Table 6A - Selected Diagnoses and Services Rendered

National Data

:
Tables 3A through 9E

1367 Grantees


Diagnostic Category Applicable ICD-10-CM Codes Number of Visits by Primary Diagnosis
(a)
Number of Patients with Primary Diagnosis
(b)
Selected Infectious and Parasitic Diseases 
1-2 Symptomatic and Asymptomatic HIV B20, B97.35, O98.7, Z21 634,906  158,323 
1-2a First-time diagnosis of HIV      
3. Tuberculosis A15- thru A19- 17,871  9,060 
4. Syphilis and other sexually transmitted diseases A50- thru A64- (Exclude A63.0), M02.3-, N34.1 307,214  214,478 
4a. Hepatitis B B20, B97.35, O98.7, Z21 93,983  46,342 
4b. Hepatitis C B17.10, B17.11, B18.2, B19.20, B19.21, Z22.52 475,220  206,587 
Selected Diseases of the Respiratory System 
5. Asthma J45- 2,184,904  1,196,242 
6. Chronic bronchitis and Emphysema J40- thru J44- and J47- 1,514,769  742,256 
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, D48.6-, R92- 172,073  108,729 
8. Abnormal Cervical Findings C53-, C79.82, D06-, R87.61-, R87.810, R87.820 268,245  168,903 
9. Diabetes Mellitus E08- thru E13-, O24- (Exclude O24.41-) 7,699,943  2,283,360 
10. Heart Disease (selected) I01-, I02- (exclude I02.9), I20- thru I25, I26- thru I28-, I30- thru I52- 1,761,974  710,638 
11. Hypertension I10- thru I15- 10,995,226  4,335,639 
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) 886,358  687,780 
13. Dehydration E86- 71,471  51,100 
14. Exposure to Heat or Cold T33.XXXX, T34.XXXX, T67.XXXX, T68.XXX, T69.XXXX 9,103  5,662 
14a. Overweight and obesity E66-, Z68- (Excluding Z68.1, Z68.20- 24, Z68.51. Z68.52) 8,674,179  4,472,815 
Selected Childhood Conditions 
15. Otitis Media and Eustachian Tube Disorders H65- thru H69- 1,192,430  815,545 
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, R78.89 188,822  111,890 
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-E46, E50- thru E63- (exclude E64-), P92-, R62- (exclude R62.7), R63.2, R63.3 1,244,041  755,869 
Selected Mental Health and Substance Abuse Conditions 
18. Alcohol Related Disorders F10-, G62.1 966,281  292,750 
19. Other Substance Related Disorders (Excluding Tobacco Use Disorders) F11- thru F19- (Exclude F17-), G62.0, O99.32- 1,765,650  421,079 
19a. Tobacco Use Disorders F17- 2,152,007  1,086,401 
20a. Depression and Other Mood Disorders F30- thru F39- 6,932,972  2,138,559 
20b. Anxiety Disorders Including PTSD F40- thru F42- F43.0, F43.1- 5,012,300  1,667,334 
20c. Attention Deficit and Disruptive Behavior Disorders F90- thru F91- 1,741,763  478,488 
20d. Other Mental Disorders, Excluding Drug or Alcohol Dependence (includes mental retardation) F01- thru F09-, F20- thru F29-, F43- thru F48- (exclude F43.1-), F50- thru F59- (exclude F55-), F60- thru F99- (exclude F84.2, F90-, F91-, F98-), R45.1, R45.2, R45.5, R45.6, R45.7, R45.81, R45.82, R48.0 4,057,429  1,399,347 
Diagnostic 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 - 86703;
87390 - 87391
1,612,535  1,422,586 
21a. Hepatitis B Test CPT-4: 86704, 86706, 87515-17 639,999  558,040 
21b. Hepatitis C Test CPT-4: 86803-04, 87520-22 778,774  695,822 
22. Mammogram CPT-4: 77052, 77057 OR ICD-10: Z12.31 612,017  561,269 
23. Pap Test CPT - 4: 88141 - 88155;
88164 - 88167; 88174-88175 OR
ICD - 10: Z01.41-, Z01.42, Z12.4
2,096,335  1,951,006 
24. Selected Immunizations: Hepatitis A, Hemophilus Influenza B (HiB), Pneumococcal, Diptheria, Tetanus, Pertussis (DTaP) (DTP) (DT), Mumps, Measles, Rubella, Poliovirus, Varicella, Hepatitis B Child) CPT-4: 90633- 90634, 90645 – 90648; 90670; 90696 – 90702; 90704 – 90716; 90718 - 90723; 90743 – 90744; 90748 4,483,750  3,312,166 
24a. Seasonal Flu Vaccine CPT-4: 90654 – 90662, 90672-90673, 90685-90688 4,161,380  3,803,830 
25. Contraceptive Management ICD-10: Z30- 2,545,822  1,476,323 
26. Health Supervision of Infant or Child (ages 0 through 11) CPT-4: 99391 - 99393; 99381 - 99383 4,760,869  3,090,363 
26a. Childhood lead test screening (Ages 9 to 72 months) CPT-4: 83655 497,421  455,123 
26b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408-99409 1,014,820  716,677 
26c. Smoke and tobacco use cessation counseling CPT-4: 99406 and 99407; HCPCS: S9075 OR CPTII: 4000F, 4001F 1,924,870  1,078,957 
26d. Comprehensive and Intermediate Eye Exams CPT-4: 92002, 92004, 92012, 92014 563,652  493,851 
Service Category Applicable ADA Codes Number of Visits
(a)
Number of Patients
(b)
Selected Dental Services 
27. I. Emergency Services ADA: D9110 250,347  211,643 
28. II. Oral Exams ADA: D0120, D0140, D0145,
D0150, D0160, D0170, D0180
6,047,591  4,613,682 
29. Prophylaxis - Adult or Child ADA: D1110, D1120 3,592,149  2,880,273 
30. Sealants ADA: D1351 529,693  421,216 
31. Flouride Treatment - adult or child ADA :, D1206, D1208 2,576,345  2,014,452 
32. III. Restorative Services ADA : D21xx – D29xx 3,372,060  1,699,321 
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-D7294 1,286,094  950,110 
34. V. Rehabilitative Services (Endo, Perio, Prostho, Ortho) ADA : D3xxx, D4xxx,D5xxx , D6xxx, D8xxx 1,584,095  780,432 

Sources of codes:

  • International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM), Volumes 1 and 2, 2014. American Academy of Professional Coders
  • 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.

 

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