2010 ICD-9-CM Standard for Physicians Volumes 1 & 2 International Classification of Diseases 9th Revision Clinical Modification Sixth Edition Edited by: Anita C. Hart, RHIA, CCS, CCS-P Melinda S. Stegman, MBA, CCS Beth Ford, RHIT, CCS Ingenix is committed to providing you with the ICD-9-CM code update information you need to code accurately and to be in compliance with HIPAA regulations. In case of adoption of additional ICD-9-CM code changes effective April 1, 2010, Ingenix will provide these code changes to you at no additional cost! Just check back at www.shopingenix.com/productalerts to review the latest information concerning any new code changes. Codes Valid October 1, 2009, through September 30, 2010 Index to Diseases Abnormal, abnormality, abnormalities © 2009 Ingenix wx Revised Text l New Line 2 Subterms under main terms may continue to next column or page s Revised Code Volume 2 — 1 AAT — Abnormal, abnormality, abnormalities S Additional Digit Required — Refer to the Tabular List for Digit Selection Index Ablation pituitary (gland) (with hypofunction) 253.7 AAT (alpha-1 antitrypsin) deficiency 273.4 placenta — see Placenta, ablatio AAV (disease) (illness) (infection) — see Human immunodefiuterus 621.8 ciency virus (disease) (illness) (infection) Ablepharia, ablepharon, ablephary 743.62 Abactio — see Abortion, induced Ablepsia — see Blindness Abactus venter — see Abortion, induced Ablepsy — see Blindness Abarognosis 781.99 Ablutomania 300.3 Abasia (-astasia) 307.9 Abnormal, abnormality, abnormalities — see also Anomaly atactica 781.3 acid-base balance 276.4 choreic 781.3 fetus or newborn — see Distress, fetal hysterical 300.11 adaptation curve, dark 368.63 paroxysmal trepidant 781.3 alveolar ridge 525.9 spastic 781.3 amnion 658.9 S trembling 781.3 affecting fetus or newborn 762.9 trepidans 781.3 anatomical relationship NEC 759.9 Abderhalden-Kaufmann-Lignac syndrome (cystinosis) 270.0 apertures, congenital, diaphragm 756.6 Abdomen, abdominal — see also condition auditory perception NEC 388.40 accordion 306.4 autosomes NEC 758.5 acute 789.0 S 13 758.1 angina 557.1 18 758.2 burst 868.00 21 or 22 758.0 convulsive equivalent (see also Epilepsy) 345.5 S D1 758.1 heart 746.87 E3 758.2 muscle deficiency syndrome 756.79 G 758.0 obstipum 756.79 ballistocardiogram 794.39 Abdominalgia 789.0 S basal metabolic rate (BMR) 794.7 periodic 277.31 biosynthesis, testicular androgen 257.2 Abduction contracture, hip or other joint — see Contraction, blood level (of) joint cobalt 790.6 Abercrombie’s syndrome (amyloid degeneration) 277.39 copper 790.6 Aberrant (congenital) — see also Malposition, congenital iron 790.6 adrenal gland 759.1 lead 790.6 blood vessel NEC 747.60 lithium 790.6 arteriovenous NEC 747.60 magnesium 790.6 cerebrovascular 747.81 mineral 790.6 gastrointestinal 747.61 zinc 790.6 lower limb 747.64 blood pressure renal 747.62 elevated (without diagnosis of hypertension) 796.2 spinal 747.82 low (see also Hypotension) 458.9 upper limb 747.63 reading (incidental) (isolated) (nonspecific) 796.3 breast 757.6 blood sugar 790.29 endocrine gland NEC 759.2 bowel sounds 787.5 gastrointestinal vessel (peripheral) 747.61 breathing behavior — see Respiration hepatic duct 751.69 caloric test 794.19 lower limb vessel (peripheral) 747.64 cervix (acquired) NEC 622.9 pancreas 751.7 congenital 752.40 parathyroid gland 759.2 in pregnancy or childbirth 654.6 S peripheral vascular vessel NEC 747.60 causing obstructed labor 660.2 S pituitary gland (pharyngeal) 759.2 affecting fetus or newborn 763.1 renal blood vessel 747.62 chemistry, blood NEC 790.6 sebaceous glands, mucous membrane, mouth 750.26 chest sounds 786.7 spinal vessel 747.82 chorion 658.9 S spleen 759.0 affecting fetus or newborn 762.9 testis (descent) 752.51 chromosomal NEC 758.89 thymus gland 759.2 analysis, nonspecific result 795.2 thyroid gland 759.2 autosomes (see also Abnormal, autosomes NEC) 758.5 upper limb vessel (peripheral) 747.63 fetal, (suspected) affecting management of pregnancy Aberratio 655.1 S lactis 757.6 sex 758.81 testis 752.51 clinical findings NEC 796.4 Aberration — see also Anomaly communication — see Fistula chromosome — see Anomaly, chromosome(s) configuration of pupils 379.49 distantial 368.9 coronary mental (see also Disorder, mental, nonpsychotic) 300.9 artery 746.85 Abetalipoproteinemia 272.5 vein 746.9 Abionarce 780.79 cortisol-binding globulin 255.8 Abiotrophy 799.89 course, Eustachian tube 744.24 Ablatio creatinine clearance 794.4 placentae — see Placenta, ablatio dentofacial NEC 524.9 retinae (see also Detachment, retina) 361.9 A Diseases of the Circulatory System 413.1–414.11 DISEASES OF THE CIRCULATORY SYSTEM 413.1 Prinzmetal angina Variant angina pectoris AHA: 3Q, ’06, 23 413.9 Other and unspecified angina pectoris Angina: Anginal syndrome NOS Status anginosus cardiac Stenocardia wequivalentx Syncope anginosa of effort wUse additional code(s) for symptoms associated with angina equivalentx 2 preinfarction angina (411.1) AHA: 2Q, ‘08, 16; 3Q, ‘02, 4; 3Q, ‘91, 16; 3Q, ‘90, 6 ' 414 Other forms of chronic ischemic heart disease 2 arteriosclerotic cardiovascular disease [ASCVD] (429.2) cardiovascular: arteriosclerosis or sclerosis (429.2) degeneration or disease (429.2) 413.1–414.11 k 414.0 Coronary atherosclerosis Arteriosclerotic heart disease [ASHD] Atherosclerotic heart disease Coronary (artery): arteriosclerosis arteritis or endarteritis atheroma sclerosis stricture Use additional code, if applicable, to identify chronic total occlusion of coronary artery (414.2) 2 embolism of graft (996.72) occlusion NOS of graft (996.72) thrombus of graft (996.72) AHA: 2Q, ‘97, 13; 2Q, ‘95, 17; 4Q, ‘94, 49; 2Q, ‘94, 13; 1Q, ‘94, 6; 3Q, ‘90, 7 y 414.00 Of unspecified type of vessel, native or graft AHA: 1Q, ‘04, 24; 2Q, ‘03, 16; 3Q, ‘01, 15; 4Q, ‘99, 4; 3Q, ‘97, 15; 4Q, ‘96, 31 y 414.01 Of native coronary artery AHA: 3Q, ’08, 10; 2Q, ‘08, 16; 3Q, ’06, 25; 4Q, ’05, 71; 2Q, ’04, 3; 4Q, ’03, 108; 3Q, ‘03, 9, 14; 3Q, ‘02, 4-9; 3Q, ‘01, 15; 2Q, ‘01, 8, 9; 3Q, ‘97, 15; 2Q, ‘96, 10; 4Q, ‘96, 31 y y y 414.02 Of autologous vein bypass graft 414.03 Of nonautologous biological bypass graft 414.04 Of artery bypass graft Internal mammary artery AHA: 4Q, ‘96, 31 y 414.05 Of unspecified type of bypass graft Bypass graft NOS AHA: 3Q, ‘97, 15; 4Q, ‘96, 31 414.06 Of native coronary artery of transplanted heart AHA: 4Q, ’03, 60; 4Q, ‘02, 53 414.07 Of bypass graft (artery) (vein) of transplanted heart y k 414.1 Aneurysm and dissection of heart AHA: 4Q, ‘02, 54 414.10 Aneurysm of heart (wall) Aneurysm (arteriovenous): mural ventricular 414.11 Aneurysm of coronary vessels Aneurysm (arteriovenous) of coronary vessels AHA: 3Q, ‘03, 10; 1Q, ‘99, 17 8 Newborn: 0 232 – Volume 1 • October 2009 9 Pediatric: 0-17 x Maternity: 12-55 y Adult: 15-124 © 2009 Ingenix DISEASES OF THE CIRCULATORY SYSTEM 414.12–416.1 414.19 Other aneurysm of heart Arteriovenous fistula, acquired, of heart 414.2 Chronic total occlusion of coronary artery Complete occlusion of coronary artery Total occlusion of coronary artery Code first coronary atherosclerosis (414.00-414.07) 2 acute coronary occlusion with myo- cardial infarction (410.00-410.92) acute coronary occlusion without myocardial infarction (411.81) AHA: 4Q, ’07, 82 414.3 Coronary atherosclerosis due to lipid rich plaque Code first coronary atherosclerosis (414.00-414.07) AHA: 4Q, ’08, 113 414.8 Other specified forms of chronic ischemic heart disease Chronic coronary insufficiency Ischemia, myocardial (chronic) Any condition classifiable to 410 specified as chronic, or presenting with symptoms after 8 weeks from date of infarction 2 coronary insufficiency (acute) (411.89) Diseases of the Circulatory System 414.12 Dissection of coronary artery AHA: 3Q, ‘01, 15; 1Q, ‘92, 10; 3Q, ‘90, 7, 15; 2Q, ‘90, 19 414.9 Chronic ischemic heart disease, unspecified Ischemic heart disease NOS DISEASES OF PULMONARY CIRCULATION (415-417) ' 415 Acute pulmonary heart disease 415.0 Acute cor pulmonale 2 cor pulmonale NOS (416.9) k 415.1 Pulmonary embolism and infarction 414.12–416.1 Pulmonary (artery) (vein): apoplexy embolism infarction (hemorrhagic) thrombosis 2 w chronic pulmonary embolism (416.2) personal history of pulmonary embolism (V12.51) x that complicating: abortion (634-638 with .6, 639.6) ectopic or molar pregnancy (639.6) pregnancy, childbirth, or the puerperium (673.0-673.8) AHA: 4Q, ‘90, 25 415.11 Iatrogenic pulmonary embolism and infarction Use additional code for associated septic pulmonary embolism, if applicable, 415.12 AHA: 4Q, ‘95, 58 415.12 Septic pulmonary embolism Septic embolism NOS Code first underlying infection, such as: septicemia (038.0-038.9) 2 septic arterial embolism (449) AHA: 4Q, ‘07, 84-86 415.19 Other ' 416 Chronic pulmonary heart disease 416.0 Primary pulmonary hypertension Idiopathic pulmonary arteriosclerosis Pulmonary hypertension (essential) (idiopathic) (primary) 416.1 Kyphoscoliotic heart disease ' k Additional Digit Required Other Specified Code © 2009 Ingenix Manifestation Code Unspecified Code wx Revised Text l New Code s Revised Code Title October 2009 • Volume 1 – 233 V CODES V19.1–V21.9 V Codes V19.1 Other eye disorders V19.2 Deafness or hearing loss V19.3 Other ear disorders V19.4 Skin conditions V19.5 Congenital anomalies V19.6 Allergic disorders V19.7 Consanguinity V19.8 Other condition PERSONS ENCOUNTERING HEALTH SERVICES IN CIRCUMSTANCES RELATED TO REPRODUCTION AND DEVELOPMENT (V20-V29) ' V20 Health supervision of infant or child V20.0 Foundling V20.1 Other healthy infant or child receiving care Medical or nursing care supervision of healthy infant in cases of: maternal illness, physical or psychiatric socioeconomic adverse condition at home too many children at home preventing or interfering with normal care u6 u6 AHA: 1Q, ‘00, 25; 3Q, ‘89, 14 u6 AHA: w1Q, ’09, 15;x 1Q, ’04, 15 l k V20.3 Newborn health supervision Health check for child under 29 days old health check for child over 28 days old (V20.2) V20.31 Health supervision for newborn under 8 days old Health check for newborn under 8 days old V20.32 Health supervision for newborn 8 to 28 days old Health check for newborn 8 to 28 days old Newborn weight check 2 l l u8 u8 ' V21 Constitutional states in development t t t V21.0 Period of rapid growth in childhood V21.1 Puberty V21.2 Other adolecsence k V21.3 Low birth weight status 2 history of perinatal problems AHA: 4Q, ‘00, 51 t t t t t t t t V21.30 Low birth weight status, unspecified V21.31 Low birth weight status, less than 500 grams V21.32 Low birth weight status, 500-999 grams V21.33 Low birth weight status, 1000-1499 grams V21.34 Low birth weight status, 1500-1999 grams V21.35 Low birth weight status, 2000-2500 grams V21.8 Other specified constitutional states in development V21.9 Unspecified constitutional state in development ' k Additional Digit Required Other Specified Code © 2009 Ingenix Manifestation Code Unspecified Code wx Revised Text l New Code s Revised Code Title October 2009 • Volume 1 – 587 V19.1–V21.9 V20.2 Routine infant or child health check Developmental testing of infant or child wHealth check for child over 28 days oldx Immunizations appropriate for age Routine vision and hearing testing Use additional code(s) to identify: special screening examination(s) performed (V73.0-V82.9) 2 whealth check for child under 29 days old (V20.31-V20.32) newborn health supervision (V20.31-V20.32)x special screening for developmental handicaps (V79.3)