BlueCare Tennessee MedicalEmergency Diagnosis Code List

1 BlueCare Tennessee , an Independent Licensee of the Blue Cross Blue Shield Association. BlueCare Tennessee MedicalEmergency Diagnosis Code List Diagnosis Code Diagnosis Code Description Effective Date Term Date A000 Cholera due to Vibrio cholerae 01, biovar cholerae 01-Oct-15 31-Dec-99 A001 Cholera due to Vibrio cholerae 01, biovar eltor 01-Oct-15 31-Dec-99 A009 Cholera, unspecified 01-Oct-15 31-Dec-99 A0100 Typhoid fever, unspecified 01-Oct-15 31-Dec-99 A0101 Typhoid meningitis 01-Oct-15 31-Dec-99 A0102 Typhoid fever with heart involvement 01-Oct-15 31-Dec-99 A0103 Typhoid pneumonia 01-Oct-15 31-Dec-99 A0104 Typhoid arthritis 01-Oct-15 31-Dec-99 A0105 Typhoid osteomyelitis 01-Oct-15 31-Dec-99 A0109 Typhoid fever with other complications 01-Oct-15 31-Dec-99 A011 Paratyphoid fever A 01-Oct-15 31-Dec-99 A012 Paratyphoid fever B 01-Oct-15 31-Dec-99 A013 Paratyphoid fever C 01-Oct-15 31-Dec-99 A014 Paratyphoid fever.

2 Unspecified 01-Oct-15 31-Dec-99 A020 Salmonella enteritis 01-Oct-15 31-Dec-99 A021 Salmonella sepsis 01-Oct-15 31-Dec-99 A0220 Localized salmonella infection, unspecified 01-Oct-15 31-Dec-99 A0221 Salmonella meningitis 01-Oct-15 31-Dec-99 A0222 Salmonella pneumonia 01-Oct-15 31-Dec-99 A0223 Salmonella arthritis 01-Oct-15 31-Dec-99 A0224 Salmonella osteomyelitis 01-Oct-15 31-Dec-99 A0225 Salmonella pyelonephritis 01-Oct-15 31-Dec-99 A0229 Salmonella with other localized infection 01-Oct-15 31-Dec-99 A028 Other specified salmonella infections 01-Oct-15 31-Dec-99 A029 Salmonella infection, unspecified 01-Oct-15 31-Dec-99 A030 Shigellosis due to Shigella dysenteriae 01-Oct-15 31-Dec-99 A031 Shigellosis due to Shigella flexneri 01-Oct-15 31-Dec-99 A032 Shigellosis due to Shigella boydii 01-Oct-15 31-Dec-99 A033 Shigellosis due to Shigella sonnei 01-Oct-15 31-Dec-99 A038 Other shigellosis 01-Oct-15 31-Dec-99 BlueCare Tennessee , an Independent Licensee of the Blue Cross Blue Shield Association.

3 A039 Shigellosis, unspecified 01-Oct-15 31-Dec-99 A040 Enteropathogenic Escherichia coli infection 01-Oct-15 31-Dec-99 A041 Enterotoxigenic Escherichia coli infection 01-Oct-15 31-Dec-99 A042 Enteroinvasive Escherichia coli infection 01-Oct-15 31-Dec-99 A043 Enterohemorrhagic Escherichia coli infection 01-Oct-15 31-Dec-99 A044 Other intestinal Escherichia coli infections 01-Oct-15 31-Dec-99 A045 Campylobacter enteritis 01-Oct-15 31-Dec-99 A046 Enteritis due to Yersinia enterocolitica 01-Oct-15 31-Dec-99 A048 Other specified bacterial intestinal infections 01-Oct-15 31-Dec-99 A049 Bacterial intestinal infection, unspecified 01-Oct-15 31-Dec-99 A050 Foodborne staphylococcal intoxication 01-Oct-15 31-Dec-99 A051 Botulism food poisoning 01-Oct-15 31-Dec-99 A052 Foodborne Clostridium perfringens (Clostridium welchii) intoxication 01-Oct-15 31-Dec-99 A053 Foodborne Vibrio parahaemolyticus intoxication 01-Oct-15 31-Dec-99 A054 Foodborne Bacillus cereus intoxication 01-Oct-15 31-Dec-99 A055 Foodborne Vibrio vulnificus intoxication 01-Oct-15 31-Dec-99 A058 Other specified bacterial foodborne intoxications 01-Oct-15 31-Dec-99 A059 Bacterial foodborne intoxication.

4 Unspecified 01-Oct-15 31-Dec-99 A060 Acute amebic dysentery 01-Oct-15 31-Dec-99 A080 Rotaviral enteritis 01-Oct-15 31-Dec-99 A0811 Acute gastroenteropathy due to Norwalk agent 01-Oct-15 31-Dec-99 A0819 Acute gastroenteropathy due to other small round viruses 01-Oct-15 31-Dec-99 A082 Adenoviral enteritis 01-Oct-15 31-Dec-99 A0831 Calicivirus enteritis 01-Oct-15 31-Dec-99 A0832 Astrovirus enteritis 01-Oct-15 31-Dec-99 A0839 Other viral enteritis 01-Oct-15 31-Dec-99 A170 Tuberculous meningitis 01-Oct-15 31-Dec-99 A171 Meningeal tuberculoma 01-Oct-15 31-Dec-99 A1781 Tuberculoma of brain and spinal cord 01-Oct-15 31-Dec-99 A1782 Tuberculous meningoencephalitis 01-Oct-15 31-Dec-99 A1783 Tuberculous neuritis 01-Oct-15 31-Dec-99 A1789 Other tuberculosis of nervous system 01-Oct-15 31-Dec-99 A179 Tuberculosis of nervous system, unspecified 01-Oct-15 31-Dec-99 A1801 Tuberculosis of spine 01-Oct-15 31-Dec-99 A1802 Tuberculous arthritis of other joints 01-Oct-15 31-Dec-99 BlueCare Tennessee , an Independent Licensee of the Blue Cross Blue Shield Association.

5 A1803 Tuberculosis of other bones 01-Oct-15 31-Dec-99 A1831 Tuberculous peritonitis 01-Oct-15 31-Dec-99 A1884 Tuberculosis of heart 01-Oct-15 31-Dec-99 A200 Bubonic plague 01-Oct-15 31-Dec-99 A201 Cellulocutaneous plague 01-Oct-15 31-Dec-99 A202 Pneumonic plague 01-Oct-15 31-Dec-99 A203 Plague meningitis 01-Oct-15 31-Dec-99 A207 Septicemic plague 01-Oct-15 31-Dec-99 A208 Other forms of plague 01-Oct-15 31-Dec-99 A209 Plague, unspecified 01-Oct-15 31-Dec-99 A210 Ulceroglandular tularemia 01-Oct-15 31-Dec-99 A211 Oculoglandular tularemia 01-Oct-15 31-Dec-99 A212 Pulmonary tularemia 01-Oct-15 31-Dec-99 A213 Gastrointestinal tularemia 01-Oct-15 31-Dec-99 A217 Generalized tularemia 01-Oct-15 31-Dec-99 A218 Other forms of tularemia 01-Oct-15 31-Dec-99 A219 Tularemia, unspecified 01-Oct-15 31-Dec-99 A220 Cutaneous anthrax 01-Oct-15 31-Dec-99 A221 Pulmonary anthrax 01-Oct-15 31-Dec-99 A222 Gastrointestinal anthrax 01-Oct-15 31-Dec-99 A227 Anthrax sepsis 01-Oct-15 31-Dec-99 A228 Other forms of anthrax 01-Oct-15 31-Dec-99 A229 Anthrax, unspecified 01-Oct-15 31-Dec-99 A267 Erysipelothrix sepsis 01-Oct-15 31-Dec-99 A2781 Aseptic meningitis in leptospirosis 01-Oct-15 31-Dec-99 A281 Cat-scratch disease 01-Oct-15 31-Dec-99 A310 Pulmonary mycobacterial infection 01-Oct-15 31-Dec-99 A311 Cutaneous mycobacterial infection 01-Oct-15 31-Dec-99 A312 Disseminated mycobacterium avium-intracellulare complex (DMAC)

6 01-Oct-15 31-Dec-99 A318 Other mycobacterial infections 01-Oct-15 31-Dec-99 A319 Mycobacterial infection, unspecified 01-Oct-15 31-Dec-99 A3211 Listerial meningitis 01-Oct-15 31-Dec-99 A327 Listerial sepsis 01-Oct-15 31-Dec-99 A33 Tetanus neonatorum 01-Oct-15 31-Dec-99 A34 Obstetrical tetanus 01-Oct-15 31-Dec-99 BlueCare Tennessee , an Independent Licensee of the Blue Cross Blue Shield Association. A35 Other tetanus 01-Oct-15 31-Dec-99 A360 Pharyngeal diphtheria 01-Oct-15 31-Dec-99 A361 Nasophary ngeal diphtheria 01-Oct-15 31-Dec-99 A362 Laryngeal diphtheria 01-Oct-15 31-Dec-99 A363 Cutaneous diphtheria 01-Oct-15 31-Dec-99 A3681 Diphtheritic cardiomyopathy 01-Oct-15 31-Dec-99 A3682 Diphtheritic radiculomyelitis 01-Oct-15 31-Dec-99 A3683 Diphtheritic polyneuritis 01-Oct-15 31-Dec-99 A3684 Diphtheritic tubulo-interstitial nephropathy 01-Oct-15 31-Dec-99 A3685 Diphtheritic cystitis 01-Oct-15 31-Dec-99 A3686 Diphtheritic conjunctivitis 01-Oct-15 31-Dec-99 A3689 Other diphtheritic complications 01-Oct-15 31-Dec-99 A369 Diphtheria.

7 Unspecified 01-Oct-15 31-Dec-99 A3700 Whooping cough due to Bordetella pertussis without pneumonia 01-Oct-15 31-Dec-99 A3701 Whooping cough due to Bordetella pertussis with pneumonia 01-Oct-15 31-Dec-99 A3710 Whooping cough due to Bordetella parapertussis without pneumonia 01-Oct-15 31-Dec-99 A3711 Whooping cough due to Bordetella parapertussis with pneumonia 01-Oct-15 31-Dec-99 A3780 Whooping cough due to other Bordetella species without pneumonia 01-Oct-15 31-Dec-99 A3781 Whooping cough due to other Bordetella species with pneumonia 01-Oct-15 31-Dec-99 A3790 Whooping cough, unspecified species without pneumonia 01-Oct-15 31-Dec-99 A3791 Whooping cough, unspecified species with pneumonia 01-Oct-15 31-Dec-99 A380 Scarlet fever with otitis media 01-Oct-15 31-Dec-99 A381 Scarlet fever with myocarditis 01-Oct-15 31-Dec-99 A388 Scarlet fever with other complications 01-Oct-15 31-Dec-99 A389 Scarlet fever, uncomplicated 01-Oct-15 31-Dec-99 A390 Meningococcal meningitis 01-Oct-15 31-Dec-99 A391 Waterhouse-Friderichsen syndrome 01-Oct-15 31-Dec-99 A392 Acute meningococcemia 01-Oct-15 31-Dec-99 A393 Chronic meningococcemia 01-Oct-15 31-Dec-99 A394 Meningococcemia, unspecified 01-Oct-15 31-Dec-99 A3950 Meningococcal carditis, unspecified 01-Oct-15 31-Dec-99 A3951 Meningococcal endocarditis 01-Oct-15 31-Dec-99 A3952 Meningococcal myocarditis 01-Oct-15 31-Dec-99 A3953 Meningococcal pericarditis 01-Oct-15 31-Dec-99 A3981 Meningococcal encephalitis 01-Oct-15 31-Dec-99 BlueCare Tennessee .

8 An Independent Licensee of the Blue Cross Blue Shield Association. A3982 Meningococcal retrobulbar neuritis 01-Oct-15 31-Dec-99 A3983 Meningococcal arthritis 01-Oct-15 31-Dec-99 A3984 Postmeningococcal arthritis 01-Oct-15 31-Dec-99 A3989 Other meningococcal infections 01-Oct-15 31-Dec-99 A399 Meningococcal infection, unspecified 01-Oct-15 31-Dec-99 A400 Sepsis due to streptococcus, group A 01-Oct-15 31-Dec-99 A401 Sepsis due to streptococcus, group B 01-Oct-15 31-Dec-99 A403 Sepsis due to Streptococcus pneumoniae 01-Oct-15 31-Dec-99 A408 Other streptococcal sepsis 01-Oct-15 31-Dec-99 A409 Streptococcal sepsis, unspecified 01-Oct-15 31-Dec-99 A4101 Sepsis due to Methicillin susceptible Staphylococcus aureus 01-Oct-15 31-Dec-99 A4102 Sepsis due to Methicillin resistant Staphylococcus aureus 01-Oct-15 31-Dec-99 A411 Sepsis due to other specified staphylococcus 01-Oct-15 31-Dec-99 A412 Sepsis due to unspecified staphylococcus 01-Oct-15 31-Dec-99 A413 Sepsis due to Hemophilus influenzae 01-Oct-15 31-Dec-99 A414 Sepsis due to anaerobes 01-Oct-15 31-Dec-99 A4150 Gram-negative sepsis, unspecified 01-Oct-15 31-Dec-99 A4151 Sepsis due to Escherichia coli (E.)

9 Coli) 01-Oct-15 31-Dec-99 A4152 Sepsis due to Pseudomonas 01-Oct-15 31-Dec-99 A4153 Sepsis due to Serratia 01-Oct-15 31-Dec-99 A4159 Other Gram-negative sepsis 01-Oct-15 31-Dec-99 A4181 Sepsis due to Enterococcus 01-Oct-15 31-Dec-99 A4189 Other specified sepsis 01-Oct-15 31-Dec-99 A419 Sepsis, unspecified organism 01-Oct-15 31-Dec-99 A427 Actinomycotic sepsis 01-Oct-15 31-Dec-99 A4281 Actinomycotic meningitis 01-Oct-15 31-Dec-99 A4282 Actinomycotic encephalitis 01-Oct-15 31-Dec-99 A440 Systemic bartonellosis 01-Oct-15 31-Dec-99 A441 Cutaneous and mucocutaneous bartonellosis 01-Oct-15 31-Dec-99 A448 Other forms of bartonellosis 01-Oct-15 31-Dec-99 A449 Bartonellosis, unspecified 01-Oct-15 31-Dec-99 A46 Erysipelas 01-Oct-15 31-Dec-99 A480 Gas gangrene 01-Oct-15 31-Dec-99 A481 Legionnaires' disease 01-Oct-15 31-Dec-99 A482 Nonpneumonic Legionnaires' disease (Pontiac fev er) 01-Oct-15 31-Dec-99 BlueCare Tennessee , an Independent Licensee of the Blue Cross Blue Shield Association.

10 A483 Toxic shock syndrome 01-Oct-15 31-Dec-99 A484 Brazilian purpuric fev er 01-Oct-15 31-Dec-99 A488 Other specified bacterial diseases 01-Oct-15 31-Dec-99 A4901 Methicillin susceptible Staphylococcus aureus infection, unspecified site 01-Oct-15 31-Dec-99 A491 Streptococcal infection, unspecified site 01-Oct-15 31-Dec-99 A492 Hemophilus influenzae infection, unspecified site 01-Oct-15 31-Dec-99 A493 Mycoplasma infection, unspecified site 01-Oct-15 31-Dec-99 A498 Other bacterial infections of unspecified site 01-Oct-15 31-Dec-99 A499 Bacterial infection, unspecified 01-Oct-15 31-Dec-99 A5041 Late congenital syphilitic meningitis 01-Oct-15 31-Dec-99 A5042 Late congenital syphilitic encephalitis 01-Oct-15 31-Dec-99 A5141 Secondary syphilitic meningitis 01-Oct-15 31-Dec-99 A5201 Syphilitic aneurysm of aorta 01-Oct-15 31-Dec-99 A5202 Syphilitic aortitis 01-Oct-15 31-Dec-99 A5203 Syphilitic endocarditis 01-Oct-15 31-Dec-99 A5206 Other syphilitic heart involvement 01-Oct-15 31-Dec-99 A5213 Late syphilitic meningitis 01-Oct-15 31-Dec-99 A5214 Late syphilitic encephalitis 01-Oct-15 31-Dec-99 A5216 Charcot's arthropathy (tabetic)