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Medicare Covered Diagnoses For Cytogenetics

Cancer Cytogenetic Codes - Lymphatic/Hematopoietic Malignancies
Cancer Cytogenetic Codes - Solid Tumors
Constitutional Cytogenetic Codes

Quick Links

 

Limited Coverage Determination for Cytogenetic Studies - L-96B-R2
MEDICARE PATIENTS WITH ANY OTHER DIAGNOSIS MUST SIGN A MEDICARE ADVANCED BENEFICIARY NOTICE (ABN) - available in English and Spanish.
CANCER CYTOGENETICS CODES:
Lymphatic/Hematopoietic Malignancies:
200.00 - 200.08 Reticulosarcoma
200.10-200.18 Lymphosarcoma
200.20-200.28 Burkitt's tumor or lymphoma
200.30-200.38 Marginal zone lymphoma
200.40-200.48 Mantle cell lymphoma
200.50-200.58 Primary central nervous system lymphoma
200.60-200.68 Anaplastic large cell lymphoma
200.70-200.78 Large cell lymphoma
200.80-200.88 Other named variants
201.00-201.08 Hodgkin's paragranuloma
201.10-201.18 Hodgkin's granuloma
201.20-201.28 Hodgkin's sarcoma
201.40-201.48 Lymphocytic-histiocytic predominance
201.50-201.58 Nodular Sclerosis
201.60-201.68 Hodgkin's disease, mixed cellularity
201.70-201.78 Lymphocytic depletion
201.90-201.98 Hodgkin's disease, unspecified
202.00-202.08 Nodular lymphoma
202.10-202.18 Mycosis fungoides
202.20-202.28 Sezary's disease
202.30-202.38 Malignant histiocytosis
202.40-202.48 Leukemic reticuloendotheliosis
202.50-202.58 Letterer-Siwe disease
202.60-202.68 Malignant mast cell tumors
202.70-202.78 Peripheral T-cell lymphoma
202.80-202.88 Other lymphomas
202.90-202.98 Other and unspecified malignant neoplasms of lymphoid and histiocytic tissue
203.00 - 203.01 Multiple myeloma
203.10 - 203.11 Plasma cell leukemia
203.80 - 203.81 Other immunoproliferative neoplasms
204.00-204.01 Lymphoid leukemia acute
204.10 - 204.11 Chronic lymphoid leukemia
204.20-204.21 Lymphoid leukemia subacute
204.80-204.81 Other lymphoid leukemia
204.90-204.91 Unspecified lymphoid leukemia
205.00-205.01 Myeloid leukemia acute
205.10-205.11 Myeloid leukemia chronic
205.20-205.21 Myeloid leukemia subacute
205.30-205.31 Myeloid sarcoma
205.80-205.81 Other myeloid leukemia
205.90-205.91 Unspecified myeloid leukemia
206.00 - 206.01 Monocytic leukemia, acute
206.10 - 206.11 Monocytic leukemia, chronic
206.20 - 206.21 Monocytic leukemia, subacute
206.80 - 206.81 Monocytic leukemia, other
206.90 - 206.91 Monocytic leukemia, unspecified
207.00 - 207.01 Acute erythremia and erythroleukemia
207.10 - 207.11 Chronic erythremia
207.20 - 207.21 Megakaryocytic leukemia
207.80 - 207.81 Other specified leukemia
208.00-208.01 Leukemia of unspecified cell type, acute
208.10 - 208.11 Leukemia of unspecified cell type, chronic
208.20-208.21 Leukemia of unspecified cell type, subacute
208.80-208.81 Other leukemia of unspecified cell type
208.90-208.91 Unspecified leukemia
235.2 Neoplasm of uncertain behavior of digestive system, stomach, intestines and rectum
238.1 - 238.6 Neoplasm of uncertain behavior of other sites and tissues
238.71-238.76 Neoplasm of uncertain behavior, other lymphatic and hematopoietic tissues
238.79 Neoplasm of uncertain behavior, other lymphatic and hematopoietic tissues
273.1 Monoclonal paraproteinemia
273.3 Macroglobulinemia
277.30 Amyloidosis, unspecified
277.39 Other amyloidosis
284.01 Constitutional red blood cell aplasia
284.09 Other constitutional aplastic anemia
284.1-284.2 Aplastic anemia and other bone marrow failure syndromes
284.81 Red cell aplasia (aquired) (adult) (with thymoma)
284.89 Other specified aplastic anemias
284.9 Aplastic anemia, unspecified
285.22 Anemia in neoplastic disease
285.9 Anemia, unspecified
287.30 Primary thrombocytopenia
287.5 Thrombocytopenia, unspecified
288.00-288.04 Neutropenia
288.09 Other neutropenia
288.1-288.4 Diseases of white blood cells
288.50-288.51 Decreased white blood cell count
288.59 Other decreased white blood cell count
288.60-288.65 Elevated white blood cell count
288.69 Other elevated white blood cell count
288.8 - 288.9 Diseases of white blood cells
289.53 Neutropenic splenomegaly
289.83 Myelofibrosis
289.9 Unspecified diseases of blood and blood-forming organs
Note: Use for thrombocytosis.
789.2 Splenomegaly
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 Solid Tumors:
140.0 - 140.1 Malignant neoplasm of lip
140.3-140.6 Malignant neoplasm of lip
140.8-140.9 Malignant neoplasm of lip
141.0-141.6 Malignant neoplasm of tongue
141.8-141.9 Malignant neoplasm of tongue
142.0-142.2 Malignant neoplasm of major salivary glands
142.8-142.9 Malignant neoplasm of major salivary glands
143.0-143.1 Malignant neoplasm of gum
143.8-143.9 Malignant neoplasm of gum
144.0-144.1 Malignant neoplasm of floor of mouth
144.8-144.9 Malignant neoplasm of floor of mouth
145.0-145.6 Malignant neoplasm of other and unspecified parts of mouth
145.8-145.9 Malignant neoplasm of other and unspecified parts of mouth
146.0-146.9 Malignant neoplasm of oropharynx
147.0-147.3 Malignant neoplasm of nasopharynx
147.8-147.9 Malignant neoplasm of nasopharynx
148.0-148.3 Malignant neoplasm of hypopharynx
148.8-148.9 Malignant neoplasm of hypopharynx
149.0-149.1 Malignant neoplasm of other and ill-defined sites within the lip, oral cavity, and pharynx
149.8-149.9 Malignant neoplasm of other and ill-defined sites within the lip, oral cavity, and pharynx
150.0 - 150.5 Malignant neoplasm of esophagus
150.8 - 150.9 Malignant neoplasm of esophagus
151.0 - 151.6 Malignant neoplasm of stomach
151.8 - 151.9 Malignant neoplasm of stomach
152.0 - 152.3 Malignant neoplasm of small intestine, including duodenum
152.8 - 152.9 Malignant neoplasm of small intestine, including duodenum
153.0 - 153.9 Malignant neoplasm of colon
154.0 - 154.3 Malignant neoplasm of rectum, rectosigmoid junction, and anus
154.8 Malignant neoplasm of rectum, rectosigmoid junction, and anus, other
155.0 - 155.2 Malignant neoplasm of liver and intrahepatic bile ducts
156.0 - 156.2 Malignant neoplasm of gallbladder and extrahepatic bile ducts
156.8 - 156.9 Malignant neoplasm of gallbladder and extrahepatic bile ducts
157.0 - 157.4 Malignant neoplasm of pancreas
157.8 - 157.9 Malignant neoplasm of pancreas
158.0 Malignant neoplasm of retroperitoneum
158.8 Malignant neoplasm of specified parts of peritoneum
158.9 Malignant neoplasm of peritoneum, unspecified
159.0 - 159.1 Malignant neoplasm of other and ill-defined sites within the digestive organs and peritoneum
159.8 - 159.9 Malignant neoplasm of other and ill-defined sites within the digestive organs and peritoneum
160.0 - 160.5 Malignant neoplasm of nasal cavities, middle ear, and accessory sinuses
160.8 - 160.9 Malignant neoplasm of nasal cavities, middle ear, and accessory sinuses
161.0 - 161.3 Malignant neoplasm of larynx
161.8 - 161.9 Malignant neoplasm of larynx
162.0 - 162.5 Malignant neoplasm of trachea, bronchus and lung
162.8 - 162.9 Malignant neoplasm of trachea, bronchus and lung
163.0 - 163.1 Malignant neoplasm of pleura
163.8 - 163.9 Malignant neoplasm of pleura
164.0 - 164.3 Malignant neoplasm of thymus, heart and mediastinum
164.8 - 164.9 Malignant neoplasm of thymus, heart and mediastinum
165.0 Malignant neoplasm of upper respiratory tract, part unspecified
165.8 - 165.9 Malignant neoplasm of other and ill-defined sites within the respiratory system and intrathoracic organs
170.0 - 170.9 Malignant neoplasm of bone and articular cartilage
171.0 Malignant neoplasm of connective and other soft tissue of head, face and neck
171.2 - 171.9 Malignant neoplasm of connective and other soft tissue
172.0 - 172.9 Malignant melanoma of skin
173.0 - 173.9 Other malignant neoplasm of skin
174.0 - 174.6 Malignant neoplasm of female breast
174.8 - 174.9 Malignant neoplasm of female breast
175.0 Malignant neoplasm of nipple and areola of male breast
175.9 Malignant neoplasm of other and unspecified sites of male breast
176.0 -176.5 Kaposi's sarcoma
176.8 - 176.9 Kaposi's sarcoma
179 Malignant neoplasm of uterus, part unspecified
180.0 - 180.1 Malignant neoplasm of cervix uteri
180.8-180.9 Malignanat neoplasm of cervix uteri
181 Malignant neoplasm of placenta
182.0 -182.1 Malignant neoplasm of body of uterus
182.8 Malignant neoplasm of other specified sites of body of uterus
183.0 Malignant neoplasm of ovary
183.2 - 183.5 Malignant neoplasm of ovary and other uterine adnexa
183.8 - 183.9 Malignant neoplasm of ovary and other uterine adnexa
184.0 - 184.4 Malignant neoplasm of other and unspecified female genital organs
184.8 - 184.9 Malignant neoplasm of other and unspecified female genital organs
185 Malignant neoplasm of prostate
186.0 Malignant neoplasm of undescended testis
186.9 Malignant neoplasm of other and unspecified testis
187.1 - 187.9 Malignant neoplasm of penis and other male genital organs
188.0 -188.9 Malignant neoplasm of bladder
189.0 -189.4 Malignant neoplasm of kidney and other and unspecified urinary organs
189.8 - 189.9 Malignant neoplasm of kidney and other and unspecified urinary organs
190.0 - 190.9 Malignant neoplasm of eye
191.0 - 191.9 Malignant neoplasm of brain
192.0 - 192.3 Malignant neoplasm of other and unspecified parts of nervous system
192.8 - 192.9 Malignant neoplasm of other and unspecified parts of nervous system
193 Malignant neoplasm of thyroid gland
194.0 - 194.1 Malignant neoplasm of other endocrine glands and related structures
194.3-194.6 Malignant neoplasm of other endocrine glands and related structures
194.8 - 194.9 Malignant neoplasm of other endocrine glands and related structures
195.0 -195.5 Malignant neoplasm of other and ill-defined sites
195.8 Malignant neoplasm of other specified sites
196.0 - 196.3 Secondary and unspecified malignant neoplasm of lymph nodes
196.5 - 196.6 Secondary and unspecified malignant neoplasm of lymph nodes
196.8 - 196.9 Secondary and unspecified malignant neoplasm of lymph nodes
197.0 - 197.8 Secondary malignant neoplasm of respiratory and digestive systems
198.0 - 198.7 Secondary malignant neoplasm of other specified sites
198.81 - 198.82 Secondary malignant neoplasm of other specified sites
198.89 Secondary malignant neoplasm, other
199.0 - 199.1 Malignant neoplasm without specification of site
235.0 - 235.9 Neoplasms of uncertain behavior of digestive and respiratory systems
236.0 - 236.7 Neoplasms of uncertain behavior of genitourinary organs
236.90 - 236.91 Neoplasms of uncertain behavior of other and unspecified urinary organs
236.99 Neoplasms of uncertain behavior of other and unspecified urinary organs
237.0 - 237.6 Neoplasms of uncertain behavior of endocrine glands and nervous system
237.70 - 237.72 Neurofibromatosis
237.9 Neoplasms of uncertain behavior of other and unspecified parts of nervous system
238.0 - 238.6 Neoplasm of uncertain behavior of other sites and tissues
238.72-238.76 Neoplasm of uncertain behavior, other lymphatic and hematopoietic tissues
238.79 Neoplasm of uncertain behavior, other lymphatic and hematopoietic tissues
238.8-238.9 Neoplasm of uncertain behavior of other sites and tissues
239.0 - 239.9 Neoplasms of unspecified nature
258.01-258.03 Polyglandular activity in multiple endocrine adenomatosis
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 CONSTITUTIONAL CYTOGENETICS CODES:
228.1 Lymphangioma, any site
Note: Use for cystic hygroma
256.31 Premature menopause
256.39 Other ovarian failure
257.2 Other testicular hypofunction
257.8 Other testicular dysfunction
Note: Use for testicular feminization.
259.0 Delay in sexual development and puberty, not elsewhere classified
279.11 DiGeorge's syndrome
299.00 - 299.01 Autistic disorder
299.10 - 299.11 Childhood disintegrative disorder
315.34 Speech and language developmental delay due to hearing loss
315.9 Unspecified delay in development
317 Mild mental Retardation
318.0-318.2 Other specified mental retardation
319 Unspecified mental retardation
331.83 Mild cognitive impairment
334.8 Other spinocerebellar diseases
Note: Use for ataxia-telangiectasia [Louis-Bar syndrome].
377.43 Optic nerve hypoplasia
606.0-606.1 Infertility, male
611.1 Hypertrophy of breast
626.0 Absence of menstruation
628.9 Female infertility of unspecified origin
629.81 Habitual aborter without current pregnancy
629.89 Other specified disorders of female genital organs
629.9 Unspecified disorder of female genital organs
Note: Use for habitual aborter without current pregnancy.
630 Hydatidiform mole
631 Other abnormal product of conception
632 Missed abortion
634.00 - 634.02 Abortion, complicated by genital tract and pelvic infection
634.10-634.12 Abortion, complicated by delayed or excessive hemorrhage
634.20-634.22 Abortion, complicated by damage to pelvic organs or tissues
634.30-634.32 Abortion, complicated by renal failure
634.40-634.42 Abortion, complicated by metabolic disorder
634.50-634.52 Abortion, complicated by shock
634.60-634.62 Abortion, complicated by embolism
634.70-634.72 Abortion, with other specified complications
634.80-634.82 Abortion, with unspecified complications
634.90-634.92 Abortion, without mention of complications
646.33 Habitual aborter, antepartum condition or complication
653.70 - 653.71 Note: Use for fetal teratoma.
653.73 Other fetal abnormality causing disproportion, antepartum condition or complication
655.10 - 655.11 Chromosomal abnormality in fetus
655.13 Chromosomal abnormality in fetus, antepartum condition or complication
655.20 - 655.21 Hereditary disease in family possibly affecting fetus
655.23 Hereditary disease in family possibly affecting fetus, antepartum condition or complication
656.40 - 656.41 Intrauterine death
656.43 Intrauterine death, antepartum condition or complication
656.50 - 656.51 Poor fetal growth
656.53 Poor fetal growth, antepartum condition or complication
656.60-656.61 Excessive fetal growth
656.63 Excessive fetal growth, antepartum condition or complication
659.53 Elderly primigravida, antepartum
659.63 Other advanced material age antepartum condition or complication
731.3 Major osseous defect
740.0- 740.2 Anencephalus and similar anomalies
741.00-741.03 Spina bifida, with hydrocephalus
741.90-741.93 Spina bifida, without mention of hydrocephalus
742.0-742.4 Other congenital anomalies of nervous system
742.51 Diastematomyelia
742.53 Hydromyelia
742.59 Other specified anomalies of spinal cord, other
742.8 Other specified anomalies of nervous system
742.9 Unspecified nervous system anomaly of brain, spinal cord and nervous system
743.00 Clinical anophthalmos, unspecified
743.03 Cystic eyeball, congenital
743.06 Cryptophthalmos
743.10-743.12 Microphthalmos
743.20-743.22 Buphthalmos
743.30-743.37 Congenital cataract and lens anomalies
743.39 Congenital cataract and lens anomalies, other
743.41-743.49 Coloboma and other anomalies of anterior segment
743.51-743.59 Congenital anomalies of posterior segment
743.61-743.66 Congenital anomalies of eyelids, Lacrimal system and orbit
743.69 Congenital anomalies of eyelids, Lacrimal system and orbit, other
743.8 Other specified anomalies of eye
743.9 Unspecified anomaly of eye
744.00-744.05 Anomalies of ear causing impairment of hearing
744-09 Anomalies of ear causing impairment of hearing, other
744.1 Anomaly of accessory auricle
744.21-744.24 Other specified anomalies of ear
744.29 Other specified anomalies of ear, other
744.3 Unspecified anomaly of ear
744.41-744.43 Branchial cleft cyst or fistula; preauricular sinus
744.46-744.47 Branchial cleft cyst or fistula; preauricular sinus
744.49 Branchial cleft cyst or fistula; preauricular sinus, other
744.5 Webbing of neck
744.81-744.84 Other specified anomalies of face and neck
744.89 Other specified anomalies of face and neck, other
744.9 Unspecified anomalies of face and neck
745.0 Bulbus cordis anomalies and anomalies of cardiac septal closure, common truncus
745.10-745.12 Transposition of great vessels
745.19 Transposition of great vessels, other
745.2 - 745.5 Bulbus cordis anomalies and anomalies of cardiac septal closure
745.60-745.61 Endocardial cushion defects
745.69 Endocardial cushion defects, other
745.7-745.9 Bulbus cordis anomalies and anomalies of cardiac septal closure
746.00-746.02 Anomalies of pulmonary valve
746.09 Anomalies of pulmonary valve, other
746.1-746.7 Other congenital anomalies of heart
746.81-746.87 Other specified anomalies of heart
746.89 Other specified anomalies of heart, other
746.9 Unspecified anomaly of heart
747.0 Patent ductus arteriosis
747.10-747.11 Coarctation of aorta
747.20-747.22 Other anomalies of aorta
747.29 Other anomalies of aorta, other
747.3 Anomalies of pulmonary artery
747.40-747.42 Anomalies of great veins
747.49 Anomalies of great veins, other
747.5 Absence or hypoplasia of umbilical artery
747.60-747.64 Other anomalies of peripheral vascular system
747.69 Other anomalies of peripheral vascular system, other
747.81-747.83 Other specified anomalies of circulatory system
747.89 Other specified anomalies of circulatory system, other
747.9 Unspecified anomaly of circulatory system
748.0-748.5 Congenital anomalies of respiratory system
748.60-748.61 Other anomalies of lungs
748.69 Other anomalies of lungs, other
748.8-748.9 Congenital anomalies of respiratory system
749.00-749.04 Cleft palate
749.10-749.14 Cleft Lip
749.20-749.25 Cleft palate with cleft lip
750.0 Tongue tie
750.10-750.13 Other anomalies of tongue
750.15-750.16 Other anomalies of tongue
750.19 Other anomalies of tongue, other
750.21-750.27 Other specified anomalies of mouth and pharynx
750.29 Other specified anomalies of mouth and pharynx, other
750.3-750.9 Other congenital anomalies of upper alimentary tract
751.0-751.5 Other congenital anomalies of digestive system
751.60-751.62 Anomalies of gallbladder, bile ducts, and liver
751.69 Other anomalies of gallbladder, bile ducts, and liver, other
751.7-751.9 Other congenital anomalies of digestive system
752.0 Anomalies of ovaries
752.10-752.11 Anomalies of fallopian tubes and broad ligaments
752.19 Other anomalies of fallopian tubes and broad ligaments
752.2-752.3 Congenital anomalies of genital organs
752.40-752.42 Anomalies of cervix, vagina, and external female genitalia
752.49 Other anomalies of cervix, vagina, and external female genitalia
752.51-752.52 Undescended and retractile testicle
752.61-752.65 Hypospadias and epispadias and other penile anomalies
752.69 Other penile anomalies
752.7 Indeterminate sex and pseudohermaphroditism
752.81 Scrotal transposition
752.89 Other specified anomalies of genital organs
752.9 Unspecified anomaly of genital organs
753.0 Renal agenesis and dysgenesis
753.10-753.17 Cystic kidney disease
753.19 Other specified cystic kidney disease
753.20-753.23 Obstructive defects of renal pelvis and ureter
753.29 Obstructive defects of renal pelvis and ureter, other
753.3-753.9 Congenital anomalies of urinary system
754.0-754.2 Certain congenital musculoskeletal deformities
754.30-754.33 Congenital dislocation of hip
754.35 Congenital dislocation of hip with subluxation of one hip
754.40-754.44 Congenital genu recurvatum and bowing of long bones of leg
754.50-754.53 Varus deformities of feet
754.59 Varus deformities of feet, other
754.60-754.62 Valgus deformities of feet
754.69 Valgus deformities of feet, other
754.70-754.71 Other deformities of feet
754.79 Other deformities of feet, other
754.81-754.82 Other specified nonteratogenic anomalies
754.89 Other specified nonteratogenic anomalies, other
755.00-755.02 Polydactyly
755.10-755.14 Syndactyly
755.20-755.29 Reduction deformities of upper limbs
755.30-755.39 Reduction deformities of lower limbs
755.4 Reduction deformities, unspecified limbs
755.50-755.59 Other anomalies of upper limb, including shoulder girdle
755.60-755.67 Other anomalies of lower limb, including pelvic girdle
755.69 Other anomalies of lower limb, including pelvic girdle, other
755.8-755.9 Other congenital anomalies of limbs
756.0 Anomalies of skull and face bones
756.10-756.17 Anomalies of spine
756.19 Anomalies of spine, other
756.2-756.4 Other congenital musculoskeletal anomalies
756.50-756.56 Osteodystrophies
756.59 Osteodystrophies, other
756.6 Anomalies of diaphragm
756.70-756.71 Anomalies of abdominal wall
756.79 Other congenital anomalies of abdominal wall
756.81-756.83 Congenital absence of muscle and tendon Ehlers-Danlos syndrome
756.89 Other specified congenital anomalies of muscle tendon fascia and connective tissue
756.9 Other and unspecified congenital anomalies of musculoskeletal system
757.0-757.2 Congenital anomalies of the integument
757.31-757.33 Other specified anomalies of skin
757.39 Other specified anomalies of skin, other
757.4-757.6 Congenital anomalies of the integument
757.8-757.9 Congenital anomalies of the integument
758.0-758.2 Chromosomal anomalies
758.31-758.33 Autosomal deletion syndromes
758.39 Other autosomal deletions
758.4-758.7 Chromosomal anomalies
758.81 Other conditions due to sex chromosome anomalies
758.89 Other conditions due to chromosome anomalies, other
758.9 Conditions due to anomaly of unspecified chromosome
759.0-759.7 Other and unspecified congenital anomalies
759.81-759.83 Other specified anomalies
759.89 Other specified anomalies, other
759.9 Congenital anomaly, unspecified
764.90 -764.99 Fetal growth retardation, unspecified
775.89 Other neonatal endocrine and metabolic disturbance
779.9 Unspecified condition originating in the perinatal period.
Note: Use for stillbirth.
783.40-783.43 Lack of expected normal physiological development in childhood
792.3 Nonspecific abnormal findings in amniotic fluid
796.5 Abnormal finding on antenatal screening
V19.5 Family history of congenital anomalies
V23.2 Supervision of high-risk pregnancy, history of abortion
V23.81- V23.82 Other high-risk pregnancy
V26.32 Other genetic testing of female
V26.34-V26.35 Genetic counseling and testing
V26.39 Other genetic testing of male
V28.0-V28.4 Encounter for antenatal screening of mother
V84.81 Genetic suscepitiblilty to multiple endocrine neoplasia (MEN)
V84.89 Genetic susceptiblilty to other deasease
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Last Modified: Dec. 5, 2007