The following ICD-10 codes listed, that support medical necessity, for hyperbaric oxygen therapy, are provided for informational and educational purposes only. Use of these codes does not guarantee payment. Please check with your local coverage/insurance provider for proper ICD-10 coding requirements.

ICD-10 CODE DESCRIPTION
A42.0 Pulmonary actinomycosis
A42.1 Abdominal actinomycosis
A42.2 Cervicofacial actinomycosis
A42.89 Other forms of actinomycosis
A42.9 Actinomycosis, unspecified
A43.0 Pulmonary nocardiosis
A43.1 Cutaneous nocardiosis
A43.8 Other forms of nocardiosis
A43.9 Nocardiosis, unspecified
A48.0 Gas gangrene
B47.1 Actinomycetoma
B47.9 Mycetoma, unspecified
E10.51* Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E10.52* Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E10.618* Type 1 diabetes mellitus with other diabetic arthropathy
E10.620* Type 1 diabetes mellitus with diabetic dermatitis
E10.621* Type 1 diabetes mellitus with foot ulcer
E10.622* Type 1 diabetes mellitus with other skin ulcer
E10.628* Type 1 diabetes mellitus with other skin complications
E10.65* Type 1 diabetes mellitus with hyperglycemia
E10.69* Type 1 diabetes mellitus with other specified complication
E11.51* Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E11.52* Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E11.59* Type 2 diabetes mellitus with other circulatory complications
E11.618* Type 2 diabetes mellitus with other diabetic arthropathy
E11.620* Type 2 diabetes mellitus with diabetic dermatitis
E11.621* Type 2 diabetes mellitus with foot ulcer
E11.622* Type 2 diabetes mellitus with other skin ulcer
E11.628* Type 2 diabetes mellitus with other skin complications
E11.65* Type 2 diabetes mellitus with hyperglycemia
E11.69* Type 2 diabetes mellitus with other specified complication
E13.51* Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene
E13.52* Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene
E13.618* Other specified diabetes mellitus with other diabetic arthropathy
E13.620* Other specified diabetes mellitus with diabetic dermatitis
E13.621* Other specified diabetes mellitus with foot ulcer
E13.622* Other specified diabetes mellitus with other skin ulcer
E13.628* Other specified diabetes mellitus with other skin complications
I70.231* Atherosclerosis of native arteries of right leg with ulceration of thigh
I70.232* Atherosclerosis of native arteries of right leg with ulceration of calf
I70.233* Atherosclerosis of native arteries of right leg with ulceration of ankle
I70.234* Atherosclerosis of native arteries of right leg with ulceration of heel and midfoot
I70.235* Atherosclerosis of native arteries of right leg with ulceration of other part of foot
I70.238* Atherosclerosis of native arteries of right leg with ulceration of other part of lower right leg
I70.241* Atherosclerosis of native arteries of left leg with ulceration of thigh
I70.242* Atherosclerosis of native arteries of left leg with ulceration of calf
I70.243* Atherosclerosis of native arteries of left leg with ulceration of ankle
I70.244* Atherosclerosis of native arteries of left leg with ulceration of heel and midfoot
I70.245* Atherosclerosis of native arteries of left leg with ulceration of other part of foot
I70.248* Atherosclerosis of native arteries of left leg with ulceration of other part of lower left leg
I70.25 Atherosclerosis of native arteries of other extremities with ulceration
I70.331* Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of thigh
I70.332* Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of calf
I70.333* Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of ankle
I70.338* Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.341* Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of thigh
I70.342* Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of calf
I70.343* Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of ankle
I70.348* Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of other part of lower leg
I70.431* Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of thigh
I70.432* Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of calf
I70.433* Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of ankle
I70.434* Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.435* Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of other part of foot
I70.438* Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.441* Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of thigh
I70.442* Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of calf
I70.443* Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of ankle
I70.444* Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.445* Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of other part of foot
I70.448* Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of other part of lower leg
I70.531* Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of thigh
I70.532* Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of calf
I70.533* Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of ankle
I70.534* Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.535* Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of other part of foot
I70.538* Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.541* Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of thigh
I70.542* Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of calf
I70.543* Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of ankle
I70.544* Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.545* Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of other part of foot
I70.548* Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of other part of lower leg
I70.631* Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of thigh
I70.632* Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of calf
I70.633* Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of ankle
I70.634* Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.635* Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of other part of foot
I70.638* Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.641* Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of thigh
I70.642* Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of calf
I70.643* Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of ankle
I70.644* Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.645* Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of other part of foot
I70.648* Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of other part of lower leg
I70.731* Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of thigh
I70.732* Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of calf
I70.733* Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of ankle
I70.734* Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.735* Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of other part of foot
I70.738* Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.741* Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of thigh
I70.742* Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of calf
I70.743* Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of ankle
I70.744* Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.745* Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of other part of foot
I70.748* Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of other part of lower leg
I74.2 Embolism and thrombosis of arteries of the upper extremities
I74.3 Embolism and thrombosis of arteries of the lower extremities
I74.5 Embolism and thrombosis of iliac artery
L08.1 Erythrasma
L59.9* Disorder of the skin and subcutaneous tissue related to radiation, unspecified
L97.111* Non-pressure chronic ulcer of right thigh limited to breakdown of skin
L97.112* Non-pressure chronic ulcer of right thigh with fat layer exposed
L97.113* Non-pressure chronic ulcer of right thigh with necrosis of muscle
L97.114* Non-pressure chronic ulcer of right thigh with necrosis of bone
L97.121* Non-pressure chronic ulcer of left thigh limited to breakdown of skin
L97.122* Non-pressure chronic ulcer of left thigh with fat layer exposed
L97.123* Non-pressure chronic ulcer of left thigh with necrosis of muscle
L97.124* Non-pressure chronic ulcer of left thigh with necrosis of bone
L97.211* Non-pressure chronic ulcer of right calf limited to breakdown of skin
L97.212* Non-pressure chronic ulcer of right calf with fat layer exposed
L97.213* Non-pressure chronic ulcer of right calf with necrosis of muscle
L97.214* Non-pressure chronic ulcer of right calf with necrosis of bone
L97.221* Non-pressure chronic ulcer of left calf limited to breakdown of skin
L97.222* Non-pressure chronic ulcer of left calf with fat layer exposed
L97.223* Non-pressure chronic ulcer of left calf with necrosis of muscle
L97.224* Non-pressure chronic ulcer of left calf with necrosis of bone
L97.311* Non-pressure chronic ulcer of right ankle limited to breakdown of skin
L97.312* Non-pressure chronic ulcer of right ankle with fat layer exposed
L97.313* Non-pressure chronic ulcer of right ankle with necrosis of muscle
L97.314* Non-pressure chronic ulcer of right ankle with necrosis of bone
L97.321* Non-pressure chronic ulcer of left ankle limited to breakdown of skin
L97.322* Non-pressure chronic ulcer of left ankle with fat layer exposed
L97.323* Non-pressure chronic ulcer of left ankle with necrosis of muscle
L97.324* Non-pressure chronic ulcer of left ankle with necrosis of bone
L97.411* Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin
L97.412* Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed
L97.413* Non-pressure chronic ulcer of right heel and midfoot with necrosis of muscle
L97.414* Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone
L97.421* Non-pressure chronic ulcer of left heel and midfoot limited to breakdown of skin
L97.422* Non-pressure chronic ulcer of left heel and midfoot with fat layer exposed
L97.423* Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle
L97.424* Non-pressure chronic ulcer of left heel and midfoot with necrosis of bone
L97.511* Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin
L97.512* Non-pressure chronic ulcer of other part of right foot with fat layer exposed
L97.513* Non-pressure chronic ulcer of other part of right foot with necrosis of muscle
L97.514* Non-pressure chronic ulcer of other part of right foot with necrosis of bone
L97.521* Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin
L97.522* Non-pressure chronic ulcer of other part of left foot with fat layer exposed
L97.523* Non-pressure chronic ulcer of other part of left foot with necrosis of muscle
L97.524* Non-pressure chronic ulcer of other part of left foot with necrosis of bone
L97.811* Non-pressure chronic ulcer of other part of right lower leg limited to breakdown of skin
L97.812* Non-pressure chronic ulcer of other part of right lower leg with fat layer exposed
L97.813* Non-pressure chronic ulcer of other part of right lower leg with necrosis of muscle
L97.814* Non-pressure chronic ulcer of other part of right lower leg with necrosis of bone
L97.821* Non-pressure chronic ulcer of other part of left lower leg limited to breakdown of skin
L97.822* Non-pressure chronic ulcer of other part of left lower leg with fat layer exposed
L97.823* Non-pressure chronic ulcer of other part of left lower leg with necrosis of muscle
L97.824* Non-pressure chronic ulcer of other part of left lower leg with necrosis of bone
L97.911* Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin
L97.912* Non-pressure chronic ulcer of unspecified part of right lower leg with fat layer exposed
L97.913* Non-pressure chronic ulcer of unspecified part of right lower leg with necrosis of muscle
L97.914* Non-pressure chronic ulcer of unspecified part of right lower leg with necrosis of bone
L97.921* Non-pressure chronic ulcer of unspecified part of left lower leg limited to breakdown of skin
L97.922* Non-pressure chronic ulcer of unspecified part of left lower leg with fat layer exposed
L97.923* Non-pressure chronic ulcer of unspecified part of left lower leg with necrosis of muscle
L97.924* Non-pressure chronic ulcer of unspecified part of left lower leg with necrosis of bone
M27.2 Inflammatory conditions of jaws
M27.8 Other specified diseases of jaws
M72.6 Necrotizing fasciitis
M86.30 Chronic multifocal osteomyelitis, unspecified site
M86.311 Chronic multifocal osteomyelitis, right shoulder
M86.312 Chronic multifocal osteomyelitis, left shoulder
M86.321 Chronic multifocal osteomyelitis, right humerus
M86.322 Chronic multifocal osteomyelitis, left humerus
M86.331 Chronic multifocal osteomyelitis, right radius and ulna
M86.332 Chronic multifocal osteomyelitis, left radius and ulna
M86.341 Chronic multifocal osteomyelitis, right hand
M86.342 Chronic multifocal osteomyelitis, left hand
M86.351 Chronic multifocal osteomyelitis, right femur
M86.352 Chronic multifocal osteomyelitis, left femur
M86.361 Chronic multifocal osteomyelitis, right tibia and fibula
M86.362 Chronic multifocal osteomyelitis, left tibia and fibula
M86.371 Chronic multifocal osteomyelitis, right ankle and foot
M86.372 Chronic multifocal osteomyelitis, left ankle and foot
M86.38 Chronic multifocal osteomyelitis, other site
M86.39 Chronic multifocal osteomyelitis, multiple sites
M86.40 Chronic osteomyelitis with draining sinus, unspecified site
M86.411 Chronic osteomyelitis with draining sinus, right shoulder
M86.412 Chronic osteomyelitis with draining sinus, left shoulder
M86.421 Chronic osteomyelitis with draining sinus, right humerus
M86.422 Chronic osteomyelitis with draining sinus, left humerus
M86.431 Chronic osteomyelitis with draining sinus, right radius and ulna
M86.432 Chronic osteomyelitis with draining sinus, left radius and ulna
M86.441 Chronic osteomyelitis with draining sinus, right hand
M86.442 Chronic osteomyelitis with draining sinus, left hand
M86.451 Chronic osteomyelitis with draining sinus, right femur
M86.452 Chronic osteomyelitis with draining sinus, left femur
M86.461 Chronic osteomyelitis with draining sinus, right tibia and fibula
M86.462 Chronic osteomyelitis with draining sinus, left tibia and fibula
M86.471 Chronic osteomyelitis with draining sinus, right ankle and foot
M86.472 Chronic osteomyelitis with draining sinus, left ankle and foot
M86.48 Chronic osteomyelitis with draining sinus, other site
M86.49 Chronic osteomyelitis with draining sinus, multiple sites
M86.50 Other chronic hematogenous osteomyelitis, unspecified site
M86.511 Other chronic hematogenous osteomyelitis, right shoulder
M86.512 Other chronic hematogenous osteomyelitis, left shoulder
M86.521 Other chronic hematogenous osteomyelitis, right humerus
M86.522 Other chronic hematogenous osteomyelitis, left humerus
M86.531 Other chronic hematogenous osteomyelitis, right radius and ulna
M86.532 Other chronic hematogenous osteomyelitis, left radius and ulna
M86.541 Other chronic hematogenous osteomyelitis, right hand
M86.542 Other chronic hematogenous osteomyelitis, left hand
M86.551 Other chronic hematogenous osteomyelitis, right femur
M86.552 Other chronic hematogenous osteomyelitis, left femur
M86.561 Other chronic hematogenous osteomyelitis, right tibia and fibula
M86.562 Other chronic hematogenous osteomyelitis, left tibia and fibula
M86.571 Other chronic hematogenous osteomyelitis, right ankle and foot
M86.572 Other chronic hematogenous osteomyelitis, left ankle and foot
M86.58 Other chronic hematogenous osteomyelitis, other site
M86.59 Other chronic hematogenous osteomyelitis, multiple sites
M86.60 Other chronic osteomyelitis, unspecified site
M86.611 Other chronic osteomyelitis, right shoulder
M86.612 Other chronic osteomyelitis, left shoulder
M86.621 Other chronic osteomyelitis, right humerus
M86.622 Other chronic osteomyelitis, left humerus
M86.631 Other chronic osteomyelitis, right radius and ulna
M86.632 Other chronic osteomyelitis, left radius and ulna
M86.641 Other chronic osteomyelitis, right hand
M86.642 Other chronic osteomyelitis, left hand
M86.651 Other chronic osteomyelitis, right thigh
M86.652 Other chronic osteomyelitis, left thigh
M86.661 Other chronic osteomyelitis, right tibia and fibula
M86.662 Other chronic osteomyelitis, left tibia and fibula
M86.671 Other chronic osteomyelitis, right ankle and foot
M86.672 Other chronic osteomyelitis, left ankle and foot
M86.68 Other chronic osteomyelitis, other site
M86.69 Other chronic osteomyelitis, multiple sites
M86.8X0 Other osteomyelitis, multiple sites
M86.8X1 Other osteomyelitis, shoulder
M86.8X2 Other osteomyelitis, upper arm
M86.8X3 Other osteomyelitis, forearm
M86.8X4 Other osteomyelitis, hand
M86.8X5 Other osteomyelitis, thigh
M86.8X6 Other osteomyelitis, lower leg
M86.8X7 Other osteomyelitis, ankle and foot
M86.8X8 Other osteomyelitis, other site
M86.8X9 Other osteomyelitis, unspecified sites
N30.40 Irradiation cystitis without hematuria
N30.41 Irradiation cystitis with hematuria
S35.511A Injury of right iliac artery, initial encounter
S35.512A Injury of left iliac artery, initial encounter
S45.011A Laceration of axillary artery, right side, initial encounter
S45.012A Laceration of axillary artery, left side, initial encounter
S45.019A Laceration of axillary artery, unspecified side, initial encounter
S45.091A Other specified injury of axillary artery, right side, initial encounter
S45.092A Other specified injury of axillary artery, left side, initial encounter
S45.111A Laceration of brachial artery, right side, initial encounter
S45.112A Laceration of brachial artery, left side, initial encounter
S45.191A Other specified injury of brachial artery, right side, initial encounter
S45.192A Other specified injury of brachial artery, left side, initial encounter
S45.199A Other specified injury of brachial artery, unspecified side, initial encounter
S45.211A Laceration of axillary or brachial vein, right side, initial encounter
S45.212A Laceration of axillary or brachial vein, left side, initial encounter
S45.219A Laceration of axillary or brachial vein, unspecified side, initial encounter
S45.291A Other specified injury of axillary or brachial vein, right side, initial encounter
S45.292A Other specified injury of axillary or brachial vein, left side, initial encounter
S45.299A Other specified injury of axillary or brachial vein, unspecified side, initial encounter
S47.1XXA Crushing injury of right shoulder and upper arm, initial encounter
S47.2XXA Crushing injury of left shoulder and upper arm, initial encounter
S47.9XXA Crushing injury of shoulder and upper arm, unspecified arm, initial encounter
S57.01XA Crushing injury of right elbow, initial encounter
S57.02XA Crushing injury of left elbow, initial encounter
S57.81XA Crushing injury of right forearm, initial encounter
S57.82XA Crushing injury of left forearm, initial encounter
S67.21XA Crushing injury of right hand, initial encounter
S67.22XA Crushing injury of left hand, initial encounter
S67.31XA Crushing injury of right wrist, initial encounter
S67.32XA Crushing injury of left wrist, initial encounter
S67.41XA Crushing injury of right wrist and hand, initial encounter
S67.42XA Crushing injury of left wrist and hand, initial encounter
S75.011A Minor laceration of femoral artery, right leg, initial encounter
S75.012A Minor laceration of femoral artery, left leg, initial encounter
S75.021A Major laceration of femoral artery, right leg, initial encounter
S75.022A Major laceration of femoral artery, left leg, initial encounter
S75.091A Other specified injury of femoral artery, right leg, initial encounter
S75.092A Other specified injury of femoral artery, left leg, initial encounter
S75.099A Other specified injury of femoral artery, unspecified leg, initial encounter
S77.01XA Crushing injury of right hip, initial encounter
S77.02XA Crushing injury of left hip, initial encounter
S77.11XA Crushing injury of right thigh, initial encounter
S77.12XA Crushing injury of left thigh, initial encounter
S77.20XA Crushing injury of unspecified hip with thigh, initial encounter
S77.21XA Crushing injury of right hip with thigh, initial encounter
S77.22XA Crushing injury of left hip with thigh, initial encounter
S85.011A Laceration of popliteal artery, right leg, initial encounter
S85.012A Laceration of popliteal artery, left leg, initial encounter
S85.019A Laceration of popliteal artery, unspecified leg, initial encounter
S85.091A Other specified injury of popliteal artery, right leg, initial encounter
S85.092A Other specified injury of popliteal artery, left leg, initial encounter
S85.099A Other specified injury of popliteal artery, unspecified leg, initial encounter
S87.01XA Crushing injury of right knee, initial encounter
S87.02XA Crushing injury of left knee, initial encounter
S87.81XA Crushing injury of right lower leg, initial encounter
S87.82XA Crushing injury of left lower leg, initial encounter
S97.01XA Crushing injury of right ankle, initial encounter
S97.02XA Crushing injury of left ankle, initial encounter
S97.111A Crushing injury of right great toe, initial encounter
S97.112A Crushing injury of left great toe, initial encounter
S97.121A Crushing injury of right lesser toe(s), initial encounter
S97.122A Crushing injury of left lesser toe(s), initial encounter
S97.81XA Crushing injury of right foot, initial encounter
S97.82XA Crushing injury of left foot, initial encounter
T57.3X1A Toxic effect of hydrogen cyanide, accidental (unintentional), initial encounter
T57.3X2A Toxic effect of hydrogen cyanide, intentional self-harm, initial encounter
T57.3X3A Toxic effect of hydrogen cyanide, assault, initial encounter
T57.3X4A Toxic effect of hydrogen cyanide, undetermined, initial encounter
T58.01XA Toxic effect of carbon monoxide from motor vehicle exhaust, accidental (unintentional), initial encounter
T58.02XA Toxic effect of carbon monoxide from motor vehicle exhaust, intentional self-harm, initial encounter
T58.03XA Toxic effect of carbon monoxide from motor vehicle exhaust, assault, initial encounter
T58.04XA Toxic effect of carbon monoxide from motor vehicle exhaust, undetermined, initial encounter
T58.11XA Toxic effect of carbon monoxide from utility gas, accidental (unintentional), initial encounter
T58.12XA Toxic effect of carbon monoxide from utility gas, intentional self-harm, initial encounter
T58.13XA Toxic effect of carbon monoxide from utility gas, assault, initial encounter
T58.14XA Toxic effect of carbon monoxide from utility gas, undetermined, initial encounter
T58.2X1A Toxic effect of carbon monoxide from incomplete combustion of other domestic fuels, accidental (unintentional), initial encounter
T58.2X2A Toxic effect of carbon monoxide from incomplete combustion of other domestic fuels, intentional self-harm, initial encounter
T58.2X3A Toxic effect of carbon monoxide from incomplete combustion of other domestic fuels, assault, initial encounter
T58.2X4A Toxic effect of carbon monoxide from incomplete combustion of other domestic fuels, undetermined, initial encounter
T58.8X1A Toxic effect of carbon monoxide from other source, accidental (unintentional), initial encounter
T58.8X2A Toxic effect of carbon monoxide from other source, intentional self-harm, initial encounter
T58.8X3A Toxic effect of carbon monoxide from other source, assault, initial encounter
T58.8X4A Toxic effect of carbon monoxide from other source, undetermined, initial encounter
T58.91XA Toxic effect of carbon monoxide from unspecified source, accidental (unintentional), initial encounter
T58.92XA Toxic effect of carbon monoxide from unspecified source, intentional self-harm, initial encounter
T58.93XA Toxic effect of carbon monoxide from unspecified source, assault, initial encounter
T58.94XA Toxic effect of carbon monoxide from unspecified source, undetermined, initial encounter
T65.0X1A Toxic effect of cyanides, accidental (unintentional), initial encounter
T65.0X2A Toxic effect of cyanides, intentional self-harm, initial encounter
T65.0X3A Toxic effect of cyanides, assault, initial encounter
T65.0X4A Toxic effect of cyanides, undetermined, initial encounter
T66.XXXA* Radiation sickness, unspecified, initial encounter
T70.29XA Other effects of high altitude, initial encounter
T70.3XXA Caisson disease [decompression sickness], initial encounter
T79.0XXA Air embolism (traumatic), initial encounter
T80.0XXA Air embolism following infusion, transfusion and therapeutic injection, initial encounter
T86.820 Skin graft (allograft) rejection
T86.821 Skin graft (allograft) (autograft) failure
T86.822 Skin graft (allograft) (autograft) infection
T86.828 Other complications of skin graft (allograft) (autograft)
T87.0X1 Complications of reattached (part of) right upper extremity
T87.0X2 Complications of reattached (part of) left upper extremity
T87.0X9 Complications of reattached (part of) unspecified upper extremity
T87.1X1 Complications of reattached (part of) right lower extremity
T87.1X2 Complications of reattached (part of) left lower extremity
T87.1X9 Complications of reattached (part of) unspecified lower extremity
T87.2 Complications of other reattached body part
Group 1 Medical Necessity ICD-10 Codes Asterisk Explanation: *Note: Covered diabetes ICD-10-CM codes must be listed in addition to a covered non-pressure chronic ulcer ICD-10-CM code to indicate this condition. Per NCD 20.29.

*Note: Code (L59.9) also the condition or nature of the late effect, which should be sequenced first.

*Note: Code (T66.XXXA) also the specific diagnosis code(s) for the condition or nature of the effect of radiation, if known based on medical record documentation; this code (or codes) should be sequenced first.