I R PInnovative Resources for Payors
		ICD-9-CM Changes Effective 10/1/00-9/30/01
		Source: Federal Register Tuesday, August 1, 2000
                                         Table 6a.--New Diagnosis Codes
----------------------------------------------------------------------------------------------------------------
  Diagnosis
    code               Description                   CC               MDC                     DRG
----------------------------------------------------------------------------------------------------------------
      007.5   Cyclosporiasis..............  N                              6  182, 183,184
      082.40  Unspecified ehrlichiosis....  N                             18  423
      082.41  Ehrlichiosis Chafiensis (E.   N                             18  423
               Chafiensis).
      082.49  Other ehrlichiosis..........  N                             18  423
      285.21  Anemia in end-stage renal     N                             16  395, 396
               disease.
      285.22  Anemia in neoplastic disease  N                             16  395, 396
      285.29  Anemia of other chronic       N                             16  395, 396
               illness.
      294.10  Dementia in conditions        N                             19  429
               classified elsewhere
               without behavioral
               disturbance.
      294.11  Dementia in conditions        N                             19  429
               classified elsewhere with
               behavioral disturbance.
      372.81  Conjunctivochalasis.........  N                              2  46, 47, 48
      372.89  Other disorders of            N                              2  46, 47, 48
               conjunctiva.
      477.1   Allergic rhinitis, due to     N                              3  68, 69, 70
               food.
      493.02  Extrinsic asthma, with acute  Y                              4  96, 97, 98
               exacerbation.
      493.12  Intrinsic asthma, with acute  Y                              4  96, 97, 98
               exacerbation.
      493.22  Chronic obstructive asthma,   Y                              4  88
               with acute exacerbation.
      493.92  Unspecified asthma, with      Y                              4  96, 97, 98
               acute exacerbation.
      494.0   Bronchiectasis without acute  N                              4  88
               exacerbation.
      494.1   Bronchiectasis with acute     Y                              4  88
               exacerbation.
      558.3   Allergic gastroenteritis and  N                              6  182, 183, 184
               colitis.
      600.0   Hypertrophy (benign) of       N                             12  348, 349
               prostate.
      600.1   Nodular prostate............  N                             12  348, 349
      600.2   Benign localized hyperplasia  N                             12  348, 349
               of prostate.
      600.3   Cyst of prostate............  N                             12  348, 349
      600.9   Unspecified hyperplasia of    N                             12  348, 349
               prostate.
      645.10  Post term pregnancy,          N                             14  469
               unspecified as to episode
               of care or not applicable.
      645.11  Post term pregnancy,          N                             14  370, 371, 372, 373, 374, 375
               delivered, with or without
               mention of antepartum
               condition.
      645.13  Post term pregnancy,          N                             14  383, 384
               antepartum condition or
               complication.
      645.20  Prolonged pregnancy,          N                             14  469
               unspecified as to episode
               of care or not applicable.
      645.21  Prolonged pregnancy,          N                             14  370, 371, 372, 373, 374, 375
               delivered, with or without
               mention of antepartum
               condition.
      645.23  Prolonged pregnancy,          N                             14  383, 384
               antepartum condition or
               complication.
      692.75  Disseminated superficial      N                              9  283, 284
               actinic porokeratosis
               (DSAP).
      707.10  Unspecified ulcer of lower    Y                              9  263, 264, 271
               limb.
      707.11  Ulcer of thigh..............  Y                              9  263, 264, 271
      707.12  Ulcer of calf...............  Y                              9  263, 264, 271
      707.13  Ulcer of ankle..............  Y                              9  263, 264, 271
      707.14  Ulcer of heel and midfoot...  Y                              9  263, 264, 271
      707.15  Ulcer of other part of foot.  Y                              9  263, 264, 271
      707.19  Ulcer of other part of lower  Y                              9  263, 264, 271
               limb.
      727.83  Plica syndrome..............  N                              8  248
      781.91  Loss of height..............  N                              1  34, 35
      781.92  Abnormal posture............  N                              1  34, 35
      781.99  Other symptoms involving      N                              1  34, 35
               nervous and musculoskeletal
               systems.
      783.21  Loss of weight..............  N                             10  296, 297, 298
      783.22  Underweight.................  N                             10  296, 297, 298
      783.40  Unspecified lack of normal    N                             10  296, 297, 298
               physiological development.

[[Page 47170]]

      783.41  Failure to thrive...........  N                             10  296, 297, 298
      783.42  Delayed milestones..........  N                             10  296, 297, 298
      783.43  Short stature...............  N                             10  296, 297, 298
      783.7   Adult failure to thrive.....  N                             10  296, 297, 298
      790.01  Precipitous drop in           N                             16  395, 396
               hematocrit.
      790.09  Other abnormality of red      N                             16  395, 396
               blood cells.
      792.5   Cloudy (hemodialysis)         N                             23  463, 464
               (peritoneal) dialysis
               effluent.
      995.7   Other adverse food            N                             21  454, 455
               reactions, not elsewhere
               classified.
      996.87  Complications of              Y                             21  452, 453
               transplanted organ,
               intestine.
      V15.01  Allergy to peanuts..........  N                             23  467
      V15.02  Allergy to milk products....  N                             23  467
      V15.03  Allergy to eggs.............  N                             23  467
      V15.04  Allergy to seafood..........  N                             23  467
      V15.05  Allergy to other foods......  N                             23  467
      V15.06  Allergy to insects..........  N                             23  467
      V15.07  Allergy to latex............  N                             23  467
      V15.08  Allergy to radiographic dye.  N                             23  467
      V15.09  Other allergy, other than to  N                             23  467
               medicinal agents.
      V21.30  Unspecified low birth weight  N                             23  467
               status.
      V21.31  Low birth weight status,      N                             23  467
               less than 500 grams.
      V21.32  Low birth weight status, 500- N                             23  467
               999 grams.
      V21.33  Low birth weight status,      N                             23  467
               1000-1499 grams.
      V21.34  Low birth weight status,      N                             23  467
               1500-1999 grams.
      V21.35  Low birth weight status,      N                             23  467
               2000-2500 grams.
      V26.21  Fertility testing...........  N                             23  467
      V26.22  Aftercare following           N                             23  467
               sterilization reversal.
      V26.29  Other investigation and       N                             23  467
               testing.
      V42.84  Organ or tissue replaced by   Y                             23  467
               transplant, intestines.
      V45.74  Acquired absence of organ,    N                             11  331, 332, 333
               other parts of urinary
               tract.
      V45.75  Acquired absence of organ,    N                             23  467
               stomach.
      V45.76  Acquired absence of organ,    N                              4  101, 102
               lung.
      V45.77  Acquired absence of organ,    N                             12  352
               genital organs.                                            13  358, 359, 369
      V45.78  Acquired absence of organ,    N                              2  46, 47, 48
               eye.
      V45.79  Other acquired absence of     N                             23  467
               organ.
      V49.81  Postmenopausal status (age-   N                             23  467
               related) (natural).
      V49.89  Other specified conditions    N                             23  467
               influencing health status.
      V56.31  Encounter for adequacy        N                             11  317
               testing for hemodialysis.
      V56.32  Encounter for adequacy        N                             11  317
               testing for peritoneal
               dialysis.
      V58.83  Encounter for therapeutic     N                             23  465, 466
               drug monitoring.
      V67.00  Follow-up examination,        N                             23  465, 466
               following unspecified
               surgery.
      V67.01  Following surgery, follow-up  N                             23  465, 466
               vaginal pap smear.
      V67.09  Follow-up examination,        N                             23  465, 466
               following other surgery.
      V71.81  Observation for suspected     N                             23  467
               abuse and neglect.
      V71.89  Observation for other         N                             23  467
               specified suspected
               conditions.
      V76.46  Special screening for         N                             23  467
               malignant neoplasms, ovary.
      V76.47  Special screening for         N                             23  467
               malignant neoplasms, Vagina.
      V76.50  Special screening for         N                             23  467
               malignant neoplasms,
               unspecified intestine.
      V76.51  Special screening for         N                             23  467
               malignant neoplasms, colon.
      V76.52  Special screening for         N                             23  467
               malignant neoplasms, small
               intestine.
      V76.81  Special screening for         N                             23  467
               malignant neoplasms,
               nervous system.
      V76.89  Special screening for other   N                             23  467
               malignant neoplasm.
      V77.91  Screening for lipoid          N                             23  467
               disorders.
      V77.99  Other and unspecified         N                             23  467
               endocrine, nutritional,
               metabolic, and immunity
               disorders.
      V82.81  Special screening for         N                             23  467
               osteoporosis.
      V82.89  Special screening for other   N                             23  467
               specified conditions.
----------------------------------------------------------------------------------------------------------------
                                         Table 6b.--New Procedure Codes
----------------------------------------------------------------------------------------------------------------
  Procedure
    code               Description                   OR               MDC                     DRG
----------------------------------------------------------------------------------------------------------------
       39.71  Endovascular implantation of  Y                              5  110, 111
               graft in abdominal aorta.                                  11  315
                                                                          21  442, 443
                                                                          24  486

[[Page 47171]]

       39.79  Other endovascular graft      Y                              1  1, 2, 3
               repair of aneurysm.                                         5  110, 111
                                                                          11  315
                                                                          21  442, 443
                                                                          24  486
       41.07  Autologous hematopoietic      Y                            PRE  481
               stem cell transplant with
               purging.
       41.08  Allogeneic hematopoietic      Y                            PRE  481
               stem cell transplant with
               purging.
       41.09  Autologous bone marrow        Y                            PRE  481
               transplant with purging.
       46.97  Transplant of intestine.....  Y                              6  148, 149
                                                                           7  201
                                                                          17  400, 406, 407
                                                                          21  442, 443
                                                                          24  486
       60.96  Transurethral destruction of  Y                             11  306, 307
               prostate tissue by                                         12  1336, 337
               microwave thermotherapy.                                  UNR  476
       60.97  Other transurethral           Y                             11  306, 307
               destruction of prostate                                    12  336, 337
               tissue by other                                           UNR  476
               thermotherapy.
       99.75  Administration of             N
               neuroprotective agent.
----------------------------------------------------------------------------------------------------------------
                                       Table 6c.--Invalid Diagnosis Codes
----------------------------------------------------------------------------------------------------------------
  Diagnosis
    code               Description                   CC               MDC                     DRG
----------------------------------------------------------------------------------------------------------------
      294.1   Dementia in conditions        N                             19  429
               classified elsewhere.
      372.8   Other disorders of            N                              2  46, 47, 48
               conjunctiva.
      494     Bronchiectasis..............  Y                              4  88
      600     Hyperplasia of prostate.....  N                             12  348, 349
      645.00  Prolonged pregnancy,          N                             14  469
               unspecified as to episode
               of care or not applicable.
      645.01  Prolonged pregnancy,          N                             14  370, 371, 372, 373, 374, 375
               delivered, with or without
               mention of antepartum
               condition.
      645.03  Prolonged pregnancy,          N                             14  383, 384
               antepartum condition or
               complication.
      707.1   Ulcer of lower limb, except   Y                              9  263, 264, 271
               decubitus.
      781.9   Other symptoms involving      N                              1  34, 35
               nervous and musculoskeletal
               systems.
      783.2   Abnormal loss of weight.....  N                             10  296, 297, 298
      783.4   Lack of expected normal       N                             10  296, 297, 298
               physiological development.
      790.0   Abnormality of red blood      N                             16  395, 396
               cells.
      V15.0   Allergy, other than to        N                             23  467
               medicinal agents.
      V26.2   Investigation and testing...  N                             23  467
      V49.8   Other specified problems      N                             23  467
               influencing health status.
      V67.0   Follow-up examination         N                             23  465, 466
               following surgery.
      V71.8   Observation for other         N                             23  467
               specified suspected
               conditions.
      V76.8   Special screening for         N                             23  467
               malignant neoplasms, other
               neoplasm.
      V77.9   Other and unspecified         N                             23  467
               endocrine, nutritional,
               metabolic, and immunity
               disorders.
      V82.8   Special screening for other   N                             23  467
               specified conditions.
----------------------------------------------------------------------------------------------------------------
                                    Table 6d.--Revised Diagnosis Code Titles
----------------------------------------------------------------------------------------------------------------
  Diagnosis
    code               Description                   CC               MDC                     DRG
----------------------------------------------------------------------------------------------------------------
      564.1   Irritable bowel syndrome....  N                              6  182
                                                                              183
                                                                              184
      V26.3   Genetic counseling and        N                             23  467
               testing.
      V76.49  Special screening for         N                             23  467
               malignant, other sites.
----------------------------------------------------------------------------------------------------------------
                                       Table 6e.--Revised Procedure Codes
----------------------------------------------------------------------------------------------------------------
  Procedure
    code               Description                   OR               MDC                     DRG
----------------------------------------------------------------------------------------------------------------
       41.01  Autologous bone marrow        Y                            PRE  481
               transplant without purging.
       41.04  Autologous hematopoietic      Y                            PRE  481
               stem cell transplant
               without purging.
       41.05  Allogeneic hematopoietic      Y                            PRE  481
               stem cell transplant
               without purging.

[[Page 47172]]

       86.59  Closure of skin and           N
               subcutaneous tissue other
               sites.
----------------------------------------------------------------------------------------------------------------
             Table 6f.--Additions to the CC Exclusions List
  [CCs that are added to the list are in Table 6F--Additions to the CC
    Exclusions List. Each of the principal diagnoses is shown with an
asterisk, and the revisions to the CC Exclusions List are provided in an
indented column immediately following the affected principal diagnosis.]
------------------------------------------------------------------------

------------------------------------------------------------------------
*0075       2818      70713    49312    01170    4870     01152    4829
  00841     2824      70714    49322    01171    4950     01153    4830
  00842     28260     70715    49392    01172    4951     01154    4831
  00843     28261     70719  *49391     01173    4952     01155    4838
  00844     28262   *4871      49302    01174    4953     01156    4841
  00845     28263     4941     49312    01175    4954     01160    4843
  00846     28269   *49300     49322    01176    4955     01161    4845
  00847     2830      49302    49392    01180    4956     01162    4846
  00849     28310     49312  *49392     01181    4957     01163    4847
*01790      28311     49322    49301    01182    4958     01164    4848
  4941      28319     49392    49302    01183    4959     01165    485
*01791      2832    *49301     49311    01184    496      01166    486
  4941      2839      49302    49312    01185    5060     01170    4870
*01792      2840      49312    49320    01186    5061     01171    4941
  4941      2848      49322    49321    01190    5070     01172    4950
*01793      2849      49392    49322    01191    5071     01173    4951
  4941      2850    *49302     49391    01192    5078     01174    4952
*01794      2851      49301    49392    01193    5080     01175    4953
  4941    *29410      49302  *4940      01194    5081     01176    4954
*01795      2910      49311    01100    01195    515      01180    4955
  4941      2911      49312    01101    01196    5160     01181    4956
*01796      2912      49320    01102    01200    5161     01182    4957
  4941      2913      49321    01103    01201    5162     01183    4958
*28521      2914      49322    01104    01202    5163     01184    4959
  2800      29181     49391    01105    01203    5168     01185    496
  2814      29189     49392    01106    01204    5169     01186    5060
  2818      2919    *49310     01110    01205    5171     01190    5061
  2824      2920      49302    01111    01206    5172     01191    5070
  28260     29211     49312    01112    01210    5178     01192    5071
  28261     29212     49322    01113    01211    74861    01193    5078
  28262     2922      49392    01114    01212  *4941      01194    5080
  28263     29281   *49311     01115    01213    01100    01195    5081
  28269     29282     49302    01116    01214    01101    01196    515
  2830      29283     49312    01120    01215    01102    01200    5160
  28310     29284     49322    01121    01216    01103    01201    5161
  28311     29289     49392    01122    0310     01104    01202    5162
  28319     2929    *49312     01123    11505    01105    01203    5163
  2832      29381     49301    01124    11515    01106    01204    5168
  2839      29382     49302    01125    1304     01110    01205    5169
  2840      29383     49311    01126    1363     01111    01206    5171
  2848      29384     49312    01130    481      01112    01210    5172
  2849    *29411      49320    01131    4820     01113    01211    5178
  2850      2910      49321    01132    4821     01114    01212    74861
  2851      2911      49322    01133    4822     01115    01213  *496
*28522      2912      49391    01134    48230    01116    01214    4941
  2800      2913      49392    01135    48231    01120    01215  *5061
  2814      2914    *49320     01136    48232    01121    01216    4941

  2818      29181     49302    01140    48239    01122    0310   *5064
  2824      29189     49312    01141    48240    01123    11505    4941
  28260     2919      49322    01142    48241    01124    11515  *5069
  28261     2920      49392    01143    48249    01125    1304     4941
  28262     29211   *49321     01144    48281    01126    1363   *5178
  28263     29212     49302    01145    48282    01130    481      49302
  28269     2922      49312    01146    48283    01131    4820     49312
  2830      29281     49322    01150    48284    01132    4821     49322
  28310     29282     49392    01151    48289    01133    4822     49392
  28311     29283   *49322     01152    4829     01134    48230  *51889
  28319     29284     49301    01153    4830     01135    48231    49302
  2832      29289     49302    01154    4831     01136    48232    49312
  2839      2929      49311    01155    4838     01140    48239    49322
  2840      29381     49312    01156    4841     01141    48240    49392
  2848      29382     49320    01160    4843     01142    48241  *5198
  2849      29383     49321    01161    4845     01143    48249    49302
  2850      29384     49322    01162    4846     01144    48281    49312
  2851    *44023      49391    01163    4847     01145    48282    49322
*28529      70710     49392    01164    4848     01146    48283    49392
  2800      70711   *49390     01165    485      01150    48284  *5199
  2814      70712     49302    01166    486      01151    48289    49302
  49312   *70712      V421
  49322     70710     V426
  49392     70711     V427
*5583       70712     V4281

[[Page 47173]]

  00841     70713     V4282
  00842     70714     V4283
  00843     70715     V4289
  00844     70719     V432
  00845   *70713    *99689
  00846     70710     V4284
  00847     70711   *99791
  00849     70712     99687
*6000       70713   *99799
  5960      70714     99687
  5996      70715   *V4284
  6010      70719     V4284
  6012    *70714    *V4289
  6013      70710     V4284
  6021      70711   *V429
  78820     70712     V4284
  78829     70713
*6001       70714
  5960      70715
  5996      70719
  6010    *70715
  6012      70710
  6013      70711
  6021      70712
  78820     70713
  78829     70714
*6002       70715
  5960      70719
  5996    *70719
  6010      70710
  6012      70711
  6013      70712
  6021      70713
  78820     70714
  78829     70715
*6003       70719
  5960    *7078
  5996      70710
  6010      70711
  6012      70712
  6013      70713
  6021      70714
  78820     70715
  78829     70719
*6009     *7079
  5960      70710
  5996      70711
  6010      70712
  6012      70713
  6013      70714
  6021      70715
  78820     70719
  78829   *7098
*70710      70710
  70710     70711
  70711     70712
  70712     70713
  70713     70714
  70714     70715
  70715     70719
  70719   *74861
*70711      4941
  70710   *99680
  70711     99687
  70712     V4284
  70713   *99687
  70714     99680
  70715     99687
  70719     V420
------------------------------------------------------------------------

[[Page 47174]]

             Table 6g.--Deletions to the CC Exclusions List
[CCs that are deleted from the list are in Table 6G--Deletions to the CC
    Exclusions List. Each of the principal diagnoses is shown with an
asterisk, and the revisions to the CC Exclusions List are provided in an
indented column immediately following the affected principal diagnosis.]
------------------------------------------------------------------------

------------------------------------------------------------------------
*01790               01135              48231             6021
  494                01136              48232             78820
*01791               01140              48239             78829
  494                01141              48240           *7071
*01792               01142              48241             7071
  494                01143              48249           *7078
*01793               01144              48281             7071
  494                01145              48282           *7079
*01794               01146              48283             7071
  494                01150              48284           *7098
*01795               01151              48289             7071
  494                01152              4829            *74861
*01796               01153              4830              494
  494                01154              4831
*2941                01155              4838
  2910               01156              4841
  2911               01160              4843
  2912               01161              4845
  2913               01162              4846
  2914               01163              4847
  29181              01164              4848
  29189              01165              485
  2919               01166              486
  2920               01170              4870
  29211              01171              494
  29212              01172              4950
  2922               01173              4951
  29281              01174              4952
  29282              01175              4953
  29283              01176              4954
  29284              01180              4955
  29289              01181              4956
  2929               01182              4957
  29381              01183              4958
  29382              01184              4959
  29383              01185              496
  29384              01186              5060
*44023               01190              5061
  7071               01191              5070
*4871                01192              5071
  494                01193              5078
*494                 01194              5080
  01100              01195              5081
  01101              01196              515
  01102              01200              5160
  01103              01201              5161
  01104              01202              5162
  01105              01203              5163
  01106              01204              5168
  01110              01205              5169
  01111              01206              5171
  01112              01210              5172
  01113              01211              5178
  01114              01212              74861
  01115              01213            *496
  01116              01214              494
  01120              01215            *5061
  01121              01216              494
  01122              0310             *5064
  01123              11505              494
  01124              11515            *5069
  01125              1304               494
  01126              1363             *600
  01130              481                5960
  01131              4820               5996
  01132              4821               6010
  01133              4822               6012
  01134              48230              6013
------------------------------------------------------------------------
	
		
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