Table 6A: Selected Diagnoses and Services Rendered

Louisiana Data

:
Tables 3A through 9E

34 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 15,678  5,194 
3. Tuberculosis A15- through A19-, O98.01 63  37 
4. Sexually transmitted infections A50- through A64- (exclude A63.0) 12,144  8,030 
4a. Hepatitis B B16.0 through B16.2, B16.9, B17.0, B18.0, B18.1, B19.10, B19.11, O98.4- 1,054  591 
4b. Hepatitis C B17.10, B17.11, B18.2, B19.20, B19.21 10,544  5,095 
Selected Diseases of the Respiratory System 
5. Asthma J45- 27,801  15,367 
6. Chronic lower respiratory diseases J40- through J44-, J47- 19,474  9,176 
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- 3,606  2,729 
8. Abnormal cervical findings C53-, C79.82, D06-, R87.61-, R87.629, R87.810, R87.820 2,955  1,994 
9. Diabetes mellitus E08- through E13-, O24- (exclude O24.41-) 120,451  37,489 
10. Heart disease (selected) I01-, I02- (exclude I02.9), I20- through I25-, I27-, I28-, I30- through I52- 26,284  9,821 
11. Hypertension I10- through I16- 234,697  89,018 
12. Contact dermatitis and other eczema L23- through L25-, L30- (exclude L30.1, L30.3, L30.4, L30.5), L58- 11,080  9,014 
13. Dehydration E86- 673  601 
14. Exposure to heat or cold T33-, T34-, T67-, T68-, T69- 95  83 
14a. Overweight and obesity E66-, Z68- (exclude Z68.1, Z68.20 through Z68.24, Z68.51. Z68.52) 299,674  126,648 
Selected Childhood Conditions (limited to ages 0 through 17) 
15. Otitis media and Eustachian tube disorders H65- through H69- 18,246  12,134 
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 1,271  841 


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 22,613  13,076 
Selected Mental Health Conditions and Substance Use Disorders 
18. Alcohol-related disorders F10-, G62.1, O99.31 7,991  3,819 
19. Other substance-related disorders (excluding tobacco use disorders) F11- through F19- (exclude F17-), G62.0, O99.32- 17,725  6,517 
19a. Tobacco use disorder F17-, O99.33 33,000  20,400 
20a. Depression and other mood disorders F30- through F39- 134,573  41,426 
20b. Anxiety disorders, including post-traumatic stress disorder (PTSD) F06.4, F40- through F42-, F43.0, F43.1-, F93.0 122,580  40,245 
20c. Attention deficit and disruptive behavior disorders F90- through F91- 82,822  17,656 
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 94,713  28,432 

 

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 63,559  52,078 
21a. Hepatitis B test CPT-4: 86704 through 86707, 87340, 87341, 87350 26,988  22,064 
21b. Hepatitis C Test CPT-4: 86803, 86804, 87520 through 87522 29,724  28,065 
22. Mammogram CPT-4: 77052, 77057, 77065, 77066, 77067 OR
ICD-10: Z12.31
19,280  17,743 
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)
28,535  25,746 
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 56,737  41,046 
24a. Seasonal flu vaccine CPT-4: 90630, 90653 through 90657, 90661, 90662, 90672, 90673, 90674, 90682, 90685 through 90688, 90749, 90756 35,754  33,659 
25. Contraceptive management ICD-10: Z30- 42,633  22,952 
26. Health supervision of infant or child (ages 0 through 11) CPT-4: 99381 through 99383, 99391 through 99393 48,661  34,015 
26a. Childhood lead test screening (9 to 72 months) ICD-10: Z13.88
CPT-4: 83655
6,461  6,120 
26b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408, 99409
HCPCS: G0396, G0397, H0050
32,058  17,400 
26c. Smoke and tobacco use cessation counseling CPT4: 99406, 99407 OR
HCPCS: S9075 OR
CPTII: 4000F, 4001F, 4004F
74,263  34,544 
26d. Comprehensive and intermediate eye exams CPT4: 92002, 92004, 92012, 92014 2,425  1,980 


Line Service Category Applicable ADA Code Number of Visits (a) Number of Patients (b)
Selected Dental Services 
27. Emergency Services ADA: D9110 3,202  3,035 
28. Oral Exams ADA: D0120, D0140, D0145, D0150, D0160, D0170, D0171, D0180 91,411  80,103 
29. Prophylaxis - adult or child ADA: D1110, D1120 37,236  31,304 
30. Sealants ADA: D1351 1,375  1,195 
31. Fluoride treatment – adult or child ADA: D1206, D1208
CPT-4: 99188
15,772  12,804 
32. Restorative services ADA: D21xx through D29xx 30,267  19,372 
33. Oral surgery (extractions and other surgical procedures) ADA: D7xxx 42,515  31,321 
34. Rehabilitative services (Endo, Perio, Prostho, Ortho) ADA: D3xxx, D4xxx,D5xxx , D6xxx, D8xxx 15,943  10,456 

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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