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. 2015 May 28;8:255–270. doi: 10.2147/JMDH.S77408

Table S1.

CPT code Description
00810 Presence of anesthesia provider
45355 Colonoscopy, rigid or flexible, transabdominal via colostomy, single or multiple
45378 Colonoscopy, flexible, proximal to splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing, with or without colon decompression
45380 Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple
Modifier 52 Incomplete procedure
Modifier 53 Incomplete procedure
Modifier 74 Incomplete procedure
Modifier P1 Normal healthy patient
Modifier P2 Patient with mild systemic disease
Modifier P3 Patient with severe systemic disease
Modifier P4 Patient with severe systemic disease that is a constant threat to life
Modifier P5 Moribund patient who is not expected to survive without the operation
G code
G0121 Colorectal screening; colonoscopy on individual not meeting criteria for high risk
G0105 Colorectal screening; colonoscopy on individual meeting criteria for high risk
V code
V10.05 Personal history of malignant neoplasm of large intestine
V10.06 Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus
ICD-9 code
153 Malignant neoplasm of colon
153.0 Malignant neoplasm of hepatic flexure
153.1 Malignant neoplasm of transverse colon
153.2 Malignant neoplasm of descending colon
153.3 Malignant neoplasm of sigmoid colon
153.4 Malignant neoplasm of cecum
153.5 Malignant neoplasm of appendix
153.6 Malignant neoplasm of ascending colon
153.7 Malignant neoplasm of splenic flexure
153.8 Malignant neoplasm of other specified sites of large intestine
153.9 Malignant neoplasm of colon, unspecified site
154 Malignant neoplasm of rectum, rectosigmoid junction, and anus
154.0 Malignant neoplasm of rectosigmoid junction
154.1 Malignant neoplasm of rectum
154.2 Malignant neoplasm of anal canal
154.3 Malignant neoplasm of anus, unspecified site
154.8 Malignant neoplasm of other sites of rectum, rectosigmoid junction, and anus
ICD-9 code
230.3 Carcinoma in situ of colon
230.6 Carcinoma in situ of rectum
230.7 Carcinoma in situ of anal canal
230.8 Carcinoma in situ of anus, unspecified
235.2 Neo uncertain behavior
239.0 Neo unspecified
555 Regional enteritis
555.1 Regional enteritis, large intestine
555.2 Regional enteritis, small intestine with large intestine
555.9 Regional enteritis, unspecified site
556 Ulcerative colitis
556.0 Ulcerative (chronic) enterocolitis
556.1 Ulcerative (chronic) ileocolitis
556.2 Ulcerative (chronic) proctitis
556.3 Ulcerative (chronic) proctosigmoiditis
556.4 Pseudopolyposis of colon
556.5 Left-sided ulcerative (chronic) colitis
556.6 Universal ulcerative (chronic) colitis
556.8 Other ulcerative colitis
556.9 Ulcerative colitis, unspecified
410 Acute myocardial infarction
410.0 Acute myocardial infarction of anterolateral wall
410.00 Acute myocardial infarction of anterolateral wall, episode of care unspecified
410.01 Acute myocardial infarction of anterolateral wall, initial episode of care
410.02 Acute myocardial infarction of anterolateral wall, subsequent episode of care
410.1 Acute myocardial infarction of other anterior wall
410.0 Acute myocardial infarction of other anterior wall, episode of care unspecified
410.11 Acute myocardial infarction of other anterior wall, initial episode of care
410.12 Acute myocardial infarction of other anterior wall, subsequent episode of care
410.2 Acute myocardial infarction of inferolateral wall
410.20 Acute myocardial infarction of inferolateral wall, episode of care unspecified
410.21 Acute myocardial infarction of inferolateral wall, initial episode of care
410.22 Acute myocardial infarction of inferolateral wall, subsequent episode of care
410.3 Acute myocardial infarction of inferoposterior wall
410.30 Acute myocardial infarction of inferoposterior wall, episode of care unspecified
410.31 Acute myocardial infarction of inferoposterior wall, initial episode of care
410.32 Acute myocardial infarction of inferoposterior wall, subsequent episode of care
410.4 Acute myocardial infarction of other inferior wall
410.40 Acute myocardial infarction of other inferior wall, episode of care unspecified
410.41 Acute myocardial infarction of other inferior wall, initial episode of care
ICD-9 code
410.42 Acute myocardial infarction of other inferior wall, subsequent episode of care
410.5 Acute myocardial infarction of other lateral wall
410.50 Acute myocardial infarction of other lateral wall, episode of care unspecified
410.51 Acute myocardial infarction of other lateral wall, initial episode of care
410.52 Acute myocardial infarction of other lateral wall, subsequent episode of care
410.6 Acute myocardial infarction, true posterior wall infarction
410.60 Acute myocardial infarction, true posterior wall infarction, episode of care unspecified
410.61 Acute myocardial infarction, true posterior wall infarction, initial episode of care
410.62 Acute myocardial infarction, true posterior wall infarction, subsequent episode of care
410.7 Acute myocardial infarction, subendocardial infarction
410.70 Acute myocardial infarction, subendocardial infarction, episode of care unspecified
410.71 Acute myocardial infarction, subendocardial infarction, initial episode of care
410.72 Acute myocardial infarction, subendocardial infarction, subsequent episode of care
410.8 Acute myocardial infarction of other specified sites
410.80 Acute myocardial infarction of other specified sites, episode of care unspecified
410.81 Acute myocardial infarction of other specified sites, initial episode of care
410.82 Acute myocardial infarction of other specified sites, subsequent episode of care
410.9 Acute myocardial infarction, unspecified site
410.90 Acute myocardial infarction, unspecified site, episode of care unspecified
410.91 Acute myocardial infarction, unspecified site, initial episode of care
410.92 Acute myocardial infarction, unspecified site, subsequent episode of care
411 Other acute and subacute forms of ischemic heart disease
411.0 Postmyocardial infarction syndrome
411.1 Intermediate coronary syndrome
411.8 Other acute and subacute forms of ischemic heart disease
411.81 Acute coronary occlusion without myocardial infarction
411.89 Other acute and subacute form of ischemic heart disease
412 Old myocardial infarction
413 Angina pectoris
413.0 Angina decubitus
413.1 Prinzmetal angina
413.9 Other and unspecified angina pectoris
414 Other forms of chronic ischemic heart disease
414.0 Coronary atherosclerosis
414.00 Coronary atherosclerosis of unspecified type of vessel, native, or graft
414.01 Coronary atherosclerosis of native coronary artery
414.02 Coronary atherosclerosis of autologous vein bypass graft
414.03 Coronary atherosclerosis of nonautologous biological bypass graft
414.04 Coronary atherosclerosis of artery bypass graft
414.05 Coronary atherosclerosis of unspecified type of bypass graft
ICD-9 code
414.06 Coronary atherosclerosis, of native coronary artery of transplanted heart
414.07 Coronary atherosclerosis, of bypass graft (artery) (vein) of transplanted heart
414.1 Aneurysm and dissection of heart
414.10 Aneurysm of heart
414.11 Aneurysm of coronary vessels
414.12 Dissection of coronary artery
414.19 Other aneurysm of heart
414.2 Chronic total occlusion of coronary artery
414.8 Other specified forms of chronic ischemic heart disease
414.9 Unspecified chronic ischemic heart disease
430 Subarachnoid hemorrhage
431 Intracerebral hemorrhage
432 Other and unspecified intracranial hemorrhage
432.0 Nontraumatic extradural hemorrhage
432.1 Subdural hemorrhage
432.9 Unspecified intracranial hemorrhage
433 Occlusion and stenosis of precerebral arteries
433.0 Occlusion and stenosis of basilar artery
433.00 Occlusion and stenosis of basilar artery without mention of cerebral infarction
433.01 Occlusion and stenosis of basilar artery with cerebral infarction
433.1 Occlusion and stenosis of carotid artery
433.10 Occlusion and stenosis of carotid artery without mention of cerebral infarction
433.11 Occlusion and stenosis of carotid artery with cerebral infarction
433.2 Occlusion and stenosis of vertebral artery
433.20 Occlusion and stenosis of vertebral artery without mention of cerebral infarction
433.21 Occlusion and stenosis of vertebral artery with cerebral infarction
433.3 Occlusion and stenosis of multiple and bilateral precerebral arteries
433.30 Occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction
433.31 Occlusion and stenosis of multiple and bilateral precerebral arteries with cerebral infarction
433.8 Occlusion and stenosis of other specified precerebral artery
433.80 Occlusion and stenosis of other specified precerebral artery without mention of cerebral infarction
433.81 Occlusion and stenosis of other specified precerebral artery with cerebral infarction
433.9 Occlusion and stenosis of unspecified precerebral artery
433.90 Occlusion and stenosis of unspecified precerebral artery without mention of cerebral infarction
433.91 Occlusion and stenosis of unspecified precerebral artery with cerebral infarction
434 Occlusion of cerebral arteries
434.0 Cerebral thrombosis
434.00 Cerebral thrombosis without mention of cerebral infarction
434.01 Cerebral thrombosis with cerebral infarction
ICD-9 code
434.1 Cerebral embolism
434.10 Cerebral embolism without mention of cerebral infarction
434.11 Cerebral embolism with cerebral infarction
434.9 Unspecified cerebral artery occlusion
434.90 Unspecified cerebral artery occlusion without mention of cerebral infarction
434.91 Unspecified cerebral artery occlusion with cerebral infarction
435 Transient cerebral ischemia
435.0 Basilar artery syndrome
435.1 Vertebral artery syndrome
435.2 Subclavian steal syndrome
435.3 Vertebrobasilar artery syndrome
435.8 Other specified transient cerebral ischemias
435.9 Unspecified transient cerebral ischemia
436 Acute, but ill-defined, cerebrovascular disease
437 Other and ill-defined cerebrovascular disease
437.0 Cerebral atherosclerosis
437.1 Other generalized ischemic cerebrovascular disease
437.2 Hypertensive encephalopathy
437.3 Cerebral aneurysm, nonruptured
437.4 Cerebral arteritis
437.5 Moyamoya disease
437.6 Nonpyogenic thrombosis of intracranial venous sinus
437.7 Transient global amnesia
437.8 Other ill-defined cerebrovascular disease
437.9 Unspecified cerebrovascular disease
438 Late effects of cerebrovascular disease
438.0 Cognitive deficits due to cerebrovascular disease
438.1 Speech and language deficits due to cerebrovascular disease
439.10 Unspecified speech and language deficit due to cerebrovascular disease
438.11 Aphasia due to cerebrovascular disease
438.12 Dysphasia due to cerebrovascular disease
438.19 Other speech and language deficits due to cerebrovascular disease
438.2 Hemiplegia/hemiparesis due to cerebrovascular disease
438.20 Hemiplegia affecting unspecified side due to cerebrovascular disease
438.21 Hemiplegia affecting dominant side due to cerebrovascular disease
438.22 Hemiplegia affecting nondominant side due to cerebrovascular disease
438.3 Monoplegia of upper limb due to cerebrovascular disease
438.30 Monoplegia of upper limb affecting unspecified side due to cerebrovascular disease
438.31 Monoplegia of upper limb affecting dominant side due to cerebrovascular disease
438.32 Monoplegia of upper limb affecting nondominant side due to cerebrovascular disease
ICD-9 code
438.4 Monoplegia of lower limb due to cerebrovascular disease
438.40 Monoplegia of lower limb affecting unspecified side due to cerebrovascular disease
438.41 Monoplegia of lower limb affecting dominant side due to cerebrovascular disease
438.42 Monoplegia of lower limb affecting nondominant side due to cerebrovascular disease
438.5 Other paralytic syndrome due to cerebrovascular disease
438.50 Other paralytic syndrome affecting unspecified side due to cerebrovascular disease
438.51 Other paralytic syndrome affecting dominant side due to cerebrovascular disease
438.52 Other paralytic syndrome affecting nondominant side due to cerebrovascular disease
438.6 Alteration of sensations as late effect of cerebrovascular disease
438.7 Disturbance of vision as late effect of cerebrovascular disease
438.8 Other late effects of cerebrovascular disease due to cerebrovascular disease
438.81 Apraxia due to cerebrovascular disease
438.82 Dysphagia due to cerebrovascular disease
438.83 Facial weakness as late effect of cerebrovascular disease
438.84 Ataxia as late effect of cerebrovascular disease
438.85 Vertigo as late effect of cerebrovascular disease
438.89 Other late effects of cerebrovascular disease
438.9 Unspecified late effects of cerebrovascular disease due to cerebrovascular disease
428 Heart failure
428.0 Congestive heart failure, unspecified
428.1 Left heart failure
428.2 Systolic heart failure
428.20 Unspecified systolic heart failure
428.21 Acute systolic heart failure
428.22 Chronic systolic heart failure
428.23 Acute on chronic systolic heart failure
428.3 Diastolic heart failure
428.30 Unspecified diastolic heart failure
428.31 Acute diastolic heart failure
428.32 Chronic diastolic heart failure
428.33 Acute on chronic diastolic heart failure
428.4 Combined systolic and diastolic heart failure
428.40 Unspecified combined systolic and diastolic heart failure
428.41 Acute combined systolic and diastolic heart failure
428.42 Chronic combined systolic and diastolic heart failure
428.43 Acute on chronic combined systolic and diastolic heart failure
428.9 Unspecified heart failure
250 Diabetes mellitus
250.0 Diabetes mellitus without mention of complication
ICD-9 code
250.00 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled
250.01 Diabetes mellitus without mention of complication, type I (juvenile type), not stated as uncontrolled
250.02 Diabetes mellitus without mention of complication, type II or unspecified type, uncontrolled
250.03 Diabetes mellitus without mention of complication, type I (juvenile type), uncontrolled
250.1 Diabetes with ketoacidosis
250.10 Diabetes with ketoacidosis, type II or unspecified type, not stated as uncontrolled
250.11 Diabetes with ketoacidosis, type I (juvenile type), not stated as uncontrolled
250.12 Diabetes with ketoacidosis, type II or unspecified type, uncontrolled
250.13 Diabetes with ketoacidosis, type I (juvenile type), uncontrolled
250.2 Diabetes with hyperosmolarity
250.20 Diabetes with hyperosmolarity, type II or unspecified type, not stated as uncontrolled
250.21 Diabetes with hyperosmolarity, type I (juvenile type), not stated as uncontrolled
250.22 Diabetes with hyperosmolarity, type II or unspecified type, uncontrolled
250.23 Diabetes with hyperosmolarity, type I (juvenile type), uncontrolled
250.3 Diabetes with other coma
250.30 Diabetes with other coma, type II or unspecified type, not stated as uncontrolled
250.31 Diabetes with other coma, type I (juvenile type), not stated as uncontrolled
250.32 Diabetes with other coma, type II or unspecified type, uncontrolled
250.33 Diabetes with other coma, type I (juvenile type), uncontrolled
250.4 Diabetes with renal manifestations
250.40 Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled
250.41 Diabetes with renal manifestations, type I (juvenile type), not stated as uncontrolled
250.42 Diabetes with renal manifestations, type II or unspecified type, uncontrolled
250.43 Diabetes with renal manifestations, type I (juvenile type), uncontrolled
250.5 Diabetes with ophthalmic manifestations
250.50 Diabetes with ophthalmic manifestations, type II or unspecified type, not stated as uncontrolled
250.51 Diabetes with ophthalmic manifestations, type I (juvenile type), not stated as uncontrolled
250.52 Diabetes with ophthalmic manifestations, type II or unspecified type, uncontrolled
250.53 Diabetes with ophthalmic manifestations, type I (juvenile type), uncontrolled
250.6 Diabetes with neurological manifestations
250.60 Diabetes with neurological manifestations, type II or unspecified type, not stated as uncontrolled
250.61 Diabetes with neurological manifestations, type I (juvenile type), not stated as uncontrolled
250.62 Diabetes with neurological manifestations, type II or unspecified type, uncontrolled
250.63 Diabetes with neurological manifestations, type I (juvenile type), uncontrolled
250.7 Diabetes with peripheral circulatory disorders
250.70 Diabetes with peripheral circulatory disorders, type II or unspecified type, not stated as uncontrolled
250.71 Diabetes with peripheral circulatory disorders, type I (juvenile type), not stated as uncontrolled
250.72 Diabetes with peripheral circulatory disorders, type II or unspecified type, uncontrolled
250.73 Diabetes with peripheral circulatory disorders, type I (juvenile type), uncontrolled
ICD-9 code
250.8 Diabetes with other specified manifestations
250.80 Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled
250.81 Diabetes with other specified manifestations, type I (juvenile type), not stated as uncontrolled
250.82 Diabetes with other specified manifestations, type II or unspecified type, uncontrolled
250.83 Diabetes with other specified manifestations, type I (juvenile type), uncontrolled
250.9 Diabetes with unspecified complication
250.90 Diabetes with unspecified complication, type II or unspecified type, not stated as uncontrolled
250.91 Diabetes with unspecified complication, type I (juvenile type), not stated as uncontrolled
250.92 Diabetes with unspecified complication, type II or unspecified type, uncontrolled
250.93 Diabetes with unspecified complication, type I (juvenile type), uncontrolled
581 Nephrotic syndrome
581.0 Nephrotic syndrome with lesion of proliferative glomerulonephritis
581.1 Nephrotic syndrome with lesion of membranous glomerulonephritis
581.2 Nephrotic syndrome with lesion of membranoproliferative glomerulonephritis
581.3 Nephrotic syndrome with lesion of minimal change glomerulonephritis
581.8 Nephrotic syndrome with other specified pathological lesion in kidney
581.81 Nephrotic syndrome with other specified pathological lesion in kidney in diseases classified elsewhere
581.89 Other nephrotic syndrome with specified pathological lesion in kidney
581.9 Nephrotic syndrome with unspecified pathological lesion in kidney
582 Chronic glomerulonephritis
582.0 Chronic glomerulonephritis with lesion of proliferative glomerulonephritis
582.1 Chronic glomerulonephritis with lesion of membranous glomerulonephritis
582.2 Chronic glomerulonephritis with lesion of membranoproliferative glomerulonephritis
582.4 Chronic glomerulonephritis with lesion of rapidly progressive glomerulonephritis
582.8 Chronic glomerulonephritis with other specified pathological lesion in kidney
582.81 Chronic glomerulonephritis with other specified pathological lesion in kidney in diseases classified elsewhere
582.89 Other chronic glomerulonephritis with specified pathological lesion in kidney
582.9 Chronic glomerulonephritis with unspecified pathological lesion in kidney
585 Chronic renal failure
585.1 Chronic kidney disease, Stage I
585.2 Chronic kidney disease, Stage II (mild)
585.3 Chronic kidney disease, Stage III (moderate)
585.4 Chronic kidney disease, Stage IV (severe)
585.5 Chronic kidney disease, Stage V
585.6 End stage renal disease
585.9 Chronic kidney disease, unspecified
587 Unspecified renal sclerosis
588 Disorders resulting from impaired renal function
588.0 Renal osteodystrophy
ICD-9 code
588.1 Nephrogenic diabetes insipidus
588.8 Other specified disorder resulting from impaired renal function
588.89 Other specified disorders resulting from impaired renal function
588.9 Unspecified disorder resulting from impaired renal function
GPI code
2710101000 Insulin (Regular) Inj 100 Unit/ML
2710101000 Insulin (Regular) Inj 80 Unit/ML
2710101000 Insulin (Regular) Inj 40 Unit/ML
2710102000 Insulin Isophane Inj 40 Unit/ML
2710102000 Insulin Isophane Inj 100 Unit/ML
2710102000 Insulin Isophane Inj 80 Unit/ML
2710103000 Insulin Protamine Zinc Inj 40 Unit/ML
2710103000 Insulin Protamine Zinc Inj 100 Unit/ML
2710104000 Insulin Zinc Inj 40 Unit/ML
2710104000 Insulin Zinc Inj 80 Unit/ML
2710104000 Insulin Zinc Inj 100 Unit/ML
2710105000 Insulin Zinc, Extended Inj 100 Unit/ML
2710105000 Insulin Zinc, Extended Inj 40 Unit/ML
2710106000 Insulin Zinc, Prompt Inj 100 Unit/ML
2710106000 Insulin Zinc, Prompt Inj 40 Unit/ML
2710201000 Insulin Regular (Beef) Inj 100 Unit/ML
2710202000 Insulin Isophane (Beef) Inj 100 Unit/ML
2710203000 Insulin Protamine Zinc (Beef) Inj 100 Unit/ML
2710204000 Insulin Zinc (Beef) Inj 100 Unit/ML
2710205000 Insulin Zinc, Extended (Beef) Inj 100 Unit/ML
2710206000 Insulin Zinc, Prompt (Beef) Inj 100 Unit/ML
2710301000 Insulin Regular (Pork) Inj 500 Unit/ML
2710301000 Insulin Regular (Pork) Inj 100 Unit/ML
2710301000 Insulin Regular (Pork) Inj 40 Unit/ML
2710302000 Insulin Isophane (Pork) Inj 100 Unit/ML
2710303000 Insulin Protamine Zinc (Pork) Inj 100 Unit/ML
2710304000 Insulin Zinc (Pork) Inj 100 Unit/ML
2710306000 Insulin Zinc, Prompt (Pork) Inj 100 Unit/ML
2710307000 Insulin Regular and Isophane (Pork) Inj 100 Unit/ML
2710400200 Insulin Aspart Inj 100 Unit/ML
2710400300 Insulin Glargine Inj 100 Unit/ML
2710400500 Insulin Lispro (Human) Inj 100 Unit/ML
2710401000 Insulin Regular (Human) Inj 100 Unit/ML
2710401500 Insulin Regular (Human) Inj Buffered 100 Unit/ML
GPI code
2710402000 Insulin Isophane (Human) Inj 100 Unit/ML
2710403000 Insulin Zinc (Human) Inj 100 Unit/ML
2710405000 Insulin Zinc, Extended (Human) Inj 100 Unit/ML
2710407000 Insulin Aspart Prot and Aspart (Human) Inj 100 Unit/ML (70–30)
2710408000 Insulin Lispro and Lispro Prot (Human) Inj 100 Unit/ML (25–75)
2710409000 Insulin Isophane and Regular (Human) Inj 100 Unit/ML (50–50)
2710409000 Insulin Isophane and Regular (Human) Inj 100 Unit/ML (70–30)
2710409000 Insulin Regular and Isophane (Human) Inj 100 Unit/ML (30–70)

Abbreviations: CPT, Current Procedural Terminology; GPI, Generic Product Identifier; ICD-9, International Classification of Diseases Ninth revision; Inj, injected.