| ICD-10 Code | Diagnosis | Coverage |
|---|---|---|
| E87.20 | Acidosis, unspecified | covered |
| E87.21 | Acute metabolic acidosis | covered |
| E87.22 | Chronic metabolic acidosis | covered |
| E87.29 | Other acidosis | covered |
| F10.11 | Alcohol abuse, in remission | covered |
| F10.120 | Alcohol abuse with intoxication, uncomplicated | covered |
| F10.130 | Alcohol abuse with withdrawal, uncomplicated | covered |
| F10.131 | Alcohol abuse with withdrawal delirium | covered |
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