CORONARY

Rev. October, 2008 – Discard after September 2009 CORONARY ICD-9 th 1 DIABETES th th ICD-9 HYPERTENSION ICD-9 411.1 Angina unstable 413.9 Angina pectoris, , NEC/NOS CONG. HEART FAILURE Unspecified 428.0 428.1 Left Heart Failure SYSTOLIC FAILURE Unspecified 428.20 428.21 Acute 428.22 Chronic DIASTOLIC FAILURE Unspecified 428.30 428.31 Acute 428.32 Chronic COMBINED FAILURE Unspecified 428.40 428.41 Acute 428.42 Chronic ATHEROSCLEROSIS Aorta 440.0 440.1 Renal Artery 440.20 Extremity 440.8 Other Spec. Arteries ASHD/CAD 414.01 CAD-native coronary artery 414.02 CAD-autologous vein bypass graft 414.04 CAD-artery bypass graft ACUTE MYOCARDIAL INFARCTION th AMI - 5 Digit REQUIRED - x 0 = unspecified episode 1 = initial episode 2 = subsequent episode 410.9 x MI Unspecified Site (Acute MI < 8 weeks) Old MI – after 8 weeks – symptom free 412 PULMONARY HEART DISEASE 416.9 Cor Pulmonale, chronic 416.0 Pulmonary Hypertension, primary CARDIOMYOPATHY 425.4 Cardiomyopathy other primary 425.5 Cardiomyopathy, Alcoholic 425.9 Cardiomyopathy, secondary unspecified ARRHYTHMIAS 427.31 Atrial Fibrillation 427.32 Atrial Flutter 426.0 Complete AV Block 427.81 Sinoatrial Node Dysf. (Tachy/Brady Syndr.) 427.0 Tachycardia, Paroxysmal Atrial/Supraventr. 427.1 Tachycardia, Paroxysmal Ventricular 427.41 Ventricular Fibrillation 427.42 Ventricular Flutter OTHER HEART DISEASE 429.3 Cardiomegaly 425.0 Fibrosis, Endomyocardial 429.1 Myocardial Degeneration 429.0 Myocarditis, Chronic, NOS Requires 4 & 5 Digits - 4 digit indicates Manifestation th 5 digit indicates Type and Control 5th digits: Type and Control 0 = Type 2 or unspecified, NOT stated as uncontrolled 1 = Type 1, NOT stated as uncontrolled [ juvenile ] 2 = Type 2 or unspecified, UNCONTROLLED 3 = Type 1, UNCONTROLLED [ juvenile ] Diabetes Mellitus – NO Complications 250.0x Diabetes with Ketoacidosis 250.1x Diabetes with Hyperosmolarity 250.2x Diabetes with Other Coma 250.3x Diabetes w/ Manifestations Use Additional Code** Diabetes with Renal Manifestations 250.4x Chronic Kidney Disease** 585.1– 585.9 Nephritis / Nephropathy in DM ** 583.81 Nephrosis / Nephrotic Syndrome in DM** 581.81 Diabetes with Ophthalmic Manifestations 250.5x Blindness** 369.00-369.9 Diabetic Cataract** 366.41 Glaucoma** 365.44 Diabetic Macular or Retinal Edema** 362.07 362.01-362.07 Diabetic Retinopathy** Diabetes with Neurological Manifestations 250.6x Amyotrophy** 353.1 Dorsal Sclerosis** 340 Gastroparalysis / Gastroparesis** 536.3 Mononeuropathy ** 354.0-355.9 Neurologic Arthropathy** 713.5 Peripheral Autonomic Neuropathy** 337.1 Polyneuropathy in Diabetes** 357.2 Diabetes with Peripheral Circulatory Manif’s 250.7x Gangrene** 785.4 Peripheral Angiopathy** 443.81 Peripheral Vascular Disease, unspec. ** 443.9 Thrombosis, Deep Vein, LE, NOS** 453.40 707.10 Ulcer, Chronic, Lower Extremity, unspec. 707.9 Ulcer, Chronic, Skin, unspec. Diabetes w/ Other Specified Manifestations 250.8x this DM code Includes Hypoglycemia & Shock Diabetic Bone Changes/Osteopathy** 731.8 Diabetes with Unspecified Complications 250.9x Long Term (current) use of Insulin V58.67 Other Pancreatic Disorders 251.4 Abnormality of Glucagon Secretion 251.5 Abnormality Gastrin Secretion 251.8 Abnormality Pancreatic Secretion - Other 251.9 Disorder of Pancreatic Secretion unspec. 251.2 Hypoglycemia, unspec. Essential Hypertension 401.0 Malignant hypertension 401.1 Benign hypertension 401.9 Unspecified HYPERTENSIVE HEART DISEASE (HCVD) - HTN LINKED HEART DZ – Use Addt’l HF Code 402.00 Malignant w/o heart failure 402.01 Malignant w/ heart failure 402.10 Benign w/o heart failure 402.11 Benign w/ heart failure 402.90 Unspecified w/o heart failure 402.91 Unspecified w/ heart failure HYPERTENSIVE KIDNEY DISEASE - HTN LINKED CKD - Use Addt’l Code Malignant w/ CKD stage I - IV 403.00 Malignant w/ CKD V - ESRD 403.01 Benign w/ CKD stage I - IV 403.10 Benign with CKD V - ESRD 403.11 Unspecified w/ CKD stage I - IV 403.90 Unspecified w/ CKD V - ESRD 403.91 HTN HEART DISEASE & CKD -HTN LINKED HEART Dz. & CKD - Use Addt’l Cd Malig. w/o heart failure w/ CKD stage I - IV 404.00 Malig. w/ heart failure w/ CKD stage I - IV 404.01 Malig. w/o heart failure w/CKD V - ESRD 404.02 Malig. w/ heart failure w/ CKD V - ESRD 404.03 Ben. w/o heart failure w/ CKD stage I - IV 404.10 Ben. w/ heart failure w/ CKD stage I - IV 404.11 Ben. w/o heart failure w/ CKD V – ESRD 404.12 Ben. w/ heart failure w/ CKD V – ESRD 404.13 Unspec. w/o heart failure w/CKD stage I-IV 404.90 Unspec. w/ heart failure w/CKD stage I-IV 404.91 Unspec. w/o heart failure CKD V – ESRD 404.92 404.93 Unspec. w/ heart failure w/CKD V –ESRD CHRONIC KIDNEY DISEASE (CKD) CKD Stage 1 GFR>90 Chronic 585.1 CKD Stage 2 GFR 60-89 Mild 585.2 CKD Stage 3 GFR 30-59 Moderate 585.3 CKD Stage 4 GFR 15-29 Severe 585.4 CKD Stage 5 GFR<15 No Dialysis 585.5 End Stage Renal Disease w/ Dialysis 585.6 585.9 CKD Unspecified; Chronic Renal Failure DIALYSIS STATUS V45.11 Renal Dialysis Status OTHER KIDNEY DISEASES 580.81 Acute Nephritis 584.9 Acute Renal Failure, unspec. 582.9 Glomerulonephritis, Chronic, NOS DISCLAIMER: For all ICD-9 codes please refer to the most recent ICD-9 book that has been approved by the Centers of Medicare & Medicaid Services (CMS) at www.cms.hhs.gov Rev. October, 2008 – Discard after September 2009 PULMONARY ASTHMA Asthma / Chronic Obstructive, unspec. Asthma / Chronic Obstructive w/ Status Asthmaticus Asthma / chronic obstructive w/ Acute Exacerbation 493.20 493.21 493.22 2 NEOPLASMS – PRIMARY SITE ICD-9 INJURIES AND POISONING Fracture, Face Bones Fracture Skull / other Fracture, Multiple, Skull / face / other, NOS Fracture, Pelvis Fracture, Neck of Femur / Hip Fracture, Femur, Other Dislocation Hip Concussion Laceration and Contusion, Cerebral Hemorrhage, Intracranial Post-Injury Injury, Intracranial NEC / NOS ICD-9 ICD-9 BRONCHITIS Bronchitis, Simple Chronic Bronchitis, Obstructive Chronic Without exacerbation With exacerbation COPD with Acute Bronchitis Other Chronic Bronchitis COPD, Not Elsewhere Classified Emphysema, NOS Pleural Effusion unspec. Pneumonia / Klebsiella Pneumonia / Pseudomonas Pneumonia / Hemophilus Influenza Pneumonia / Streptococcus, group unspec. Pneumonia / Staphylococcus, group unspec. 491.0 491.20 491.21 491.22 491.8 496 492.8 511.9 482.0 482.1 482.2 482.30 188.9 Bladder, unspec. 191.9 Brain, unspec. 174.9 Breast, Female, unspec. 180.9 Cervix uteri, unspec. 153.9 Colon, unspec. 189.0 Kidney, except pelvis 162.9 Lung and Bronchus, unspec. 172.9 Malignant Melanoma of skin, unspec. 185 Prostate 173.9 Skin, unspec. 179 Uterine, part unspec. Note: Please refer to the ICD-9 code book to code to the highest SPECIFICITY as appropriate to the condition Use V codes (HISTORY) for cancers surgically removed where patient is no longer receiving active treatment HISTORY CODES FOR CANCER History Bladder CA History of Brain CA V10.51 V10.85 802.xx 803.xx 804.xx 808.xx 820.xx 821.xx 835.xx 850.x 851.xx 852.xx 854.xx Burns 948.xx xx – additional digits required– refer to ICD-9 code book MENTAL DISORDERS 303.90 Alcohol Dependence, Chronic 303.00 Alcohol Dependence, with Acute Intoxication Bipolar Disorder, unspec. Drug Dependence, unspec Major Depressive Disorder, Single Episode Schizophrenia, unspec. 296.80 304.90 296.2 295.90 Pneumonia / Bacterial unspec. Pneumonia / Organism unspec. Pulmonary Insufficiency, NEC Respiratory Failure, acute GASTROENTEROLOGY Chron’s Disease, NOS Cirrhosis, Liver, Alcoholic Cirrhosis, Liver NOS w/o mention of alcohol Colitis, Ulcerative unspec. 482.40 482.9 486 518.82 518.81 555.9 571.2 571.5 556.9 History of Breast CA History of Cervical CA History of Large Intestine CA History of Kidney CA History of Lung and Bronchus CA History of Prostate CA History of Malignant Melanoma of skin History of Skin CA, other History of Uterine CA V10.3 V10.41 V10.05 V10.52 V10.11 V10.46 V10.82 V10.83 V10.42 263.0 263.1 263.8 263.9 042 V08 279.4 V49.71 V49.70 V49.73 V49.74 V49.75 V49.76 V44.3 V44.50 V44.1 V44.2 STROKE / LATE EFFECTS Acute, but Ill Defined Cerebrovascular Disease CVA/Stroke 436 434.91 Embolism, Cerebral with infarct Hemorrhage, Intracerebral 434.11 431 Hemorrhage, Subdural, non-traumatic Hemorrhage, Intracranial, unspec. 432.1 432.9 MALNUTRITION Moderate degree – Malnutrition Mild degree – Malnutrition Other Protein – Calorie Malnutrition Malnutrition – Unspecified Occlusion, Basilar Artery with infarct Occlusion, Carotid Artery with infarct Occlusion, Vertebral Artery with infarct Occlusion, Mult., Bilat., Precerebral Artery w/ infarct Occlusion, Other Spec. Precerebral Artery w/ infarct Diverticulosis, colon without hemorrhage Hepatitis, Chronic unspec. Pancreatitis, 4th digit req’d Acute – 0 Chronic - 1 Peritonitis unspec. 562.10 571.40 433.01 433.11 433.21 433.31 433.81 577.x 567.9 MUSCULOSKELETAL / NERVE / CONNECTIVE TISSUE 714.0 Arthritis, Rheumatoid, Chronic MANIFESTATIONS of RA – ADDITIONAL CODE REQ’D** 359.6 Myopathy, Inflammatory. ** IMMUNODEFICIENCY AIDS HIV Positive, Asymptomatic Status Auto-Immune Disease NEC Thrombosis, Cerebral with infarct Transient Ischemic Attack (TIA) History of CVA / TIA w/ NO Residual Deficits 434.01 435.9 V12.54 Polyneuropathy ** Ankylosing Spondylitis/other inflammatory spondylopathies 357.1 720.x 733.90 710.0 340 733.40 733.00 AMPUTATION STATUS Great Toe LOWER LIMB – Leg, unspecified level Foot Ankle Below knee (BKA) Above knee (AKA) Disorder of bone and cartilage, unspecified Lupus, Systemic Erathematosus Multiple Sclerosis Necrosis, Bone, Aseptic unspec. Osteoporosis Osteomyelitis, Acute (Use addt’l code to ID organism) Paraplegia Polyarthopathy, inflammatory, unspec. Quadriplegia, unspec. Seizure Disorder, NOS Note: History of CVA V12.54 should NOT be used with codes for LATE EFFECTS - 438.xx 438.11 Late Effect CVA - Aphasia/Language Deficits, unsp 438.82 Late Effect CVA – Dysphagia (requires addt’l code) 438.20 Late Effect CVA - Hemiplegia, unspec. side 438.30 LE CVA - Monoplegia, Upper limb – unspec. side 438.40 LE CVA - Monoplegia, Lower limb – unspec. side 438.50 LE CVA – Other Paralytic Syndrome, unspec. side 730.0x 344.1 714.9 344.00 345.90 STATUS ARTIFICIAL Openings / Ostomies Colostomy Cystostomy, unspec. Gastrostomy Ileostomy VASCULAR DISEASE Abdominal Aortic Aneurysm w/o mention of rupture Arteritis, unspec. Atherosclerosis extremities w/ rest pain Atherosclerosis of extr. w/ intermittent claudication 441.4 447.6 440.22 440.21 ULCERS of SKIN Ulcer Chronic, Lower Limb, unspec.** 707.10 Other specified artificial opening, NEC SYMPTOMS/SIGNS/ILL-DEFINED Cachexia Coma Convulsions 5th digit required, consult code book Gangrene Persistent Vegetative State V44.8 799.4 780.01 780.3x 785.4 780.03 Atherosclerosis w/ulceration DVT lower extremities. unspec. Peripheral Vascular Disease unspec. Phlebitis of Deep Vessels Lower Extremities Thrombosis and Embolism of Renal Vein Thrombosis and Embolism other Specified Veins Thrombosis and Embolism Vena Cava 440.23 453.40 443.9 451.1 453.3 453.8 453.2 Ulcer Chronic, Skin unspec.** 707.9 For Pressure Ulcers, Use addt’l code for ulcer STAGE I – IV ** Ulcer, Pressure, unspec. Site** Code for SITE 1st 707.00 Ulcer, Pressure, other Site ** 707.09 Ulcer, Pressure, Stage I - IV use 5th digit 1 – 4 ** 707.2x DISCLAIMER: For all ICD-9 codes please refer to the most recent ICD-9 book that has been approved by the Centers of Medicare & Medicaid Services (CMS) at www.cms.hhs.gov