MEDICALLY NECESSARY
ONABOTULINUMTOXINA (BOTOX), ABOBOTULINUMTOXINA (DYSPORT), INCOBOTULINUMTOXINA (XEOMIN), AND DAXIBOTULINUMTOXINA-LANM (DAXXIFY) ARE CONSIDERED MEDICALLY NECESSARY FOR THE FOLLOWING INDICATIONS:
F95.1 Chronic motor or vocal tic disorder
F95.2 Tourette's disorder
G04.1 Tropical spastic paraplegia
G11.4 Hereditary spastic paraplegia
G24.09 Other drug induced dystonia
G24.1 Genetic torsion dystonia
G24.2 Idiopathic nonfamilial dystonia
G24.3 Spasmodic torticollis
G24.4 Idiopathic orofacial dystonia
G24.5 Blepharospasm
G24.8 Other dystonia
G24.9 Dystonia, unspecified
G25.0 Essential tremor
G25.89 Other specified extrapyramidal and movement disorders
G43.001 Migraine without aura, not intractable, with status migrainosus
G43.009 Migraine without aura, not intractable, without status migrainosus
G43.011 Migraine without aura, intractable, with status migrainosus
G43.019 Migraine without aura, intractable, without status migrainosus
G43.101 Migraine with aura, not intractable, with status migrainosus
G43.109 Migraine with aura, not intractable, without status migrainosus
G43.111 Migraine with aura, intractable, with status migrainosus
G43.119 Migraine with aura, intractable, without status migrainosus
G43.401 Hemiplegic migraine, not intractable, with status migrainosus
G43.409 Hemiplegic migraine, not intractable, without status migrainosus
G43.411 Hemiplegic migraine, intractable, with status migrainosus
G43.419 Hemiplegic migraine, intractable, without status migrainosus
G43.501 Persistent migraine aura without cerebral infarction, not intractable, with status migrainosus
G43.509 Persistent migraine aura without cerebral infarction, not intractable, without status migrainosus
G43.511 Persistent migraine aura without cerebral infarction, intractable, with status migrainosus
G43.519 Persistent migraine aura without cerebral infarction, intractable, without status migrainosus
G43.601 Persistent migraine aura with cerebral infarction, not intractable, with status migrainosus
G43.609 Persistent migraine aura with cerebral infarction, not intractable, without status migrainosus
G43.611 Persistent migraine aura with cerebral infarction, intractable, with status migrainosus
G43.619 Persistent migraine aura with cerebral infarction, intractable, without status migrainosus
G43.701 Chronic migraine without aura, not intractable, with status migrainosus
G43.709 Chronic migraine without aura, not intractable, without status migrainosus
G43.711 Chronic migraine without aura, intractable, with status migrainosus
G43.719 Chronic migraine without aura, intractable, without status migrainosus
G43.801 Other migraine, not intractable, with status migrainosus
G43.809 Other migraine, not intractable, without status migrainosus
G43.811 Other migraine, intractable, with status migrainosus
G43.819 Other migraine, intractable, without status migrainosus
G43.901 Migraine, unspecified, not intractable, with status migrainosus
G43.909 Migraine, unspecified, not intractable, without status migrainosus
G43.911 Migraine, unspecified, intractable, with status migrainosus
G43.919 Migraine, unspecified, intractable, without status migrainosus
G43.B0 Ophthalmoplegic migraine, not intractable
G43.B1 Ophthalmoplegic migraine, intractable
G43.E01 Chronic migraine with aura, not intractable, with status migrainosis
G43.E09 Chronic migraine with aura, not intractable, without status migrainosis
G43.E11 Chronic migranie with aura, intractable, with status migrainosus
G43.E19 Chronic migraine with aura, intractable, without status migrainosus
G51.2 Melkersson's syndrome
G51.31 Clonic hemifacial spasm, right
G51.32 Clonic hemifacial spasm, left
G51.33 Clonic hemifacial spasm, bilateral
G51.8 Other disorders of facial nerve
G61.0 Guillain-Barre syndrome
G80.0 Spastic quadriplegic cerebral palsy
G80.1 Spastic diplegic cerebral palsy
G80.2 Spastic hemiplegic cerebral palsy
G81.11 Spastic hemiplegia affecting right dominant side
G81.12 Spastic hemiplegia affecting left dominant side
G81.13 Spastic hemiplegia affecting right nondominant side
G81.14 Spastic hemiplegia affecting left nondominant side
G82.50 Quadriplegia, unspecified
G82.51 Quadriplegia, C1-C4 complete
G82.52 Quadriplegia, C1-C4 incomplete
G82.53 Quadriplegia, C5-C7 complete
G82.54 Quadriplegia, C5-C7 incomplete
G83.0 Diplegia of upper limbs
G83.11 Monoplegia of lower limb affecting right dominant side
G83.12 Monoplegia of lower limb affecting left dominant side
G83.13 Monoplegia of lower limb affecting right nondominant side
G83.14 Monoplegia of lower limb affecting left nondominant side
G83.21 Monoplegia of upper limb affecting right dominant side
G83.22 Monoplegia of upper limb affecting left dominant side
G83.23 Monoplegia of upper limb affecting right nondominant side
G83.24 Monoplegia of upper limb affecting left nondominant side
G83.31 Monoplegia, unspecified affecting right dominant side
G83.32 Monoplegia, unspecified affecting left dominant side
G83.33 Monoplegia, unspecified affecting right nondominant side
G83.34 Monoplegia, unspecified affecting left nondominant side
G83.81 Brown-Sequard syndrome
G83.82 Anterior cord syndrome
G83.83 Posterior cord syndrome
G83.84 Todd's paralysis (postepileptic)
G83.89 Other specified paralytic syndromes
G83.9 Paralytic syndrome, unspecified
G90.3 Multi-system degeneration of the autonomic nervous system
H49.01 Third [oculomotor] nerve palsy, right eye
H49.02 Third [oculomotor] nerve palsy, left eye
H49.03 Third [oculomotor] nerve palsy, bilateral
H49.11 Fourth [trochlear] nerve palsy, right eye
H49.12 Fourth [trochlear] nerve palsy, left eye
H49.13 Fourth [trochlear] nerve palsy, bilateral
H49.21 Sixth [abducent] nerve palsy, right eye
H49.22 Sixth [abducent] nerve palsy, left eye
H49.23 Sixth [abducent] nerve palsy, bilateral
H49.31 Total (external) ophthalmoplegia, right eye
H49.32 Total (external) ophthalmoplegia, left eye
H49.33 Total (external) ophthalmoplegia, bilateral
H49.41 Progressive external ophthalmoplegia, right eye
H49.42 Progressive external ophthalmoplegia, left eye
H49.43 Progressive external ophthalmoplegia, bilateral
H49.881 Other paralytic strabismus, right eye
H49.882 Other paralytic strabismus, left eye
H49.883 Other paralytic strabismus, bilateral
H49.9 Unspecified paralytic strabismus
H50.00 Unspecified esotropia
H50.011 Monocular esotropia, right eye
H50.012 Monocular esotropia, left eye
H50.021 Monocular esotropia with A pattern, right eye
H50.022 Monocular esotropia with A pattern, left eye
H50.031 Monocular esotropia with V pattern, right eye
H50.032 Monocular esotropia with V pattern, left eye
H50.041 Monocular esotropia with other noncomitancies, right eye
H50.042 Monocular esotropia with other noncomitancies, left eye
H50.05 Alternating esotropia
H50.06 Alternating esotropia with A pattern
H50.07 Alternating esotropia with V pattern
H50.08 Alternating esotropia with other noncomitancies
H50.10 Unspecified exotropia
H50.111 Monocular exotropia, right eye
H50.112 Monocular exotropia, left eye
H50.121 Monocular exotropia with A pattern, right eye
H50.122 Monocular exotropia with A pattern, left eye
H50.131 Monocular exotropia with V pattern, right eye
H50.132 Monocular exotropia with V pattern, left eye
H50.141 Monocular exotropia with other noncomitancies, right eye
H50.142 Monocular exotropia with other noncomitancies, left eye
H50.15 Alternating exotropia
H50.16 Alternating exotropia with A pattern
H50.17 Alternating exotropia with V pattern
H50.18 Alternating exotropia with other noncomitancies
H50.21 Vertical strabismus, right eye
H50.22 Vertical strabismus, left eye
H50.30 Unspecified intermittent heterotropia
H50.311 Intermittent monocular esotropia, right eye
H50.312 Intermittent monocular esotropia, left eye
H50.32 Intermittent alternating esotropia
H50.331 Intermittent monocular exotropia, right eye
H50.332 Intermittent monocular exotropia, left eye
H50.34 Intermittent alternating exotropia
H50.40 Unspecified heterotropia
H50.411 Cyclotropia, right eye
H50.412 Cyclotropia, left eye
H50.42 Monofixation syndrome
H50.43 Accommodative component in esotropia
H50.50 Unspecified heterophoria
H50.51 Esophoria
H50.52 Exophoria
H50.53 Vertical heterophoria
H50.54 Cyclophoria
H50.55 Alternating heterophoria
H50.60 Mechanical strabismus, unspecified
H50.611 Brown's sheath syndrome, right eye
H50.612 Brown's sheath syndrome, left eye
H50.69 Other mechanical strabismus
H50.811 Duane's syndrome, right eye
H50.812 Duane's syndrome, left eye
H50.89 Other specified strabismus
H50.9 Unspecified strabismus
H51.0 Palsy (spasm) of conjugate gaze
H51.11 Convergence insufficiency
H51.12 Convergence excess
H51.21 Internuclear ophthalmoplegia, right eye
H51.22 Internuclear ophthalmoplegia, left eye
H51.23 Internuclear ophthalmoplegia, bilateral
H51.8 Other specified disorders of binocular movement
H51.9 Unspecified disorder of binocular movement
H53.031 Strabismic amblyopia, right eye
H53.032 Strabismic amblyopia, left eye
H53.033 Strabismic amblyopia, bilateral
I69.031 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting right dominant side
I69.032 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting left dominant side
I69.033 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting right non-dominant side
I69.034 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side
I69.041 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting right dominant side
I69.042 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left dominant side
I69.043 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting right non-dominant side
I69.044 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side
I69.061 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting right dominant side
I69.062 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting left dominant side
I69.063 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting right non-dominant side
I69.064 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting left non-dominant side
I69.065 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage, bilateral
I69.131 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right dominant side
I69.132 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left dominant side
I69.133 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side
I69.134 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side
I69.141 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right dominant side
I69.142 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left dominant side
I69.143 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side
I69.144 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side
I69.151 Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting right dominant side
I69.152 Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting left dominant side
I69.153 Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting right non-dominant side
I69.154 Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting left non-dominant side
I69.161 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting right dominant side
I69.162 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting left dominant side
I69.163 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting right non-dominant side
I69.164 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting left non-dominant side
I69.165 Other paralytic syndrome following nontraumatic intracerebral hemorrhage, bilateral
I69.231 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right dominant side
I69.232 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left dominant side
I69.233 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side
I69.234 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side
I69.241 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right dominant side
I69.242 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left dominant side
I69.243 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side
I69.244 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side
I69.261 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right dominant side
I69.262 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left dominant side
I69.263 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right non-dominant side
I69.264 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left non-dominant side
I69.265 Other paralytic syndrome following other nontraumatic intracranial hemorrhage, bilateral
I69.331 Monoplegia of upper limb following cerebral infarction affecting right dominant side
I69.332 Monoplegia of upper limb following cerebral infarction affecting left dominant side
I69.333 Monoplegia of upper limb following cerebral infarction affecting right non-dominant side
I69.334 Monoplegia of upper limb following cerebral infarction affecting left non-dominant side
I69.341 Monoplegia of lower limb following cerebral infarction affecting right dominant side
I69.342 Monoplegia of lower limb following cerebral infarction affecting left dominant side
I69.343 Monoplegia of lower limb following cerebral infarction affecting right non-dominant side
I69.344 Monoplegia of lower limb following cerebral infarction affecting left non-dominant side
I69.398 Other sequelae of cerebral infarction
I69.361 Other paralytic syndrome following cerebral infarction affecting right dominant side
I69.362 Other paralytic syndrome following cerebral infarction affecting left dominant side
I69.363 Other paralytic syndrome following cerebral infarction affecting right non-dominant side
I69.364 Other paralytic syndrome following cerebral infarction affecting left non-dominant side
I69.365 Other paralytic syndrome following cerebral infarction, bilateral
I69.831 Monoplegia of upper limb following other cerebrovascular disease affecting right dominant side
I69.832 Monoplegia of upper limb following other cerebrovascular disease affecting left dominant side
I69.833 Monoplegia of upper limb following other cerebrovascular disease affecting right non-dominant side
I69.834 Monoplegia of upper limb following other cerebrovascular disease affecting left non-dominant side
I69.841 Monoplegia of lower limb following other cerebrovascular disease affecting right dominant side
I69.842 Monoplegia of lower limb following other cerebrovascular disease affecting left dominant side
I69.843 Monoplegia of lower limb following other cerebrovascular disease affecting right non-dominant side
I69.844 Monoplegia of lower limb following other cerebrovascular disease affecting left non-dominant side
I69.931 Monoplegia of upper limb following unspecified cerebrovascular disease affecting right dominant side
I69.932 Monoplegia of upper limb following unspecified cerebrovascular disease affecting left dominant side
I69.933 Monoplegia of upper limb following unspecified cerebrovascular disease affecting right non-dominant side
I69.934 Monoplegia of upper limb following unspecified cerebrovascular disease affecting left non-dominant side
I69.941 Monoplegia of lower limb following unspecified cerebrovascular disease affecting right dominant side
I69.942 Monoplegia of lower limb following unspecified cerebrovascular disease affecting left dominant side
I69.943 Monoplegia of lower limb following unspecified cerebrovascular disease affecting right non-dominant side
I69.944 Monoplegia of lower limb following unspecified cerebrovascular disease affecting left non-dominant side
J38.3 Other diseases of vocal cords
J38.5 Laryngeal spasm
J38.7 Other diseases of larynx
K11.20 Sialoadenitis, unspecified
K11.21 Acute sialoadenitis
K11.22 Acute recurrent sialoadenitis
K11.23 Chronic sialoadenitis
K11.7 Disturbances of salivary secretion
K22.0 Achalasia of cardia
K59.4 Anal spasm
K60.1 Chronic anal fissure
L74.510 Primary focal hyperhidrosis, axilla
L74.512 Primary focal hyperhidrosis, palms
L74.513 Primary focal hyperhidrosis, soles
L74.519 Primary focal hyperhidrosis, unspecified
M43.6 Torticollis
N30.10 Interstitial cystitis (chronic) without hematuria
N30.11 Interstitial cystitis (chronic) with hematuria
N31.0 Uninhibited neuropathic bladder, not elsewhere classified
N31.1 Reflex neuropathic bladder, not elsewhere classified
N31.8 Other neuromuscular dysfunction of bladder
N31.9 Neuromuscular dysfunction of bladder, unspecified
N32.81 Overactive bladder
N39.41 Urge incontinence
N39.42 Incontinence without sensory awareness
N39.46 Mixed incontinence
N39.498 Other specified urinary incontinence
Q39.5 Congenital dilatation of esophagus
Q40.0 Congenital hypertrophic pyloric stenosis
R32 Unspecified urinary incontinence
R49.0 Dysphonia
R49.8 Other voice and resonance disorders
R68.2 Dry mouth, unspecified
ONABOTULINUMTOXINA (BOTOX), ABOBOTULINUMTOXINA (DYSPORT), AND INCOBOTULINUMTOXINA (XEOMIN) ARE MEDICALLY NECESSARY WHEN REPORTED FOR THE FOLLOWING INDICATIONS:
For spasticity of limbs, multiple diagnoses are required:
M62.838 Other muscle spasm
AND at least one of the following:
G23.8 Other specified degenerative diseases of basal ganglia
G23.9 Degenerative disease of basal ganglia, unspecified
G35 Multiple sclerosis
G36.0 Neuromyelitis optica [Devic]
G36.1 Acute and subacute hemorrhagic leukoencephalitis [Hurst]
G36.8 Other specified acute disseminated demyelination
G36.9 Acute disseminated demyelination, unspecified
G37.0 Diffuse sclerosis of central nervous system
G37.1 Central demyelination of corpus callosum
G37.2 Central pontine myelinolysis
G37.3 Acute transverse myelitis in demyelinating disease of central nervous system
G37.4 Subacute necrotizing myelitis of central nervous system
G37.5 Concentric sclerosis [Balo] of central nervous system
G37.9 Demyelinating disease of central nervous system, unspecified
G37.81 Myelin oligodendrocyte glycoprotein antibody disease
G37.89 Other specified demyelinating diseases of central nervous system
G51.4 Facial myokymia
G61.81 Chronic inflammatory demyelinating polyneuritis
G80.3 Athetoid cerebral palsy
G80.4 Ataxic cerebral palsy
G80.8 Other cerebral palsy
G80.9 Cerebral palsy, unspecified
G82.20 Paraplegia, unspecified
G82.21 Paraplegia, complete
G82.22 Paraplegia, incomplete
I69.051 Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting right dominant side
I69.052 Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting left dominant side
I69.053 Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting right non-dominant side
I69.054 Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting left non-dominant side
I69.151 Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting right dominant side
I69.152 Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting left dominant side
I69.153 Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting right non-dominant side
I69.154 Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting left non-dominant side
I69.251 Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right dominant side
I69.252 Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting left dominant side
I69.253 Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right non-dominant side
I69.254 Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting left non-dominant side
I69.351 Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side
I69.352 Hemiplegia and hemiparesis following cerebral infarction affecting left dominant side
I69.353 Hemiplegia and hemiparesis following cerebral infarction affecting right non-dominant side
I69.354 Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side
I69.398 Other sequelae of cerebral infarction
I69.851 Hemiplegia and hemiparesis following other cerebrovascular disease affecting right dominant side
I69.852 Hemiplegia and hemiparesis following other cerebrovascular disease affecting left dominant side
I69.853 Hemiplegia and hemiparesis following other cerebrovascular disease affecting right non-dominant side
I69.854 Hemiplegia and hemiparesis following other cerebrovascular disease affecting left non-dominant side
I69.861 Other paralytic syndrome following other cerebrovascular disease affecting right dominant side
I69.862 Other paralytic syndrome following other cerebrovascular disease affecting left dominant side
I69.863 Other paralytic syndrome following other cerebrovascular disease affecting right non-dominant side
I69.864 Other paralytic syndrome following other cerebrovascular disease affecting left non-dominant side
I69.865 Other paralytic syndrome following other cerebrovascular disease, bilateral
I69.951 Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting right dominant side
I69.952 Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting left dominant side
I69.953 Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting right non-dominant side
I69.954 Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting left non-dominant side
I69.961 Other paralytic syndrome following unspecified cerebrovascular disease affecting right dominant side
I69.962 Other paralytic syndrome following unspecified cerebrovascular disease affecting left dominant side
I69.963 Other paralytic syndrome following unspecified cerebrovascular disease affecting right non-dominant side
I69.964 Other paralytic syndrome following unspecified cerebrovascular disease affecting left non-dominant side
I69.965 Other paralytic syndrome following unspecified cerebrovascular disease, bilateral
S01.90XA Unspecified open wound of unspecified part of head, initial encounter
S01.90XD Unspecified open wound of unspecified part of head, subsequent encounter
S01.90XS Unspecified open wound of unspecified part of head, sequela
S06.0X0A Concussion without loss of consciousness, initial encounter
S06.0X0D Concussion without loss of consciousness, subsequent encounter
S06.0X0S Concussion without loss of consciousness, sequela
S06.0XAA Concussion with loss of consciousness status unknown, initial encounter
S06.0XAD Concussion with loss of consciousness status unknown, subsequent encounter
S06.0XAS Concussion with loss of consciousness status unknown, sequela
S06.1XAA Traumatic cerebral edema with loss of consciousness status unknown, initial encounter
S06.1XAD Traumatic cerebral edema with loss of consciousness status unknown, subsequent encounter
S06.1XAS Traumatic cerebral edema with loss of consciousness status unknown, sequela
S06.2XAA Diffuse traumatic brain injury with loss of consciousness status unknown, initial encounter
S06.2XAD Diffuse traumatic brain injury with loss of consciousness status unknown, subsequent encounter
S06.2XAS Diffuse traumatic brain injury with loss of consciousness status unknown, sequela
S06.30AA Unspecified focal traumatic brain injury with loss of consciousness status unknown, initial encounter
S06.30AD Unspecified focal traumatic brain injury with loss of consciousness status unknown, subsequent encounter
S06.30AS Unspecified focal traumatic brain injury with loss of consciousness status unknown, sequela
S06.81AA Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, initial encounter
S06.81AD Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, subsequent encounter
S06.81AS Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, sequela
S06.82AA Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, initial encounter
S06.82AD Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, subsequent encounter
S06.82AS Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, sequela
S06.89AA Other specified intracranial injury with loss of consciousness status unknown, initial encounter
S06.89AD Other specified intracranial injury with loss of consciousness status unknown, subsequent encounter
S06.89AS Other specified intracranial injury with loss of consciousness status unknown, sequela
S06.8A0A Primary blast injury of brain, not elsewhere classified without loss of consciousness, initial encounter
S06.8A0D Primary blast injury of brain, not elsewhere classified without loss of consciousness, subsequent encounter
S06.8A0S Primary blast injury of brain, not elsewhere classified without loss of consciousness, sequela
S06.8A1A Primary blast injury of brain, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter
S06.8A1D Primary blast injury of brain, not elsewhere classified with loss of consciousness of 30 minutes or less, subsequent encounter
S06.8A1S Primary blast injury of brain, not elsewhere classified with loss of consciousness of 30 minutes or less, sequela
S06.8A2A Primary blast injury of brain, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S06.8A2D Primary blast injury of brain, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter
S06.8A2S Primary blast injury of brain, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, sequela
S06.8A3A Primary blast injury of brain, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S06.8A3D Primary blast injury of brain, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter
S06.8A3S Primary blast injury of brain, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela
S06.8A4A Primary blast injury of brain, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter
S06.8A4D Primary blast injury of brain, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, subsequent encounter
S06.8A4S Primary blast injury of brain, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, sequela
S06.8A5A Primary blast injury of brain, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06.8A5D Primary blast injury of brain, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter
S06.8A5S Primary blast injury of brain, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
S06.8A6A Primary blast injury of brain, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06.8A6D Primary blast injury of brain, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounter
S06.8A6S Primary blast injury of brain, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
S06.8A7A Primary blast injury of brain, not elsewhere classified with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S06.8A8A Primary blast injury of brain, not elsewhere classified with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S06.8A9A Primary blast injury of brain, not elsewhere classified with loss of consciousness of unspecified duration, initial encounter
S06.8A9D Primary blast injury of brain, not elsewhere classified with loss of consciousness of unspecified duration, subsequent encounter
S06.8A9S Primary blast injury of brain, not elsewhere classified with loss of consciousness of unspecified duration, sequela
S06.8AAA Primary blast injury of brain, not elsewhere classified with loss of consciousness status unknown, initial encounter
S06.8AAD Primary blast injury of brain, not elsewhere classified with loss of consciousness status unknown, subsequent encounter
S06.8AAS Primary blast injury of brain, not elsewhere classified with loss of consciousness status unknown, sequela
S06.9XAA Unspecified intracranial injury with loss of consciousness status unknown, initial encounter
S06.9XAD Unspecified intracranial injury with loss of consciousness status unknown, subsequent encounter
S06.9XAS Unspecified intracranial injury with loss of consciousness status unknown, sequela
S06.1X0A Traumatic cerebral edema without loss of consciousness, initial encounterS06.1X0D Traumatic cerebral edema without loss of consciousness, subsequent encounterS06.1X0S Traumatic cerebral edema without loss of consciousness, sequelaS06.1X1A Traumatic cerebral edema with loss of consciousness of 30 minutes or less, initial encounterS06.1X1D Traumatic cerebral edema with loss of consciousness of 30 minutes or less, subsequent encounterS06.1X1S Traumatic cerebral edema with loss of consciousness of 30 minutes or less, sequelaS06.1X2A Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, initial encounterS06.1X2D Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, subsequent encounterS06.1X2S Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, sequelaS06.1X3A Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounterS06.1X3D Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounterS06.1X3S Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, sequelaS06.1X4A Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, initial encounterS06.1X4D Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, subsequent encounterS06.1X4S Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, sequelaS06.1X5A Traumatic cerebral edema with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounterS06.1X5D Traumatic cerebral edema with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounterS06.1X5S Traumatic cerebral edema with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequelaS06.1X6A Traumatic cerebral edema with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounterS06.1X6D Traumatic cerebral edema with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounterS06.1X6S Traumatic cerebral edema with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequelaS06.1X7A Traumatic cerebral edema with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounterS06.1X8A Traumatic cerebral edema with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounterS06.1X9A Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounterS06.1X9D Traumatic cerebral edema with loss of consciousness of unspecified duration, subsequent encounterS06.1X9S Traumatic cerebral edema with loss of consciousness of unspecified duration, sequelaS06.2X0A Diffuse traumatic brain injury without loss of consciousness, initial encounterS06.2X0D Diffuse traumatic brain injury without loss of consciousness, subsequent encounterS06.2X0S Diffuse traumatic brain injury without loss of consciousness, sequelaS06.2X1A Diffuse traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounterS06.2X1D Diffuse traumatic brain injury with loss of consciousness of 30 minutes or less, subsequent encounterS06.2X1S Diffuse traumatic brain injury with loss of consciousness of 30 minutes or less, sequelaS06.2X2A Diffuse traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounterS06.2X2D Diffuse traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, subsequent encounterS06.2X2S Diffuse traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, sequelaS06.2X3A Diffuse traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounterS06.2X3D Diffuse traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounterS06.2X3S Diffuse traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, sequelaS06.2X4A Diffuse traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounterS06.2X4D Diffuse traumatic brain injury with loss of consciousness of 6 hours to 24 hours, subsequent encounterS06.2X4S Diffuse traumatic brain injury with loss of consciousness of 6 hours to 24 hours, sequelaS06.2X5A Diffuse traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious levels, initial encounterS06.2X5D Diffuse traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious levels, subsequent encounterS06.2X5S Diffuse traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious levels, sequelaS06.2X6A Diffuse traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounterS06.2X6D Diffuse traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounterS06.2X6S Diffuse traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequelaS06.2X7A Diffuse traumatic brain injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounterS06.2X8A Diffuse traumatic brain injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounterS06.2X9A Diffuse traumatic brain injury with loss of consciousness of unspecified duration, initial encounterS06.2X9D Diffuse traumatic brain injury with loss of consciousness of unspecified duration, subsequent encounterS06.2X9S Diffuse traumatic brain injury with loss of consciousness of unspecified duration, sequelaS06.300A Unspecified focal traumatic brain injury without loss of consciousness, initial encounterS06.300D Unspecified focal traumatic brain injury without loss of consciousness, subsequent encounterS06.300S Unspecified focal traumatic brain injury without loss of consciousness, sequelaS06.301A Unspecified focal traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounterS06.301D Unspecified focal traumatic brain injury with loss of consciousness of 30 minutes or less, subsequent encounterS06.301S Unspecified focal traumatic brain injury with loss of consciousness of 30 minutes or less, sequelaS06.302A Unspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounterS06.302D Unspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, subsequent encounterS06.302S Unspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, sequelaS06.303A Unspecified focal traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounterS06.303D Unspecified focal traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounterS06.303S Unspecified focal traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, sequelaS06.304A Unspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounterS06.304D Unspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 hours, subsequent encounterS06.304S Unspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 hours, sequelaS06.305A Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounterS06.305D Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounterS06.305S Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequelaS06.306A Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounterS06.306D Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounterS06.306S Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequelaS06.307A Unspecified focal traumatic brain injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounterS06.308A Unspecified focal traumatic brain injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounterS06.309A Unspecified focal traumatic brain injury with loss of consciousness of unspecified duration, initial encounterS06.309D Unspecified focal traumatic brain injury with loss of consciousness of unspecified duration, subsequent encounterS06.309S Unspecified focal traumatic brain injury with loss of consciousness of unspecified duration, sequelaS06.810A Injury of right internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounterS06.810D Injury of right internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, subsequent encounterS06.810S Injury of right internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, sequelaS06.811A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounterS06.811D Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, subsequent encounterS06.811S Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, sequelaS06.812A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounterS06.812D Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, subsequent encounterS06.812S Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, sequelaS06.813A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounterS06.813D Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounterS06.813S Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, sequelaS06.814A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounterS06.814D Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, subsequent encounterS06.814S Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, sequelaS06.815A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounterS06.815D Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounterS06.815S Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequelaS06.816A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounterS06.816D Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounterS06.816S Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequelaS06.817A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounterS06.818A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounterS06.819A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, initial encounterS06.819D Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, subsequent encounterS06.819S Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, sequelaS06.820A Injury of left internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounterS06.820D Injury of left internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, subsequent encounterS06.820S Injury of left internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, sequelaS06.821A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounterS06.821D Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, subsequent encounterS06.821S Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, sequelaS06.822A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounterS06.822D Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, subsequent encounterS06.822S Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, sequelaS06.823A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounterS06.823D Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounterS06.823S Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, sequelaS06.824A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounterS06.824D Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, subsequent encounterS06.824S Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, sequelaS06.825A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounterS06.825D Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounterS06.825S Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequelaS06.826A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounterS06.826D Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounterS06.826S Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequelaS06.827A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounterS06.828A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounterS06.829A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, initial encounterS06.829D Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, subsequent encounterS06.829S Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, sequelaS06.890A Other specified intracranial injury without loss of consciousness, initial encounterS06.890D Other specified intracranial injury without loss of consciousness, subsequent encounterS06.890S Other specified intracranial injury without loss of consciousness, sequelaS06.891A Other specified intracranial injury with loss of consciousness of 30 minutes or less, initial encounterS06.891D Other specified intracranial injury with loss of consciousness of 30 minutes or less, subsequent encounterS06.891S Other specified intracranial injury with loss of consciousness of 30 minutes or less, sequelaS06.892A Other specified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, initial encounterS06.892D Other specified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, subsequent encounterS06.892S Other specified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, sequelaS06.893A Other specified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounterS06.893D Other specified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounterS06.893S Other specified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, sequelaS06.894A Other specified intracranial injury with loss of consciousness of 6 hours to 24 hours, initial encounterS06.894D Other specified intracranial injury with loss of consciousness of 6 hours to 24 hours, subsequent encounterS06.894S Other specified intracranial injury with loss of consciousness of 6 hours to 24 hours, sequelaS06.895A Other specified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounterS06.895D Other specified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounterS06.895S Other specified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequelaS06.896A Other specified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounterS06.896D Other specified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounterS06.896S Other specified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequelaS06.897A Other specified intracranial injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounterS06.898A Other specified intracranial injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounterS06.899A Other specified intracranial injury with loss of consciousness of unspecified duration, initial encounterS06.899D Other specified intracranial injury with loss of consciousness of unspecified duration, subsequent encounterS06.899S Other specified intracranial injury with loss of consciousness of unspecified duration, sequelaS06.9X0A Unspecified intracranial injury without loss of consciousness, initial encounterS06.9X0D Unspecified intracranial injury without loss of consciousness, subsequent encounterS06.9X0S Unspecified intracranial injury without loss of consciousness, sequelaS06.9X1A Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounterS06.9X1D Unspecified intracranial injury with loss of consciousness of 30 minutes or less, subsequent encounterS06.9X1S Unspecified intracranial injury with loss of consciousness of 30 minutes or less, sequelaS06.9X2A Unspecified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, initial encounterS06.9X2D Unspecified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, subsequent encounterS06.9X2S Unspecified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, sequelaS06.9X3A Unspecified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounterS06.9X3D Unspecified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounterS06.9X3S Unspecified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, sequelaS06.9X4A Unspecified intracranial injury with loss of consciousness of 6 hours to 24 hours, initial encounterS06.9X4D Unspecified intracranial injury with loss of consciousness of 6 hours to 24 hours, subsequent encounterS06.9X4S Unspecified intracranial injury with loss of consciousness of 6 hours to 24 hours, sequelaS06.9X5A Unspecified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounterS06.9X5D Unspecified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounterS06.9X5S Unspecified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequelaS06.9X6A Unspecified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounterS06.9X6D Unspecified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounterS06.9X6S Unspecified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequelaS06.9X7A Unspecified intracranial injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounterS06.9X8A Unspecified intracranial injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounterS06.9X9A Unspecified intracranial injury with loss of consciousness of unspecified duration, initial encounterS06.9X9D Unspecified intracranial injury with loss of consciousness of unspecified duration, subsequent encounterS06.9X9S Unspecified intracranial injury with loss of consciousness of unspecified duration, sequelaS14.0XXA Concussion and edema of cervical spinal cord, initial encounterS14.0XXD Concussion and edema of cervical spinal cord, subsequent encounterS14.0XXS Concussion and edema of cervical spinal cord, sequelaS14.101A Unspecified injury at C1 level of cervical spinal cord, initial encounterS14.101D Unspecified injury at C1 level of cervical spinal cord, subsequent encounterS14.101S Unspecified injury at C1 level of cervical spinal cord, sequelaS14.102A Unspecified injury at C2 level of cervical spinal cord, initial encounterS14.102D Unspecified injury at C2 level of cervical spinal cord, subsequent encounterS14.102S Unspecified injury at C2 level of cervical spinal cord, sequelaS14.103A Unspecified injury at C3 level of cervical spinal cord, initial encounterS14.103D Unspecified injury at C3 level of cervical spinal cord, subsequent encounterS14.103S Unspecified injury at C3 level of cervical spinal cord, sequelaS14.104A Unspecified injury at C4 level of cervical spinal cord, initial encounterS14.104D Unspecified injury at C4 level of cervical spinal cord, subsequent encounterS14.104S Unspecified injury at C4 level of cervical spinal cord, sequelaS14.105A Unspecified injury at C5 level of cervical spinal cord, initial encounterS14.105D Unspecified injury at C5 level of cervical spinal cord, subsequent encounterS14.105S Unspecified injury at C5 level of cervical spinal cord, sequelaS14.106A Unspecified injury at C6 level of cervical spinal cord, initial encounterS14.106D Unspecified injury at C6 level of cervical spinal cord, subsequent encounterS14.106S Unspecified injury at C6 level of cervical spinal cord, sequelaS14.107A Unspecified injury at C7 level of cervical spinal cord, initial encounterS14.107D Unspecified injury at C7 level of cervical spinal cord, subsequent encounterS14.107S Unspecified injury at C7 level of cervical spinal cord, sequelaS14.108A Unspecified injury at C8 level of cervical spinal cord, initial encounterS14.108D Unspecified injury at C8 level of cervical spinal cord, subsequent encounterS14.108S Unspecified injury at C8 level of cervical spinal cord, sequelaS14.109A Unspecified injury at unspecified level of cervical spinal cord, initial encounterS14.109D Unspecified injury at unspecified level of cervical spinal cord, subsequent encounterS14.109S Unspecified injury at unspecified level of cervical spinal cord, sequelaS14.111A Complete lesion at C1 level of cervical spinal cord, initial encounterS14.111D Complete lesion at C1 level of cervical spinal cord, subsequent encounterS14.111S Complete lesion at C1 level of cervical spinal cord, sequelaS14.112A Complete lesion at C2 level of cervical spinal cord, initial encounterS14.112D Complete lesion at C2 level of cervical spinal cord, subsequent encounterS14.112S Complete lesion at C2 level of cervical spinal cord, sequelaS14.113A Complete lesion at C3 level of cervical spinal cord, initial encounterS14.113D Complete lesion at C3 level of cervical spinal cord, subsequent encounterS14.113S Complete lesion at C3 level of cervical spinal cord, sequelaS14.114A Complete lesion at C4 level of cervical spinal cord, initial encounterS14.114D Complete lesion at C4 level of cervical spinal cord, subsequent encounterS14.114S Complete lesion at C4 level of cervical spinal cord, sequelaS14.115A Complete lesion at C5 level of cervical spinal cord, initial encounterS14.115D Complete lesion at C5 level of cervical spinal cord, subsequent encounterS14.115S Complete lesion at C5 level of cervical spinal cord, sequelaS14.116A Complete lesion at C6 level of cervical spinal cord, initial encounterS14.116D Complete lesion at C6 level of cervical spinal cord, subsequent encounterS14.116S Complete lesion at C6 level of cervical spinal cord, sequelaS14.117A Complete lesion at C7 level of cervical spinal cord, initial encounterS14.117D Complete lesion at C7 level of cervical spinal cord, subsequent encounterS14.117S Complete lesion at C7 level of cervical spinal cord, sequelaS14.118A Complete lesion at C8 level of cervical spinal cord, initial encounterS14.118D Complete lesion at C8 level of cervical spinal cord, subsequent encounterS14.118S Complete lesion at C8 level of cervical spinal cord, sequelaS14.119A Complete lesion at unspecified level of cervical spinal cord, initial encounterS14.119D Complete lesion at unspecified level of cervical spinal cord, subsequent encounterS14.119S Complete lesion at unspecified level of cervical spinal cord, sequelaS14.121A Central cord syndrome at C1 level of cervical spinal cord, initial encounterS14.121D Central cord syndrome at C1 level of cervical spinal cord, subsequent encounterS14.121S Central cord syndrome at C1 level of cervical spinal cord, sequelaS14.122A Central cord syndrome at C2 level of cervical spinal cord, initial encounterS14.122D Central cord syndrome at C2 level of cervical spinal cord, subsequent encounterS14.122S Central cord syndrome at C2 level of cervical spinal cord, sequelaS14.123A Central cord syndrome at C3 level of cervical spinal cord, initial encounterS14.123D Central cord syndrome at C3 level of cervical spinal cord, subsequent encounterS14.123S Central cord syndrome at C3 level of cervical spinal cord, sequelaS14.124A Central cord syndrome at C4 level of cervical spinal cord, initial encounterS14.124D Central cord syndrome at C4 level of cervical spinal cord, subsequent encounterS14.124S Central cord syndrome at C4 level of cervical spinal cord, sequelaS14.125A Central cord syndrome at C5 level of cervical spinal cord, initial encounterS14.125D Central cord syndrome at C5 level of cervical spinal cord, subsequent encounterS14.125S Central cord syndrome at C5 level of cervical spinal cord, sequelaS14.126A Central cord syndrome at C6 level of cervical spinal cord, initial encounterS14.126D Central cord syndrome at C6 level of cervical spinal cord, subsequent encounterS14.126S Central cord syndrome at C6 level of cervical spinal cord, sequelaS14.127A Central cord syndrome at C7 level of cervical spinal cord, initial encounterS14.127D Central cord syndrome at C7 level of cervical spinal cord, subsequent encounterS14.127S Central cord syndrome at C7 level of cervical spinal cord, sequelaS14.128A Central cord syndrome at C8 level of cervical spinal cord, initial encounterS14.128D Central cord syndrome at C8 level of cervical spinal cord, subsequent encounterS14.128S Central cord syndrome at C8 level of cervical spinal cord, sequelaS14.129A Central cord syndrome at unspecified level of cervical spinal cord, initial encounterS14.129D Central cord syndrome at unspecified level of cervical spinal cord, subsequent encounterS14.129S Central cord syndrome at unspecified level of cervical spinal cord, sequelaS14.131A Anterior cord syndrome at C1 level of cervical spinal cord, initial encounterS14.131D Anterior cord syndrome at C1 level of cervical spinal cord, subsequent encounterS14.131S Anterior cord syndrome at C1 level of cervical spinal cord, sequelaS14.132A Anterior cord syndrome at C2 level of cervical spinal cord, initial encounterS14.132D Anterior cord syndrome at C2 level of cervical spinal cord, subsequent encounterS14.132S Anterior cord syndrome at C2 level of cervical spinal cord, sequelaS14.133A Anterior cord syndrome at C3 level of cervical spinal cord, initial encounterS14.133D Anterior cord syndrome at C3 level of cervical spinal cord, subsequent encounterS14.133S Anterior cord syndrome at C3 level of cervical spinal cord, sequelaS14.134A Anterior cord syndrome at C4 level of cervical spinal cord, initial encounterS14.134D Anterior cord syndrome at C4 level of cervical spinal cord, subsequent encounterS14.134S Anterior cord syndrome at C4 level of cervical spinal cord, sequelaS14.135A Anterior cord syndrome at C5 level of cervical spinal cord, initial encounterS14.135D Anterior cord syndrome at C5 level of cervical spinal cord, subsequent encounterS14.135S Anterior cord syndrome at C5 level of cervical spinal cord, sequelaS14.136A Anterior cord syndrome at C6 level of cervical spinal cord, initial encounterS14.136D Anterior cord syndrome at C6 level of cervical spinal cord, subsequent encounterS14.136S Anterior cord syndrome at C6 level of cervical spinal cord, sequelaS14.137A Anterior cord syndrome at C7 level of cervical spinal cord, initial encounterS14.137D Anterior cord syndrome at C7 level of cervical spinal cord, subsequent encounterS14.137S Anterior cord syndrome at C7 level of cervical spinal cord, sequelaS14.138A Anterior cord syndrome at C8 level of cervical spinal cord, initial encounterS14.138D Anterior cord syndrome at C8 level of cervical spinal cord, subsequent encounterS14.138S Anterior cord syndrome at C8 level of cervical spinal cord, sequelaS14.139A Anterior cord syndrome at unspecified level of cervical spinal cord, initial encounterS14.139D Anterior cord syndrome at unspecified level of cervical spinal cord, subsequent encounterS14.139S Anterior cord syndrome at unspecified level of cervical spinal cord, sequelaS14.141A Brown-Sequard syndrome at C1 level of cervical spinal cord, initial encounterS14.141D Brown-Sequard syndrome at C1 level of cervical spinal cord, subsequent encounterS14.141S Brown-Sequard syndrome at C1 level of cervical spinal cord, sequelaS14.142A Brown-Sequard syndrome at C2 level of cervical spinal cord, initial encounterS14.142D Brown-Sequard syndrome at C2 level of cervical spinal cord, subsequent encounterS14.142S Brown-Sequard syndrome at C2 level of cervical spinal cord, sequelaS14.143A Brown-Sequard syndrome at C3 level of cervical spinal cord, initial encounterS14.143D Brown-Sequard syndrome at C3 level of cervical spinal cord, subsequent encounterS14.143S Brown-Sequard syndrome at C3 level of cervical spinal cord, sequelaS14.144A Brown-Sequard syndrome at C4 level of cervical spinal cord, initial encounterS14.144D Brown-Sequard syndrome at C4 level of cervical spinal cord, subsequent encounterS14.144S Brown-Sequard syndrome at C4 level of cervical spinal cord, sequelaS14.145A Brown-Sequard syndrome at C5 level of cervical spinal cord, initial encounterS14.145D Brown-Sequard syndrome at C5 level of cervical spinal cord, subsequent encounterS14.145S Brown-Sequard syndrome at C5 level of cervical spinal cord, sequelaS14.146A Brown-Sequard syndrome at C6 level of cervical spinal cord, initial encounterS14.146D Brown-Sequard syndrome at C6 level of cervical spinal cord, subsequent encounterS14.146S Brown-Sequard syndrome at C6 level of cervical spinal cord, sequelaS14.147A Brown-Sequard syndrome at C7 level of cervical spinal cord, initial encounterS14.147D Brown-Sequard syndrome at C7 level of cervical spinal cord, subsequent encounterS14.147S Brown-Sequard syndrome at C7 level of cervical spinal cord, sequelaS14.148A Brown-Sequard syndrome at C8 level of cervical spinal cord, initial encounterS14.148D Brown-Sequard syndrome at C8 level of cervical spinal cord, subsequent encounterS14.148S Brown-Sequard syndrome at C8 level of cervical spinal cord, sequelaS14.149A Brown-Sequard syndrome at unspecified level of cervical spinal cord, initial encounterS14.149D Brown-Sequard syndrome at unspecified level of cervical spinal cord, subsequent encounterS14.149S Brown-Sequard syndrome at unspecified level of cervical spinal cord, sequelaS14.151A Other incomplete lesion at C1 level of cervical spinal cord, initial encounterS14.151D Other incomplete lesion at C1 level of cervical spinal cord, subsequent encounterS14.151S Other incomplete lesion at C1 level of cervical spinal cord, sequelaS14.152A Other incomplete lesion at C2 level of cervical spinal cord, initial encounterS14.152D Other incomplete lesion at C2 level of cervical spinal cord, subsequent encounterS14.152S Other incomplete lesion at C2 level of cervical spinal cord, sequelaS14.153A Other incomplete lesion at C3 level of cervical spinal cord, initial encounterS14.153D Other incomplete lesion at C3 level of cervical spinal cord, subsequent encounterS14.153S Other incomplete lesion at C3 level of cervical spinal cord, sequelaS14.154A Other incomplete lesion at C4 level of cervical spinal cord, initial encounterS14.154D Other incomplete lesion at C4 level of cervical spinal cord, subsequent encounterS14.154S Other incomplete lesion at C4 level of cervical spinal cord, sequelaS14.155A Other incomplete lesion at C5 level of cervical spinal cord, initial encounterS14.155D Other incomplete lesion at C5 level of cervical spinal cord, subsequent encounterS14.155S Other incomplete lesion at C5 level of cervical spinal cord, sequelaS14.156A Other incomplete lesion at C6 level of cervical spinal cord, initial encounterS14.156D Other incomplete lesion at C6 level of cervical spinal cord, subsequent encounterS14.156S Other incomplete lesion at C6 level of cervical spinal cord, sequelaS14.157A Other incomplete lesion at C7 level of cervical spinal cord, initial encounterS14.157D Other incomplete lesion at C7 level of cervical spinal cord, subsequent encounterS14.157S Other incomplete lesion at C7 level of cervical spinal cord, sequelaS14.158A Other incomplete lesion at C8 level of cervical spinal cord, initial encounterS14.158D Other incomplete lesion at C8 level of cervical spinal cord, subsequent encounterS14.158S Other incomplete lesion at C8 level of cervical spinal cord, sequelaS14.159A Other incomplete lesion at unspecified level of cervical spinal cord, initial encounterS14.159D Other incomplete lesion at unspecified level of cervical spinal cord, subsequent encounterS14.159S Other incomplete lesion at unspecified level of cervical spinal cord, sequelaS24.0XXA Concussion and edema of thoracic spinal cord, initial encounterS24.0XXD Concussion and edema of thoracic spinal cord, subsequent encounterS24.0XXS Concussion and edema of thoracic spinal cord, sequelaS24.101A Unspecified injury at T1 level of thoracic spinal cord, initial encounterS24.101D Unspecified injury at T1 level of thoracic spinal cord, subsequent encounterS24.101S Unspecified injury at T1 level of thoracic spinal cord, sequelaS24.102A Unspecified injury at T2-T6 level of thoracic spinal cord, initial encounterS24.102D Unspecified injury at T2-T6 level of thoracic spinal cord, subsequent encounterS24.102S Unspecified injury at T2-T6 level of thoracic spinal cord, sequelaS24.103A Unspecified injury at T7-T10 level of thoracic spinal cord, initial encounterS24.103D Unspecified injury at T7-T10 level of thoracic spinal cord, subsequent encounterS24.103S Unspecified injury at T7-T10 level of thoracic spinal cord, sequelaS24.104A Unspecified injury at T11-T12 level of thoracic spinal cord, initial encounterS24.104D Unspecified injury at T11-T12 level of thoracic spinal cord, subsequent encounterS24.104S Unspecified injury at T11-T12 level of thoracic spinal cord, sequelaS24.109A Unspecified injury at unspecified level of thoracic spinal cord, initial encounterS24.109D Unspecified injury at unspecified level of thoracic spinal cord, subsequent encounterS24.109S Unspecified injury at unspecified level of thoracic spinal cord, sequelaS24.111A Complete lesion at T1 level of thoracic spinal cord, initial encounterS24.111D Complete lesion at T1 level of thoracic spinal cord, subsequent encounterS24.111S Complete lesion at T1 level of thoracic spinal cord, sequelaS24.112A Complete lesion at T2-T6 level of thoracic spinal cord, initial encounterS24.112D Complete lesion at T2-T6 level of thoracic spinal cord, subsequent encounterS24.112S Complete lesion at T2-T6 level of thoracic spinal cord, sequelaS24.113A Complete lesion at T7-T10 level of thoracic spinal cord, initial encounterS24.113D Complete lesion at T7-T10 level of thoracic spinal cord, subsequent encounterS24.113S Complete lesion at T7-T10 level of thoracic spinal cord, sequelaS24.114A Complete lesion at T11-T12 level of thoracic spinal cord, initial encounterS24.114D Complete lesion at T11-T12 level of thoracic spinal cord, subsequent encounterS24.114S Complete lesion at T11-T12 level of thoracic spinal cord, sequelaS24.119A Complete lesion at unspecified level of thoracic spinal cord, initial encounterS24.119D Complete lesion at unspecified level of thoracic spinal cord, subsequent encounterS24.119S Complete lesion at unspecified level of thoracic spinal cord, sequelaS24.131A Anterior cord syndrome at T1 level of thoracic spinal cord, initial encounterS24.131D Anterior cord syndrome at T1 level of thoracic spinal cord, subsequent encounterS24.131S Anterior cord syndrome at T1 level of thoracic spinal cord, sequelaS24.132A Anterior cord syndrome at T2-T6 level of thoracic spinal cord, initial encounterS24.132D Anterior cord syndrome at T2-T6 level of thoracic spinal cord, subsequent encounterS24.132S Anterior cord syndrome at T2-T6 level of thoracic spinal cord, sequelaS24.133A Anterior cord syndrome at T7-T10 level of thoracic spinal cord, initial encounterS24.133D Anterior cord syndrome at T7-T10 level of thoracic spinal cord, subsequent encounterS24.133S Anterior cord syndrome at T7-T10 level of thoracic spinal cord, sequelaS24.134A Anterior cord syndrome at T11-T12 level of thoracic spinal cord, initial encounterS24.134D Anterior cord syndrome at T11-T12 level of thoracic spinal cord, subsequent encounterS24.134S Anterior cord syndrome at T11-T12 level of thoracic spinal cord, sequelaS24.139A Anterior cord syndrome at unspecified level of thoracic spinal cord, initial encounterS24.139D Anterior cord syndrome at unspecified level of thoracic spinal cord, subsequent encounterS24.139S Anterior cord syndrome at unspecified level of thoracic spinal cord, sequelaS24.141A Brown-Sequard syndrome at T1 level of thoracic spinal cord, initial encounterS24.141D Brown-Sequard syndrome at T1 level of thoracic spinal cord, subsequent encounterS24.141S Brown-Sequard syndrome at T1 level of thoracic spinal cord, sequelaS24.142A Brown-Sequard syndrome at T2-T6 level of thoracic spinal cord, initial encounterS24.142D Brown-Sequard syndrome at T2-T6 level of thoracic spinal cord, subsequent encounterS24.142S Brown-Sequard syndrome at T2-T6 level of thoracic spinal cord, sequelaS24.143A Brown-Sequard syndrome at T7-T10 level of thoracic spinal cord, initial encounterS24.143D Brown-Sequard syndrome at T7-T10 level of thoracic spinal cord, subsequent encounterS24.143S Brown-Sequard syndrome at T7-T10 level of thoracic spinal cord, sequelaS24.144A Brown-Sequard syndrome at T11-T12 level of thoracic spinal cord, initial encounterS24.144D Brown-Sequard syndrome at T11-T12 level of thoracic spinal cord, subsequent encounterS24.144S Brown-Sequard syndrome at T11-T12 level of thoracic spinal cord, sequelaS24.149A Brown-Sequard syndrome at unspecified level of thoracic spinal cord, initial encounterS24.149D Brown-Sequard syndrome at unspecified level of thoracic spinal cord, subsequent encounterS24.149S Brown-Sequard syndrome at unspecified level of thoracic spinal cord, sequelaS24.151A Other incomplete lesion at T1 level of thoracic spinal cord, initial encounterS24.151D Other incomplete lesion at T1 level of thoracic spinal cord, subsequent encounterS24.151S Other incomplete lesion at T1 level of thoracic spinal cord, sequelaS24.152A Other incomplete lesion at T2-T6 level of thoracic spinal cord, initial encounterS24.152D Other incomplete lesion at T2-T6 level of thoracic spinal cord, subsequent encounterS24.152S Other incomplete lesion at T2-T6 level of thoracic spinal cord, sequelaS24.153A Other incomplete lesion at T7-T10 level of thoracic spinal cord, initial encounterS24.153D Other incomplete lesion at T7-T10 level of thoracic spinal cord, subsequent encounterS24.153S Other incomplete lesion at T7-T10 level of thoracic spinal cord, sequelaS24.154A Other incomplete lesion at T11-T12 level of thoracic spinal cord, initial encounterS24.154D Other incomplete lesion at T11-T12 level of thoracic spinal cord, subsequent encounterS24.154S Other incomplete lesion at T11-T12 level of thoracic spinal cord, sequelaS24.159A Other incomplete lesion at unspecified level of thoracic spinal cord, initial encounterS24.159D Other incomplete lesion at unspecified level of thoracic spinal cord, subsequent encounterS24.159S Other incomplete lesion at unspecified level of thoracic spinal cord, sequelaS34.01XA Concussion and edema of lumbar spinal cord, initial encounterS34.01XD Concussion and edema of lumbar spinal cord, subsequent encounterS34.01XS Concussion and edema of lumbar spinal cord, sequelaS34.02XA Concussion and edema of sacral spinal cord, initial encounterS34.02XD Concussion and edema of sacral spinal cord, subsequent encounterS34.02XS Concussion and edema of sacral spinal cord, sequelaS34.101A Unspecified injury to L1 level of lumbar spinal cord, initial encounterS34.101D Unspecified injury to L1 level of lumbar spinal cord, subsequent encounterS34.101S Unspecified injury to L1 level of lumbar spinal cord, sequelaS34.102A Unspecified injury to L2 level of lumbar spinal cord, initial encounterS34.102D Unspecified injury to L2 level of lumbar spinal cord, subsequent encounterS34.102S Unspecified injury to L2 level of lumbar spinal cord, sequelaS34.103A Unspecified injury to L3 level of lumbar spinal cord, initial encounterS34.103D Unspecified injury to L3 level of lumbar spinal cord, subsequent encounterS34.103S Unspecified injury to L3 level of lumbar spinal cord, sequelaS34.104A Unspecified injury to L4 level of lumbar spinal cord, initial encounterS34.104D Unspecified injury to L4 level of lumbar spinal cord, subsequent encounterS34.104S Unspecified injury to L4 level of lumbar spinal cord, sequelaS34.105A Unspecified injury to L5 level of lumbar spinal cord, initial encounterS34.105D Unspecified injury to L5 level of lumbar spinal cord, subsequent encounterS34.105S Unspecified injury to L5 level of lumbar spinal cord, sequelaS34.109A Unspecified injury to unspecified level of lumbar spinal cord, initial encounterS34.109D Unspecified injury to unspecified level of lumbar spinal cord, subsequent encounterS34.109S Unspecified injury to unspecified level of lumbar spinal cord, sequelaS34.111A Complete lesion of L1 level of lumbar spinal cord, initial encounterS34.111D Complete lesion of L1 level of lumbar spinal cord, subsequent encounterS34.111S Complete lesion of L1 level of lumbar spinal cord, sequelaS34.112A Complete lesion of L2 level of lumbar spinal cord, initial encounterS34.112D Complete lesion of L2 level of lumbar spinal cord, subsequent encounterS34.112S Complete lesion of L2 level of lumbar spinal cord, sequelaS34.113A Complete lesion of L3 level of lumbar spinal cord, initial encounterS34.113D Complete lesion of L3 level of lumbar spinal cord, subsequent encounterS34.113S Complete lesion of L3 level of lumbar spinal cord, sequelaS34.114A Complete lesion of L4 level of lumbar spinal cord, initial encounterS34.114D Complete lesion of L4 level of lumbar spinal cord, subsequent encounterS34.114S Complete lesion of L4 level of lumbar spinal cord, sequelaS34.115A Complete lesion of L5 level of lumbar spinal cord, initial encounterS34.115D Complete lesion of L5 level of lumbar spinal cord, subsequent encounterS34.115S Complete lesion of L5 level of lumbar spinal cord, sequelaS34.119A Complete lesion of unspecified level of lumbar spinal cord, initial encounterS34.119D Complete lesion of unspecified level of lumbar spinal cord, subsequent encounterS34.119S Complete lesion of unspecified level of lumbar spinal cord, sequelaS34.121A Incomplete lesion of L1 level of lumbar spinal cord, initial encounterS34.121D Incomplete lesion of L1 level of lumbar spinal cord, subsequent encounterS34.121S Incomplete lesion of L1 level of lumbar spinal cord, sequelaS34.122A Incomplete lesion of L2 level of lumbar spinal cord, initial encounterS34.122D Incomplete lesion of L2 level of lumbar spinal cord, subsequent encounterS34.122S Incomplete lesion of L2 level of lumbar spinal cord, sequelaS34.123A Incomplete lesion of L3 level of lumbar spinal cord, initial encounterS34.123D Incomplete lesion of L3 level of lumbar spinal cord, subsequent encounterS34.123S Incomplete lesion of L3 level of lumbar spinal cord, sequelaS34.124A Incomplete lesion of L4 level of lumbar spinal cord, initial encounterS34.124D Incomplete lesion of L4 level of lumbar spinal cord, subsequent encounterS34.124S Incomplete lesion of L4 level of lumbar spinal cord, sequelaS34.125A Incomplete lesion of L5 level of lumbar spinal cord, initial encounterS34.125D Incomplete lesion of L5 level of lumbar spinal cord, subsequent encounterS34.125S Incomplete lesion of L5 level of lumbar spinal cord, sequelaS34.129A Incomplete lesion of unspecified level of lumbar spinal cord, initial encounterS34.129D Incomplete lesion of unspecified level of lumbar spinal cord, subsequent encounterS34.129S Incomplete lesion of unspecified level of lumbar spinal cord, sequelaS34.131A Complete lesion of sacral spinal cord, initial encounterS34.131D Complete lesion of sacral spinal cord, subsequent encounterS34.131S Complete lesion of sacral spinal cord, sequelaS34.132A Incomplete lesion of sacral spinal cord, initial encounterS34.132D Incomplete lesion of sacral spinal cord, subsequent encounterS34.132S Incomplete lesion of sacral spinal cord, sequelaS34.139A Unspecified injury to sacral spinal cord, initial encounterS34.139D Unspecified injury to sacral spinal cord, subsequent encounterS34.139S Unspecified injury to sacral spinal cord, sequelaS34.3XXA Injury of cauda equina, initial encounterS34.3XXD Injury of cauda equina, subsequent encounterS34.3XXS Injury of cauda equina, sequela
RIMABOTULINUMTOXINB (MYOBLOC) IS CONSIDERED MEDICALLY NECESSARY FOR THE FOLLOWING INDICATIONS:
G24.3 Spasmodic torticollis
K11.20 Sialoadenitis, unspecified
K11.21 Acute sialoadenitis
K11.22 Acute recurrent sialoadenitis
K11.23 Chronic sialoadenitis
K11.7 Disturbances of salivary secretion
BENEFIT CONTRACT EXCLUSION
ONABOTULINUMTOXINA (BOTOX and BOTOX COSMETIC), RIMABOTULINUMTOXINB (MYOBLOC), ABOBOTULINUMTOXINA (DYSPORT), INCOBOTULINUMTOXINA (XEOMIN), or DAXIBOTULINUMTOXINA-LANM (DAXXIFY) ARE COSMETIC WHEN REPORTED WITH THE FOLLOWING DIAGNOSIS CODES:
L57.2 Cutis rhomboidalis nuchae
L57.4 Cutis laxa senilis
L57.8 Other skin changes due to chronic exposure to nonionizing radiation
L90.8 Other atrophicH disorders of skin
L90.9 Atrophic disorder of skin, unspecified
L91.8 Other hypertrophic disorders of the skin
L91.9 Hypertrophic disorder of the skin, unspecified
L98.8 Other specified disorders of the skin and subcutaneous tissue
R23.8 Other skin changes
R23.9 Unspecified skin changes
