Table 6A - Selected Diagnoses and Services Rendered

National Data

:
Tables 3A through 9E

1373 Grantees


Diagnostic Category Applicable ICD-10-CM Code 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 616,392  165,745 
3. Tuberculosis A15- thru A19- 14,862  6,843 
4. Sexually transmitted infections A50- through A64- (exclude A63.0), M02.3- 374,618  259,874 
4a. Hepatitis B B16.0 through B16.2, B16.9, B17.0, B18.0, B18.1, B19.10, B19.11, Z22.51 98,522  47,790 
4b. Hepatitis C B17.10, B17.11, B18.2, B19.20, B19.21 475,065  208,508 
Selected Diseases of the Respiratory System 
5. Asthma J45- 2,322,114  1,272,531 
6. Chronic obstructive pulmonary diseases J40- through J44-, J47- 1,605,687  778,150 
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-, N63-, R92- 294,043  197,038 
8. Abnormal cervical findings C53-, C79.82, D06-, R87.61-, R87.810, R87.820 311,238  189,923 
9. Diabetes mellitus E08- through E13-, O24- (exclude O24.41-) 8,170,072  2,441,686 
10. Heart disease (selected) I01-, I02- (exclude I02.9), I20- through I25-, I27-, I28-, I30- through I52- 1,834,512  755,781 
11. Hypertension I10- through I16- 11,530,573  4,526,756 
12. Contact dermatitis and other eczema L23- through L25-, L30- (exclude L30.1, L30.3, L30.4, L30.5), L55- through L59- (exclude L57.0 through L57.4) 894,843  704,464 
13. Dehydration E86- 59,410  45,592 
14. Exposure to heat or cold T33-, T34-, T67-, T68-, T69 5,790  4,267 
14a. Overweight and obesity E66-, Z68- (exclude Z68.1, Z68.20 through Z68.24, Z68.51. Z68.52) 11,225,846  5,491,407 
Selected Childhood Conditions (limited to ages 0 through 17)  
15. Otitis media and Eustachian tube disorders H65- thru H69- 1,090,669  745,679 
16. Selected perinatal medical conditions A33-, P22- through P29- (exclude P29.3), P35- through P96- (exclude P54-, P91.6-, P92-, P96.81), R78.81, R78.89 192,499  115,100 
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 1,081,183  648,159 
Selected Mental Health and Substance Abuse Conditions 
18. Alcohol related disorders F10-, G62.1 1,093,455  317,518 
19. Other substance related disorders (excluding tobacco use disorders) F11- thru F19- (Exclude F17-), G62.0, O99.32- 2,225,371  485,992 
19a. Tobacco use disorder F17- 2,373,723  1,182,710 
20a. Depression and other mood disorders F30- thru F39- 7,785,806  2,284,818 
20b. Anxiety disorders including PTSD F06.4, F40- through F42-, F43.0, F43.1-, F93.0 6,425,374  2,026,904 
20c. Attention deficit and disruptive behavior disorders F90- thru F91- 2,007,703  520,573 
20d. Other mental disorders, excluding drug or alcohol dependence F01- through F09- (exclude F06.4), 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 4,569,410  1,520,311 
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; 87389 through 87391 2,085,341  1,808,062 
21a. Hepatitis B test CPT-4: 86704, 86706, 87515 through 87517 920,862  718,715 
21b. Hepatitis C Test CPT-4: 86803, 86804, 87520 through 87522 1,154,994  966,976 
22. Mammogram CPT-4: 77052, 77057, 77065, 77066, 77067 OR ICD-10: Z12.31 807,299  724,187 
23. Pap test CPT-4: 88141 through 88155, 88164 through 88167, 88174, 88175 OR ICD-10: Z01.41-, Z01.42, Z12.4 (exclude Z01.411 and Z01.419) 1,993,194  1,853,912 
24. Selected Immunizations: Hepatitis A, Hemophilus Influenzae 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 4,629,449  3,393,346 
24a. Seasonal Flu vaccine CPT-4: 90654 through 90662, 90672, 90673, 90685 through 90688 4,413,155  4,041,961 
25. Contraceptive management ICD-10: Z30- 2,656,680  1,559,968 
26. Health supervision of infant or child (ages 0 through 11) CPT-4: 99381 through 99383, 99391 through 99393 4,985,097  3,270,604 
26a. Childhood lead test screening (9 to 72 months) CPT-4: 83655 586,646  527,824 
26b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408, 99409 HCPCS: G0396, G0397, H0050 1,530,719  1,017,249 
26c. Smoke and tobacco use cessation counseling CPT-4: 99406, 99407 OR HCPCS: S9075 OR CPT-II: 4000F, 4001F 2,215,635  1,183,306 
26d. Comprehensive and intermediate eye exams CPT-4: 92002, 92004, 92012, 92014 630,831  554,596 
Service Category Applicable ADA Code Number of Visits
(a)
Number of Patients
(b)
Selected Dental Services 
27. I. Emergency Services ADA: D9110 266,333  217,731 
28. II. Oral Exams ADA: D0120, D0140, D0145, D0150, D0160, D0170, D0171, D0180 6,495,891  5,005,766 
29. Prophylaxis - adult or child ADA: D1110, D1120 3,878,242  3,136,394 
30. Sealants ADA: D1351 538,427  462,177 
31. Fluoride treatment – adult or child ADA: D1206, D1208 2,780,598  2,209,459 
32. III. Restorative Services ADA: D21xx through D29xx 3,657,790  1,834,308 
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 1,339,876  1,006,547 
34. V. Rehabilitative Services (Endo, Perio, Prostho, Ortho) ADA : D3xxx, D4xxx,D5xxx , D6xxx, D8xxx 1,799,225  885,374 

Sources of codes:

  • International Classification of Diseases, 2017, (ICD­10­CM). National Center for Health Statistics (NCHS).
  • Current Procedural Terminology (CPT), 2017. American Medical Association (AMA).
  • Current Dental Terminology (CDT), 2017 – Dental Procedure Codes. American Dental Association (ADA).

Note: “X” in a code denotes any number including the absence of a number in that place. “–” (Dashes) in a code indicate that additional characters are required. ICD­10­CM codes all have at least four digits. These codes are not intended to reflect if a code is billable or not. Instead they are used to point out that other codes in the series are to be considered.

 

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