Optum360 coding books logo
    Contact Us   (7 a.m.–7 p.m. CST)
  Home > Coding Central Articles > Coding Central Articles  
Coding Central
Coding Central Home
Inside Track to ICD-10
Coding Central Articles
Code This!
Case Studies
Chargemaster Corner

Articles for:
March 27, 2018

Spring OPPS Update Released

The Centers for Medicare and Medicaid Services (CMS) summarized the spring update to the outpatie... Learn More

Therapy Caps Repealed and Payment for Therapy Assistant Services Lowered

Medicare payment caps on outpatient therapy were permanently repealed effective January 1, 2018. ... Learn More

OIG Update Work Plan, Studies Cardiac Device Credits

In March, the Office of Inspector General (OIG) posted several updates to its existing Work Plan,... Learn More

View Article Archive

To subscribe, paste this link into your preferred feedreader, or click on one of the buttons below:

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:

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


Sign in to
Your Account
Forgot your username?
Forgot your password?
Don't have an account?
It's easy to create one.

Promo code

Have a promotional source code? Enter it here:

What is this?

Code This!

Test your coding knowledge!