Page 1 of 113 Michigan Department of Health and …

1 Page 1 of 111 Michigan Department of Health and Human ServicesAmbulance Emergency TransportsDiagnosis Codes DatabaseBy Diagnosis CodeRev. 10-2017 Diagnosis CodeShort DescriptionA059 BACTERIAL FOODBORNE INTOXICATION, UNSPECIFIEDA400 SEPSIS DUE TO STREPTOCOCCUS, GROUP AA401 SEPSIS DUE TO STREPTOCOCCUS, GROUP BA403 SEPSIS DUE TO STREPTOCOCCUS PNEUMONIAEA408 OTHER STREPTOCOCCAL SEPSISA409 STREPTOCOCCAL SEPSIS, UNSPECIFIEDA4101 SEPSIS DUE TO METHICILLIN SUSCEPTIBLE STAPHYLOCOCCUS AUREUSA411 SEPSIS DUE TO OTHER SPECIFIED STAPHYLOCOCCUSA412 SEPSIS DUE TO UNSPECIFIED STAPHYLOCOCCUSA413 SEPSIS DUE TO HEMOPHILUS INFLUENZAEA414 SEPSIS DUE TO ANAEROBESA4150 GRAM-NEGATIVE SEPSIS, UNSPECIFIEDA4151 SEPSIS DUE TO ESCHERICHIA COLI [E.]

2 COLI]A4152 SEPSIS DUE TO PSEUDOMONASA4153 SEPSIS DUE TO SERRATIAA4159 OTHER GRAM-NEGATIVE SEPSISA4181 SEPSIS DUE TO ENTEROCOCCUSA4189 OTHER SPECIFIED SEPSISA419 SEPSIS, UNSPECIFIED ORGANISMA427 ACTINOMYCOTIC SEPSISA483 TOXIC SHOCK SYNDROMEA870 ENTEROVIRAL MENINGITISA871 ADENOVIRAL MENINGITISA878 OTHER VIRAL MENINGITISA879 VIRAL MENINGITIS, UNSPECIFIEDB451 CEREBRAL CRYPTOCOCCOSISD5700HB-SS DISEASE WITH CRISIS, UNSPECIFIEDD5701HB-SS DISEASE WITH ACUTE CHEST SYNDROMED5702HB-SS DISEASE WITH SPLENIC SEQUESTRATIOND57211 SICKLE-CELL/HB-C DISEASE WITH ACUTE CHEST SYNDROMED57212 SICKLE-CELL/HB-C DISEASE WITH SPLENIC SEQUESTRATIOND57219 SICKLE-CELL/HB-C DISEASE WITH CRISIS, UNSPECIFIEDD57411 SICKLE-CELL THALASSEMIA WITH ACUTE CHEST SYNDROMED57412 SICKLE-CELL THALASSEMIA WITH SPLENIC SEQUESTRATIOND57419 SICKLE-CELL THALASSEMIA WITH CRISIS, UNSPECIFIEDD57811 OTHER SICKLE-CELL DISORDERS WITH ACUTE CHEST SYNDROMED57819 OTHER SICKLE-CELL DISORDERS WITH CRISIS.

3 UNSPECIFIEDD690 ALLERGIC PURPURAD7389 OTHER DISEASES OF SPLEENE1010 TYPE 1 DIABETES MELLITUS WITH KETOACIDOSIS WITHOUT COMAE1011 TYPE 1 DIABETES MELLITUS WITH KETOACIDOSIS WITH COMAE1021 TYPE 1 DIABETES MELLITUS WITH DIABETIC NEPHROPATHYE1022 TYPE 1 DIABETES MELLITUS W DIABETIC CHRONIC KIDNEY DISEASEE1029 TYPE 1 DIABETES MELLITUS W OTH DIABETIC KIDNEY COMPLICATIONPage 2 of 111 Michigan Department of Health and Human ServicesAmbulance Emergency TransportsDiagnosis Codes DatabaseBy Diagnosis CodeRev. 10-2017E10311 TYPE 1 DIABETES W UNSP DIABETIC RETINOPATHY W MACULAR EDEMAE10319 TYPE 1 DIABETES W UNSP DIABETIC RTNOP W/O MACULAR EDEMAE103211 TYPE 1 DIAB WITH MILD NONP RTNOP WITH MACULAR EDEMA, R EYEE103291 TYPE 1 DIAB WITH MILD NONP RTNOP WITHOUT MCLR EDEMA, R EYEE103311 TYPE 1 DIAB WITH MOD NONP RTNOP WITH MACULAR EDEMA, R EYEE103391 TYPE 1 DIAB WITH MOD NONP RTNOP WITHOUT MACULAR EDEMA, R EYEE103411 TYPE 1 DIAB WITH SEVERE NONP RTNOP WITH MACULAR EDEMA, R EYEE103491 TYPE 1 DIAB WITH SEVERE NONP RTNOP WITHOUT MCLR EDEMA, R EYEE103511 TYPE 1 DIAB WITH PROLIF DIAB RTNOP WITH MACULAR EDEMA, R EYEE103591 TYPE 1 DIAB WITH PROLIF DIAB RTNOP WITHOUT MCLR EDEMA.

4 R EYEE1039 TYPE 1 DIABETES W OTH DIABETIC OPHTHALMIC COMPLICATIONE1040 TYPE 1 DIABETES MELLITUS WITH DIABETIC NEUROPATHY, UNSPE1041 TYPE 1 DIABETES MELLITUS WITH DIABETIC MONONEUROPATHYE1042 TYPE 1 DIABETES MELLITUS WITH DIABETIC POLYNEUROPATHYE1043 TYPE 1 DIABETES W DIABETIC AUTONOMIC (POLY)NEUROPATHYE1044 TYPE 1 DIABETES MELLITUS WITH DIABETIC AMYOTROPHYE1049 TYPE 1 DIABETES W OTH DIABETIC NEUROLOGICAL COMPLICATIONE1051 TYPE 1 DIABETES W DIABETIC PERIPHERAL ANGIOPATH W/O GANGRENEE1059 TYPE 1 DIABETES MELLITUS WITH OTH CIRCULATORY COMPLICATIONSE10610 TYPE 1 DIABETES MELLITUS W DIABETIC NEUROPATHIC ARTHROPATHYE10618 TYPE 1 DIABETES MELLITUS WITH OTHER DIABETIC ARTHROPATHYE10620 TYPE 1 DIABETES MELLITUS WITH DIABETIC DERMATITISE10621 TYPE 1 DIABETES MELLITUS WITH FOOT ULCERE10622 TYPE 1 DIABETES MELLITUS WITH OTHER SKIN ULCERE10628 TYPE 1 DIABETES MELLITUS WITH OTHER SKIN COMPLICATIONSE10641 TYPE 1 DIABETES MELLITUS WITH HYPOGLYCEMIA WITH COMAE10649 TYPE 1 DIABETES

5 MELLITUS WITH HYPOGLYCEMIA WITHOUT COMAE1065 TYPE 1 DIABETES MELLITUS WITH HYPERGLYCEMIAE1069 TYPE 1 DIABETES MELLITUS WITH OTHER SPECIFIED COMPLICATIONE108 TYPE 1 DIABETES MELLITUS WITH UNSPECIFIED COMPLICATIONSE1100 TYPE 2 DIAB W HYPROSM W/O NONKET HYPRGLY-HYPROS COMA (NKHHC)E1101 TYPE 2 DIABETES MELLITUS WITH HYPEROSMOLARITY WITH COMAE1110 Type 2 diabetes mellitus with ketoacidosis without comaE1111 Type 2 diabetes mellitus with ketoacidosis with comaE1121 TYPE 2 DIABETES MELLITUS WITH DIABETIC NEPHROPATHYE1122 TYPE 2 DIABETES MELLITUS W DIABETIC CHRONIC KIDNEY DISEASEE1129 TYPE 2 DIABETES MELLITUS W OTH DIABETIC KIDNEY COMPLICATIONE11311 TYPE 2 DIABETES W UNSP DIABETIC RETINOPATHY W MACULAR EDEMAE11319 TYPE 2 DIABETES W UNSP DIABETIC RTNOP W/O MACULAR EDEMAE1139 TYPE 2 DIABETES W OTH DIABETIC OPHTHALMIC COMPLICATIONE1140 TYPE 2 DIABETES MELLITUS WITH DIABETIC NEUROPATHY.

6 UNSPE1141 TYPE 2 DIABETES MELLITUS WITH DIABETIC MONONEUROPATHYE1142 TYPE 2 DIABETES MELLITUS WITH DIABETIC POLYNEUROPATHYE1143 TYPE 2 DIABETES W DIABETIC AUTONOMIC (POLY)NEUROPATHYE1144 TYPE 2 DIABETES MELLITUS WITH DIABETIC AMYOTROPHYPage 3 of 111 Michigan Department of Health and Human ServicesAmbulance Emergency TransportsDiagnosis Codes DatabaseBy Diagnosis CodeRev. 10-2017E1149 TYPE 2 DIABETES W OTH DIABETIC NEUROLOGICAL COMPLICATIONE1151 TYPE 2 DIABETES W DIABETIC PERIPHERAL ANGIOPATH W/O GANGRENEE1152 TYPE 2 DIABETES W DIABETIC PERIPHERAL ANGIOPATHY W GANGRENEE1159 TYPE 2 DIABETES MELLITUS WITH OTH CIRCULATORY COMPLICATIONSE11610 TYPE 2 DIABETES MELLITUS W DIABETIC NEUROPATHIC ARTHROPATHYE11618 TYPE 2 DIABETES MELLITUS WITH OTHER DIABETIC ARTHROPATHYE11620 TYPE 2 DIABETES MELLITUS WITH DIABETIC DERMATITISE11621 TYPE 2 DIABETES MELLITUS WITH FOOT ULCERE11622 TYPE 2 DIABETES MELLITUS WITH OTHER SKIN ULCERE11628 TYPE 2 DIABETES MELLITUS WITH OTHER SKIN COMPLICATIONSE11641 TYPE 2 DIABETES MELLITUS WITH HYPOGLYCEMIA WITH COMAE11649 TYPE 2 DIABETES

7 MELLITUS WITH HYPOGLYCEMIA WITHOUT COMAE1165 TYPE 2 DIABETES MELLITUS WITH HYPERGLYCEMIAE1169 TYPE 2 DIABETES MELLITUS WITH OTHER SPECIFIED COMPLICATIONE118 TYPE 2 DIABETES MELLITUS WITH UNSPECIFIED COMPLICATIONSE1300 OTH DIAB W HYPROSM W/O NONKET HYPRGLY-HYPROS COMA (NKHHC)E1301 OTH DIABETES MELLITUS WITH HYPEROSMOLARITY WITH COMAE1310 OTH DIABETES MELLITUS WITH KETOACIDOSIS WITHOUT COMAE1311 OTH DIABETES MELLITUS WITH KETOACIDOSIS WITH COMAE1321 OTHER SPECIFIED DIABETES MELLITUS WITH DIABETIC NEPHROPATHYE1322 OTH DIABETES MELLITUS WITH DIABETIC CHRONIC KIDNEY DISEASEE1329 OTH DIABETES MELLITUS WITH OTH DIABETIC KIDNEY COMPLICATIONE13311 OTH DIABETES W UNSP DIABETIC RETINOPATHY W MACULAR EDEMAE13319 OTH DIABETES W UNSP DIABETIC RETINOPATHY W/O MACULAR EDEMAE1339 OTH DIABETES MELLITUS W OTH DIABETIC OPHTHALMIC COMPLICATIONE1340 OTH DIABETES MELLITUS WITH DIABETIC NEUROPATHY.

8 UNSPECIFIEDE1341 OTH DIABETES MELLITUS WITH DIABETIC MONONEUROPATHYE1342 OTH DIABETES MELLITUS WITH DIABETIC POLYNEUROPATHYE1343 OTH DIABETES MELLITUS W DIABETIC AUTONOMIC (POLY)NEUROPATHYE1344 OTHER SPECIFIED DIABETES MELLITUS WITH DIABETIC AMYOTROPHYE1349 OTH DIABETES W OTH DIABETIC NEUROLOGICAL COMPLICATIONE1351 OTH DIABETES W DIABETIC PERIPHERAL ANGIOPATHY W/O GANGRENEE1352 OTH DIABETES W DIABETIC PERIPHERAL ANGIOPATHY W GANGRENEE1359 OTH DIABETES MELLITUS WITH OTHER CIRCULATORY COMPLICATIONSE13610 OTH DIABETES MELLITUS WITH DIABETIC NEUROPATHIC ARTHROPATHYE13618 OTH DIABETES MELLITUS WITH OTHER DIABETIC ARTHROPATHYE13620 OTHER SPECIFIED DIABETES MELLITUS WITH DIABETIC DERMATITISE13621 OTHER SPECIFIED DIABETES MELLITUS WITH FOOT ULCERE13622 OTHER SPECIFIED DIABETES MELLITUS WITH OTHER SKIN ULCERE13628 OTH DIABETES MELLITUS WITH OTHER SKIN

9 COMPLICATIONSE13641 OTH DIABETES MELLITUS WITH HYPOGLYCEMIA WITH COMAE1365 OTHER SPECIFIED DIABETES MELLITUS WITH HYPERGLYCEMIAE1369 OTH DIABETES MELLITUS WITH OTHER SPECIFIED COMPLICATIONE138 OTH DIABETES MELLITUS WITH UNSPECIFIED COMPLICATIONSE15 NONDIABETIC HYPOGLYCEMIC COMAPage 4 of 111 Michigan Department of Health and Human ServicesAmbulance Emergency TransportsDiagnosis Codes DatabaseBy Diagnosis CodeRev. 10-2017E162 HYPOGLYCEMIA, UNSPECIFIEDE869 VOLUME DEPLETION, UNSPECIFIEDF0150 VASCULAR DEMENTIA WITHOUT BEHAVIORAL DISTURBANCEF0151 VASCULAR DEMENTIA WITH BEHAVIORAL DISTURBANCEF0280 DEMENTIA IN OTH DISEASES CLASSD ELSWHR W/O BEHAVRL DISTURBF0281 DEMENTIA IN OTH DISEASES CLASSD ELSWHR W BEHAVIORAL DISTURBF0390 UNSPECIFIED DEMENTIA WITHOUT BEHAVIORAL DISTURBANCEF0391 UNSPECIFIED DEMENTIA WITH BEHAVIORAL DISTURBANCEF04 AMNESTIC DISORDER DUE TO KNOWN PHYSIOLOGICAL CONDITIONF05 DELIRIUM DUE TO KNOWN PHYSIOLOGICAL CONDITIONF060 PSYCHOTIC DISORDER W HALLUCIN DUE TO KNOWN PHYSIOL CONDITIONF061 CATATONIC DISORDER DUE TO KNOWN PHYSIOLOGICAL CONDITIONF062 PSYCHOTIC DISORDER W DELUSIONS DUE TO KNOWN PHYSIOL CONDF0630 MOOD DISORDER DUE TO KNOWN

10 PHYSIOLOGICAL CONDITION, UNSPF0631 MOOD DISORDER DUE TO KNOWN PHYSIOL COND W DEPRESSV FEATURESF0632 MOOD DISORD D/T PHYSIOL COND W MAJOR DEPRESSIVE-LIKE EPSDF0633 MOOD DISORDER DUE TO KNOWN PHYSIOL COND W MANIC FEATURESF0634 MOOD DISORDER DUE TO KNOWN PHYSIOL COND W MIXED FEATURESF064 ANXIETY DISORDER DUE TO KNOWN PHYSIOLOGICAL CONDITIONF068 OTH MENTAL DISORDERS DUE TO KNOWN PHYSIOLOGICAL CONDITIONF09 UNSP MENTAL DISORDER DUE TO KNOWN PHYSIOLOGICAL CONDITIONF10121 ALCOHOL ABUSE WITH INTOXICATION DELIRIUMF1014 ALCOHOL ABUSE WITH ALCOHOL-INDUCED MOOD DISORDERF10150 ALCOHOL ABUSE W ALCOH-INDUCE PSYCHOTIC DISORDER W DELUSIONSF10151 ALCOHOL ABUSE W ALCOH-INDUCE PSYCHOTIC DISORDER W HALLUCINF10159 ALCOHOL ABUSE