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.