Outpatient Morbidity and Procedures Classification

• Legal Form Number: BP-A0504
• Date: 2010-06
• Year: 2010
• Section: Federal Bureau of Prisons

BP-A504 OUTPATIENT MORBIDITY AND PROCEDURES CLASSIFICATION CDFRM

JUN 

U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS

1. REG. NO

2. NAME

3. TIME 4. DATE

5. PROVIDER INITIALS

6. TYPE OF PROVIDER

EMERGENCY MEDICAL TECHNICIAN ET

NURSE (REGISTERED) RN

NURSE PRACTITIONER NP

P.A. PA

PHYSICIAN DR

CONSULTANT-INTERNAL CI

CONSULTANT-EXTERNAL CE

TELEMEDICINE TM

7. CLASSIFICATION

CARDIOVASCULAR

*ASHD 414.00

*CARDIAC ARRHYTHMIA 427.9

*CAROTID ARTERY DISEASE 433.1

*CONGESTIVE HEART FAIL 428.0

*HYPERLIPIDEMIA 272.4

*HYPERTENSION 401.9

*MYOCARDIAL INFARCT 410.9

*MURMUR 785.2

*PERIPHERAL VASCULAR DISEASE 443.9

THROMBOPHLEBITIS 451.9

TIA 435.9

OTHER CARDIOVASCULAR DIAGNOSIS 459.8

CARDIAC RESUSCITATION 99.60

DEFIBRILLATION 99.62

ELECTROCARDIOGRAM 89.52

HOLTER MONITOR 89.50

STRESS TEST (TREADMILL) 89.41

TELEMETRY 89.54

OTHER CARDIOVASCULAR PROCEDURE 00.1

EARS AND EYES

CATARACT 366.9

CERUMEN IMPACTION 380.4

CONJUNCTIVITIS 372.30

CORNEAL ABRASION 918.1

FOREIGN BODY, EAR 931

FOREIGN BODY, EYE 930.9

*GLAUCOMA 365.9

OTITIS EXTERNA 380.10

OTITIS MEDIA 382.9

OTITIS SEROUS 381.4

OTHER EAR DIAGNOSIS 388.8

OTHER EYE DIAGNOSIS 379.8

PTERYGIUM 372.40

SUBCONJUNCTIVAL,HEMATOMA 921.1

AUDIOMETRY (NON ROUTINE) 95.41

EPISTAXIS PACK 21.01

EYE EXAMINE (NON ROUTINE) 95.02

IRRIGATION EAR 96.52

TONOMETRY 89.11

OTHER EAR PROCEDURE 00.2

OTHER EYE PROCEDURE 00.3

EMT/NURSE

ASSESSMENT BP1

EMERGENCY TREATMENT BP2

COUNSELING BP3

GASTROINTESTINAL

CHOLECYSTITIS 575.1

*CHOLELITHIASIS, W/O OBSTR. 574.20

*CIRRHOSIS 571.5

COLITIS 558.9

CONSTITPATION 564.0

DIARRHEA 558.9

DIVERTICULITIS 562.11

DIVERTICULOSIS 562.10

DYSPEPSIA 536.8

GASTRITIS 535.5

GASTROENTERITIS 558.9

GASTROESOPHAGEAL REFLUX 530.81

GI BLEED 578.9

HEMORRHOIDS 455.6

HERNIA, INGUINAL, UNILAT. 550.90

HERNIA, OTHER 553.9

IRRITABLE COLON 564.1

*ULCER DISEASE 533.90

OTHER INTESTINAL DIAGNOSIS 569.89

OTHER STOMACH DIAGNOSIS 537.89

ANOSCOPY 49.21

COLONOSCOPY 45.23

PROCTOSCOPY 48.23

SIGMOIDOSCOPY WITH BIOPSY 45.24

OTHER GI PROCEDURE 00.4

GENERAL

ALLERGIES 995.3

ANEMIA 285.9

*DIABETES TYPE I 250.01

*DIABETES TYPE II 250.00

DIABETES, COMP. W. INS. 250.81

DIABETES, UNCONTROLL. 250.90

DRUG OVERDOSE 977.9

HUNGER STRIKE 994.2

*HYPERTHYROIDISM 242.9

*HYPOTHYROIDISM 244.9

OBESITY 278.0

*SICKLE-CELL TRAIT 282.5

*SICKLE-CELL DISEASE 282.63

OTHER GENERAL DIAGNOSIS V65.8

CHEMOTHERAPY 99.25

SPLINT APPLICATION 93.54

SUTURE 86.59

SUTURE REMOVAL 97.89

OTHER PROCEDURE 00.5

GENITOURINARY

ABORTION, THREATENED 640.0

AMENORRHEA 626.0

CYSTOCELE 618.0

DYSF. UTERINE BLEEDING 626.8

ENDOMETRIOSIS 617.9

EPIDIDYMITIS/ORCHITIS 604.90

HYDROCELE 603.9

FIBOROCYSTIC DISEASE 610.1

*HIGH RISK PREGNANCY V23.8

INCONTINENCE 788.30

IRREGULAR MENSES 626.4

*LIVE BIRTH 650

MENOPAUSAL SYNDROME 627.2

MENSTRUAL CRAMPS 625.3

*NEPHROLITHIASIS 592.0

PID 614.9

PMS 625.4

*PREGNANCY/PRENATAL CARE V22.1

*PROSTATIC ENLARGEMENT 600

PROSTATITIS 601.9

*RENAL FAILURE, ACUTE 584

*RENAL FAILURE, CHRONIC 585

URINARY RETENTION 788.2

UTERINE FIBROIDS 218.9

OTHER FEMALE DIAGNOSIS 629.8

CATHETERIZATION (URETHRAL) 57.95

COLPOSCOPY 70.21

CYSTOSCOPY 57.32

*DIALYSIS, KIDNEY/RENAL 39.95

MAMMOGRAM 87.37

*MAMMOGRAM-NEXT DUE DATE MM.01

PAP SMEAR 91.46

*PAP SMEAR-NEXT DUE DATE PS.01

ULTRASOUND 88.79

URETHRITIS 579.80

VARICOCELE 456.4

OTHER FEMALE PROCEDURE 00.6

OTHER MALE DIAGNOSIS 608.89

OTHER MALE PROCEDURE 00.7

INFECTIOUS

*CANDIDIASIS(ORAL) 112.0

CANDIDIASIS,VAGINAL 112.1

*CHLAMYDIA 079.88

COCCIDIOIDOMYCOSIS 114.9

ENCEPHALITIS 323.9

*ENDOCARDITIS 421.0

*GONORRHEA(ACUTE) 098.1

HAIRY LEUKOPLAKIA 528.6

*HEPATITIS A (ACUTE,IgM+) 070.1

*HEPATITIS B (ACUTE,HBc IgM+) 070.30

*HEPATITIS B (CHRONIC, HBsAg+) 070.32

*HEPATITIS C (ACUTE) 070.51

*HEPATITIS C (CHRONIC) 070.54

*HEPATITIS (UNKNOWN) 070.9

*HERPES SIMPLEX, ACUTE GENITAL 054.1

HERPES SIMPLEX, RECURRENT 054.9

HERPES ZOSTER (SHINGLES) 053.9

LICE 132.9

LYME DISEASE 088.81

MENINGITIS (ASEPTIC) 047.9

MENINGITIS (BACTERIAL) 320.9

MENINGOCOCCAL INFECTION 036.9

OSTEOMYELITIS 730.20

PNUEMONIA (BACTERIAL) 482.9

PNUEMONIA (ATYPICAL) 486

*SALMONELLOSIS 003.0

*SHIGELLOSIS 004.9

SCABIES 133.0

*SEPSIS 038.9

STREPTOCOCCAL INFECT (GROUP A) 041.01

*SYPHILIS PRIMARY 091.0

*SYPHILIS SECONDARY 091.9

*SYPHILIS EARLY LATENT 092.9

*SYPHILIS UNKNOWN DURATION 097.9

*SYPHILIS TERITIARY 097.0

TRICHOMONIASIS 131.9

URINARY TRACT INFECTION 599.0

*VARICELLA (CHICKEN POX) 052.9

*METH-RESIST STAPH AUREUS V09.91

*VANC-RESIST ENTEROCOCCUS V09.80

OTHER INFECTIONS 136.8

TB TESTING (SELECT ONLY 1 PROPHY)

*PPD RESULT: Date test was read / /

Enter reading(0-40) mm

*NEG PPD-NEXT DUE DATE / / V74.1

*+PPD CHEST X-RAY-NEXT DUE DATE VOO.O

/ /

TB PROPHY

*ON TB PROPHY: DATE / / 795.5A

*TB PROPHY COMPLETE:

DATE / / 795.5B

*+PPD NO TB PROPHY INDICATED 795.5C

*TB PROPHY REFUSED 795.5D

*TB PROPHY INCOMPLETE 795.5E

*TB PROPHY HX 795.5F

TB DISEASE

*TUBERCULOSIS (PULM TRMT) 011.90

*TUBERCULOSIS (EXTRAPULM TRMT) 017.90

*TUBERCULOSIS (MDR-TB TRMT) V09.71

*TUBERCULOSIS (TRMT COMPLETE) V12.01

*TUBERCULOSIS (HISTORY OF TRMT) V12.01H

*TUBERCULOSIS SUSPECT V71.2

INJURIES

CIRCLE CAUSE OF INJURY SUFFIX

ASSAULT- A

OCCUPATIONAL- O

RECREATIONAL- R

SELF INFLICTED- S

ACCIDENTAL- X

CIRCLE ONE OR MORE

ABRASION(S) 919.0( )

BURN(S) 949.0( )

CONTUSION(S) 924.9( )

DISLOCATION 839.8( )

FRACTURE(S) 829.0( )

WOUND (HUMAN BITES),

LACERATION, PUNTURE 879.8( )

STAB (WOUND) 879.6( )

SPRAIN/STRAIN 848.9( )

OTHER INJURY DIAGNOSIS 959.9( )

MENTAL-DISORDER

ADJUSTMENT REACTION 309.9

*ALCOHOL ABUSE/DEPENDENCY 303.90

ANXIETY DISORDER 300.00

*BIPOLAR DISORDER 296.6

DELUSIONAL DISORDER 297

*PRESENILE DEMENTIA 290.10

*DEPRESSION 311

DEPRESSION, MAJOR/NONPSYCHOTIC 300.4

DEPRESSION, MAJOR/PSYCHOTIC 296.2

DEPRESSION, OTHER DYSTHYMIA 300.9

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