50.811*, C50.812*, C50.821*, C50.822*, C65.1*, C65.2*, C66.1*, C66.2*, C67.0*, C67.1*, C67.2*, C67.3*, C67.4*, C67.5*, C67.6*, C67.7*, C67.8*, C67.9*, C68.0*, and C68.8* with associated asterisk notes). Achilles Tendon Debridement/Debulking *All specific references to CPT codes and descriptions are 2020 American Medical Association. Draft articles are articles written in support of a Proposed LCD. The codes are scattered throughout the musculoskeletal system subsection, with listings under each anatomical excision subsection. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. CPT code 81418 was added to Table 1 (CPIC) and Table 2 (FDA) for genes CYP2C19 and CYP2D6. MODIFIER -59 IS USED TO IDENTIFY PROCEDURES/SERVICES THAT ARE NOT NORMALLY REPORTED TOGETHER, BUT ARE APPROPRIATE UNDER THE CIRCUMSTANCES. If an entity wishes to utilize any AHA materials, please contact the AHA at 312‐893‐6816. CMS and its products and services are not endorsed by the AHA or any of its affiliates. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. 2) Try using the MCD Search and enter your information in the "Enter keyword, code, or document ID" box. intramuscular); less than 1.5 cm If the soft tissue mass that appeared to be a gouty intramuscular); less than 1.5 cm, If the soft tissue mass that appeared to be a gouty tophus was located in the ankle on the lateral aspect, clearly it would be affecting the joint. I am going to query and if he DID remove bone with this my bigger question is, would 26262 be more appropriate than 26236 (CPT Lay describes 26262 "The bone and surrounding tissues are resected."). This is the American ICD-10-CM version of M10.041 - other international versions of ICD-10 M10.041 may differ. intramuscular); less than 5 cm. "JavaScript" disabled. THE UNITED STATES DISTINCT PROCEDURAL SERVICE: UNDER CERTAIN CIRCUMSTANCES, THE PHYSICIAN MAY NEED TO INDICATE THAT A PROCEDURE OR SERVICE WAS DISTINCT OR INDEPENDENT FROM OTHER SERVICES PERFORMED ON THE SAME DAY. gout Therefore, if a drug is self-administered by more than 50 percent of Medicare beneficiaries, the drug is excluded from coverage" and the MAC will make no payment for the drug. Current Dental Terminology © 2022 American Dental Association. It should not be a life altering event. The following ICD-10-CM codes support medical necessity and provide coverage for CPT code: 81350. Report code 81479 and gene test NAT2 in the claim narrative/remarks. *Dual diagnosis requirement: ICD-10 code C34.90 must be reported with ICD-10 code Z92.21 to identify personal history of antineoplastic chemotherapy. In order for CMS to change billing and claims processing systems to accommodate the coverage conditions within the NCD, we instruct contractors and system maintainers to modify the claims processing systems at the national or local level through CR Transmittals. sorry about that! The sections for CPT/HCPCS Codes and ICD-10-CM Codes that Support Medical Necessity, for Group 13 were deleted for CPT code 81355 and all subsequent groups were renumbered accordingly in both sections. registered for member area and forum access. The documentation must include the legible signature of the physician or non-physician practitioner responsible for and providing the care to the patient. The contractor information can be found at the top of the document in the Contractor Information section (expand the section to see the details). resale and/or to be used in any product or publication; creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions; The most appropriate CPT code to consider would be the following: CPT 27620 Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body. The price is still only $125 including shipping! You can collapse such groups by clicking on the group header to make navigation easier. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. 633 N. Saint Clair St. Learn how to get the most out of your subscription. authorized with an express license from the American Hospital Association. Self-Administered Drug (SAD) Exclusion List articles list the CPT/HCPCS codes that are excluded from coverage under this category. Billing the 59 modifier may result in a request for medical records.The molecular pathology codes include all analytical services performed during the test (e.g., cell lysis, nucleic acid stabilization, extraction, digestion, amplification, and detection). The following ICD-10-CM codes support medical necessity and provide coverage for CPT codes: 81226 and 81418. To purchase, access the websitedrmikethecoder.com. Additional information about the 2021 courses and registration can be accessed here. not endorsed by the AHA or any of its affiliates. Please Note: For Durable Medical Equipment (DME) MACs only, CPT/HCPCS codes remain located in LCDs. The Coding Guidance section has been revised to add coding information for CPT code 81418. It is unknown exactly how prevalent surgical excision of tophi in people with gout is in the UK but is not thought to be commonplace and most likely confined to those patients with complications related to their tophaceous deposits. This review was carried out to assess the effectiveness of surgical excision of tophi. Copyright NICE 2022. copied without the express written consent of the AHA. The submitted medical record must support the use of the selected ICD-10-CM code(s). NCCI Policy Manual for Medicare Services, Chapter 10 Pathology/Laboratory Services, (A) Introduction and (F) Molecular Pathology. Enter the code you're looking for in the "Enter keyword, code, or document ID" box. *Report ICD-10 code K31.84 with an ICD-10 code for diabetes mellitus (E08.43, E09.43, E10.43, E11.43, or E13.43). Copyright © 2022, the American Hospital Association, Chicago, Illinois. Deep Soft Tissue Tumor excision CPT Codes - eatonhand.com In December 2007, the American Medical Association Current Procedural Terminology (CPT*) Editorial Panel Soft Tissue Tumor Workgroup finalized a consensus proposal related to reporting excision of soft tissue tumors. However, some of the coders feel this procedure should be coded to an excision of lesion. The Review Committee has now identified defined case categories (listed here on the following pages) as appropriate for the focused education of foot and ankle orthopaedic surgery fellows; the ACGME Case Log System for Foot and Ankle Orthopaedic Surgery has been revised to identify the CPT codes tracked to each defined case category. *Report ICD-10 code C50.919 or C50.929 with ICD-10 code Z17.0 or Z17.1 to identify estrogen receptor status. complete information, CMS does not guarantee that there are no errors in the information displayed on this web site. Please refer to the CMS IOM Publication 100-03, Medicare National Coverage Determinations (NCD) Manual, Chapter 1, Part 2, Section 90.1 Pharmacogenomic Testing to Predict Warfarin Responsiveness.If a treating clinician orders a single gene test or a test for a particular allele(s), but as a matter of operational practicality, the laboratory tests that single gene or allele on a platform that looks for variants in other genes/alleles as well, that particular test done in that particular instance is considered a single gene/allele test for coverage purposes. The following drugs and associated genes and CPT codes were added to Table 2 (FDA): voriconazole (CYP2C19/81225), fosphenytoin, meloxicam, phenytoin (CYP2C9/81227), oliceridine, pitolisant (CYP2D6/81226, 0070U, 0071U, 0072U, 0073U, 0074U, 0075U, 0076U), fosphenytoin, phenytoin (HLA-B/81381, 81374), and sacituzumab govitecan-hziy (UGT1A1/81350). If the soft tissue mass was located in the foot and it appeared to a gouty tophus and it was not affecting a joint, the appropriate CPT codes to consider would be the following: CPT 28039 Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater, CPT 28041 Excision, tumor, soft tissue of foot or toe, subfascial (eg. The following ICD-10-CM codes support medical necessity and provide coverage for CPT code: 81328. Providers are reminded to refer to the long descriptors of the CPT codes in their CPT book. GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION, PRODUCT, OR PROCESSES See our privacy policy. Excision subcutaneous soft tissue tumor; upper arm or elbow (24075) Excision, tumor, upper arm or elbow area; deep, subfascial All those not listed under the ICD-10-CM Codes that Support Medical Necessity section of this article. Please refer to the LCD for reasonable and necessary requirements.Laboratory tests that investigate the same germline genetic content, for the same genetic information, that has already been tested in the same Medicare beneficiary is duplicative and should not be reported.Examples of germline tests include (but are not limited to) single gene and specific gene panel tests for: hereditary cancer syndromes or cancer predisposition, inherited disorders, and pharmacogenomics/cytochrome P450 testing.Providers should take reasonable measures to be aware of what, if any, germline testing a beneficiary has had prior to billing for germline testing so as to avoid billing Medicare for services that are not medically reasonable and necessary. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled "I Accept". I'm looking at 26808. Please contact the Medicare Administrative Contractor (MAC) who owns the document. Is it appropriate to report the excision of soft tissue codes in the musculoskeletal system subsection for lesions or tumors that are cutaneous in origin? The following ICD-10-CM code supports medical necessity and provides coverage for CPT code: 81479 and Gene Test CYP2B6. WebGouty Tophus removal is very similar to a Cyst popping. An official website of the United States government. 2023 ICD-10-CM Diagnosis Code M1A.0321 Idiopathic chronic gout, left wrist, with tophus (tophi) 2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code M1A.0321 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. CPT SOFT TISSUE TUMOR EXCISION CODES, # denotes CPT code number is out of numerical sequence Work RVU = Physician work RVU Total RVUnf = Total RVU in a nonfacility setting (eg, office) Total RVUfac = Total RVU in a facility setting (eg, hospital). Article - Billing and Coding: Pharmacogenomics Testing View all the articles associated with any code, right from the code page. What is the difference between excision of subcutaneous/subfascial tumors and radical resection of soft connective tissue tumors? damages arising out of the use of such information, product, or process. JavaScript is disabled. No. You will find them in the Billing & Coding Articles. Gouty Tophus Removal Clinicians who order germline testing may wish to be aware of whether the test that they are ordering is covered under Medicare and may wish to verify that they are not ordering repeat germline testing. This effort resulted in extensive changes in the CPT 2010 Musculoskeletal System subsection, including 41 new codes, 53 revised codes, 7 deleted codes, and extensive guidelines to allow for more granular reporting of soft tissue tumor excision. You now have the opportunity to claim CME credit for time spent reading the monthly Bulletin of the American College of Surgeons. No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may be The following ICD-10-CM code supports medical necessity and provides coverage for CPT code: 81401. This email will be sent from you to the Radical resection of soft connective tissue tumors involves the resection of the tumor with wide margins of normal tissue. Please do not use this feature to contact CMS. Excisional debridement of gouty tophi - AHA Coding The code lists in the article help explain which services (procedures) the related LCD applies to, the diagnosis codes for which the service is covered, or for which the service is not considered reasonable and necessary and therefore not covered. (Or, for DME MACs only, look for an LCD.) gout WebCPTMusculoskeletal Excision of subcutaneous soft tissue tumors Simple & Intermediate repair bundled Confined to subcutaneous tissue below the skin, butabove the deep fascia Usually benign Code selection based on location and size of tumor Size determined by greatest diameter of tumor plusmost narrow margin necessary for excision 10 Please enable "JavaScript" and revisit this page or proceed with browsing CMS.gov with CPT 28020 Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint Digital (for example, fingers and toes) subfascial tumors are defined as those tumors involving the tendons, tendon sheaths, or joints of the digit. Cardiothoracic SurgeryDiagnostic & Interventional CardiovascularDiagnostic RadiologyInterventional RadiologyPain ManagementVascular & Endovascular Surgery. In addition, adjacent tissue transfer, flaps, and grafts may be reported separately when all the technical aspects of these closure procedures have been performed. For example, code 22902, Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm, can be found in the musculoskeletal system subsection for abdomen-excision. CRs are not policy, rather CRs are used to relay instructions regarding the edits of the various claims processing systems in very descriptive, technical language usually employing the codes or code combinations likely to be encountered with claims subject to the policy in question. All rights reserved. Cancel anytime. Article document IDs begin with the letter "A" (e.g., A12345). If the soft tissue mass was not located within the ankle, the appropriate CPT codes to consider are the following: Anyone have any experience with coding excision of a tophus at the interphalangeal joint for gouty arthritis? National Correct Coding Initiative (NCCI): Social Security Act (Title XVIII) Standard References: Code of Federal Register (CFR) References: This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L39063 Pharmacogenomics Testing. The scope of this license is determined by the AMA, the copyright holder. WebCpt Code For Excision Of Gouty Tophi Finger Gout is a sort of joint inflammation created because of high uric acid levels in the body. The only other alternatives seem to be 26115, 26210 or debridement. The following ICD-10-CM code supports medical necessity and provides coverage for CPT code: 81247. An audit should never be more than an inconvenience. SEPARATE INCISION/EXCISION, SEPARATE LESION, OR SEPARATE INJURY (OR AREA OF INJURY IN EXTENSIVE Coding You can use the Contents side panel to help navigate the various sections. Definitions in the musculoskeletal system introductory guidelines describe excision of each type of tumor: Excision of subcutaneous soft connective tissue tumors involves the simple or marginal resection of tumors confined to subcutaneous tissue below the skin but above the deep fascia. CPT is a trademark of the American Medical Association (AMA). You, your employees and agents are authorized to use CPT only as agreed upon with the AMA internally within your organization within the United States for the sole use by yourself, employees and agents. dmaec True Blue Messages 1,130 You should probably query the surgeon, I will bet you that he irrigated the joint but didnt document, especially when there is gout expressed from the joint. Extensive undermining or other techniques to close a defect created by skin excision may require a complex repair, which may be reported separately if all the requirements for reporting complex repair are performed. The following ICD-10-CM codes support medical necessity and provide coverage for CPT code: 81406. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. *Dual diagnosis requirement: ICD-10 code R45.851 must be reported with one of the following ICD-10 codes to identify schizophrenia: F20.0, F20.1, F20.2, F20.3, F20.5, F20.81, or F20.89 (these ICD-10 codes for schizophrenia may also be reported as stand-alone codes). For the most part, codes are no longer included in the LCD (policy). In the above post, the soft tissue mass is located over the distal fibula and it appeared to be a gouty tophus. Use is limited to use in Medicare, Medicaid or other programs administered by the Centers for Medicare and Medicaid Services (CMS). What would be the proper code for surgical debridement/excision of this mass?, If the soft tissue mass was located within the foot and it appeared to be a gouty tophus and it was affecting a joint, the appropriate CPT codes to consider would be the following: Evidence review for surgical excision of tophi: Gout - PubMed The Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for administration of the Medicare, Reproduced with permission. Just send a check for $125 to the following address: Are you in compliance with Medicare concerning your billing, coding and documentation? Cystic fibrosis with other manifestations, Malignant neoplasm of right kidney, except renal pelvis, Malignant neoplasm of left kidney, except renal pelvis, Malignant neoplasm of lateral wall of bladder, Malignant neoplasm of anterior wall of bladder, Malignant neoplasm of posterior wall of bladder, Malignant neoplasm of overlapping sites of bladder, Malignant neoplasm of paraurethral glands, Malignant neoplasm of overlapping sites of urinary organs, Benign neoplasm of other specified parts of central nervous system, Multiple endocrine neoplasia [MEN] syndrome, unspecified, Major depressive disorder, single episode, moderate, Major depressive disorder, single episode, severe without psychotic features, Major depressive disorder, single episode, severe with psychotic features, Major depressive disorder, single episode, in partial remission, Major depressive disorder, single episode, unspecified, Major depressive disorder, recurrent, moderate, Major depressive disorder, recurrent severe 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rheumatoid arthritis, other specified site, Primary osteoarthritis, other specified site, Secondary osteoarthritis, other specified site, Adverse effect of insulin and oral hypoglycemic [antidiabetic] drugs, initial encounter, Encounter for surgical aftercare following surgery on the nervous system, Personal history of other diseases of the circulatory system, Malignant neoplasm of stomach, unspecified, Malignant neoplasm of rectosigmoid junction, Malignant neoplasm of pancreas, unspecified, Plasmodium vivax malaria with rupture of spleen, Plasmodium vivax malaria with other complications, Plasmodium vivax malaria without complication, Disorder of purine and pyrimidine metabolism, unspecified, Idiopathic chronic gout, right shoulder, without tophus (tophi), Idiopathic chronic gout, right shoulder, with tophus (tophi), Idiopathic chronic gout, left shoulder, without tophus (tophi), Idiopathic chronic gout, left shoulder, with tophus (tophi), Idiopathic chronic gout, right elbow, without tophus (tophi), Idiopathic chronic gout, right elbow, with tophus (tophi), Idiopathic chronic gout, left elbow, without tophus (tophi), Idiopathic chronic gout, left elbow, with tophus (tophi), Idiopathic chronic gout, right wrist, without tophus (tophi), Idiopathic chronic gout, right wrist, with tophus (tophi), Idiopathic chronic gout, left wrist, without tophus (tophi), Idiopathic chronic gout, left wrist, with tophus (tophi), Idiopathic chronic gout, right hand, without tophus (tophi), Idiopathic chronic gout, right hand, with tophus (tophi), Idiopathic chronic gout, left hand, without tophus (tophi), Idiopathic chronic gout, left hand, with tophus (tophi), Idiopathic chronic gout, right hip, without tophus (tophi), Idiopathic chronic gout, right hip, with tophus (tophi), Idiopathic chronic gout, left hip, without tophus (tophi), Idiopathic chronic gout, left hip, with tophus (tophi), Idiopathic chronic gout, right knee, without tophus (tophi), Idiopathic chronic gout, right knee, with tophus (tophi), Idiopathic chronic gout, left knee, without tophus (tophi), Idiopathic chronic gout, left knee, with tophus (tophi), Idiopathic chronic gout, right ankle and foot, without tophus (tophi), Idiopathic chronic gout, right ankle and foot, with tophus (tophi), Idiopathic chronic gout, left ankle and foot, without tophus (tophi), Idiopathic chronic gout, left ankle and foot, with tophus (tophi), Idiopathic chronic gout, vertebrae, without tophus (tophi), Idiopathic chronic gout, vertebrae, with tophus (tophi), Idiopathic chronic gout, multiple sites, without tophus (tophi), Idiopathic chronic gout, multiple sites, with tophus (tophi), Lead-induced chronic gout, right shoulder, without tophus (tophi), Lead-induced chronic gout, right shoulder, with tophus (tophi), Lead-induced chronic gout, left shoulder, without tophus (tophi), Lead-induced chronic gout, left shoulder, with tophus (tophi), Lead-induced chronic gout, right elbow, without tophus (tophi), Lead-induced chronic gout, right elbow, with tophus (tophi), Lead-induced chronic gout, left elbow, without tophus (tophi), Lead-induced chronic gout, left elbow, with tophus (tophi), Lead-induced chronic gout, right wrist, without tophus (tophi), Lead-induced chronic gout, right wrist, with tophus (tophi), Lead-induced chronic gout, left wrist, without tophus (tophi), Lead-induced chronic gout, left wrist, with tophus (tophi), Lead-induced chronic gout, right hand, without tophus (tophi), Lead-induced chronic gout, right hand, with tophus (tophi), Lead-induced chronic gout, left hand, without tophus (tophi), Lead-induced chronic gout, left hand, with tophus (tophi), Lead-induced chronic gout, right hip, without tophus (tophi), Lead-induced chronic gout, right hip, with tophus (tophi), Lead-induced chronic gout, left hip, without tophus (tophi), Lead-induced chronic gout, left hip, with tophus (tophi), Lead-induced chronic gout, right knee, without tophus (tophi), Lead-induced chronic gout, right knee, with tophus (tophi), Lead-induced chronic gout, left knee, without tophus (tophi), Lead-induced chronic gout, left knee, with tophus (tophi), Lead-induced chronic gout, right ankle and foot, without tophus (tophi), Lead-induced chronic gout, right ankle and foot, with tophus (tophi), Lead-induced chronic gout, left ankle and foot, without tophus (tophi), Lead-induced chronic gout, left ankle and foot, with tophus (tophi), Lead-induced chronic gout, vertebrae, without tophus (tophi), Lead-induced chronic gout, vertebrae, with tophus (tophi), Lead-induced chronic gout, multiple sites, without tophus (tophi), Lead-induced chronic gout, multiple sites, with tophus (tophi), Drug-induced chronic gout, right shoulder, without tophus (tophi), Drug-induced chronic gout, right shoulder, with tophus (tophi), Drug-induced chronic gout, left shoulder, without tophus (tophi), Drug-induced chronic gout, left shoulder, with tophus (tophi), Drug-induced chronic gout, right elbow, without tophus (tophi), Drug-induced chronic gout, right elbow, with tophus (tophi), Drug-induced chronic gout, left elbow, without tophus (tophi), Drug-induced chronic gout, left elbow, with tophus (tophi), Drug-induced chronic gout, right wrist, without tophus (tophi), Drug-induced chronic gout, right wrist, with tophus (tophi), Drug-induced chronic gout, left wrist, without tophus (tophi), Drug-induced chronic gout, left wrist, with tophus (tophi), Drug-induced chronic gout, right hand, without tophus (tophi), Drug-induced chronic gout, right hand, with tophus (tophi), Drug-induced chronic gout, left hand, without tophus (tophi), Drug-induced chronic gout, left hand, with tophus (tophi), Drug-induced chronic gout, right hip, without tophus (tophi), Drug-induced chronic gout, right hip, with tophus (tophi), Drug-induced chronic gout, left hip, without tophus (tophi), Drug-induced chronic gout, left hip, with tophus (tophi), Drug-induced chronic gout, right knee, without tophus (tophi), Drug-induced chronic gout, right knee, with tophus (tophi), Drug-induced chronic gout, left knee, without tophus (tophi), Drug-induced chronic gout, left knee, with tophus (tophi), Drug-induced chronic gout, right ankle and foot, without tophus (tophi), Drug-induced chronic gout, right ankle and foot, with tophus (tophi), Drug-induced chronic gout, left ankle and foot, without tophus (tophi), Drug-induced chronic gout, left ankle and foot, with tophus (tophi), Drug-induced chronic gout, vertebrae, without tophus (tophi), Drug-induced chronic gout, vertebrae, with tophus (tophi), Drug-induced chronic gout, multiple sites, without tophus (tophi), Drug-induced chronic gout, multiple sites, with tophus (tophi), Chronic gout due to renal impairment, right shoulder, without tophus (tophi), Chronic gout due to renal impairment, right shoulder, with tophus (tophi), Chronic gout due to renal impairment, left shoulder, without tophus (tophi), Chronic gout due to renal impairment, left shoulder, with tophus (tophi), Chronic gout due to renal impairment, right elbow, without tophus (tophi), Chronic gout due to renal impairment, right elbow, with tophus (tophi), Chronic gout due to renal impairment, left elbow, without tophus (tophi), Chronic gout due to renal impairment, left elbow, with tophus (tophi), Chronic gout due to renal impairment, right wrist, without tophus (tophi), Chronic gout due to renal impairment, right wrist, with tophus (tophi), Chronic gout due to renal impairment, left wrist, without tophus (tophi), Chronic gout due to renal impairment, left wrist, with tophus (tophi), Chronic gout due to renal impairment, right hand, without tophus (tophi), Chronic gout due to renal impairment, right hand, with tophus (tophi), Chronic gout due to renal impairment, left hand, without tophus (tophi), Chronic gout due to renal impairment, left hand, with tophus (tophi), Chronic gout due to renal impairment, right hip, without tophus (tophi), Chronic gout due to renal impairment, right hip, with tophus (tophi), Chronic gout due to renal impairment, left hip, without tophus (tophi), Chronic gout due to renal impairment, left hip, with tophus (tophi), Chronic gout due to renal impairment, right knee, without tophus (tophi), Chronic gout due to renal impairment, right knee, with tophus (tophi), Chronic gout due to renal impairment, left knee, without tophus (tophi), Chronic gout due to renal impairment, left knee, with tophus (tophi), Chronic gout due to renal impairment, right ankle and foot, without tophus (tophi), Chronic gout due to renal impairment, right ankle and foot, with tophus (tophi), Chronic gout due to renal impairment, left ankle and foot, without tophus (tophi), Chronic gout due to renal impairment, left ankle and foot, with tophus (tophi), Chronic gout due to renal impairment, vertebrae, without tophus (tophi), Chronic gout due to renal impairment, vertebrae, with tophus (tophi), Chronic gout due to renal impairment, multiple sites, without tophus (tophi), Chronic gout due to renal impairment, multiple sites, with tophus (tophi), Other secondary chronic gout, right shoulder, without tophus (tophi), Other secondary chronic gout, right shoulder, with tophus (tophi), Other secondary chronic gout, left shoulder, without tophus (tophi), Other secondary chronic gout, left shoulder, with tophus (tophi), Other secondary chronic gout, right elbow, without tophus (tophi), Other secondary chronic gout, right elbow, with tophus (tophi), Other secondary chronic gout, left elbow, without tophus (tophi), Other secondary chronic gout, left elbow, with tophus (tophi), Other secondary chronic gout, right wrist, without tophus (tophi), Other secondary chronic gout, right wrist, with tophus (tophi), Other secondary chronic gout, left wrist, without tophus (tophi), Other secondary chronic gout, left wrist, with tophus (tophi), Other secondary chronic gout, right hand, without tophus (tophi), Other secondary chronic gout, right hand, with tophus (tophi), Other secondary chronic gout, left hand, without tophus (tophi), Other secondary chronic gout, left hand, with tophus (tophi), Other secondary chronic gout, right hip, without tophus (tophi), Other secondary chronic gout, right hip, with tophus (tophi), Other secondary chronic gout, left hip, without tophus (tophi), Other secondary chronic gout, left hip, with tophus (tophi), Other secondary chronic gout, right knee, without tophus (tophi), Other secondary chronic gout, right knee, with tophus (tophi), Other secondary chronic gout, left knee, without tophus (tophi), Other secondary chronic gout, left knee, with tophus (tophi), Other secondary chronic gout, right ankle and foot, without tophus (tophi), Other secondary chronic gout, right ankle and foot, with tophus (tophi), Other secondary chronic gout, left ankle and foot, without tophus (tophi), Other secondary chronic gout, left ankle and foot, with tophus (tophi), Other secondary chronic gout, vertebrae, without tophus (tophi), Other secondary chronic gout, vertebrae, with tophus (tophi), Other secondary chronic gout, multiple sites, without tophus (tophi), Other secondary chronic gout, multiple sites, with tophus (tophi), Chronic viral hepatitis B with delta-agent, Chronic viral hepatitis B without delta-agent, Malignant melanoma of right upper eyelid, including canthus, Malignant melanoma of right lower eyelid, including canthus, Malignant melanoma of left upper eyelid, including canthus, Malignant melanoma of left lower eyelid, including canthus, Malignant melanoma of right ear and external auricular canal, Malignant melanoma of left ear and external auricular canal, Malignant melanoma of other parts of face, Malignant melanoma of other part of trunk, Malignant melanoma of right upper limb, including shoulder, Malignant melanoma of left upper limb, including shoulder, Malignant melanoma of right lower limb, including hip, Malignant melanoma of left lower limb, including hip, Malignant melanoma of overlapping sites of skin, Acute lymphoblastic leukemia not having achieved remission, Acute lymphoblastic leukemia, in remission, Acute myeloblastic leukemia, not having achieved remission, Acute myeloblastic leukemia, in remission, Other specified rheumatoid arthritis, multiple sites, Type 2 diabetes mellitus with unspecified complications, Type 2 diabetes mellitus without complications, Personal history of other endocrine, nutritional and metabolic disease, Human immunodeficiency virus [HIV] disease, Malignant neoplasm of connective and soft tissue, unspecified, Malignant neoplasm of nipple and areola, right female breast, Malignant neoplasm of nipple and areola, left female breast, Malignant neoplasm of nipple and areola, right male breast, Malignant neoplasm of nipple and areola, left male breast, Malignant neoplasm of central portion of right female breast, Malignant neoplasm of central portion of left female breast, Malignant neoplasm of central portion of right male breast, Malignant neoplasm of central portion of left male breast, Malignant neoplasm of upper-inner quadrant of right female breast, Malignant neoplasm of upper-inner quadrant of left female breast, Malignant neoplasm of upper-inner quadrant of right male breast, Malignant neoplasm of upper-inner quadrant of left male breast, Malignant neoplasm of lower-inner quadrant of right female breast, Malignant neoplasm of lower-inner quadrant of left female breast, Malignant neoplasm of lower-inner quadrant of right male breast, Malignant neoplasm of lower-inner quadrant of left male breast, Malignant neoplasm of upper-outer quadrant of right female breast, Malignant neoplasm of upper-outer quadrant of left female breast, Malignant neoplasm of upper-outer quadrant of right male breast, Malignant neoplasm of upper-outer quadrant of left male breast, Malignant neoplasm of lower-outer quadrant of right female breast, Malignant neoplasm of lower-outer quadrant of left female breast, Malignant neoplasm of lower-outer quadrant of right male breast, Malignant neoplasm of lower-outer quadrant of left male breast, Malignant neoplasm of axillary tail of right female breast, Malignant neoplasm of axillary tail of left female breast, Malignant neoplasm of axillary tail of right male breast, Malignant neoplasm of axillary tail of left male breast, Malignant neoplasm of overlapping sites of right female breast, Malignant neoplasm of overlapping sites of left female breast, Malignant neoplasm of overlapping sites of right male breast, Malignant neoplasm of overlapping sites of left male breast, Malignant neoplasm of unspecified kidney, except renal pelvis, Malignant neoplasm of bladder, unspecified, Peripheral T-cell lymphoma, not elsewhere classified, unspecified site, Peripheral T-cell lymphoma, not elsewhere classified, lymph nodes of multiple sites, Chronic myeloid leukemia, BCR/ABL-positive, not having achieved remission, Chronic myeloid leukemia, BCR/ABL-positive, in relapse, Encounter for follow-up examination after completed treatment for malignant neoplasm, Personal history of malignant carcinoid tumor of large intestine, Personal history of other malignant neoplasm of large intestine, Personal history of malignant carcinoid tumor of rectum, Other epilepsy, not intractable, with status epilepticus, Other epilepsy, not intractable, without status epilepticus, Other epilepsy, intractable, with status epilepticus, Other epilepsy, intractable, without status epilepticus, Idiopathic chronic gout, unspecified site, without tophus (tophi), Idiopathic chronic gout, unspecified site, with tophus (tophi), Other secondary chronic gout, unspecified site, without tophus (tophi), Other secondary chronic gout, unspecified site, with tophus (tophi), Chronic gout, unspecified, without tophus (tophi), Chronic gout, unspecified, with tophus (tophi), Personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissues, Personal history of malignant neoplasm, unspecified, Personal history of immunosuppression therapy, Adverse effect of aminoglycosides, initial encounter, Adverse effect of inhaled anesthetics, initial encounter, Adverse effect of inhaled anesthetics, subsequent encounter, Adverse effect of inhaled anesthetics, sequela, Underdosing of inhaled anesthetics, initial encounter, Underdosing of inhaled anesthetics, subsequent encounter, Underdosing of inhaled anesthetics, sequela, Adverse effect of intravenous anesthetics, initial encounter, Adverse effect of intravenous anesthetics, subsequent encounter, Adverse effect of intravenous anesthetics, sequela, Underdosing of intravenous anesthetics, initial encounter, Underdosing of intravenous anesthetics, subsequent encounter, Underdosing of intravenous anesthetics, sequela, Subsequent ST elevation (STEMI) myocardial infarction of unspecified site, Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction, Saddle embolus of pulmonary artery with acute cor pulmonale, Other pulmonary embolism with acute cor pulmonale, Saddle embolus of pulmonary artery without acute cor pulmonale, Single subsegmental pulmonary embolism without acute cor pulmonale, Multiple subsegmental pulmonary emboli without acute cor pulmonale, Other pulmonary embolism without acute cor pulmonale, Intracardiac thrombosis, not elsewhere classified, Acute embolism and thrombosis of other specified veins, Chronic embolism and thrombosis of other specified veins, Embolism due to cardiac prosthetic devices, implants and grafts, initial encounter, Embolism due to cardiac prosthetic devices, implants and grafts, subsequent encounter, Embolism due to cardiac prosthetic devices, implants and grafts, sequela, Embolism due to vascular prosthetic devices, implants and grafts, initial encounter, Embolism due to vascular prosthetic devices, implants and grafts, subsequent encounter, Embolism due to vascular prosthetic devices, implants and grafts, sequela, Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter, Thrombosis due to cardiac prosthetic devices, implants and grafts, subsequent encounter, Thrombosis due to cardiac prosthetic devices, implants and grafts, sequela, Thrombosis due to vascular prosthetic devices, implants and grafts, initial encounter, Thrombosis due to vascular prosthetic devices, implants and grafts, subsequent encounter, Thrombosis due to vascular prosthetic devices, implants and grafts, sequela, Long term (current) use of anticoagulants, Long term (current) use of antithrombotics/antiplatelets, Personal history of other venous thrombosis and embolism, Presence of other heart-valve replacement, Lambert-Eaton syndrome in disease classified elsewhere, Other intestinal Escherichia coli infections, Tuberculosis of nervous system, unspecified, Tuberculosis of genitourinary system, unspecified, Tuberculosis of other male genital organs, Tuberculous female pelvic inflammatory disease, Tuberculosis of other female genital organs, Tuberculosis of skin and subcutaneous tissue, Tuberculosis of digestive tract organs, not elsewhere classified, Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere, Otitis media, unspecified, unspecified ear, Pneumoconiosis due to other dust containing silica, Chronic or unspecified peptic ulcer, site unspecified, with hemorrhage, Chronic or unspecified peptic ulcer, site unspecified, with perforation, Chronic or unspecified peptic ulcer, site unspecified, with both hemorrhage and perforation, Chronic peptic ulcer, site unspecified, without hemorrhage or perforation, Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation, Ulcerative colitis, unspecified, without complications, Ulcerative colitis, unspecified with other complication, Ulcerative colitis, unspecified with unspecified complications, Urinary tract infection, site not specified, Contact with and (suspected) exposure to tuberculosis, Contact with and (suspected) exposure to human immunodeficiency virus [HIV], Asymptomatic human immunodeficiency virus [HIV] infection status, Personal history of malignant neoplasm of unspecified site of lip, oral cavity, and pharynx, Personal history of systemic steroid therapy, Some older versions have been archived.

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