| ICD-10 Code | Diagnosis | Coverage |
|---|---|---|
| E87.21 | Acute metabolic acidosis | covered |
| E87.22 | Chronic metabolic acidosis | covered |
| E87.29 | Other acidosis | covered |
| F10.130 | Alcohol abuse with withdrawal, uncomplicated | covered |
| F10.131 | Alcohol abuse with withdrawal delirium | covered |
| F10.132 | Alcohol abuse with withdrawal with perceptual disturbance | covered |
| F10.20 | Alcohol dependence, uncomplicated | covered |
| F11.13 | Opioid abuse with withdrawal | covered |
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