Final ’10 ICD-9-CM Codes Released

New, revised and invalid diagnosis and procedure codes effective Oct. 1, 2009 have been finalized. An updated list of ICD-9-CM codes was posted on the Centers for Medicare & Medicaid Services (CMS) Web site June 10. Several codes included in the update were not listed in the Inpatient Prospective Payment System (IPPS) proposed rule for 2010, but will appear in the final rule.

The following new and revised ICD-9-CM diagnosis and procedure codes were not finalized in time to include in the proposed rule, but will be implemented on Oct. 1.

New diagnosis codes:

209.75 Secondary Merkel cell carcinoma
V10.90 Personal history of unspecified malignant neoplasm

New procedure codes:

17.70 Intravenous infusion of clofarabine
38.24 Intravascular imaging of coronary vessel(s) by optical coherence tomography [OCT]
38.25 Intravascular imaging of non-coronary vessel(s) by optical coherence tomography [OCT]

Revised diagnosis code:

453.2 Other venous embolism and thrombosis of inferior vena cava

Revised procedure codes:

00.57 Implantation or replacement of subcutaneous device for intracardiac or great vessel
              hemodynamic monitoring
39.90 Insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s)

As we reported in the last issue of EdgeBlast, 488 was deleted to put in place new flu codes to better capture H1N1 (Swine) flu cases in response to the recent flu outbreak.

488 Influenza due to identified avian influenza virus

The complete list of new, revised and invalid codes that go into effect Oct. 1 is available on the CMS Web site. The final addendum providing complete information on changes to the diagnosis part of ICD-9-CM is posted on the CDC Web site.


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8 Responses to “Final ’10 ICD-9-CM Codes Released”

  1. gina tassinari says:

    I tried to get the updated from the CMS website, but the file does not open up in a readble format even after winziping it and opening in adobe. I have registered a comment with CMS informing htem of this. has anyone else experienced this or have you been able to open the file? Will the revision list be availble on AAPC’s website anytime soon?

  2. Kamna Gupta says:

    Hi Gina,
    I clicked on the CMS Web site (highlighted in this article) and it was there. I am able to read it.

  3. Carol Courtney says:


    Was able to get right to the area on Medicare through the link provided, although I found I had to click on the first web site. The last web site in the paragraph came up with an error.

  4. Barbara says:

    I clicked on the link in this article and it took me right to it. Of course they are PDF files. You need Adobe to be able to read these files

  5. eesterle says:

    I could not open the file on the IDC-9 updates either.

  6. DHaller says:

    It could be the Adobe version you have. You may need to update it.

  7. TPainton says:

    I’ve always have had trouble with the winzip on CMS. My company has compllained also.

  8. SBOUCHARD says:

    It would be a big help and a courtesy to its members if AAPC would put the 2010 ICD 9 updates on their website. The winzip on CMS is too difficult.

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