Oncology Referral/Physician Form (pdf) - Centegra Health System

Common Oncology Rehab DiagnosesNeck & Back Disorders353.2 Cervical root lesions, not elsewhere classified724.1 Pain in thoracic spine724.2 Lumbago353.1 Lumbosacral plexus lesions353.4 Lumbosacral root lesions, not elsewhere classified336.3 Myelopathy in other diseases, classified elsewhere723.1 Cervicalgia336.8 Other myelopathy353.8 Other nerve root and plexus disorders733.00 Osteoporosis, unspecified719.40 Pain in joint, site unspecifiedUpper Extremity353.0 Brachial plexus lesions718.49 Contracture of joint of multiple sites719.43 Pain in joint, forearm719.44 Pain in joint, hand719.42 Pain in joint, upper arm719.41 Pain in joint, shoulder region719.50 Stiffness of joint, not elsewhere classified,unspecified siteLower Extremity719.47 Pain in joint, ankle and foot718.49 Contracture of joint of multiple sites719.45 Pain in joint, pelvic region and thigh719.46 Pain in joint, lower legPelvic Floor Disorders788.39 Other urinary incontinence788.33 Mixed incontinence, (male) (female)788.43 Nocturia618.83 Pelvic muscle wasting625.9 Unspecified symptom associated with femalegenital organs625.6 Stress incontinence, female788.32 Stress incontinence, male788.31 Urge incontinence788.41 Urinary frequency788.30 Urinary incontinence, unspecified564.00 Constipation, unspecified787.60 Full incontinence of feces728.9 Unspecified disorder of muscle, ligament and fascia709.2 Scar conditions and fibrosis of skinGait and Coordination781.2 Abnormality of gait334.4 Cerebellar ataxia in diseases, classifiedelsewhere719.7 Difficulty in walking781.3 Lack of coordination728.9 Unspecified disorder of muscle, ligamentand fascia334.3 Other cerebellar ataxiaSpeech/Swallowing Disorders438.11 Aphasia438.81 Apraxia784.51 Dysarthria (speech disturbance), excludeslate effects of cerebrovascular disease438.13 Dysarthria, late effects of cerebrovasculardisease438.82 Dysphagia787.20 Dysphagia, unspecified784.92 Jaw pain787.29 Other dysphagia438.10 Speech and language deficit, unspecifiedV41.6 Problems with swallowing and masticationCognitive Disorders438.0 Cognitive deficits799.52 Cognitive communication deficitFatigue780.71 Chronic fatigue syndrome780.79 Other malaise and fatigueOther Neurological Disorders436 Acute, but ill-defined, cerebrovasculardisease342.80 Other specified hemiplegia affectingunspecified side438.20 Hemiplegia affecting unspecified side344.9 Paralysis, unspecifiedAdditional Diagnoses & Codes357.6 Polyneuropathy due to drugs909.2 Late effect of radiationLymphedema457.1 Other lymphedema457.0 Postmastectomy lymphedema syndrome709.2 Scar conditions and fibrosis of skin