Appendix Table 2.
ICD, CPT and HCPCS Codes for Urine Drug Testing and Chronic Pain Conditions
| Category | Code |
|---|---|
| Presumptive UDT codes | G0477, G0478, G0479, 0007U, G0430, G0431, G0434, H0003, 80100, 80101, 80104, 80300, 80301, 80302, 80304, 80303, 80305, 80306, 80307 |
| Definitive UDT codes | 83925, 80364, 80102, 80152, 80154, 80160, 80166, 80323, 80324, 80325, 80326, 80329, 80330, 80331, 80332, 80333, 80334, 80335, 80336, 80364, 80102, 80152, 80154, 80160, 80166, 80323, 80324, 80325, 80326, 80329, 80330, 80331, 80332, 80333, 80334, 80335, 80336, 80337, 80338, 80339, 80340, 80341, 80342, 80344, 80345, 80346, 80347, 80348, 80349, 80350, 80351, 80352, 80353, 80354, 80355, 80356, 80357, 80358, 80359, 80360, 80361, 80362, 80363, 80365, 80366, 80367, 80368, 80369, 80370, 80371, 80372, 80373, 80374, 80375, 80376, 80377, 82101, 82520, 82646, 82649, 82742, 83925, 83992, G0481, G0482, G0483, G6037, 0006U, G0480, G0659, G6031, G6032, G6034, G6036, G6037, G6041, G6042, G6043, G6044, G6045, G6048, G6050, G6053, G6056 |
| Back pain | ICD-9: 720.1, 720.2, 720.81, 720.89, 720.9, 721.0, 721.1, 721.2, 721.3, 721.41, 721.42, 721.5, 722.0, 722.10, 722.11, 722.2, 722.30, 722.31, 722.6, 722.83, 723.0, 723.1, 723.2, 723.3, 723.5, 723.6, 724.00, 724.01, 724.02, 724.03, 724.09, 724.1, 724.8, 756.10, 756.11, 756.12, 756.13, 756.14, 756.15 ICD-10: M43.27, M43.28, M43.6, M43.8X9, M46.00, M46.1, M46.40, M46.45, M46.47, M46.80, M46.90, M47.10, M47.12, M47.14, M47.16, M47.812, M47.814, M47.817, M47.819, M48.00, M48.02, M48.04, M48.06, M48.06, M48.08, M48.10, M48.20, M48.30, M48.9, M49.80, M50.00, M50.20, M50.30, M50.80, M50.90, M51.04, M51.05, M51.06, M51.24, M51.25, M51.26, M51.27, M51.34, M51.34, M51.35, M51.35, M51.36, M51.36, M51.37, M51.37, M51.44, M51.45, M51.46, M51.47, M51.84, M51.85, M51.86, M51.87, M51.9, M51.9, M51.9, M51.9, M51.9, M53.0, M53.1, M53.2X7, M53.2X8, M53.3, M53.3, M53.3, M53.82, M53.9, M54.02, M54.08, M54.14, M54.15, M54.16, M54.17, M54.2, M54.30, M54.5, M54.6, M54.89, M54.9, M67.88, M96.1, M96.1, M96.1, M96.1, Q76.0, Q76.1, Q76.2, Q76.2, Q76.419, Q76.49, Q76.49, Q76.49, Q76.49, Q76.49 |
| Joint pain | ICD-9: 710.0, 710.1, 710.2, 710.3, 710.4, 710.8, 710.9, 711.00, 711.01, 711.02, 711.03, 711.04, 711.05, 711.06, 711.24, 711.25, 711.26, 711.27, 711.28, 711.29, 711.30, 711.49, 711.50, 711.51, 711.52, 711.53, 711.54, 711.55, 711.74, 711.75, 711.76, 711.77, 711.78, 711.79, 711.80, 711.99, 713.0, 713.1, 713.2, 713.3, 713.4, 713.5, 713.6, 714.0, 714.1, 714.2, 714.30, 714.31, 714.32, 714.33, 715.00, 715.04, 715.09, 715.10, 715.11, 715.12, 715.13, 715.33, 715.34, 715.35, 715.36, 715.37, 715.38, 715.80, 716.00, 716.01, 716.02, 716.03, 716.04, 716.05, 716.24, 716.25, 716.26, 716.27, 716.28, 716.29, 716.49, 716.50, 716.51, 716.52, 716.53, 716.54, 716.85, 716.86, 716.87, 716.88, 716.89, 716.90, 717.0, 717.1, 717.2, 717.3, 717.40, 717.41, 718.00, 718.01, 718.02, 718.03, 718.04, 718.05, 718.26, 718.27, 718.28, 718.29, 718.30, 718.31, 718.65, 718.70, 718.71, 718.72, 718.73, 718.74, 718.94, 718.95, 718.97, 718.98, 718.99, 719.00, 719.01, 719.02, 719.03, 719.04, 719.05, 719.24, 719.25, 719.26, 719.27, 719.28, 719.29, 719.40, 719.41, 719.45, 719.46, 719.47, 719.49, 719.50, 719.51, 719.52, 719.53, 719.54, 719.78, 719.79, 719.80, 719.81, 719.82, 719.83, 720.0, 726.10, 726.5, 729.5, 733.90 ICD-10: M00.039, M00.049, M00.059, M00.069, M00.079, M00.08, M00.09, M00.139, M00.149, M00.159, M00.169, M00.179, M00.18, M00.19, M00.239, M00.249, M00.259, M00.269, M00.279, M00.28, M00.29, M00.839, M00.849, M00.859, M00.869, M00.879, M00.88, M00.89, M00.9, M01.X0, M01.X0, M01.X0, M01.X0, M01.X0, M01.X19, M01.X19, M01.X19, M01.X19, M01.X19, M01.X29, M01.X29, M01.X29, M01.X29, M01.X29, M01.X29, M01.X39, M01.X39, M01.X39, M01.X39, M01.X39, M01.X39, M01.X49, M01.X49, M01.X49, M01.X49, M01.X49, M01.X59, M01.X59, M01.X59, M01.X59, M01.X59, M01.X69, M01.X69, M01.X69, M01.X69, M01.X69, M01.X69, M01.X79, M01.X79, M01.X79, M01.X79, M01.X79, M01.X79, M01.X8, M01.X8, M01.X8, M01.X8, M01.X8, M01.X8, M01.X9, M01.X9, M01.X9, M01.X9, M02.10, M02.119, M02.129, M02.139, M02.149, M02.159, M02.169, M02.179, M02.18, M02.19, M02.20, M02.30, M02.319, M02.329, M02.339, M02.349, M02.359, M02.369, M02.379, M02.38, M02.39, M02.9, M05.10, M05.30, M05.60, M06.1, M06.4, M06.4, M06.9, M08.00, M08.3, M08.40, M08.40, M12.00, M12.129, M12.139, M12.149, M12.159, M12.169, M12.179, M12.18, M12.19, M12.20, M12.219, M12.229, M12.239, M12.269, M12.279, M12.28, M12.29, M12.30, M12.319, M12.329, M12.339, M12.349, M12.359, M12.369, M12.379, M12.38, M12.39, M12.40, M12.419, M12.429, M12.439, M12.449, M12.459, M12.469, M12.479, M12.48, M12.49, M12.50, M12.519, M12.529, M12.539, M12.549, M12.559, M12.569, M12.579, M12.58, M12.59, M12.80, M12.80, M12.80, M12.80, M12.819, M12.819, M12.829, M12.829, M12.839, M12.839, M12.849, M12.849, M12.859, M12.869, M12.879, M12.879, M12.88, M12.88, M12.89, M12.9, M12.9, M12.9, M12.9, M12.9, M12.9, M12.9, M12.9, M12.9, M12.9, M13.0, M13.0, M13.0, M13.0, M13.0, M13.0, M13.0, M13.0, M13.0, M13.10, M13.10, M13.119, M13.129, M13.139, M13.149, M13.159, M13.169, M13.179, M13.80, M13.80, M13.819, M13.819, M13.829, M13.829, M13.839, M13.839, M13.849, M13.859, M13.869, M13.869, M13.879, M13.879, M13.88, M13.88, M13.89, M13.89, M14.60, M14.80, M15.0, M15.3, M15.8, M15.8, M15.9, M16.10, M16.7, M16.9, M16.9, M17.10, M17.5, M17.9, M17.9, M18.9, M19.019, M19.029, M19.039, M19.049, M19.079, M19.219, M19.229, M19.239, M19.249, M19.279, M19.90, M19.90, M19.90, M19.90, M19.90, M19.90, M19.90, M19.90, M19.90, M19.90, M19.90, M19.91, M19.91, M19.93, M19.93, M22.40, M23.009, M23.202, M23.229, M23.239, M23.249, M23.259, M23.269, M23.305, M23.329, M23.339, M23.349, M23.359, M23.369, M23.40, M23.50, M23.50, M23.50, M23.50, M23.50, M23.50, M23.8X9, M23.8X9, M23.90, M24.00, M24.00, M24.019, M24.029, M24.039, M24.049, M24.059, M24.073, M24.076, M24.08, M24.10, M24.10, M24.129, M24.139, M24.149, M24.159, M24.173, M24.176, M24.30, M24.30, M24.30, M24.319, M24.329, M24.339, M24.349, M24.359, M24.40, M24.419, M24.429, M24.439, M24.443, M24.446, M24.459, M24.469, M24.473, M24.476, M24.60, M24.60, M24.60, M24.619, M24.629, M24.639, M24.649, M24.659, M24.669, M24.673, M24.676, M24.80, M24.80, M24.80, M24.80, M24.80, M24.80, M24.819, M24.819, M24.829, M24.829, M24.839, M24.839, M24.849, M24.849, M24.859, M24.859, M24.873, M24.873, M24.876, M24.876, M24.9, M24.9, M24.9, M24.9, M24.9, M24.9, M24.9, M25.00, M25.00, M25.019, M25.029, M25.039, M25.049, M25.059, M25.069, M25.073, M25.076, M25.08, M25.10, M25.10, M25.119, M25.129, M25.139, M25.149, M25.159, M25.169, M25.173, M25.176, M25.18, M25.40, M25.429, M25.439, M25.449, M25.459, M25.469, M25.473, M25.476, M25.48, M25.50, M25.50, M25.519, M25.529, M25.539, M25.541, M25.542, M25.549, M25.559, M25.569, M25.579, M25.60, M25.60, M25.619, M25.629, M25.639, M25.649, M25.659, M25.669, M25.673, M25.676, M25.80, M25.80, M25.819, M25.829, M25.839, M25.849, M25.859, M25.869, M25.879, M25.9, M25.9, M25.9, M25.9, M25.9, M25.9, M25.9, M25.9, M25.9, M25.9, M33.20, M33.90, M35.2, M35.2, M35.2, M35.2, M35.2, M35.2, M35.2, M35.5, M35.9, M36.2, M36.3, M36.4, M43.4, M43.5X9, M43.5X9, M70.60, M70.70, M75.100, M75.50, M76.10, M76.20, M79.609, M79.646, M85.9, M89.9, M94.9, R29.4, R29.898, R29.898, R29.898, R29.898, R29.898, R29.898, R29.898, R29.898, R29.898, V13.4 |
| Nerve pain | ICD-9: 337.0, 337.1, 353.0, 353.1, 353.2, 353.3, 353.4, 353.5, 353.6, 353.8, 353.9, 354.0, 354.1, 354.2, 354.3, 354.4, 354.5, 354.8, 354.9, 355.0, 355.1, 355.2, 355.3, 355.4, 355.5, 355.6, 355.7, 355.71, 356.0, 356.1, 356.2, 356.3, 356.4, 356.8, 356.9, 357.0, 357.1, 357.2, 357.4, 357.5, 357.6, 357.7, 357.8, 357.81, 377.33, 377.34, 377.41, 531.3, 723.4, 724.3, 727.2, 729.2 ICD-10: B02.23, B26.84, E08.42, E09.42, E10.42, E11.42, E13.42, G54.0, G54.1, G54.2, G54.3, G54.4, G54.5, G54.6, G54.7, G54.8, G54.9, G56.00, G56.10, G56.20, G56.30, G56.40, G56.80, G56.90, G57.00, G57.10, G57.20, G57.30, G57.40, G57.50, G57.60, G57.70, G57.80, G57.90, G58.7, G58.9, G60.0, G60.0, G60.0, G60.1, G60.3, G60.8, G60.9, G61.0, G61.81, G61.82, G61.89, G61.9, G62.0, G62.1, G62.2, G62.81, G63., G63., G99.0, H46.2, H46.3, H47.019, M54.10, M54.12, M54.13, M54.30, M79.2 |
| Other chronic pain | ICD-9: 338.29, 338.4, 729.1 ICD-10: G89.29, G89.4, M60.9, M79.1, M79.7 |
| Cancer | ICD-9: 140.x–172.x, 174.x–202.x, 203.0. 238.6 ICD-10: C01-C85, C88, C96, C97, C90.0, C90.2 |
| Musculoskeletal pain | ICD-9: 725.x, 726.0, 727.00, 728.11, 729.0, 781.99, 830.0, 831.00, 832.00, 833.00, 834.00, 835.00, 836.0, 863.80 ICD-10: M25.729, M35.3, M60.10, M60.9, M61.00, M61.10, M62.10, M62.89, M62.9, M65.00, M65.30, M65.4, M65.80, M65.849, M65.879, M65.9, M66.10, M66.239, M66.249, M66.259, M66.269, M66.339, M66.349, M66.369, M66.829, M66.879, M66.88, M66.9, M67.80, M67.88, M67.90, M70.039, M70.10, M70.20, M70.30, M70.30, M70.40, M70.40, M70.50, M70.60, M70.70, M70.98, M71.00, M71.20, M71.30, M71.50, M71.80, M71.9, M72.6, M72.9, M75.00, M75.100, M75.120, M75.20, M75.30, M75.30, M75.40, M75.50, M75.80, M75.80, M76.10, M76.20, M76.40, M76.50, M76.60, M76.829, M76.899, M76.899, M76.899, M77.00, M77.10, M77.20, M77.9, M79.0, M79.1, M79.609, M79.7, M79.81, M79.A19, M79.A29, M79.A3, M79.A9, R29.818, R29.898, R29.898, R29.90, R29.91, R68.89, S01.409A, S03.00XA, S03.00XA, S03.00XS, S03.01XA, S03.01XS, S03.02XA, S03.02XS, S03.03XA, S03.1XXA, S03.40XA, S03.41XA, S03.42XA, S03.43XA, S03.8XXA, S03.9XXA, S03.9XXS, S11.90XA, S11.90XA, S11.90XA, S11.90XA, S11.90XA, S11.90XA, S11.90XA, S11.90XA, S11.90XA, S13.101A, S13.101A, S13.101A, S13.101A, S13.111A, S13.111A, S13.121A, S13.121A, S13.131A, S13.131A, S13.141A, S13.141A, S13.151A, S13.151A, S13.161A, S13.161A, S13.171A, S13.171A, S13.181A, S13.181A, S13.20XS, S13.4XXA, S13.5XXA, S13.8XXA, S13.9XXS, S21.109A, S21.209A, S23.101A, S23.101A, S23.20XA, S23.20XA, S23.20XS, S23.3XXA, S23.41XA, S23.420A, S23.421A, S23.428A, S23.429A, S23.8XXA, S23.9XXA, S23.9XXS, S29.019A, S31.000A, S31.000A, S31.000A, S31.000A, S31.000A, S31.000A, S33.101A, S33.101A, S33.2XXA, S33.2XXA, S33.2XXA, S33.2XXA, S33.30XS, S33.39XA, S33.39XA, S33.39XA, S33.39XA, S33.5XXA, S33.6XXA, S33.8XXA, S33.8XXA, S33.8XXA, S33.8XXA, S33.8XXA, S33.8XXA, S33.8XXA, S33.9XXA, S33.9XXS, S39.011A, S41.009A, S41.009A, S41.009A, S41.109A, S41.109A, S41.109A, S43.006A, S43.006A, S43.016A, S43.016A, S43.026A, S43.026A, S43.036A, S43.036A, S43.086A, S43.086A, S43.109A, S43.109A, S43.206A, S43.206A, S43.306S, S43.409A, S43.419A, S43.429A, S43.439A, S43.499A, S43.50XA, S43.80XA, S43.80XA, S43.80XA, S43.80XA, S43.90XS, S46.019A, S46.119A, S46.819A, S46.919A, S46.919S, S51.009A, S51.009A, S51.009A, S51.009A, S51.009A, S51.009A, S53.006A, S53.006A, S53.016A, S53.016A, S53.026A, S53.026A, S53.033A, S53.096A, S53.096A, S53.106A, S53.106A, S53.116A, S53.116A, S53.136A, S53.136A, S53.146A, S53.146A, S53.196A, S53.196A, S53.409A, S53.419A, S53.429A, S53.439A, S53.449A, S53.499A, S53.499S, S56.919A, S56.919S, S61.009A, S61.009A, S61.209A, S61.209A, S61.409A, S61.509A, S61.509A, S61.509A, S61.509A, S61.509A, S61.509A, S61.509A, S63.006A, S63.006A, S63.006S, S63.016A, S63.016A, S63.026A, S63.026A, S63.036A, S63.036A, S63.046A, S63.056A, S63.056A, S63.066A, S63.066A, S63.076A, S63.076A, S63.096A, S63.096A, S63.106A, S63.106A, S63.116A, S63.116A, S63.126A, S63.126A, S63.259A, S63.259A, S63.269A, S63.269A, S63.279A, S63.279A, S63.289A, S63.299A, S63.329A, S63.509A, S63.519A, S63.529A, S63.599A, S63.629A, S63.639A, S63.649A, S63.659A, S63.8X9A, S63.8X9A, S63.90XA, S63.90XS, S66.919A, S66.919A, S66.919S, S71.009A, S71.009A, S71.009A, S71.009A, S73.006A, S73.006A, S73.006S, S73.016A, S73.016A, S73.026A, S73.026A, S73.036A, S73.036A, S73.109A, S73.109S, S73.119A, S73.129A, S73.199A, S76.919A, S76.919S, S81.009A, S81.009A, S81.009A, S81.009A, S81.009A, S81.009A, S81.009A, S83.006A, S83.006A, S83.006S, S83.106A, S83.106A, S83.106S, S83.116A, S83.116A, S83.126A, S83.126A, S83.136A, S83.136A, S83.146A, S83.146A, S83.196A, S83.196A, S83.209A, S83.209S, S83.219A, S83.289A, S83.30XA, S83.419A, S83.429A, S83.509A, S83.60XA, S83.8X9A, S83.90XA, S83.90XS, S86.019A, S86.819A, S86.919A, S91.009A, S91.109A, S91.109A, S91.309A, S91.309A, S91.309A, S91.309A, S91.309A, S91.309A, S93.06XA, S93.06XA, S93.06XS, S93.106A, S93.119A, S93.119A, S93.129A, S93.129A, S93.306A, S93.306A, S93.306S, S93.316A, S93.316A, S93.316A, S93.316A, S93.326A, S93.326A, S93.336A, S93.336A, S93.336A, S93.336A, S93.409A, S93.419A, S93.429A, S93.439A, S93.499A, S93.519A, S93.529A, S93.609A, S93.609S, S93.629A, S93.699A, S96.919A, S96.919A, S96.919S, T14.90, T14.90, T14.90, Z89.019, Z89.029, Z89.119, Z89.129, Z89.209, Z89.219, Z89.229, Z89.239, Z89.419, Z89.429, Z89.439, Z89.449, Z89.519, Z89.619, Z89.629, Z89.9, Z96.60, Z96.619, Z96.629, Z96.639, Z96.649, Z96.659, Z96.669, Z96.698, Z97.10 |
CPT, current procedural terminology; HCPCS, healthcare common procedure coding system ; UDT, urine drug testing.