2009 Q4 Code Updates

 Index The ICD updates were posted to the system on October 1, 2009.  There were a total of 16 codes removed from the system, and 142 new codes added.  Deleted codes were removed from the ICD Favorites list automatically, and were also removed from any active patients with those diagnoses in their current Dx list (since bills created with the outdated diagnoses will be invalid after 9/30).  A total of 57 new entries were also added to the ICD Favorites list for all groups.  Administrators should review the list of deleted and new codes for any additional adjustments they may want to make to their ICD Favorites list.

One change potentially worth noting relates to ICD codes for influenza.  488 has been replaced with 488.0 ("
Influeza Due To Identified Avian Influenza Virus") and 488.1 ("Influeza Due To Identified Novel H1N1 Influenza Virus") in order to more precisely identify H1N1 diagnoses versus other types of avian influenza.

Deleted Codes
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
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New Codes
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, Unspec Deep Vessels Of Lower Extremity
453.51 Chronic Venous Embolism And Thrombosis, Deep Vessels Of Proximal Lower Extremity
453.52 Chronic Venous Embolism And Thrombosis, Deep Vessels Of Distal Lower Extremity
453.6  Venous Embolism And Thrombosis, Superficial Vessels Of Lower Extremity
453.71 Chronic Venous Embolism And Thrombosis, Superficial Veins Of Upper Extremity
453.72 Chronic Venous Embolism And Thrombosis, Deep Veins Of Upper Extremity
453.73 Chronic Venous Embolism And Thrombosis, Upper Extremity, Unspecified
453.74 Chronic Venous Embolism And Thrombosis, Axillary Veins
453.75 Chronic Venous Embolism And Thrombosis, Subclavian Veins
453.76 Chronic Venous Embolism And Thrombosis, Internal Jugular Veins
453.77 Chronic Venous Embolism And Thrombosis, Other Thoracic Veins
453.79 Chronic Venous Embolism And Thrombosis, Other Specified Veins
453.81 Acute Venous Embolism And Thrombosis, Superficial Veins Of Upper Extremity
453.82 Acute Venous Embolism And Thrombosis, Deep Veins Of Upper Extremity
453.83 Acute Venous Embolism And Thrombosis, Upper Extremity, Unspecified
453.84 Acute Venous Embolism And Thrombosis, Axillary Veins
453.85 Acute Venous Embolism And Thrombosis, Subclavian Veins
453.86 Acute Venous Embolism And Thrombosis, Internal Jugular Veins
453.87 Acute Venous Embolism And Thrombosis, Other Thoracic Veins
453.89 Acute Venous Embolism And Thrombosis, Other Specified Veins
488.0  Influeza Due To Identified Avian Influenza Virus
488.1  Influeza 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, Unspec Episode Of Care Or Not Applicable
670.32 Puerperal Septic Thrombophlebitis, Delivered, W/ Postpartum Complication
670.34 Puerperal Septic Thrombophlebitis, Postpartum Condition Or Complication
670.80 Other Major Puerperal Infection, Unspec Episode Of Care Or Not Applicable
670.82 Other Major Puerperal Infection, Delivered, W/ 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
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Favorites Additions
Code Description
239.89 Neoplasms Of Unspec Nature, Other Specified Sites
274.00 Gouty Arthropathy, Unspec
274.01 Acute Gouty Arthropathy
274.02 Chronic Gouty Arthropathy w/o Mention Of Tophus (Tophi)
274.03 Chronic Gouty Arthropathy w/ Tophus (Tophi)
277.88 Tumor Lysis Syndrome
348.89 Other Conditions Of Brain
416.2  Chronic Pulmonary Embolism
416.2  Chronic PE
438.13 Late Effects Of Cerebrovascular Dz, Dysarthria
438.14 Late Effects Of Cerebrovascular Dz, Fluency Disorder
453.50 Chronic Venous Embolism & DVT, Unspec LE
453.51 Chronic Venous Embolism & DVT, Proximal LE
453.52 Chronic Venous Embolism & DVT, Distal LE
453.6  Venous Embolism & Thrombosis Of Superficial Vessels Of LE
453.71 Chronic Venous Embolism & Thrombosis Of Superficial V Of UE
453.72 Chronic Venous Embolism & DVT, UE
453.73 Chronic Venous Embolism & Thrombosis UE, Unspec
453.74 Chronic Venous Embolism & Thrombosis Of Axillary V
453.75 Chronic Venous Embolism & Thrombosis Of Subclavian V
453.76 Chronic Venous Embolism & Thrombosis Of Internal Jugular V
453.77 Chronic Venous Embolism & Thrombosis Of Other Thoracic V
453.79 Chronic Venous Embolism & Thrombosis Of Other Specified V
453.81 Acute Venous Embolism & Thrombosis Of Superficial V Of UE
453.82 Acute Venous Embolism & DVT, UE
453.83 Acute Venous Embolism & Thrombosis Of UE, Unspec
453.84 Acute Venous Embolism & Thrombosis Of Axillary V
453.85 Acute Venous Embolism & Thrombosis Of Subclavian V
453.86 Acute Venous Embolism & Thrombosis Of Internal Jugular V
453.87 Acute Venous Embolism & Thrombosis Of Other Thoracic V
453.89 Acute Venous Embolism & Thrombosis Of Other Specified V
488.0  Influeza
488.0  Flu
488.1  H1N1
768.70 Hypoxic-Ischemic Encephalopathy, Unspec
768.71 Mild Hypoxic-Ischemic Encephalopathy
768.72 Moderate Hypoxic-Ischemic Encephalopathy
768.73 Severe Hypoxic-Ischemic Encephalopathy
784.42 Dysphonia
784.51 Dysarthria
784.59 Other Speech Disturbance
787.04 Bilious Emesis
787.04 Vomiting, Bilious Entry
799.21 Nervousness
799.22 Irritability
799.23 Impulsiveness
799.24 Emotional Lability
799.25 Demoralization & Apathy
799.29 Other Signs & Symptoms Involving Emotional State
969.00 Poisoning By Antidepressant, Unspec
969.01 Poisoning By MAO Inhibitors
969.02 Poisoning By SSRI & NE Reuptake Inhib
969.03 Poisoning By SSRI
969.04 Poisoning By Tetracyclic Antidepressants
969.05 Poisoning By Tricyclic Antidepressants
969.09 Poisoning By Other Antidepressants
969.70 Poisoning By Psychostimulant, Unspec
969.72 Poisoning By Amphetamines
969.73 Poisoning By Methylphenidate/Ritalin
969.79 Poisoning By Other Psychostimulants
969.00 Overdose By Antidepressant, Unspec
969.01 Overdose By MAO Inhibitors
969.02 Overdose By SSRI & NE Reuptake Inhib
969.03 Overdose By SSRI
969.04 Overdose By Tetracyclic Antidepressants
969.05 Overdose By Tricyclic Antidepressants
969.09 Overdose By Other Antidepressants
969.70 Overdose By Psychostimulant, Unspec
969.72 Overdose By Amphetamines
969.73 Overdose By Methylphenidate/Ritalin
969.79 Overdose By Other Psychostimulants
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