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ICD-9-CM Diagnosis Tabular Addenda Flipbook PDF
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010 Page 2 251 Other disorders of pancreatic internal secretion
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ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
1. INFECTIOUS AND PARASITIC DISEASES (001-139) Revise
Excludes: influenza (487.0-487.8, 488.01-488.19) 008
Intestinal infections due to other organisms 008.8 Other organism, not elsewhere classified
Revise
Excludes:
189
Revise
Malignant neoplasm of kidney and other and unspecified urinary organs
Excludes: malignant carcinoid tumor of kidney (209.24) 225
Revise
influenza with involvement of gastrointestinal tract (487.8, 488.09, 488.19)
Benign neoplasm of brain and other parts of nervous system
Excludes: neurofibromatosis (237.70-237.79)
237
Neoplasm of uncertain behavior of endocrine glands and nervous system 237.7 Neurofibromatosis von Recklinghausen's disease
Delete New code
237.73
Schwannomatosis
New code
237.79
Other neurofibromatosis
244
Acquired hypothyroidism 244.2 Iodine hypothyroidism
Add
Excludes: hypothyroidism resulting from administration of radioactive iodine (244.1)
251
Other disorders of pancreatic internal secretion 251.3 Postsurgical hypoinsulinemia Use additional code to identify (any associated): acquired absence of pancreas (V88.11-V88.12)
Revise 275
Disorders of mineral metabolism 275.0 Disorders of iron metabolism Bronzed diabetes Hemochromatosis Pigmentary cirrhosis (of liver)
Delete Delete Delete New code
275.01
Hereditary hemochromatosis Bronzed diabetes Pigmentary cirrhosis (of liver) Primary (hereditary) hemochromatosis
New code
275.02
Hemochromatosis due to repeated red blood cell transfusions Iron overload due to repeated red blood cell transfusions Transfusion (red blood cell) associated hemochromatosis
New code
275.03
Other hemochromatosis Hemochromatosis NOS
New code
275.09
Other disorders of iron metabolism
276
Delete
Disorders of fluid, electrolyte, and acid-base balance 276.6 Fluid overload Fluid retention
New code
276.61
Transfusion associated circulatory overload Fluid overload due to transfusion (blood) (blood components) TACO
New code
276.69
Other fluid overload Fluid retention
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
Page 2
277
Other and unspecified disorders of metabolism 277.7 Dysmetabolic syndrome X Use additional code for associated manifestation, such as: obesity (278.00-278.03)
Revise 278
Overweight, obesity and other hyperalimentation 278.0 Overweight and obesity
New code
278.03
279 Add
Obesity hypoventilation syndrome Pickwickian syndrome
Disorders involving the immune mechanism
Use additional code for associated manifestations 285
Other and unspecified anemias 285.2 Anemia of chronic disease 285.22
Add
Excludes: aplastic anemia due to antineoplastic chemotherapy (284.89) 287
Delete Delete Delete Delete Delete Delete Delete New code
Anemia in neoplastic disease
Purpura and other hemorrhagic conditions 287.4 Secondary thrombocytopenia Posttransfusion purpura Thrombocytopenia (due to): dilutional drugs extracorporeal circulation of blood massive blood transfusion platelet alloimmunization 287.41
Posttransfusion purpura Posttransfusion purpura from whole blood (fresh) or blood products PTP
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
Page 3
New code
287.49
307
Other secondary thrombocytopenia Thrombocytopenia (due to): dilutional drugs extracorporeal circulation of blood massive blood transfusion platelet alloimmunization secondary NOS
Revise
Special symptoms or syndromes, not elsewhere classified 307.0 Stuttering Adult onset fluency disorder
Add Revise
Excludes: childhood onset fluency disorder (315.35) stuttering (fluency disorder) due to late effect of cerebrovascular accident (438.14) fluency disorder in conditions classified elsewhere (784.52)
Add
307.7 Encopresis Revise
Excludes: encopresis of unspecified cause (787.60-787.63) 308
Add
Acute reaction to stress
Includes: combat and operational stress reaction 315
Specific delays in development 315.3 Developmental speech or language disorder
New code
315.35
Childhood onset fluency disorder Cluttering NOS Stuttering NOS
Excludes: adult onset fluency disorder (307.0) fluency disorder due to late effect of cerebrovascular accident (438.14) fluency disorder in conditions classified elsewhere (784.52) 315.39 Delete
Other
Excludes: stammering and stuttering (307.0)
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
Page 4
337
Disorders of the autonomic nervous system 337.3 Autonomic dysreflexia Use additional code to identify the cause, such as: fecal impaction (560.32)
Revise 345 Delete
Epilepsy and recurrent seizures
Excludes: progressive myoclonic epilepsy (333.2) 360
Disorders of the globe 360.5 Retained (old) intraocular foreign body, magnetic
Add
Use additional code to identify foreign body (V90.11) 360.6 Retained (old) intraocular foreign body, nonmagnetic
Add
Use additional code to identify foreign body (V90.01-V90.10, V90.12, V90.2-V90.9) 365
Glaucoma 365.4 Glaucoma associated with congenital anomalies, dystrophies, and systemic syndromes 365.44
Glaucoma associated with systemic syndromes
Code first associated disease, as: neurofibromatosis (237.70-237.79)
Revise 374
Other disorder of eyelids 374.8 Other disorders of eyelid 374.86
Add
Retained foreign body of eyelid
Use additional code to identify foreign body (V90.01-V90.9)
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
Page 5
376
Disorder of the orbit 376.6 Retained (old) foreign body following penetrating wound of orbit
Add
Use additional code to identify foreign body (V90.01-V90.9) 382
Suppurative and unspecified otitis media 382.0 Acute suppurative otitis media 382.02
Acute suppurative otitis media in diseases classified elsewhere
Code first underlying disease, as: influenza (487.8, 488.09, 488.19)
Revise 385
Other disorders of middle ear and mastoid 385.8 Other disorders of middle ear and mastoid 385.83
Add
Retained foreign body of middle ear
Use additional code to identify foreign body (V90.01V90.9) 403
Hypertensive chronic kidney disease any condition classifiable to 585 and 587 with any condition classifiable to 401
416
Chronic pulmonary heart disease
Revise
416.0 Primary pulmonary hypertension Add Add
Excludes: pulmonary hypertension NOS (416.8) secondary pulmonary hypertension (416.8)
Add
416.8 Other chronic pulmonary heart diseases Pulmonary hypertension NOS
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
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422
Acute myocarditis 422.0 Acute myocarditis in diseases classified elsewhere Code first underlying disease, as: myocarditis (acute): influenzal (487.8, 488.09, 488.19)
Revise 428
Heart failure 428.0 Congestive heart failure, unspecified
Revise
Excludes: fluid overload NOS (276.69) 438
Late effects of cerebrovascular disease 438.1 Speech and language deficits 438.14
Revise
441 Add
Aortic aneurysm and dissection
Excludes: aortic ectasia (447.70-447.73) 447
New subcategory
Fluency disorder Stuttering due to late effect of cerebrovascular accident
Other disorders of arteries and arterioles 447.7 Aortic ectasia Ectasis aorta Excludes: aortic aneurysm and dissection (441.00-441.9)
New code
447.70
Aortic ectasia, unspecified site
New code
447.71
Thoracic aortic ectasia
New code
447.72
Abdominal aortic ectasia
New code
447.73
Thoracoabdominal aortic ectasia
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
Page 7
453
Other venous embolism and thrombosis 453.5 Chronic venous embolism and thrombosis of deep vessels of lower extremity 453.51
Chronic venous embolism and thrombosis of deep vessels of proximal lower extremity Femoral Iliac Popliteal Thigh Upper leg NOS
453.52
Chronic venous embolism and thrombosis of deep vessels of distal lower extremity Calf Lower leg NOS Peroneal Tibial
Add Add Add Add Add
Add Add Add Add
453.6 Venous embolism and thrombosis of superficial vessels of lower extremity Add
Use additional code, if applicable, for associated long-term (current) use of anticoagulants (V58.61)
ACUTE RESPIRATORY INFECTIONS (460-466) Revise
Excludes: pneumonia and influenza (480.0-488.19)
462
Revise
Acute pharyngitis
Excludes: that specified as (due to): influenza (487.1, 488.02, 488.12)
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
Page 8
464 Revise
Acute laryngitis and tracheitis
Excludes:
that associated with influenza (487.1, 488.02, 488.12)
464.0 Acute laryngitis Revise
Excludes: influenzal laryngitis (487.1, 488.02, 488.12) 465
Revise
Acute upper respiratory infections of multiple or unspecified sites
Excludes: upper respiratory infection due to: influenza (487.1, 488.02, 488.12) 480
Viral pneumonia 480.8 Pneumonia due to other virus not elsewhere classified
Delete
Excludes: influenza with pneumonia, any form (487.0) 484
Delete
Excludes: influenza with pneumonia, any form (487.0) 486
Delete
Revise Revise
Add
Pneumonia, organism unspecified
Excludes: influenza with pneumonia, any form (487.0) 487
Revise
Pneumonia in infectious diseases classified elsewhere
Influenza
Excludes: influenza due to novel 2009 H1N1 [swine] influenza virus (488.11-488.19) influenza due to identified avian influenza virus (488.01-488.09) influenza due to identified novel H1N1 influenza virus (488.11-488.19) 487.1 With other respiratory manifestations Influenza NEC
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
Page 9
488
Influenza due to certain identified influenza viruses 488.0 Influenza due to identified avian influenza virus
New code
488.01
Influenza due to identified avian influenza virus with pneumonia Avian influenzal: bronchopneumonia pneumonia Influenza due to identified avian influenza virus with pneumonia, any form
Use additional code to identify the type of pneumonia (480.0- 480.9, 481, 482.0-482.9, 483.0-483.8, 485) New code
488.02
Influenza due to identified avian influenza virus with other respiratory manifestations Avian influenzal: laryngitis pharyngitis respiratory infection (acute) (upper) Identified avian influenza NOS
New code
488.09
Influenza due to identified avian influenza virus with other manifestations Avian influenza with involvement of gastrointestinal tract Encephalopathy due to identified avian influenza
Excludes: "intestinal flu" [viral gastroenteritis] (008.8)
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
Page 10
488.1 Influenza due to identified novel H1N1 influenza virus New code
488.11
Influenza due to identified novel H1N1 influenza virus with pneumonia Influenza due to identified novel H1N1 with pneumonia, any form Novel H1N1 influenzal: bronchopneumonia pneumonia
Use additional code to identify the type of pneumonia (480.0- 480.9, 481, 482.0-482.9, 483.0-483.8, 485) New code
488.12
Influenza due to identified novel H1N1 influenza virus with other respiratory manifestations Novel H1N1 influenza NOS Novel H1N1 influenzal: laryngitis pharyngitis respiratory infection (acute) (upper)
New code
488.19
Influenza due to identified novel H1N1 influenza virus with other manifestations Encephalopathy due to identified novel H1N1 influenza Novel H1N1 influenza with involvement of gastrointestinal tract
Excludes: "intestinal flu" [viral gastroenteritis] (008.8) 514
Revise
Pulmonary congestion and hypostasis
Excludes: hypostatic pneumonia due to or specified as a specific type of pneumonia - code to the type of pneumonia (480.0-480.9, 481, 482.0-482.9, 483.0-483.8, 485, 486, 487.0, 488.01, 488.11)
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
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516
Other alveolar and parietoalveolar pneumonopathy 516.1 Idiopathic pulmonary hemosiderosis
Revise
Code first underlying disease (275.01-275.09)
Add
Excludes: acute idiopathic pulmonary hemorrhage in infants [AIPHI] (786.31) 552
Other hernia of abdominal cavity, with obstruction, but without mention of gangrene 552.8 Hernia of other specified sites, with obstruction
Delete
Excludes: hernia due to adhesion with obstruction (560.81) 560
Intestinal obstruction without mention of hernia 560.3 Impaction of intestine
New code
560.32
Fecal impaction
Excludes: constipation (564.00-564.09) incomplete defecation (787.61) 560.39 Delete 564
Other Fecal impaction
Functional digestive disorders, not elsewhere classified 564.0 Constipation
Add Add
Excludes: fecal impaction (560.32) incomplete defecation (787.61) 569
Other disorders of intestine 569.4 Other specified disorders of rectum and anus 569.43
Revise
Anal sphincter tear (healed) (old)
Use additional code for any associated fecal incontinence (787.60-787.63)
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
Page 12
569.49
Other
Add
Use additional code for associated fecal incontinence (787.60-787.63)
Delete
Excludes: incontinence of sphincter ani (787.6) 572
Liver abscess and sequelae of chronic liver disease 572.3 Portal hypertension
Add
Use additional code for any associated complications, such as: portal hypertensive gastropathy (537.89) 583
Nephritis and nephropathy, not specified as acute or chronic 583.6 With lesion of renal cortical necrosis Nephropathy NOS with (renal) cortical necrosis
Revise 618
Genital prolapse 618.0 Prolapse of vaginal walls without mention of uterine prolapse 618.04
Add
Rectocele
Use additional code for associated fecal incontinence (787.60-787.63) 621
Disorders of uterus, not elsewhere classified 621.4 Hematometra
Revise
Excludes: that in congenital anomaly (752.2-752.39) 626
Add
Disorders of menstruation and other abnormal bleeding from female genital tract
Excludes: precocious puberty (259.1)
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
Page 13
629
Other disorders of female genital organs 629.8 Other specified disorders of female genital organs
Revise
629.81
Revise
Excludes: habitual aborter recurrent pregnancy loss with current pregnancy (646.3) 646
Revise
Habitual aborter Recurrent pregnancy loss without current pregnancy
Other complications of pregnancy, not elsewhere classified 646.3 Habitual aborter Recurrent pregnancy loss
649
Other conditions or status of the mother complicating pregnancy, childbirth, or the puerperium 649.1 Obesity complicating pregnancy, childbirth, or the puerperium
Revise
Use additional code to identify the obesity (278.00- 278.03) 651
Add
Multiple gestation
Use additional code to specify placenta status (V91.00-V91.99) 664
Trauma to perineum and vulva during delivery 664.8 Other specified trauma to perineum and vulva Periurethral trauma
Add 665
Other obstetrical trauma 665.5 Other injury to pelvic organs
Add
Excludes: periurethral trauma (664.8) 670
Major puerperal infection 670.2 Puerperal sepsis
Add
Use additional code to identify severe sepsis (995.92) and any associated acute organ dysfunction, if applicable
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
Page 14
671
Venous complications in pregnancy and the puerperium 671.2 Superficial thrombophlebitis
Add
Use additional code to identify the superficial thrombophlebitis (453.6, 453.71, 453.81) 709
Other disorders of skin and subcutaneous tissue 709.4 Foreign body granuloma of skin and subcutaneous tissue
Add
Use additional code to identify foreign body (V90.01-V90.9) 713
Arthropathy associated with other disorders classified elsewhere 713.0 Arthropathy associated with other endocrine and metabolic disorders Code first underlying disease, as: hemochromatosis (275.01-275.09)
Revise 721
Spondylosis and allied disorders 721.4 Thoracic or lumbar spondylosis with myelopathy 721.42
Delete
724
Lumbar region Spondylogenic compression of lumbar spinal cord
Other and unspecified disorders of back 724.0 Spinal stenosis, other than cervical
Revise Add
724.02
Lumbar region, without neurogenic claudication Lumbar region NOS
New code
724.03
Lumbar region, with neurogenic claudication
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
Page 15
728
Disorders of muscle, ligament, and fascia 728.8 Other disorders of muscle, ligament, and fascia 728.82
Add
Foreign body granuloma of muscle
Use additional code to identify foreign body (V90.01V90.9) 729
Other disorders of soft tissues 729.6 Residual foreign body in soft tissue
Add
Use additional code to identify foreign body (V90.01-V90.9) 737
Curvature of spine 737.4 Curvature of spine associated with other conditions Code first associated condition, as: neurofibromatosis (237.70-237.79)
Revise 742
Other congenital anomalies of nervous system 742.8 Other specified anomalies of nervous system
Revise
Excludes: neurofibromatosis (237.70-237.79) 748
Congenital anomalies of respiratory system 748.1 Other anomalies of nose Congenital: perforation of wall of nasal sinus
Revise 751
Other congenital anomalies of digestive system
Revise
751.2 Atresia and stenosis of large intestine, rectum, and anal canal Absence: large intestine, congenital
Revise
751.3 Hirschsprung's disease and other congenital functional disorders of colon Macrocolon
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
Page 16
752
Delete Delete Delete Delete Delete Delete
Congenital anomalies of genital organs 752.3 Other anomalies of uterus Absence, congenital, of uterus Agenesis of uterus Aplasia of uterus Bicornuate uterus Uterus unicornis Uterus with only one functioning horn
New code
752.31
New code New code
752.32 752.33
New code
752.34
New code
752.35
New code New code
752.36 752.39
Agenesis of uterus Congenital absence of uterus Hypoplasia of uterus Unicornuate uterus Unicornate uterus with or without a separate uterine horn Uterus with only one functioning horn Bicornuate uterus Bicornuate uterus, complete or partial Septate uterus Septate uterus, complete or partial Arcuate uterus Other anomalies of uterus Aplasia of uterus NOS Müllerian anomaly of the uterus, NEC
Excludes: anomaly of uterus due to exposure to diethylstilbestrol [DES] in utero (760.76) didelphic uterus (752.2) doubling of uterus (752.2) 752.4 Anomalies of cervix, vagina, and external female genitalia New code
752.43
New code New code
752.44 752.45
New code New code
752.46 752.47
Cervical agenesis Cervical hypoplasia Cervical duplication Vaginal agenesis Agenesis of vagina, total or partial Transverse vaginal septum Longitudinal vaginal septum Longitudinal vaginal septum with or without obstruction
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
Page 17
752.49 Revise Revise Add Add Add
753
Other anomalies of cervix, vagina, and external female genitalia Absence of cervix, clitoris, vagina, or vulva Agenesis of cervix, clitoris, vagina, or vulva Anomalies of cervix, NEC Anomalies of hymen, NEC Müllerian anomalies of the cervix and vagina, NEC
Congenital anomalies of urinary system 753.4 Other specified anomalies of ureter Deviation of ureter
Revise 759
Other and unspecified congenital anomalies 759.6 Other hamartoses, NEC
Revise
Excludes: neurofibromatosis (237.70-237.79) 763
Fetus or newborn affected by other complications of labor and delivery 763.5 Maternal anesthesia and analgesia Reactions and intoxications from maternal opiates and tranquilizers during labor and delivery
Revise
771
Infections specific to the perinatal period 771.8 Other infections specific to the perinatal period
Revise
Use additional code to identify organism or specific infection (041.00-041.9) 780
General symptoms 780.3 Convulsions
New code
780.33
Post traumatic seizures
Excludes: post traumatic epilepsy (345.00-345.91)
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
Page 18
780.6 Fever and other physiologic disturbances of temperature regulation 780.62
Postprocedural fever
Add
Excludes: posttransfusion fever (780.66)
New code
780.66
781
Febrile nonhemolytic transfusion reaction FNHTR Posttransfusion fever
Symptoms involving nervous and musculoskeletal systems
Revise
781.8 Neurologic neglect syndrome
Add
Excludes: visuospatial deficit (799.53) 782
Symptoms involving skin and other integumentary tissue 782.3 Edema
Revise
Excludes: fluid retention (276.69) 784
Symptoms involving head and neck 784.5 Other speech disturbance
Revise Delete New code
Excludes: stammering and stuttering (315.35) that of nonorganic origin (307.0, 307.9) 784.52
Fluency disorder in conditions classified elsewhere Stuttering in conditions classified elsewhere
Code first underlying disease or condition, such as: Parkinson’s disease (332.0) Excludes: adult onset fluency disorder (307.0) childhood onset fluency disorder (315.35) fluency disorder due to late effect of cerebrovascular accident (438.14)
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
Page 19
784.8 Hemorrhage from throat Revise
Excludes: hemoptysis (786.30-786.39) 784.9 Other symptoms involving head and neck
New code
784.92
Jaw pain Mandibular pain Maxilla pain
Excludes: temporomandibular joint arthralgia (524.62) 786
Symptoms involving respiratory system and other chest symptoms 786.2 Cough
Revise
Excludes: cough: with hemorrhage (786.39)
Delete Delete
786.3 Hemoptysis Cough with hemorrhage Pulmonary hemorrhage NOS
Delete
Excludes: pulmonary hemorrhage of newborn (770.3)
New code
786.30
Hemoptysis, unspecified Pulmonary hemorrhage NOS
New code
786.31
Acute idiopathic pulmonary hemorrhage in infants [AIPHI] Acute idiopathic pulmonary hemorrhage in infant over 28 days old
Excludes: pulmonary hemorrhage of newborn under 28 days old (770.3) von Willebrand's disease (286.4) New code
786.39
Other hemoptysis Cough with hemorrhage
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
Page 20
787
Symptoms involving digestive system 787.6 Incontinence of feces
New code
787.60
Full incontinence of feces Fecal incontinence NOS
New code
787.61
Incomplete defecation
Excludes: constipation (564.00-564.09) fecal impaction (560.32) New code
787.62
Fecal smearing Fecal soiling
New code
787.63
Fecal urgency
796
Other nonspecific abnormal findings 796.0 Nonspecific abnormal toxicological findings
Add
Use additional code for retained foreign body, if applicable, (V90.01-V90.9) 799
New Subcategory
Other ill-defined and unknown causes of morbidity and mortality 799.5 Signs and symptoms involving cognition Excludes: amnesia (780.93) amnestic syndrome (294.0) attention deficit disorder (314.00-314.01) late effects of cerebrovascular disease (438) memory loss (780.93) mild cognitive impairment, so stated (331.83) specific problems in developmental delay (315.00315.9) transient global amnesia (437.7) visuospatial neglect 781.8
New code
799.51
Attention or concentration deficit
New code
799.52
Cognitive communication deficit
New code
799.53
Visuospatial deficit
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
Page 21
New code
799.54
Psychomotor deficit
New code
799.55
Frontal lobe and executive function deficit
New code
799.59
Other signs and symptoms involving cognition
799.8 Other ill-defined conditions 799.82
Apparent life threatening event in infant
Add
Code first confirmed diagnosis, if known
Revise
Use additional code(s) for associated signs and symptoms if no confirmed diagnosis established, or if signs and symptoms are not associated routinely with confirmed diagnosis, or provide additional information for cause of ALTE
Delete
Excludes: signs and symptoms associated with a confirmed diagnosis- code to confirmed diagnosis 17. INJURY AND POISONING (800-999)
Add
Use additional code for retained foreign body, if applicable, V90.01V90.9) 836
Dislocation of knee 836.5 Other dislocation of knee, closed 836.51
Anterior dislocation of tibia, proximal end Posterior dislocation of femur, distal end, closed
836.52
Posterior dislocation of tibia, proximal end Anterior dislocation of femur, distal end, closed
Revise
Revise
836.6 Other dislocation of knee, open 836.61 Add
Anterior dislocation of tibia, proximal end Posterior dislocation of femur, distal end, open
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
Page 22
836.62 Add
Posterior dislocation of tibia, proximal end Anterior dislocation of femur, distal end, open
SPRAINS AND STRAINS OF JOINTS AND ADJACENT MUSCLES (840-848) Revise Includes: Revise Revise Revise Revise Revise Revise 970
avulsion of joint capsule, ligament, muscle, tendon hemarthrosis of joint capsule, ligament, muscle, tendon laceration of joint capsule, ligament, muscle, tendon rupture of joint capsule, ligament, muscle, tendon sprain of joint capsule, ligament, muscle, tendon strain of joint capsule, ligament, muscle, tendon tear of joint capsule, ligament, muscle, tendon Poisoning by central nervous system stimulants 970.8 Other specified central nervous system stimulants
New code
970.81
Cocaine Crack
New code
970.89
Other central nervous system stimulants
TOXIC EFFECTS OF SUBSTANCES CHIEFLY NONMEDICINAL AS TO SOURCE (980-989) Add Add Add
Use additional code to identify: personal history of retained foreign body fully removed (V15.53) retained foreign body status, if applicable (V90.01-V90.9) 992
Effects of heat and light 992.0 Heat stroke and sunstroke
Add Add Add
Use additional code(s) to identify any associated complication of heat stroke, such as: alterations of consciousness (780.01-780.09) systemic inflammatory response syndrome (995.93-995.94)
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
Page 23
995 Revise
Delete Delete Delete Delete Delete Delete Delete
Certain adverse effects not elsewhere classified 995.2 Other and unspecified adverse effect of drug, medicinal and biological substance (due) to correct medicinal substance properly administered Adverse effect to correct medicinal substance properly administered Allergic reaction to correct medicinal substance properly administered Hypersensitivity to correct medicinal substance properly administered Idiosyncrasy due to correct medicinal substance properly administered Drug: hypersensitivity NOS reaction NOS 995.20
Unspecified adverse effect of unspecified drug, medicinal and biological substance Unspecified adverse effect of unspecified medicinal substance properly administered
995.27
Other drug allergy Allergic reaction NEC (due) to correct medical substance properly administered Hypersensitivity (due) to correct medical substance properly administered
995.29
Unspecified adverse effect of other drug, medicinal and biological substance Unspecified adverse effect of medicinal substance NEC properly administered
Add
Add Add
Add
995.9 Systemic inflammatory response syndrome (SIRS) 995.94
Add
Systemic inflammatory response syndrome due to non- infectious process with acute organ dysfunction
Code first underlying conditions, such as: heat stroke (992.0)
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
Page 24
998 Add
Excludes: fluid overload due to transfusion (blood) (276.61) TACO (276.61) transfusion associated circulatory overload (276.61) 999
Revise Delete Delete
Other complications of procedures, not elsewhere classified
Complications of medical care, not elsewhere classified 999.6 ABO incompatibility reaction due to transfusion of blood or blood products Incompatible blood transfusion Reaction to blood group incompatibility in infusion or transfusion
New code
999.60
New code
999.61
New code
999.62
New code
999.63
ABO incompatibility reaction, unspecified ABO incompatible blood transfusion NOS Reaction to ABO incompatibility from transfusion NOS ABO incompatibility with hemolytic transfusion reaction not specified as acute or delayed ABO incompatibility with hemolytic transfusion reaction at unspecified time after transfusion Hemolytic transfusion reaction (HTR) due to ABO incompatibility ABO incompatibility with acute hemolytic transfusion reaction ABO incompatibility with hemolytic transfusion reaction less than 24 hours after transfusion Acute hemolytic transfusion reaction (AHTR) due to ABO incompatibility ABO incompatibility with delayed hemolytic transfusion reaction ABO incompatibility with hemolytic transfusion reaction 24 hours or more after transfusion Delayed hemolytic transfusion reaction (DHTR) due to ABO incompatibility
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
Page 25
New code
Revise Delete
999.69
Other ABO incompatibility reaction Delayed serologic transfusion reaction (DSTR) from ABO incompatibility Other ABO incompatible blood transfusion Other reaction to ABO incompatibility from transfusion
999.7 Rh and other non-ABO incompatibility reaction due to transfusion of blood or blood products Reactions due to Rh factor in infusion or transfusion
New code
999.70
New code
999.71
New code
999.72
Rh incompatibility reaction, unspecified Reaction due to Rh factor in transfusion NOS Rh incompatible blood transfusion NOS Unspecified reaction due to incompatibility related to Rh antigens (C) (c) (D) (E) (e) Unspecified reaction to Rh incompatibility Rh incompatibility with hemolytic transfusion reaction not specified as acute or delayed Hemolytic transfusion reaction (HTR) due to Rh incompatibility HTR due to incompatibility related to Rh antigens (C) (c) (D) (E) (e), not specified as acute or delayed Rh incompatibility with hemolytic transfusion reaction at unspecified time after transfusion Rh incompatibility with acute hemolytic transfusion reaction Acute hemolytic transfusion reaction (AHTR) due to Rh incompatibility AHTR due to incompatibility related to Rh antigens (C) (c) (D) (E) (e) Rh incompatibility with hemolytic transfusion reaction less than 24 hours after transfusion
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
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New code
999.73
New code
999.74
New code
999.75
New code
999.76
Rh incompatibility with delayed hemolytic transfusion reaction Delayed hemolytic transfusion reaction (DHTR) due to Rh incompatibility DHTR due to incompatibility related to Rh antigens (C) (c) (D) (E) (e) Rh incompatibility with hemolytic transfusion reaction 24 hours or more after transfusion Other Rh incompatibility reaction Delayed serologic transfusion reaction (DSTR) from Rh incompatibility Other reaction due to incompatibility related to Rh antigens (C) (c) (D) (E) (e) Other reaction to Rh incompatible blood transfusion Non-ABO incompatibility reaction, unspecified Non-ABO incompatible blood transfusion NOS Reaction to non-ABO antigen incompatibility from transfusion NOS Unspecified reaction due to incompatibility related to minor antigens (Duffy) (Kell) (Kidd) (Lewis) (M) (N) (P) (S) Non-ABO incompatibility with hemolytic transfusion reaction not specified as acute or delayed Hemolytic transfusion reaction (HTR) due to non-ABO incompatibility HTR from incompatibility related to minor antigens (Duffy) (Kell) (Kidd) (Lewis) (M) (N) (P) (S) Non-ABO incompatibility with hemolytic transfusion reaction at unspecified time after transfusion
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
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New code
999.77
New code
999.78
New code
999.79
Non-ABO incompatibility with acute hemolytic transfusion reaction Acute hemolytic transfusion reaction (AHTR) due to non-ABO incompatibility AHTR from incompatibility related to minor antigens (Duffy) (Kell) (Kidd) (Lewis) (M) (N) (P) (S) Non-ABO incompatibility with hemolytic transfusion reaction less than 24 hours after transfusion Non-ABO incompatibility with delayed hemolytic transfusion reaction Delayed hemolytic transfusion reaction (DHTR) due to non-ABO incompatibility DHTR from incompatibility related to minor antigens (Duffy) (Kell) (Kidd) (Lewis) (M) (N) (P) (S) Non-ABO incompatibility with hemolytic transfusion reaction 24 hours or more after transfusion Other non-ABO incompatibility reaction Delayed serologic transfusion reaction (DSTR) from non-ABO incompatibility Other non-ABO incompatible blood transfusion Other reaction due to incompatibility related to minor antigens (Duffy) (Kell) (Kidd) (Lewis) (M) (N) (P) (S) Other reaction to non-ABO incompatibility from transfusion
Revise
999.8 Other and unspecified infusion and transfusion reaction
Add Add
Excludes: ABO incompatibility reactions (999.60-999.69) febrile nonhemolytic transfusion reaction (FNHTR) (780.66) hemochromatosis due to repeated red blood cell transfusions (275.02) non-ABO incompatibility reactions (999.70-999.79) posttransfusion purpura (287.41) Rh incompatibility reactions (999.70-999.74) transfusion associated circulatory overload (TACO) (276.61)
Add Add Add Add Add
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
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New code
999.80
New code
999.83
New code
999.84
New code
999.85
999.89 Delete Add
Transfusion reaction, unspecified Incompatible blood transfusion NOS Reaction to blood group incompatibility in infusion or transfusion NOS Hemolytic transfusion reaction, incompatibility unspecified Hemolytic transfusion reaction (HTR) with antigen incompatibility unspecified, not specified as acute or delayed HTR with incompatibility unspecified at unspecified time after transfusion Acute hemolytic transfusion reaction, incompatibility unspecified Acute hemolytic transfusion reaction (AHTR) with antigen incompatibility unspecified AHTR, incompatibility unspecified Delayed hemolytic transfusion reaction, incompatibility unspecified Delayed hemolytic transfusion reaction (DHTR) with antigen incompatibility unspecified DHTR, incompatibility unspecified Other transfusion reaction Transfusion reaction NOS Delayed serologic transfusion reaction (DSTR), incompatibility unspecified
Revise section heading SUPPLEMENTARY CLASSIFICATION OF FACTORS INFLUENCING HEALTH STATUS AND CONTACT WITH HEALTH SERVICES (V01-V90)
Revise
V07
Add
Excludes: long-term (current) (prophylactic) use of certain specific drugs (V58.61-V58.69)
Revise
Need for isolation and other prophylactic or treatment measures
V07.5 Prophylactic uUse of agents affecting estrogen receptors and estrogen levels
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
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Revise
V07.51
Prophylactic uUse of selective estrogen receptor modulators (SERMs) Prophylactic uUse of:
Revise Revise
V07.52
Prophylactic uUse of aromatase inhibitors Prophylactic uUse of:
Revise
V07.59
Prophylactic uUse of other agents affecting estrogen receptors and estrogen levels Prophylactic uUse of:
Revise
Revise Revise
V07.8 Other specified prophylactic or treatment measure
Revise
V07.9 Unspecified prophylactic or treatment measure V10
Personal history of malignant neoplasm V10.5 Urinary organs
Add Add
Excludes: personal history of malignant carcinoid tumor (V10.91) personal history of malignant neuroendocrine tumor (V10.91) V11
New code
Personal history of mental disorder V11.4 Combat and operational stress reaction
V13
Personal history of other diseases V13.2 Other genital system and obstetric disorders
Revise New code
Excludes: habitual aborter recurrent pregnancy loss (646.3) V13.23
Personal history of vaginal dysplasia Personal history of conditions classifiable to 623.0
Excludes: personal history of malignant neoplasm of vagina (V10.44)
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
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New code
V13.24
Personal history of vulvar dysplasia Personal history of conditions classifiable to 624.01-624.02
Excludes: personal history of malignant neoplasm of vulva (V10.44) Revise
V13.6 Congenital (corrected) malformations
Revise
V13.61
Personal history of (corrected) hHypospadias
New code
V13.62
Personal history of other (corrected) congenital malformations of genitourinary system
New code
V13.63
Personal history of (corrected) congenital malformations of nervous system
New code
V13.64
Personal history of (corrected) congenital malformations of eye, ear, face and neck Corrected cleft lip and palate
New code
V13.65
Personal history of (corrected) congenital malformations of heart and circulatory system
New code
V13.66
Personal history of (corrected) congenital malformations of respiratory system
New code
V13.67
Personal history of (corrected) congenital malformations of digestive system
New code
V13.68
Personal history of (corrected) congenital malformations of integument, limbs, and musculoskeletal systems
Revise
V13.69
Personal history of other (corrected) congenital malformations
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
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V15
Other personal history presenting hazards to health V15.5 Injury
New code
V15.53
Personal history of retained foreign body fully removed
V15.8 Other specified personal history presenting hazards to health V15.89 Revise
Other
Excludes: contact with and (suspected) ) exposure to otherpotentially other potentially hazardous substances (V87.39) V23
Supervision of high-risk pregnancy V23.2 Pregnancy with history of abortion
Revise
Excludes: habitual aborter recurrent pregnancy loss: V25
Encounter for contraceptive management
Revise
V25.1 Encounter for insertion or removal of intrauterine contraceptive device
Add
Excludes: encounter for routine checking of intrauterine contraceptive device (V25.42)
New code
V25.11
Encounter for insertion of intrauterine contraceptive device
New code
V25.12
Encounter for removal of intrauterine contraceptive device
New code
V25.13
Encounter for removal and reinsertion of intrauterine contraceptive device Encounter for replacement of intrauterine contraceptive device
V25.4 Surveillance of previously prescribed contraceptive methods ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
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Delete
Excludes: presence of intrauterine contraceptive device as incidental finding (V45.5) V25.42
Revise
Add
Intrauterine contraceptive device Checking, reinsertion, or removal of intrauterine device
Excludes: insertion or removal of intrauterine contraceptive device (V25.11-V25.13) presence of intrauterine contraceptive device as incidental finding (V45.5)
Add
V26
Procreative management V26.3 Genetic counseling and testing V26.32
Other genetic testing of female
Revise
Use additional code to identify habitual aborter recurrent pregnancy loss (629.81, 646.3)
Revise
V26.35
V45
Encounter for testing of male partner of habitual aborter female with recurrent pregnancy loss
Other postprocedural states V45.0 Cardiac device in situ V45.01
Add
Excludes: cardiac defibrillator with synchronous cardiac pacemaker (V45.02) V45.02
Add
Cardiac pacemaker
Automatic implantable cardiac defibrillator With synchronous cardiac pacemaker
V45.5 Presence of contraceptive device Delete
Excludes: checking, reinsertion, or removal of device (V25.42) complication from device (996.32) insertion of device (V25.1)
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
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V45.51 Add Add Add
Intrauterine contraceptive device
Excludes: checking of device (V25.42) complication from device (996.32) insertion and removal of device (V25.11V25.13) V45.7 Acquired absence of organ V45.79
Add
Other acquired absence of organ
Excludes: acquired absence of pancreas (V88.11-V88.12) V46
Other dependence on machines and devices V46.3 Wheelchair dependence Code first cause of dependence, such as: obesity (278.00-278.03)
Revise V49
Other conditions influencing health status V49.8 Other specified conditions influencing health status
New code
V49.86
Do not resuscitate status
New code
V49.87
Physical restraints status
Excludes: restraint due to a procedure – omit code V53
Fitting and adjustment of other device V53.3 Cardiac device V53.31
Add
Excludes: automatic implantable cardiac defibrillator with synchronous cardiac pacemaker (V53.32) V53.32
Add
Cardiac pacemaker
Automatic implantable cardiac defibrillator With synchronous cardiac pacemaker
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
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V55 Revise
Attention to artificial openings
Excludes: complications of external stoma (519.00-519.09, 569.60569.69, 997.4, 997.5) V58
Encounter for other and unspecified procedures and aftercare V58.6 Long-term (current) drug use Long-term (current) prophylactic drug use
Add Revise
Excludes: prophylactic use of agents affecting estrogen receptors and estrogen levels (V07.51-V07.59) V62
Other psychosocial circumstances V62.8 Other psychological or physical stress, not elsewhere classified
New code
V62.85 V76
Homicidal ideation
Special screening for malignant neoplasms V76.5 Intestine V76.51
Add V85
Colon Screening colonoscopy NOS
Body mass index (BMI) V85.4 Body Mass Index 40 and over, adult
New code New code New code New code New code
V85.41 V85.42 V85.43 V85.44 V85.45 V87
Body Mass Index 40.0-44.9, adult Body Mass Index 45.0-49.9, adult Body Mass Index 50.0-59.9, adult Body Mass Index 60.0-69.9, adult Body Mass Index 70 and over, adult
Other specified personal exposures and history presenting hazards to health V87.3 Contact with and (suspected) exposure to other potentially hazardous substances
Add
Excludes: personal history of retained foreign body fully removed (V15.53)
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
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V88 New subcategory
Acquired absence of other organs and tissue V88.1 Acquired absence of pancreas Use additional code to identify any associated: insulin use (V58.67) secondary diabetes mellitus (249.00-249.91)
New code
V88.11
Acquired total absence of pancreas Acquired absence of pancreas NOS
New code
V88.12
Acquired partial absence of pancreas
New Section New Category
RETAINED FOREIGN BODY (V90) V90
Retained foreign body Embedded fragment (status) Embedded splinter (status) Retained foreign body status
Excludes: artificial joint prosthesis status (V43.60-V43.69) foreign body accidentally left during a procedure (998.4) foreign body entering through orifice (930.0-939.9) in situ cardiac devices (V45.00-V45.09) organ or tissue replaced by other means (V43.0-V43.89) organ or tissue replaced by transplant (V42.0-V42.9) personal history of retained foreign body removed (V15.53) superficial foreign body (splinter) (categories 910-917 and 919 with 4th character 6 or 7, 918.0) New subcategory New code New code
New subcategory
V90.0 Retained radioactive fragment V90.01 Retained depleted uranium fragments V90.09 Other retained radioactive fragments Other retained depleted isotope fragments Retained nontherapeutic radioactive fragments V90.1 Retained metal fragments Excludes: retained radioactive metal fragments (V90.01-V90.09)
New code
V90.10
New code New code
V90.11 V90.12
Retained metal fragments, unspecified Retained metal fragment NOS Retained magnetic metal fragments Retained nonmagnetic metal fragments
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
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New code
V90.2 Retained plastic fragments Acrylics fragments Diethylhexylphthalates fragments Isocyanate fragments V90.3 Retained organic fragments V90.31 Retained animal quills or spines V90.32 Retained tooth V90.33 Retained wood fragments V90.39 Other retained organic fragments V90.8 Other specified retained foreign body V90.81 Retained glass fragments V90.83 Retained stone or crystalline fragments Retained concrete or cement fragments V90.89 Other specified retained foreign body V90.9 Retained foreign body, unspecified material
New subcategory New code New code New code New code New subcategory New code New code New code New code
New Section New category
MULTIPLE GESTATION PLACENTA STATUS (V91) V91
Multiple gestation placenta status
Code first multiple gestation (651.0-651.9) New subcategory
V91.0 Twin gestation placenta status
New code
V91.00
New code
V91.01
New code
V91.02
New code
V91.03
New code
V91.09
New subcategory
Twin gestation, unspecified number of placenta, unspecified number of amniotic sacs Twin gestation, monochorionic/monoamniotic (one placenta, one amniotic sac) Twin gestation, monochorionic/diamniotic (one placenta, two amniotic sacs) Twin gestation, dichorionic/diamniotic (two placentae, two amniotic sacs) Twin gestation, unable to determine number of placenta and number of amniotic sacs
V91.1 Triplet gestation placenta status
New code
V91.10
New code
V91.11
Triplet gestation, unspecified number of placenta and unspecified number of amniotic sacs Triplet gestation, with two or more monochorionic fetuses
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New code
V91.12
New code
V91.19
New subcategory
V91.2 Quadruplet gestation placenta status
New code
V91.20
New code
V91.21
New code
V91.22
New code
V91.29
New subcategory
Triplet gestation, with two or more monoamniotic fetuses Triplet gestation, unable to determine number of placenta and number of amniotic sacs
Quadruplet gestation, unspecified number of placenta and unspecified number of amniotic sacs Quadruplet gestation, with two or more monochorionic fetuses Quadruplet gestation, with two or more monoamniotic fetuses Quadruplet gestation, unable to determine number of placenta and number of amniotic sacs
V91.9 Other specified multiple gestation placenta status Placenta status for multiple gestations greater than quadruplets
New code
V91.90
New code
V91.91
New code
V91.92
New code
V91.99
Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs Other specified multiple gestation, with two or more monochorionic fetuses Other specified multiple gestation, with two or more monoamniotic fetuses Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs
E000 External cause status New code
E000.2
Volunteer activity
Excludes: activity of child or other family member assisting in compensated work of other family member (E000.8) E000.8 Add Delete
Other external cause status Activity of child or other family member assisting in compensated work of other family member Volunteer activity
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
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E017 Activities involving roller coasters and other types of external motion Revise
E017.0
Roller coaster riding
TRANSPORT ACCIDENTS (E800-E848) Definitions and examples related to transport accidents (q) pedestrian conveyance is any human powered device by which a pedestrian may move other than by walking or by which a walking person may move another pedestrian. Add Revise
Revise
Includes: motorized mobility scooter wheelchair (electric)
PLACE OF OCCURRENCE (E849)
E865 Accidental poisoning from poisonous foodstuffs and poisonous plants Revise
Excludes: anaphylactic shock due to adverse food reaction (995.60995.69) E884 Other fall from one level to another E884.3
Add Add
Fall from wheelchair Fall from motorized mobility scooter Fall from motorized wheelchair
E885 Fall on same level from slipping, tripping, or stumbling E885.0 Add
Fall from (nonmotorized) scooter
Excludes: fall from motorized mobility scooter (E884.3)
ICD-9-CM DIAGNOSIS TABULAR ADDENDA OCTOBER 1, 2010
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