ICD-9 Changes for 2006 : ICD-9 Changes for 2006 Julie A. Leu, CPC
Billing Compliance Coordinator
September 27, 2005
Changes to ICD-9 for 2006 : Changes to ICD-9 for 2006 Effective October 1, 2005
ICD-10 still “in the wings”
Updates are available at:
http://www.IngenixOnline.com
http://www.cdc.gov/nchs/datawh/ftp serv/ftpicd9/ftpicd9.htm
Summary of Changes for 2006 : Summary of Changes for 2006 173 New diagnosis codes
14 New category or subcategory titles
28 Revised diagnosis code titles
April 2005 revisions to Guidelines have been incorporated.
Summary of Changes to the Coding Guidelines : Summary of Changes to the Coding Guidelines Conventions, general coding guidelines and chapter-specific guidelines
Addition of V Code Table
Principal or first listed
First or additional
Additional only
Changes to ICD-9 for 2006 : Changes to ICD-9 for 2006 New Code
259.5 Androgen insensitivity syndrome
276.5 (Volume depletion) has been expanded to require a 5th digit:
276.50 Volume depletion, unspecified
276.51 Dehydration
276.52 Hypovolemia
Changes to ICD-9 for 2006 : Changes to ICD-9 for 2006 New Code
278.02 Overweight
287.3 has been expanded to 5th digit
287.30 Primary thrombocytopenia, unspecified
287.31 Immune thrombocytopenic purpura
287.32 Evans’ syndrome
287.33 Congenital and hereditary thrombocytopenic purpura
287.39 Other primary thrombocytopenia
Changes to ICD-9 for 2006 : Changes to ICD-9 for 2006 New Codes
291.82 Alcohol induced sleep disorders
292.85 Drug induced sleep disorders
New Category, subcategories, and codes for Organic sleep disorder
New Category: Organic Sleep Disorders : New Category: Organic Sleep Disorders 327.0 Organic disorders of initiating and maintaining sleep (Organic insomnia)
327.00 Organic insomnia, unspecified
327.01 Insomnia due to medical condition classified elsewhere
327.02 Insomnia due to mental disorder
327.09 Other organic insomnia
New Subcategory Under Organic Sleep Disorders : New Subcategory Under Organic Sleep Disorders 327.1 Organic disorders of excessive somnolence
327.10 Organic hypersomnia, unspecified
327.11 Idiopathic hypersomnia with long sleep time
327.12 Idiopathic hypersomnia without long sleep time
327.14 Hypersomnia due to medical condition classified elsewhere
327.15 Hypersomnia due to mental disorder
327.19 Other organic hypersomnia
New Subcategory Under Organic Sleep Disorders : New Subcategory Under Organic Sleep Disorders 327.2 Organic sleep apnea
327.20 Organic sleep apnea, unspecified
327.21 Primary central sleep apnea
327.22 High altitude periodic breathing
327.23 Obstructive sleep apnea (adult) (pediatric)
327.24 Idiopathic sleep related nonobstructive alveolar hypoventilation
New Subcategory Under Organic Sleep Disorders : New Subcategory Under Organic Sleep Disorders 327.2 Organic sleep apnea, con’t.
327.25 Congenital central alveolar hypoventilation syndrome
327.26 Sleep related hypoventilation/ hypoxemia in conditions classified elsewhere
327.27 Central sleep apnea in conditions classified elsewhere
327.29 Other organic sleep apnea
New Subcategory Under Organic Sleep Disorders : New Subcategory Under Organic Sleep Disorders 327.3 Circadian rhythm sleep disorder
327.30 Circadian rhythm sleep disorder, unspecified
327.31 Circadian rhythm sleep disorder, delayed sleep phase type
327.32 Circadian rhythm sleep disorder, advanced sleep phase type
327.33 Circadian rhythm sleep disorder, irregular sleep-wake type
New Subcategory Under Organic Sleep Disorders : New Subcategory Under Organic Sleep Disorders 327.3 Circadian rhythm sleep disorder,con’t
327.34 Circadian rhythm sleep disorder, free-running type
327.35 Circadian rhythm sleep disorder, jet lag type
327.36 Circadian rhythm sleep disorder, shift work type
327.37 Circadian rhythm sleep disorder in conditions classified elsewhere
327.39 Other circadian rhythm sleep disorder
New Subcategory Under Organic Sleep Disorders : New Subcategory Under Organic Sleep Disorders 327.4 Organic parasomnia
327.40 Organic parasomnia, unspecified
327.41 Confusional arousals
327.42 REM sleep behavior disorder
327.43 Recurrent isolated sleep paralysis
327.44 Parasomnia in conditions classified elsewhere
327.49 Other organic parasomnia
New Subcategory Under Organic Sleep Disorders : New Subcategory Under Organic Sleep Disorders 327.5 Organic sleep related movement disorders
327.51 Periodic limb movement disorder
327.52 Sleep related leg cramps
327.53 Sleep related bruxism
327.59 Other organic sleep related movement disorders
327.8 Other organic sleep disorders
New Codes in Diabetic Retinopathy Subcategory : New Codes in Diabetic Retinopathy Subcategory 362.03 Nonproliferative diabetic retinopathy NOS
362.04 Mild nonproliferative diabetic retinopathy
362.05 Moderate nonproliferative diabetic retinopathy
362.06 Severe nonproliferative diabetic retinopathy
362.07 Diabetic macular edema
Instructional note added
Changes to ICD-9 for 2006 : Changes to ICD-9 for 2006 Change in nomenclature throughout the 403 and 404 sections.
“renal” disease changed to “kidney” disease”
“renal failure” changed to “chronic kidney disease”
Changes to ICD-9 for 2006 : Changes to ICD-9 for 2006 New Codes:
426.82 Long QT syndrome
443.82 Erythromelalgia
Changes to ICD-9 for 2006 : Changes to ICD-9 for 2006 New Subcategory: 525.4 Complete edentulism
525.40 Complete edentulism, unspecified
525.41 Complete edentulism, class I
525.42 Complete edentulism, class II
525.43 Complete edentulism, class III
525.44 Complete edentulism, class IV
Changes to ICD-9 for 2006 : Changes to ICD-9 for 2006 New Subcategory: 525.5 Partial edentulism
525.50 Partial edentulism, unspecified
525.51 Partial edentulism, class I
525.52 Partial edentulism, class II
525.53 Partial edentulism, class III
525.54 Partial edentulism, class IV
Changes to ICD-9 for 2006 : Changes to ICD-9 for 2006 567.2 Other suppurative peritonitis, has been expanded to require a fifth digit:
567.21 Peritonitis (acute) generalized
567.22 Peritoneal abscess
567.23 Spontaneous bacterial peritonitis
567.29 Other suppurative peritonitis
Changes to ICD-9 for 2006 : Changes to ICD-9 for 2006 567.3 Retroperitoneal infections, has been expanded to require a fifth digit:
567.31 Psoas muscle abscess
567.38 Other retroperitoneal abscess
567.39 Other retroperitoneal infections
Changes to ICD-9 for 2006 : Changes to ICD-9 for 2006 567.8 Other specified retroperitonitis, has been expanded to require a fifth digit:
567.81 Choleperitonitis
567.82 Sclerosing mesenteritis
567.89 Other specified peritonitis
Changes to ICD-9 for 2006 : Changes to ICD-9 for 2006 585 Revised from “Chronic renal failure” to “Chronic kidney disease” and has been expanded to require a forth digit:
585.1 Chronic kidney disease, Stage I
585.2 Chronic kidney disease, Stage II (mild)
585.3 Chronic kidney disease, Stage III (moderate)
Changes to ICD-9 for 2006 : Changes to ICD-9 for 2006 585 Revised from “Chronic renal failure” to “Chronic kidney disease” and has been expanded to require a fourth digit:
585.4 Chronic kidney disease, Stage IV (severe)
585.5 Chronic kidney disease, Stage V
585.6 End stage renal disease
585.9 Chronic kidney disease, unspecified
Changes to ICD-9 for 2006 : Changes to ICD-9 for 2006 599.6 “Urinary obstruction” has been expanded to require a fifth digit:
599.60 Urinary obstruction, unspecified
599.69 Urinary obstruction, not otherwise specified
Changes to ICD-9 for 2006 : Changes to ICD-9 for 2006 651.7 “Multiple gestation following (elective) fetal reduction” has been expanded to require a fifth digit:
651.70 Multiple gestation . . . unspecified as to episode of care or not applicable
651.71 Multiple gestation . . . delivered, with or without mention of antepartum condition
651.73 Multiple gestation . . . antepartum condition or complication
Changes to ICD-9 for 2006 : Changes to ICD-9 for 2006 New Codes:
760.77 Noxious influences affecting fetus or newborn via placenta or breast milk, Anticonvulsants
760.78 Noxious influences affecting fetus or newborn via placenta or breast milk, Antimetabolic agents
763.84 Meconium passage during delivery
Changes to ICD-9 for 2006 : Changes to ICD-9 for 2006 770.1 Revised from “Meconium aspiration syndrome” to “Fetal and newborn aspiration” and has been expanded to require a fifth digit:
770.10 Fetal and newborn aspiration, unspecified
770.11 Meconium aspiration without respiratory symptoms
770.12 Meconium aspiration with respiratory symptoms
770.13 Aspiration of clear amniotic fluid without respiratory symptoms
Changes to ICD-9 for 2006 : Changes to ICD-9 for 2006 770.14 Aspiration of clear amniotic fluid with respiratory symptoms
770.15 Aspiration of blood without respiratory symptoms
770.16 Aspiration of blood with respiratory symptoms
770.17 Other fetal and newborn aspiration without respiratory symptoms
Changes to ICD-9 for 2006 : Changes to ICD-9 for 2006 770.18 Other fetal and newborn aspiration with respiratory symptoms
770.85 Aspiration of postnatal stomach contents without respiratory symptoms
770.86 Aspiration of postnatal stomach contents with respiratory symptoms
779.84 Meconium staining
Changes to ICD-9 for 2006 : Changes to ICD-9 for 2006 In addition to codes in the 327.XX classification, codes in the 780.5 subclassification for signs and symptoms of insomnia have been changed in their description.
Correction: Code 780.50 was mistakenly omitted from ICD-9 for 2006. It is a valid code and reports:
“Sleep disturbance, unspecified”
780.95 Other excessive crying
Changes to ICD-9 for 2006 : Changes to ICD-9 for 2006 799.0 Subcategory descriptor revised to “Asphyxia and hypoxemia” and has been expanded to require a fifth digit:
799.01 Asphyxia
799.02 Hypoxemia
Changes to ICD-9 for 2006 : Changes to ICD-9 for 2006 996.4 “Mechanical complication of internal orthopedic device, implant, and graft” has been expanded to require a fifth digit:
996.40 Unspecified complication . . .
996.41 Mechanical loosening of prosthetic joint
996.42 Dislocation of prosthetic joint
996.43 Prosthetic joint implant failure
Changes to ICD-9 for 2006 : Changes to ICD-9 for 2006 996.44 Peri-prosthetic fracture around prosthetic joint
996.45 Peri-prosthetic osteolysis
996.46 Articular bearing surface wear of prosthetic joint
996.47 Other mechanical complication of prosthetic joint implant
996.49 Other mechanical complication of other internal orthopedic device, implant, and graft
Changes to ICD-9 for 2006 V Code Changes : Changes to ICD-9 for 2006 V Code Changes V12.42 Personal history of Infections of the central nervous system
V12.60 Personal history of Unspecified disease of respiratory system
V12.61 Personal history of Pneumonia (recurrent)
V12.69 Personal history of Other diseases of respiratory system
Changes to ICD-9 for 2006 V Code Changes : Changes to ICD-9 for 2006 V Code Changes V13.02 Personal history of Urinary (tract) infection
V13.03 Personal history of nephrotic syndrome
V15.88 Personal history of, History of fall
V17.81 Family history of, Osteoporosis
V17.89 Family history of, Other musculoskeletal diseases
V18.9 Family history of, Genetic disease carrier
Changes to ICD-9 for 2006 V Code Changes : Changes to ICD-9 for 2006 V Code Changes V26.31 Testing for genetic disease carrier status
V26.32 Other genetic testing
V26.33 Genetic counseling
V46.13 Encounter for weaning from respirator [ventilator]
V46.14 Mechanical complication of respirator [ventilator]
Changes to ICD-9 for 2006 V Code Changes : Changes to ICD-9 for 2006 V Code Changes V49.84 Bed confinement status
V58.1 subcategory descriptor revised and expanded to require a fifth digit:
V58.11 Encounter for antineoplastic chemotherapy
V58.12 Encounter for antineoplastic immunotherapy
Changes to ICD-9 for 2006 V Code Changes : Changes to ICD-9 for 2006 V Code Changes New subcategory requiring fifth digit, V59.7 Donors, Egg (oocyte) (ovum)
V59.70 Egg . . . Donor, unspecified
V59.71 Egg . . . Donor, under age 35, anonymous recipient
V59.72 Egg . . . Donor, under age 35, designated recipient
V59.73 Egg . . . Donor, age 35 and over, anonymous recipient
V59.74 Egg . . . Donor, age 35 and over, designated recipient
Changes to ICD-9 for 2006 V Code Changes : Changes to ICD-9 for 2006 V Code Changes V62.84 Suicidal ideation
V64.0 subcategory descriptor revised and expanded to require a fifth digit, Vaccination not carried out . . .
V64.00 . . . unspecified reason”
V64.01 . . . because of acute illness”
V64.02 . . . because of chronic illness or condition”
V64.03 . . . because of immune compromised state”
Changes to ICD-9 for 2006 V Code Changes : Changes to ICD-9 for 2006 V Code Changes V64.0 subcategory descriptor revised and expanded to require a fifth digit, “Vaccination not carried out . . .
V64.04 . . . because of allergy to vaccine or component”
V64.05 . . . because of caregiver refusal”
V64.06 . . . because of patient refusal”
V64.07 . . . for religious reasons”
V64.08 . . . because patient had disease being vaccinated against”
V64.09 . . . for other reason”
Changes to ICD-9 for 2006 V Code Changes : Changes to ICD-9 for 2006 V Code Changes V69.5 Behavioral insomnia of childhood
V72.4 Pregnancy examination or test, positive result
V72.86 Encounter for blood typing
Changes to ICD-9 for 2006 V Code Changes : Changes to ICD-9 for 2006 V Code Changes New V Code category to report Body Mass Index
V85.0 Body Mass Index
V85.0 through V85.4 vary from four digit to five digit codes and report BMI from 19 to 40 and over, adult
Slide45 :
Thank you!