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Medical Coding News Archives

2010 ICD-9-CM Addendums Released

 
June 23, 2009:

Minimal changes were made to the ICD-9-CM for 2010 in comparison to last year. The 2010 code updates were released earlier this month by the National Center for Health Statistics’ (NCHS) and the Centers for Medicare and Medicaid Services (CMS). The changes are effective October 1, 2009.

There are approximately 300 diagnosis code additions, deletions, and revisions, and only about 25 changes to the volume 3 procedure codes. This is primarily due to the impending implementation of ICD-10 on October 1, 2013. In addition, the ICD-9-CM Coordination and Maintenance Committee will hold a discussion at the September 2009 meeting regarding whether updates to ICD-9 and/or ICD-10 should be frozen in advance of the 2013 implementation.

The annual update to ICD-9-CM is published as addendums to the index and tabular list of ICD-9-CM. In the index the changes are bolded, deletions are crossed out, additions are underlined, and revisions are underlined and italicized. Also posted is a conversion table that provides the diagnosis and procedure code changes along with the effective date for the new code and the previous code assignment. 

The ICD-9-CM code changes include changes to codes for neoplasms and newborn conditions, as well as several new E codes and V codes. New codes were created to report Merkel cell carcinoma (209.31–209.36, 209.75), and secondary neuroendocrine tumors (209.70–209.74, 209.79). New V codes report personal history of disease and specific therapies, health supervision of newborns, fitting and adjustment of gastrointestinal devices, family disruption issues, and substance abuse issues. Several new E codes identify injury due to war operations and the specific activity in which the person was engaged which resulted in injury. Codes 274.00–274.03 were expanded to differentiate between the stages of gouty arthropathy. New acute and chronic venous embolism and thrombosis codes (453.50–453.52, 453.6, 453.71–453.79, 453.81–453.82) were added to differentiate between deep and superficial vessels and to include site specificity.

The volume 3 changes include new and revised procedure codes for new technologies and to differentiate between current codes and related services. New codes and subcategories were created in category 17 Other miscellaneous procedures: 17. 5 Additional cardiovascular procedures, 17.6 Laser interstitial thermal therapy [LITT] under guidance, and 17.7 Other diagnostic and therapeutic procedures. Subcategories 39.7 Endovascular repair of vessel, and 33.7 Other endoscopic procedures in bronchus or lung, also include new codes. New volume 3 procedure codes were created for endoscopic insertion of colonic stents in subcategory 46.8 Dilation and manipulation of intestine. The volume 3 revisions include a revised code and subcategory titles and new inclusion terms. Index entries have been added for free breast grafts, and entries were also added for ventricular to peritoneal shunt, suture of a periurethral obstetric laceration and a Wang needle aspiration biopsy of the bronchus.

Official code revisions are available from NCHS's site for the diagnosis addendum and from the CMS website for the procedure addendum. The conversion table, and tabular and index addendums can be found on the NCHS website at: http://www.cdc.gov/nchs/datawh/ftpserv/ftpICD9/ftpICD9.htm. Changes to ICD-9-CM Volume 3 procedures codes can be found on the CMS website at:
http://www.cms.hhs.gov/ICD9ProviderDiagnosticCodes/04_addendum.asp#TopOfPage

Sarah A. Serling, CPC, CPC-H, CPC-I, CCS-P, CCS
Clinical/Technical Editor

 

 
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