2021 UDS Code Changes for Table 6A, Summaries of Nursing

UDS Table 6A Code Changes. Table 6A: Selected Diagnoses and Services Rendered ... (count only when code U07.1 is present) ... ICD-10: Z11.3, Z11.4, Z20.2,.

Typology: Summaries

2022/2023

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UDS Table 6A Code Changes
Table 6A: Selected Diagnoses and Services Rendered
* Indicates change from 2020
Line Diagnosis/Service 2020 Codes 2021 Codes
blank
Selected Infectious and Parasitic
Diseases
blank
blank
1‐2
Symptomatic/Asymptomatic
human immunodeficiency virus
(HIV)
B20, B97.35, O98.7‐, Z21 B20, B97.35, O98.7‐, Z21
3
Tuberculosis
A15through A19‐, O98.0
A15through A19‐, O98.0
4
Sexually transmitted infections
A50 through A64
A50 through A64
4a Hepatitis B
B16.0 through B16.2, B16.9,
B17.0, B18.0, B18.1, B19.1‐,
O98.4‐
B16.0 through B16.2, B16.9,
B17.0, B18.0, B18.1, B19.1‐,
O98.4‐
4b
Hepatitis C
B17.1‐, B18.2, B19.2‐
B17.1‐, B18.2, B19.2‐
4c Novel coronavirus (SARSCoV2)
disease U07.1 U07.1
blank
Selected Diseases of the
Respiratory System
blank
blank
5
Asthma
J45‐
J45‐
6 Chronic lower respiratory diseases
J40 (count only when code
U07.1 is not present), J41
through J44, J47
J40 (count J40 only when code
U07.1 is not present), J41
through J44, J47
6a
Acute respiratory illness due to
novel coronavirus (SARSCoV2)
disease
J12.89, J20.8, J40, J22, J98.8, J80
(count only when code U07.1 is
present)
J12.89, J20.8, J40 (count J40
only when code U07.1 is
present), J22, J98.8, J80
blank
Selected Other Medical Conditions
blank blank
7 Abnormal breast findings, female
C50.01‐, C50.11‐, C50.21‐,
C50.31‐, C50.41‐, C50.51‐,
C50.61‐, C50.81‐, C50.91‐,
C79.81, D05‐, D48.6‐, D49.3,
N60‐, N63‐, R92‐
C50.01‐, C50.11‐, C50.21‐,
C50.31‐, C50.41‐, C50.51‐,
C50.61‐, C50.81‐, C50.91‐,
C79.81, D05‐, D48.6‐, D49.3,
N60‐, N63‐, R92‐
8 Abnormal cervical finding
C53‐, C79.82, D06‐, R87.61‐,
R87.629, R87.810, R87.820
C53‐, C79.82, D06‐, R87.61‐,
R87.629, R87.810, R87.820
9 Diabetes mellitus
E08‐ through E13‐, O24‐
(exclude O24.41)
E08‐ through E13‐, O24‐
(exclude O24.41)
pf3
pf4
pf5

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UDS Table 6A Code Changes

Table 6A: Selected Diagnoses and Services Rendered

* Indicates change from 2020

Line Diagnosis/Service 2020 Codes 2021 Codes

blank (^) Selected Infectious and Parasitic

Diseases

blank blank

Symptomatic/Asymptomatic human immunodeficiency virus (HIV)

B20, B97.35, O98.7‐, Z21 B20, B97.35, O98.7‐, Z

3 Tuberculosis A15‐ through A19‐, O98.0‐ A15‐ through A19‐, O98.0‐ 4 Sexually transmitted infections A50‐ through A64‐ A50‐ through A64‐

4a Hepatitis B

B16.0 through B16.2, B16.9, B17.0, B18.0, B18.1, B19.1‐, O98.4‐

B16.0 through B16.2, B16.9, B17.0, B18.0, B18.1, B19.1‐, O98.4‐ 4b Hepatitis C B17.1‐, B18.2, B19.2‐ B17.1‐, B18.2, B19.2‐

4c Novel coronavirus (SARSdisease ‐CoV‐2) U07.1 U07.

blank Selected Diseases of the Respiratory System

blank blank

5 Asthma J45‐ J45‐

6 Chronic lower respiratory diseases

J40 (count only when code U07.1 is not present), J41‐ through J44‐, J47‐

J40 (count J40 only when code U07.1 is not present), J41‐ through J44‐, J47‐

6a

Acute respiratory illness due to novel coronavirus (SARS‐CoV‐2) disease

J12.89, J20.8, J40, J22, J98.8, J

(count only when code U07.1 is present)

J12.89, J20.8, J40 (count J only when code U07.1 is present), J22, J98.8, J

blank Selected Other Medical Conditions

blank blank

7 Abnormal breast findings, female

C50.01‐, C50.11‐, C50.21‐,

C50.31‐, C50.41‐, C50.51‐,

C50.61‐, C50.81‐, C50.91‐,

C79.81, D05‐, D48.6‐, D49.3,

N60‐, N63‐, R92‐

C50.01‐, C50.11‐, C50.21‐,

C50.31‐, C50.41‐, C50.51‐,

C50.61‐, C50.81‐, C50.91‐,

C79.81, D05‐, D48.6‐, D49.3,

N60‐, N63‐, R92‐

8 Abnormal cervical finding C R87.629, R87.810, R87.82053‐, C79.82, D06‐, R87.61‐,^ C R87.629, R87.810, R87.82053‐, C79.82, D06‐, R87.61‐,

9 Diabetes mellitus E (exclude O24.4108‐^ through E13‐‐), O24‐^ E (exclude O24.4108‐^ through E13‐‐), O24‐

10 Heart disease (selected)

I01‐, I02‐ (exclude I02.9), I20‐ through I25‐, I27‐, I28‐, I30‐ through I52‐

I01‐, I02‐ (exclude I02.9), I20‐ through I25‐, I27‐, I28‐, I30‐ through I52‐ 11 Hypertension I10‐ through I16‐, O10‐, O11‐ I10‐ through I16‐, O10‐, O11‐

Contact dermatitis and other eczema

L23‐ through L25‐, L30‐ (exclude L30.1, L30.3, L30.4, L30.5), L58‐

L23‐ through L25‐, L30‐ (exclude L30.1, L30.3, L30.4, L30.5), L58‐

13 Dehydration E86‐ E86‐

14 Exposure to heat or cold T33‐, T34‐, T67‐, T68‐, T69‐,

W92‐, W93‐

T33‐, T34‐, T67‐, T68‐, T69‐,

W92‐, W93‐, X30‐, X31‐, X32‐

14a Overweight and obesity

E66‐, Z68‐ (exclude Z68.1, Z68.20 through Z68.24, Z68.51, Z68.52)

E66‐, Z68‐ (exclude Z68.1, Z68.20 through Z68.24, Z68.51, Z68.52)

blank (^) Selected Childhood Conditions (limited to ages 0 through 17)

blank blank

15 Otitis media and Eustachian tube

disorders

H65‐ through H69‐ H65‐ through H69‐

16 Selected perinatal/neonatal

medical conditions

A33‐, P19‐, P22‐ through P29‐ (exclude P29.3), P35‐ through P96‐ (exclude P54‐, P91.6‐, P92‐ , P96.81), R78.81, R78.

A33, P19‐, P22‐ through P29‐ (exclude P29.3‐), P35‐ through P96‐ (exclude P54‐, P91.6‐, P92‐ , P96.81), R78.81, R78.

Lack of expected normal

physiological development (such

as delayed milestone, failure to

gain weight, failure to thrive);

nutritional deficiencies in

children only. Does not include

sexual or mental development.

E40‐ through E46‐, E50‐ through E63‐, P92‐, R62‐ (exclude R62.7), R63.

E40‐ through E46‐, E50‐ through E63‐, P92‐, R62‐ (exclude R62.7), R63.

blank Selected Mental Health Conditions, Substance Use Disorders, and Exploitations

blank blank

18 Alcohol‐related disorders F10‐, G62.1, O99.31‐ F10‐, G62.1, O99.31‐

Other substance‐related

disorders (excluding tobacco use

disorders)

F11‐ through F19‐ (exclude F17‐ ), G62.0, O99.32‐

F11‐ through F19‐ (exclude F17‐ ), G62.0, O99.32‐

19a Tobacco use disorder F17‐, O99.33‐ F17‐, O99.33‐

21c Novel coronavirus (SARS‐CoV‐2)

diagnostic test

CPT‐4: 87426, 87635

HCPCS: U0001, U0002, U0003,

U

CPT PLA: 0202U, 0223U, 0225U

CPT‐4: 87426, 87635, 87636, 87637 HCPCS: U0001, U0002, U0003, U CPT PLA: 0202U, 0223U, 0225U, 0240U, 0241U

21d

Novel coronavirus (SARS‐CoV‐2)

antibody test

CPT‐4: 86328, 86408, 86409,

CPT PLA: 0224U, 0226U

CPT‐4: 86328, 86408, 86409,

CPT PLA: 0224U, 0226U

21e

Pre‐Exposure Prophylaxis (PrEP)‐

associated management of all

PrEP patients

CPT‐4: 99401 ‐ 99404

ICD‐10: Z11.3, Z11.4, Z20.2,

Z20.6, Z51.81, Z71.51, Z71.7,

Z79.

Limit to emtricitabine/tenofovir disoproxil fumarate (FTC/TDF) or emtricitabine/tenofovir alafenamide (FTC/TAF) for PrEP

CPT‐4: 99401 ‐ 99404

ICD‐10: Z11.3, Z11.4, Z20.2,

Z20.6, Z51.81, Z71.51, Z71.7,

Z79.

Limit to emtricitabine/tenofovir disoproxil fumarate (FTC/TDF) or emtricitabine/tenofovir alafenamide (FTC/TAF) for PrEP

22 Mammogram CPT‐4:^ 77065, 77066, 77067

ICD‐10: Z12.

CPT‐4: 77063, 77065, 77066,

ICD‐10: Z12.

HCPCS: G

23 Pap test

CPT‐4: 88141 through 88153, 88155, 88164 through 88167, 88174, 88175 ICD‐10: Z01.41‐, Z01.42, Z12. (exclude Z01.411, and Z01.419)

CPT‐4: 88141 through 88153, 88155, 88164 through 88167, 88174, 88175 ICD‐10: Z01.41‐, Z01.42, Z12. (exclude Z01.411, and Z01.419)

Selected immunizations:

hepatitis A; haemophilus

influenzae B (HiB);

pneumococcal, diphtheria,

tetanus, pertussis (DTaP) (DTP)

(DT); measles, mumps, rubella

(MMR); poliovirus; varicella;

hepatitis B

CPT‐4: 90632, 90633, 90634,

CPT‐4: 90632, 90633, 90634,

24a Seasonal flu vaccine

CPT‐4: 90630, 90653 through 90657, 90658, 90661, 90662, 90672, 90673, 90674, 90682, 90685 through 90689, 90756

CPT‐4: 90630, 90653 through 90657, 90658, 90661, 90662, 90672, 90673, 90674, 90682, 90685 through 90689, 90756

24b

Coronavirus (SARS‐CoV‐2)

vaccine

Blank for demonstration CPT‐I : 0001A-004A,^ 0011A- 0014 A, 0021A-0 024 A, 0031A- 0034A, 0041A-0044A, 9130 0, 91301 , 91302, 91303, 91304

25 Contraceptive management ICD‐10: Z30‐ ICD‐10: Z30‐

Health supervision of infant or

child (ages 0 through 11)

CPT‐4: 99381 through 99383, 99391 through 99393 ICD‐10: Z00.1‐

CPT‐4: 99381 through 99383, 99391 through 99393 ICD‐10: Z00.1‐, Z76.1, Z76.

26a

Childhood lead test screening (

to 72 months)

ICD‐10: Z13.

CPT‐4: 83655

ICD‐10: Z13.

CPT‐4: 83655

26b

Screening, Brief Intervention,

and Referral to Treatment

(SBIRT)

CPT‐4: 99408, 99409

HCPCS: G0396, G0397, G0443,

H

CPT‐4: 99408, 99409

HCPCS: G0396, G0397, G0443,

H