Diagnosis Codes with Automatic Exceptions to Medicare's Therapy Caps

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article provides a reference list of diagnosis codes tied to automatic exceptions related to Medicare therapy caps. It is intended for coding and billing professionals who need a quick way to review the relevant ICD-9 code groupings covered in the article. The content is centered on code identification and broad condition categories rather than narrative discussion.

Why This Topic Matters

Understanding which diagnosis codes are covered in this reference helps coders, billers, and compliance staff quickly determine whether a claim may fall within the article’s Medicare therapy cap exception list. It supports faster chart review and cleaner workflow alignment when evaluating therapy-related diagnoses.

Article Sections

  1. Diagnosis Codes with Automatic Exceptions to Medicare’s Therapy Caps

    An ICD-9 reference list of diagnosis groupings associated with Medicare therapy cap exceptions. The section presents the covered code families and individual entries in a compact format.

What You Will Learn

  • How the article organizes diagnosis code references for Medicare therapy cap exceptions
  • Which broad diagnosis categories are included in the reference
  • How the list is structured by ICD-9 code ranges and individual codes
  • What type of coding audience the article is designed to support

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance teams
  • Therapy providers
  • Revenue cycle professionals

Codes Discussed

Code Ranges Discussed

  • ICD-9: 250 – 250.93
  • ICD-9: 278.01-278.02
  • ICD-9: 290.0-290.4
  • ICD-9: 294.0-294.9
  • ICD-9: 323.0-323.0
  • ICD-9: 331.0-331.9
  • ICD-9: 332.0-332.1
  • ICD-9: 333.0-333.99
  • ICD-9: 334.0-334.9
  • ICD-9: 335.0-335.9
  • ICD-9: 336.0-336.9
  • ICD-9: 337.20-337.29
  • ICD-9: 342.00-342.9
  • ICD-9: 343.0-343.9
  • ICD-9: 344.00-344.9
  • ICD-9: 348.9-348.9
  • ICD-9: 349.0-349.9
  • ICD-9: 353-357
  • ICD-9: 359.0-359.9
  • ICD-9: 386.0-386.9
  • ICD-9: 401.0-401.9
  • ICD-9: 402.00-402.91
  • ICD-9: 414.00-414.9
  • ICD-9: 415.0-415.19
  • ICD-9: 416.0-416.9
  • ICD-9: 427.0-427.9
  • ICD-9: 428.0-428.9
  • ICD-9: 430-432.9
  • ICD-9: 433.0-434.9
  • ICD-9: 437.0-437.9
  • ICD-9: 438.0-438.9
  • ICD-9: 443.0-443.9
  • ICD-9: 453.0-453.9
  • ICD-9: 457.0-457.1
  • ICD-9: 478.30-478.5
  • ICD-9: 490-496
  • ICD-9: 707.99-707.9
  • ICD-9: 710.0-710.9
  • ICD-9: 711.00-711.99
  • ICD-9: 713.0-713.8
  • ICD-9: 714.0-714.9
  • ICD-9: 726.10-726.19
  • ICD-9: 727.61-727.62
  • ICD-9: 806.00-806.99
  • ICD-9: 810.00-810.13
  • ICD-9: 811.00-811.19
  • ICD-9: 812.00.812.59
  • ICD-9: 813.00-813.93
  • ICD-9: 820.00-820.9
  • ICD-9: 821.0-821.39
  • ICD-9: 828.0-828.1
  • ICD-9: 852.00-852.59
  • ICD-9: 853.00-853.19
  • ICD-9: 854.00-854.19
  • ICD-9: 881.0-881.2
  • ICD-9: 882.0-882.2
  • ICD-9: 884.0-884.2
  • ICD-9: 887.0 – 887.7
  • ICD-9: 897.0-897.7
  • ICD-9: 941.00-952.9

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