Table 6A - Selected Diagnoses and Services Rendered

Wisconsin Data

:
Tables 3A through 9E

17 Grantees


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Diagnostic Category Applicable ICD-10-CM Codes Number of Visits by Diagnosis Regardless of Primacy
(a)
Number of Patients with Diagnosis
(b)
Selected Infectious and Parasitic Diseases 
1-2 Symptomatic/Asymptomatic HIV B20, B97.35, O98.7, Z21 1,785  567 
3. Tuberculosis A15- thru A19- 1,784  444 
4. Sexually transmitted infections A50- through A64- (exclude A63.0), M02.3- 1,616  1,268 
4a. Hepatitis B B16.0 through B16.2, B16.9, B17.0, B18.0, B18.1, B19.10, B19.11, Z22.51 210  133 
4b. Hepatitis C B17.10, B17.11, B18.2, B19.20, B19.21, Z22.52 2,145  1,098 
Selected Diseases of the Respiratory System 
5. Asthma J45- 16,548  10,005 
6. Chronic obstructive pulmonary diseases J40- through J44-, J47- 14,040  6,277 
Selected Other Medical Conditions 
7. Abnormal Breast Findings, Female C50.01-, C50.11-, C50.21-,C50.31-, C50.41-, C50.51-,C50.61-, C50.81-, C50.91-,C79.81, D05-, D48.6-, R92 1,984  761 
8. Abnormal Cervical Findings C53-, C79.82, D06-, R87.61-, R87.810, R87.820 1,065  745 
9. Diabetes Mellitus E08- thru E13-, O24- (Exclude O24.41-) 52,424  14,725 
10. Heart Disease (selected) I01-, I02- (exclude I02.9), I20- thru I25, I26- thru I28-, I30- thru I52- 19,516  5,820 
11. Hypertension I10- thru I15- 65,169  26,537 
12. Contact Dermatitis and other Eczema L23- thru L25-, L30- (Exclude L30.1, L30.3, L30.4, L30.5), L55- thru L59 (Exclude L57.0 thru L57.4) 9,236  7,566 
13. Dehydration E86- 1,103  654 
14. Exposure to Heat or Cold T33.XXXX, T34.XXXX, T67.XXXX, T68.XXXX, T69.XXXX 84  63 
14a. Overweight and obesity E66-, Z68- (exclude Z68.1,Z68.20 through Z68.24,Z68.51. Z68.52) 37,935  24,177 
Selected Childhood Conditions 
15. Otitis Media and Eustachian Tube Disorders H65- thru H69- 11,775  8,046 
16. Selected Perinatal Medical Conditions A33-, P22- thru P29- (exclude P22.0, P29.3); P35- thru P96- (exclude P50-, P51-, P52-, P54-, P91.6-, P92-, P96.81), R78.81, R78.89 2,023  1,273 
17. Lack of expected normal physiological development (such as delayed milestone; failure to gain weight; failure to thrive); Nutritional deficiencies in children only. Does not include sexual or mental development. E40- through E46-, E50-through E63-, P92-, R62-(exclude R62.7), R63.2, R63.3 8,239  5,473 
Selected Mental Health and Substance Abuse Conditions 
18. Alcohol Related Disorders F10-, G62.1 8,856  3,151 
19. Other Substance Related Disorders (Excluding Tobacco Use Disorders) F11- thru F19- (Exclude F17-), G62.0, O99.32- 11,697  3,685 
19a. Tobacco Use Disorders F17- 8,818  5,303 
20a. Depression and Other Mood Disorders F30- thru F39- 58,431  19,096 
20b. Anxiety Disorders Including PTSD F40- thru F42- F43.0, F43.1- 51,063  16,829 
20c. Attention Deficit and Disruptive Behavior Disorders F90- thru F91- 20,611  6,843 
20d. Other mental disorders, excluding drug or alcohol dependence F01- through F09-, F20- through F29-, F43- through F48- (exclude F43.0- and F43.1-), F50- through F59- (exclude F55-), F60- through F99- (exclude F84.2, F90-, F91-, F98-), R45.1, R45.2, R45.5, R45.6, R45.7, R45.81, R45.82, R48.0 43,197  15,476 
Service Category  Applicable ICD-10-CM Code or CPT-4/II Code  Number of Visits
(a)
 
Number of Patients
(b)
 
Selected Diagnostic Tests/Screening/Preventive Services 
21. HIV Test CPT-4: 86689;86701 through 86703;87390 through 87391 7,886  7,228 
21a. Hepatitis B Test CPT-4: 86704, 86706, 87515 through 87517 4,216  2,179 
21b. Hepatitis C Test CPT-4: 86803, 86804, 87520 through 87522 2,967  2,898 
22. Mammogram CPT-4: 77052, 77057 OR ICD-10: Z12.31 3,697  3,496 
23. Pap Test CPT-4: 88141 through 88155, 88164 through 88167, 88174, 88175 OR ICD-10: Z01.41-, Z01.42, Z12.4 9,986  9,770 
24. Selected Immunizations: Hepatitis A, Hemophilus Influenza B (HiB), Pneumococcal, Diphtheria, Tetanus, Pertussis (DTaP) (DTP) (DT), Mumps, Measles, Rubella, Poliovirus, Varicella, Hepatitis B Child) CPT-4: 90633, 90634, 90645 through 90648, 90670, 90696 through 90702, 90704 through 90716, 90718 through 90723, 90743, 90744, 90748 26,512  20,172 
24a. Seasonal Flu Vaccine CPT-4: 90654 through 90662, 90672, 90673, 90685 through 90688 33,551  30,051 
25. Contraceptive Management ICD-10: Z30- 15,869  9,366 
26. Health Supervision of Infant or Child (ages 0 through 11) CPT-4: 99381 through 99383, 99391 through 99393 86,684  32,330 
26a. Childhood lead test screening (9 to 72 months) CPT-4: 83655 8,281  6,774 
26b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408, 99409 2,325  1,457 
26c. Smoke and tobacco use cessation counseling CPT-4: 99406, 99407 OR HCPCS: S9075 OR CPT-II: 4000F, 4001F 4,571  3,338 
26d. Comprehensive and Intermediate Eye Exams CPT-4: 92002, 92004, 92012, 92014 4,914  4,383 
Service Category Applicable ADA Codes Number of Visits
(a)
Number of Patients
(b)
Selected Dental Services 
27. I. Emergency Services ADA: D9110 11,429  10,128 
28. II. Oral Exams ADA: D0120, D0140, D0145, D0150, D0160, D0170, D0171, D0180 157,440  121,362 
29. Prophylaxis - Adult or Child ADA: D1110, D1120 113,512  89,447 
30. Sealants ADA: D1351 17,534  15,659 
31. Fluoride treatment – adult or child ADA: D1206, D1208 99,034  74,681 
32. III. Restorative Services ADA: D21xx through D29xx 94,086  54,397 
33. IV. Oral Surgery
(Extractions and other Surgical Procedures)
ADA: D7111, D7140, D7210, D7220, D7230, D7240, D7241, D7250, D7251, D7260, D7261, D7270, D7272, D7280, D7290 through D7294 34,092  26,723 
34. V. Rehabilitative Services (Endo, Perio, Prostho, Ortho) ADA : D3xxx, D4xxx,D5xxx , D6xxx, D8xxx 48,030  24,359 

Sources of codes:

  • International Classification of Diseases, 2014, Complete Draft Code Set (ICD-10-CM). American Academy of Professional Coders
  • Current Procedural Terminology, (CPT) 2014. American Medical Association.
  • Current Dental Terminology, (CDT) 2015. American Dental Association.

NOTE: “X” in a code denotes any number, including the absence of a number in that place. “–” (dash) in a code indicates that additional characters are required. ICD-10-CM codes all have at least four-digits.

 

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