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 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