ICD-9-CM Changes Effective 10/1/2002-9/30/2003
Source: Federal Register Thursday, August 1, 2002
[[Page 50239]]
Table 6A.--New Diagnosis Codes
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Diagnosis
code Description CC MDC DRG
----------------------------------------------------------------------------------------------------------------
040.82 Toxic shock syndrome......... Y 18 423
066.4 West Nile fever.............. N 18 421, 422
277.02 Cystic fibrosis with Y 4 79, 80, 81
pulmonary manifestations.
277.03 Cystic fibrosis with Y 6 188, 189, 190
gastrointestinal
manifestations.
277.09 Cystic fibrosis with other Y 10 296, 297, 298
manifestations.
357.81 Chronic inflammatory N 1 18, 19
demyelinating polyneuritis.
357.82 Critical illness N 1 18, 19
polyneuropathy.
357.89 Other inflammatory and toxic N 1 18, 19
neuropathy.
359.81 Critical illness myopathy.... N 1 34, 35
359.89 Other myopathies............. N 1 34, 35
365.83 Aqueous misdirection......... N 2 46, 47, 48
414.06 Coronary atherosclerosis of N 5 132, 133
coronary artery of
transplanted heart.
414.12 Dissection of coronary artery N 5 121, 144, 145
428.20 Unspecified systolic heart Y 5 115, 121, 124, 127
failure.
428.21 Acute systolic heart failure. Y 5 115, 121, 124, 127
428.22 Chronic systolic heart Y 5 115, 121, 124, 127
failure.
428.23 Acute on chronic systolic Y 5 115, 121, 124, 127
heart failure.
428.30 Unspecified diastolic heart Y 5 115, 121, 124, 127
failure.
428.31 Acute diastolic heart failure Y 5 115, 121, 124, 127
428.32 Chronic diastolic heart Y 5 115, 121, 124, 127
failure.
428.33 Acute on chronic diastolic Y 5 115, 121, 124, 127
heart failure.
428.40 Unspecified combined systolic Y 5 115, 121, 124, 127
and diastolic heart failure.
428.41 Acute combined systolic and Y 5 115, 121, 124, 127
diastolic heart failure.
428.42 Chronic combined systolic and Y 5 115, 121, 124, 127
diastolic heart failure.
428.43 Acute on chronic combined Y 5 115, 121, 124, 127
systolic and diastolic heart
failure.
438.6 Alterations of sensations.... N 1 12
438.7 Disturbances of vision....... N 1 12
438.83 Facial weakness.............. N 1 12
438.84 Ataxia....................... N 1 12
438.85 Vertigo...................... N 1 12
443.21 Dissection of carotid artery. N 5 130, 131
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443.22 Dissection of iliac artery... N 5 130, 131
443.23 Dissection of renal artery... N 11 331, 332, 333
443.24 Dissection of vertebral N 5 130, 131
artery.
443.29 Dissection of other artery... N 5 130, 131
445.01 Atheroembolism, upper Y 5 130, 131
extremity.
445.02 Atheroembolism, lower Y 5 130, 131
extremity.
445.81 Atheroembolism, kidney....... Y 11 331, 332, 333
445.89 Atheroembolism, other site... Y 5 130, 131
454.8 Varicose veins of the lower N 5 130, 131
extremities, with other
complications.
459.10 Postphlebetic syndrome N 5 130, 131
without complications.
459.11 Postphlebetic syndrome with N 5 130, 131
ulcer.
459.12 Postphlebetic syndrome with N 5 130, 131
inflammation.
459.13 Postphlebetic syndrome with N 5 130, 131
ulcer and inflammation.
459.19 Postphlebetic syndrome with N 5 130, 131
other complication.
459.30 Chronic venous hypertension N 5 130, 131
without complications.
459.31 Chronic venous hypertension N 5 130, 131
with ulcer.
459.32 Chronic venous hypertension N 5 130, 131
with inflammation.
459.33 Chronic venous hypertension N 5 130, 131
with ulcer and inflammation.
459.39 Chronic venous hypertension N 5 130, 131
with other complication.
537.84 Dielulafoy lesion Y 6 174, 175
(hemorrhagic) of stomach and
duodenum.
569.86 Dieulafoy lesion Y 6 188, 189, 190
(hemorrhagic) of intestine.
633.00 Abdominal pregnancy without N 14 378
intrauterine pregnancy.
633.01 Abdominal pregnancy with N 14 378
intrauterine pregnancy.
633.10 Tubal pregnancy without N 14 378
intrauterine pregnancy.
633.11 Tubal pregnancy with N 14 378
intrauterine pregnancy.
633.20 Ovarian pregnancy without N 14 378
intrauterine pregnancy.
633.21 Ovarian pregnancy with N 14 378
intrauterine pregnancy.
633.80 Other ectopic pregnancy N 14 378
without intrauterine
pregnancy.
633.81 Other ectopic pregnancy with N 14 378
intrauterine pregnancy.
633.90 Unspecified ectopic pregnancy N 14 378
without intrauterine
pregnancy.
633.91 Unspecified ectopic pregnancy N 14 378
with intrauterine pregnancy.
747.83 Persistent fetal circulation. N 15 387, 389
765.20 Unspecified weeks of N 15 391
gestation.
765.21 Less than 24 completed weeks N 15 386
of gestation.
765.22 24 completed weeks of N 15 386
gestation.
765.23 25-26 completed weeks of N 15 386
gestation.
765.24 27-28 completed weeks of N 15 387, 388
gestation.
765.25 29-30 completed weeks of N 15 387, 388
gestation.
765.26 31-32 completed weeks of N 15 387, 388
gestation.
765.27 33-34 completed weeks of N 15 387, 388
gestation.
765.28 35-36 completed weeks of N 15 387, 388
gestation.
765.29 37 or more completed weeks of N 15 391
gestation.
770.81 Primary apnea of newborn..... N 15 390
770.82 Other apnea of newborn....... N 15 390
770.83 Cyanotic attacks of newborn.. N 15 390
770.84 Respiratory failure of Y 15 387, 389
newborn.
770.89 Other respiratory problems N 15 390
after birth.
771.81 Septicemia [sepsis] of Y 15 387, 389
newborn.
771.82 Urinary tract infection of N 15 387, 389
newborn.
771.83 Bacteremia of newborn........ Y 15 387, 389
771.89 Other infections specific to N 15 387, 389
the perinatal period.
779.81 Neonatal bradycardia......... N 15 390
779.82 Neonatal tachycardia......... N 15 390
779.89 Other specified conditions N 15 390
originating in the perinatal
period.
780.91 Fussy infant (baby).......... N 23 463,464
780.92 Excessive crying of infant N 23 463,464
(baby).
780.99 Other general symptoms....... N 23 463,464
781.93 Ocular torticollis........... N 8 243
795.00 Nonspecific abnormal N 13 358, 359, 369
Papanicolaou smear of
cervix, unspecified.
795.01 Atypical squamous cell N 13 358, 359, 369
changes of undetermined
significance favor benign
(ASCUS favor benign).
795.02 Atypical squamous cell N 13 358, 359, 369
changes of undetermined
significance favor dysplasia
(ASCUS favor dysplasia).
795.09 Other nonspecific abnormal N 13 358, 359, 369
Papanicolaou smear of cervix.
795.31 Nonspecific positive findings N 18 423
for anthrax.
795.39 Other nonspecific positive N 18 423
culture findings.
813.45 Torus fracture of radius..... N 8 250, 251, 252
24 487
823.40 Torus fracture, tibia alone.. N 8 253, 254, 255
24 487
823.41 Torus fracture, fibula alone. N 8 253, 254, 255
24 487
[[Page 50241]]
823.42 Torus fracture, fibula with N 8 253, 254, 255
tibia. 24 487
995.90 Systemic inflammatory Y 18 416, 417
response syndrome,
unspecified.
995.91 Systemic inflammatory Y 18 416, 417
response syndrome due to
infectious process without
organ dysfunction.
995.92 Systemic inflammatory Y 18 416, 417
response syndrome due to
infectious process with
organ dysfunction.
995.93 Systemic inflammatory Y 18 416, 417
response syndrome due to non-
infectious process without
organ dysfunction.
995.94 Systemic inflammatory Y 18 416, 417
response syndrome due to non-
infectious process with
organ dysfunction.
998.31 Disruption of internal Y 21 452, 453
operation wound.
998.32 Disruption of external Y 21 452, 453
operation wound.
V01.81 Contact with or exposure to N 15 391 \1\
communicable diseases, 23 467
anthrax.
V01.89 Contact with or exposure to N 15 391 \1\
communicable diseases, other 23 467
communicable diseases.
V13.21 Personal history of pre-term N 23 467
labor.
V13.29 Personal history of other N 23 467
genital system and obstetric
disorders.
V23.41 Pregnancy with history of pre- N 14 469
term labor.
V23.49 Pregnancy with other poor N 14 469
obstetric history.
V46.2 Other dependence on machines, N 23 467
supplemental oxygen.
V54.10 Aftercare for healing N 8 249
traumatic fracture of arm,
unspecified.
V54.11 Aftercare for healing N 8 249
traumatic fracture of upper
arm.
V54.12 Aftercare for healing N 8 249
traumatic fracture of lower
arm.
V54.13 Aftercare for healing N 8 249
traumatic fracture of hip.
V54.14 Aftercare for healing N 8 249
traumatic fracture of leg,
unspecified.
V54.15 Aftercare for healing N 8 249
traumatic fracture of upper
leg.
V54.16 Aftercare for healing N 8 249
traumatic fracture of lower
leg.
V54.17 Aftercare for healing N 8 249
traumatic fracture of
vertebrae.
V54.19 Aftercare for healing N 8 249
traumatic fracture of other
bone.
V54.20 Aftercare for healing N 8 249
pathologic fracture of arm,
unspecified.
V54.21 Aftercare for healing N 8 249
pathologic fracture of upper
arm.
V54.22 Aftercare for healing N 8 249
pathologic fracture of lower
arm.
V54.23 Aftercare for healing N 8 249
pathologic fracture of hip.
V54.24 Aftercare for healing N 8 249
pathologic fracture of leg,
unspecified.
V54.25 Aftercare for healing N 8 249
pathologic fracture of upper
leg.
V54.26 Aftercare for healing N 8 249
pathologic fracture of lower
leg.
V54.27 Aftercare for healing N 8 249
pathologic fracture of
vertebrae.
V54.29 Aftercare for healing N 8 249
pathologic fracture of other
bone.
V54.81 Aftercare following joint N 8 249
replacement.
V54.89 Other orthopedic aftercare... N 8 249
V58.42 Aftercare following surgery N 23 465, 466
for neoplasm.
V58.43 Aftercare following surgery N 23 465, 466
for injury and trauma.
V58.71 Aftercare following surgery N 23 465, 466
of the sense organs, NEC.
V58.72 Aftercare following surgery N 23 465, 466
of the nervous system, NEC.
V58.73 Aftercare following surgery N 23 465, 466
of the circulatory system,
NEC.
V58.74 Aftercare following surgery N 23 465, 466
of the respiratory system,
NEC.
V58.75 Aftercare following surgery N 23 465, 466
of the teeth, oral cavity
and digestive system, NEC.
V58.76 Aftercare following surgery N 23 465, 466
of the genitourinary system,
NEC.
V58.77 Aftercare following surgery N 23 465, 466
of the skin and subcutaneous
tissue, NEC.
V58.78 Aftercare following surgery N 23 465, 466
of the musculoskeletal
system, NEC.
V71.82 Observation and evaluation N 23 467
for suspected exposure to
anthrax.
V71.83 Observation and evaluation N 23 467
for suspected exposure to
other biological agent.
V83.81 Cystic fibrosis gene carrier. N 23 467
V83.89 Other genetic carrier status. N 23 467
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\1\ Classified as an ``only secondary diagnosis'' in this DRG.
Table 6B.--New Procedure Codes
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Procedure
code Description OR MDC DRG
----------------------------------------------------------------------------------------------------------------
00.01 Therapeutic ultrasound of N
vessels of head and neck.
00.02 Therapeutic ultrasound of N
heart.
00.03 Therapeutic ultrasound of N
peripheral vascular vessels.
00.09 Other therapeutic ultrasound. N
00.10 Implantation of N
chemotherapeutic agent.
00.11 Infusion of drotrecogin alfa N
(activated).
00.12 Administration of inhaled N
nitric oxide.
[[Page 50242]]
00.13 Injection or infusion of N
nesiritide.
00.14 Injection or infusion of N
oxazolidinone class of
antibiotics.
00.50 Implantation of cardiac Y 5 115 \1\, 116 \1\
resynchronization pacemaker
without mention of
defibrillation, total system
[CRT-P].
00.51 Implantation of cardiac Y 5 514 \1\, 515 \1\
resynchronization
defibrillator, total system
[CRT-D].
00.52 Implantation or replacement Y 5 115 \2\, 116 \3\, 514 \4\, 515 \4\
of transvenous lead
(electrode) into left
ventricular coronary venous
system.
00.53 Implantation or replacement Y 5 115 \2\, 116 \3\, 118
of cardiac resynchronization
pacemaker pulse generator
only [CRT-P].
00.54 Implantation or replacement Y 5 115 \1\, 514 \4\, 515 \4\
of cardiac resynchronization
defibrillator pulse
generator only [CRT-D].
00.55 Insertion of drug-eluting non- N
coronary artery stent(s).
36.07 Insertion of drug-eluting N \*\ 5 526, 527
coronary artery stents(s).
39.72 Endovascular repair or Y 1 1,2,3
occlusion of head and neck 5 110, 111
vessels. 11 315
21 442, 443
24 486
49.75 Implantation or revision of Y 6 157, 158
artificial anal sphincter. 9 267
21 442, 443
24 486
49.76 Removal of artificial anal Y 6 157, 158
sphincter. 9 267
21 442, 443
24 486
81.61 360 degree spinal fusion, Y 1 4
single incision approach. 8 496
21 442, 443
24 486
84.51 Insertion of interbody spinal N
fusion device.
84.52 Insertion of recombinant bone N
morphogenetic protein.
88.96 Other intraoperative magnetic N
resonance imaging.
89.60 \5\ Continuous intra-arterial N
blood gas monitoring.
99.76 Extracorporeal N
immunoadsorption.
99.77 Application or administration N
of an adhesion barrier
substance.
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* Nonoperating room procedure, but affects DRG.
\1\ Classified under ``operating room procedures''.
\2\ Classified under ``operating room procedure'' and under ``as any of the following procedure combinations''
as 00.52 and 00.53.
\3\ Classified under ``any of the following procedure combinations'' as 00.52 and 00.53.
\4\ Classified under ``any of the following procedure combinations'' as 00.52 and 00.54.
\5\ This code was discussed at the April 18, 2002 meeting of the ICD-9-CM Coordination and Maintenance Committee
and included in the final addendum for ICD-9-CM.
Table 6C.--Invalid Diagnosis Codes
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Diagnosis
code Description CC MDC DRG
----------------------------------------------------------------------------------------------------------------
357.8 Other inflammatory and toxic N 1 18, 19
neuropathy.
359.8 Other myopathies............. N 1 34, 35
459.1 Postphlebetic syndrome....... N 5 130, 131
633.0 Abdominal pregnancy.......... N 14 378
633.1 Tubal pregnancy.............. N 14 378
633.2 Ovarian pregnancy............ N 14 378
633.8 Other ectopic pregnancy...... N 14 378
633.9 Unspecified ectopic pregnancy N 14 378
770.8 Other respiratory problems N 15 387, 389
after birth.
771.8 Other infections specific to Y 15 387, 389
the perinatal period.
779.8 Other specified conditions N 15 390
originating in the perinatal
period.
780.9 Other general symptoms....... N 23 463, 464
795.0 Nonspecific abnormal N 13 358, 359, 369
Papanicolaou smear of cervix.
795.3 Nonspecific positive culture N 18 423
findings.
998.3 Disruption of operation wound Y 21 452, 453
V01.8 Other communicable diseases.. N 23 467
V13.2 Other genital system and N 23 467
obstetric disorders.
V23.4 Pregnancy with other poor N 14 469
obstetric history.
V54.8 Other orthopedic aftercare... N 8 249
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[[Page 50243]]
Table 6D.--Invalid Procedure Codes
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-------------------------------------------------------------------------
Note: There are no invalid procedure codes for FY 2003.
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Table 6E.--Revised Diagnosis Code Titles
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Diagnosis
code Description CC MDC DRG
----------------------------------------------------------------------------------------------------------------
402.00 Hypertensive heart disease, Y 5 134
malignant, without heart
failure.
402.01 Hypertensive heart disease, Y 5 115, 121, 124, 127
malignant, with heart
failure.
402.10 Hypertensive heart disease, N 5 134
benign, without heart
failure.
402.11 Hypertensive heart disease, Y 5 115, 121, 124, 127
benign, with heart failure.
402.90 Hypertensive heart disease, N 5 134
unspecified, without heart
failure.
402.91 Hypertensive heart disease, Y 5 115, 121, 124, 127
unspecified, with heart
failure.
404.00 Hypertensive heart and renal Y 5 134
disease, malignant, without
mention of heart failure or
renal failure.
404.01 Hypertensive heart and renal Y 5 115, 121, 124, 127
disease, malignant, with
heart failure.
404.03 Hypertensive heart and renal Y 5 115, 121, 124, 127
disease, malignant, with
heart failure and renal
failure.
404.10 Hypertensive heart and renal N 5 134
disease, benign, without
mention of heart failure or
renal failure.
404.11 Hypertensive heart and renal Y 5 115, 121, 124, 127
disease, benign, with heart
failure.
404.13 Hypertensive heart and renal Y 5 115, 121, 124, 127
disease, benign, with heart
failure and renal failure.
404.90 Hypertensive heart and renal N 5 134
disease, unspecified,
without mention of heart
failure or renal failure.
404.91 Hypertensive heart and renal Y 5 115, 121, 124, 127
disease, unspecified, with
heart failure.
404.93 Hypertensive heart and renal Y 5 115, 121, 124, 127
disease, unspecified, with
heart failure and renal
failure.
414.10 Aneurysm of heart............ N 5 121, 144, 145
414.11 Aneurysm of coronary vessels. N 5 121, 144, 145
414.19 Other aneurysm of heart...... N 5 121, 144, 145
428.0 Congestive heart failure, Y 5 115, 121, 124, 127
unspecified.
454.9 Asymptomatic varicose veins.. N 5 130, 131
627.2 Symptomatic menopausal or N 13 358, 359, 369
female climacteric states.
627.4 Symptomatic states associated N 13 358, 359, 369
with artificial menopause.
V49.81 Asymptomatic postmenopausal N 23 467
status (age-related)
(natural).
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Table 6F.--Revised Procedure Code Titles
----------------------------------------------------------------------------------------------------------------
Procedure
code Description OR MDC DRG
----------------------------------------------------------------------------------------------------------------
02.41 \1\ Irrigation and exploration of N
ventricular shunt.
36.06 Insertion of non-drug-eluting N* 5 517
coronary artery stents(s).
39.79 Other endovascular repair of Y 1 1, 2, 3
aneurysm of other vessels. 5 110, 111
11 315
21 442, 443
24 486
39.90 Insertion of non-drug- N
eluting, noncoronary artery
stents(s).
----------------------------------------------------------------------------------------------------------------
* Nonoperating room procedure, but affects DRG.
\1\ This code title revision was discussed at the April 18, 2002 meeting of the ICD-9-CM Coordination and
Maintenance Committee and included in the final addendum for ICD-9-CM.
Supplemental Table --New External Cause Codes (E-Codes)
----------------------------------------------------------------------------------------------------------------
E-code Description
----------------------------------------------------------------------------------------------------------------
E885.0 Fall from (nonmotorized) scooter
E922.5 Accident caused by firearm, and air gun missile, Paintball gun
E955.7 Suicide and self-inflicted injury by firearms, air guns and explosives, Paintball gun
E979.0 Terrorism involving explosion of marine weapons
E979.1 Terrorism involving destruction of aircraft
E979.2 Terrorism involving other explosions and fragments
E979.3 Terrorism involving fires, conflagration and hot substance
E979.4 Terrorism involving firearms
E979.5 Terrorism involving nuclear weapons
E979.6 Terrorism involving biological weapons
E979.7 Terrorism involving chemical weapons
E979.8 Terrorism involving other means
E979.9 Terrorism, secondary effects
E985.7 Injury by firearms, air guns, and explosives, undetermined whether accidentally or
purposely inflicted, Paintball gun
E999.0 Late effect of injury due to war operations
E999.1 Late effect of injury due to terrorism
