Table 6A: Selected Diagnoses and Services Rendered

National Data

:
Tables 3A through 9E

1362 Grantees


Line 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 671,020  191,717 
3. Tuberculosis A15- through A19-, O98.01 13,355  6,630 
4. Sexually transmitted infections A50- through A64- (exclude A63.0) 376,840  256,203 
4a. Hepatitis B B16.0 through B16.2, B16.9, B17.0, B18.0, B18.1, B19.10, B19.11, O98.4- 109,332  53,676 
4b. Hepatitis C B17.10, B17.11, B18.2, B19.20, B19.21 439,869  195,946 
Selected Diseases of the Respiratory System 
5. Asthma J45- 2,366,888  1,309,728 
6. Chronic lower respiratory diseases J40- through J44-, J47- 1,642,963  787,032 
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-, D49.3-, N60-, N63-, R92- 419,229  283,886 
8. Abnormal cervical findings C53-, C79.82, D06-, R87.61-, R87.629, R87.810, R87.820 329,133  204,134 
9. Diabetes mellitus E08- through E13-, O24- (exclude O24.41-) 8,550,031  2,566,358 
10. Heart disease (selected) I01-, I02- (exclude I02.9), I20- through I25-, I27-, I28-, I30- through I52- 1,964,791  815,206 
11. Hypertension I10- through I16- 12,307,553  4,778,156 
12. Contact dermatitis and other eczema L23- through L25-, L30- (exclude L30.1, L30.3, L30.4, L30.5), L58- 911,487  714,456 
13. Dehydration E86- 60,980  48,362 
14. Exposure to heat or cold T33-, T34-, T67-, T68-, T69- 8,258  5,904 
14a. Overweight and obesity E66-, Z68- (exclude Z68.1, Z68.20 through Z68.24, Z68.51. Z68.52) 13,794,662  6,520,928 
Selected Childhood Conditions (limited to ages 0 through 17) 
15. Otitis media and Eustachian tube disorders H65- through H69- 1,051,428  716,968 
16. Selected perinatal medical conditions A33-, P19-, P22- through P29- (exclude P29.3), P35- through P96- (exclude P54-, P91.6-, P92- , P96.81), R78.81, R78.89 209,658  124,870 


Line Diagnostic Category Applicable ICD-10-CM Code Number of Visits by Diagnosis Regardless of Primacy (a) Number of Patients with Diagnosis (b)
Selected Childhood Conditions (limited to ages 0 through 17) 
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), R63.3 965,863  586,219 
Selected Mental Health Conditions and Substance Use Disorders 
18. Alcohol-related disorders F10-, G62.1, O99.31 1,165,707  350,610 
19. Other substance-related disorders (excluding tobacco use disorders) F11- through F19- (exclude F17-), G62.0, O99.32- 2,660,972  558,374 
19a. Tobacco use disorder F17-, O99.33 2,436,371  1,232,264 
20a. Depression and other mood disorders F30- through F39- 8,374,405  2,442,814 
20b. Anxiety disorders, including post-traumatic stress disorder (PTSD) F06.4, F40- through F42-, F43.0, F43.1-, F93.0 7,349,778  2,281,877 
20c. Attention deficit and disruptive behavior disorders F90- through F91- 2,163,360  553,120 
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 F99- (exclude F55-, F84.2, F90-, F91-, F93.0, F98-), O99.34, R45.1, R45.2, R45.5, R45.6, R45.7, R45.81, R45.82, R48.0 5,200,009  1,697,361 

 

Line Diagnostic Category Applicable ICD-10-CM Code or CPT4/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, 87534 through 87539, 87806 2,427,075  2,035,469 
21a. Hepatitis B test CPT-4: 86704 through 86707, 87340, 87341, 87350 1,119,743  883,787 
21b. Hepatitis C Test CPT-4: 86803, 86804, 87520 through 87522 1,287,796  1,070,417 
22. Mammogram CPT-4: 77052, 77057, 77065, 77066, 77067 OR
ICD-10: Z12.31
942,878  832,511 
23. Pap test CPT-4: 88141 through 88153, 88155, 88164 through 88167, 88174, 88175 OR
ICD-10: Z01.41-, Z01.42, Z12.4 (exclude Z01.411 and Z01.419)
1,935,642  1,802,595 
24. Selected immunizations: hepatitis A; haemophilus influenzae B (HiB); pneumococcal; diphtheria; tetanus; pertussis (DTaP) (DTP) (DT); mumps; measles; rubella (MMR); poliovirus; varicella; hepatitis B CPT-4: 90632, 90633, 90634, 90636, 90643, 90644, 90645, 90646, 90647, 90648, 90669, 90670, 90696, 90697, 90698, 90700, 90701, 90702, 90703, 90704, 90705, 90706, 90707, 90708, 90710, 90712, 90713, 90714, 90715, 90716, 90718, 90720, 90721, 90723, 90730, 90731, 90732, 90740, 90743, 90744, 90745, 90746, 90747, 90748 5,167,756  3,795,759 
24a. Seasonal flu vaccine CPT-4: 90630, 90653 through 90657, 90661, 90662, 90672, 90673, 90674, 90682, 90685 through 90688, 90749, 90756 4,874,190  4,437,040 
25. Contraceptive management ICD-10: Z30- 2,731,156  1,607,408 
26. Health supervision of infant or child (ages 0 through 11) CPT-4: 99381 through 99383, 99391 through 99393 5,159,345  3,377,525 
26a. Childhood lead test screening (9 to 72 months) ICD-10: Z13.88
CPT-4: 83655
605,351  542,485 
26b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408, 99409
HCPCS: G0396, G0397, H0050
1,789,009  1,099,001 
26c. Smoke and tobacco use cessation counseling CPT4: 99406, 99407 OR
HCPCS: S9075 OR
CPTII: 4000F, 4001F, 4004F
2,243,864  1,237,712 
26d. Comprehensive and intermediate eye exams CPT4: 92002, 92004, 92012, 92014 698,443  605,482 


Line Service Category Applicable ADA Code Number of Visits (a) Number of Patients (b)
Selected Dental Services 
27. Emergency Services ADA: D9110 223,419  191,151 
28. Oral Exams ADA: D0120, D0140, D0145, D0150, D0160, D0170, D0171, D0180 6,870,848  5,263,246 
29. Prophylaxis - adult or child ADA: D1110, D1120 4,122,200  3,316,075 
30. Sealants ADA: D1351 553,087  475,139 
31. Fluoride treatment – adult or child ADA: D1206, D1208
CPT-4: 99188
3,021,054  2,387,157 
32. Restorative services ADA: D21xx through D29xx 3,866,375  1,931,767 
33. Oral surgery (extractions and other surgical procedures) ADA: D7xxx 1,370,235  1,023,902 
34. Rehabilitative services (Endo, Perio, Prostho, Ortho) ADA: D3xxx, D4xxx,D5xxx , D6xxx, D8xxx 1,939,455  943,287 

Sources of codes:

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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