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Get More Specific With New ICD-9 Codes

Published on Fri Aug 01, 2003 Print Friendly and PDF PDF

Internal medicine coders will finally be able to specify memory loss (780.93), septic shock (785.52), and facial and muscle weakness (781.94 and 728.87) thanks to the new ICD-9 codes that take effect Oct. 1.
 
CMS unveiled the new ICD-9 codes, several of which affect internal medicine practices, in the May 19 Federal Register. The new ICD-9 codes have something in common: fifth digits that will make your signs and symptoms coding more accurate and specific.
 
Beginning Oct. 1 you will be able to report an abnormal glucose test in greater detail. Instead of coding it with the nonspecific "Abnormal glucose tolerance test" (790.2), you will now have codes that distinguish fasting glucose, glucose tolerance test (GTT), and other abnormal glucose (790.21, 790.22 and 790.29, respectively).  Check out the clip-and-save list of new ICD-9 codes in the "Quick Key: Implement These ICD-9 Codes" on page 61.
 
In other changes beginning Oct. 1, you should incorporate these new V codes:
 

  •  V04.81 Need for prophylactic vaccination and  inoculation, influenza
     
  •  V45.85 Insulin pump status
     
  •  V58.63 Long-term (current) use of antiplatelet/antithrombotic
     
  •  V58.64 Long-term (current) use of nonsteroidal anti-inflammatories
     
  •  V58.65 Long-term (current) use of steroids.


    Quick Key: Implement These ICD-9 Codes

    List of new diagnosis codes for use beginning Oct. 1.

  •   255.10 Primary aldosteronism
  •   255.11 Glucocorticoid-remediable aldosteronism
  •   255.12 Conn's syndrome
  •   255.13 Bartter's syndrome
  •   255.14 Other secondary aldosteronism
  •   282.41 Sickle-cell thalassemia without crisis
  •   282.42 Sickle-cell thalassemia with crisis
  •   282.49 Other thalassemia
  •   282.64 Sickle-cell/Hb-C disease with crisis
  • 282.68  Other sickle-cell disease without crisis
  •   289.81 Primary hypercoagulable state
  •   289.82 Secondary hypercoagulable state
  •   289.89 Other specified diseases of blood and blood-forming organs
  •   348.30 Encephalopathy, unspecified
  •   348.31 Metabolic encephalopathy
  •   348.39 Other encephalopathy
  •   358.00 Myasthenia gravis without (acute) exacerbation
  •   358.01 Myasthenia gravis with (acute) exacerbation
  •   414.07 Coronary atherosclerosis, of bypass graft (artery) (vein) of transplanted heart
  •   458.21 Hypotension of hemodialysis
  •   458.29 Other iatrogenic hypotension
  •   493.81 Exercise-induced bronchospasm
  •   493.82 Cough variant asthma
  •   517.3   Acute chest syndrome
  •   530.20 Ulcer of esophagus without bleeding
  •   530.21 Ulcer of esophagus with bleeding
  •   530.85 Barrett's esophagus
  •   600.00 Hypertrophy (benign) of prostate without urinary obstruction
  • 600.01 Hypertrophy (benign) of prostate with urinary obstruction
  • 600.10 Nodular prostate without urinary obstruction
  •   600.11 Nodular prostate with urinary obstruction
  •   600.20 Benign localized hyperplasia of prostate without urinary obstruction
  •   600.21 Benign localized hyperplasia of prostate with urinary obstruction
  •   600.90 Hyperplasia of prostate, unspecified, without urinary obstruction
  •   600.91 Hyperplasia of prostate, unspecified, with urinary obstruction
  •   607.85 Peyronie's disease
  •   719.7   Difficulty in walking
  •   728.87 Muscle weakness
  •   728.88 Rhabdomyolysis
  •   780.93 Memory loss
  •   780.94 Early satiety
  •   781.94 Facial weakness
  •   785.52 Septic shock
  •   788.63 Urgency of urination
  •   790.21 Impaired fasting glucose
  •   790.22 Impaired glucose tolerance test (oral)
  •   790.29 Other abnormal glucose
  •   799.81 Decreased libido
  •   799.89 Other ill-defined conditions
  •   850.11 Concussion, with loss of consciousness of 30 minutes or less
  •   850.12 Concussion, with loss of consciousness from 31 to 59 minutes
  •   959.11 Other injury of chest wall
  •   959.12 Other injury of abdomen
  •   996.57 Complication, due to insulin pump

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