I R PInnovative Resources for Payors

ICD-9-CM Changes Effective 10/1/2006-9/30/2007

Source: Federal Register Friday, August 18, 2006

[[Page 48204] 

 

 

TABLE 6A.-NEW DIAGNOSIS CODES

 

Diagnosis

Description

CC

MDC

DRG

Code

 

 

 

 

052.2

Postvaricella myelitis

Y

1

543, 561

053.14

Herpes zoster myelitis

Y

1

543, 561

054.74

Herpes simplex myelitis

Y

1

543, 561

238.71

Essential thrombocythemia

N

16

398, 399

238.72

Low grade myelodysplastic syndrome lesions

N

16

395, 396

238.73

High grade myelodysplastic syndrome lesions

N

16

395, 396

238.74

Myelodysplastic syndrome with 5q deletion

N

16

395, 396

238.75

Myelodysplastic syndrome, unspecified

N

16

395, 396

238.76

Myelofibrosis with myeloid metaplasia

N

17

401, 402, 403,

 

 

 

 

404, 539, 540

238.79

Other lymphatic and hematopoietic tissues

N

17

401, 402, 403,

 

 

 

 

404, 539, 540

277.30

Amyloidosis, unspecified

N

8

240, 241

277.31

Familial Mediterranean fever

N

8

240, 241

277.39

Other amyloidosis

N

8

240, 241

284.01

Constitutional red blood cell aplasia

N

16

574

284.09

Other constitutional aplastic anemia

N

16

574

284.1

Pancytopenia

N

16

395, 396

284.2

Myelophthisis

N

17

401, 402, 403,

 

 

 

 

404, 539, 540

288.00

Neutropenia, unspecified

N

16

574

 

 

 

25

490

288.01

Congenital neutropenia

N

16

574

 

 

 

25

490

288.02

Cyclic neutropenia

N

16

574

 

 

 

25

490

288.03

Drug induced neutropenia

N

16

574

 

 

 

25

490

288.04

Neutropenia due to infection

N

16

574

 

 

 

25

490

288.09

Other neutropenia

N

16

574

 

 

 

25

490

288.4

Hemophagocytic syndromes

N

16

398, 399

288.50

Leukocytopenia, unspecified

N

16

398, 399

288.51

Lymphocytopenia

N

16

398, 399

288.59

Other decreased white blood cell count

N

16

398, 399

288.60

Leukocytosis, unspecified

N

16

398, 399

288.61

Lymphocytosis (symptomatic)

N

16

398, 399

288.62

Leukemoid reaction

N

16

398, 399

288.63

Monocytosis (symptomatic)

N

16

398, 399

288.64

Plasmacytosis

N

16

398, 399

288.65

Basophilia

N

16

398, 399

288.69

Other elevated white blood cell count

N

16

398, 399

289.53

Neutropenic splenomegaly

N

16

398, 399

289.83

Myelofibrosis

N

17

401, 402, 403,

 

 

 

 

404, 539, 540

323.01

Encephalitis and encephalomyelitis in viral

N

1

543, 561

 

diseases classified elsewhere

 

 

 

323.02

Myelitis in viral diseases classified elsewhere

N

1

543, 561

323.41

Other encephalitis and encephalomyelitis due

N

1

543, 561

 

to infection classified elsewhere

 

 

 

323.42

Other myelitis due to infection classified

N

1

543, 561

 

elsewhere

 

 

 

323.51

Encephalitis and encephalomyelitis following

N

1

543, 561

 

immunization procedures

 

 

 

323.52

Myelitis following immunization procedures

N

1

543, 561

323.61

Infectious acute disseminated

N

1

543, 561

 

encephalomyelitis (ADEM)

 

 

 

323.62

Other postinfectious encephalitis and

N

1

543, 561

 

encephalomyelitis

 

 

 

323.63

Postinfectious myelitis

N

1

543, 561

323.71

Toxic encephalitis and encephalomyelitis

N

1

34, 35, 543

323.72

Toxic myelitis

N

1

34, 35, 543

323.81

Other causes of encephalitis and

N

1

543, 561

 

encephalomyelitis

 

25

489

323.82

Other causes of myelitis

N

1

543, 561

 

 

 

25

489

331.83

Mild cognitive impairment, so stated

N

1

12

333.71

Athetoid cerebral palsy

N

1

12

333.72

Acute dystonia due to drugs

N

1

34, 35

333.79

Other acquired torsion dystonia

N

1

34, 35

333.85

Subacute dyskinesia due to drugs

N

1

34, 35

333.94*

Restless Legs Syndrome

N

1

12

338.0

Central pain syndrome

N

23

463, 464

338.11

Acute pain due to trauma

N

23

463, 464

338.12

Acute post-thoracotomy pain

N

23

463, 464

338.18

Other acute postoperative pain

N

23

463, 464

338.19

Other acute pain

N

23

463, 464

338.21

Chronic pain due to trauma

N

23

463, 464

338.22

Chronic post-thoracotomy pain

N

23

463, 464

338.28

Other chronic postoperative pain

N

23

463, 464

338.29

Other chronic pain

N

23

463, 464

338.3

Neoplasm related pain (acute) (chronic)

N

23

463, 464

338.4

Chronic pain syndrome

N

23

463, 464

341.20

Acute (transverse) myelitis NOS

N

1

543, 561

341.21

Acute (transverse) myelitis in conditions

N

1

543, 561

 

classified elsewhere

 

 

 

341.22

Idiopathic transverse myelitis

N

1

543, 561

377.43

Optic nerve hypoplasia

N

2

45

379.60

Inflammation (infection) of postprocedural

N

2

46, 47, 48

 

bleb, unspecified

 

 

 

379.61

Inflammation (infection) of postprocedural

N

2

46, 47, 48

 

bleb, stage 1

 

 

 

379.62

Inflammation (infection) of postprocedural

N

2

46, 47, 48

 

bleb, stage 2

 

 

 

379.63

Inflammation (infection) of postprocedural

N

2

46, 47, 48

 

bleb, stage 3

 

 

 

389.15

Sensorineural hearing loss, unilateral

N

3

73, 74

389.16

Sensorineural hearing loss, asymmetrical

N

3

73, 74

429.83

Takotsubo syndrome

N

5

144, 145

478.11

Nasal mucositis (ulcerative)

N

3

73, 74

 

 

 

15

3911

478.19

Other disease of nasal cavity and sinuses

N

3 15

73, 74 3911

518.7

Transfusion related acute lung injury (TRALI)

Y

4

101, 102

519.11

Acute bronchospasm

N

PRE 4

482 96, 97, 98

519.19

Other diseases of trachea and bronchus

N

PRE

482

 

 

 

4

96, 97, 98

521.81

Cracked tooth

N

PRE

482

 

 

 

3

185, 186, 187

521.89

Other specific diseases of hard tissues of teeth

N

PRE 3

482 185, 186, 187

523.00

Acute gingivitis, plaque induced

N

PRE 3

482 185, 186, 187

523.01

Acute gingivitis, non-plaque induced

N

PRE 3

482 185, 186, 187

523.10

Chronic gingivitis, plaque induced

N

PRE 3

482 185, 186, 187

523.11

Chronic gingivitis, non-plaque induced

N

PRE 3

482 185, 186, 187

523.30

Aggressive periodontitis, unspecified

N

PRE 3

482 185, 186, 187

523.31

Aggressive periodontitis, localized

N

PRE 3

482 185, 186, 187

523.32

Aggressive periodontitis, generalized

N

PRE 3

482 185, 186, 187

523.33

Acute periodontitis

N

PRE 3

482 185, 186, 187

523.40

Chronic periodontitis, unspecified

N

PRE 3

482 185, 186, 187

523.41

Chronic periodontitis, localized

N

PRE 3

482 185, 186, 187

523.42

Chronic periodontitis,generalized

N

PRE 3

482 185, 186, 187

525.60

Unspecified unsatisfactory restoration of tooth

N

PRE 3

482 185, 186, 187

525.61

Open restoration margins

N

PRE 3

482 185, 186, 187

525.62

Unrepairable overhanging of dental restorative materials

N

PRE 3

482 185, 186, 187

525.63

Fractured dental restorative material without loss of material

N

PRE 3

482 185, 186, 187

525.64

Fractured dental restorative material with loss of material

N

PRE 3

482 185, 186, 187

525.65

Contour of existing restoration of tooth biologically incompatible with oral health

N

PRE 3

482 185, 186, 187

525.66

Allergy to existing dental restorative material

N

PRE 3

482 185, 186, 187

525.67

Poor aesthetics of existing restoration

N

PRE 3

482 185, 186, 187

525.69

Other unsatisfactory restoration of existing tooth

N

PRE 3

482 185, 186, 187

526.61

Perforation of root canal space

N

PRE 3

482 185, 186, 187

526.62

Endodontic overfill

N

PRE

482

 

 

 

3

185, 186, 187

526.63

Endodontic underfill

N

PRE

482

 

 

 

3

185, 186, 187

526.69

Other periradicular pathology associated with previous endodontic treatment

N

PRE 3

482 185, 186, 187

528.00

Stomatitis and mucositis, unspecified

N

PRE 3

482 185, 186, 187

528.01

Mucositis (ulcerative) due to antineoplastic therapy

N

PRE 3

482 185, 186, 187

528.02

Mucositis (ulcerative) due to other drugs

N

PRE 3

482 185, 186, 187

528.09

Other stomatitis and mucositis (ulcerative)

N

PRE 3

482 185, 186, 187

538

Gastrointestinal mucositis (ulcerative)

N

6

182, 183, 184

608.20

Torsion of testis, unspecified

N

12

352

608.21

Extravaginal torsion of spermatic cord

N

12

352

608.22

Intravaginal torsion of spermatic cord

N

12

352

608.23

Torsion of appendix testis

N

12

352

608.24

Torsion of appendix epididymis

N

12

352

616.81

Mucositis (ulcerative) of cervix, vagina, and

N

13

358, 359, 368

 

vulva

 

 

 

616.89

Other inflammatory disease of cervix, vagina

N

13

358, 359, 368

 

and vulva

 

 

 

618.84

Cervical stump prolapse

N

13

358, 359, 369

629.29

Other female genital mutilation status

N

13

358, 359, 369

629.81

Habitual aborter without current pregnancy

N

13

358, 359, 369

629.89

Other specified disorders of female genital

N

13

358, 359, 369

 

organs

 

 

 

649.00

Tobacco use disorder complicating

N

14

469

 

pregnancy, childbirth, or the puerperium,

 

 

 

 

unspecified as to episode of care or not

 

 

 

 

applicable

 

 

 

649.01

Tobacco use disorder complicating

N

14

370, 371, 372,

 

pregnancy, childbirth, or the puerperium, delivered, with or without mention of

 

 

373, 374, 375

 

antepartum condition

 

 

 

649.02

Tobacco use disorder complicating

N

14

370, 371, 372,

 

pregnancy, childbirth, or the puerperium,

 

 

373, 374, 375

 

delivered, with mention of postpartum

 

 

 

 

complication

 

 

 

649.03

Tobacco use disorder complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication

N

14

383, 384

649.04

Tobacco use disorder complicating pregnancy, childbirth, or the puerperium, postpartum condition or complication

N

14

376, 377

649.10

Obesity complicating pregnancy, childbirth, or the puerperium, unspecified as to episode of care or not applicable

N

14

469

649.11

Obesity complicating pregnancy, childbirth,

N

14

370, 371, 372,

 

or the puerperium, delivered, with or without mention of antepartum condition

 

 

373, 374, 375

649.12

Obesity complicating pregnancy, childbirth, or the puerperium, delivered, with mention of postpartum complication

N

14

370, 371, 372, 373, 374, 375

649.13

Obesity complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication

N

14

383, 384

649.14

Obesity complicating pregnancy, childbirth, or the puerperium, postpartum condition or complication

N

14

376, 377

649.20

Bariatric surgery status complicating pregnancy, childbirth, or the puerperium, unspecified as to episode of care or not applicable

N

14

469

649.21

Bariatric surgery status complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of

N

14

370, 371, 372, 373, 374, 375

 

antepartum condition

 

 

 

649.22

Bariatric surgery status complicating pregnancy, childbirth, or the puerperium, delivered, with mention of postpartum complication

N

14

370, 371, 372, 373, 374, 375

649.23

Bariatric surgery status complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication

N

14

383, 384

649.24

Bariatric surgery status complicating pregnancy, childbirth, or the puerperium, postpartum condition or complication

N

14

376, 377

649.30

Coagulation defects complicating pregnancy, childbirth, or the puerperium, unspecified as to episode of care or not applicable

N

14

469

649.31

Coagulation defects complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition

N

14

370, 371, 372, 373, 374, 375

649.32

Coagulation defects complicating pregnancy, childbirth, or the puerperium, delivered, with mention of postpartum complication

N

14

370, 371, 372, 373, 374, 375

649.33

Coagulation defects complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication

N

14

383, 384

 

 

 

 

 

649.34

Coagulation defects complicating pregnancy, childbirth, or the puerperium, postpartum condition or complication

N

14

376, 377

649.40

Epilepsy complicating pregnancy, childbirth, or the puerperium, unspecified as to episode of care or not applicable

N

14

469

649.41

Epilepsy complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition

N

14

370, 371, 372, 373, 374, 375

649.42

Epilepsy complicating pregnancy, childbirth, or the puerperium, delivered, with mention of postpartum complication

N

14

370, 371, 372, 373, 374, 375

649.43

Epilepsy complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication

N

14

383, 384

649.44

Epilepsy complicating pregnancy, childbirth, or the puerperium, postpartum condition or complication

N

14

376, 377

649.50

Spotting complicating pregnancy, unspecified as to episode of care or not applicable

N

14

469

649.51

Spotting complicating pregnancy, delivered, with or without mention of antepartum condition

N

14

370, 371, 372, 373, 374, 375

649.53

Spotting complicating pregnancy, antepartum condition or complication

N

14

383, 384

649.60

Uterine size date discrepancy, unspecified as to episode of care or not applicable

N

14

469

649.61

Uterine size date discrepancy, delivered, with or without mention of antepartum condition

N

14

370, 371, 372, 373, 374, 375

649.62

Uterine size date discrepancy, delivered, with mention of postpartum complication

N

14

370, 371, 372, 373, 374, 375

649.63

Uterine size date discrepancy, antepartum condition or complication

N

14

383, 384

649.64

Uterine size date discrepancy, postpartum condition or complication

N

14

376, 377

729.71

Nontraumatic compartment syndrome of upper extremity

N

8

248

729.72

Nontraumatic compartment syndrome of lower extremity

N

8

248

729.73

Nontraumatic compartment syndrome of abdomen

N

8

248

 

 

 

 

 

 

 

 

 

 

729.79

Nontraumatic compartment syndrome of other

N

8

248

 

sites

 

 

 

731.3

Major osseous defects

N

8

244, 245

768.7*

Hypoxic-ischemic encephalopathy (HIE)

N

15

390

770.87*

Respiratory arrest of newborn

N

15

390

770.88*

Hypoxemia of newborn

N

15

390

775.81*

Other acidosis of newborn

N

15

390

775.89*

Other neonatal endocrine and metabolic

N

15

390

 

disturbances

 

 

 

779.85*

Cardiac arrest of newborn

Y

15

3872, 3892

780.32

Complex febrile convulsions

Y

1

26, 562, 563

780.96

Generalized pain

N

23

463, 464

780.97

Altered mental status

N

23

463, 464

784.91

Postnasal drip

N

3

73, 74

784.99

Other symptoms involving head and neck

N

3

73, 74

788.64

Urinary hesitancy

N

11

325, 326, 327

788.65

Straining on urination

N

11

325, 326, 327

793.91

Image test inconclusive due to excess body fat

N

23

463, 464

793.99

Other nonspecific abnormal findings on

N

23

463, 464

 

radiological and other examinations of body

 

 

 

 

structure

 

 

 

795.06

Papanicolaou smear of cervix with cytologic

N

13

358, 359, 369

 

evidence of malignancy

 

 

 

795.81

Elevated carcinoembryonic antigen [CEA]

N

23

463, 464

795.82

Elevated cancer antigen 125 [CA 125]

N

23

463, 464

795.89

Other abnormal tumor markers

N

23

463, 464