Hundreds of changes to ICD-9 codes take effect Oct. 1
from the AAP Division of Health Care Finance and Quality Improvement
Oct. 1 brings about changes and updates for the InternationalClassification of Diseases, 9th Revision (ICD-9) coding. Thisyear, there are just over 310 new, 45 revised and 22 deletedcodes. Specific areas of note for pediatrics include:
new codes for autoimmune disease, not elsewhere classified;
new and revised codes for influenza caused by avian flu andH1N1;
new codes in the other congenital musculoskeletal anomaliescategory;
new codes in Chapter 15: Conditions in the PerinatalPeriodsection (including new codes for hypoxic-ischemic encephalopathy);
new and revised codes in Chapter 16: Symptoms, Signs and Ill-DefinedConditions;
new 5th digit for poisoning by antidepressants(969.01 –969.09) and psychostimulants (969.71 –969.79);
new and revised codes for other personal historyand personalexposures presenting hazard to health;
new codesfor health supervision;
new and revised codes for other familycircumstances;
new codes for laboratory exams and specialscreenings;
150 new Supplementary Classification of ExternalCauses of Injuryand Poisoning (E codes).
Refer to the 2010 ICD-9 book for more information and the completelist of ICD-9 changes.
These new codes are effective (and must be accepted by third-partypayers) on Oct. 1. In accordance with the Health Insurance Portabilityand Accountability Act (HIPAA) of 1996, the Centers for Medicare& Medicaid Services no longer is allowing payers a graceperiod to implement the new and revised codes. Also, in orderto be HIPAA compliant as a billing provider, you must obtainupdated ICD-9 materials annually.
Partial list of new ICD-9 codes effective Oct. 1, 2009
279.41 Autoimmune lymphoproliferative syndrome
279.49 Autoimmunedisease, not elsewhere classified
488.0 Influenza due to identifiedavian influenza virus
488.1 Influenza due to identified novelH1N1 influenza virus
756.72 Omphalocele
756.73 Gastroschisis
768.71 Mild hypoxic-ischemic encephalopathy
768.72 Moderatehypoxic-ischemic encephalopathy
768.73 Severe hypoxic-ischemicencephalopathy
779.31 Feeding problems in the newborn
779.32 Biliousvomiting in newborn
779.33 Other vomiting in newborn
779.34 Failureto thrive in newborn
784.42 Dysphonia
784.43 Hypernasality
784.44 Hyponasality
784.51 Dysarthria
784.59 Other speechdisturbances
787.04 Bilious emesis
789.7 Colic
799.21 Nervousness
799.22 Irritability
799.23 Impulsiveness
799.24 Emotionallability
799.25 Demoralization and apathy
799.29 Other signsand symptoms involving emotional state
799.82 Apparent life-threateningevent in infant
832.2 Nursemaid’s elbow
969.05 Poisoningby tricyclic antidepressants
969.09 Poisoning by other psychostimulants
969.71 Poisoning by caffeine
969.72 Poisoning by amphetamines
969.73 Poisoning by methylphenidate
995.24 Failed moderatesedation during procedure
V10.90 Personal history of unspecifiedtype of malignant neoplasm
V15.06^ Allergy to insects andarachnids
V15.52 Personal history of traumatic brain injury
V15.80 Personal history of failed moderate sedation
V15.83 Personalhistory of underimmunized status
V15.86^ Personal historyof contact with and (suspected) exposureto lead
V20.31 Healthsupervision for newborn under 8 days
V20.32 Health supervisionfor newborn 8 to 28 days old
V60.81 Foster care (status)
V61.07 Familydisruption due to death of family member
V61.08 Family disruptiondue to other extended absence of familymember
V61.23 Counselingfor parent-biological child problem
V61.24 Counseling forparent-adopted child problem
V61.25 Counseling for parent(guardian)-foster child problem
V61.29^ Other parent-childproblem
V61.42 Substance abuse in the family
V65.11^ Pediatricpre-birth visit for expectant parent(s)
^ revised code
The following codes have been deleted:
239.8
274
279.4
348.8
453.8
768.7
779.3
784.5
799.2
969
969.7
E992
E993
E994
E995
E996
E998
V10.9
V53.5
V60.8
V72.6
V80.0
Resources
Becky Dolan contributed to this article. Contacther at 800-433-9016, ext. 4325.
The Academy offers a fax-backcoding hotline at 800-433-9016, ext. 4022, or e-mail aapcodinghotline{at}aap.org.
Keeppace with the latest in coding with the monthly AAP PediatricCoding Newsletter. To view a sample issue, visit http://coding.aap.org.
