ICD-9-CM Changes, Effective Oct. 1

Additional changes have been made to ICD-9-CM. The Centers for Disease Control and Prevention (CDC) have finalized the addition, revision or deletion of several diagnosis codes, as was discussed at the March 9-10 ICD-9-CM Coordination and Maintenance Committee meeting.

Here is a key to the changes:

(N) = new
(R) = revised
(D) = deleted

New text in revised codes is underlined. Deleted text in revised codes is crossed out.

ICD-9-CM changes that go into effect Oct. 1 are:

Neoplasms: Neoplasm of Uncertain Behavior of Endocrine Glands and Nervous System

(N) 237.79 Other neurofibromatosis

Rationale: This code joins 237.73 Schwannomatosis as a new code effective Oct. 1. Neurofibromatosis (NF) describes a set of distinct genetic disorders that cause tumors to grow along certain nerves. NF also can affect the development of non-nervous tissues such as bones and skin and is recognized in ICD-9-CM by subcategory 237.7 Neurofibromatosis. There is fifth digit specification for type 1 (von Recklinghausen’s disease) and type 2 (acoustic neurofibromatosis). Schwannomatosis (237.73) recently was recognized as a distinct (although rare) form of NF, in which patients have multiple Schwannomas on cranial, spinal, and peripheral nerves; however, they do not develop vestibular tumors and do not go deaf as in the type 2 NF.

The American Academy of Neurology recommended the new code for “other” neurofibromatosis to be reported with 237.79 (NOT 237.78).

Special Symptoms or Syndromes, Not Elsewhere Classified

(R) 307.0 Stuttering Adult onset fluency disorder

Rationale: Code descriptors have been modified to distinguish adult onset fluency disorder, childhood onset fluency disorder (see new code 315.35), and fluency disorder subsequent to brain lesion or disease (such as neurologic disorders or late effects of traumatic brain injury—see new code 784.52 below). Codes 307.0 and 315.35 include stuttering and/or cluttering, as explained by new “includes” notes in the ICD-9-CM tabular listing. Continue to report fluency disorder as a late effect of cerebrovascular accident with 438.14 Late effects of cerebrovascular disease, fluency disorder.

These revisions, supported by the American Speech-Language-Hearing Association (ASHA) and the American Psychiatric Association (APA), better capture the nature and description of fluency disorder.

Specific Delays in Development: Speech or Language Disorder

(N) 315.35 Childhood onset fluency disorder

Rationale: Code descriptors have been modified to distinguish adult onset fluency disorder (see revised code 307.0), childhood onset fluency disorder, and fluency disorder subsequent to brain lesion or disease (such as neurologic disorders or late effects of traumatic brain injury—see new code 784.52 below). Codes 307.0 and 315.35 include stuttering and/or cluttering, as explained by new “includes” notes in the ICD-9-CM tabular listing. Continue to report fluency disorder as a late effect of cerebrovascular accident with 438.14. These revisions, supported by the American Speech-Language-Hearing Association (ASHA) and the American Psychiatric Association (APA), better capture the nature and description of fluency disorder.

Influenza Due to Certain Identified Influenza Viruses

(D) 488.0 Influenza due to identified avian influenza virus

(N) 488.01 Influenza due to identified avian influenza virus with pneumonia

(N) 488.02 Influenza due to identified avian influenza virus with other respiratory manifestations

(N) 488.09 Influenza due to identified avian influenza virus with other manifestations

(D) 488.1 Influenza due to identified novel H1N1 influenza virus

(N) 488.11 Influenza due to identified novel H1N1 influenza virus with pneumonia

(N) 488.12 Influenza due to identified novel H1N1 influenza virus with other respiratory manifestations

(N) 488.19 Influenza due to identified novel H1N1 influenza virus with other manifestations

Rationale: Codes 488.0 and 488.1 do not provide additional code specification under category 487 Influenza. Codes 488.0 and 488.1 were expanded to match the codes at 487. This allows for greater specificity and consistent coding of all forms of influenza with pneumonia. A review also has occurred for all ICD-9-CM tabular instructional notes related to categories 487 and 488.

Symptoms Involving Head and Neck: Other Speech Disturbance

784.52 Fluency disorder in conditions classified elsewhere

Rationale: Code descriptors have been modified to distinguish adult onset fluency disorder (revised code 307.0), childhood onset fluency disorder (new code 315.35), and fluency disorder subsequent to brain lesion or disease such as neurologic disorders or late effects of traumatic brain injury (784.52). Fluency disorder as a late effect of cerebrovascular accident continues to be reported 438.14. These revisions, supported by the American Speech-Language-Hearing Association (ASHA) and the American Psychiatric Association (APA), better capture the nature and description of fluency disorder.

Need for Isolation and Other Prophylactic or Treatment Measures

(R) V07.51 Prophylactic uUse of of selective estrogen receptor modulators (SERMs)
(R) V07.52 Prophylactic uUse of aromatase inhibitors
(R) V07.59 Prophylactic uUse of other agents affecting estrogen receptors and estrogen levels
(R) V07.8 Other specified prophylactic or treatment measure
(R) V07.9 Unspecified prophylactic or treatment measure

Rationale: Descriptor wording has been modified to represent better the intent of the codes, to include treatment as well as prophylactic (preventive) measures.

You’ll find a summary of the March 9-10 ICD-9-CM Coordination and Maintenance Committee meeting agenda and discussion on the CDC website. The resulting ICD-9-CM tabular addenda, effective Oct. 1, and the addenda list of ICD-9-CM Index to Diseases changes, effective Oct. 1, also are posted on the CDC website.

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6 Responses to “ICD-9-CM Changes, Effective Oct. 1”

  1. MEEAE CHO says:

    Would you please provide me with ICD 9 CM FOR 2011 NEW CODES LIST.

    THANK YOU.

    631-391-7810

  2. barbie blanco says:

    Please provide me with ICD 9 CM for 2011 new/deleted codes list.

    thank you.

    469-671-5439

  3. Ines Quinones says:

    Please provide me with the ICD 9 Cm for 2011 new/deleted codes list.

    Thank you.

    207-623-8411 ext.5800

  4. Janice White says:

    Please send me a summary list of ICD-9-CM new/deleted and revised code list. Thank you.

  5. Julie Sanchez says:

    please provide me a summary list of new, revised and deleted codes for neurology. thank you.

  6. Lana says:

    It is a question in my test:
    What group supports the Oct. 1 ICD-9-CM revisions to Neoplasms: Neoplasm of Uncertain Behavior of Endocrine Glands and Nervous System?
    Maybe somebody knows the answer?
    thank you

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