J9217, J9219, J9225 with appropriate ICDs
For J9217 LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG (e.g., Lupron Depot®, Eligard® 7.5 mg):
174.0
|
MALIGNANT NEOPLASM OF NIPPLE AND AREOLA OF FEMALE BREAST
|
174.1
|
MALIGNANT NEOPLASM OF CENTRAL PORTION OF FEMALE BREAST
|
174.2
|
MALIGNANT NEOPLASM OF UPPER-INNER QUADRANT OF FEMALE BREAST
|
174.3
|
MALIGNANT NEOPLASM OF LOWER-INNER QUADRANT OF FEMALE BREAST
|
174.4
|
MALIGNANT NEOPLASM OF UPPER-OUTER QUADRANT OF FEMALE BREAST
|
174.5
|
MALIGNANT NEOPLASM OF LOWER-OUTER QUADRANT OF FEMALE BREAST
|
174.6
|
MALIGNANT NEOPLASM OF AXILLARY TAIL OF FEMALE BREAST
|
174.8
|
MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF FEMALE BREAST
|
174.9
|
MALIGNANT NEOPLASM OF BREAST (FEMALE) UNSPECIFIED SITE
|
175.0
|
MALIGNANT NEOPLASM OF NIPPLE AND AREOLA OF MALE BREAST
|
175.9
|
MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED SITES OF MALE BREAST
|
185
|
MALIGNANT NEOPLASM OF PROSTATE
|
218.0
|
SUBMUCOUS LEIOMYOMA OF UTERUS
|
218.1
|
INTRAMURAL LEIOMYOMA OF UTERUS
|
218.2
|
SUBSEROUS LEIOMYOMA OF UTERUS
|
218.9
|
LEIOMYOMA OF UTERUS UNSPECIFIED
|
617.0
|
ENDOMETRIOSIS OF UTERUS
|
617.1
|
ENDOMETRIOSIS OF OVARY
|
617.2
|
ENDOMETRIOSIS OF FALLOPIAN TUBE
|
617.3
|
ENDOMETRIOSIS OF PELVIC PERITONEUM
|
617.4
|
ENDOMETRIOSIS OF RECTOVAGINAL SEPTUM AND VAGINA
|
617.5
|
ENDOMETRIOSIS OF INTESTINE
|
617.6
|
ENDOMETRIOSIS IN SCAR OF SKIN
|
617.8
|
ENDOMETRIOSIS OF OTHER SPECIFIED SITES
|
617.9
|
ENDOMETRIOSIS SITE UNSPECIFIED
|
V10.3
|
PERSONAL HISTORY OF MALIGNANT NEOPLASM OF BREAST
|
|
For J9219 LEUPROLIDE ACETATE IMPLANT, 65 MG (e.g., Viadur®):
185
|
MALIGNANT NEOPLASM OF PROSTATE
|
|
For J9225 HISTRELIN IMPLANT, 50 MG (e.g., Vantas®)and J9226 HISTERLIN IMPLANT (SUPPRELINE LA), 50 MG:
185
|
MALIGNANT NEOPLASM OF PROSTATE
|
|