Code Changes for FY09

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xeno

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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!
 
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