ICD-9-CM Changes Effective 10/1/2003-9/30/2004
Source: Federal Register Thursday, August 1, 2003
[[Page 45594]]
Table 6A.--New Diagnosis Codes
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Diagnosis
code Description CC MDC DRG
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\1\ 079.82 SARS-associated coronavirus. Y 15 390
18 421, 422
255.10 Primary aldosteronism....... N 10 300, 301
255.11 Glucocorticoid-remediable N 10 300, 301
aldosteronism.
255.12 Conn's syndrome............. N 10 300, 301
255.13 Bartter's syndrome.......... N 10 300, 301
255.14 Other secondary N 10 300, 301
aldosteronism.
277.81 Primary carnitine deficiency N 10 299
277.82 Carnitine deficiency due to N 10 299
inborn errors of metabolism.
277.83 Iatrogenic carnitine N 10 299
deficiency.
277.84 Other secondary carnitine N 10 299
deficiency.
277.89 Other specified disorders of N 10 299
metabolism.
282.41 Sickle-cell thalassemia Y 15 387,\2\ 389 \2\
without crisis. 16 395, 396
282.42 Sickle-cell thalassemia with Y 15 387,\2\ 389 \2\
crisis. 16 395, 396
282.49 Other thalassemia........... Y 15 387,\2\ 389 \2\
16 395, 396
282.64 Sickle-cell/Hb-C disease Y 16 395, 396
with crisis.
282.68 Other sickle-cell disease Y 16 395, 396
without crisis.
289.52 Splenic sequestration....... N 16 398, 399
289.81 Primary hypercoagulable Y 16 398, 399
state.
289.82 Secondary hypercoagulable Y 16 398, 399
state.
289.89 Other specified diseases of N 16 398, 399
blood and blood-forming
organs.
331.11 Pick's disease.............. N 1 12
331.19 Other frontotemporal N 1 12
dementia.
331.82 Dementia with Lewy bodies... N 1 12
348.30 Encephalopathy, unspecified. N 1 16, 17
25 489 \3\
348.31 Metabolic encephalopathy.... N 1 16, 17
25 489 \3\
348.39 Other encephalopathy........ N 1 16, 17
25 489 \3\
358.00 Myasthenia gravis without Y 1 12
(acute) exacerbation.
358.01 Myasthenia gravis with Y 1 12
(acute) exacerbation.
414.07 Coronary atherosclerosis, of N 5 132,133
bypass graft (artery)
(vein) of transplanted
heart.
458.21 Hypotension of hemodialysis. N 5 141, 142
458.29 Other iatrogenic hypotension N 5 141,142
--IRP note: Following should be 480.3, NOT 480.31 as appeared in the FR
480.31 Pneumonia due to SARS- Y 4 89, 90, 91
associated coronavirus. 15 390
25 489
493.81 Exercise induced N 4 96, 97, 98
bronchospasm.
493.82 Cough variant asthma........ N 4 96, 97, 98
\1\ 517.3 Acute chest syndrome........ N 4 92, 93
530.20 Ulcer of esophagus without N 6 176
bleeding.
530.21 Ulcer of esophagus with Y 6 176
bleeding.
530.85 Barrett's esophagus......... N 6 176
600.00 Hypertrophy (benign) of N 12 348, 349
prostate without urinary
obstruction.
600.01 Hypertrophy (benign) of N 12 348, 349
prostate with urinary
obstruction.
600.10 Nodular prostate without N 12 348, 349
urinary obstruction.
600.11 Nodular prostate with N 12 348, 349
urinary obstruction.
600.20 Benign localized hyperplasia N 12 348, 349
of prostate without urinary
obstruction.
600.21 Benign localized hyperplasia N 12 348, 349
of prostate with urinary
obstruction.
600.90 Hyperplasia of prostate, N 12 348, 349
unspecified, without
urinary obstruction.
600.91 Hyperplasia of prostate, N 12 348, 349
unspecified, with urinary
obstruction.
607.85 Peyronie's disease.......... N 12 352
674.50 Peripartum cardiomyopathy, Y 14 469
unspecified as to episode
of care or not applicable.
674.51 Peripartum cardiomyopathy, Y 14 370, 371,
delivered, with or without 372, 374,
mention of antepartum 375
condition.
674.52 Peripartum cardiomyopathy, Y 14 370, 371,
delivered, with mention of 372, 374,
postpartum condition. 375
674.53 Peripartum cardiomyopathy, Y 14 383, 384
antepartum condition or
complication.
674.54 Peripartum cardiomyopathy, Y 14 376, 377
postpartum condition or
complication.
719.7 Difficulty in walking....... N 8 247
728.87 Muscle weakness............. N 8 247
728.88 Rhabdomyolysis.............. Y 8 248
752.81 Scrotal transposition....... N 12 352
752.89 Other specified anomalies of N 12 352
genital organs. 13 358, 359,
369
766.21 Post-term infant............ N 15 391
766.22 Prolonged gestation of N 15 391
infant.
767.11 Epicranial subaponeurotic Y 15 389
hemorrhage (massive).
767.19 Other injuries to scalp..... N 15 391
779.83 Delayed separation of N 15 391
umbilical cord.
780.93 Memory loss................. N 23 463, 464
780.94 Early satiety............... N 23 463, 464
781.94 Facial weakness............. N 1 34, 35
785.52 Septic shock................ Y 18 416, 417
788.63 Urgency of urination........ N 11 325, 326,
327
790.21 Impaired fasting glucose.... N 10 296, 297,
298
790.22 Impaired glucose tolerance N 10 296, 297,
test (oral). 298
790.29 Other abnormal glucose...... N 10 296, 297,
298
799.81 Decreased libido............ N 23 467
799.89 Other ill-defined conditions N 23 467
850.11 Concussion, with loss of Y 1 31, 32, 33
consciousness of 30 minutes 24 487
or less.
850.12 Concussion, with loss of Y 1 31, 32, 33
consciousness from 31 to 59 24 487
minutes.
959.11 Other injury of chest wall.. N 21 444, 445, 446
24 487
959.12 Other injury of abdomen..... N 21 444, 445, 446
24 487
959.13 Fracture of corpus N 21 444, 445, 446
cavernosum penis. 24 487
959.14 Other injury of external N 21 444, 445, 446
genitals. 24 487
959.19 Other injury of other sites N 21 444, 445, 446
of trunk. 24 487
996.57 Complication, Due to insulin Y 21 452, 453
pump.
\1\ V01.82 Exposure to SARS-associated N 15 390
coronavirus. 23 467
V04.81 Need for prophylactic N 23 467
vaccination and
inoculation, Influenza.
V04.82 Need for prophylactic N 23 467
vaccination and
inoculation, Respiratory
synctial virus (RSV).
V04.89 Need for prophylactic N 23 467
vaccination and
inoculation, Other viral
diseases.
V15.87 History of Extracorporeal N 23 467
Membrane Oxygenation (ECMO).
V25.03 Encounter for emergency N 23 467
contraceptive counseling
and prescription.
V43.21 Organ or tissue replaced by Y 5 144, 145
other means, Heart assist
device.
V43.22 Organ or tissue replaced by Y 5 144, 145
other means, Fully
implantable artificial
heart.
V45.85 Insulin pump status......... N 23 467
V53.90 Fitting and adjustment, N 23 467
Unspecified device.
V53.91 Fitting and adjustment of N 23 467
insulin pump.
V53.99 Fitting and adjustment, N 23 467
Other device.
V54.01 Encounter for removal of N 8 249
internal fixation device.
V54.02 Encounter for lengthening/ N 8 249
adjustment of growth rod.
V54.09 Other aftercare involving N 8 249
internal fixation device.
V58.63 Long-term (current) use of N 23 465, 466
antiplatelet/antithrombotic.
V58.64 Long-term (current) use of N 23 465, 466
non-steroidal anti-
inflammatories.
V58.65 Long-term (current) use of N 23 465, 466
steroids.
V64.41 Laparoscopic surgical N 23 467
procedure converted to open
procedure.
V64.42 Thoracoscopic surgical N 23 467
procedure converted to open
procedure.
V64.43 Arthroscopic surgical N 23 467
procedure converted to open
procedure.
V65.11 Pediatric pre-birth visit N 23 467
for expectant mother.
V65.19 Other person consulting on N 23 467
behalf of another person.
V65.46 Encounter for insulin pump N 23 467
training.
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\1\ The SARS-related codes were created after publication of the May 19, 2003 proposed rule.
\2\ Classified as a Major Problem.
\3\ Classified as a Major Related Condition.
Table 6B.--New Procedure Codes
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Procedure
code Description OR MDC DRG
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00.15 High-dose infusion N * 17 492
interleukin-2 (IL-2).
37.51 Heart transplantation........ Y PRE 103
37.52 Implantation of total 5 525
replacement heart system.
37.53 Replacement or repair of Y 5 525
thoracic unit of total
replacement heart system.
37.54 Replacement or repair of Y 5 525
other implantable component
of total replacement heart
system.
68.31 Laparoscopic supracervical Y 13 354, 355, 357,
hysterectomy (LSH). 358, 359
14 375
68.39 Other subtotal abdominal Y 13 354, 355, 357,
hysterectomy, NOS. 358, 359
14 375
81.62 Fusion or refusion of 2-3 N \1\
vertebrae.
81.63 Fusion or refusion of 4-8 N \1\
vertebrae.
81.64 Fusion or refusion of 9 or N \1\
more vertebrae.
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* Nonoperating room procedure, but affects DRG.
\1\ Nonoperating room procedure code. The DRG assignment is made based on the specific fusion or refusion (81.00-
81.08, 81.30-81.39, 81.61).
Table 6C.--Invalid Procedure Codes
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Diagnosis
code Description CC MDC DRG
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255.1 Hyperaldosteronism.......... N 10 300, 301
277.8 Other specified disorders of N 10 299
metabolism.
282.4 Thalassemias................ Y 15 387,\1\ 389 \1\
16 395, 396
289.8 Other specified diseases of N 16 398, 399
blood and blood-forming
organs.
331.1 Pick's disease.............. N 1 12
348.3 Encephalopathy, unspecified. N 1 16, 17
25 489 \2\
358.0 Myasthenia gravis........... Y 1 12
458.2 Iatrogenic hypotension...... N 5 141, 142
530.2 Ulcer of esophagus.......... N 6 176
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.
600.9 Hyperplasia of prostate, N 12 348, 349
unspecified.
719.70 Difficulty in walking, site N 8 247
unspecified.
719.75 Difficulty in walking, N 8 247
pelvic region and thigh.
719.76 Difficulty in walking, lower N 8 247
leg.
719.77 Difficulty in walking, ankle N 8 247
and foot.
719.78 Difficulty in walking, other N 8 247
specified sites.
719.79 Difficulty in walking, N 8 247
multiple sites.
752.8 Other specified anomalies of N 12 352
genital organs. 13 358, 359, 369
766.2 Post term infant, not N 15 391
[gE]heavy for dates[gE].
767.1 Injuries to scalp........... N 15 391
790.2 Abnormal glucose tolerance N 10 296, 297, 298
test.
799.8 Other ill-defined conditions N 23 467
850.1 Concussion, with brief loss Y 1 31, 32, 33
of consciousness. 24 487
959.1 Injury, trunk............... N 21 444, 445, 446
24 487
V04.8 Need for prophylactic N 23 467
vaccination and inoculation
against certain viral
disease, Influenza.
V43.2 Organ or tissue replaced by Y 5 144, 145
other means, Heart.
V53.9 Fitting and adjustment of N 23 467
other device, Other and
unspecified device.
V54.0 Aftercare involving removal N 8 249
of fracture plate or other
internal fixation device.
V64.4 Laparoscopic surgical N 23 467
procedure converted to open
procedure.
V65.1 Person consulting on behalf N 23 467
of another person.
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\1\ Classified as a Major Problem.
\2\ Classified as a Major Related Condition.
Table 6D.--Invalid Procedure Codes
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Procedure
code Description OR MDC DRG
----------------------------------------------------------------------------------------------------------------
37.5 Heart transplantation........ Y PRE 103
68.3 Subtotal abdominal Y 13 354, 355, 357,
hysterectomy. 358, 359
14 375
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Table 6E.--Revised Diagnosis Code Titles
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Diagnosis
code Description CC MDC DRG
----------------------------------------------------------------------------------------------------------------
282.60 Sickle-cell disease, Y 16 395, 396
unspecified.
282.61 Hb-SS disease without crisis. Y 16 395, 396
282.62 Hb-SS disease with crisis.... Y 16 395, 396
282.63 Sickle-cell/Hb-C disease Y 16 395, 396
without crisis.
282.69 Other sickle-cell disease Y 16 395, 396
with crisis.
414.06 Of native coronary artery of N 5 132, 133
transplanted heart.
491.20 Obstructive chronic Y 4 88
bronchitis, without
exacerbation.
491.21 Obstructive chronic Y 4 88
bronchitis, with (acute)
exacerbation.
493.00 Extrinsic asthma, unspecified N 4 96, 97, 98
493.02 Extrinsic asthma, with Y 4 96, 97, 98
(acute) exacerbation.
493.10 Intrinsic asthma, unspecified N 4 96, 97, 98
493.12 Intrinsic asthma, with Y 4 96, 97, 98
(acute) exacerbation.
493.20 Chronic obstructive asthma, Y 4 88
unspecified.
493.22 Chronic obstructive asthma, Y 4 88
with (acute) exacerbation.
493.90 Asthma, unspecified.......... N 4 96, 97, 98
493.92 Asthma, unspecified, with Y 4 96, 97, 98
(acute) exacerbation.
V06.1 Diphtheria-tetanus-pertussis, N 23 467
combined [DTP] [DtaP].
V06.5 Tetanus-diphtheria [Td][DT].. N 23 467
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Table 6F.--Revised Procedure Code Titles
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Procedure
code Description OR MDC DRG
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37.33 Excision or destruction of Y 5 108
other lesion or tissue of
heart, open approach.
37.34 Excision or destruction of Y 5 516, 517, 518
other lesion or tissue of
heart, other approach.
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
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Supplemental Table --New External Cause Codes (E-Codes)
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E-code Description
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E928.4 External constriction caused by hair
E928.5 External constriction caused by other object
