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Texas Prior Authorization Program Clinical Edits Agents for Gaucher’s Disease July 31, 2015 Copyright © 2015 Health Information Designs, LLC 72 Step 2 (diagnosis of Pregnancy)

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64221. 64222. 64223. 64224-,Bold" 0 000000 -,Bold" 0 000000 . ICD-9 Code Code Description ICD-10 Code Comments Includes Excludes General References Definition of the Condition Category Included/Excluded Conditions General Comments An abnormal elevation of the systolic and/or diastolic blood pressure. . Hypertension secondary to renal disease, complicating pregnancy, childbirth, and the puerperium, delivered, .

Diagnosis and treatment of diabetic ketoacidosis Van Zyl DG, MBChB, FCP(SA), MMed(Int), MSc(Clinical epidemiology) . cardiovascular, renal or liver disease, be careful for overhydration and volume overload. . Diagnosis and treatment of diabetic ketoacidosis and the hyperglycemic hyperosmolar state. Canadian Medical Association Journal 2003;168(7):859–66. 43.

ICD-9 Code: ‘64221’ Diagnosis - Old hyperten NEC-deliver (Other pre-existing hypertension, complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition)

(Addresses, including zip code, and telephone numbe rs, including area code, of principal executive off ices) Check the appropriate box below if the Form 8-K fil ing is intended to simultaneously satisfy the filin g obligation of the registrant under any of the fol lowing provisions (see General Instruction A.2. below): Written communications pursuant to Rule 425 under t he Securities Act (17 CFR 230.425)

Yes Yes No Yes No No Yes No Step 1 Is the client ≥ 18 years of age? Step 2 Does the client have a diagnosis of hypertension in the last 365 days? No Step 6 Does the client have

Know proper usage of CPT Code 64421 - descriptors, lay terms and guidelines with expert advice.