ICD Diagnosis Code Changes Effective 10/1/09 - Health Care Commentaries - Somerset CPAs, Indianapolis, Indiana Spring 2005

Diagnosis Codes

It is already time to think about implementing the diagnosis coding changes that take effect October 1, 2009. The changes are noted below.

New Diagnosis Codes

Diagnosis Code

Description

209.31

Merkel cell carcinoma of the face

209.32

Merkel cell carcinoma of the scalp and neck

209.33

Merkel cell carcinoma of the upper limb

209.34

Merkel cell carcinoma of the lower limb

209.35

Merkel cell carcinoma of the trunk

209.36

Merkel cell carcinoma of other sites

209.70

Secondary neuroendocrine tumor, unspecified site

209.71

Secondary neuroendocrine tumor of distant lymph nodes

209.72

Secondary neuroendocrine tumor of liver

209.73

Secondary neuroendocrine tumor of bone

209.74

Secondary neuroendocrine tumor of peritoneum

209.75

Secondary Merkel cell carcinoma

209.79

Secondary neuroendocrine tumor of other sites

239.81

Neoplasms of unspecified nature, retina and choroid

239.89

Neoplasms of unspecified nature, other specified sites

274.00

Gouty arthropathy, unspecified

274.01

Acute gouty arthropathy

274.02

Chronic gouty arthropathy without mention of tophus (tophi)

274.03

Chronic gouty arthropathy with tophus (tophi)

277.88

Tumor lysis syndrome

279.41

Autoimmune lymphoproliferative syndrome

279.49

Autoimmune disease, not elsewhere classified

285.3

Antineoplastic chemotherapy induced anemia

348.81

Temporal sclerosis

348.89

Other conditions of brain

359.71

Inclusion body myositis

359.79

Other inflammatory and immune myopathies, NEC

372.06

Acute chemical conjunctivitis

416.2

Chronic pulmonary embolism

438.13

Late effects of cerebrovascular disease, dysarthria

438.14

Late effects of cerebrovascular disease, fluency disorder

453.50

Chronic venous embolism and thrombosis of unspecified deep vessels of lower extremity

453.51

Chronic venous embolism and thrombosis of deep vessels of proximal lower extremity

453.52

Chronic venous embolism and thrombosis of deep vessels of distal lower extremity

453.6

Venous embolism and thrombosis of superficial vessels of lower extremity

453.71

Chronic venous embolism and thrombosis of superficial veins of upper extremity

453.72

Chronic venous embolism and thrombosis of deep veins of upper extremity

453.73

Chronic venous embolism and thrombosis of upper extremity, unspecified

453.74

Chronic venous embolism and thrombosis of axillary veins

453.75

Chronic venous embolism and thrombosis of subclavian veins

453.76

Chronic venous embolism and thrombosis of internal jugular veins

453.77

Chronic venous embolism and thrombosis of other thoracic veins

453.79

Chronic venous embolism and thrombosis of other specified veins

453.81

Acute venous embolism and thrombosis of superficial veins of upper extremity

453.82

Acute venous embolism and thrombosis of deep veins of upper extremity

453.83

Acute venous embolism and thrombosis of upper extremity, unspecified

453.84

Acute venous embolism and thrombosis of axillary veins

453.85

Acute venous embolism and thrombosis of subclavian veins

453.86

Acute venous embolism and thrombosis of internal jugular veins

453.87

Acute venous embolism and thrombosis of other thoracic veins

453.89

Acute venous embolism and thrombosis of other specified veins

488.0

Influenza due to identified avian influenza virus

488.1

Influenza due to identified novel H1N1 influenza virus

569.71

Pouchitis

569.79

Other complications of intestinal pouch

569.87

Vomiting of fecal matter

621.34

Benign endometrial hyperplasia

621.35

Endometrial intraepithelial neoplasia [EIN]

670.10

Puerperal endometritis, unspecified as to episode of care or not applicable

670.12

Puerperal endometritis, delivered, with mention of postpartum complication

670.14

Puerperal endometritis, postpartum condition or complication

670.20

Puerperal sepsis, unspecified as to episode of care or not applicable

670.22

Puerperal sepsis, delivered, with mention of postpartum complication

670.24

Puerperal sepsis, postpartum condition or complication

670.30

Puerperal septic thrombophlebitis, unspecified as to episode of care or not applicable

670.32

Puerperal septic thrombophlebitis, delivered, with mention of postpartum complication

670.34

Puerperal septic thrombophlebitis, postpartum condition or complication

670.80

Other major puerperal infection, unspecified as to episode of care or not applicable

670.82

Other major puerperal infection, delivered, with mention of postpartum complication

670.84

Other major puerperal infection, postpartum condition or complication

756.72

Omphalocele

756.73

Gastroschisis

768.70

Hypoxic-ischemic encephalopathy, unspecified

768.71

Mild hypoxic-ischemic encephalopathy

768.72

Moderate hypoxic-ischemic encephalopathy

768.73

Severe hypoxic-ischemic encephalopathy

779.31

Feeding problems in newborn

779.32

Bilious vomiting in newborn

779.33

Other vomiting in newborn

779.34

Failure to thrive in newborn

784.42

Dysphonia

784.43

Hypernasality

784.44

Hyponasality

784.51

Dysarthria

784.59

Other speech disturbance

787.04

Bilious emesis

789.7

Colic

793.82

Inconclusive mammogram

799.21

Nervousness

799.22

Irritability

799.23

Impulsiveness

799.24

Emotional lability

799.25

Demoralization and apathy

799.29

Other signs and symptoms involving emotional state

799.82

Apparent life threatening event in infant

813.46

Torus fracture of ulna (alone)

813.47

Torus fracture of radius and ulna

832.2

Nursemaid's elbow

969.00

Poisoning by antidepressant, unspecified

969.01

Poisoning by monoamine oxidase inhibitors

969.02

Poisoning by selective serotonin and norepinephrine reuptake inhibitors

969.03

Poisoning by selective serotonin reuptake inhibitors

969.04

Poisoning by tetracyclic antidepressants

969.05

Poisoning by tricyclic antidepressants

969.09

Poisoning by other antidepressants

969.70

Poisoning by psychostimulant, unspecified

969.71

Poisoning by caffeine

969.72

Poisoning by amphetamines

969.73

Poisoning by methylphenidate

969.79

Poisoning by other psychostimulants

995.24

Failed moderate sedation during procedure

V10.90

Personal history of unspecified malignant neoplasm

V10.91

Personal history of malignant neuroendocrine tumor

V15.52

Personal history of traumatic brain injury

V15.80

Personal history of failed moderate sedation

V15.83

Personal history of underimmunization status

V20.31

Health supervision for newborn under 8 days old

V20.32

Health supervision for newborn 8 to 28 days old

V26.42

Encounter for fertility preservation counseling

V26.82

Encounter for fertility preservation procedure

V53.50

Fitting and adjustment of intestinal appliance and device

V53.51

Fitting and adjustment of gastric lap band

V53.59

Fitting and adjustment of other gastrointestinal appliance and device

V60.81

Foster care (status)

V60.89

Other specified housing or economic circumstances

V61.07

Family disruption due to death of family member

V61.08

Family disruption due to other extended absence of family member

V61.23

Counseling for parent-biological child problem

V61.24

Counseling for parent-adopted child problem

V61.25

Counseling for parent (guardian)-foster child problem

V61.42

Substance abuse in family

V72.60

Laboratory examination, unspecified

V72.61

Antibody response examination

V72.62

Laboratory examination ordered as part of a routine general medical examination

V72.63

Pre-procedural laboratory examination

V72.69

Other laboratory examination

V80.01

Special screening for traumatic brain injury

V80.09

Special screening for other neurological conditions

V87.32

Contact with and (suspected) exposure to algae bloom

V87.43

Personal history of estrogen therapy

V87.44

Personal history of inhaled steroid therapy

V87.45

Personal history of systemic steroid therapy

V87.46

Personal history of immunosuppressive therapy

 Revised Diagnosis Codes for 2010

Diagnosis Code

Description

453.2

Other venous embolism and thrombosis of inferior vena cava

453.40

Acute venous embolism and thrombosis of unspecified deep vessels of lower extremity

453.41

Acute venous embolism and thrombosis of deep vessels of proximal lower extremity

453.42

Acute venous embolism and thrombosis of deep vessels of distal lower extremity

572.2

Hepatic encephalopathy

584.5

Acute kidney failure with lesion of tubular necrosis

584.6

Acute kidney failure with lesion of renal cortical necrosis

584.7

Acute kidney failure with lesion of renal medullary [papillary] necrosis

584.8

Acute kidney failure with other specified pathological lesion in kidney

584.9

Acute kidney failure, unspecified

639.3

Kidney failure following abortion and ectopic and molar pregnancies

669.30

Acute kidney failure following labor and delivery, unspecified as to episode of care or not applicable

669.32

Acute kidney failure following labor and delivery, delivered, with mention of postpartum complication

669.34

Acute kidney failure following labor and delivery, postpartum condition or complication

670.00

Major puerperal infection, unspecified, unspecified as to episode of care or not applicable

670.02

Major puerperal infection, unspecified, delivered, with mention of postpartum complication

670.04

Major puerperal infection, unspecified, postpartum condition or complication

757.6

Specified congenital anomalies of breast

772.0

Fetal blood loss affecting newborn

776.9

Unspecified hematological disorder specific to newborn

784.40

Voice and resonance disorder, unspecified

784.49

Other voice and resonance disorders

793.0

Nonspecific (abnormal) findings on radiological and other examination of skull and head

793.1

Nonspecific (abnormal) findings on radiological and other examination of lung field

793.2

Nonspecific (abnormal) findings on radiological and other examination of other intrathoracic organs

793.3

Nonspecific (abnormal) findings on radiological and other examination of biliary tract

793.4

Nonspecific (abnormal) findings on radiological and other examination of gastrointestinal tract

793.5

Nonspecific (abnormal) findings on radiological and other examination of genitourinary organs

793.6

Nonspecific (abnormal) findings on radiological and other examination of abdominal area, including retroperitoneum

793.7

Nonspecific (abnormal) findings on radiological and other examination of musculoskeletal system

793.89

Other (abnormal) findings on radiological examination of breast

793.99

Other nonspecific (abnormal) findings on radiological and other examination of body structure

813.45

Torus fracture of radius (alone)

996.43

Broken prosthetic joint implant

E876.5

Performance of wrong operation (procedure) on correct patient

V15.06

Allergy to insects and arachnids

V15.84

Personal history of contact with and (suspected) exposure to asbestos

V15.85

Personal history of contact with and (suspected) exposure to potentially hazardous body fluids

V15.86

Personal history of contact with and (suspected) exposure to lead

V57.3

Care involving speech-language therapy

V61.29

Other parent-child problems

V65.11

Pediatric pre-birth visit for expectant parent(s)

Invalid Diagnosis Codes for 2010

Diagnosis Code

Description

239.8

Neoplasm of unspecified nature of other specified sites

274.0

Gouty arthropathy

279.4

Autoimmune disease, not elsewhere classified

348.8

Other conditions of brain

453.8

Other venous embolism and thrombosis of other specified veins

488

Influenza due to identified avian influenza virus

768.7

Hypoxic-ischemic encephalopathy (HIE)

779.3

Feeding problems in newborn

784.5

Other speech disturbance

799.2

Nervousness

969.0

Poisoning by antidepressants

969.7

Poisoning by psychostimulants

V10.9

Unspecified personal history of malignant neoplasm

V53.5

Fitting and adjustment of other intestinal appliance

V60.8

Other specified housing or economic circumstances

V72.6

Laboratory examination

V80.0

Special screening for neurological conditions

Please contact us with any questions.


Health Care Commentaries is provided by Somerset’s Health Care Team for our clients and other interested persons upon request. Since technical information is presented in generalized fashion, no final conclusion on these topics should be made without further review. For additional information on the issues discussed, please contact a member of our Health Care Team. This document is not intended or written to be used, and cannot be used, for the purpose of avoiding tax penalties that may be imposed on the taxpayer.

Somerset CPAs, P.C.
3925 River Crossing Parkway, Third Floor
Indianapolis, Indiana 46240
317.472.2200 • 800.469.7206 • FAX 317.208.1200
www.SomersetHealthCareTeam.com

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