ICD 9 CM CHANGES EFFECTIVE OCTOBER 1 2010

Effective October 1 2010 International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) will contain 130 newly added ICD codes, 13 deleted codes and 16 revised codes. The new, deleted and revised codes are listed below

New ICD 9 CM codes w.e.f Oct 1 2010

ICD codes & its Descriptions

237.73 Schwannomatosis
237.79* Other neurofibromatosis
275.01 Hereditary hemochromatosis
275.02 Hemochromatosis due to repeated red blood cell transfusions
275.03 Other hemochromatosis
275.09 Other disorders of iron metabolism
276.61 Transfusion associated circulatory overload
276.69 Other fluid overload
278.03 Obesity hypoventilation syndrome
287.41 Posttransfusion purpura
287.49 Other secondary thrombocytopenia
315.35* Childhood onset fluency disorder
447.7 Aortic ectasia, unspecified site
447.71 Thoracic aortic ectasia
447.72 Abdominal aortic ectasia
447.73 Thoracoabdominal aortic ectasia
488.01* Influenza due to identified avian influenza virus with pneumonia
488.02* Influenza due to identified avian influenza virus with other respiratory manifestations
488.09* Influenza due to identified avian influenza virus with other manifestations
488.11* Influenza due to identified novel H1N1 influenza virus with pneumonia
488.12* Influenza due to identified novel H1N1 influenza virus with other respiratory manifestations
488.19* Influenza due to identified novel H1N1 influenza virus with other manifestations
560.32 Fecal impaction
724.03 Spinal stenosis, lumbar region, with neurogenic claudication
752.31 Agenesis of uterus
752.32 Hypoplasia of uterus
752.33 Unicornuate uterus
752.34 Bicornuate uterus
752.35 Septate uterus
752.36 Arcuate uterus
752.39 Other anomalies of uterus
752.43 Cervical agenesis
752.44 Cervical duplication
752.45 Vaginal agenesis
752.46 Transverse vaginal septum
752.47 Longitudinal vaginal septum
780.33 Post traumatic seizures
780.66 Febrile nonhemolytic transfusion reaction
784.52* Fluency disorder in conditions classified elsewhere
784.92 Jaw pain
786.3 Hemoptysis, unspecified
786.31 Acute idiopathic pulmonary hemorrhage in infants [AIPHI]
786.39 Other hemoptysis
787.6 Full incontinence of feces
787.61 Incomplete defecation
787.62 Fecal smearing
787.63 Fecal urgency
799.51 Attention or concentration deficit
799.52 Cognitive communication deficit
799.53 Visuospatial deficit
799.54 Psychomotor deficit
799.55 Frontal lobe and executive function deficit
799.59 Other signs and symptoms involving cognition
970.81 Poisoning by cocaine
970.89 Poisoning by other central nervous system stimulants
999.6 ABO incompatibility reaction, unspecified
999.61 ABO incompatibility with hemolytic transfusion reaction not specified as acute or delayed
999.62 ABO incompatibility with acute hemolytic transfusion reaction
999.63 ABO incompatibility with delayed hemolytic transfusion reaction
999.69 Other ABO incompatibility reaction
999.7 Rh incompatibility reaction, unspecified
999.71 Rh incompatibility with hemolytic transfusion reaction not specified as acute or delayed
999.72 Rh incompatibility with acute hemolytic transfusion reaction
999.73 Rh incompatibility with delayed hemolytic transfusion reaction
999.74 Other Rh incompatibility reaction
999.75 Non-ABO incompatibility reaction, unspecified
999.76 Non-ABO incompatibility with hemolytic transfusion reaction not specified as acute or delayed
999.77 Non-ABO incompatibility with acute hemolytic transfusion reaction
999.78 Non-ABO incompatibility with delayed hemolytic transfusion reaction
999.79 Other non-ABO incompatibility reaction
999.8 Transfusion reaction, unspecified
999.83 Hemolytic transfusion reaction, incompatibility unspecified
999.84 Acute hemolytic transfusion reaction, incompatibility unspecified
999.85 Delayed hemolytic transfusion reaction, incompatibility unspecified
E000.2 Volunteer activity
V11.4 Personal history of combat and operational stress reaction
V13.23 Personal history of vaginal dysplasia
V13.24 Personal history of vulvar dysplasia
V13.62 Personal history of other (corrected) congenital malformations of genitourinary system
V13.63 Personal history of (corrected) congenital malformations of nervous system
V13.64 Personal history of (corrected) congenital malformations of eye, ear, face and neck
V13.65 Personal history of (corrected) congenital malformations of heart and circulatory system
V13.66 Personal history of (corrected) congenital malformations of respiratory system
V13.67 Personal history of (corrected) congenital malformations of digestive system
V13.68**Personal history of (corrected) congenital malformations of integument, limbs, andmusculoskeletal systems
V15.53 Personal history of retained foreign body fully removed
V25.11 Encounter for insertion of intrauterine contraceptive device
V25.12 Encounter for removal of intrauterine contraceptive device
V25.13 Encounter for removal and reinsertion of intrauterine contraceptive device
V49.86 Do not resuscitate status
V49.87* Physical restraints status
V62.85 Homicidal ideation
V85.41 Body Mass Index 40.0-44.9, adult
V85.42 Body Mass Index 45.0-49.9, adult
V85.43 Body Mass Index 50.0-59.9, adult
V85.44 Body Mass Index 60.0-69.9, adult
V85.45 Body Mass Index 70 and over, adult
V88.11 Acquired total absence of pancreas
V88.12 Acquired partial absence of pancreas
V90.01 Retained depleted uranium fragments
V90.09 Other retained radioactive fragments
V90.10 Retained metal fragments, unspecified
V90.11 Retained magnetic metal fragments
V90.12 Retained nonmagnetic metal fragments
V90.2 Retained plastic fragments
V90.31 Retained animal quills or spines
V90.32 Retained tooth
V90.33 Retained wood fragments
V90.39 Other retained organic fragments
V90.81 Retained glass fragments
V90.83 Retained stone or crystalline fragments
V90.89 Other specified retained foreign body
V90.9 Retained foreign body, unspecified material
V91.00 Twin gestation, unspecified number of placenta, unspecified number of amniotic sacs
V91.01 Twin gestation, monochorionic/monoamniotic (one placenta, one amniotic sac)
V91.02 Twin gestation, monochorionic/diamniotic (one placenta, two amniotic sacs)
V91.03 Twin gestation, dichorionic/diamniotic (two placentae, two amniotic sacs)
V91.09 Twin gestation, unable to determine number of placenta and number of amniotic sacs
V91.10 Triplet gestation, unspecified number of placenta and unspecified number of amniotic sacs
V91.11 Triplet gestation, with two or more monochorionic fetuses
V91.12 Triplet gestation, with two or more monoamniotic fetuses
V91.19 Triplet gestation, unable to determine number of placenta and number of amniotic sacs
V91.20 Quadruplet gestation, unspecified number of placenta and unspecified number of amniotic sacs
V91.21 Quadruplet gestation, with two or more monochorionic fetuses
V91.22 Quadruplet gestation, with two or more monoamniotic fetuses
V91.29 Quadruplet gestation, unable to determine number of placenta and number of amniotic sacs
V91.90 Other specified multiple gestation, unspecified number of placenta and unspecifiednumber of amniotic sacs
V91.91 Other specified multiple gestation, with two or more monochorionic fetuses
V91.92 Other specified multiple gestation, with two or more monoamniotic fetuses
V91.99 Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs

Invalid ICD 9 CM codes w.e.f Oct 1 2010

275 Disorders of iron metabolism
276.6 Fluid overload
287.4 Secondary thrombocytopenia
488.0* Influenza due to identified avian influenza virus
488.1* Influenza due to identified novel H1N1 influenza virus
752.3 Other anomalies of uterus
786.3 Hemoptysis
787.6 Incontinence of feces
970.8 Poisoning by other specified central nervous system stimulants
999.6 ABO incompatibility reaction
999.7 Rh incompatibility reaction
V25.1 Encounter for insertion of intrauterine contraceptive device
V85.4 Body Mass Index 40 and over, adult

Revised ICD 9 CM codes w.e.f Oct 1 2010

307.0* Adult onset fluency disorder
629.81 Recurrent pregnancy loss without current pregnancy
646.3 Recurrent pregnancy loss, unspecified as to episode of care or not applicable
646.31 Recurrent pregnancy loss, delivered, with or without mention of antepartum condition
646.33 Recurrent pregnancy loss, antepartum condition or complication
724.02 Spinal stenosis, lumbar region, without neurogenic claudication
781.8 Neurologic neglect syndrome
E017.0 Roller coaster riding
V07.51* Use of selective estrogen receptor modulators (SERMs)
V07.52* Use of aromatase inhibitors
V07.59* Use of other agents affecting estrogen receptors and estrogen levels
V07.8* Other specified prophylactic or treatment measure
V07.9* Unspecified prophylactic or treatment measure
V13.61 Personal history of (corrected) hypospadias
V13.69 Personal history of other (corrected) congenital malformations
V26.35 Encounter for testing of male partner of female with recurrent pregnancy loss

Please note:

* These diagnosis codes were discussed at the March 9-10, 2010 ICD-9-CM Coordination and Maintenance Committee meeting and were not finalized in time to include in the proposed rule. However, they will be implemented on October 1, 2010.

**The code title has changed from the proposed rule.

References: www.cdc.gov/nchs/icd9.htm

http://www.cms.gov/ICD9ProviderDiagnosticCodes/07_summarytables.asp#TopOfPage

If you wish to see last year ICD 9 CM changes please visit http://codingahead.blogspot.com/2009/09/2010-icd-9-cm-new-revised-and-deleted.html