Table 6A - Selected Diagnoses and Services Rendered

Wisconsin Data

:
Tables 3A through 9E

17 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 1,785  567 
1-2a First-time diagnosis of HIV      
3. Tuberculosis A15- thru A19- 1,784  444 
4. Syphilis and other sexually transmitted diseases A50- thru A64- (Exclude A63.0), M02.3-, N34.1 1,616  1,268 
4a. Hepatitis B B20, B97.35, O98.7, Z21 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 bronchitis and Emphysema J40- thru J44- and 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, 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.XXX, T69.XXXX 84  63 
14a. Overweight and obesity E66-, Z68- (Excluding Z68.1, Z68.20- 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-E46, E50- thru E63- (exclude E64-), 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 (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 43,197  15,476 
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
7,886  7,228 
21a. Hepatitis B Test CPT-4: 86704, 86706, 87515-17 4,216  2,179 
21b. Hepatitis C Test CPT-4: 86803-04, 87520-22 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 - 88155;
88164 - 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, 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 26,512  20,172 
24a. Seasonal Flu Vaccine CPT-4: 90654 – 90662, 90672-90673, 90685-90688 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: 99391 - 99393; 99381 - 99383 86,684  32,330 
26a. Childhood lead test screening (Ages 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 and 99407; HCPCS: S9075 OR CPTII: 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, 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. Flouride Treatment - adult or child ADA :, D1206, D1208 99,034  74,681 
32. III. Restorative Services ADA : D21xx – 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-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, 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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