Take a Look at the New, Revised and Invalid ICD-9 Codes

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  • May 17, 2010
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The Centers for Medicare & Medicaid Services (CMS) has posted on its website new, revised and invalid diagnosis and procedure codes that will go into effect Oct. 1.

New Codes

Beginning in October, you’ll have 122 new diagnosis codes and 12 new procedure codes from which to choose. A large portion of the diagnosis codes are in the “V” code section, which describe a “supplementary classification of factors influencing health status and contact with health services,” according to the ICD-9 manual.
“They’ve expanded the body mass index (BMI) codes to demonstrate higher BMIs with five new codes,” notes Barbara J. Cobuzzi, MBA, CPC, CPC-H, CPC-P, CENTC, CHCC, with CRN Healthcare Solutions in Tinton Falls, N.J.
“Whereas in the past, you had just one V code to represent a BMI index over 40 (V85.4), the new edition of ICD-9 will offer additional categories, ranging from a BMI of 40.0 to 44.9 (V85.41) through a BMI of 70 and over (V85.45),” reports Part B Insider editor Torrey Kim, CPC.
Of the 12 new procedure codes, nine are in the 39.x range, and describe sinus-related procedures.

Invalid Codes

Eleven diagnosis codes and one procedure code will become invalid, effective Oct. 1.
Invalid diagnosis codes:
275.0 Disorders of iron metabolism
276.6 Fluid overload
287.4 Secondary thrombocytopenia
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
Invalid procedure code:
39.8 Operations on carotid body, carotid sinus and other vascular bodies

Revised Codes

Ten diagnosis and three procedure code descriptions are being revised. Revised diagnosis code descriptions include one under the 629 Other disorders of female genital organs category and three under the 646 Early or threatened labor category.
Preview the complete list of new, revised and invalid ICD-9 codes due out this fall on the CMS website.

No Responses to “Take a Look at the New, Revised and Invalid ICD-9 Codes”

  1. Nancy Haverlack says:

    Will we ever see a code for Hypertensive Emergency (or crisis)?

  2. Tamiko Cruz says:

    So in regards to the changes within Medicaid:
    With ICD-9 V25.1 encounter for cotraceptive management: insertion or removal of an intrauterine device.
    What code would be acceptable to use in place of V25.1.
    Any advice would be helpful as nothing is coming to mind at this time.

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