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Table 1 CPT and ICD-10 codes included in algorithm by combination of procedure and primary indication

From: Validation of an electronic coding algorithm to identify the primary indication of orthopedic surgeries from administrative data

Inclusion CPT Codes Inclusion ICD-10 Codes (Require one or more three months prior to surgery) Exclusion ICD-10 Codes (Three Months Prior to Surgery)
A: Spinal Surgery for Lumbar Spinal Stenosis
22224, 22533, 22558, 22586, 22612, 22614, 22630, 22632, 22633, 22800, 22802, 22804, 22808, 22810, 22857, 22862, 22867, 63005, 63011, 63012, 63017, 63047, 63048, 63056, 63087, 63088, 63090, 63091, 63102, 63103, 63170 M48.00, M48.061, M48.062, M48.07, M48.08 G83.4, R15*, S32.0*, N31*, C41.2, M48.56*, M84.58*, R32, M48.46*, M84.48*, M84.40*, M84.60*, M48.57*, S22.08*
B: Spinal Surgery for Lumbar Herniated Disc
22224, 22533, 22558, 22586, 22612, 22614, 22630, 22632, 22633, 22800, 22802, 22804, 22808, 22810, 22857, 22862, 22867, 62287, 63005, 63011, 63012, 63017, 63030, 63035, 63042, 63047, 63048, 63056, 63087, 63088, 63090, 63091, 63102, 63103, 63170 M51.06, M51.16, M51.17, M51.26, M51.27, M51.36, M51.37, M47.16, M47.26, M47.27 G83.4, R15*, S32.0*, N31*, C41.2, M48.56*, M84.58*, R32, M48.46*, M84.48*, M84.40*, M84.60*, M48.57*, S22.08*
C: Hip Arthroplasty for Hip Osteoarthritis
27125, 27130, 27132 M16.0, M16.10, M16.11, M16.12, M16.2, M16.30, M16.31, M16.32, M16.4, M16.50, M16.51, M16.52, M16.6, M16.7, M16.9 M84.459*, M84.559*, S72.0*, S32.4*, M87*, M80*, M84.359*, M84.58*, S72.1*, S72.2*, C79.51, M84.30*, M84.40*, M84.48*, M84.50*, C41.4, C41.9
D: Knee Arthroplasty for Knee Osteoarthritis
27438, 27440, 27441, 27442, 27443, 27445, 27446, 27447 M17.0, M17.10, M17.11, M17.12, M17.2, M17.30, M17.31, M17.32, M17.4, M17.5, M17.9 M80*, M87*, C79.51, C41.9
  1. The asterisk (*) indicates that all children codes within the ICD-10 hierarchy of the listed code are also included in the algorithm
  2. Descriptions of each code are included in Additional file 1
  3. CPT Copyright 2017 American Medical Association. All rights reserved. CPT® is a registered trademark of the American Medical Association