CDPS_Medicare_App.pdf - UCSD | CDPS

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CDPS Stage Number of Short Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries CARVH Cardiovascular, Very High I9961 9961 MALFUNC VASC DEVICE/GRAF 3,293 CARVH Cardiovascular, Very High I9961 99662 REACT-OTH VASC DEV/GRAFT 3,293 CARVH Cardiovascular, Very High I9961 99674 COMP-OTH VASC DEV/GRAFT 3,293 CARVH Cardiovascular, Very High I99683 99683 COMPL HEART TRANSPLANT 169 CARVH Cardiovascular, Very High I99681 V421 HEART TRANSPLANT STATUS 653 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 40201 MAL HYPERT HRT DIS W CHF 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 40211 BENIGN HYP HRT DIS W CHF 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 40291 HYPERTEN HEART DIS W CHF 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 40401 MAL HYPER HRT/REN W CHF 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 40411 BEN HYPER HRT/REN W CHF 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 40491 HYPER HRT/REN NOS W CHF 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 425 CARDIOMYOPATHY* 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 4250 ENDOMYOCARDIAL FIBROSIS 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 4251 HYPERTR OBSTR CARDIOMYOP 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 4252 OBSC AFRIC CARDIOMYOPATH 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 4253 ENDOCARD FIBROELASTOSIS 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I425X 4254 PRIM CARDIOMYOPATHY NEC 22,890 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 4255 ALCOHOLIC CARDIOMYOPATHY 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 4257 METABOLIC CARDIOMYOPATHY 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I425X 4258 CARDIOMYOPATH IN OTH DIS 22,890 CARIHDH Cardiovascular, Ischemic Heart Disease, High I425X 4259 SECOND CARDIOMYOPATH NOS 22,890 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 428 HEART FAILURE* 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 4280 CONGESTIVE HEART FAILURE 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 4281 LEFT HEART FAILURE 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 4289 HEART FAILURE NOS 140,177 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 410 ACUTE MYOCARDIAL INFARCT* 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 4100 AMI ANTEROLATERAL WALL* 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41000 AMI ANTEROLATERAL,UNSPEC 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X1 41001 AMI ANTEROLATERAL, INIT 14,533 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41002 AMI ANTEROLATERAL,SUBSEQ 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 4101 AMI ANTERIOR WALL NEC* 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41010 AMI ANTERIOR WALL,UNSPEC 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X1 41011 AMI ANTERIOR WALL, INIT 14,533 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41012 AMI ANTERIOR WALL,SUBSEQ 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 4102 AMI INFEROLATERAL WALL* 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41020 AMI INFEROLATERAL,UNSPEC 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X1 41021 AMI INFEROLATERAL, INIT 14,533 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41022 AMI INFEROLATERAL,SUBSEQ 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 4103 AMI INFEROPOSTERIOR WALL* 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41030 AMI INFEROPOST, UNSPEC 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X1 41031 AMI INFEROPOST, INITIAL 14,533 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41032 AMI INFEROPOST, SUBSEQ 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 4104 AMI INFERIOR WALL NEC* 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41040 AMI INFERIOR WALL,UNSPEC 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X1 41041 AMI INFERIOR WALL, INIT 14,533 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41042 AMI INFERIOR WALL,SUBSEQ 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 4105 AMI LATERAL WALL NEC* 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41050 AMI LATERAL NEC, UNSPEC 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X1 41051 AMI LATERAL NEC, INITIAL 14,533 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41052 AMI LATERAL NEC, SUBSEQ 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 4106 TRUE POSTERIOR INFARCT* 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41060 TRUE POST INFARCT,UNSPEC 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X1 41061 TRUE POST INFARCT, INIT 14,533 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41062 TRUE POST INFARCT,SUBSEQ 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 4107 SUBENDOCARDIAL INFARCT* 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41070 SUBENDO INFARCT, UNSPEC 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X1 41071 SUBENDO INFARCT, INITIAL 14,533 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41072 SUBENDO INFARCT, SUBSEQ 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 4108 MYOCARDIAL INFARCT NEC* 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41080 AMI NEC, UNSPECIFIED 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X1 41081 AMI NEC, INITIAL 14,533 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41082 AMI NEC, SUBSEQUENT 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 4109 MYOCARDIAL INFARCT NOS* 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41090 AMI NOS, UNSPECIFIED 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X1 41091 AMI NOS, INITIAL 14,533 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41092 AMI NOS, SUBSEQUENT 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I411 411 OTH AC ISCHEMIC HRT DIS* 48,181 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I413 413 ANGINA PECTORIS* 82,703 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I4141 4141 ANEURYSM OF HEART* 2,522 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 401 ESSENTIAL HYPERTENSION* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 4010 MALIGNANT HYPERTENSION 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 4011 BENIGN HYPERTENSION 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 4019 HYPERTENSION NOS 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 402 HYPERTENSIVE HEART DIS* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 4020 MAL HYPERTENSIVE HRT DIS* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 40200 MAL HYPERTEN HRT DIS NOS 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 4021 BENIGN HYPERTEN HRT DIS* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 40210 BEN HYPERTEN HRT DIS NOS 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 4029 HYPERTENSIVE HRT DIS NOS* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 40290 HYPERTENSIVE HRT DIS NOS 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 403 HYPERTENSIVE RENAL DIS* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 4030 MAL HYPERTENS RENAL DIS* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 40300 MAL HYP REN W/O REN FAIL 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 4031 BENIGN HYPERT RENAL DIS* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 40310 BEN HYP REN W/O REN FAIL 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 4039 HYPERTENS RENAL DIS NOS* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 40390 HYP REN NOS W/O REN FAIL 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 404 HYPERTEN HEART/RENAL DIS* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 4040 MAL HYPERT HRT/RENAL DIS* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 40400 MAL HY HT/REN W/O CHF/RF 613,614 CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

Transcript of CDPS_Medicare_App.pdf - UCSD | CDPS

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description BeneficiariesCARVH Cardiovascular, Very High I9961 9961 MALFUNC VASC DEVICE/GRAF 3,293 CARVH Cardiovascular, Very High I9961 99662 REACT-OTH VASC DEV/GRAFT 3,293 CARVH Cardiovascular, Very High I9961 99674 COMP-OTH VASC DEV/GRAFT 3,293 CARVH Cardiovascular, Very High I99683 99683 COMPL HEART TRANSPLANT 169 CARVH Cardiovascular, Very High I99681 V421 HEART TRANSPLANT STATUS 653 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 40201 MAL HYPERT HRT DIS W CHF 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 40211 BENIGN HYP HRT DIS W CHF 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 40291 HYPERTEN HEART DIS W CHF 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 40401 MAL HYPER HRT/REN W CHF 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 40411 BEN HYPER HRT/REN W CHF 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 40491 HYPER HRT/REN NOS W CHF 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 425 CARDIOMYOPATHY* 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 4250 ENDOMYOCARDIAL FIBROSIS 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 4251 HYPERTR OBSTR CARDIOMYOP 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 4252 OBSC AFRIC CARDIOMYOPATH 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 4253 ENDOCARD FIBROELASTOSIS 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I425X 4254 PRIM CARDIOMYOPATHY NEC 22,890 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 4255 ALCOHOLIC CARDIOMYOPATHY 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 4257 METABOLIC CARDIOMYOPATHY 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I425X 4258 CARDIOMYOPATH IN OTH DIS 22,890 CARIHDH Cardiovascular, Ischemic Heart Disease, High I425X 4259 SECOND CARDIOMYOPATH NOS 22,890 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 428 HEART FAILURE* 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 4280 CONGESTIVE HEART FAILURE 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 4281 LEFT HEART FAILURE 140,177 CARIHDH Cardiovascular, Ischemic Heart Disease, High I428 4289 HEART FAILURE NOS 140,177 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 410 ACUTE MYOCARDIAL INFARCT* 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 4100 AMI ANTEROLATERAL WALL* 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41000 AMI ANTEROLATERAL,UNSPEC 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X1 41001 AMI ANTEROLATERAL, INIT 14,533 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41002 AMI ANTEROLATERAL,SUBSEQ 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 4101 AMI ANTERIOR WALL NEC* 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41010 AMI ANTERIOR WALL,UNSPEC 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X1 41011 AMI ANTERIOR WALL, INIT 14,533 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41012 AMI ANTERIOR WALL,SUBSEQ 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 4102 AMI INFEROLATERAL WALL* 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41020 AMI INFEROLATERAL,UNSPEC 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X1 41021 AMI INFEROLATERAL, INIT 14,533 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41022 AMI INFEROLATERAL,SUBSEQ 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 4103 AMI INFEROPOSTERIOR WALL* 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41030 AMI INFEROPOST, UNSPEC 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X1 41031 AMI INFEROPOST, INITIAL 14,533 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41032 AMI INFEROPOST, SUBSEQ 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 4104 AMI INFERIOR WALL NEC* 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41040 AMI INFERIOR WALL,UNSPEC 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X1 41041 AMI INFERIOR WALL, INIT 14,533 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41042 AMI INFERIOR WALL,SUBSEQ 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 4105 AMI LATERAL WALL NEC* 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41050 AMI LATERAL NEC, UNSPEC 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X1 41051 AMI LATERAL NEC, INITIAL 14,533 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41052 AMI LATERAL NEC, SUBSEQ 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 4106 TRUE POSTERIOR INFARCT* 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41060 TRUE POST INFARCT,UNSPEC 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X1 41061 TRUE POST INFARCT, INIT 14,533 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41062 TRUE POST INFARCT,SUBSEQ 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 4107 SUBENDOCARDIAL INFARCT* 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41070 SUBENDO INFARCT, UNSPEC 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X1 41071 SUBENDO INFARCT, INITIAL 14,533 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41072 SUBENDO INFARCT, SUBSEQ 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 4108 MYOCARDIAL INFARCT NEC* 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41080 AMI NEC, UNSPECIFIED 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X1 41081 AMI NEC, INITIAL 14,533 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41082 AMI NEC, SUBSEQUENT 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 4109 MYOCARDIAL INFARCT NOS* 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41090 AMI NOS, UNSPECIFIED 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X1 41091 AMI NOS, INITIAL 14,533 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I410X 41092 AMI NOS, SUBSEQUENT 19,340 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I411 411 OTH AC ISCHEMIC HRT DIS* 48,181 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I413 413 ANGINA PECTORIS* 82,703 CARIHDL Cardiovascular, Ischemic Heart Disease, Low I4141 4141 ANEURYSM OF HEART* 2,522 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 401 ESSENTIAL HYPERTENSION* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 4010 MALIGNANT HYPERTENSION 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 4011 BENIGN HYPERTENSION 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 4019 HYPERTENSION NOS 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 402 HYPERTENSIVE HEART DIS* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 4020 MAL HYPERTENSIVE HRT DIS* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 40200 MAL HYPERTEN HRT DIS NOS 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 4021 BENIGN HYPERTEN HRT DIS* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 40210 BEN HYPERTEN HRT DIS NOS 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 4029 HYPERTENSIVE HRT DIS NOS* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 40290 HYPERTENSIVE HRT DIS NOS 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 403 HYPERTENSIVE RENAL DIS* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 4030 MAL HYPERTENS RENAL DIS* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 40300 MAL HYP REN W/O REN FAIL 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 4031 BENIGN HYPERT RENAL DIS* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 40310 BEN HYP REN W/O REN FAIL 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 4039 HYPERTENS RENAL DIS NOS* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 40390 HYP REN NOS W/O REN FAIL 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 404 HYPERTEN HEART/RENAL DIS* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 4040 MAL HYPERT HRT/RENAL DIS* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 40400 MAL HY HT/REN W/O CHF/RF 613,614

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 4041 BEN HYPERT HRT/RENAL DIS* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 40410 BEN HY HT/REN W/O CHF/RF 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 4049 HYPERT HRT/RENAL DIS NOS* 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low ICARHT 40490 HY HT/REN NOS W/O CHF/RF 613,614 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low I405 405 SECONDARY HYPERTENSION* 1,733 CARVCODM Cardiovascular, Valvular, Conductive and Other Heart Disease, Medium I421X_2 421 AC/SUBAC ENDOCARDITIS* 575 CARVCODM Cardiovascular, Valvular, Conductive and Other Heart Disease, Medium I4210 4210 AC/SUBAC BACT ENDOCARD 609 CARVCODM Cardiovascular, Valvular, Conductive and Other Heart Disease, Medium I421X_2 4211 AC ENDOCARDIT IN OTH DIS 575 CARVCODM Cardiovascular, Valvular, Conductive and Other Heart Disease, Medium I421X_2 4219 AC/SUBAC ENDOCARDIT NOS 575 CARVCODM Cardiovascular, Valvular, Conductive and Other Heart Disease, Medium I421X_2 422 ACUTE MYOCARDITIS* 575 CARVCODM Cardiovascular, Valvular, Conductive and Other Heart Disease, Medium I4274_5 4274 VENTRIC FIBRILL/FLUTTER* 3,465 CARVCODM Cardiovascular, Valvular, Conductive and Other Heart Disease, Medium I4295 4295 CHORDAE TENDINAE RUPTURE 177 CARVCODM Cardiovascular, Valvular, Conductive and Other Heart Disease, Medium I4296 4296 PAPILLARY MUSCLE RUPTURE 34 CARVCODM Cardiovascular, Valvular, Conductive and Other Heart Disease, Medium I4274_5 4275 CARDIAC ARREST 3,465 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low I390 390 RHEUM FEV W/O HRT INVOLV 92,695 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low I390 391 RHEUM FEV W HEART INVOLV* 92,695 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low I390 392 RHEUMATIC CHOREA* 92,695 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low I390 393 CHR RHEUMATIC PERICARD 92,695 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low I390 394 DISEASES OF MITRAL VALVE* 92,695 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low I390 395 DISEASES OF AORTIC VALVE* 92,695 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low I390 396 MITRAL/AORTIC VALVE DIS* 92,695 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low I390 397 ENDOCARDIAL DISEASE NEC* 92,695 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low I3970 3970 TRICUSPID VALVE DISEASE 15,462 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low I3971 3971 RHEUM PULMON VALVE DIS 2,782 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low I390 3979 RHEUM ENDOCARDITIS NOS 92,695 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low I390 398 OTH RHEUMATIC HEART DIS* 92,695 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low I390 424 OTH ENDOCARDIAL DISEASE* 92,695 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low I390 4240 MITRAL VALVE DISORDER 92,695 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low I390 4241 AORTIC VALVE DISORDER 92,695 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low I3970 4242 NONRHEUM TRICUSP VAL DIS 15,462 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low I3971 4243 PULMONARY VALVE DISORDER 2,782 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low I390 4249 ENDOCARDITIS NOS* 92,695 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low I4270_3 4270 PAROX ATRIAL TACHYCARDIA 103,807 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low I4270_3 4271 PAROX VENTRIC TACHYCARD 103,807 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low I4270_3 4272 PAROX TACHYCARDIA NOS 103,807 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low I4270_3 4273 ATRIAL FIBRILL/FLUTTER* 103,807 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low I7855 7855 SHOCK WITHOUT TRAUMA* 1,969 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low IV422 V422 HEART VALVE TRANSPLANT 958 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low IV450 V450 CARDIAC PACEMAKER STATUS* 16,706 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I420_3 420 ACUTE PERICARDITIS* 3,782 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I420_3 423 OTH PERICARDIAL DISEASE* 3,782 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I426 426 CONDUCTION DISORDERS* 37,312 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I427X 427 CARDIAC DYSRHYTHMIAS* 126,287 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I427X 4276 PREMATURE BEATS* 126,287 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I427X 4278 CARDIAC DYSRHYTHMIAS NEC* 126,287 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I427X 4279 CARDIAC DYSRHYTHMIA NOS 126,287 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 745 CARDIAC SEPTAL CLOS ANOM* 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I7450_7 7450 COMMON TRUNCUS 379 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I7450_7 7451 TRANSPOS OF GREAT VESSEL* 379 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I7450_7 74510 COMPL TRANSPOS GREAT VES 379 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I7450_7 74511 DOUBLE OUTLET RT VENTRIC 379 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I7450_7 74512 CORRECT TRANSPOS GRT VES 379 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I7450_7 74519 TRANSPOS GREAT VESS NEC 379 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I7450_7 7452 TETRALOGY OF FALLOT 379 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I7450_7 7453 COMMON VENTRICLE 379 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 7454 VENTRICULAR SEPT DEFECT 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 7455 SECUNDUM ATRIAL SEPT DEF 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 7456 ENDOCARD CUSHION DEFECTS* 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74560 ENDOCARD CUSHION DEF NOS 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74561 OSTIUM PRIMUM DEFECT 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74569 ENDOCARD CUSHION DEF NEC 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I7450_7 7457 COR BILOCULARE 379 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 7458 SEPTAL CLOSURE ANOM NEC 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 7459 SEPTAL CLOSURE ANOM NOS 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 746 OTHER CONGEN HEART ANOM* 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 7460 PULMONARY VALVE ANOMALY* 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74600 PULMONARY VALVE ANOM NOS 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I7450_7 74601 CONG PULMON VALV ATRESIA 379 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74602 CONG PULMON VALVE STENOS 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74609 PULMONARY VALVE ANOM NEC 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 7461 CONG TRICUSP ATRES/STEN 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 7462 EBSTEIN'S ANOMALY 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 7463 CONG AORTA VALV STENOSIS 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 7464 CONG AORTA VALV INSUFFIC 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 7465 CONGEN MITRAL STENOSIS 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 7466 CONG MITRAL INSUFFICIENC 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I7450_7 7467 HYPOPLAS LEFT HEART SYND 379 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 7468 CONG HEART ANOMALY NEC* 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74681 CONG SUBAORTIC STENOSIS 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74682 COR TRIATRIATUM 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74683 INFUNDIB PULMON STENOSIS 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74684 OBSTRUCT HEART ANOM NEC 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74685 CORONARY ARTERY ANOMALY 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74686 CONGENITAL HEART BLOCK 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74687 MALPOSITION OF HEART 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74689 CONG HEART ANOMALY NEC 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 7469 CONG HEART ANOMALY NOS 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 747 OTH CONG CIRC SYST ANOM* 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I7450_7 7470 PATENT DUCTUS ARTERIOSUS 379 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 7471 COARCTATION OF AORTA* 19,725

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74710 COARCTATION OF AORTA 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74711 INTERRUPT OF AORTIC ARCH 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 7472 CONG ANOM OF AORTA NEC* 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74720 CONG ANOM OF AORTA NOS 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74721 ANOMALIES OF AORTIC ARCH 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74722 AORTIC ATRESIA/STENOSIS 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74729 CONG ANOM OF AORTA NEC 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 7473 PULMONARY ARTERY ANOM 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I7450_7 7474 ANOMALIES OF GREAT VEINS* 379 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I7450_7 74740 GREAT VEIN ANOMALY NOS 379 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I7450_7 74741 TOT ANOM PULM VEN CONNEC 379 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I7450_7 74742 PART ANOM PULM VEN CONN 379 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I7450_7 74749 GREAT VEIN ANOMALY NEC 379 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 7475 UMBILICAL ARTERY ABSENCE 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 7476 PERIPH VASCULAR ANOM NEC* 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74760 UNSP PRPHERL VASC ANOMAL 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74761 GSTRONTEST VESL ANOMALY 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74762 RENAL VESSEL ANOMALY 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74763 UPR LIMB VESSEL ANOMALY 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74764 LWR LIMB VESSEL ANOMALY 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74769 OTH SPCF PRPH VSCL ANOML 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 7478 CIRCULATORY ANOMALY NEC* 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74781 CEREBROVASCULAR ANOMALY 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74782 SPINAL VESSEL ANOMALY 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 74789 CIRCULATORY ANOMALY NEC 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I745_7X 7479 CIRCULATORY ANOMALY NOS 19,725 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I7825 7825 CYANOSIS 445 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I9960 9960 MALFUNC CARD DEVIC/GRAFT* 4,422 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I9960 99600 MALFUNC CARD DEV/GRF NOS 4,422 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I9960 99601 MALFUNC CARDIAC PACEMAKE 4,422 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I9960 99602 MALFUNC PROSTH HRT VALVE 4,422 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I9960 99603 MALFUNC CORON BYPASS GRF 4,422 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I9960 99604 MCH CMP AUTM MPLNT DFBRL 4,422 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I9960 99609 MALFUNC CARD DEV/GRF NEC 4,422 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I9960 99661 REACT-CARDIAC DEV/GRAFT 4,422 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I9960 99671 COMP-HEART VALVE PROSTH 4,422 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low I9960 99672 COMP-OTH CARDIAC DEVICE 4,422 CARPVDM Cardiovascular, Peripheral Vascular, Medium I441_3 441 AORTIC ANEURYSM* 90,736 CARPVDM Cardiovascular, Peripheral Vascular, Medium I441_3 442 OTHER ANEURYSM* 90,736 CARPVDM Cardiovascular, Peripheral Vascular, Medium I441_3 443 OTH PERIPH VASCULAR DIS* 90,736 CARPVDM Cardiovascular, Peripheral Vascular, Medium I444 444 ARTERIAL EMBOLISM* 12,499 CARPVDM Cardiovascular, Peripheral Vascular, Medium I446 446 POLYARTERIT NODOSA ET AL* 4,017 CARPVDM Cardiovascular, Peripheral Vascular, Medium I447 447 OTHER ARTERIAL DISEASE* 15,213 CARPVDM Cardiovascular, Peripheral Vascular, Medium I451_3 451 THROMBOPHLEBITIS* 31,510 CARPVDM Cardiovascular, Peripheral Vascular, Medium I452 452 PORTAL VEIN THROMBOSIS 107 CARPVDM Cardiovascular, Peripheral Vascular, Medium I451_3 453 OTH VENOUS THROMBOSIS* 31,510 CARPVDM Cardiovascular, Peripheral Vascular, Medium I4540_2 4540 LEG VARICOSITY W ULCER 6,567 CARPVDM Cardiovascular, Peripheral Vascular, Medium I4540_2 4542 VARICOS LEG ULCER/INFLAM 6,567 CARPVDM Cardiovascular, Peripheral Vascular, Medium I457 457 NONINFECT LYMPHATIC DIS* 3,354 CARPVDM Cardiovascular, Peripheral Vascular, Medium I7854 7854 GANGRENE 4,158 CARSL Cardiovascular, Super Low I412 412 OLD MYOCARDIAL INFARCT 33,688 CARSL Cardiovascular, Super Low I448 448 DISEASE OF CAPILLARIES* 2,535 CARSL Cardiovascular, Super Low I454X 454 VARICOSE VEINS, LEG* 14,651 CARSL Cardiovascular, Super Low I454X 4541 LEG VARICOSITY W INFLAM 14,651 CARSL Cardiovascular, Super Low I454X 4549 VARICOSE VEIN OF LEG NOS 14,651 CARSL Cardiovascular, Super Low I455 455 HEMORRHOIDS* 40,283 CARSL Cardiovascular, Super Low I456X 456 VARICOSE VEINS NEC* 692 CARSL Cardiovascular, Super Low I456X 4563 SUBLINGUAL VARICES 692 CARSL Cardiovascular, Super Low I456X 4564 SCROTAL VARICES 692 CARSL Cardiovascular, Super Low I456X 4565 PELVIC VARICES 692 CARSL Cardiovascular, Super Low I456X 4566 VULVAL VARICES 692 CARSL Cardiovascular, Super Low I456X 4568 VARICES OF OTHER SITES 692 CARSL Cardiovascular, Super Low I7826 7826 PALLOR & FLUSHING* 897 CARSL Cardiovascular, Super Low I7827 7827 SPONTANEOUS ECCHYMOSES 1,377 CARSL Cardiovascular, Super Low I900_4 900 HEAD/NECK VESSEL INJURY* 1,974 CARSL Cardiovascular, Super Low I900_4 901 THORAC BLOOD VESSEL INJ* 1,974 CARSL Cardiovascular, Super Low I900_4 902 ABDOM/PELVIS VESSEL INJ* 1,974 CARSL Cardiovascular, Super Low I900_4 903 ARM BLOOD VESSEL INJURY* 1,974 CARSL Cardiovascular, Super Low I900_4 904 BLOOD VESSEL INJURY NEC* 1,974 CARSL Cardiovascular, Super Low IV533 V533 ADJUST CARDIAC PACEMAKER* 4,094 CARNWD Cardiovascular, Not Well Defined I414X 414 OTH CHR ISCHEMIC HRT DIS* 261,518 CARNWD Cardiovascular, Not Well Defined I414X 4140 CORONARY ATHEROSCLEROSIS* 261,518 CARNWD Cardiovascular, Not Well Defined I414X 4148 CHR ISCHEMIC HRT DIS NEC 261,518 CARNWD Cardiovascular, Not Well Defined I414X 4149 CHR ISCHEMIC HRT DIS NOS 261,518 CARNWD Cardiovascular, Not Well Defined I429X 429 ILL-DEFINED HEART DIS* 76,104 CARNWD Cardiovascular, Not Well Defined I429X 4290 MYOCARDITIS NOS 76,104 CARNWD Cardiovascular, Not Well Defined I429X 4291 MYOCARDIAL DEGENERATION 76,104 CARNWD Cardiovascular, Not Well Defined I429X 4292 ASCVD 76,104 CARNWD Cardiovascular, Not Well Defined I4293 4293 CARDIOMEGALY 52,949 CARNWD Cardiovascular, Not Well Defined I429X 4294 HRT DIS POSTCARDIAC SURG 76,104 CARNWD Cardiovascular, Not Well Defined I429X 4298 ILL-DEFINED HRT DIS NEC* 76,104 CARNWD Cardiovascular, Not Well Defined I429X 4299 HEART DISEASE NOS 76,104 CARNWD Cardiovascular, Not Well Defined I440 440 ATHEROSCLEROSIS* 73,185 CARNWD Cardiovascular, Not Well Defined I458 458 HYPOTENSION* 18,249 CARNWD Cardiovascular, Not Well Defined I459 459 OTH CIRCULATORY DISEASE* 32,735 CARNWD Cardiovascular, Not Well Defined I7847 7847 EPISTAXIS 11,218 CARNWD Cardiovascular, Not Well Defined I7848 7848 HEMORRHAGE FROM THROAT 80 CARNWD Cardiovascular, Not Well Defined I785X 785 CARDIOVASCULAR SYS SYMP* 18,798 CARNWD Cardiovascular, Not Well Defined I7850_3 7850 TACHYCARDIA NOS 57,702 CARNWD Cardiovascular, Not Well Defined I7850_3 7851 PALPITATIONS 57,702

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

CARNWD Cardiovascular, Not Well Defined I7850_3 7852 CARDIAC MURMURS NEC 57,702 CARNWD Cardiovascular, Not Well Defined I7850_3 7853 ABNORM HEART SOUNDS NEC 57,702 CARNWD Cardiovascular, Not Well Defined I7856 7856 ENLARGEMENT LYMPH NODES 6,050 CARNWD Cardiovascular, Not Well Defined I785X 7859 CARDIOVAS SYS SYMP NEC 18,798 CARNWD Cardiovascular, Not Well Defined IV428X V428 TRANSPLANT STATUS NEC* 156 PSYH Psychiatric, High I295 295 SCHIZOPHRENIC DISORDERS* 21,919 PSYH Psychiatric, High I30183 30183 BORDERLINE PERSONALITY 1,041 PSYM Psychiatric, Medium I296X 296 AFFECTIVE PSYCHOSES* 37,228 PSYM Psychiatric, Medium I296X 2960 MANIC DIS, SINGL EPISODE* 37,228 PSYM Psychiatric, Medium I296X 2961 MANIC, RECURRENT EPISODE* 37,228 PSYM Psychiatric, Medium I296X 2962 DEPR PSYCH, SINGL EPISOD* 37,228 PSYM Psychiatric, Medium I296X 2963 DEPR PSYCH, RECUR EPISOD* 37,228 PSYM Psychiatric, Medium I2964_7 2964 BIPOLAR AFFECTIVE, MANIC* 9,472 PSYM Psychiatric, Medium I2964_7 2965 BIPOLAR AFFECT, DEPRESS* 9,472 PSYM Psychiatric, Medium I2964_7 2966 BIPOLAR AFFECTIVE, MIXED* 9,472 PSYM Psychiatric, Medium I2964_7 2967 BIPOLAR AFFECTIVE NOS 9,472 PSYM Psychiatric, Medium I296X 2968 MANIC-DEPRESSIVE NEC/NOS* 37,228 PSYM Psychiatric, Medium I296X 2969 AFFECT PSYCHOSES NEC/NOS* 37,228 PSYM Psychiatric, Medium I3071 3071 ANOREXIA NERVOSA 737 PSYM Psychiatric, Medium I3071 3075 EATING DISORDERS NEC/NOS* 737 PSYL Psychiatric, Low I297 297 PARANOID STATES* 2,202 PSYL Psychiatric, Low I298 298 OTH NONORGANIC PSYCHOSES* 22,803 PSYL Psychiatric, Low I299 299 PSYCHOSES OF CHILDHOOD* 409 PSYL Psychiatric, Low I30001 30001 PANIC DISORDER 3,811 PSYL Psychiatric, Low I3002 3002 PHOBIC DISORDERS* 1,629 PSYL Psychiatric, Low I3003 3003 OBSESSIVE-COMPULSIVE DIS 1,249 PSYL Psychiatric, Low I3004_7 3004 NEUROTIC DEPRESSION 18,750 PSYL Psychiatric, Low I3004_7 3005 NEURASTHENIA 18,750 PSYL Psychiatric, Low I3004_7 3006 DEPERSONALIZATION SYND 18,750 PSYL Psychiatric, Low I3004_7 3007 HYPOCHONDRIASIS 18,750 PSYL Psychiatric, Low I3091_8 3091 PROLONG DEPRESSIVE REACT 8,526 PSYL Psychiatric, Low I3091_8 3092 ADJUST REACT/OTH EMOTION* 8,526 PSYL Psychiatric, Low I3091_8 3093 ADJUST REACT-CONDUCT DIS 8,526 PSYL Psychiatric, Low I3091_8 3094 ADJ REACT-EMOTION/CONDUC 8,526 PSYL Psychiatric, Low I3091_8 3098 OTHER ADJUST REACTION* 8,526 PSYL Psychiatric, Low I310 310 NONPSYCHOTIC BRAIN SYND* 11,084 PSYL Psychiatric, Low I311 311 DEPRESSIVE DISORDER NEC 50,154 PSYL Psychiatric, Low I3140 3140 ATTENTION DEFICIT DIS* 422 PSYNWD Psychiatric, Not Well Defined I293X 293 TRANSIENT ORG MENTAL DIS* 1,467 PSYNWD Psychiatric, Not Well Defined I293X 2939 TRANSIENT ORG MENTAL NOS 1,467 PSYNWD Psychiatric, Not Well Defined I294X 294 OTHER ORGANIC PSYCH COND* 16,634 PSYNWD Psychiatric, Not Well Defined I294X 2940 AMNESTIC SYNDROME 16,634 PSYNWD Psychiatric, Not Well Defined I294X 2948 ORGANIC BRAIN SYND NEC 16,634 PSYNWD Psychiatric, Not Well Defined I2949 2949 ORGANIC BRAIN SYND NOS 2,424 PSYNWD Psychiatric, Not Well Defined I300X 300 NEUROTIC DISORDERS* 46,480 PSYNWD Psychiatric, Not Well Defined I300X 3000 ANXIETY STATES* 46,480 PSYNWD Psychiatric, Not Well Defined I300X 30000 ANXIETY STATE NOS 46,480 PSYNWD Psychiatric, Not Well Defined I30002 30002 GENERALIZED ANXIETY DIS 7,735 PSYNWD Psychiatric, Not Well Defined I300X 30009 ANXIETY STATE NEC 46,480 PSYNWD Psychiatric, Not Well Defined I300X 3001 HYSTERIA* 46,480 PSYNWD Psychiatric, Not Well Defined I300X 30010 HYSTERIA NOS 46,480 PSYNWD Psychiatric, Not Well Defined I300X 30011 CONVERSION DISORDER 46,480 PSYNWD Psychiatric, Not Well Defined I300X 30012 PSYCHOGENIC AMNESIA 46,480 PSYNWD Psychiatric, Not Well Defined I300X 30013 PSYCHOGENIC FUGUE 46,480 PSYNWD Psychiatric, Not Well Defined I300X 30014 MULTIPLE PERSONALITY 46,480 PSYNWD Psychiatric, Not Well Defined I300X 30015 DISSOCIATIVE REACT NOS 46,480 PSYNWD Psychiatric, Not Well Defined I300X 30016 FACTITIOUS ILL W SYMPTOM 46,480 PSYNWD Psychiatric, Not Well Defined I300X 30019 FACTITIOUS ILL NEC/NOS 46,480 PSYNWD Psychiatric, Not Well Defined I300X 3008 NEUROTIC DISORDERS NEC* 46,480 PSYNWD Psychiatric, Not Well Defined I300X 30081 SOMATIZATION DISORDER 46,480 PSYNWD Psychiatric, Not Well Defined I300X 30082 UNDIFF SOMATOFORM DISRDR 46,480 PSYNWD Psychiatric, Not Well Defined I300X 30089 NEUROTIC DISORDERS NEC 46,480 PSYNWD Psychiatric, Not Well Defined I300X 3009 NEUROTIC DISORDER NOS 46,480 PSYNWD Psychiatric, Not Well Defined I301X 301 PERSONALITY DISORDERS* 4,900 PSYNWD Psychiatric, Not Well Defined I301X 3010 PARANOID PERSONALITY 4,900 PSYNWD Psychiatric, Not Well Defined I301X 3011 AFFECTIVE PERSONALITY* 4,900 PSYNWD Psychiatric, Not Well Defined I301X 30110 AFFECTIV PERSONALITY NOS 4,900 PSYNWD Psychiatric, Not Well Defined I301X 30111 CHRONIC HYPOMANIC PERSON 4,900 PSYNWD Psychiatric, Not Well Defined I301X 30112 CHR DEPRESSIVE PERSON 4,900 PSYNWD Psychiatric, Not Well Defined I301X 30113 CYCLOTHYMIC DISORDER 4,900 PSYNWD Psychiatric, Not Well Defined I301X 3012 SCHIZOID PERSONALITY* 4,900 PSYNWD Psychiatric, Not Well Defined I301X 30120 SCHIZOID PERSONALITY NOS 4,900 PSYNWD Psychiatric, Not Well Defined I301X 30121 INTROVERTED PERSONALITY 4,900 PSYNWD Psychiatric, Not Well Defined I301X 30122 SCHIZOTYPAL PERSONALITY 4,900 PSYNWD Psychiatric, Not Well Defined I301X 3013 EXPLOSIVE PERSONALITY 4,900 PSYNWD Psychiatric, Not Well Defined I301X 3014 COMPULSIVE PERSONALITY 4,900 PSYNWD Psychiatric, Not Well Defined I301X 3015 HISTRIONIC PERSONALITY* 4,900 PSYNWD Psychiatric, Not Well Defined I301X 30150 HISTRIONIC PERSON NOS 4,900 PSYNWD Psychiatric, Not Well Defined I301X 30151 CHR FACTITIOUS ILLNESS 4,900 PSYNWD Psychiatric, Not Well Defined I301X 30159 HISTRIONIC PERSON NEC 4,900 PSYNWD Psychiatric, Not Well Defined I301X 3016 DEPENDENT PERSONALITY 4,900 PSYNWD Psychiatric, Not Well Defined I301X 3017 ANTISOCIAL PERSONALITY 4,900 PSYNWD Psychiatric, Not Well Defined I301X 3018 OTHER PERSONALITY DIS* 4,900 PSYNWD Psychiatric, Not Well Defined I301X 30181 NARCISSISTIC PERSONALITY 4,900 PSYNWD Psychiatric, Not Well Defined I301X 30182 AVOIDANT PERSONALITY 4,900 PSYNWD Psychiatric, Not Well Defined I301X 30184 PASSIVE-AGGRESSIV PERSON 4,900 PSYNWD Psychiatric, Not Well Defined I301X 30189 PERSONALITY DISORDER NEC 4,900 PSYNWD Psychiatric, Not Well Defined I301X 3019 PERSONALITY DISORDER NOS 4,900 PSYNWD Psychiatric, Not Well Defined I302 302 SEXUAL DISORDERS* 3,691 PSYNWD Psychiatric, Not Well Defined I306 306 PSYCHOPHYSIOLOGIC DIS* 1,663

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

PSYNWD Psychiatric, Not Well Defined I307X 307 SPECIAL SYMPTOM NEC* 9,632 PSYNWD Psychiatric, Not Well Defined I307X 3070 STAMMERING & STUTTERING 9,632 PSYNWD Psychiatric, Not Well Defined I307X 3072 TICS* 9,632 PSYNWD Psychiatric, Not Well Defined I307X 3073 STEREOTYPED MOVEMENTS 9,632 PSYNWD Psychiatric, Not Well Defined I307X 3074 NONORGANIC SLEEP DISORD* 9,632 PSYNWD Psychiatric, Not Well Defined I307X 3076 ENURESIS 9,632 PSYNWD Psychiatric, Not Well Defined I307X 3077 ENCOPRESIS 9,632 PSYNWD Psychiatric, Not Well Defined I307X 3078 PSYCHALGIA* 9,632 PSYNWD Psychiatric, Not Well Defined I307X 3079 SPECIAL SYMPTOM NEC/NOS 9,632 PSYNWD Psychiatric, Not Well Defined I308 308 ACUTE REACTION TO STRESS* 3,648 PSYNWD Psychiatric, Not Well Defined I309X 309 ADJUSTMENT REACTION* 7,247 PSYNWD Psychiatric, Not Well Defined I309X 3090 BRIEF DEPRESSIVE REACT 7,247 PSYNWD Psychiatric, Not Well Defined I309X 3099 ADJUSTMENT REACTION NOS 7,247 PSYNWD Psychiatric, Not Well Defined I312 312 CONDUCT DISTURBANCE NEC* 2,406 PSYNWD Psychiatric, Not Well Defined I313 313 EMOTIONAL DIS CHILD/ADOL* 110 PSYNWD Psychiatric, Not Well Defined I314X 314 HYPERKINETIC SYNDROME* 103 PSYNWD Psychiatric, Not Well Defined I314X 3141 HYPERKINET W DEVEL DELAY 103 PSYNWD Psychiatric, Not Well Defined I314X 3142 HYPERKINETIC CONDUCT DIS 103 PSYNWD Psychiatric, Not Well Defined I314X 3148 OTHER HYPERKINETIC SYND 103 PSYNWD Psychiatric, Not Well Defined I314X 3149 HYPERKINETIC SYND NOS 103 PSYNWD Psychiatric, Not Well Defined I316 316 PSYCHIC FACTOR W OTH DIS 513 SKCM Skeletal and Connective, Medium I710X 710 DIFF CONNECTIVE TISS DIS* 5,599 SKCM Skeletal and Connective, Medium I7100 7100 SYST LUPUS ERYTHEMATOSUS 3,513 SKCM Skeletal and Connective, Medium I710X 7101 SYSTEMIC SCLEROSIS 5,599 SKCM Skeletal and Connective, Medium I710X 7102 SICCA SYNDROME 5,599 SKCM Skeletal and Connective, Medium I710X 7103 DERMATOMYOSITIS 5,599 SKCM Skeletal and Connective, Medium I710X 7104 POLYMYOSITIS 5,599 SKCM Skeletal and Connective, Medium I710X 7105 EOSINOPHILIA MYALGIA SND 5,599 SKCM Skeletal and Connective, Medium I710X 7108 DIFF CONNECT TIS DIS NEC 5,599 SKCM Skeletal and Connective, Medium I710X 7109 DIFF CONNECT TIS DIS NOS 5,599 SKCM Skeletal and Connective, Medium I711 711 ARTHROPATHY W INFECTION* 2,494 SKCM Skeletal and Connective, Medium I712 712 CRYSTAL ARTHROPATHIES* 1,358 SKCM Skeletal and Connective, Medium I713 713 ARTHROPATH IN OTHER DIS* 884 SKCM Skeletal and Connective, Medium I714 714 OTH INFLAMM POLYARTHROP* 30,786 SKCM Skeletal and Connective, Medium I7191 7191 HEMARTHROSIS* 954 SKCM Skeletal and Connective, Medium I7223 7223 SCHMORL'S NODES* 322 SKCM Skeletal and Connective, Medium I7228 7228 POSTLAMINECTOMY SYNDROME* 2,881 SKCM Skeletal and Connective, Medium I730X 730 OSTEOMYELITIS* 6,836 SKCM Skeletal and Connective, Medium I730X 7300 ACUTE OSTEOMYELITIS* 6,836 SKCM Skeletal and Connective, Medium I7301 7301 CHRONIC OSTEOMYELITIS* 1,493 SKCM Skeletal and Connective, Medium I730X 7302 OSTEOMYELITIS NOS* 6,836 SKCM Skeletal and Connective, Medium I730X 7303 PERIOSTITIS* 6,836 SKCM Skeletal and Connective, Medium I730X 7307 POLIO OSTEOPATHY* 6,836 SKCM Skeletal and Connective, Medium I730X 7308 BONE INFECT IN OTH DIS* 6,836 SKCM Skeletal and Connective, Medium I730X 7309 BONE INFECTION NOS* 6,836 SKCM Skeletal and Connective, Medium I7334 7334 ASEPTIC NECROSIS OF BONE* 1,988 SKCM Skeletal and Connective, Medium I800_4 800 SKULL VAULT FRACTURE* 3,853 SKCM Skeletal and Connective, Medium I800_4 801 SKULL BASE FRACTURE* 3,853 SKCM Skeletal and Connective, Medium I800_4 802 FRACTURE OF FACE BONES* 3,853 SKCM Skeletal and Connective, Medium I800_4 803 OTHER SKULL FRACTURE* 3,853 SKCM Skeletal and Connective, Medium I800_4 804 MULT FX SKULL W OTH BONE* 3,853 SKCM Skeletal and Connective, Medium I805 805 VERTEBRL FX W/O CORD INJ* 11,130 SKCM Skeletal and Connective, Medium I820_1 820 FRACTURE NECK OF FEMUR* 20,534 SKCM Skeletal and Connective, Medium I820_1 821 OTHER FEMORAL FRACTURE* 20,534 SKCM Skeletal and Connective, Medium I895_7 895 TRAUMATIC AMPUTATION TOE* 2,021 SKCM Skeletal and Connective, Medium I895_7 896 TRAUMATIC AMPUTAT FOOT* 2,021 SKCM Skeletal and Connective, Medium I895_7 897 TRAUMATIC AMPUTATION LEG* 2,021 SKCM Skeletal and Connective, Medium IV424 V424 BONE TRANSPLANT STATUS 24 SKCM Skeletal and Connective, Medium IV520_1 V520 FITTING ARTIFICIAL ARM 53 SKCM Skeletal and Connective, Medium IV520_1 V521 FITTING ARTIFICIAL LEG 53 SKCVL Skeletal and Connective, Low I526 526 JAW DISEASES* 2,474 SKCVL Skeletal and Connective, Low I718 717 INTERNAL DERANGEMNT KNEE* 20,643 SKCVL Skeletal and Connective, Low I718 718 OTHER JOINT DERANGEMENT* 20,643 SKCVL Skeletal and Connective, Low I733X 733 OTH BONE & CARTILAGE DIS* 93,801 SKCVL Skeletal and Connective, Low I733X 7330 OSTEOPOROSIS* 93,801 SKCVL Skeletal and Connective, Low I733X 7331 PATHOLOGICAL FRACTURE* 93,801 SKCVL Skeletal and Connective, Low I733X 7332 CYST OF BONE* 93,801 SKCVL Skeletal and Connective, Low I733X 7333 HYPEROSTOSIS OF SKULL 93,801 SKCVL Skeletal and Connective, Low I733X 7335 OSTEITIS CONDENSANS 93,801 SKCVL Skeletal and Connective, Low I733X 7336 TIETZE'S DISEASE 93,801 SKCVL Skeletal and Connective, Low I733X 7337 ALGONEURODYSTROPHY 93,801 SKCVL Skeletal and Connective, Low I733X 7338 MALUNION OR NONUNION FX* 93,801 SKCVL Skeletal and Connective, Low I733X 7339 BONE/CARTIL DIS NEC/NOS* 93,801 SKCVL Skeletal and Connective, Low I736 736 OTH ACQ LIMB DEFORMITIES* 8,883 SKCVL Skeletal and Connective, Low I737 737 CURVATURE OF SPINE* 10,786 SKCVL Skeletal and Connective, Low I754 754 CONG MUSCULOSKEL DEFORM* 2,992 SKCVL Skeletal and Connective, Low I755 755 OTH CONGEN LIMB ANOMALY* 2,111 SKCVL Skeletal and Connective, Low I756 756 OTH MUSCULOSKELET ANOMAL* 8,404 SKCVL Skeletal and Connective, Low I885_7 885 TRAUM AMPUTATION THUMB* 638 SKCVL Skeletal and Connective, Low I885_7 886 TRAUM AMPUTATION FINGER* 638 SKCVL Skeletal and Connective, Low I885_7 887 TRAUMATIC AMPUT ARM/HAND* 638 SKCEL Skeletal and Connective, Extra Low I720_1 720 INFLAM SPONDYLOPATHIES* 57,092 SKCEL Skeletal and Connective, Extra Low I720_1 721 SPONDYLOSIS ET AL* 57,092 SKCEL Skeletal and Connective, Extra Low I722X 722 INTERVERTEBRAL DISC DIS* 31,634 SKCEL Skeletal and Connective, Extra Low I7220_2 7220 CERVICAL DISC DISPLACMNT 24,547 SKCEL Skeletal and Connective, Extra Low I7220_2 7221 THORAC/LUMB DISC DISPLAC* 24,547 SKCEL Skeletal and Connective, Extra Low I7220_2 7222 DISC DISPLACEMENT NOS 24,547 SKCEL Skeletal and Connective, Extra Low I722X 7224 CERVICAL DISC DEGEN 31,634 SKCEL Skeletal and Connective, Extra Low I7225 7225 THORAC/LUMBAR DISC DEGEN* 32,857 SKCEL Skeletal and Connective, Extra Low I722X 7226 DISC DEGENERATION NOS 31,634

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

SKCEL Skeletal and Connective, Extra Low I722X 7227 DISC DIS W MYELOPATHY* 31,634 SKCEL Skeletal and Connective, Extra Low I722X 7229 DISC DISORDER NEC/NOS* 31,634 SKCEL Skeletal and Connective, Extra Low I731 731 OSTEITIS DEFORMANS* 2,922 SKCEL Skeletal and Connective, Extra Low I735 735 ACQ DEFORMITIES OF TOE* 34,041 SKCEL Skeletal and Connective, Extra Low I738 738 OTHER ACQUIRED DEFORMITY* 4,476 SKCEL Skeletal and Connective, Extra Low I757 757 CONGEN SKIN ANOMALIES* 6,422 SKCEL Skeletal and Connective, Extra Low I759 759 CONGEN ANOMALIES NEC/NOS* 1,536 SKCEL Skeletal and Connective, Extra Low I807 807 FX RIB/STERN/LARYN/TRACH* 10,423 SKCEL Skeletal and Connective, Extra Low I808_11 808 PELVIC FRACTURE* 6,820 SKCEL Skeletal and Connective, Extra Low I809 809 FRACTURE OF TRUNK BONES* 220 SKCEL Skeletal and Connective, Extra Low I808_11 810 CLAVICLE FRACTURE* 6,820 SKCEL Skeletal and Connective, Extra Low I808_11 811 SCAPULA FRACTURE* 6,820 SKCEL Skeletal and Connective, Extra Low I812_9 812 HUMERUS FRACTURE* 24,419 SKCEL Skeletal and Connective, Extra Low I812_9 813 RADIUS & ULNA FRACTURE* 24,419 SKCEL Skeletal and Connective, Extra Low I812_9 814 CARPAL FRACTURE* 24,419 SKCEL Skeletal and Connective, Extra Low I812_9 815 METACARPAL FRACTURE* 24,419 SKCEL Skeletal and Connective, Extra Low I812_9 816 FRACTURE PHALANGES, HAND* 24,419 SKCEL Skeletal and Connective, Extra Low I812_9 817 MULTIPLE HAND FRACTURES* 24,419 SKCEL Skeletal and Connective, Extra Low I812_9 818 FRACTURE ARM MULT/NOS* 24,419 SKCEL Skeletal and Connective, Extra Low I812_9 819 FX ARMS W RIB/STERNUM* 24,419 SKCEL Skeletal and Connective, Extra Low I822_9 822 PATELLA FRACTURE* 23,517 SKCEL Skeletal and Connective, Extra Low I822_9 823 TIBIA & FIBULA FRACTURE* 23,517 SKCEL Skeletal and Connective, Extra Low I822_9 824 ANKLE FRACTURE* 23,517 SKCEL Skeletal and Connective, Extra Low I822_9 825 FX OF TARSAL/METATARSAL* 23,517 SKCEL Skeletal and Connective, Extra Low I822_9 826 FRACTURE PHALANGES, FOOT* 23,517 SKCEL Skeletal and Connective, Extra Low I822_9 827 LOWER LIMB FRACTURE NEC* 23,517 SKCEL Skeletal and Connective, Extra Low I822_9 828 FX LEGS W ARM/RIB* 23,517 SKCEL Skeletal and Connective, Extra Low I822_9 829 FRACTURE NOS* 23,517 SKCSL Skeletal and Connective, Super Low I520_3 520 TOOTH DEVELOP/ERUPT DIS* 5,285 SKCSL Skeletal and Connective, Super Low I520_3 521 HARD TISSUE DIS OF TEETH* 5,285 SKCSL Skeletal and Connective, Super Low I520_3 522 PULP & PERIAPICAL DIS* 5,285 SKCSL Skeletal and Connective, Super Low I520_3 523 GINGIVAL/PERIODONTAL DIS* 5,285 SKCSL Skeletal and Connective, Super Low I524X 524 DENTOFACIAL ANOMALIES* 208 SKCSL Skeletal and Connective, Super Low I5240 5240 MAJOR ANOM OF JAW SIZE* 4,247 SKCSL Skeletal and Connective, Super Low I5240 5241 JAW-CRANIAL BASE ANOMALY* 4,247 SKCSL Skeletal and Connective, Super Low I524X 5242 DENTAL ARCH ANOMALY 208 SKCSL Skeletal and Connective, Super Low I524X 5243 TOOTH POSITION ANOMALY 208 SKCSL Skeletal and Connective, Super Low I524X 5244 MALOCCLUSION NOS 208 SKCSL Skeletal and Connective, Super Low I5240 5245 ABN DENTOFACIAL FUNCTION 4,247 SKCSL Skeletal and Connective, Super Low I5240 5246 TEMPOROMANDIBULAR JT DIS* 4,247 SKCSL Skeletal and Connective, Super Low I524X 5248 DENTOFACIAL ANOMALY NEC 208 SKCSL Skeletal and Connective, Super Low I524X 5249 DENTOFACIAL ANOMALY NOS 208 SKCSL Skeletal and Connective, Super Low I525 525 OTHER DENTAL DISORDER* 1,486 SKCSL Skeletal and Connective, Super Low I725 725 POLYMYALGIA RHEUMATICA 8,206 SKCSL Skeletal and Connective, Super Low I726 726 PERIPH ENTHESOPATHIES* 96,407 SKCSL Skeletal and Connective, Super Low I727X 727 OTH DIS SYNOV/TEND/BURSA* 43,300 SKCSL Skeletal and Connective, Super Low I727X 7270 SYNOVITIS/TENOSYNOVITIS* 43,300 SKCSL Skeletal and Connective, Super Low I7271 7271 BUNION 6,182 SKCSL Skeletal and Connective, Super Low I727X 7272 OCCUPATIONAL BURSITIS 43,300 SKCSL Skeletal and Connective, Super Low I727X 7273 BURSITIS NEC 43,300 SKCSL Skeletal and Connective, Super Low I727X 7274 JOINT OR TENDON GANGLION* 43,300 SKCSL Skeletal and Connective, Super Low I727X 7275 RUPTURE OF SYNOVIUM* 43,300 SKCSL Skeletal and Connective, Super Low I727X 7276 NONTRAUM TENDON RUPTURE* 43,300 SKCSL Skeletal and Connective, Super Low I727X 7278 DIS SYNOV/TEND/BURSA NEC* 43,300 SKCSL Skeletal and Connective, Super Low I727X 7279 SYNOV/TEND/BURSA DIS NOS 43,300 SKCSL Skeletal and Connective, Super Low I728 728 DIS OF MUSCLE/LIG/FASCIA* 39,627 SKCSL Skeletal and Connective, Super Low I732 732 OSTEOCHONDROPATHIES* 990 SKCSL Skeletal and Connective, Super Low I734 734 FLAT FOOT 992 SKCSL Skeletal and Connective, Super Low I831_9 830 JAW DISLOCATION* 44,735 SKCSL Skeletal and Connective, Super Low I831_9 831 SHOULDER DISLOCATION* 44,735 SKCSL Skeletal and Connective, Super Low I831_9 832 ELBOW DISLOCATION* 44,735 SKCSL Skeletal and Connective, Super Low I831_9 833 WRIST DISLOCATION* 44,735 SKCSL Skeletal and Connective, Super Low I831_9 834 DISLOCATION OF FINGER* 44,735 SKCSL Skeletal and Connective, Super Low I831_9 835 DISLOCATION OF HIP* 44,735 SKCSL Skeletal and Connective, Super Low I831_9 836 DISLOCATION OF KNEE* 44,735 SKCSL Skeletal and Connective, Super Low I831_9 837 DISLOCATION OF ANKLE* 44,735 SKCSL Skeletal and Connective, Super Low I831_9 838 DISLOCATION OF FOOT* 44,735 SKCSL Skeletal and Connective, Super Low I831_9 839 DISLOCATION NEC* 44,735 SKCSL Skeletal and Connective, Super Low I840_8 840 SPRAIN SHOULDER & ARM* 93,607 SKCSL Skeletal and Connective, Super Low I840_8 841 SPRAIN ELBOW & FOREARM* 93,607 SKCSL Skeletal and Connective, Super Low I840_8 842 SPRAIN WRIST & HAND* 93,607 SKCSL Skeletal and Connective, Super Low I840_8 843 SPRAIN OF HIP & THIGH* 93,607 SKCSL Skeletal and Connective, Super Low I840_8 844 SPRAIN OF KNEE & LEG* 93,607 SKCSL Skeletal and Connective, Super Low I840_8 845 SPRAIN OF ANKLE & FOOT* 93,607 SKCSL Skeletal and Connective, Super Low I840_8 846 SPRAIN SACROILIAC REGION* 93,607 SKCSL Skeletal and Connective, Super Low I840_8 847 SPRAIN OF BACK NEC/NOS* 93,607 SKCSL Skeletal and Connective, Super Low I840_8 848 SPRAIN NEC* 93,607 SKCSL Skeletal and Connective, Super Low I905 905 LATE EFF MUSCULOSKEL INJ* 2,081 SKCSL Skeletal and Connective, Super Low I908 908 LATE EFF INJURY NEC/NOS* 403 SKCSL Skeletal and Connective, Super Low I909 909 LATE EFF EXTER CAUSE NEC* 596 SKCSL Skeletal and Connective, Super Low I925_9 925 CRUSH INJ FACE/SCALP/NCK* 1,143 SKCSL Skeletal and Connective, Super Low I925_9 926 CRUSHING INJURY OF TRUNK* 1,143 SKCSL Skeletal and Connective, Super Low I925_9 927 CRUSHING INJ UPPER LIMB* 1,143 SKCSL Skeletal and Connective, Super Low I925_9 928 CRUSHING INJURY OF LEG* 1,143 SKCSL Skeletal and Connective, Super Low I925_9 929 CRUSH INJ MULT/UNSP SITE* 1,143 SKCSL Skeletal and Connective, Super Low I958_9 958 EARLY COMPLIC OF TRAUMA* 59,821 SKCSL Skeletal and Connective, Super Low I958_9 959 INJURY NEC/NOS* 59,821 SKCNWD Skeletal and Connective, Not Well Defined I715 715 OSTEOARTHROSIS ET AL* 263,157 SKCNWD Skeletal and Connective, Not Well Defined I715_6 716 ARTHROPATHIES NEC/NOS* 102,382 SKCNWD Skeletal and Connective, Not Well Defined I719X 719 JOINT DISORDER NEC & NOS* 190,376

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

SKCNWD Skeletal and Connective, Not Well Defined I719X 7190 EFFUSION OF JOINT* 190,376 SKCNWD Skeletal and Connective, Not Well Defined I719X 7192 VILLONODULAR SYNOVITIS* 190,376 SKCNWD Skeletal and Connective, Not Well Defined I719X 7193 PALINDROMIC RHEUMATISM* 190,376 SKCNWD Skeletal and Connective, Not Well Defined I719X 7194 PAIN IN JOINT* 190,376 SKCNWD Skeletal and Connective, Not Well Defined I719X 7195 STIFFNESS OF JOINT NEC* 190,376 SKCNWD Skeletal and Connective, Not Well Defined I719X 7196 JOINT SYMPTOMS NEC* 190,376 SKCNWD Skeletal and Connective, Not Well Defined I719X 7197 DIFFICULTY IN WALKING* 190,376 SKCNWD Skeletal and Connective, Not Well Defined I719X 7198 JOINT DISORDERS NEC* 190,376 SKCNWD Skeletal and Connective, Not Well Defined I719X 7199 JOINT DISORDER NOS* 190,376 SKCNWD Skeletal and Connective, Not Well Defined I723 723 OTHER CERVICAL SPINE DIS* 52,241 SKCNWD Skeletal and Connective, Not Well Defined I724 724 BACK DISORDER NEC & NOS* 173,030 SKCNWD Skeletal and Connective, Not Well Defined I729 729 OTHER SOFT TISSUE DIS* 159,393 SKCNWD Skeletal and Connective, Not Well Defined I739 739 SOMATIC DYSFUNCTION* 39,147 CNSH Nervous System, High I3341 3341 HERED SPASTIC PARAPLEGIA 2,053 CNSH Nervous System, High I3352 3352 MOTOR NEURON DISEASE* 529 CNSH Nervous System, High I3440 3440 QUADRIPLEGIA NOS* 1,616 CNSH Nervous System, High I3341 3441 PARAPLEGIA NOS 2,053 CNSPRH Nervous System, Peripheral, High I356 356 HERED PERIPH NEUROPATHY* 16,854 CNSPRH Nervous System, Peripheral, High I358 357 INFLAM/TOXIC NEUROPATHY* 11,178 CNSPRH Nervous System, Peripheral, High I358 358 MYONEURAL DISORDERS* 11,178 CNSPRL Nervous System, Peripheral, Low I3501 3501 TRIGEMINAL NEURALGIA 2,523 CNSPRL Nervous System, Peripheral, Low I353 353 NERVE ROOT/PLEXUS DIS* 8,965 CNSPRL Nervous System, Peripheral, Low I355 355 MONONEURITIS LEG* 18,106 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others I330 330 CEREBRAL DEGEN IN CHILD* 200 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others I3340 3340 FRIEDREICH'S ATAXIA 115 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others I3342 3342 PRIMARY CEREBELLAR DEGEN 210 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others I3350 3350 WERDNIG-HOFFMANN DISEASE 8 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others I3351 3351 SPINAL MUSCULAR ATROPHY* 58 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others I336 336 SPINAL CORD DISEASE NEC* 2,083 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others I340 340 MULTIPLE SCLEROSIS 3,720 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others I3432 3432 CONGENITAL QUADRIPLEGIA 278 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others I3446 3446 CAUDA EQUINA SYNDROME* 4,579 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others I3482 3482 PSEUDOTUMOR CEREBRI 153 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others I359 359 MUSCULAR DYSTROPHIES* 1,890 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others I9962_7 9962 MALFUN NEURO DEVICE/GRAF 313 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others I9962_7 99663 REACT-NERV SYS DEV/GRAFT 313 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others I9962_7 99675 COMP-NERV SYS DEV/GRAFT 313 CNSPRK Nervous System, Parkinson's Disease I332 332 PARKINSON'S DISEASE* 18,494 CNSCON Nervous System, Convulsions and Epilepsy I345 345 EPILEPSY* 11,331 CNSCON Nervous System, Convulsions and Epilepsy I7803 7803 CONVULSIONS* 31,628 CNSOTH Nervous System, Other I090_7 090 CONGENITAL SYPHILIS* 1,646 CNSOTH Nervous System, Other I090_7 091 EARLY SYMPTOMATIC SYPHIL* 1,646 CNSOTH Nervous System, Other I090_7 092 EARLY SYPHILIS LATENT* 1,646 CNSOTH Nervous System, Other I090_7 093 CARDIOVASCULAR SYPHILIS* 1,646 CNSOTH Nervous System, Other I090_7 094 NEUROSYPHILIS* 1,646 CNSOTH Nervous System, Other I090_7 095 OTH LATE SYMPT SYPHILIS* 1,646 CNSOTH Nervous System, Other I090_7 096 LATE SYPHILIS LATENT 1,646 CNSOTH Nervous System, Other I090_7 097 OTH & UNSPEC SYPHILIS* 1,646 CNSOTH Nervous System, Other I784X 315 SPECIFIC DEVELOP DELAYS* 3,432 CNSOTH Nervous System, Other I320 320 BACTERIAL MENINGITIS* 209 CNSOTH Nervous System, Other I323 323 ENCEPHALOMYELITIS* 556 CNSOTH Nervous System, Other I333 333 EXTRAPYRAMIDAL DIS NEC* 11,140 CNSOTH Nervous System, Other I334X 334 SPINOCEREBELLAR DISEASE* 1,036 CNSOTH Nervous System, Other I334X 3343 CEREBELLAR ATAXIA NEC 1,036 CNSOTH Nervous System, Other I334X 3344 CEREBEL ATAX IN OTH DIS 1,036 CNSOTH Nervous System, Other I334X 3348 SPINOCEREBELLAR DIS NEC 1,036 CNSOTH Nervous System, Other I334X 3349 SPINOCEREBELLAR DIS NOS 1,036 CNSOTH Nervous System, Other I335X 335 ANT HORN CELL DISEASE* 96 CNSOTH Nervous System, Other I335X 3358 ANT HORN CELL DIS NEC 96 CNSOTH Nervous System, Other I335X 3359 ANT HORN CELL DIS NOS 96 CNSOTH Nervous System, Other I337 337 AUTONOMIC NERVE DISORDER* 4,131 CNSOTH Nervous System, Other I343X 343 INFANTILE CEREBRAL PALSY* 2,303 CNSOTH Nervous System, Other I343X 3430 CONGENITAL DIPLEGIA 2,303 CNSOTH Nervous System, Other I343X 3431 CONGENITAL HEMIPLEGIA 2,303 CNSOTH Nervous System, Other I343X 3433 CONGENITAL MONOPLEGIA 2,303 CNSOTH Nervous System, Other I343X 3434 INFANTILE HEMIPLEGIA 2,303 CNSOTH Nervous System, Other I343X 3438 CEREBRAL PALSY NEC 2,303 CNSOTH Nervous System, Other I343X 3439 CEREBRAL PALSY NOS 2,303 CNSOTH Nervous System, Other I344X 344 OTH PARALYTIC SYNDROMES* 2,696 CNSOTH Nervous System, Other I344X 3442 DIPLEGIA OF UPPER LIMBS 2,696 CNSOTH Nervous System, Other I344X 3443 MONOPLEGIA OF LOWER LIMB* 2,696 CNSOTH Nervous System, Other I344X 3444 MONOPLEGIA OF UPPER LIMB* 2,696 CNSOTH Nervous System, Other I344X 3445 MONOPLEGIA NOS 2,696 CNSOTH Nervous System, Other I344X 3448 PARALYTIC SYNDROMES NEC* 2,696 CNSOTH Nervous System, Other I344X 3449 PARALYSIS NOS 2,696 CNSOTH Nervous System, Other I347 347 CATAPLEXY AND NARCOLEPSY 486 CNSOTH Nervous System, Other I3481 3481 ANOXIC BRAIN DAMAGE 676 CNSOTH Nervous System, Other I348X 3484 COMPRESSION OF BRAIN 6,297 CNSOTH Nervous System, Other I348X 3485 CEREBRAL EDEMA 6,297 CNSOTH Nervous System, Other I740_1 740 ANENCEPHALUS/SIMIL ANOM* 412 CNSOTH Nervous System, Other I740_1 741 SPINA BIFIDA* 412 CNSOTH Nervous System, Other I742X 742 OTH NERVOUS SYSTEM ANOM* 471 CNSOTH Nervous System, Other I7420 7420 ENCEPHALOCELE 56 CNSOTH Nervous System, Other I7421 7421 MICROCEPHALUS 51 CNSOTH Nervous System, Other I7422 7422 REDUCTION DEFORM, BRAIN 144 CNSOTH Nervous System, Other I7423 7423 CONGENITAL HYDROCEPHALUS 224 CNSOTH Nervous System, Other I7424 7424 BRAIN ANOMALY NEC 345 CNSOTH Nervous System, Other I7425 7425 SPINAL CORD ANOMALY NEC* 533 CNSOTH Nervous System, Other I742X 7428 NERVOUS SYSTEM ANOM NEC 471 CNSOTH Nervous System, Other I742X 7429 NERVOUS SYSTEM ANOM NOS 471

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

CNSOTH Nervous System, Other ICOMA 7800 COMA AND STUPOR* 1,981 CNSOTH Nervous System, Other ICOMA 78001 COMA 1,981 CNSOTH Nervous System, Other ICOMA 78003 PERSISTENT VEGTV STATE 1,981 CNSOTH Nervous System, Other I78051_3 78051 INSOMNIA W SLEEP APNEA 3,395 CNSOTH Nervous System, Other I78051_3 78053 HYPERSOMNI W SLEEP APNEA 3,395 CNSOTH Nervous System, Other I806X 806 VERTEBRAL FX W CORD INJ* 129 CNSOTH Nervous System, Other I8060_1 8060 CLOS CERV FX W CORD INJ* 297 CNSOTH Nervous System, Other I8060_1 8061 OPEN CERV FX W CORD INJ* 297 CNSOTH Nervous System, Other I8062_3 8062 CL DORSAL FX W CORD INJ* 546 CNSOTH Nervous System, Other I8062_3 8063 OPN DORSAL FX W CORD INJ* 546 CNSOTH Nervous System, Other I8064_5 8064 CL LUMBAR FX W CORD INJ 354 CNSOTH Nervous System, Other I8064_5 8065 OPN LUMBAR FX W CORD INJ 354 CNSOTH Nervous System, Other I8066_7 8066 FX SACRUM-CL W CORD INJ* 36 CNSOTH Nervous System, Other I8066_7 8067 FX SACRUM-OPN W CORD INJ* 36 CNSOTH Nervous System, Other I806X 8068 VERT FX NOS-CL W CRD INJ 129 CNSOTH Nervous System, Other I806X 8069 VERT FX NOS-OP W CRD INJ 129 CNSSL Nervous System, Super Low I324_6 324 CNS ABSCESS* 399 CNSSL Nervous System, Super Low I324_6 325 PHLEBITIS INTRCRAN SINUS 399 CNSSL Nervous System, Super Low I324_6 326 LATE EFF CNS ABSCESS 399 CNSSL Nervous System, Super Low I346 346 MIGRAINE* 12,674 CNSSL Nervous System, Super Low I350X 350 TRIGEMINAL NERV DISORDER* 1,029 CNSSL Nervous System, Super Low I350X 3502 ATYPICAL FACE PAIN 1,029 CNSSL Nervous System, Super Low I350X 3508 TRIGEMINAL NERVE DIS NEC 1,029 CNSSL Nervous System, Super Low I350X 3509 TRIGEMINAL NERVE DIS NOS 1,029 CNSSL Nervous System, Super Low I353 351 FACIAL NERVE DISORDERS* 8,965 CNSSL Nervous System, Super Low I353 352 DISORDER CRAN NERVE NEC* 8,965 CNSSL Nervous System, Super Low I354 354 MONONEURITIS UPPER LIMB* 17,755 CNSSL Nervous System, Super Low I7804 7804 DIZZINESS AND GIDDINESS 84,781 CNSSL Nervous System, Super Low I7805X 7805 SLEEP DISTURBANCES* 22,780 CNSSL Nervous System, Super Low I7805X 78050 SLEEP DISTURBANCE NOS 22,780 CNSSL Nervous System, Super Low I7805X 78052 INSOMNIA NEC 22,780 CNSSL Nervous System, Super Low I7805X 78054 HYPERSOMNIA NEC 22,780 CNSSL Nervous System, Super Low I7805X 78055 IRREG SLEEP-WAKE RHY NOS 22,780 CNSSL Nervous System, Super Low I7805X 78056 SLEEP STAGE DYSFUNCTIONS 22,780 CNSSL Nervous System, Super Low I7805X 78057 OTH UNSPCF SLEEP APNEA 22,780 CNSSL Nervous System, Super Low I7805X 78059 SLEEP DISTURBANCES NEC 22,780 CNSSL Nervous System, Super Low I7808 7808 HYPERHIDROSIS 3,334 CNSSL Nervous System, Super Low I850_1 850 CONCUSSION* 2,932 CNSSL Nervous System, Super Low I850_1 851 CEREBRAL LACER/CONTUSION* 2,932 CNSSL Nervous System, Super Low I852_3 852 MENINGEAL HEM FOLLOW INJ* 2,139 CNSSL Nervous System, Super Low I852_3 853 OTH TRAUMATIC BRAIN HEM* 2,139 CNSSL Nervous System, Super Low I854 854 OTHER BRAIN INJURY* 9,747 CNSSL Nervous System, Super Low I907 907 LATE EFF NERV SYSTEM INJ* 979 CNSSL Nervous System, Super Low I950_1 950 INJ OPTIC NERV/PATHWAYS* 256 CNSSL Nervous System, Super Low I950_1 951 CRANIAL NERVE INJURY NEC* 256 CNSSL Nervous System, Super Low I953 953 INJ NERVE ROOT/SPIN PLEX* 636 CNSSL Nervous System, Super Low I954 954 INJURY OTH TRUNK NERVE* 34 CNSSL Nervous System, Super Low I956_7 956 INJ PERIPH NERV PELV/LEG* 910 CNSSL Nervous System, Super Low I956_7 957 INJURY TO NERVE NEC/NOS* 910 CNSNWD Nervous System, Not Well Defined I321X 321 OTH ORGANISM MENINGITIS* 47 CNSNWD Nervous System, Not Well Defined I321X 3211 MENING IN OTH FUNGAL DIS 47 CNSNWD Nervous System, Not Well Defined I321X 3212 MENING IN OTH VIRAL DIS 47 CNSNWD Nervous System, Not Well Defined I321X 3213 TRYPANOSOMIASIS MENINGIT 47 CNSNWD Nervous System, Not Well Defined I321X 3214 MENINGIT D/T SARCOIDOSIS 47 CNSNWD Nervous System, Not Well Defined I321X 3218 MENING IN OTH NONBAC DIS 47 CNSNWD Nervous System, Not Well Defined I322 322 MENINGITIS, UNSPECIFIED* 971 CNSNWD Nervous System, Not Well Defined I341 341 OTHER CNS DEMYELINATION* 541 CNSNWD Nervous System, Not Well Defined I348X 348 OTHER BRAIN CONDITIONS* 6,297 CNSNWD Nervous System, Not Well Defined I348X 3480 CEREBRAL CYSTS 6,297 CNSNWD Nervous System, Not Well Defined I3483 3483 ENCEPHALOPATHY NOS 5,028 CNSNWD Nervous System, Not Well Defined I348X 3488 BRAIN CONDITIONS NEC 6,297 CNSNWD Nervous System, Not Well Defined I348X 3489 BRAIN CONDITION NOS 6,297 CNSNWD Nervous System, Not Well Defined I349 349 CNS DISORDER NEC/NOS* 2,296 CNSNWD Nervous System, Not Well Defined I780X 780 GENERAL SYMPTOMS* 26,844 CNSNWD Nervous System, Not Well Defined I78002 78002 TRANS ALTER AWARENESS 2,965 CNSNWD Nervous System, Not Well Defined I78009 78009 OTHER ALTER CONSCIOUSNES 6,295 CNSNWD Nervous System, Not Well Defined I7802 7802 SYNCOPE AND COLLAPSE 45,845 CNSNWD Nervous System, Not Well Defined I7807 7807 MALAISE AND FATIGUE 99,689 CNSNWD Nervous System, Not Well Defined I780X 7809 GENERAL SYMPTOMS NEC 26,844 CNSNWD Nervous System, Not Well Defined I781X 781 NERV/MUSCULSKEL SYS SYMP* 2,812 CNSNWD Nervous System, Not Well Defined I7810 7810 ABN INVOLUN MOVEMENT NEC 30,381 CNSNWD Nervous System, Not Well Defined I7810 7811 SMELL & TASTE DISTURB 30,381 CNSNWD Nervous System, Not Well Defined I7810 7812 ABNORMALITY OF GAIT 30,381 CNSNWD Nervous System, Not Well Defined I7810 7813 LACK OF COORDINATION 30,381 CNSNWD Nervous System, Not Well Defined I7810 7814 TRANSIENT LIMB PARALYSIS 30,381 CNSNWD Nervous System, Not Well Defined I7815 7815 CLUBBING OF FINGERS 34 CNSNWD Nervous System, Not Well Defined I7810 7816 MENINGISMUS 30,381 CNSNWD Nervous System, Not Well Defined I7810 7817 TETANY 30,381 CNSNWD Nervous System, Not Well Defined I7810 7818 NEUROLOGIC NEGLECT SYNDR 30,381 CNSNWD Nervous System, Not Well Defined I781X 7819 NERV/MUSCULSKEL SYM NEC 2,812 CNSNWD Nervous System, Not Well Defined I784X 784 SYMPTOMS INVOL HEAD/NECK* 3,432 CNSNWD Nervous System, Not Well Defined I7840 7840 HEADACHE 57,713 CNSNWD Nervous System, Not Well Defined I784X 7849 SYMP INVOL HEAD/NECK NEC 3,432 CNSNWD Nervous System, Not Well Defined I797 797 SENILITY W/O PSYCHOSIS 1,960 CNSNWD Nervous System, Not Well Defined I799X 799 OTH ILL-DEF MORBID/MORTL* 40,836 CNSNWD Nervous System, Not Well Defined I799X 7990 ASPHYXIA 40,836 CNSNWD Nervous System, Not Well Defined I799X 7992 NERVOUSNESS 40,836 CNSNWD Nervous System, Not Well Defined I799X 7993 DEBILITY NOS 40,836 CNSNWD Nervous System, Not Well Defined I799X 7998 ILL-DEFINE CONDITION NEC 40,836 CNSNWD Nervous System, Not Well Defined I799X 7999 UNKN CAUSE MORB/MORT NEC 40,836

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

CNSNWD Nervous System, Not Well Defined I952 952 SPINAL CORD INJ W/O FX* 1,615 CNSNWD Nervous System, Not Well Defined I955 955 INJ PERIPH NERV SHLD/ARM* 687 CNSNWD Nervous System, Not Well Defined IV530 V530 ADJUST NERV SYST DEVICE* 98 DADDLR Delirium and Dementia, Delirium I2930_1 2930 ACUTE DELIRIUM 6,286 DADDLR Delirium and Dementia, Delirium I2930_1 2931 SUBACUTE DELIRIUM 6,286 DADDLR Delirium and Dementia, Delirium I2938X 2938 OTH TRANSIENT ORG MENTAL* 1,378 DADDLR Delirium and Dementia, Delirium I2938X 29381 ORGANIC DELUSIONAL SYND 1,378 DADDLR Delirium and Dementia, Delirium I2938X 29382 ORGANIC HALLUCINOSIS SYN 1,378 DADDLR Delirium and Dementia, Delirium I29383 29383 ORGANIC AFFECTIVE SYND 2,393 DADDLR Delirium and Dementia, Delirium I2938X 29384 ORGANIC ANXIETY SYNDROME 1,378 DADDLR Delirium and Dementia, Delirium I2938X 29389 TRANSIENT ORG MENTAL NEC 1,378 DADDLR Delirium and Dementia, Delirium I7801 7801 HALLUCINATIONS 1,805 DADDEM Delirium and Dementia, Dementia I290 290 SENILE/PRESENILE PSYCHOS* 48,312 DADDEM Delirium and Dementia, Dementia I2901 2941 DEMENTIA IN OTH DISEASES 4,368 DADDEM Delirium and Dementia, Dementia I331X 331 CEREBRAL DEGENERATION* 15,905 DADDEM Delirium and Dementia, Dementia I290 3310 ALZHEIMER'S DISEASE 48,312 DADDEM Delirium and Dementia, Dementia I290 3311 PICK'S DISEASE 48,312 DADDEM Delirium and Dementia, Dementia I290 3312 SENILE DEGENERAT BRAIN 48,312 DADDEM Delirium and Dementia, Dementia I331X 3313 COMMUNICAT HYDROCEPHALUS 15,905 DADDEM Delirium and Dementia, Dementia I331X 3314 OBSTRUCTIV HYDROCEPHALUS 15,905 DADDEM Delirium and Dementia, Dementia I331X 3317 CEREB DEGEN IN OTH DIS 15,905 DADDEM Delirium and Dementia, Dementia I331X 3318 CEREB DEGENERATION NEC* 15,905 DADDEM Delirium and Dementia, Dementia I331X 3319 CEREB DEGENERATION NOS 15,905 PULH Pulmonary, High I2770 2770 CYSTIC FIBROSIS* 494 PULH Pulmonary, High I51881 51881 RESPIRATORY FAILURE 11,355 PULH Pulmonary, High I51882 51882 OTHER PULMONARY INSUFF 6,023 PULH Pulmonary, High I5190 5190 TRACHEOSTOMY COMPLIC 462 PULH Pulmonary, High I99684 99684 COMPL LUNG TRANSPLANT 101 PULH Pulmonary, High I99684 V426 LUNG TRANSPLANT STATUS 101 PULH Pulmonary, High IV440 V440 TRACHEOSTOMY STATUS 592 PULH Pulmonary, High IV46X V460 DEPENDENCE ON ASPIRATOR 77 PULH Pulmonary, High IV461 V461 DEPENDENCE ON RESPIRATOR 446 PULH Pulmonary, High IV550 V550 ATTEN TO TRACHEOSTOMY 300 PULH Pulmonary, High I7991 7991 RESPIRATORY ARREST 2,193 PULM Pulmonary, Medium I135 135 SARCOIDOSIS 1,010 PULM Pulmonary, Medium I415X 415 ACUTE PULMONARY HRT DIS* 5,656 PULM Pulmonary, Medium I4150 4150 ACUTE COR PULMONALE 1,169 PULM Pulmonary, Medium I415X 4151 PULMON EMBOLISM/INFARCT* 5,656 PULM Pulmonary, Medium I416X_7 416 CHR PULMONARY HEART DIS* 7,538 PULM Pulmonary, Medium I4160 4160 PRIM PULM HYPERTENSION 5,840 PULM Pulmonary, Medium I416X_7 4161 KYPHOSCOLIOTIC HEART DIS 7,538 PULM Pulmonary, Medium I416X_7 4168 CHR PULMON HEART DIS NEC 7,538 PULM Pulmonary, Medium I416X_7 4169 CHR PULMON HEART DIS NOS 7,538 PULM Pulmonary, Medium I416X_7 417 OTH PULMON CIRCULAT DIS* 7,538 PULM Pulmonary, Medium I476 476 CHR LARYNG/LARYNGOTRACH* 2,327 PULM Pulmonary, Medium I494 494 BRONCHIECTASIS 3,047 PULM Pulmonary, Medium I515 515 POSTINFLAM PULM FIBROSIS 14,381 PULM Pulmonary, Medium I5163 5163 IDIO FIBROS ALVEOLITIS 2,134 PULM Pulmonary, Medium I5183 5183 PULMONARY EOSINOPHILIA 16,702 PULM Pulmonary, Medium I5184 5184 ACUTE LUNG EDEMA NOS 4,093 PULM Pulmonary, Medium I7866 7866 CHEST SWELLING/MASS/LUMP 11,696 PULM Pulmonary, Medium I934 934 FB TRACHEA/BRONCHUS/LUNG* 729 PULPNH Pulmonary, Pneumonia, High I4820_2 4820 K. PNEUMONIAE PNEUMONIA 3,204 PULPNH Pulmonary, Pneumonia, High I4820_2 4821 PSEUDOMONAL PNEUMONIA 3,204 PULPNH Pulmonary, Pneumonia, High I4820_2 4822 H.INFLUENZAE PNEUMONIA 3,204 PULPNH Pulmonary, Pneumonia, High I4824_8 4824 STAPHYLOCOCCAL PNEUMONIA 4,770 PULPNH Pulmonary, Pneumonia, High I4824_8 4828 BACTERIAL PNEUMONIA NEC* 4,770 PULPNH Pulmonary, Pneumonia, High I507 507 SOLID/LIQ PNEUMONITIS* 4,732 PULPNL Pulmonary, Pneumonia, Low I480 480 VIRAL PNEUMONIA* 68,956 PULPNL Pulmonary, Pneumonia, Low I481 481 PNEUMOCOCCAL PNEUMONIA 4,272 PULPNL Pulmonary, Pneumonia, Low I482X 482 OTH BACTERIAL PNEUMONIA* 6,048 PULPNL Pulmonary, Pneumonia, Low I482X 4823 STREPTOCOCCAL PNEUMONIA* 6,048 PULPNL Pulmonary, Pneumonia, Low I482X 4829 BACTERIAL PNEUMONIA NOS 6,048 PULPNL Pulmonary, Pneumonia, Low I480 483 PNEUMONIA: ORGANISM NEC* 68,956 PULPNL Pulmonary, Pneumonia, Low I480 484 PNEUM IN OTH INFEC DIS* 68,956 PULPNL Pulmonary, Pneumonia, Low I480 485 BRONCHOPNEUMONIA ORG NOS 68,956 PULPNL Pulmonary, Pneumonia, Low I480 486 PNEUMONIA, ORGANISM NOS 68,956 PULPNL Pulmonary, Pneumonia, Low I511 511 PLEURISY* 28,469 PULCOD Pulmonary, Chronic Obstructive Disease, High I491X 491 CHRONIC BRONCHITIS* 16,018 PULCOD Pulmonary, Chronic Obstructive Disease, High I491X 4910 SIMPLE CHR BRONCHITIS 16,018 PULCOD Pulmonary, Chronic Obstructive Disease, High I491X 4911 MUCOPURUL CHR BRONCHITIS 16,018 PULCOD Pulmonary, Chronic Obstructive Disease, High I4912 4912 OBSTRUCT CHR BRONCHITIS* 39,027 PULCOD Pulmonary, Chronic Obstructive Disease, High I491X 4918 CHRONIC BRONCHITIS NEC 16,018 PULCOD Pulmonary, Chronic Obstructive Disease, High I491X 4919 CHRONIC BRONCHITIS NOS 16,018 PULCOD Pulmonary, Chronic Obstructive Disease, High I492 492 EMPHYSEMA* 27,120 PULCOD Pulmonary, Chronic Obstructive Disease, High I4932 4932 CHRONIC OBSTRUCTIVE ASTH 11,175 PULCOD Pulmonary, Chronic Obstructive Disease, High I496 496 CHR AIRWAY OBSTRUCT NEC 134,342 PULCOD Pulmonary, Chronic Obstructive Disease, High I5181 5181 INTERSTITIAL EMPHYSEMA 524 PULCOD Pulmonary, Chronic Obstructive Disease, High I5182 5182 COMPENSATORY EMPHYSEMA 132 PULAST Pulmonary, Low I493X 493 ASTHMA* 55,000 PULAST Pulmonary, Low I493X 4930 EXTRINSIC ASTHMA* 55,000 PULAST Pulmonary, Low I493X 4931 INTRINSIC ASTHMA* 55,000 PULAST Pulmonary, Low I493X 4939 ASTHMA NOS* 55,000 PULSL Pulmonary, Super Low I137 137 LATE EFFECT TUBERCULOSIS* 252 PULSL Pulmonary, Super Low I460 460 ACUTE NASOPHARYNGITIS 10,207 PULSL Pulmonary, Super Low I461 461 ACUTE SINUSITIS* 62,704 PULSL Pulmonary, Super Low I462 462 ACUTE PHARYNGITIS 39,555 PULSL Pulmonary, Super Low I463 463 ACUTE TONSILLITIS 2,245 PULSL Pulmonary, Super Low I464 464 AC LARYNGITIS/TRACHEITIS* 8,640 PULSL Pulmonary, Super Low I465 465 AC URI MULT SITES/NOS* 99,253

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

PULSL Pulmonary, Super Low I466 466 AC BRONCHITIS/BRONCHIOL* 165,971 PULSL Pulmonary, Super Low I470 470 DEVIATED NASAL SEPTUM 6,077 PULSL Pulmonary, Super Low I471 471 NASAL POLYPS* 2,824 PULSL Pulmonary, Super Low I472 472 CHR PHARYNG/NASOPHARYNG* 17,749 PULSL Pulmonary, Super Low I473 473 CHRONIC SINUSITIS* 49,206 PULSL Pulmonary, Super Low I474 474 CHR T & A DIS* 881 PULSL Pulmonary, Super Low I475 475 PERITONSILLAR ABSCESS 129 PULSL Pulmonary, Super Low I477 477 ALLERGIC RHINITIS* 64,255 PULSL Pulmonary, Super Low I487 487 INFLUENZA* 18,120 PULSL Pulmonary, Super Low I466 490 BRONCHITIS NOS 165,971 PULSL Pulmonary, Super Low I495 495 EXT ALLERGIC ALVEOLITIS* 535 PULSL Pulmonary, Super Low I500_6 500 COAL WORKERS' PNEUMOCON 2,554 PULSL Pulmonary, Super Low I500_6 501 ASBESTOSIS 2,554 PULSL Pulmonary, Super Low I500_6 502 SILICA PNEUMOCON NEC 2,554 PULSL Pulmonary, Super Low I500_6 503 INORG DUST PNEUMOCON NEC 2,554 PULSL Pulmonary, Super Low I500_6 504 DUST PNEUMONOPATHY NEC 2,554 PULSL Pulmonary, Super Low I500_6 505 PNEUMOCONIOSIS NOS 2,554 PULSL Pulmonary, Super Low I500_6 506 FUM/VAPOR RESP DISEASES* 2,554 PULSL Pulmonary, Super Low I508 508 RESP COND D/T EXT AGENT* 472 PULSL Pulmonary, Super Low I510 510 EMPYEMA* 876 PULSL Pulmonary, Super Low I512 512 PNEUMOTHORAX* 3,934 PULSL Pulmonary, Super Low I513 513 LUNG/MEDIASTINUM ABSCESS* 419 PULSL Pulmonary, Super Low I516X 516 OTH ALVEOL PNEUMONOPATHY* 628 PULSL Pulmonary, Super Low I516X 5160 PUL ALVEOLAR PROTEINOSIS 628 PULSL Pulmonary, Super Low I516X 5161 IDIO PULM HEMOSIDEROSIS 628 PULSL Pulmonary, Super Low I516X 5162 PULM ALVEOLAR MICROLITH 628 PULSL Pulmonary, Super Low I516X 5168 ALVEOL PNEUMONOPATHY NEC 628 PULSL Pulmonary, Super Low I516X 5169 ALVEOL PNEUMONOPATHY NOS 628 PULSL Pulmonary, Super Low I5180 5180 PULMONARY COLLAPSE 22,094 PULSL Pulmonary, Super Low I5191 5191 TRACHEA/BRONCHUS DIS NEC 7,026 PULSL Pulmonary, Super Low I7841 7841 THROAT PAIN 2,010 PULSL Pulmonary, Super Low I7861 7861 STRIDOR 420 PULSL Pulmonary, Super Low I7862 7862 COUGH 73,428 PULSL Pulmonary, Super Low I7864 7864 ABNORMAL SPUTUM 793 PULSL Pulmonary, Super Low I7868 7868 HICCOUGH 556 PULSL Pulmonary, Super Low I862 860 TRAUM PNEUMOHEMOTHORAX* 1,785 PULSL Pulmonary, Super Low I862 861 HEART & LUNG INJURY* 1,785 PULSL Pulmonary, Super Low I862 862 INTRATHORACIC INJURY NEC* 1,785 PULSL Pulmonary, Super Low I932 932 FOREIGN BODY IN NOSE 96 PULNWD Pulmonary, Not Well Defined I478 478 OTH UPPR RESPIRATORY DIS* 16,207 PULNWD Pulmonary, Not Well Defined I514 514 PULM CONGEST/HYPOSTASIS 20,004 PULNWD Pulmonary, Not Well Defined I517 517 LUNG INVOLV W OTH COND* 411 PULNWD Pulmonary, Not Well Defined I518X 518 OTHER LUNG DISEASES* 26,914 PULNWD Pulmonary, Not Well Defined I518X 51889 OTHER LUNG DISEASE NEC 26,914 PULNWD Pulmonary, Not Well Defined I519X 519 OTH RESP SYSTEM DISEASES* 10,418 PULNWD Pulmonary, Not Well Defined I519X 5198 RESP SYSTEM DISEASE NEC 10,418 PULNWD Pulmonary, Not Well Defined I519X 5199 RESP SYSTEM DISEASE NOS 10,418 PULNWD Pulmonary, Not Well Defined I786X 786 RESP SYS/OTH CHEST SYMP* 13,812 PULNWD Pulmonary, Not Well Defined I7860 7860 DYSPNEA/RESPIRATORY ABN* 141,361 PULNWD Pulmonary, Not Well Defined I7865 7865 CHEST PAIN* 246,889 PULNWD Pulmonary, Not Well Defined I7867 7867 ABNORMAL CHEST SOUNDS 4,463 PULNWD Pulmonary, Not Well Defined I786X 7869 RESP SYS/CHEST SYMP NEC 13,812 PULNWD Pulmonary, Not Well Defined IV46X V46 OTHER MACHINE DEPENDENCE* 77 PULNWD Pulmonary, Not Well Defined IV46X V468 MACHINE DEPENDENCE NEC 77 PULNWD Pulmonary, Not Well Defined IV46X V469 MACHINE DEPENDENCE NOS 77 PULEXC Pulmonary, Extra Low Cost I5185 5185 POST TRAUM PULM INSUFFIC 2,792 PULEXC Pulmonary, Extra Low Cost I5186 5186 ALRGC BRNCPUL ASPRGLOSIS 1 PULEXC Pulmonary, Extra Low Cost I5192_4 5192 MEDIASTINITIS 508 PULEXC Pulmonary, Extra Low Cost I5192_4 5193 MEDIASTINUM DISEASE NEC 508 PULEXC Pulmonary, Extra Low Cost I5192_4 5194 DISORDERS OF DIAPHRAGM 508 PULEXC Pulmonary, Extra Low Cost I748 748 RESPIRATORY SYST ANOMALY* 764 PULEXC Pulmonary, Extra Low Cost I7863 7863 HEMOPTYSIS 5,200 GIH Gastrointestinal, High I4560_2 4560 ESOPHAG VARICES W BLEED 983 GIH Gastrointestinal, High I4560_2 4561 ESOPH VARICES W/O BLEED 983 GIH Gastrointestinal, High I4560_2 4562 ESOPH VARICES IN OTH DIS* 983 GIH Gastrointestinal, High I567 567 PERITONITIS* 1,886 GIH Gastrointestinal, High I56981 56981 INTESTINAL FISTULA 524 GIH Gastrointestinal, High I5722 5722 HEPATIC COMA 482 GIH Gastrointestinal, High I5723 5723 PORTAL HYPERTENSION 534 GIH Gastrointestinal, High I5730 5730 CHR PASSIV CONGEST LIVER 266 GIH Gastrointestinal, High I7895 7895 ASCITES 3,345 GIH Gastrointestinal, High I99682 99682 COMPL LIVER TRANSPLANT 233 GIH Gastrointestinal, High I99682 V427 LIVER TRANSPLANT STATUS 233 GIOS Gastrointestinal, Ostomy I5696 5696 ENTEROSTOMY MALFUNCTION* 1,109 GIOS Gastrointestinal, Ostomy IV441_4 V441 GASTROSTOMY STATUS 3,597 GIOS Gastrointestinal, Ostomy IV441_4 V442 ILEOSTOMY STATUS 3,597 GIOS Gastrointestinal, Ostomy IV441_4 V443 COLOSTOMY STATUS 3,597 GIOS Gastrointestinal, Ostomy IV441_4 V444 ENTEROSTOMY STATUS NEC 3,597 GIOS Gastrointestinal, Ostomy IV551_4 V551 ATTEN TO GASTROSTOMY 2,400 GIOS Gastrointestinal, Ostomy IV551_4 V552 ATTEN TO ILEOSTOMY 2,400 GIOS Gastrointestinal, Ostomy IV551_4 V553 ATTEN TO COLOSTOMY 2,400 GIOS Gastrointestinal, Ostomy IV551_4 V554 ATTEN TO ENTEROSTOMY NEC 2,400 GIM Gastrointestinal, Medium I5304 5304 PERFORATION OF ESOPHAGUS 124 GIM Gastrointestinal, Medium I535X1 53501 ACUTE GASTRITIS W HMRHG 4,206 GIM Gastrointestinal, Medium I535X1 53511 ATRPH GASTRITIS W HMRHG 4,206 GIM Gastrointestinal, Medium I535X1 53521 GSTR MCSL HYPRT W HMRG 4,206 GIM Gastrointestinal, Medium I535X1 53531 ALCHL GSTRITIS W HMRHG 4,206 GIM Gastrointestinal, Medium I535X1 53541 OTH SPF GASTRT W HMRHG 4,206 GIM Gastrointestinal, Medium I535X1 53551 GSTR/DDNTS NOS W HMRHG 4,206 GIM Gastrointestinal, Medium I535X1 53561 DUODENITIS W HMRHG 4,206

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

GIM Gastrointestinal, Medium I5370 5370 ACQ PYLORIC STENOSIS 981 GIM Gastrointestinal, Medium I555 555 REGIONAL ENTERITIS* 3,296 GIM Gastrointestinal, Medium I556 556 ULCERATIVE COLITIS* 4,202 GIM Gastrointestinal, Medium I560 560 INTESTINAL OBSTRUCTION* 23,238 GIM Gastrointestinal, Medium I570 570 ACUTE NECROSIS OF LIVER 361 GIM Gastrointestinal, Medium I571 571 CHR LIVER DIS/CIRRHOSIS* 8,904 GIM Gastrointestinal, Medium I572X 572 SEQUELA OF CHR LIVER DIS* 779 GIM Gastrointestinal, Medium I572X 5720 ABSCESS OF LIVER 779 GIM Gastrointestinal, Medium I572X 5721 PORTAL PYEMIA 779 GIM Gastrointestinal, Medium I572X 5724 HEPATORENAL SYNDROME 779 GIM Gastrointestinal, Medium I572X 5728 OTH SEQUELA, CHR LIV DIS 779 GIM Gastrointestinal, Medium I5734 5734 HEPATIC INFARCTION 33 GIM Gastrointestinal, Medium I5771 5771 CHRONIC PANCREATITIS 1,779 GIM Gastrointestinal, Medium I864_5 864 LIVER INJURY* 591 GIM Gastrointestinal, Medium I864_5 865 SPLEEN INJURY* 591 GIL Gastrointestinal, Low I527 527 SALIVARY GLAND DISEASES* 4,179 GIL Gastrointestinal, Low I531_4 531 GASTRIC ULCER* 41,328 GIL Gastrointestinal, Low I531_4 532 DUODENAL ULCER* 41,328 GIL Gastrointestinal, Low I531_4 533 PEPTIC ULCER, SITE NOS* 41,328 GIL Gastrointestinal, Low I531_4 534 GASTROJEJUNAL ULCER* 41,328 GIL Gastrointestinal, Low I551_32 5512 VENTRAL HERNIA W GANGREN* 7,080 GIL Gastrointestinal, Low I551_32 5522 VENTRAL HERNIA W OBSTRUC* 7,080 GIL Gastrointestinal, Low I551_32 5532 VENTRAL HERNIA* 7,080 GIL Gastrointestinal, Low I566 566 ANAL & RECTAL ABSCESS 1,150 GIL Gastrointestinal, Low I5690 5690 ANAL & RECTAL POLYP 10,654 GIL Gastrointestinal, Low I5690 5691 RECTAL PROLAPSE 10,654 GIL Gastrointestinal, Low I5690 5692 RECTAL & ANAL STENOSIS 10,654 GIL Gastrointestinal, Low I56941 56941 RECTAL & ANAL ULCER 528 GIL Gastrointestinal, Low I5690 5695 INTESTINAL ABSCESS 10,654 GIL Gastrointestinal, Low I56982 56982 ULCERATION OF INTESTINE 816 GIL Gastrointestinal, Low I5690 56983 PERFORATION OF INTESTINE 10,654 GIL Gastrointestinal, Low I5690 56984 ANGIO INTES W/O HMRHG 10,654 GIL Gastrointestinal, Low I5690 56985 ANGIO INTES W HMRHG 10,654 GIL Gastrointestinal, Low I5731_3 5731 HEPATITIS IN VIRAL DIS 4,025 GIL Gastrointestinal, Low I5731_3 5732 HEPATITIS IN OTH INF DIS 4,025 GIL Gastrointestinal, Low I5731_3 5733 HEPATITIS NOS 4,025 GIL Gastrointestinal, Low I5770 5770 ACUTE PANCREATITIS 5,988 GIL Gastrointestinal, Low I5770 5772 PANCREAT CYST/PSEUDOCYST 5,988 GIL Gastrointestinal, Low I5770 5778 PANCREATIC DISEASE NEC 5,988 GIL Gastrointestinal, Low I578 578 GASTROINTESTINAL HEMORR* 42,637 GIL Gastrointestinal, Low I5791_4 5790 CELIAC DISEASE 899 GIL Gastrointestinal, Low I5791_4 5791 TROPICAL SPRUE 899 GIL Gastrointestinal, Low I5791_4 5792 BLIND LOOP SYNDROME 899 GIL Gastrointestinal, Low I5791_4 5793 INTEST POSTOP NONABSORB 899 GIL Gastrointestinal, Low I5791_4 5794 PANCREATIC STEATORRHEA 899 GIL Gastrointestinal, Low I7490_2 7490 CLEFT PALATE* 69 GIL Gastrointestinal, Low I7490_2 7492 CLEFT PALATE W CLEFT LIP* 69 GIL Gastrointestinal, Low I751X 751 OTH ANOM DIGESTIVE SYST* 1,509 GIL Gastrointestinal, Low I751X 7510 MECKEL'S DIVERTICULUM 1,509 GIL Gastrointestinal, Low I751X 7511 ATRESIA SMALL INTESTINE 1,509 GIL Gastrointestinal, Low I751X 7512 ATRESIA LARGE INTESTINE 1,509 GIL Gastrointestinal, Low I751X 7513 HIRSCHSPRUNG'S DISEASE 1,509 GIL Gastrointestinal, Low I751X 7514 INTESTINAL FIXATION ANOM 1,509 GIL Gastrointestinal, Low I751X 7515 INTESTINAL ANOMALY NEC 1,509 GIL Gastrointestinal, Low I7516_7 7516 BILIARY & LIVER ANOMALY* 895 GIL Gastrointestinal, Low I7516_7 7517 PANCREAS ANOMALIES 895 GIL Gastrointestinal, Low I751X 7518 ANOM DIGESTIVE SYST NEC 1,509 GIL Gastrointestinal, Low I751X 7519 ANOM DIGESTIVE SYST NOS 1,509 GIL Gastrointestinal, Low I7824 7824 JAUNDICE NOS 2,055 GIL Gastrointestinal, Low I7891 7891 HEPATOMEGALY 2,573 GIL Gastrointestinal, Low I933 933 FB PHARYNX & LARYNX* 3,504 GIL Gastrointestinal, Low I933 935 FB MOUTH/ESOPHAG/STOMACH* 3,504 GIL Gastrointestinal, Low I933 936 FB IN INTESTINE & COLON 3,504 GIL Gastrointestinal, Low I933 937 FOREIGN BODY ANUS/RECTUM 3,504 GIL Gastrointestinal, Low I933 938 FOREIGN BODY GI NOS 3,504 GISL Gastrointestinal, Super Low I001_9 001 CHOLERA* 13,150 GISL Gastrointestinal, Super Low I001_9 002 TYPHOID/PARATYPHOID FEV* 13,150 GISL Gastrointestinal, Super Low I001_9 003 OTH SALMONELLA INFECTION* 13,150 GISL Gastrointestinal, Super Low I001_9 004 SHIGELLOSIS* 13,150 GISL Gastrointestinal, Super Low I001_9 005 OTHER FOOD POISONING* 13,150 GISL Gastrointestinal, Super Low I001_9 006 AMEBIASIS* 13,150 GISL Gastrointestinal, Super Low I001_9 007 OTH PROTOZOAL INTEST DIS* 13,150 GISL Gastrointestinal, Super Low I001_9 008 INTESTINAL INFECTION NEC* 13,150 GISL Gastrointestinal, Super Low I528 528 ORAL SOFT TISSUE DISEASE* 9,294 GISL Gastrointestinal, Super Low I529 529 TONGUE DISORDERS* 2,318 GISL Gastrointestinal, Super Low I530X 530 DISEASES OF ESOPHAGUS* 94,070 GISL Gastrointestinal, Super Low I530X 5300 ACHALASIA & CARDIOSPASM 94,070 GISL Gastrointestinal, Super Low I530X 5301 ESOPHAGITIS* 94,070 GISL Gastrointestinal, Super Low I530X 5302 ULCER OF ESOPHAGUS 94,070 GISL Gastrointestinal, Super Low I530X 5303 ESOPHAGEAL STRICTURE 94,070 GISL Gastrointestinal, Super Low I530X 5305 DYSKINESIA OF ESOPHAGUS 94,070 GISL Gastrointestinal, Super Low I530X 5306 ACQ ESOPHAG DIVERTICULUM 94,070 GISL Gastrointestinal, Super Low I5307 5307 MALLORY-WEISS SYNDROME 718 GISL Gastrointestinal, Super Low I530X 5308 ESOPHAGEAL DISORDER NEC* 94,070 GISL Gastrointestinal, Super Low I530X 5309 ESOPHAGEAL DISORDER NOS 94,070 GISL Gastrointestinal, Super Low I540_3 540 ACUTE APPENDICITIS* 1,514 GISL Gastrointestinal, Super Low I540_3 541 APPENDICITIS NOS 1,514 GISL Gastrointestinal, Super Low I540_3 542 OTHER APPENDICITIS 1,514 GISL Gastrointestinal, Super Low I540_3 543 OTH DISEASES OF APPENDIX* 1,514 GISL Gastrointestinal, Super Low I550_1X 550 INGUINAL HERNIA* 63,457

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

GISL Gastrointestinal, Super Low I550_1X 551 OTH ABDOM HERNIA W GANGR* 63,457 GISL Gastrointestinal, Super Low I550_1X 5510 FEMORAL HERNIA W GANGREN* 63,457 GISL Gastrointestinal, Super Low I550_1X 5511 UMBILICAL HERNIA W GANGR 63,457 GISL Gastrointestinal, Super Low I550_1X 5513 DIAPHRAGM HERNIA W GANGR 63,457 GISL Gastrointestinal, Super Low I550_1X 5518 HERNIA, SITE NEC W GANGR 63,457 GISL Gastrointestinal, Super Low I550_1X 5519 HERNIA, SITE NOS W GANGR 63,457 GISL Gastrointestinal, Super Low I550_1X 552 OTH ABDOM HERNIA W OBSTR* 63,457 GISL Gastrointestinal, Super Low I550_1X 5520 FEMORAL HERNIA W OBSTRUC* 63,457 GISL Gastrointestinal, Super Low I550_1X 5521 UMBILICAL HERNIA W OBSTR 63,457 GISL Gastrointestinal, Super Low I550_1X 5523 DIAPHRAGM HERNIA W OBSTR 63,457 GISL Gastrointestinal, Super Low I550_1X 5528 HERNIA, SITE NEC W OBSTR 63,457 GISL Gastrointestinal, Super Low I550_1X 5529 HERNIA, SITE NOS W OBSTR 63,457 GISL Gastrointestinal, Super Low I550_1X 553 OTHER ABDOMINAL HERNIA* 63,457 GISL Gastrointestinal, Super Low I550_1X 5530 FEMORAL HERNIA* 63,457 GISL Gastrointestinal, Super Low I550_1X 5531 UMBILICAL HERNIA 63,457 GISL Gastrointestinal, Super Low I550_1X 5533 DIAPHRAGMATIC HERNIA 63,457 GISL Gastrointestinal, Super Low I550_1X 5538 HERNIA NEC 63,457 GISL Gastrointestinal, Super Low I550_1X 5539 HERNIA NOS 63,457 GISL Gastrointestinal, Super Low I562U 562 DIVERTICULA OF INTESTINE* 24,124 GISL Gastrointestinal, Super Low I562W 5620 DIVERTICULA SM INTESTINE* 63,583 GISL Gastrointestinal, Super Low I562W 56200 DVRTCLO SML INT W/O HMRG 63,583 GISL Gastrointestinal, Super Low I562W 56201 DVRTCLI SML INT W/O HMRG 63,583 GISL Gastrointestinal, Super Low I562W 56202 DVRTCLO SML INT W HMRHG 63,583 GISL Gastrointestinal, Super Low I562W 56203 DVRTCLI SML INT W HMRHG 63,583 GISL Gastrointestinal, Super Low I562U 5621 DIVERTICULA OF COLON* 24,124 GISL Gastrointestinal, Super Low I562W 56210 DVRTCLO COLON W/O HMRHG 63,583 GISL Gastrointestinal, Super Low I562U 56211 DVRTCLI COLON W/O HMRHG 24,124 GISL Gastrointestinal, Super Low I562W 56212 DVRTCLO COLON W HMRHG 63,583 GISL Gastrointestinal, Super Low I562U 56213 DVRTCLI COLON W HMRHG 24,124 GISL Gastrointestinal, Super Low I565 565 ANAL FISSURE & FISTULA* 2,805 GISL Gastrointestinal, Super Low I574 574 CHOLELITHIASIS* 23,337 GISL Gastrointestinal, Super Low I575 575 OTH GALLBLADDER DISORDER* 12,615 GISL Gastrointestinal, Super Low I576 576 OTH DIS OF BILIARY TRACT* 3,844 GISL Gastrointestinal, Super Low I749X 749 CLEFT PALATE & CLEFT LIP* 52 GISL Gastrointestinal, Super Low I749X 7491 CLEFT LIP* 52 GISL Gastrointestinal, Super Low I750 750 OTHER UPPER GI ANOMALY* 2,412 GISL Gastrointestinal, Super Low I7893 7893 ABDOM/PELVIC SWELLNG NEC* 15,344 GISL Gastrointestinal, Super Low I7894 7894 ABDOMINAL RIGIDITY* 351 GISL Gastrointestinal, Super Low I863 863 GI TRACT INJURY* 316 GISL Gastrointestinal, Super Low I868 868 OTH INTRA-ABDOMINAL INJ* 255 GINWD Gastrointestinal, Not Well Defined I001_9 009 ILL-DEFINED INTEST INF* 13,150 GINWD Gastrointestinal, Not Well Defined I558 535 GASTRITIS AND DUODENITIS* 107,466 GINWD Gastrointestinal, Not Well Defined I558 5350 ACUTE GASTRITIS* 107,466 GINWD Gastrointestinal, Not Well Defined I558 53500 ACUTE GASTRTIS W/O HMRHG 107,466 GINWD Gastrointestinal, Not Well Defined I558 5351 ATROPHIC GASTRITIS* 107,466 GINWD Gastrointestinal, Not Well Defined I558 53510 ATRPH GASTRTIS W/O HMRHG 107,466 GINWD Gastrointestinal, Not Well Defined I558 5352 GASTR MUCOSAL HYPERTROPH* 107,466 GINWD Gastrointestinal, Not Well Defined I558 53520 GSTR MCSL HYPRT W/O HMRG 107,466 GINWD Gastrointestinal, Not Well Defined I558 5353 ALCOHOLIC GASTRITIS* 107,466 GINWD Gastrointestinal, Not Well Defined I558 53530 ALCHL GASTRTIS W/O HMRHG 107,466 GINWD Gastrointestinal, Not Well Defined I558 5354 GASTRITIS NEC* 107,466 GINWD Gastrointestinal, Not Well Defined I558 53540 OTH SPF GSTRT W/O HMRHG 107,466 GINWD Gastrointestinal, Not Well Defined I558 5355 GASTRITIS/DUODENITIS NOS* 107,466 GINWD Gastrointestinal, Not Well Defined I558 53550 GSTR/DDNTS NOS W/O HMRHG 107,466 GINWD Gastrointestinal, Not Well Defined I558 5356 DUODENITIS* 107,466 GINWD Gastrointestinal, Not Well Defined I558 53560 DUODENITIS W/O HMRHG 107,466 GINWD Gastrointestinal, Not Well Defined I536X 536 STOMACH FUNCTION DISORD* 29,894 GINWD Gastrointestinal, Not Well Defined I536X 5360 ACHLORHYDRIA 29,894 GINWD Gastrointestinal, Not Well Defined I536X 5361 AC DILATION OF STOMACH 29,894 GINWD Gastrointestinal, Not Well Defined I5362 5362 PERSISTENT VOMITING 1,660 GINWD Gastrointestinal, Not Well Defined I536X 5363 GASTROPARESIS 29,894 GINWD Gastrointestinal, Not Well Defined I536X 5368 STOMACH FUNCTION DIS NEC 29,894 GINWD Gastrointestinal, Not Well Defined I536X 5369 STOMACH FUNCTION DIS NOS 29,894 GINWD Gastrointestinal, Not Well Defined I537X 537 OTH GASTRODUODENAL DIS* 4,084 GINWD Gastrointestinal, Not Well Defined I537X 5371 GASTRIC DIVERTICULUM 4,084 GINWD Gastrointestinal, Not Well Defined I537X 5372 CHRONIC DUODENAL ILEUS 4,084 GINWD Gastrointestinal, Not Well Defined I537X 5373 DUODENAL OBSTRUCTION NEC 4,084 GINWD Gastrointestinal, Not Well Defined I537X 5374 GASTRIC/DUODENAL FISTULA 4,084 GINWD Gastrointestinal, Not Well Defined I537X 5375 GASTROPTOSIS 4,084 GINWD Gastrointestinal, Not Well Defined I537X 5376 HOURGLASS STRICTURE STOM 4,084 GINWD Gastrointestinal, Not Well Defined I537X 5378 GASTRODUODENAL DIS NEC* 4,084 GINWD Gastrointestinal, Not Well Defined I537X 5379 GASTRODUODENAL DIS NOS 4,084 GINWD Gastrointestinal, Not Well Defined I557 557 VASC INSUFF INTESTINE* 2,755 GINWD Gastrointestinal, Not Well Defined I558 558 OTH NONINF GASTROENTERIT* 107,466 GINWD Gastrointestinal, Not Well Defined I558 5581 RADIATION GASTROENTERIT 107,466 GINWD Gastrointestinal, Not Well Defined I558 5582 TOXIC GASTROENTERITIS 107,466 GINWD Gastrointestinal, Not Well Defined I558 5589 NONINF GASTROENTERIT NEC 107,466 GINWD Gastrointestinal, Not Well Defined I564 564 FUNCT DIGESTIVE DIS NEC* 72,891 GINWD Gastrointestinal, Not Well Defined I568 568 OTH PERITONEAL DISORDERS* 4,093 GINWD Gastrointestinal, Not Well Defined I569X 569 OTH INTESTINAL DISORDERS* 39,265 GINWD Gastrointestinal, Not Well Defined I569X 5693 RECTAL & ANAL HEMORRHAGE 39,265 GINWD Gastrointestinal, Not Well Defined I569X 5694 OTHER RECTAL & ANAL DIS* 39,265 GINWD Gastrointestinal, Not Well Defined I569X 56942 ANAL OR RECTAL PAIN 39,265 GINWD Gastrointestinal, Not Well Defined I569X 56949 RECTAL & ANAL DIS NEC 39,265 GINWD Gastrointestinal, Not Well Defined I569X 5698 INTESTINAL DISORDERS NEC* 39,265 GINWD Gastrointestinal, Not Well Defined I569X 56989 INTESTINAL DISORDERS NEC 39,265 GINWD Gastrointestinal, Not Well Defined I569X 5699 INTESTINAL DISORDER NOS 39,265 GINWD Gastrointestinal, Not Well Defined I573X 573 OTH LIVER DISORDERS* 8,409 GINWD Gastrointestinal, Not Well Defined I573X 5738 LIVER DISORDERS NEC 8,409 GINWD Gastrointestinal, Not Well Defined I573X 5739 LIVER DISORDER NOS 8,409

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

GINWD Gastrointestinal, Not Well Defined I577X 577 DISEASES OF PANCREAS* 717 GINWD Gastrointestinal, Not Well Defined I577X 5779 PANCREATIC DISEASE NOS 717 GINWD Gastrointestinal, Not Well Defined I579X 579 INTESTINAL MALABSORPTION* 1,585 GINWD Gastrointestinal, Not Well Defined I579X 5798 INTEST MALABSORPTION NEC 1,585 GINWD Gastrointestinal, Not Well Defined I579X 5799 INTEST MALABSORPTION NOS 1,585 GINWD Gastrointestinal, Not Well Defined I787 787 GI SYSTEM SYMPTOMS* 102,573 GINWD Gastrointestinal, Not Well Defined I789X 789 OTH ABDOMEN/PELVIS SYMP* 4,564 GINWD Gastrointestinal, Not Well Defined I7890 7890 ABDOMINAL PAIN* 172,556 GINWD Gastrointestinal, Not Well Defined I789X 7899 ABDOMEN/PELVIS SYMP NEC 4,564 GINWD Gastrointestinal, Not Well Defined I869 869 INTERNAL INJURY NOS* 212 DMLFCX Diabetes, Type 1 or 2 With Rare Complications I25010 2501 DIABETES W KETOACIDOSIS* 4,536 DMLFCX Diabetes, Type 1 or 2 With Rare Complications I25020 2502 DIAB W HYPEROSMOLAR COMA* 1,021 DMLFCX Diabetes, Type 1 or 2 With Rare Complications I25020 25020 DMII HPRSM NT ST UNCNTRL 1,021 DMLFCX Diabetes, Type 1 or 2 With Rare Complications I25021 25021 DMI HPRSM NT ST UNCNTRLD 253 DMLFCX Diabetes, Type 1 or 2 With Rare Complications I25020 25022 DMII HPROSMLR UNCONTROLD 1,021 DMLFCX Diabetes, Type 1 or 2 With Rare Complications I25021 25023 DMI HPROSMLR UNCONTROLD 253 DMLFCX Diabetes, Type 1 or 2 With Rare Complications I25030 2503 DIABETES WITH COMA NEC* 459 DMLFCX Diabetes, Type 1 or 2 With Rare Complications I25030 25030 DMII O CM NT ST UNCNTRLD 459 DMLFCX Diabetes, Type 1 or 2 With Rare Complications I25031 25031 DMI O CM NT ST UNCNTRLD 241 DMLFCX Diabetes, Type 1 or 2 With Rare Complications I25030 25032 DMII OTH COMA UNCONTROLD 459 DMLFCX Diabetes, Type 1 or 2 With Rare Complications I25031 25033 DMI OTH COMA UNCONTROLD 241 DMLFCX Diabetes, Type 1 or 2 With Rare Complications I36202 36202 PROLIF DIAB RETINOPATHY 5,817 DMLFCX Diabetes, Type 1 or 2 With Rare Complications I99686 99686 COMPL PANCREAS TRANSPLNT 16 DMLFCX Diabetes, Type 1 or 2 With Rare Complications I99686 V4283 TRNSPL STATUS-PANCREAS 16 D1HFCX Diabetes, Type 1 With Common Complications I25041 25041 DMI RENL NT ST UNCNTRLD 2,190 D1HFCX Diabetes, Type 1 With Common Complications I25041 25043 DMI RENAL UNCNTRLD 2,190 D1HFCX Diabetes, Type 1 With Common Complications I25051 25051 DMI OPHTH NT ST UNCNTRLD 4,807 D1HFCX Diabetes, Type 1 With Common Complications I25051 25053 DMI OPHTH UNCNTRLD 4,807 D1HFCX Diabetes, Type 1 With Common Complications I25061 25061 DMI NEURO NT ST UNCNTRLD 6,800 D1HFCX Diabetes, Type 1 With Common Complications I25061 25063 DMI NEURO UNCNTRLD 6,800 DM1 Diabetes, Type 1 I25001 25001 DMI WO CMP NT ST UNCNTRL 57,311 DM1 Diabetes, Type 1 I25001 25003 DMI WO CMP UNCNTRLD 57,311 D2HFCX Diabetes, Type 2 With Common Complications I25040 2504 DIAB W RENAL MANIFEST* 3,445 D2HFCX Diabetes, Type 2 With Common Complications I25040 25040 DMII RENL NT ST UNCNTRLD 3,445 D2HFCX Diabetes, Type 2 With Common Complications I25040 25042 DMII RENAL UNCNTRLD 3,445 D2HFCX Diabetes, Type 2 With Common Complications I25050 2505 DIAB W OPHTHALMIC MANIF* 11,063 D2HFCX Diabetes, Type 2 With Common Complications I25050 25050 DMII OPHTH NT ST UNCNTRL 11,063 D2HFCX Diabetes, Type 2 With Common Complications I25050 25052 DMII OPHTH UNCNTRLD 11,063 D2HFCX Diabetes, Type 2 With Common Complications I25060 2506 DIAB W NEUROLOGIC MANIF* 14,104 D2HFCX Diabetes, Type 2 With Common Complications I25060 25060 DMII NEURO NT ST UNCNTRL 14,104 D2HFCX Diabetes, Type 2 With Common Complications I25060 25062 DMII NEURO UNCNTRLD 14,104 DM2 Diabetes, Type 2 I25000 250 DIABETES MELLITUS* 196,402 DM2 Diabetes, Type 2 I25000 2500 DIABETES MELLITUS UNCOMP* 196,402 DM2 Diabetes, Type 2 I25000 25000 DMII WO CMP NT ST UNCNTR 196,402 DM2 Diabetes, Type 2 I25000 25002 DMII WO CMP UNCNTRLD 196,402 DM2 Diabetes, Type 2 I25000 2507 DIABETES W CIRCULAT DIS* 196,402 DM2 Diabetes, Type 2 I25000 25070 DMII CIRC NT ST UNCNTRLD 196,402 DM2 Diabetes, Type 2 I25000 25071 DMI CIRC NT ST UNCNTRLD 196,402 DM2 Diabetes, Type 2 I25000 25072 DMII CIRC UNCNTRLD 196,402 DM2 Diabetes, Type 2 I25000 25073 DMI CIRC UNCNTRLD 196,402 DM2 Diabetes, Type 2 I25000 2508 DIABETES W MANIFEST NEC* 196,402 DM2 Diabetes, Type 2 I25000 25080 DMII OTH NT ST UNCNTRLD 196,402 DM2 Diabetes, Type 2 I25000 25081 DMI OTH NT ST UNCNTRLD 196,402 DM2 Diabetes, Type 2 I25000 25082 DMII OTH UNCNTRLD 196,402 DM2 Diabetes, Type 2 I25000 25083 DMI OTH UNCNTRLD 196,402 DM2 Diabetes, Type 2 I25000 2509 DIABETES W COMPLIC NOS* 196,402 DM2 Diabetes, Type 2 I25000 25090 DMII UNSPF NT ST UNCNTRL 196,402 DM2 Diabetes, Type 2 I25000 25091 DMI UNSPF NT ST UNCNTRLD 196,402 DM2 Diabetes, Type 2 I25000 25092 DMII UNSPF UNCNTRLD 196,402 DM2 Diabetes, Type 2 I25000 25093 DMI UNSPF UNCNTRLD 196,402 DM2 Diabetes, Type 2 I36201 3620 DIABETIC RETINOPATHY* 21,150 DM2 Diabetes, Type 2 I36201 36201 DIABETIC RETINOPATHY NOS 21,150 SKNH Skin, High I7070 7070 DECUBITUS ULCER 14,190 SKNL Skin, Low I6954 6954 LUPUS ERYTHEMATOSUS 1,212 SKNL Skin, Low I707X 707 CHRONIC ULCER OF SKIN* 8,134 SKNL Skin, Low I7071 7071 CHRONIC ULCER OF LEG 27,213 SKNL Skin, Low I707X 7078 CHRONIC SKIN ULCER NEC 8,134 SKNL Skin, Low I707X 7079 CHRONIC SKIN ULCER NOS 8,134 SKNL Skin, Low I940_9 940 BURN OF EYE & ADNEXA* 4,647 SKNL Skin, Low I940_9 941 BURN OF HEAD/FACE/NECK* 4,647 SKNL Skin, Low I940_9 942 BURN OF TRUNK* 4,647 SKNL Skin, Low I940_9 943 BURN OF ARM* 4,647 SKNL Skin, Low I940_9 944 BURN OF HAND & WRIST* 4,647 SKNL Skin, Low I940_9 945 BURN OF LEG* 4,647 SKNL Skin, Low I940_9 946 BURN OF MULTIPLE SITE* 4,647 SKNL Skin, Low I940_9 947 BURN OF INTERNAL ORGANS* 4,647 SKNL Skin, Low I940_9 948 BURN BY % BODY SURFACE* 4,647 SKNL Skin, Low I940_9 949 BURN UNSPECIFIED* 4,647 SKNSL Skin, Super Low I110 110 DERMATOPHYTOSIS* 132,646 SKNSL Skin, Super Low I680 680 CARBUNCLE AND FURUNCLE* 2,905 SKNSL Skin, Super Low I681_2 681 CELLULITIS, FINGER/TOE* 85,350 SKNSL Skin, Super Low I681_2 682 OTHER CELLULITIS/ABSCESS* 85,350 SKNSL Skin, Super Low I683 683 ACUTE LYMPHADENITIS 611 SKNSL Skin, Super Low I684 684 IMPETIGO 2,018 SKNSL Skin, Super Low I685 685 PILONIDAL CYST* 393 SKNSL Skin, Super Low I686 686 OTH LOCAL SKIN INFECTION* 17,068 SKNSL Skin, Super Low I690 690 ERYTHEMATOSQUAMOUS DERM* 13,912 SKNSL Skin, Super Low I691 691 ATOPIC DERMATITIS* 8,293 SKNSL Skin, Super Low I692 692 CONTACT DERMATITIS* 75,517 SKNSL Skin, Super Low I694 694 BULLOUS DERMATOSES* 1,454

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

SKNSL Skin, Super Low I695X 695 ERYTHEMATOUS CONDITIONS* 15,659 SKNSL Skin, Super Low I695X 6950 TOXIC ERYTHEMA 15,659 SKNSL Skin, Super Low I695X 6951 ERYTHEMA MULTIFORME 15,659 SKNSL Skin, Super Low I695X 6952 ERYTHEMA NODOSUM 15,659 SKNSL Skin, Super Low I695X 6953 ROSACEA 15,659 SKNSL Skin, Super Low I695X 6958 OTH ERYTHEMATOUS COND* 15,659 SKNSL Skin, Super Low I695X 6959 ERYTHEMATOUS COND NOS 15,659 SKNSL Skin, Super Low I697 697 LICHEN* 1,434 SKNSL Skin, Super Low I700 700 CORNS AND CALLOSITIES 11,910 SKNSL Skin, Super Low I701 701 OTH SKIN HYPERTRO/ATROPH* 35,374 SKNSL Skin, Super Low I702 702 OTHER DERMATOSES* 139,052 SKNSL Skin, Super Low I703 703 DISEASES OF NAIL* 83,007 SKNSL Skin, Super Low I704 704 HAIR & FOLLICLE DISEASE* 8,520 SKNSL Skin, Super Low I705 705 DISORDERS OF SWEAT GLAND* 2,838 SKNSL Skin, Super Low I706 706 SEBACEOUS GLAND DISEASE* 41,185 SKNSL Skin, Super Low I708 708 URTICARIA* 8,302 SKNSL Skin, Super Low I709 709 OTHER SKIN DISORDERS* 38,343 SKNSL Skin, Super Low I7820 7820 SKIN SENSATION DISTURB 20,984 SKNSL Skin, Super Low I7821 7821 NONSPECIF SKIN ERUPT NEC 18,689 SKNSL Skin, Super Low I7822 7822 LOCAL SUPRFICIAL SWELLNG 4,979 SKNSL Skin, Super Low I7828 7828 CHANGES IN SKIN TEXTURE 947 SKNSL Skin, Super Low I873_84 873 OTHER OPEN WOUND OF HEAD* 40,163 SKNSL Skin, Super Low I873_84 874 OPEN WOUND OF NECK* 40,163 SKNSL Skin, Super Low I873_84 875 OPEN WOUND OF CHEST* 40,163 SKNSL Skin, Super Low I873_84 876 OPEN WOUND OF BACK* 40,163 SKNSL Skin, Super Low I873_84 877 OPEN WOUND OF BUTTOCK* 40,163 SKNSL Skin, Super Low I873_84 878 OPEN WOUND GENITAL ORGAN* 40,163 SKNSL Skin, Super Low I873_84 879 OPEN WOUND SITE NEC* 40,163 SKNSL Skin, Super Low I873_84 880 OPN WND SHOULDR/UPPR ARM* 40,163 SKNSL Skin, Super Low I873_84 881 OPEN WOUND OF LOWER ARM* 40,163 SKNSL Skin, Super Low I873_84 882 OPEN WOUND OF HAND* 40,163 SKNSL Skin, Super Low I873_84 883 OPEN WOUND OF FINGER* 40,163 SKNSL Skin, Super Low I873_84 884 OPEN WOUND ARM MULT/NOS* 40,163 SKNSL Skin, Super Low I890_4 890 OPEN WOUND OF HIP/THIGH* 12,344 SKNSL Skin, Super Low I890_4 891 OPEN WND KNEE/LEG/ANKLE* 12,344 SKNSL Skin, Super Low I890_4 892 OPEN WOUND OF FOOT* 12,344 SKNSL Skin, Super Low I890_4 893 OPEN WOUND OF TOE* 12,344 SKNSL Skin, Super Low I890_4 894 OPEN WOUND OF LEG NEC* 12,344 SKNSL Skin, Super Low I906 906 LATE EFF SKIN/SUBCUT INJ* 549 SKNSL Skin, Super Low I910_9 910 SUPERFICIAL INJURY HEAD* 30,284 SKNSL Skin, Super Low I910_9 911 SUPERFICIAL INJURY TRUNK* 30,284 SKNSL Skin, Super Low I910_9 912 SUPERFIC INJ SHOULDR/ARM* 30,284 SKNSL Skin, Super Low I910_9 913 SUPERFICIAL INJ FOREARM* 30,284 SKNSL Skin, Super Low I910_9 914 SUPERFICIAL INJ OF HAND* 30,284 SKNSL Skin, Super Low I910_9 915 SUPERFICIAL INJ FINGER* 30,284 SKNSL Skin, Super Low I910_9 916 SUPERFICIAL INJ HIP/LEG* 30,284 SKNSL Skin, Super Low I910_9 917 SUPERFICIAL INJ FOOT/TOE* 30,284 SKNSL Skin, Super Low I910_9 918 SUPERFIC INJ EYE/ADNEXA* 30,284 SKNSL Skin, Super Low I910_9 919 SUPERFICIAL INJ OTH SITE* 30,284 SKNSL Skin, Super Low I920_4 920 CONTUSION FACE/SCALP/NCK 67,610 SKNSL Skin, Super Low I920_4 921 CONTUSION EYE & ADNEXA* 67,610 SKNSL Skin, Super Low I920_4 922 CONTUSION OF TRUNK* 67,610 SKNSL Skin, Super Low I920_4 923 CONTUSION OF UPPER LIMB* 67,610 SKNSL Skin, Super Low I920_4 924 CONTUSION LEG & OTH SITE* 67,610 SKNSL Skin, Super Low IV423 V423 SKIN TRANSPLANT STATUS 31 SKNNWD Skin, Not Well Defined I693 693 DERMAT D/T INTERN AGENT* 3,914 SKNNWD Skin, Not Well Defined I696 696 PSORIASIS/LIKE DISORDERS* 12,562 SKNNWD Skin, Not Well Defined I698 698 PRURITUS & LIKE COND* 15,923 SKNNWD Skin, Not Well Defined I7828 782 SKIN/OTH INTEGUMENT SYMP* 947 SKNNWD Skin, Not Well Defined I782X 7829 INTEGUMENT TISS SYMP NEC 1,136 RENEH Renal, Extra High I99673 99673 COMP-REN DIALYS DEV/GRFT 257 RENEH Renal, Extra High IV451 V451 RENAL DIALYSIS STATUS 186 RENEH Renal, Extra High IV56 V56 DIALYSIS ENCOUNTER* 72 RENVH Renal, Extra High I585 585 CHRONIC RENAL FAILURE 11,021 RENM Renal, Medium I40301 40301 MAL HYP REN W RENAL FAIL 4,329 RENM Renal, Medium I40301 40311 BEN HYP RENAL W REN FAIL 4,329 RENM Renal, Medium I40301 40391 HYP RENAL NOS W REN FAIL 4,329 RENM Renal, Medium I40301 40402 MAL HY HT/REN W REN FAIL 4,329 RENM Renal, Medium I40301 40403 MAL HYP HRT/REN W CHF&RF 4,329 RENM Renal, Medium I40301 40412 BEN HY HT/REN W REN FAIL 4,329 RENM Renal, Medium I40301 40413 BEN HYP HRT/REN W CHF&RF 4,329 RENM Renal, Medium I40301 40492 HY HT/REN NOS W REN FAIL 4,329 RENM Renal, Medium I40301 40493 HYP HT/REN NOS W CHF&RF 4,329 RENM Renal, Medium I582 582 CHRONIC NEPHRITIS* 1,665 RENM Renal, Medium I584_6 584 ACUTE RENAL FAILURE* 11,873 RENM Renal, Medium I584_6 586 RENAL FAILURE NOS 11,873 RENM Renal, Medium I5880_1 5880 RENAL OSTEODYSTROPHY 190 RENM Renal, Medium I5880_1 5881 NEPHROGEN DIABETES INSIP 190 RENM Renal, Medium I7888 7888 EXTRAVASATION OF URINE 63 RENM Renal, Medium I99681 99681 COMPL KIDNEY TRANSPLANT 653 RENM Renal, Medium IV420 V420 KIDNEY TRANSPLANT STATUS 1,305 RENM Renal, Medium IV445_6 V445 CYSTOSTOMY STATUS 389 RENM Renal, Medium IV445_6 V446 URINOSTOMY STATUS NEC 389 RENM Renal, Medium IV555_6 V555 ATTEN TO CYSTOSTOMY 407 RENM Renal, Medium IV555_6 V556 ATTEN TO URINOSTOMY NEC 407 RENL Renal, Low I580_3 580 ACUTE NEPHRITIS* 3,586 RENL Renal, Low I581 581 NEPHROTIC SYNDROME* 1,268 RENL Renal, Low I580_3 583 NEPHRITIS NOS* 3,586 RENL Renal, Low I591 591 HYDRONEPHROSIS 4,730 RENL Renal, Low I59381 59381 RENAL VASCULAR DISORDER 629

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

RENVL Renal, Very Low I5930 5930 NEPHROPTOSIS 11,230 RENVL Renal, Very Low I5930 5931 HYPERTROPHY OF KIDNEY 11,230 RENVL Renal, Very Low I5930 5932 CYST OF KIDNEY, ACQUIRED 11,230 RENVL Renal, Very Low I5930 5933 STRICTURE OF URETER 11,230 RENVL Renal, Very Low I5930 5934 URETERIC OBSTRUCTION NEC 11,230 RENVL Renal, Very Low I5930 5935 HYDROURETER 11,230 RENVL Renal, Very Low I5930 5936 POSTURAL PROTEINURIA 11,230 RENVL Renal, Very Low I5930 5937 VESICOURETERAL REFLUX* 11,230 RENVL Renal, Very Low I5930 59370 VESCOURETRL RFLUX UNSPCF 11,230 RENVL Renal, Very Low I5930 59371 VSCURT RFLX NPHT UNILTRL 11,230 RENVL Renal, Very Low I5930 59372 VSCOURTL RFLX NPHT BLTRL 11,230 RENVL Renal, Very Low I5930 59373 VSCOURTL RFLX W NPHT NOS 11,230 RENVL Renal, Very Low I5930 59382 URETERAL FISTULA 11,230 RENVL Renal, Very Low I5960 5960 BLADDER NECK OBSTRUCTION 16,880 RENVL Renal, Very Low I5960 5961 INTESTINOVESICAL FISTULA 16,880 RENVL Renal, Very Low I5960 5962 VESICAL FISTULA NEC 16,880 RENVL Renal, Very Low I5960 5963 DIVERTICULUM OF BLADDER 16,880 RENVL Renal, Very Low I5960 5964 ATONY OF BLADDER 16,880 RENVL Renal, Very Low I5960 59651 HYPERTONICITY OF BLADDER 16,880 RENVL Renal, Very Low I5960 59652 LOW BLADDER COMPLIANCE 16,880 RENVL Renal, Very Low I5960 59653 PARALYSIS OF BLADDER 16,880 RENVL Renal, Very Low I5960 59654 NEUROGENIC BLADDER NOS 16,880 RENVL Renal, Very Low I5960 59655 DETRUSR SPHINC DYSSNRGIA 16,880 RENVL Renal, Very Low I5960 5966 BLADDER RUPT, NONTRAUM 16,880 RENVL Renal, Very Low I5960 5967 BLADDER WALL HEMORRHAGE 16,880 RENVL Renal, Very Low I598 598 URETHRAL STRICTURE* 10,326 RENVL Renal, Very Low I5997 5997 HEMATURIA 41,225 RENVL Renal, Very Low I7880 7880 RENAL COLIC 4,540 RENVL Renal, Very Low I7882 7882 RETENTION OF URINE* 21,941 RENVL Renal, Very Low I7887 7887 URETHRAL DISCHARGE 174 RENSL Renal, Super Low I589 589 SMALL KIDNEY* 266 RENSL Renal, Super Low I590 590 KIDNEY INFECTION* 6,532 RENSL Renal, Super Low I592 592 RENAL/URETERAL CALCULUS* 15,191 RENSL Renal, Super Low I594 594 LOWER URIN TRACT CALCUL* 2,355 RENSL Renal, Super Low I595P 595 CYSTITIS* 162,242 RENSL Renal, Super Low I595P 597 URETHRITIS/URETHRAL SYND* 162,242 RENSL Renal, Super Low I595P 5990 URIN TRACT INFECTION NOS 162,242 RENSL Renal, Super Low I5991 5991 URETHRAL FISTULA 7,098 RENSL Renal, Super Low I5991 5992 URETHRAL DIVERTICULUM 7,098 RENSL Renal, Super Low I5991 5993 URETHRAL CARUNCLE 7,098 RENSL Renal, Super Low I5991 5994 URETHRAL FALSE PASSAGE 7,098 RENSL Renal, Super Low I5991 5995 PROLAPSE URETHRAL MUCOSA 7,098 RENSL Renal, Super Low I5991 5996 URINARY OBSTRUCTION NOS 7,098 RENSL Renal, Super Low I5991 59981 URETHRAL HYPERMOBILITY 7,098 RENSL Renal, Super Low I5991 59982 INTRINSC SPHNCTR DFICNCY 7,098 RENSL Renal, Super Low I5991 59983 URETHRAL INSTABILITY 7,098 RENSL Renal, Super Low I753 753 URINARY SYSTEM ANOMALIES* 5,932 RENSL Renal, Super Low I7881 7881 DYSURIA 15,063 RENSL Renal, Super Low I7885 7885 OLIGURIA & ANURIA 590 RENSL Renal, Super Low I7886 7886 URINATION ABNORM NEC* 3,868 RENSL Renal, Super Low I866 866 KIDNEY INJURY* 211 RENSL Renal, Super Low I939 939 FOREIGN BODY GU TRACT* 413 RENNWD Renal, Not Well Defined I587 587 RENAL SCLEROSIS NOS 456 RENNWD Renal, Not Well Defined I588X 588 IMPAIRED RENAL FUNCTION* 1,153 RENNWD Renal, Not Well Defined I588X 5888 IMPAIRED RENAL FUNCT NEC 1,153 RENNWD Renal, Not Well Defined I588X 5889 IMPAIRED RENAL FUNCT NOS 1,153 RENNWD Renal, Not Well Defined I593X 593 OTH RENAL & URETERAL DIS* 25,985 RENNWD Renal, Not Well Defined I593X 5938 OTH RENAL & URETERAL DIS* 25,985 RENNWD Renal, Not Well Defined I593X 59389 RENAL & URETERAL DIS NEC 25,985 RENNWD Renal, Not Well Defined I593X 5939 RENAL & URETERAL DIS NOS 25,985 RENNWD Renal, Not Well Defined I596X 596 OTHER BLADDER DISORDERS* 8,555 RENNWD Renal, Not Well Defined I596X 5965 BLADDER DYSFUNCTION NEC* 8,555 RENNWD Renal, Not Well Defined I596X 59659 OTH FUNC DSDR BLADDER 8,555 RENNWD Renal, Not Well Defined I596X 5968 BLADDER DISORDER NEC 8,555 RENNWD Renal, Not Well Defined I596X 5969 BLADDER DISORDER NOS 8,555 RENNWD Renal, Not Well Defined I599X 599 OTH URINARY TRACT DISOR* 5,120 RENNWD Renal, Not Well Defined I599X 5998 URINARY TRACT DIS NEC* 5,120 RENNWD Renal, Not Well Defined I599X 59984 OTH SPCF DSDR URETHRA 5,120 RENNWD Renal, Not Well Defined I599X 59989 OTH SPCF DSDR URNRY TRCT 5,120 RENNWD Renal, Not Well Defined I599X 5999 URINARY TRACT DIS NOS 5,120 RENNWD Renal, Not Well Defined I788X 788 URINARY SYSTEM SYMPTOMS* 5,375 RENNWD Renal, Not Well Defined I7883 7883 INCONTINENCE OF URINE* 25,731 RENNWD Renal, Not Well Defined I7884 7884 FREQ URINATION/POLYURIA* 26,084 RENNWD Renal, Not Well Defined I788X 7889 URINARY SYS SYMPTOM NEC 5,375 SUBL Substance Abuse, Low I292 292 DRUG PSYCHOSES* 2,655 SUBL Substance Abuse, Low I304X 304 DRUG DEPENDENCE* 2,197 SUBL Substance Abuse, Low I3040 3040 OPIOID TYPE DEPENDENCE* 1,157 SUBL Substance Abuse, Low I304X 3041 BARBITURATE DEPENDENCE* 2,197 SUBL Substance Abuse, Low I3042 3042 COCAINE DEPENDENCE* 1,486 SUBL Substance Abuse, Low I304X 3044 AMPHETAMINE DEPENDENCE* 2,197 SUBL Substance Abuse, Low I304X 3045 HALLUCINOGEN DEPENDENCE* 2,197 SUBL Substance Abuse, Low I304X 3046 DRUG DEPENDENCE NEC* 2,197 SUBL Substance Abuse, Low I3040 3047 OPIOID/OTHER DRUG DEPEND* 1,157 SUBL Substance Abuse, Low I304X 3048 COMB DRUG DEPENDENCE NEC* 2,197 SUBL Substance Abuse, Low I304X 3049 DRUG DEPENDENCE NOS* 2,197 SUBL Substance Abuse, Low I3053 3053 HALLUCINOGEN ABUSE* 21 SUBL Substance Abuse, Low I3054 3054 BARBITURATE ABUSE* 143 SUBL Substance Abuse, Low I3040 3055 OPIOID ABUSE* 1,157 SUBL Substance Abuse, Low I3042 3056 COCAINE ABUSE* 1,486 SUBL Substance Abuse, Low I3057 3057 AMPHETAMINE ABUSE* 123

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

SUBL Substance Abuse, Low I3058 3058 ANTIDEPRESSANT ABUSE* 20 SUBVL Substance Abuse, Very Low I291 291 ALCOHOLIC PSYCHOSES* 2,639 SUBVL Substance Abuse, Very Low I303 303 ALCOHOL DEPENDENCE SYNDR* 8,863 SUBVL Substance Abuse, Very Low I303X 3050 ALCOHOL ABUSE* 5,364 SUBNWD Substance Abuse, Not Well Defined I3043 3043 CANNABIS DEPENDENCE* 311 SUBNWD Substance Abuse, Not Well Defined I305X 305 NONDEPENDENT DRUG ABUSE* 18,775 SUBNWD Substance Abuse, Not Well Defined I305X 3051 TOBACCO USE DISORDER 18,775 SUBNWD Substance Abuse, Not Well Defined I305X 3052 CANNABIS ABUSE* 18,775 SUBNWD Substance Abuse, Not Well Defined I305X 3059 DRUG ABUSE NEC/NOS* 18,775 CANVH Cancer, Very High I157 157 MALIGNANT NEO PANCREAS* 810 CANVH Cancer, Very High I197_8 197 SECONDRY MAL NEO GI/RESP* 10,734 CANVH Cancer, Very High I197_8 198 SEC MALIG NEO OTH SITES* 10,734 CANVH Cancer, Very High I203 203 MULTIPLE MYELOMA ET AL* 1,815 CANH Cancer, High I150_1 150 MALIGNANT NEO ESOPHAGUS* 1,768 CANH Cancer, High I150_1 151 MALIGNANT NEO STOMACH* 1,768 CANH Cancer, High I155_6 155 MALIGNANT NEOPLASM LIVER* 1,088 CANH Cancer, High I155_6 156 MAL NEO GB/EXTRAHEPATIC* 1,088 CANH Cancer, High I158_83 158 MALIG NEO PERITONEUM* 2,340 CANH Cancer, High I162_3 162 MAL NEO TRACHEA/LUNG* 8,666 CANH Cancer, High I162_3 163 MALIGNANT NEOPL PLEURA* 8,666 CANH Cancer, High I171 171 MAL NEO SOFT TISSUE* 1,921 CANH Cancer, High I158_83 183 MAL NEO UTERINE ADNEXA* 2,340 CANH Cancer, High I204_8 204 LYMPHOID LEUKEMIA* 4,374 CANH Cancer, High I204_8 205 MYELOID LEUKEMIA* 4,374 CANH Cancer, High I204_8 206 MONOCYTIC LEUKEMIA* 4,374 CANH Cancer, High I204_8 207 OTHER SPECIFIED LEUKEMIA* 4,374 CANH Cancer, High I204_8 208 LEUKEMIA-UNSPECIF CELL* 4,374 CANH Cancer, High I99685 99685 COMPL MARROW TRANSPLANT 27 CANH Cancer, High I99685 V4281 TRNSPL STATUS-BNE MARROW 27 CANM Cancer, Medium I140_60 140 MALIGNANT NEOPLASM LIP* 5,461 CANM Cancer, Medium I140_60 141 MALIG NEO TONGUE* 5,461 CANM Cancer, Medium I140_60 142 MAL NEO MAJOR SALIVARY* 5,461 CANM Cancer, Medium I140_60 143 MALIGNANT NEOPLASM GUM* 5,461 CANM Cancer, Medium I140_60 144 MALIG NEO MOUTH FLOOR* 5,461 CANM Cancer, Medium I140_60 145 MALIG NEO MOUTH NEC/NOS* 5,461 CANM Cancer, Medium I140_60 146 MALIG NEO OROPHARYNX* 5,461 CANM Cancer, Medium I140_60 147 MALIG NEO NASOPHARYNX* 5,461 CANM Cancer, Medium I140_60 148 MALIG NEOPL HYPOPHARYNX* 5,461 CANM Cancer, Medium I140_60 149 OTH MALIG NEO OROPHARYNX* 5,461 CANM Cancer, Medium I152 152 MALIG NEO SMALL BOWEL* 360 CANM Cancer, Medium I140_60 160 MAL NEO NASAL CAV/SINUS* 5,461 CANM Cancer, Medium I140_60 161 MALIGNANT NEO LARYNX* 5,461 CANM Cancer, Medium I164_5 164 MAL NEO THYMUS/MEDIASTIN* 308 CANM Cancer, Medium I164_5 165 OTH/ILL-DEF MAL NEO RESP* 308 CANM Cancer, Medium I170 170 MAL NEO BONE/ARTIC CART* 1,729 CANM Cancer, Medium I188 188 MALIGN NEOPL BLADDER* 9,254 CANM Cancer, Medium I191_2 191 MALIGNANT NEOPLASM BRAIN* 2,654 CANM Cancer, Medium I191_2 192 MAL NEO NERVE NEC/NOS* 2,654 CANM Cancer, Medium I193 193 MALIGN NEOPL THYROID 983 CANM Cancer, Medium I196 196 MALIG NEO LYMPH NODES* 3,739 CANM Cancer, Medium I199 199 MALIGNANT NEOPLASM NOS* 7,247 CANM Cancer, Medium I200X 200 LYMPHOSARC/RETICULOSARC* 1,675 CANM Cancer, Medium I200X 2000 RETICULOSARCOMA* 1,675 CANM Cancer, Medium I200X 2001 LYMPHOSARCOMA* 1,675 CANM Cancer, Medium I2002 2002 BURKITT'S TUMOR/LYMPHOMA* 51 CANM Cancer, Medium I200X 2008 MIXED LYMPHOSARCOMA* 1,675 CANM Cancer, Medium I201 201 HODGKIN'S DISEASE* 758 CANM Cancer, Medium I202X 202 OTH MAL NEO LYMPH/HISTIO* 5,186 CANM Cancer, Medium I2020 2020 NODULAR LYMPHOMA* 976 CANM Cancer, Medium I2021 2021 MYCOSIS FUNGOIDES* 300 CANM Cancer, Medium I202X 2022 SEZARY'S DISEASE* 5,186 CANM Cancer, Medium I202X 2023 MALIGNANT HISTIOCYTOSIS* 5,186 CANM Cancer, Medium I202X 2024 LEUKEM RETICULOENDOTHEL* 5,186 CANM Cancer, Medium I202X 2025 LETTERER-SIWE DISEASE* 5,186 CANM Cancer, Medium I202X 2026 MALIG MAST CELL TUMORS* 5,186 CANM Cancer, Medium I202X 2028 LYMPHOMAS NEC* 5,186 CANM Cancer, Medium I202X 2029 MAL NEO LYM/HIST TIS NEC* 5,186 CANM Cancer, Medium IV428X V4282 TRSPL STS-PERIP STM CELL 156 CANM Cancer, Medium IV580_1 V580 RADIOTHERAPY ENCOUNTER 8,727 CANM Cancer, Medium IV580_1 V581 CHEMOTHERAPY ENCOUNTER 8,727 CANL Cancer, Low I153_4 153 MALIGNANT NEOPLASM COLON* 16,080 CANL Cancer, Low I153_4 154 MALIG NEO RECTUM/ANUS* 16,080 CANL Cancer, Low I179 179 MALIG NEOPL UTERUS NOS 1,143 CANL Cancer, Low I180 180 MALIG NEOPL CERVIX UTERI* 1,396 CANL Cancer, Low I181_2 181 MALIGNANT NEOPL PLACENTA 2,990 CANL Cancer, Low I181_2 182 MALIG NEOPL UTERUS BODY* 2,990 CANL Cancer, Low I184 184 MAL NEO FEM GEN NEC/NOS* 766 CANL Cancer, Low I185_87 185 MALIGN NEOPL PROSTATE 38,068 CANL Cancer, Low I186 186 MALIGN NEOPL TESTIS* 280 CANL Cancer, Low I185_87 187 MAL NEO MALE GENITAL NEC* 38,068 CANVL Cancer, Very Low I172_3 172 MALIGNANT MELANOMA SKIN* 58,109 CANVL Cancer, Very Low I172_3 173 OTHER MALIG NEOPL SKIN* 58,109 CANVL Cancer, Very Low I174_5 174 MALIG NEO FEMALE BREAST* 29,374 CANVL Cancer, Very Low I174_5 175 MALIG NEO MALE BREAST* 29,374 CANVL Cancer, Very Low I189 189 MAL NEO URINARY NEC/NOS* 3,396 CANVL Cancer, Very Low I190 190 MALIGNANT NEOPLASM EYE* 726 CANVL Cancer, Very Low I194 194 MAL NEO OTHER ENDOCRINE* 591 CANVL Cancer, Very Low I195 195 MAL NEO OTH/ILL-DEF SITE* 4,797 CANVL Cancer, Very Low IV524 V524 FIT/ADJ BREAST PROS/IMPL 55 CANB Cancer, Benign I210_16 210 BEN NEO ORAL CAV/PHARYNX* 103,087

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

CANB Cancer, Benign I210_16 211 OTH BENIGN NEOPLASM GI* 103,087 CANB Cancer, Benign I210_16 212 BEN NEO RESP SYST/THORAX* 103,087 CANB Cancer, Benign I210_16 213 BEN NEO BONE/ARTIC CART* 103,087 CANB Cancer, Benign I210_16 214 LIPOMA* 103,087 CANB Cancer, Benign I210_16 215 OTH BEN NEO SOFT TISSUE* 103,087 CANB Cancer, Benign I210_16 216 BENIGN NEOPLASM OF SKIN* 103,087 CANB Cancer, Benign I217_24 217 BENIGN NEOPLASM BREAST 25,895 CANB Cancer, Benign I217_24 218 UTERINE LEIOMYOMA* 25,895 CANB Cancer, Benign I217_24 219 OTH BENIGN NEO UTERUS* 25,895 CANB Cancer, Benign I217_24 220 BENIGN NEOPLASM OVARY 25,895 CANB Cancer, Benign I217_24 221 BEN NEO OTH FEM GENITAL* 25,895 CANB Cancer, Benign I217_24 222 BENIGN NEO MALE GENITAL* 25,895 CANB Cancer, Benign I217_24 223 BENIGN NEOPLASM URINARY* 25,895 CANB Cancer, Benign I217_24 224 BENIGN NEOPLASM OF EYE* 25,895 CANB Cancer, Benign I210_16 225 BENIGN NEO NERVOUS SYST* 103,087 CANB Cancer, Benign I217_24 226 BENIGN NEOPLASM THYROID 25,895 CANB Cancer, Benign I210_12 227 BEN NEO OTH ENDOCRINE* 5,911 CANB Cancer, Benign I210_12 228 HEMANGIOMA/LYMPHANGIOMA* 5,911 CANB Cancer, Benign I217_24 229 BENIGN NEOPLASM NEC/NOS* 25,895 CANNWD Cancer, Not Well Defined I159 159 OTH MALIG NEO GI/PERITON* 730 CANNWD Cancer, Not Well Defined I230 230 CA IN SITU DIGESTIVE ORG* 10,266 CANNWD Cancer, Not Well Defined I231 231 CA IN SITU RESPIRATORY* 1,096 CANNWD Cancer, Not Well Defined I230 232 CARCINOMA IN SITU SKIN* 10,266 CANNWD Cancer, Not Well Defined I233 233 CA IN SITU BREAST/GU* 8,142 CANNWD Cancer, Not Well Defined I234 234 CA IN SITU NEC/NOS* 763 CANNWD Cancer, Not Well Defined I235_9 235 UNC BEHAV NEO GI/RESP* 84,207 CANNWD Cancer, Not Well Defined I235_9 236 UNC BEHAV NEO GU* 84,207 CANNWD Cancer, Not Well Defined I235_9 237 UNCER NEO ENDOCRINE/NERV* 84,207 CANNWD Cancer, Not Well Defined I235_9 238 UNC BEHAV NEO NEC/NOS* 84,207 CANNWD Cancer, Not Well Defined I235_9 239 UNSPECIFIED NEOPLASM* 84,207 DDM Developmental Disability, Medium I3181_2 3181 SEVERE MENTAL RETARDAT 2,082 DDM Developmental Disability, Medium I3181_2 3182 PROFOUND MENTAL RETARDAT 2,082 DDL Developmental Disability, Low I317_9X 317 MILD MENTAL RETARDATION 7,897 DDL Developmental Disability, Low I317_9X 318 OTHER MENTAL RETARDATION* 7,897 DDL Developmental Disability, Low I317_9X 3180 MOD MENTAL RETARDATION 7,897 DDL Developmental Disability, Low I317_9X 319 MENTAL RETARDATION NOS 7,897 DDL Developmental Disability, Low I758 758 CHROMOSOMAL ANOMALIES* 1,682 GENEL Genital, Extra Low I11201 600 HYPERPLASIA OF PROSTATE 122,728 GENEL Genital, Extra Low I11306 614 FEMALE PELVIC INFLAM DIS* 2,510 GENEL Genital, Extra Low I11306 615 UTERINE INFLAMMATORY DIS* 2,510 GENEL Genital, Extra Low I11301 6162 BARTHOLIN'S GLAND CYST 10,988 GENEL Genital, Extra Low I11301 6163 BARTHOLIN'S GLND ABSCESS 10,988 GENEL Genital, Extra Low I11301 6164 ABSCESS OF VULVA NEC 10,988 GENEL Genital, Extra Low I11301 6165 ULCERATION OF VULVA* 10,988 GENEL Genital, Extra Low I11307 617 ENDOMETRIOSIS* 1,497 GENEL Genital, Extra Low I11401 618 GENITAL PROLAPSE* 18,552 GENEL Genital, Extra Low I11301 619 FEMALE GENITAL FISTULA* 10,988 GENEL Genital, Extra Low I11301 620 NONINFLAM DIS OVAR/ADNEX* 10,988 GENEL Genital, Extra Low I11301 621 DISORDERS OF UTERUS NEC* 10,988 GENEL Genital, Extra Low I11309 628 FEMALE INFERTILITY* 282 GENEL Genital, Extra Low I752 752 GENITAL ORGAN ANOMALIES* 963 GENEL Genital, Extra Low IV447 V447 ARTIFICIAL VAGINA STATUS 1 GENEL Genital, Extra Low IV557 V557 ATTEN ARTIFICIAL VAGINA 1 GENSL Genital, Super Low I11202 601 PROSTATIC INFLAMMATION* 29,197 GENSL Genital, Super Low I11202 602 OTH PROSTATIC DISORDERS* 29,197 GENSL Genital, Super Low I11203 603 HYDROCELE* 25,401 GENSL Genital, Super Low I11203 604 ORCHITIS & EPIDIDYMITIS* 25,401 GENSL Genital, Super Low I11203 605 REDUN PREPUCE & PHIMOSIS 25,401 GENSL Genital, Super Low I11203 606 MALE INFERTILITY* 25,401 GENSL Genital, Super Low I11203 607 DISORDERS OF PENIS* 25,401 GENSL Genital, Super Low I11203 608 MALE GENITAL DIS NEC* 25,401 GENSL Genital, Super Low I610 610 BENIGN MAMMARY DYSPLASIA* 66,081 GENSL Genital, Super Low I611 611 OTHER BREAST DISORDERS* 84,858 GENSL Genital, Super Low I11301 616 OTH FEMALE GEN INFLAM* 10,988 GENSL Genital, Super Low I11302 6160 CERVICITIS 32,541 GENSL Genital, Super Low I11302 6161 VAGINITIS* 32,541 GENSL Genital, Super Low I11301 6168 FEMALE GEN INFLAM NEC 10,988 GENSL Genital, Super Low I11301 6169 FEMALE GEN INFLAM NOS 10,988 GENSL Genital, Super Low I11302 622 NONINFLAMM DIS CERVIX* 32,541 GENSL Genital, Super Low I11303 623 NONINFLAMM DIS VAGINA* 26,649 GENSL Genital, Super Low I11302 624 NONINFLAMM DIS VULVA* 32,541 GENSL Genital, Super Low I11303 625 FEMALE GENITAL SYMPTOMS* 26,649 GENSL Genital, Super Low I11303 6250 DYSPAREUNIA 26,649 GENSL Genital, Super Low I11303 6251 VAGINISMUS 26,649 GENSL Genital, Super Low I11303 6252 MITTELSCHMERZ 26,649 GENSL Genital, Super Low I11303 6253 DYSMENORRHEA 26,649 GENSL Genital, Super Low I11303 6254 PREMENSTRUAL TENSION 26,649 GENSL Genital, Super Low I11303 6255 PELVIC CONGESTION SYND 26,649 GENSL Genital, Super Low I11304 6256 FEM STRESS INCONTINENCE 11,652 GENSL Genital, Super Low I11303 6258 FEM GENITAL SYMPTOMS NEC 26,649 GENSL Genital, Super Low I11303 6259 FEM GENITAL SYMPTOMS NOS 26,649 GENSL Genital, Super Low I11303 626 DISORDER OF MENSTRUATION* 26,649 GENSL Genital, Super Low I11305 627 MENOPAUSAL DISORDERS* 82,473 GENSL Genital, Super Low I11303 629 OTH FEMALE GENITAL DIS* 26,649 GENSL Genital, Super Low I7950 7950 ABN PAP SMEAR-CERVIX 5,623 GENSL Genital, Super Low I867 867 PELVIC ORGAN INJURY* 626 METH Metabolic, High ICOMA 2510 HYPOGLYCEMIC COMA 1,981 METH Metabolic, High I255 255 ADRENAL GLAND DISORDERS* 3,116 METH Metabolic, High I2580 2580 WERMER'S SYNDROME 34 METH Metabolic, High I260_3 260 KWASHIORKOR 10,631

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

METH Metabolic, High I260_3 261 NUTRITIONAL MARASMUS 10,631 METH Metabolic, High I260_3 262 OTH SEVERE MALNUTRITION 10,631 METH Metabolic, High I260_3 263 PROT-CAL MALNUTR NEC/NOS* 10,631 METH Metabolic, High I2762 2762 ACIDOSIS 2,883 METH Metabolic, High I2763 2763 ALKALOSIS 1,118 METH Metabolic, High I2764 2764 MIXED ACID-BASE BAL DIS 442 METH Metabolic, High I2767 2767 HYPERPOTASSEMIA 7,862 METH Metabolic, High I279X 279 DIS IMMUNE MECHANISM* 1,057 METH Metabolic, High I2790 2790 DEFIC HUMORAL IMMUNITY* 489 METH Metabolic, High I2791 2791 DEFIC CELLULAR IMMUNITY* 144 METH Metabolic, High I2792 2792 COMBINED IMMUNITY DEFIC 78 METH Metabolic, High I279X 2793 IMMUNITY DEFICIENCY NOS 1,057 METH Metabolic, High I279X 2794 AUTOIMMUNE DISEASE NEC 1,057 METH Metabolic, High I279X 2798 IMMUNE MECHANISM DIS NEC 1,057 METH Metabolic, High I279X 2799 IMMUNE MECHANISM DIS NOS 1,057 METH Metabolic, High I7994 7994 CACHEXIA 1,113 METL Metabolic, Low I252 252 PARATHYROID DISORDER* 2,605 METL Metabolic, Low I253 253 PITUITARY/HYPOTHALM DIS* 2,844 METL Metabolic, Low I268 268 VITAMIN D DEFICIENCY* 485 METL Metabolic, Low I2727 2727 LIPIDOSES 515 METL Metabolic, Low I274 274 GOUT* 27,151 METL Metabolic, Low I2750 2750 DIS IRON METABOLISM 1,005 METL Metabolic, Low I2771_6 2771 DIS PORPHYRIN METABOLISM 972 METL Metabolic, Low I2771_6 2772 PURINE/PYRIMID DIS NEC 972 METL Metabolic, Low I2771_6 2773 AMYLOIDOSIS 972 METL Metabolic, Low I2771_6 2774 DIS BILIRUBIN EXCRETION 972 METL Metabolic, Low I2771_6 2775 MUCOPOLYSACCHARIDOSIS 972 METL Metabolic, Low I2771_6 2776 DEFIC CIRCUL ENZYME NEC 972 METSL Metabolic, Super Low I240_1 240 GOITER, SIMPLE/NOS* 10,486 METSL Metabolic, Super Low I240_1 241 NONTOXIC NODULAR GOITER* 10,486 METSL Metabolic, Super Low I242 242 THYROTOXICOSIS* 13,446 METSL Metabolic, Super Low I243_4 243 CONGENITAL HYPOTHYROIDSM 105,706 METSL Metabolic, Super Low I243_4 244 ACQUIRED HYPOTHYROIDISM* 105,706 METSL Metabolic, Super Low I245 245 THYROIDITIS* 2,916 METSL Metabolic, Super Low I246 246 OTH DISORDERS OF THYROID* 9,717 METSL Metabolic, Super Low I254 254 DISEASES OF THYMUS GLAND* 114 METSL Metabolic, Super Low I256 256 OVARIAN DYSFUNCTION* 5,932 METSL Metabolic, Super Low I257 257 TESTICULAR DYSFUNCTION* 1,942 METSL Metabolic, Super Low I258X 258 POLYGLANDULAR DYSFUNCT* 314 METSL Metabolic, Super Low I258X 2581 COMB ENDOCR DYSFUNCT NEC 314 METSL Metabolic, Super Low I258X 2588 POLYGLANDUL DYSFUNC NEC 314 METSL Metabolic, Super Low I258X 2589 POLYGLANDUL DYSFUNC NOS 314 METSL Metabolic, Super Low I264_7 264 VITAMIN A DEFICIENCY* 8,442 METSL Metabolic, Super Low I264_7 265 THIAMINE/NIACIN DEFIC* 8,442 METSL Metabolic, Super Low I264_7 266 B-COMPLEX DEFICIENCIES* 8,442 METSL Metabolic, Super Low I264_7 267 ASCORBIC ACID DEFICIENCY 8,442 METSL Metabolic, Super Low I270 270 DIS AMIN-ACID METABOLISM* 831 METSL Metabolic, Super Low I271 271 DIS CARBOHYDRATE METABOL* 4,154 METSL Metabolic, Super Low I272X 272 DIS OF LIPOID METABOLISM* 252,447 METSL Metabolic, Super Low I272X 2720 PURE HYPERCHOLESTEROLEM 252,447 METSL Metabolic, Super Low I272X 2721 PURE HYPERGLYCERIDEMIA 252,447 METSL Metabolic, Super Low I272X 2722 MIXED HYPERLIPIDEMIA 252,447 METSL Metabolic, Super Low I272X 2723 HYPERCHYLOMICRONEMIA 252,447 METSL Metabolic, Super Low I272X 2724 HYPERLIPIDEMIA NEC/NOS 252,447 METSL Metabolic, Super Low I272X 2725 LIPOPROTEIN DEFICIENCIES 252,447 METSL Metabolic, Super Low I272X 2726 LIPODYSTROPHY 252,447 METSL Metabolic, Super Low I272X 2728 LIPOID METABOL DIS NEC 252,447 METSL Metabolic, Super Low I272X 2729 LIPOID METABOL DIS NOS 252,447 METSL Metabolic, Super Low I273 273 DIS PLASMA PROTEIN METAB* 3,616 METSL Metabolic, Super Low I2768 2768 HYPOPOTASSEMIA 32,384 METSL Metabolic, Super Low I7830 7830 ANOREXIA 6,261 METSL Metabolic, Super Low I7831 7831 ABNORMAL WEIGHT GAIN 3,412 METSL Metabolic, Super Low I7832 7832 ABNORMAL LOSS OF WEIGHT 28,160 METSL Metabolic, Super Low I7834 7834 LACK NORM PHYSIOL DEVEL 980 METSL Metabolic, Super Low I7835 7835 POLYDIPSIA 670 METSL Metabolic, Super Low I7836 7836 POLYPHAGIA 319 METNWD Metabolic, Not Well Defined I251X 251 OTH PANCREATIC DISORDER* 8,497 METNWD Metabolic, Not Well Defined I251X 2511 OTH SPCF HYPOGLYCEMIA 8,497 METNWD Metabolic, Not Well Defined I251X 2512 HYPOGLYCEMIA NOS 8,497 METNWD Metabolic, Not Well Defined I251X 2513 POSTSURG HYPOINSULINEMIA 8,497 METNWD Metabolic, Not Well Defined I251X 2514 ABN SECRETION GLUCAGON 8,497 METNWD Metabolic, Not Well Defined I251X 2515 ABNORM SECRETION GASTRIN 8,497 METNWD Metabolic, Not Well Defined I251X 2518 PANCREATIC DISORDER NEC 8,497 METNWD Metabolic, Not Well Defined I251X 2519 PANCREATIC DISORDER NOS 8,497 METNWD Metabolic, Not Well Defined I259 259 OTH ENDORINE DISORDERS* 6,009 METNWD Metabolic, Not Well Defined I269 269 OTH NUTRITION DEFICIENCY* 1,525 METNWD Metabolic, Not Well Defined I275X 275 DIS MINERAL METABOLISM* 9,197 METNWD Metabolic, Not Well Defined I275X 2751 DIS COPPER METABOLISM 9,197 METNWD Metabolic, Not Well Defined I275X 2752 DIS MAGNESIUM METABOLISM 9,197 METNWD Metabolic, Not Well Defined I275X 2753 DIS PHOSPHORUS METABOL 9,197 METNWD Metabolic, Not Well Defined I275X 2754 DIS CALCIUM METABOLISM* 9,197 METNWD Metabolic, Not Well Defined I275X 2758 DIS MINERAL METABOL NEC 9,197 METNWD Metabolic, Not Well Defined I275X 2759 DIS MINERAL METABOL NOS 9,197 METNWD Metabolic, Not Well Defined I276X 276 FLUID/ELECTROLYTE DIS* 64,321 METNWD Metabolic, Not Well Defined I276X 2760 HYPEROSMOLALITY 64,321 METNWD Metabolic, Not Well Defined I276X 2761 HYPOSMOLALITY 64,321 METNWD Metabolic, Not Well Defined I276X 2765 HYPOVOLEMIA 64,321 METNWD Metabolic, Not Well Defined I276X 2766 FLUID OVERLOAD 64,321 METNWD Metabolic, Not Well Defined I276X 2769 ELECTROLYT/FLUID DIS NEC 64,321 METNWD Metabolic, Not Well Defined I277X 277 METABOLISM DIS NEC/NOS* 1,466

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

METNWD Metabolic, Not Well Defined I277X 2778 METABOLISM DISORDER NEC 1,466 METNWD Metabolic, Not Well Defined I277X 2779 METABOLISM DISORDER NOS 1,466 METNWD Metabolic, Not Well Defined I278 278 OBESITY/HYPERALIMENT* 26,507 METNWD Metabolic, Not Well Defined I7823 7823 EDEMA 57,616 METNWD Metabolic, Not Well Defined I783X 783 NUTRIT/METAB/DEVEL SYMP* 938 METNWD Metabolic, Not Well Defined I7833 7833 FEEDING PROBLEM 2,621 METNWD Metabolic, Not Well Defined I783X 7839 NUTR/METAB/DEVEL SYM NEC 938 PREG1 Pregnancy 11 I11502 633 ECTOPIC PREGNANCY* 62 PREG2 Pregnancy 21 I11501 630 HYDATIDIFORM MOLE 347 PREG2 Pregnancy 21 I11501 631 OTH ABN PROD CONCEPTION 347 PREG2 Pregnancy 21 I11501 632 MISSED ABORTION 347 PREG2 Pregnancy 21 I11501 634 SPONTANEOUS ABORTION* 347 PREG2 Pregnancy 21 I11501 6340 SPON ABORT W PELVIC INF* 347 PREG2 Pregnancy 21 I11501 6341 SPON ABORT W HEMORRHAGE* 347 PREG2 Pregnancy 21 I11501 6342 SPON ABOR W PELVIC DAMAG* 347 PREG2 Pregnancy 21 I11501 6344 SPON ABORT W METABOL DIS* 347 PREG2 Pregnancy 21 I11524 6346 SPON ABORTION W EMBOLISM* 379 PREG2 Pregnancy 21 I11501 6347 SPON ABORT W COMPL NEC* 347 PREG2 Pregnancy 21 I11501 6348 SPON ABORT W COMPL NOS* 347 PREG2 Pregnancy 21 I11501 6349 SPON ABORTION UNCOMPLIC* 347 PREG2 Pregnancy 21 I11501 635 LEGALLY INDUCED ABORTION* 347 PREG2 Pregnancy 21 I11501 6350 LEGAL ABORT W PELVIC INF* 347 PREG2 Pregnancy 21 I11501 6351 LEGAL ABORT W HEMORRHAGE* 347 PREG2 Pregnancy 21 I11501 6352 LEGAL ABORT W PELV DAMAG* 347 PREG2 Pregnancy 21 I11501 6354 LEGAL ABOR W METABOL DIS* 347 PREG2 Pregnancy 21 I11501 6357 LEGAL ABORT W COMPL NEC* 347 PREG2 Pregnancy 21 I11501 6358 LEGAL ABORT W COMPL NOS* 347 PREG2 Pregnancy 21 I11501 6359 LEGAL ABORT UNCOMPLICAT* 347 PREG2 Pregnancy 21 I11501 636 ILLEGAL INDUCED ABORTION* 347 PREG2 Pregnancy 21 I11501 6360 ILLEG ABORT W PELVIC INF* 347 PREG2 Pregnancy 21 I11501 6361 ILLEG ABORT W HEMORRHAGE* 347 PREG2 Pregnancy 21 I11501 6362 ILLEG ABORT W PELV DAMAG* 347 PREG2 Pregnancy 21 I11501 6364 ILLEG ABOR W METABOL DIS* 347 PREG2 Pregnancy 21 I11501 6367 ILLEG ABORT W COMPL NEC* 347 PREG2 Pregnancy 21 I11501 6368 ILLEG ABORT W COMPL NOS* 347 PREG2 Pregnancy 21 I11501 6369 ILLEGAL ABORT UNCOMPLIC* 347 PREG2 Pregnancy 21 I11501 637 UNSPECIFIED ABORTION* 347 PREG2 Pregnancy 21 I11501 6370 ABORT NOS W PELVIC INF* 347 PREG2 Pregnancy 21 I11501 6371 ABORT NOS W HEMORRHAGE* 347 PREG2 Pregnancy 21 I11501 6372 ABORT NOS W PELVIC DAMAG* 347 PREG2 Pregnancy 21 I11501 6374 ABORT NOS W METABOL DIS* 347 PREG2 Pregnancy 21 I11501 6377 ABORTION NOS W COMPL NEC* 347 PREG2 Pregnancy 21 I11501 6378 ABORTION NOS W COMPL NOS* 347 PREG2 Pregnancy 21 I11501 6379 ABORTION NOS UNCOMPLICAT* 347 PREG2 Pregnancy 21 I11501 638 FAILED ATTEMPTED ABORT* 347 PREG2 Pregnancy 21 I11501 6380 ATTEM ABORT W PELVIC INF 347 PREG2 Pregnancy 21 I11501 6381 ATTEM ABORT W HEMORRHAGE 347 PREG2 Pregnancy 21 I11501 6382 ATTEM ABORT W PELV DAMAG 347 PREG2 Pregnancy 21 I11501 6384 ATTEM ABOR W METABOL DIS 347 PREG2 Pregnancy 21 I11501 6387 ATTEMP ABORT W COMPL NEC 347 PREG2 Pregnancy 21 I11501 6388 ATTEMP ABORT W COMPL NOS 347 PREG2 Pregnancy 21 I11501 6389 ATTEMPTED ABORT UNCOMPL 347 PREG2 Pregnancy 21 I11501 639 COMPL FOLLOWING ABORTION* 347 PREG2 Pregnancy 21 I11501 6390 POSTABORTION GU INFECT 347 PREG2 Pregnancy 21 I11501 6391 POSTABORTION HEMORRHAGE 347 PREG2 Pregnancy 21 I11501 6392 POSTABORT PELVIC DAMAGE 347 PREG2 Pregnancy 21 I11501 6394 POSTABORT METABOLIC DIS 347 PREG2 Pregnancy 21 I11501 6398 POSTABORTION COMPL NEC 347 PREG2 Pregnancy 21 I11501 6399 POSTABORTION COMPL NOS 347 PREG3 Pregnancy 31 I11505 6343 SPON ABORT W RENAL FAIL* 28 PREG3 Pregnancy 31 I11525 6345 SPON ABORTION W SHOCK* 85 PREG3 Pregnancy 31 I11505 6353 LEGAL ABORT W RENAL FAIL* 28 PREG3 Pregnancy 31 I11525 6355 LEGAL ABORTION W SHOCK* 85 PREG3 Pregnancy 31 I11505 6363 ILLEG ABORT W RENAL FAIL* 28 PREG3 Pregnancy 31 I11525 6365 ILLEGAL ABORTION W SHOCK* 85 PREG3 Pregnancy 31 I11505 6373 ABORT NOS W RENAL FAIL* 28 PREG3 Pregnancy 31 I11525 6375 ABORTION NOS W SHOCK* 85 PREG3 Pregnancy 31 I11505 6383 ATTEM ABORT W RENAL FAIL 28 PREG3 Pregnancy 31 I11525 6385 ATTEM ABORTION W SHOCK 85 PREG3 Pregnancy 31 I11505 6393 POSTABORT RENAL FAILURE 28 PREG3 Pregnancy 31 I11525 6395 POSTABORTION SHOCK 85 PREG3 Pregnancy 31 I11505 6425 SEVERE PRE-ECLAMPSIA* 28 PREG3 Pregnancy 31 I11505 6426 ECLAMPSIA* 28 PREG3 Pregnancy 31 I11530 6442 EARLY ONSET OF DELIVERY* 51 PREG3 Pregnancy 31 I11525 6593 SEPTICEMIA DURING LABOR* 85 PREG3 Pregnancy 31 I11522 6650 RUPT UTERUS BEFORE LABOR* 62 PREG3 Pregnancy 31 I11522 6651 RUPTURE OF UTERUS NOS* 62 PREG3 Pregnancy 31 I11522 6680 ANESTH PULM COMPL IN DEL* 62 PREG3 Pregnancy 31 I11522 6681 ANESTH CARD COMPL IN DEL* 62 PREG3 Pregnancy 31 I11522 6682 ANESTH CNS COMPL IN DEL* 62 PREG3 Pregnancy 31 I11522 6691 OBSTETRIC SHOCK* 62 PREG3 Pregnancy 31 I11505 6693 AC RENAL FAIL W DELIVERY* 28 PREG3 Pregnancy 31 I11522 6694 OTH OBSTETRIC SURG COMPL* 62 PREG3 Pregnancy 31 I11523 6697 CESAREAN DELIVERY NOS* 34 PREG3 Pregnancy 31 I11525 670 MAJOR PUERPERAL INFECT* 85 PREG3 Pregnancy 31 I11525 673 OB PULMONARY EMBOLISM* 85 PREG3 Pregnancy 31 I11522 6740 PUERPER CEREBROVASC DIS* 62 PREG4 Pregnancy 41 I11520 659 OTH INDICAT CARE DELIVER* 386 PREG4 Pregnancy 41 I11520 6590 FAIL MECHAN INDUCT LABOR* 386 PREG4 Pregnancy 41 I11520 6591 FAIL INDUCTION LABOR NOS* 386

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

PREG4 Pregnancy 41 I11520 6592 MATERN PYREXIA LABOR NOS* 386 PREG4 Pregnancy 41 I11520 6594 GRAND MULTIPARITY* 386 PREG4 Pregnancy 41 I11520 6595 ELDERLY PRIMIGRAVIDA* 386 PREG4 Pregnancy 41 I11520 6598 INDICAT CARE LAB/DEL NEC* 386 PREG4 Pregnancy 41 I11520 6599 INDICAT CARE LAB/DEL NOS* 386 PREG4 Pregnancy 41 I11520 662 LONG LABOR* 386 PREG4 Pregnancy 41 I11520 663 UMBILICAL CORD COMPLIC* 386 PREG4 Pregnancy 41 I11521 664 PERINEAL TRAUM W DELIVER* 204 PREG4 Pregnancy 41 I11521 665 OTHER OBSTETRICAL TRAUMA* 204 PREG4 Pregnancy 41 I11521 6652 INVERSION OF UTERUS* 204 PREG4 Pregnancy 41 I11521 6653 LACERATION OF CERVIX* 204 PREG4 Pregnancy 41 I11521 6654 HIGH VAGINAL LACERATION* 204 PREG4 Pregnancy 41 I11521 6655 OTH INJURY PELVIC ORGANS* 204 PREG4 Pregnancy 41 I11521 6656 DAMAGE TO PELVIC JOINTS* 204 PREG4 Pregnancy 41 I11521 6657 PELVIC HEMATOMA* 204 PREG4 Pregnancy 41 I11521 6658 OBSTETRICAL TRAUMA NEC* 204 PREG4 Pregnancy 41 I11521 6659 OBSTETRICAL TRAUMA NOS* 204 PREG4 Pregnancy 41 I11529 666 POSTPARTUM HEMORRHAGE* 34 PREG4 Pregnancy 41 I11520 667 RETAIN PLACENTA W/O HEM* 386 PREG4 Pregnancy 41 I11520 668 COMPL ANESTH IN DELIVERY* 386 PREG4 Pregnancy 41 I11520 6688 OTH COMPL ANESTH IN DEL* 386 PREG4 Pregnancy 41 I11520 6689 COMPL ANESTH NOS IN DEL* 386 PREG4 Pregnancy 41 I11520 669 OTH COMPL LABOR/DELIVERY* 386 PREG4 Pregnancy 41 I11520 6690 MATERNAL DISTRESS* 386 PREG4 Pregnancy 41 I11520 6692 MATERNAL HYPOTENSION SYN* 386 PREG4 Pregnancy 41 I11520 6695 FORCEPS DELIVERY NOS* 386 PREG4 Pregnancy 41 I11520 6696 BREECH EXTRACTION NOS* 386 PREG4 Pregnancy 41 I11520 6698 COMPL LABOR/DELIVERY NEC* 386 PREG4 Pregnancy 41 I11520 6699 COMPL LABOR/DELIVERY NOS* 386 PREG4 Pregnancy 41 I11520 674 PUERPERAL COMPL NEC/NOS* 386 PREG4 Pregnancy 41 I11520 6741 DISRUPT CESAREAN WOUND* 386 PREG4 Pregnancy 41 I11520 6742 DISRUPT PERINEAL WOUND* 386 PREG4 Pregnancy 41 I11520 6743 OTH COMPL OB SURG WOUND* 386 PREG4 Pregnancy 41 I11520 6744 PLACENTAL POLYP* 386 PREG4 Pregnancy 41 I11520 6748 PUERPERAL COMPL NEC/NOS* 386 PREG4 Pregnancy 41 I11520 6749 PUERPERAL COMPLIC NOS* 386 PREG4 Pregnancy 41 I11528 V272 DELIVER-TWINS, BOTH LIVE 19 PREG4 Pregnancy 41 I11528 V273 DEL-TWINS, 1 NB, 1 SB 19 PREG4 Pregnancy 41 I11528 V274 DELIVER-TWINS, BOTH SB 19 PREG4 Pregnancy 41 I11528 V275 DEL-MULT BIRTH, ALL LIVE 19 PREG4 Pregnancy 41 I11528 V276 DEL-MULT BRTH, SOME LIVE 19 PREG4 Pregnancy 41 I11528 V277 DEL-MULT BIRTH, ALL SB 19 PREG5 Pregnancy 51 I11511 650 NORMAL DELIVERY 314 PREG5 Pregnancy 51 I11513 V24 POSTPARTUM CARE/EXAM* 119 PREG5 Pregnancy 51 I11511 V27 OUTCOME OF DELIVERY* 314 PREG5 Pregnancy 51 I11511 V270 DELIVER-SINGLE LIVEBORN 314 PREG5 Pregnancy 51 I11511 V271 DELIVER-SINGLE STILLBORN 314 PREG5 Pregnancy 51 I11511 V279 OUTCOME OF DELIVERY NOS 314 PREG6 Pregnancy 61 I11524 6356 LEGAL ABORT W EMBOLISM* 379 PREG6 Pregnancy 61 I11524 6366 ILLEGAL ABORT W EMBOLISM* 379 PREG6 Pregnancy 61 I11524 6376 ABORTION NOS W EMBOLISM* 379 PREG6 Pregnancy 61 I11524 6386 ATTEMP ABORT W EMBOLISM 379 PREG6 Pregnancy 61 I11524 6396 POSTABORTION EMBOLISM 379 PREG6 Pregnancy 61 I11504 641 ANTEPART HEM & PLAC PREV* 90 PREG6 Pregnancy 61 I11506 642 HYPERTENSION COMPL PREG* 455 PREG6 Pregnancy 61 I11506 6420 ESSEN HYPERTEN COMP PREG* 455 PREG6 Pregnancy 61 I11506 6421 RENAL HYPERTEN OF PREG* 455 PREG6 Pregnancy 61 I11506 6422 OLD HYPERTEN PREG NEC* 455 PREG6 Pregnancy 61 I11506 6423 TRANS HYPERTENSION PREG* 455 PREG6 Pregnancy 61 I11506 6424 MILD/NOS PRE-ECLAMPSIA* 455 PREG6 Pregnancy 61 I11506 6427 TOXEMIA W OLD HYPERTEN* 455 PREG6 Pregnancy 61 I11506 6429 HYPERTENS COMPL PREG NOS* 455 PREG6 Pregnancy 61 I11508 6440 THREATEN PREMATURE LABOR* 68 PREG6 Pregnancy 61 I11506 6462 RENAL DIS IN PREG NOS* 455 PREG6 Pregnancy 61 I11509 6467 LIVER DISORDER IN PREG* 159 PREG6 Pregnancy 61 I11509 6480 DIABETES MELLIT IN PREG* 159 PREG6 Pregnancy 61 I11509 6483 DRUG DEPENDENCE IN PREG* 159 PREG6 Pregnancy 61 I11509 6484 MENTAL DISORDERS IN PREG* 159 PREG6 Pregnancy 61 I11509 6485 CONG CARDIOVAS DIS IN PG* 159 PREG6 Pregnancy 61 I11514 651 MULTIPLE GESTATION* 86 PREG6 Pregnancy 61 I11515 652 MALPOSITION OF FETUS* 89 PREG6 Pregnancy 61 I11516 653 DISPROPORTION* 401 PREG6 Pregnancy 61 I11516 654 ABN PELVIC ORGAN IN PREG* 401 PREG6 Pregnancy 61 I11516 6540 CONG ABN UTERUS IN PREG* 401 PREG6 Pregnancy 61 I11516 6541 UTERINE TUMOR IN PREG* 401 PREG6 Pregnancy 61 I11516 6542 PREVIOUS C-SECTION NOS* 401 PREG6 Pregnancy 61 I11516 6543 RETROVERT GRAVID UTERUS* 401 PREG6 Pregnancy 61 I11516 6544 ABN SHAPE GRAVID UTERUS* 401 PREG6 Pregnancy 61 I11508 6545 CERVIX INCOMPET IN PREG* 68 PREG6 Pregnancy 61 I11516 6546 ABN CERVIX NEC IN PREG* 401 PREG6 Pregnancy 61 I11516 6547 ABNORMAL VAGINA IN PREG* 401 PREG6 Pregnancy 61 I11516 6548 ABNORMAL VULVA IN PREG* 401 PREG6 Pregnancy 61 I11516 6549 ABN PELV ORG NOS IN PREG* 401 PREG6 Pregnancy 61 I11519 657 POLYHYDRAMNIOS* 134 PREG6 Pregnancy 61 I11519 658 OTH AMNIOTIC CAVITY PROB* 134 PREG6 Pregnancy 61 I11516 660 OBSTRUCTED LABOR* 401 PREG6 Pregnancy 61 I11524 6713 ANTEPAR DEEP VEIN THROMB* 379 PREG6 Pregnancy 61 I11524 6714 DEEP VEIN THROMB-POSTPAR* 379 PREG6 Pregnancy 61 I11524 6715 OTH THROMBOS COMPL PREG* 379 PREG7 Pregnancy 71 I11503 640 HEMORRHAGE IN EARLY PREG* 126

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

PREG7 Pregnancy 71 I11507 643 EXCESS VOMITING IN PREG* 919 PREG7 Pregnancy 71 I11507 644 EARLY/THREATENED LABOR* 919 PREG7 Pregnancy 71 I11507 6441 THREATENED LABOR NEC* 919 PREG7 Pregnancy 71 I11507 645 PROLONGED PREGNANCY* 919 PREG7 Pregnancy 71 I11507 646 OTHER COMPL OF PREGNANCY* 919 PREG7 Pregnancy 71 I11507 6460 PAPYRACEOUS FETUS* 919 PREG7 Pregnancy 71 I11507 6461 EDEMA IN PREGNANCY* 919 PREG7 Pregnancy 71 I11507 6463 HABITUAL ABORTER* 919 PREG7 Pregnancy 71 I11507 6464 PERIPHERAL NEURITIS PREG* 919 PREG7 Pregnancy 71 I11507 6465 ASYMPT BACTERIURIA PREG* 919 PREG7 Pregnancy 71 I11507 6466 GU TRACT INFECT IN PREG* 919 PREG7 Pregnancy 71 I11507 6468 PREGNANCY COMPL NEC* 919 PREG7 Pregnancy 71 I11507 6469 PREGNANCY COMPL NOS* 919 PREG7 Pregnancy 71 I11510 647 INFECTIVE DIS IN PREG* 380 PREG7 Pregnancy 71 I11510 648 OTH CURRENT COND IN PREG* 380 PREG7 Pregnancy 71 I11510 6481 THYROID DYSFUNC IN PREG* 380 PREG7 Pregnancy 71 I11510 6482 ANEMIA IN PREGNANCY* 380 PREG7 Pregnancy 71 I11510 6486 CARDIOVAS DIS NEC IN PG* 380 PREG7 Pregnancy 71 I11510 6487 BONE DISORDER IN PREG* 380 PREG7 Pregnancy 71 I11510 6488 ABN GLUC TOLERAN IN PREG* 380 PREG7 Pregnancy 71 I11510 6489 OTH CURRENT COND OF PREG* 380 PREG7 Pregnancy 71 I11518 655 FETAL ABN AFFECT MOTHER* 280 PREG7 Pregnancy 71 I11518 656 OTH FETAL PROB AFF MOTH* 280 PREG7 Pregnancy 71 I11518 6560 FETAL-MATERNAL HEMORR* 280 PREG7 Pregnancy 71 I11518 6561 RHESUS ISOIMMUNIZATION* 280 PREG7 Pregnancy 71 I11518 6562 ABO ISOIMMUNIZATION* 280 PREG7 Pregnancy 71 I11518 6563 FETAL DISTRESS* 280 PREG7 Pregnancy 71 I11518 6564 INTRAUTERINE DEATH* 280 PREG7 Pregnancy 71 I11518 6565 POOR FETAL GROWTH* 280 PREG7 Pregnancy 71 I11507 6566 EXCESSIVE FETAL GROWTH* 919 PREG7 Pregnancy 71 I11518 6567 OTH PLACENTAL CONDITIONS* 280 PREG7 Pregnancy 71 I11518 6568 FETAL/PLACENTAL PROB NEC* 280 PREG7 Pregnancy 71 I11518 6569 FETAL/PLACENTAL PROB NOS* 280 PREG7 Pregnancy 71 I11507 661 ABNORMAL FORCES OF LABOR* 919 PREG7 Pregnancy 71 I11507 671 VENOUS COMPLIC IN PREG* 919 PREG7 Pregnancy 71 I11507 6710 VARIC VEIN LEG IN PREG* 919 PREG7 Pregnancy 71 I11507 6711 VARICOSE VULVA IN PREG* 919 PREG7 Pregnancy 71 I11507 6712 THROMBOPHLEBITIS IN PREG* 919 PREG7 Pregnancy 71 I11507 6718 OTH VENOUS COMPL IN PREG* 919 PREG7 Pregnancy 71 I11507 6719 VENOUS COMPL IN PREG NOS* 919 PREG7 Pregnancy 71 I11507 672 PUERPERAL PYREXIA NOS* 919 PREG7 Pregnancy 71 I11507 675 INFECT BREAST IN PREG* 919 PREG7 Pregnancy 71 I11507 676 OTH BREAST/LACT DIS PREG* 919 PREG7 Pregnancy 71 I11526 677 LATE EFFCT CMPLCATN PREG 177 PREG7 Pregnancy 71 I11512 V22 NORMAL PREGNANCY* 619 PREG7 Pregnancy 71 I11526 V23 SUPERVIS HIGH-RISK PREG* 177 PREG7 Pregnancy 71 I11507 V28 ANTENATAL SCREENING* 919 BABY1 Baby 1 I15001 76401 LIGHT-FOR-DATES <500G 6 BABY1 Baby 1 I15001 76402 LT-FOR-DATES 500-749G 6 BABY1 Baby 1 I15001 76403 LT-FOR-DATES 750-999G 6 BABY1 Baby 1 I15001 76411 LT-FOR-DATE W/MAL <500G 6 BABY1 Baby 1 I15001 76412 LT-DATE W/MAL 500-749G 6 BABY1 Baby 1 I15001 76413 LT-DATE W/MAL 750-999G 6 BABY1 Baby 1 I15001 76421 FETAL MALNUTRITION <500G 6 BABY1 Baby 1 I15001 76422 FETAL MALNUTR 500-749G 6 BABY1 Baby 1 I15001 76423 FETAL MAL 750-999G 6 BABY1 Baby 1 I15001 76491 FET GROWTH RETARD <500G 6 BABY1 Baby 1 I15001 76492 FET GROWTH RET 500-749G 6 BABY1 Baby 1 I15001 76493 FET GROWTH RET 750-999G 6 BABY1 Baby 1 I15001 76501 EXTREME IMMATUR <500G 6 BABY1 Baby 1 I15001 76502 EXTREME IMMATUR 500-749G 6 BABY1 Baby 1 I15001 76503 EXTREME IMMATUR 750-999G 6 BABY1 Baby 1 I15001 76511 PRETERM NEC <500G 6 BABY1 Baby 1 I15001 76512 PRETERM NEC 500-749G 6 BABY1 Baby 1 I15001 76513 PRETERM NEC 750-999G 6 BABY2 Baby 2 I15002 76404 LT-FOR-DATES 1000-1249G 3 BABY2 Baby 2 I15002 76405 LT-FOR-DATES 1250-1499G 3 BABY2 Baby 2 I15002 76414 LT-DATE W/MAL 1000-1249G 3 BABY2 Baby 2 I15002 76415 LT-DATE W/MAL 1250-1499G 3 BABY2 Baby 2 I15002 76424 FETAL MAL 1000-1249G 3 BABY2 Baby 2 I15002 76425 FETAL MAL 1250-1499G 3 BABY2 Baby 2 I15002 76494 FET GRWTH RET 1000-1249G 3 BABY2 Baby 2 I15002 76495 FET GRWTH RET 1250-1499G 3 BABY2 Baby 2 I15002 76504 EXTREME IMMAT 1000-1249G 3 BABY2 Baby 2 I15002 76505 EXTREME IMMAT 1250-1499G 3 BABY2 Baby 2 I15002 76514 PRETERM NEC 1000-1249G 3 BABY2 Baby 2 I15002 76515 PRETERM NEC 1250-1499G 3 BABY3 Baby 3 I15005 7607 NOXIOUS SUBSTANCE AFF NB* 60 BABY3 Baby 3 I15004 7640 LT-FOR-DATES W/O FET MAL* 976 BABY3 Baby 3 I15004 76400 LIGHT-FOR-DATES WTNOS 976 BABY3 Baby 3 I15003 76406 LT-FOR-DATES 1500-1749G 1 BABY3 Baby 3 I15003 76407 LT-FOR-DATES 1750-1999G 1 BABY3 Baby 3 I15003 76408 LT-FOR-DATES 2000-2499G 1 BABY3 Baby 3 I15004 76409 LT-FOR-DATES 2500+G 976 BABY3 Baby 3 I15004 7641 LT-FOR-DATES W FETAL MAL* 976 BABY3 Baby 3 I15004 76410 LT-FOR-DATE W/MAL WTNOS 976 BABY3 Baby 3 I15003 76416 LT-DATE W/MAL 1500-1749G 1 BABY3 Baby 3 I15003 76417 LT-DATE W/MAL 1750-1999G 1 BABY3 Baby 3 I15003 76418 LT-DATE W/MAL 2000-2499G 1 BABY3 Baby 3 I15004 76419 LT-FOR-DATE W/MAL 2500+G 976

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

BABY3 Baby 3 I15004 7642 FET MAL W/O LT-FOR-DATES* 976 BABY3 Baby 3 I15004 76420 FETAL MALNUTRITION WTNOS 976 BABY3 Baby 3 I15003 76426 FETAL MAL 1500-1749G 1 BABY3 Baby 3 I15003 76427 FETAL MALNUTR 1750-1999G 1 BABY3 Baby 3 I15003 76428 FETAL MALNUTR 2000-2499G 1 BABY3 Baby 3 I15004 76429 FETAL MALNUTR 2500+G 976 BABY3 Baby 3 I15004 7649 FETAL GROWTH RETARD NOS* 976 BABY3 Baby 3 I15004 76490 FET GROWTH RETARD WTNOS 976 BABY3 Baby 3 I15003 76496 FET GRWTH RET 1500-1749G 1 BABY3 Baby 3 I15003 76497 FET GRWTH RET 1750-1999G 1 BABY3 Baby 3 I15003 76498 FET GRWTH RET 2000-2499G 1 BABY3 Baby 3 I15004 76499 FET GROWTH RET 2500+G 976 BABY3 Baby 3 I15004 7650 EXTREME IMMATURITY* 976 BABY3 Baby 3 I15004 76500 EXTREME IMMATUR WTNOS 976 BABY3 Baby 3 I15003 76506 EXTREME IMMAT 1500-1749G 1 BABY3 Baby 3 I15003 76507 EXTREME IMMAT 1750-1999G 1 BABY3 Baby 3 I15003 76508 EXTREME IMMAT 2000-2499G 1 BABY3 Baby 3 I15004 76509 EXTREME IMMAT 2500+G 976 BABY3 Baby 3 I15004 7651 OTHER PRETERM INFANTS* 976 BABY3 Baby 3 I15004 76510 PRETERM INFANT NEC WTNOS 976 BABY3 Baby 3 I15003 76516 PRETERM NEC 1500-1749G 1 BABY3 Baby 3 I15003 76517 PRETERM NEC 1750-1999G 1 BABY3 Baby 3 I15003 76518 PRETERM NEC 2000-2499G 1 BABY3 Baby 3 I15004 76519 PRETERM NEC 2500+G 976 BABY3 Baby 3 I15012 7670 CEREBRAL HEM AT BIRTH 237 BABY3 Baby 3 I15012 7674 SPINAL CORD INJ AT BIRTH 237 BABY3 Baby 3 I15007 769 RESPIRATORY DISTRESS SYN 370 BABY3 Baby 3 I15007 7700 CONGENITAL PNEUMONIA 370 BABY3 Baby 3 I15007 7701 MECONIUM ASPIRATN SYNDRM 370 BABY3 Baby 3 I15007 7702 NB INTERSTIT EMPHYSEMA 370 BABY3 Baby 3 I15007 7703 NB PULMONARY HEMORRHAGE 370 BABY3 Baby 3 I15007 7704 PRIMARY ATELECTASIS 370 BABY3 Baby 3 I15007 7705 NB ATELECTASIS NEC/NOS 370 BABY3 Baby 3 I15007 7707 PERINATAL CHR RESP DIS 370 BABY3 Baby 3 I15007 7708 POST-BIRTH RESP PROB NEC 370 BABY3 Baby 3 I15012 7721 NB INTRAVENTRICULAR HEM 237 BABY3 Baby 3 I15012 7722 NB SUBARACHNOID HEMORR 237 BABY3 Baby 3 I15011 7724 NB GI HEMORRHAGE 62 BABY3 Baby 3 I15011 7725 NB ADRENAL HEMORRHAGE 62 BABY3 Baby 3 I15011 777 PERINATAL GI SYSTEM DIS* 62 BABY3 Baby 3 I15012 7790 CONVULSIONS IN NEWBORN 237 BABY3 Baby 3 I15012 7791 NB CEREB IRRIT NEC/NOS 237 BABY3 Baby 3 I15012 7792 CNS DYSFUNCTION SYN NB 237 BABY3 Baby 3 I15005 7794 NB DRUG REACTION/INTOXIC 60 BABY3 Baby 3 I15005 7795 NB DRUG WITHDRAWAL SYNDR 60 BABY4 Baby 4 I15019 760 MATERN COND AFF FETUS/NB* 665 BABY4 Baby 4 I15019 7600 MATERN HYPERTEN AFF NB 665 BABY4 Baby 4 I15019 7601 MATERN URINE DIS AFF NB 665 BABY4 Baby 4 I15019 7602 MATERNAL INFEC AFF NB 665 BABY4 Baby 4 I15019 7603 MATERN CARDIORESP AFF NB 665 BABY4 Baby 4 I15019 7604 MATERN NUTRIT DIS AFF NB 665 BABY4 Baby 4 I15019 7605 MATERNAL INJURY AFF NB 665 BABY4 Baby 4 I15019 7606 SURG OP ON MOTHER AFF NB 665 BABY4 Baby 4 I15019 7608 MATERNAL COND NEC AFF NB 665 BABY4 Baby 4 I15019 7609 MATERNAL COND NOS AFF NB 665 BABY4 Baby 4 I15019 761 MATERNAL COMPL AFF NB* 665 BABY4 Baby 4 I15019 762 COMPL PLACEN/CORD AFF NB* 665 BABY4 Baby 4 I15019 763 OTH COMPL DELIV AFF NB* 665 BABY4 Baby 4 I15019 766 LONG GESTAT/HIGH BIRTHWT* 665 BABY4 Baby 4 I15019 767 BIRTH TRAUMA* 665 BABY4 Baby 4 I15019 7671 SCALP INJURY AT BIRTH 665 BABY4 Baby 4 I15019 7672 CLAVICLE FX AT BIRTH 665 BABY4 Baby 4 I15019 7673 BONE INJURY NEC AT BIRTH 665 BABY4 Baby 4 I15019 7675 FACIAL NERVE INJ-BIRTH 665 BABY4 Baby 4 I15019 7676 BRACH PLEXUS INJ-BIRTH 665 BABY4 Baby 4 I15019 7677 NERVE INJ NEC AT BIRTH 665 BABY4 Baby 4 I15019 7678 BIRTH TRAUMA NEC 665 BABY4 Baby 4 I15019 7679 BIRTH TRAUMA NOS 665 BABY4 Baby 4 I15014 768 INTRAUTERINE ASPHYXIA* 119 BABY4 Baby 4 I15013 7680 FETAL DEATH-ANOXIA NOS 4 BABY4 Baby 4 I15013 7681 FET DEATH-ANOXIA DUR LAB 4 BABY4 Baby 4 I15014 7682 FET DISTRESS BEFOR LABOR 119 BABY4 Baby 4 I15014 7683 FETAL DISTRESS DUR LABOR 119 BABY4 Baby 4 I15014 7684 FETAL DISTRESS NOS 119 BABY4 Baby 4 I15014 7685 SEVERE BIRTH ASPHYXIA 119 BABY4 Baby 4 I15014 7686 MILD/MOD BIRTH ASPHYXIA 119 BABY4 Baby 4 I15014 7689 BIRTH ASPHYXIA NOS 119 BABY4 Baby 4 I15014 770 OTH NB RESPIRATORY COND* 119 BABY4 Baby 4 I15014 7706 NB TRANSITORY TACHYPNEA 119 BABY4 Baby 4 I15014 7709 NB RESPIRATORY COND NOS 119 BABY4 Baby 4 I15015 771 PERINATAL INFECTION* 143 BABY4 Baby 4 I15016 772 FETAL/NEONATAL HEMORRHAG* 40 BABY4 Baby 4 I15016 7720 FETAL BLOOD LOSS NEC 40 BABY4 Baby 4 I15016 7723 POST-BIRTH UMBIL HEMORR 40 BABY4 Baby 4 I15016 7726 NB CUTANEOUS HEMORRHAGE 40 BABY4 Baby 4 I15016 7728 NEONATAL HEMORRHAGE NEC 40 BABY4 Baby 4 I15016 7729 NEONATAL HEMORRHAGE NOS 40 BABY4 Baby 4 I15009 773 NB HEMOLYT DIS:ISOIMMU* 133 BABY4 Baby 4 I15017 774 OTHER PERINATAL JAUNDICE* 55 BABY4 Baby 4 I15010 775 NB ENDOCRIN/METABOL DIS* 63

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

BABY4 Baby 4 I15009 776 HEMATOLOGICAL DIS OF NB* 133 BABY4 Baby 4 I15018 778 INTEGUMENT/TEMP COND NB* 39 BABY4 Baby 4 I15009 7780 HYDROPS FETALIS NO ISOIM 133 BABY4 Baby 4 I15019 7781 SCLEREMA NEONATORUM 665 BABY4 Baby 4 I15018 7782 NB COLD INJURY SYNDROME 39 BABY4 Baby 4 I15018 7783 NB HYPOTHERMIA NEC 39 BABY4 Baby 4 I15018 7784 NB TEMP REGULAT DIS NEC 39 BABY4 Baby 4 I15018 7785 EDEMA OF NEWBORN NEC/NOS 39 BABY4 Baby 4 I15018 7786 CONGENITAL HYDROCELE 39 BABY4 Baby 4 I15018 7787 NB BREAST ENGORGEMENT 39 BABY4 Baby 4 I15018 7788 NB INTEGUMENT COND NEC 39 BABY4 Baby 4 I15018 7789 NB INTEGUMENT COND NOS 39 BABY4 Baby 4 I15019 779 OTH PERINATAL CONDITION* 665 BABY4 Baby 4 I15019 7793 NB FEEDING PROBLEMS 665 BABY4 Baby 4 I15013 7796 TERMINATION OF PREGNANCY 4 BABY4 Baby 4 I15019 7798 PERINATAL CONDITION NEC 665 BABY4 Baby 4 I15019 7799 PERINATAL CONDITION NOS 665 BABY4 Baby 4 I15021 V31 TWIN, MATE LIVEBORN* 10 BABY4 Baby 4 I15021 V32 TWIN, MATE STILLBORN* 10 BABY4 Baby 4 I15021 V33 TWIN NOS* 10 BABY4 Baby 4 I15021 V34 OTH MULT BIRTH, ALL LIVE* 10 BABY4 Baby 4 I15021 V35 OTH MULT BIRTH, ALL SB* 10 BABY4 Baby 4 I15021 V36 OTH MULT BRTH, SOME LIVE* 10 BABY4 Baby 4 I15021 V37 OTH/UNSPEC MULTIPLE BRTH* 10 BABY5 Baby 5 I15020 V30 SINGLE LIVEBORN* 23 BABY5 Baby 5 I15020 V39 LIVEBORN NOS* 23 EYEL Eye, Low I36281 36281 RETINAL HEMORRHAGE 6,748 EYEL Eye, Low I3651_8 3651 OPEN-ANGLE GLAUCOMA* 92,078 EYEL Eye, Low I3651_8 3652 PRIM ANGL-CLOSURE GLAUC* 92,078 EYEL Eye, Low I3651_8 3653 STEROID-INDUCED GLAUCOMA* 92,078 EYEL Eye, Low I3651_8 3654 GLAUCOM W CONGEN ANOMALY* 92,078 EYEL Eye, Low I3651_8 3655 GLAUCOMA W LENS DISORDER* 92,078 EYEL Eye, Low I3651_8 3656 GLAUC W OCULAR DIS NEC* 92,078 EYEL Eye, Low I3651_8 3658 OTHER GLAUCOMA* 92,078 EYEL Eye, Low I370X 370 KERATITIS* 16,725 EYEL Eye, Low I3700 3700 CORNEAL ULCER* 1,936 EYEL Eye, Low I370X 3702 SUPERFICIAL KERATITIS* 16,725 EYEL Eye, Low I370X 3703 SPEC TYPE KERATOCONJUNCT* 16,725 EYEL Eye, Low I370X 3704 KERATOCONJUNCTIV NEC/NOS* 16,725 EYEL Eye, Low I370X 3705 INTERSTITIAL KERATITIS* 16,725 EYEL Eye, Low I370X 3706 CORNEAL NEOVASCULARIZAT* 16,725 EYEL Eye, Low I370X 3708 KERATITIS NEC 16,725 EYEL Eye, Low I370X 3709 KERATITIS NOS 16,725 EYEL Eye, Low I36281 37923 VITREOUS HEMORRHAGE 6,748 EYERT Eye, Retina I361 361 RETINAL DETACHMENT* 10,007 EYERT Eye, Retina I362X 362 RETINAL DISORDERS NEC* 126,840 EYERT Eye, Retina I362X 3621 BACKGRND RETINOPATHY NEC* 126,840 EYERT Eye, Retina I362X 36210 BACKGRND RETINOPATHY NOS 126,840 EYERT Eye, Retina I362X 36211 HYPERTENSIVE RETINOPATHY 126,840 EYERT Eye, Retina I362X 36212 EXUDATIVE RETINOPATHY 126,840 EYERT Eye, Retina I362X 36213 RETINAL VASCULAR CHANGES 126,840 EYERT Eye, Retina I362X 36214 RETINA MICROANEURYSM NOS 126,840 EYERT Eye, Retina I362X 36215 RETINAL TELANGIECTASIA 126,840 EYERT Eye, Retina I362X 36216 RETINAL NEOVASCULAR NOS 126,840 EYERT Eye, Retina I362X 36217 RETINAL VARICES 126,840 EYERT Eye, Retina I362X 36218 RETINAL VASCULITIS 126,840 EYERT Eye, Retina I362X 3622 OTH PROLIF RETINOPATHY* 126,840 EYERT Eye, Retina I362X 36221 RETROLENTAL FIBROPLASIA 126,840 EYERT Eye, Retina I362X 36229 PROLIF RETINOPATHY NEC 126,840 EYERT Eye, Retina I362X 3623 RETINAL VASC OCCLUSION* 126,840 EYERT Eye, Retina I362X 36230 RETINAL VASC OCCLUS NOS 126,840 EYERT Eye, Retina I362X 36231 CENT RETINA ARTERY OCCLU 126,840 EYERT Eye, Retina I362X 36232 ARTERIAL BRANCH OCCLUS 126,840 EYERT Eye, Retina I362X 36233 PART ARTERIAL OCCLUSION 126,840 EYERT Eye, Retina I362X 36234 TRANSIENT ARTERIAL OCCLU 126,840 EYERT Eye, Retina I362X 36235 CENT RETINAL VEIN OCCLUS 126,840 EYERT Eye, Retina I362X 36236 VENOUS TRIBUTARY OCCLUS 126,840 EYERT Eye, Retina I362X 36237 RETINA VENOUS ENGORGEMNT 126,840 EYERT Eye, Retina I362X 3624 RETINA LAYER SEPARATION* 126,840 EYERT Eye, Retina I362X 36240 RETINA LAYER SEPARAT NOS 126,840 EYERT Eye, Retina I362X 36241 CENT SEROUS RETINOPATHY 126,840 EYERT Eye, Retina I362X 36242 SEROUS DETACH PIGM EPITH 126,840 EYERT Eye, Retina I362X 36243 HEM DETACH PIGMNT EPITH 126,840 EYERT Eye, Retina I362X 3625 DEGENERATION OF MACULA* 126,840 EYERT Eye, Retina I362X 36250 MACULAR DEGENERATION NOS 126,840 EYERT Eye, Retina I362X 36251 NONEXUDAT MACULAR DEGEN 126,840 EYERT Eye, Retina I362X 36252 EXUDATIVE MACULAR DEGEN 126,840 EYERT Eye, Retina I362X 36253 CYSTOID MACULAR DEGEN 126,840 EYERT Eye, Retina I362X 36254 MACULAR CYST OR HOLE 126,840 EYERT Eye, Retina I362X 36255 TOXIC MACULOPATHY 126,840 EYERT Eye, Retina I362X 36256 MACULAR PUCKERING 126,840 EYERT Eye, Retina I362X 36257 DRUSEN (DEGENERATIVE) 126,840 EYERT Eye, Retina I362X 3626 PERIPH RETINA DEGEN* 126,840 EYERT Eye, Retina I362X 36260 PERIPH RETINA DEGEN NOS 126,840 EYERT Eye, Retina I362X 36261 PAVING STONE DEGENERAT 126,840 EYERT Eye, Retina I362X 36262 MICROCYSTOID DEGENERAT 126,840 EYERT Eye, Retina I362X 36263 LATTICE DEGENERATION 126,840 EYERT Eye, Retina I362X 36264 SENILE RETICULAR DEGEN 126,840 EYERT Eye, Retina I362X 36265 SECONDRY PIGMENT DEGEN 126,840 EYERT Eye, Retina I362X 36266 SEC VITREORETINA DEGEN 126,840

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

EYERT Eye, Retina I362X 3627 HERED RETINAL DYSTROPHY* 126,840 EYERT Eye, Retina I362X 36270 HERED RETIN DYSTRPHY NOS 126,840 EYERT Eye, Retina I362X 36271 RET DYSTRPH IN LIPIDOSES 126,840 EYERT Eye, Retina I362X 36272 RET DYSTRPH IN SYST DIS 126,840 EYERT Eye, Retina I362X 36273 VITREORETINAL DYSTROPHY 126,840 EYERT Eye, Retina I362X 36274 PIGMENT RETINA DYSTROPHY 126,840 EYERT Eye, Retina I362X 36275 SENSORY RETINA DYSTROPHY 126,840 EYERT Eye, Retina I362X 36276 VITELLIFORM DYSTROPHY 126,840 EYERT Eye, Retina I362X 36277 BRUCH MEMBRANE DYSTROPHY 126,840 EYERT Eye, Retina I362X 3628 OTHER RETINAL DISORDERS* 126,840 EYERT Eye, Retina I362X 36282 RETINA EXUDATES/DEPOSITS 126,840 EYERT Eye, Retina I362X 36283 RETINAL EDEMA 126,840 EYERT Eye, Retina I362X 36284 RETINAL ISCHEMIA 126,840 EYERT Eye, Retina I362X 36285 RETINAL NERV FIBER DEFEC 126,840 EYERT Eye, Retina I362X 36289 RETINAL DISORDERS NEC 126,840 EYERT Eye, Retina I362X 3629 RETINAL DISORDER NOS 126,840 EYECT Eye, Cataract I366 366 CATARACT* 378,105 EYECT Eye, Cataract IV431 V431 LENS REPLACEMENT NEC 79,837 EYESL Eye, Super Low I360 360 DISORDERS OF THE GLOBE* 3,654 EYESL Eye, Super Low I363 363 CHOROIDAL DISORDERS* 6,427 EYESL Eye, Super Low I364 364 IRIS/CILIARY BODY DIS* 8,668 EYESL Eye, Super Low I367 367 DISORDERS OF REFRACTION* 49,164 EYESL Eye, Super Low I368 368 VISUAL DISTURBANCES* 42,816 EYESL Eye, Super Low I369 369 BLINDNESS AND LOW VISION* 9,814 EYESL Eye, Super Low I371 371 CORNEAL OPACITY/DISORDER* 22,279 EYESL Eye, Super Low I372 372 DISORDERS OF CONJUNCTIVA* 53,967 EYESL Eye, Super Low I373 373 INFLAMMATION OF EYELIDS* 37,480 EYESL Eye, Super Low I374 374 DISORDERS OF EYELIDS NEC* 25,570 EYESL Eye, Super Low I375 375 LACRIMAL SYSTEM DISORDER* 37,380 EYESL Eye, Super Low I377 377 DISORDERS OF OPTIC NERVE* 11,397 EYESL Eye, Super Low I378 378 STRABISMUS* 7,866 EYESL Eye, Super Low I3790 3790 SCLERITIS/EPISCLERITIS* 78,226 EYESL Eye, Super Low I3790 37900 SCLERITIS NOS 78,226 EYESL Eye, Super Low I3790 37901 EPISCLERIT PERIODIC FUGX 78,226 EYESL Eye, Super Low I3790 37902 NODULAR EPISCLERITIS 78,226 EYESL Eye, Super Low I3790 37903 ANTERIOR SCLERITIS 78,226 EYESL Eye, Super Low I3790 37904 SCLEROMALACIA PERFORANS 78,226 EYESL Eye, Super Low I3790 37905 SCLERITIS W CORNEA INVOL 78,226 EYESL Eye, Super Low I3790 37906 BRAWNY SCLERITIS 78,226 EYESL Eye, Super Low I3790 37907 POSTERIOR SCLERITIS 78,226 EYESL Eye, Super Low I3790 37909 SCLERITIS NEC 78,226 EYESL Eye, Super Low I3790 3791 OTH DISORDERS OF SCLERA* 78,226 EYESL Eye, Super Low I3790 37911 SCLERAL ECTASIA 78,226 EYESL Eye, Super Low I3790 37912 STAPHYLOMA POSTICUM 78,226 EYESL Eye, Super Low I3790 37913 EQUATORIAL STAPHYLOMA 78,226 EYESL Eye, Super Low I3790 37914 LOCAL ANTERIOR STAPHYLMA 78,226 EYESL Eye, Super Low I3790 37915 RING STAPHYLOMA 78,226 EYESL Eye, Super Low I3790 37916 SCLERAL DEGEN DIS NEC 78,226 EYESL Eye, Super Low I3790 37919 DISORDER OF SCLERA NEC 78,226 EYESL Eye, Super Low I3790 3792 VITREOUS BODY DISORDERS* 78,226 EYESL Eye, Super Low I3790 37921 VITREOUS DEGENERATION 78,226 EYESL Eye, Super Low I3790 37922 CRYSTAL DEPOSIT VITREOUS 78,226 EYESL Eye, Super Low I3790 37924 VITREOUS OPACITIES NEC 78,226 EYESL Eye, Super Low I3790 37925 VITREOUS MEMBRANES 78,226 EYESL Eye, Super Low I3790 37926 VITREOUS PROLAPSE 78,226 EYESL Eye, Super Low I3790 37929 VITREOUS DISORDERS NEC 78,226 EYESL Eye, Super Low I3790 3793 OTHER LENS DISORDERS* 78,226 EYESL Eye, Super Low I3790 37931 APHAKIA 78,226 EYESL Eye, Super Low I3790 37932 SUBLUXATION OF LENS 78,226 EYESL Eye, Super Low I3790 37933 ANT DISLOCATION OF LENS 78,226 EYESL Eye, Super Low I3790 37934 POST DISLOCATION OF LENS 78,226 EYESL Eye, Super Low I3790 37939 DISORDERS OF LENS NEC 78,226 EYESL Eye, Super Low I3790 3794 PUPIL FUNCTION ANOMALIES* 78,226 EYESL Eye, Super Low I3790 37940 ABN PUPIL FUNCTION NOS 78,226 EYESL Eye, Super Low I3790 37941 ANISOCORIA 78,226 EYESL Eye, Super Low I3790 37942 MIOSIS NOT D/T MIOTICS 78,226 EYESL Eye, Super Low I3790 37943 MYDRIASIS NOT D/T MYDRTC 78,226 EYESL Eye, Super Low I3790 37945 ARGYLL ROBERTSON PUPIL 78,226 EYESL Eye, Super Low I3790 37946 TONIC PUPILLARY REACTION 78,226 EYESL Eye, Super Low I3790 37949 PUPIL FUNCT ANOMALY NEC 78,226 EYESL Eye, Super Low I3790 3795 IRREGULAR EYE MOVEMENTS* 78,226 EYESL Eye, Super Low I3790 37950 NYSTAGMUS NOS 78,226 EYESL Eye, Super Low I3790 37951 CONGENITAL NYSTAGMUS 78,226 EYESL Eye, Super Low I3790 37952 LATENT NYSTAGMUS 78,226 EYESL Eye, Super Low I3790 37953 VISUAL DEPRIVATN NYSTAGM 78,226 EYESL Eye, Super Low I3790 37954 NYSTAGMS W VESTIBULR DIS 78,226 EYESL Eye, Super Low I3790 37955 DISSOCIATED NYSTAGMUS 78,226 EYESL Eye, Super Low I3790 37956 NYSTAGMUS NEC 78,226 EYESL Eye, Super Low I3790 37957 SACCADIC EYE MOVMNT DEF 78,226 EYESL Eye, Super Low I3790 37958 SMOOTH PURSUIT MVMNT DEF 78,226 EYESL Eye, Super Low I3790 37959 IRREGULAR EYE MVMNTS NEC 78,226 EYESL Eye, Super Low I743 743 CONGENITAL EYE ANOMALY* 3,755 EYESL Eye, Super Low I870_1 870 OCULAR ADNEXA OPEN WOUND* 1,695 EYESL Eye, Super Low I870_1 871 EYEBALL OPEN WOUND* 1,695 EYESL Eye, Super Low I930 930 FOREIGN BODY EXTERN EYE* 4,208 EYESL Eye, Super Low IV425 V425 CORNEA TRANSPLANT STATUS 1,917 EYENWD Eye, Not Well Defined I365X 365 GLAUCOMA* 66,180 EYENWD Eye, Not Well Defined I365X 3650 BORDERLINE GLAUCOMA* 66,180 EYENWD Eye, Not Well Defined I365X 3659 GLAUCOMA NOS 66,180 EYENWD Eye, Not Well Defined I376 376 DISORDERS OF THE ORBIT* 1,707

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

EYENWD Eye, Not Well Defined I379X 379 EYE DISORDERS NEC* 9,528 EYENWD Eye, Not Well Defined I379X 3798 EYE DISORDERS NEC 9,528 EYENWD Eye, Not Well Defined I379X 3799 EYE DISORDERS NOS* 9,528 EARSL Ear, Super Low I380X 380 DISORDER OF EXTERNAL EAR* 68,469 EARSL Ear, Super Low I380X 3800 PERICHONDRITIS OF PINNA* 68,469 EARSL Ear, Super Low I3801_2 3801 INFECTIVE OTITIS EXTERNA* 22,016 EARSL Ear, Super Low I3801_2 3802 OTITIS EXTERNA NEC* 22,016 EARSL Ear, Super Low I380X 3803 NONINFECT DISORDER PINNA* 68,469 EARSL Ear, Super Low I380X 3804 IMPACTED CERUMEN 68,469 EARSL Ear, Super Low I380X 3805 ACQ STENOSIS EAR CANAL* 68,469 EARSL Ear, Super Low I380X 3808 DISORD EXTERNAL EAR NEC* 68,469 EARSL Ear, Super Low I380X 3809 DIS EXTERNAL EAR NOS 68,469 EARSL Ear, Super Low I381X 381 NONSUPPUR OTITIS MEDIA* 35,268 EARSL Ear, Super Low I381X 3810 AC NONSUP OTITIS MEDIA* 35,268 EARSL Ear, Super Low I3811_3 3811 CHR SEROUS OTITIS MEDIA* 6,926 EARSL Ear, Super Low I3811_3 3812 CHR MUCOID OTITIS MEDIA* 6,926 EARSL Ear, Super Low I3811_3 3813 CHR NONSUP OM NOS/NEC 6,926 EARSL Ear, Super Low I381X 3814 NONSUPP OTITIS MEDIA NOS 35,268 EARSL Ear, Super Low I381X 3815 EUSTACHIAN SALPINGITIS* 35,268 EARSL Ear, Super Low I381X 3816 EUSTACHIAN TUBE OBSTRUCT* 35,268 EARSL Ear, Super Low I381X 3817 PATULOUS EUSTACHIAN TUBE 35,268 EARSL Ear, Super Low I381X 3818 DIS EUSTACHIAN TUBE NEC* 35,268 EARSL Ear, Super Low I381X 3819 EUSTACHIAN TUBE DIS NOS 35,268 EARSL Ear, Super Low I381X 382 OTITIS MEDIA, SUPPUR/NOS* 35,268 EARSL Ear, Super Low I381X 3820 AC SUPPUR OTITIS MEDIA* 35,268 EARSL Ear, Super Low I3811_3 3821 CHR TUBOTYMPAN SUPPUR OM 6,926 EARSL Ear, Super Low I3811_3 3822 CHR ATTICOANTRAL SUP OM 6,926 EARSL Ear, Super Low I3811_3 3823 CHR SUP OTITIS MEDIA NOS 6,926 EARSL Ear, Super Low I381X 3824 SUPPUR OTITIS MEDIA NOS 35,268 EARSL Ear, Super Low I381X 3829 OTITIS MEDIA NOS 35,268 EARSL Ear, Super Low I383 383 MASTOIDITIS ET AL* 1,804 EARSL Ear, Super Low I384X 384 DISORD TYMPANIC MEMB NEC* 486 EARSL Ear, Super Low I384X 3840 ACUTE MYRINGITIS* 486 EARSL Ear, Super Low I384X 3841 CHRONIC MYRINGITIS 486 EARSL Ear, Super Low I3842 3842 PERFORATION TYMPAN MEMB* 2,589 EARSL Ear, Super Low I384X 3848 DIS TYMPANIC MEMB NEC* 486 EARSL Ear, Super Low I384X 3849 DIS TYMPANIC MEMB NOS 486 EARSL Ear, Super Low I385 385 DIS MID EAR/MASTOID NEC* 1,699 EARSL Ear, Super Low I386 386 VERTIGINOUS SYNDROMES* 26,347 EARSL Ear, Super Low I387 387 OTOSCLEROSIS* 981 EARSL Ear, Super Low I3880_6 3880 DEGEN/VASCULAR DIS EAR* 17,423 EARSL Ear, Super Low I3880_6 3881 NOISE EFFECTS-INNER EAR* 17,423 EARSL Ear, Super Low I3880_6 3882 SUDDEN HEARING LOSS NOS 17,423 EARSL Ear, Super Low I3880_6 3883 TINNITUS* 17,423 EARSL Ear, Super Low I3880_6 3884 OTH ABN AUDITORY PERCEPT* 17,423 EARSL Ear, Super Low I3880_6 3885 ACOUSTIC NERVE DISORDERS 17,423 EARSL Ear, Super Low I3880_6 3886 OTORRHEA* 17,423 EARSL Ear, Super Low I389 389 HEARING LOSS* 45,731 EARSL Ear, Super Low I744 744 CONG ANOM EAR/FACE/NECK* 404 EARSL Ear, Super Low I872 872 OPEN WOUND OF EAR* 984 EARSL Ear, Super Low I931 931 FOREIGN BODY IN EAR 1,217 EARNWD Ear, Not Well Defined I388X 388 DISORDERS OF EAR NEC* 9,259 EARNWD Ear, Not Well Defined I388X 3887 OTALGIA* 9,259 EARNWD Ear, Not Well Defined I388X 3888 DISORDERS OF EAR NEC 9,259 EARNWD Ear, Not Well Defined I388X 3889 DISORDER OF EAR NOS 9,259 CERH Cerebrovascular, High I342 342 HEMIPLEGIA* 14,736 CERH Cerebrovascular, High I4382 4382 LATE EF-HEMPLGA 10 CERM Cerebrovascular, Medium I430_7 430 SUBARACHNOID HEMORRHAGE 9,748 CERM Cerebrovascular, Medium I430_7 431 INTRACEREBRAL HEMORRHAGE 9,748 CERM Cerebrovascular, Medium I430_7 432 INTRACRANIAL HEM NEC/NOS* 9,748 CERM Cerebrovascular, Medium I436 436 CVA 53,226 CERM Cerebrovascular, Medium I430_7 4372 HYPERTENS ENCEPHALOPATHY 9,748 CERM Cerebrovascular, Medium I430_7 4373 NONRUPT CEREBRAL ANEURYM 9,748 CERM Cerebrovascular, Medium I430_7 4374 CEREBRAL ARTERITIS 9,748 CERM Cerebrovascular, Medium I430_7 4375 MOYAMOYA DISEASE 9,748 CERM Cerebrovascular, Medium I430_7 4376 NONPYOGEN THROMBOS SINUS 9,748 CERM Cerebrovascular, Medium I430_7 4377 TRANSIENT GLOBAL AMNESIA 9,748 CERL Cerebrovascular, Low I433 433 PRECEREBRAL OCCLUSION* 51,269 CERL Cerebrovascular, Low I434 434 CEREBRAL ARTERY OCCLUS* 20,401 CERL Cerebrovascular, Low I7843_6 7843 APHASIA 18,635 CERL Cerebrovascular, Low I7843_6 7844 VOICE DISTURBANCE* 18,635 CERL Cerebrovascular, Low I7843_6 7845 SPEECH DISTURBANCE NEC 18,635 CERL Cerebrovascular, Low I7843_6 7846 OTH SYMBOLIC DYSFUNCTION* 18,635 CERVL Cerebrovascular, Very Low I438X 438 LATE EFF CEREBROVASC DIS* 27,932 CERVL Cerebrovascular, Very Low I438X 4380 LATE EF CV DIS-COGNF DEF 27,932 CERVL Cerebrovascular, Very Low I438X 4389 LATE EFFECT CV DIS NOS 27,932 CEREL Cerebrovascular, Extremely Low I435 435 TRANSIENT CEREB ISCHEMIA* 43,602 CERNWD Cerebrovascular, Not Well Defined I437X 437 OTH CEREBROVASC DISEASE* 25,652 CERNWD Cerebrovascular, Not Well Defined I437X 4370 CEREBRAL ATHEROSCLEROSIS 25,652 CERNWD Cerebrovascular, Not Well Defined I437X 4371 AC CEREBROVASC INSUF NOS 25,652 CERNWD Cerebrovascular, Not Well Defined I437X 4378 CEREBROVASC DISEASE NEC 25,652 CERNWD Cerebrovascular, Not Well Defined I437X 4379 CEREBROVASC DISEASE NOS 25,652 CERNWD Cerebrovascular, Not Well Defined I7842 7842 SWELLING IN HEAD & NECK 8,972 AIDSH Infectious Disease, AIDS I0312 0312 DMAC BACTEREMIA - AIDSH Infectious Disease, AIDS I042 042 HUMAN IMMUNO VIRUS DIS 1,514 AIDSH Infectious Disease, AIDS I042 043 HUMAN IMMUNO VIRUS DIS 1,514 AIDSH Infectious Disease, AIDS I0463 0463 PROG MULTIFOC LEUKOENCEP 10 AIDSH Infectious Disease, AIDS I1175 1175 CRYPTOCOCCOSIS 61 AIDSH Infectious Disease, AIDS I1300 1300 TOXOPLASM MENINGOENCEPH 15 AIDSH Infectious Disease, AIDS I1363 1363 PNEUMOCYSTOSIS 275

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

AIDSH Infectious Disease, AIDS I176 176 KAPOSI'S SARCOMA 200 AIDSH Infectious Disease, AIDS I3210 3210 CRYPTOCOCCAL MENINGITIS 32 INFH Infectious Disease, High I0381 0381 STAPHYLOCOCC SEPTICEMIA* 1,961 INFH Infectious Disease, High I03843 03843 PSEUDOMONAS SEPTICEMIA 269 INFH Infectious Disease, High I0785 0785 CYTOMEGALOVIRAL DISEASE 192 INFH Infectious Disease, High I1141_4 1141 PRIM CUTAN COCCIDIOID 37 INFH Infectious Disease, High I1141_4 1142 COCCIDIOIDAL MENINGITIS 37 INFH Infectious Disease, High I1141_4 1143 PROGRESS COCCIDIOID NEC 37 INFH Infectious Disease, High I1141_4 1144 CH PL COCCIDIOIDOMYCOSIS 37 HIVM Infectious Disease, HIV I044 044 HUMAN IMMUNO VIRUS DIS 106 HIVM Infectious Disease, HIV I07953 07953 HIV-2 INFECTION OTH DIS 74 HIVM Infectious Disease, HIV I7958 7958 POS SEROLOG OR VIRAL HIV 39 HIVM Infectious Disease, HIV IV08 V08 ASYMP HIV INFECTN STATUS 500 INFM Infectious Disease, Medium I031 031 OTHER MYCOBACTERIAL DIS* 425 INFM Infectious Disease, Medium I031 0310 PULMONARY MYCOBACTERIA 425 INFM Infectious Disease, Medium I031 0311 CUTANEOUS MYCOBACTERIA 425 INFM Infectious Disease, Medium I031 0318 MYCOBACTERIAL DIS NEC 425 INFM Infectious Disease, Medium I031 0319 MYCOBACTERIAL DIS NOS 425 INFM Infectious Disease, Medium I038 038 SEPTICEMIA* 984 INFM Infectious Disease, Medium I038 0380 STREPTOCOCCAL SEPTICEMIA 984 INFM Infectious Disease, Medium I0382 0382 PNEUMOCOCCAL SEPTICEMIA 364 INFM Infectious Disease, Medium I0383 0383 ANAEROBIC SEPTICEMIA 178 INFM Infectious Disease, Medium I0384X 0384 GRAM-NEG SEPTICEMIA NEC* 12,147 INFM Infectious Disease, Medium I0384X 03840 GRAM-NEG SEPTICEMIA NOS 12,147 INFM Infectious Disease, Medium I0384X 03841 H. INFLUENAE SEPTICEMIA 12,147 INFM Infectious Disease, Medium I0384X 03842 E COLI SEPTICEMIA 12,147 INFM Infectious Disease, Medium I0384X 03844 SERRATIA SEPTICEMIA 12,147 INFM Infectious Disease, Medium I0384X 03849 GRAM-NEG SEPTICEMIA NEC 12,147 INFM Infectious Disease, Medium I0384X 0388 SEPTICEMIA NEC 12,147 INFM Infectious Disease, Medium I0384X 0389 SEPTICEMIA NOS 12,147 INFM Infectious Disease, Medium I045 045 ACUTE POLIOMYELITIS* 310 INFM Infectious Disease, Medium I080 080 LOUSE-BORNE TYPHUS 22 INFM Infectious Disease, Medium I080 081 OTHER TYPHUS* 22 INFM Infectious Disease, Medium I1120 1120 THRUSH 5,463 INFM Infectious Disease, Medium I1120 1124 CANDIDIASIS OF LUNG 5,463 INFM Infectious Disease, Medium I1120 1125 DISSEMINATED CANDIDIASIS 5,463 INFM Infectious Disease, Medium I1120 1128 CANDIDIASIS OTHER SITES* 5,463 INFM Infectious Disease, Medium I115 115 HISTOPLASMOSIS* 654 INFM Infectious Disease, Medium I120 120 SCHISTOSOMIASIS* 1,315 INFM Infectious Disease, Medium I120 121 OTH TREMATODE INFECTION* 1,315 INFM Infectious Disease, Medium I120 122 ECHINOCOCCOSIS* 1,315 INFM Infectious Disease, Medium I120 123 OTHER CESTODE INFECTION* 1,315 INFM Infectious Disease, Medium I120 124 TRICHINOSIS 1,315 INFM Infectious Disease, Medium I120 125 FILARIAL INFECTION* 1,315 INFM Infectious Disease, Medium I120 126 ANCYLOSTOMIASIS* 1,315 INFM Infectious Disease, Medium I120 127 OTH INTEST HELMINTHIASES* 1,315 INFM Infectious Disease, Medium I120 128 HELMINTHIASES NEC & NOS* 1,315 INFM Infectious Disease, Medium I120 129 INTESTIN PARASITISM NOS 1,315 INFM Infectious Disease, Medium I130X 130 TOXOPLASMOSIS* 211 INFM Infectious Disease, Medium I130X 1301 TOXOPLASM CONJUNCTIVITIS 211 INFM Infectious Disease, Medium I130X 1302 TOXOPLASM CHORIORETINIT 211 INFM Infectious Disease, Medium I130X 1303 TOXOPLASMA MYOCARDITIS 211 INFM Infectious Disease, Medium I130X 1304 TOXOPLASMA PNEUMONITIS 211 INFM Infectious Disease, Medium I130X 1305 TOXOPLASMA HEPATITIS 211 INFM Infectious Disease, Medium I130X 1307 TOXOPLASMOSIS SITE NEC 211 INFM Infectious Disease, Medium I130X 1308 MULTISYSTEM TOXOPLASMOS 211 INFM Infectious Disease, Medium I130X 1309 TOXOPLASMOSIS NOS 211 INFL Infectious Disease, Low I046X 046 CNS SLOW VIRUS INFECTION* 33 INFL Infectious Disease, Low I046X 0460 KURU 33 INFL Infectious Disease, Low I046X 0461 JAKOB-CREUTZFELDT DIS 33 INFL Infectious Disease, Low I046X 0462 SUBAC SCLEROS PANENCEPH 33 INFL Infectious Disease, Low I046X 0468 CNS SLOW VIRUS INFEC NEC 33 INFL Infectious Disease, Low I046X 0469 CNS SLOW VIRUS INFEC NOS 33 INFL Infectious Disease, Low I053 053 HERPES ZOSTER* 15,782 INFL Infectious Disease, Low I114X 114 COCCIDIOIDOMYCOSIS* 161 INFL Infectious Disease, Low I114X 1140 PRIMARY COCCIDIOIDOMYCOS 161 INFL Infectious Disease, Low I114X 1145 PL COCIDIOIDOMYCOSIS NOS 161 INFL Infectious Disease, Low I114X 1149 COCCIDIOIDOMYCOSIS NOS 161 INFL Infectious Disease, Low I117X 117 OTHER MYCOSES* 2,452 INFL Infectious Disease, Low I117X 1170 RHINOSPORIDIOSIS 2,452 INFL Infectious Disease, Low I117X 1171 SPOROTRICHOSIS 2,452 INFL Infectious Disease, Low I117X 1172 CHROMOBLASTOMYCOSIS 2,452 INFL Infectious Disease, Low I117X 1173 ASPERGILLOSIS 2,452 INFL Infectious Disease, Low I117X 1174 MYCOTIC MYCETOMAS 2,452 INFL Infectious Disease, Low I117X 1176 ALLESCHERIOSIS 2,452 INFL Infectious Disease, Low I117X 1177 ZYGOMYCOSIS 2,452 INFL Infectious Disease, Low I117X 1178 DEMATIACIOUS FUNGI INF 2,452 INFL Infectious Disease, Low I117X 1179 MYCOSES NEC & NOS 2,452 INFL Infectious Disease, Low I118 118 OPPORTUNISTIC MYCOSES 24 INFL Infectious Disease, Low IV09 V09 INFCT MCRG RESISTNT DRUG* 854 INFSL Infectious Disease, Super Low I010_8 010 PRIMARY TB INFECTION* 3,275 INFSL Infectious Disease, Super Low I010_8 011 PULMONARY TUBERCULOSIS* 3,275 INFSL Infectious Disease, Super Low I010_8 012 OTHER RESPIRATORY TB* 3,275 INFSL Infectious Disease, Super Low I010_8 013 CNS TUBERCULOSIS* 3,275 INFSL Infectious Disease, Super Low I010_8 014 INTESTINAL TB* 3,275 INFSL Infectious Disease, Super Low I010_8 015 TB OF BONE AND JOINT* 3,275 INFSL Infectious Disease, Super Low I010_8 016 GENITOURINARY TB* 3,275 INFSL Infectious Disease, Super Low I010_8 017 TUBERCULOSIS NEC* 3,275 INFSL Infectious Disease, Super Low I010_8 018 MILIARY TUBERCULOSIS* 3,275 INFSL Infectious Disease, Super Low I020 020 PLAGUE* 406

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

INFSL Infectious Disease, Super Low I020 021 TULAREMIA* 406 INFSL Infectious Disease, Super Low I020 022 ANTHRAX* 406 INFSL Infectious Disease, Super Low I020 023 BRUCELLOSIS* 406 INFSL Infectious Disease, Super Low I020 024 GLANDERS 406 INFSL Infectious Disease, Super Low I020 025 MELIOIDOSIS 406 INFSL Infectious Disease, Super Low I020 026 RAT-BITE FEVER* 406 INFSL Infectious Disease, Super Low I020 027 OTHER BACTERIAL ZOONOSES* 406 INFSL Infectious Disease, Super Low I020 030 LEPROSY* 406 INFSL Infectious Disease, Super Low I032_3 032 DIPHTHERIA* 71 INFSL Infectious Disease, Super Low I032_3 033 WHOOPING COUGH* 71 INFSL Infectious Disease, Super Low I034 034 STREP THROAT/SCARLET FEV* 2,153 INFSL Infectious Disease, Super Low I035 035 ERYSIPELAS 296 INFSL Infectious Disease, Super Low I036 036 MENINGOCOCCAL INFECTION* 71 INFSL Infectious Disease, Super Low I037 037 TETANUS 32 INFSL Infectious Disease, Super Low I039 039 ACTINOMYCOTIC INFECTIONS* 274 INFSL Infectious Disease, Super Low I040 040 OTHER BACTERIAL DISEASES* 183 INFSL Infectious Disease, Super Low I041 041 BACT INF IN OTH DIS/NOS* 31,744 INFSL Infectious Disease, Super Low I047_9 047 ENTEROVIRAL MENINGITIS* 561 INFSL Infectious Disease, Super Low I047_9 048 OTH ENTEROVIRAL CNS DIS 561 INFSL Infectious Disease, Super Low I047_9 049 OTH NONARTHROPOD CNS VIR* 561 INFSL Infectious Disease, Super Low I050 050 SMALLPOX* 8 INFSL Infectious Disease, Super Low I051 051 COWPOX AND PARAVACCINIA* 28 INFSL Infectious Disease, Super Low I052 052 CHICKENPOX* 303 INFSL Infectious Disease, Super Low I054 054 HERPES SIMPLEX* 5,372 INFSL Infectious Disease, Super Low I055 055 MEASLES* 285 INFSL Infectious Disease, Super Low I055 056 RUBELLA* 285 INFSL Infectious Disease, Super Low I055 057 OTHER VIRAL EXANTHEMATA* 285 INFSL Infectious Disease, Super Low I060 060 YELLOW FEVER* 398 INFSL Infectious Disease, Super Low I060 061 DENGUE 398 INFSL Infectious Disease, Super Low I060 062 MOSQUIT-BORNE VIR ENCEPH* 398 INFSL Infectious Disease, Super Low I060 063 TICK-BORNE VIRAL ENCEPH* 398 INFSL Infectious Disease, Super Low I060 064 VIR ENCEPH ARTHROPOD NEC 398 INFSL Infectious Disease, Super Low I060 065 ARTHROPOD HEMORRHAG FEV* 398 INFSL Infectious Disease, Super Low I060 066 OTHER ARTHROPOD VIRUS* 398 INFSL Infectious Disease, Super Low I070 070 VIRAL HEPATITIS* 2,545 INFSL Infectious Disease, Super Low I071 071 RABIES 1,553 INFSL Infectious Disease, Super Low I071 072 MUMPS* 1,553 INFSL Infectious Disease, Super Low I071 073 ORNITHOSIS* 1,553 INFSL Infectious Disease, Super Low I071 074 COXSACKIE VIRAL DISEASE* 1,553 INFSL Infectious Disease, Super Low I071 075 INFECTIOUS MONONUCLEOSIS 1,553 INFSL Infectious Disease, Super Low I071 076 TRACHOMA* 1,553 INFSL Infectious Disease, Super Low I071 077 OTH VIRAL CONJUNCTIVITIS* 1,553 INFSL Infectious Disease, Super Low I0784 078 OTHER VIRAL DISEASE* 15,989 INFSL Infectious Disease, Super Low I0784 0780 MOLLUSCUM CONTAGIOSUM 15,989 INFSL Infectious Disease, Super Low I0784 0781 VIRAL WARTS* 15,989 INFSL Infectious Disease, Super Low I0784 0782 SWEATING FEVER 15,989 INFSL Infectious Disease, Super Low I0784 0783 CAT-SCRATCH DISEASE 15,989 INFSL Infectious Disease, Super Low I0784 0784 FOOT & MOUTH DISEASE 15,989 INFSL Infectious Disease, Super Low I0786 0786 HEM NEPHROSONEPHRITIS 478 INFSL Infectious Disease, Super Low I0786 0787 ARENAVIRAL HEM FEVER 478 INFSL Infectious Disease, Super Low I0786 0788 VIRAL DISEASE NEC* 478 INFSL Infectious Disease, Super Low I079X 079 VIRAL INF IN OTH DIS/NOS* 1,018 INFSL Infectious Disease, Super Low I079X 0790 ADENOVIRUS INFECT NOS 1,018 INFSL Infectious Disease, Super Low I079X 0791 ECHO VIRUS INFECT NOS 1,018 INFSL Infectious Disease, Super Low I079X 0792 COXSACKIE VIRUS INF NOS 1,018 INFSL Infectious Disease, Super Low I079X 0793 RHINOVIRUS INFECT NOS 1,018 INFSL Infectious Disease, Super Low I079X 0794 HUMAN PAPILLOMA VIRUS 1,018 INFSL Infectious Disease, Super Low I079X 0795 RETROVIRUS* 1,018 INFSL Infectious Disease, Super Low I079X 07950 RETROVIRUS, UNSPECIFIED 1,018 INFSL Infectious Disease, Super Low I079X 07951 HTLV-1 INFECTION OTH DIS 1,018 INFSL Infectious Disease, Super Low I079X 07952 HTLV-II INFECTN OTH DIS 1,018 INFSL Infectious Disease, Super Low I079X 07959 OTH SPECFIED RETROVIRUS 1,018 INFSL Infectious Disease, Super Low I079X 0796 RESPRTRY SYNCYTIAL VIRUS 1,018 INFSL Infectious Disease, Super Low I079X 0798 OTH SPCF VRL CHLAMD INFC* 1,018 INFSL Infectious Disease, Super Low I079X 07981 HANTAVIRUS INFECTION 1,018 INFSL Infectious Disease, Super Low I079X 07988 OTH SPCF CHLAMYDIAL INFC 1,018 INFSL Infectious Disease, Super Low I079X 07989 OTH SPECF VIRAL INFECTN 1,018 INFSL Infectious Disease, Super Low I0799 0799 UNSPCF VRL CHLAMYDL INFC* 14,687 INFSL Infectious Disease, Super Low I082 082 TICK-BORNE RICKETTSIOSES* 1,238 INFSL Infectious Disease, Super Low I082 083 OTHER RICKETTSIOSES* 1,238 INFSL Infectious Disease, Super Low I082 084 MALARIA* 1,238 INFSL Infectious Disease, Super Low I082 085 LEISHMANIASIS* 1,238 INFSL Infectious Disease, Super Low I082 086 TRYPANOSOMIASIS* 1,238 INFSL Infectious Disease, Super Low I082 087 RELAPSING FEVER* 1,238 INFSL Infectious Disease, Super Low I082 088 OTH ARTHROPOD-BORNE DIS* 1,238 INFSL Infectious Disease, Super Low I098_9 098 GONOCOCCAL INFECTIONS* 882 INFSL Infectious Disease, Super Low I098_9 099 OTHER VENEREAL DISEASE* 882 INFSL Infectious Disease, Super Low I100 100 LEPTOSPIROSIS* 446 INFSL Infectious Disease, Super Low I100 101 VINCENT'S ANGINA 446 INFSL Infectious Disease, Super Low I100 102 YAWS* 446 INFSL Infectious Disease, Super Low I100 103 PINTA* 446 INFSL Infectious Disease, Super Low I100 104 OTHER SPIROCHETAL INFECT* 446 INFSL Infectious Disease, Super Low I111 111 DERMATOMYCOSIS NEC/NOS* 2,657 INFSL Infectious Disease, Super Low I112X 112 CANDIDIASIS* 10,509 INFSL Infectious Disease, Super Low I112X 1121 CANDIDAL VULVOVAGINITIS 10,509 INFSL Infectious Disease, Super Low I112X 1122 CANDIDIAS UROGENITAL NEC 10,509 INFSL Infectious Disease, Super Low I112X 1123 CUTANEOUS CANDIDIASIS 10,509 INFSL Infectious Disease, Super Low I112X 1129 CANDIDIASIS SITE NOS 10,509 INFSL Infectious Disease, Super Low I116 116 BLASTOMYCOTIC INFECTION* 38 INFSL Infectious Disease, Super Low I131 131 TRICHOMONIASIS* 740

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

INFSL Infectious Disease, Super Low I132 132 PEDICULOSIS AND PHTHIRUS* 2,677 INFSL Infectious Disease, Super Low I132 133 ACARIASIS* 2,677 INFSL Infectious Disease, Super Low I132 134 OTHER INFESTATION* 2,677 INFSL Infectious Disease, Super Low I136X 136 INF/PARASITE DIS NEC/NOS* 3,436 INFSL Infectious Disease, Super Low I136X 1360 AINHUM 3,436 INFSL Infectious Disease, Super Low I136X 1361 BEHCET'S SYNDROME 3,436 INFSL Infectious Disease, Super Low I136X 1362 FREE-LIVING AMEBA INFECT 3,436 INFSL Infectious Disease, Super Low I136X 1364 PSOROSPERMIASIS 3,436 INFSL Infectious Disease, Super Low I136X 1365 SARCOSPORIDIOSIS 3,436 INFSL Infectious Disease, Super Low I136X 1368 INFECT/PARASITE DIS NEC 3,436 INFSL Infectious Disease, Super Low I136X 1369 INFECT/PARASITE DIS NOS 3,436 INFSL Infectious Disease, Super Low I138 138 LATE EFFECT ACUTE POLIO 976 INFSL Infectious Disease, Super Low I139 139 LATE EFFECT INFECT NEC* 158 INFSL Infectious Disease, Super Low I7806 7806 FEVER 30,545 HEMVH Hematological, Very High I28261_2 28261 HB-S DISEASE W/O CRISIS 207 HEMVH Hematological, Very High I28261_2 28262 HB-S DISEASE WITH CRISIS 207 HEMVH Hematological, Very High I2860_1 2860 CONG FACTOR VIII DIORD 348 HEMVH Hematological, Very High I2860_1 2861 CONG FACTOR IX DISORDER 348 HEMH Hematological, High I284 284 APLASTIC ANEMIA* 3,602 HEMM Hematological, Medium I283 283 ACQ HEMOLYTIC ANEMIA* 951 HEMM Hematological, Medium I2880 2880 AGRANULOCYTOSIS 5,324 HEMM Hematological, Medium I7892 7892 SPLENOMEGALY 1,600 HEML Hematological, Low I282X 282 HEREDIT HEMOLYTIC ANEMIA* 2,029 HEML Hematological, Low I282X 2820 HEREDITARY SPHEROCYTOSIS 2,029 HEML Hematological, Low I282X 2821 HEREDIT ELLIPTOCYTOSIS 2,029 HEML Hematological, Low I282X 2822 GLUTATHIONE DIS ANEMIA 2,029 HEML Hematological, Low I282X 2823 ENZYME DEFIC ANEMIA NEC 2,029 HEML Hematological, Low I282X 2824 THALASSEMIAS 2,029 HEML Hematological, Low I282X 2825 SICKLE-CELL TRAIT 2,029 HEML Hematological, Low I282X 2826 SICKLE-CELL ANEMIA* 2,029 HEML Hematological, Low I282X 28260 SICKLE-CELL ANEMIA NOS 2,029 HEML Hematological, Low I282X 28263 SICKLE-CELL/HB-C DISEASE 2,029 HEML Hematological, Low I282X 28269 SICKLE-CELL ANEMIA NEC 2,029 HEML Hematological, Low I282X 2827 HEMOGLOBINOPATHIES NEC 2,029 HEML Hematological, Low I282X 2828 HERED HEMOLYTIC ANEM NEC 2,029 HEML Hematological, Low I282X 2829 HERED HEMOLYTIC ANEM NOS 2,029 HEML Hematological, Low I287 287 PURPURA & OTH HEMOR COND* 11,464 HEML Hematological, Low I2881_8 2881 FUNCTION DIS NEUTROPHILS 6,722 HEML Hematological, Low I2881_8 2882 GENETIC ANOMALY LEUKOCYT 6,722 HEML Hematological, Low I2881_8 2883 EOSINOPHILIA 6,722 HEML Hematological, Low I2881_8 2888 WBC DISEASE NEC 6,722 HEMAN Hematological, Anemia I280_285 280 IRON DEFICIENCY ANEMIAS* 117,094 HEMAN Hematological, Anemia I281 281 OTHER DEFICIENCY ANEMIA* 26,560 HEMAN Hematological, Anemia I280_285 285 ANEMIA NEC/NOS* 117,094 HEMVL Hematological, Very Low I286X 286 COAGULATION DEFECTS* 17,082 HEMVL Hematological, Very Low I286X 2862 CONG FACTOR XI DISORDER 17,082 HEMVL Hematological, Very Low I286X 2863 CONG DEF CLOT FACTOR NEC 17,082 HEMVL Hematological, Very Low I286X 2864 VON WILLEBRAND'S DISEASE 17,082 HEMVL Hematological, Very Low I286X 2865 CIRCULATING ANTICOAG DIS 17,082 HEMVL Hematological, Very Low I286X 2866 DEFIBRINATION SYNDROME 17,082 HEMVL Hematological, Very Low I286X 2867 ACQ COAGUL FACTOR DEFIC 17,082 HEMVL Hematological, Very Low I286X 2869 COAGULAT DEFECT NEC/NOS 17,082 HEMSL Hematological, Super Low I289X 289 OTHER BLOOD DISEASE* 11,581 HEMNWD Hematological, Not Well Defined I288X 288 WBC DISORDERS* 505 HEMNWD Hematological, Not Well Defined I288X 2889 WBC DISEASE NOS 505 EXCL Excluded I790_6 790 ABNORMAL BLOOD FINDINGS* 154,002 EXCL Excluded I790_6 791 ABNORMAL URINE FINDINGS* 154,002 EXCL Excluded I790_6 792 ABN FIND-OTH BODY SUBST* 154,002 EXCL Excluded I790_6 793 ABN FIND-BODY STRUCT NOS* 154,002 EXCL Excluded I790_6 794 ABNORMAL FUNCTION STUDY* 154,002 EXCL Excluded I790_6 7940 ABN BRAIN/CNS FUNC STUDY* 154,002 EXCL Excluded I790_6 7941 ABN PERIPHER NERVE STUDY* 154,002 EXCL Excluded I790_6 7942 ABN PULMONARY FUNC STUDY 154,002 EXCL Excluded I790_6 7943 ABN CARDIOVAS FUNC STUDY* 154,002 EXCL Excluded I790_6 7944 ABN KIDNEY FUNCT STUDY 154,002 EXCL Excluded I790_6 7945 ABN THYROID FUNCT STUDY 154,002 EXCL Excluded I790_6 7946 ABN ENDOCRINE STUDY NEC 154,002 EXCL Excluded I790_6 7947 ABN BASAL METABOL STUDY 154,002 EXCL Excluded I7948 7948 ABN LIVER FUNCTION STUDY 7,039 EXCL Excluded I790_6 7949 ABN FUNCTION STUDY NEC 154,002 EXCL Excluded I790_6 795 ABN HISTOLOG/IMMUNO FIND* 154,002 EXCL Excluded I790_6 7951 ABN PAP SMEAR-OTH SITE 154,002 EXCL Excluded I790_6 7952 ABN CHROMOSOMAL ANALYSIS 154,002 EXCL Excluded I790_6 7953 POSITIVE CULTURE FINDING 154,002 EXCL Excluded I790_6 7954 ABN HISTOLOGIC FIND NEC 154,002 EXCL Excluded I790_6 7955 TUBERCULIN TEST REACTION 154,002 EXCL Excluded I790_6 7956 FALSE POS SERO TEST-SYPH 154,002 EXCL Excluded I790_6 7957 IMMUNOLOGICAL FIND NEC* 154,002 EXCL Excluded I790_6 796 OTHER ABNORMAL FINDINGS* 154,002 EXCL Excluded I798 798 SUDDEN DEATH CAUSE UNKNW* 110 EXCL Excluded I960_79 960 POISONING BY ANTIBIOTICS* 7,116 EXCL Excluded I960_79 961 POISONING-ANTI-INFEC NEC* 7,116 EXCL Excluded I960_79 962 POISONING BY HORMONES* 7,116 EXCL Excluded I960_79 963 POISONING-SYSTEMIC AGENT* 7,116 EXCL Excluded I960_79 964 POIS-BLOOD AFFECTING AGT* 7,116 EXCL Excluded I960_79 965 POIS-ANALGESIC/ANTIPYRET* 7,116 EXCL Excluded I960_79 966 POISON-ANTICONVULSANTS* 7,116 EXCL Excluded I960_79 967 POISON-SEDATIVE/HYPNOTIC* 7,116 EXCL Excluded I960_79 968 POISONING-CNS DEPRESSANT* 7,116 EXCL Excluded I960_79 969 POISON-PSYCHOTROPIC AGT* 7,116

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

EXCL Excluded I960_79 970 POISONING-CNS STIMULANTS* 7,116 EXCL Excluded I960_79 971 POISON-AUTONOMIC AGENT* 7,116 EXCL Excluded I960_79 972 POISON-CARDIOVASC AGENT* 7,116 EXCL Excluded I960_79 973 POISONING-GI AGENTS* 7,116 EXCL Excluded I960_79 974 POIS-WATER/MIN/METAB AGT* 7,116 EXCL Excluded I960_79 975 POISONING-MUSCLE AGENT* 7,116 EXCL Excluded I960_79 976 POIS-SKIN/EENT/DENT AGT* 7,116 EXCL Excluded I960_79 977 POIS-MEDICINAL NEC/NOS* 7,116 EXCL Excluded I960_79 978 POISONING-BACT VACCINES* 7,116 EXCL Excluded I960_79 979 POIS-OTH VACCINE/BIOLOG* 7,116 EXCL Excluded I980_9 980 ALCOHOL TOXICITY* 5,263 EXCL Excluded I980_9 981 TOXIC EFF PETROLEUM PROD 5,263 EXCL Excluded I980_9 982 TOXIC EFFECT SOLVENT NEC* 5,263 EXCL Excluded I980_9 983 TOXIC EFFECT CAUSTICS* 5,263 EXCL Excluded I980_9 984 TOXIC EFF LEAD & COMPND* 5,263 EXCL Excluded I980_9 985 TOXIC EFFECT OTH METALS* 5,263 EXCL Excluded I980_9 986 TOX EFF CARBON MONOXIDE 5,263 EXCL Excluded I980_9 987 TOXIDE EFF GAS/VAPOR NEC* 5,263 EXCL Excluded I980_9 988 TOXIC EFF NOXIOUS FOOD* 5,263 EXCL Excluded I980_9 989 TOX EFF OTH NONMED SUBST* 5,263 EXCL Excluded I990_5 990 EFFECTS RADIATION NOS 29,688 EXCL Excluded I990_5 991 EFF REDUCED TEMPERATURE* 29,688 EXCL Excluded I990_5 992 EFFECT OF HEAT/LIGHT* 29,688 EXCL Excluded I990_5 993 EFFECTS OF AIR PRESSURE* 29,688 EXCL Excluded I990_5 994 EFFECT EXTERNAL CAUS NEC* 29,688 EXCL Excluded I990_5 995 CERTAIN ADVERSE EFF NEC* 29,688 EXCL Excluded I996X 996 REPLACE & GRAFT COMPLIC* 14,048 EXCL Excluded I996X 9963 MALFUNC GU DEVICE/GRAFT* 14,048 EXCL Excluded I996X 99630 MALFUNC GU DEV/GRAFT NOS 14,048 EXCL Excluded I996X 99631 MALFUNC URETHRAL CATH 14,048 EXCL Excluded I996X 99632 MALFUNCTION IUD 14,048 EXCL Excluded I996X 99639 MALFUNC GU DEV/GRAFT NEC 14,048 EXCL Excluded I996X 9964 MALF INT ORTHPED DEV/GRF 14,048 EXCL Excluded I996X 99651 CORNEAL GRFT MALFUNCTION 14,048 EXCL Excluded I996X 99652 OTH TISSUE GRAFT MALFUNC 14,048 EXCL Excluded I996X 99653 LENS PROSTHESIS MALFUNC 14,048 EXCL Excluded I996X 99654 BREAST PROSTH MALFUNC 14,048 EXCL Excluded I996X 99659 MALFUNC OTH DEVICE/GRAFT 14,048 EXCL Excluded I996X 9966 INFEC/INFLAM-DEVIC/GRAFT* 14,048 EXCL Excluded I996X 99660 REACTION-UNSP DEVIC/GRFT 14,048 EXCL Excluded I996X 99664 REACT-INDWELL URIN CATH 14,048 EXCL Excluded I996X 99665 REACT-OTH GENITOURIN DEV 14,048 EXCL Excluded I996X 99666 REACT-INTER JOINT PROST 14,048 EXCL Excluded I996X 99667 REACT-OTH INT ORTHO DEV 14,048 EXCL Excluded I996X 99669 REACT-INT PROS DEVIC NEC 14,048 EXCL Excluded I996X 9967 COMPLIC DEVICE/GRAFT NEC* 14,048 EXCL Excluded I996X 99670 COMP-UNSP DEVICE/GRAFT 14,048 EXCL Excluded I996X 99676 COMP-GENITOURIN DEV/GRFT 14,048 EXCL Excluded I996X 99677 COMP-INTERNAL JOINT PROS 14,048 EXCL Excluded I996X 99678 COMP-OTH INT ORTHO DEVIC 14,048 EXCL Excluded I996X 99679 COMP-INT PROST DEVIC NEC 14,048 EXCL Excluded I996X 99680 COMP ORGAN TRANSPLNT NOS 14,048 EXCL Excluded I996X 99689 COMP OTH ORGAN TRANSPLNT 14,048 EXCL Excluded I996X 9969 COMPL REATTACHED PART* 14,048 EXCL Excluded I996X 99690 COMP REATTACH EXTREM NOS 14,048 EXCL Excluded I996X 99691 COMPL REATTACHED FOREARM 14,048 EXCL Excluded I996X 99692 COMPL REATTACHED HAND 14,048 EXCL Excluded I996X 99693 COMPL REATTACHED FINGER 14,048 EXCL Excluded I996X 99694 COMPL REATTACHED ARM NEC 14,048 EXCL Excluded I996X 99695 COMPL REATTACHED FOOT 14,048 EXCL Excluded I996X 99696 COMPL REATTACHED LEG NEC 14,048 EXCL Excluded I996X 99699 COMPL REATTACH PART NEC 14,048 EXCL Excluded I997 997 SURG COMPL-BODY SYST NEC* 17,926 EXCL Excluded I998 998 OTH SURGICAL COMPL NEC* 18,127 EXCL Excluded I999 999 COMPLIC MEDICAL CARE NEC* 2,300 EXCL Excluded IV01_7 V01 COMMUNICABLE DIS CONTACT* 540,639 EXCL Excluded IV01_7 V02 INFECTIOUS DIS CARRIER* 540,639 EXCL Excluded IV01_7 V03 VACCIN FOR BACTERIAL DIS* 540,639 EXCL Excluded IV01_7 V04 VACCIN FOR VIRAL DISEASE* 540,639 EXCL Excluded IV01_7 V05 OTH VACCIN FOR SINGL DIS* 540,639 EXCL Excluded IV01_7 V06 VAC FOR DIS COMBINATION* 540,639 EXCL Excluded IV01_7 V07 PROPHYLACTIC MEASURES* 540,639 EXCL Excluded IV10_21 V10 HX OF MALIGNANT NEOPLASM* 135,810 EXCL Excluded IV10_21 V11 HX OF MENTAL DISORDER* 135,810 EXCL Excluded IV10_21 V12 HX OF DISEASE NEC* 135,810 EXCL Excluded IV10_21 V13 HX OF OTHER DISEASES* 135,810 EXCL Excluded IV10_21 V14 HX OF DRUG ALLERGY* 135,810 EXCL Excluded IV10_21 V15 OTH HX OF HEALTH HAZARDS* 135,810 EXCL Excluded IV10_21 V16 FAMILY HX-MALIGNANCY* 135,810 EXCL Excluded IV10_21 V17 FAM HX-CHR DISABLING DIS* 135,810 EXCL Excluded IV10_21 V18 FAM HX-OTH SPECIF COND* 135,810 EXCL Excluded IV10_21 V19 FAM HX-OTHER CONDITIONS* 135,810 EXCL Excluded IV10_21 V20 HEALTH SUPERVISION CHILD* 135,810 EXCL Excluded IV10_21 V21 CONSTITUT STATE IN DEVEL* 135,810 EXCL Excluded IV25_26 V25 CONTRACEPTIVE MANAGEMENT* 1,093 EXCL Excluded IV25_26 V26 PROCREATIVE MANAGEMENT* 1,093 EXCL Excluded IV40_1 V40 MENTAL/BEHAVIORAL PROB* 1,230 EXCL Excluded IV40_1 V41 PROB W SPECIAL FUNCTIONS* 1,230 EXCL Excluded IV43X V43 ORGAN REPLACEMENT NEC* 28,783 EXCL Excluded IV43X V430 EYE REPLACEMENT NEC 28,783

CDPS Stage Number ofShort Label CDPS-Medicare Diagnostic Subcategory One Group ICD Code ICD Description Beneficiaries

CDPS-Medicare Stage One Groups Arranged by Diagnostic Subcategories

EXCL Excluded IV43X V432 HEART REPLACEMENT NEC 28,783 EXCL Excluded IV43X V433 HEART VALVE REPLAC NEC 28,783 EXCL Excluded IV43X V434 BLOOD VESSEL REPLAC NEC 28,783 EXCL Excluded IV43X V435 BLADDER REPLACEMENT NEC 28,783 EXCL Excluded IV43X V436 JOINT REPLACEMENT NEC* 28,783 EXCL Excluded IV43X V437 LIMB REPLACEMENT NEC 28,783 EXCL Excluded IV43X V438 ORGAN REPLACEMENT NEC* 28,783 EXCL Excluded IV45X V45 OTH POSTSURGICAL STATES* 59,831 EXCL Excluded IV45X V452 VENTRICULAR SHUNT STATUS 59,831 EXCL Excluded IV45X V453 INTESTINAL BYPASS STATUS 59,831 EXCL Excluded IV45X V454 ARTHRODESIS STATUS 59,831 EXCL Excluded IV45X V455 PRESENCE OF IUD* 59,831 EXCL Excluded IV45X V456 POSTSURGICAL STATE, EYE* 59,831 EXCL Excluded IV45X V458 OTH POSTSURGICAL STATUS* 59,831 EXCL Excluded IV47_51 V47 OTH PROBL W INTERNAL ORG* 5,996 EXCL Excluded IV47_51 V48 HEAD/NECK/TRUNK PROBLEMS* 5,996 EXCL Excluded IV47_51 V49 LIMB PROBLEM/PROBLEM NEC* 5,996 EXCL Excluded IV47_51 V50 OTHER ELECTIVE SURGERY* 5,996 EXCL Excluded IV47_51 V51 AFTERCARE W PLASTIC SURG 5,996 EXCL Excluded IV52X V52 FITTING OF PROSTHESIS* 99 EXCL Excluded IV523 V522 FITTING ARTIFICIAL EYE 52 EXCL Excluded IV523 V523 FITTING DENTAL PROSTHES 52 EXCL Excluded IV52X V528 FITTING PROSTHESIS NEC 99 EXCL Excluded IV52X V529 FITTING PROSTHESIS NOS 99 EXCL Excluded IV53X V53 ADJUSTMENT OF OTH DEVICE* 1,466 EXCL Excluded IV53X V531 FIT CONTACT LENS/GLASSES 1,466 EXCL Excluded IV53X V532 ADJUSTMENT HEARING AID 1,466 EXCL Excluded IV53X V534 FIT ORTHODONTIC DEVICE 1,466 EXCL Excluded IV53X V535 FIT/ADJ INTES APPL NEC 1,466 EXCL Excluded IV53X V536 FITTING URINARY DEVICES 1,466 EXCL Excluded IV53X V537 FIT ORTHOPEDIC DEVICES 1,466 EXCL Excluded IV53X V538 ADJUSTMENT OF WHEELCHAIR 1,466 EXCL Excluded IV53X V539 ADJUSTMNT DEVICE NEC/NOS 1,466 EXCL Excluded IV54 V54 OTH ORTHOPEDIC AFTERCARE* 5,528 EXCL Excluded IV55X V55 ATTEN TO ARTIFICIAL OPEN* 771 EXCL Excluded IV55X V558 ATTN TO ARTIF OPEN NEC 771 EXCL Excluded IV55X V559 ATTN TO ARTIF OPEN NOS 771 EXCL Excluded IV57 V57 REHABILITATION PROCEDURE* 30,268 EXCL Excluded IV58X V58 ENCOUNTR PROC/AFTRCR NEC* 29,318 EXCL Excluded IV58X V582 BLOOD TRANSFUSION, NO DX 29,318 EXCL Excluded IV58X V583 ATTEN-SURG DRESSNG/SUTUR 29,318 EXCL Excluded IV58X V584 POSTSURG AFTERCARE NEC* 29,318 EXCL Excluded IV58X V585 ORTHODONTICS AFTERCARE 29,318 EXCL Excluded IV58X V588 AFTERCARE NEC* 29,318 EXCL Excluded IV58X V589 AFTERCARE NOS 29,318 EXCL Excluded IV59_82 V59 DONOR* 514,741 EXCL Excluded IV59_82 V60 HOUSEHOLD CIRCUMSTANCES* 514,741 EXCL Excluded IV59_82 V61 OTH FAMILY CIRCUMSTANCES* 514,741 EXCL Excluded IV59_82 V62 OTH PSYCHOSOCIAL CIRCUM* 514,741 EXCL Excluded IV59_82 V63 NO MED FACILITY FOR CARE* 514,741 EXCL Excluded IV59_82 V64 PROCEDURES NOT DONE* 514,741 EXCL Excluded IV59_82 V65 OTHER REASON FOR CONSULT* 514,741 EXCL Excluded IV59_82 V66 CONVALESCENCE* 514,741 EXCL Excluded IV59_82 V67 FOLLOW-UP EXAMINATION* 514,741 EXCL Excluded IV59_82 V68 ADMINISTRATIVE ENCOUNTER* 514,741 EXCL Excluded IV59_82 V70 GENERAL MEDICAL EXAM* 514,741 EXCL Excluded IV59_82 V71 OBSERVATION-SUSPECT COND* 514,741 EXCL Excluded IV59_82 V72 SPECIAL EXAMINATIONS* 514,741 EXCL Excluded IV59_82 V73 SCREENING FOR VIRAL DIS* 514,741 EXCL Excluded IV59_82 V74 SCREENING-BACTERIAL DIS* 514,741 EXCL Excluded IV59_82 V75 SCREEN-OTH INFECTIVE DIS* 514,741 EXCL Excluded IV59_82 V76 SCREENING-MALIG NEOPLASM* 514,741 EXCL Excluded IV59_82 V77 SCREEN-ENDO/NUTR/METAB* 514,741 EXCL Excluded IV59_82 V78 SCREENING FOR BLOOD DIS* 514,741 EXCL Excluded IV59_82 V79 SCREENING-MENTAL DISORD* 514,741 EXCL Excluded IV59_82 V80 SCREEN-NEURO/EYE/EAR DIS* 514,741 EXCL Excluded IV59_82 V81 SCREEN-HEART/RESP/GU DIS* 514,741 EXCL Excluded IV59_82 V82 SCREEN-OTHER CONDITIONS* 514,741 VNWD V' Code, Not Well Defined IV42 V42 ORGAN TRANSPLANT STATUS* 7 VNWD V' Code, Not Well Defined IV428X V4289 TRNSPL STATUS ORGAN NEC 156 VNWD V' Code, Not Well Defined IV429 V429 TRANSPLANT STATUS NOS 74 VNWD V' Code, Not Well Defined IV44X V44 ARTIFICIAL OPNING STATUS* 224 VNWD V' Code, Not Well Defined IV44X V448 ARTIF OPEN STATUS NEC 224 VNWD V' Code, Not Well Defined IV44X V449 ARTIF OPEN STATUS NOS 224

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries001 CHOLERA* I001_9 GISL Gastrointestinal, Super Low 13,150 002 TYPHOID/PARATYPHOID FEV* I001_9 GISL Gastrointestinal, Super Low 13,150 003 OTH SALMONELLA INFECTION* I001_9 GISL Gastrointestinal, Super Low 13,150 004 SHIGELLOSIS* I001_9 GISL Gastrointestinal, Super Low 13,150 005 OTHER FOOD POISONING* I001_9 GISL Gastrointestinal, Super Low 13,150 006 AMEBIASIS* I001_9 GISL Gastrointestinal, Super Low 13,150 007 OTH PROTOZOAL INTEST DIS* I001_9 GISL Gastrointestinal, Super Low 13,150 008 INTESTINAL INFECTION NEC* I001_9 GISL Gastrointestinal, Super Low 13,150 009 ILL-DEFINED INTEST INF* I001_9 GINWD Gastrointestinal, Not Well Defined 13,150 010 PRIMARY TB INFECTION* I010_8 INFSL Infectious Disease, Super Low 3,275 011 PULMONARY TUBERCULOSIS* I010_8 INFSL Infectious Disease, Super Low 3,275 012 OTHER RESPIRATORY TB* I010_8 INFSL Infectious Disease, Super Low 3,275 013 CNS TUBERCULOSIS* I010_8 INFSL Infectious Disease, Super Low 3,275 014 INTESTINAL TB* I010_8 INFSL Infectious Disease, Super Low 3,275 015 TB OF BONE AND JOINT* I010_8 INFSL Infectious Disease, Super Low 3,275 016 GENITOURINARY TB* I010_8 INFSL Infectious Disease, Super Low 3,275 017 TUBERCULOSIS NEC* I010_8 INFSL Infectious Disease, Super Low 3,275 018 MILIARY TUBERCULOSIS* I010_8 INFSL Infectious Disease, Super Low 3,275 020 PLAGUE* I020 INFSL Infectious Disease, Super Low 406 021 TULAREMIA* I020 INFSL Infectious Disease, Super Low 406 022 ANTHRAX* I020 INFSL Infectious Disease, Super Low 406 023 BRUCELLOSIS* I020 INFSL Infectious Disease, Super Low 406 024 GLANDERS I020 INFSL Infectious Disease, Super Low 406 025 MELIOIDOSIS I020 INFSL Infectious Disease, Super Low 406 026 RAT-BITE FEVER* I020 INFSL Infectious Disease, Super Low 406 027 OTHER BACTERIAL ZOONOSES* I020 INFSL Infectious Disease, Super Low 406 030 LEPROSY* I020 INFSL Infectious Disease, Super Low 406 031 OTHER MYCOBACTERIAL DIS* I031 INFM Infectious Disease, Medium 425 0310 PULMONARY MYCOBACTERIA I031 INFM Infectious Disease, Medium 425 0311 CUTANEOUS MYCOBACTERIA I031 INFM Infectious Disease, Medium 425 0312 DMAC BACTEREMIA I0312 AIDSH Infectious Disease, AIDS - 0318 MYCOBACTERIAL DIS NEC I031 INFM Infectious Disease, Medium 425 0319 MYCOBACTERIAL DIS NOS I031 INFM Infectious Disease, Medium 425 032 DIPHTHERIA* I032_3 INFSL Infectious Disease, Super Low 71 033 WHOOPING COUGH* I032_3 INFSL Infectious Disease, Super Low 71 034 STREP THROAT/SCARLET FEV* I034 INFSL Infectious Disease, Super Low 2,153 035 ERYSIPELAS I035 INFSL Infectious Disease, Super Low 296 036 MENINGOCOCCAL INFECTION* I036 INFSL Infectious Disease, Super Low 71 037 TETANUS I037 INFSL Infectious Disease, Super Low 32 038 SEPTICEMIA* I038 INFM Infectious Disease, Medium 984 0380 STREPTOCOCCAL SEPTICEMIA I038 INFM Infectious Disease, Medium 984 0381 STAPHYLOCOCC SEPTICEMIA* I0381 INFH Infectious Disease, High 1,961 0382 PNEUMOCOCCAL SEPTICEMIA I0382 INFM Infectious Disease, Medium 364 0383 ANAEROBIC SEPTICEMIA I0383 INFM Infectious Disease, Medium 178 0384 GRAM-NEG SEPTICEMIA NEC* I0384X INFM Infectious Disease, Medium 12,147 03840 GRAM-NEG SEPTICEMIA NOS I0384X INFM Infectious Disease, Medium 12,147 03841 H. INFLUENAE SEPTICEMIA I0384X INFM Infectious Disease, Medium 12,147 03842 E COLI SEPTICEMIA I0384X INFM Infectious Disease, Medium 12,147 03843 PSEUDOMONAS SEPTICEMIA I03843 INFH Infectious Disease, High 269 03844 SERRATIA SEPTICEMIA I0384X INFM Infectious Disease, Medium 12,147 03849 GRAM-NEG SEPTICEMIA NEC I0384X INFM Infectious Disease, Medium 12,147 0388 SEPTICEMIA NEC I0384X INFM Infectious Disease, Medium 12,147 0389 SEPTICEMIA NOS I0384X INFM Infectious Disease, Medium 12,147 039 ACTINOMYCOTIC INFECTIONS* I039 INFSL Infectious Disease, Super Low 274 040 OTHER BACTERIAL DISEASES* I040 INFSL Infectious Disease, Super Low 183 041 BACT INF IN OTH DIS/NOS* I041 INFSL Infectious Disease, Super Low 31,744 042 HUMAN IMMUNO VIRUS DIS I042 AIDSH Infectious Disease, AIDS 1,514 043 HUMAN IMMUNO VIRUS DIS I042 AIDSH Infectious Disease, AIDS 1,514 044 HUMAN IMMUNO VIRUS DIS I044 HIVM Infectious Disease, HIV 106 045 ACUTE POLIOMYELITIS* I045 INFM Infectious Disease, Medium 310 046 CNS SLOW VIRUS INFECTION* I046X INFL Infectious Disease, Low 33 0460 KURU I046X INFL Infectious Disease, Low 33 0461 JAKOB-CREUTZFELDT DIS I046X INFL Infectious Disease, Low 33 0462 SUBAC SCLEROS PANENCEPH I046X INFL Infectious Disease, Low 33 0463 PROG MULTIFOC LEUKOENCEP I0463 AIDSH Infectious Disease, AIDS 10 0468 CNS SLOW VIRUS INFEC NEC I046X INFL Infectious Disease, Low 33 0469 CNS SLOW VIRUS INFEC NOS I046X INFL Infectious Disease, Low 33 047 ENTEROVIRAL MENINGITIS* I047_9 INFSL Infectious Disease, Super Low 561 048 OTH ENTEROVIRAL CNS DIS I047_9 INFSL Infectious Disease, Super Low 561 049 OTH NONARTHROPOD CNS VIR* I047_9 INFSL Infectious Disease, Super Low 561 050 SMALLPOX* I050 INFSL Infectious Disease, Super Low 8 051 COWPOX AND PARAVACCINIA* I051 INFSL Infectious Disease, Super Low 28 052 CHICKENPOX* I052 INFSL Infectious Disease, Super Low 303 053 HERPES ZOSTER* I053 INFL Infectious Disease, Low 15,782 054 HERPES SIMPLEX* I054 INFSL Infectious Disease, Super Low 5,372 055 MEASLES* I055 INFSL Infectious Disease, Super Low 285 056 RUBELLA* I055 INFSL Infectious Disease, Super Low 285 057 OTHER VIRAL EXANTHEMATA* I055 INFSL Infectious Disease, Super Low 285 060 YELLOW FEVER* I060 INFSL Infectious Disease, Super Low 398 061 DENGUE I060 INFSL Infectious Disease, Super Low 398 062 MOSQUIT-BORNE VIR ENCEPH* I060 INFSL Infectious Disease, Super Low 398 063 TICK-BORNE VIRAL ENCEPH* I060 INFSL Infectious Disease, Super Low 398 064 VIR ENCEPH ARTHROPOD NEC I060 INFSL Infectious Disease, Super Low 398 065 ARTHROPOD HEMORRHAG FEV* I060 INFSL Infectious Disease, Super Low 398 066 OTHER ARTHROPOD VIRUS* I060 INFSL Infectious Disease, Super Low 398 070 VIRAL HEPATITIS* I070 INFSL Infectious Disease, Super Low 2,545 071 RABIES I071 INFSL Infectious Disease, Super Low 1,553 072 MUMPS* I071 INFSL Infectious Disease, Super Low 1,553 073 ORNITHOSIS* I071 INFSL Infectious Disease, Super Low 1,553 074 COXSACKIE VIRAL DISEASE* I071 INFSL Infectious Disease, Super Low 1,553

CDPS-Medicare Stage One Groups in ICD Order

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

075 INFECTIOUS MONONUCLEOSIS I071 INFSL Infectious Disease, Super Low 1,553 076 TRACHOMA* I071 INFSL Infectious Disease, Super Low 1,553 077 OTH VIRAL CONJUNCTIVITIS* I071 INFSL Infectious Disease, Super Low 1,553 078 OTHER VIRAL DISEASE* I0784 INFSL Infectious Disease, Super Low 15,989 0780 MOLLUSCUM CONTAGIOSUM I0784 INFSL Infectious Disease, Super Low 15,989 0781 VIRAL WARTS* I0784 INFSL Infectious Disease, Super Low 15,989 0782 SWEATING FEVER I0784 INFSL Infectious Disease, Super Low 15,989 0783 CAT-SCRATCH DISEASE I0784 INFSL Infectious Disease, Super Low 15,989 0784 FOOT & MOUTH DISEASE I0784 INFSL Infectious Disease, Super Low 15,989 0785 CYTOMEGALOVIRAL DISEASE I0785 INFH Infectious Disease, High 192 0786 HEM NEPHROSONEPHRITIS I0786 INFSL Infectious Disease, Super Low 478 0787 ARENAVIRAL HEM FEVER I0786 INFSL Infectious Disease, Super Low 478 0788 VIRAL DISEASE NEC* I0786 INFSL Infectious Disease, Super Low 478 079 VIRAL INF IN OTH DIS/NOS* I079X INFSL Infectious Disease, Super Low 1,018 0790 ADENOVIRUS INFECT NOS I079X INFSL Infectious Disease, Super Low 1,018 0791 ECHO VIRUS INFECT NOS I079X INFSL Infectious Disease, Super Low 1,018 0792 COXSACKIE VIRUS INF NOS I079X INFSL Infectious Disease, Super Low 1,018 0793 RHINOVIRUS INFECT NOS I079X INFSL Infectious Disease, Super Low 1,018 0794 HUMAN PAPILLOMA VIRUS I079X INFSL Infectious Disease, Super Low 1,018 0795 RETROVIRUS* I079X INFSL Infectious Disease, Super Low 1,018 07950 RETROVIRUS, UNSPECIFIED I079X INFSL Infectious Disease, Super Low 1,018 07951 HTLV-1 INFECTION OTH DIS I079X INFSL Infectious Disease, Super Low 1,018 07952 HTLV-II INFECTN OTH DIS I079X INFSL Infectious Disease, Super Low 1,018 07953 HIV-2 INFECTION OTH DIS I07953 HIVM Infectious Disease, HIV 74 07959 OTH SPECFIED RETROVIRUS I079X INFSL Infectious Disease, Super Low 1,018 0796 RESPRTRY SYNCYTIAL VIRUS I079X INFSL Infectious Disease, Super Low 1,018 0798 OTH SPCF VRL CHLAMD INFC* I079X INFSL Infectious Disease, Super Low 1,018 07981 HANTAVIRUS INFECTION I079X INFSL Infectious Disease, Super Low 1,018 07988 OTH SPCF CHLAMYDIAL INFC I079X INFSL Infectious Disease, Super Low 1,018 07989 OTH SPECF VIRAL INFECTN I079X INFSL Infectious Disease, Super Low 1,018 0799 UNSPCF VRL CHLAMYDL INFC* I0799 INFSL Infectious Disease, Super Low 14,687 080 LOUSE-BORNE TYPHUS I080 INFM Infectious Disease, Medium 22 081 OTHER TYPHUS* I080 INFM Infectious Disease, Medium 22 082 TICK-BORNE RICKETTSIOSES* I082 INFSL Infectious Disease, Super Low 1,238 083 OTHER RICKETTSIOSES* I082 INFSL Infectious Disease, Super Low 1,238 084 MALARIA* I082 INFSL Infectious Disease, Super Low 1,238 085 LEISHMANIASIS* I082 INFSL Infectious Disease, Super Low 1,238 086 TRYPANOSOMIASIS* I082 INFSL Infectious Disease, Super Low 1,238 087 RELAPSING FEVER* I082 INFSL Infectious Disease, Super Low 1,238 088 OTH ARTHROPOD-BORNE DIS* I082 INFSL Infectious Disease, Super Low 1,238 090 CONGENITAL SYPHILIS* I090_7 CNSOTH Nervous System, Other 1,646 091 EARLY SYMPTOMATIC SYPHIL* I090_7 CNSOTH Nervous System, Other 1,646 092 EARLY SYPHILIS LATENT* I090_7 CNSOTH Nervous System, Other 1,646 093 CARDIOVASCULAR SYPHILIS* I090_7 CNSOTH Nervous System, Other 1,646 094 NEUROSYPHILIS* I090_7 CNSOTH Nervous System, Other 1,646 095 OTH LATE SYMPT SYPHILIS* I090_7 CNSOTH Nervous System, Other 1,646 096 LATE SYPHILIS LATENT I090_7 CNSOTH Nervous System, Other 1,646 097 OTH & UNSPEC SYPHILIS* I090_7 CNSOTH Nervous System, Other 1,646 098 GONOCOCCAL INFECTIONS* I098_9 INFSL Infectious Disease, Super Low 882 099 OTHER VENEREAL DISEASE* I098_9 INFSL Infectious Disease, Super Low 882 100 LEPTOSPIROSIS* I100 INFSL Infectious Disease, Super Low 446 101 VINCENT'S ANGINA I100 INFSL Infectious Disease, Super Low 446 102 YAWS* I100 INFSL Infectious Disease, Super Low 446 103 PINTA* I100 INFSL Infectious Disease, Super Low 446 104 OTHER SPIROCHETAL INFECT* I100 INFSL Infectious Disease, Super Low 446 110 DERMATOPHYTOSIS* I110 SKNSL Skin, Super Low 132,646 111 DERMATOMYCOSIS NEC/NOS* I111 INFSL Infectious Disease, Super Low 2,657 112 CANDIDIASIS* I112X INFSL Infectious Disease, Super Low 10,509 1120 THRUSH I1120 INFM Infectious Disease, Medium 5,463 1121 CANDIDAL VULVOVAGINITIS I112X INFSL Infectious Disease, Super Low 10,509 1122 CANDIDIAS UROGENITAL NEC I112X INFSL Infectious Disease, Super Low 10,509 1123 CUTANEOUS CANDIDIASIS I112X INFSL Infectious Disease, Super Low 10,509 1124 CANDIDIASIS OF LUNG I1120 INFM Infectious Disease, Medium 5,463 1125 DISSEMINATED CANDIDIASIS I1120 INFM Infectious Disease, Medium 5,463 1128 CANDIDIASIS OTHER SITES* I1120 INFM Infectious Disease, Medium 5,463 1129 CANDIDIASIS SITE NOS I112X INFSL Infectious Disease, Super Low 10,509 114 COCCIDIOIDOMYCOSIS* I114X INFL Infectious Disease, Low 161 1140 PRIMARY COCCIDIOIDOMYCOS I114X INFL Infectious Disease, Low 161 1141 PRIM CUTAN COCCIDIOID I1141_4 INFH Infectious Disease, High 37 1142 COCCIDIOIDAL MENINGITIS I1141_4 INFH Infectious Disease, High 37 1143 PROGRESS COCCIDIOID NEC I1141_4 INFH Infectious Disease, High 37 1144 CH PL COCCIDIOIDOMYCOSIS I1141_4 INFH Infectious Disease, High 37 1145 PL COCIDIOIDOMYCOSIS NOS I114X INFL Infectious Disease, Low 161 1149 COCCIDIOIDOMYCOSIS NOS I114X INFL Infectious Disease, Low 161 115 HISTOPLASMOSIS* I115 INFM Infectious Disease, Medium 654 116 BLASTOMYCOTIC INFECTION* I116 INFSL Infectious Disease, Super Low 38 117 OTHER MYCOSES* I117X INFL Infectious Disease, Low 2,452 1170 RHINOSPORIDIOSIS I117X INFL Infectious Disease, Low 2,452 1171 SPOROTRICHOSIS I117X INFL Infectious Disease, Low 2,452 1172 CHROMOBLASTOMYCOSIS I117X INFL Infectious Disease, Low 2,452 1173 ASPERGILLOSIS I117X INFL Infectious Disease, Low 2,452 1174 MYCOTIC MYCETOMAS I117X INFL Infectious Disease, Low 2,452 1175 CRYPTOCOCCOSIS I1175 AIDSH Infectious Disease, AIDS 61 1176 ALLESCHERIOSIS I117X INFL Infectious Disease, Low 2,452 1177 ZYGOMYCOSIS I117X INFL Infectious Disease, Low 2,452 1178 DEMATIACIOUS FUNGI INF I117X INFL Infectious Disease, Low 2,452 1179 MYCOSES NEC & NOS I117X INFL Infectious Disease, Low 2,452 118 OPPORTUNISTIC MYCOSES I118 INFL Infectious Disease, Low 24 120 SCHISTOSOMIASIS* I120 INFM Infectious Disease, Medium 1,315 121 OTH TREMATODE INFECTION* I120 INFM Infectious Disease, Medium 1,315

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

122 ECHINOCOCCOSIS* I120 INFM Infectious Disease, Medium 1,315 123 OTHER CESTODE INFECTION* I120 INFM Infectious Disease, Medium 1,315 124 TRICHINOSIS I120 INFM Infectious Disease, Medium 1,315 125 FILARIAL INFECTION* I120 INFM Infectious Disease, Medium 1,315 126 ANCYLOSTOMIASIS* I120 INFM Infectious Disease, Medium 1,315 127 OTH INTEST HELMINTHIASES* I120 INFM Infectious Disease, Medium 1,315 128 HELMINTHIASES NEC & NOS* I120 INFM Infectious Disease, Medium 1,315 129 INTESTIN PARASITISM NOS I120 INFM Infectious Disease, Medium 1,315 130 TOXOPLASMOSIS* I130X INFM Infectious Disease, Medium 211 1300 TOXOPLASM MENINGOENCEPH I1300 AIDSH Infectious Disease, AIDS 15 1301 TOXOPLASM CONJUNCTIVITIS I130X INFM Infectious Disease, Medium 211 1302 TOXOPLASM CHORIORETINIT I130X INFM Infectious Disease, Medium 211 1303 TOXOPLASMA MYOCARDITIS I130X INFM Infectious Disease, Medium 211 1304 TOXOPLASMA PNEUMONITIS I130X INFM Infectious Disease, Medium 211 1305 TOXOPLASMA HEPATITIS I130X INFM Infectious Disease, Medium 211 1307 TOXOPLASMOSIS SITE NEC I130X INFM Infectious Disease, Medium 211 1308 MULTISYSTEM TOXOPLASMOS I130X INFM Infectious Disease, Medium 211 1309 TOXOPLASMOSIS NOS I130X INFM Infectious Disease, Medium 211 131 TRICHOMONIASIS* I131 INFSL Infectious Disease, Super Low 740 132 PEDICULOSIS AND PHTHIRUS* I132 INFSL Infectious Disease, Super Low 2,677 133 ACARIASIS* I132 INFSL Infectious Disease, Super Low 2,677 134 OTHER INFESTATION* I132 INFSL Infectious Disease, Super Low 2,677 135 SARCOIDOSIS I135 PULM Pulmonary, Medium 1,010 136 INF/PARASITE DIS NEC/NOS* I136X INFSL Infectious Disease, Super Low 3,436 1360 AINHUM I136X INFSL Infectious Disease, Super Low 3,436 1361 BEHCET'S SYNDROME I136X INFSL Infectious Disease, Super Low 3,436 1362 FREE-LIVING AMEBA INFECT I136X INFSL Infectious Disease, Super Low 3,436 1363 PNEUMOCYSTOSIS I1363 AIDSH Infectious Disease, AIDS 275 1364 PSOROSPERMIASIS I136X INFSL Infectious Disease, Super Low 3,436 1365 SARCOSPORIDIOSIS I136X INFSL Infectious Disease, Super Low 3,436 1368 INFECT/PARASITE DIS NEC I136X INFSL Infectious Disease, Super Low 3,436 1369 INFECT/PARASITE DIS NOS I136X INFSL Infectious Disease, Super Low 3,436 137 LATE EFFECT TUBERCULOSIS* I137 PULSL Pulmonary, Super Low 252 138 LATE EFFECT ACUTE POLIO I138 INFSL Infectious Disease, Super Low 976 139 LATE EFFECT INFECT NEC* I139 INFSL Infectious Disease, Super Low 158 140 MALIGNANT NEOPLASM LIP* I140_60 CANM Cancer, Medium 5,461 141 MALIG NEO TONGUE* I140_60 CANM Cancer, Medium 5,461 142 MAL NEO MAJOR SALIVARY* I140_60 CANM Cancer, Medium 5,461 143 MALIGNANT NEOPLASM GUM* I140_60 CANM Cancer, Medium 5,461 144 MALIG NEO MOUTH FLOOR* I140_60 CANM Cancer, Medium 5,461 145 MALIG NEO MOUTH NEC/NOS* I140_60 CANM Cancer, Medium 5,461 146 MALIG NEO OROPHARYNX* I140_60 CANM Cancer, Medium 5,461 147 MALIG NEO NASOPHARYNX* I140_60 CANM Cancer, Medium 5,461 148 MALIG NEOPL HYPOPHARYNX* I140_60 CANM Cancer, Medium 5,461 149 OTH MALIG NEO OROPHARYNX* I140_60 CANM Cancer, Medium 5,461 150 MALIGNANT NEO ESOPHAGUS* I150_1 CANH Cancer, High 1,768 151 MALIGNANT NEO STOMACH* I150_1 CANH Cancer, High 1,768 152 MALIG NEO SMALL BOWEL* I152 CANM Cancer, Medium 360 153 MALIGNANT NEOPLASM COLON* I153_4 CANL Cancer, Low 16,080 154 MALIG NEO RECTUM/ANUS* I153_4 CANL Cancer, Low 16,080 155 MALIGNANT NEOPLASM LIVER* I155_6 CANH Cancer, High 1,088 156 MAL NEO GB/EXTRAHEPATIC* I155_6 CANH Cancer, High 1,088 157 MALIGNANT NEO PANCREAS* I157 CANVH Cancer, Very High 810 158 MALIG NEO PERITONEUM* I158_83 CANH Cancer, High 2,340 159 OTH MALIG NEO GI/PERITON* I159 CANNWD Cancer, Not Well Defined 730 160 MAL NEO NASAL CAV/SINUS* I140_60 CANM Cancer, Medium 5,461 161 MALIGNANT NEO LARYNX* I140_60 CANM Cancer, Medium 5,461 162 MAL NEO TRACHEA/LUNG* I162_3 CANH Cancer, High 8,666 163 MALIGNANT NEOPL PLEURA* I162_3 CANH Cancer, High 8,666 164 MAL NEO THYMUS/MEDIASTIN* I164_5 CANM Cancer, Medium 308 165 OTH/ILL-DEF MAL NEO RESP* I164_5 CANM Cancer, Medium 308 170 MAL NEO BONE/ARTIC CART* I170 CANM Cancer, Medium 1,729 171 MAL NEO SOFT TISSUE* I171 CANH Cancer, High 1,921 172 MALIGNANT MELANOMA SKIN* I172_3 CANVL Cancer, Very Low 58,109 173 OTHER MALIG NEOPL SKIN* I172_3 CANVL Cancer, Very Low 58,109 174 MALIG NEO FEMALE BREAST* I174_5 CANVL Cancer, Very Low 29,374 175 MALIG NEO MALE BREAST* I174_5 CANVL Cancer, Very Low 29,374 176 KAPOSI'S SARCOMA I176 AIDSH Infectious Disease, AIDS 200 179 MALIG NEOPL UTERUS NOS I179 CANL Cancer, Low 1,143 180 MALIG NEOPL CERVIX UTERI* I180 CANL Cancer, Low 1,396 181 MALIGNANT NEOPL PLACENTA I181_2 CANL Cancer, Low 2,990 182 MALIG NEOPL UTERUS BODY* I181_2 CANL Cancer, Low 2,990 183 MAL NEO UTERINE ADNEXA* I158_83 CANH Cancer, High 2,340 184 MAL NEO FEM GEN NEC/NOS* I184 CANL Cancer, Low 766 185 MALIGN NEOPL PROSTATE I185_87 CANL Cancer, Low 38,068 186 MALIGN NEOPL TESTIS* I186 CANL Cancer, Low 280 187 MAL NEO MALE GENITAL NEC* I185_87 CANL Cancer, Low 38,068 188 MALIGN NEOPL BLADDER* I188 CANM Cancer, Medium 9,254 189 MAL NEO URINARY NEC/NOS* I189 CANVL Cancer, Very Low 3,396 190 MALIGNANT NEOPLASM EYE* I190 CANVL Cancer, Very Low 726 191 MALIGNANT NEOPLASM BRAIN* I191_2 CANM Cancer, Medium 2,654 192 MAL NEO NERVE NEC/NOS* I191_2 CANM Cancer, Medium 2,654 193 MALIGN NEOPL THYROID I193 CANM Cancer, Medium 983 194 MAL NEO OTHER ENDOCRINE* I194 CANVL Cancer, Very Low 591 195 MAL NEO OTH/ILL-DEF SITE* I195 CANVL Cancer, Very Low 4,797 196 MALIG NEO LYMPH NODES* I196 CANM Cancer, Medium 3,739 197 SECONDRY MAL NEO GI/RESP* I197_8 CANVH Cancer, Very High 10,734 198 SEC MALIG NEO OTH SITES* I197_8 CANVH Cancer, Very High 10,734 199 MALIGNANT NEOPLASM NOS* I199 CANM Cancer, Medium 7,247 200 LYMPHOSARC/RETICULOSARC* I200X CANM Cancer, Medium 1,675

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

2000 RETICULOSARCOMA* I200X CANM Cancer, Medium 1,675 2001 LYMPHOSARCOMA* I200X CANM Cancer, Medium 1,675 2002 BURKITT'S TUMOR/LYMPHOMA* I2002 CANM Cancer, Medium 51 2008 MIXED LYMPHOSARCOMA* I200X CANM Cancer, Medium 1,675 201 HODGKIN'S DISEASE* I201 CANM Cancer, Medium 758 202 OTH MAL NEO LYMPH/HISTIO* I202X CANM Cancer, Medium 5,186 2020 NODULAR LYMPHOMA* I2020 CANM Cancer, Medium 976 2021 MYCOSIS FUNGOIDES* I2021 CANM Cancer, Medium 300 2022 SEZARY'S DISEASE* I202X CANM Cancer, Medium 5,186 2023 MALIGNANT HISTIOCYTOSIS* I202X CANM Cancer, Medium 5,186 2024 LEUKEM RETICULOENDOTHEL* I202X CANM Cancer, Medium 5,186 2025 LETTERER-SIWE DISEASE* I202X CANM Cancer, Medium 5,186 2026 MALIG MAST CELL TUMORS* I202X CANM Cancer, Medium 5,186 2028 LYMPHOMAS NEC* I202X CANM Cancer, Medium 5,186 2029 MAL NEO LYM/HIST TIS NEC* I202X CANM Cancer, Medium 5,186 203 MULTIPLE MYELOMA ET AL* I203 CANVH Cancer, Very High 1,815 204 LYMPHOID LEUKEMIA* I204_8 CANH Cancer, High 4,374 205 MYELOID LEUKEMIA* I204_8 CANH Cancer, High 4,374 206 MONOCYTIC LEUKEMIA* I204_8 CANH Cancer, High 4,374 207 OTHER SPECIFIED LEUKEMIA* I204_8 CANH Cancer, High 4,374 208 LEUKEMIA-UNSPECIF CELL* I204_8 CANH Cancer, High 4,374 210 BEN NEO ORAL CAV/PHARYNX* I210_16 CANB Cancer, Benign 103,087 211 OTH BENIGN NEOPLASM GI* I210_16 CANB Cancer, Benign 103,087 212 BEN NEO RESP SYST/THORAX* I210_16 CANB Cancer, Benign 103,087 213 BEN NEO BONE/ARTIC CART* I210_16 CANB Cancer, Benign 103,087 214 LIPOMA* I210_16 CANB Cancer, Benign 103,087 215 OTH BEN NEO SOFT TISSUE* I210_16 CANB Cancer, Benign 103,087 216 BENIGN NEOPLASM OF SKIN* I210_16 CANB Cancer, Benign 103,087 217 BENIGN NEOPLASM BREAST I217_24 CANB Cancer, Benign 25,895 218 UTERINE LEIOMYOMA* I217_24 CANB Cancer, Benign 25,895 219 OTH BENIGN NEO UTERUS* I217_24 CANB Cancer, Benign 25,895 220 BENIGN NEOPLASM OVARY I217_24 CANB Cancer, Benign 25,895 221 BEN NEO OTH FEM GENITAL* I217_24 CANB Cancer, Benign 25,895 222 BENIGN NEO MALE GENITAL* I217_24 CANB Cancer, Benign 25,895 223 BENIGN NEOPLASM URINARY* I217_24 CANB Cancer, Benign 25,895 224 BENIGN NEOPLASM OF EYE* I217_24 CANB Cancer, Benign 25,895 225 BENIGN NEO NERVOUS SYST* I210_16 CANB Cancer, Benign 103,087 226 BENIGN NEOPLASM THYROID I217_24 CANB Cancer, Benign 25,895 227 BEN NEO OTH ENDOCRINE* I210_12 CANB Cancer, Benign 5,911 228 HEMANGIOMA/LYMPHANGIOMA* I210_12 CANB Cancer, Benign 5,911 229 BENIGN NEOPLASM NEC/NOS* I217_24 CANB Cancer, Benign 25,895 230 CA IN SITU DIGESTIVE ORG* I230 CANNWD Cancer, Not Well Defined 10,266 231 CA IN SITU RESPIRATORY* I231 CANNWD Cancer, Not Well Defined 1,096 232 CARCINOMA IN SITU SKIN* I230 CANNWD Cancer, Not Well Defined 10,266 233 CA IN SITU BREAST/GU* I233 CANNWD Cancer, Not Well Defined 8,142 234 CA IN SITU NEC/NOS* I234 CANNWD Cancer, Not Well Defined 763 235 UNC BEHAV NEO GI/RESP* I235_9 CANNWD Cancer, Not Well Defined 84,207 236 UNC BEHAV NEO GU* I235_9 CANNWD Cancer, Not Well Defined 84,207 237 UNCER NEO ENDOCRINE/NERV* I235_9 CANNWD Cancer, Not Well Defined 84,207 238 UNC BEHAV NEO NEC/NOS* I235_9 CANNWD Cancer, Not Well Defined 84,207 239 UNSPECIFIED NEOPLASM* I235_9 CANNWD Cancer, Not Well Defined 84,207 240 GOITER, SIMPLE/NOS* I240_1 METSL Metabolic, Super Low 10,486 241 NONTOXIC NODULAR GOITER* I240_1 METSL Metabolic, Super Low 10,486 242 THYROTOXICOSIS* I242 METSL Metabolic, Super Low 13,446 243 CONGENITAL HYPOTHYROIDSM I243_4 METSL Metabolic, Super Low 105,706 244 ACQUIRED HYPOTHYROIDISM* I243_4 METSL Metabolic, Super Low 105,706 245 THYROIDITIS* I245 METSL Metabolic, Super Low 2,916 246 OTH DISORDERS OF THYROID* I246 METSL Metabolic, Super Low 9,717 250 DIABETES MELLITUS* I25000 DM2 Diabetes, Type 2 196,402 2500 DIABETES MELLITUS UNCOMP* I25000 DM2 Diabetes, Type 2 196,402 25000 DMII WO CMP NT ST UNCNTR I25000 DM2 Diabetes, Type 2 196,402 25001 DMI WO CMP NT ST UNCNTRL I25001 DM1 Diabetes, Type 1 57,311 25002 DMII WO CMP UNCNTRLD I25000 DM2 Diabetes, Type 2 196,402 25003 DMI WO CMP UNCNTRLD I25001 DM1 Diabetes, Type 1 57,311 2501 DIABETES W KETOACIDOSIS* I25010 DMLFCX Diabetes, Type 1 or 2 With Rare Complications 4,536 2502 DIAB W HYPEROSMOLAR COMA* I25020 DMLFCX Diabetes, Type 1 or 2 With Rare Complications 1,021 25020 DMII HPRSM NT ST UNCNTRL I25020 DMLFCX Diabetes, Type 1 or 2 With Rare Complications 1,021 25021 DMI HPRSM NT ST UNCNTRLD I25021 DMLFCX Diabetes, Type 1 or 2 With Rare Complications 253 25022 DMII HPROSMLR UNCONTROLD I25020 DMLFCX Diabetes, Type 1 or 2 With Rare Complications 1,021 25023 DMI HPROSMLR UNCONTROLD I25021 DMLFCX Diabetes, Type 1 or 2 With Rare Complications 253 2503 DIABETES WITH COMA NEC* I25030 DMLFCX Diabetes, Type 1 or 2 With Rare Complications 459 25030 DMII O CM NT ST UNCNTRLD I25030 DMLFCX Diabetes, Type 1 or 2 With Rare Complications 459 25031 DMI O CM NT ST UNCNTRLD I25031 DMLFCX Diabetes, Type 1 or 2 With Rare Complications 241 25032 DMII OTH COMA UNCONTROLD I25030 DMLFCX Diabetes, Type 1 or 2 With Rare Complications 459 25033 DMI OTH COMA UNCONTROLD I25031 DMLFCX Diabetes, Type 1 or 2 With Rare Complications 241 2504 DIAB W RENAL MANIFEST* I25040 D2HFCX Diabetes, Type 2 With Common Complications 3,445 25040 DMII RENL NT ST UNCNTRLD I25040 D2HFCX Diabetes, Type 2 With Common Complications 3,445 25041 DMI RENL NT ST UNCNTRLD I25041 D1HFCX Diabetes, Type 1 With Common Complications 2,190 25042 DMII RENAL UNCNTRLD I25040 D2HFCX Diabetes, Type 2 With Common Complications 3,445 25043 DMI RENAL UNCNTRLD I25041 D1HFCX Diabetes, Type 1 With Common Complications 2,190 2505 DIAB W OPHTHALMIC MANIF* I25050 D2HFCX Diabetes, Type 2 With Common Complications 11,063 25050 DMII OPHTH NT ST UNCNTRL I25050 D2HFCX Diabetes, Type 2 With Common Complications 11,063 25051 DMI OPHTH NT ST UNCNTRLD I25051 D1HFCX Diabetes, Type 1 With Common Complications 4,807 25052 DMII OPHTH UNCNTRLD I25050 D2HFCX Diabetes, Type 2 With Common Complications 11,063 25053 DMI OPHTH UNCNTRLD I25051 D1HFCX Diabetes, Type 1 With Common Complications 4,807 2506 DIAB W NEUROLOGIC MANIF* I25060 D2HFCX Diabetes, Type 2 With Common Complications 14,104 25060 DMII NEURO NT ST UNCNTRL I25060 D2HFCX Diabetes, Type 2 With Common Complications 14,104 25061 DMI NEURO NT ST UNCNTRLD I25061 D1HFCX Diabetes, Type 1 With Common Complications 6,800 25062 DMII NEURO UNCNTRLD I25060 D2HFCX Diabetes, Type 2 With Common Complications 14,104 25063 DMI NEURO UNCNTRLD I25061 D1HFCX Diabetes, Type 1 With Common Complications 6,800

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

2507 DIABETES W CIRCULAT DIS* I25000 DM2 Diabetes, Type 2 196,402 25070 DMII CIRC NT ST UNCNTRLD I25000 DM2 Diabetes, Type 2 196,402 25071 DMI CIRC NT ST UNCNTRLD I25000 DM2 Diabetes, Type 2 196,402 25072 DMII CIRC UNCNTRLD I25000 DM2 Diabetes, Type 2 196,402 25073 DMI CIRC UNCNTRLD I25000 DM2 Diabetes, Type 2 196,402 2508 DIABETES W MANIFEST NEC* I25000 DM2 Diabetes, Type 2 196,402 25080 DMII OTH NT ST UNCNTRLD I25000 DM2 Diabetes, Type 2 196,402 25081 DMI OTH NT ST UNCNTRLD I25000 DM2 Diabetes, Type 2 196,402 25082 DMII OTH UNCNTRLD I25000 DM2 Diabetes, Type 2 196,402 25083 DMI OTH UNCNTRLD I25000 DM2 Diabetes, Type 2 196,402 2509 DIABETES W COMPLIC NOS* I25000 DM2 Diabetes, Type 2 196,402 25090 DMII UNSPF NT ST UNCNTRL I25000 DM2 Diabetes, Type 2 196,402 25091 DMI UNSPF NT ST UNCNTRLD I25000 DM2 Diabetes, Type 2 196,402 25092 DMII UNSPF UNCNTRLD I25000 DM2 Diabetes, Type 2 196,402 25093 DMI UNSPF UNCNTRLD I25000 DM2 Diabetes, Type 2 196,402 251 OTH PANCREATIC DISORDER* I251X METNWD Metabolic, Not Well Defined 8,497 2510 HYPOGLYCEMIC COMA ICOMA METH Metabolic, High 1,981 2511 OTH SPCF HYPOGLYCEMIA I251X METNWD Metabolic, Not Well Defined 8,497 2512 HYPOGLYCEMIA NOS I251X METNWD Metabolic, Not Well Defined 8,497 2513 POSTSURG HYPOINSULINEMIA I251X METNWD Metabolic, Not Well Defined 8,497 2514 ABN SECRETION GLUCAGON I251X METNWD Metabolic, Not Well Defined 8,497 2515 ABNORM SECRETION GASTRIN I251X METNWD Metabolic, Not Well Defined 8,497 2518 PANCREATIC DISORDER NEC I251X METNWD Metabolic, Not Well Defined 8,497 2519 PANCREATIC DISORDER NOS I251X METNWD Metabolic, Not Well Defined 8,497 252 PARATHYROID DISORDER* I252 METL Metabolic, Low 2,605 253 PITUITARY/HYPOTHALM DIS* I253 METL Metabolic, Low 2,844 254 DISEASES OF THYMUS GLAND* I254 METSL Metabolic, Super Low 114 255 ADRENAL GLAND DISORDERS* I255 METH Metabolic, High 3,116 256 OVARIAN DYSFUNCTION* I256 METSL Metabolic, Super Low 5,932 257 TESTICULAR DYSFUNCTION* I257 METSL Metabolic, Super Low 1,942 258 POLYGLANDULAR DYSFUNCT* I258X METSL Metabolic, Super Low 314 2580 WERMER'S SYNDROME I2580 METH Metabolic, High 34 2581 COMB ENDOCR DYSFUNCT NEC I258X METSL Metabolic, Super Low 314 2588 POLYGLANDUL DYSFUNC NEC I258X METSL Metabolic, Super Low 314 2589 POLYGLANDUL DYSFUNC NOS I258X METSL Metabolic, Super Low 314 259 OTH ENDORINE DISORDERS* I259 METNWD Metabolic, Not Well Defined 6,009 260 KWASHIORKOR I260_3 METH Metabolic, High 10,631 261 NUTRITIONAL MARASMUS I260_3 METH Metabolic, High 10,631 262 OTH SEVERE MALNUTRITION I260_3 METH Metabolic, High 10,631 263 PROT-CAL MALNUTR NEC/NOS* I260_3 METH Metabolic, High 10,631 264 VITAMIN A DEFICIENCY* I264_7 METSL Metabolic, Super Low 8,442 265 THIAMINE/NIACIN DEFIC* I264_7 METSL Metabolic, Super Low 8,442 266 B-COMPLEX DEFICIENCIES* I264_7 METSL Metabolic, Super Low 8,442 267 ASCORBIC ACID DEFICIENCY I264_7 METSL Metabolic, Super Low 8,442 268 VITAMIN D DEFICIENCY* I268 METL Metabolic, Low 485 269 OTH NUTRITION DEFICIENCY* I269 METNWD Metabolic, Not Well Defined 1,525 270 DIS AMIN-ACID METABOLISM* I270 METSL Metabolic, Super Low 831 271 DIS CARBOHYDRATE METABOL* I271 METSL Metabolic, Super Low 4,154 272 DIS OF LIPOID METABOLISM* I272X METSL Metabolic, Super Low 252,447 2720 PURE HYPERCHOLESTEROLEM I272X METSL Metabolic, Super Low 252,447 2721 PURE HYPERGLYCERIDEMIA I272X METSL Metabolic, Super Low 252,447 2722 MIXED HYPERLIPIDEMIA I272X METSL Metabolic, Super Low 252,447 2723 HYPERCHYLOMICRONEMIA I272X METSL Metabolic, Super Low 252,447 2724 HYPERLIPIDEMIA NEC/NOS I272X METSL Metabolic, Super Low 252,447 2725 LIPOPROTEIN DEFICIENCIES I272X METSL Metabolic, Super Low 252,447 2726 LIPODYSTROPHY I272X METSL Metabolic, Super Low 252,447 2727 LIPIDOSES I2727 METL Metabolic, Low 515 2728 LIPOID METABOL DIS NEC I272X METSL Metabolic, Super Low 252,447 2729 LIPOID METABOL DIS NOS I272X METSL Metabolic, Super Low 252,447 273 DIS PLASMA PROTEIN METAB* I273 METSL Metabolic, Super Low 3,616 274 GOUT* I274 METL Metabolic, Low 27,151 275 DIS MINERAL METABOLISM* I275X METNWD Metabolic, Not Well Defined 9,197 2750 DIS IRON METABOLISM I2750 METL Metabolic, Low 1,005 2751 DIS COPPER METABOLISM I275X METNWD Metabolic, Not Well Defined 9,197 2752 DIS MAGNESIUM METABOLISM I275X METNWD Metabolic, Not Well Defined 9,197 2753 DIS PHOSPHORUS METABOL I275X METNWD Metabolic, Not Well Defined 9,197 2754 DIS CALCIUM METABOLISM* I275X METNWD Metabolic, Not Well Defined 9,197 2758 DIS MINERAL METABOL NEC I275X METNWD Metabolic, Not Well Defined 9,197 2759 DIS MINERAL METABOL NOS I275X METNWD Metabolic, Not Well Defined 9,197 276 FLUID/ELECTROLYTE DIS* I276X METNWD Metabolic, Not Well Defined 64,321 2760 HYPEROSMOLALITY I276X METNWD Metabolic, Not Well Defined 64,321 2761 HYPOSMOLALITY I276X METNWD Metabolic, Not Well Defined 64,321 2762 ACIDOSIS I2762 METH Metabolic, High 2,883 2763 ALKALOSIS I2763 METH Metabolic, High 1,118 2764 MIXED ACID-BASE BAL DIS I2764 METH Metabolic, High 442 2765 HYPOVOLEMIA I276X METNWD Metabolic, Not Well Defined 64,321 2766 FLUID OVERLOAD I276X METNWD Metabolic, Not Well Defined 64,321 2767 HYPERPOTASSEMIA I2767 METH Metabolic, High 7,862 2768 HYPOPOTASSEMIA I2768 METSL Metabolic, Super Low 32,384 2769 ELECTROLYT/FLUID DIS NEC I276X METNWD Metabolic, Not Well Defined 64,321 277 METABOLISM DIS NEC/NOS* I277X METNWD Metabolic, Not Well Defined 1,466 2770 CYSTIC FIBROSIS* I2770 PULH Pulmonary, High 494 2771 DIS PORPHYRIN METABOLISM I2771_6 METL Metabolic, Low 972 2772 PURINE/PYRIMID DIS NEC I2771_6 METL Metabolic, Low 972 2773 AMYLOIDOSIS I2771_6 METL Metabolic, Low 972 2774 DIS BILIRUBIN EXCRETION I2771_6 METL Metabolic, Low 972 2775 MUCOPOLYSACCHARIDOSIS I2771_6 METL Metabolic, Low 972 2776 DEFIC CIRCUL ENZYME NEC I2771_6 METL Metabolic, Low 972 2778 METABOLISM DISORDER NEC I277X METNWD Metabolic, Not Well Defined 1,466 2779 METABOLISM DISORDER NOS I277X METNWD Metabolic, Not Well Defined 1,466

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

278 OBESITY/HYPERALIMENT* I278 METNWD Metabolic, Not Well Defined 26,507 279 DIS IMMUNE MECHANISM* I279X METH Metabolic, High 1,057 2790 DEFIC HUMORAL IMMUNITY* I2790 METH Metabolic, High 489 2791 DEFIC CELLULAR IMMUNITY* I2791 METH Metabolic, High 144 2792 COMBINED IMMUNITY DEFIC I2792 METH Metabolic, High 78 2793 IMMUNITY DEFICIENCY NOS I279X METH Metabolic, High 1,057 2794 AUTOIMMUNE DISEASE NEC I279X METH Metabolic, High 1,057 2798 IMMUNE MECHANISM DIS NEC I279X METH Metabolic, High 1,057 2799 IMMUNE MECHANISM DIS NOS I279X METH Metabolic, High 1,057 280 IRON DEFICIENCY ANEMIAS* I280_285 HEMAN Hematological, Anemia 117,094 281 OTHER DEFICIENCY ANEMIA* I281 HEMAN Hematological, Anemia 26,560 282 HEREDIT HEMOLYTIC ANEMIA* I282X HEML Hematological, Low 2,029 2820 HEREDITARY SPHEROCYTOSIS I282X HEML Hematological, Low 2,029 2821 HEREDIT ELLIPTOCYTOSIS I282X HEML Hematological, Low 2,029 2822 GLUTATHIONE DIS ANEMIA I282X HEML Hematological, Low 2,029 2823 ENZYME DEFIC ANEMIA NEC I282X HEML Hematological, Low 2,029 2824 THALASSEMIAS I282X HEML Hematological, Low 2,029 2825 SICKLE-CELL TRAIT I282X HEML Hematological, Low 2,029 2826 SICKLE-CELL ANEMIA* I282X HEML Hematological, Low 2,029 28260 SICKLE-CELL ANEMIA NOS I282X HEML Hematological, Low 2,029 28261 HB-S DISEASE W/O CRISIS I28261_2 HEMVH Hematological, Very High 207 28262 HB-S DISEASE WITH CRISIS I28261_2 HEMVH Hematological, Very High 207 28263 SICKLE-CELL/HB-C DISEASE I282X HEML Hematological, Low 2,029 28269 SICKLE-CELL ANEMIA NEC I282X HEML Hematological, Low 2,029 2827 HEMOGLOBINOPATHIES NEC I282X HEML Hematological, Low 2,029 2828 HERED HEMOLYTIC ANEM NEC I282X HEML Hematological, Low 2,029 2829 HERED HEMOLYTIC ANEM NOS I282X HEML Hematological, Low 2,029 283 ACQ HEMOLYTIC ANEMIA* I283 HEMM Hematological, Medium 951 284 APLASTIC ANEMIA* I284 HEMH Hematological, High 3,602 285 ANEMIA NEC/NOS* I280_285 HEMAN Hematological, Anemia 117,094 286 COAGULATION DEFECTS* I286X HEMVL Hematological, Very Low 17,082 2860 CONG FACTOR VIII DIORD I2860_1 HEMVH Hematological, Very High 348 2861 CONG FACTOR IX DISORDER I2860_1 HEMVH Hematological, Very High 348 2862 CONG FACTOR XI DISORDER I286X HEMVL Hematological, Very Low 17,082 2863 CONG DEF CLOT FACTOR NEC I286X HEMVL Hematological, Very Low 17,082 2864 VON WILLEBRAND'S DISEASE I286X HEMVL Hematological, Very Low 17,082 2865 CIRCULATING ANTICOAG DIS I286X HEMVL Hematological, Very Low 17,082 2866 DEFIBRINATION SYNDROME I286X HEMVL Hematological, Very Low 17,082 2867 ACQ COAGUL FACTOR DEFIC I286X HEMVL Hematological, Very Low 17,082 2869 COAGULAT DEFECT NEC/NOS I286X HEMVL Hematological, Very Low 17,082 287 PURPURA & OTH HEMOR COND* I287 HEML Hematological, Low 11,464 288 WBC DISORDERS* I288X HEMNWD Hematological, Not Well Defined 505 2880 AGRANULOCYTOSIS I2880 HEMM Hematological, Medium 5,324 2881 FUNCTION DIS NEUTROPHILS I2881_8 HEML Hematological, Low 6,722 2882 GENETIC ANOMALY LEUKOCYT I2881_8 HEML Hematological, Low 6,722 2883 EOSINOPHILIA I2881_8 HEML Hematological, Low 6,722 2888 WBC DISEASE NEC I2881_8 HEML Hematological, Low 6,722 2889 WBC DISEASE NOS I288X HEMNWD Hematological, Not Well Defined 505 289 OTHER BLOOD DISEASE* I289X HEMSL Hematological, Super Low 11,581 290 SENILE/PRESENILE PSYCHOS* I290 DADDEM Delirium and Dementia, Dementia 48,312 291 ALCOHOLIC PSYCHOSES* I291 SUBVL Substance Abuse, Very Low 2,639 292 DRUG PSYCHOSES* I292 SUBL Substance Abuse, Low 2,655 293 TRANSIENT ORG MENTAL DIS* I293X PSYNWD Psychiatric, Not Well Defined 1,467 2930 ACUTE DELIRIUM I2930_1 DADDLR Delirium and Dementia, Delirium 6,286 2931 SUBACUTE DELIRIUM I2930_1 DADDLR Delirium and Dementia, Delirium 6,286 2938 OTH TRANSIENT ORG MENTAL* I2938X DADDLR Delirium and Dementia, Delirium 1,378 29381 ORGANIC DELUSIONAL SYND I2938X DADDLR Delirium and Dementia, Delirium 1,378 29382 ORGANIC HALLUCINOSIS SYN I2938X DADDLR Delirium and Dementia, Delirium 1,378 29383 ORGANIC AFFECTIVE SYND I29383 DADDLR Delirium and Dementia, Delirium 2,393 29384 ORGANIC ANXIETY SYNDROME I2938X DADDLR Delirium and Dementia, Delirium 1,378 29389 TRANSIENT ORG MENTAL NEC I2938X DADDLR Delirium and Dementia, Delirium 1,378 2939 TRANSIENT ORG MENTAL NOS I293X PSYNWD Psychiatric, Not Well Defined 1,467 294 OTHER ORGANIC PSYCH COND* I294X PSYNWD Psychiatric, Not Well Defined 16,634 2940 AMNESTIC SYNDROME I294X PSYNWD Psychiatric, Not Well Defined 16,634 2941 DEMENTIA IN OTH DISEASES I2901 DADDEM Delirium and Dementia, Dementia 4,368 2948 ORGANIC BRAIN SYND NEC I294X PSYNWD Psychiatric, Not Well Defined 16,634 2949 ORGANIC BRAIN SYND NOS I2949 PSYNWD Psychiatric, Not Well Defined 2,424 295 SCHIZOPHRENIC DISORDERS* I295 PSYH Psychiatric, High 21,919 296 AFFECTIVE PSYCHOSES* I296X PSYM Psychiatric, Medium 37,228 2960 MANIC DIS, SINGL EPISODE* I296X PSYM Psychiatric, Medium 37,228 2961 MANIC, RECURRENT EPISODE* I296X PSYM Psychiatric, Medium 37,228 2962 DEPR PSYCH, SINGL EPISOD* I296X PSYM Psychiatric, Medium 37,228 2963 DEPR PSYCH, RECUR EPISOD* I296X PSYM Psychiatric, Medium 37,228 2964 BIPOLAR AFFECTIVE, MANIC* I2964_7 PSYM Psychiatric, Medium 9,472 2965 BIPOLAR AFFECT, DEPRESS* I2964_7 PSYM Psychiatric, Medium 9,472 2966 BIPOLAR AFFECTIVE, MIXED* I2964_7 PSYM Psychiatric, Medium 9,472 2967 BIPOLAR AFFECTIVE NOS I2964_7 PSYM Psychiatric, Medium 9,472 2968 MANIC-DEPRESSIVE NEC/NOS* I296X PSYM Psychiatric, Medium 37,228 2969 AFFECT PSYCHOSES NEC/NOS* I296X PSYM Psychiatric, Medium 37,228 297 PARANOID STATES* I297 PSYL Psychiatric, Low 2,202 298 OTH NONORGANIC PSYCHOSES* I298 PSYL Psychiatric, Low 22,803 299 PSYCHOSES OF CHILDHOOD* I299 PSYL Psychiatric, Low 409 300 NEUROTIC DISORDERS* I300X PSYNWD Psychiatric, Not Well Defined 46,480 3000 ANXIETY STATES* I300X PSYNWD Psychiatric, Not Well Defined 46,480 30000 ANXIETY STATE NOS I300X PSYNWD Psychiatric, Not Well Defined 46,480 30001 PANIC DISORDER I30001 PSYL Psychiatric, Low 3,811 30002 GENERALIZED ANXIETY DIS I30002 PSYNWD Psychiatric, Not Well Defined 7,735 30009 ANXIETY STATE NEC I300X PSYNWD Psychiatric, Not Well Defined 46,480 3001 HYSTERIA* I300X PSYNWD Psychiatric, Not Well Defined 46,480 30010 HYSTERIA NOS I300X PSYNWD Psychiatric, Not Well Defined 46,480

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

30011 CONVERSION DISORDER I300X PSYNWD Psychiatric, Not Well Defined 46,480 30012 PSYCHOGENIC AMNESIA I300X PSYNWD Psychiatric, Not Well Defined 46,480 30013 PSYCHOGENIC FUGUE I300X PSYNWD Psychiatric, Not Well Defined 46,480 30014 MULTIPLE PERSONALITY I300X PSYNWD Psychiatric, Not Well Defined 46,480 30015 DISSOCIATIVE REACT NOS I300X PSYNWD Psychiatric, Not Well Defined 46,480 30016 FACTITIOUS ILL W SYMPTOM I300X PSYNWD Psychiatric, Not Well Defined 46,480 30019 FACTITIOUS ILL NEC/NOS I300X PSYNWD Psychiatric, Not Well Defined 46,480 3002 PHOBIC DISORDERS* I3002 PSYL Psychiatric, Low 1,629 3003 OBSESSIVE-COMPULSIVE DIS I3003 PSYL Psychiatric, Low 1,249 3004 NEUROTIC DEPRESSION I3004_7 PSYL Psychiatric, Low 18,750 3005 NEURASTHENIA I3004_7 PSYL Psychiatric, Low 18,750 3006 DEPERSONALIZATION SYND I3004_7 PSYL Psychiatric, Low 18,750 3007 HYPOCHONDRIASIS I3004_7 PSYL Psychiatric, Low 18,750 3008 NEUROTIC DISORDERS NEC* I300X PSYNWD Psychiatric, Not Well Defined 46,480 30081 SOMATIZATION DISORDER I300X PSYNWD Psychiatric, Not Well Defined 46,480 30082 UNDIFF SOMATOFORM DISRDR I300X PSYNWD Psychiatric, Not Well Defined 46,480 30089 NEUROTIC DISORDERS NEC I300X PSYNWD Psychiatric, Not Well Defined 46,480 3009 NEUROTIC DISORDER NOS I300X PSYNWD Psychiatric, Not Well Defined 46,480 301 PERSONALITY DISORDERS* I301X PSYNWD Psychiatric, Not Well Defined 4,900 3010 PARANOID PERSONALITY I301X PSYNWD Psychiatric, Not Well Defined 4,900 3011 AFFECTIVE PERSONALITY* I301X PSYNWD Psychiatric, Not Well Defined 4,900 30110 AFFECTIV PERSONALITY NOS I301X PSYNWD Psychiatric, Not Well Defined 4,900 30111 CHRONIC HYPOMANIC PERSON I301X PSYNWD Psychiatric, Not Well Defined 4,900 30112 CHR DEPRESSIVE PERSON I301X PSYNWD Psychiatric, Not Well Defined 4,900 30113 CYCLOTHYMIC DISORDER I301X PSYNWD Psychiatric, Not Well Defined 4,900 3012 SCHIZOID PERSONALITY* I301X PSYNWD Psychiatric, Not Well Defined 4,900 30120 SCHIZOID PERSONALITY NOS I301X PSYNWD Psychiatric, Not Well Defined 4,900 30121 INTROVERTED PERSONALITY I301X PSYNWD Psychiatric, Not Well Defined 4,900 30122 SCHIZOTYPAL PERSONALITY I301X PSYNWD Psychiatric, Not Well Defined 4,900 3013 EXPLOSIVE PERSONALITY I301X PSYNWD Psychiatric, Not Well Defined 4,900 3014 COMPULSIVE PERSONALITY I301X PSYNWD Psychiatric, Not Well Defined 4,900 3015 HISTRIONIC PERSONALITY* I301X PSYNWD Psychiatric, Not Well Defined 4,900 30150 HISTRIONIC PERSON NOS I301X PSYNWD Psychiatric, Not Well Defined 4,900 30151 CHR FACTITIOUS ILLNESS I301X PSYNWD Psychiatric, Not Well Defined 4,900 30159 HISTRIONIC PERSON NEC I301X PSYNWD Psychiatric, Not Well Defined 4,900 3016 DEPENDENT PERSONALITY I301X PSYNWD Psychiatric, Not Well Defined 4,900 3017 ANTISOCIAL PERSONALITY I301X PSYNWD Psychiatric, Not Well Defined 4,900 3018 OTHER PERSONALITY DIS* I301X PSYNWD Psychiatric, Not Well Defined 4,900 30181 NARCISSISTIC PERSONALITY I301X PSYNWD Psychiatric, Not Well Defined 4,900 30182 AVOIDANT PERSONALITY I301X PSYNWD Psychiatric, Not Well Defined 4,900 30183 BORDERLINE PERSONALITY I30183 PSYH Psychiatric, High 1,041 30184 PASSIVE-AGGRESSIV PERSON I301X PSYNWD Psychiatric, Not Well Defined 4,900 30189 PERSONALITY DISORDER NEC I301X PSYNWD Psychiatric, Not Well Defined 4,900 3019 PERSONALITY DISORDER NOS I301X PSYNWD Psychiatric, Not Well Defined 4,900 302 SEXUAL DISORDERS* I302 PSYNWD Psychiatric, Not Well Defined 3,691 303 ALCOHOL DEPENDENCE SYNDR* I303 SUBVL Substance Abuse, Very Low 8,863 304 DRUG DEPENDENCE* I304X SUBL Substance Abuse, Low 2,197 3040 OPIOID TYPE DEPENDENCE* I3040 SUBL Substance Abuse, Low 1,157 3041 BARBITURATE DEPENDENCE* I304X SUBL Substance Abuse, Low 2,197 3042 COCAINE DEPENDENCE* I3042 SUBL Substance Abuse, Low 1,486 3043 CANNABIS DEPENDENCE* I3043 SUBNWD Substance Abuse, Not Well Defined 311 3044 AMPHETAMINE DEPENDENCE* I304X SUBL Substance Abuse, Low 2,197 3045 HALLUCINOGEN DEPENDENCE* I304X SUBL Substance Abuse, Low 2,197 3046 DRUG DEPENDENCE NEC* I304X SUBL Substance Abuse, Low 2,197 3047 OPIOID/OTHER DRUG DEPEND* I3040 SUBL Substance Abuse, Low 1,157 3048 COMB DRUG DEPENDENCE NEC* I304X SUBL Substance Abuse, Low 2,197 3049 DRUG DEPENDENCE NOS* I304X SUBL Substance Abuse, Low 2,197 305 NONDEPENDENT DRUG ABUSE* I305X SUBNWD Substance Abuse, Not Well Defined 18,775 3050 ALCOHOL ABUSE* I303X SUBVL Substance Abuse, Very Low 5,364 3051 TOBACCO USE DISORDER I305X SUBNWD Substance Abuse, Not Well Defined 18,775 3052 CANNABIS ABUSE* I305X SUBNWD Substance Abuse, Not Well Defined 18,775 3053 HALLUCINOGEN ABUSE* I3053 SUBL Substance Abuse, Low 21 3054 BARBITURATE ABUSE* I3054 SUBL Substance Abuse, Low 143 3055 OPIOID ABUSE* I3040 SUBL Substance Abuse, Low 1,157 3056 COCAINE ABUSE* I3042 SUBL Substance Abuse, Low 1,486 3057 AMPHETAMINE ABUSE* I3057 SUBL Substance Abuse, Low 123 3058 ANTIDEPRESSANT ABUSE* I3058 SUBL Substance Abuse, Low 20 3059 DRUG ABUSE NEC/NOS* I305X SUBNWD Substance Abuse, Not Well Defined 18,775 306 PSYCHOPHYSIOLOGIC DIS* I306 PSYNWD Psychiatric, Not Well Defined 1,663 307 SPECIAL SYMPTOM NEC* I307X PSYNWD Psychiatric, Not Well Defined 9,632 3070 STAMMERING & STUTTERING I307X PSYNWD Psychiatric, Not Well Defined 9,632 3071 ANOREXIA NERVOSA I3071 PSYM Psychiatric, Medium 737 3072 TICS* I307X PSYNWD Psychiatric, Not Well Defined 9,632 3073 STEREOTYPED MOVEMENTS I307X PSYNWD Psychiatric, Not Well Defined 9,632 3074 NONORGANIC SLEEP DISORD* I307X PSYNWD Psychiatric, Not Well Defined 9,632 3075 EATING DISORDERS NEC/NOS* I3071 PSYM Psychiatric, Medium 737 3076 ENURESIS I307X PSYNWD Psychiatric, Not Well Defined 9,632 3077 ENCOPRESIS I307X PSYNWD Psychiatric, Not Well Defined 9,632 3078 PSYCHALGIA* I307X PSYNWD Psychiatric, Not Well Defined 9,632 3079 SPECIAL SYMPTOM NEC/NOS I307X PSYNWD Psychiatric, Not Well Defined 9,632 308 ACUTE REACTION TO STRESS* I308 PSYNWD Psychiatric, Not Well Defined 3,648 309 ADJUSTMENT REACTION* I309X PSYNWD Psychiatric, Not Well Defined 7,247 3090 BRIEF DEPRESSIVE REACT I309X PSYNWD Psychiatric, Not Well Defined 7,247 3091 PROLONG DEPRESSIVE REACT I3091_8 PSYL Psychiatric, Low 8,526 3092 ADJUST REACT/OTH EMOTION* I3091_8 PSYL Psychiatric, Low 8,526 3093 ADJUST REACT-CONDUCT DIS I3091_8 PSYL Psychiatric, Low 8,526 3094 ADJ REACT-EMOTION/CONDUC I3091_8 PSYL Psychiatric, Low 8,526 3098 OTHER ADJUST REACTION* I3091_8 PSYL Psychiatric, Low 8,526 3099 ADJUSTMENT REACTION NOS I309X PSYNWD Psychiatric, Not Well Defined 7,247 310 NONPSYCHOTIC BRAIN SYND* I310 PSYL Psychiatric, Low 11,084

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

311 DEPRESSIVE DISORDER NEC I311 PSYL Psychiatric, Low 50,154 312 CONDUCT DISTURBANCE NEC* I312 PSYNWD Psychiatric, Not Well Defined 2,406 313 EMOTIONAL DIS CHILD/ADOL* I313 PSYNWD Psychiatric, Not Well Defined 110 314 HYPERKINETIC SYNDROME* I314X PSYNWD Psychiatric, Not Well Defined 103 3140 ATTENTION DEFICIT DIS* I3140 PSYL Psychiatric, Low 422 3141 HYPERKINET W DEVEL DELAY I314X PSYNWD Psychiatric, Not Well Defined 103 3142 HYPERKINETIC CONDUCT DIS I314X PSYNWD Psychiatric, Not Well Defined 103 3148 OTHER HYPERKINETIC SYND I314X PSYNWD Psychiatric, Not Well Defined 103 3149 HYPERKINETIC SYND NOS I314X PSYNWD Psychiatric, Not Well Defined 103 315 SPECIFIC DEVELOP DELAYS* I784X CNSOTH Nervous System, Other 3,432 316 PSYCHIC FACTOR W OTH DIS I316 PSYNWD Psychiatric, Not Well Defined 513 317 MILD MENTAL RETARDATION I317_9X DDL Developmental Disability, Low 7,897 318 OTHER MENTAL RETARDATION* I317_9X DDL Developmental Disability, Low 7,897 3180 MOD MENTAL RETARDATION I317_9X DDL Developmental Disability, Low 7,897 3181 SEVERE MENTAL RETARDAT I3181_2 DDM Developmental Disability, Medium 2,082 3182 PROFOUND MENTAL RETARDAT I3181_2 DDM Developmental Disability, Medium 2,082 319 MENTAL RETARDATION NOS I317_9X DDL Developmental Disability, Low 7,897 320 BACTERIAL MENINGITIS* I320 CNSOTH Nervous System, Other 209 321 OTH ORGANISM MENINGITIS* I321X CNSNWD Nervous System, Not Well Defined 47 3210 CRYPTOCOCCAL MENINGITIS I3210 AIDSH Infectious Disease, AIDS 32 3211 MENING IN OTH FUNGAL DIS I321X CNSNWD Nervous System, Not Well Defined 47 3212 MENING IN OTH VIRAL DIS I321X CNSNWD Nervous System, Not Well Defined 47 3213 TRYPANOSOMIASIS MENINGIT I321X CNSNWD Nervous System, Not Well Defined 47 3214 MENINGIT D/T SARCOIDOSIS I321X CNSNWD Nervous System, Not Well Defined 47 3218 MENING IN OTH NONBAC DIS I321X CNSNWD Nervous System, Not Well Defined 47 322 MENINGITIS, UNSPECIFIED* I322 CNSNWD Nervous System, Not Well Defined 971 323 ENCEPHALOMYELITIS* I323 CNSOTH Nervous System, Other 556 324 CNS ABSCESS* I324_6 CNSSL Nervous System, Super Low 399 325 PHLEBITIS INTRCRAN SINUS I324_6 CNSSL Nervous System, Super Low 399 326 LATE EFF CNS ABSCESS I324_6 CNSSL Nervous System, Super Low 399 330 CEREBRAL DEGEN IN CHILD* I330 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others 200 331 CEREBRAL DEGENERATION* I331X DADDEM Delirium and Dementia, Dementia 15,905 3310 ALZHEIMER'S DISEASE I290 DADDEM Delirium and Dementia, Dementia 48,312 3311 PICK'S DISEASE I290 DADDEM Delirium and Dementia, Dementia 48,312 3312 SENILE DEGENERAT BRAIN I290 DADDEM Delirium and Dementia, Dementia 48,312 3313 COMMUNICAT HYDROCEPHALUS I331X DADDEM Delirium and Dementia, Dementia 15,905 3314 OBSTRUCTIV HYDROCEPHALUS I331X DADDEM Delirium and Dementia, Dementia 15,905 3317 CEREB DEGEN IN OTH DIS I331X DADDEM Delirium and Dementia, Dementia 15,905 3318 CEREB DEGENERATION NEC* I331X DADDEM Delirium and Dementia, Dementia 15,905 3319 CEREB DEGENERATION NOS I331X DADDEM Delirium and Dementia, Dementia 15,905 332 PARKINSON'S DISEASE* I332 CNSPRK Nervous System, Parkinson's Disease 18,494 333 EXTRAPYRAMIDAL DIS NEC* I333 CNSOTH Nervous System, Other 11,140 334 SPINOCEREBELLAR DISEASE* I334X CNSOTH Nervous System, Other 1,036 3340 FRIEDREICH'S ATAXIA I3340 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others 115 3341 HERED SPASTIC PARAPLEGIA I3341 CNSH Nervous System, High 2,053 3342 PRIMARY CEREBELLAR DEGEN I3342 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others 210 3343 CEREBELLAR ATAXIA NEC I334X CNSOTH Nervous System, Other 1,036 3344 CEREBEL ATAX IN OTH DIS I334X CNSOTH Nervous System, Other 1,036 3348 SPINOCEREBELLAR DIS NEC I334X CNSOTH Nervous System, Other 1,036 3349 SPINOCEREBELLAR DIS NOS I334X CNSOTH Nervous System, Other 1,036 335 ANT HORN CELL DISEASE* I335X CNSOTH Nervous System, Other 96 3350 WERDNIG-HOFFMANN DISEASE I3350 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others 8 3351 SPINAL MUSCULAR ATROPHY* I3351 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others 58 3352 MOTOR NEURON DISEASE* I3352 CNSH Nervous System, High 529 3358 ANT HORN CELL DIS NEC I335X CNSOTH Nervous System, Other 96 3359 ANT HORN CELL DIS NOS I335X CNSOTH Nervous System, Other 96 336 SPINAL CORD DISEASE NEC* I336 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others 2,083 337 AUTONOMIC NERVE DISORDER* I337 CNSOTH Nervous System, Other 4,131 340 MULTIPLE SCLEROSIS I340 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others 3,720 341 OTHER CNS DEMYELINATION* I341 CNSNWD Nervous System, Not Well Defined 541 342 HEMIPLEGIA* I342 CERH Cerebrovascular, High 14,736 343 INFANTILE CEREBRAL PALSY* I343X CNSOTH Nervous System, Other 2,303 3430 CONGENITAL DIPLEGIA I343X CNSOTH Nervous System, Other 2,303 3431 CONGENITAL HEMIPLEGIA I343X CNSOTH Nervous System, Other 2,303 3432 CONGENITAL QUADRIPLEGIA I3432 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others 278 3433 CONGENITAL MONOPLEGIA I343X CNSOTH Nervous System, Other 2,303 3434 INFANTILE HEMIPLEGIA I343X CNSOTH Nervous System, Other 2,303 3438 CEREBRAL PALSY NEC I343X CNSOTH Nervous System, Other 2,303 3439 CEREBRAL PALSY NOS I343X CNSOTH Nervous System, Other 2,303 344 OTH PARALYTIC SYNDROMES* I344X CNSOTH Nervous System, Other 2,696 3440 QUADRIPLEGIA NOS* I3440 CNSH Nervous System, High 1,616 3441 PARAPLEGIA NOS I3341 CNSH Nervous System, High 2,053 3442 DIPLEGIA OF UPPER LIMBS I344X CNSOTH Nervous System, Other 2,696 3443 MONOPLEGIA OF LOWER LIMB* I344X CNSOTH Nervous System, Other 2,696 3444 MONOPLEGIA OF UPPER LIMB* I344X CNSOTH Nervous System, Other 2,696 3445 MONOPLEGIA NOS I344X CNSOTH Nervous System, Other 2,696 3446 CAUDA EQUINA SYNDROME* I3446 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others 4,579 3448 PARALYTIC SYNDROMES NEC* I344X CNSOTH Nervous System, Other 2,696 3449 PARALYSIS NOS I344X CNSOTH Nervous System, Other 2,696 345 EPILEPSY* I345 CNSCON Nervous System, Convulsions and Epilepsy 11,331 346 MIGRAINE* I346 CNSSL Nervous System, Super Low 12,674 347 CATAPLEXY AND NARCOLEPSY I347 CNSOTH Nervous System, Other 486 348 OTHER BRAIN CONDITIONS* I348X CNSNWD Nervous System, Not Well Defined 6,297 3480 CEREBRAL CYSTS I348X CNSNWD Nervous System, Not Well Defined 6,297 3481 ANOXIC BRAIN DAMAGE I3481 CNSOTH Nervous System, Other 676 3482 PSEUDOTUMOR CEREBRI I3482 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others 153 3483 ENCEPHALOPATHY NOS I3483 CNSNWD Nervous System, Not Well Defined 5,028 3484 COMPRESSION OF BRAIN I348X CNSOTH Nervous System, Other 6,297 3485 CEREBRAL EDEMA I348X CNSOTH Nervous System, Other 6,297 3488 BRAIN CONDITIONS NEC I348X CNSNWD Nervous System, Not Well Defined 6,297

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

3489 BRAIN CONDITION NOS I348X CNSNWD Nervous System, Not Well Defined 6,297 349 CNS DISORDER NEC/NOS* I349 CNSNWD Nervous System, Not Well Defined 2,296 350 TRIGEMINAL NERV DISORDER* I350X CNSSL Nervous System, Super Low 1,029 3501 TRIGEMINAL NEURALGIA I3501 CNSPRL Nervous System, Peripheral, Low 2,523 3502 ATYPICAL FACE PAIN I350X CNSSL Nervous System, Super Low 1,029 3508 TRIGEMINAL NERVE DIS NEC I350X CNSSL Nervous System, Super Low 1,029 3509 TRIGEMINAL NERVE DIS NOS I350X CNSSL Nervous System, Super Low 1,029 351 FACIAL NERVE DISORDERS* I353 CNSSL Nervous System, Super Low 8,965 352 DISORDER CRAN NERVE NEC* I353 CNSSL Nervous System, Super Low 8,965 353 NERVE ROOT/PLEXUS DIS* I353 CNSPRL Nervous System, Peripheral, Low 8,965 354 MONONEURITIS UPPER LIMB* I354 CNSSL Nervous System, Super Low 17,755 355 MONONEURITIS LEG* I355 CNSPRL Nervous System, Peripheral, Low 18,106 356 HERED PERIPH NEUROPATHY* I356 CNSPRH Nervous System, Peripheral, High 16,854 357 INFLAM/TOXIC NEUROPATHY* I358 CNSPRH Nervous System, Peripheral, High 11,178 358 MYONEURAL DISORDERS* I358 CNSPRH Nervous System, Peripheral, High 11,178 359 MUSCULAR DYSTROPHIES* I359 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others 1,890 360 DISORDERS OF THE GLOBE* I360 EYESL Eye, Super Low 3,654 361 RETINAL DETACHMENT* I361 EYERT Eye, Retina 10,007 362 RETINAL DISORDERS NEC* I362X EYERT Eye, Retina 126,840 3620 DIABETIC RETINOPATHY* I36201 DM2 Diabetes, Type 2 21,150 36201 DIABETIC RETINOPATHY NOS I36201 DM2 Diabetes, Type 2 21,150 36202 PROLIF DIAB RETINOPATHY I36202 DMLFCX Diabetes, Type 1 or 2 With Rare Complications 5,817 3621 BACKGRND RETINOPATHY NEC* I362X EYERT Eye, Retina 126,840 36210 BACKGRND RETINOPATHY NOS I362X EYERT Eye, Retina 126,840 36211 HYPERTENSIVE RETINOPATHY I362X EYERT Eye, Retina 126,840 36212 EXUDATIVE RETINOPATHY I362X EYERT Eye, Retina 126,840 36213 RETINAL VASCULAR CHANGES I362X EYERT Eye, Retina 126,840 36214 RETINA MICROANEURYSM NOS I362X EYERT Eye, Retina 126,840 36215 RETINAL TELANGIECTASIA I362X EYERT Eye, Retina 126,840 36216 RETINAL NEOVASCULAR NOS I362X EYERT Eye, Retina 126,840 36217 RETINAL VARICES I362X EYERT Eye, Retina 126,840 36218 RETINAL VASCULITIS I362X EYERT Eye, Retina 126,840 3622 OTH PROLIF RETINOPATHY* I362X EYERT Eye, Retina 126,840 36221 RETROLENTAL FIBROPLASIA I362X EYERT Eye, Retina 126,840 36229 PROLIF RETINOPATHY NEC I362X EYERT Eye, Retina 126,840 3623 RETINAL VASC OCCLUSION* I362X EYERT Eye, Retina 126,840 36230 RETINAL VASC OCCLUS NOS I362X EYERT Eye, Retina 126,840 36231 CENT RETINA ARTERY OCCLU I362X EYERT Eye, Retina 126,840 36232 ARTERIAL BRANCH OCCLUS I362X EYERT Eye, Retina 126,840 36233 PART ARTERIAL OCCLUSION I362X EYERT Eye, Retina 126,840 36234 TRANSIENT ARTERIAL OCCLU I362X EYERT Eye, Retina 126,840 36235 CENT RETINAL VEIN OCCLUS I362X EYERT Eye, Retina 126,840 36236 VENOUS TRIBUTARY OCCLUS I362X EYERT Eye, Retina 126,840 36237 RETINA VENOUS ENGORGEMNT I362X EYERT Eye, Retina 126,840 3624 RETINA LAYER SEPARATION* I362X EYERT Eye, Retina 126,840 36240 RETINA LAYER SEPARAT NOS I362X EYERT Eye, Retina 126,840 36241 CENT SEROUS RETINOPATHY I362X EYERT Eye, Retina 126,840 36242 SEROUS DETACH PIGM EPITH I362X EYERT Eye, Retina 126,840 36243 HEM DETACH PIGMNT EPITH I362X EYERT Eye, Retina 126,840 3625 DEGENERATION OF MACULA* I362X EYERT Eye, Retina 126,840 36250 MACULAR DEGENERATION NOS I362X EYERT Eye, Retina 126,840 36251 NONEXUDAT MACULAR DEGEN I362X EYERT Eye, Retina 126,840 36252 EXUDATIVE MACULAR DEGEN I362X EYERT Eye, Retina 126,840 36253 CYSTOID MACULAR DEGEN I362X EYERT Eye, Retina 126,840 36254 MACULAR CYST OR HOLE I362X EYERT Eye, Retina 126,840 36255 TOXIC MACULOPATHY I362X EYERT Eye, Retina 126,840 36256 MACULAR PUCKERING I362X EYERT Eye, Retina 126,840 36257 DRUSEN (DEGENERATIVE) I362X EYERT Eye, Retina 126,840 3626 PERIPH RETINA DEGEN* I362X EYERT Eye, Retina 126,840 36260 PERIPH RETINA DEGEN NOS I362X EYERT Eye, Retina 126,840 36261 PAVING STONE DEGENERAT I362X EYERT Eye, Retina 126,840 36262 MICROCYSTOID DEGENERAT I362X EYERT Eye, Retina 126,840 36263 LATTICE DEGENERATION I362X EYERT Eye, Retina 126,840 36264 SENILE RETICULAR DEGEN I362X EYERT Eye, Retina 126,840 36265 SECONDRY PIGMENT DEGEN I362X EYERT Eye, Retina 126,840 36266 SEC VITREORETINA DEGEN I362X EYERT Eye, Retina 126,840 3627 HERED RETINAL DYSTROPHY* I362X EYERT Eye, Retina 126,840 36270 HERED RETIN DYSTRPHY NOS I362X EYERT Eye, Retina 126,840 36271 RET DYSTRPH IN LIPIDOSES I362X EYERT Eye, Retina 126,840 36272 RET DYSTRPH IN SYST DIS I362X EYERT Eye, Retina 126,840 36273 VITREORETINAL DYSTROPHY I362X EYERT Eye, Retina 126,840 36274 PIGMENT RETINA DYSTROPHY I362X EYERT Eye, Retina 126,840 36275 SENSORY RETINA DYSTROPHY I362X EYERT Eye, Retina 126,840 36276 VITELLIFORM DYSTROPHY I362X EYERT Eye, Retina 126,840 36277 BRUCH MEMBRANE DYSTROPHY I362X EYERT Eye, Retina 126,840 3628 OTHER RETINAL DISORDERS* I362X EYERT Eye, Retina 126,840 36281 RETINAL HEMORRHAGE I36281 EYEL Eye, Low 6,748 36282 RETINA EXUDATES/DEPOSITS I362X EYERT Eye, Retina 126,840 36283 RETINAL EDEMA I362X EYERT Eye, Retina 126,840 36284 RETINAL ISCHEMIA I362X EYERT Eye, Retina 126,840 36285 RETINAL NERV FIBER DEFEC I362X EYERT Eye, Retina 126,840 36289 RETINAL DISORDERS NEC I362X EYERT Eye, Retina 126,840 3629 RETINAL DISORDER NOS I362X EYERT Eye, Retina 126,840 363 CHOROIDAL DISORDERS* I363 EYESL Eye, Super Low 6,427 364 IRIS/CILIARY BODY DIS* I364 EYESL Eye, Super Low 8,668 365 GLAUCOMA* I365X EYENWD Eye, Not Well Defined 66,180 3650 BORDERLINE GLAUCOMA* I365X EYENWD Eye, Not Well Defined 66,180 3651 OPEN-ANGLE GLAUCOMA* I3651_8 EYEL Eye, Low 92,078 3652 PRIM ANGL-CLOSURE GLAUC* I3651_8 EYEL Eye, Low 92,078 3653 STEROID-INDUCED GLAUCOMA* I3651_8 EYEL Eye, Low 92,078

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

3654 GLAUCOM W CONGEN ANOMALY* I3651_8 EYEL Eye, Low 92,078 3655 GLAUCOMA W LENS DISORDER* I3651_8 EYEL Eye, Low 92,078 3656 GLAUC W OCULAR DIS NEC* I3651_8 EYEL Eye, Low 92,078 3658 OTHER GLAUCOMA* I3651_8 EYEL Eye, Low 92,078 3659 GLAUCOMA NOS I365X EYENWD Eye, Not Well Defined 66,180 366 CATARACT* I366 EYECT Eye, Cataract 378,105 367 DISORDERS OF REFRACTION* I367 EYESL Eye, Super Low 49,164 368 VISUAL DISTURBANCES* I368 EYESL Eye, Super Low 42,816 369 BLINDNESS AND LOW VISION* I369 EYESL Eye, Super Low 9,814 370 KERATITIS* I370X EYEL Eye, Low 16,725 3700 CORNEAL ULCER* I3700 EYEL Eye, Low 1,936 3702 SUPERFICIAL KERATITIS* I370X EYEL Eye, Low 16,725 3703 SPEC TYPE KERATOCONJUNCT* I370X EYEL Eye, Low 16,725 3704 KERATOCONJUNCTIV NEC/NOS* I370X EYEL Eye, Low 16,725 3705 INTERSTITIAL KERATITIS* I370X EYEL Eye, Low 16,725 3706 CORNEAL NEOVASCULARIZAT* I370X EYEL Eye, Low 16,725 3708 KERATITIS NEC I370X EYEL Eye, Low 16,725 3709 KERATITIS NOS I370X EYEL Eye, Low 16,725 371 CORNEAL OPACITY/DISORDER* I371 EYESL Eye, Super Low 22,279 372 DISORDERS OF CONJUNCTIVA* I372 EYESL Eye, Super Low 53,967 373 INFLAMMATION OF EYELIDS* I373 EYESL Eye, Super Low 37,480 374 DISORDERS OF EYELIDS NEC* I374 EYESL Eye, Super Low 25,570 375 LACRIMAL SYSTEM DISORDER* I375 EYESL Eye, Super Low 37,380 376 DISORDERS OF THE ORBIT* I376 EYENWD Eye, Not Well Defined 1,707 377 DISORDERS OF OPTIC NERVE* I377 EYESL Eye, Super Low 11,397 378 STRABISMUS* I378 EYESL Eye, Super Low 7,866 379 EYE DISORDERS NEC* I379X EYENWD Eye, Not Well Defined 9,528 3790 SCLERITIS/EPISCLERITIS* I3790 EYESL Eye, Super Low 78,226 37900 SCLERITIS NOS I3790 EYESL Eye, Super Low 78,226 37901 EPISCLERIT PERIODIC FUGX I3790 EYESL Eye, Super Low 78,226 37902 NODULAR EPISCLERITIS I3790 EYESL Eye, Super Low 78,226 37903 ANTERIOR SCLERITIS I3790 EYESL Eye, Super Low 78,226 37904 SCLEROMALACIA PERFORANS I3790 EYESL Eye, Super Low 78,226 37905 SCLERITIS W CORNEA INVOL I3790 EYESL Eye, Super Low 78,226 37906 BRAWNY SCLERITIS I3790 EYESL Eye, Super Low 78,226 37907 POSTERIOR SCLERITIS I3790 EYESL Eye, Super Low 78,226 37909 SCLERITIS NEC I3790 EYESL Eye, Super Low 78,226 3791 OTH DISORDERS OF SCLERA* I3790 EYESL Eye, Super Low 78,226 37911 SCLERAL ECTASIA I3790 EYESL Eye, Super Low 78,226 37912 STAPHYLOMA POSTICUM I3790 EYESL Eye, Super Low 78,226 37913 EQUATORIAL STAPHYLOMA I3790 EYESL Eye, Super Low 78,226 37914 LOCAL ANTERIOR STAPHYLMA I3790 EYESL Eye, Super Low 78,226 37915 RING STAPHYLOMA I3790 EYESL Eye, Super Low 78,226 37916 SCLERAL DEGEN DIS NEC I3790 EYESL Eye, Super Low 78,226 37919 DISORDER OF SCLERA NEC I3790 EYESL Eye, Super Low 78,226 3792 VITREOUS BODY DISORDERS* I3790 EYESL Eye, Super Low 78,226 37921 VITREOUS DEGENERATION I3790 EYESL Eye, Super Low 78,226 37922 CRYSTAL DEPOSIT VITREOUS I3790 EYESL Eye, Super Low 78,226 37923 VITREOUS HEMORRHAGE I36281 EYEL Eye, Low 6,748 37924 VITREOUS OPACITIES NEC I3790 EYESL Eye, Super Low 78,226 37925 VITREOUS MEMBRANES I3790 EYESL Eye, Super Low 78,226 37926 VITREOUS PROLAPSE I3790 EYESL Eye, Super Low 78,226 37929 VITREOUS DISORDERS NEC I3790 EYESL Eye, Super Low 78,226 3793 OTHER LENS DISORDERS* I3790 EYESL Eye, Super Low 78,226 37931 APHAKIA I3790 EYESL Eye, Super Low 78,226 37932 SUBLUXATION OF LENS I3790 EYESL Eye, Super Low 78,226 37933 ANT DISLOCATION OF LENS I3790 EYESL Eye, Super Low 78,226 37934 POST DISLOCATION OF LENS I3790 EYESL Eye, Super Low 78,226 37939 DISORDERS OF LENS NEC I3790 EYESL Eye, Super Low 78,226 3794 PUPIL FUNCTION ANOMALIES* I3790 EYESL Eye, Super Low 78,226 37940 ABN PUPIL FUNCTION NOS I3790 EYESL Eye, Super Low 78,226 37941 ANISOCORIA I3790 EYESL Eye, Super Low 78,226 37942 MIOSIS NOT D/T MIOTICS I3790 EYESL Eye, Super Low 78,226 37943 MYDRIASIS NOT D/T MYDRTC I3790 EYESL Eye, Super Low 78,226 37945 ARGYLL ROBERTSON PUPIL I3790 EYESL Eye, Super Low 78,226 37946 TONIC PUPILLARY REACTION I3790 EYESL Eye, Super Low 78,226 37949 PUPIL FUNCT ANOMALY NEC I3790 EYESL Eye, Super Low 78,226 3795 IRREGULAR EYE MOVEMENTS* I3790 EYESL Eye, Super Low 78,226 37950 NYSTAGMUS NOS I3790 EYESL Eye, Super Low 78,226 37951 CONGENITAL NYSTAGMUS I3790 EYESL Eye, Super Low 78,226 37952 LATENT NYSTAGMUS I3790 EYESL Eye, Super Low 78,226 37953 VISUAL DEPRIVATN NYSTAGM I3790 EYESL Eye, Super Low 78,226 37954 NYSTAGMS W VESTIBULR DIS I3790 EYESL Eye, Super Low 78,226 37955 DISSOCIATED NYSTAGMUS I3790 EYESL Eye, Super Low 78,226 37956 NYSTAGMUS NEC I3790 EYESL Eye, Super Low 78,226 37957 SACCADIC EYE MOVMNT DEF I3790 EYESL Eye, Super Low 78,226 37958 SMOOTH PURSUIT MVMNT DEF I3790 EYESL Eye, Super Low 78,226 37959 IRREGULAR EYE MVMNTS NEC I3790 EYESL Eye, Super Low 78,226 3798 EYE DISORDERS NEC I379X EYENWD Eye, Not Well Defined 9,528 3799 EYE DISORDERS NOS* I379X EYENWD Eye, Not Well Defined 9,528 380 DISORDER OF EXTERNAL EAR* I380X EARSL Ear, Super Low 68,469 3800 PERICHONDRITIS OF PINNA* I380X EARSL Ear, Super Low 68,469 3801 INFECTIVE OTITIS EXTERNA* I3801_2 EARSL Ear, Super Low 22,016 3802 OTITIS EXTERNA NEC* I3801_2 EARSL Ear, Super Low 22,016 3803 NONINFECT DISORDER PINNA* I380X EARSL Ear, Super Low 68,469 3804 IMPACTED CERUMEN I380X EARSL Ear, Super Low 68,469 3805 ACQ STENOSIS EAR CANAL* I380X EARSL Ear, Super Low 68,469 3808 DISORD EXTERNAL EAR NEC* I380X EARSL Ear, Super Low 68,469 3809 DIS EXTERNAL EAR NOS I380X EARSL Ear, Super Low 68,469 381 NONSUPPUR OTITIS MEDIA* I381X EARSL Ear, Super Low 35,268

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

3810 AC NONSUP OTITIS MEDIA* I381X EARSL Ear, Super Low 35,268 3811 CHR SEROUS OTITIS MEDIA* I3811_3 EARSL Ear, Super Low 6,926 3812 CHR MUCOID OTITIS MEDIA* I3811_3 EARSL Ear, Super Low 6,926 3813 CHR NONSUP OM NOS/NEC I3811_3 EARSL Ear, Super Low 6,926 3814 NONSUPP OTITIS MEDIA NOS I381X EARSL Ear, Super Low 35,268 3815 EUSTACHIAN SALPINGITIS* I381X EARSL Ear, Super Low 35,268 3816 EUSTACHIAN TUBE OBSTRUCT* I381X EARSL Ear, Super Low 35,268 3817 PATULOUS EUSTACHIAN TUBE I381X EARSL Ear, Super Low 35,268 3818 DIS EUSTACHIAN TUBE NEC* I381X EARSL Ear, Super Low 35,268 3819 EUSTACHIAN TUBE DIS NOS I381X EARSL Ear, Super Low 35,268 382 OTITIS MEDIA, SUPPUR/NOS* I381X EARSL Ear, Super Low 35,268 3820 AC SUPPUR OTITIS MEDIA* I381X EARSL Ear, Super Low 35,268 3821 CHR TUBOTYMPAN SUPPUR OM I3811_3 EARSL Ear, Super Low 6,926 3822 CHR ATTICOANTRAL SUP OM I3811_3 EARSL Ear, Super Low 6,926 3823 CHR SUP OTITIS MEDIA NOS I3811_3 EARSL Ear, Super Low 6,926 3824 SUPPUR OTITIS MEDIA NOS I381X EARSL Ear, Super Low 35,268 3829 OTITIS MEDIA NOS I381X EARSL Ear, Super Low 35,268 383 MASTOIDITIS ET AL* I383 EARSL Ear, Super Low 1,804 384 DISORD TYMPANIC MEMB NEC* I384X EARSL Ear, Super Low 486 3840 ACUTE MYRINGITIS* I384X EARSL Ear, Super Low 486 3841 CHRONIC MYRINGITIS I384X EARSL Ear, Super Low 486 3842 PERFORATION TYMPAN MEMB* I3842 EARSL Ear, Super Low 2,589 3848 DIS TYMPANIC MEMB NEC* I384X EARSL Ear, Super Low 486 3849 DIS TYMPANIC MEMB NOS I384X EARSL Ear, Super Low 486 385 DIS MID EAR/MASTOID NEC* I385 EARSL Ear, Super Low 1,699 386 VERTIGINOUS SYNDROMES* I386 EARSL Ear, Super Low 26,347 387 OTOSCLEROSIS* I387 EARSL Ear, Super Low 981 388 DISORDERS OF EAR NEC* I388X EARNWD Ear, Not Well Defined 9,259 3880 DEGEN/VASCULAR DIS EAR* I3880_6 EARSL Ear, Super Low 17,423 3881 NOISE EFFECTS-INNER EAR* I3880_6 EARSL Ear, Super Low 17,423 3882 SUDDEN HEARING LOSS NOS I3880_6 EARSL Ear, Super Low 17,423 3883 TINNITUS* I3880_6 EARSL Ear, Super Low 17,423 3884 OTH ABN AUDITORY PERCEPT* I3880_6 EARSL Ear, Super Low 17,423 3885 ACOUSTIC NERVE DISORDERS I3880_6 EARSL Ear, Super Low 17,423 3886 OTORRHEA* I3880_6 EARSL Ear, Super Low 17,423 3887 OTALGIA* I388X EARNWD Ear, Not Well Defined 9,259 3888 DISORDERS OF EAR NEC I388X EARNWD Ear, Not Well Defined 9,259 3889 DISORDER OF EAR NOS I388X EARNWD Ear, Not Well Defined 9,259 389 HEARING LOSS* I389 EARSL Ear, Super Low 45,731 390 RHEUM FEV W/O HRT INVOLV I390 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 92,695 391 RHEUM FEV W HEART INVOLV* I390 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 92,695 392 RHEUMATIC CHOREA* I390 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 92,695 393 CHR RHEUMATIC PERICARD I390 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 92,695 394 DISEASES OF MITRAL VALVE* I390 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 92,695 395 DISEASES OF AORTIC VALVE* I390 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 92,695 396 MITRAL/AORTIC VALVE DIS* I390 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 92,695 397 ENDOCARDIAL DISEASE NEC* I390 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 92,695 3970 TRICUSPID VALVE DISEASE I3970 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 15,462 3971 RHEUM PULMON VALVE DIS I3971 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 2,782 3979 RHEUM ENDOCARDITIS NOS I390 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 92,695 398 OTH RHEUMATIC HEART DIS* I390 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 92,695 401 ESSENTIAL HYPERTENSION* ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 4010 MALIGNANT HYPERTENSION ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 4011 BENIGN HYPERTENSION ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 4019 HYPERTENSION NOS ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 402 HYPERTENSIVE HEART DIS* ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 4020 MAL HYPERTENSIVE HRT DIS* ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 40200 MAL HYPERTEN HRT DIS NOS ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 40201 MAL HYPERT HRT DIS W CHF I428 CARIHDH Cardiovascular, Ischemic Heart Disease, High 140,177 4021 BENIGN HYPERTEN HRT DIS* ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 40210 BEN HYPERTEN HRT DIS NOS ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 40211 BENIGN HYP HRT DIS W CHF I428 CARIHDH Cardiovascular, Ischemic Heart Disease, High 140,177 4029 HYPERTENSIVE HRT DIS NOS* ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 40290 HYPERTENSIVE HRT DIS NOS ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 40291 HYPERTEN HEART DIS W CHF I428 CARIHDH Cardiovascular, Ischemic Heart Disease, High 140,177 403 HYPERTENSIVE RENAL DIS* ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 4030 MAL HYPERTENS RENAL DIS* ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 40300 MAL HYP REN W/O REN FAIL ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 40301 MAL HYP REN W RENAL FAIL I40301 RENM Renal, Medium 4,329 4031 BENIGN HYPERT RENAL DIS* ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 40310 BEN HYP REN W/O REN FAIL ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 40311 BEN HYP RENAL W REN FAIL I40301 RENM Renal, Medium 4,329 4039 HYPERTENS RENAL DIS NOS* ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 40390 HYP REN NOS W/O REN FAIL ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 40391 HYP RENAL NOS W REN FAIL I40301 RENM Renal, Medium 4,329 404 HYPERTEN HEART/RENAL DIS* ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 4040 MAL HYPERT HRT/RENAL DIS* ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 40400 MAL HY HT/REN W/O CHF/RF ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 40401 MAL HYPER HRT/REN W CHF I428 CARIHDH Cardiovascular, Ischemic Heart Disease, High 140,177 40402 MAL HY HT/REN W REN FAIL I40301 RENM Renal, Medium 4,329 40403 MAL HYP HRT/REN W CHF&RF I40301 RENM Renal, Medium 4,329 4041 BEN HYPERT HRT/RENAL DIS* ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 40410 BEN HY HT/REN W/O CHF/RF ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 40411 BEN HYPER HRT/REN W CHF I428 CARIHDH Cardiovascular, Ischemic Heart Disease, High 140,177 40412 BEN HY HT/REN W REN FAIL I40301 RENM Renal, Medium 4,329 40413 BEN HYP HRT/REN W CHF&RF I40301 RENM Renal, Medium 4,329 4049 HYPERT HRT/RENAL DIS NOS* ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 40490 HY HT/REN NOS W/O CHF/RF ICARHT CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 613,614 40491 HYPER HRT/REN NOS W CHF I428 CARIHDH Cardiovascular, Ischemic Heart Disease, High 140,177 40492 HY HT/REN NOS W REN FAIL I40301 RENM Renal, Medium 4,329

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

40493 HYP HT/REN NOS W CHF&RF I40301 RENM Renal, Medium 4,329 405 SECONDARY HYPERTENSION* I405 CARIHDEL Cardiovascular, Ischemic Heart Disease, Extra-Low 1,733 410 ACUTE MYOCARDIAL INFARCT* I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 4100 AMI ANTEROLATERAL WALL* I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 41000 AMI ANTEROLATERAL,UNSPEC I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 41001 AMI ANTEROLATERAL, INIT I410X1 CARIHDL Cardiovascular, Ischemic Heart Disease, Low 14,533 41002 AMI ANTEROLATERAL,SUBSEQ I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 4101 AMI ANTERIOR WALL NEC* I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 41010 AMI ANTERIOR WALL,UNSPEC I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 41011 AMI ANTERIOR WALL, INIT I410X1 CARIHDL Cardiovascular, Ischemic Heart Disease, Low 14,533 41012 AMI ANTERIOR WALL,SUBSEQ I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 4102 AMI INFEROLATERAL WALL* I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 41020 AMI INFEROLATERAL,UNSPEC I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 41021 AMI INFEROLATERAL, INIT I410X1 CARIHDL Cardiovascular, Ischemic Heart Disease, Low 14,533 41022 AMI INFEROLATERAL,SUBSEQ I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 4103 AMI INFEROPOSTERIOR WALL* I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 41030 AMI INFEROPOST, UNSPEC I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 41031 AMI INFEROPOST, INITIAL I410X1 CARIHDL Cardiovascular, Ischemic Heart Disease, Low 14,533 41032 AMI INFEROPOST, SUBSEQ I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 4104 AMI INFERIOR WALL NEC* I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 41040 AMI INFERIOR WALL,UNSPEC I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 41041 AMI INFERIOR WALL, INIT I410X1 CARIHDL Cardiovascular, Ischemic Heart Disease, Low 14,533 41042 AMI INFERIOR WALL,SUBSEQ I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 4105 AMI LATERAL WALL NEC* I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 41050 AMI LATERAL NEC, UNSPEC I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 41051 AMI LATERAL NEC, INITIAL I410X1 CARIHDL Cardiovascular, Ischemic Heart Disease, Low 14,533 41052 AMI LATERAL NEC, SUBSEQ I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 4106 TRUE POSTERIOR INFARCT* I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 41060 TRUE POST INFARCT,UNSPEC I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 41061 TRUE POST INFARCT, INIT I410X1 CARIHDL Cardiovascular, Ischemic Heart Disease, Low 14,533 41062 TRUE POST INFARCT,SUBSEQ I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 4107 SUBENDOCARDIAL INFARCT* I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 41070 SUBENDO INFARCT, UNSPEC I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 41071 SUBENDO INFARCT, INITIAL I410X1 CARIHDL Cardiovascular, Ischemic Heart Disease, Low 14,533 41072 SUBENDO INFARCT, SUBSEQ I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 4108 MYOCARDIAL INFARCT NEC* I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 41080 AMI NEC, UNSPECIFIED I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 41081 AMI NEC, INITIAL I410X1 CARIHDL Cardiovascular, Ischemic Heart Disease, Low 14,533 41082 AMI NEC, SUBSEQUENT I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 4109 MYOCARDIAL INFARCT NOS* I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 41090 AMI NOS, UNSPECIFIED I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 41091 AMI NOS, INITIAL I410X1 CARIHDL Cardiovascular, Ischemic Heart Disease, Low 14,533 41092 AMI NOS, SUBSEQUENT I410X CARIHDL Cardiovascular, Ischemic Heart Disease, Low 19,340 411 OTH AC ISCHEMIC HRT DIS* I411 CARIHDL Cardiovascular, Ischemic Heart Disease, Low 48,181 412 OLD MYOCARDIAL INFARCT I412 CARSL Cardiovascular, Super Low 33,688 413 ANGINA PECTORIS* I413 CARIHDL Cardiovascular, Ischemic Heart Disease, Low 82,703 414 OTH CHR ISCHEMIC HRT DIS* I414X CARNWD Cardiovascular, Not Well Defined 261,518 4140 CORONARY ATHEROSCLEROSIS* I414X CARNWD Cardiovascular, Not Well Defined 261,518 4141 ANEURYSM OF HEART* I4141 CARIHDL Cardiovascular, Ischemic Heart Disease, Low 2,522 4148 CHR ISCHEMIC HRT DIS NEC I414X CARNWD Cardiovascular, Not Well Defined 261,518 4149 CHR ISCHEMIC HRT DIS NOS I414X CARNWD Cardiovascular, Not Well Defined 261,518 415 ACUTE PULMONARY HRT DIS* I415X PULM Pulmonary, Medium 5,656 4150 ACUTE COR PULMONALE I4150 PULM Pulmonary, Medium 1,169 4151 PULMON EMBOLISM/INFARCT* I415X PULM Pulmonary, Medium 5,656 416 CHR PULMONARY HEART DIS* I416X_7 PULM Pulmonary, Medium 7,538 4160 PRIM PULM HYPERTENSION I4160 PULM Pulmonary, Medium 5,840 4161 KYPHOSCOLIOTIC HEART DIS I416X_7 PULM Pulmonary, Medium 7,538 4168 CHR PULMON HEART DIS NEC I416X_7 PULM Pulmonary, Medium 7,538 4169 CHR PULMON HEART DIS NOS I416X_7 PULM Pulmonary, Medium 7,538 417 OTH PULMON CIRCULAT DIS* I416X_7 PULM Pulmonary, Medium 7,538 420 ACUTE PERICARDITIS* I420_3 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 3,782 421 AC/SUBAC ENDOCARDITIS* I421X_2 CARVCODM Cardiovascular, Valvular, Conductive and Other Heart Disease, Medium 575 4210 AC/SUBAC BACT ENDOCARD I4210 CARVCODM Cardiovascular, Valvular, Conductive and Other Heart Disease, Medium 609 4211 AC ENDOCARDIT IN OTH DIS I421X_2 CARVCODM Cardiovascular, Valvular, Conductive and Other Heart Disease, Medium 575 4219 AC/SUBAC ENDOCARDIT NOS I421X_2 CARVCODM Cardiovascular, Valvular, Conductive and Other Heart Disease, Medium 575 422 ACUTE MYOCARDITIS* I421X_2 CARVCODM Cardiovascular, Valvular, Conductive and Other Heart Disease, Medium 575 423 OTH PERICARDIAL DISEASE* I420_3 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 3,782 424 OTH ENDOCARDIAL DISEASE* I390 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 92,695 4240 MITRAL VALVE DISORDER I390 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 92,695 4241 AORTIC VALVE DISORDER I390 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 92,695 4242 NONRHEUM TRICUSP VAL DIS I3970 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 15,462 4243 PULMONARY VALVE DISORDER I3971 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 2,782 4249 ENDOCARDITIS NOS* I390 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 92,695 425 CARDIOMYOPATHY* I428 CARIHDH Cardiovascular, Ischemic Heart Disease, High 140,177 4250 ENDOMYOCARDIAL FIBROSIS I428 CARIHDH Cardiovascular, Ischemic Heart Disease, High 140,177 4251 HYPERTR OBSTR CARDIOMYOP I428 CARIHDH Cardiovascular, Ischemic Heart Disease, High 140,177 4252 OBSC AFRIC CARDIOMYOPATH I428 CARIHDH Cardiovascular, Ischemic Heart Disease, High 140,177 4253 ENDOCARD FIBROELASTOSIS I428 CARIHDH Cardiovascular, Ischemic Heart Disease, High 140,177 4254 PRIM CARDIOMYOPATHY NEC I425X CARIHDH Cardiovascular, Ischemic Heart Disease, High 22,890 4255 ALCOHOLIC CARDIOMYOPATHY I428 CARIHDH Cardiovascular, Ischemic Heart Disease, High 140,177 4257 METABOLIC CARDIOMYOPATHY I428 CARIHDH Cardiovascular, Ischemic Heart Disease, High 140,177 4258 CARDIOMYOPATH IN OTH DIS I425X CARIHDH Cardiovascular, Ischemic Heart Disease, High 22,890 4259 SECOND CARDIOMYOPATH NOS I425X CARIHDH Cardiovascular, Ischemic Heart Disease, High 22,890 426 CONDUCTION DISORDERS* I426 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 37,312 427 CARDIAC DYSRHYTHMIAS* I427X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 126,287 4270 PAROX ATRIAL TACHYCARDIA I4270_3 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 103,807 4271 PAROX VENTRIC TACHYCARD I4270_3 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 103,807 4272 PAROX TACHYCARDIA NOS I4270_3 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 103,807 4273 ATRIAL FIBRILL/FLUTTER* I4270_3 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 103,807 4274 VENTRIC FIBRILL/FLUTTER* I4274_5 CARVCODM Cardiovascular, Valvular, Conductive and Other Heart Disease, Medium 3,465

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

4275 CARDIAC ARREST I4274_5 CARVCODM Cardiovascular, Valvular, Conductive and Other Heart Disease, Medium 3,465 4276 PREMATURE BEATS* I427X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 126,287 4278 CARDIAC DYSRHYTHMIAS NEC* I427X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 126,287 4279 CARDIAC DYSRHYTHMIA NOS I427X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 126,287 428 HEART FAILURE* I428 CARIHDH Cardiovascular, Ischemic Heart Disease, High 140,177 4280 CONGESTIVE HEART FAILURE I428 CARIHDH Cardiovascular, Ischemic Heart Disease, High 140,177 4281 LEFT HEART FAILURE I428 CARIHDH Cardiovascular, Ischemic Heart Disease, High 140,177 4289 HEART FAILURE NOS I428 CARIHDH Cardiovascular, Ischemic Heart Disease, High 140,177 429 ILL-DEFINED HEART DIS* I429X CARNWD Cardiovascular, Not Well Defined 76,104 4290 MYOCARDITIS NOS I429X CARNWD Cardiovascular, Not Well Defined 76,104 4291 MYOCARDIAL DEGENERATION I429X CARNWD Cardiovascular, Not Well Defined 76,104 4292 ASCVD I429X CARNWD Cardiovascular, Not Well Defined 76,104 4293 CARDIOMEGALY I4293 CARNWD Cardiovascular, Not Well Defined 52,949 4294 HRT DIS POSTCARDIAC SURG I429X CARNWD Cardiovascular, Not Well Defined 76,104 4295 CHORDAE TENDINAE RUPTURE I4295 CARVCODM Cardiovascular, Valvular, Conductive and Other Heart Disease, Medium 177 4296 PAPILLARY MUSCLE RUPTURE I4296 CARVCODM Cardiovascular, Valvular, Conductive and Other Heart Disease, Medium 34 4298 ILL-DEFINED HRT DIS NEC* I429X CARNWD Cardiovascular, Not Well Defined 76,104 4299 HEART DISEASE NOS I429X CARNWD Cardiovascular, Not Well Defined 76,104 430 SUBARACHNOID HEMORRHAGE I430_7 CERM Cerebrovascular, Medium 9,748 431 INTRACEREBRAL HEMORRHAGE I430_7 CERM Cerebrovascular, Medium 9,748 432 INTRACRANIAL HEM NEC/NOS* I430_7 CERM Cerebrovascular, Medium 9,748 433 PRECEREBRAL OCCLUSION* I433 CERL Cerebrovascular, Low 51,269 434 CEREBRAL ARTERY OCCLUS* I434 CERL Cerebrovascular, Low 20,401 435 TRANSIENT CEREB ISCHEMIA* I435 CEREL Cerebrovascular, Extremely Low 43,602 436 CVA I436 CERM Cerebrovascular, Medium 53,226 437 OTH CEREBROVASC DISEASE* I437X CERNWD Cerebrovascular, Not Well Defined 25,652 4370 CEREBRAL ATHEROSCLEROSIS I437X CERNWD Cerebrovascular, Not Well Defined 25,652 4371 AC CEREBROVASC INSUF NOS I437X CERNWD Cerebrovascular, Not Well Defined 25,652 4372 HYPERTENS ENCEPHALOPATHY I430_7 CERM Cerebrovascular, Medium 9,748 4373 NONRUPT CEREBRAL ANEURYM I430_7 CERM Cerebrovascular, Medium 9,748 4374 CEREBRAL ARTERITIS I430_7 CERM Cerebrovascular, Medium 9,748 4375 MOYAMOYA DISEASE I430_7 CERM Cerebrovascular, Medium 9,748 4376 NONPYOGEN THROMBOS SINUS I430_7 CERM Cerebrovascular, Medium 9,748 4377 TRANSIENT GLOBAL AMNESIA I430_7 CERM Cerebrovascular, Medium 9,748 4378 CEREBROVASC DISEASE NEC I437X CERNWD Cerebrovascular, Not Well Defined 25,652 4379 CEREBROVASC DISEASE NOS I437X CERNWD Cerebrovascular, Not Well Defined 25,652 438 LATE EFF CEREBROVASC DIS* I438X CERVL Cerebrovascular, Very Low 27,932 4380 LATE EF CV DIS-COGNF DEF I438X CERVL Cerebrovascular, Very Low 27,932 4382 LATE EF-HEMPLGA I4382 CERH Cerebrovascular, High 10 4389 LATE EFFECT CV DIS NOS I438X CERVL Cerebrovascular, Very Low 27,932 440 ATHEROSCLEROSIS* I440 CARNWD Cardiovascular, Not Well Defined 73,185 441 AORTIC ANEURYSM* I441_3 CARPVDM Cardiovascular, Peripheral Vascular, Medium 90,736 442 OTHER ANEURYSM* I441_3 CARPVDM Cardiovascular, Peripheral Vascular, Medium 90,736 443 OTH PERIPH VASCULAR DIS* I441_3 CARPVDM Cardiovascular, Peripheral Vascular, Medium 90,736 444 ARTERIAL EMBOLISM* I444 CARPVDM Cardiovascular, Peripheral Vascular, Medium 12,499 446 POLYARTERIT NODOSA ET AL* I446 CARPVDM Cardiovascular, Peripheral Vascular, Medium 4,017 447 OTHER ARTERIAL DISEASE* I447 CARPVDM Cardiovascular, Peripheral Vascular, Medium 15,213 448 DISEASE OF CAPILLARIES* I448 CARSL Cardiovascular, Super Low 2,535 451 THROMBOPHLEBITIS* I451_3 CARPVDM Cardiovascular, Peripheral Vascular, Medium 31,510 452 PORTAL VEIN THROMBOSIS I452 CARPVDM Cardiovascular, Peripheral Vascular, Medium 107 453 OTH VENOUS THROMBOSIS* I451_3 CARPVDM Cardiovascular, Peripheral Vascular, Medium 31,510 454 VARICOSE VEINS, LEG* I454X CARSL Cardiovascular, Super Low 14,651 4540 LEG VARICOSITY W ULCER I4540_2 CARPVDM Cardiovascular, Peripheral Vascular, Medium 6,567 4541 LEG VARICOSITY W INFLAM I454X CARSL Cardiovascular, Super Low 14,651 4542 VARICOS LEG ULCER/INFLAM I4540_2 CARPVDM Cardiovascular, Peripheral Vascular, Medium 6,567 4549 VARICOSE VEIN OF LEG NOS I454X CARSL Cardiovascular, Super Low 14,651 455 HEMORRHOIDS* I455 CARSL Cardiovascular, Super Low 40,283 456 VARICOSE VEINS NEC* I456X CARSL Cardiovascular, Super Low 692 4560 ESOPHAG VARICES W BLEED I4560_2 GIH Gastrointestinal, High 983 4561 ESOPH VARICES W/O BLEED I4560_2 GIH Gastrointestinal, High 983 4562 ESOPH VARICES IN OTH DIS* I4560_2 GIH Gastrointestinal, High 983 4563 SUBLINGUAL VARICES I456X CARSL Cardiovascular, Super Low 692 4564 SCROTAL VARICES I456X CARSL Cardiovascular, Super Low 692 4565 PELVIC VARICES I456X CARSL Cardiovascular, Super Low 692 4566 VULVAL VARICES I456X CARSL Cardiovascular, Super Low 692 4568 VARICES OF OTHER SITES I456X CARSL Cardiovascular, Super Low 692 457 NONINFECT LYMPHATIC DIS* I457 CARPVDM Cardiovascular, Peripheral Vascular, Medium 3,354 458 HYPOTENSION* I458 CARNWD Cardiovascular, Not Well Defined 18,249 459 OTH CIRCULATORY DISEASE* I459 CARNWD Cardiovascular, Not Well Defined 32,735 460 ACUTE NASOPHARYNGITIS I460 PULSL Pulmonary, Super Low 10,207 461 ACUTE SINUSITIS* I461 PULSL Pulmonary, Super Low 62,704 462 ACUTE PHARYNGITIS I462 PULSL Pulmonary, Super Low 39,555 463 ACUTE TONSILLITIS I463 PULSL Pulmonary, Super Low 2,245 464 AC LARYNGITIS/TRACHEITIS* I464 PULSL Pulmonary, Super Low 8,640 465 AC URI MULT SITES/NOS* I465 PULSL Pulmonary, Super Low 99,253 466 AC BRONCHITIS/BRONCHIOL* I466 PULSL Pulmonary, Super Low 165,971 470 DEVIATED NASAL SEPTUM I470 PULSL Pulmonary, Super Low 6,077 471 NASAL POLYPS* I471 PULSL Pulmonary, Super Low 2,824 472 CHR PHARYNG/NASOPHARYNG* I472 PULSL Pulmonary, Super Low 17,749 473 CHRONIC SINUSITIS* I473 PULSL Pulmonary, Super Low 49,206 474 CHR T & A DIS* I474 PULSL Pulmonary, Super Low 881 475 PERITONSILLAR ABSCESS I475 PULSL Pulmonary, Super Low 129 476 CHR LARYNG/LARYNGOTRACH* I476 PULM Pulmonary, Medium 2,327 477 ALLERGIC RHINITIS* I477 PULSL Pulmonary, Super Low 64,255 478 OTH UPPR RESPIRATORY DIS* I478 PULNWD Pulmonary, Not Well Defined 16,207 480 VIRAL PNEUMONIA* I480 PULPNL Pulmonary, Pneumonia, Low 68,956 481 PNEUMOCOCCAL PNEUMONIA I481 PULPNL Pulmonary, Pneumonia, Low 4,272 482 OTH BACTERIAL PNEUMONIA* I482X PULPNL Pulmonary, Pneumonia, Low 6,048 4820 K. PNEUMONIAE PNEUMONIA I4820_2 PULPNH Pulmonary, Pneumonia, High 3,204 4821 PSEUDOMONAL PNEUMONIA I4820_2 PULPNH Pulmonary, Pneumonia, High 3,204

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

4822 H.INFLUENZAE PNEUMONIA I4820_2 PULPNH Pulmonary, Pneumonia, High 3,204 4823 STREPTOCOCCAL PNEUMONIA* I482X PULPNL Pulmonary, Pneumonia, Low 6,048 4824 STAPHYLOCOCCAL PNEUMONIA I4824_8 PULPNH Pulmonary, Pneumonia, High 4,770 4828 BACTERIAL PNEUMONIA NEC* I4824_8 PULPNH Pulmonary, Pneumonia, High 4,770 4829 BACTERIAL PNEUMONIA NOS I482X PULPNL Pulmonary, Pneumonia, Low 6,048 483 PNEUMONIA: ORGANISM NEC* I480 PULPNL Pulmonary, Pneumonia, Low 68,956 484 PNEUM IN OTH INFEC DIS* I480 PULPNL Pulmonary, Pneumonia, Low 68,956 485 BRONCHOPNEUMONIA ORG NOS I480 PULPNL Pulmonary, Pneumonia, Low 68,956 486 PNEUMONIA, ORGANISM NOS I480 PULPNL Pulmonary, Pneumonia, Low 68,956 487 INFLUENZA* I487 PULSL Pulmonary, Super Low 18,120 490 BRONCHITIS NOS I466 PULSL Pulmonary, Super Low 165,971 491 CHRONIC BRONCHITIS* I491X PULCOD Pulmonary, Chronic Obstructive Disease, High 16,018 4910 SIMPLE CHR BRONCHITIS I491X PULCOD Pulmonary, Chronic Obstructive Disease, High 16,018 4911 MUCOPURUL CHR BRONCHITIS I491X PULCOD Pulmonary, Chronic Obstructive Disease, High 16,018 4912 OBSTRUCT CHR BRONCHITIS* I4912 PULCOD Pulmonary, Chronic Obstructive Disease, High 39,027 4918 CHRONIC BRONCHITIS NEC I491X PULCOD Pulmonary, Chronic Obstructive Disease, High 16,018 4919 CHRONIC BRONCHITIS NOS I491X PULCOD Pulmonary, Chronic Obstructive Disease, High 16,018 492 EMPHYSEMA* I492 PULCOD Pulmonary, Chronic Obstructive Disease, High 27,120 493 ASTHMA* I493X PULAST Pulmonary, Low 55,000 4930 EXTRINSIC ASTHMA* I493X PULAST Pulmonary, Low 55,000 4931 INTRINSIC ASTHMA* I493X PULAST Pulmonary, Low 55,000 4932 CHRONIC OBSTRUCTIVE ASTH I4932 PULCOD Pulmonary, Chronic Obstructive Disease, High 11,175 4939 ASTHMA NOS* I493X PULAST Pulmonary, Low 55,000 494 BRONCHIECTASIS I494 PULM Pulmonary, Medium 3,047 495 EXT ALLERGIC ALVEOLITIS* I495 PULSL Pulmonary, Super Low 535 496 CHR AIRWAY OBSTRUCT NEC I496 PULCOD Pulmonary, Chronic Obstructive Disease, High 134,342 500 COAL WORKERS' PNEUMOCON I500_6 PULSL Pulmonary, Super Low 2,554 501 ASBESTOSIS I500_6 PULSL Pulmonary, Super Low 2,554 502 SILICA PNEUMOCON NEC I500_6 PULSL Pulmonary, Super Low 2,554 503 INORG DUST PNEUMOCON NEC I500_6 PULSL Pulmonary, Super Low 2,554 504 DUST PNEUMONOPATHY NEC I500_6 PULSL Pulmonary, Super Low 2,554 505 PNEUMOCONIOSIS NOS I500_6 PULSL Pulmonary, Super Low 2,554 506 FUM/VAPOR RESP DISEASES* I500_6 PULSL Pulmonary, Super Low 2,554 507 SOLID/LIQ PNEUMONITIS* I507 PULPNH Pulmonary, Pneumonia, High 4,732 508 RESP COND D/T EXT AGENT* I508 PULSL Pulmonary, Super Low 472 510 EMPYEMA* I510 PULSL Pulmonary, Super Low 876 511 PLEURISY* I511 PULPNL Pulmonary, Pneumonia, Low 28,469 512 PNEUMOTHORAX* I512 PULSL Pulmonary, Super Low 3,934 513 LUNG/MEDIASTINUM ABSCESS* I513 PULSL Pulmonary, Super Low 419 514 PULM CONGEST/HYPOSTASIS I514 PULNWD Pulmonary, Not Well Defined 20,004 515 POSTINFLAM PULM FIBROSIS I515 PULM Pulmonary, Medium 14,381 516 OTH ALVEOL PNEUMONOPATHY* I516X PULSL Pulmonary, Super Low 628 5160 PUL ALVEOLAR PROTEINOSIS I516X PULSL Pulmonary, Super Low 628 5161 IDIO PULM HEMOSIDEROSIS I516X PULSL Pulmonary, Super Low 628 5162 PULM ALVEOLAR MICROLITH I516X PULSL Pulmonary, Super Low 628 5163 IDIO FIBROS ALVEOLITIS I5163 PULM Pulmonary, Medium 2,134 5168 ALVEOL PNEUMONOPATHY NEC I516X PULSL Pulmonary, Super Low 628 5169 ALVEOL PNEUMONOPATHY NOS I516X PULSL Pulmonary, Super Low 628 517 LUNG INVOLV W OTH COND* I517 PULNWD Pulmonary, Not Well Defined 411 518 OTHER LUNG DISEASES* I518X PULNWD Pulmonary, Not Well Defined 26,914 5180 PULMONARY COLLAPSE I5180 PULSL Pulmonary, Super Low 22,094 5181 INTERSTITIAL EMPHYSEMA I5181 PULCOD Pulmonary, Chronic Obstructive Disease, High 524 5182 COMPENSATORY EMPHYSEMA I5182 PULCOD Pulmonary, Chronic Obstructive Disease, High 132 5183 PULMONARY EOSINOPHILIA I5183 PULM Pulmonary, Medium 16,702 5184 ACUTE LUNG EDEMA NOS I5184 PULM Pulmonary, Medium 4,093 5185 POST TRAUM PULM INSUFFIC I5185 PULEXC Pulmonary, Extra Low Cost 2,792 5186 ALRGC BRNCPUL ASPRGLOSIS I5186 PULEXC Pulmonary, Extra Low Cost 1 51881 RESPIRATORY FAILURE I51881 PULH Pulmonary, High 11,355 51882 OTHER PULMONARY INSUFF I51882 PULH Pulmonary, High 6,023 51889 OTHER LUNG DISEASE NEC I518X PULNWD Pulmonary, Not Well Defined 26,914 519 OTH RESP SYSTEM DISEASES* I519X PULNWD Pulmonary, Not Well Defined 10,418 5190 TRACHEOSTOMY COMPLIC I5190 PULH Pulmonary, High 462 5191 TRACHEA/BRONCHUS DIS NEC I5191 PULSL Pulmonary, Super Low 7,026 5192 MEDIASTINITIS I5192_4 PULEXC Pulmonary, Extra Low Cost 508 5193 MEDIASTINUM DISEASE NEC I5192_4 PULEXC Pulmonary, Extra Low Cost 508 5194 DISORDERS OF DIAPHRAGM I5192_4 PULEXC Pulmonary, Extra Low Cost 508 5198 RESP SYSTEM DISEASE NEC I519X PULNWD Pulmonary, Not Well Defined 10,418 5199 RESP SYSTEM DISEASE NOS I519X PULNWD Pulmonary, Not Well Defined 10,418 520 TOOTH DEVELOP/ERUPT DIS* I520_3 SKCSL Skeletal and Connective, Super Low 5,285 521 HARD TISSUE DIS OF TEETH* I520_3 SKCSL Skeletal and Connective, Super Low 5,285 522 PULP & PERIAPICAL DIS* I520_3 SKCSL Skeletal and Connective, Super Low 5,285 523 GINGIVAL/PERIODONTAL DIS* I520_3 SKCSL Skeletal and Connective, Super Low 5,285 524 DENTOFACIAL ANOMALIES* I524X SKCSL Skeletal and Connective, Super Low 208 5240 MAJOR ANOM OF JAW SIZE* I5240 SKCSL Skeletal and Connective, Super Low 4,247 5241 JAW-CRANIAL BASE ANOMALY* I5240 SKCSL Skeletal and Connective, Super Low 4,247 5242 DENTAL ARCH ANOMALY I524X SKCSL Skeletal and Connective, Super Low 208 5243 TOOTH POSITION ANOMALY I524X SKCSL Skeletal and Connective, Super Low 208 5244 MALOCCLUSION NOS I524X SKCSL Skeletal and Connective, Super Low 208 5245 ABN DENTOFACIAL FUNCTION I5240 SKCSL Skeletal and Connective, Super Low 4,247 5246 TEMPOROMANDIBULAR JT DIS* I5240 SKCSL Skeletal and Connective, Super Low 4,247 5248 DENTOFACIAL ANOMALY NEC I524X SKCSL Skeletal and Connective, Super Low 208 5249 DENTOFACIAL ANOMALY NOS I524X SKCSL Skeletal and Connective, Super Low 208 525 OTHER DENTAL DISORDER* I525 SKCSL Skeletal and Connective, Super Low 1,486 526 JAW DISEASES* I526 SKCVL Skeletal and Connective, Low 2,474 527 SALIVARY GLAND DISEASES* I527 GIL Gastrointestinal, Low 4,179 528 ORAL SOFT TISSUE DISEASE* I528 GISL Gastrointestinal, Super Low 9,294 529 TONGUE DISORDERS* I529 GISL Gastrointestinal, Super Low 2,318 530 DISEASES OF ESOPHAGUS* I530X GISL Gastrointestinal, Super Low 94,070 5300 ACHALASIA & CARDIOSPASM I530X GISL Gastrointestinal, Super Low 94,070 5301 ESOPHAGITIS* I530X GISL Gastrointestinal, Super Low 94,070

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

5302 ULCER OF ESOPHAGUS I530X GISL Gastrointestinal, Super Low 94,070 5303 ESOPHAGEAL STRICTURE I530X GISL Gastrointestinal, Super Low 94,070 5304 PERFORATION OF ESOPHAGUS I5304 GIM Gastrointestinal, Medium 124 5305 DYSKINESIA OF ESOPHAGUS I530X GISL Gastrointestinal, Super Low 94,070 5306 ACQ ESOPHAG DIVERTICULUM I530X GISL Gastrointestinal, Super Low 94,070 5307 MALLORY-WEISS SYNDROME I5307 GISL Gastrointestinal, Super Low 718 5308 ESOPHAGEAL DISORDER NEC* I530X GISL Gastrointestinal, Super Low 94,070 5309 ESOPHAGEAL DISORDER NOS I530X GISL Gastrointestinal, Super Low 94,070 531 GASTRIC ULCER* I531_4 GIL Gastrointestinal, Low 41,328 532 DUODENAL ULCER* I531_4 GIL Gastrointestinal, Low 41,328 533 PEPTIC ULCER, SITE NOS* I531_4 GIL Gastrointestinal, Low 41,328 534 GASTROJEJUNAL ULCER* I531_4 GIL Gastrointestinal, Low 41,328 535 GASTRITIS AND DUODENITIS* I558 GINWD Gastrointestinal, Not Well Defined 107,466 5350 ACUTE GASTRITIS* I558 GINWD Gastrointestinal, Not Well Defined 107,466 53500 ACUTE GASTRTIS W/O HMRHG I558 GINWD Gastrointestinal, Not Well Defined 107,466 53501 ACUTE GASTRITIS W HMRHG I535X1 GIM Gastrointestinal, Medium 4,206 5351 ATROPHIC GASTRITIS* I558 GINWD Gastrointestinal, Not Well Defined 107,466 53510 ATRPH GASTRTIS W/O HMRHG I558 GINWD Gastrointestinal, Not Well Defined 107,466 53511 ATRPH GASTRITIS W HMRHG I535X1 GIM Gastrointestinal, Medium 4,206 5352 GASTR MUCOSAL HYPERTROPH* I558 GINWD Gastrointestinal, Not Well Defined 107,466 53520 GSTR MCSL HYPRT W/O HMRG I558 GINWD Gastrointestinal, Not Well Defined 107,466 53521 GSTR MCSL HYPRT W HMRG I535X1 GIM Gastrointestinal, Medium 4,206 5353 ALCOHOLIC GASTRITIS* I558 GINWD Gastrointestinal, Not Well Defined 107,466 53530 ALCHL GASTRTIS W/O HMRHG I558 GINWD Gastrointestinal, Not Well Defined 107,466 53531 ALCHL GSTRITIS W HMRHG I535X1 GIM Gastrointestinal, Medium 4,206 5354 GASTRITIS NEC* I558 GINWD Gastrointestinal, Not Well Defined 107,466 53540 OTH SPF GSTRT W/O HMRHG I558 GINWD Gastrointestinal, Not Well Defined 107,466 53541 OTH SPF GASTRT W HMRHG I535X1 GIM Gastrointestinal, Medium 4,206 5355 GASTRITIS/DUODENITIS NOS* I558 GINWD Gastrointestinal, Not Well Defined 107,466 53550 GSTR/DDNTS NOS W/O HMRHG I558 GINWD Gastrointestinal, Not Well Defined 107,466 53551 GSTR/DDNTS NOS W HMRHG I535X1 GIM Gastrointestinal, Medium 4,206 5356 DUODENITIS* I558 GINWD Gastrointestinal, Not Well Defined 107,466 53560 DUODENITIS W/O HMRHG I558 GINWD Gastrointestinal, Not Well Defined 107,466 53561 DUODENITIS W HMRHG I535X1 GIM Gastrointestinal, Medium 4,206 536 STOMACH FUNCTION DISORD* I536X GINWD Gastrointestinal, Not Well Defined 29,894 5360 ACHLORHYDRIA I536X GINWD Gastrointestinal, Not Well Defined 29,894 5361 AC DILATION OF STOMACH I536X GINWD Gastrointestinal, Not Well Defined 29,894 5362 PERSISTENT VOMITING I5362 GINWD Gastrointestinal, Not Well Defined 1,660 5363 GASTROPARESIS I536X GINWD Gastrointestinal, Not Well Defined 29,894 5368 STOMACH FUNCTION DIS NEC I536X GINWD Gastrointestinal, Not Well Defined 29,894 5369 STOMACH FUNCTION DIS NOS I536X GINWD Gastrointestinal, Not Well Defined 29,894 537 OTH GASTRODUODENAL DIS* I537X GINWD Gastrointestinal, Not Well Defined 4,084 5370 ACQ PYLORIC STENOSIS I5370 GIM Gastrointestinal, Medium 981 5371 GASTRIC DIVERTICULUM I537X GINWD Gastrointestinal, Not Well Defined 4,084 5372 CHRONIC DUODENAL ILEUS I537X GINWD Gastrointestinal, Not Well Defined 4,084 5373 DUODENAL OBSTRUCTION NEC I537X GINWD Gastrointestinal, Not Well Defined 4,084 5374 GASTRIC/DUODENAL FISTULA I537X GINWD Gastrointestinal, Not Well Defined 4,084 5375 GASTROPTOSIS I537X GINWD Gastrointestinal, Not Well Defined 4,084 5376 HOURGLASS STRICTURE STOM I537X GINWD Gastrointestinal, Not Well Defined 4,084 5378 GASTRODUODENAL DIS NEC* I537X GINWD Gastrointestinal, Not Well Defined 4,084 5379 GASTRODUODENAL DIS NOS I537X GINWD Gastrointestinal, Not Well Defined 4,084 540 ACUTE APPENDICITIS* I540_3 GISL Gastrointestinal, Super Low 1,514 541 APPENDICITIS NOS I540_3 GISL Gastrointestinal, Super Low 1,514 542 OTHER APPENDICITIS I540_3 GISL Gastrointestinal, Super Low 1,514 543 OTH DISEASES OF APPENDIX* I540_3 GISL Gastrointestinal, Super Low 1,514 550 INGUINAL HERNIA* I550_1X GISL Gastrointestinal, Super Low 63,457 551 OTH ABDOM HERNIA W GANGR* I550_1X GISL Gastrointestinal, Super Low 63,457 5510 FEMORAL HERNIA W GANGREN* I550_1X GISL Gastrointestinal, Super Low 63,457 5511 UMBILICAL HERNIA W GANGR I550_1X GISL Gastrointestinal, Super Low 63,457 5512 VENTRAL HERNIA W GANGREN* I551_32 GIL Gastrointestinal, Low 7,080 5513 DIAPHRAGM HERNIA W GANGR I550_1X GISL Gastrointestinal, Super Low 63,457 5518 HERNIA, SITE NEC W GANGR I550_1X GISL Gastrointestinal, Super Low 63,457 5519 HERNIA, SITE NOS W GANGR I550_1X GISL Gastrointestinal, Super Low 63,457 552 OTH ABDOM HERNIA W OBSTR* I550_1X GISL Gastrointestinal, Super Low 63,457 5520 FEMORAL HERNIA W OBSTRUC* I550_1X GISL Gastrointestinal, Super Low 63,457 5521 UMBILICAL HERNIA W OBSTR I550_1X GISL Gastrointestinal, Super Low 63,457 5522 VENTRAL HERNIA W OBSTRUC* I551_32 GIL Gastrointestinal, Low 7,080 5523 DIAPHRAGM HERNIA W OBSTR I550_1X GISL Gastrointestinal, Super Low 63,457 5528 HERNIA, SITE NEC W OBSTR I550_1X GISL Gastrointestinal, Super Low 63,457 5529 HERNIA, SITE NOS W OBSTR I550_1X GISL Gastrointestinal, Super Low 63,457 553 OTHER ABDOMINAL HERNIA* I550_1X GISL Gastrointestinal, Super Low 63,457 5530 FEMORAL HERNIA* I550_1X GISL Gastrointestinal, Super Low 63,457 5531 UMBILICAL HERNIA I550_1X GISL Gastrointestinal, Super Low 63,457 5532 VENTRAL HERNIA* I551_32 GIL Gastrointestinal, Low 7,080 5533 DIAPHRAGMATIC HERNIA I550_1X GISL Gastrointestinal, Super Low 63,457 5538 HERNIA NEC I550_1X GISL Gastrointestinal, Super Low 63,457 5539 HERNIA NOS I550_1X GISL Gastrointestinal, Super Low 63,457 555 REGIONAL ENTERITIS* I555 GIM Gastrointestinal, Medium 3,296 556 ULCERATIVE COLITIS* I556 GIM Gastrointestinal, Medium 4,202 557 VASC INSUFF INTESTINE* I557 GINWD Gastrointestinal, Not Well Defined 2,755 558 OTH NONINF GASTROENTERIT* I558 GINWD Gastrointestinal, Not Well Defined 107,466 5581 RADIATION GASTROENTERIT I558 GINWD Gastrointestinal, Not Well Defined 107,466 5582 TOXIC GASTROENTERITIS I558 GINWD Gastrointestinal, Not Well Defined 107,466 5589 NONINF GASTROENTERIT NEC I558 GINWD Gastrointestinal, Not Well Defined 107,466 560 INTESTINAL OBSTRUCTION* I560 GIM Gastrointestinal, Medium 23,238 562 DIVERTICULA OF INTESTINE* I562U GISL Gastrointestinal, Super Low 24,124 5620 DIVERTICULA SM INTESTINE* I562W GISL Gastrointestinal, Super Low 63,583 56200 DVRTCLO SML INT W/O HMRG I562W GISL Gastrointestinal, Super Low 63,583 56201 DVRTCLI SML INT W/O HMRG I562W GISL Gastrointestinal, Super Low 63,583 56202 DVRTCLO SML INT W HMRHG I562W GISL Gastrointestinal, Super Low 63,583

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

56203 DVRTCLI SML INT W HMRHG I562W GISL Gastrointestinal, Super Low 63,583 5621 DIVERTICULA OF COLON* I562U GISL Gastrointestinal, Super Low 24,124 56210 DVRTCLO COLON W/O HMRHG I562W GISL Gastrointestinal, Super Low 63,583 56211 DVRTCLI COLON W/O HMRHG I562U GISL Gastrointestinal, Super Low 24,124 56212 DVRTCLO COLON W HMRHG I562W GISL Gastrointestinal, Super Low 63,583 56213 DVRTCLI COLON W HMRHG I562U GISL Gastrointestinal, Super Low 24,124 564 FUNCT DIGESTIVE DIS NEC* I564 GINWD Gastrointestinal, Not Well Defined 72,891 565 ANAL FISSURE & FISTULA* I565 GISL Gastrointestinal, Super Low 2,805 566 ANAL & RECTAL ABSCESS I566 GIL Gastrointestinal, Low 1,150 567 PERITONITIS* I567 GIH Gastrointestinal, High 1,886 568 OTH PERITONEAL DISORDERS* I568 GINWD Gastrointestinal, Not Well Defined 4,093 569 OTH INTESTINAL DISORDERS* I569X GINWD Gastrointestinal, Not Well Defined 39,265 5690 ANAL & RECTAL POLYP I5690 GIL Gastrointestinal, Low 10,654 5691 RECTAL PROLAPSE I5690 GIL Gastrointestinal, Low 10,654 5692 RECTAL & ANAL STENOSIS I5690 GIL Gastrointestinal, Low 10,654 5693 RECTAL & ANAL HEMORRHAGE I569X GINWD Gastrointestinal, Not Well Defined 39,265 5694 OTHER RECTAL & ANAL DIS* I569X GINWD Gastrointestinal, Not Well Defined 39,265 56941 RECTAL & ANAL ULCER I56941 GIL Gastrointestinal, Low 528 56942 ANAL OR RECTAL PAIN I569X GINWD Gastrointestinal, Not Well Defined 39,265 56949 RECTAL & ANAL DIS NEC I569X GINWD Gastrointestinal, Not Well Defined 39,265 5695 INTESTINAL ABSCESS I5690 GIL Gastrointestinal, Low 10,654 5696 ENTEROSTOMY MALFUNCTION* I5696 GIOS Gastrointestinal, Ostomy 1,109 5698 INTESTINAL DISORDERS NEC* I569X GINWD Gastrointestinal, Not Well Defined 39,265 56981 INTESTINAL FISTULA I56981 GIH Gastrointestinal, High 524 56982 ULCERATION OF INTESTINE I56982 GIL Gastrointestinal, Low 816 56983 PERFORATION OF INTESTINE I5690 GIL Gastrointestinal, Low 10,654 56984 ANGIO INTES W/O HMRHG I5690 GIL Gastrointestinal, Low 10,654 56985 ANGIO INTES W HMRHG I5690 GIL Gastrointestinal, Low 10,654 56989 INTESTINAL DISORDERS NEC I569X GINWD Gastrointestinal, Not Well Defined 39,265 5699 INTESTINAL DISORDER NOS I569X GINWD Gastrointestinal, Not Well Defined 39,265 570 ACUTE NECROSIS OF LIVER I570 GIM Gastrointestinal, Medium 361 571 CHR LIVER DIS/CIRRHOSIS* I571 GIM Gastrointestinal, Medium 8,904 572 SEQUELA OF CHR LIVER DIS* I572X GIM Gastrointestinal, Medium 779 5720 ABSCESS OF LIVER I572X GIM Gastrointestinal, Medium 779 5721 PORTAL PYEMIA I572X GIM Gastrointestinal, Medium 779 5722 HEPATIC COMA I5722 GIH Gastrointestinal, High 482 5723 PORTAL HYPERTENSION I5723 GIH Gastrointestinal, High 534 5724 HEPATORENAL SYNDROME I572X GIM Gastrointestinal, Medium 779 5728 OTH SEQUELA, CHR LIV DIS I572X GIM Gastrointestinal, Medium 779 573 OTH LIVER DISORDERS* I573X GINWD Gastrointestinal, Not Well Defined 8,409 5730 CHR PASSIV CONGEST LIVER I5730 GIH Gastrointestinal, High 266 5731 HEPATITIS IN VIRAL DIS I5731_3 GIL Gastrointestinal, Low 4,025 5732 HEPATITIS IN OTH INF DIS I5731_3 GIL Gastrointestinal, Low 4,025 5733 HEPATITIS NOS I5731_3 GIL Gastrointestinal, Low 4,025 5734 HEPATIC INFARCTION I5734 GIM Gastrointestinal, Medium 33 5738 LIVER DISORDERS NEC I573X GINWD Gastrointestinal, Not Well Defined 8,409 5739 LIVER DISORDER NOS I573X GINWD Gastrointestinal, Not Well Defined 8,409 574 CHOLELITHIASIS* I574 GISL Gastrointestinal, Super Low 23,337 575 OTH GALLBLADDER DISORDER* I575 GISL Gastrointestinal, Super Low 12,615 576 OTH DIS OF BILIARY TRACT* I576 GISL Gastrointestinal, Super Low 3,844 577 DISEASES OF PANCREAS* I577X GINWD Gastrointestinal, Not Well Defined 717 5770 ACUTE PANCREATITIS I5770 GIL Gastrointestinal, Low 5,988 5771 CHRONIC PANCREATITIS I5771 GIM Gastrointestinal, Medium 1,779 5772 PANCREAT CYST/PSEUDOCYST I5770 GIL Gastrointestinal, Low 5,988 5778 PANCREATIC DISEASE NEC I5770 GIL Gastrointestinal, Low 5,988 5779 PANCREATIC DISEASE NOS I577X GINWD Gastrointestinal, Not Well Defined 717 578 GASTROINTESTINAL HEMORR* I578 GIL Gastrointestinal, Low 42,637 579 INTESTINAL MALABSORPTION* I579X GINWD Gastrointestinal, Not Well Defined 1,585 5790 CELIAC DISEASE I5791_4 GIL Gastrointestinal, Low 899 5791 TROPICAL SPRUE I5791_4 GIL Gastrointestinal, Low 899 5792 BLIND LOOP SYNDROME I5791_4 GIL Gastrointestinal, Low 899 5793 INTEST POSTOP NONABSORB I5791_4 GIL Gastrointestinal, Low 899 5794 PANCREATIC STEATORRHEA I5791_4 GIL Gastrointestinal, Low 899 5798 INTEST MALABSORPTION NEC I579X GINWD Gastrointestinal, Not Well Defined 1,585 5799 INTEST MALABSORPTION NOS I579X GINWD Gastrointestinal, Not Well Defined 1,585 580 ACUTE NEPHRITIS* I580_3 RENL Renal, Low 3,586 581 NEPHROTIC SYNDROME* I581 RENL Renal, Low 1,268 582 CHRONIC NEPHRITIS* I582 RENM Renal, Medium 1,665 583 NEPHRITIS NOS* I580_3 RENL Renal, Low 3,586 584 ACUTE RENAL FAILURE* I584_6 RENM Renal, Medium 11,873 585 CHRONIC RENAL FAILURE I585 RENVH Renal, Extra High 11,021 586 RENAL FAILURE NOS I584_6 RENM Renal, Medium 11,873 587 RENAL SCLEROSIS NOS I587 RENNWD Renal, Not Well Defined 456 588 IMPAIRED RENAL FUNCTION* I588X RENNWD Renal, Not Well Defined 1,153 5880 RENAL OSTEODYSTROPHY I5880_1 RENM Renal, Medium 190 5881 NEPHROGEN DIABETES INSIP I5880_1 RENM Renal, Medium 190 5888 IMPAIRED RENAL FUNCT NEC I588X RENNWD Renal, Not Well Defined 1,153 5889 IMPAIRED RENAL FUNCT NOS I588X RENNWD Renal, Not Well Defined 1,153 589 SMALL KIDNEY* I589 RENSL Renal, Super Low 266 590 KIDNEY INFECTION* I590 RENSL Renal, Super Low 6,532 591 HYDRONEPHROSIS I591 RENL Renal, Low 4,730 592 RENAL/URETERAL CALCULUS* I592 RENSL Renal, Super Low 15,191 593 OTH RENAL & URETERAL DIS* I593X RENNWD Renal, Not Well Defined 25,985 5930 NEPHROPTOSIS I5930 RENVL Renal, Very Low 11,230 5931 HYPERTROPHY OF KIDNEY I5930 RENVL Renal, Very Low 11,230 5932 CYST OF KIDNEY, ACQUIRED I5930 RENVL Renal, Very Low 11,230 5933 STRICTURE OF URETER I5930 RENVL Renal, Very Low 11,230 5934 URETERIC OBSTRUCTION NEC I5930 RENVL Renal, Very Low 11,230 5935 HYDROURETER I5930 RENVL Renal, Very Low 11,230 5936 POSTURAL PROTEINURIA I5930 RENVL Renal, Very Low 11,230

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

5937 VESICOURETERAL REFLUX* I5930 RENVL Renal, Very Low 11,230 59370 VESCOURETRL RFLUX UNSPCF I5930 RENVL Renal, Very Low 11,230 59371 VSCURT RFLX NPHT UNILTRL I5930 RENVL Renal, Very Low 11,230 59372 VSCOURTL RFLX NPHT BLTRL I5930 RENVL Renal, Very Low 11,230 59373 VSCOURTL RFLX W NPHT NOS I5930 RENVL Renal, Very Low 11,230 5938 OTH RENAL & URETERAL DIS* I593X RENNWD Renal, Not Well Defined 25,985 59381 RENAL VASCULAR DISORDER I59381 RENL Renal, Low 629 59382 URETERAL FISTULA I5930 RENVL Renal, Very Low 11,230 59389 RENAL & URETERAL DIS NEC I593X RENNWD Renal, Not Well Defined 25,985 5939 RENAL & URETERAL DIS NOS I593X RENNWD Renal, Not Well Defined 25,985 594 LOWER URIN TRACT CALCUL* I594 RENSL Renal, Super Low 2,355 595 CYSTITIS* I595P RENSL Renal, Super Low 162,242 596 OTHER BLADDER DISORDERS* I596X RENNWD Renal, Not Well Defined 8,555 5960 BLADDER NECK OBSTRUCTION I5960 RENVL Renal, Very Low 16,880 5961 INTESTINOVESICAL FISTULA I5960 RENVL Renal, Very Low 16,880 5962 VESICAL FISTULA NEC I5960 RENVL Renal, Very Low 16,880 5963 DIVERTICULUM OF BLADDER I5960 RENVL Renal, Very Low 16,880 5964 ATONY OF BLADDER I5960 RENVL Renal, Very Low 16,880 5965 BLADDER DYSFUNCTION NEC* I596X RENNWD Renal, Not Well Defined 8,555 59651 HYPERTONICITY OF BLADDER I5960 RENVL Renal, Very Low 16,880 59652 LOW BLADDER COMPLIANCE I5960 RENVL Renal, Very Low 16,880 59653 PARALYSIS OF BLADDER I5960 RENVL Renal, Very Low 16,880 59654 NEUROGENIC BLADDER NOS I5960 RENVL Renal, Very Low 16,880 59655 DETRUSR SPHINC DYSSNRGIA I5960 RENVL Renal, Very Low 16,880 59659 OTH FUNC DSDR BLADDER I596X RENNWD Renal, Not Well Defined 8,555 5966 BLADDER RUPT, NONTRAUM I5960 RENVL Renal, Very Low 16,880 5967 BLADDER WALL HEMORRHAGE I5960 RENVL Renal, Very Low 16,880 5968 BLADDER DISORDER NEC I596X RENNWD Renal, Not Well Defined 8,555 5969 BLADDER DISORDER NOS I596X RENNWD Renal, Not Well Defined 8,555 597 URETHRITIS/URETHRAL SYND* I595P RENSL Renal, Super Low 162,242 598 URETHRAL STRICTURE* I598 RENVL Renal, Very Low 10,326 599 OTH URINARY TRACT DISOR* I599X RENNWD Renal, Not Well Defined 5,120 5990 URIN TRACT INFECTION NOS I595P RENSL Renal, Super Low 162,242 5991 URETHRAL FISTULA I5991 RENSL Renal, Super Low 7,098 5992 URETHRAL DIVERTICULUM I5991 RENSL Renal, Super Low 7,098 5993 URETHRAL CARUNCLE I5991 RENSL Renal, Super Low 7,098 5994 URETHRAL FALSE PASSAGE I5991 RENSL Renal, Super Low 7,098 5995 PROLAPSE URETHRAL MUCOSA I5991 RENSL Renal, Super Low 7,098 5996 URINARY OBSTRUCTION NOS I5991 RENSL Renal, Super Low 7,098 5997 HEMATURIA I5997 RENVL Renal, Very Low 41,225 5998 URINARY TRACT DIS NEC* I599X RENNWD Renal, Not Well Defined 5,120 59981 URETHRAL HYPERMOBILITY I5991 RENSL Renal, Super Low 7,098 59982 INTRINSC SPHNCTR DFICNCY I5991 RENSL Renal, Super Low 7,098 59983 URETHRAL INSTABILITY I5991 RENSL Renal, Super Low 7,098 59984 OTH SPCF DSDR URETHRA I599X RENNWD Renal, Not Well Defined 5,120 59989 OTH SPCF DSDR URNRY TRCT I599X RENNWD Renal, Not Well Defined 5,120 5999 URINARY TRACT DIS NOS I599X RENNWD Renal, Not Well Defined 5,120 600 HYPERPLASIA OF PROSTATE I11201 GENEL Genital, Extra Low 122,728 601 PROSTATIC INFLAMMATION* I11202 GENSL Genital, Super Low 29,197 602 OTH PROSTATIC DISORDERS* I11202 GENSL Genital, Super Low 29,197 603 HYDROCELE* I11203 GENSL Genital, Super Low 25,401 604 ORCHITIS & EPIDIDYMITIS* I11203 GENSL Genital, Super Low 25,401 605 REDUN PREPUCE & PHIMOSIS I11203 GENSL Genital, Super Low 25,401 606 MALE INFERTILITY* I11203 GENSL Genital, Super Low 25,401 607 DISORDERS OF PENIS* I11203 GENSL Genital, Super Low 25,401 608 MALE GENITAL DIS NEC* I11203 GENSL Genital, Super Low 25,401 610 BENIGN MAMMARY DYSPLASIA* I610 GENSL Genital, Super Low 66,081 611 OTHER BREAST DISORDERS* I611 GENSL Genital, Super Low 84,858 614 FEMALE PELVIC INFLAM DIS* I11306 GENEL Genital, Extra Low 2,510 615 UTERINE INFLAMMATORY DIS* I11306 GENEL Genital, Extra Low 2,510 616 OTH FEMALE GEN INFLAM* I11301 GENSL Genital, Super Low 10,988 6160 CERVICITIS I11302 GENSL Genital, Super Low 32,541 6161 VAGINITIS* I11302 GENSL Genital, Super Low 32,541 6162 BARTHOLIN'S GLAND CYST I11301 GENEL Genital, Extra Low 10,988 6163 BARTHOLIN'S GLND ABSCESS I11301 GENEL Genital, Extra Low 10,988 6164 ABSCESS OF VULVA NEC I11301 GENEL Genital, Extra Low 10,988 6165 ULCERATION OF VULVA* I11301 GENEL Genital, Extra Low 10,988 6168 FEMALE GEN INFLAM NEC I11301 GENSL Genital, Super Low 10,988 6169 FEMALE GEN INFLAM NOS I11301 GENSL Genital, Super Low 10,988 617 ENDOMETRIOSIS* I11307 GENEL Genital, Extra Low 1,497 618 GENITAL PROLAPSE* I11401 GENEL Genital, Extra Low 18,552 619 FEMALE GENITAL FISTULA* I11301 GENEL Genital, Extra Low 10,988 620 NONINFLAM DIS OVAR/ADNEX* I11301 GENEL Genital, Extra Low 10,988 621 DISORDERS OF UTERUS NEC* I11301 GENEL Genital, Extra Low 10,988 622 NONINFLAMM DIS CERVIX* I11302 GENSL Genital, Super Low 32,541 623 NONINFLAMM DIS VAGINA* I11303 GENSL Genital, Super Low 26,649 624 NONINFLAMM DIS VULVA* I11302 GENSL Genital, Super Low 32,541 625 FEMALE GENITAL SYMPTOMS* I11303 GENSL Genital, Super Low 26,649 6250 DYSPAREUNIA I11303 GENSL Genital, Super Low 26,649 6251 VAGINISMUS I11303 GENSL Genital, Super Low 26,649 6252 MITTELSCHMERZ I11303 GENSL Genital, Super Low 26,649 6253 DYSMENORRHEA I11303 GENSL Genital, Super Low 26,649 6254 PREMENSTRUAL TENSION I11303 GENSL Genital, Super Low 26,649 6255 PELVIC CONGESTION SYND I11303 GENSL Genital, Super Low 26,649 6256 FEM STRESS INCONTINENCE I11304 GENSL Genital, Super Low 11,652 6258 FEM GENITAL SYMPTOMS NEC I11303 GENSL Genital, Super Low 26,649 6259 FEM GENITAL SYMPTOMS NOS I11303 GENSL Genital, Super Low 26,649 626 DISORDER OF MENSTRUATION* I11303 GENSL Genital, Super Low 26,649 627 MENOPAUSAL DISORDERS* I11305 GENSL Genital, Super Low 82,473 628 FEMALE INFERTILITY* I11309 GENEL Genital, Extra Low 282

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

629 OTH FEMALE GENITAL DIS* I11303 GENSL Genital, Super Low 26,649 630 HYDATIDIFORM MOLE I11501 PREG2 Pregnancy 21 347 631 OTH ABN PROD CONCEPTION I11501 PREG2 Pregnancy 21 347 632 MISSED ABORTION I11501 PREG2 Pregnancy 21 347 633 ECTOPIC PREGNANCY* I11502 PREG1 Pregnancy 11 62 634 SPONTANEOUS ABORTION* I11501 PREG2 Pregnancy 21 347 6340 SPON ABORT W PELVIC INF* I11501 PREG2 Pregnancy 21 347 6341 SPON ABORT W HEMORRHAGE* I11501 PREG2 Pregnancy 21 347 6342 SPON ABOR W PELVIC DAMAG* I11501 PREG2 Pregnancy 21 347 6343 SPON ABORT W RENAL FAIL* I11505 PREG3 Pregnancy 31 28 6344 SPON ABORT W METABOL DIS* I11501 PREG2 Pregnancy 21 347 6345 SPON ABORTION W SHOCK* I11525 PREG3 Pregnancy 31 85 6346 SPON ABORTION W EMBOLISM* I11524 PREG2 Pregnancy 21 379 6347 SPON ABORT W COMPL NEC* I11501 PREG2 Pregnancy 21 347 6348 SPON ABORT W COMPL NOS* I11501 PREG2 Pregnancy 21 347 6349 SPON ABORTION UNCOMPLIC* I11501 PREG2 Pregnancy 21 347 635 LEGALLY INDUCED ABORTION* I11501 PREG2 Pregnancy 21 347 6350 LEGAL ABORT W PELVIC INF* I11501 PREG2 Pregnancy 21 347 6351 LEGAL ABORT W HEMORRHAGE* I11501 PREG2 Pregnancy 21 347 6352 LEGAL ABORT W PELV DAMAG* I11501 PREG2 Pregnancy 21 347 6353 LEGAL ABORT W RENAL FAIL* I11505 PREG3 Pregnancy 31 28 6354 LEGAL ABOR W METABOL DIS* I11501 PREG2 Pregnancy 21 347 6355 LEGAL ABORTION W SHOCK* I11525 PREG3 Pregnancy 31 85 6356 LEGAL ABORT W EMBOLISM* I11524 PREG6 Pregnancy 61 379 6357 LEGAL ABORT W COMPL NEC* I11501 PREG2 Pregnancy 21 347 6358 LEGAL ABORT W COMPL NOS* I11501 PREG2 Pregnancy 21 347 6359 LEGAL ABORT UNCOMPLICAT* I11501 PREG2 Pregnancy 21 347 636 ILLEGAL INDUCED ABORTION* I11501 PREG2 Pregnancy 21 347 6360 ILLEG ABORT W PELVIC INF* I11501 PREG2 Pregnancy 21 347 6361 ILLEG ABORT W HEMORRHAGE* I11501 PREG2 Pregnancy 21 347 6362 ILLEG ABORT W PELV DAMAG* I11501 PREG2 Pregnancy 21 347 6363 ILLEG ABORT W RENAL FAIL* I11505 PREG3 Pregnancy 31 28 6364 ILLEG ABOR W METABOL DIS* I11501 PREG2 Pregnancy 21 347 6365 ILLEGAL ABORTION W SHOCK* I11525 PREG3 Pregnancy 31 85 6366 ILLEGAL ABORT W EMBOLISM* I11524 PREG6 Pregnancy 61 379 6367 ILLEG ABORT W COMPL NEC* I11501 PREG2 Pregnancy 21 347 6368 ILLEG ABORT W COMPL NOS* I11501 PREG2 Pregnancy 21 347 6369 ILLEGAL ABORT UNCOMPLIC* I11501 PREG2 Pregnancy 21 347 637 UNSPECIFIED ABORTION* I11501 PREG2 Pregnancy 21 347 6370 ABORT NOS W PELVIC INF* I11501 PREG2 Pregnancy 21 347 6371 ABORT NOS W HEMORRHAGE* I11501 PREG2 Pregnancy 21 347 6372 ABORT NOS W PELVIC DAMAG* I11501 PREG2 Pregnancy 21 347 6373 ABORT NOS W RENAL FAIL* I11505 PREG3 Pregnancy 31 28 6374 ABORT NOS W METABOL DIS* I11501 PREG2 Pregnancy 21 347 6375 ABORTION NOS W SHOCK* I11525 PREG3 Pregnancy 31 85 6376 ABORTION NOS W EMBOLISM* I11524 PREG6 Pregnancy 61 379 6377 ABORTION NOS W COMPL NEC* I11501 PREG2 Pregnancy 21 347 6378 ABORTION NOS W COMPL NOS* I11501 PREG2 Pregnancy 21 347 6379 ABORTION NOS UNCOMPLICAT* I11501 PREG2 Pregnancy 21 347 638 FAILED ATTEMPTED ABORT* I11501 PREG2 Pregnancy 21 347 6380 ATTEM ABORT W PELVIC INF I11501 PREG2 Pregnancy 21 347 6381 ATTEM ABORT W HEMORRHAGE I11501 PREG2 Pregnancy 21 347 6382 ATTEM ABORT W PELV DAMAG I11501 PREG2 Pregnancy 21 347 6383 ATTEM ABORT W RENAL FAIL I11505 PREG3 Pregnancy 31 28 6384 ATTEM ABOR W METABOL DIS I11501 PREG2 Pregnancy 21 347 6385 ATTEM ABORTION W SHOCK I11525 PREG3 Pregnancy 31 85 6386 ATTEMP ABORT W EMBOLISM I11524 PREG6 Pregnancy 61 379 6387 ATTEMP ABORT W COMPL NEC I11501 PREG2 Pregnancy 21 347 6388 ATTEMP ABORT W COMPL NOS I11501 PREG2 Pregnancy 21 347 6389 ATTEMPTED ABORT UNCOMPL I11501 PREG2 Pregnancy 21 347 639 COMPL FOLLOWING ABORTION* I11501 PREG2 Pregnancy 21 347 6390 POSTABORTION GU INFECT I11501 PREG2 Pregnancy 21 347 6391 POSTABORTION HEMORRHAGE I11501 PREG2 Pregnancy 21 347 6392 POSTABORT PELVIC DAMAGE I11501 PREG2 Pregnancy 21 347 6393 POSTABORT RENAL FAILURE I11505 PREG3 Pregnancy 31 28 6394 POSTABORT METABOLIC DIS I11501 PREG2 Pregnancy 21 347 6395 POSTABORTION SHOCK I11525 PREG3 Pregnancy 31 85 6396 POSTABORTION EMBOLISM I11524 PREG6 Pregnancy 61 379 6398 POSTABORTION COMPL NEC I11501 PREG2 Pregnancy 21 347 6399 POSTABORTION COMPL NOS I11501 PREG2 Pregnancy 21 347 640 HEMORRHAGE IN EARLY PREG* I11503 PREG7 Pregnancy 71 126 641 ANTEPART HEM & PLAC PREV* I11504 PREG6 Pregnancy 61 90 642 HYPERTENSION COMPL PREG* I11506 PREG6 Pregnancy 61 455 6420 ESSEN HYPERTEN COMP PREG* I11506 PREG6 Pregnancy 61 455 6421 RENAL HYPERTEN OF PREG* I11506 PREG6 Pregnancy 61 455 6422 OLD HYPERTEN PREG NEC* I11506 PREG6 Pregnancy 61 455 6423 TRANS HYPERTENSION PREG* I11506 PREG6 Pregnancy 61 455 6424 MILD/NOS PRE-ECLAMPSIA* I11506 PREG6 Pregnancy 61 455 6425 SEVERE PRE-ECLAMPSIA* I11505 PREG3 Pregnancy 31 28 6426 ECLAMPSIA* I11505 PREG3 Pregnancy 31 28 6427 TOXEMIA W OLD HYPERTEN* I11506 PREG6 Pregnancy 61 455 6429 HYPERTENS COMPL PREG NOS* I11506 PREG6 Pregnancy 61 455 643 EXCESS VOMITING IN PREG* I11507 PREG7 Pregnancy 71 919 644 EARLY/THREATENED LABOR* I11507 PREG7 Pregnancy 71 919 6440 THREATEN PREMATURE LABOR* I11508 PREG6 Pregnancy 61 68 6441 THREATENED LABOR NEC* I11507 PREG7 Pregnancy 71 919 6442 EARLY ONSET OF DELIVERY* I11530 PREG3 Pregnancy 31 51 645 PROLONGED PREGNANCY* I11507 PREG7 Pregnancy 71 919 646 OTHER COMPL OF PREGNANCY* I11507 PREG7 Pregnancy 71 919 6460 PAPYRACEOUS FETUS* I11507 PREG7 Pregnancy 71 919

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

6461 EDEMA IN PREGNANCY* I11507 PREG7 Pregnancy 71 919 6462 RENAL DIS IN PREG NOS* I11506 PREG6 Pregnancy 61 455 6463 HABITUAL ABORTER* I11507 PREG7 Pregnancy 71 919 6464 PERIPHERAL NEURITIS PREG* I11507 PREG7 Pregnancy 71 919 6465 ASYMPT BACTERIURIA PREG* I11507 PREG7 Pregnancy 71 919 6466 GU TRACT INFECT IN PREG* I11507 PREG7 Pregnancy 71 919 6467 LIVER DISORDER IN PREG* I11509 PREG6 Pregnancy 61 159 6468 PREGNANCY COMPL NEC* I11507 PREG7 Pregnancy 71 919 6469 PREGNANCY COMPL NOS* I11507 PREG7 Pregnancy 71 919 647 INFECTIVE DIS IN PREG* I11510 PREG7 Pregnancy 71 380 648 OTH CURRENT COND IN PREG* I11510 PREG7 Pregnancy 71 380 6480 DIABETES MELLIT IN PREG* I11509 PREG6 Pregnancy 61 159 6481 THYROID DYSFUNC IN PREG* I11510 PREG7 Pregnancy 71 380 6482 ANEMIA IN PREGNANCY* I11510 PREG7 Pregnancy 71 380 6483 DRUG DEPENDENCE IN PREG* I11509 PREG6 Pregnancy 61 159 6484 MENTAL DISORDERS IN PREG* I11509 PREG6 Pregnancy 61 159 6485 CONG CARDIOVAS DIS IN PG* I11509 PREG6 Pregnancy 61 159 6486 CARDIOVAS DIS NEC IN PG* I11510 PREG7 Pregnancy 71 380 6487 BONE DISORDER IN PREG* I11510 PREG7 Pregnancy 71 380 6488 ABN GLUC TOLERAN IN PREG* I11510 PREG7 Pregnancy 71 380 6489 OTH CURRENT COND OF PREG* I11510 PREG7 Pregnancy 71 380 650 NORMAL DELIVERY I11511 PREG5 Pregnancy 51 314 651 MULTIPLE GESTATION* I11514 PREG6 Pregnancy 61 86 652 MALPOSITION OF FETUS* I11515 PREG6 Pregnancy 61 89 653 DISPROPORTION* I11516 PREG6 Pregnancy 61 401 654 ABN PELVIC ORGAN IN PREG* I11516 PREG6 Pregnancy 61 401 6540 CONG ABN UTERUS IN PREG* I11516 PREG6 Pregnancy 61 401 6541 UTERINE TUMOR IN PREG* I11516 PREG6 Pregnancy 61 401 6542 PREVIOUS C-SECTION NOS* I11516 PREG6 Pregnancy 61 401 6543 RETROVERT GRAVID UTERUS* I11516 PREG6 Pregnancy 61 401 6544 ABN SHAPE GRAVID UTERUS* I11516 PREG6 Pregnancy 61 401 6545 CERVIX INCOMPET IN PREG* I11508 PREG6 Pregnancy 61 68 6546 ABN CERVIX NEC IN PREG* I11516 PREG6 Pregnancy 61 401 6547 ABNORMAL VAGINA IN PREG* I11516 PREG6 Pregnancy 61 401 6548 ABNORMAL VULVA IN PREG* I11516 PREG6 Pregnancy 61 401 6549 ABN PELV ORG NOS IN PREG* I11516 PREG6 Pregnancy 61 401 655 FETAL ABN AFFECT MOTHER* I11518 PREG7 Pregnancy 71 280 656 OTH FETAL PROB AFF MOTH* I11518 PREG7 Pregnancy 71 280 6560 FETAL-MATERNAL HEMORR* I11518 PREG7 Pregnancy 71 280 6561 RHESUS ISOIMMUNIZATION* I11518 PREG7 Pregnancy 71 280 6562 ABO ISOIMMUNIZATION* I11518 PREG7 Pregnancy 71 280 6563 FETAL DISTRESS* I11518 PREG7 Pregnancy 71 280 6564 INTRAUTERINE DEATH* I11518 PREG7 Pregnancy 71 280 6565 POOR FETAL GROWTH* I11518 PREG7 Pregnancy 71 280 6566 EXCESSIVE FETAL GROWTH* I11507 PREG7 Pregnancy 71 919 6567 OTH PLACENTAL CONDITIONS* I11518 PREG7 Pregnancy 71 280 6568 FETAL/PLACENTAL PROB NEC* I11518 PREG7 Pregnancy 71 280 6569 FETAL/PLACENTAL PROB NOS* I11518 PREG7 Pregnancy 71 280 657 POLYHYDRAMNIOS* I11519 PREG6 Pregnancy 61 134 658 OTH AMNIOTIC CAVITY PROB* I11519 PREG6 Pregnancy 61 134 659 OTH INDICAT CARE DELIVER* I11520 PREG4 Pregnancy 41 386 6590 FAIL MECHAN INDUCT LABOR* I11520 PREG4 Pregnancy 41 386 6591 FAIL INDUCTION LABOR NOS* I11520 PREG4 Pregnancy 41 386 6592 MATERN PYREXIA LABOR NOS* I11520 PREG4 Pregnancy 41 386 6593 SEPTICEMIA DURING LABOR* I11525 PREG3 Pregnancy 31 85 6594 GRAND MULTIPARITY* I11520 PREG4 Pregnancy 41 386 6595 ELDERLY PRIMIGRAVIDA* I11520 PREG4 Pregnancy 41 386 6598 INDICAT CARE LAB/DEL NEC* I11520 PREG4 Pregnancy 41 386 6599 INDICAT CARE LAB/DEL NOS* I11520 PREG4 Pregnancy 41 386 660 OBSTRUCTED LABOR* I11516 PREG6 Pregnancy 61 401 661 ABNORMAL FORCES OF LABOR* I11507 PREG7 Pregnancy 71 919 662 LONG LABOR* I11520 PREG4 Pregnancy 41 386 663 UMBILICAL CORD COMPLIC* I11520 PREG4 Pregnancy 41 386 664 PERINEAL TRAUM W DELIVER* I11521 PREG4 Pregnancy 41 204 665 OTHER OBSTETRICAL TRAUMA* I11521 PREG4 Pregnancy 41 204 6650 RUPT UTERUS BEFORE LABOR* I11522 PREG3 Pregnancy 31 62 6651 RUPTURE OF UTERUS NOS* I11522 PREG3 Pregnancy 31 62 6652 INVERSION OF UTERUS* I11521 PREG4 Pregnancy 41 204 6653 LACERATION OF CERVIX* I11521 PREG4 Pregnancy 41 204 6654 HIGH VAGINAL LACERATION* I11521 PREG4 Pregnancy 41 204 6655 OTH INJURY PELVIC ORGANS* I11521 PREG4 Pregnancy 41 204 6656 DAMAGE TO PELVIC JOINTS* I11521 PREG4 Pregnancy 41 204 6657 PELVIC HEMATOMA* I11521 PREG4 Pregnancy 41 204 6658 OBSTETRICAL TRAUMA NEC* I11521 PREG4 Pregnancy 41 204 6659 OBSTETRICAL TRAUMA NOS* I11521 PREG4 Pregnancy 41 204 666 POSTPARTUM HEMORRHAGE* I11529 PREG4 Pregnancy 41 34 667 RETAIN PLACENTA W/O HEM* I11520 PREG4 Pregnancy 41 386 668 COMPL ANESTH IN DELIVERY* I11520 PREG4 Pregnancy 41 386 6680 ANESTH PULM COMPL IN DEL* I11522 PREG3 Pregnancy 31 62 6681 ANESTH CARD COMPL IN DEL* I11522 PREG3 Pregnancy 31 62 6682 ANESTH CNS COMPL IN DEL* I11522 PREG3 Pregnancy 31 62 6688 OTH COMPL ANESTH IN DEL* I11520 PREG4 Pregnancy 41 386 6689 COMPL ANESTH NOS IN DEL* I11520 PREG4 Pregnancy 41 386 669 OTH COMPL LABOR/DELIVERY* I11520 PREG4 Pregnancy 41 386 6690 MATERNAL DISTRESS* I11520 PREG4 Pregnancy 41 386 6691 OBSTETRIC SHOCK* I11522 PREG3 Pregnancy 31 62 6692 MATERNAL HYPOTENSION SYN* I11520 PREG4 Pregnancy 41 386 6693 AC RENAL FAIL W DELIVERY* I11505 PREG3 Pregnancy 31 28 6694 OTH OBSTETRIC SURG COMPL* I11522 PREG3 Pregnancy 31 62 6695 FORCEPS DELIVERY NOS* I11520 PREG4 Pregnancy 41 386

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

6696 BREECH EXTRACTION NOS* I11520 PREG4 Pregnancy 41 386 6697 CESAREAN DELIVERY NOS* I11523 PREG3 Pregnancy 31 34 6698 COMPL LABOR/DELIVERY NEC* I11520 PREG4 Pregnancy 41 386 6699 COMPL LABOR/DELIVERY NOS* I11520 PREG4 Pregnancy 41 386 670 MAJOR PUERPERAL INFECT* I11525 PREG3 Pregnancy 31 85 671 VENOUS COMPLIC IN PREG* I11507 PREG7 Pregnancy 71 919 6710 VARIC VEIN LEG IN PREG* I11507 PREG7 Pregnancy 71 919 6711 VARICOSE VULVA IN PREG* I11507 PREG7 Pregnancy 71 919 6712 THROMBOPHLEBITIS IN PREG* I11507 PREG7 Pregnancy 71 919 6713 ANTEPAR DEEP VEIN THROMB* I11524 PREG6 Pregnancy 61 379 6714 DEEP VEIN THROMB-POSTPAR* I11524 PREG6 Pregnancy 61 379 6715 OTH THROMBOS COMPL PREG* I11524 PREG6 Pregnancy 61 379 6718 OTH VENOUS COMPL IN PREG* I11507 PREG7 Pregnancy 71 919 6719 VENOUS COMPL IN PREG NOS* I11507 PREG7 Pregnancy 71 919 672 PUERPERAL PYREXIA NOS* I11507 PREG7 Pregnancy 71 919 673 OB PULMONARY EMBOLISM* I11525 PREG3 Pregnancy 31 85 674 PUERPERAL COMPL NEC/NOS* I11520 PREG4 Pregnancy 41 386 6740 PUERPER CEREBROVASC DIS* I11522 PREG3 Pregnancy 31 62 6741 DISRUPT CESAREAN WOUND* I11520 PREG4 Pregnancy 41 386 6742 DISRUPT PERINEAL WOUND* I11520 PREG4 Pregnancy 41 386 6743 OTH COMPL OB SURG WOUND* I11520 PREG4 Pregnancy 41 386 6744 PLACENTAL POLYP* I11520 PREG4 Pregnancy 41 386 6748 PUERPERAL COMPL NEC/NOS* I11520 PREG4 Pregnancy 41 386 6749 PUERPERAL COMPLIC NOS* I11520 PREG4 Pregnancy 41 386 675 INFECT BREAST IN PREG* I11507 PREG7 Pregnancy 71 919 676 OTH BREAST/LACT DIS PREG* I11507 PREG7 Pregnancy 71 919 677 LATE EFFCT CMPLCATN PREG I11526 PREG7 Pregnancy 71 177 680 CARBUNCLE AND FURUNCLE* I680 SKNSL Skin, Super Low 2,905 681 CELLULITIS, FINGER/TOE* I681_2 SKNSL Skin, Super Low 85,350 682 OTHER CELLULITIS/ABSCESS* I681_2 SKNSL Skin, Super Low 85,350 683 ACUTE LYMPHADENITIS I683 SKNSL Skin, Super Low 611 684 IMPETIGO I684 SKNSL Skin, Super Low 2,018 685 PILONIDAL CYST* I685 SKNSL Skin, Super Low 393 686 OTH LOCAL SKIN INFECTION* I686 SKNSL Skin, Super Low 17,068 690 ERYTHEMATOSQUAMOUS DERM* I690 SKNSL Skin, Super Low 13,912 691 ATOPIC DERMATITIS* I691 SKNSL Skin, Super Low 8,293 692 CONTACT DERMATITIS* I692 SKNSL Skin, Super Low 75,517 693 DERMAT D/T INTERN AGENT* I693 SKNNWD Skin, Not Well Defined 3,914 694 BULLOUS DERMATOSES* I694 SKNSL Skin, Super Low 1,454 695 ERYTHEMATOUS CONDITIONS* I695X SKNSL Skin, Super Low 15,659 6950 TOXIC ERYTHEMA I695X SKNSL Skin, Super Low 15,659 6951 ERYTHEMA MULTIFORME I695X SKNSL Skin, Super Low 15,659 6952 ERYTHEMA NODOSUM I695X SKNSL Skin, Super Low 15,659 6953 ROSACEA I695X SKNSL Skin, Super Low 15,659 6954 LUPUS ERYTHEMATOSUS I6954 SKNL Skin, Low 1,212 6958 OTH ERYTHEMATOUS COND* I695X SKNSL Skin, Super Low 15,659 6959 ERYTHEMATOUS COND NOS I695X SKNSL Skin, Super Low 15,659 696 PSORIASIS/LIKE DISORDERS* I696 SKNNWD Skin, Not Well Defined 12,562 697 LICHEN* I697 SKNSL Skin, Super Low 1,434 698 PRURITUS & LIKE COND* I698 SKNNWD Skin, Not Well Defined 15,923 700 CORNS AND CALLOSITIES I700 SKNSL Skin, Super Low 11,910 701 OTH SKIN HYPERTRO/ATROPH* I701 SKNSL Skin, Super Low 35,374 702 OTHER DERMATOSES* I702 SKNSL Skin, Super Low 139,052 703 DISEASES OF NAIL* I703 SKNSL Skin, Super Low 83,007 704 HAIR & FOLLICLE DISEASE* I704 SKNSL Skin, Super Low 8,520 705 DISORDERS OF SWEAT GLAND* I705 SKNSL Skin, Super Low 2,838 706 SEBACEOUS GLAND DISEASE* I706 SKNSL Skin, Super Low 41,185 707 CHRONIC ULCER OF SKIN* I707X SKNL Skin, Low 8,134 7070 DECUBITUS ULCER I7070 SKNH Skin, High 14,190 7071 CHRONIC ULCER OF LEG I7071 SKNL Skin, Low 27,213 7078 CHRONIC SKIN ULCER NEC I707X SKNL Skin, Low 8,134 7079 CHRONIC SKIN ULCER NOS I707X SKNL Skin, Low 8,134 708 URTICARIA* I708 SKNSL Skin, Super Low 8,302 709 OTHER SKIN DISORDERS* I709 SKNSL Skin, Super Low 38,343 710 DIFF CONNECTIVE TISS DIS* I710X SKCM Skeletal and Connective, Medium 5,599 7100 SYST LUPUS ERYTHEMATOSUS I7100 SKCM Skeletal and Connective, Medium 3,513 7101 SYSTEMIC SCLEROSIS I710X SKCM Skeletal and Connective, Medium 5,599 7102 SICCA SYNDROME I710X SKCM Skeletal and Connective, Medium 5,599 7103 DERMATOMYOSITIS I710X SKCM Skeletal and Connective, Medium 5,599 7104 POLYMYOSITIS I710X SKCM Skeletal and Connective, Medium 5,599 7105 EOSINOPHILIA MYALGIA SND I710X SKCM Skeletal and Connective, Medium 5,599 7108 DIFF CONNECT TIS DIS NEC I710X SKCM Skeletal and Connective, Medium 5,599 7109 DIFF CONNECT TIS DIS NOS I710X SKCM Skeletal and Connective, Medium 5,599 711 ARTHROPATHY W INFECTION* I711 SKCM Skeletal and Connective, Medium 2,494 712 CRYSTAL ARTHROPATHIES* I712 SKCM Skeletal and Connective, Medium 1,358 713 ARTHROPATH IN OTHER DIS* I713 SKCM Skeletal and Connective, Medium 884 714 OTH INFLAMM POLYARTHROP* I714 SKCM Skeletal and Connective, Medium 30,786 715 OSTEOARTHROSIS ET AL* I715 SKCNWD Skeletal and Connective, Not Well Defined 263,157 716 ARTHROPATHIES NEC/NOS* I715_6 SKCNWD Skeletal and Connective, Not Well Defined 102,382 717 INTERNAL DERANGEMNT KNEE* I718 SKCVL Skeletal and Connective, Low 20,643 718 OTHER JOINT DERANGEMENT* I718 SKCVL Skeletal and Connective, Low 20,643 719 JOINT DISORDER NEC & NOS* I719X SKCNWD Skeletal and Connective, Not Well Defined 190,376 7190 EFFUSION OF JOINT* I719X SKCNWD Skeletal and Connective, Not Well Defined 190,376 7191 HEMARTHROSIS* I7191 SKCM Skeletal and Connective, Medium 954 7192 VILLONODULAR SYNOVITIS* I719X SKCNWD Skeletal and Connective, Not Well Defined 190,376 7193 PALINDROMIC RHEUMATISM* I719X SKCNWD Skeletal and Connective, Not Well Defined 190,376 7194 PAIN IN JOINT* I719X SKCNWD Skeletal and Connective, Not Well Defined 190,376 7195 STIFFNESS OF JOINT NEC* I719X SKCNWD Skeletal and Connective, Not Well Defined 190,376 7196 JOINT SYMPTOMS NEC* I719X SKCNWD Skeletal and Connective, Not Well Defined 190,376 7197 DIFFICULTY IN WALKING* I719X SKCNWD Skeletal and Connective, Not Well Defined 190,376

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

7198 JOINT DISORDERS NEC* I719X SKCNWD Skeletal and Connective, Not Well Defined 190,376 7199 JOINT DISORDER NOS* I719X SKCNWD Skeletal and Connective, Not Well Defined 190,376 720 INFLAM SPONDYLOPATHIES* I720_1 SKCEL Skeletal and Connective, Extra Low 57,092 721 SPONDYLOSIS ET AL* I720_1 SKCEL Skeletal and Connective, Extra Low 57,092 722 INTERVERTEBRAL DISC DIS* I722X SKCEL Skeletal and Connective, Extra Low 31,634 7220 CERVICAL DISC DISPLACMNT I7220_2 SKCEL Skeletal and Connective, Extra Low 24,547 7221 THORAC/LUMB DISC DISPLAC* I7220_2 SKCEL Skeletal and Connective, Extra Low 24,547 7222 DISC DISPLACEMENT NOS I7220_2 SKCEL Skeletal and Connective, Extra Low 24,547 7223 SCHMORL'S NODES* I7223 SKCM Skeletal and Connective, Medium 322 7224 CERVICAL DISC DEGEN I722X SKCEL Skeletal and Connective, Extra Low 31,634 7225 THORAC/LUMBAR DISC DEGEN* I7225 SKCEL Skeletal and Connective, Extra Low 32,857 7226 DISC DEGENERATION NOS I722X SKCEL Skeletal and Connective, Extra Low 31,634 7227 DISC DIS W MYELOPATHY* I722X SKCEL Skeletal and Connective, Extra Low 31,634 7228 POSTLAMINECTOMY SYNDROME* I7228 SKCM Skeletal and Connective, Medium 2,881 7229 DISC DISORDER NEC/NOS* I722X SKCEL Skeletal and Connective, Extra Low 31,634 723 OTHER CERVICAL SPINE DIS* I723 SKCNWD Skeletal and Connective, Not Well Defined 52,241 724 BACK DISORDER NEC & NOS* I724 SKCNWD Skeletal and Connective, Not Well Defined 173,030 725 POLYMYALGIA RHEUMATICA I725 SKCSL Skeletal and Connective, Super Low 8,206 726 PERIPH ENTHESOPATHIES* I726 SKCSL Skeletal and Connective, Super Low 96,407 727 OTH DIS SYNOV/TEND/BURSA* I727X SKCSL Skeletal and Connective, Super Low 43,300 7270 SYNOVITIS/TENOSYNOVITIS* I727X SKCSL Skeletal and Connective, Super Low 43,300 7271 BUNION I7271 SKCSL Skeletal and Connective, Super Low 6,182 7272 OCCUPATIONAL BURSITIS I727X SKCSL Skeletal and Connective, Super Low 43,300 7273 BURSITIS NEC I727X SKCSL Skeletal and Connective, Super Low 43,300 7274 JOINT OR TENDON GANGLION* I727X SKCSL Skeletal and Connective, Super Low 43,300 7275 RUPTURE OF SYNOVIUM* I727X SKCSL Skeletal and Connective, Super Low 43,300 7276 NONTRAUM TENDON RUPTURE* I727X SKCSL Skeletal and Connective, Super Low 43,300 7278 DIS SYNOV/TEND/BURSA NEC* I727X SKCSL Skeletal and Connective, Super Low 43,300 7279 SYNOV/TEND/BURSA DIS NOS I727X SKCSL Skeletal and Connective, Super Low 43,300 728 DIS OF MUSCLE/LIG/FASCIA* I728 SKCSL Skeletal and Connective, Super Low 39,627 729 OTHER SOFT TISSUE DIS* I729 SKCNWD Skeletal and Connective, Not Well Defined 159,393 730 OSTEOMYELITIS* I730X SKCM Skeletal and Connective, Medium 6,836 7300 ACUTE OSTEOMYELITIS* I730X SKCM Skeletal and Connective, Medium 6,836 7301 CHRONIC OSTEOMYELITIS* I7301 SKCM Skeletal and Connective, Medium 1,493 7302 OSTEOMYELITIS NOS* I730X SKCM Skeletal and Connective, Medium 6,836 7303 PERIOSTITIS* I730X SKCM Skeletal and Connective, Medium 6,836 7307 POLIO OSTEOPATHY* I730X SKCM Skeletal and Connective, Medium 6,836 7308 BONE INFECT IN OTH DIS* I730X SKCM Skeletal and Connective, Medium 6,836 7309 BONE INFECTION NOS* I730X SKCM Skeletal and Connective, Medium 6,836 731 OSTEITIS DEFORMANS* I731 SKCEL Skeletal and Connective, Extra Low 2,922 732 OSTEOCHONDROPATHIES* I732 SKCSL Skeletal and Connective, Super Low 990 733 OTH BONE & CARTILAGE DIS* I733X SKCVL Skeletal and Connective, Low 93,801 7330 OSTEOPOROSIS* I733X SKCVL Skeletal and Connective, Low 93,801 7331 PATHOLOGICAL FRACTURE* I733X SKCVL Skeletal and Connective, Low 93,801 7332 CYST OF BONE* I733X SKCVL Skeletal and Connective, Low 93,801 7333 HYPEROSTOSIS OF SKULL I733X SKCVL Skeletal and Connective, Low 93,801 7334 ASEPTIC NECROSIS OF BONE* I7334 SKCM Skeletal and Connective, Medium 1,988 7335 OSTEITIS CONDENSANS I733X SKCVL Skeletal and Connective, Low 93,801 7336 TIETZE'S DISEASE I733X SKCVL Skeletal and Connective, Low 93,801 7337 ALGONEURODYSTROPHY I733X SKCVL Skeletal and Connective, Low 93,801 7338 MALUNION OR NONUNION FX* I733X SKCVL Skeletal and Connective, Low 93,801 7339 BONE/CARTIL DIS NEC/NOS* I733X SKCVL Skeletal and Connective, Low 93,801 734 FLAT FOOT I734 SKCSL Skeletal and Connective, Super Low 992 735 ACQ DEFORMITIES OF TOE* I735 SKCEL Skeletal and Connective, Extra Low 34,041 736 OTH ACQ LIMB DEFORMITIES* I736 SKCVL Skeletal and Connective, Low 8,883 737 CURVATURE OF SPINE* I737 SKCVL Skeletal and Connective, Low 10,786 738 OTHER ACQUIRED DEFORMITY* I738 SKCEL Skeletal and Connective, Extra Low 4,476 739 SOMATIC DYSFUNCTION* I739 SKCNWD Skeletal and Connective, Not Well Defined 39,147 740 ANENCEPHALUS/SIMIL ANOM* I740_1 CNSOTH Nervous System, Other 412 741 SPINA BIFIDA* I740_1 CNSOTH Nervous System, Other 412 742 OTH NERVOUS SYSTEM ANOM* I742X CNSOTH Nervous System, Other 471 7420 ENCEPHALOCELE I7420 CNSOTH Nervous System, Other 56 7421 MICROCEPHALUS I7421 CNSOTH Nervous System, Other 51 7422 REDUCTION DEFORM, BRAIN I7422 CNSOTH Nervous System, Other 144 7423 CONGENITAL HYDROCEPHALUS I7423 CNSOTH Nervous System, Other 224 7424 BRAIN ANOMALY NEC I7424 CNSOTH Nervous System, Other 345 7425 SPINAL CORD ANOMALY NEC* I7425 CNSOTH Nervous System, Other 533 7428 NERVOUS SYSTEM ANOM NEC I742X CNSOTH Nervous System, Other 471 7429 NERVOUS SYSTEM ANOM NOS I742X CNSOTH Nervous System, Other 471 743 CONGENITAL EYE ANOMALY* I743 EYESL Eye, Super Low 3,755 744 CONG ANOM EAR/FACE/NECK* I744 EARSL Ear, Super Low 404 745 CARDIAC SEPTAL CLOS ANOM* I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 7450 COMMON TRUNCUS I7450_7 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 379 7451 TRANSPOS OF GREAT VESSEL* I7450_7 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 379 74510 COMPL TRANSPOS GREAT VES I7450_7 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 379 74511 DOUBLE OUTLET RT VENTRIC I7450_7 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 379 74512 CORRECT TRANSPOS GRT VES I7450_7 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 379 74519 TRANSPOS GREAT VESS NEC I7450_7 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 379 7452 TETRALOGY OF FALLOT I7450_7 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 379 7453 COMMON VENTRICLE I7450_7 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 379 7454 VENTRICULAR SEPT DEFECT I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 7455 SECUNDUM ATRIAL SEPT DEF I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 7456 ENDOCARD CUSHION DEFECTS* I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74560 ENDOCARD CUSHION DEF NOS I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74561 OSTIUM PRIMUM DEFECT I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74569 ENDOCARD CUSHION DEF NEC I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 7457 COR BILOCULARE I7450_7 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 379 7458 SEPTAL CLOSURE ANOM NEC I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 7459 SEPTAL CLOSURE ANOM NOS I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 746 OTHER CONGEN HEART ANOM* I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

7460 PULMONARY VALVE ANOMALY* I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74600 PULMONARY VALVE ANOM NOS I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74601 CONG PULMON VALV ATRESIA I7450_7 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 379 74602 CONG PULMON VALVE STENOS I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74609 PULMONARY VALVE ANOM NEC I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 7461 CONG TRICUSP ATRES/STEN I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 7462 EBSTEIN'S ANOMALY I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 7463 CONG AORTA VALV STENOSIS I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 7464 CONG AORTA VALV INSUFFIC I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 7465 CONGEN MITRAL STENOSIS I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 7466 CONG MITRAL INSUFFICIENC I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 7467 HYPOPLAS LEFT HEART SYND I7450_7 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 379 7468 CONG HEART ANOMALY NEC* I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74681 CONG SUBAORTIC STENOSIS I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74682 COR TRIATRIATUM I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74683 INFUNDIB PULMON STENOSIS I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74684 OBSTRUCT HEART ANOM NEC I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74685 CORONARY ARTERY ANOMALY I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74686 CONGENITAL HEART BLOCK I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74687 MALPOSITION OF HEART I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74689 CONG HEART ANOMALY NEC I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 7469 CONG HEART ANOMALY NOS I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 747 OTH CONG CIRC SYST ANOM* I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 7470 PATENT DUCTUS ARTERIOSUS I7450_7 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 379 7471 COARCTATION OF AORTA* I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74710 COARCTATION OF AORTA I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74711 INTERRUPT OF AORTIC ARCH I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 7472 CONG ANOM OF AORTA NEC* I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74720 CONG ANOM OF AORTA NOS I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74721 ANOMALIES OF AORTIC ARCH I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74722 AORTIC ATRESIA/STENOSIS I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74729 CONG ANOM OF AORTA NEC I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 7473 PULMONARY ARTERY ANOM I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 7474 ANOMALIES OF GREAT VEINS* I7450_7 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 379 74740 GREAT VEIN ANOMALY NOS I7450_7 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 379 74741 TOT ANOM PULM VEN CONNEC I7450_7 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 379 74742 PART ANOM PULM VEN CONN I7450_7 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 379 74749 GREAT VEIN ANOMALY NEC I7450_7 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 379 7475 UMBILICAL ARTERY ABSENCE I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 7476 PERIPH VASCULAR ANOM NEC* I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74760 UNSP PRPHERL VASC ANOMAL I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74761 GSTRONTEST VESL ANOMALY I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74762 RENAL VESSEL ANOMALY I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74763 UPR LIMB VESSEL ANOMALY I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74764 LWR LIMB VESSEL ANOMALY I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74769 OTH SPCF PRPH VSCL ANOML I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 7478 CIRCULATORY ANOMALY NEC* I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74781 CEREBROVASCULAR ANOMALY I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74782 SPINAL VESSEL ANOMALY I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 74789 CIRCULATORY ANOMALY NEC I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 7479 CIRCULATORY ANOMALY NOS I745_7X CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 19,725 748 RESPIRATORY SYST ANOMALY* I748 PULEXC Pulmonary, Extra Low Cost 764 749 CLEFT PALATE & CLEFT LIP* I749X GISL Gastrointestinal, Super Low 52 7490 CLEFT PALATE* I7490_2 GIL Gastrointestinal, Low 69 7491 CLEFT LIP* I749X GISL Gastrointestinal, Super Low 52 7492 CLEFT PALATE W CLEFT LIP* I7490_2 GIL Gastrointestinal, Low 69 750 OTHER UPPER GI ANOMALY* I750 GISL Gastrointestinal, Super Low 2,412 751 OTH ANOM DIGESTIVE SYST* I751X GIL Gastrointestinal, Low 1,509 7510 MECKEL'S DIVERTICULUM I751X GIL Gastrointestinal, Low 1,509 7511 ATRESIA SMALL INTESTINE I751X GIL Gastrointestinal, Low 1,509 7512 ATRESIA LARGE INTESTINE I751X GIL Gastrointestinal, Low 1,509 7513 HIRSCHSPRUNG'S DISEASE I751X GIL Gastrointestinal, Low 1,509 7514 INTESTINAL FIXATION ANOM I751X GIL Gastrointestinal, Low 1,509 7515 INTESTINAL ANOMALY NEC I751X GIL Gastrointestinal, Low 1,509 7516 BILIARY & LIVER ANOMALY* I7516_7 GIL Gastrointestinal, Low 895 7517 PANCREAS ANOMALIES I7516_7 GIL Gastrointestinal, Low 895 7518 ANOM DIGESTIVE SYST NEC I751X GIL Gastrointestinal, Low 1,509 7519 ANOM DIGESTIVE SYST NOS I751X GIL Gastrointestinal, Low 1,509 752 GENITAL ORGAN ANOMALIES* I752 GENEL Genital, Extra Low 963 753 URINARY SYSTEM ANOMALIES* I753 RENSL Renal, Super Low 5,932 754 CONG MUSCULOSKEL DEFORM* I754 SKCVL Skeletal and Connective, Low 2,992 755 OTH CONGEN LIMB ANOMALY* I755 SKCVL Skeletal and Connective, Low 2,111 756 OTH MUSCULOSKELET ANOMAL* I756 SKCVL Skeletal and Connective, Low 8,404 757 CONGEN SKIN ANOMALIES* I757 SKCEL Skeletal and Connective, Extra Low 6,422 758 CHROMOSOMAL ANOMALIES* I758 DDL Developmental Disability, Low 1,682 759 CONGEN ANOMALIES NEC/NOS* I759 SKCEL Skeletal and Connective, Extra Low 1,536 760 MATERN COND AFF FETUS/NB* I15019 BABY4 Baby 4 665 7600 MATERN HYPERTEN AFF NB I15019 BABY4 Baby 4 665 7601 MATERN URINE DIS AFF NB I15019 BABY4 Baby 4 665 7602 MATERNAL INFEC AFF NB I15019 BABY4 Baby 4 665 7603 MATERN CARDIORESP AFF NB I15019 BABY4 Baby 4 665 7604 MATERN NUTRIT DIS AFF NB I15019 BABY4 Baby 4 665 7605 MATERNAL INJURY AFF NB I15019 BABY4 Baby 4 665 7606 SURG OP ON MOTHER AFF NB I15019 BABY4 Baby 4 665 7607 NOXIOUS SUBSTANCE AFF NB* I15005 BABY3 Baby 3 60 7608 MATERNAL COND NEC AFF NB I15019 BABY4 Baby 4 665 7609 MATERNAL COND NOS AFF NB I15019 BABY4 Baby 4 665 761 MATERNAL COMPL AFF NB* I15019 BABY4 Baby 4 665 762 COMPL PLACEN/CORD AFF NB* I15019 BABY4 Baby 4 665 763 OTH COMPL DELIV AFF NB* I15019 BABY4 Baby 4 665

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

7640 LT-FOR-DATES W/O FET MAL* I15004 BABY3 Baby 3 976 76400 LIGHT-FOR-DATES WTNOS I15004 BABY3 Baby 3 976 76401 LIGHT-FOR-DATES <500G I15001 BABY1 Baby 1 6 76402 LT-FOR-DATES 500-749G I15001 BABY1 Baby 1 6 76403 LT-FOR-DATES 750-999G I15001 BABY1 Baby 1 6 76404 LT-FOR-DATES 1000-1249G I15002 BABY2 Baby 2 3 76405 LT-FOR-DATES 1250-1499G I15002 BABY2 Baby 2 3 76406 LT-FOR-DATES 1500-1749G I15003 BABY3 Baby 3 1 76407 LT-FOR-DATES 1750-1999G I15003 BABY3 Baby 3 1 76408 LT-FOR-DATES 2000-2499G I15003 BABY3 Baby 3 1 76409 LT-FOR-DATES 2500+G I15004 BABY3 Baby 3 976 7641 LT-FOR-DATES W FETAL MAL* I15004 BABY3 Baby 3 976 76410 LT-FOR-DATE W/MAL WTNOS I15004 BABY3 Baby 3 976 76411 LT-FOR-DATE W/MAL <500G I15001 BABY1 Baby 1 6 76412 LT-DATE W/MAL 500-749G I15001 BABY1 Baby 1 6 76413 LT-DATE W/MAL 750-999G I15001 BABY1 Baby 1 6 76414 LT-DATE W/MAL 1000-1249G I15002 BABY2 Baby 2 3 76415 LT-DATE W/MAL 1250-1499G I15002 BABY2 Baby 2 3 76416 LT-DATE W/MAL 1500-1749G I15003 BABY3 Baby 3 1 76417 LT-DATE W/MAL 1750-1999G I15003 BABY3 Baby 3 1 76418 LT-DATE W/MAL 2000-2499G I15003 BABY3 Baby 3 1 76419 LT-FOR-DATE W/MAL 2500+G I15004 BABY3 Baby 3 976 7642 FET MAL W/O LT-FOR-DATES* I15004 BABY3 Baby 3 976 76420 FETAL MALNUTRITION WTNOS I15004 BABY3 Baby 3 976 76421 FETAL MALNUTRITION <500G I15001 BABY1 Baby 1 6 76422 FETAL MALNUTR 500-749G I15001 BABY1 Baby 1 6 76423 FETAL MAL 750-999G I15001 BABY1 Baby 1 6 76424 FETAL MAL 1000-1249G I15002 BABY2 Baby 2 3 76425 FETAL MAL 1250-1499G I15002 BABY2 Baby 2 3 76426 FETAL MAL 1500-1749G I15003 BABY3 Baby 3 1 76427 FETAL MALNUTR 1750-1999G I15003 BABY3 Baby 3 1 76428 FETAL MALNUTR 2000-2499G I15003 BABY3 Baby 3 1 76429 FETAL MALNUTR 2500+G I15004 BABY3 Baby 3 976 7649 FETAL GROWTH RETARD NOS* I15004 BABY3 Baby 3 976 76490 FET GROWTH RETARD WTNOS I15004 BABY3 Baby 3 976 76491 FET GROWTH RETARD <500G I15001 BABY1 Baby 1 6 76492 FET GROWTH RET 500-749G I15001 BABY1 Baby 1 6 76493 FET GROWTH RET 750-999G I15001 BABY1 Baby 1 6 76494 FET GRWTH RET 1000-1249G I15002 BABY2 Baby 2 3 76495 FET GRWTH RET 1250-1499G I15002 BABY2 Baby 2 3 76496 FET GRWTH RET 1500-1749G I15003 BABY3 Baby 3 1 76497 FET GRWTH RET 1750-1999G I15003 BABY3 Baby 3 1 76498 FET GRWTH RET 2000-2499G I15003 BABY3 Baby 3 1 76499 FET GROWTH RET 2500+G I15004 BABY3 Baby 3 976 7650 EXTREME IMMATURITY* I15004 BABY3 Baby 3 976 76500 EXTREME IMMATUR WTNOS I15004 BABY3 Baby 3 976 76501 EXTREME IMMATUR <500G I15001 BABY1 Baby 1 6 76502 EXTREME IMMATUR 500-749G I15001 BABY1 Baby 1 6 76503 EXTREME IMMATUR 750-999G I15001 BABY1 Baby 1 6 76504 EXTREME IMMAT 1000-1249G I15002 BABY2 Baby 2 3 76505 EXTREME IMMAT 1250-1499G I15002 BABY2 Baby 2 3 76506 EXTREME IMMAT 1500-1749G I15003 BABY3 Baby 3 1 76507 EXTREME IMMAT 1750-1999G I15003 BABY3 Baby 3 1 76508 EXTREME IMMAT 2000-2499G I15003 BABY3 Baby 3 1 76509 EXTREME IMMAT 2500+G I15004 BABY3 Baby 3 976 7651 OTHER PRETERM INFANTS* I15004 BABY3 Baby 3 976 76510 PRETERM INFANT NEC WTNOS I15004 BABY3 Baby 3 976 76511 PRETERM NEC <500G I15001 BABY1 Baby 1 6 76512 PRETERM NEC 500-749G I15001 BABY1 Baby 1 6 76513 PRETERM NEC 750-999G I15001 BABY1 Baby 1 6 76514 PRETERM NEC 1000-1249G I15002 BABY2 Baby 2 3 76515 PRETERM NEC 1250-1499G I15002 BABY2 Baby 2 3 76516 PRETERM NEC 1500-1749G I15003 BABY3 Baby 3 1 76517 PRETERM NEC 1750-1999G I15003 BABY3 Baby 3 1 76518 PRETERM NEC 2000-2499G I15003 BABY3 Baby 3 1 76519 PRETERM NEC 2500+G I15004 BABY3 Baby 3 976 766 LONG GESTAT/HIGH BIRTHWT* I15019 BABY4 Baby 4 665 767 BIRTH TRAUMA* I15019 BABY4 Baby 4 665 7670 CEREBRAL HEM AT BIRTH I15012 BABY3 Baby 3 237 7671 SCALP INJURY AT BIRTH I15019 BABY4 Baby 4 665 7672 CLAVICLE FX AT BIRTH I15019 BABY4 Baby 4 665 7673 BONE INJURY NEC AT BIRTH I15019 BABY4 Baby 4 665 7674 SPINAL CORD INJ AT BIRTH I15012 BABY3 Baby 3 237 7675 FACIAL NERVE INJ-BIRTH I15019 BABY4 Baby 4 665 7676 BRACH PLEXUS INJ-BIRTH I15019 BABY4 Baby 4 665 7677 NERVE INJ NEC AT BIRTH I15019 BABY4 Baby 4 665 7678 BIRTH TRAUMA NEC I15019 BABY4 Baby 4 665 7679 BIRTH TRAUMA NOS I15019 BABY4 Baby 4 665 768 INTRAUTERINE ASPHYXIA* I15014 BABY4 Baby 4 119 7680 FETAL DEATH-ANOXIA NOS I15013 BABY4 Baby 4 4 7681 FET DEATH-ANOXIA DUR LAB I15013 BABY4 Baby 4 4 7682 FET DISTRESS BEFOR LABOR I15014 BABY4 Baby 4 119 7683 FETAL DISTRESS DUR LABOR I15014 BABY4 Baby 4 119 7684 FETAL DISTRESS NOS I15014 BABY4 Baby 4 119 7685 SEVERE BIRTH ASPHYXIA I15014 BABY4 Baby 4 119 7686 MILD/MOD BIRTH ASPHYXIA I15014 BABY4 Baby 4 119 7689 BIRTH ASPHYXIA NOS I15014 BABY4 Baby 4 119 769 RESPIRATORY DISTRESS SYN I15007 BABY3 Baby 3 370 770 OTH NB RESPIRATORY COND* I15014 BABY4 Baby 4 119 7700 CONGENITAL PNEUMONIA I15007 BABY3 Baby 3 370

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

7701 MECONIUM ASPIRATN SYNDRM I15007 BABY3 Baby 3 370 7702 NB INTERSTIT EMPHYSEMA I15007 BABY3 Baby 3 370 7703 NB PULMONARY HEMORRHAGE I15007 BABY3 Baby 3 370 7704 PRIMARY ATELECTASIS I15007 BABY3 Baby 3 370 7705 NB ATELECTASIS NEC/NOS I15007 BABY3 Baby 3 370 7706 NB TRANSITORY TACHYPNEA I15014 BABY4 Baby 4 119 7707 PERINATAL CHR RESP DIS I15007 BABY3 Baby 3 370 7708 POST-BIRTH RESP PROB NEC I15007 BABY3 Baby 3 370 7709 NB RESPIRATORY COND NOS I15014 BABY4 Baby 4 119 771 PERINATAL INFECTION* I15015 BABY4 Baby 4 143 772 FETAL/NEONATAL HEMORRHAG* I15016 BABY4 Baby 4 40 7720 FETAL BLOOD LOSS NEC I15016 BABY4 Baby 4 40 7721 NB INTRAVENTRICULAR HEM I15012 BABY3 Baby 3 237 7722 NB SUBARACHNOID HEMORR I15012 BABY3 Baby 3 237 7723 POST-BIRTH UMBIL HEMORR I15016 BABY4 Baby 4 40 7724 NB GI HEMORRHAGE I15011 BABY3 Baby 3 62 7725 NB ADRENAL HEMORRHAGE I15011 BABY3 Baby 3 62 7726 NB CUTANEOUS HEMORRHAGE I15016 BABY4 Baby 4 40 7728 NEONATAL HEMORRHAGE NEC I15016 BABY4 Baby 4 40 7729 NEONATAL HEMORRHAGE NOS I15016 BABY4 Baby 4 40 773 NB HEMOLYT DIS:ISOIMMU* I15009 BABY4 Baby 4 133 774 OTHER PERINATAL JAUNDICE* I15017 BABY4 Baby 4 55 775 NB ENDOCRIN/METABOL DIS* I15010 BABY4 Baby 4 63 776 HEMATOLOGICAL DIS OF NB* I15009 BABY4 Baby 4 133 777 PERINATAL GI SYSTEM DIS* I15011 BABY3 Baby 3 62 778 INTEGUMENT/TEMP COND NB* I15018 BABY4 Baby 4 39 7780 HYDROPS FETALIS NO ISOIM I15009 BABY4 Baby 4 133 7781 SCLEREMA NEONATORUM I15019 BABY4 Baby 4 665 7782 NB COLD INJURY SYNDROME I15018 BABY4 Baby 4 39 7783 NB HYPOTHERMIA NEC I15018 BABY4 Baby 4 39 7784 NB TEMP REGULAT DIS NEC I15018 BABY4 Baby 4 39 7785 EDEMA OF NEWBORN NEC/NOS I15018 BABY4 Baby 4 39 7786 CONGENITAL HYDROCELE I15018 BABY4 Baby 4 39 7787 NB BREAST ENGORGEMENT I15018 BABY4 Baby 4 39 7788 NB INTEGUMENT COND NEC I15018 BABY4 Baby 4 39 7789 NB INTEGUMENT COND NOS I15018 BABY4 Baby 4 39 779 OTH PERINATAL CONDITION* I15019 BABY4 Baby 4 665 7790 CONVULSIONS IN NEWBORN I15012 BABY3 Baby 3 237 7791 NB CEREB IRRIT NEC/NOS I15012 BABY3 Baby 3 237 7792 CNS DYSFUNCTION SYN NB I15012 BABY3 Baby 3 237 7793 NB FEEDING PROBLEMS I15019 BABY4 Baby 4 665 7794 NB DRUG REACTION/INTOXIC I15005 BABY3 Baby 3 60 7795 NB DRUG WITHDRAWAL SYNDR I15005 BABY3 Baby 3 60 7796 TERMINATION OF PREGNANCY I15013 BABY4 Baby 4 4 7798 PERINATAL CONDITION NEC I15019 BABY4 Baby 4 665 7799 PERINATAL CONDITION NOS I15019 BABY4 Baby 4 665 780 GENERAL SYMPTOMS* I780X CNSNWD Nervous System, Not Well Defined 26,844 7800 COMA AND STUPOR* ICOMA CNSOTH Nervous System, Other 1,981 78001 COMA ICOMA CNSOTH Nervous System, Other 1,981 78002 TRANS ALTER AWARENESS I78002 CNSNWD Nervous System, Not Well Defined 2,965 78003 PERSISTENT VEGTV STATE ICOMA CNSOTH Nervous System, Other 1,981 78009 OTHER ALTER CONSCIOUSNES I78009 CNSNWD Nervous System, Not Well Defined 6,295 7801 HALLUCINATIONS I7801 DADDLR Delirium and Dementia, Delirium 1,805 7802 SYNCOPE AND COLLAPSE I7802 CNSNWD Nervous System, Not Well Defined 45,845 7803 CONVULSIONS* I7803 CNSCON Nervous System, Convulsions and Epilepsy 31,628 7804 DIZZINESS AND GIDDINESS I7804 CNSSL Nervous System, Super Low 84,781 7805 SLEEP DISTURBANCES* I7805X CNSSL Nervous System, Super Low 22,780 78050 SLEEP DISTURBANCE NOS I7805X CNSSL Nervous System, Super Low 22,780 78051 INSOMNIA W SLEEP APNEA I78051_3 CNSOTH Nervous System, Other 3,395 78052 INSOMNIA NEC I7805X CNSSL Nervous System, Super Low 22,780 78053 HYPERSOMNI W SLEEP APNEA I78051_3 CNSOTH Nervous System, Other 3,395 78054 HYPERSOMNIA NEC I7805X CNSSL Nervous System, Super Low 22,780 78055 IRREG SLEEP-WAKE RHY NOS I7805X CNSSL Nervous System, Super Low 22,780 78056 SLEEP STAGE DYSFUNCTIONS I7805X CNSSL Nervous System, Super Low 22,780 78057 OTH UNSPCF SLEEP APNEA I7805X CNSSL Nervous System, Super Low 22,780 78059 SLEEP DISTURBANCES NEC I7805X CNSSL Nervous System, Super Low 22,780 7806 FEVER I7806 INFSL Infectious Disease, Super Low 30,545 7807 MALAISE AND FATIGUE I7807 CNSNWD Nervous System, Not Well Defined 99,689 7808 HYPERHIDROSIS I7808 CNSSL Nervous System, Super Low 3,334 7809 GENERAL SYMPTOMS NEC I780X CNSNWD Nervous System, Not Well Defined 26,844 781 NERV/MUSCULSKEL SYS SYMP* I781X CNSNWD Nervous System, Not Well Defined 2,812 7810 ABN INVOLUN MOVEMENT NEC I7810 CNSNWD Nervous System, Not Well Defined 30,381 7811 SMELL & TASTE DISTURB I7810 CNSNWD Nervous System, Not Well Defined 30,381 7812 ABNORMALITY OF GAIT I7810 CNSNWD Nervous System, Not Well Defined 30,381 7813 LACK OF COORDINATION I7810 CNSNWD Nervous System, Not Well Defined 30,381 7814 TRANSIENT LIMB PARALYSIS I7810 CNSNWD Nervous System, Not Well Defined 30,381 7815 CLUBBING OF FINGERS I7815 CNSNWD Nervous System, Not Well Defined 34 7816 MENINGISMUS I7810 CNSNWD Nervous System, Not Well Defined 30,381 7817 TETANY I7810 CNSNWD Nervous System, Not Well Defined 30,381 7818 NEUROLOGIC NEGLECT SYNDR I7810 CNSNWD Nervous System, Not Well Defined 30,381 7819 NERV/MUSCULSKEL SYM NEC I781X CNSNWD Nervous System, Not Well Defined 2,812 782 SKIN/OTH INTEGUMENT SYMP* I7828 SKNNWD Skin, Not Well Defined 947 7820 SKIN SENSATION DISTURB I7820 SKNSL Skin, Super Low 20,984 7821 NONSPECIF SKIN ERUPT NEC I7821 SKNSL Skin, Super Low 18,689 7822 LOCAL SUPRFICIAL SWELLNG I7822 SKNSL Skin, Super Low 4,979 7823 EDEMA I7823 METNWD Metabolic, Not Well Defined 57,616 7824 JAUNDICE NOS I7824 GIL Gastrointestinal, Low 2,055 7825 CYANOSIS I7825 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 445 7826 PALLOR & FLUSHING* I7826 CARSL Cardiovascular, Super Low 897 7827 SPONTANEOUS ECCHYMOSES I7827 CARSL Cardiovascular, Super Low 1,377

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

7828 CHANGES IN SKIN TEXTURE I7828 SKNSL Skin, Super Low 947 7829 INTEGUMENT TISS SYMP NEC I782X SKNNWD Skin, Not Well Defined 1,136 783 NUTRIT/METAB/DEVEL SYMP* I783X METNWD Metabolic, Not Well Defined 938 7830 ANOREXIA I7830 METSL Metabolic, Super Low 6,261 7831 ABNORMAL WEIGHT GAIN I7831 METSL Metabolic, Super Low 3,412 7832 ABNORMAL LOSS OF WEIGHT I7832 METSL Metabolic, Super Low 28,160 7833 FEEDING PROBLEM I7833 METNWD Metabolic, Not Well Defined 2,621 7834 LACK NORM PHYSIOL DEVEL I7834 METSL Metabolic, Super Low 980 7835 POLYDIPSIA I7835 METSL Metabolic, Super Low 670 7836 POLYPHAGIA I7836 METSL Metabolic, Super Low 319 7839 NUTR/METAB/DEVEL SYM NEC I783X METNWD Metabolic, Not Well Defined 938 784 SYMPTOMS INVOL HEAD/NECK* I784X CNSNWD Nervous System, Not Well Defined 3,432 7840 HEADACHE I7840 CNSNWD Nervous System, Not Well Defined 57,713 7841 THROAT PAIN I7841 PULSL Pulmonary, Super Low 2,010 7842 SWELLING IN HEAD & NECK I7842 CERNWD Cerebrovascular, Not Well Defined 8,972 7843 APHASIA I7843_6 CERL Cerebrovascular, Low 18,635 7844 VOICE DISTURBANCE* I7843_6 CERL Cerebrovascular, Low 18,635 7845 SPEECH DISTURBANCE NEC I7843_6 CERL Cerebrovascular, Low 18,635 7846 OTH SYMBOLIC DYSFUNCTION* I7843_6 CERL Cerebrovascular, Low 18,635 7847 EPISTAXIS I7847 CARNWD Cardiovascular, Not Well Defined 11,218 7848 HEMORRHAGE FROM THROAT I7848 CARNWD Cardiovascular, Not Well Defined 80 7849 SYMP INVOL HEAD/NECK NEC I784X CNSNWD Nervous System, Not Well Defined 3,432 785 CARDIOVASCULAR SYS SYMP* I785X CARNWD Cardiovascular, Not Well Defined 18,798 7850 TACHYCARDIA NOS I7850_3 CARNWD Cardiovascular, Not Well Defined 57,702 7851 PALPITATIONS I7850_3 CARNWD Cardiovascular, Not Well Defined 57,702 7852 CARDIAC MURMURS NEC I7850_3 CARNWD Cardiovascular, Not Well Defined 57,702 7853 ABNORM HEART SOUNDS NEC I7850_3 CARNWD Cardiovascular, Not Well Defined 57,702 7854 GANGRENE I7854 CARPVDM Cardiovascular, Peripheral Vascular, Medium 4,158 7855 SHOCK WITHOUT TRAUMA* I7855 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 1,969 7856 ENLARGEMENT LYMPH NODES I7856 CARNWD Cardiovascular, Not Well Defined 6,050 7859 CARDIOVAS SYS SYMP NEC I785X CARNWD Cardiovascular, Not Well Defined 18,798 786 RESP SYS/OTH CHEST SYMP* I786X PULNWD Pulmonary, Not Well Defined 13,812 7860 DYSPNEA/RESPIRATORY ABN* I7860 PULNWD Pulmonary, Not Well Defined 141,361 7861 STRIDOR I7861 PULSL Pulmonary, Super Low 420 7862 COUGH I7862 PULSL Pulmonary, Super Low 73,428 7863 HEMOPTYSIS I7863 PULEXC Pulmonary, Extra Low Cost 5,200 7864 ABNORMAL SPUTUM I7864 PULSL Pulmonary, Super Low 793 7865 CHEST PAIN* I7865 PULNWD Pulmonary, Not Well Defined 246,889 7866 CHEST SWELLING/MASS/LUMP I7866 PULM Pulmonary, Medium 11,696 7867 ABNORMAL CHEST SOUNDS I7867 PULNWD Pulmonary, Not Well Defined 4,463 7868 HICCOUGH I7868 PULSL Pulmonary, Super Low 556 7869 RESP SYS/CHEST SYMP NEC I786X PULNWD Pulmonary, Not Well Defined 13,812 787 GI SYSTEM SYMPTOMS* I787 GINWD Gastrointestinal, Not Well Defined 102,573 788 URINARY SYSTEM SYMPTOMS* I788X RENNWD Renal, Not Well Defined 5,375 7880 RENAL COLIC I7880 RENVL Renal, Very Low 4,540 7881 DYSURIA I7881 RENSL Renal, Super Low 15,063 7882 RETENTION OF URINE* I7882 RENVL Renal, Very Low 21,941 7883 INCONTINENCE OF URINE* I7883 RENNWD Renal, Not Well Defined 25,731 7884 FREQ URINATION/POLYURIA* I7884 RENNWD Renal, Not Well Defined 26,084 7885 OLIGURIA & ANURIA I7885 RENSL Renal, Super Low 590 7886 URINATION ABNORM NEC* I7886 RENSL Renal, Super Low 3,868 7887 URETHRAL DISCHARGE I7887 RENVL Renal, Very Low 174 7888 EXTRAVASATION OF URINE I7888 RENM Renal, Medium 63 7889 URINARY SYS SYMPTOM NEC I788X RENNWD Renal, Not Well Defined 5,375 789 OTH ABDOMEN/PELVIS SYMP* I789X GINWD Gastrointestinal, Not Well Defined 4,564 7890 ABDOMINAL PAIN* I7890 GINWD Gastrointestinal, Not Well Defined 172,556 7891 HEPATOMEGALY I7891 GIL Gastrointestinal, Low 2,573 7892 SPLENOMEGALY I7892 HEMM Hematological, Medium 1,600 7893 ABDOM/PELVIC SWELLNG NEC* I7893 GISL Gastrointestinal, Super Low 15,344 7894 ABDOMINAL RIGIDITY* I7894 GISL Gastrointestinal, Super Low 351 7895 ASCITES I7895 GIH Gastrointestinal, High 3,345 7899 ABDOMEN/PELVIS SYMP NEC I789X GINWD Gastrointestinal, Not Well Defined 4,564 790 ABNORMAL BLOOD FINDINGS* I790_6 EXCL Excluded 154,002 791 ABNORMAL URINE FINDINGS* I790_6 EXCL Excluded 154,002 792 ABN FIND-OTH BODY SUBST* I790_6 EXCL Excluded 154,002 793 ABN FIND-BODY STRUCT NOS* I790_6 EXCL Excluded 154,002 794 ABNORMAL FUNCTION STUDY* I790_6 EXCL Excluded 154,002 7940 ABN BRAIN/CNS FUNC STUDY* I790_6 EXCL Excluded 154,002 7941 ABN PERIPHER NERVE STUDY* I790_6 EXCL Excluded 154,002 7942 ABN PULMONARY FUNC STUDY I790_6 EXCL Excluded 154,002 7943 ABN CARDIOVAS FUNC STUDY* I790_6 EXCL Excluded 154,002 7944 ABN KIDNEY FUNCT STUDY I790_6 EXCL Excluded 154,002 7945 ABN THYROID FUNCT STUDY I790_6 EXCL Excluded 154,002 7946 ABN ENDOCRINE STUDY NEC I790_6 EXCL Excluded 154,002 7947 ABN BASAL METABOL STUDY I790_6 EXCL Excluded 154,002 7948 ABN LIVER FUNCTION STUDY I7948 EXCL Excluded 7,039 7949 ABN FUNCTION STUDY NEC I790_6 EXCL Excluded 154,002 795 ABN HISTOLOG/IMMUNO FIND* I790_6 EXCL Excluded 154,002 7950 ABN PAP SMEAR-CERVIX I7950 GENSL Genital, Super Low 5,623 7951 ABN PAP SMEAR-OTH SITE I790_6 EXCL Excluded 154,002 7952 ABN CHROMOSOMAL ANALYSIS I790_6 EXCL Excluded 154,002 7953 POSITIVE CULTURE FINDING I790_6 EXCL Excluded 154,002 7954 ABN HISTOLOGIC FIND NEC I790_6 EXCL Excluded 154,002 7955 TUBERCULIN TEST REACTION I790_6 EXCL Excluded 154,002 7956 FALSE POS SERO TEST-SYPH I790_6 EXCL Excluded 154,002 7957 IMMUNOLOGICAL FIND NEC* I790_6 EXCL Excluded 154,002 7958 POS SEROLOG OR VIRAL HIV I7958 HIVM Infectious Disease, HIV 39 796 OTHER ABNORMAL FINDINGS* I790_6 EXCL Excluded 154,002 797 SENILITY W/O PSYCHOSIS I797 CNSNWD Nervous System, Not Well Defined 1,960 798 SUDDEN DEATH CAUSE UNKNW* I798 EXCL Excluded 110

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

799 OTH ILL-DEF MORBID/MORTL* I799X CNSNWD Nervous System, Not Well Defined 40,836 7990 ASPHYXIA I799X CNSNWD Nervous System, Not Well Defined 40,836 7991 RESPIRATORY ARREST I7991 PULRA Pulmonary, High 2,193 7992 NERVOUSNESS I799X CNSNWD Nervous System, Not Well Defined 40,836 7993 DEBILITY NOS I799X CNSNWD Nervous System, Not Well Defined 40,836 7994 CACHEXIA I7994 METH Metabolic, High 1,113 7998 ILL-DEFINE CONDITION NEC I799X CNSNWD Nervous System, Not Well Defined 40,836 7999 UNKN CAUSE MORB/MORT NEC I799X CNSNWD Nervous System, Not Well Defined 40,836 800 SKULL VAULT FRACTURE* I800_4 SKCM Skeletal and Connective, Medium 3,853 801 SKULL BASE FRACTURE* I800_4 SKCM Skeletal and Connective, Medium 3,853 802 FRACTURE OF FACE BONES* I800_4 SKCM Skeletal and Connective, Medium 3,853 803 OTHER SKULL FRACTURE* I800_4 SKCM Skeletal and Connective, Medium 3,853 804 MULT FX SKULL W OTH BONE* I800_4 SKCM Skeletal and Connective, Medium 3,853 805 VERTEBRL FX W/O CORD INJ* I805 SKCM Skeletal and Connective, Medium 11,130 806 VERTEBRAL FX W CORD INJ* I806X CNSOTH Nervous System, Other 129 8060 CLOS CERV FX W CORD INJ* I8060_1 CNSOTH Nervous System, Other 297 8061 OPEN CERV FX W CORD INJ* I8060_1 CNSOTH Nervous System, Other 297 8062 CL DORSAL FX W CORD INJ* I8062_3 CNSOTH Nervous System, Other 546 8063 OPN DORSAL FX W CORD INJ* I8062_3 CNSOTH Nervous System, Other 546 8064 CL LUMBAR FX W CORD INJ I8064_5 CNSOTH Nervous System, Other 354 8065 OPN LUMBAR FX W CORD INJ I8064_5 CNSOTH Nervous System, Other 354 8066 FX SACRUM-CL W CORD INJ* I8066_7 CNSOTH Nervous System, Other 36 8067 FX SACRUM-OPN W CORD INJ* I8066_7 CNSOTH Nervous System, Other 36 8068 VERT FX NOS-CL W CRD INJ I806X CNSOTH Nervous System, Other 129 8069 VERT FX NOS-OP W CRD INJ I806X CNSOTH Nervous System, Other 129 807 FX RIB/STERN/LARYN/TRACH* I807 SKCEL Skeletal and Connective, Extra Low 10,423 808 PELVIC FRACTURE* I808_11 SKCEL Skeletal and Connective, Extra Low 6,820 809 FRACTURE OF TRUNK BONES* I809 SKCEL Skeletal and Connective, Extra Low 220 810 CLAVICLE FRACTURE* I808_11 SKCEL Skeletal and Connective, Extra Low 6,820 811 SCAPULA FRACTURE* I808_11 SKCEL Skeletal and Connective, Extra Low 6,820 812 HUMERUS FRACTURE* I812_9 SKCEL Skeletal and Connective, Extra Low 24,419 813 RADIUS & ULNA FRACTURE* I812_9 SKCEL Skeletal and Connective, Extra Low 24,419 814 CARPAL FRACTURE* I812_9 SKCEL Skeletal and Connective, Extra Low 24,419 815 METACARPAL FRACTURE* I812_9 SKCEL Skeletal and Connective, Extra Low 24,419 816 FRACTURE PHALANGES, HAND* I812_9 SKCEL Skeletal and Connective, Extra Low 24,419 817 MULTIPLE HAND FRACTURES* I812_9 SKCEL Skeletal and Connective, Extra Low 24,419 818 FRACTURE ARM MULT/NOS* I812_9 SKCEL Skeletal and Connective, Extra Low 24,419 819 FX ARMS W RIB/STERNUM* I812_9 SKCEL Skeletal and Connective, Extra Low 24,419 820 FRACTURE NECK OF FEMUR* I820_1 SKCM Skeletal and Connective, Medium 20,534 821 OTHER FEMORAL FRACTURE* I820_1 SKCM Skeletal and Connective, Medium 20,534 822 PATELLA FRACTURE* I822_9 SKCEL Skeletal and Connective, Extra Low 23,517 823 TIBIA & FIBULA FRACTURE* I822_9 SKCEL Skeletal and Connective, Extra Low 23,517 824 ANKLE FRACTURE* I822_9 SKCEL Skeletal and Connective, Extra Low 23,517 825 FX OF TARSAL/METATARSAL* I822_9 SKCEL Skeletal and Connective, Extra Low 23,517 826 FRACTURE PHALANGES, FOOT* I822_9 SKCEL Skeletal and Connective, Extra Low 23,517 827 LOWER LIMB FRACTURE NEC* I822_9 SKCEL Skeletal and Connective, Extra Low 23,517 828 FX LEGS W ARM/RIB* I822_9 SKCEL Skeletal and Connective, Extra Low 23,517 829 FRACTURE NOS* I822_9 SKCEL Skeletal and Connective, Extra Low 23,517 830 JAW DISLOCATION* I831_9 SKCSL Skeletal and Connective, Super Low 44,735 831 SHOULDER DISLOCATION* I831_9 SKCSL Skeletal and Connective, Super Low 44,735 832 ELBOW DISLOCATION* I831_9 SKCSL Skeletal and Connective, Super Low 44,735 833 WRIST DISLOCATION* I831_9 SKCSL Skeletal and Connective, Super Low 44,735 834 DISLOCATION OF FINGER* I831_9 SKCSL Skeletal and Connective, Super Low 44,735 835 DISLOCATION OF HIP* I831_9 SKCSL Skeletal and Connective, Super Low 44,735 836 DISLOCATION OF KNEE* I831_9 SKCSL Skeletal and Connective, Super Low 44,735 837 DISLOCATION OF ANKLE* I831_9 SKCSL Skeletal and Connective, Super Low 44,735 838 DISLOCATION OF FOOT* I831_9 SKCSL Skeletal and Connective, Super Low 44,735 839 DISLOCATION NEC* I831_9 SKCSL Skeletal and Connective, Super Low 44,735 840 SPRAIN SHOULDER & ARM* I840_8 SKCSL Skeletal and Connective, Super Low 93,607 841 SPRAIN ELBOW & FOREARM* I840_8 SKCSL Skeletal and Connective, Super Low 93,607 842 SPRAIN WRIST & HAND* I840_8 SKCSL Skeletal and Connective, Super Low 93,607 843 SPRAIN OF HIP & THIGH* I840_8 SKCSL Skeletal and Connective, Super Low 93,607 844 SPRAIN OF KNEE & LEG* I840_8 SKCSL Skeletal and Connective, Super Low 93,607 845 SPRAIN OF ANKLE & FOOT* I840_8 SKCSL Skeletal and Connective, Super Low 93,607 846 SPRAIN SACROILIAC REGION* I840_8 SKCSL Skeletal and Connective, Super Low 93,607 847 SPRAIN OF BACK NEC/NOS* I840_8 SKCSL Skeletal and Connective, Super Low 93,607 848 SPRAIN NEC* I840_8 SKCSL Skeletal and Connective, Super Low 93,607 850 CONCUSSION* I850_1 CNSSL Nervous System, Super Low 2,932 851 CEREBRAL LACER/CONTUSION* I850_1 CNSSL Nervous System, Super Low 2,932 852 MENINGEAL HEM FOLLOW INJ* I852_3 CNSSL Nervous System, Super Low 2,139 853 OTH TRAUMATIC BRAIN HEM* I852_3 CNSSL Nervous System, Super Low 2,139 854 OTHER BRAIN INJURY* I854 CNSSL Nervous System, Super Low 9,747 860 TRAUM PNEUMOHEMOTHORAX* I862 PULSL Pulmonary, Super Low 1,785 861 HEART & LUNG INJURY* I862 PULSL Pulmonary, Super Low 1,785 862 INTRATHORACIC INJURY NEC* I862 PULSL Pulmonary, Super Low 1,785 863 GI TRACT INJURY* I863 GISL Gastrointestinal, Super Low 316 864 LIVER INJURY* I864_5 GIM Gastrointestinal, Medium 591 865 SPLEEN INJURY* I864_5 GIM Gastrointestinal, Medium 591 866 KIDNEY INJURY* I866 RENSL Renal, Super Low 211 867 PELVIC ORGAN INJURY* I867 GENSL Genital, Super Low 626 868 OTH INTRA-ABDOMINAL INJ* I868 GISL Gastrointestinal, Super Low 255 869 INTERNAL INJURY NOS* I869 GINWD Gastrointestinal, Not Well Defined 212 870 OCULAR ADNEXA OPEN WOUND* I870_1 EYESL Eye, Super Low 1,695 871 EYEBALL OPEN WOUND* I870_1 EYESL Eye, Super Low 1,695 872 OPEN WOUND OF EAR* I872 EARSL Ear, Super Low 984 873 OTHER OPEN WOUND OF HEAD* I873_84 SKNSL Skin, Super Low 40,163 874 OPEN WOUND OF NECK* I873_84 SKNSL Skin, Super Low 40,163 875 OPEN WOUND OF CHEST* I873_84 SKNSL Skin, Super Low 40,163 876 OPEN WOUND OF BACK* I873_84 SKNSL Skin, Super Low 40,163 877 OPEN WOUND OF BUTTOCK* I873_84 SKNSL Skin, Super Low 40,163

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

878 OPEN WOUND GENITAL ORGAN* I873_84 SKNSL Skin, Super Low 40,163 879 OPEN WOUND SITE NEC* I873_84 SKNSL Skin, Super Low 40,163 880 OPN WND SHOULDR/UPPR ARM* I873_84 SKNSL Skin, Super Low 40,163 881 OPEN WOUND OF LOWER ARM* I873_84 SKNSL Skin, Super Low 40,163 882 OPEN WOUND OF HAND* I873_84 SKNSL Skin, Super Low 40,163 883 OPEN WOUND OF FINGER* I873_84 SKNSL Skin, Super Low 40,163 884 OPEN WOUND ARM MULT/NOS* I873_84 SKNSL Skin, Super Low 40,163 885 TRAUM AMPUTATION THUMB* I885_7 SKCVL Skeletal and Connective, Low 638 886 TRAUM AMPUTATION FINGER* I885_7 SKCVL Skeletal and Connective, Low 638 887 TRAUMATIC AMPUT ARM/HAND* I885_7 SKCVL Skeletal and Connective, Low 638 890 OPEN WOUND OF HIP/THIGH* I890_4 SKNSL Skin, Super Low 12,344 891 OPEN WND KNEE/LEG/ANKLE* I890_4 SKNSL Skin, Super Low 12,344 892 OPEN WOUND OF FOOT* I890_4 SKNSL Skin, Super Low 12,344 893 OPEN WOUND OF TOE* I890_4 SKNSL Skin, Super Low 12,344 894 OPEN WOUND OF LEG NEC* I890_4 SKNSL Skin, Super Low 12,344 895 TRAUMATIC AMPUTATION TOE* I895_7 SKCM Skeletal and Connective, Medium 2,021 896 TRAUMATIC AMPUTAT FOOT* I895_7 SKCM Skeletal and Connective, Medium 2,021 897 TRAUMATIC AMPUTATION LEG* I895_7 SKCM Skeletal and Connective, Medium 2,021 900 HEAD/NECK VESSEL INJURY* I900_4 CARSL Cardiovascular, Super Low 1,974 901 THORAC BLOOD VESSEL INJ* I900_4 CARSL Cardiovascular, Super Low 1,974 902 ABDOM/PELVIS VESSEL INJ* I900_4 CARSL Cardiovascular, Super Low 1,974 903 ARM BLOOD VESSEL INJURY* I900_4 CARSL Cardiovascular, Super Low 1,974 904 BLOOD VESSEL INJURY NEC* I900_4 CARSL Cardiovascular, Super Low 1,974 905 LATE EFF MUSCULOSKEL INJ* I905 SKCSL Skeletal and Connective, Super Low 2,081 906 LATE EFF SKIN/SUBCUT INJ* I906 SKNSL Skin, Super Low 549 907 LATE EFF NERV SYSTEM INJ* I907 CNSSL Nervous System, Super Low 979 908 LATE EFF INJURY NEC/NOS* I908 SKCSL Skeletal and Connective, Super Low 403 909 LATE EFF EXTER CAUSE NEC* I909 SKCSL Skeletal and Connective, Super Low 596 910 SUPERFICIAL INJURY HEAD* I910_9 SKNSL Skin, Super Low 30,284 911 SUPERFICIAL INJURY TRUNK* I910_9 SKNSL Skin, Super Low 30,284 912 SUPERFIC INJ SHOULDR/ARM* I910_9 SKNSL Skin, Super Low 30,284 913 SUPERFICIAL INJ FOREARM* I910_9 SKNSL Skin, Super Low 30,284 914 SUPERFICIAL INJ OF HAND* I910_9 SKNSL Skin, Super Low 30,284 915 SUPERFICIAL INJ FINGER* I910_9 SKNSL Skin, Super Low 30,284 916 SUPERFICIAL INJ HIP/LEG* I910_9 SKNSL Skin, Super Low 30,284 917 SUPERFICIAL INJ FOOT/TOE* I910_9 SKNSL Skin, Super Low 30,284 918 SUPERFIC INJ EYE/ADNEXA* I910_9 SKNSL Skin, Super Low 30,284 919 SUPERFICIAL INJ OTH SITE* I910_9 SKNSL Skin, Super Low 30,284 920 CONTUSION FACE/SCALP/NCK I920_4 SKNSL Skin, Super Low 67,610 921 CONTUSION EYE & ADNEXA* I920_4 SKNSL Skin, Super Low 67,610 922 CONTUSION OF TRUNK* I920_4 SKNSL Skin, Super Low 67,610 923 CONTUSION OF UPPER LIMB* I920_4 SKNSL Skin, Super Low 67,610 924 CONTUSION LEG & OTH SITE* I920_4 SKNSL Skin, Super Low 67,610 925 CRUSH INJ FACE/SCALP/NCK* I925_9 SKCSL Skeletal and Connective, Super Low 1,143 926 CRUSHING INJURY OF TRUNK* I925_9 SKCSL Skeletal and Connective, Super Low 1,143 927 CRUSHING INJ UPPER LIMB* I925_9 SKCSL Skeletal and Connective, Super Low 1,143 928 CRUSHING INJURY OF LEG* I925_9 SKCSL Skeletal and Connective, Super Low 1,143 929 CRUSH INJ MULT/UNSP SITE* I925_9 SKCSL Skeletal and Connective, Super Low 1,143 930 FOREIGN BODY EXTERN EYE* I930 EYESL Eye, Super Low 4,208 931 FOREIGN BODY IN EAR I931 EARSL Ear, Super Low 1,217 932 FOREIGN BODY IN NOSE I932 PULSL Pulmonary, Super Low 96 933 FB PHARYNX & LARYNX* I933 GIL Gastrointestinal, Low 3,504 934 FB TRACHEA/BRONCHUS/LUNG* I934 PULM Pulmonary, Medium 729 935 FB MOUTH/ESOPHAG/STOMACH* I933 GIL Gastrointestinal, Low 3,504 936 FB IN INTESTINE & COLON I933 GIL Gastrointestinal, Low 3,504 937 FOREIGN BODY ANUS/RECTUM I933 GIL Gastrointestinal, Low 3,504 938 FOREIGN BODY GI NOS I933 GIL Gastrointestinal, Low 3,504 939 FOREIGN BODY GU TRACT* I939 RENSL Renal, Super Low 413 940 BURN OF EYE & ADNEXA* I940_9 SKNL Skin, Low 4,647 941 BURN OF HEAD/FACE/NECK* I940_9 SKNL Skin, Low 4,647 942 BURN OF TRUNK* I940_9 SKNL Skin, Low 4,647 943 BURN OF ARM* I940_9 SKNL Skin, Low 4,647 944 BURN OF HAND & WRIST* I940_9 SKNL Skin, Low 4,647 945 BURN OF LEG* I940_9 SKNL Skin, Low 4,647 946 BURN OF MULTIPLE SITE* I940_9 SKNL Skin, Low 4,647 947 BURN OF INTERNAL ORGANS* I940_9 SKNL Skin, Low 4,647 948 BURN BY % BODY SURFACE* I940_9 SKNL Skin, Low 4,647 949 BURN UNSPECIFIED* I940_9 SKNL Skin, Low 4,647 950 INJ OPTIC NERV/PATHWAYS* I950_1 CNSSL Nervous System, Super Low 256 951 CRANIAL NERVE INJURY NEC* I950_1 CNSSL Nervous System, Super Low 256 952 SPINAL CORD INJ W/O FX* I952 CNSNWD Nervous System, Not Well Defined 1,615 953 INJ NERVE ROOT/SPIN PLEX* I953 CNSSL Nervous System, Super Low 636 954 INJURY OTH TRUNK NERVE* I954 CNSSL Nervous System, Super Low 34 955 INJ PERIPH NERV SHLD/ARM* I955 CNSNWD Nervous System, Not Well Defined 687 956 INJ PERIPH NERV PELV/LEG* I956_7 CNSSL Nervous System, Super Low 910 957 INJURY TO NERVE NEC/NOS* I956_7 CNSSL Nervous System, Super Low 910 958 EARLY COMPLIC OF TRAUMA* I958_9 SKCSL Skeletal and Connective, Super Low 59,821 959 INJURY NEC/NOS* I958_9 SKCSL Skeletal and Connective, Super Low 59,821 960 POISONING BY ANTIBIOTICS* I960_79 EXCL Excluded 7,116 961 POISONING-ANTI-INFEC NEC* I960_79 EXCL Excluded 7,116 962 POISONING BY HORMONES* I960_79 EXCL Excluded 7,116 963 POISONING-SYSTEMIC AGENT* I960_79 EXCL Excluded 7,116 964 POIS-BLOOD AFFECTING AGT* I960_79 EXCL Excluded 7,116 965 POIS-ANALGESIC/ANTIPYRET* I960_79 EXCL Excluded 7,116 966 POISON-ANTICONVULSANTS* I960_79 EXCL Excluded 7,116 967 POISON-SEDATIVE/HYPNOTIC* I960_79 EXCL Excluded 7,116 968 POISONING-CNS DEPRESSANT* I960_79 EXCL Excluded 7,116 969 POISON-PSYCHOTROPIC AGT* I960_79 EXCL Excluded 7,116 970 POISONING-CNS STIMULANTS* I960_79 EXCL Excluded 7,116 971 POISON-AUTONOMIC AGENT* I960_79 EXCL Excluded 7,116

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

972 POISON-CARDIOVASC AGENT* I960_79 EXCL Excluded 7,116 973 POISONING-GI AGENTS* I960_79 EXCL Excluded 7,116 974 POIS-WATER/MIN/METAB AGT* I960_79 EXCL Excluded 7,116 975 POISONING-MUSCLE AGENT* I960_79 EXCL Excluded 7,116 976 POIS-SKIN/EENT/DENT AGT* I960_79 EXCL Excluded 7,116 977 POIS-MEDICINAL NEC/NOS* I960_79 EXCL Excluded 7,116 978 POISONING-BACT VACCINES* I960_79 EXCL Excluded 7,116 979 POIS-OTH VACCINE/BIOLOG* I960_79 EXCL Excluded 7,116 980 ALCOHOL TOXICITY* I980_9 EXCL Excluded 5,263 981 TOXIC EFF PETROLEUM PROD I980_9 EXCL Excluded 5,263 982 TOXIC EFFECT SOLVENT NEC* I980_9 EXCL Excluded 5,263 983 TOXIC EFFECT CAUSTICS* I980_9 EXCL Excluded 5,263 984 TOXIC EFF LEAD & COMPND* I980_9 EXCL Excluded 5,263 985 TOXIC EFFECT OTH METALS* I980_9 EXCL Excluded 5,263 986 TOX EFF CARBON MONOXIDE I980_9 EXCL Excluded 5,263 987 TOXIDE EFF GAS/VAPOR NEC* I980_9 EXCL Excluded 5,263 988 TOXIC EFF NOXIOUS FOOD* I980_9 EXCL Excluded 5,263 989 TOX EFF OTH NONMED SUBST* I980_9 EXCL Excluded 5,263 990 EFFECTS RADIATION NOS I990_5 EXCL Excluded 29,688 991 EFF REDUCED TEMPERATURE* I990_5 EXCL Excluded 29,688 992 EFFECT OF HEAT/LIGHT* I990_5 EXCL Excluded 29,688 993 EFFECTS OF AIR PRESSURE* I990_5 EXCL Excluded 29,688 994 EFFECT EXTERNAL CAUS NEC* I990_5 EXCL Excluded 29,688 995 CERTAIN ADVERSE EFF NEC* I990_5 EXCL Excluded 29,688 996 REPLACE & GRAFT COMPLIC* I996X EXCL Excluded 14,048 9960 MALFUNC CARD DEVIC/GRAFT* I9960 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 4,422 99600 MALFUNC CARD DEV/GRF NOS I9960 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 4,422 99601 MALFUNC CARDIAC PACEMAKE I9960 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 4,422 99602 MALFUNC PROSTH HRT VALVE I9960 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 4,422 99603 MALFUNC CORON BYPASS GRF I9960 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 4,422 99604 MCH CMP AUTM MPLNT DFBRL I9960 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 4,422 99609 MALFUNC CARD DEV/GRF NEC I9960 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 4,422 9961 MALFUNC VASC DEVICE/GRAF I9961 CARVH Cardiovascular, Very High 3,293 9962 MALFUN NEURO DEVICE/GRAF I9962_7 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others 313 9963 MALFUNC GU DEVICE/GRAFT* I996X EXCL Excluded 14,048 99630 MALFUNC GU DEV/GRAFT NOS I996X EXCL Excluded 14,048 99631 MALFUNC URETHRAL CATH I996X EXCL Excluded 14,048 99632 MALFUNCTION IUD I996X EXCL Excluded 14,048 99639 MALFUNC GU DEV/GRAFT NEC I996X EXCL Excluded 14,048 9964 MALF INT ORTHPED DEV/GRF I996X EXCL Excluded 14,048 99651 CORNEAL GRFT MALFUNCTION I996X EXCL Excluded 14,048 99652 OTH TISSUE GRAFT MALFUNC I996X EXCL Excluded 14,048 99653 LENS PROSTHESIS MALFUNC I996X EXCL Excluded 14,048 99654 BREAST PROSTH MALFUNC I996X EXCL Excluded 14,048 99659 MALFUNC OTH DEVICE/GRAFT I996X EXCL Excluded 14,048 9966 INFEC/INFLAM-DEVIC/GRAFT* I996X EXCL Excluded 14,048 99660 REACTION-UNSP DEVIC/GRFT I996X EXCL Excluded 14,048 99661 REACT-CARDIAC DEV/GRAFT I9960 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 4,422 99662 REACT-OTH VASC DEV/GRAFT I9961 CARVH Cardiovascular, Very High 3,293 99663 REACT-NERV SYS DEV/GRAFT I9962_7 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others 313 99664 REACT-INDWELL URIN CATH I996X EXCL Excluded 14,048 99665 REACT-OTH GENITOURIN DEV I996X EXCL Excluded 14,048 99666 REACT-INTER JOINT PROST I996X EXCL Excluded 14,048 99667 REACT-OTH INT ORTHO DEV I996X EXCL Excluded 14,048 99669 REACT-INT PROS DEVIC NEC I996X EXCL Excluded 14,048 9967 COMPLIC DEVICE/GRAFT NEC* I996X EXCL Excluded 14,048 99670 COMP-UNSP DEVICE/GRAFT I996X EXCL Excluded 14,048 99671 COMP-HEART VALVE PROSTH I9960 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 4,422 99672 COMP-OTH CARDIAC DEVICE I9960 CARVCDVL Cardiovascular, Valvular, Conductive and Other Heart Disease, Very Low 4,422 99673 COMP-REN DIALYS DEV/GRFT I99673 RENEH Renal, Extra High 257 99674 COMP-OTH VASC DEV/GRAFT I9961 CARVH Cardiovascular, Very High 3,293 99675 COMP-NERV SYS DEV/GRAFT I9962_7 CNSMSMD Nervous System, Multiple Sclerosis, Muscular Dystrophy, and Others 313 99676 COMP-GENITOURIN DEV/GRFT I996X EXCL Excluded 14,048 99677 COMP-INTERNAL JOINT PROS I996X EXCL Excluded 14,048 99678 COMP-OTH INT ORTHO DEVIC I996X EXCL Excluded 14,048 99679 COMP-INT PROST DEVIC NEC I996X EXCL Excluded 14,048 99680 COMP ORGAN TRANSPLNT NOS I996X EXCL Excluded 14,048 99681 COMPL KIDNEY TRANSPLANT I99681 RENM Renal, Medium 653 99682 COMPL LIVER TRANSPLANT I99682 GIH Gastrointestinal, High 233 99683 COMPL HEART TRANSPLANT I99683 CARVH Cardiovascular, Very High 169 99684 COMPL LUNG TRANSPLANT I99684 PULH Pulmonary, High 101 99685 COMPL MARROW TRANSPLANT I99685 CANH Cancer, High 27 99686 COMPL PANCREAS TRANSPLNT I99686 DMLFCX Diabetes, Type 1 or 2 With Rare Complications 16 99689 COMP OTH ORGAN TRANSPLNT I996X EXCL Excluded 14,048 9969 COMPL REATTACHED PART* I996X EXCL Excluded 14,048 99690 COMP REATTACH EXTREM NOS I996X EXCL Excluded 14,048 99691 COMPL REATTACHED FOREARM I996X EXCL Excluded 14,048 99692 COMPL REATTACHED HAND I996X EXCL Excluded 14,048 99693 COMPL REATTACHED FINGER I996X EXCL Excluded 14,048 99694 COMPL REATTACHED ARM NEC I996X EXCL Excluded 14,048 99695 COMPL REATTACHED FOOT I996X EXCL Excluded 14,048 99696 COMPL REATTACHED LEG NEC I996X EXCL Excluded 14,048 99699 COMPL REATTACH PART NEC I996X EXCL Excluded 14,048 997 SURG COMPL-BODY SYST NEC* I997 EXCL Excluded 17,926 998 OTH SURGICAL COMPL NEC* I998 EXCL Excluded 18,127 999 COMPLIC MEDICAL CARE NEC* I999 EXCL Excluded 2,300 V01 COMMUNICABLE DIS CONTACT* IV01_7 EXCL Excluded 540,639 V02 INFECTIOUS DIS CARRIER* IV01_7 EXCL Excluded 540,639 V03 VACCIN FOR BACTERIAL DIS* IV01_7 EXCL Excluded 540,639 V04 VACCIN FOR VIRAL DISEASE* IV01_7 EXCL Excluded 540,639

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

V05 OTH VACCIN FOR SINGL DIS* IV01_7 EXCL Excluded 540,639 V06 VAC FOR DIS COMBINATION* IV01_7 EXCL Excluded 540,639 V07 PROPHYLACTIC MEASURES* IV01_7 EXCL Excluded 540,639 V08 ASYMP HIV INFECTN STATUS IV08 HIVM Infectious Disease, HIV 500 V09 INFCT MCRG RESISTNT DRUG* IV09 INFL Infectious Disease, Low 854 V10 HX OF MALIGNANT NEOPLASM* IV10_21 EXCL Excluded 135,810 V11 HX OF MENTAL DISORDER* IV10_21 EXCL Excluded 135,810 V12 HX OF DISEASE NEC* IV10_21 EXCL Excluded 135,810 V13 HX OF OTHER DISEASES* IV10_21 EXCL Excluded 135,810 V14 HX OF DRUG ALLERGY* IV10_21 EXCL Excluded 135,810 V15 OTH HX OF HEALTH HAZARDS* IV10_21 EXCL Excluded 135,810 V16 FAMILY HX-MALIGNANCY* IV10_21 EXCL Excluded 135,810 V17 FAM HX-CHR DISABLING DIS* IV10_21 EXCL Excluded 135,810 V18 FAM HX-OTH SPECIF COND* IV10_21 EXCL Excluded 135,810 V19 FAM HX-OTHER CONDITIONS* IV10_21 EXCL Excluded 135,810 V20 HEALTH SUPERVISION CHILD* IV10_21 EXCL Excluded 135,810 V21 CONSTITUT STATE IN DEVEL* IV10_21 EXCL Excluded 135,810 V22 NORMAL PREGNANCY* I11512 PREG7 Pregnancy 71 619 V23 SUPERVIS HIGH-RISK PREG* I11526 PREG7 Pregnancy 71 177 V24 POSTPARTUM CARE/EXAM* I11513 PREG5 Pregnancy 51 119 V25 CONTRACEPTIVE MANAGEMENT* IV25_26 EXCL Excluded 1,093 V26 PROCREATIVE MANAGEMENT* IV25_26 EXCL Excluded 1,093 V27 OUTCOME OF DELIVERY* I11511 PREG5 Pregnancy 51 314 V270 DELIVER-SINGLE LIVEBORN I11511 PREG5 Pregnancy 51 314 V271 DELIVER-SINGLE STILLBORN I11511 PREG5 Pregnancy 51 314 V272 DELIVER-TWINS, BOTH LIVE I11528 PREG4 Pregnancy 41 19 V273 DEL-TWINS, 1 NB, 1 SB I11528 PREG4 Pregnancy 41 19 V274 DELIVER-TWINS, BOTH SB I11528 PREG4 Pregnancy 41 19 V275 DEL-MULT BIRTH, ALL LIVE I11528 PREG4 Pregnancy 41 19 V276 DEL-MULT BRTH, SOME LIVE I11528 PREG4 Pregnancy 41 19 V277 DEL-MULT BIRTH, ALL SB I11528 PREG4 Pregnancy 41 19 V279 OUTCOME OF DELIVERY NOS I11511 PREG5 Pregnancy 51 314 V28 ANTENATAL SCREENING* I11507 PREG7 Pregnancy 71 919 V30 SINGLE LIVEBORN* I15020 BABY5 Baby 5 23 V31 TWIN, MATE LIVEBORN* I15021 BABY4 Baby 4 10 V32 TWIN, MATE STILLBORN* I15021 BABY4 Baby 4 10 V33 TWIN NOS* I15021 BABY4 Baby 4 10 V34 OTH MULT BIRTH, ALL LIVE* I15021 BABY4 Baby 4 10 V35 OTH MULT BIRTH, ALL SB* I15021 BABY4 Baby 4 10 V36 OTH MULT BRTH, SOME LIVE* I15021 BABY4 Baby 4 10 V37 OTH/UNSPEC MULTIPLE BRTH* I15021 BABY4 Baby 4 10 V39 LIVEBORN NOS* I15020 BABY5 Baby 5 23 V40 MENTAL/BEHAVIORAL PROB* IV40_1 EXCL Excluded 1,230 V41 PROB W SPECIAL FUNCTIONS* IV40_1 EXCL Excluded 1,230 V42 ORGAN TRANSPLANT STATUS* IV42 VNWD V' Code, Not Well Defined 7 V420 KIDNEY TRANSPLANT STATUS IV420 RENM Renal, Medium 1,305 V421 HEART TRANSPLANT STATUS I99681 CARVH Cardiovascular, Very High 653 V422 HEART VALVE TRANSPLANT IV422 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 958 V423 SKIN TRANSPLANT STATUS IV423 SKNSL Skin, Super Low 31 V424 BONE TRANSPLANT STATUS IV424 SKCM Skeletal and Connective, Medium 24 V425 CORNEA TRANSPLANT STATUS IV425 EYESL Eye, Super Low 1,917 V426 LUNG TRANSPLANT STATUS I99684 PULH Pulmonary, High 101 V427 LIVER TRANSPLANT STATUS I99682 GIH Gastrointestinal, High 233 V428 TRANSPLANT STATUS NEC* IV428X CARNWD Cardiovascular, Not Well Defined 156 V4281 TRNSPL STATUS-BNE MARROW I99685 CANH Cancer, High 27 V4282 TRSPL STS-PERIP STM CELL IV428X CANM Cancer, Medium 156 V4283 TRNSPL STATUS-PANCREAS I99686 DMLFCX Diabetes, Type 1 or 2 With Rare Complications 16 V4289 TRNSPL STATUS ORGAN NEC IV428X VNWD V' Code, Not Well Defined 156 V429 TRANSPLANT STATUS NOS IV429 VNWD V' Code, Not Well Defined 74 V43 ORGAN REPLACEMENT NEC* IV43X EXCL Excluded 28,783 V430 EYE REPLACEMENT NEC IV43X EXCL Excluded 28,783 V431 LENS REPLACEMENT NEC IV431 EYECT Eye, Cataract 79,837 V432 HEART REPLACEMENT NEC IV43X EXCL Excluded 28,783 V433 HEART VALVE REPLAC NEC IV43X EXCL Excluded 28,783 V434 BLOOD VESSEL REPLAC NEC IV43X EXCL Excluded 28,783 V435 BLADDER REPLACEMENT NEC IV43X EXCL Excluded 28,783 V436 JOINT REPLACEMENT NEC* IV43X EXCL Excluded 28,783 V437 LIMB REPLACEMENT NEC IV43X EXCL Excluded 28,783 V438 ORGAN REPLACEMENT NEC* IV43X EXCL Excluded 28,783 V44 ARTIFICIAL OPNING STATUS* IV44X VNWD V' Code, Not Well Defined 224 V440 TRACHEOSTOMY STATUS IV440 PULH Pulmonary, High 592 V441 GASTROSTOMY STATUS IV441_4 GIOS Gastrointestinal, Ostomy 3,597 V442 ILEOSTOMY STATUS IV441_4 GIOS Gastrointestinal, Ostomy 3,597 V443 COLOSTOMY STATUS IV441_4 GIOS Gastrointestinal, Ostomy 3,597 V444 ENTEROSTOMY STATUS NEC IV441_4 GIOS Gastrointestinal, Ostomy 3,597 V445 CYSTOSTOMY STATUS IV445_6 RENM Renal, Medium 389 V446 URINOSTOMY STATUS NEC IV445_6 RENM Renal, Medium 389 V447 ARTIFICIAL VAGINA STATUS IV447 GENEL Genital, Extra Low 1 V448 ARTIF OPEN STATUS NEC IV44X VNWD V' Code, Not Well Defined 224 V449 ARTIF OPEN STATUS NOS IV44X VNWD V' Code, Not Well Defined 224 V45 OTH POSTSURGICAL STATES* IV45X EXCL Excluded 59,831 V450 CARDIAC PACEMAKER STATUS* IV450 CARVCODL Cardiovascular, Valvular, Conductive and Other Heart Disease, Low 16,706 V451 RENAL DIALYSIS STATUS IV451 RENEH Renal, Extra High 186 V452 VENTRICULAR SHUNT STATUS IV45X EXCL Excluded 59,831 V453 INTESTINAL BYPASS STATUS IV45X EXCL Excluded 59,831 V454 ARTHRODESIS STATUS IV45X EXCL Excluded 59,831 V455 PRESENCE OF IUD* IV45X EXCL Excluded 59,831 V456 POSTSURGICAL STATE, EYE* IV45X EXCL Excluded 59,831 V458 OTH POSTSURGICAL STATUS* IV45X EXCL Excluded 59,831 V46 OTHER MACHINE DEPENDENCE* IV46X PULNWD Pulmonary, Not Well Defined 77

Stage CDPS Number ofICD Code ICD Description One Group Short Label CDPS-Medicare Diagnostic Subcategory Beneficiaries

CDPS-Medicare Stage One Groups in ICD Order

V460 DEPENDENCE ON ASPIRATOR IV46X PULH Pulmonary, High 77 V461 DEPENDENCE ON RESPIRATOR IV461 PULH Pulmonary, High 446 V468 MACHINE DEPENDENCE NEC IV46X PULNWD Pulmonary, Not Well Defined 77 V469 MACHINE DEPENDENCE NOS IV46X PULNWD Pulmonary, Not Well Defined 77 V47 OTH PROBL W INTERNAL ORG* IV47_51 EXCL Excluded 5,996 V48 HEAD/NECK/TRUNK PROBLEMS* IV47_51 EXCL Excluded 5,996 V49 LIMB PROBLEM/PROBLEM NEC* IV47_51 EXCL Excluded 5,996 V50 OTHER ELECTIVE SURGERY* IV47_51 EXCL Excluded 5,996 V51 AFTERCARE W PLASTIC SURG IV47_51 EXCL Excluded 5,996 V52 FITTING OF PROSTHESIS* IV52X EXCL Excluded 99 V520 FITTING ARTIFICIAL ARM IV520_1 SKCM Skeletal and Connective, Medium 53 V521 FITTING ARTIFICIAL LEG IV520_1 SKCM Skeletal and Connective, Medium 53 V522 FITTING ARTIFICIAL EYE IV523 EXCL Excluded 52 V523 FITTING DENTAL PROSTHES IV523 EXCL Excluded 52 V524 FIT/ADJ BREAST PROS/IMPL IV524 CANVL Cancer, Very Low 55 V528 FITTING PROSTHESIS NEC IV52X EXCL Excluded 99 V529 FITTING PROSTHESIS NOS IV52X EXCL Excluded 99 V53 ADJUSTMENT OF OTH DEVICE* IV53X EXCL Excluded 1,466 V530 ADJUST NERV SYST DEVICE* IV530 CNSNWD Nervous System, Not Well Defined 98 V531 FIT CONTACT LENS/GLASSES IV53X EXCL Excluded 1,466 V532 ADJUSTMENT HEARING AID IV53X EXCL Excluded 1,466 V533 ADJUST CARDIAC PACEMAKER* IV533 CARSL Cardiovascular, Super Low 4,094 V534 FIT ORTHODONTIC DEVICE IV53X EXCL Excluded 1,466 V535 FIT/ADJ INTES APPL NEC IV53X EXCL Excluded 1,466 V536 FITTING URINARY DEVICES IV53X EXCL Excluded 1,466 V537 FIT ORTHOPEDIC DEVICES IV53X EXCL Excluded 1,466 V538 ADJUSTMENT OF WHEELCHAIR IV53X EXCL Excluded 1,466 V539 ADJUSTMNT DEVICE NEC/NOS IV53X EXCL Excluded 1,466 V54 OTH ORTHOPEDIC AFTERCARE* IV54 EXCL Excluded 5,528 V55 ATTEN TO ARTIFICIAL OPEN* IV55X EXCL Excluded 771 V550 ATTEN TO TRACHEOSTOMY IV550 PULH Pulmonary, High 300 V551 ATTEN TO GASTROSTOMY IV551_4 GIOS Gastrointestinal, Ostomy 2,400 V552 ATTEN TO ILEOSTOMY IV551_4 GIOS Gastrointestinal, Ostomy 2,400 V553 ATTEN TO COLOSTOMY IV551_4 GIOS Gastrointestinal, Ostomy 2,400 V554 ATTEN TO ENTEROSTOMY NEC IV551_4 GIOS Gastrointestinal, Ostomy 2,400 V555 ATTEN TO CYSTOSTOMY IV555_6 RENM Renal, Medium 407 V556 ATTEN TO URINOSTOMY NEC IV555_6 RENM Renal, Medium 407 V557 ATTEN ARTIFICIAL VAGINA IV557 GENEL Genital, Extra Low 1 V558 ATTN TO ARTIF OPEN NEC IV55X EXCL Excluded 771 V559 ATTN TO ARTIF OPEN NOS IV55X EXCL Excluded 771 V56 DIALYSIS ENCOUNTER* IV56 RENEH Renal, Extra High 72 V57 REHABILITATION PROCEDURE* IV57 EXCL Excluded 30,268 V58 ENCOUNTR PROC/AFTRCR NEC* IV58X EXCL Excluded 29,318 V580 RADIOTHERAPY ENCOUNTER IV580_1 CANM Cancer, Medium 8,727 V581 CHEMOTHERAPY ENCOUNTER IV580_1 CANM Cancer, Medium 8,727 V582 BLOOD TRANSFUSION, NO DX IV58X EXCL Excluded 29,318 V583 ATTEN-SURG DRESSNG/SUTUR IV58X EXCL Excluded 29,318 V584 POSTSURG AFTERCARE NEC* IV58X EXCL Excluded 29,318 V585 ORTHODONTICS AFTERCARE IV58X EXCL Excluded 29,318 V588 AFTERCARE NEC* IV58X EXCL Excluded 29,318 V589 AFTERCARE NOS IV58X EXCL Excluded 29,318 V59 DONOR* IV59_82 EXCL Excluded 514,741 V60 HOUSEHOLD CIRCUMSTANCES* IV59_82 EXCL Excluded 514,741 V61 OTH FAMILY CIRCUMSTANCES* IV59_82 EXCL Excluded 514,741 V62 OTH PSYCHOSOCIAL CIRCUM* IV59_82 EXCL Excluded 514,741 V63 NO MED FACILITY FOR CARE* IV59_82 EXCL Excluded 514,741 V64 PROCEDURES NOT DONE* IV59_82 EXCL Excluded 514,741 V65 OTHER REASON FOR CONSULT* IV59_82 EXCL Excluded 514,741 V66 CONVALESCENCE* IV59_82 EXCL Excluded 514,741 V67 FOLLOW-UP EXAMINATION* IV59_82 EXCL Excluded 514,741 V68 ADMINISTRATIVE ENCOUNTER* IV59_82 EXCL Excluded 514,741 V70 GENERAL MEDICAL EXAM* IV59_82 EXCL Excluded 514,741 V71 OBSERVATION-SUSPECT COND* IV59_82 EXCL Excluded 514,741 V72 SPECIAL EXAMINATIONS* IV59_82 EXCL Excluded 514,741 V73 SCREENING FOR VIRAL DIS* IV59_82 EXCL Excluded 514,741 V74 SCREENING-BACTERIAL DIS* IV59_82 EXCL Excluded 514,741 V75 SCREEN-OTH INFECTIVE DIS* IV59_82 EXCL Excluded 514,741 V76 SCREENING-MALIG NEOPLASM* IV59_82 EXCL Excluded 514,741 V77 SCREEN-ENDO/NUTR/METAB* IV59_82 EXCL Excluded 514,741 V78 SCREENING FOR BLOOD DIS* IV59_82 EXCL Excluded 514,741 V79 SCREENING-MENTAL DISORD* IV59_82 EXCL Excluded 514,741 V80 SCREEN-NEURO/EYE/EAR DIS* IV59_82 EXCL Excluded 514,741 V81 SCREEN-HEART/RESP/GU DIS* IV59_82 EXCL Excluded 514,741 V82 SCREEN-OTHER CONDITIONS* IV59_82 EXCL Excluded 514,741