NEW DIAGNOSIS CODES October 1, 2010

Neoplasm's Description Schwannomatosis Endocrine, Nutrition, and Metabolism Description Hereditary hemochromatosis Hemochromatosis due to repeated red blood cell transfusions

Endocrine, Nutrition, and Metabolism Description Other hemochromatosis Other disorders of iron metabolism Transfusion associated circulatory overload Other fluid overload Obesity hypoventilation syndrome A special code for the effects of obesity

Blood and Blood Forming Organs Description Post transfusion purpura Other secondary thrombo- cytopenia

Circulatory System Description Aortic ectasia, unspecified site Thoracic aortic ectasia Abdominal aortic ectasia Thoracoabdominal aortic ectasia

Digestive System Description Fecal impaction

Genitourinary System Description Recurrent pregnancy loss without current pregnancy

Complications of Pregnancy Description Recurrent pregnancy loss, unspecified as to episode of care or not applicable Recurrent pregnancy loss, delivered, with or without mention of antepartum condition Recurrent pregnancy loss, antepartum condition or complication

Musculoskeletal System Description Spinal stenosis, lumbar region, without neurogenic claudication Spinal stenosis, lumbar region, with neurogenic claudication

Congenital Anomalies Description Agenesis of uterus Hypoplasia of uterus Unicornate of uterus Bicornate of uterus Septate of uterus Arcuate uterus Other anomalies of the uterus

Congenital Anomalies Description Cervical agenesis Cervical duplication Vaginal agenesis Transverse vaginal septum Longitudinal vaginal septum

Symptoms, Signs, and Ill-Defined Conditions Description Post traumatic seizures Febrile nonhemolytic transfusion Reaction Neurologic neglect syndrome Jaw pain Hemoptysis, unspecified

Symptoms, Signs, and Ill-defined Conditions Description Acute idiopathic pulmonary hemorrhage in infants (AIPHI) Other hemoptysis Full incontinence of feces Incomplete defecation Fecal smearing Fecal urgency Unspecified signs and symptoms involving cognition

Symptoms, Signs, and Ill-defined Conditions Description Attention or concentration deficit Cognitive communication deficit Visuospatial deficit Psychomotor deficit Frontal lobe and executive function deficit Other signs and symptoms involving cognition

Injury and Poisoning Description Poisoning by cocaine Poisoning by other central nervous system stimulants

Complications of ABO Blood Incompatibility Description ABO incompatibility reaction, unspecified ABO incompatibility with hemolytic transfusion reaction not specified as acute or delayed

Complications of ABO Blood Incompatibility Description ABO incompatibility with acute hemolytic transfusion reaction ABO incompatibility with delayed hemolytic transfusion reaction Other ABO incompatibility reaction

Complications of Rh Incompatibility D escription Rh incompatibility reaction, unspecified Rh incompatibility with hemolytic transfusion reaction not specified as acute or delayed Rh incompatibility with acute hemolytic transfusion reaction Rh incompatibility with delayed hemolytic transfusion reaction Other Rh incompatibility reaction

Complications of Non ABO Incompatibility Non-ABO incompatibility reaction, unspecified Non-ABO incompatibility with hemolytic transfusion reaction not specified as acute or delayed reaction

Complications of Non ABO Incompatibility Description Non-ABO incompatibility with acute hemolytic transfusion reaction Non-ABO incompatibility with delayed hemolytic transfusion reaction Other non-ABO incompatibility

Complications of Rh Incompatibility Description Rh incompatibility reaction, unspecified Rh incompatibility with hemolytic transfusion reaction not specified as acute or delayed Rh incompatibility with acute hemolytic transfusion reaction Rh incompatibility with delayed hemolytic transfusion reaction Other Rh incompatibility reaction

Unspecified Incompatibility Reactions Description Transfusion reaction unspecified Hemolytic transfusion reaction, incompatibility unspecified Acute hemolytic transfusion reaction, incompatibility unspecified Delayed hemolytic transfusion reaction, incompatibility unspecified

E-Codes Description E000.2 Volunteer activity E017.0 Roller coaster riding

V-Codes Description V11.4 Personal history of combat and operational stress reaction V13.23 Personal history of vaginal dysplasia V12.24 Personal history of vulvar dysplasia

V-Codes Description V13.61 –V13.69 Personal history of congenital anomalies (corrected) V15.53 Personal history of retained foreign body completely removed

V-Codes Description V26.35 Testing of male partner of female with recurrent pregnancy loss V49.86 Do not resuscitate status V49.87 Physical restraint status V62.85 Homicidal ideation

V-Codes Description V85.41 Body Mass Index adult V85.42 Body Mass Index adult V85.43 Body Mass Index adult V85.44 Body Mass Index adult V85.45 Body Mass Index 70.0 and over. adult

V-Codes Description V88.11 Acquired total absence of Pancreas V88.12 Acquired partial absence of Pancreas

V-Codes Description V90.01 Retained radioactive materials V90.10-V90.12 Retained metal fragments V90.31-V90.39 Retained organic fragments V90.81-V90.89 Other types od retained fragments

V-Codes Pregnancy Complications, Twins Description V91.00 Twin gestation, unspecified number of placenta, unspecified number of amniotic sacs V91.01 Twin gestation, monochorionic /diamniotic (one placenta, one aminiotic sacs)

V-Codes Pregnancy, Complications, TwinsDescription V91.02 Twin gestation, monochorionic /diamniotic (one placenta, two aminiotic sacs) V91.03 Twin gestation, monochorionic /diamniotic (two placenta, two aminiotic sacs) V91.09 Twin gestation, unable to determine number of placenta, and number of aminiotic sacs

Complications, Triplets Description V91.10 Triplets gestation, unspecified number of placenta, and unspecified number of aminiotic sacs V91.11 Triplets gestation, with two or more monochorionic fetuses

Complications – Triplets Description V91.12 Triplets gestation, with two or more monoamniotic fetuses V91.19 Triplet gestation, unable to determine number of placentas and amniotic sacs.

Complications, Quadruplets Description V91.20 Quadruplet gestation, unspecified number of placenta and unspecified number of amniotic sacs V92.21 Quadruplet gestation, with two or more monochorionic fetuses V91.22 Quadruplet gestation, with two or more monoamniotic fetuses V91.9 Quadruplet gestation, unable to determine number of placenta and number of amniotic sacs

Complications, Other (Specified Number) Description V91.90 Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs V91.91 Other specified multiple gestation, with two or more monochorionic fetuses V91.92 Other specified multiple gestation, with two or more monoamniotic fetuses

Complications, Other (Specified Number) Description V91.99 Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs

NOTE: * The next diagnosis codes were discussed at the March 9-10, 2010 ICD-9- CM Coordination and Maintenance Committee meeting and were not finalized in time to include in the proposed rule. However, they will be implemented on October 1, 2010.

Additional New Codes Effective * Other neurofibromatosis * Childhood onset fluency disorder

Additional New Codes Effective 10/ Description * Influenza due to identified avian influenza virus with pneumonia * Influenza due to identified avian influenza virus with other respiratory manifestations * Influenza due to identified avian influenza virus with other manifestations

Additional New Codes Effective Description * Influenza due to identified novelH1N1 influenza virus with pneumonia *488.12* Influenza due to identified novel H1N1 influenza virus with other respiratory manifestations *488.19* Influenza due to identified novel H1N1 influenza virus with other manifestations

Discussion – Questions Break

DELETED DIAGNOSIS CODES October 1, 2010

Deleted Codes Description Disorders of iron metabolism Fluid overload Secondary thrombocytopenia 488.0* Influenza due to identified avian influenza virus 488.1* Influenza due to identified novel H1N1 influenza virus

Deleted Codes Description Other anomalies of uterus Hemoptysis Incontinence of feces Poisoning by other specified central nervous system stimulants

Deleted Codes Description ABO incompatibility reaction Rh incompatibility reaction V25.1 Encounter for insertion of intrauterine contraceptive device V85.4 Body Mass Index 40 and over, adult

NOTE: * These diagnosis codes were discussed at the March 9-10, 2010 ICD-9-CM Coordination and Maintenance Committee meeting and were not finalized in time to include in the proposed rule. However, they will be deleted on October 1, 2010.

REVISED DIAGNOSIS CODE October 1, 2010

Revised Codes Description 307.0* Adult onset fluency disorder Recurrent pregnancy loss without current pregnancy Recurrent pregnancy loss, unspecified as to episode of care or not applicable Recurrent pregnancy loss, delivered, with or without mention of antepartum condition

Revised Codes Description Recurrent pregnancy loss, antepartum condition or complication Spinal stenosis, lumbar region, without neurogenic claudication Neurologic neglect syndrome E017.0 Roller coaster riding

Revised Codes Description V07.51* Use of selective estrogen receptor modulators (SERMs) V07.52* Use of aromatase inhibitors V07.59* Use of other agents affecting estrogen receptors and estrogen levels V07.8* Other specified prophylactic or treatment measure

Revised Codes Description V07.9* Unspecified prophylactic or treatment measure V13.61 Personal history of (corrected) hypospadias V13.69 Personal history of other (corrected) congenital malformations V26.35 Encounter for testing of male partner of female with recurrent pregnancy loss

NOTE: * These diagnosis codes were discussed at the March 9-10, 2010 ICD-9-CM Coordination and Maintenance Committee meeting and were not finalized in time to include in the proposed rule. However, they will be implemented on October 1, 2010.

Source of Information: The final addendum providing complete information on changes to the diagnosis part of ICD-9-CM is posted on CDC’s webpage at: