FY09 ICD-9-CM
Code Changes

This program has prior approval of the American
Academy of Professional Coders for 2.0
Continuing Education Units.


Objectives

•
Volumes 1 & 2
•
Note invalid (deleted) diagnosis codes (26)
•
Review new ICD-9-CM diagnosis codes (374)
•
Review revised diagnosis codes (60)
•
DoD
•
Review new DoD extender codes (41)
•
INPATIENT Volume 3
•
Note invalid (deleted) procedure codes (4)
•
Review new ICD-9-CM procedure codes (60)
•
Review revised procedure codes (34)
Fly –Fight –Win

Invalid Dx

•
046.1 Jakob-Creutzfeldt disease
•
051.0 Cowpox
•
136.2 Specific infections by free-living amebae
•
259.5 Androgen insensitivity syndrome
•
337.0 Idiopathic peripheral autonomic neuropathy
•
511.8 Other specified forms of effusion, except
tuberculous
•
599.7 Hematuria
•
611.8 Other specified disorders of breast
•
695.1 Erythema multiforme
•
729.9 Other and unspecified disorders of soft tissue
Fly –Fight –Win

Invalid Dx

•
760.6 Surgical operation on mother
•
777.5 Necrotizing enterocolitis in fetus or newborn
•
780.6 Fever
•
788.9 Other symptoms involving urinary system
•
795.1 Nonspecific abnormal Papanicolaou smear of
other site
•
997.3 Respiratory complications
•
999.8 Other transfusion reaction
Fly –Fight –Win

Invalid Dx

•
V13.5 Personal History -Other musculoskeletal
disorders
•
V15.2 Personal History -Surgery to other major
organs
•
V15.5 Personal History – Injury
•
V28.8 Other specified antenatal screening
•
V45.1 Renal dialysis status
•
V51 Aftercare involving the use of plastic surgery
•
V61.0 Family disruption
•
V62.2 Other occupational circumstances or
maladjustment
•
E927 Overexertion and strenuous movements
Fly –Fight –Win

New Dx New Dx
•
038.12 Methicillin resistant Staphylococcus aureus
septicemia
•
041.12 Methicillin resistant Staphylococcus aureus
Methicillin-resistant staphylococcus aureus (MRSA)
•
046.11 Variant Creutzfeldt-Jakob disease vCJD
•
046.19 Other and unspecified Creutzfeldt-Jakob
disease CJD
•
046.71 Gerstmann-Sträussler-Scheinker syndrome
GSS syndrome
Fly –Fight –Win
..046.72 Fatal familial insomnia FFI
..046.79 Other and unspecified prion disease of
central nervous system
6

New Dx
..051.01 Cowpox
New Dx
..051.01 Cowpox
•
051.02 Vaccinia not from vaccination
•
059.00 Orthopoxvirus infection, unspecified
•
059.01 Monkeypox
•
059.09 Other orthopoxvirus infection
•
059.10 Parapoxvirus infection, unspecified
•
059.11 Bovine stomatitis
•
059.12 Sealpox
•
059.19 Other parapoxvirus infections
•
059.20 Yatapoxvirus infection, unspecified
•
059.21 Tanapox
Fly –Fight –Win

New Dx
..059.22 Yaba monkey tumor virus
New Dx
..059.22 Yaba monkey tumor virus
•
059.8 Other poxvirus infections
•
059.9 Poxvirus infections, unspecified
•
078.12 Plantar wart; Verruca plantaris
•
136.21 Specific infection due to acanthamoeba
•
136.29 Other specific infections by free-living
amebae Meningoencephalitis due to Naegleria
•
199.2 Malignant neoplasm associated with
Fly –Fight –Win
transplanted organ
8

New Dx New Dx
•
209.00 Malignant carcinoid tumor of the small
intestine, unspecified portion
•
209.01 Malignant carcinoid tumor of the duodenum
•
209.02 Malignant carcinoid tumor of the jejunum
•
209.03 Malignant carcinoid tumor of the ileum
•
209.10 Malignant carcinoid tumor of the large
intestine, unspecified portion Malignant carcinoid
tumor of the colon NOS
•
209.11 Malignant carcinoid tumor of the appendix
•
209.12 Malignant carcinoid tumor of the cecum
•
209.13 Malignant carcinoid tumor of the ascending
colon
Fly –Fight –Win

New Dx New Dx
•
209.14 Malignant carcinoid tumor of the transverse
colon
•
209.15 Malignant carcinoid tumor of the descending
colon
•
209.16 Malignant carcinoid tumor of the sigmoid
colon
•
209.21 Malignant carcinoid tumor of the bronchus
and lung
•
209.17 Malignant carcinoid tumor of the rectum
•
209.20 Malignant carcinoid tumor of unknown
primary site
•
209.22 Malignant carcinoid tumor of the thymus
Fly –Fight –Win

New Dx New Dx
•
209.23 Malignant carcinoid tumor of the stomach
•
209.24 Malignant carcinoid tumor of the kidney
•
209.25 Malignant carcinoid tumor of the foregut NOS
•
209.26 Malignant carcinoid tumor of the midgut NOS
•
209.27 Malignant carcinoid tumor of the hindgut
NOS
•
209.29 Malignant carcinoid tumors of other sites
•
209.30 Malignant poorly differentiated
neuroendocrine carcinoma, any site; High grade
neuroendocrine carcinoma, any site; Malignant
Fly –Fight –Win
poorly differentiated neuroendocrine tumor NOS
11

New Dx
..209.40 Benign carcinoid tumor of the small intestine,
New Dx
..209.40 Benign carcinoid tumor of the small intestine,
unspecified portion
•
209.41 Benign carcinoid tumor of the duodenum
•
209.42 Benign carcinoid tumor of the jejunum
•
209.43 Benign carcinoid tumor of the ileum
•
209.50 Benign carcinoid tumor of the large intestine,
unspecified portion; Benign carcinoid tumor of the
colon NOS
•
209.51 Benign carcinoid tumor of the appendix
•
209.52 Benign carcinoid tumor of the cecum
•
209.53 Benign carcinoid tumor of the ascending
colon
Fly –Fight –Win

New Dx New Dx
•
209.54 Benign carcinoid tumor of the transverse
colon
•
209.55 Benign carcinoid tumor of the descending
colon
•
209.56 Benign carcinoid tumor of the sigmoid colon
•
209.57 Benign carcinoid tumor of the rectum
•
209.60 Benign carcinoid tumor of unknown primary
site; Carcinoid tumor NOS; Neuroendocrine tumor
NOS
Fly –Fight –Win
..209.61 Benign carcinoid tumor of the bronchus and
lung
..209.62 Benign carcinoid tumor of the thymus
13

New Dx
..209.63 Benign carcinoid tumor of the stomach
New Dx
..209.63 Benign carcinoid tumor of the stomach
•
209.64 Benign carcinoid tumor of the kidney
•
209.65 Benign carcinoid tumor of the foregut NOS
•
209.66 Benign carcinoid tumor of the midgut NOS
•
209.67 Benign carcinoid tumor of the hindgut NOS
•
209.69 Benign carcinoid tumors of other sites
•
238.77 Post-transplant lymphoproliferative disorder
(PTLD)
•
249.0 [0-1] Secondary diabetes mellitus without mention
of complication; Secondary diabetes mellitus without
mention of complication or manifestation classifiable to
249.1-249.9; Secondary diabetes mellitus NOS
Fly –Fight –Win

New Dx
..249.1 [0-1] Secondary diabetes mellitus with
New Dx
..249.1 [0-1] Secondary diabetes mellitus with
ketoacidosis; Secondary diabetes mellitus with
diabetic acidosis without mention of coma;
Secondary diabetes mellitus with diabetic ketosis
without mention of coma
•
249.2 [0-1] Secondary diabetes mellitus with
hyperosmolarity; Secondary diabetes mellitus with
hyperosmolar (nonketotic) coma
•
249.3 [0-1] Secondary diabetes mellitus with other
coma; Secondary diabetes mellitus with diabetic
coma (with ketoacidosis); Secondary diabetes
mellitus with diabetic hypoglycemic coma;
Secondary diabetes mellitus with insulin coma NOS
Fly –Fight –Win

New Dx
..249.4 [0-1] Secondary diabetes mellitus with renal
New Dx
..249.4 [0-1] Secondary diabetes mellitus with renal
manifestations (code manifestation)
•
249.5 [0-1] Secondary diabetes mellitus with
ophthalmic manifestations (code manifestation)
•
249.6 [0-1] Secondary diabetes mellitus with
neurological manifestations (code manifestation)
•
249.7 [0-1] Secondary diabetes mellitus with
peripheral circulatory disorders (code manifestation)
•
249.8 [0-1] Secondary diabetes mellitus with other
specified manifestations (code manifestation)
•
249.9 [0-1] Secondary diabetes mellitus with
unspecified complication
Fly –Fight –Win

New Dx

•
259.50 Androgen insensitivity, unspecified
•
259.51 Androgen insensitivity syndrome; Complete
androgen insensitivity; de Quervain's syndrome;
Goldberg-Maxwell Syndrome
•
279.50 Graft-versus-host disease, unspecified
•
259.52 Partial androgen insensitivity; Partial
androgen insensitivity syndrome; Reifenstein
syndrome
•
275.5 Hungry bone syndrome
•
279.51 Acute graft-versus-host disease
•
279.52 Chronic graft-versus-host disease
•
279.53 Acute on chronic graft-versus-host disease
Fly –Fight –Win

New Dx New Dx
•
289.84 Heparin-induced thrombocytopenia (HIT)
•
337.00 Idiopathic peripheral autonomic neuropathy,
unspecified
•
337.01 Carotid sinus syndrome, Carotid sinus
syncope
•
337.09 Other idiopathic peripheral autonomic
neuropathy, Cervical sympathetic dystrophy or
paralysis
•
339.00 Cluster headache syndrome, unspecified
Ciliary neuralgia, Cluster headache NOS, Histamine
cephalgia, Lower half migraine, Migrainous
neuralgia
•
339.01 Episodic cluster headache
Fly –Fight –Win

New Dx
..339.02 Chronic cluster headache
New Dx
..339.02 Chronic cluster headache
•
339.03 Episodic paroxysmal hemicrania, Paroxysmal
hemicrania NOS
•
339.04 Chronic paroxysmal hemicrania
•
339.05 Short lasting unilateral neuralgiform
headache with conjunctival injection and tearing
SUNCT
•
339.09 Other trigeminal autonomic cephalgias
•
339.10 Tension type headache, unspecified
•
339.11 Episodic tension type headache
•
339.12 Chronic tension type headache
Fly –Fight –Win

New Dx
..339.20 Post-traumatic headache, unspecified
New Dx
..339.20 Post-traumatic headache, unspecified
•
339.21 Acute post-traumatic headache
•
339.22 Chronic post-traumatic headache
•
339.3 Drug induced headache, not elsewhere
classified, Medication overuse headache, Rebound
headache
•
339.41 Hemicrania continua
•
339.42 New daily persistent headache, NDPH
•
339.43 Primary thunderclap headache
Fly –Fight –Win
..339.44 Other complicated headache syndrome
..339.81 Hypnic headache
20

New Dx New Dx
•
339.82 Headache associated with sexual activity
Orgasmic headache, Preorgasmic headache
•
339.83 Primary cough headache
•
339.84 Primary exertional headache
•
339.85 Primary stabbing headache
•
339.89 Other specified headache syndromes
•
346.3 Hemiplegic migraine [0-3], Familial migraine,
Sporadic migraine
•
346.4 Menstrual migraine [0-3], Menstrual headache,
Menstrually related migraine, Premenstrual
headache, Premenstrual migraine, Pure menstrual
migraine
Fly –Fight –Win

New Dx

•
346.5 [0-3], Persistent migraine aura without cerebral
infarction; Persistent migraine aura NOS
•
346.6 [0-3] Persistent migraine aura with cerebral
infarction
•
346.7 [0-3] Chronic migraine without aura,
Transformed migraine without aura
•
349.31 Accidental puncture or laceration of dura
during a procedure, Incidental (inadvertent)
durotomy
•
349.39 Other dural tear
•
362.20 Retinopathy of prematurity, unspecified;
Retinopathy of prematurity NOS
Fly –Fight –Win

New Dx
..362.22 Retinopathy of prematurity, stage 0
New Dx
..362.22 Retinopathy of prematurity, stage 0
•
362.23 Retinopathy of prematurity, stage
1
•
362.24 Retinopathy of prematurity, stage
2
•
362.25 Retinopathy of prematurity, stage
3
•
362.26 Retinopathy of prematurity, stage
4
•
362.27 Retinopathy of prematurity, stage
5
•
364.82 Plateau iris syndrome
•
372.34 Pingueculitis
•
414.3 Coronary atherosclerosis due to lipid rich
plaque
•
482.42 Methicillin resistant pneumonia due to
Staphylococcus aureus
Fly –Fight –Win

New Dx
..511.81 Malignant pleural effusion
..511.89 Other specified forms of effusion, except
tuberculous
..530.13 Eosinophilic esophagitis
..535.7 [0-1] Eosinophilic gastritis
..558.41 Eosinophilic gastroenteritis, Eosinophilic
New Dx
..511.81 Malignant pleural effusion
..511.89 Other specified forms of effusion, except
tuberculous
..530.13 Eosinophilic esophagitis
..535.7 [0-1] Eosinophilic gastritis
..558.41 Eosinophilic gastroenteritis, Eosinophilic
enteritis
•
558.42 Eosinophilic colitis
•
569.44 Dysplasia of anus; Anal intraepithelial
neoplasia I and II (AIN I and II) (histologically
confirmed); Dysplasia of anus NOS; Mild and
moderate dysplasia of anus (histologically
confirmed)
Fly –Fight –Win

New Dx

•
571.42 Autoimmune hepatitis
•
599.70 Hematuria, unspecified
•
599.71 Gross hematuria
•
599.72 Microscopic hematuria
•
611.81 Ptosis of breast
•
611.82 Hypoplasia of breast; Micromastia
•
611.83 Capsular contracture of breast implant
•
611.89 Other specified disorders of breast,
hematoma (nontraumatic) of breast, Infarction of
breast, Occlusion of breast duct, Subinvolution of
breast (postlactational) (postpartum)
Fly –Fight –Win

New Dx
..612.0 Deformity of reconstructed breast; Contour
New Dx
..612.0 Deformity of reconstructed breast; Contour
irregularity in reconstructed breast; Excess tissue in
reconstructed breast; Misshapen reconstructed
breast
•
612.1 Disproportion of reconstructed breast; Breast
asymmetry between native breast and reconstructed
breast; Disproportion between native breast and
reconstructed breast
•
625.70 Vulvodynia, unspecified; Vulvodynia NOS
..625.71 Vulvar vestibulitis
..625.79 Other vulvodynia
..649.7 [0,1,3] Cervical shortening
Fly –Fight –Win

New Dx

•
678.0 [0,1,3] Fetal hematologic conditions; Fetal
anemia; Fetal thrombocytopenia; Fetal twin to twin
transfusion
•
678.1 [0,1,3] Fetal conjoined twins
•
679.1 [0-4] Fetal complications from in utero
procedure; Fetal complications from amniocentesis
•
679.0 [0-4] Maternal complications from in utero
procedure
•
695.10 Erythema multiforme, unspecified; Erythema
iris; Herpes iris
•
695.11 Erythema multiforme minor
•
695.12 Erythema multiforme major
Fly –Fight –Win

New Dx
..695.13 Stevens-Johnson syndrome
New Dx
..695.13 Stevens-Johnson syndrome
•
695.14 Stevens-Johnson syndrome-toxic epidermal
necrolysis overlap syndrome; SJS-TEN overlap
syndrome
•
695.15 Toxic epidermal necrolysis; Lyell's syndrome
•
695.19 Other erythema multiforme
•
695.50 Exfoliation due to erythematous condition
involving less than 10 percent of body surface;
Exfoliation due to erythematous condition NOS
Fly –Fight –Win
..695.51 Exfoliation due to erythematous condition
involving 10-19 percent of body surface
28

New Dx
..695.52 Exfoliation due to erythematous condition
New Dx
..695.52 Exfoliation due to erythematous condition
involving 20-29 percent of body surface
•
695.53 Exfoliation due to erythematous condition
involving 30-39 percent of body surface
•
695.54 Exfoliation due to erythematous condition
involving 40-49 percent of body surface
•
695.55 Exfoliation due to erythematous condition
involving 50-59 percent of body surface
•
695.56 Exfoliation due to erythematous condition
involving 60-69 percent of body surface
•
695.57 Exfoliation due to erythematous condition
involving 70-79 percent of body surface
Fly –Fight –Win

New Dx
..695.58 Exfoliation due to erythematous condition
New Dx
..695.58 Exfoliation due to erythematous condition
involving 80-89 percent of body surface
•
695.59 Exfoliation due to erythematous condition
involving 90 percent or more of body surface
•
707.20 Pressure ulcer, unspecified stage; Healing
pressure ulcer NOS; Healing pressure ulcer,
unspecified stage
•
707.21 Pressure ulcer stage I; Healing pressure
Fly –Fight –Win
ulcer, stage I; Pressure pre-ulcer skin changes
limited to persistent focal erythema
30

New Dx
..707.22 Pressure ulcer stage II; Healing pressure
New Dx
..707.22 Pressure ulcer stage II; Healing pressure
ulcer, stage II Pressure ulcer with abrasion, blister,
partial thickness skin loss involving epidermis
and/or dermis
•
707.23 Pressure ulcer stage III; Healing pressure
ulcer, stage III; Pressure ulcer with full thickness
skin loss involving damage or necrosis of
subcutaneous tissue
•
707.24 Pressure ulcer stage IV; Healing pressure
ulcer, stage IV; Pressure ulcer with necrosis of soft
tissues through to underlying muscle, tendon, or
bone
•
707.25 Pressure ulcer, unstageable
Fly –Fight –Win

New Dx

..729.90 Disorders of soft tissue, unspecified
..729.91 Post-traumatic seroma
..729.92 Nontraumatic hematoma of soft tissue
Nontraumatic hematoma of muscle
•
729.99 Other disorders of soft tissue; Polyalgia
•
733.96 Stress fracture of femoral neck; Stress
reaction of femoral neck
•
733.97 Stress fracture of shaft of femur; Stress
reaction of shaft of femur
Fly –Fight –Win
..733.98 Stress fracture of pelvis; Stress reaction of
pelvis
32

New Dx
..760.61 Newborn affected by amniocentesis
New Dx
..760.61 Newborn affected by amniocentesis
•
760.62 Newborn affected by other in utero procedure
•
760.63 Newborn affected by other surgical
operations on mother during pregnancy
•
760.64 Newborn affected by previous surgical
procedure on mother not associated with pregnancy
•
777.50 Necrotizing enterocolitis in newborn,
unspecified; Necrotizing enterocolitis in newborn,
NOS
Fly –Fight –Win
..777.51 Stage I necrotizing enterocolitis in newborn
33

New Dx
..777.52 Stage II necrotizing enterocolitis in newborn;
New Dx
..777.52 Stage II necrotizing enterocolitis in newborn;
Necrotizing enterocolitis with pneumatosis, without
perforation

•
777.53 Stage III necrotizing enterocolitis in newborn;
Necrotizing enterocolitis with perforation;
Necrotizing enterocolitis with pneumatosis and
perforation
•
780.60 Fever, unspecified; Chills with fever; Fever
NOS; Fever of unknown origin (FUO); Hyperpyrexia
NOS; Pyrexia NOS; Pyrexia of unknown origin
Fly –Fight –Win
..780.61 Fever presenting with conditions classified
elsewhere
34

New Dx
..780.62 Postprocedural fever
New Dx
..780.62 Postprocedural fever
•
780.63 Postvaccination fever; Postimmunization
fever
•
780.64 Chills (without fever); Chills NOS
•
780.65 Hypothermia not associated with low
environmental temperature
•
780.72 Functional quadriplegia; Complete immobility
due to severe physical disability or frailty
•
788.91 Functional urinary incontinence; urinary
incontinence due to cognitive impairment, or severe
Fly –Fight –Win
physical disability or immobility
35

New Dx
..788.99 Other symptoms involving urinary system;
Extrarenal uremia; Vesical: pain, tenesmus
..795.07 Satisfactory cervical smear but lacking
transformation zone
..795.10 Abnormal glandular Papanicolaou smear of
New Dx
..788.99 Other symptoms involving urinary system;
Extrarenal uremia; Vesical: pain, tenesmus
..795.07 Satisfactory cervical smear but lacking
transformation zone
..795.10 Abnormal glandular Papanicolaou smear of
vagina; Atypical vaginal glandular cells NOS
•
795.11 Papanicolaou smear of vagina with atypical
squamous cells of undetermined significance (ASCUS)
•
795.12 Papanicolaou smear of vagina with atypical
squamous cells cannot exclude high grade
squamous intraepithelial lesion (ASC-H)
Fly –Fight –Win

New Dx New Dx
•
795.13 Papanicolaou smear of vagina with low grade
squamous intraepithelial lesion (LGSIL)
•
795.14 Papanicolaou smear of vagina with high
grade squamous intraepithelial lesion (HGSIL)
•
795.15 Vaginal high risk human papillomavirus
(HPV) DNA test positive
•
795.16 Papanicolaou smear of vagina with cytologic
evidence of malignancy
•
795.18 Unsatisfactory vaginal cytology smear;
Inadequate vaginal cytology sample
•
795.19 Other abnormal Papanicolaou smear of
vagina and vaginal HPV; Vaginal low risk human
papillomavirus; (HPV) DNA test positive
Fly –Fight –Win

New Dx New Dx
•
796.70 Abnormal glandular Papanicolaou smear of
anus; Atypical anal glandular cells NOS
•
796.71 Papanicolaou smear of anus with atypical
squamous cells of undetermined significance (ASCUS)
•
796.72 Papanicolaou smear of anus with atypical
squamous cells cannot exclude high grade
squamous intraepithelial lesion (ASC-H)
•
796.73 Papanicolaou smear of anus with low grade
squamous intraepithelial lesion (LGSIL)
•
796.74 Papanicolaou smear of anus with high grade
squamous intraepithelial lesion (HGSIL)
Fly –Fight –Win

New Dx

•
796.75 Anal high risk human papillomavirus (HPV)
DNA test positive
•
796.76 Papanicolaou smear of anus with cytologic
evidence of malignancy
•
796.77 Satisfactory anal smear but lacking
transformation zone
•
796.78 Unsatisfactory anal cytology smear;
Inadequate anal cytology sample
•
796.79 Other abnormal Papanicolaou smear of anus
and anal HPV; Anal low risk human papillomavirus
(HPV) DNA test positive
•
997.31 Ventilator associated pneumonia
Fly –Fight –Win

New Dx
..997.39 Other respiratory complications; Mendelson's
New Dx
..997.39 Other respiratory complications; Mendelson's
syndrome resulting from a procedure; Pneumonia
(aspiration) resulting from a procedure
•
998.30 Disruption of wound, unspecified; Disruption
of wound NOS
•
998.33 Disruption of traumatic injury wound repair;
Disruption or dehiscence of closure of traumatic
laceration (external) (internal)
•
999.81 Extravasation of vesicant chemotherapy;
Infiltration of vesicant chemotherapy
Fly –Fight –Win
..999.82 Extravasation of other vesicant agent;
Infiltration of other vesicant agent
40

New Dx

..999.88 Other infusion reaction
..999.89 Other transfusion reaction; transfusion
reaction NOS
•
V02.53 Methicillin susceptible Staphylococcus
aureus; MSSA colonization
•
V02.54 Methicillin resistant Staphylococcus aureus;
MRSA colonization
•
V07.51 Prophylactic use of selective estrogen
receptor modulators (SERMs), Prophylactic use of:
raloxifene (Evista), tamoxifen (Nolvadex), toremifene
Fly –Fight –Win
(Fareston)
41

New Dx
..V07.52 Prophylactic use of aromatase inhibitors;
New Dx
..V07.52 Prophylactic use of aromatase inhibitors;
Prophylactic use of: anastrozole (Arimidex)
,
exemestar (Aromasin), letrozole (Femara)

•
V07.59 Prophylactic use of other agents affecting
estrogen receptors and estrogen levels;
Prophylactic use of: estrogen receptor
downregulators, fulvestrant (Faslodex),
gonadotropin-releasing hormone (GnRH) agonist,
goserelin acetate (Zoladex), leuprolide acetate
(leuprorelin) (Lupron), megestrol acetate (Megace)
•
V12.04 Methicillin resistant Staphylococcus aureus,
MRSA
Fly –Fight –Win

New Dx

•
V13.51 Pathologic fracture; Healed pathologic
fracture
•
V13.52 Stress fracture; Healed stress fracture
•
V13.59 Other musculoskeletal disorders
•
V15.21 Personal history of undergoing in utero
procedure during pregnancy
•
V15.22 Personal history of undergoing in utero
procedure while a fetus
•
V15.29 Surgery to other organs
Fly –Fight –Win
..V15.51 Traumatic fracture; Healed traumatic fracture
..V15.59 Other injury
43

New Dx New Dx
•
V23.85 Pregnancy resulting from assisted
reproductive technology; Pregnancy resulting from
in vitro fertilization
•
V23.86 Pregnancy with history of in utero procedure
during previous pregnancy
•
V28.81 Encounter for fetal anatomic survey
•
V28.82 Encounter for screening for risk of pre-term
labor
•
V28.89 Other specified antenatal screening;
Chorionic villus sampling, Genomic screening,
Fly –Fight –Win
Nuchal translucency testing, Proteomic screening
44

New Dx New Dx
•
V45.11 Renal dialysis status; Hemodialysis status,
Patient requiring intermittent renal dialysis,
Peritoneal dialysis status, Presence of arterial-
venous shunt (for dialysis)
•
V45.12 Noncompliance with renal dialysis
•
V45.87 Transplanted organ removal status;
Transplanted organ previously removed due to
complication, failure, rejection or infection
•
V45.88 Status post administration of tPA (rtPA) in a
different facility within the last 24 hours prior to
admission to current facility
•
V46.3 Wheelchair dependence; Wheelchair
confinement status
Fly –Fight –Win

New Dx New Dx
•
V51.0 Encounter for breast reconstruction following
mastectomy
•
V51.8 Other aftercare involving the use of plastic
surgery
•
V61.01 Family disruption due to family member on
military deployment; Individual or family affected by
other family member being on deployment
•
V61.02 Family disruption due to return of family
member from military deployment; Individual or
family affected by other family member having
returned from deployment (current or past conflict)
•
V61.03 Family disruption due to divorce or legal
separation
Fly –Fight –Win

New Dx

..V61.04 Family disruption due to parent-child
estrangement
..V61.05 Family disruption due to child in welfare
custody
•
V61.06 Family disruption due to child in foster care
or in care of non-parental family member
•
V61.09 Other family disruption; Family estrangement
NOS
•
V62.21 Personal current military deployment status;
Individual (civilian or military) currently deployed in
Fly –Fight –Win
theater or in support of military war, peacekeeping
and humanitarian operations
47

New Dx New Dx
•
V62.22 Personal history of return from military
deployment; Individual (civilian or military) with past
history of military war, peacekeeping and
humanitarian deployment (current or past conflict)
•
V62.29 Other occupational circumstances or
maladjustment; Career choice problem;
Dissatisfaction with employment; Occupational
problem
•
V87.01 Arsenic
•
V87.09 Other hazardous metals; Chromium
compounds; Nickel dust
•
V87.11 Aromatic amines
Fly –Fight –Win

New Dx
..V87.12 Benzene
..V87.19 Other hazardous aromatic compounds;
aromatic dyes NOS; Polycyclic aromatic
hydrocarbons
..V87.2 Contact with and (suspected) exposure to
other potentially hazardous chemicals; Dyes NOS
New Dx
..V87.12 Benzene
..V87.19 Other hazardous aromatic compounds;
aromatic dyes NOS; Polycyclic aromatic
hydrocarbons
..V87.2 Contact with and (suspected) exposure to
other potentially hazardous chemicals; Dyes NOS
•
V87.31 Exposure to mold
•
V87.39 Contact with and (suspected ) exposure to
other potentially hazardous substances
•
V87.41 Personal history of antineoplastic
chemotherapy
•
V87.42 Personal history of monoclonal drug therapy
Fly –Fight –Win

New Dx New Dx
•
V87.49 Personal history of other drug therapy
•
V88.01 Acquired absence of both cervix and uterus;
Acquired absence of uterus NOS; Status post total
hysterectomy
•
V88.02 Acquired absence of uterus with remaining
cervical stump; Status post partial hysterectomy
with remaining cervical stump
•
V88.03 Acquired absence of cervix with remaining
uterus
Fly –Fight –Win

New Dx
..V89.01 Suspected problem with amniotic cavity and
New Dx
..V89.01 Suspected problem with amniotic cavity and
membrane not found; Suspected oligohydramnios
not found; Suspected polyhydramnios not found
•
V89.02 Suspected placental problem not found
•
V89.03 Suspected fetal anomaly not found
•
V89.04 Suspected problem with fetal growth not
found
•
V89.05 Suspected cervical shortening not found
•
V89.09 Other suspected maternal and fetal condition
not found
Fly –Fight –Win
..E927.0 Overexertion from sudden strenuous
movement; Sudden trauma from strenuous
movement
51

New Dx New Dx
•
E927.1 Overexertion from prolonged static position;
Overexertion from maintaining prolonged positions,
such as: holding, sitting, standing
•
E927.2 Excessive physical exertion from prolonged
activity
•
E927.3 Cumulative trauma from repetitive motion;
Cumulative trauma from repetitive movements
•
E927.4 Cumulative trauma from repetitive impact
•
E927.8 Other overexertion and strenuous and
repetitive movements or loads
•
E927.9 Unspecified overexertion and strenuous and
Fly –Fight –Win
repetitive movements or loads
52

Revised Dx

•
038.11 Methicillin susceptible Staphylococcus
aureus septicemia
•
041.11 Methicillin susceptible Staphylococcus
aureus
•
Categories 203, 204, 205, 206, 207 and 208 fifth digit
descriptor: (27 codes)
•
0 without mention of having achieved remission
•
346.0 Classical migraine Migraine with aura [0-3]
•
346.1 Common migraine Migraine without aura [0-3]
•
346.2 Variants of migraine, not elsewhere classified
[0-3]
Fly –Fight –Win

Revised Dx

•
386.00 Ménière's disease, unspecified; Ménière's
disease (active)
•
386.01 Active Ménière's disease, cochleovestibular
•
386.02 Active Ménière's disease, cochlear
•
386.03 Active Ménière's disease, vestibular
•
386.04 Inactive Ménière's disease; Ménière's disease
in remission
•
482.41 Methicillin susceptible pneumonia due to
Staphylococcus aureus
•
707.0 [4 digit code descripter] Pressure ulcer;
Decubitus ulcer
Fly –Fight –Win

Revised Dx

•
707.1 [4 digit code descriptor] Ulcer of lower limbs,
except pressure ulcer
•
795.08 Unsatisfactory cervical cytology smear;
Inadequate cervical cytology sample
•
998.31 Disruption of internal operation (surgical)
wound
•
998.32 Disruption of external operation (surgical)
wound
•
V28.3 Encounter for routine screening for
malformation using ultrasonics
•
V45.71 Acquired absence of breast and nipple
Fly –Fight –Win 55

New DoD Extender Codes New DoD Extender Codes
•
493.00 0 Extrinsic asthma, unspecified
•
493.01 0 Extrinsic asthma with status asthmaticus,
unspecified
•
493.02 0 Extrinsic asthma with (acute) exacerbation,
unspecified
•
493.10 0 Intrinsic asthma, unspecified
•
493.11 0 Intrinsic asthma with status asthmaticus,
unspecified
•
493.12 0 Intrinsic asthma with (acute) exacerbation,
unspecified
•
493.20 0 Chronic obstructive asthma, unspecified
Fly –Fight –Win

New DoD Extender Codes

•
493.21 0 Chronic obstructive asthma, with status
asthmaticus, unspecified
•
493.22 0 Chronic obstructive asthma with (acute)
exacerbation, unspecified
•
493.81 0 Exercise induced bronchospasm,
unspecified
•
493.82 0 Cough variant asthma, unspecified
•
493.90 0 Asthma, unspecified
•
493.91 0 Asthma, unspecified, with status
asthmaticus
•
493.92 0 Asthma, unspecified, with (acute)
exacerbation
Fly –Fight –Win

New DoD Extender Codes

•
733.93 0 Stress fracture of tibia or fibula
•
733.93 1 Stress fracture of tibia
•
733.93 2 Stress reaction tibia
•
733.93 3 Stress fracture tibial plateau
•
733.93 4 Stress reaction tibial plateau
•
733.93 5 Stress fracture of fibula
•
733.93 6 Stress reaction of fibula
•
733.94 1 Stress fracture of the metatarsals
•
733.94 2 Stress reaction of the metatarsals
•
733.95 1 Stress fracture of other bones
•
733.95 2 Stress reaction of other bones
Fly –Fight –Win

New DoD Extender Codes
..733.96 1 Stress fracture femoral neck
New DoD Extender Codes
..733.96 1 Stress fracture femoral neck
•
733.96 2 Stress reaction femoral neck
•
733.97 0 Stress fracture shaft of femur
•
733.97 1 Stress fracture femur
•
733.97 2 Other stress reaction femur
•
733.98 1 Other stress fracture of pelvis
•
733.98 2 Stress reaction of pelvis
•
733.98 3 Stress fracture inferior pubic rami
•
733.98 4 Stress reaction inferior pubic rami
•
733.98 5 Stress fracture superior pubic rami
•
733.98 6 Stress reaction superior pubic rami
Fly –Fight –Win

New DoD Extender Codes

•
733.98 7 Stress fracture pubic rami
•
733.98 8 Stress reaction pubic rami
•
V45.77 A Acquired absence of multiple organs,
female
•
V45.77 B Acquired absence of multiple organs, male
•
V70.5 H Other examination defined population
Fly –Fight –Win

Invalid Procedures

•
45.8 Total intra-abdominal colectomy
•
48.5 Abdominoperineal resection of rectum
•
53.7 Repair of diaphragmatic hernia, abdominal
approach
•
85.7 Total reconstruction of breast
Fly –Fight –Win

New Procedures New Procedures
•
00.49 SuperSaturated oxygen therapy
•
00.58 Insertion of intra-aneurysm sac pressure
monitoring device (intraoperative)
•
00.59 Intravascular pressure measurement of
coronary arteries
•
00.67 Intravascular pressure measurement of
intrathoracic arteries
•
00.68 Intravascular pressure measurement of
peripheral arteries
•
00.69 Intravascular pressure measurement, other
Fly –Fight –Win
specified and unspecified vessels
62

New Procedures New Procedures
•
17.11 Laparoscopic repair of direct inguinal hernia
with graft or prosthesis
•
17.12 Laparoscopic repair of indirect inguinal hernia
with graft or prosthesis
•
17.13 Laparoscopic repair of inguinal hernia with
graft or prosthesis, not otherwise specified
•
17.21 Laparoscopic bilateral repair of direct inguinal
hernia with graft or prosthesis
•
17.22 Laparoscopic bilateral repair of indirect
inguinal hernia with graft or prosthesis
•
17.23 Laparoscopic bilateral repair of inguinal
hernia, one direct and one indirect, with graft or
prosthesis
Fly –Fight –Win

New Procedures New Procedures
•
17.24 Laparoscopic bilateral repair of inguinal hernia
with graft or prosthesis, not otherwise specified
•
17.31 Laparoscopic multiple segmental resection of
large intestine
•
17.32 Laparoscopic cecectomy
•
17.33 Laparoscopic right hemicolectomy
•
17.34 Laparoscopic resection of transverse colon
•
17.35 Laparoscopic left hemicolectomy
•
17.36 Laparoscopic sigmoidectomy
•
17.39 Other laparoscopic partial excision of large
intestine
Fly –Fight –Win

New Procedures New Procedures
•
17.41 Open robotic assisted procedure
•
17.42 Laparoscopic robotic assisted procedure
•
17.43 Percutaneous robotic assisted procedure
•
17.44 Endoscopic robotic assisted procedure
•
17.45 Thoracoscopic robotic assisted procedure
•
17.49 Other and unspecified robotic assisted
procedure
•
33.72 Endoscopic pulmonary airway flow
measurement
Fly –Fight –Win
..37.36 Excision or destruction of left atrial appendage
(LAA)
65

New Procedures
..37.55 Removal of internal biventricular heart
New Procedures
..37.55 Removal of internal biventricular heart
replacement system
•
37.60 Implantation or insertion of biventricular
external heart assist system
•
38.23 Intravascular spectroscopy
•
45.81 Laparoscopic total intra-abdominal colectomy
•
45.82 Open total intra-abdominal colectomy
•
45.83 Other and unspecified total intra-abdominal
colectomy
Fly –Fight –Win
..48.40 Pull-through resection of rectum, not
otherwise specified
66

New Procedures New Procedures
•
48.42 Laparoscopic pull-through resection of rectum
•
48.43 Open pull-through resection of rectum
•
48.50 Abdominoperineal resection of the rectum, not
otherwise specified
•
48.51 Laparoscopic abdominoperineal resection of
the rectum
•
48.52 Open abdominoperineal resection of the
rectum
•
48.59 Other abdominoperineal resection of the
rectum
•
53.42 Laparoscopic repair of umbilical hernia with
graft or prosthesis
Fly –Fight –Win

New Procedures New Procedures
•
53.43 Other laparoscopic umbilical herniorrhaphy
•
53.62 Laparoscopic incisional hernia repair with
graft or prosthesis
•
53.63 Other laparoscopic repair of other hernia of
anterior abdominal wall with graft or prosthesis
•
53.71 Laparoscopic repair of diaphragmatic hernia,
abdominal approach
•
53.72 Other and open repair of diaphragmatic hernia,
abdominal approach
•
53.75 Repair of diaphragmatic hernia, abdominal
approach, not otherwise specified
•
53.83 Laparoscopic repair of diaphragmatic hernia,
with thoracic approach
Fly –Fight –Win

New Procedures
..53.84 Other and open repair of diaphragmatic hernia,
New Procedures
..53.84 Other and open repair of diaphragmatic hernia,
with thoracic approach
•
80.53 Repair of the anulus fibrosus with graft or
prosthesis
•
80.54 Other and unspecified repair of the anulus
fibrosus
•
85.70 Total reconstruction of breast, not otherwise
specified
•
85.71 Latissimus dorsi myocutaneous flap
•
85.72 Transverse rectus abdominis myocutaneous
Fly –Fight –Win
(TRAM) flap, pedicled
69

New Procedures New Procedures
•
85.73 Transverse rectus abdominis myocutaneous
(TRAM) flap, free
•
85.74 Deep inferior epigastric artery perforator
(DIEP) flap, free
•
85.75 Superficial inferior epigastric artery (SIEA)
flap, free
•
85.76 Gluteal artery perforator (GAP) flap, free
•
85.79 Other total reconstruction of breast
Fly –Fight –Win

Revised Procedures

•
37.52 Implantation of total internal biventricular
heart replacement system
•
37.53 Replacement or repair of thoracic unit of (total)
replacement heart system
•
37.54 Replacement or repair of other implantable
component of (total) replacement heart system
•
37.62 Insertion of temporary non-implantable
extracorporeal circulatory assist device
•
37.64 Removal of external heart assist system(s) or
device(s)
•
37.65 Implant of single ventricular (extracorporeal)
external heart assist system
Fly –Fight –Win

Revised Procedures

•
45.71 Open and other multiple segmental resection
of large intestine
•
45.72 Open and other cecectomy
•
45.73 Open and other right hemicolectomy
•
45.74 Open and other resection of transverse colon
•
45.75 Open and other left hemicolectomy
•
45.76 Open and other sigmoidectomy
•
45.79 Other and unspecified partial excision of large
intestine
•
53.01 Other and open repair of direct inguinal hernia
•
53.02 Other and open repair of indirect inguinal
hernia
Fly –Fight –Win

Revised Procedures

•
53.03 Other and open repair of direct inguinal hernia
with graft or prosthesis
•
53.04 Other and open repair of indirect inguinal
hernia with graft or prosthesis
•
53.11 Other and open bilateral repair of direct
inguinal hernia
•
53.12 Other and open bilateral repair of indirect
inguinal hernia
•
53.13 Other and open bilateral repair of inguinal
hernia, one direct and one indirect
•
53.14 Other and open bilateral repair of direct
inguinal hernia with graft or prosthesis
Fly –Fight –Win


Fly – Fight – Win
Revised Procedures
.. 53.15 Other and open bilateral repair of indirect
inguinal hernia with graft or prosthesis
.. 53.16 Other and open bilateral repair of inguinal
hernia, one direct and one indirect, with graft or
prosthesis
.. 53.41 Other and open repair of umbilical hernia with
graft or prosthesis
.. 53.49 Other open umbilical herniorrhaphy
.. 53.61 Other open incisional hernia repair with graft
or prosthesis
.. 53.69 Other and open repair of other hernia of
anterior abdominal wall with graft or prosthesis
74

Fly – Fight – Win
Revised Procedures
.. 81.65 Percutaneous vertebroplasty
.. 81.66 Percutaneous vertebral augmentation
.. 84.56 Insertion or replacement of (cement) spacer
.. 93.90 Non-invasive mechanical ventilation
.. 96.70 Continuous invasive mechanical ventilation of
unspecified duration
.. 96.71 Continuous invasive mechanical ventilation
for less than 96 consecutive hours
.. 96.72 Continuous invasive mechanical ventilation
for 96 consecutive hours or more
75

Summary

•
Please, please read the book for section, subsection
and code descriptors that have been
changed and/or modified
•
Not all text changes were covered here including
“include” and “exclude” notes, etc
•
Happy Coding!