Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions

Medicare Coverage Database article A55639

Article

Contractor: Wisconsin Physicians Service Insurance Corporation
States (A/B MAC): IA, IN, KS, MI, MO, NE
Effective: Oct 1, 2026
Contractor numbers: 05101, 05102, 05201, 05202, 05301, 05302, 05401, 05402, 05901, 08101, 08102, 08201, 08202
Official article: A55639 on cms.gov (version 54)

Read the article's coding instructions on CMS — which codes go together, documentation, and frequency limits — before billing. CodeRx lists the codes, not the instructions.

Drug codes in this article

HCPCS Level II drug codes the article lists (other codes it lists are not shown).

Covered ICD-10-CM codes (612)

Diagnosis codes the article lists as supporting medical necessity, grouped as in the article, with CMS's descriptions.

Group 1 · 4 codes

A63.0Anogenital (venereal) warts
B07.0Plantar wart
B07.8Other viral warts
B07.9Viral wart, unspecified

Group 2 · 299 codes

J84.111Idiopathic interstitial pneumonia, not otherwise specified
J84.112Idiopathic pulmonary fibrosis
J84.113Idiopathic non-specific interstitial pneumonitis
J84.114Acute interstitial pneumonitis
J84.115Respiratory bronchiolitis interstitial lung disease
J84.116Cryptogenic organizing pneumonia
J84.117Desquamative interstitial pneumonia
J84.170Interstitial lung disease with progressive fibrotic phenotype in diseases classified elsewhere
J84.178Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere
L12.0Bullous pemphigoid
L12.8Other pemphigoid
L40.0Psoriasis vulgaris
L40.1Generalized pustular psoriasis
L40.2Acrodermatitis continua
L40.3Pustulosis palmaris et plantaris
L40.4Guttate psoriasis
L40.50Arthropathic psoriasis, unspecified
L40.51Distal interphalangeal psoriatic arthropathy
L40.52Psoriatic arthritis mutilans
L40.53Psoriatic spondylitis
L40.54Psoriatic juvenile arthropathy
L40.59Other psoriatic arthropathy
L40.8Other psoriasis
L40.9Psoriasis, unspecified
M02.311Reiter's disease, right shoulder
M02.312Reiter's disease, left shoulder
M02.321Reiter's disease, right elbow
M02.322Reiter's disease, left elbow
M02.331Reiter's disease, right wrist
M02.332Reiter's disease, left wrist
M02.341Reiter's disease, right hand
M02.342Reiter's disease, left hand
M02.351Reiter's disease, right hip
M02.352Reiter's disease, left hip
M02.361Reiter's disease, right knee
M02.362Reiter's disease, left knee
M02.371Reiter's disease, right ankle and foot
M02.372Reiter's disease, left ankle and foot
M02.38Reiter's disease, vertebrae
M02.39Reiter's disease, multiple sites
M05.211Rheumatoid vasculitis with rheumatoid arthritis of right shoulder
M05.212Rheumatoid vasculitis with rheumatoid arthritis of left shoulder
M05.221Rheumatoid vasculitis with rheumatoid arthritis of right elbow
M05.222Rheumatoid vasculitis with rheumatoid arthritis of left elbow
M05.231Rheumatoid vasculitis with rheumatoid arthritis of right wrist
M05.232Rheumatoid vasculitis with rheumatoid arthritis of left wrist
M05.241Rheumatoid vasculitis with rheumatoid arthritis of right hand
M05.242Rheumatoid vasculitis with rheumatoid arthritis of left hand
M05.251Rheumatoid vasculitis with rheumatoid arthritis of right hip
M05.252Rheumatoid vasculitis with rheumatoid arthritis of left hip
M05.261Rheumatoid vasculitis with rheumatoid arthritis of right knee
M05.262Rheumatoid vasculitis with rheumatoid arthritis of left knee
M05.271Rheumatoid vasculitis with rheumatoid arthritis of right ankle and foot
M05.272Rheumatoid vasculitis with rheumatoid arthritis of left ankle and foot
M05.29Rheumatoid vasculitis with rheumatoid arthritis of multiple sites
M05.311Rheumatoid heart disease with rheumatoid arthritis of right shoulder
M05.312Rheumatoid heart disease with rheumatoid arthritis of left shoulder
M05.321Rheumatoid heart disease with rheumatoid arthritis of right elbow
M05.322Rheumatoid heart disease with rheumatoid arthritis of left elbow
M05.331Rheumatoid heart disease with rheumatoid arthritis of right wrist
M05.332Rheumatoid heart disease with rheumatoid arthritis of left wrist
M05.341Rheumatoid heart disease with rheumatoid arthritis of right hand
M05.342Rheumatoid heart disease with rheumatoid arthritis of left hand
M05.351Rheumatoid heart disease with rheumatoid arthritis of right hip
M05.352Rheumatoid heart disease with rheumatoid arthritis of left hip
M05.361Rheumatoid heart disease with rheumatoid arthritis of right knee
M05.362Rheumatoid heart disease with rheumatoid arthritis of left knee
M05.371Rheumatoid heart disease with rheumatoid arthritis of right ankle and foot
M05.372Rheumatoid heart disease with rheumatoid arthritis of left ankle and foot
M05.39Rheumatoid heart disease with rheumatoid arthritis of multiple sites
M05.411Rheumatoid myopathy with rheumatoid arthritis of right shoulder
M05.412Rheumatoid myopathy with rheumatoid arthritis of left shoulder
M05.421Rheumatoid myopathy with rheumatoid arthritis of right elbow
M05.422Rheumatoid myopathy with rheumatoid arthritis of left elbow
M05.431Rheumatoid myopathy with rheumatoid arthritis of right wrist
M05.432Rheumatoid myopathy with rheumatoid arthritis of left wrist
M05.441Rheumatoid myopathy with rheumatoid arthritis of right hand
M05.442Rheumatoid myopathy with rheumatoid arthritis of left hand
M05.451Rheumatoid myopathy with rheumatoid arthritis of right hip
M05.452Rheumatoid myopathy with rheumatoid arthritis of left hip
M05.461Rheumatoid myopathy with rheumatoid arthritis of right knee
M05.462Rheumatoid myopathy with rheumatoid arthritis of left knee
M05.471Rheumatoid myopathy with rheumatoid arthritis of right ankle and foot
M05.472Rheumatoid myopathy with rheumatoid arthritis of left ankle and foot
M05.49Rheumatoid myopathy with rheumatoid arthritis of multiple sites
M05.511Rheumatoid polyneuropathy with rheumatoid arthritis of right shoulder
M05.512Rheumatoid polyneuropathy with rheumatoid arthritis of left shoulder
M05.521Rheumatoid polyneuropathy with rheumatoid arthritis of right elbow
M05.522Rheumatoid polyneuropathy with rheumatoid arthritis of left elbow
M05.531Rheumatoid polyneuropathy with rheumatoid arthritis of right wrist
M05.532Rheumatoid polyneuropathy with rheumatoid arthritis of left wrist
M05.541Rheumatoid polyneuropathy with rheumatoid arthritis of right hand
M05.542Rheumatoid polyneuropathy with rheumatoid arthritis of left hand
M05.551Rheumatoid polyneuropathy with rheumatoid arthritis of right hip
M05.552Rheumatoid polyneuropathy with rheumatoid arthritis of left hip
M05.561Rheumatoid polyneuropathy with rheumatoid arthritis of right knee
M05.562Rheumatoid polyneuropathy with rheumatoid arthritis of left knee
M05.571Rheumatoid polyneuropathy with rheumatoid arthritis of right ankle and foot
M05.572Rheumatoid polyneuropathy with rheumatoid arthritis of left ankle and foot
M05.59Rheumatoid polyneuropathy with rheumatoid arthritis of multiple sites
M05.611Rheumatoid arthritis of right shoulder with involvement of other organs and systems
M05.612Rheumatoid arthritis of left shoulder with involvement of other organs and systems
M05.621Rheumatoid arthritis of right elbow with involvement of other organs and systems
M05.622Rheumatoid arthritis of left elbow with involvement of other organs and systems
M05.631Rheumatoid arthritis of right wrist with involvement of other organs and systems
M05.632Rheumatoid arthritis of left wrist with involvement of other organs and systems
M05.641Rheumatoid arthritis of right hand with involvement of other organs and systems
M05.642Rheumatoid arthritis of left hand with involvement of other organs and systems
M05.651Rheumatoid arthritis of right hip with involvement of other organs and systems
M05.652Rheumatoid arthritis of left hip with involvement of other organs and systems
M05.661Rheumatoid arthritis of right knee with involvement of other organs and systems
M05.662Rheumatoid arthritis of left knee with involvement of other organs and systems
M05.671Rheumatoid arthritis of right ankle and foot with involvement of other organs and systems
M05.672Rheumatoid arthritis of left ankle and foot with involvement of other organs and systems
M05.69Rheumatoid arthritis of multiple sites with involvement of other organs and systems
M05.711Rheumatoid arthritis with rheumatoid factor of right shoulder without organ or systems involvement
M05.712Rheumatoid arthritis with rheumatoid factor of left shoulder without organ or systems involvement
M05.721Rheumatoid arthritis with rheumatoid factor of right elbow without organ or systems involvement
M05.722Rheumatoid arthritis with rheumatoid factor of left elbow without organ or systems involvement
M05.731Rheumatoid arthritis with rheumatoid factor of right wrist without organ or systems involvement
M05.732Rheumatoid arthritis with rheumatoid factor of left wrist without organ or systems involvement
M05.741Rheumatoid arthritis with rheumatoid factor of right hand without organ or systems involvement
M05.742Rheumatoid arthritis with rheumatoid factor of left hand without organ or systems involvement
M05.751Rheumatoid arthritis with rheumatoid factor of right hip without organ or systems involvement
M05.752Rheumatoid arthritis with rheumatoid factor of left hip without organ or systems involvement
M05.761Rheumatoid arthritis with rheumatoid factor of right knee without organ or systems involvement
M05.762Rheumatoid arthritis with rheumatoid factor of left knee without organ or systems involvement
M05.771Rheumatoid arthritis with rheumatoid factor of right ankle and foot without organ or systems involvement
M05.772Rheumatoid arthritis with rheumatoid factor of left ankle and foot without organ or systems involvement
M05.79Rheumatoid arthritis with rheumatoid factor of multiple sites without organ or systems involvement
M05.7ARheumatoid arthritis with rheumatoid factor of other specified site without organ or systems involvement
M05.811Other rheumatoid arthritis with rheumatoid factor of right shoulder
M05.812Other rheumatoid arthritis with rheumatoid factor of left shoulder
M05.821Other rheumatoid arthritis with rheumatoid factor of right elbow
M05.822Other rheumatoid arthritis with rheumatoid factor of left elbow
M05.831Other rheumatoid arthritis with rheumatoid factor of right wrist
M05.832Other rheumatoid arthritis with rheumatoid factor of left wrist
M05.841Other rheumatoid arthritis with rheumatoid factor of right hand
M05.842Other rheumatoid arthritis with rheumatoid factor of left hand
M05.851Other rheumatoid arthritis with rheumatoid factor of right hip
M05.852Other rheumatoid arthritis with rheumatoid factor of left hip
M05.861Other rheumatoid arthritis with rheumatoid factor of right knee
M05.862Other rheumatoid arthritis with rheumatoid factor of left knee
M05.871Other rheumatoid arthritis with rheumatoid factor of right ankle and foot
M05.872Other rheumatoid arthritis with rheumatoid factor of left ankle and foot
M05.89Other rheumatoid arthritis with rheumatoid factor of multiple sites
M05.8AOther rheumatoid arthritis with rheumatoid factor of other specified site
M06.011Rheumatoid arthritis without rheumatoid factor, right shoulder
M06.012Rheumatoid arthritis without rheumatoid factor, left shoulder
M06.021Rheumatoid arthritis without rheumatoid factor, right elbow
M06.022Rheumatoid arthritis without rheumatoid factor, left elbow
M06.031Rheumatoid arthritis without rheumatoid factor, right wrist
M06.032Rheumatoid arthritis without rheumatoid factor, left wrist
M06.041Rheumatoid arthritis without rheumatoid factor, right hand
M06.042Rheumatoid arthritis without rheumatoid factor, left hand
M06.051Rheumatoid arthritis without rheumatoid factor, right hip
M06.052Rheumatoid arthritis without rheumatoid factor, left hip
M06.061Rheumatoid arthritis without rheumatoid factor, right knee
M06.062Rheumatoid arthritis without rheumatoid factor, left knee
M06.071Rheumatoid arthritis without rheumatoid factor, right ankle and foot
M06.072Rheumatoid arthritis without rheumatoid factor, left ankle and foot
M06.08Rheumatoid arthritis without rheumatoid factor, vertebrae
M06.09Rheumatoid arthritis without rheumatoid factor, multiple sites
M06.0ARheumatoid arthritis without rheumatoid factor, other specified site
M06.1Adult-onset Still's disease
M06.211Rheumatoid bursitis, right shoulder
M06.212Rheumatoid bursitis, left shoulder
M06.221Rheumatoid bursitis, right elbow
M06.222Rheumatoid bursitis, left elbow
M06.231Rheumatoid bursitis, right wrist
M06.232Rheumatoid bursitis, left wrist
M06.241Rheumatoid bursitis, right hand
M06.242Rheumatoid bursitis, left hand
M06.251Rheumatoid bursitis, right hip
M06.252Rheumatoid bursitis, left hip
M06.261Rheumatoid bursitis, right knee
M06.262Rheumatoid bursitis, left knee
M06.271Rheumatoid bursitis, right ankle and foot
M06.272Rheumatoid bursitis, left ankle and foot
M06.28Rheumatoid bursitis, vertebrae
M06.29Rheumatoid bursitis, multiple sites
M06.311Rheumatoid nodule, right shoulder
M06.312Rheumatoid nodule, left shoulder
M06.321Rheumatoid nodule, right elbow
M06.322Rheumatoid nodule, left elbow
M06.331Rheumatoid nodule, right wrist
M06.332Rheumatoid nodule, left wrist
M06.341Rheumatoid nodule, right hand
M06.342Rheumatoid nodule, left hand
M06.351Rheumatoid nodule, right hip
M06.352Rheumatoid nodule, left hip
M06.361Rheumatoid nodule, right knee
M06.362Rheumatoid nodule, left knee
M06.371Rheumatoid nodule, right ankle and foot
M06.372Rheumatoid nodule, left ankle and foot
M06.38Rheumatoid nodule, vertebrae
M06.39Rheumatoid nodule, multiple sites
M06.4Inflammatory polyarthropathy
M06.811Other specified rheumatoid arthritis, right shoulder
M06.812Other specified rheumatoid arthritis, left shoulder
M06.821Other specified rheumatoid arthritis, right elbow
M06.822Other specified rheumatoid arthritis, left elbow
M06.831Other specified rheumatoid arthritis, right wrist
M06.832Other specified rheumatoid arthritis, left wrist
M06.841Other specified rheumatoid arthritis, right hand
M06.842Other specified rheumatoid arthritis, left hand
M06.851Other specified rheumatoid arthritis, right hip
M06.852Other specified rheumatoid arthritis, left hip
M06.861Other specified rheumatoid arthritis, right knee
M06.862Other specified rheumatoid arthritis, left knee
M06.871Other specified rheumatoid arthritis, right ankle and foot
M06.872Other specified rheumatoid arthritis, left ankle and foot
M06.88Other specified rheumatoid arthritis, vertebrae
M06.89Other specified rheumatoid arthritis, multiple sites
M06.8AOther specified rheumatoid arthritis, other specified site
M08.0AUnspecified juvenile rheumatoid arthritis, other specified site
M08.1Juvenile ankylosing spondylitis
M08.211Juvenile rheumatoid arthritis with systemic onset, right shoulder
M08.212Juvenile rheumatoid arthritis with systemic onset, left shoulder
M08.221Juvenile rheumatoid arthritis with systemic onset, right elbow
M08.222Juvenile rheumatoid arthritis with systemic onset, left elbow
M08.231Juvenile rheumatoid arthritis with systemic onset, right wrist
M08.232Juvenile rheumatoid arthritis with systemic onset, left wrist
M08.241Juvenile rheumatoid arthritis with systemic onset, right hand
M08.242Juvenile rheumatoid arthritis with systemic onset, left hand
M08.251Juvenile rheumatoid arthritis with systemic onset, right hip
M08.252Juvenile rheumatoid arthritis with systemic onset, left hip
M08.261Juvenile rheumatoid arthritis with systemic onset, right knee
M08.262Juvenile rheumatoid arthritis with systemic onset, left knee
M08.271Juvenile rheumatoid arthritis with systemic onset, right ankle and foot
M08.272Juvenile rheumatoid arthritis with systemic onset, left ankle and foot
M08.28Juvenile rheumatoid arthritis with systemic onset, vertebrae
M08.29Juvenile rheumatoid arthritis with systemic onset, multiple sites
M08.2AJuvenile rheumatoid arthritis with systemic onset, other specified site
M08.3Juvenile rheumatoid polyarthritis (seronegative)
M08.4APauciarticular juvenile rheumatoid arthritis, other specified site
M08.811Other juvenile arthritis, right shoulder
M08.812Other juvenile arthritis, left shoulder
M08.821Other juvenile arthritis, right elbow
M08.822Other juvenile arthritis, left elbow
M08.831Other juvenile arthritis, right wrist
M08.832Other juvenile arthritis, left wrist
M08.841Other juvenile arthritis, right hand
M08.842Other juvenile arthritis, left hand
M08.851Other juvenile arthritis, right hip
M08.852Other juvenile arthritis, left hip
M08.861Other juvenile arthritis, right knee
M08.862Other juvenile arthritis, left knee
M08.871Other juvenile arthritis, right ankle and foot
M08.872Other juvenile arthritis, left ankle and foot
M08.88Other juvenile arthritis, other specified site
M08.89Other juvenile arthritis, multiple sites
M08.9AJuvenile arthritis, unspecified, other specified site
M31.5Giant cell arteritis with polymyalgia rheumatica
M31.6Other giant cell arteritis
M32.0Drug-induced systemic lupus erythematosus
M32.10Systemic lupus erythematosus, organ or system involvement unspecified
M32.11Endocarditis in systemic lupus erythematosus
M32.12Pericarditis in systemic lupus erythematosus
M32.13Lung involvement in systemic lupus erythematosus
M32.14Glomerular disease in systemic lupus erythematosus
M32.15Tubulo-interstitial nephropathy in systemic lupus erythematosus
M32.19Other organ or system involvement in systemic lupus erythematosus
M32.8Other forms of systemic lupus erythematosus
M33.21Polymyositis with respiratory involvement
M33.22Polymyositis with myopathy
M33.29Polymyositis with other organ involvement
M35.03Sjogren syndrome with myopathy
M35.04Sjogren syndrome with tubulo-interstitial nephropathy
M45.0Ankylosing spondylitis of multiple sites in spine
M45.1Ankylosing spondylitis of occipito-atlanto-axial region
M45.2Ankylosing spondylitis of cervical region
M45.3Ankylosing spondylitis of cervicothoracic region
M45.4Ankylosing spondylitis of thoracic region
M45.5Ankylosing spondylitis of thoracolumbar region
M45.6Ankylosing spondylitis lumbar region
M45.7Ankylosing spondylitis of lumbosacral region
M45.8Ankylosing spondylitis sacral and sacrococcygeal region
M48.8X1Other specified spondylopathies, occipito-atlanto-axial region
M48.8X2Other specified spondylopathies, cervical region
M48.8X3Other specified spondylopathies, cervicothoracic region
M48.8X4Other specified spondylopathies, thoracic region
M48.8X5Other specified spondylopathies, thoracolumbar region
M48.8X6Other specified spondylopathies, lumbar region
M48.8X7Other specified spondylopathies, lumbosacral region
M48.8X8Other specified spondylopathies, sacral and sacrococcygeal region
N08Glomerular disorders in diseases classified elsewhere
O00.00Abdominal pregnancy without intrauterine pregnancy
O00.01Abdominal pregnancy with intrauterine pregnancy
O00.101Right tubal pregnancy without intrauterine pregnancy
O00.102Left tubal pregnancy without intrauterine pregnancy
O00.111Right tubal pregnancy with intrauterine pregnancy
O00.112Left tubal pregnancy with intrauterine pregnancy
O00.201Right ovarian pregnancy without intrauterine pregnancy
O00.202Left ovarian pregnancy without intrauterine pregnancy
O00.211Right ovarian pregnancy with intrauterine pregnancy
O00.212Left ovarian pregnancy with intrauterine pregnancy
O00.80Other ectopic pregnancy without intrauterine pregnancy
O00.81Other ectopic pregnancy with intrauterine pregnancy

Group 3 · 262 codes

D47.3Essential (hemorrhagic) thrombocythemia
D59.0Drug-induced autoimmune hemolytic anemia
D59.10Autoimmune hemolytic anemia, unspecified
D59.11Warm autoimmune hemolytic anemia
D59.12Cold autoimmune hemolytic anemia
D59.13Mixed type autoimmune hemolytic anemia
D59.19Other autoimmune hemolytic anemia
D68.311Acquired hemophilia
D68.32Hemorrhagic disorder due to extrinsic circulating anticoagulants
D68.4Acquired coagulation factor deficiency
D69.3Immune thrombocytopenic purpura
D69.41Evans syndrome
D69.42Congenital and hereditary thrombocytopenia purpura
D69.49Other primary thrombocytopenia
G35.ARelapsing-remitting multiple sclerosis
G35.B0Primary progressive multiple sclerosis, unspecified
G35.B1Active primary progressive multiple sclerosis
G35.B2Non-active primary progressive multiple sclerosis
G35.C0Secondary progressive multiple sclerosis, unspecified
G35.C1Active secondary progressive multiple sclerosis
G35.C2Non-active secondary progressive multiple sclerosis
G36.0Neuromyelitis optica [Devic]
G61.81Chronic inflammatory demyelinating polyneuritis
G70.00Myasthenia gravis without (acute) exacerbation
G70.01Myasthenia gravis with (acute) exacerbation
I77.6Arteritis, unspecified
L10.0Pemphigus vulgaris
L10.1Pemphigus vegetans
L10.2Pemphigus foliaceous
L10.3Brazilian pemphigus [fogo selvagem]
L10.4Pemphigus erythematosus
L10.5Drug-induced pemphigus
L10.81Paraneoplastic pemphigus
L10.89Other pemphigus
L12.0Bullous pemphigoid
L12.1Cicatricial pemphigoid
L12.8Other pemphigoid
L12.9Pemphigoid, unspecified
M05.011Felty's syndrome, right shoulder
M05.012Felty's syndrome, left shoulder
M05.021Felty's syndrome, right elbow
M05.022Felty's syndrome, left elbow
M05.031Felty's syndrome, right wrist
M05.032Felty's syndrome, left wrist
M05.041Felty's syndrome, right hand
M05.042Felty's syndrome, left hand
M05.051Felty's syndrome, right hip
M05.052Felty's syndrome, left hip
M05.061Felty's syndrome, right knee
M05.062Felty's syndrome, left knee
M05.071Felty's syndrome, right ankle and foot
M05.072Felty's syndrome, left ankle and foot
M05.09Felty's syndrome, multiple sites
M05.211Rheumatoid vasculitis with rheumatoid arthritis of right shoulder
M05.212Rheumatoid vasculitis with rheumatoid arthritis of left shoulder
M05.221Rheumatoid vasculitis with rheumatoid arthritis of right elbow
M05.222Rheumatoid vasculitis with rheumatoid arthritis of left elbow
M05.231Rheumatoid vasculitis with rheumatoid arthritis of right wrist
M05.232Rheumatoid vasculitis with rheumatoid arthritis of left wrist
M05.241Rheumatoid vasculitis with rheumatoid arthritis of right hand
M05.242Rheumatoid vasculitis with rheumatoid arthritis of left hand
M05.251Rheumatoid vasculitis with rheumatoid arthritis of right hip
M05.252Rheumatoid vasculitis with rheumatoid arthritis of left hip
M05.261Rheumatoid vasculitis with rheumatoid arthritis of right knee
M05.262Rheumatoid vasculitis with rheumatoid arthritis of left knee
M05.271Rheumatoid vasculitis with rheumatoid arthritis of right ankle and foot
M05.272Rheumatoid vasculitis with rheumatoid arthritis of left ankle and foot
M05.29Rheumatoid vasculitis with rheumatoid arthritis of multiple sites
M05.311Rheumatoid heart disease with rheumatoid arthritis of right shoulder
M05.312Rheumatoid heart disease with rheumatoid arthritis of left shoulder
M05.321Rheumatoid heart disease with rheumatoid arthritis of right elbow
M05.322Rheumatoid heart disease with rheumatoid arthritis of left elbow
M05.331Rheumatoid heart disease with rheumatoid arthritis of right wrist
M05.332Rheumatoid heart disease with rheumatoid arthritis of left wrist
M05.341Rheumatoid heart disease with rheumatoid arthritis of right hand
M05.342Rheumatoid heart disease with rheumatoid arthritis of left hand
M05.351Rheumatoid heart disease with rheumatoid arthritis of right hip
M05.352Rheumatoid heart disease with rheumatoid arthritis of left hip
M05.361Rheumatoid heart disease with rheumatoid arthritis of right knee
M05.362Rheumatoid heart disease with rheumatoid arthritis of left knee
M05.371Rheumatoid heart disease with rheumatoid arthritis of right ankle and foot
M05.372Rheumatoid heart disease with rheumatoid arthritis of left ankle and foot
M05.39Rheumatoid heart disease with rheumatoid arthritis of multiple sites
M05.411Rheumatoid myopathy with rheumatoid arthritis of right shoulder
M05.412Rheumatoid myopathy with rheumatoid arthritis of left shoulder
M05.421Rheumatoid myopathy with rheumatoid arthritis of right elbow
M05.422Rheumatoid myopathy with rheumatoid arthritis of left elbow
M05.431Rheumatoid myopathy with rheumatoid arthritis of right wrist
M05.432Rheumatoid myopathy with rheumatoid arthritis of left wrist
M05.441Rheumatoid myopathy with rheumatoid arthritis of right hand
M05.442Rheumatoid myopathy with rheumatoid arthritis of left hand
M05.451Rheumatoid myopathy with rheumatoid arthritis of right hip
M05.452Rheumatoid myopathy with rheumatoid arthritis of left hip
M05.461Rheumatoid myopathy with rheumatoid arthritis of right knee
M05.462Rheumatoid myopathy with rheumatoid arthritis of left knee
M05.471Rheumatoid myopathy with rheumatoid arthritis of right ankle and foot
M05.472Rheumatoid myopathy with rheumatoid arthritis of left ankle and foot
M05.49Rheumatoid myopathy with rheumatoid arthritis of multiple sites
M05.511Rheumatoid polyneuropathy with rheumatoid arthritis of right shoulder
M05.512Rheumatoid polyneuropathy with rheumatoid arthritis of left shoulder
M05.521Rheumatoid polyneuropathy with rheumatoid arthritis of right elbow
M05.522Rheumatoid polyneuropathy with rheumatoid arthritis of left elbow
M05.531Rheumatoid polyneuropathy with rheumatoid arthritis of right wrist
M05.532Rheumatoid polyneuropathy with rheumatoid arthritis of left wrist
M05.541Rheumatoid polyneuropathy with rheumatoid arthritis of right hand
M05.542Rheumatoid polyneuropathy with rheumatoid arthritis of left hand
M05.551Rheumatoid polyneuropathy with rheumatoid arthritis of right hip
M05.552Rheumatoid polyneuropathy with rheumatoid arthritis of left hip
M05.561Rheumatoid polyneuropathy with rheumatoid arthritis of right knee
M05.562Rheumatoid polyneuropathy with rheumatoid arthritis of left knee
M05.571Rheumatoid polyneuropathy with rheumatoid arthritis of right ankle and foot
M05.572Rheumatoid polyneuropathy with rheumatoid arthritis of left ankle and foot
M05.59Rheumatoid polyneuropathy with rheumatoid arthritis of multiple sites
M05.611Rheumatoid arthritis of right shoulder with involvement of other organs and systems
M05.612Rheumatoid arthritis of left shoulder with involvement of other organs and systems
M05.621Rheumatoid arthritis of right elbow with involvement of other organs and systems
M05.622Rheumatoid arthritis of left elbow with involvement of other organs and systems
M05.631Rheumatoid arthritis of right wrist with involvement of other organs and systems
M05.632Rheumatoid arthritis of left wrist with involvement of other organs and systems
M05.641Rheumatoid arthritis of right hand with involvement of other organs and systems
M05.642Rheumatoid arthritis of left hand with involvement of other organs and systems
M05.651Rheumatoid arthritis of right hip with involvement of other organs and systems
M05.652Rheumatoid arthritis of left hip with involvement of other organs and systems
M05.661Rheumatoid arthritis of right knee with involvement of other organs and systems
M05.662Rheumatoid arthritis of left knee with involvement of other organs and systems
M05.671Rheumatoid arthritis of right ankle and foot with involvement of other organs and systems
M05.672Rheumatoid arthritis of left ankle and foot with involvement of other organs and systems
M05.69Rheumatoid arthritis of multiple sites with involvement of other organs and systems
M05.711Rheumatoid arthritis with rheumatoid factor of right shoulder without organ or systems involvement
M05.712Rheumatoid arthritis with rheumatoid factor of left shoulder without organ or systems involvement
M05.721Rheumatoid arthritis with rheumatoid factor of right elbow without organ or systems involvement
M05.722Rheumatoid arthritis with rheumatoid factor of left elbow without organ or systems involvement
M05.731Rheumatoid arthritis with rheumatoid factor of right wrist without organ or systems involvement
M05.732Rheumatoid arthritis with rheumatoid factor of left wrist without organ or systems involvement
M05.741Rheumatoid arthritis with rheumatoid factor of right hand without organ or systems involvement
M05.742Rheumatoid arthritis with rheumatoid factor of left hand without organ or systems involvement
M05.751Rheumatoid arthritis with rheumatoid factor of right hip without organ or systems involvement
M05.752Rheumatoid arthritis with rheumatoid factor of left hip without organ or systems involvement
M05.761Rheumatoid arthritis with rheumatoid factor of right knee without organ or systems involvement
M05.762Rheumatoid arthritis with rheumatoid factor of left knee without organ or systems involvement
M05.771Rheumatoid arthritis with rheumatoid factor of right ankle and foot without organ or systems involvement
M05.772Rheumatoid arthritis with rheumatoid factor of left ankle and foot without organ or systems involvement
M05.79Rheumatoid arthritis with rheumatoid factor of multiple sites without organ or systems involvement
M05.7ARheumatoid arthritis with rheumatoid factor of other specified site without organ or systems involvement
M05.811Other rheumatoid arthritis with rheumatoid factor of right shoulder
M05.812Other rheumatoid arthritis with rheumatoid factor of left shoulder
M05.821Other rheumatoid arthritis with rheumatoid factor of right elbow
M05.822Other rheumatoid arthritis with rheumatoid factor of left elbow
M05.831Other rheumatoid arthritis with rheumatoid factor of right wrist
M05.832Other rheumatoid arthritis with rheumatoid factor of left wrist
M05.841Other rheumatoid arthritis with rheumatoid factor of right hand
M05.842Other rheumatoid arthritis with rheumatoid factor of left hand
M05.851Other rheumatoid arthritis with rheumatoid factor of right hip
M05.852Other rheumatoid arthritis with rheumatoid factor of left hip
M05.861Other rheumatoid arthritis with rheumatoid factor of right knee
M05.862Other rheumatoid arthritis with rheumatoid factor of left knee
M05.871Other rheumatoid arthritis with rheumatoid factor of right ankle and foot
M05.872Other rheumatoid arthritis with rheumatoid factor of left ankle and foot
M05.89Other rheumatoid arthritis with rheumatoid factor of multiple sites
M05.8AOther rheumatoid arthritis with rheumatoid factor of other specified site
M06.011Rheumatoid arthritis without rheumatoid factor, right shoulder
M06.012Rheumatoid arthritis without rheumatoid factor, left shoulder
M06.021Rheumatoid arthritis without rheumatoid factor, right elbow
M06.022Rheumatoid arthritis without rheumatoid factor, left elbow
M06.031Rheumatoid arthritis without rheumatoid factor, right wrist
M06.032Rheumatoid arthritis without rheumatoid factor, left wrist
M06.041Rheumatoid arthritis without rheumatoid factor, right hand
M06.042Rheumatoid arthritis without rheumatoid factor, left hand
M06.051Rheumatoid arthritis without rheumatoid factor, right hip
M06.052Rheumatoid arthritis without rheumatoid factor, left hip
M06.061Rheumatoid arthritis without rheumatoid factor, right knee
M06.062Rheumatoid arthritis without rheumatoid factor, left knee
M06.071Rheumatoid arthritis without rheumatoid factor, right ankle and foot
M06.072Rheumatoid arthritis without rheumatoid factor, left ankle and foot
M06.08Rheumatoid arthritis without rheumatoid factor, vertebrae
M06.09Rheumatoid arthritis without rheumatoid factor, multiple sites
M06.0ARheumatoid arthritis without rheumatoid factor, other specified site
M06.1Adult-onset Still's disease
M06.211Rheumatoid bursitis, right shoulder
M06.212Rheumatoid bursitis, left shoulder
M06.221Rheumatoid bursitis, right elbow
M06.222Rheumatoid bursitis, left elbow
M06.231Rheumatoid bursitis, right wrist
M06.232Rheumatoid bursitis, left wrist
M06.241Rheumatoid bursitis, right hand
M06.242Rheumatoid bursitis, left hand
M06.251Rheumatoid bursitis, right hip
M06.252Rheumatoid bursitis, left hip
M06.261Rheumatoid bursitis, right knee
M06.262Rheumatoid bursitis, left knee
M06.271Rheumatoid bursitis, right ankle and foot
M06.272Rheumatoid bursitis, left ankle and foot
M06.28Rheumatoid bursitis, vertebrae
M06.29Rheumatoid bursitis, multiple sites
M06.311Rheumatoid nodule, right shoulder
M06.312Rheumatoid nodule, left shoulder
M06.321Rheumatoid nodule, right elbow
M06.322Rheumatoid nodule, left elbow
M06.331Rheumatoid nodule, right wrist
M06.332Rheumatoid nodule, left wrist
M06.341Rheumatoid nodule, right hand
M06.342Rheumatoid nodule, left hand
M06.351Rheumatoid nodule, right hip
M06.352Rheumatoid nodule, left hip
M06.361Rheumatoid nodule, right knee
M06.362Rheumatoid nodule, left knee
M06.371Rheumatoid nodule, right ankle and foot
M06.372Rheumatoid nodule, left ankle and foot
M06.38Rheumatoid nodule, vertebrae
M06.39Rheumatoid nodule, multiple sites
M06.811Other specified rheumatoid arthritis, right shoulder
M06.812Other specified rheumatoid arthritis, left shoulder
M06.821Other specified rheumatoid arthritis, right elbow
M06.822Other specified rheumatoid arthritis, left elbow
M06.831Other specified rheumatoid arthritis, right wrist
M06.832Other specified rheumatoid arthritis, left wrist
M06.841Other specified rheumatoid arthritis, right hand
M06.842Other specified rheumatoid arthritis, left hand
M06.851Other specified rheumatoid arthritis, right hip
M06.852Other specified rheumatoid arthritis, left hip
M06.861Other specified rheumatoid arthritis, right knee
M06.862Other specified rheumatoid arthritis, left knee
M06.871Other specified rheumatoid arthritis, right ankle and foot
M06.872Other specified rheumatoid arthritis, left ankle and foot
M06.88Other specified rheumatoid arthritis, vertebrae
M06.89Other specified rheumatoid arthritis, multiple sites
M06.8AOther specified rheumatoid arthritis, other specified site
M30.0Polyarteritis nodosa
M30.1Polyarteritis with lung involvement [Churg-Strauss]
M30.2Juvenile polyarteritis
M30.8Other conditions related to polyarteritis nodosa
M31.30Wegener's granulomatosis without renal involvement
M31.31Wegener's granulomatosis with renal involvement
M31.7Microscopic polyangiitis
M33.00Juvenile dermatomyositis, organ involvement unspecified
M33.01Juvenile dermatomyositis with respiratory involvement
M33.02Juvenile dermatomyositis with myopathy
M33.03Juvenile dermatomyositis without myopathy
M33.09Juvenile dermatomyositis with other organ involvement
M33.10Other dermatomyositis, organ involvement unspecified
M33.11Other dermatomyositis with respiratory involvement
M33.12Other dermatomyositis with myopathy
M33.13Other dermatomyositis without myopathy
M33.19Other dermatomyositis with other organ involvement
M33.20Polymyositis, organ involvement unspecified
M33.21Polymyositis with respiratory involvement
M33.22Polymyositis with myopathy
M33.29Polymyositis with other organ involvement
M35.01Sjogren syndrome with keratoconjunctivitis
M35.02Sjogren syndrome with lung involvement
M35.03Sjogren syndrome with myopathy
M35.05Sjogren syndrome with inflammatory arthritis
M35.06Sjogren syndrome with peripheral nervous system involvement
M35.07Sjogren syndrome with central nervous system involvement
M35.08Sjogren syndrome with gastrointestinal involvement
M35.0ASjogren syndrome with glomerular disease
M35.0BSjogren syndrome with vasculitis
M35.0CSjogren syndrome with dental involvement
M35.09Sjogren syndrome with other organ involvement
M36.0Dermato(poly)myositis in neoplastic disease
N04.0Nephrotic syndrome with minor glomerular abnormality
N05.2Unspecified nephritic syndrome with diffuse membranous glomerulonephritis

Group 4 · 5 codes

B27.00Gammaherpesviral mononucleosis without complication
B27.01Gammaherpesviral mononucleosis with polyneuropathy
B27.02Gammaherpesviral mononucleosis with meningitis
B27.09Gammaherpesviral mononucleosis with other complications
Z94.84Stem cells transplant status

Group 5 · 2 codes

M31.11Hematopoietic stem cell transplantation-associated thrombotic microangiopathy [HSCT-TMA]
M31.19Other thrombotic microangiopathy

Group 6 · 1 code

D69.0Allergic purpura

Group 7 · 36 codes

D47.Z1Post-transplant lymphoproliferative disorder (PTLD)
D89.811Chronic graft-versus-host disease
T86.01Bone marrow transplant rejection
T86.02Bone marrow transplant failure
T86.03Bone marrow transplant infection
T86.09Other complications of bone marrow transplant
T86.11Kidney transplant rejection
T86.12Kidney transplant failure
T86.13Kidney transplant infection
T86.19Other complication of kidney transplant
T86.21Heart transplant rejection
T86.22Heart transplant failure
T86.23Heart transplant infection
T86.290Cardiac allograft vasculopathy
T86.298Other complications of heart transplant
T86.41Liver transplant rejection
T86.42Liver transplant failure
T86.43Liver transplant infection
T86.49Other complications of liver transplant
T86.5Complications of stem cell transplant
T86.810Lung transplant rejection
T86.811Lung transplant failure
T86.812Lung transplant infection
T86.818Other complications of lung transplant
T86.830Bone graft rejection
T86.831Bone graft failure
T86.832Bone graft infection
T86.838Other complications of bone graft
T86.850Intestine transplant rejection
T86.851Intestine transplant failure
T86.852Intestine transplant infection
T86.858Other complications of intestine transplant
T86.890Other transplanted tissue rejection
T86.891Other transplanted tissue failure
T86.892Other transplanted tissue infection
T86.898Other complications of other transplanted tissue

Group 8 · 3 codes

G72.41Inclusion body myositis [IBM]
G72.49Other inflammatory and immune myopathies, not elsewhere classified
M60.9Myositis, unspecified

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