c



 
 
 
 
 
 
 
 
 
 
 
























 

 


















 


 
 
 
 



 

 





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POLIOMYELITIS LATE EFFECTS OF
MALIGNANT NEOPLASM OF CEREBRUM EXCEPT LOBES AND VEN G0283
MALIGNANT NEOPLASM OF FRONTAL LOBE
G0283
MALIGNANT NEOPLASM OF TEMPORAL LOBE
G0283
MALIGNANT NEOPLASM OF PARIETAL LOBE
G0283
MALIGNANT NEOPLASM OF OCCIPITAL LOBE
G0283
MALIGNANT NEOPLASM OF VENTRICLES
G0283
MALIGNANT NEOPLASM OF CEREBELLUM NOT OTHERWISE SPEC G0283
MALIGNANT NEOPLASM OF BRAIN STEM
G0283
MALIGNANT NEOPLASM OF OTHER PARTS OF BRAIN
G0283
MALIGNANT NEOPLASM OF BRAIN UNSPECIFIED SITE
G0283
LYMPHOMA--MYCOSIS FUNGOIDES
LYMPHOMA--SZARY'S DISEASE
LYMPHOMAS--OTHER
GOUTY ARTHROPATHY
G0283
97018
97022
GOUT UNSPECIFIED
G0283
97022
Dyspnea, functional
PARKINSON'S DISEASE--PARALYSIS AGITANS
PARKINSON'S DISEASE--SECONDARY TO DRUGS
BASAL GANGLIA--OTHER DEGENERATIVE DISEASES
TORSION DYSTONIA--GENETIC
TORSION DYSTONIA--AQUIRED ATHETOID CEREBRAL PALSY
TORSION DYSTONIA--AQUIRED DUE TO DRUG
TORSION DYSTONIA--AQUIRED OTHER
97012
G0283
SPASMODIC TORTICOLLIS--TORSION DYSTONIA
97012
G0283
WRITERS CRAMP ORGANIC--TORSION DYSTONIA
EXTRAPYRAMIDAL DISEASES UNSPECIFIED
EXTRAPYRAMIDAL DISEASES STIFF MAN SYNDROME
FRIEDREICH'S ATAXIA
PARAPLEGIA SPASTIC --HEREDITARY
CEREBELLAR DEGENERATION--PRIMARY
CEREBELLAR ATAXIA--OTHER
CEREBELLAR ATAXIA--IN DISEASES CLASSIFIED ELSEWHERE
SPINOCEREBELLAR DISEASES--OTHER
SPINOCEREBELLAR DISEASES--UNSPECIFIED
SPINAL MUSCULAR ATROPHY--WERDNIG-HOFFMEN DISEASE
SPINAL MUSCULAR ATROPHY--UNSPECIFIED
SPINAL MUSCULAR ATROPHY--KUGELBERG-WELANDER DISEASE-- FAMILIAL AND JUVENILE
SPINAL MUSCULAR ATROPHY--OTHER ADULT
MOTOR NEURON DISEASE--AMYOTROPHIC LATERAL SCLEROSIS
MOTOR NEURON DISEASE--PROGRESSIVE MUSCULAR ATROPHY
MOTOR NEURON DISEASE--PROGRESSIVE BULBAR PALSY
MOTOR NEURON DISEASE--PSEUDOBULBAR PALSY
MOTOR NEURON DISEASE--PRIMARY LATERAL SCLEROSIS
MOTOR NEURON DISEASE--OTHER
ANTERIOR HORN CELL DISEASE--OTHER
ANTERIOR HORN CELL DISEASE--UNSPECIFIED
SYRINGOMYLELIA AND SYRINGOBULBIA
VASCULAR MYELOPATHIES
DEGENERATION OF SPINAL CORD--SUBACUTE--IN OTHER DISEASES
MYELOPATHY IN OTHER DISEASES CLASSIFIED ELSEWHERE
MYELOPATHY--OTHER
REFLEX SYMPATHETIC DYSTROPHY--UNSPECIFIED
GO283
97022
REFLEX SYMPATHETIC DYSTROPHY--UPPER LIMB
GO283
97018
97022
REFLEX SYMPATHETIC DYSTROPHY--LOWER LIMB
GO283
97018
97022
REFLEX SYMPATHETIC DYSTROPHY--OTHER SPECIFIED SITE
GO283
97022
Central pain syndrome
GO283
Other acute pain
GO283
Neoplasm related pain acute, chronic
GO283
MULTIPLE SCLEROSIS
DEMYELINATING DISEASES OF CNS SCHILDER'S DISEASE
MYELITIS TRANSVERSE--IDIOPATIC
DEMYELINATING DISEASES OF CNS-OTHER
DEMYELINATING DISEASES OF CNS-UNSPECIFIED
HEMIPLEGIA FLACCID AFFECTING UNSPECIFIED SIDE
GO283
HEMIPLEGIA FLACCID AFFECTING DOMINANT SIDE
GO283
HEMIPLEGIA FLACCID AFFECTING NON DOMINANT SIDE
GO283
HEMIPLEGIA SPASTIC AFFECTING UNSPECIFIED SIDE
GO283
HEMIPLEGIA SPASTIC AFFECTING DOMINANT SIDE
GO283
HEMIPLEGIA SPASTIC AFFECTING NON DOMINANT SIDE
GO283
HEMIPLEGIA OTHER--SPECIFIED AFFECTING UNSPECIFIED SIDE
GO283
HEMIPLEGIA OTHER--SPECIFIED AFFECTING DOMINANT SIDE
GO283
HEMIPLEGIA OTHER--SPECIFIED AFFECTING NON DOMINANT SID GO283
HEMIPLEGIA UNSPECIFIED AFFECTING UNSPECIFIED SIDE
GO283





97028
97028
97028
97024
97024

97024
97024

97024
97024
97024
97024































  








 

 
 

































HEMIPLEGIA UNSPECIFIED AFFECTING DOMINANT SIDE

GO283
HEMIPLEGIA UNSPECIFIED AFFECTING NON DOMINANT SIDE
GO283
CEREBRAL PALSY--DIPLEGIC
CEREBRAL PALSY--HEMIPLEGIC
CEREBRAL PALSY--QUADRIPLEGIC
CEREBRAL PALSY--MONOPLEGIC
HEMIPLEGIA--INFANTILE
HEMIPLEGIA--INFANTILE OTHER SPECIFIED
HEMIPLEGIA--INFANTILE UNSPECIFIED
QUADRIPLEGIA--UNSPECIFIED
QUADRIPLEGIA--C1-C4 COMPLETE
QUADRIPLEGIA--C1-C4 INCOMPLETE
QUADRIPLEGIA--C5-C7 COMPLETE
QUADRIPLEGIA--C5-C7 INCOMPLETE
QUADRIPLEGIA--OTHER
PARAPLEGIA
DIPLEGIA
MONOPLEGIA OF LOWER LIMB--UNSPECIFIED SIDE
MONOPLEGIA OF LOWER LIMB--DOMINANT SIDE
MONOPLEGIA OF LOWER LIMB--NON DOMINANT SIDE
MONOPLEGIA OF UPPER LIMB--UNSPECIFIED SIDE
MONOPLEGIA OF UPPER LIMB--DOMINANT SIDE
MONOPLEGIA OF UPPER LIMB--NON DOMINANT SIDE
MONOPLEGIA--UNSPECIFIED
CAUDA EQUINA SYNDROME--WITHOUT NEUROGENIC BLADDER
GO283
CAUDA EQUINA SYNDROME--WITH NEUROGENIC BLADDER
GO283
PARALYTIC SYNDROME--LOCKED IN STATE
PARALYTIC SYNDROME--OTHER SPECIFIED SYNDROME
PARALYSIS--UNSPECIFIED
Migraine with aura
G0283
Migraine without aura
G0283
Variants of migraine, not elsewhere classified
G0283
Hemiplegic migraine
G0283
Menstrual migraine
G0283
Persistant migraine aura without cerebral infarction
G0283
Persistant migraine aura with cerebral infarction
G0283
Chronic migraine without aura
G0283
Other forms of migraine
G0283
BRAIN DAMAGE--ANOXIC
Other and unspecified disorders of the nervous system
Trigeminal neuralgia
G0283
BELL'S PALSY
TRIGEMINAL NEURALGIA--GENICULATE GANGLIONITIS
NERVE ROOT LESIONS--BRACHIAL PLEXUS LESION
GO283
NERVE ROOT LESIONS--LUMBOSACRAL PLEXUS
GO283
NERVE ROOT LESIONS--CERVICAL NOT ELSEWHERE C
97012
GO283
NERVE ROOT LESIONS--THORACIC NOT ELSEWHERE CLASSIFIED GO283
NERVE ROOT LESIONS--LUMBAR NOT ELSEWHERE CLA 97012
GO283
NERVE ROOT LESIONS--NEURALGIC AMYOTROPHY
GO283
NERVE ROOT LESIONS--PHANTOM LIMB
GO283
NERVE ROOT LESIONS--OTHER NERVE ROOT AND PLEXUS DISOR GO283
NERVE ROOT LESIONS--UNSPECIFIED NERVE ROOT AND PLEXUS DISORDERS
MONONEURITIS--CARPAL TUNNEL SYNDROME
GO283
97018
MONONEURITIS--OTHER LESION OF MEDIAN NERVE
GO283
97018
MONONEURITIS--LESION OF ULNAR NERVE
GO283
97018
MONONEURITIS--RADIAL NERVE
GO283
97018
MONONEURITIS--CAUSALGIA OF UPPER LIMB
GO283
MONONEURITIS--MULTIPLEX
GO283
97018
MONONEURITIS--OTHER SPECIFIED
GO283
97018
MONONEURITIS--OTHER UNSPECIFIED
GO283
97018
MONONEURITIS--SCIATIC NERVE
GO283
MONONEURITIS--MERALGIA PARASTHETICA
GO283
MONONEURITIS--OTHER LESION OF FEMORAL NERVE
GO283
MONONEURITIS--LESION OF LATERAL POPLITEAL NERVE
GO283
97018
MONONEURITIS--LESION OF MEDIAL POPLITEAL NERVE
GO283
97018
MONONEURITIS--TARSAL TUNNEL SYNDROME
GO283
97018
MONONEURITIS--LESION OF PLANTAR NERVE
GO283
97018
MONONEURITIS--CAUSALGIA OF LOWER LIMB
GO283
MONONEURITIS--OTHER SPECIFIED LESION OF LOWER LIMB
97018
MONONEURITIS--UNSPECIFIED OF LOWER LIMB
GO283
97018
MONONEURITIS--OF UNSPECIFIED AREA
GO283
97018
PERIPHERAL NEUROPATHY--HEREDITARY
PERIPHERAL NEUROPATHY--PERONEAL MUSCULAR ATROPHY
PERIPHERAL NEUROPATHY--HEREDITARY SENSORY NEUROPATHY
PERIPHERAL NEUROPATHY--IDIOPATHIC PROGRESS POLYNEUROPATHY

97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022

97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024































 







 
 
 
 
 
 




  



 























PERIPHERAL NEUROPATHY--IDIOPATHIC POLYNEUROPATHY--OTHER SPECIFIED

PERIPHERAL NEUROPATHY--IDIOPATHIC POLYNEUROPATHY--UNSPECIFIED
POLYNEUROPATHY ACUTE INFECTIVE POLYNEURITIS
POLYNEUROPATHY IN COLLAGEN VASCULAR DISEASE
POLYNEUROPATHY IN DIABETES
POLYNEUROPATHY IN MALIGNANT DISEASE
POLYNEUROPATHY IN OTHER DISEASES CLASSIFIED ELSEWHERE
POLYNEUROPATHY--ALCOHOLIC
POLYNEUROPATHY--DRUG RELATED
POLYNEUROPATHY--OTHER TOXIC AGENTS
POLYNEUROPATHY--CHRONIC INFLAMMATORY DEMYELINATING
POLYNEUROPATHY--CRITICAL ILLNESS/ACUTE MOTOR NEUROPATHY
POLYNEUROPATHY--OTHER INFLAMMATORY AND TOXIC
POLYNEUROPATHY--UNSPECIFIED
MYASTHENIA GRAVIS WITHOUT ACUTE EXACERBATION
MYASTHENIA GRAVIS WITH ACUTE EXACERBATION
MYASTHENIA GRAVIS SYNDROMES IN DISEASES CLASSIFIED ELSEWHERE
TOXIC MYONEURAL DISORDERS
MYONEURAL DISORDER--OTHER SPECIFIED
MYONEURAL DISORDER--UNSPECIFIED
MUSCULAR DYSTROPHY--CONGENITAL HEREDITARY
MUSCULAR DYSTROPHY--PROGRESSIVE HEREDITARY
MYOPATHY--MYOTONIC DISORDER
MYOPATHY--PERIODIC PARALYSIS--FAMILIAL
MYOPATHY--TOXIC
MYOPATHY IN ENDOCRINE DISEASES
MYOPATHY--SYMPTOMATIC AND INFLAMMATORY IN DISEASES CLASSIFIED ELSEWHERE
MYOPATHY CRITICAL ILLNESS
MYOPATHY OTHER
MYOPATHY UNSPECIFIED
Visual field defects
Visual field defects
VISION LOSS--PROFOUND IMPAIRMENT--TOTAL IMPAIRMENT BOTH EYES
VISION LOSS-PROFOUND IMPAIRMENT--NEAR TOTAL IMPAIRMENT IN BETTER EYE; TOTAL IMPAIRMENT IN LESSER E
VISION LOSS-PROFOUND IMPAIRMENT NEAR TOTAL IMPAIRMENT BOTH EYES
VISION LOSS-PROFOUND IMPAIRMENT--PROFOUND IMPAIRMENT BETTER EYE, TOTAL IMPAIRMENT LESSER EYE
VISION LOSS-PROFOUND IMPAIRMENT--PROFOUND IMPAIRMENT BETTER EYE, NEAR TOTAL IMPAIRMENT LESSER E
VISION LOSS-PROFOUND IMPAIRMENT BOTH EYES
VISION LOSS-SEVERE IMPAIRMENT--SEVERE IMPAIRMENT BETTER EYE, TOTAL IMPAIRMENT LESSER EYE
VISION LOSS-SEVERE IMPAIRMENT--SEVERE IMPAIRMENT BETTER EYE, NEAR TOTAL IMPAIRMENT LESSER EYE
VISION LOSS-SEVERE IMPAIRMENT--SEVERE IMPAIRMENT BETTER EYE, PROFOUND IMPAIRMENT LESSER EYE
VISION LOSS-MODERATE IMPAIRMENT--MODERATE IMPAIRMENT BETTER EYE, TOTAL IMPAIRMENT LESSER EYE
VISION LOSS-MODERATE IMPAIRMENT--MODERATE IMPAIRMENT BETTER EYE, NEAR TOTAL IMPAIRMENT LESSER E
VISION LOSS-MODERATE IMPAIRMENT--MODERATE IMPAIRMENT--BETTER EYE, PROFOUND IMPAIRMENT LESSER E
Moderate or severe impairment; better eye: severe impairment; lesser eye: severe
impairment
VISION LOSS-MODERATE IMPAIRMENT--MODERATE IMPAIRMENT BOTH EYES
Menieres disease
Other and unspecified peripheral vertigo
Vertigo of central origin
Labyrinthitis
Unspecified vertiginous syndromes and labyrinthine disorders
Heart failure
CEREBRAL VASCULAR DISEASE--ACUTE BUT ILL DEFINED--EXCLUDES CVA
ATHEROSCLEROSIS OF THE EXTREMITIES WITH ULCERATION
97022
ATHEROSCLEROSIS OF THE EXTREMITIES WITH GANGRENE
97022
VARICOSE VEINS OF THE LOWER EXTREMITIES WITH ULCERATION
97022
VARICOSE VEINS OF THE LOWER EXTREMITIES WITH INFLAMMATION
97022
VARICOSE VEINS OF THE LOWER EXTREMITIES WITH ULCERATION AND INFLAMMATIO 97022
VARICOSE VEINS OF THE LOWER EXTREMITIES ASYMPTOMATIC
97022
LYMPHEDEMA--POST MASTECTOMY LYMPHEDEMA SYNDROME
GO283
97022
LYMPHEDEMA-- OTHER
PNEUMONIA DUE TO ADENOVIRUS
PNEUMONIA DUE TO RESPIRATORY SYNCYTIAL VIRUS
PNEUMONIA DUE TO PARAINFLUENZA VIRUS
PNEUMONIA DUE TO SARS ASSOCIATED CORONAVIRUS
PNEUMONIA DUE TO OTHER VIRUS NOT ELSEWHERE CLASSIFIED
PNEUMONIA VIRAL--UNSPECIFIED
PNEUMONIA PNEUMOCOCCAL
PNEUMONIA DUE TO KLEBSIELLA PNEUMONIAE
PNEUMONIA DUE TO PSEUDOMONAS
PNEUMONIA DUE TO HEMOPHILUS INFLUENZAE
PNEUMONIA DUE TO STREPTOCOCCUS UNSPECIFIED
PNEUMONIA DUE TO STREPTOCOCCUS GROUP A
PNEUMONIA DUE TO STREPTOCOCCUS GROUP B





















 
 
 
 
 
 



 
































 
 
 
 
 
 
 
 
 
 
 
 
 

PNEUMONIA DUE TO STREPTOCOCCUS OTHER STREPTOCOCCUS

PNEUMONIA DUE TO STAPHYLOCOCCUS UNSPECIFIED
PNEUMONIA DUE TO STAPHYLOCOCCUS AUREUS
PNEUMONIA DUE TO STAPHYLOCOCCUS OTHER
PNEUMONIA DUE TO ANAEROBES
PNEUMONIA DUE TO ESCHERICHIA COLI
PNEUMONIA DUE TO OTHER GRAM NEGATIVE BACTERIA
PNEUMONIA DUE TO OTHER SPECIFIED BACTERIA
PNEUMONIA MYCOPLASMA PNEUMONIAE
PNEUMONIA OTHER SPECIFIED ORGANISM
PNEUMONIA IN CYTOMEGALIC INCLUSION DISEASE
PNEUMONIA IN WHOOPING COUGH
PNEUMONIA IN ANTHRAX
PNEUMONIA IN OTHER INFECTIOUS DISEASES CLASSIFIED ELSEWHERE
PNEUMONIA BRONCHOPNEUMONIA
PNEUMONIA ORGANISM UNSPECIFIED
INFLUENZA WITH PNEUMONIA
INFLUENZA WITH OTHER RESPIRATORY MANIFESTATIONS
INFLUENZA WITH OTHER MANIFESTATIONS
BRONCHITIS NOT SPECIFIED AS ACUTE OR CHRONIC
BRONCHITIS CHRONIC SIMPLE
BRONCHITIS CHRONIC MUCOPURULENT
BRONCHITIS CHRONIC OBSTRUCTIVE WITHOUT ACUTE EXACERBATION
BRONCHITIS CHRONIC OBSTRUCTIVE WITH ACUTE EXACERBATION
BRONCHITIS CHRONIC OTHER
BRONCHITIS CHRONIC UNSPECIFIED
Emphysematous bleb
Other emphysema
Chronic obstructive asthma, unspecified
Other forms of asthma
BRONCHIECTASIS WITHOUT ACUTE EXACERBATION
BRONCHIECTASIS WITH ACUTE EXACERBATION
ALLERGIC ALVEOLITIS FARMERS' LUNG
ALLERGIC ALVEOLITIS BAGASSOSIS
ALLERGIC ALVEOLITIS BIRD FANCIERS' LUNG
ALLERGIC ALVEOLITIS SUBEROSIS
ALLERGIC ALVEOLITIS MALT WORKERS' LUNG
ALLERGIC ALVEOLITIS MUSHROOM WORKERS' LUNG
ALLERGIC ALVEOLITIS MAPLE BARK STRIPPERS' LUNG
ALLERGIC ALVEOLITIS VENTILATION PNEUMONITIS
ALLERGIC ALVEOLITIS--OTHER SPECIFIED
ALLERGIC ALVEOLITIS UNSPECIFIED
CHRONIC AIRWAY OBSTRUCTION--NOT ELSEWHERE CLASSIFIED
PNEUMOCONIOSIS--COAL WORKERS
ASBESTOSIS
PNEUMOCONIOSIS--DUE TO SILICA OR SILICATES
PNEUMOCONIOSIS--DUE TO INORGANIC DUST
PNEUMONOPATHY--DUE TO INHALATION OF OTHER DUST
PNEUMOCONIOSIS-- UNSPECIFIED
BRONCHITIS AND PNEUMONITIS--DUE TO FUMES AND VAPORS
ACUTE PULMONARY EDEMA--DUE TO FUMES AND VAPORS
UPPER RESPIRATORY INFLAMMATION--DUE TO FUMES AND VAPORS
ACUTE AND SUBACUTE RESPIRATORY CONDITIONS--OTHER--DUE TO FUMES AND VAPORS
CHRONIC RESPIRATORY CONDITIONS--DUE TO FUMES AND VAPORS
UNSPECIFIED RESPIRATORY CONDITIONS--DUE TO FUMES AND VAPORS
PNEUMONITIS--DUE TO INHALATION OF FOOD OR VOMITUS
PNEUMONITIS--DUE TO INHALATION OF OILS AND ESSENCES
PNEUMONITIS--DUE TO INHALATION OF OTHER SOLIDS AND LIQUIDS
PULMONARY MANIFESTATIONS--ACUTE--DUE TO RADIATION
PULMONARY MANIFESTATIONS--CHRONIC--DUE TO CHRONIC RADIATION
RESPIRATORY CONDITIONS--OTHER SPECIFIED DUE TO EXTERNAL AGENTS
RESPIRATORY CONDITIONS--UNSPECIFIED DUE TO EXTERNAL AGENTS
ABSCESS OF LUNG
PULMONARY CONGESTION AND HYPOSTASIS
PULMONARY FIBROSIS--POSTINFLAMMATORY
PULMONARY HEMOSIDEROSIS--IDIOPATHIC
PULMONARY ALVEOLAR MICROLITHIASIS
FIBROSING ALVEOLITIS--IDIOPATHIC
ALVEOLAR AND PARIETOALVEOLAR PNEUMONOPATHIES--OTHER SPECIFIED
ALVEOLAR AND PARIETOALVEOLAR PNEUMONOPATHIES--OTHER UNSPECIFIED
RHEUMATIC PNEUMONIA
LUNG INVOLVEMENT IN SYSTEMIC SCLEROSIS
LUNG INVOLVEMENT IN OTHER DISEASES CLASSIFIED ELSEWHERE
Interstitial emphysema
Transfusion related acute lung injury (TRALI)

 









 


  
 
 
 
 
 




 

 
 
 
  
 





















 

 
 
 
 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 

Other disease of lung, not elsewhere classified (OXYGEN PATIENTS ONLY)

TMJ DISORDER UNSPECIFIED
GO283
TMJ DISORDER ADHESION AND ANKYLOSIS
GO283
TMJ DISORDER ARTHRALGIA
GO283
TMJ DISORDER ARTICULAR DISC DISORDER
GO283
TMJ DISORDER OTHER SPECIFIED
GO283
Anal spasm
GO283
Anal or rectal pain
GO283
Hypertonicity of bladder
GO283
Detrussor sphincter dyssynergia
GO283
Chronic prostatitis
GO283
Other specified disorders of the prostate
GO283
Unspecified disorder of male genital organs
GO283
Vaginitis and vulvovaginitis, unspecified
GO283
Endometriosis of uterus
GO283
Cystocele, midline
GO283
Rectocele
GO283
Uterine prolapse without mention of vaginal wall prolapse
GO283
Pelvic muscle wasting
GO283
Pain and other symptoms associated with female genital organs
GO283
Dysmenorrhea
GO283
Stress incontinence, female
GO283
Unspecified symptom associated with female genital organs
GO283
Damage to pelvic joints and ligaments
GO283
Damage to pelvic joints and ligaments
GO283
CELLULITIS AND ABSCESS FINGER--UNSPECIFIED
CELLULITIS AND ABSCESS FELON
CELLULITIS AND ABSCESS ONYCHIA AND PARONYCHIA OF FINGER
CELLULITIS AND ABSCESS TOE--UNSPECIFIED
CELLULITIS AND ABSCESS ONYCHIA AND PARONYCHIA OF TOE
CELLULITIS AND ABSCESS OF UPPER ARM AND FOREARM
97022
CELLULITIS AND ABSCESS OF HAND EXCEPT FINGERS AND THUMB
97022
CELLULITIS AND ABSCESS OF GLUTEAL REGION
97022
CELLULITIS AND ABSCESS OF LEG EXCEPT FOOT
97022
CELLULITIS AND ABSCESS OF FOOT EXCEPT TOES
97022
CONTACT DERMATITIS AND ECZEMA--UNSPECIFIED CAUSE
ERYTHMATOUS CONDITIONS--RITTER'S DISEASE
97022
ERYTHMATOUS CONDITIONS--OTHER SPECIFIED
97022
PSORIATIC ARTHROPATHY
PSORIASIS--OTHER
PSORIASIS--PARAPSORIASIS
LICHEN PLANUS
DECUBITUS ULCER UNSPECIFIED SITE
97022
DECUBITUS ULCER--ELBOW
97022
DECUBITUS ULCER--UPPER BACK
97022
DECUBITUS ULCER--LOWER BACK
97022
DECUBITUS ULCER--HIP
97022
DECUBITUS ULCER--BUTTOCK
97022
DECUBITUS ULCER--ANKLE
97022
DECUBITUS ULCER--HEEL
97022
DECUBITUS ULCER--OTHER SITE
97022
ULCER OF LOWER LIMBS, EXCEPT DECUBITUS--UNSPECIFIED
97022
ULCER OF LOWER LIMBS, EXCEPT DECUBITUS--THIGH
97022
ULCER OF LOWER LIMBS, EXCEPT DECUBITUS--CALF
97022
ULCER OF LOWER LIMBS, EXCEPT DECUBITUS--ANKLE
97022
ULCER OF LOWER LIMBS, EXCEPT DECUBITUS--HEEL AND MID FOOT
97022
ULCER OF LOWER LIMBS, EXCEPT DECUBITUS--FOREFOOT AND TOES
97022
SCAR CONDITIONS AND FIBROSIS OF SKIN
LUPUS SYSTEMIC LUPUS ERYTHEMATOSUS
SCLEROSIS SYSTEMIC SCLEROSIS
DERMATOMYOSITIS--SYSTEMIC DERMATOMYOSITIS
POLYMYOSITIS--SYSTEMIC POLYMOSITIS
CONNECTIVE TISSUE DISEASES--OTHER DIFFUSE CONNECTIVE TISSUE DISEASES--SPECIFIED
ARTHRITIS--PYOGENIC--UNSPECIFIED
97022
ARTHRITIS--PYOGENIC--SHOULDER
97022
ARTHRITIS--PYOGENIC--UPPER ARM
97022
ARTHRITIS--PYOGENIC--FOREARM
97022
ARTHRITIS--PYOGENIC--HAND
97022
ARTHRITIS--PYOGENIC--PELVIS
97022
ARTHRITIS--PYOGENIC--KNEE
97022
ARTHRITIS--PYOGENIC--ANKLE/FOOT
97022
ARTHRITIS--PYOGENIC--OTHER SPECIFIED SITE
97022
ARTHRITIS--PYOGENIC--MULTIPLE SITES
97022
ARTHROPATHY ASSOCIATED WITH REITER'S DISEASE--UNSPECIFIED SITE
97022
ARTHROPATHY ASSOCIATED WITH REITER'S DISEASE--SHOULDER
97022

97028

97028
97028
97028

97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024

  
  
  
  
  
  
  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

ARTHROPATHY ASSOCIATED WITH REITER'S DISEASE--UPPER ARM

ARTHROPATHY ASSOCIATED WITH REITER'S DISEASE--FOREARM
ARTHROPATHY ASSOCIATED WITH REITER'S DISEASE--HAND
97018
ARTHROPATHY ASSOCIATED WITH REITER'S DISEASE--PELVIS
ARTHROPATHY ASSOCIATED WITH REITER'S DISEASE--KNEE
ARTHROPATHY ASSOCIATED WITH REITER'S DISEASE--ANKLE AND FOOT
97018
ARTHROPATHY ASSOCIATED WITH REITER'S DISEASE--OTHER SPECIFIED SITE
ARTHROPATHY ASSOCIATED WITH REITER'S DISEASE--MULTIPLE SITES
ARTHROPATHY IN BEHCET'S SYNDROME--UNSPECIFIED SITE
ARTHROPATHY IN BEHCET'S SYNDROME--SHOULDER
ARTHROPATHY IN BEHCET'S SYNDROME--UPPER ARM
ARTHROPATHY IN BEHCET'S SYNDROME--WRIST
ARTHROPATHY IN BEHCET'S SYNDROME--HAND
ARTHROPATHY IN BEHCET'S SYNDROME--PELVIS
ARTHROPATHY IN BEHCET'S SYNDROME--KNEE
ARTHROPATHY IN BEHCET'S SYNDROME--ANKLE AND FOOT
ARTHROPATHY IN BEHCET'S SYNDROME--OTHER SPECIFIED SITE
ARTHROPATHY IN BEHCET'S SYNDROME--MULTIPLE SITES
ARTHROPATHY--POSTDYSENTERIC--UNSPECIFIED SITE
ARTHROPATHY--POSTDYSENTERIC--SHOULDER
ARTHROPATHY--POSTDYSENTERIC--UPPER ARM
ARTHROPATHY--POSTDYSENTERIC--WRIST
ARTHROPATHY--POSTDYSENTERIC--HAND
ARTHROPATHY--POSTDYSENTERIC--PELVIS
ARTHROPATHY--POSTDYSENTERIC--KNEE
ARTHROPATHY--POSTDYSENTERIC--ANKLE AND FOOT
ARTHROPATHY--POSTDYSENTERIC--OTHER SPECIFIED SITE
ARTHROPATHY--POSTDYSENTERIC--MULTIPLE SITES
ARTHROPATHY ASSOCIATED WITH OTHER BACTERIAL DISEASES--UNSPECIFIED SITE
ARTHROPATHY ASSOCIATED WITH OTHER BACTERIAL DISEASES--SHOULDER
ARTHROPATHY ASSOCIATED WITH OTHER BACTERIAL DISEASES--ELBOW
ARTHROPATHY ASSOCIATED WITH OTHER BACTERIAL DISEASES--WRIST
ARTHROPATHY ASSOCIATED WITH OTHER BACTERIAL DISEASES--HAND
ARTHROPATHY ASSOCIATED WITH OTHER BACTERIAL DISEASES--PELVIS
ARTHROPATHY ASSOCIATED WITH OTHER BACTERIAL DISEASES--KNEE
ARTHROPATHY ASSOCIATED WITH OTHER BACTERIAL DISEASES--ANKLE AND FOOT
ARTHROPATHY ASSOCIATED WITH OTHER BACTERIAL DISEASES--OTHER SPECIFIED
ARTHROPATHY ASSOCIATED WITH OTHER BACTERIAL DISEASES--MULTIPLE SITES
ARTHROPATHY ASSOCIATED WITH OTHER VIRAL DISEASES--UNS GO283
ARTHROPATHY ASSOCIATED WITH OTHER VIRAL DISEASES--SHO GO283
ARTHROPATHY ASSOCIATED WITH OTHER VIRAL DISEASES--UPP GO283
ARTHROPATHY ASSOCIATED WITH OTHER VIRAL DISEASES--WRI GO283
ARTHROPATHY ASSOCIATED WITH OTHER VIRAL DISEASES--HAN GO283
ARTHROPATHY ASSOCIATED WITH OTHER VIRAL DISEASES--PEL GO283
ARTHROPATHY ASSOCIATED WITH OTHER VIRAL DISEASES--KNE GO283
ARTHROPATHY ASSOCIATED WITH OTHER VIRAL DISEASES--ANK GO283
ARTHROPATHY ASSOCIATED WITH OTHER VIRAL DISEASES--OTH GO283
ARTHROPATHY ASSOCIATED WITH OTHER VIRAL DISEASES--MUL GO283
ARTHROPATHY ASSOCIATED WITH MYCOSES--UNSPECIFIED SITE GO283
ARTHROPATHY ASSOCIATED WITH MYCOSES--SHOULDER
GO283
ARTHROPATHY ASSOCIATED WITH MYCOSES--UPPER ARM
GO283
ARTHROPATHY ASSOCIATED WITH MYCOSES--WRIST
GO283
ARTHROPATHY ASSOCIATED WITH MYCOSES--HAND
GO283
ARTHROPATHY ASSOCIATED WITH MYCOSES--PELVIS
GO283
ARTHROPATHY ASSOCIATED WITH MYCOSES--KNEE
GO283
ARTHROPATHY ASSOCIATED WITH MYCOSES--ANKLE AND FOOT GO283
ARTHROPATHY ASSOCIATED WITH MYCOSES--OTHER SPECIFIED GO283
ARTHROPATHY ASSOCIATED WITH MYCOSES--MULTIPLE SITES
GO283
ARTHROPATHY ASSOCIATED WITH HELMINTHIASIS--UNSPECIFIED GO283
ARTHROPATHY ASSOCIATED WITH HELMINTHIASIS--SHOULDER
GO283
ARTHROPATHY ASSOCIATED WITH HELMINTHIASIS--UPPER ARM GO283
ARTHROPATHY ASSOCIATED WITH HELMINTHIASIS--WRIST
GO283
ARTHROPATHY ASSOCIATED WITH HELMINTHIASIS--HAND
GO283
ARTHROPATHY ASSOCIATED WITH HELMINTHIASIS--PELVIS
GO283
ARTHROPATHY ASSOCIATED WITH HELMINTHIASIS--KNEE
GO283
ARTHROPATHY ASSOCIATED WITH HELMINTHIASIS--ANKLE AND F GO283
ARTHROPATHY ASSOCIATED WITH HELMINTHIASIS--OTHER SPEC GO283
ARTHROPATHY ASSOCIATED WITH HELMINTHIASIS--MULTIPLE SI GO283
ARTHROPATHY ASSOCIATED WITH OTHER INFECTIOUS AND PAR GO283
ARTHROPATHY ASSOCIATED WITH OTHER INFECTIOUS AND PAR GO283
ARTHROPATHY ASSOCIATED WITH OTHER INFECTIOUS AND PAR GO283
ARTHROPATHY ASSOCIATED WITH OTHER INFECTIOUS AND PAR GO283
ARTHROPATHY ASSOCIATED WITH OTHER INFECTIOUS AND PAR GO283
ARTHROPATHY ASSOCIATED WITH OTHER INFECTIOUS AND PAR GO283
ARTHROPATHY ASSOCIATED WITH OTHER INFECTIOUS AND PAR GO283

97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
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97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
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97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022

97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024

 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
  
  
  
  
  
  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

ARTHROPATHY ASSOCIATED WITH OTHER INFECTIOUS AND PAR

ARTHROPATHY ASSOCIATED WITH OTHER INFECTIOUS AND PAR
ARTHROPATHY ASSOCIATED WITH OTHER INFECTIOUS AND PAR
ARTHRITIS--INFECTIVE--UNSPECIFIED--UNSPECIFIED SITE
ARTHRITIS--INFECTIVE--UNSPECIFIED--SHOULDER
ARTHRITIS--INFECTIVE--UNSPECIFIED--UPPER ARM
ARTHRITIS--INFECTIVE--UNSPECIFIED--WRIST
ARTHRITIS--INFECTIVE--UNSPECIFIED--HAND
ARTHRITIS--INFECTIVE--UNSPECIFIED--PELVIS
ARTHRITIS--INFECTIVE--UNSPECIFIED--KNEE
ARTHRITIS--INFECTIVE--UNSPECIFIED--ANKLE AND FOOT
ARTHRITIS--INFECTIVE--UNSPECIFIED--OTHER SPECIFIED SITE
ARTHRITIS--INFECTIVE--UNSPECIFIED--MULTIPLE SITES
CHONDROCALCINOSIS DUE TO DICALCIUM PHOSPHATE CRYSTA
CHONDROCALCINOSIS DUE TO DICALCIUM PHOSPHATE CRYSTA
CHONDROCALCINOSIS DUE TO DICALCIUM PHOSPHATE CRYSTA
CHONDROCALCINOSIS DUE TO DICALCIUM PHOSPHATE CRYSTA
CHONDROCALCINOSIS DUE TO DICALCIUM PHOSPHATE CRYSTA
CHONDROCALCINOSIS DUE TO DICALCIUM PHOSPHATE CRYSTA
CHONDROCALCINOSIS DUE TO DICALCIUM PHOSPHATE CRYSTA
CHONDROCALCINOSIS DUE TO DICALCIUM PHOSPHATE CRYSTA
CHONDROCALCINOSIS DUE TO DICALCIUM PHOSPHATE CRYSTA
CHONDROCALCINOSIS DUE TO DICALCIUM PHOSPHATE CRYSTA
CHONDROCALCINOSIS DUE TO PYROPHOSPHATE CRYSTALS--UN
CHONDROCALCINOSIS DUE TO PYROPHOSPHATE CRYSTALS--SH
CHONDROCALCINOSIS DUE TO PYROPHOSPHATE CRYSTALS--EL
CHONDROCALCINOSIS DUE TO PYROPHOSPHATE CRYSTALS--WR
CHONDROCALCINOSIS DUE TO PYROPHOSPHATE CRYSTALS--HA
CHONDROCALCINOSIS DUE TO PYROPHOSPHATE CRYSTALS--PE
CHONDROCALCINOSIS DUE TO PYROPHOSPHATE CRYSTALS--KN
CHONDROCALCINOSIS DUE TO PYROPHOSPHATE CRYSTALS--AN
CHONDROCALCINOSIS DUE TO PYROPHOSPHATE CRYSTALS--OT
CHONDROCALCINOSIS DUE TO PYROPHOSPHATE CRYSTALS--MU
CHONDROCALCINOSIS, UNSPECIFIED--UNSPECIFIED SITE
CHONDROCALCINOSIS, UNSPECIFIED--SHOULDER
CHONDROCALCINOSIS, UNSPECIFIED--ELBOW
CHONDROCALCINOSIS, UNSPECIFIED--WRIST
CHONDROCALCINOSIS, UNSPECIFIED--HAND
CHONDROCALCINOSIS, UNSPECIFIED--PELVIS
CHONDROCALCINOSIS, UNSPECIFIED--KNEE
CHONDROCALCINOSIS, UNSPECIFIED--ANKLE AND FOOT
CHONDROCALCINOSIS, UNSPECIFIED--OTHER SPECIFIED SITE
CHONDROCALCINOSIS, UNSPECIFIED--MULTIPLE SITES
CRYSTAL ARTHROPATHY, OTHER SPECIFIED--UNSPECIFIED SITE
CRYSTAL ARTHROPATHY, OTHER SPECIFIED--SHOULDER
CRYSTAL ARTHROPATHY, OTHER SPECIFIED--ELBOW
CRYSTAL ARTHROPATHY, OTHER SPECIFIED--WRIST
CRYSTAL ARTHROPATHY, OTHER SPECIFIED--HAND
CRYSTAL ARTHROPATHY, OTHER SPECIFIED--PELVIS
CRYSTAL ARTHROPATHY, OTHER SPECIFIED--KNEE
CRYSTAL ARTHROPATHY, OTHER SPECIFIED--ANKLE AND FOOT
CRYSTAL ARTHROPATHY, OTHER SPECIFIED--OTHER SPECIFIED
CRYSTAL ARTHROPATHY, OTHER SPECIFIED--MULTIPLE SITES
CRYSTAL ARTHROPATHY, UNSPECIFIED--UNSPECIFIED SITE
CRYSTAL ARTHROPATHY, UNSPECIFIED--SHOULDER
CRYSTAL ARTHROPATHY, UNSPECIFIED--ELBOW
CRYSTAL ARTHROPATHY, UNSPECIFIED--WRIST
CRYSTAL ARTHROPATHY, UNSPECIFIED--HAND
CRYSTAL ARTHROPATHY, UNSPECIFIED--PELVIS
CRYSTAL ARTHROPATHY, UNSPECIFIED--KNEE
CRYSTAL ARTHROPATHY, UNSPECIFIED--ANKLE AND FOOT
CRYSTAL ARTHROPATHY, UNSPECIFIED--OTHER SPECIFIED SITE
CRYSTAL ARTHROPATHY, UNSPECIFIED--MULTIPLE SITES
ARTHROPATHY ASSC WITH ENDOCRINE/METABOLIC DISORDERS
ARTHROPATHY ASSC WITH GI CONDITIONS OTHER THAN INFECT
ARTHROPATHY ASSC WITH HEMATOLOGICAL DISORDERS
ARTHROPATHY ASSC WITH DERMATOLOGIC DISORDERS
ARTHROPATHY ASSC WITH RESPIRATORY DISORDERS
ARTHROPATHY ASSC WITH NEUROLOGICAL DISORDERS
ARTHROPATHY ASSC WITH HYPERSENSITIVITY DISORDERS
ARTHROPATHY ASSC WITH OTHER DISEASES WITH ARTICULAR I
ARTHROPATHY ASSC WITH OTHER CONDITIONS CLASSIFIABLE E
RHEUMATOID ARTHRITIS
RHEUMATOID ARTHRITIS FELTY'S SYNDROME
RHEUMATOID ARTHRITIS WITH VISCERAL OR SYSTEMIC INVOLVE

GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283

97018

97018

97018

97018

97018
97018
97018

97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022

97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
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97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
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97024
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97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024

 
 
 
 
 
 
 
 
 
 
 
  
 
  
  
  
  
  
  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
  
  
  
  
  
  
  
 
 
 
 
 
 

RHEUMATOID ARTHRITIS POLYARTICULAR JUVENILE CHRONIC

RHEUMATOID ARTHRITIS POLYARTICULAR JUVENILE ACUTE
RHEUMATOID ARTHRITIS PAUCIARTICULAR JUVENILE
RHEUMATOID ARTHRITIS MONOARTICULAR JUVENILE
RHEUMATOID ARTHRITIS CHRONIC POSTRHEUMATIC ARTHROPA
RHEUMATOID ARTHRITIS RHEUMATOID LUNG
RHEUMATOID ARTHRITIS OTHER
INFLAMMATORY POLYARTHROPATHY UNSPECIFIED
OSTEOARTHROSIS GENERALIZED SITE UNSPECIFIED
OSTEOARTHROSIS GENERALIZED HAND
OSTEOARTHROSIS GENERALIZED MULTIPLE SITES
OSTEOARTHROSIS LOCALIZED PRIMARY--UNSPECIFIED SITE
OSTEOARTHROSIS LOCALIZED PRIMARY--SHOULDER
OSTEOARTHROSIS LOCALIZED PRIMARY--ELBOW
OSTEOARTHROSIS LOCALIZED PRIMARY--WRIST
OSTEOARTHROSIS LOCALIZED PRIMARY--HAND
OSTEOARTHROSIS LOCALIZED PRIMARY--PELVIS
OSTEOARTHROSIS LOCALIZED PRIMARY--KNEE
OSTEOARTHROSIS LOCALIZED PRIMARY--ANKLE AND FOOT
OSTEOARTHROSIS LOCALIZED PRIMARY--OTHER SPECIFIED SITE
OSTEOARTHROSIS LOCALIZED SECONDARY--UNSPECIFIED SITE
OSTEOARTHROSIS LOCALIZED SECONDARY--SHOULDER
OSTEOARTHROSIS LOCALIZED SECONDARY--ELBOW
OSTEOARTHROSIS LOCALIZED SECONDARY--WRIST
OSTEOARTHROSIS LOCALIZED SECONDARY--HAND
OSTEOARTHROSIS LOCALIZED SECONDARY--PELVIS
OSTEOARTHROSIS LOCALIZED SECONDARY--KNEE
OSTEOARTHROSIS LOCALIZED SECONDARY--ANKLE AND FOOT
OSTEOARTHROSIS LOCALIZED SECONDARY--OTHER SPECIFIED
OSTEOARTHROSIS LOCALIZED, NOT SPECIFIED 1 OR 2--UNSPE
OSTEOARTHROSIS LOCALIZED, NOT SPECIFIED 1 OR 2--SHOUL
OSTEOARTHROSIS LOCALIZED, NOT SPECIFIED 1 OR 2--ELBOW
OSTEOARTHROSIS LOCALIZED, NOT SPECIFIED 1 OR 2--WRIST
OSTEOARTHROSIS LOCALIZED, NOT SPECIFIED 1 OR 2--HAND
OSTEOARTHROSIS LOCALIZED, NOT SPECIFIED 1 OR 2--PELVIS
OSTEOARTHROSIS LOCALIZED, NOT SPECIFIED 1 OR 2--KNEE
OSTEOARTHROSIS LOCALIZED, NOT SPECIFIED 1 OR 2--ANKLE
OSTEOARTHROSIS LOCALIZED, NOT SPECIFIED 1 OR 2--OTHER
OSTEOARTHROSIS INVOLVING MORE THAN ONE SITE, BUT NOT S
OSTEOARTHROSIS INVOLVING MORE THAN ONE SITE, BUT NOT S
OSTEOARTHROSIS UNSPECIFIED WHETHER GEN OR LOCALIZEDOSTEOARTHROSIS UNSPECIFIED WHETHER GEN OR LOCALIZEDOSTEOARTHROSIS UNSPECIFIED WHETHER GEN OR LOCALIZEDOSTEOARTHROSIS UNSPECIFIED WHETHER GEN OR LOCALIZEDOSTEOARTHROSIS UNSPECIFIED WHETHER GEN OR LOCALIZEDOSTEOARTHROSIS UNSPECIFIED WHETHER GEN OR LOCALIZEDOSTEOARTHROSIS UNSPECIFIED WHETHER GEN OR LOCALIZEDOSTEOARTHROSIS UNSPECIFIED WHETHER GEN OR LOCALIZEDOSTEOARTHROSIS UNSPECIFIED WHETHER GEN OR LOCALIZEDARTHROPATHY OTHER--KASCHIN-BECK DISEASE--UNSPECIFIED
ARTHROPATHY OTHER--KASCHIN-BECK DISEASE--SHOULDER
ARTHROPATHY OTHER--KASCHIN-BECK DISEASE--ELBOW
ARTHROPATHY OTHER--KASCHIN-BECK DISEASE--WRIST
ARTHROPATHY OTHER--KASCHIN-BECK DISEASE--HAND
ARTHROPATHY OTHER--KASCHIN-BECK DISEASE--PELVIS
ARTHROPATHY OTHER--KASCHIN-BECK DISEASE--KNEE
ARTHROPATHY OTHER--KASCHIN-BECK DISEASE--ANKLE AND FO
ARTHROPATHY OTHER--KASCHIN-BECK DISEASE--OTHER SPECIF
ARTHROPATHY OTHER--KASCHIN-BECK DISEASE--MULTIPLE SITE
ARTHROPATHY OTHER TRAUMATIC--UNSPECIFIED SITE
ARTHROPATHY OTHER TRAUMATIC--SHOULDER
ARTHROPATHY OTHER TRAUMATIC--ELBOW
ARTHROPATHY OTHER TRAUMATIC--WRIST
ARTHROPATHY OTHER TRAUMATIC--HAND
ARTHROPATHY OTHER TRAUMATIC--PELVIS
ARTHROPATHY OTHER TRAUMATIC--KNEE
ARTHROPATHY OTHER TRAUMATIC--ANKLE AND FOOT
ARTHROPATHY OTHER TRAUMATIC--OTHER SPECIFIED SITE
ARTHROPATHY OTHER TRAUMATIC--MULTIPLE SITES
ARTHROPATHY OTHER--ALLERGIC ARTHRITIS--UNSPECIFIED SITE
ARTHROPATHY OTHER--ALLERGIC ARTHRITIS--SHOULDER
ARTHROPATHY OTHER--ALLERGIC ARTHRITIS--ELBOW
ARTHROPATHY OTHER--ALLERGIC ARTHRITIS--WRIST
ARTHROPATHY OTHER--ALLERGIC ARTHRITIS--HAND
ARTHROPATHY OTHER--ALLERGIC ARTHRITIS--PELVIS

GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283

97018
97018
97018
97018
97018
97018
97018
97018

97022
97022
97022
97022
97022
97022
97022
97022

97024
97024
97024
97024
97024
97024
97024
97024

97018

97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
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97022
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97022
97022
97022
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97022
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97022
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97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022

97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024

97018

97018

97018

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
    
 
 

ARTHROPATHY OTHER--ALLERGIC ARTHRITIS--KNEE

GO283
ARTHROPATHY OTHER--ALLERGIC ARTHRITIS--ANKLE AND FOOT GO283
ARTHROPATHY OTHER--ALLERGIC ARTHRITIS--OTHER SPECIFIED GO283
ARTHROPATHY OTHER--ALLERGIC ARTHRITIS--MULTIPLE SITES
GO283
ARTHROPATHY OTHER--CLIMACTERIC ARTHRITIS--UNSPECIFIED GO283
ARTHROPATHY OTHER--CLIMACTERIC ARTHRITIS--SHOULDER
GO283
ARTHROPATHY OTHER--CLIMACTERIC ARTHRITIS--ELBOW
GO283
ARTHROPATHY OTHER--CLIMACTERIC ARTHRITIS--WRIST
GO283
ARTHROPATHY OTHER--CLIMACTERIC ARTHRITIS--HAND
GO283
ARTHROPATHY OTHER--CLIMACTERIC ARTHRITIS--PELVIS
GO283
ARTHROPATHY OTHER--CLIMACTERIC ARTHRITIS--KNEE
GO283
ARTHROPATHY OTHER--CLIMACTERIC ARTHRITIS--ANKLE AND FO GO283
ARTHROPATHY OTHER--CLIMACTERIC ARTHRITIS--OTHER SPECI GO283
ARTHROPATHY OTHER--CLIMACTERIC ARTHRITIS--MULTIPLE SITE GO283
ARTHROPATHY OTHER--TRANSIENT ARTHROPATHY--UNSPECIFIE GO283
ARTHROPATHY OTHER--TRANSIENT ARTHROPATHY--SHOULDER GO283
ARTHROPATHY OTHER--TRANSIENT ARTHROPATHY--ELBOW
GO283
ARTHROPATHY OTHER--TRANSIENT ARTHROPATHY--WRIST
GO283
ARTHROPATHY OTHER--TRANSIENT ARTHROPATHY--HAND
GO283
ARTHROPATHY OTHER--TRANSIENT ARTHROPATHY--HIP
GO283
ARTHROPATHY OTHER--TRANSIENT ARTHROPATHY--KNEE
GO283
ARTHROPATHY OTHER--TRANSIENT ARTHROPATHY--ANKLE/FOO GO283
ARTHROPATHY OTHER TRANSIENT ARTHROPATHY--OTHER SPEC GO283
ARTHROPATHY OTHER TRANSIENT ARTHROPATHY--MULTIPLE SI GO283
ARTHROPATHY OTHER--UNSPECIFIED POLYARTHROPATHY OR P GO283
ARTHROPATHY OTHER--UNSPECIFIED POLYARTHROPATHY OR P GO283
ARTHROPATHY OTHER--UNSPECIFIED POLYARTHROPATHY OR P GO283
ARTHROPATHY OTHER--UNSPECIFIED POLYARTHROPATHY OR P GO283
ARTHROPATHY OTHER--UNSPECIFIED POLYARTHROPATHY OR P GO283
ARTHROPATHY OTHER--UNSPECIFIED POLYARTHROPATHY OR P GO283
ARTHROPATHY OTHER--UNSPECIFIED POLYARTHROPATHY OR P GO283
ARTHROPATHY OTHER--UNSPECIFIED POLYARTHROPATHY OR P GO283
ARTHROPATHY OTHER--UNSPECIFIED POLYARTHROPATHY OR P GO283
ARTHROPATHY OTHER--UNSPECIFIED POLYARTHROPATHY OR P GO283
ARTHROPATHY OTHER--UNSPECIFIED SITE--MONOARTHRITIS UNSPECIFIED
ARTHROPATHY OTHER--MONOARTHRITIS UNSPECIFIED--SHOULDER
ARTHROPATHY OTHER--MONOARTHRITIS UNSPECIFIED--ELBOW
ARTHROPATHY OTHER--MONOARTHRITIS UNSPECIFIED--WRIST
ARTHROPATHY OTHER--MONOARTHRITIS UNSPECIFIED--HAND
ARTHROPATHY OTHER--MONOARTHRITIS UNSPECIFIED--HIP
ARTHROPATHY OTHER--MONOARTHRITIS UNSPECIFIED--KNEE
ARTHROPATHY OTHER--MONOARTHRITIS UNSPECIFIED--ANKLE/FOOT
ARTHROPATHY OTHER--MONOARTHRITIS--OTHER SPECIFIED SITE
ARTHROPATHY OTHER--SPECIFIED ARTHROPATHY--UNSPECIFIED SITE
ARTHROPATHY OTHER--SPECIFIED ARTHROPATHY--SHOULDER
ARTHROPATHY OTHER--SPECIFIED ARTHROPATHY--ELBOW
ARTHROPATHY OTHER--SPECIFIED ARTHROPATHY--WRIST
ARTHROPATHY OTHER--SPECIFIED ARTHROPATHY--HAND
ARTHROPATHY OTHER--SPECIFIED ARTHROPATHY--HIP
ARTHROPATHY OTHER--SPECIFIED ARTHROPATHY--KNEE
ARTHROPATHY OTHER--SPECIFIED ARTHROPATHY--ANKLE/FOOT
ARTHROPATHY OTHER--SPECIFIED ARTHROPATHY--OTHER SPECIFIED SITE
ARTHROPATHY OTHER--SPECIFIED ARTHROPATHY--MULTIPLE SITES
ARTHROPATHY--UNSPECIFIED ARTHROPATHY--UNSPECIFIED SITE
ARTHROPATHY--UNSPECIFIED ARTHROPATHY--SHOULDER
ARTHROPATHY--UNSPECIFIED ARTHROPATHY--ELBOW
ARTHROPATHY--UNSPECIFIED ARTHROPATHY--WRIST
ARTHROPATHY--UNSPECIFIED ARTHROPATHY--HAND
ARTHROPATHY--UNSPECIFIED ARTHROPATHY--HIP
ARTHROPATHY--UNSPECIFIED ARTHROPATHY--KNEE
ARTHROPATHY--UNSPECIFIED ARTHROPATHY--ANKLE/FOOT
ARTHROPATHY--UNSPECIFIED ARTHROPATHY--OTHER SPECIFIED SITE
ARTHROPATHY--UNSPECIFIED ARTHROPATHY--MULTIPLE SITES
MENISCUS TEAR--OLD BUCKET HANDLE TEAR OF MED MENISCUS
MENISCUS TEAR--DERANGEMENT OF ANT HORN MED MENISCUS
MENISCUS TEAR--DERANGEMENT OF POST HORN MED MENISCUS
MENISCUS TEAR--DERANGEMENT OF MEDIAL MENISCUS UNSPECIFIED
MENISCUS TEAR--DERANGEMENT OF LATERAL MENISCUS UNSPECIFIED
MENISCUS TEAR--BUCKET HANDLE TEAR OF LATERAL MENISCUS
MENISCUS TEAR--DERANGEMENT OF ANT HORN OF LAT MENISCUS
MENISCUS TEAR--DERANGEMENT OF POST HORN OF LAT MENISCUS
Loose body in joint
Loose body in joint
DISLOCATION PATHOLOGICAL--UNSPECIFIED
GO283
DISLOCATION PATHOLOGICAL--SHOULDER
GO283

97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022

97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024

97022
97022

97024
97024

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
  
  
  
  
  
  
  
 
 

DISLOCATION PATHOLOGICAL--ELBOW
GO283
DISLOCATION PATHOLOGICAL--WRIST
GO283
DISLOCATION PATHOLOGICAL--HAND
GO283
DISLOCATION PATHOLOGICAL--HIP
GO283
DISLOCATION PATHOLOGICAL--KNEE
GO283
DISLOCATION PATHOLOGICAL--ANKLE AND FOOT
GO283
DISLOCATION PATHOLOGICAL--OTHER SPECIFIED
GO283
DISLOCATION PATHOLOGICAL--MULTIPLE SITES
GO283
DISLOCATION RECURRENT--UNSPECIFIED
GO283
DISLOCATION RECURRENT--SHOULDER
GO283
DISLOCATION RECURRENT--ELBOW
GO283
DISLOCATION RECURRENT--WRIST
GO283
DISLOCATION RECURRENT--HAND
GO283
DISLOCATION RECURRENT--HIP
GO283
DISLOCATION RECURRENT--KNEE
GO283
DISLOCATION RECURRENT--FOOT
GO283
DISLOCATION RECURRENT--OTHER SPECIFIED SITE
GO283
DISLOCATION RECURRENT--MULTIPLE SITES
GO283
CONTRACTURE OF JOINT--UNSPECIFIED
GO283
CONTRACTURE OF JOINT--SHOULDER
GO283
CONTRACTURE OF JOINT--ELBOW
GO283
CONTRACTURE OF JOINT--WRIST
GO283
CONTRACTURE OF JOINT--HAND
GO283
97018
CONTRACTURE OF JOINT--PELVIS
GO283
CONTRACTURE OF JOINT--KNEE
GO283
CONTRACTURE OF JOINT--ANKLE/FOOT
GO283
97018
CONTRACTURE OF JOINT--OTHER SPECIFIED
GO283
CONTRACTURE OF JOINT--MULTIPLE
GO283
ANKYLOSIS OF JOINT--UNSPECIFIED
ANKYLOSIS OF JOINT--SHOULDER
ANKYLOSIS OF JOINT--ELBOW
ANKYLOSIS OF JOINT--WRIST
ANKYLOSIS OF JOINT--HAND
ANKYLOSIS OF JOINT--HIP
ANKYLOSIS OF JOINT--KNEE
ANKYLOSIS OF JOINT--ANKLE AND FOOT
ANKYLOSIS OF JOINT--OTHER SPECIFIED SITE
ANKYLOSIS OF JOINT--MULTIPLE SITES
INTRAPELVIC PROTRUSION OF ACETABULUM
INTRAPELVIC PROTRUSION OF ACETABULUM
JOINT DERANGEMENT--OTHER--NOT ELSEWHERE CLSFD--UNSPECIFIED SITE
JOINT DERANGEMENT--OTHER--NOT ELSEWHERE CLSFD--SHOULDER
JOINT DERANGEMENT--OTHER--NOT ELSEWHERE CLSFD--ELBOW
JOINT DERANGEMENT--OTHER--NOT ELSEWHERE CLSFD--WRIST
JOINT DERANGEMENT--OTHER--NOT ELSEWHERE CLSFD--HAND
JOINT DERANGEMENT--OTHER--NOT ELSEWHERE CLSFD--HIP
JOINT DERANGEMENT--OTHER--NOT ELSEWHERE CLSFD--KNEE
JOINT DERANGEMENT--OTHER--NOT ELSEWHERE CLSFD--ANKLE AND FOOT
JOINT DERANGEMENT--OTHER--NOT ELSEWHERE CLSFD--OTHER SPECIFIED SITE
JOINT DERANGEMENT--OTHER--NOT ELSEWHERE CLSFD--MULTIPLE SITES
JOINT DERANGEMENT--UNSPECIFIED--NOT ELSEWHERE CLSFD--FOOT AND ANKLE
JOINT DERANGEMENT--UNSPECIFIED--OTHER SPECFIED SITE
JOINT DERANGEMENT--UNSPECIFIED--MULTIPLE SITES
EFFUSION OF JOINT--UNSPECIFIED SITE
GO283
EFFUSION OF JOINT--SHOULDER
GO283
EFFUSION OF JOINT--ELBOW
GO283
EFFUSION OF JOINT--WRIST
GO283
EFFUSION OF JOINT--HAND
GO283
97018
EFFUSION OF JOINT--HIP
GO283
EFFUSION OF JOINT--KNEE
GO283
EFFUSION OF JOINT--ANKLE AND FOOT
GO283
97018
EFFUSION OF JOINT--OTHER SPECFIED SITE
GO283
EFFUSION OF JOINT--MULTIPLE SITES
GO283
HEMARTHROSIS--UNSPECIFIED
GO283
HEMARTHROSIS--SHOULDER
GO283
HEMARTHROSIS--ELBOW
GO283
HEMARTHROSIS--WRIST
GO283
HEMARTHROSIS--HAND
GO283
HEMARTHROSIS--HIP
GO283
HEMARTHROSIS--KNEE
GO283
HEMARTHROSIS--ANKLE AND FOOT
GO283
HEMARTHROSIS--OTHER SPECFIED SITE
GO283
HEMARTHROSIS--MULTIPLE SITES
GO283
VILLONODULAR SYNOVITIS--UNSPECIFIED
G0283
VILLONODULAR SYNOVITIS--SHOULDER
GO283

97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022

97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024

97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022

97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 







VILLONODULAR SYNOVITIS--ELBOW
GO283
VILLONODULAR SYNOVITIS--WRIST
GO283
VILLONODULAR SYNOVITIS--HAND
GO283
VILLONODULAR SYNOVITIS--HIP
GO283
VILLONODULAR SYNOVITIS--KNEE
GO283
VILLONODULAR SYNOVITIS--ANKLE AND FOOT
GO283
VILLONODULAR SYNOVITIS--OTHER SPECFIED SITE
GO283
VILLONODULAR SYNOVITIS--MULTIPLE SITES
GO283
PALINDROMIC RHEUMATISM--UNSPECIFIED
GO283
PALINDROMIC RHEUMATISM--SHOULDER
GO283
PALINDROMIC RHEUMATISM--ELBOW
GO283
PALINDROMIC RHEUMATISM--WRIST
GO283
PALINDROMIC RHEUMATISM--HAND
GO283
PALINDROMIC RHEUMATISM--PELVIS
GO283
PALINDROMIC RHEUMATISM--KNEE
GO283
PALINDROMIC RHEUMATISM--ANKLE AND FOOT
GO283
PALINDROMIC RHEUMATISM--OTHER SPECFIED SITE
GO283
PALINDROMIC RHEUMATISM--MULTIPLE SITES
GO283
JOINT PAIN--UNSPECIFIED
GO283
JOINT PAIN--SHOULDER
GO283
JOINT PAIN--ELBOW
GO283
JOINT PAIN--WRIST
GO283
JOINT PAIN--HAND
GO283
JOINT PAIN--PELVIS
GO283
JOINT PAIN--KNEE
GO283
JOINT PAIN--ANKLE AND FOOT
GO283
JOINT PAIN--OTHER SPECFIED SITE
GO283
JOINT PAIN--MULTIPLE SITES
GO283
JOINT ROM LIMITED--UNSPECIFIED SITE
GO283
JOINT ROM LIMITED--SHOULDER
GO283
JOINT ROM LIMITED--ELBOW
GO283
JOINT ROM LIMITED--WRIST
GO283
JOINT ROM LIMITED--HAND
GO283
JOINT ROM LIMITED--PELVIS
GO283
JOINT ROM LIMITED--KNEE
GO283
JOINT ROM LIMITED--ANKLE AND FOOT
GO283
JOINT ROM LIMITED--OTHER SPECFIED SITE
GO283
JOINT ROM LIMITED--MULTIPLE SITES
GO283
JOINT--OTHER SYMPTOMS REFERABLE TO JOINT--UNSPECIFIED SITE
JOINT--OTHER SYMPTOMS REFERABLE TO JOINT--SHOULDER
JOINT--OTHER SYMPTOMS REFERABLE TO JOINT--ELBOW
JOINT--OTHER SYMPTOMS REFERABLE TO JOINT--WRIST
JOINT--OTHER SYMPTOMS REFERABLE TO JOINT--HAND
JOINT--OTHER SYMPTOMS REFERABLE TO JOINT--PELVIS
JOINT--OTHER SYMPTOMS REFERABLE TO JOINT--KNEE
JOINT--OTHER SYMPTOMS REFERABLE TO JOINT--ANKLE AND FOOT
JOINT--OTHER SYMPTOMS REFERABLE TO JOINT--OTHER SPECFIED SITE
JOINT--OTHER SYMPTOMS REFERABLE TO JOINT--MULTIPLE SITES
DIFFICULTY IN WALKING EXCLUDING GAIT ABNORM
JOINT--OTHER SPECIFIED DISORDERS OF JOINT--UNSPECIFIED SITES
JOINT--OTHER SPECIFIED DISORDERS OF JOINT--SHOULDER
JOINT--OTHER SPECIFIED DISORDERS OF JOINT--ELBOW
JOINT--OTHER SPECIFIED DISORDERS OF JOINT--WRIST
JOINT--OTHER SPECIFIED DISORDERS OF JOINT--HAND
JOINT--OTHER SPECIFIED DISORDERS OF JOINT--PELVIS
JOINT--OTHER SPECIFIED DISORDERS OF JOINT--KNEE
JOINT--OTHER SPECIFIED DISORDERS OF JOINT--ANKLE AND FOOT
JOINT--OTHER SPECIFIED DISORDERS OF JOINT--OTHER SPECFIED SITE
JOINT--OTHER SPECIFIED DISORDERS OF JOINT--MULTIPLE SITES
JOINT--UNSPECIFIED DISORDER OF JOINT--UNSPECIFIED SITE
JOINT--UNSPECIFIED DISORDER OF JOINT--SHOULDER
JOINT--UNSPECIFIED DISORDER OF JOINT--ELBOW
JOINT--UNSPECIFIED DISORDER OF JOINT--WRIST
JOINT--UNSPECIFIED DISORDER OF JOINT--HAND
JOINT--UNSPECIFIED DISORDER OF JOINT--HIP
JOINT--UNSPECIFIED DISORDER OF JOINT--KNEE
JOINT--UNSPECIFIED DISORDER OF JOINT--FOOT AND ANKLE
JOINT--UNSPECIFIED DISORDER OF JOINT--OTHER SPECFIED SITE
JOINT--UNSPECIFIED DISORDER OF JOINT--MULTIPLE JOINT
ANKYLOSING SPONDYLITIS
GO283
SPINAL ENTHESOPATHY
GO283
SACROILIITIS
GO283
INFLAMMATORY SPONDYLOPATHIES IN DISEASES CLSFD ELSWH GO283
INFLAMMATORY SPONDYLOPATHIES OTHER
GO283
INFLAMMATORY SPONDYLOPATHIES UNSPECIFIED

97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022

97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024

97022
97022
97022
97022
97022

97024
97024
97024
97024
97024


 














































 

 
 
























DISK DISORDER--DISPLACEMENT OF CERVICAL DISK W 97012

GO283
DISK DISORDER--DISPLACEMENT OF LUMBAR DISK WIT 97012
GO283
DISK DISORDER--DISPLACEMENT OF THORACIC DISK WITHOUT M GO283
DISK DISORDER--DISPLACEMENT OF DISK UNSPECIFIED WITHOU GO283
SCHMORL'S NODES--UNSPECIFIED
GO283
SCHMORL'S NODES--THORACIC REGION
GO283
SCHMORL'S NODES--LUMBAR REGION
GO283
SCHMORL'S NODES--OTHER
GO283
DISK DISORDER--DEGENERATION OF CERVICAL DISK
97012
GO283
DISK DISORDER--DEGENERATION OF THORACIC DISK
GO283
DISK DISORDER--DEGENERATION OF LUMBAR DISK
97012
GO283
DISK DISORDER--DEGENERATION OF INTERVERTEBRAL DISK SIT GO283
DISK DISORDER--UNSPECIFIED REGION DISK DISORDER WITH MY GO283
DISK DISORDER--CERVICAL DISK DISORDER WITH MYELOPATHY GO283
DISK DISORDER--THORACIC DISK DISORDER WITH MYELOPATHY GO283
DISK DISORDER--LUMBAR DISK DISORDER WITH MYELOPATHY
GO283
DISK DISORDER--POST LAMINECTOMY SYNDROME--UNSPECIFIED GO283
DISK DISORDER--POST LAMINECTOMY SYNDROME--CERVICAL
GO283
DISK DISORDER--POST LAMINECTOMY SYNDROME--THORACIC
GO283
DISK DISORDER--POST LAMINECTOMY SYNDROME--LUMBAR
GO283
DISK DISORDER OTHER AND UNSPECIFIED--UNSPECIFIED REGIO GO283
DISK DISORDER OTHER AND UNSPECIFIED--CERVICAL
97012
GO283
DISK DISORDER OTHER AND UNSPECIFIED--THORACIC REGION
GO283
DISK DISORDER OTHER AND UNSPECIFIED--LUMBAR R
97012
GO283
SPINAL STENOSIS IN CERVICAL REGION
GO283
CERVICALGIA
97012
GO283
CERVICOCRANIAL SYNDROME
GO283
CERVICOBRACHIAL SYNDROME (DIFFUSE)
GO283
BRACHIAL NEURITIS OR RADICULITIS NOS
GO283
TORTICOLLIS UNSPECIFIED
97012
GO283
PANNICULITIS AFFECTING NECK
OSSIFICATION OF POSTERIOR LONGITUDINAL LIGAMENT IN CERVICAL REGION
CERVICAL REGION--OTHER SYNDROMES AFFECTING C 97012
CERVICAL REGION--UNSPECIFIED MUSCULOSKELETAL DISORDERS OF NECK
SPINAL STENOSIS IN THORACIC REGION
GO283
SPINAL STENOSIS IN LUMBAR REGION
97012
GO283
SPINAL STENOSIS OTHER
GO283
PAIN IN THORACIC SPINE
GO283
LOW BACK PAIN
97012
GO283
SCIATICA
97012
GO283
LUMBOSACRAL NEURITIS OR RADICULITIS
97012
GO283
BACK ACHE UNSPECIFIED
97012
GO283
DISORDER OF SACRUM--INSTABILITY OR ANKYLOSIS OF LUMBOS GO283
COCCYX--UNSPECIFIED DISORDER
GO283
COCCYX--HYPERMOBILITY OF COCCYX
GO283
COCCYX--OTHER DISODER OF COCCYX--COCCYGODYNIA
GO283
Other symptoms referable to back
GO283
ADHESIVE CAPSULITIS
GO283
BURSA AND TENDON DISORDER UNSPECIFIED--ROTATOR CUFF S GO283
CALCIFIC TENDINITIS
GO283
BICIPITAL TENOSYNOVITIS
GO283
DISORDERS OF THE SHOULDER --OTHER SPECIFIED
GO283
SHOULDER DISORDERS--OTHER AFFECTIONS OF THE SHOULDER GO283
ENTHESOPATHY OF ELBOW--UNSPECIFIED
GO283
MEDIAL EPICONDYLITIS
GO283
LATERAL EPICONDYLITIS
GO283
OLECRANON BURSITIS
GO283
MUSCULOTENDINOUS DISORDERS OF THE ELBOW--OTHER
GO283
ENTHESOPATHY OF WRIST AND CARPUS
GO283
97018
ENTHESOPATHY OF HIP REGION
GO283
ENTHESOPATHY OF KNEE UNSPECIFIED
GO283
PES ANSERINE TENDINITIS/BURSITIS
GO283
MEDIAL COLLATERAL LIGAMENT BURSITIS
GO283
LATERAL COLLATERAL LIGAMENT BURSITIS
GO283
PATELLAR TENDINITIS
GO283
PRE PATELLAR BURSITIS
GO283
INFRAPATELLAR OR SUB PATELLAR BURSITIS
GO283
ENTHESOPATHY OF ANKLE AND TARSUS UNSPEC.
GO283
97018
ACHILLES TENDINITIS OR BURSITIS
GO283
97018
TIBIALIS TENDINITIS
GO283
97018
CALCANEAL SPUR
GO283
97018
ENTHESOPATHY--OF ANKLE AND TARSUS OTHER--PERONEAL TE GO283
ENTHESOPATHIES--OTHER PERIPHERAL
GO283
ENTHESOPATHIES--OTHER PERIPHERAL
GO283
ENTHESOPATHY OF UNSPECIFIED SITE
GO283

97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022

97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024

97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022

97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024

97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022

97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024

































 















 
 
 
 
























EXOSTOSIS OF UNSPECIFIED SITE--BONE SPUR NOS

GO283
97022
97024
SYNOVITIS AND TENOSYNOVITIS UNSPECIFIED
GO283
97022
97024
TENOSYNOVITIS IN DISEASES CLASSFIED ELSEWHERE
GO283
97022
97024
GIANT CELL TUMOR OF TENDON SHEATH
GO283
97022
97024
TRIGGER FINGER ACQUIRED
GO283
97018
97022
97024
DE QUERVAIN'S DISEASE--RADIAL STYLOID TENOSYNOVITIS
GO283
97018
97022
97024
TENOSYNOVITIS OF HAND AND WRIST--OTHER
GO283
97018
97022
97024
TENOSYNOVITIS OF FOOT AND ANKLE
GO283
97018
97022
97024
TENOSYNOVITIS--OTHER
GO283
97022
97024
BUNION
GO283
97022
97024
BURSITIS OFTEN OF OCCUPATIONAL ORIGIN
GO283
97022
97024
BURSITIS NOT OTHERWISE SPECIFIED--EXCLUDES SUB ACROMIA GO283
97022
97024
SYNOVIAL CYST--UNSPECIFIED
GO283
97022
97024
GANGLION OF JOINT
GO283
97022
97024
GANGLION OF TENDON OR SHEATH
GO283
97022
97024
GANGLION UNSPECIFIED
GO283
97022
97024
GANGLION CYST OF BURSA
GO283
97022
97024
RUPTURE OF SYNOVIUM--UNSPECIFIED
GO283
97022
97024
SYNOVIAL CYST OF POPLITEAL SPACE--BAKER'S CYST
GO283
97022
97024
RUPTURE OF SYNOVIUM OTHER
GO283
97022
97024
RUPTURE OF UNSPECIFIED TENDON--NONTRAUMATIC
GO283
97022
97024
RUPTURE OF ROTATOR CUFF--COMPLETE--NON TRAUMATIC
GO283
97022
97024
RUPTURE OF BICEPS TENDON--LONG HEAD--NON TRAUMATIC
GO283
97018
97022
97024
RUPTURE OF EXTENSOR TENDONS WRIST/HAND--NON TRAUMAT GO283
97018
97022
97024
RUPTURE OF FLEXOR TENDONS WRIST/HAND--NON TRAUMATIC
GO283
97018
97022
97024
RUPTURE OF QUADRICEPS TENDON--NON TRAUMATIC
GO283
97022
97024
RUPTURE OF PATELLAR TENDON--NON TRAUMATIC
GO283
97022
97024
RUPTURE OF ACHILLES TENDON--NON TRAUMATIC
GO283
97018
97022
97024
RUPTURE OTHER TENDONS OF FOOT AND ANKLE--NON TRAUMATIC
97018
CONTRACTURE OF ACHILLES TENDON
GO283
97018
97022
97024
CALCIUM DEPOSITS IN TENDON AND BURSA--NOT CLASSIFIED ELSEWHERE
MYOSITIS OSSIFICANS PROGRESSIVE
GO283
97022
97024
HETEROTOPIC CALCIFICATION POST OPERATIVE
GO283
97022
97024
ATROPHY--DISUSE ATROPHY AND MUSCULAR WASTING
GO283
97022
97024
DUPUYTREN'S CONTRACTURE--CONTRACTURE OF PALMAR FASC GO283
97018
97022
97024
PLANTAR FASCIITIS
GO283
97018
97022
97024
FIBROMATOSES OTHER
RUPTURE OF MUSCLE NON TRAUMATIC NOT CLASSIFIED ELSEW GO283
97022
97024
MUSCLE SPASM--GENERALIZED
GO283
97022
97024
Muscle weakness
RHEUMATISM, UNSPECIFIED AND FIBROSITIS
MYALGIA AND MYOSITIS UNSPECIFIED
GO283
97022
97024
FASCIITIS UNSPECIFIED
GO283
97022
97024
PAIN IN LIMB
GO283
97018
97022
97024
COMPARTMENT SYNDROME--UPPER EXTREMITY--NON TRAUMAT GO283
97022
COMPARTMENT SYNDROME--LOWER EXTREMITY--NON TRAUMAT GO283
97022
SWELLING IN LIMB--GENERALIZED
GO283
97022
97024
CRAMP IN LIMB
GO283
97022
97024
FRACTURE PATHOLOGIC OF VERTEBRAE
FRACTURE PATHOLOGIC OF NECK OF FEMUR
FRACTURE PATHOLOGIC OF OTHER SPECIFIED PART OF FEMUR
FRACTURE PATHOLOGIC OF TIBIA OR FIBULA
HYPEROSTOSIS OF SKULL
UNSPECIFIED DEFORMITY
Other acquired deformities of ankle and foot
DEFORMITY OF FOOT AND ANKLE UNSPECIFIED
EQUINOVARUS DEFORMITY ACQUIRED
EQUINUS DEFORMITY OF FOOT ACQUIRED
CAVUS DEFORMITY OF FOOT ACQUIRED
CLAW FOOT ACQUIRED
CAVOVARUS DEFORMITY ACQUIRED
CALCANEUS DEFORMITY--OTHER--ACQUIRED
DEFORMITIES OF FOOT AND ANKLE--OTHER ACQUIRED
TORTICOLLIS --CONGENTIAL STERNOCLEIDOMASTOID CONTRACTURE--WRYNECK
REDUCTION DEFORMITIES OF LOWER LIMB--UNSPECIFIED
REDUCTION DEFORMITIES OF LOWER LIMB--TRANSVERSE DEFORMITY
REDUCTION DEFORMITIES OF LOWER LIMB--LONGITUDINAL DEFORMITY
REDUCTION DEFORMITIES OF LOWER LIMB--LONGITUDINAL COMBINED ALL BONES OF LOWER EXTREMITY (COMPLE
REDUCTION DEFORMITIES OF LOWER LIMB--FEMUR/COMPLETE OR PARTIAL (WITH OR WITHOUT TIB/FIB INVOLVEME
REDUCTION DEFORMITIES OF LOWER LIMB--TIBIOFIBULAR COMPLETE OR PARTIAL (WITH OR WITHOUT DISTAL INVO
REDUCTION DEFORMITIES OF LOWER LIMB--TIBIA COMPLETE OR PARTIAL (WITH OR WITHOUT DISTAL INVOLVEMEN
REDUCTION DEFORMITIES OF LOWER LIMB--FIBULA COMPLETE OR PARTIAL (WITH OR WITHOUT DISTAL INVOLVEME
REDUCTION DEFORMITIES OF LOWER LIMB--TARSUS/METATARSUS COMPLETE OR PARTIAL (WITH OR WITHOUT PH
COXA VALGA CONGENITAL
COXA VARA CONGENITAL





 
 
 
 
 
 
 





 












 

 
 
 
 
 
 
 


















 

 
 
 
 
 
 
 
 










DEFORMITY OF THE HIP--OTHER CONGENITAL DEFORMITY

DEFORMITY OF THE KNEE--CONGENITAL
EDEMA OF LEGS HEREDITARY
Generalized pain
G0283
ABNORMAL INVOLUNTARY MOVEMENTS SPASM & FASCICULATION NOS
ABNORMALITY OF GAIT ATAXIC/PARALYTIC/SPASTIC
LACK OF COORDINATION
NEUROLOGICAL NEGLECT SYNDROME
NERVOUS AND MUSCULOSKELETAL LOSS OF HEIGHT
ABNORMAL POSTURE
NERVOUS AND MUSCULOSKELETAL SYSTEMS SYMPTOMS--OTHER
EDEMA
GO283
HEADACHE FACIAL PAIN
Symbolic dysfunction, unspecified
G0283
Dysuria
G0283
Incomplete bladder emptying
G0283
Urinary incontinence
G0283
Urinary frequency
G0283
DEBILITY, UNSPECIFIED
GO283
CACHEXIA--GENERAL ILL HEALTH WITH POOR NUTRITION
GO283
FRACTURE CERVICAL LEVEL UNSPECIFIED CLOSED NO SPINAL CORD INJURY
FRACTURE C1 CLOSED NO SPINAL CORD INJURY
FRACTURE C2 CLOSED NO SPINAL CORD INJURY
FRACTURE C3 CLOSED NO SPINAL CORD INJURY
FRACTURE C4 CLOSED NO SPINAL CORD INJURY
FRACTURE C5 CLOSED NO SPINAL CORD INJURY
FRACTURE C6 CLOSED NO SPINAL CORD INJURY
FRACTURE C7 CLOSED NO SPINAL CORD INJURY
FRACTURE CERVICAL VERTEBRA MULTI LEVEL CLOSED NO SPINAL CORD INJURY
FRACTURE CERVICAL LEVEL UNSPECIFIED OPEN NO SPINAL CORD INJURY
FRACTURE C1 OPEN NO SPINAL CORD INJURY
FRACTURE C2 OPEN NO SPINAL CORD INJURY
FRACTURE C3 OPEN NO SPINAL CORD INJURY
FRACTURE C4 OPEN NO SPINAL CORD INJURY
FRACTURE C5 OPEN NO SPINAL CORD INJURY
FRACTURE C6 OPEN NO SPINAL CORD INJURY
FRACTURE C7 OPEN NO SPINAL CORD INJURY
FRACTURE CERVICAL VERTEBRA MULTI LEVEL OPEN NO SPINAL CORD INJURY
FRACTURE THORACIC VERTEBRA CLOSED NO SPINAL CORD INJURY
FRACTURE THORACIC VERTEBRA OPEN NO SPINAL CORD INJURY
FRACTURE LUMBAR VERTEBRA CLOSED NO SPINAL CORD INJURY
FRACTURE LUMBAR VERTEBRA OPEN NO SPINAL CORD INJURY
FRACTURE SACRUM/COCCYX CLOSED NO SPINAL CORD INJURY
FRACTURE SACRUM/COCCYX OPEN NO SPINAL CORD INJURY
FRACTURE VERTEBRA UNSPECIFIED CLOSED NO SPINAL CORD INJURY
FRACTURE VERTEBRA UNSPECIFIED OPEN NO SPINAL CORD INJURY
FRACTURE C1-4 CLOSED UNSPECIFIED SPINAL CORD INJURY
FRACTURE C1-4 CLOSED WITH COMPLETE LESION OF CORD
FRACTURE C1-4 CLOSED WITH ANTERIOR CORD SYNDROME
FRACTURE C1-4 CLOSED WITH CENTRAL CORD SYNDROME
FRACTURE C1-4 CLOSED WITH OTHER SPECIFIED CORD INJURY
FRACTURE C5-7 CLOSED WITH UNSPECIFIED SPINAL CORD INJURY
FRACTURE C5-7 CLOSED WITH COMPLETE LESION OF CORD
FRACTURE C5-7 CLOSED WITH ANTERIOR CORD SYNDROME
FRACTURE C5-7 CLOSED WITH CENTRAL CORD SYNDROME
FRACTURE C5-7 CLOSED WITH OTHER SPECIFIED CORD INJURY
FRACTURE C1-4 OPEN UNSPECIFIED SPINAL CORD INJURY
FRACTURE C1-4 OPEN WITH COMPLETE LESION OF CORD
FRACTURE C1-4 OPEN WITH ANTERIOR CORD SYNDROME
FRACTURE C1-4 OPEN WITH CENTRAL CORD SYNDROME
FRACTURE C1-4 OPEN WITH OTHER SPECIFIED CORD INJURY
FRACTURE C5-7 OPEN WITH UNSPECIFIED SPINAL CORD INJURY
FRACTURE C5-7 OPEN WITH COMPLETE LESION OF CORD
FRACTURE C5-7 OPEN WITH ANTERIOR CORD SYNDROME
FRACTURE C5-7 OPEN WITH CENTRAL CORD SYNDROME
FRACTURE C5-7 OPEN WITH OTHER SPECIFIED CORD INJURY
FRACTURE T1-6 CLOSED UNSPECIFIED SPINAL CORD INJURY
FRACTURE T1-6 CLOSED WITH COMPLETE LESION OF CORD
FRACTURE T1-6 CLOSED WITH ANTERIOR CORD SYNDROME
FRACTURE T1-6 CLOSED WITH CENTRAL CORD SYNDROME
FRACTURE T1-6 CLOSED WITH OTHER SPECIFIED CORD INJURY
FRACTURE T7-12 CLOSED WITH UNSPECIFIED SPINAL CORD INJURY
FRACTURE T7-12 CLOSED WITH COMPLETE LESION OF CORD
FRACTURE T7-12 CLOSED WITH ANTERIOR CORD SYNDROME
FRACTURE T7-12 CLOSED WITH CENTRAL CORD SYNDROME


































 

 
 
 
 
 
 
 
 





















 
 
 
 
  
 
  
  
 
 
 

FRACTURE T7-12 CLOSED WITH OTHER SPECIFIED CORD INJURY

FRACTURE T1-6 OPEN UNSPECIFIED SPINAL CORD INJURY
FRACTURE T1-6 OPEN WITH COMPLETE LESION OF CORD
FRACTURE T1-6 OPEN WITH ANTERIOR CORD SYNDROME
FRACTURE T1-6 OPEN WITH CENTRAL CORD SYNDROME
FRACTURE T1-6 OPEN WITH OTHER SPECIFIED CORD INJURY
FRACTURE T7-12 OPEN WITH UNSPECIFIED SPINAL CORD INJURY
FRACTURE T7-12 OPEN WITH COMPLETE LESION OF CORD
FRACTURE T7-12 OPEN WITH ANTERIOR CORD SYNDROME
FRACTURE T7-12 OPEN WITH CENTRAL CORD SYNDROME
FRACTURE T7-12 OPEN WITH OTHER SPECIFIED CORD INJURY
FRACTURE LUMBAR WITH NEURO SYMPTOMS CLOSED
FRACTURE LUMBAR WITH NEURO SYMPTOMS OPEN
FRACTURE SACRUM AND COCCYX CLOSED WITH CORD INJURY UNSPECIFIED
FRACTURE SACRUM AND COCCYX CLOSED WITH COMPLETE CAUDA EQUINA
FRACTURE SACRUM AND COCCYX CLOSED WITH OTHER CAUDA EQUINA INJURY
FRACTURE SACRUM AND COCCYX CLOSED WITH OTHER SPINAL CORD INJURY
FRACTURE SACRUM AND COCCYX OPEN WITH CORD INJURY UNSPECIFIED
FRACTURE SACRUM AND COCCYX OPEN WITH COMPLETE CAUDA EQUINA
FRACTURE SACRUM AND COCCYX OPEN WITH OTHER CAUDA EQUINA INJURY
FRACTURE SACRUM AND COCCYX OPEN WITH OTHER SPINAL CORD INJURY
FRACTURE UNSPECIFIED VERTEBRA CLOSED WITH SPINAL CORD INJURY
FRACTURE UNSPECIFIED VERTEBRA OPEN WITH SPINAL CORD INJURY
FRACTURE RIBS NUMBER UNSPECIFIEDCLOSED
FRACTURE ONE RIB CLOSED
FRACTURE TWO RIBS CLOSED
FRACTURE THREE RIBS CLOSED
FRACTURE FOUR RIBS CLOSED
FRACTURE FIVE RIBS CLOSED
FRACTURE SIX RIBS CLOSED
FRACTURE SEVEN RIBS CLOSED
FRACTURE EIGHT OR MORE RIBS CLOSED
FRACTURE MULTIPLE RIBS, UNSPECIFIED CLOSED
FRACTURE RIBS NUMBER UNSPECIFIED OPEN
FRACTURE ONE RIB OPEN
FRACTURE TWO RIBS OPEN
FRACTURE THREE RIBS OPEN
FRACTURE FOUR RIBS OPEN
FRACTURE FIVE RIBS OPEN
FRACTURE SIX RIBS OPEN
FRACTURE SEVEN RIBS OPEN
FRACTURE EIGHT OR MORE RIBS OPEN
FRACTURE MULTIPLE RIBS, UNSPECIFIED OPEN
FRACTURE STERNUM CLOSED
FRACTURE STERNUM OPEN
FRACTURE FLAIL CHEST
FRACTURE LARYNX AND TRACHEA CLOSED
FRACTURE LARYNX AND TRACHEA OPEN
FRACTURE ACETABULUM CLOSED
GO283
FRACTURE ACETABULUM OPEN
GO283
FRACTURE PUBIS CLOSED
GO283
FRACTURE PUBIS OPEN
GO283
FRACTURE ILIUM CLOSED
GO283
FRACTURE ISCHIUM CLOSED
GO283
FRACTURE PELVIS MULTIPLIE WITH DISRUPTION OF PELVIC CIRC GO283
FRACTURE PELVIS CLOSED OTHER SPECIFIED PART OF PELVIS-- GO283
FRACTURE ILIUM OPEN
GO283
FRACTURE ISCHIUM OPEN
GO283
FRACTURE PELVIS MULTIPLE WITH DISRUPTION OF PELVIC CIRC GO283
FRACTURE PELVIS MULTIPLE OTHER SPECIFIED PARTS OF PELV GO283
FRACTURE PELVIS UNSPECIFIED OF PELVIS CLOSED
GO283
FRACTURE PELVIS UNSPECIFIED OF PELVIS OPEN
GO283
FRACTURE BONES OF TRUNK CLOSED
GO283
FRACTURE BONES OF TRUNK OPEN
GO283
FRACTURE CLAVICLE UNSPECIFIED AREA CLOSED
GO283
FRACTURE CLAVICLE STERNAL END CLOSED
GO283
FRACTURE CLAVICLE SHAFT CLOSED
GO283
FRACTURE CLAVICLE ACROMIAL END CLOSED
GO283
FRACTURE CLAVICLE UNSPECIFIED AREA OPEN
FRACTURE CLAVICLE STERNAL END OPEN
GO283
FRACTURE CLAVICLE SHAFT OPEN
GO283
FRACTURE CLAVICLE ACROMIAL END OPEN
GO283
FRACTURE SCAPULA ACROMIAL PROCESS CLOSED
GO283
FRACTURE SCAPULA CORACOID PROCESS CLOSED
GO283
FRACTURE SCAPULA GLENOID CAVITY/NECK CLOSED
GO283

97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022

97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024

 
  
 
  
  
  
 
 
 
 
 
  
 
  
  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
  
  
  
  
  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

FRACTURE SCAPULA OTHER CLOSED (SCAP BODY)

GO283
FRACTURE SCAPULA UNSPECIFIED AREA OPEN
GO283
FRACTURE SCAPULA ACROMIAL PROCESS OPEN
GO283
FRACTURE SCAPULA CORACOID PROCESS OPEN
GO283
FRACTURE SCAPULA GLENOID CAVITY/NECK OPEN
GO283
FRACTURE SCAPULA OTHER OPEN (SCAP BODY)
GO283
FRACTURE HUMERUS UPPER END UNSPECIFIED PART CLOSED
GO283
FRACTURE HUMERUS UPPER END SURGICAL NECK CLOSED
GO283
FRACTURE HUMERUS UPPER END ANATOMICAL NECK CLOSED
GO283
FRACTURE HUMERUS UPPER END GREATER TUBEROSITY CLOSE GO283
FRACTURE HUMERUS UPPER END OTHER CLOSED
GO283
FRACTURE HUMERUS UPPER END UNSPECIFIED PART OPEN
GO283
FRACTURE HUMERUS UPPER END SURGICAL NECK OPEN
GO283
FRACTURE HUMERUS UPPER END ANATOMICAL NECK OPEN
GO283
FRACTURE HUMERUS UPPER END GREATER TUBEROSITY OPEN GO283
FRACTURE HUMERUS UPPER END OTHER OPEN
GO283
FRACTURE HUMERUS UNSPECIFIED AREA OF CLOSED
GO283
FRACTURE HUMERUS SHAFT CLOSED
GO283
FRACTURE HUMERUS UNSPECIFIED AREA OPEN
GO283
FRACTURE HUMERUS SHAFT OPEN
GO283
FRACTURE HUMERUS LOWER END UNSPECIFIED PART CLOSED
GO283
FRACTURE HUMERUS SUPRACONDYLAR CLOSED
GO283
FRACTURE HUMERUS LATERAL CONDYLE CLOSED
GO283
FRACTURE HUMERUS MEDIAL CONDYLE CLOSED
GO283
FRACTURE HUMERUS CONDYLES UNSPECIFIED CLOSED
GO283
FRACTURE HUMERUS OTHER AND MULTIPLE LOWER END CLOSE GO283
FRACTURE HUMERUS LOWER END UNSPECIFIED PART OPEN
GO283
FRACTURE HUMERUS SUPRACONDYLAR OPEN
GO283
FRACTURE HUMERUS LATERAL CONDYLE OPEN
GO283
FRACTURE HUMERUS MEDIAL CONDYLE OPEN
GO283
FRACTURE HUMERUS CONDYLES UNSPECFD OPEN
GO283
FRACTURE HUMERUS OTHER AND MULTIPLE LOWER END OPEN
GO283
FRACTURE UPPER END FOREARM UNSPECIFIED CLOSED
GO283
FRACTURE ULNA OLECRANON PROCESS CLOSED
GO283
FRACTURE ULNA CORONOID PROCESS CLOSED
GO283
FRACTURE UPPER END MONTEGGIA'S FRACTURE CLOSED
GO283
FRACTURE UPPER END ULNA ONLY MULTIPLE AND UNSPECIFIED GO283
FRACTURE RADIUS HEAD CLOSED
GO283
FRACTURE RADIUS NECK CLOSED
GO283
FRACTURE UPPER END RADIUS ONLY MULTIPLE AND UNSPECIFI GO283
FRACTURE UPPER END RADIUS & ULNA ANY PART CLOSED
GO283
FRACTURE UPPER END FOREARM UNSPECIFIED OPEN
GO283
FRACTURE ULNA OLECRANON PROCESS OPEN
GO283
FRACTURE ULNA CORONOID PROCESS OPEN
GO283
FRACTURE UPPER END MONTEGGIA'S FRACTURE OPEN
GO283
FRACTURE UPPER END ULNA ONLY MULTIPLE AND UNSPECIFIED GO283
FRACTURE RADIUS HEAD OPEN
GO283
FRACTURE RADIUS NECK OPEN
GO283
FRACTURE UPPER END RADIUS ONLY MULTIPLE AND UNSPECIFI GO283
FRACTURE UPPER END RADIUS & ULNA ANY PART OPEN
GO283
FRACTURE SHAFT UNSPECIFIED IF RADIUS OR ULNA CLOSED
GO283
FRACTURE RADIUS ONLY SHAFT CLOSED
GO283
FRACTURE ULNA ONLY SHAFT CLOSED
GO283
FRACTURE RADIUS AND ULNA CLOSED
GO283
FRACTURE SHAFT UNSPECIFIED IF RADIUS OR ULNA OPEN
GO283
FRACTURE RADIUS ONLY SHAFT OPEN
GO283
FRACTURE ULNA ONLY SHAFT OPEN
GO283
FRACTURE RADIUS AND ULNA OPEN
GO283
FRACTURE FOREARM LOWER END UNSPECIFIED CLOSED
GO283
FRACTURE RADIUS COLLES CLOSED
GO283
FRACTURE LOWER END RADIUS ONLY CLOSED
GO283
FRACTURE LOWER END ULNA ONLY CLOSED
GO283
FRACTURE LOWER END RADIUS AND ULNA CLOSED
GO283
FRACTURE FOREARM LOWER END UNSPECIFIED OPEN
GO283
FRACTURE RADIUS COLLES OPEN
GO283
FRACTURE LOWER END RADIUS ONLY OPEN
GO283
FRACTURE LOWER END ULNA ONLY OPEN
GO283
FRACTURE LOWER END RADIUS AND ULNA OPEN
GO283
FRACTURE FOREARM UNSPECIFIED PART UNSPECIFIED LOCATION CLOSED
FRACTURE RADIUS ALONE UNSPECIFIED PORTION CLOSED
FRACTURE ULNA ALONE UNSPECIFIED PORTION CLOSED
FRACTURE RADIUS AND ULNA UNSPECIFIED PORTION CLOSED
FRACTURE FOREARM UNSPECIFIED PART UNSPECIFIED LOCATIO GO283
FRACTURE RADIUS ALONE UNSPECIFIED PORTION OPEN
GO283
FRACTURE ULNA ALONE UNSPECIFIED PORTION OPEN
GO283

97018
97018
97018
97018
97018
97018
97018
97018
97018
97018

97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022

97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024

 
 
 
 
 
 
 
 
 
 
 
  
 
  
  
  
  
  
  
  
  
 
 
 
 
 
 
  
 
  
  
  
  
 
 
 
 
  
 
  
  
 
 
 
 





 

 
 
 








 
 
  
 
 
 
 
 
 
 
 
 

FRACTURE RADIUS AND ULNA UNSPECIFIED PORTION OPEN

GO283
FRACTURE CARPAL BONE UNSPCFD CLOSED
GO283
FRACTURE CARPAL BONE NAVICULAR CLOSED
GO283
FRACTURE CARPAL BONE LUNATE CLOSED
GO283
FRACTURE CARPAL BONE TRIQUETRAL CLOSED
GO283
FRACTURE CARPAL BONE PISIFORM CLOSED
GO283
FRACTURE CARPAL BONE TRAPEZIUM CLOSED
GO283
FRACTURE CARPAL BONE TRAPEZOID CLOSED
GO283
FRACTURE CARPAL BONE CAPITATE CLOSED
GO283
FRACTURE CARPAL BONE HAMATE CLOSED
GO283
FRACTURE CARPAL BONE OTHER CLOSED
GO283
FRACTURE CARPAL BONE UNSPCFD OPEN
GO283
FRACTURE CARPAL BONE NAVICULAR OPEN
GO283
FRACTURE CARPAL BONE LUNATE OPEN
GO283
FRACTURE CARPAL BONE TRIQUETRAL OPEN
GO283
FRACTURE CARPAL BONE PISIFORM OPEN
GO283
FRACTURE CARPAL BONE TRAPEZIUM OPEN
GO283
FRACTURE CARPAL BONE TRAPEZOID OPEN
GO283
FRACTURE CARPAL BONE CAPITATE OPEN
GO283
FRACTURE CARPAL BONE HAMATE OPEN
GO283
FRACTURE CARPAL BONE OTHER OPEN
GO283
FRACTURE METACARPALS UNSPECIFIED METACARPAL CLOSED GO283
FRACTURE METACARPALS BASE OF FIRST METACARPAL CLOSED GO283
FRACTURE METACARPALS BASE OF OTHER METACARPAL CLOSE GO283
FRACTURE METACARPALS SHAFT OF METACARPAL CLOSED
GO283
FRACTURE METACARPALS NECK OF METACARPAL CLOSED
GO283
FRACTURE METACARPALS MULTIPLE SITES OF METACARPUS CL GO283
FRACTURE METACARPALS UNSPECIFIED METACARPAL OPEN
GO283
FRACTURE METACARPALS BASE OF FIRST METACARPAL OPEN
GO283
FRACTURE METACARPALS BASE OF OTHER METACARPAL OPEN GO283
FRACTURE METACARPALS SHAFT OF METACARPAL OPEN
GO283
FRACTURE METACARPALS NECK OF METACARPAL OPEN
GO283
FRACTURE METACARPALS MULTIPLE SITES OF METACARPUS OP GO283
FRACTURE PHALANGES PHALANX OR PHALANGES UNSPECIFIED GO283
FRACTURE PHALANGES MIDDLE OR PROXIMAL PHALANGES ONE GO283
FRACTURE PHALANGES DISTAL PHALANGES ONE OR MORE CLO GO283
FRACTURE PHALANGES MULTIPLE PHALANGES CLOSED
GO283
FRACTURE PHALANGES PHALANX OR PHALANGES UNSPECIFIED GO283
FRACTURE PHALANGES MIDDLE OR PROXIMAL PHALANGES ONE GO283
FRACTURE PHALANGES DISTAL PHALANGES ONE OR MORE OPE GO283
FRACTURE PHALANGES MULTIPLE PHALANGES OPEN
GO283
FRACTURE HAND MULTIPLE FRACTURES ON SAME HAND CLOSE GO283
FRACTURE HAND MULTIPLE FRACTURES ON SAME HAND OPEN
GO283
FRACTURE UPPER EXTREMITY ILL DEFINED FRACTURE OF THE UPPER EXT
FRACTURE UPPER EXTREMITY ILL DEFINED FRACTURE OF THE UPPER EXT
FRACTURE FEMUR NECK--INTRACAPSULAR SECTION CLOSED
GO283
FRACTURE FEMUR NECK--EPIPHYSIS/TRANSEPIPHYSEAL CLOSE GO283
FRACTURE FEMUR NECK--MIDCERVICAL SECTION CLOSED
GO283
FRACTURE FEMUR NECK--BASE OF NECK CLOSED
GO283
FRACTURE FEMUR NECK--OTHER TRANSCERVICAL FRACTURE C GO283
FRACTURE FEMUR NECK--INTRACAPSULAR SECTION OPEN
GO283
FRACTURE FEMUR NECK--EPIPHYSIS/TRANSEPIPHYSEAL OPEN
GO283
FRACTURE FEMUR NECK--MIDCERVICAL SECTION OPEN
GO283
FRACTURE FEMUR NECK--BASE OF NECK OPEN
GO283
FRACTURE FEMUR NECK--OTHER TRANSCERVICAL FRACTURE O GO283
FRACTURE FEMUR NECK--TROCHANTERIC SECTION UNSPECIFIE GO283
FRACTURE FEMUR NECK--INTERTROCHANTERIC SECTION CLOSE GO283
FRACTURE FEMUR NECK--SUBTROCHANTERIC SECTION CLOSED GO283
FRACTURE FEMUR NECK--TROCHANTERIC SECTION UNSPECIFIE GO283
FRACTURE FEMUR NECK--INTERTROCHANTERIC SECTION OPEN GO283
FRACTURE FEMUR NECK--SUBTROCHANTERIC SECTION OPEN
GO283
FRACTURE FEMUR NECK--UNSPECIFIED PART OF FEMORAL NEC GO283
FRACTURE FEMUR NECK--UNSPECIFIED AREA OF NECK OF FEMU GO283
FRACTURE FEMUR UNSPECIFIED PART OF FEMUR CLOSED
GO283
FRACTURE FEMUR SHAFT OF FEMUR CLOSED
GO283
FRACTURE FEMUR UNSPECIFIED PART OF FEMUR OPEN
GO283
FRACTURE FEMUR FEMORAL SHAFT OPEN
GO283
FRACTURE FEMUR LOWER END UNSPECIFIED AREA CLOSED
GO283
FRACTURE FEMUR FEMORAL CONDYLE CLOSED
GO283
FRACTURE FEMUR EPIPHYSIS, LOWER SEPARATION CLOSED
GO283
FRACTURE FEMUR SUPRACONDYLAR REGION CLOSED
GO283
FRACTURE FEMUR OTHER/MULTIPLE FRACTURES OF LOWER EN GO283
FRACTURE FEMUR LOWER END UNSPECIFIED AREA OPEN
GO283
FRACTURE FEMUR FEMORAL CONDYLE OPEN
GO283
FRACTURE FEMUR EPIPHYSIS, LOWER SEPARATION OPEN
GO283

97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018

97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022

97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024

97022
97022
97022
97022
97022

97024
97024
97024
97024

97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022

97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024

97024
97024
97024
97024

 
 





 

 















































 
 
 
 
 
 
  
 
  
  
  
  







FRACTURE FEMUR SUPRACONDYLAR REGION OPEN

GO283
FRACTURE FEMUR OTHER/MULTIPLE FRACTURES OF LOWER EN GO283
FRACTURE PATELLA CLOSED
GO283
FRACTURE PATELLA OPEN
GO283
FRACTURE TIBIA ONLY UPPER END CLOSED
GO283
FRACTURE FIBULA ONLY UPPER END CLOSED
GO283
FRACTURE TIBIA AND FIBULA UPPER END CLOSED
GO283
FRACTURE TIBIA ALONE UPPER END OPEN
GO283
FRACTURE FIBULA ALONE UPPER END OPEN
GO283
FRACTURE TIBIA AND FIBULA UPPER END OPEN
GO283
FRACTURE TIBIA ONLY SHAFT CLOSED
GO283
FRACTURE FIBULA ONLY SHAFT CLOSED
GO283
FRACTURE TIBIA AND FIBULA SHAFT CLOSED
GO283
FRACTURE TIBIA ONLY SHAFT OPEN
GO283
FRACTURE FIBULA ONLY SHAFT OPEN
GO283
FRACTURE TIBIA AND FIBULA SHAFT OPEN
GO283
FRACTURE TIBIA TORUS FRACTURE
FRACTURE FIBULA TORUS FRACTURE
FRACTURE TIBIA AND FIBULA TORUS FRACTURE
FRACTURE TIBIA ONLY UNSPECIFIED PORTION CLOSED
GO283
FRACTURE FIBULA ONLY UNSPECIFIED PORTION CLOSED
GO283
FRACTURE TIBIA AND FIBULA UNSPECIFIED PORTION CLOSED
GO283
FRACTURE TIBIA ONLY UNSPECIFIED PORTION OPEN
GO283
FRACTURE FIBULA ONLY UNSPECIFIED PORTION OPEN
GO283
FRACTURE TIBIA AND FIBULA UNSPECIFIED PORTION OPEN
GO283
FRACTURE MEDIAL MALLEOLUS CLOSED
GO283
FRACTURE MEDIAL MALLEOLUS OPEN
GO283
FRACTURE LATERAL MALLEOLUS CLOSED
GO283
FRACTURE LATERAL MALLEOLUS OPEN
GO283
FRACTURE BIMALLEOLAR CLOSED
GO283
FRACTURE BIMALLEOLAR OPEN
GO283
FRACTURE TRIMALLEOLAR CLOSED
GO283
FRACTURE TRIMALLEOLAR OPEN
GO283
FRACTURE UNSPECIFIED ANKLE CLOSED
GO283
FRACTURE UNSPECIFIED ANKLE OPEN
GO283
FRACTURE CALCANEUS CLOSED
GO283
FRACTURE CALCANEUS OPEN
GO283
FRACTURE TARSAL AND METATARSAL BONES UNSPECFIED CLO GO283
FRACTURE TALUS CLOSED
GO283
FRACTURE NAVICULAR CLOSED
GO283
FRACTURE CUBOID CLOSED
GO283
FRACTURE CUNEIFORM CLOSED
GO283
FRACTURE METATARSAL BONE(S) CLOSED
GO283
FRACTURE TARSAL WITH METATARSAL BONE(S) CLOSED
GO283
FRACTURE TARSAL AND METATARSAL BONES UNSPECIFIED OPE GO283
FRACTURE TALUS OPEN
GO283
FRACTURE NAVICULAR OPEN
GO283
FRACTURE CUBOID OPEN
GO283
FRACTURE CUNEIFORM OPEN
GO283
FRACTURE METATARSAL BONE(S) OPEN
GO283
FRACTURE TARSAL WITH METATARSAL BONE(S) OPEN
GO283
FRACTURE PHALANGES ONE OR MORE PHALANGES CLOSED
GO283
FRACTURE PHALANGES ONE OR MORE PHALANGES OPEN
GO283
FRACTURE ILL DEFINED, OTHER AND MULTIPLE OF LOWER LIMB CLOSED
FRACTURE ILL DEFINED, OTHER AND MULTIPLE OF LOWER LIMB OPEN
DISLOCATION JAW CLOSED
GO283
DISLOCATION JAW OPEN
GO283
DISLOCATION SHOULDER UNSPECIFIED CLOSED
GO283
DISLOCATION HUMERUS ANTERIOR CLOSED
GO283
DISLOCATION HUMERUS POSTERIOR CLOSED
GO283
DISLOCATION HUMERUS INFERIOR CLOSED
GO283
DISLOCATION ACROMIOCLAVICULAR CLOSED
GO283
DISLOCATION SCAPULA CLOSED
GO283
DISLOCATION SHOULDER UNSPECIFIED OPEN
GO283
DISLOCATION HUMERUS ANTERIOR OPEN
GO283
DISLOCATION HUMERUS POSTERIOR OPEN
GO283
DISLOCATION HUMERUS INFERIOR OPEN
GO283
DISLOCATION ACROMIOCLAVICULAR OPEN
GO283
DISLOCATION SCAPULA OPEN
GO283
DISLOCATION ELBOW UNSPECIFIED CLOSED
GO283
DISLOCATION ELBOW ANTERIOR CLOSED
GO283
DISLOCATION ELBOW POSTERIOR CLOSED
GO283
DISLOCATION ELBOW MEDIAL CLOSED
GO283
DISLOCATION ELBOW LATERAL CLOSED
GO283
DISLOCATION ELBOW OTHER CLOSED
GO283

97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022

97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018

97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022

97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024

97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022

97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024

 

 
 
 
 







 

 
 
 
 
 



 

 




 

 
 



























 

 
 
 
 
 








DISLOCATION ELBOW UNSPECIFIED OPEN

DISLOCATION ELBOW ANTERIOR OPEN
DISLOCATION ELBOW POSTERIOR OPEN
DISLOCATION ELBOW MEDIAL OPEN
DISLOCATION ELBOW LATERAL OPEN
DISLOCATION ELBOW OTHER OPEN
DISLOCATION WRIST UNSPECIFIED CLOSED
DISLOCATION RADIOULNAR DISTAL CLOSED
DISLOCATION RADIOCARPAL CLOSED
DISLOCATION MIDCARPAL CLOSED
DISLOCATION CARPOMETACARPAL CLOSED
DISLOCATION METACARPAL BONE PROXIMAL END CLOSED
DISLOCATION ULNA DISTAL END CLOSED
DISLOCATION WRIST UNSPECIFIED OPEN
DISLOCATION RADIOULNAR DISTAL OPEN
DISLOCATION RADIOCARPAL OPEN
DISLOCATION MIDCARPAL OPEN
DISLOCATION CARPOMETACARPAL OPEN
DISLOCATION METACARPAL BONE PROXIMAL END OPEN
DISLOCATION ULNA DISTAL END OPEN
DISLOCATION FINGER UNSPECIFIED CLOSED
DISLOCATION METACARPOPHALANGEAL CLOSED
DISLOCATION INTERPHALANGEAL CLOSED
DISLOCATION FINGER UNSPECIFIED OPEN
DISLOCATION METACARPOPHALANGEAL OPEN
DISLOCATION INTERPHALANGEAL OPEN
DISLOCATION HIP UNSPECIFIED CLOSED
DISLOCATION HIP POSTERIOR CLOSED
DISLOCATION HIP OBTURATOR CLOSED
DISLOCATION HIP OTHER ANTERIOR CLOSED
DISLOCATION HIP UNSPECIFIED OPEN
DISLOCATION HIP POSTERIOR OPEN
DISLOCATION HIP OBTURATOR OPEN
DISLOCATION HIP OTHER ANTERIOR OPEN
MENISCAL TEAR--CURRENT (ACUTE) TEAR OF MEDIAL MENISCUS
MENISCAL TEAR--CURRENT (ACUTE) TEAR OF LATERAL MENISCU
MENISCAL TEAR--CURRENT (ACUTE) TEAR OF MENISCUS UNSPE
DISLOCATION PATELLA CLOSED
DISLOCATION PATELLA OPEN
DISLOCATION KNEE UNSPECIFIED CLOSED
DISLOCATION KNEE ANTERIOR CLOSED
DISLOCATION KNEE POSTERIOR CLOSED
DISLOCATION KNEE MEDIAL CLOSED
DISLOCATION KNEE LATERAL CLOSED
DISLOCATION KNEE OTHER CLOSED
DISLOCATION KNEE UNSPECIFIED OPEN
DISLOCATION KNEE ANTERIOR OPEN
DISLOCATION KNEE POSTERIOR OPEN
DISLOCATION KNEE MEDIAL OPEN
DISLOCATION KNEE LATERAL OPEN
DISLOCATION KNEE OTHER OPEN
DISLOCATION ANKLE CLOSED
DISLOCATION ANKLE OPEN
DISLOCATION FOOT UNSPECIFIED CLOSED
DISLOCATION FOOT TARSAL JOINT CLOSED
DISLOCATION MIDTARSAL JOINT CLOSED
DISLOCATION TARSOMETATARSAL JOINT CLOSED
DISLOCATION METATARSAL BONE CLOSED
DISLOCATION METATARSOPHALANGEAL JOINT CLOSED
DISLOCATION INTERPHALANGEAL JOINT CLOSED
DISLOCATION FOOT--PHALANGES CLOSED
DISLOCATION FOOT UNSPECIFIED OPEN
DISLOCATION FOOT TARSAL JOINT OPEN
DISLOCATION MIDTARSAL JOINT OPEN
DISLOCATION TARSOMETATARSAL JOINT OPEN
DISLOCATION METATARSAL BONE OPEN
DISLOCATION METATARSOPHALANGEAL JOINT OPEN
DISLOCATION INTERPHALANGEAL JOINT OPEN
SPRAIN/STRAIN ACROMIOCLAVICULAR JOINT/LIGAMENT
SPRAIN/STRAIN CORACOCLAVICULAR LIGAMENT
SPRAIN/STRAIN CORACOHUMERAL LIGAMENT
SPRAIN/STRAIN INFRASPINATUS MUSCLE
SPRAIN/STRAIN ROTATOR CUFF/ CAPSULAR LIGS
SPRAIN/STRAIN SUBSCAPULARIS MUSCLE
SPRAIN/STRAIN SUPRASPINATUS MUSCLE

GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283
GO283

97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018

97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018
97018

97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022

97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024



 
 
 
 
 
 




 

 
 
 















 

 
 
 























 
 
 
 
 
 
 
 
  
 
  
  
  
  
  

SPRAIN/STRAIN UPPER EXTREMITY OTHER SPECIFIED SITE

GO283
97022
97024
SPRAIN/STRAIN UPPER EXTREMITY OTHER UNSPECIFIED SITE
GO283
97022
97024
SPRAIN/STRAIN RADIAL COLLATERAL LIGAMENT
GO283
97022
97024
SPRAIN/STRAIN ULNAR COLLATERAL LIGAMENT
GO283
97022
97024
SPRAIN/STRAIN RADIOHUMERAL JOINT
GO283
97022
97024
SPRAIN/STRAIN ULNOHUMERAL JOINT
GO283
97022
97024
SPRAIN/STRAIN ELBOW OTHER SPECIFIED SITES
GO283
97022
97024
SPRAIN/STRAIN ELBOW OTHER UNSPECIFIED SITES
GO283
97022
97024
SPRAIN/STRAIN WRIST UNSPECIFIED AREA
97018
97022
97024
SPRAIN/STRAIN CARPAL JOINT
97018
97022
97024
SPRAIN/STRAIN RADIOCARPAL JOINT
97018
97022
97024
SPRAIN/STRAIN WRIST OTHER (RADIOULNAR DISTAL JOINT) WRIST
97018
97022
97024
SPRAIN/STRAIN HAND UNSPECIFIED AREA
97018
97022
97024
SPRAIN/STRAIN CARPOMETACARPAL JOINT
97018
97022
97024
SPRAIN/STRAIN METACARPOPHALANGEAL JOINT
97018
97022
97024
SPRAIN/STRAIN INTERPHALANGEAL JOINT
97018
97022
97024
SPRAIN/STRAIN HAND OTHER (MID CARPAL JOINT) HAND
97018
97022
97024
SPRAIN/STRAIN ILIOFEMORAL LIGAMENT
97022
97024
SPRAIN/STRAIN ISCHIOCAPSULAR LIGAMENT
97022
97024
SPRAIN/STRAIN HIP OTHER SPECIFIED AREA OF HIP AND THIGH
97022
SPRAIN/STRAIN HIP OTHER UNSPECIFIED AREA OF HIP AND THIGH
97022
97024
SPRAIN/STRAIN LATERAL COLLATERAL LIGAMENT OF THE KNEE
97022
97024
SPRAIN/STRAIN MEDIAL COLLATERAL LIGAMENT OF THE KNEE
97022
97024
SPRAIN/STRAIN CRUCIATE LIGAMENT OF THE KNEE
97022
97024
SPRAIN/STRAIN TIBIOFIBULAR JOINT (PROXIMAL)
97022
97024
SPRAIN/STRAIN KNEE AND LEG OTHER SPECIFIED AREA
97022
97024
SPRAIN/STRAIN KNEE AND LEG OTHER UNSPECIFIED AREA
97022
97024
SPRAIN/STRAIN ANKLE UNSPECIFIED AREA OF ANKLE
GO283
97018
97022
97024
SPRAIN/STRAIN DELTOID LIGAMENT
GO283
97018
97022
97024
SPRAIN/STRAIN CALCANEOFIBULAR LIGAMENT
GO283
97018
97022
97024
SPRAIN/STRAIN TIBIOFIBULAR JOINT (DISTAL)
GO283
97018
97022
97024
SPRAIN/STRAIN ANKLE REGION OTHER
GO283
97018
97022
97024
SPRAIN/STRAIN FOOT UNSPECIFIED AREA OF FOOT
GO283
97018
97022
97024
SPRAIN/STRAIN TARSOMETATARSAL JOINT
GO283
97018
97022
97024
SPRAIN/STRAIN METATARSALPHALANGEAL JOINT
GO283
97018
97022
97024
SPRAIN/STRAIN INTERPHALANGEAL JOINT
GO283
97018
97022
97024
SPRAIN/STRAIN FOOT REGION OTHER
GO283
97018
97022
97024
SPRAIN/STRAIN LUMBOSACRAL JOINT
GO283
97022
97024
SPRAIN/STRAIN SACROILIAC LIGAMENT
GO283
97022
97024
SPRAIN/STRAIN SACROSPINOUS LIGAMENT
GO283
97022
97024
SPRAIN/STRAIN SACROTUBERUS LIGAMENT
GO283
97022
97024
SPRAIN/STRAIN OTHER SPECIFIED SACROILIAC REGION
GO283
97022
97024
SPRAIN/STRAIN OTHER UNSPECIFIED SACROILIAC REGION
GO283
97022
97024
SPRAIN/STRAIN CERVICAL LIGAMENTS/TENDONS
97012
GO283
97022
97024
SPRAIN/STRAIN THORACIC LIGAMENTS/TENDONS
GO283
97022
97024
SPRAIN/STRAIN LUMBAR LIGAMENTS/TENDONS
97012
GO283
97022
97024
SPRAIN/STRAIN SACRAL LIGAMENTS/TENDONS
GO283
97022
97024
SPRAIN/STRAIN COCCYGEAL LIGAMENTS/TENDONS
GO283
97022
97024
SPRAIN/STRAIN SPINE LIGAMENTS/TENDONS OF BACK
GO283
97022
97024
SPRAIN/STRAIN SEPTAL CARTILAGE OF NOSE
GO283
97022
97024
SPRAIN/STRAIN TEMPOROMANDIBULAR JOINT
GO283
97022
97024
SPRAIN/STRAIN THYROID REGION--CRICOTHYROID JOINT/THYRO GO283
97022
97024
SPRAIN/STRAIN RIBS/CHONDROCOSTAL REGION
GO283
97022
97024
SPRAIN/STRAIN STERNUM UNSPECIFIED SITE
GO283
97022
97024
SPRAIN/STRAIN STERNOCLAVICULAR JOINT
GO283
97022
97024
SPRAIN/STRAIN CHONDROCOSTAL JOINT
GO283
97022
97024
SPRAIN/STRAIN XIPHOID CARTILAGE AND OTHER REGIONS OF THE TRUNK NEC
97022
97024
SPRAIN/STRAIN PUBIC SYMPHYSIS
GO283
97022
97024
SPRAIN/STRAIN OTHER AND ILL DEFINED SPECIFIED REGIONS
97024
SPRAIN/STRAIN OTHER AND ILL DEFINED UNSPECIFIED REGIONS
97024
CEREBRAL CORTEX CONTUSION W/O OPEN INTRACRANIAL WOUND UNSPEC. STATE OF CONSCIOUSNESS
CEREBRAL CORTEX CONTUSION W/O OPEN INTRACRANIAL WOUND WITH NO LOSS OF CONSCIOUSNESS
CEREBRAL CORTEX CONTUSION W/O OPEN INTRACRANIAL WOUND WITH LESS THAN 1 HR UNCONSCIOUSNESS
CEREBRAL CORTEX CONTUSION W/O OPEN INTRACRANIAL WOUND WITH 1-24 HRS UNCONSCIOUSNESS
CEREBRAL CORTEX CONTUSION W/O OPEN INTRACRANIAL WOUND WITH MORE THAN 24 HRS UNCONSCIOUSNESS
CEREBRAL CORTEX CONTUSION W/O OPEN INTRACRANIAL WOUND WITH MORE THAN 24 HRS UNCONSCIOUSNESS
CEREBRAL CORTEX CONTUSION W/O OPEN INTRACRANIAL WOUND & LOSS OF CONSCIOUSNESS OF UNSPEC. DUR
CEREBRAL CORTEX CONTUSION W/O OPEN INTRACRANIAL WOUND WITH CONCUSSION UNSPECIFIED
CEREBRAL CORTEX CONTUSION WITH OPEN INTRACRANIAL WOUND UNSPEC. STATE OF CONSCIOUSNESS
CEREBRAL CORTEX CONTUSION WITH OPEN INTRACRANIAL WOUND WITH NO LOSS OF CONSCIOUSNESS
CEREBRAL CORTEX CONTUSION WITH OPEN INTRACRANIAL WOUND WITH LESS THAN 1 HR UNCONSCIOUSNESS
CEREBRAL CORTEX CONTUSION WITH OPEN INTRACRANIAL WOUND WITH 1-24 HRS UNCONSCIOUSNESS
CEREBRAL CORTEX CONTUSION WITH OPEN INTRACRANIAL WOUND WITH MORE THAN 24 HRS UNCONSCIOUSNESS
CEREBRAL CORTEX CONTUSION WITH OPEN INTRACRANIAL WOUND WITH MORE THAN 24 HRS UNCONSCIOUSNESS
CEREBRAL CORTEX CONTUSION WITH OPEN INTRACRANIAL WOUND & LOSS OF CONSCIOUSNESS OF UNSPEC. DUR

  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 





 

 
 
 

CEREBRAL CORTEX CONTUSION WITH OPEN INTRACRANIAL WOUND WITH CONCUSSION UNSPECIFIED
CEREBRAL CORTEX LACERATION W/O OPEN INTRACRANIAL WOUND UNSPEC. STATE OF CONSCIOUSNESS
CEREBRAL CORTEX LACERATION W/O OPEN INTRACRANIAL WOUND WITH NO LOSS OF CONSCIOUSNESS
CEREBRAL CORTEX LACERATION W/O OPEN INTRACRANIAL WOUND WITH LESS THAN 1 HR UNCONSCIOUSNESS
CEREBRAL CORTEX LACERATION W/O OPEN INTRACRANIAL WOUND WITH 1-24 HRS UNCONSCIOUSNESS
CEREBRAL CORTEX LACERATION W/O OPEN INTRACRANIAL WOUND WITH MORE THAN 24 HRS UNCONSCIOUSNESS
CEREBRAL CORTEX LACERATION W/O OPEN INTRACRANIAL WOUND WITH MORE THAN 24 HRS UNCONSCIOUSNESS
CEREBRAL CORTEX LACERATION W/O OPEN INTRACRANIAL WOUND & LOSS OF CONSCIOUSNESS OF UNSPEC. DUR
CEREBRAL CORTEX LACERATION W/O OPEN INTRACRANIAL WOUND WITH CONCUSSION UNSPECIFIED
CEREBRAL CORTEX LACERATION WITH OPEN INTRACRANIAL WOUND UNSPEC. STATE OF CONSCIOUSNESS
CEREBRAL CORTEX LACERATION WITH OPEN INTRACRANIAL WOUND WITH NO LOSS OF CONSCIOUSNESS
CEREBRAL CORTEX LACERATION WITH OPEN INTRACRANIAL WOUND WITH LESS THAN 1 HR UNCONSCIOUSNESS
CEREBRAL CORTEX LACERATION WITH OPEN INTRACRANIAL WOUND WITH 1-24 HRS UNCONSCIOUSNESS
CEREBRAL CORTEX LACERATION WITH OPEN INTRACRANIAL WOUND WITH MORE THAN 24 HRS UNCONSCIOUSNES
CEREBRAL CORTEX LACERATION WITH OPEN INTRACRANIAL WOUND WITH MORE THAN 24 HRS UNCONSCIOUSNES
CEREBRAL CORTEX LACERATION WITH OPEN INTRACRANIAL WOUND & LOSS OF CONSCIOUSNESS OF UNSPEC. DU
CEREBRAL CORTEX LACERATION WITH OPEN INTRACRANIAL WOUND WITH CONCUSSION UNSPECIFIED
CEREBELLAR OR BRAIN STEM CONTUSION W/O OPEN INTRACRANIAL WOUND UNSPEC. STATE OF CONSCIOUSNESS
CEREBELLAR OR BRAIN STEM CONTUSION W/O OPEN INTRACRANIAL WOUND WITH NO LOSS OF CONSCIOUSNESS
CEREBELLAR OR BRAIN STEM CONTUSION W/O OPEN INTRACRANIAL WOUND WITH LESS THAN 1 HR UNCONSCIOUS
CEREBELLAR OR BRAIN STEM CONTUSION W/O OPEN INTRACRANIAL WOUND WITH 1-24 HRS UNCONSCIOUSNESS
CEREBELLAR OR BRAIN STEM CONTUSION W/O OPEN INTRACRANIAL WOUND WITH MORE THAN 24 HRS UNCONSCI
CEREBELLAR OR BRAIN STEM CONTUSION W/O OPEN INTRACRANIAL WOUND WITH MORE THAN 24 HRS UNCONSCI
CEREBELLAR OR BRAIN STEM CONTUSION W/O OPEN INTRACRANIAL WOUND & LOSS OF CONSCIOUSNESS OF UNS
CEREBELLAR OR BRAIN STEM CONTUSION W/O OPEN INTRACRANIAL WOUND WITH CONCUSSION UNSPECIFIED
CEREBELLAR OR BRAIN STEM CONTUSION WITH OPEN INTRACRANIAL WOUND UNSPEC. STATE OF CONSCIOUSNES
CEREBELLAR OR BRAIN STEM CONTUSION WITH OPEN INTRACRANIAL WOUND WITH NO LOSS OF CONSCIOUSNESS
CEREBELLAR OR BRAIN STEM CONTUSION WITH OPEN INTRACRANIAL WOUND WITH LESS THAN 1 HR UNCONSCIOU
CEREBELLAR OR BRAIN STEM CONTUSION WITH OPEN INTRACRANIAL WOUND WITH 1-24 HRS UNCONSCIOUSNESS
CEREBELLAR OR BRAIN STEM CONTUSION WITH OPEN INTRACRANIAL WOUND WITH MORE THAN 24 HRS UNCONSC
CEREBELLAR OR BRAIN STEM CONTUSION WITH OPEN INTRACRANIAL WOUND WITH MORE THAN 24 HRS UNCONSC
CEREBELLAR OR BRAIN STEM CONTUSION WITH OPEN INTRACRANIAL WOUND & LOSS OF CONSCIOUSNESS OF UN
CEREBELLAR OR BRAIN STEM CONTUSION WITH OPEN INTRACRANIAL WOUND WITH CONCUSSION UNSPECIFIED
CEREBELLAR OR BRAIN STEM LACERATION W/O OPEN INTRACRANIAL WOUND UNSPEC. STATE OF CONSCIOUSNES
CEREBELLAR OR BRAIN STEM LACERATION W/O OPEN INTRACRANIAL WOUND WITH NO LOSS OF CONSCIOUSNESS
CEREBELLAR OR BRAIN STEM LACERATION W/O OPEN INTRACRANIAL WOUND WITH LESS THAN 1 HR UNCONSCIOU
CEREBELLAR OR BRAIN STEM LACERATION W/O OPEN INTRACRANIAL WOUND WITH 1-24 HRS UNCONSCIOUSNESS
CEREBELLAR OR BRAIN STEM LACERATION W/O OPEN INTRACRANIAL WOUND WITH MORE THAN 24 HRS UNCONSC
CEREBELLAR OR BRAIN STEM LACERATION W/O OPEN INTRACRANIAL WOUND WITH MORE THAN 24 HRS UNCONSC
CEREBELLAR OR BRAIN STEM LACERATION W/O OPEN INTRACRANIAL WOUND & LOSS OF CONSCIOUSNESS OF UN
CEREBELLAR OR BRAIN STEM CONTUSION W/O OPEN INTRACRANIAL WOUND WITH CONCUSSION UNSPECIFIED
CEREBELLAR OR BRAIN STEM LACERATION WITH OPEN INTRACRANIAL WOUND UNSPEC. STATE OF CONSCIOUSNE
CEREBELLAR OR BRAIN STEM LACERATION WITH OPEN INTRACRANIAL WOUND WITH NO LOSS OF CONSCIOUSNES
CEREBELLAR OR BRAIN STEM LACERATION WITH OPEN INTRACRANIAL WOUND WITH LESS THAN 1 HR UNCONSCIO
CEREBELLAR OR BRAIN STEM LACERATION WITH OPEN INTRACRANIAL WOUND WITH 1-24 HRS UNCONSCIOUSNESS
CEREBELLAR OR BRAIN STEM LACERATION WITH OPEN INTRACRANIAL WOUND WITH MORE THAN 24 HRS UNCONS
CEREBELLAR OR BRAIN STEM LACERATION WITH OPEN INTRACRANIAL WOUND WITH MORE THAN 24 HRS UNCONS
CEREBELLAR OR BRAIN STEM LACERATION WITH OPEN INTRACRANIAL WOUND & LOSS OF CONSCIOUSNESS OF UN
CEREBELLAR OR BRAIN STEM LACERATION WITH OPEN INTRACRANIAL WOUND WITH CONCUSSION UNSPECIFIED
CEREBRAL CONTUSION OR LACERATION UNSPECIFIED W/O OPEN INTRACRANIAL WOUND UNSPEC. STATE OF CON
CEREBRAL CONTUSION OR LACERATION UNSPECIFIED W/O OPEN INTRACRANIAL WOUND WITH NO LOSS OF CONS
CEREBRAL CONTUSION OR LACERATION UNSPECIFIED W/O OPEN INTRACRANIAL WOUND WITH LESS THAN 1 HR UN
CEREBRAL CONTUSION OR LACERATION UNSPECIFIED W/O OPEN INTRACRANIAL WOUND WITH 1-24 HRS UNCONSC
CEREBRAL CONTUSION OR LACERATION UNSPECIFIED W/O OPEN INTRACRANIAL WOUND WITH MORE THAN 24 HRS
CEREBRAL CONTUSION OR LACERATION UNSPECIFIED W/O OPEN INTRACRANIAL WOUND WITH MORE THAN 24 HRS
CEREBRAL CONTUSION OR LACERATION UNSPECIFIED W/O OPEN INTRACRANIAL WOUND & LOSS OF CONSCIOUSN
CEREBRAL CONTUSION OR LACERATION UNSPECIFIED W/O OPEN INTRACRANIAL WOUND WITH CONCUSSION UNSP
CEREBRAL CONTUSION OR LACERATION UNSPECIFIED WITH OPEN INTRACRANIAL WOUND UNSPEC. STATE OF CON
CEREBRAL CONTUSION OR LACERATION UNSPECIFIED WITH OPEN INTRACRANIAL WOUND WITH NO LOSS OF CONS
CEREBRAL CONTUSION OR LACERATION UNSPECIFIED WITH OPEN INTRACRANIAL WOUND WITH LESS THAN 1 HR U
CEREBRAL CONTUSION OR LACERATION UNSPECIFIED WITH OPEN INTRACRANIAL WOUND WITH 1-24 HRS UNCONS
CEREBRAL CONTUSION OR LACERATION UNSPECIFIED WITH OPEN INTRACRANIAL WOUND WITH MORE THAN 24 HR
CEREBRAL CONTUSION OR LACERATION UNSPECIFIED WITH OPEN INTRACRANIAL WOUND WITH MORE THAN 24 HR
CEREBRAL CONTUSION OR LACERATION UNSPECIFIED WITH OPEN INTRACRANIAL WOUND & LOSS OF CONSCIOUS
CEREBRAL CONTUSION OR LACERATION UNSPECIFIED WITH OPEN INTRACRANIAL WOUND WITH CONCUSSION UNS
OPEN WOUND SHOULDER WITHOUT COMPLICATION
97022
OPEN WOUND SCAPULA WITHOUT COMPLICATION
97022
OPEN WOUND AXILLA WITHOUT COMPLICATION
97022
OPEN WOUND UPPER ARM WITHOUT COMPLICATION
97022
OPEN WOUND UPPER EXTREMITY MULTIPLE SITES WITHOUT COMPLICATION
97022
OPEN WOUND SHOULDER WITH COMPLICATIONS
97022
OPEN WOUND SCAPULA WITH COMPLICATIONS
97022
OPEN WOUND AXILLA WITH COMPLICATIONS
97022
OPEN WOUND UPPER ARM WITH COMPLICATIONS
97022
OPEN WOUND UPPER EXTREMITY MULTIPLE SITES WITH COMPLICATIONS
97022






 
 
 
  
 
  
 
 
 
























 
 
 
































 


OPEN WOUND SHOULDER WITH TENDON INVOLVEMENT

97022
OPEN WOUND SCAPULA WITH TENDON INVOLVEMENT
97022
OPEN WOUND AXILA WITH TENDON INVOLVEMENT
97022
OPEN WOUND UPPER ARM TENDON INVOLVEMENT
97022
OPEN WOUND UPPER EXTREMITY MULTIPLE SITES WITH TENDON INVOLVEMENT
97022
OPEN WOUND FOREARM WITHOUT COMPLICATION
97022
OPEN WOUND ELBOW WITHOUT COMPLICATION
97022
OPEN WOUND WRIST WITHOUT COMPLICATION
97022
OPEN WOUND FOREARM WITH COMPLICATIONS
97022
OPEN WOUND ELBOW WITH COMPLICATIONS
97022
OPEN WOUND WRIST WITH COMPLICATIONS
97022
OPEN WOUND FOREARM WITH TENDON INVOLVEMENT
97022
OPEN WOUND ELBOW WITH TENDON INVOLVEMENT
97022
OPEN WOUND WRIST WITH TENDON INVOLVEMENT
97022
OPEN WOUND HAND EXCEPT FINGERS WITHOUT COMPLICATIONS
97022
OPEN WOUND HAND EXCEPT FINGERS COMPLICATED
97022
OPEN WOUND HAND EXCEPT FINGERS WITH TENDON INVOLVEMENT
97022
OPEN WOUND FINGERS WITHOUT COMPLICATION
97022
OPEN WOUND FINGERS WITH COMPLICATIONS
97022
OPEN WOUND FINGERS WITH TENDON INVOLVEMENT
97022
OPEN WOUND UPPER LIMB MULTIPLE AND UNSPECIFIED WITHOUT COMPLICATIONS
97022
OPEN WOUND UPPER LIMB MULTIPLE AND UNSPECIFIED WITH COMPLICATIONS
97022
OPEN WOUND UPPER LIMB MULTIPLE AND UNSPECIFIED WITH TENDON INVOLVEMEN
97022
TRAUMATIC AMPUTATION THUMB (S) WITHOUT COMPLICATIONS (COMPLETE OR PARTIAL) (WITH OR WITHOUT OTHE
TRAUMATIC AMPUTATION THUMB (S) WITH COMPLICATIONS (COMPLETE OR PARTIAL) (WITH OR WITHOUT OTHER F
TRAUMATIC AMPUTATION FINGER(S) OF ONE OR BOTH HANDS, UNCOMPLICATED WITHOUT MENTION OF THUMBS
TRAUMATIC AMPUTATION FINGER(S) OF ONE OR BOTH HANDS, WITH COMPLICATIONS WITHOUT MENTION OF THUM
TRAUMATIC AMPUTATION ARM BELOW ELBOW UNILATERAL (COMPLETE OR PARTIAL) WITHOUT COMPLICATION
TRAUMATIC AMPUTATION ARM BELOW ELBOW UNILATERAL (COMPLETE OR PARTIAL) WITH COMPLICATIONS
TRAUMATIC AMPUTATION ARM AT OR ABOVE ELBOW UNILATERAL (COMPLETE OR PARTIAL WITHOUT COMPLICATIO
TRAUMATIC AMPUTATION ARM AT OR ABOVE ELBOW UNILATERAL (COMPLETE OR PARTIAL WITH COMPLICATIONS
TRAUMATIC AMPUTATION ARM LEVEL UNSPECIFIED UNILATERAL (COMPLETE OR PARTIAL) WITHOUT COMPLICATIO
TRAUMATIC AMPUTATION ARM LEVEL UNSPECIFIED UNILATERAL (COMPLETE OR PARTIAL) WITH COMPLICATIONS
TRAUMATIC AMPUTATION ARM BILATERAL ANY LEVEL (COMPLETE OR PARTIAL) WITHOUT COMPLICATIONS
TRAUMATIC AMPUTATION ARM BILATERAL ANY LEVEL (COMPLETE OR PARTIAL) WITH COMPLICATIONS
OPEN WOUND HIP AND THIGH WITHOUT COMPLICATION
97022
OPEN WOUND HIP AND THIGH WITH COMPLICATIONS
97022
OPEN WOUND HIP AND THIGH WITH TENDON INVOLVEMENT
97022
OPEN WOUND KNEE, LEG AND ANKLE WITHOUT COMPLICATION
97022
OPEN WOUND KNEE, LEG AND ANKLE WITH COMPLICATIONS
97022
OPEN WOUND KNEE, LEG AND ANKLE WITH TENDON INVOLVEMENT
97022
OPEN WOUND FOOT EXCEPT TOES WITHOUT COMPLICATIONS
97022
OPEN WOUND FOOT EXCEPT TOES WITH COMPLICATIONS
97022
OPEN WOUND FOOT EXCEPT TOES WITH TENDON INVOLVEMENT
97022
OPEN WOUND TOES WITHOUT COMPLICATIONS
97022
OPEN WOUND TOES WITH COMPLICATIONS
97022
OPEN WOUND TOES WITH TENDON INVOLVEMENT
97022
TRAUMATIC AMPUTATION FOOT UNILATERAL (COMPLETE OR PARTIAL) WITHOUT COMPLICATION
TRAUMATIC AMPUTATION FOOT UNILATERAL (COMPLETE OR PARTIAL) WITH COMPLICATIONS
TRAUMATIC AMPUTATION FOOT BILATERAL (COMPLETE OR PARTIAL) WITHOUT COMPLICATION
TRAUMATIC AMPUTATION FOOT BILATERAL (COMPLETE OR PARTIAL) WITH COMPLICATIONS
TRAUMATIC AMPUTATION LEGS BELOW KNEE UNILATERAL (COMPLETE OR PARTIAL) WITHOUT COMPLICATION
TRAUMATIC AMPUTATION LEGS BELOW KNEE UNILATERAL (COMPLETE OR PARTIAL) WITH COMPLICATIONS
TRAUMATIC AMPUTATION LEGS AT OR ABOVE KNEE UNILATERAL (COMPLETE OR PARTIAL ) WITHOUT COMPLICATIO
TRAUMATIC AMPUTATION LEGS AT OR ABOVE KNEE UNILATERAL (COMPLETE OR PARTIAL ) WITH COMPLICATIONS
TRAUMATIC AMPUTATION LEGS LEVEL NOT SPECIFIED UNILATERAL (COMPLETE OR PARTIAL) WITHOUT COMPLICAT
TRAUMATIC AMPUTATION LEGS LEVEL NOT SPECIFIED UNILATERAL (COMPLETE OR PARTIAL) WITH COMPLICATION
TRAUMATIC AMPUTATION LEGS BILATERAL ANY LEVEL WITHOUT COMPLICATIONS
TRAUMATIC AMPUTATION LEGS BILATERAL ANY LEVEL WITH COMPLICATIONS
FRACTURE--LATE EFFECT OF FRACTURE OF SPINE AND TRUNK WITHOUT SPINAL CORD LESION
FRACTURE--LATE EFFECT OF FRACTURE OF THE UPPER EXTREMITIES
FRACTURE--LATE EFFECT OF FRACTURE OF NECK OF THE FEMUR
FRACTURE--LATE EFFECT OF FRACTURE OF LOWER EXTREMITY
FRACTURE--LATE EFFECT OF FRACTURE OF MULTIPLE AND UNSPECIFIED BONES
DISLOCATION--LATE EFFECT OF DISLOCATION
SPRAIN/STRAIN--LATE EFFECT OF SPRAIN AND STRAIN WITHOUT MENTION OF TENDON INJURY
SPRAIN/STRAIN--LATE EFFECT OF TENDON INJURY
TRAUMATIC AMPUATION--LATE EFFECT OF TRAUMATIC AMPUTATION
CONTUSION SHOULDER REGION
GO283
97018
97022
97024
CONTUSION SCAPULAR REGION
GO283
97018
97022
97024
CONTUSION AXILLARY REGION
GO283
97018
97022
97024
CONTUSION UPPER LIMB
GO283
97018
97022
97024
CONTUSION UPPER LIMB MULTIPLE AREAS
GO283
97018
97022
97024
CONTUSION FOREARM
GO283
97018
97022
97024
CONTUSION ELBOW
GO283
97018
97022
97024








 







 
 







 








 










































CONTUSION HAND
GO283
97018
CONTUSION WRIST
GO283
97018
CONTUSION FINGER
GO283
97018
CONTUSION MULTIPLE SITES OF UPPER LIMB
GO283
97018
CONTUSION UNSPECIFIED SITES OF UPPER LIMB
GO283
97018
CONTUSION THIGH
GO283
97018
CONTUSION HIP
GO283
97018
CONTUSION LOWER LEG
GO283
97018
CONTUSION KNEE
GO283
97018
CONTUSION FOOT
GO283
97018
CONTUSION ANKLE
GO283
97018
CONTUSION TOES
GO283
97018
CONTUSION LOWER LIMB MULTIPLE SITES OF LOWER LIMB
GO283
CRUSHING INJURY EXTERNAL GENITALIA
GO283
CRUSHING INJURY BACK
GO283
CRUSHING INJURY BUTTOCK
GO283
CRUSHING INJURY OTHER PART OF THE TRUNK
GO283
CRUSHING INJURY TRUNK MULTIPLE SITES OF TRUNK
GO283
CRUSHING INJURY TRUNK UNSPECIFIED SITE OF TRUNK
GO283
CRUSHING INJURY SHOULDER
GO283
CRUSHING INJURY SCAPULAR REGION
GO283
CRUSHING INJURY AXILLARY REGION
GO283
CRUSHING INJURY UPPER ARM
GO283
CRUSHING INJURY UPPER ARM MULTIPLE REGIONS SHOULDER/ARM
CRUSHING INJURY FOREARM
GO283
CRUSHING INJURY ELBOW
GO283
CRUSHING INJURY HAND
GO283
97018
CRUSHING INJURY WRIST
GO283
97018
CRUSHING INJURY FINGERS
GO283
CRUSHING INJURY UPPER LIMB MULTIPLE SITES OF UPPER LIMB GO283
CRUSHING INJURY UPPER LIMB UNSPECIFIED SITE OF ARM
GO283
CRUSHING INJURY THIGH
GO283
CRUSHING INJURY HIP
GO283
CRUSHING INJURY LOWER LEG
GO283
CRUSHING INJURY KNEE
GO283
CRUSHING INJURY FOOT
GO283
97018
CRUSHING INJURY ANKLE
GO283
97018
CRUSHING INJURY TOES
GO283
97018
CRUSHING INJURY LOWER LIMB MULTIPLE SITES OF LOWER LIMB GO283
CRUSHING MULTIPLE AND UNSPECIFIED SITES
BURN WITH BLISTERS/EPIDERMAL LOSS ON UNSPECIFIED AREA OF TRUNK
BURN WITH BLISTERS/EPIDERMAL LOSS ON BREAST
BURN WITH BLISTERS/EPIDERMAL LOSS ON TRUNK CHEST WALL, EXCLUDING BREAS
BURN WITH BLISTERS/EPIDERMAL LOSS ON TRUNK ABDOMINAL WALL
BURN WITH BLISTERS/EPIDERMAL LOSS ON BACK WITH BLISTERS
BURN WITH BLISTERS/EPIDERMAL LOSS ON GENITALIA
BURN WITH BLISTERS/EPIDERMAL LOSS ON TRUNK OTHER AND MULTIPLE SITES
BURN WITH FULL THICKNESS SKIN LOSS ON UNSPECIFIED AREA OF TRUNK
BURN WITH FULL THICKNESS SKIN LOSS ON BREAST
BURN WITH FULL THICKNESS SKIN LOSS ON TRUNK CHEST WALL, EXCLUDING BREAS
BURN WITH FULL THICKNESS SKIN LOSS ON TRUNK ABDOMINAL WALL
BURN WITH FULL THICKNESS SKIN LOSS ON BACK WITH BLISTERS
BURN WITH FULL THICKNESS SKIN LOSS ON GENITALIA
BURN WITH FULL THICKNESS SKIN LOSS ON TRUNK OTHER AND MULTIPLE SITES
BURN DEEP NECROSIS UNSPECIFIED AREA OF TRUNK W/O MENTION OF A BODY PAR
BURN DEEP NECROSIS BREAST W/O MENTION OF LOSS OF A BODY PART
BURN DEEP NECROSIS CHEST WALL, EXCLUDING BREAST OR NIPPLE, WITHOUT MEN
BURN DEEP NECROSIS ABDOMINAL WALL WITHOUT MENTION OF A BODY PART
BURN DEEP NECROSIS BACK WITHOUT MENTION OF A BODY PART
BURN DEEP NECROSIS GENITALIA WITHOUT MENTION OF A BODY PART
BURN DEEP NECROSIS OTHER AND MULTIPLE SITES WITHOUT MENTION OF A BODY P
BURN DEEP NECROSIS UNSPECIFIED AREA OF TRUNK WITH LOSS OF A BODY PART
BURN DEEP NECROSIS BREAST WITH LOSS OF A BODY PART
BURN DEEP NECROSIS CHEST WALL, EXCLUDING BREAST OR NIPPLE, WITH LOSS OF
BURN DEEP NECROSIS ABDOMINAL WALL WITH LOSS OF A BODY PART
BURN DEEP NECROSIS BACK WITH LOSS OF A BODY PART
BURN DEEP NECROSIS GENITALIA WITH LOSS OF A BODY PART
BURN DEEP NECROSIS OTHER AND MULTIPLE SITES WITH LOSS OF A BODY PART
BURN WITH BLISTERS/EPIDERMAL LOSS UPPER LIMB UNSPECIFIED SITE
BURN WITH BLISTERS/EPIDERMAL LOSS FOREARM
BURN WITH BLISTERS/EPIDERMAL LOSS ELBOW
BURN WITH BLISTERS/EPIDERMAL LOSS UPPER ARM
BURN WITH BLISTERS/EPIDERMAL LOSS AXILLA
BURN WITH BLISTERS/EPIDERMAL LOSS SHOULDER
BURN WITH BLISTERS/EPIDERMAL LOSS SCAPULAR REGION

97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022

97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024

97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022

97024
97024
97024
97024
97024
97024
97024













































































BURN WITH BLISTERS/EPIDERMAL LOSS MULTIPLE SITES OF UPPER LIMB EXCEPT WR 97022
BURN WITH FULL THICKNESS SKIN LOSS UPPER LIMB UNSPECIFIED SITE
97022
BURN WITH FULL THICKNESS SKIN LOSS FOREARM
97022
BURN WITH FULL THICKNESS SKIN LOSS ELBOW
97022
BURN WITH FULL THICKNESS SKIN LOSS UPPER ARM
97022
BURN WITH FULL THICKNESS SKIN LOSS AXILLA
97022
BURN WITH FULL THICKNESS SKIN LOSS SHOULDER
97022
BURN WITH FULL THICKNESS SKIN LOSS SCAPULAR REGION
97022
BURN WITH FULL THICKNESS SKIN LOSS MULTIPLE SITES OF UPPER LIMB EXCEPT WR 97022
BURN DEEP NECROSIS UNSPECIFIED AREA OF UPPER LIMB WITHOUT MENTION OF A
97022
BURN DEEP NECROSIS FOREARM WITHOUT MENTION OF A BODY PART
97022
BURN DEEP NECROSIS ELBOW WITHOUT MENTION OF A BODY PART
97022
BURN DEEP NECROSIS UPPER ARM WITHOUT MENTION OF A BODY PART
97022
BURN DEEP NECROSIS AXILLA WITHOUT MENTION OF A BODY PART
97022
BURN DEEP NECROSIS SHOULDER WITHOUT MENTION OF A BODY PART
97022
BURN DEEP NECROSIS SCAPULAR REGION WITHOUT MENTION OF A BODY PART
97022
BURN DEEP NECROSIS MULTIPLE SITES, EXCEPT WRIST AND HAND) WITHOUT MENTIO 97022
BURN DEEP NECROSIS UNSPECIFIED AREA OF UPPER LIMB WITH LOSS OF A BODY PA 97022
BURN DEEP NECROSIS FOREARM WITH LOSS OF A BODY PART
97022
BURN DEEP NECROSIS ELBOW WITH LOSS OF A BODY PART
97022
BURN DEEP NECROSIS UPPER ARM WITH LOSS OF A BODY PART
97022
BURN DEEP NECROSIS AXILLA WITH LOSS OF A BODY PART
97022
BURN DEEP NECROSIS SHOULDER WITH LOSS OF A BODY PART
97022
BURN DEEP NECROSIS SCAPULAR REGION WITH LOSS OF A BODY PART
97022
BURN DEEP NECROSIS MULTIPLE SITES, EXCEPT WRIST AND HAND) WITH LOSS OF A
97022
BURN WITH BLISTERS/EPIDERMAL LOSS HAND/UNSPECIFIED SITE
97022
BURN WITH BLISTERS/EPIDERMAL LOSS SINGLE DIGIT OTHER THAN THUMB
97022
BURN WITH BLISTERS/EPIDERMAL LOSS THUMB/NAIL
97022
BURN WITH BLISTERS/EPIDERMAL LOSS TWO OR MORE DIGITS NOT INCLUDING THUM 97022
BURN WITH BLISTERS/EPIDERMAL LOSS TWO OR MORE DIGITS INCLUDING THUMB
97022
BURN WITH BLISTERS/EPIDERMAL LOSS PALM
97022
BURN WITH BLISTERS/EPIDERMAL LOSS BACK OF HAND
97022
BURN WITH BLISTERS/EPIDERMAL LOSS WRIST
97022
BURN WITH BLISTERS/EPIDERMAL LOSS MULTIPLE SITES OF WRISTS AND HANDS
97022
BURN WITH FULL THICKNESS SKIN LOSS HAND/UNSPECIFIED SITE
97022
BURN WITH FULL THICKNESS SKIN LOSS SINGLE DIGIT OTHER THAN THUMB
97022
BURN WITH FULL THICKNESS SKIN LOSS THUMB/NAIL
97022
BURN WITH FULL THICKNESS SKIN LOSS TWO OR MORE DIGITS NOT INCLUDING THUM 97022
BURN WITH FULL THICKNESS SKIN LOSS TWO OR MORE DIGITS INCLUDING THUMB
97022
BURN WITH FULL THICKNESS SKIN LOSS PALM
97022
BURN WITH FULL THICKNESS SKIN LOSS BACK OF HAND
97022
BURN WITH FULL THICKNESS SKIN LOSS WRIST
97022
BURN WITH FULL THICKNESS SKIN LOSS MULTIPLE SITES OF WRISTS AND HANDS
97022
BURN DEEP NECROSIS HAND WITHOUT LOSS OF A BODY PART
97022
BURN DEEP NECROSIS SINGLE DIGIT OTHER THAN THUMB WITHOUT LOSS OF A BODY 97022
BURN DEEP NECROSIS THUMB/NAIL WITHOUT LOSS OF A BODY PART
97022
BURN DEEP NECROSIS TWO OR MORE DIGITS NOT INCLUDING THE THUMB WITHOUT
97022
BURN DEEP NECROSIS TWO OR MORE DIGITS INCLUDING THE THUMB WITHOUT LOSS 97022
BURN DEEP NECROSIS PALM WITHOUT LOSS OF A BODY PART
97022
BURN DEEP NECROSIS BACK OF HAND WITHOUT LOSS OF A BODY PART
97022
BURN DEEP NECROSIS WRIST WITHOUT LOSS OF A BODY PART
97022
BURN DEEP NECROSIS MULTIPLE SITES OF WRIST AND HANDS WITHOUT LOSS OF A BODY PART
BURN DEEP NECROSIS UNSPECIFIED PART OF HAND WITH LOSS OF A BODY PART
BURN DEEP NECROSIS SINGLE DIGIT OTHER THAN THUMB WITH LOSS OF A BODY PART
BURN DEEP NECROSIS THUMB/NAIL WITH LOSS OF A BODY PART
BURN DEEP NECROSIS TWO OR MORE DIGITS NOT INCLUDING THE THUMB WITH LOSS OF A BO
BURN DEEP NECROSIS TWO OR MORE DIGITS INCLUDING THE THUMB WITH LOSS OF A BODY PA
BURN DEEP NECROSIS PALM WITH LOSS OF A BODY PART
BURN DEEP NECROSIS BACK OF HAND WITH LOSS OF A BODY PART
BURN DEEP NECROSIS BACK OF HAND WITH LOSS OF A BODY PART
BURN DEEP NECROSIS WRIST WITH LOSS OF A BODY PART
BURN DEEP NECROSIS MULTIPLE SITES OF WRIST AND HANDS WITH LOSS OF A BODY PART
BURN WITH BLISTERS/EPIDERMAL LOSS LOWER LIMB UNSPECIFIED SITE
97022
BURN WITH BLISTERS/EPIDERMAL LOSS TOE(S)/NAIL
97022
BURN WITH BLISTERS/EPIDERMAL LOSS FOOT
97022
BURN WITH BLISTERS/EPIDERMAL LOSS ANKLE
97022
BURN WITH BLISTERS/EPIDERMAL LOSS LOWER LEG
97022
BURN WITH BLISTERS/EPIDERMAL LOSS KNEE
97022
BURN WITH BLISTERS/EPIDERMAL LOSS THIGH
97022
BURN WITH BLISTERS/EPIDERMAL LOSS MULTIPLE SITES OF LOWER LIMB(S)
97022
BURN WITH FULL THICKNESS SKIN LOSS LOWER LIMB UNSPECIFIED SITE
97022
BURN WITH FULL THICKNESS SKIN LOSS TOE(S) NAIL
97022
BURN WITH FULL THICKNESS SKIN LOSS FOOT
97022
BURN WITH FULL THICKNESS SKIN LOSS ANKLE
97022
BURN WITH FULL THICKNESS SKIN LOSS LOWER LEG
97022

97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
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97024
97024
97024
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97024
97024
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97024
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97024
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97024
97024
97024
97024
97024
97024
97024
97024


























 


















































BURN WITH FULL THICKNESS SKIN LOSS KNEE

BURN WITH FULL THICKNESS SKIN LOSS THIGH
BURN WITH FULL THICKNESS SKIN LOSS THIGH
BURN WITH FULL THICKNESS SKIN LOSS MULTIPLE SITES OF LOWER LIMB(S)
BURN DEEP NECROSIS LOWER LIMB UNSPECIFIED SITE WITHOUT LOSS OF A BODY P
BURN DEEP NECROSIS TOE(S)/NAIL WITHOUT LOSS OF A BODY PART
BURN DEEP NECROSIS FOOT WITHOUT LOSS OF A BODY PART
BURN DEEP NECROSIS ANKLE WITHOUT LOSS OF A BODY PART
BURN DEEP NECROSIS LOWER LEG WITHOUT LOSS OF A BODY PART
BURN DEEP NECROSIS KNEE WITHOUT LOSS OF A BODY PART
BURN DEEP NECROSIS THIGH WITHOUT LOSS OF A BODY PART
BURN DEEP NECROSIS MULTIPLE SITES OF LOWER LIMB(S) WITHOUT LOSS OF A BOD
BURN DEEP NECROSIS LOWER LIMB UNSPECIFIED SITE WITH LOSS OF A BODY PART
BURN DEEP NECROSIS TOE(S)/NAIL WITH LOSS OF A BODY PART
BURN DEEP NECROSIS FOOT WITH LOSS OF A BODY PART
BURN DEEP NECROSIS ANKLE WITH LOSS OF A BODY PART
BURN DEEP NECROSIS LOWER LEG WITH LOSS OF A BODY PART
BURN DEEP NECROSIS KNEE WITH LOSS OF A BODY PART
BURN DEEP NECROSIS THIGH WITH LOSS OF A BODY PART
BURN DEEP NECROSIS MULTIPLE SITES OF LOWER LIMB(S) WITH LOSS OF A BODY PA
BURNS WITH BLISTERS/EPIDERMAL LOSS MULTIPLE SPECIFIED SITES
BURNS WITH FULL THICKNESS SKIN LOSS MULTIPLE SPECIFIED SITES
BURN DEEP NECROSIS MULTIPLE SPECIFIED SITES WITHOUT LOSS OF A BODY PART
BURN DEEP NECROSIS MULTIPLE SPECIFIED SITES WITH LOSS OF A BODY PART
BURN OF ANY DEGREE INVOLVING LESS THAN 10% OF BODY SURFACE
BURN OF ANY DEGREE INVOLVING 10-19% OF BODY SURFACE OF WHICH 3 IS LESS T
BURN OF ANY DEGREE INVOLVING 10-19% OF BODY SURFACE OF WHICH 3 IS 10-19%
BURN OF ANY DEGREE INVOLVING 20-29% OF BODY SURFACE OF WHICH 3 IS LESS T
BURN OF ANY DEGREE INVOLVING 20-29% OF BODY SURFACE OF WHICH 3 IS 10-19%
BURN OF ANY DEGREE INVOLVING 20-29% OF BODY SURFACE OF WHICH 3 IS 20-29%
BURN OF ANY DEGREE INVOLVING 30-39% OF BODY SURFACE OF WHICH 3 IS LESS T
BURN OF ANY DEGREE INVOLVING 30-39% OF BODY SURFACE OF WHICH 3 IS 10-19%
BURN OF ANY DEGREE INVOLVING 30-39% OF BODY SURFACE OF WHICH 3 IS 20-29%
BURN OF ANY DEGREE INVOLVING 30-39% OF BODY SURFACE OF WHICH 3 IS 30-39%
BURN OF ANY DEGREE INVOLVING 40-49% OF BODY SURFACE OF WHICH 3 IS LESS T
BURN OF ANY DEGREE INVOLVING 40-49% OF BODY SURFACE OF WHICH 3 IS 10-19%
BURN OF ANY DEGREE INVOLVING 40-49% OF BODY SURFACE OF WHICH 3 IS 20-29%
BURN OF ANY DEGREE INVOLVING 40-49% OF BODY SURFACE OF WHICH 3 IS 30-39%
BURN OF ANY DEGREE INVOLVING 40-49% OF BODY SURFACE OF WHICH 3 IS 40-49%
BURN OF ANY DEGREE INVOLVING 50-59% OF BODY SURFACE OF WHICH 3 IS LESS T
BURN OF ANY DEGREE INVOLVING 50-59% OF BODY SURFACE OF WHICH 3 IS 10-19%
BURN OF ANY DEGREE INVOLVING 50-59% OF BODY SURFACE OF WHICH 3 IS 20-29%
BURN OF ANY DEGREE INVOLVING 50-59% OF BODY SURFACE OF WHICH 3 IS 30-39%
BURN OF ANY DEGREE INVOLVING 50-59% OF BODY SURFACE OF WHICH 3 IS 40-49%
BURN OF ANY DEGREE INVOLVING 50-59% OF BODY SURFACE OF WHICH 3 IS 50-59%
BURN OF ANY DEGREE INVOLVING 60-69% OF BODY SURFACE OF WHICH 3 IS LESS T
BURN OF ANY DEGREE INVOLVING 60-69% OF BODY SURFACE OF WHICH 3 IS 10-19%
BURN OF ANY DEGREE INVOLVING 60-69% OF BODY SURFACE OF WHICH 3 IS 20-29%
BURN OF ANY DEGREE INVOLVING 60-69% OF BODY SURFACE OF WHICH 3 IS 30-39%
BURN OF ANY DEGREE INVOLVING 60-69% OF BODY SURFACE OF WHICH 3 IS 40-49%
BURN OF ANY DEGREE NVOLVING 60-69% OF BODY SURFACE OF WHICH 3 IS 50-59%
BURN OF ANY DEGREE INVOLVING 60-69% OF BODY SURFACE OF WHICH 3 IS 60-69%
BURN OF ANY DEGREE 70-79% OF BODY SURFACE OF WHICH 3 IS LESS THAN 0-10%
BURN OF ANY DEGREE INVOLVING 70-79% OF BODY SURFACE OF WHICH 3 IS 10-19%
BURN OF ANY DEGREE INVOLVING 70-79% OF BODY SURFACE OF WHICH 3 IS 20-29%
BURN OF ANY DEGREE INVOLVING 70-79% OF BODY SURFACE OF WHICH 3 IS 30-39%
BURN OF ANY DEGREE INVOLVING 70-79% OF BODY SURFACE OF WHICH 3 IS 40-49%
BURN OF ANY DEGREE INVOLVING 70-79% OF BODY SURFACE OF WHICH 3 IS 50-59%
BURN OF ANY DEGREE INVOLVING 70-79% OF BODY SURFACE OF WHICH 3 IS 60-69%
BURN OF ANY DEGREE INVOLVING 70-79% OF BODY SURFACE OF WHICH 3 IS 70-79%
BURN OF ANY DEGREE INVOLVING 80-89% OF BODY SURFACE OF WHICH 3 IS LESS T
BURN OF ANY DEGREE INVOLVING 80-89% OF BODY SURFACE OF WHICH 3 IS 10-19%
BURN OF ANY DEGREE INVOLVING 80-89% OF BODY SURFACE OF WHICH 3 IS 20-29%
BURN OF ANY DEGREE INVOLVING 80-89% OF BODY SURFACE OF WHICH 3 IS 30-39%
BURN OF ANY DEGREE INVOLVING 80-89% OF BODY SURFACE OF WHICH 3 IS 40-49%
BURN OF ANY DEGREE INVOLVING 80-89% OF BODY SURFACE OF WHICH 3 IS 50-59%
BURN OF ANY DEGREE INVOLVING 80-89% OF BODY SURFACE OF WHICH 3 IS 60-69%
BURN OF ANY DEGREE INVOLVING 80-89% OF BODY SURFACE OF WHICH 3 IS 70-79%
BURN OF ANY DEGREE INVOLVING 80-89% OF BODY SURFACE OF WHICH 3 IS 80-89%
BURN OF ANY DEGREE INVOLVING 90% OR MORE OF BODY SURFACE OF WHICH 3 IS
BURN OF ANY DEGREE INVOLVING 90% OR MORE OF BODY SURFACE OF WHICH 3 IS
BURN OF ANY DEGREE INVOLVING 90% OR MORE OF BODY SURFACE OF WHICH 3 IS
BURN OF ANY DEGREE INVOLVING 90% OR MORE OF BODY SURFACE OF WHICH 3 IS
BURN OF ANY DEGREE INVOLVING 90% OR MORE OF BODY SURFACE OF WHICH 3 IS
BURN OF ANY DEGREE INVOLVING 90% OR MORE OF BODY SURFACE OF WHICH 3 IS

97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022

97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024
97024





 










 

 
 
 
 
 
 
 
 



















































BURN OF ANY DEGREE INVOLVING 90% OR MORE OF BODY SURFACE OF WHICH 3 IS

97022
97024
BURN OF ANY DEGREE INVOLVING 90% OR MORE OF BODY SURFACE OF WHICH 3 IS
97022
97024
BURN OF ANY DEGREE INVOLVING 90% OR MORE OF BODY SURFACE OF WHICH 3 IS
97022
97024
BURN OF ANY DEGREE INVOLVING 90% OR MORE OF BODY SURFACE OF WHICH 3 IS
97022
97024
INJURY TO FACIAL NERVE
SPINAL CORD INJURY C1-C4 WITHOUT SPINAL BONE INJURY AND UNSPECIFIED SPINAL CORD INJURY
SPINAL CORD INJURY C1-C4 WITHOUT SPINAL BONE INJURY AND COMPLETE LESION OF THE SPINAL CORD
SPINAL CORD INJURY C1-C4 WITHOUT SPINAL BONE INJURY AND ANTERIOR CORD SYNDROME
SPINAL CORD INJURY C1-C4 WITHOUT SPINAL BONE INJURY AND CENTRAL CORD SYNDROME
SPINAL CORD INJURY C1-C4 WITHOUT SPINAL BONE INJURY AND OTHER SPECIFIED SPINAL CORD INJURY
SPINAL CORD INJURY C5-C7 WITHOUT SPINAL BONE INJURY AND UNSPECIFIED SPINAL CORD INJURY
SPINAL CORD INJURY C5-C7 WITHOUT SPINAL BONE INJURY AND COMPLETE LESION OF THE SPINAL CORD
SPINAL CORD INJURY C5-C7 WITHOUT SPINAL BONE INJURY AND ANTERIOR CORD SYNDROME
SPINAL CORD INJURY C5-C7 WITHOUT SPINAL BONE INJURY AND CENTRAL CORD SYNDROME
SPINAL CORD INJURY C5-C7 WITHOUT SPINAL BONE INJURY AND OTHER SPECIFIED SPINAL CORD INJURY
SPINAL CORD INJURY T1-T6 WITHOUT SPINAL BONE INJURY AND UNSPECIFIED SPINAL CORD INJURY
SPINAL CORD INJURY T1-T6 WITHOUT SPINAL BONE INJURY AND COMPLETE LESION OF THE SPINAL CORD
SPINAL CORD INJURY T1-T6 WITHOUT SPINAL BONE INJURY AND ANTERIOR CORD SYNDROME
SPINAL CORD INJURY T1-T6 WITHOUT SPINAL BONE INJURY AND CENTRAL CORD SYNDROME
SPINAL CORD INJURY T1-T6 WITHOUT SPINAL BONE INJURY AND OTHER SPECIFIED SPINAL CORD INJURY
SPINAL CORD INJURY T7-T12 WITHOUT SPINAL BONE INJURY AND UNSPECIFIED SPINAL CORD INJURY
SPINAL CORD INJURY T7-T12 WITHOUT SPINAL BONE INJURY AND COMPLETE LESION OF THE SPINAL CORD
SPINAL CORD INJURY T7-T12 WITHOUT SPINAL BONE INJURY AND ANTERIOR CORD SYNDROME
SPINAL CORD INJURY T7-T12 WITHOUT SPINAL BONE INJURY AND CENTRAL CORD SYNDROME
SPINAL CORD INJURY T7-T12 WITHOUT SPINAL BONE INJURY AND OTHER SPECIFIED SPINAL CORD INJURY
SPINAL CORD INJURY LUMBAR SPINE
SPINAL CORD INJURY SACRAL
SPINAL CORD INJURY CAUDA EQUINA
SPINAL CORD INJURY MULTIPLE SITES OF SPINAL CORD
SPINAL CORD INJURY UNSPECIFIED OF SPINAL CORD
CERVICAL NERVE ROOT INJURY
97012
GO283
97024
THORACIC NERVE ROOT INJURY
GO283
97022
97024
LUMBAR NERVE ROOT INJURY
97012
GO283
97022
97024
SACRAL NERVE ROOT INJURY
97012
GO283
97022
97024
BRACHIAL PLEXUS INJURY
GO283
97022
97024
LUMBOSACRAL PLEXUS INJURY
GO283
97022
97024
MULTIPLE NERVE ROOT INJURY
GO283
97022
97024
PERIPHERAL NERVES AXILLARY NERVE INJURY
GO283
97022
97024
PERIPHERAL NERVES MEDIAN NERVE INJURY
GO283
97022
97024
PERIPHERAL NERVES ULNAR NERVE INJURY
GO283
97022
97024
PERIPHERAL NERVES RADIAL NERVE INJURY
GO283
97022
97024
PERIPHERAL NERVES MUSCULOCUTANEOUS NERVE INJURY
GO283
97022
97024
PERIPHERAL NERVES CUTANEOUS SENSORY NERVE INJURY
GO283
97022
97024
PERIPHERAL NERVES DIGITAL NERVE INJURY
GO283
97022
97024
PERIPHERAL NERVES OTHER SPECIFIED NERVE INJURY
GO283
97022
97024
PERIPHERAL NERVES MULTIPLE NERVES INJURY
GO283
97022
97024
PERIPHERAL NERVES INJURY UNSPECIFIED OF THE UPPER EXTR GO283
97022
97024
PERIPHERAL NERVES SCIATIC INJURY
GO283
97022
97024
PERIPHERAL NERVES FEMORAL INJURY
GO283
97022
97024
PERIPHERAL NERVES POSTERIOR TIBIAL NERVE INJURY
GO283
97022
97024
PERIPHERAL NERVES PERONEAL NERVE INJURY
GO283
97018
97022
97024
PERIPHERAL NERVES INJURY TO CUTANEOUS SENSORY NERVE GO283
97018
97022
97024
PERIPHERAL NERVES INJURY OTHER SPECIFIED NERVES OFPEL GO283
97022
97024
PERIPHERAL NERVES INJURY MULTIPLE NERVES
GO283
97022
97024
PERIPHERAL NERVES INJURY TO OTHER UNSPECIFIED NERVES OF PELVIC GIRDLE AN 97022
97024
CENTRAL NERVOUS SYSTEM COMPLICATION (EXCLUDES CVA)
AMPUTATION STUMP UNSPECIFIED COMPLICATION
97018
97022
AMPUTATION STUMP NEUROMA
GO283
97018
97022
97024
JOINT REPLACEMENT UNSPECIFIED JOINT
GO283
97022
JOINT REPLACEMENT SHOULDER
GO283
97022
JOINT REPLACEMENT ELBOW
GO283
97022
JOINT REPLACEMENT WRIST
GO283
97022
JOINT REPLACEMENT HIP
GO283
97022
JOINT REPLACEMENT KNEE
GO283
97022
JOINT REPLACEMENT ANKLE
GO283
97022
JOINT REPLACEMENT OTHER
GO283
97022
LIMB REPLACEMENT BY OTHER MEANS LIMB
GO283
97022
ARTHRODESIS STATUS--POST PROCEDURAL STATUS
GO283
97022
DEFICIENCIES OF LIMBS--AFFECTING HEALTH STATUS
MECHANICAL PROBLEMS WITH LIMBS--AFFECTING HEALTH STATUS
MOTOR PROBLEMS WITH LIMBS--AFFECTING HEALTH STATUS
SENSORY PROBLEMS WITH LIMBS--AFFECTING HEALTH STATUS
DISFIGUREMENT OF LIMBS--AFFECTING HEALTH STATUS
PROBLEMS OF LIMBS--OTHER--AFFECTING HEALTH STATUS
AMPUTATION STATUS UE UNSPECIFIED LEVEL
GO283
97022


AMPUTATION STATUS THUMB
GO283

AMPUTATION STATUS OTHER FINGERS
GO283

AMPUTATION STATUS HAND
GO283

AMPUTATION STATUS WRIST
GO283

AMPUTATION STATUS BELOW ELBOW
GO283

AMPUTATION STATUS ABOVE ELBOW
GO283

AMPUTATION STATUS SHOULDER
GO283

AMPUTATION STATUS LE UNSPECIFIED LEVEL
GO283

AMPUTATION STATUS GREAT TOE
GO283

AMPUTATION STATUS OTHER TOES
GO283

AMPUTATION STATUS FOOT
GO283

AMPUTATION STATUS ANKLE
GO283

AMPUTATION STATUS BELOW KNEE
GO283

AMPUTATION STATUS ABOVE KNEE
GO283

AMPUTATION STATUS HIP
GO283

PROSTHETIC ARM FITTING AND ADJUSTMENT

PROSTHETIC LEG FITTING AND ADJUSTMENT

PROSTHETIC DEVICE UNSPECIFIED FITTING AND ADJUSTMENT

ORTHOPEDIC DEVICE FITTING AND ADJUSTMENT

WHEELCHAIR FITTING AND ADJUSTMENT

UNSPECIFIED DEVICES FITTING AND ADJUSTMENT

DEVICE FITTING AND ADJUSTMENT--OTHER

ENCOUNTER FOR REMOVAL OF INTERNAL FIXATION DEVICE

ENCOUNTER FOR LENGTHENING/ADJUSTING GROWTH ROD

ENCOUNTER INVOLVING INTERNAL FIXATION DEVICE--OTHER
GO283
   Aftercare for healing traumatic fracture
 
Aftercare for healing traumatic fracture of other bone
GO283
 Aftercare for healing pathologic fracture
GO283

Aftercare for healing pathologic fracture of other bone
GO283

AFTERCARE FOLLOWING JOINT REPLACEMENT
GO283

ORTHOPEDIC AFTERCARE--OTHER
GO283

ORTHOTIC TRAINING--GAIT TRAINING IN USE OF PROSTHETIC LIMB

97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022
97022

97022

97022
97022





 
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110

97036
97036

97035
97035

97035
97035

97036
97036
97036
97036

97035
97035
97035
97035

97110
97110
97110
97110
97110

 
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

 

97112
97112
97112
97112
97112
97112

 
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

 



97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97140
97140
97140
97140
97140

97530
97530
97530
97530
97530

97124

97140

97530

97124
97124
97124

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
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97140
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97140

97530
97530
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97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97116
97116
97116
97116
97116
97116

97110
97110

97112
97112

97116
97116

97110
97110
97110
97110
97110
97110
97110
97110

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
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97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
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97110
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97110
97110
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97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110

 

97113

97113
97113
97113
97113
97113
97113
97113
97113
97113

97124
97124
97124
97124



97535
97535
97535
97535
97535

97535
97535
97535
97535
97535
97535
97535
97535
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97535
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97535
97535
97535
97535

97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535





97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036

97110
97110
97110
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97110
97110
97110
97110
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97110
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97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110

97112
97112

97116
97116

97140
97140

97530
97530

97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
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97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97112
97112
97112
97112

97116
97116
97116
97116

97140
97140
97140
97140

97530
97530
97530
97530

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97035
97035
97035
97035
97035
97035
97035

97110
97110
97110
97110
97110
97110
97110
97110
97110

97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035

97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
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97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535

97110
97110
97110
97110

97112
97112
97112
97112

97116
97116
97116
97116

97140
97140
97140
97140

97530
97530
97530
97530

97535
97535
97535
97535

97535

97110
97110
97110

97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110

97110
97110
97110
97110
97110
97110
97110
97036
97036
97036
97036
97036
97036
97036

97035

97110
97110

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
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97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97112
97112
97112
97112
97112
97112
97112
97112
97112

97116
97116
97116
97116
97116
97116
97116
97116
97116

97112

97116

97140
97140

97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124

97530
97530

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
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97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97140
97140

97530
97530

97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
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97535
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97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535

97535

97110

97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124

97110

97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124

97140
97140
97140
97140

97530
97530
97530
97530

97140

97530

97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530

97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530

97140

97530

97140
97140

97530
97530

97140

97530

97140

97530

97140
97140

97530
97530

97110
97110
97110
97110
97110

97530

97140

97530

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97124
97124
97124
97124
97124
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97110
97110

97036
97036
97036
97036
97036

97140

97110
97110
97110
97110
97110

97036
97036
97535

97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036

97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036

97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035

97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
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97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535

97036
97036
97036
97036
97036
97036
97036
97036
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97036
97036
97036
97036
97036
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97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036

97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
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97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035

97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
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97110
97110
97110
97110
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97110
97110
97110
97110
97110
97110
97110
97110

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
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97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
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97113
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97113
97113
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97113
97113
97113
97113
97113
97113
97113
97113
97113
97113

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
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97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
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97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
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97530
97530
97530
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97530
97530
97530
97530
97530
97530
97530
97530

97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
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97535
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97535
97535
97535
97535

97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
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97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535

97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
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97036
97036
97036
97036

97035
97035
97035
97035
97035
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97035
97035
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97035
97035
97035
97035

97110
97110
97110
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97110
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97110
97110
97110

97112
97112
97112
97112
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97112

97113
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97140
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97530
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97530

97535
97535
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97535
97535

97760

97036
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97036

97035
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97035

97110
97110
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97110
97110

97112
97112
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97112
97112

97113
97113
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97113

97116
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97140
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97530
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97530
97530

97535
97535
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97535
97535

97760

97760

97760

97036
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97036
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97035
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97035
97035

97110
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97110

97112
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97112
97112
97112

97110
97110

97112
97112
97112
97112

97113
97113
97113
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97113

97116
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97116

97140
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97530
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97530
97530
97530
97530
97530

97113
97113

97116
97116
97116
97116

97140
97140
97140
97140

97530
97530
97530
97530

97535
97535
97535
97535
97535
97535
97535
97535
97535
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97535
97535
97535

97535
97535

97036
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97036
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97036

97035
97035
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97035
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97035
97035
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97035
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97035
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97035
97035

97110
97110
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97110
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97110
97110
97110

97112
97112
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97112
97112
97112
97112
97112
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97112
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97112
97112
97112
97112
97112
97112
97112
97112

97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036

97035
97035
97035
97035
97035
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97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
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97035
97035
97035
97035
97035

97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97113
97113
97113
97113
97113
97113
97113
97113
97113
97113

97113
97113

97116
97116
97116
97116
97116
97116
97116
97116
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97116
97116
97116
97116
97116
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97116
97116
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97116
97116
97116
97116

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
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97140
97140
97140
97140
97140
97140
97140

97530
97530
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97530
97530
97530
97530
97530
97530
97530
97530
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97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535

97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036

97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035

97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97110

97036
97036
97036
97036
97036

97035
97035
97035
97035
97035

97110
97110
97110
97110
97110

97112
97112
97112
97112
97112

97113
97113
97113
97113
97113

97116
97116
97116
97116
97116

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97140

97530

97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530

97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535

97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036

97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035

97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110

97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036

97035

97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110

97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036

97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035

97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97112
97112
97112
97112

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113

97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97116
97116
97116
97116

97124
97124

97124
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97140

97530

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535

97760

97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036

97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035

97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113
97113

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97036

97035

97110

97112

97113

97116

97036
97036
97036
97036
97036

97035

97110
97110
97110
97110
97110

97112
97112
97112
97112
97112

97113
97113
97113
97113
97113

97116
97116
97116
97116
97116

97036
97036

97110
97110

97112
97112

97113
97113

97116
97116

97036
97036
97036
97036
97036
97036
97036

97110
97110
97110

97112
97112
97112

97116
97116
97116

97124

97110
97110

97112
97112

97113
97113
97113
97113
97113
97113
97113

97116
97116

97124
97124

97035
97035
97035

97112

97124

97124
97124
97124
97124

97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530
97530

97140
97140

97530
97530

97140

97530

97116
97124

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97535

97760
97760
97760
97760
97760
97760
97760
97760
97760
97760

97110
97110
97110

97112
97112
97112
97112
97112
97112
97112

97110
97110
97110

97112
97112
97112

97116
97116
97116

97112
97112
97112
97112
97112

97116
97116
97116
97116
97116

97110

97035

97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110

97113
97113

97116
97116
97116
97116
97116
97116
97116

97124

97140
97140
97140
97140
97140

97530
97530
97530
97530
97530

97140
97140
97140
97140
97140

97530
97530
97530
97530
97530

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97535
97535
97535

97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
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97535
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97535

97110
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97036
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97036
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97036
97036

97035
97035
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97035

97110
97110
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97110
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97110
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97110
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97110
97110
97110
97110
97110
97110

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97140
97140
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97140

97530
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97530
97530
97530

97535
97535
97535
97535
97535
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97535
97535
97535
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97535
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97535
97535
97535

97036
97036
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97036
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97036
97036

97035
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97035

97110
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97110
97110
97110

97112
97112
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97112
97112
97112

97116
97116
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97116
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97116
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97116
97116
97116
97116

97140
97140
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97140
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97140
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97140

97530
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97530

97535
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97535
97535
97535
97535
97535
97535
97535
97535

97035
97035
97035

97110
97110
97110

97112
97112
97112

97116
97116
97116

97140
97140
97140

97530
97530
97530

97535
97535
97535

97036
97036
97036
97036
97036
97036
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97036

97035
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97035

97110
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97110
97110
97110

97112
97112
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97112
97112
97112

97116
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97116

97140
97140
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97140

97530
97530
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97530
97530
97530

97535
97535
97535
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97535
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97535
97535
97535
97535
97535
97535
97535
97535
97535
97535

97036
97036
97036
97036
97036

97035
97035
97035
97035
97035

97112
97112
97112
97112
97112

97116
97116
97116
97116
97116

97140
97140
97140
97140
97140

97530
97530
97530
97530
97530

97535
97535
97535
97535
97535

97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
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97036
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97036
97036
97036
97036
97036
97036
97036
97036

97035
97035
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97035
97035
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97035
97035

97110
97110
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97110
97110
97110

97112
97112
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97112
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97112
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97112
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97112
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97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
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97116
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97116
97116
97116
97116

97140
97140
97140
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97140
97140
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97140
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97140
97140
97140
97140
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97140
97140
97140
97140

97530
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97530
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97530
97530
97530
97530
97530
97530

97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
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97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535

97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036

97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035

97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
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97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535

97036
97036
97036
97036
97036
97036
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97036
97036
97036
97036
97036
97036
97036
97036
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97036
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97036
97036
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97036
97036
97036
97036
97036
97036
97036

97035
97035
97035
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97035
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97035
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97035
97035

97112
97112
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97112
97112
97112
97112
97112
97112
97112
97112
97112
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97112
97112
97112
97112

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
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97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
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97140
97140
97140
97140
97140
97140
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97140
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97140
97140
97140
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97140
97140
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97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
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97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
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97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535

97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035

97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
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97110
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97110
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97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110

97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
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97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036

97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
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97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035

97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
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97110
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97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
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97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
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97116
97116
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97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
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97140
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97140
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97140
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97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
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97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036

97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035

97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97124
97124
97124
97124
97124
97124
97124

97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
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97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036

97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
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97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035

97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
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97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
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97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
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97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
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97124
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97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124
97124

97035

97110

97112

97116

97124
97124

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
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97140
97140
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97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
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97530
97530
97530
97530
97530
97530
97530
97530
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97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
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97140
97140
97140
97140
97140
97140
97140
97140
97140
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036

97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
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97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
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97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535

97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97761
97761
97761
97761
97761
97761
97761
97761
97761
97761
97761
97761
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97761
97761
97761
97761
97761
97761
97761
97761
97761
97761
97761
97761

97036
97036
97036
97036
97036
97036
97036

97035
97035
97035
97035
97035
97035
97035

97110
97110
97110
97110
97110
97110
97110

97112
97112
97112
97112
97112
97112
97112

97116
97116
97116
97116
97116
97116
97116

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
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97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036

97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
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97035
97035
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97035
97035
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97035
97035
97035
97035
97035
97035
97035
97035
97035
97035

97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
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97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
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97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
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97530
97530
97530
97530
97530
97530
97530
97530
97530
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97530
97530
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97530
97530
97530
97530
97530
97530

97036
97036
97036
97036
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97036
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97036
97036
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97036
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97036
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97036
97036
97036
97036

97036
97036
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97036
97036
97036
97036
97035
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110

97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035
97035

97110
97110
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97110
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97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110
97110

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
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97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97035

97110
97110
97110
97110
97110
97110
97110
97110
97110

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97110
97110
97110
97110

97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
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97036
97036
97036
97036
97036
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97036
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97036
97036
97036
97036
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97036
97036

97530
97530
97530
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97530
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97530
97530

97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535

97760
97760
97760
97760
97760
97760
97760
97760
97760
97760
97760
97760
97760
97760
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97760
97760
97760

97760
97760
97760
97760
97760

97760
97760
97760
97760
97760

97535
97535
97535
97535
97535
97535
97535

97760
97760

97036

97112

97116

97140

97530

97535

97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036
97036

97110
97110
97110
97110
97110
97110
97110
97110
97110

97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112
97112

97113
97113
97113
97113
97113
97113
97113

97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116
97116

97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530
97530

97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535
97535

97760
97760
97760
97760
97760
97760
97760
97760
97760
97760
97760
97760
97760
97760
97760

97760
97760
97760
97760

97036

97110

97036
97036

97110
97110

97112
97112
97112
97112
97112
97112
97112
97112

97116
97116
97116
97116
97116
97116
97116
97116

97140
97140
97140
97140
97140
97140
97140
97140
97140

97530
97530
97530
97530
97530
97530
97530
97530
97530
97760

97761
97761
97761
97761
97761
97761
97761
97761
97761
97761
97761
97761
97761
97761
97761
97761
97761
97761





97750
97750
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97762
97762
97762
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97750
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97750
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97750
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97750
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97750
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97750
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97750
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97750
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97750
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97750
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97750
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97750
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97750
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97750
97750
97750
97550
97750
97750

97762
97762
97762
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97762
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97762

97762
97762
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