V Codes
- V10.3 History of Breast Malignancy (personal hx)
- V10.43 History of Malignant neoplasm of ovary (ex: currently healthy but has a past diagnosis of cancer)
- V12.72 Personal Hx colonic polyps
- V16.0 Family History Malignant Neoplasm / Colon Ca, GI cancers
- V16.3 Family History Malignant Neoplasm / Breast Ca, Female
- V16.4 Family History Malignant Neoplasm, Ovary, prostate, testis, other
- V16.4 or V16.41 Family History Ovarian Ca, Prostate Ca
- V16.4, family history of malignant neoplasm of genital organs
- V16.41 Family history of Ov Ca
- V16.49 Concern regarding family history . . . .personal history of, or family history of (about increased risk, cancer, other genetic condition)
- V16.5 Fam hx, urinary organs ca
- V16.51 Fam hx, kidney ca
- V16.59 fam hx other ca
- V16.6 Family hx leukemia
- V16.8 Family History of Ca
- V16.9 Unspecified malignant neoplasm
- V17.0 Family history certain chronic / disability disease (.4 psychological, .8 other musculoskeletal)
- V18.4 Family history mental retardation
- V26.3 Genetic Counseling
- V71.8 (Observe for suspected condition)
Chromosomal Conditions
758 Chromosomal Anomalies (V19.5 with family history) CHROMOSOMAL ANOMALIES: archaic terminology updated, and new codesn October 1, 2004 758.3 Autosomal deletion syndromes 740 Anencephalus and similar anomalies OTHER AND UNSPECIFIED CONGENITAL ANOMALIES: new indexing to current codes Oct. 1, 2004 759.89 Angelman syndrome 253.0 Sotos Syndrome
758.0 Trisomy 21 (Down Syndrome)
758.1 Trisomy 13 (Patau Syndrome)
758.2 Trisomy 18 (Edward Syndrome)
758.3 Autosomal deletion syndrome (i.e., Cri-du-Chat)
758.4 Balanced autosomal translocation in normal individual
758.5 Other conditions due to autosomal anomalies
758.6 Turner Syndrome / Gonadal Dysgenesis
758.7 Klinefelter Syndrome
758.8 Other sex chromosome conditions (chromosome anomalies, other sex chromosome conditions)
758.81 Other Conditions due to Sex Chromosome
758.9 Conditions due to anomaly of unspecified chromosome
759.81Prader-Willi Syndrome
279.11 DiGeorge Syndrome
759.83 Fragile X syndrome
759.9 Congenital anomaly, unspecified
758.31 Cri-du-chat syndrome
758.32 Velocardiofacial syndrome
758.33 Other microdeletions (specifically list Smith-Magenis and Miller-Dieker)
758.39 Other autosomal deletions
741 Spina bifida
742 Other congenital anomalies of nervous system
743 Congenital anomalies of eye (743.0 anopthalmos, 743.45 aniridia)
744 Congenital anomalies of ear, face, and neck
745 Bulbus cordis and cardiac septal closure anomalies
746 Other congenital anomalies of heart
747 Other congenital anomalies of circulatory system
748 Congenital anomalies of respiratory system
749 Cleft palate and cleft lip
750 Other congenital anomalies of upper alimentary tract
751 Other congenital anomalies of digestive system
752 Congenital anomalies of genital organs
753 Congenital anomalies of urinary system
754 Congenital musculoskeletal deformities
755 Other congenital anomalies of limbs
756 Other congenital musculoskeletal anomalies
757 Congenital anomalies of the integument
758 Chromosomal anomalies
759 Other and unspecified congenital anomalies
759.3 Situs inversus
759.7 Congenital Syndrome
759.81 Prader-Willi Syndrome
759.89 Other (Congenital malformation syndromes affecting multiple systems, not elsewhere classified (i.e., Laurance-Moon-Biedl syndrome)
759.9 Congenital anomaly, unspecified
783.4 Developmental Delay
759.89 CHARGE association/syndrome
757.33 Incontinentia pigmenti
759.89 Kabuki syndrome
759.89 Noonan syndrome
759.89 Oculo-auriculo-vertebral syndrome
756.0 Stickler syndrome
279.11 DiGeorge Syndrome
759.83 Fragile X syndrome
648.53 Tinnitus
759.7 Undiagnosed / unknown syndrome (multiple congenital anomalies, so described)
796.4 Dysmorphic syndrome (other nonspecific abnormal clinical findings)
279.43 Autoimmune disorder, not specified
315.31 Developmental language disorder
315.32 Receptive language disorder (mixed)
315.4 Coordination disorder
315.5 Mixed developmental disorder
317 Mild mental retardation
318 Moderate mental retardation
318.1 Severe mental retardation
318.2 Profound mental retardation
319 Unspecified mental retardation
389.9 Deafness
629.8 Female genital organs, other, unspecified
759.5 Tuberous sclerosis
759.89 Smith Lemli Opitz (cerebrohepatorenal syndrome)
759.81 Prader Willi
783.4 Delayed milestones (lack of expected normal physiologic development) Hematologic conditions 282.4 Alpha thalassemia (thalassemias)
282.4 Beta thalassemia (thalassemias)
282.2 G6PD deficiency (anemias, glutathione metabolism disorders)
286.0 Hemophilia A (Congenital factor VIII disorder)
286.1 Hemophilia B (congenital factor IX disorder)
282.1 Hereditary elliptocytosis
282.0 Hereditary spherocytosis
282.61 Sickle cell anemia (Hb SS) without crisis
282.62 Sickle cell anemia (Hb SS) with crisis
282.63 Sickle cell disease (Hb SC)
282.4 Sickle cell / thalassemia (thalassemias)
282.5 Sickle cell trait
282.7 Other hemoglobin
286.4 Von Willebrand disease Metabolic conditions
277.63 Alpha-1 antitrypsin deficiency (other deficiencies of circulating enzymes)
277.0 Cystic fibrosis (without meconium ileus), with 277.01
271.1 Glactosemia
272.7 Gaucher (lipidoses)
275.0 Hemochromatosis (disorders of iron metabolism)
277.5 Hunter syndrome (mucopolysaccharidosis)
277.5 Hurler (mucopolysaccharidosis)
330.0 Krabbe disease (leukodystrophy)
330.8 Leigh disease (other specified cerebral degeneration - child)
277.2 Lesch-Nyhan (other disorders of purine and pyrimidine metabolism)
330.0 Metachromatic leukodystrophy (leukodystrophy)
272.7 Niemann-Pick (lipidoses)
270.1 PKU (phenylketonuria)
330.1 Tay Sachs (cerebral lipidoses)
275.1 Wilson disease (disorders of copper metabolism)
METABOLIC: new codes October 1, 2004
277.85 Disorders of fatty acid oxidation metabolism - Carnitine palmitoyltransferase deficiencies (CPT1, 2)
Glutaric aciduria type II (type IIA, IIB, IIC)
Long chain/very long chain acyl CoA dehydrogenase deficiency (LCHAD)
Medium-chain acyl-CoA dehydrogenase deficiency (MCAD)
Short-chain acyl-CoA dehydrogenase deficiency (SCAD)
Excludes: 277.81 Primary carnitine deficiencies
277.86 Disorders of peroxisomal metabolism new codes October 1, 2004
Adrenomyeloneuropathy
Infantile Refsum disease
Neonatal adrenoleukodystrophy
Rhizomelic chondrodysplasia punctata
X-linked adrenoleukodystrophy
Zellweger syndrome
277.87 Disorders of mitochondrial metabolism
Kearns-Sayre syndrome
Mitochondrial encephalopathy, lactic acidosis and stroke-like episodes (MELAS syndrome)
Myoclonus with epilepsy and with ragged red fibers (MERRF syndrome)
Mitochondrial neurogastrointestinal encephalopathy syndrome (MNGIE)
Neuropathy, ataxia and retinitis pigmentosa (MARP syndrome)
Excludes: 271.8 Disorders of pyruvate metabolism
377.16 Leber optic atrophy
330.8 Leigh subacute necrotizing encephalopathy
331.81 Reye syndrome
796.6 Abnormal findings on neonatal screening
Excludes: Nonspecific serological evidence of HIV
237.72 Neurofibromatosis, Type II
759.5 Tuberous sclerosis Neuromuscular Conditions 334.8 Ataxia telangiectasia (other spinocerebellar diseases)
356.1 Charcot Marie Tooth Disease (peroneal muscular atrophy)
359.1 Duchenne / Becker Muscular dystrophy (hereditary progressive muscular dystrophy)
359.1 Facioscapulohumeral (FSHMD) (hereditary progressive muscular dystrophy)
359.1 Limb Girdle MD (hereditary progressive muscular dystrophy)
334.0 Fredreich Ataxia
333.4 Huntington disease
359.8 Mitochondrial myopathy (other myopathies)
359.2 Myotonic dystrophy (myotonic disorders)
359.1 OPMD (Hereditary progressive muscular dystrophy)
335.0 Spinomuscular atrophy, type I (Werdnig-Hoffmann disease)
335.11 Spinomuscular atrophy, type II (Kugelberg-Welander disease)
335.19 Spinomuscular atrophy, type III (other spinal muscular atrophy)
334.2 SCA (primary cerebellar degeneration) Skeletal / Connective Tissue Disorders 756.0 Craniosynostosis (anomalies of skull and facial bones)
756.4 Achondroplasia (chondrodystrophy)
756.51 Osteogenesis imperfecta
756.56 Multiple epiphyseal dysplasia
756.83 Ehlers-Danlos
759.82 Marfan Syndrome
783.4 Short Stature (lack of expected normal physiologic development)
655.1Fetal
Chromosomal Abnormality, known or suspected
655.12 Chromosome Abnormality in fetus ("2" added for delivered with mention of postpartum complication)
655.13 Chromosome Abnormality in Fetus ("3" added for antepartum)
655.10 Unspecified
655.83 Amnionic band sequence
655.9Known or suspected fetal anomaly
659.5 Elderly primigravida (advanced maternal age, first pregnancy)
659.6 Elderly multigravida (advanced maternal age,
second or greater pregnancy)
793.6 Abnormal findings, ultrasound
Signs, Symptoms, and Ill-defined Conditions
308.3 Other acute reactions to stress, including acute situational disturbances
795.2 Abnormal Chromosomal Analysis
792.3 Abnormal findings, Amniotic Fluid
634.90 Spontaneous Abortion (also code symptoms)
637 Unspecified Abortion
646.0 Repeated spontaneous abortus
646.3 Repeated spontaneous abortus (currently pregnant)
646.83 Abnormal triple screen (primary)
659.63 Abnormal findings on antenatal screen
659.53 AMA (Advanced Maternal Age) Pregnancy
Screening / Related Codes
V23.0 Pregnancy with History of Infertility
V23.5 Pregnancy with Poor Reproductive History (stillbirth,
neonatal death)
V23.8 Other High Risk Pregnancy
V23.81 Elderly primigravida
V23.82 Elderly multigravida
V23.9 Unspecified High Risk Pregnancy
V26.4 Procreative Management - Genetic Counseling
V28.0 Screen, Chromosome anomalies by amniocentesis
V28.3 Screen, Fetal Malformation by ultrasound (also
ultrasound high resolution fee)
V28.1 Screen, alpha-fetoprotein on amniotic fluid
- Blood Draw / Phlebotomy 36415-002
- Skin Biopsy 11100-007
- HCG Quantitation 84702
- ACHE 82012
- MSAFP 82105
- AFAFP 82106
- Amino Acids Plasma 82130
- Quantitative Estriol 82677
- Hemoglobin Electrophoresis 83020
- Nucleic Acid Probe (each) 83896
- Nucleic Acid Probe w/Amplication (PCR) 83898
- DNA Interpretation and Report 83912
- Cancer Antigen Immunoassay 86316
- Cell Culture, Lymphocytes 88230
- Cell Culture, Tissue 88233
- Cell Culture, Amnio/CVS 88235
- Cell Culture, Bone Marrow 88237
- Cell Culture, Other Tissue 88239
- Blood Chromosomes, Bloom syndrome 88245
- Blood Chromosomes, Fanconi syndrome 88248
- Blood Chromosomes, Fra(X) 88250
- Chromosome Analysis, 5 Cell, Karyotype 88261
- Chromosome Analysis, Routine 88262
- Chromosome Analysis, Post BMT 88262-22
- Additional Tissue 88262-51
- Chromosome Analysis, Mosaic 88263
- Chromosome Analysis/Karyotype (Amnio) 88267
- Chromosome Analysis/Karyotype (CVS) 88267-22
- Chromosomal Analysis/Karyotype (In situ) 88269
- Additional Karyotype 88280
- Additional Banding 88283
- Additional Cells Counted 88285
- Additional High Resolution 88289
- Handling Fee/Transfers To Lab (shipping) 99000
- 88271 X 5 Molecular cytogenetics, DNA probe, each (code applied 5 times, once for each probe in the assay)
- 88275 Interphase in situ hybridization, count 100-300 cells
- 88291 Molecular cytogenetics, interpretation and report
Revised January , 2011
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Debra Collins, M.S. CGC, Genetic Counselor, dcollins@kumc.edu
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