National Coverage Determinations (NCDs)

Code Description Reference


Listed below are the code descriptions for the code ranges selected.

Code Description
530.10ESOPHAGITIS UNSPECIFIED
530.11REFLUX ESOPHAGITIS
530.12ACUTE ESOPHAGITIS
530.19OTHER ESOPHAGITIS
530.2ULCER OF ESOPHAGUS
530.3STRICTURE AND STENOSIS OF ESOPHAGUS
530.4PERFORATION OF ESOPHAGUS
530.5DYSKINESIA OF ESOPHAGUS
530.6DIVERTICULUM OF ESOPHAGUS ACQUIRED
530.7GASTROESOPHAGEAL LACERATION-HEMORRHAGE SYNDROME
530.8OTHER SPECIFIED DISORDERS OF ESOPHAGUS
530.81ESOPHAGEAL REFLUX
530.82ESOPHAGEAL HEMORRHAGE
530.83ESOPHAGEAL LEUKOPLAKIA
530.84TRACHEOESOPHAGEAL FISTULA
530.89OTHER DISEASES OF ESOPHAGUS
530.9UNSPECIFIED DISORDER OF ESOPHAGUS
531GASTRIC ULCER
531.0ACUTE GASTRIC ULCER WITH HEMORRHAGE
531.00ACUTE GASTRIC ULCER WITH HEMORRHAGE WITHOUT OBSTRUCTION
531.01ACUTE GASTRIC ULCER WITH HEMORRHAGE WITH OBSTRUCTION
531.1ACUTE GASTRIC ULCER WITH PERFORATION
531.10ACUTE GASTRIC ULCER WITH PERFORATION WITHOUT OBSTRUCTION
531.11ACUTE GASTRIC ULCER WITH PERFORATION WITH OBSTRUCTION
531.2ACUTE GASTRIC ULCER WITH HEMORRHAGE AND PERFORATION
531.20ACUTE GASTRIC ULCER WITH HEMORRHAGE AND PERFORATION WITHOUT OBSTRUCTION
531.21ACUTE GASTRIC ULCER WITH HEMORRHAGE AND PERFORATION WITH OBSTRUCTION
531.3ACUTE GASTRIC ULCER WITHOUT MENTION OF HEMORRHAGE OR PERFORATION
531.30ACUTE GASTRIC ULCER WITHOUT HEMORRHAGE OR PERFORATION WITHOUT OBSTRUCTION
531.31ACUTE GASTRIC ULCER WITHOUT HEMORRHAGE OR PERFORATION WITH OBSTRUCTION
531.4CHRONIC OR UNSPECIFIED GASTRIC ULCER WITH HEMORRHAGE
531.40CHRONIC OR UNSPECIFIED GASTRIC ULCER WITH HEMORRHAGE WITHOUT OBSTRUCTION
531.41CHRONIC OR UNSPECIFIED GASTRIC ULCER WITH HEMORRHAGE WITH OBSTRUCTION
531.5CHRONIC OR UNSPECIFIED GASTRIC ULCER WITH PERFORATION
531.50CHRONIC OR UNSPECIFIED GASTRIC ULCER WITH PERFORATION WITHOUT OBSTRUCTION
531.51CHRONIC OR UNSPECIFIED GASTRIC ULCER WITH PERFORATION WITH OBSTRUCTION
531.6CHRONIC OR UNSPECIFIED GASTRIC ULCER WITH HEMORRHAGE AND PERFORATION
531.60CHRONIC OR UNSPECIFIED GASTRIC ULCER WITH HEMORRHAGE AND PERFORATION WITHOUT OBSTRUCTION
531.61CHRONIC OR UNSPECIFIED GASTRIC ULCER WITH HEMORRHAGE AND PERFORATION WITH OBSTRUCTION
531.7CHRONIC GASTRIC ULCER WITHOUT MENTION OF HEMORRHAGE OR PERFORATION
531.70CHRONIC GASTRIC ULCER WITHOUT HEMORRHAGE OR PERFORATION WITHOUT OBSTRUCTION
531.71CHRONIC GASTRIC ULCER WITHOUT HEMORRHAGE OR PERFORATION WITH OBSTRUCTION
531.9GASTRIC ULCER, UNSPECIFIED AS ACUTE OR CHRONIC, WITHOUT MENTION OF HEMORRHAGE OR PERFORATION
531.90GASTRIC ULCER UNSPECIFIED AS ACUTE OR CHRONIC WITHOUT HEMORRHAGE OR PERFORATION WITHOUT OBSTRUCTION
531.91GASTRIC ULCER UNSPECIFIED AS ACUTE OR CHRONIC WITHOUT HEMORRHAGE OR PERFORATION WITH OBSTRUCTION
532DUODENAL ULCER
532.0ACUTE DUODENAL ULCER WITH HEMORRHAGE
532.00ACUTE DUODENAL ULCER WITH HEMORRHAGE WITHOUT OBSTRUCTION
532.01ACUTE DUODENAL ULCER WITH HEMORRHAGE WITH OBSTRUCTION
532.1ACUTE DUODENAL ULCER WITH PERFORATION
532.10ACUTE DUODENAL ULCER WITH PERFORATION WITHOUT OBSTRUCTION
532.11ACUTE DUODENAL ULCER WITH PERFORATION WITH OBSTRUCTION
532.2ACUTE DUODENAL ULCER WITH HEMORRHAGE AND PERFORATION
532.20ACUTE DUODENAL ULCER WITH HEMORRHAGE AND PERFORATION WITHOUT OBSTRUCTION
532.21ACUTE DUODENAL ULCER WITH HEMORRHAGE AND PERFORATION WITH OBSTRUCTION
532.3ACUTE DUODENAL ULCER WITHOUT MENTION OF HEMORRHAGE OR PERFORATION
532.30ACUTE DUODENAL ULCER WITHOUT HEMORRHAGE OR PERFORATION WITHOUT OBSTRUCTION
532.31ACUTE DUODENAL ULCER WITHOUT HEMORRHAGE OR PERFORATION WITH OBSTRUCTION
532.4CHRONIC OR UNSPECIFIED DUODENAL ULCER WITH HEMORRHAGE
532.40CHRONIC OR UNSPECIFIED DUODENAL ULCER WITH HEMORRHAGE WITHOUT OBSTRUCTION
532.41CHRONIC OR UNSPECIFIED DUODENAL ULCER WITH HEMORRHAGE WITH OBSTRUCTION
532.5CHRONIC OR UNSPECIFIED DUODENAL ULCER WITH PERFORATION
532.50CHRONIC OR UNSPECIFIED DUODENAL ULCER WITH PERFORATION WITHOUT OBSTRUCTION
532.51CHRONIC OR UNSPECIFIED DUODENAL ULCER WITH PERFORATION WITH OBSTRUCTION
532.6CHRONIC OR UNSPECIFIED DUODENAL ULCER WITH HEMORRHAGE AND PERFORATION
532.60CHRONIC OR UNSPECIFIED DUODENAL ULCER WITH HEMORRHAGE AND PERFORATION WITHOUT OBSTRUCTION
532.61CHRONIC OR UNSPECIFIED DUODENAL ULCER WITH HEMORRHAGE AND PERFORATION WITH OBSTRUCTION
532.7CHRONIC DUODENAL ULCER WITHOUT MENTION OF HEMORRHAGE OR PERFORATION
532.70CHRONIC DUODENAL ULCER WITHOUT HEMORRHAGE OR PERFORATION WITHOUT OBSTRUCTION
532.71CHRONIC DUODENAL ULCER WITHOUT HEMORRHAGE OR PERFORATION WITH OBSTRUCTION
532.9DUODENAL ULCER, UNSPECIFIED AS ACUTE OR CHRONIC, WITHOUT MENTION OF HEMORRHAGE OR PERFORATION
532.90DUODENAL ULCER UNSPECIFIED AS ACUTE OR CHRONIC WITHOUT HEMORRHAGE OR PERFORATION WITHOUT OBSTRUCTION
532.91DUODENAL ULCER UNSPECIFIED AS ACUTE OR CHRONIC WITHOUT HEMORRHAGE OR PERFORATION WITH OBSTRUCTION
533PEPTIC ULCER, SITE UNSPECIFIED
533.0ACUTE PEPTIC ULCER OF UNSPECIFIED SITE WITH HEMORRHAGE
533.00ACUTE PEPTIC ULCER OF UNSPECIFIED SITE WITH HEMORRHAGE WITHOUT OBSTRUCTION
533.01ACUTE PEPTIC ULCER OF UNSPECIFIED SITE WITH HEMORRHAGE WITH OBSTRUCTION
533.1ACUTE PEPTIC ULCER OF UNSPECIFIED SITE WITH PERFORATION
533.10ACUTE PEPTIC ULCER OF UNSPECIFIED SITE WITH PERFORATION WITHOUT OBSTRUCTION
533.11ACUTE PEPTIC ULCER OF UNSPECIFIED SITE WITH PERFORATION WITH OBSTRUCTION
533.2ACUTE PEPTIC ULCER OF UNSPECIFIED SITE WITH HEMORRHAGE AND PERFORATION
533.20ACUTE PEPTIC ULCER OF UNSPECIFIED SITE WITH HEMORRHAGE AND PERFORATION WITHOUT OBSTRUCTION
533.21ACUTE PEPTIC ULCER OF UNSPECIFIED SITE WITH HEMORRHAGE AND PERFORATION WITH OBSTRUCTION
533.3ACUTE PEPTIC ULCER OF UNSPECIFIED SITE WITHOUT MENTION OF HEMORRHAGE AND PERFORATION
533.30ACUTE PEPTIC ULCER OF UNSPECIFIED SITE WITHOUT HEMORRHAGE AND PERFORATION WITHOUT OBSTRUCTION
533.31ACUTE PEPTIC ULCER OF UNSPECIFIED SITE WITHOUT HEMORRHAGE AND PERFORATION WITH OBSTRUCTION
533.4CHRONIC OR UNSPECIFIED PEPTIC ULCER OF UNSPECIFIED SITE WITH HEMORRHAGE
533.40CHRONIC OR UNSPECIFIED PEPTIC ULCER OF UNSPECIFIED SITE WITH HEMORRHAGE WITHOUT OBSTRUCTION
533.41CHRONIC OR UNSPECIFIED PEPTIC ULCER OF UNSPECIFIED SITE WITH HEMORRHAGE WITH OBSTRUCTION
533.5CHRONIC OR UNSPECIFIED PEPTIC ULCER OF UNSPECIFIED SITE WITH PERFORATION
533.50CHRONIC OR UNSPECIFIED PEPTIC ULCER OF UNSPECIFIED SITE WITH PERFORATION WITHOUT OBSTRUCTION
533.51CHRONIC OR UNSPECIFIED PEPTIC ULCER OF UNSPECIFIED SITE WITH PERFORATION WITH OBSTRUCTION
533.6CHRONIC OR UNSPECIFIED PEPTIC ULCER OF UNSPECIFIED SITE WITH HEMORRHAGE AND PERFORATION
533.60CHRONIC OR UNSPECIFIED PEPTIC ULCER OF UNSPECIFIED SITE WITH HEMORRHAGE AND PERFORATION WITHOUT OBSTRUCTION
533.61CHRONIC OR UNSPECIFIED PEPTIC ULCER OF UNSPECIFIED SITE WITH HEMORRHAGE AND PERFORATION WITH OBSTRUCTION
533.7CHRONIC PEPTIC ULCER OF UNSPECIFIED SITE WITHOUT MENTION OF HEMORRHAGE OR PERFORATION
533.70CHRONIC PEPTIC ULCER OF UNSPECIFIED SITE WITHOUT HEMORRHAGE OR PERFORATION WITHOUT OBSTRUCTION
533.71CHRONIC PEPTIC ULCER OF UNSPECIFIED SITE WITHOUT HEMORRHAGE OR PERFORATION WITH OBSTRUCTION
533.9PEPTIC ULCER OF UNSPECIFIED SITE, UNSPECIFIED AS ACUTE OR CHRONIC, WITHOUT MENTION OF HEMORRHAGE OR PERFORATION
533.90PEPTIC ULCER OF UNSPECIFIED SITE UNSPECIFIED AS ACUTE OR CHRONIC WITHOUT HEMORRHAGE OR PERFORATION WITHOUT OBSTRUCTION
533.91PEPTIC ULCER OF UNSPECIFIED SITE UNSPECIFIED AS ACUTE OR CHRONIC WITHOUT HEMORRHAGE OR PERFORATION WITH OBSTRUCTION
534GASTROJEJUNAL ULCER
534.0ACUTE GASTROJEJUNAL ULCER WITH HEMORRHAGE
534.00ACUTE GASTROJEJUNAL ULCER WITH HEMORRHAGE WITHOUT OBSTRUCTION
534.01ACUTE GASTROJEJUNAL ULCER WITH HEMORRHAGE WITH OBSTRUCTION
534.1ACUTE GASTROJEJUNAL ULCER WITH PERFORATION
534.10ACUTE GASTROJEJUNAL ULCER WITH PERFORATION WITHOUT OBSTRUCTION
534.11ACUTE GASTROJEJUNAL ULCER WITH PERFORATION WITH OBSTRUCTION
534.2ACUTE GASTROJEJUNAL ULCER WITH HEMORRHAGE AND PERFORATION
534.20ACUTE GASTROJEJUNAL ULCER WITH HEMORRHAGE AND PERFORATION WITHOUT OBSTRUCTION
534.21ACUTE GASTROJEJUNAL ULCER WITH HEMORRHAGE AND PERFORATION WITH OBSTRUCTION
534.3ACUTE GASTROJEJUNAL ULCER WITHOUT MENTION OF HEMORRHAGE OR PERFORATION
534.30ACUTE GASTROJEJUNAL ULCER WITHOUT HEMORRHAGE OR PERFORATION WITHOUT OBSTRUCTION
534.31ACUTE GASTROJEJUNAL ULCER WITHOUT HEMORRHAGE OR PERFORATION WITH OBSTRUCTION
534.4CHRONIC OR UNSPECIFIED GASTROJEJUNAL ULCER WITH HEMORRHAGE
534.40CHRONIC OR UNSPECIFIED GASTROJEJUNAL ULCER WITH HEMORRHAGE WITHOUT OBSTRUCTION
534.41CHRONIC OR UNSPECIFIED GASTROJEJUNAL ULCER WITH HEMORRHAGE WITH OBSTRUCTION
534.5CHRONIC OR UNSPECIFIED GASTROJEJUNAL ULCER WITH PERFORATION
534.50CHRONIC OR UNSPECIFIED GASTROJEJUNAL ULCER WITH PERFORATION WITHOUT OBSTRUCTION
534.51CHRONIC OR UNSPECIFIED GASTROJEJUNAL ULCER WITH PERFORATION WITH OBSTRUCTION
534.6CHRONIC OR UNSPECIFIED GASTROJEJUNAL ULCER WITH HEMORRHAGE AND PERFORATION
534.60CHRONIC OR UNSPECIFIED GASTROJEJUNAL ULCER WITH HEMORRHAGE AND PERFORATION WITHOUT OBSTRUCTION
534.61CHRONIC OR UNSPECIFIED GASTROJEJUNAL ULCER WITH HEMORRHAGE AND PERFORATION WITH OBSTRUCTION
534.7CHRONIC GASTROJEJUNAL ULCER WITHOUT MENTION OF HEMORRHAGE OR PERFORATION
534.70CHRONIC GASTROJEJUNAL ULCER WITHOUT HEMORRHAGE OR PERFORATION WITHOUT OBSTRUCTION
534.71CHRONIC GASTROJEJUNAL ULCER WITHOUT HEMORRHAGE OR PERFORATION WITH OBSTRUCTION
534.9GASTROJEJUNAL ULCER, UNSPECIFIED AS ACUTE OR CHRONIC, WITHOUT MENTION OF HEMORRHAGE OR PERFORATION
534.90GASTROJEJUNAL ULCER UNSPECIFIED AS ACUTE OR CHRONIC WITHOUT HEMORRHAGE OR PERFORATION WITHOUT OBSTRUCTION
534.91GASTROJEJUNAL ULCER UNSPECIFIED AS ACUTE OR CHRONIC WITHOUT HEMORRHAGE OR PERFORATION WITH OBSTRUCTION
535GASTRITIS AND DUODENITIS
535.0ACUTE GASTRITIS
535.00ACUTE GASTRITIS (WITHOUT HEMORRHAGE)
535.01ACUTE GASTRITIS WITH HEMORRHAGE
535.1ATROPHIC GASTRITIS
535.10ATROPHIC GASTRITIS (WITHOUT HEMORRHAGE)
535.11ATROPHIC GASTRITIS WITH HEMORRHAGE
535.2GASTRIC MUCOSAL HYPERTROPHY
535.20GASTRIC MUCOSAL HYPERTROPHY (WITHOUT HEMORRHAGE)
535.21GASTRIC MUCOSAL HYPERTROPHY WITH HEMORRHAGE
535.3ALCOHOLIC GASTRITIS
535.30ALCOHOLIC GASTRITIS (WITHOUT HEMORRHAGE)
535.31ALCOHOLIC GASTRITIS WITH HEMORRHAGE
535.4OTHER SPECIFIED GASTRITIS
535.40OTHER SPECIFIED GASTRITIS (WITHOUT HEMORRHAGE)
535.41OTHER SPECIFIED GASTRITIS WITH HEMORRHAGE
535.5UNSPECIFIED GASTRITIS AND GASTRODUODENITIS
535.50UNSPECIFIED GASTRITIS AND GASTRODUODENITIS (WITHOUT HEMORRHAGE)
535.51UNSPECIFIED GASTRITIS AND GASTRODUODENITIS WITH HEMORRHAGE
535.6DUODENITIS
535.60DUODENITIS (WITHOUT HEMORRHAGE)
535.61DUODENITIS WITH HEMORRHAGE



Page Last Modified: 12/2/2008 9:37:50 AM

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