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Electrical Stimulators - Cigna

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726.39<br />

726.4 Enthesopathy of wrist and carpus<br />

726.5 Enthesopathy of hip region<br />

726.60-<br />

726.69<br />

Enthesopathy of knee<br />

726.70-<br />

726.79<br />

Enthesopathy of ankle and tarsus<br />

726.8 Other peripheral enthesopathies<br />

726.90- Unspecified enthesopathy<br />

726.91<br />

728.71 Plantar fascial fibromatosis<br />

729.1 Myalgia and myositis, unspecified<br />

729.2 Neuralgia, neuritis and radiculitis, unspecified<br />

729.5 Pain in limb<br />

Experimental/Investigational/Not Covered:<br />

ICD-9-CM<br />

Diagnosis<br />

Codes<br />

Page 26 of 41<br />

Description<br />

290.0-290.9 Dementias<br />

291.2 Alcohol-induced persisting dementia<br />

292.0 Drug withdrawal<br />

292.82 Drug induced dementia<br />

296.20-<br />

296.26<br />

Major depressive disorder, single episode<br />

296.30-<br />

296.36<br />

Major depressive disorder, recurrent episode<br />

300.00-<br />

300.09<br />

Anxiety states<br />

303.00–<br />

303.93<br />

Alcohol dependence syndrome<br />

304.00-<br />

304.93<br />

Drug dependence<br />

307.40- Specific disorders of sleep of nonorganic origin<br />

307.49<br />

307.81 Tension headache<br />

311 Depressive disorder, not elsewhere classified<br />

314.01 Attention deficit disorder, with hyperactivity<br />

331.0 Alzheimer’s disease<br />

331.11-<br />

331.19<br />

Frontotemporal dementia<br />

331.82 Dementia with Lewy bodies<br />

338.3 Neoplasm related pain<br />

339.00-<br />

339.89<br />

Other headache syndromes<br />

346.01-<br />

346.93<br />

Migraine<br />

388.30- Tinnitus<br />

388.32<br />

401.0-401.9 Essential hypertension<br />

413.0-413.9 Angina pectoris<br />

428.0-428.9 Heart failure<br />

438.0-438.9 Late effects of cerebrovascular disease<br />

493.00-<br />

493.92<br />

Asthma

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