Family history of muscular dystrophy icd 10
[PDF File]EarlySteps Referral Form
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ICD-10 Code. Neuromuscular Disorder. Cerebral Palsy Muscular Dystrophy ICD-10 Code. Birth History . ICD-10 Code Low birth weight grams Respiratory distress Ventilator support Intraventricular Hemorrhage Birth Asphyxia. NICU Treatment. Hospital stay: days Gestation: weeks. Exposure to Toxic Substances. Drugs Alcohol Elevated Blood Lead Level ...
[PDF File]Requisition Form - University of Chicago
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(required)Completed Indication for Testing/ICD-10 study code (required)Completed Billing Information ... Asymptomatic/Positive Family History: (Mutation unknown ... Congenital Muscular Dystrophy Sequencing Panel
[PDF File]Decode Duchenne Requisition Form
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Duchenne and Becker muscular dystrophy ... _____ ICD-10 Codes:_____ DETAILED MEDICAL RECORDS, CLINICAL SUMMARY, PICTURES AND FAMILY HISTORY MUST BE ATTACHED. CLINICAL INFORMATION IS CRUCIAL FOR ACCURATE INTERPRETATION OF RESULTS. LABORATORY Elevated liver enzymes (AST/ALT) Elevated creatine kinase (CK/CPK) ...
[PDF File]Pediatric Cardiology Referral Guidelines
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Aug 19, 2015 · T. Hyperlipidemia [ICD-9 Code: 272.4] [ICD-10 Code: E78.4, E78.5] Screen Patients Workup • Age 2 – 10 yrs. if family history of dyslipidemia or early cardiovascular disease (< 55 yrs. for men/ < 65 yrs. for women) •
[PDF File]ACTA MYOLOGICA Myotonic dystrophy type 1 and high ...
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Key words: implantable cardioverter defibrillator, myotonic dystrophy type 1, sudden death Introduction Myotonic dystrophy type 1 (DM1) is the most frequent muscular dys - trophy in adults. Cardiac involvement is reported in about 80% of cases, even in asymptomatic patients 1. Conduction system disturbances on sur-
[PDF File]Cardiovascular Genetics ICD-10 Code Reference Sheet*
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Z82.69 Family history of other congenital malformations, deformations and chromosomal abnormalities Z83.42 Family history of familial hypercholesterolemia Z84.81 Family history of carrier of genetic disease Z84.89 Family history of other specified conditions Cardiovascular Genetics ICD-10 Code Reference Sheet*
[PDF File]International Classification of Disease, 10th Revision ...
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Early Intervention Services (NMAC 7.30.8). This guide is also to be used to determine the diagnostic billing codes (ICD-10 International Classification of Diseases) to be entered into FIT-KIDS (Key Information Data System) for any the FIT eligibility criteria.
Diagnosis and Treatment of Limb-Girdle and Distal …
ICD-10-CM3 has one code for all muscular dystrophy (MD). Individual types of MD may be listed as inclusion terms, but the absence of an inclusion term does not mean that these codes cannot be used for a specific diagnosis. As in the case of multiple sclerosis, which has only one code, ICD-9-CM2 and ICD-10-CM3 will not produce population data on ...
[PDF File]orphananesthesia
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Limb-girdle muscular dystrophy Disease name: Limb-girdle muscular dystrophy ICD 10: G.71.0 Synonyms: - Limb-Girdle muscular dystrophy (LGMD) is a group of genetic muscle diseases characterized pathophysiologically by a mismatch between muscle breakdown and muscle repair, and it has a frequency of 1 in 15000.
[DOC File]Department of Health | State of Louisiana
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Muscular Dystrophy. ICD-10 Code: _____ ( Birth History ICD-10 Code:_____ ( Low birth weight _____ grams (Respiratory distress (Ventilator support ... If you have questions, please contact the Intake/Family Support Coordinator named on the cover letter. You may send this information with your referral.
[DOC File]§4
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A confirmed diagnosis of epilepsy with a history of seizures 10. Note (1): When continuous medication is shown necessary for the control of epilepsy, the minimum evaluation will be 10 percent. This rating will not be combined with any other rating for epilepsy. Note (2): In the presence of major and minor seizures, rate the predominating type.
[DOC File]*CONFIDENTIAL PATIENT INFORMATION:
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DIAGNOSIS DSM 5 ICD-10 √ AOD √ P General Medical Conditions (Circle # for condition) Circle Number for Condition Circle Number for Condition Circle Number for Condition 17 = Allergies 12 = Diabetes 29 = Muscular Dystrophy 16 = Anemia 09 = Digest-Reflux,Irrit’lBowel 15 = Obesity 01 = Arterial Sclerotic Disease 34 = Ear Infections 21 ...
[DOC File]www.ninds.nih.gov
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The Muscular Dystrophy Community Assistance, Research, and Education Amendments of 2001 (MD-CARE Act; P.L. 107-84) authorized the establishment of the MDCC, with members appointed by the Secretary of the Department of Health and Human Services, in order to coordinate activities across the National Institutes of Health (NIH) and with other ...
[DOC File]San Mateo County Behavioral Health & Recovery Services
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Primary Language of Family ... DSM5 Diagnosis ICD-10 ... Number for Condition or give ICD-9 Circle Number for Condition or give ICD-9 17 = Allergies 12 = Diabetes 29 = Muscular Dystrophy 16 = Anemia 09 = Digest-Reflux,Irrit’lBowel 15 = Obesity 01 = Arterial Sclerotic Disease 34 = Ear Infections 21 = Osteoporosis 19 = Arthritis 26 = Epilepsy ...
Health History_Sample 1 - AORN
Pacemaker/ICD (bring implant card with you) Rhythm disturbances Endocrine ... Muscular dystrophy Back/neck problems Fractures Fibromyalgia Myasthenia Gravis Bleeding/Circulation ... _____ Family History (Close blood relatives): Check all that apply Heart disease High blood pressure Diabetes Tuberculosis Cancer. Type:_____ ...
[DOCX File]Athena Diagnostics - Home - Advanced diagnostic testing ...
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1. 2. 3. < Add additional details if relevant > The patient’s family history of muscular dystrophy is .
[DOCX File]Genetic Testing for Hereditary Cancer | Ambry Genetics
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LETTER OF MEDICAL NECESSITY FOR DILATED CARDIOMYOPATHY GENETIC TESTING . Date: 01/01/2019 . To:Utilization Review Department . Cigna. Re:Smith, Jane DOB: 01/01/1960. ICD-10 Codes: This letter is in regards to my patient and your subscriber, Jane Smith, to request full coverage of medically-indicated genetic testing for DILATED CARDIOMYOPATHY (DCM) to be performed by …
[DOCX File]Subject: - Home State Health
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ICD-10-CM Diagnosis Codes that Support Coverage Criteria. ICD-10-CM Code. Description; G45.9. Transient cerebral ischemic attack, unspecified. G71.00 - G71.09. Muscular dystrophy. G99.0. Autonomic neuropathy in diseases classified elsewhere. I20.0-I20.9. Angina pectoris. I24.0-I24.9. Other acute ischemic heart diseases ... Family history of ...
[DOCX File]Facioscapulohumeral Muscular Dystrophy Info - Treatment ...
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diagnosis of FSH muscular dystrophy is crucial in managing the disease, symptoms, and the quality of life for the patient. My provider has ordered the following test to confirm my clinical diagnosis of FSHD (ICD-10 codes G71.0 (muscular dystrophy) or Z83 (family history of other specific disorders)).
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