Assessment of Underuse and Overuse of Screening Tests for Co-occurring Conditions Among Children With Obesity

Key Points Question Among children aged 10 to 18 years diagnosed with obesity at well-child visits, what proportion received laboratory screening tests recommended by the American Academy of Pediatrics for obesity-related conditions, and what proportion received potentially unnecessary screening tests for hypothyroidism or hyperinsulinemia? Findings In this national cross-sectional analysis of 156 773 children in 2018-2019 commercial and Medicaid claims databases, 27.3% of children diagnosed with obesity at well-child visits received laboratory screening that was adherent to American Academy of Pediatrics guidelines, and 23.0% received potentially unnecessary thyroid or insulin testing. Meaning This study’s findings suggest that specific actionable guidelines and interventions are needed to prevent overuse and underuse of screening tests for children with obesity.

Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; infant (age younger than 1 year) 99382 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; early childhood (age 1 through 4 years) 99383 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; late childhood (age 5 through 11 years) 99384 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; adolescent (age 12 through 17 years) 99385 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years 99391 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year) 99392 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years) 99393 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years) 99394 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years) 99395 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years eTable 4. ICD-10-CM Diagnosis Codes for Conditions That Potentially Warrant Thyroid and/or Insulin Tests Code Description E00 Congenital iodine-deficiency syndrome E000 Congenital iodine-deficiency syndrome, neurological type E001 Congenital iodine-deficiency syndrome, myxedematous type E002 Congenital iodine-deficiency syndrome, mixed type E009 Congenital iodine-deficiency syndrome, unspecified E01 Iodine-deficiency related thyroid disorders and allied conditions E010 Iodine-deficiency related diffuse (endemic) goiter E011 Iodine-deficiency related multinodular (endemic) goiter E012 Iodine-deficiency related (endemic) goiter, unspecified E018 Other iodine-deficiency related thyroid disorders and allied conditions E02 Subclinical iodine-deficiency hypothyroidism E03 Other hypothyroidism E030 Congenital hypothyroidism with diffuse goiter E031 Congenital hypothyroidism without goiter E032 Hypothyroidism due to medicaments and other exogenous substances E033 Postinfectious hypothyroidism E034 Atrophy of thyroid (acquired) E035 Myxedema coma E038 Other specified hypothyroidism E039 Hypothyroidism, unspecified E04 Other nontoxic goiter E040 Nontoxic diffuse goiter E041 Nontoxic single thyroid nodule E042 Nontoxic multinodular goiter E048 Other specified nontoxic goiter E049 Nontoxic goiter, unspecified E05 Thyrotoxicosis [hyperthyroidism] E050 Thyrotoxicosis with diffuse goiter E0500 Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm E0501 Thyrotoxicosis with diffuse goiter with thyrotoxic crisis or storm E051 Thyrotoxicosis with toxic single thyroid nodule E0510 Thyrotoxicosis with toxic single thyroid nodule without thyrotoxic crisis or storm E0511 Thyrotoxicosis with toxic single thyroid nodule with thyrotoxic crisis or storm E052 Thyrotoxicosis with toxic multinodular goiter E0520 Thyrotoxicosis with toxic multinodular goiter without thyrotoxic crisis or storm E0521 Thyrotoxicosis with toxic multinodular goiter with thyrotoxic crisis or storm E053 Thyrotoxicosis from ectopic thyroid tissue E0530 Thyrotoxicosis from ectopic thyroid tissue without thyrotoxic crisis or storm E0531 Thyrotoxicosis from ectopic thyroid tissue with thyrotoxic crisis or storm E054 Thyrotoxicosis factitia E0540 Thyrotoxicosis factitia without thyrotoxic crisis or storm E0541 Thyrotoxicosis factitia with thyrotoxic crisis or storm E058 Other thyrotoxicosis E0580 Other thyrotoxicosis without thyrotoxic crisis or storm E0581 Other thyrotoxicosis with thyrotoxic crisis or storm E059 Thyrotoxicosis, unspecified E0590 Thyrotoxicosis, unspecified without thyrotoxic crisis or storm E0591 Thyrotoxicosis, unspecified with thyrotoxic crisis or storm E06 Thyroiditis E060 Acute thyroiditis E061 Subacute thyroiditis E062 Chronic thyroiditis with transient thyrotoxicosis E063 Autoimmune thyroiditis E064 Drug-induced thyroiditis E065 Other chronic thyroiditis E069 Thyroiditis, unspecified E07 Other disorders of thyroid E070 Hypersecretion of calcitonin E071 Dyshormogenetic goiter E078 Other specified disorders of thyroid E0781 Sick-euthyroid syndrome E0789 Other specified disorders of thyroid E079 Disorder of thyroid, unspecified E08 Diabetes mellitus due to underlying condition E080 Diabetes mellitus due to underlying condition with hyperosmolarity E0800 Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemichyperosmolar coma (NKHHC) E0801 Diabetes mellitus due to underlying condition with hyperosmolarity with coma E081 Diabetes mellitus due to underlying condition with ketoacidosis E0810 Diabetes mellitus due to underlying condition with ketoacidosis without coma E0811 Diabetes mellitus due to underlying condition with ketoacidosis with coma E082 Diabetes mellitus due to underlying condition with kidney complications E0821 Diabetes mellitus due to underlying condition with diabetic nephropathy E0822 Diabetes mellitus due to underlying condition with diabetic chronic kidney disease E0829 Diabetes mellitus due to underlying condition with other diabetic kidney complication E083 Diabetes mellitus due to underlying condition with ophthalmic complications E0831 Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy E08311 Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy with macular edema E08319 Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy without macular edema E0832 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy E083551 Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, right eye E083552 Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, left eye E083553 Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, bilateral E083559 Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, unspecified eye E08359 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema

E083591
Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, right eye

E083592
Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, left eye E083593 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, bilateral E083599 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, unspecified eye E0836 Diabetes mellitus due to underlying condition with diabetic cataract E0837 Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment E0837X1 Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, right eye

E0837X2
Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, left eye

E0837X3
Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, bilateral E0837X9 Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, unspecified eye E0839 Diabetes mellitus due to underlying condition with other diabetic ophthalmic complication E084 Diabetes mellitus due to underlying condition with neurological complications E0840 Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified E0841 Diabetes mellitus due to underlying condition with diabetic mononeuropathy E0842 Diabetes mellitus due to underlying condition with diabetic polyneuropathy E0843 Diabetes mellitus due to underlying condition with diabetic autonomic (poly)neuropathy E0844 Diabetes mellitus due to underlying condition with diabetic amyotrophy E0849 Diabetes mellitus due to underlying condition with other diabetic neurological complication E085 Diabetes mellitus due to underlying condition with circulatory complications E0851 Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy without gangrene E0852 Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy with gangrene E0859 Diabetes mellitus due to underlying condition with other circulatory complications E086 Diabetes mellitus due to underlying condition with other specified complications E0861 Diabetes mellitus due to underlying condition with diabetic arthropathy E08610 Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy E08618 Diabetes mellitus due to underlying condition with other diabetic arthropathy E0862 Diabetes mellitus due to underlying condition with skin complications E08620 Diabetes mellitus due to underlying condition with diabetic dermatitis E08621 Diabetes mellitus due to underlying condition with foot ulcer E08622 Diabetes mellitus due to underlying condition with other skin ulcer E08628 Diabetes mellitus due to underlying condition with other skin complications E0863 Diabetes mellitus due to underlying condition with oral complications E08630 Diabetes mellitus due to underlying condition with periodontal disease E08638 Diabetes mellitus due to underlying condition with other oral complications E0864 Diabetes mellitus due to underlying condition with hypoglycemia E08641 Diabetes mellitus due to underlying condition with hypoglycemia with coma E08649 Diabetes mellitus due to underlying condition with hypoglycemia without coma E0865 Diabetes mellitus due to underlying condition with hyperglycemia E0869 Diabetes mellitus due to underlying condition with other specified complication E088 Diabetes mellitus due to underlying condition with unspecified complications E089 Diabetes Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral E103559 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye E10359 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema E103591 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye E103592 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye E103593 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral E103599 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye E1036 Type 1 diabetes mellitus with diabetic cataract E1037 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment E1037X1 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye E1037X2 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye E1037X3 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral E1037X9 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye E1039 Type 1 diabetes mellitus with other diabetic ophthalmic complication E104 Type 1 diabetes mellitus with neurological complications E1040 Type 1 diabetes mellitus with diabetic neuropathy, unspecified E1041 Type 1 diabetes mellitus with diabetic mononeuropathy E1042 Type 1 diabetes mellitus with diabetic polyneuropathy E1043 Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy E1044 Type 1 diabetes mellitus with diabetic amyotrophy E1049 Type 1 diabetes mellitus with other diabetic neurological complication E105 Type 1 diabetes mellitus with circulatory complications E1051 Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene E1052 Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene E1059 Type 1 diabetes mellitus with other circulatory complications E106 Type 1 diabetes mellitus with other specified complications E1061 Type 1 diabetes mellitus with diabetic arthropathy E10610 Type 1 diabetes mellitus with diabetic neuropathic arthropathy E10618 Type 1 diabetes mellitus with other diabetic arthropathy E1062 Type 1 diabetes mellitus with skin complications E10620 Type 1 diabetes mellitus with diabetic dermatitis E10621 Type 1 diabetes mellitus with foot ulcer E10622 Type 1 diabetes mellitus with other skin ulcer E10628 Type 1 diabetes mellitus with other skin complications E1063 Type 1 diabetes mellitus with oral complications E10630 Type 1 diabetes mellitus with periodontal disease E10638 Type 1 diabetes mellitus with other oral complications E1064 Type 1 diabetes mellitus with hypoglycemia E10641 Type 1 diabetes mellitus with hypoglycemia with coma E10649 Type 1 diabetes mellitus with hypoglycemia without coma E1065 Type 1 diabetes mellitus with hyperglycemia E1069 Type 1 diabetes mellitus with other specified complication E108 Type 1 diabetes mellitus with unspecified complications E109 Type 1 diabetes mellitus without complications E11 Type 2 diabetes mellitus E110 Type 2 diabetes mellitus with hyperosmolarity E1100 Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) E1101 Type 2 diabetes mellitus with hyperosmolarity with coma E111 Type 2 diabetes mellitus with ketoacidosis E1110 Type 2 diabetes mellitus with ketoacidosis without coma E1111 Type 2 diabetes mellitus with ketoacidosis with coma E112 Type 2 diabetes mellitus with kidney complications E1121 Type 2 diabetes mellitus with diabetic nephropathy E1122 Type 2 diabetes mellitus with diabetic chronic kidney disease E1129 Type 2 diabetes mellitus with other diabetic kidney complication E113 Type 2 diabetes mellitus with ophthalmic complications E1131 Type 2 diabetes mellitus with unspecified diabetic retinopathy E11311 Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema E11319 Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema E1132 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy E11321 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema E113211 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye E113212 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye E113213 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral E113219 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye E11329 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema E113291 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye E113292 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye E113293 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral

E113299
Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye E1133 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy E11331 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema E113311 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye E113312 Type 2  Type 2 diabetes mellitus with stable proliferative diabetic retinopathy E113551 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, right eye E113552 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, left eye E113553 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral E113559 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye E11359 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema E113591 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye E113592 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye E113593 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral E113599 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye E1136 Type 2 diabetes mellitus with diabetic cataract E1137 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment E1137X1 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye E1137X2 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye E1137X3 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral E1137X9 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye E1139 Type 2 diabetes mellitus with other diabetic ophthalmic complication E114 Type 2 diabetes mellitus with neurological complications E1140 Type 2 diabetes mellitus with diabetic neuropathy, unspecified E1141 Type 2 diabetes mellitus with diabetic mononeuropathy E1142 Type 2 diabetes mellitus with diabetic polyneuropathy E1143 Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy E1144 Type 2 diabetes mellitus with diabetic amyotrophy E1149 Type 2 diabetes mellitus with other diabetic neurological complication E115 Type 2 diabetes mellitus with circulatory complications E1151 Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene E1152 Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene E1159 Type 2 diabetes mellitus with other circulatory complications E116 Type 2 diabetes mellitus with other specified complications E1161 Type 2 diabetes mellitus with diabetic arthropathy E11610 Type 2 diabetes mellitus with diabetic neuropathic arthropathy E11618 Type 2 diabetes mellitus with other diabetic arthropathy E1162 Type 2 diabetes mellitus with skin complications E11620 Type 2 diabetes mellitus with diabetic dermatitis E11621 Type 2 diabetes mellitus with foot ulcer E11622 Type 2 diabetes mellitus with other skin ulcer E11628 Type 2 diabetes mellitus with other skin complications E1163 Type 2 diabetes mellitus with oral complications E11630 Type 2 diabetes mellitus with periodontal disease E11638 Type 2 diabetes mellitus with other oral complications E1164 Type 2 diabetes mellitus with hypoglycemia E11641 Type 2 diabetes mellitus with hypoglycemia with coma E11649 Type 2 diabetes mellitus with hypoglycemia without coma E1165 Type 2 diabetes mellitus with hyperglycemia E1169 Type 2 diabetes mellitus with other specified complication E118 Type 2 diabetes mellitus with unspecified complications E119 Type 2 diabetes mellitus without complications E13 Other specified diabetes mellitus E130 Other specified diabetes mellitus with hyperosmolarity E1300 Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) E1301 Other specified diabetes mellitus with hyperosmolarity with coma E131 Other specified diabetes mellitus with ketoacidosis E1310 Other specified diabetes mellitus with ketoacidosis without coma E1311 Other specified diabetes mellitus with ketoacidosis with coma E132 Other specified diabetes mellitus with kidney complications E1321 Other specified diabetes mellitus with diabetic nephropathy E1322 Other specified diabetes mellitus with diabetic chronic kidney disease E1329 Other specified diabetes mellitus with other diabetic kidney complication E133 Other specified diabetes mellitus with ophthalmic complications E1331 Other specified diabetes mellitus with unspecified diabetic retinopathy E13311 Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema E13319 Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema E1332 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy E13321 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy E13341 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema

E133411
Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye

E133412
Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye

E133413
Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral

E133419
Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye E13349 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema

E133491
Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye

E133492
Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye

E133493
Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral

E133499
Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye E1335 Other specified diabetes mellitus with proliferative diabetic retinopathy E13351 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema E133511 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye E133512 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye E133513 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral

E133519
Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye

E13352
Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula

E133521
Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye

E133522
Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye

E133523
Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral

E133529
Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye

E13353
Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula

E133531
Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye

E133532
Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye

E133533
Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral

E133539
Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye

E13354
Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment

E133541
Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye

E133542
Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye

E133543
Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral

E133549
Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye E13355 Other specified diabetes mellitus with stable proliferative diabetic retinopathy E133551 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, right eye E133552 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, left eye E133553 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, bilateral E133559 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye E13359 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema E133591 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye E133592 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye E133593 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral

E133599
Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye E1336 Other specified diabetes mellitus with diabetic cataract E1337 Other specified diabetes mellitus with diabetic macular edema, resolved following treatment E1337X1 Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, right eye E1337X2 Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, left eye E1337X3 Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral

E1337X9
Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye E1339 Other specified diabetes mellitus with other diabetic ophthalmic complication E134 Other specified diabetes mellitus with neurological complications E1340 Other specified diabetes mellitus with diabetic neuropathy, unspecified E1341 Other specified diabetes mellitus with diabetic mononeuropathy E1342 Other specified diabetes mellitus with diabetic polyneuropathy E1343 Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy E1344 Other specified diabetes mellitus with diabetic amyotrophy E1349 Other specified diabetes mellitus with other diabetic neurological complication E135 Other specified diabetes mellitus with circulatory complications E1351 Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene E1352 Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene E1359 Other specified diabetes mellitus with other circulatory complications E136 Other specified diabetes mellitus with other specified complications E1361 Other specified diabetes mellitus with diabetic arthropathy E13610 Other specified diabetes mellitus with diabetic neuropathic arthropathy E13618 Other specified diabetes mellitus with other diabetic arthropathy E1362 Other specified diabetes mellitus with skin complications E13620 Other specified diabetes mellitus with diabetic dermatitis E13621 Other specified diabetes mellitus with foot ulcer E13622 Other specified diabetes mellitus with other skin ulcer E13628 Other specified diabetes mellitus with other skin complications E1363 Other specified diabetes mellitus with oral complications E13630 Other specified diabetes mellitus with periodontal disease E13638 Other specified diabetes mellitus with other oral complications E1364 Other specified diabetes mellitus with hypoglycemia E13641 Other specified diabetes mellitus with hypoglycemia with coma E13649 Other specified diabetes mellitus with hypoglycemia without coma E1365 Other specified diabetes mellitus with hyperglycemia E1369 Other specified diabetes mellitus with other specified complication E138 Other specified diabetes mellitus with unspecified complications E139 Other specified diabetes mellitus without complications E15 Nondiabetic hypoglycemic coma E16 Other disorders of pancreatic internal secretion E160 Drug-induced hypoglycemia without coma E161 Other hypoglycemia Androgen insensitivity syndrome E3450 Androgen insensitivity syndrome, unspecified E3451 Complete androgen insensitivity syndrome E3452 Partial androgen insensitivity syndrome E348 Other specified endocrine disorders E349 Endocrine disorder, unspecified E35 Disorders of endocrine glands in diseases classified elsewhere E36 Intraoperative complications of endocrine system E360 Intraoperative hemorrhage and hematoma of an endocrine system organ or structure complicating a procedure E3601 Intraoperative hemorrhage and hematoma of an endocrine system organ or structure complicating an endocrine system procedure E3602 Intraoperative hemorrhage and hematoma of an endocrine system organ or structure complicating other procedure E361 Accidental puncture and laceration of an endocrine system organ or structure during a procedure E3611 Accidental puncture and laceration of an endocrine system organ or structure during an endocrine system procedure E3612 Accidental puncture and laceration of an endocrine system organ or structure during other procedure E368 Other intraoperative complications of endocrine system E40 Kwashiorkor E41 Nutritional marasmus E42 Marasmic kwashiorkor E43 Unspecified severe protein-calorie malnutrition E44 Protein-calorie malnutrition of moderate and mild degree E440 Moderate protein-calorie malnutrition E441 Mild protein-calorie malnutrition E45 Retarded Ankylosing spondylitis of multiple sites in spine M451 Ankylosing spondylitis of occipito-atlanto-axial region M452 Ankylosing spondylitis of cervical region M453 Ankylosing spondylitis of cervicothoracic region M454 Ankylosing spondylitis of thoracic region M455 Ankylosing spondylitis of thoracolumbar region M456 Ankylosing spondylitis lumbar region M457 Ankylosing spondylitis of lumbosacral region M458 Ankylosing spondylitis sacral and sacrococcygeal region M459 Ankylosing spondylitis of unspecified sites in spine N91 Absent, scanty and rare menstruation N910 Primary amenorrhea N911 Secondary amenorrhea N912 Amenorrhea, unspecified N913 Primary oligomenorrhea N914 Secondary oligomenorrhea N915 Oligomenorrhea, unspecified N92 Excessive, frequent and irregular menstruation N920 Excessive and frequent menstruation with regular cycle N921 Excessive and frequent menstruation with irregular cycle N922 Excessive menstruation at puberty N923 Ovulation bleeding N924 Excessive bleeding in the premenopausal period N925 Other specified irregular menstruation N926 Irregular menstruation, unspecified Q900 Trisomy 21, nonmosaicism (meiotic nondisjunction) Q901 Trisomy 21, mosaicism (mitotic nondisjunction) Q902 Trisomy 21, translocation Q909 Down syndrome, unspecified Q91 Trisomy 18 and Trisomy 13 Q910 Trisomy 18, nonmosaicism (meiotic nondisjunction) Q911 Trisomy 18, mosaicism (mitotic nondisjunction) Q912 Trisomy 18, translocation Q913 Trisomy 18, unspecified Q914 Trisomy 13, nonmosaicism (meiotic nondisjunction) Q915 Trisomy 13, mosaicism (mitotic nondisjunction) Q916 Trisomy 13, translocation Q917 Trisomy 13, unspecified Q92 Other trisomies and partial trisomies of the autosomes, not elsewhere classified Q920 Whole chromosome trisomy, nonmosaicism (meiotic nondisjunction) Q921 Whole chromosome trisomy, mosaicism (mitotic nondisjunction) Q922 Partial trisomy Q925 Duplications with other complex rearrangements Q926 Marker chromosomes Q9261 Marker chromosomes in normal individual Q9262 Marker chromosomes in abnormal individual Q927 Triploidy and polyploidy Q928 Other specified trisomies and partial trisomies of autosomes Q929 Trisomy and partial trisomy of autosomes, unspecified Q93 Monosomies and deletions from the autosomes, not elsewhere classified Q930 Whole chromosome monosomy, nonmosaicism (meiotic nondisjunction) Q931 Whole chromosome monosomy, mosaicism (mitotic nondisjunction) Q932 Chromosome replaced with ring, dicentric or isochromosome Q933 Deletion of short arm of chromosome 4 Q934 Deletion of short arm of chromosome 5 Q935 Other deletions of part of a chromosome Q9351 Angelman syndrome Q9359 Other deletions of part of a chromosome Q937 Deletions with other complex rearrangements Q938 Other deletions from the autosomes Q9381 Velo-cardio-facial syndrome Q9382 Williams syndrome Q9388 Other microdeletions Q9389 Other deletions from the autosomes Q939 Deletion from autosomes, unspecified Q95 Balanced rearrangements and structural markers, not elsewhere classified Q950 Balanced translocation and insertion in normal individual Q951 Chromosome inversion in normal individual Q952 Balanced autosomal rearrangement in abnormal individual Q953 Balanced sex/autosomal rearrangement in abnormal individual Q955 Individual with autosomal fragile site Q958 Other balanced rearrangements and structural markers Q959 Balanced rearrangement and structural marker, unspecified Q96 Turner's syndrome Q960 Karyotype 45, X Q961 Karyotype 46, X iso (Xq) Q962 Karyotype 46, X with abnormal sex chromosome, except iso (Xq) Q963 Mosaicism, 45, X/46, XX or XY Q964 Mosaicism, 45, X/other cell line(s) with abnormal sex chromosome Q968 Other variants of Turner's syndrome Q969 Turner's syndrome, unspecified Q97 Other sex chromosome abnormalities, female phenotype, not elsewhere classified Q970 Karyotype 47, XXX Q971 Female with more than three X chromosomes Q972 Mosaicism, lines with various numbers of X chromosomes Q973 Female with 46, XY karyotype Q978 Other specified sex chromosome abnormalities, female phenotype Q979 Sex chromosome abnormality, female phenotype, unspecified Q98 Other sex chromosome abnormalities, male phenotype, not elsewhere classified Q980 Klinefelter syndrome karyotype 47, XXY Q981 Klinefelter syndrome, male with more than two X chromosomes Q983 Other male with 46, XX karyotype Q984 Klinefelter syndrome, unspecified Q985 Karyotype 47, XYY Q986 Male with structurally abnormal sex chromosome Q987 Male with sex chromosome mosaicism Q988 Other specified sex chromosome abnormalities, male phenotype Q989 Sex chromosome abnormality, male phenotype, unspecified Q99 Other chromosome abnormalities, not elsewhere classified Q990 Chimera 46, XX/46, XY Q991 46, XX true hermaphrodite Q992 Fragile X chromosome Q998 Other specified chromosome abnormalities Q999 Chromosomal abnormality, unspecified