Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) for Aug. 2009

The following is a list of the New 2010 Diagnosis Codes effective October 1, 2009. There are new 2010 E codes which are not included in the list below but can be found in the final addendum providing complete information on changes to the diagnosis part of ICD-9-CM posted on CDC’s webpage at: www.cdc.gov/nchs/icd9.htm.

New Diagnosis Codes

• 209.31 Merkel cell carcinoma of the face
• 209.32 Merkel cell carcinoma of the scalp and neck
• 209.33 Merkel cell carcinoma of the upper limb
• 209.34 Merkel cell carcinoma of the lower limb
• 209.35 Merkel cell carcinoma of the trunk
• 209.36 Merkel cell carcinoma of other sites
• 209.70 Secondary neuroendocrine tumor, unspecified site
• 209.71 Secondary neuroendocrine tumor of distant lymph nodes
• 209.72 Secondary neuroendocrine tumor of liver
• 209.73 Secondary neuroendocrine tumor of bone
• 209.74 Secondary neuroendocrine tumor of peritoneum
• 209.75* Secondary Merkel cell carcinoma
• 209.79 Secondary neuroendocrine tumor of other sites
• 239.81 Neoplasms of unspecified nature, retina and choroid
• 239.89 Neoplasms of unspecified nature, other specified sites
• 274.00 Gouty arthropathy, unspecified
• 274.01 Acute gouty arthropathy
• 274.02 Chronic gouty arthropathy without mention of tophus (tophi)
• 274.03 Chronic gouty arthropathy with tophus (tophi)
• 277.88 Tumor lysis syndrome
• 279.41 Autoimmune lymphoproliferative syndrome
• 279.49 Autoimmune disease, not elsewhere classified
• 285.3 Antineoplastic chemotherapy induced anemia
• 348.81 Temporal sclerosis
• 348.89 Other conditions of brain
• 359.71 Inclusion body myositis
• 359.79 Other inflammatory and immune myopathies, NEC
• 372.06 Acute chemical conjunctivitis
• 416.2 Chronic pulmonary embolism
• 438.13 Late effects of cerebrovascular disease, dysarthria
• 438.14 Late effects of cerebrovascular disease, fluency disorder
• 453.50 Chronic venous embolism and thrombosis of unspecified deep vessels of lower extremity
• 453.51 Chronic venous embolism and thrombosis of deep vessels of proximal lower extremity
• 453.52 Chronic venous embolism and thrombosis of deep vessels of distal lower extremity
• 453.6 Venous embolism and thrombosis of superficial vessels of lower extremity
• 453.71 Chronic venous embolism and thrombosis of superficial veins of upper extremity
• 453.72 Chronic venous embolism and thrombosis of deep veins of upper extremity
• 453.73 Chronic venous embolism and thrombosis of upper extremity, unspecified
• 453.74** Chronic venous embolism and thrombosis of axillary veins
• 453.75 Chronic venous embolism and thrombosis of subclavian veins
• 453.76 Chronic venous embolism and thrombosis of internal jugular veins
• 453.77 Chronic venous embolism and thrombosis of other thoracic veins
• 453.79 Chronic venous embolism and thrombosis of other specified veins
• 453.81 Acute venous embolism and thrombosis of superficial veins of upper extremity
• 453.82 Acute venous embolism and thrombosis of deep veins of upper extremity
• 453.83 Acute venous embolism and thrombosis of upper extremity, unspecified
• 453.84 Acute venous embolism and thrombosis of axillary veins
• 453.85 Acute venous embolism and thrombosis of subclavian veins
• 453.86 Acute venous embolism and thrombosis of internal jugular veins
• 453.87 Acute venous embolism and thrombosis of other thoracic veins
• 453.89 Acute venous embolism and thrombosis of other specified veins
• 488.0*** Influenza due to identified avian influenza virus
• 488.1*** Influenza due to identified novel H1N1 influenza virus
• 569.71 Pouchitis
• 569.79 Other complications of intestinal pouch
• 569.87 Vomiting of fecal matter
• 621.34 Benign endometrial hyperplasia
• 621.35 Endometrial intraepithelial neoplasia [EIN]
• 670.10 Puerperal endometritis, unspecified as to episode of care or not applicable
• 670.12 Puerperal endometritis, delivered, with mention of postpartum complication
• 670.14 Puerperal endometritis, postpartum condition or complication
• 670.20 Puerperal sepsis, unspecified as to episode of care or not applicable
• 670.22 Puerperal sepsis, delivered, with mention of postpartum complication
• 670.24 Puerperal sepsis, postpartum condition or complication
• 670.30 Puerperal septic thrombophlebitis, unspecified as to episode of care or not applicable
• 670.32 Puerperal septic thrombophlebitis, delivered, with mention of postpartum complication
• 670.34 Puerperal septic thrombophlebitis, postpartum condition or complication
• 670.80 Other major puerperal infection, unspecified as to episode of care or not applicable
• 670.82 Other major puerperal infection, delivered, with mention of postpartum complication
• 670.84 Other major puerperal infection, postpartum condition or complication
• 756.72 Omphalocele
• 756.73 Gastroschisis
• 768.70 Hypoxic-ischemic encephalopathy, unspecified
• 768.71 Mild hypoxic-ischemic encephalopathy
• 768.72 Moderate hypoxic-ischemic encephalopathy
• 768.73 Severe hypoxic-ischemic encephalopathy
• 779.31 Feeding problems in newborn
• 779.32 Bilious vomiting in newborn
• 779.33 Other vomiting in newborn
• 779.34 Failure to thrive in newborn
• 784.42 Dysphonia
• 784.43 Hypernasality
• 784.44 Hyponasality
• 784.51 Dysarthria
• 784.59 Other speech disturbance
• 787.04 Bilious emesis
• 789.7 Colic
• 793.82 Inconclusive mammogram
• 799.21 Nervousness
• 799.22 Irritability
• 799.23 Impulsiveness
• 799.24 Emotional lability
• 799.25 Demoralization and apathy
• 799.29 Other signs and symptoms involving emotional state
• 799.82 Apparent life threatening event in infant
• 813.46 Torus fracture of ulna (alone)
• 813.47 Torus fracture of radius and ulna
• 832.2 Nursemaid’s elbow
• 969.00 Poisoning by antidepressant, unspecified
• 969.01 Poisoning by monoamine oxidase inhibitors
• 969.02 Poisoning by selective serotonin and norepinephrine reuptake inhibitors
• 969.03 Poisoning by selective serotonin reuptake inhibitors
• 969.04 Poisoning by tetracyclic antidepressants
• 969.05 Poisoning by tricyclic antidepressants
• 969.09 Poisoning by other antidepressants
• 969.70 Poisoning by psychostimulant, unspecified
• 969.71 Poisoning by caffeine
• 969.72 Poisoning by amphetamines
• 969.73 Poisoning by methylphenidate
• 969.79 Poisoning by other psychostimulants
• 995.24 Failed moderate sedation during procedure
• V10.90* Personal history of unspecified malignant neoplasm
• V10.91 Personal history of malignant neuroendocrine tumor
• V15.52 Personal history of traumatic brain injury
• V15.80 Personal history of failed moderate sedation
• V15.83 Personal history of underimmunization status
• V20.31** Health supervision for newborn under 8 days old
• V20.32 Health supervision for newborn 8 to 28 days old
• V26.42 Encounter for fertility preservation counseling
• V26.82 Encounter for fertility preservation procedure
• V53.50 Fitting and adjustment of intestinal appliance and device
• V53.51 Fitting and adjustment of gastric lap band
• V53.59 Fitting and adjustment of other gastrointestinal appliance and device
• V60.81 Foster care (status)
• V60.89 Other specified housing or economic circumstances
• V61.07 Family disruption due to death of family member
• V61.08 Family disruption due to other extended absence of family member
• V61.23 Counseling for parent-biological child problem
• V61.24 Counseling for parent-adopted child problem
• V61.25 Counseling for parent (guardian)-foster child problem
• V61.42 Substance abuse in family
• V72.60 Laboratory examination, unspecified
• V72.61 Antibody response examination
• V72.62 Laboratory examination ordered as part of a routine general medical examination
• V72.63 Pre-procedural laboratory examination
• V72.69 Other laboratory examination
• V80.01 Special screening for traumatic brain injury
• V80.09 Special screening for other neurological conditions
• V87.32 Contact with and (suspected) exposure to algae bloom
• V87.43 Personal history of estrogen therapy
• V87.44 Personal history of inhaled steroid therapy
• V87.45 Personal history of systemic steroid therapy
• V87.46 Personal history of immunosuppressive therapy

Invalid Diagnosis Codes

• 239.8 Neoplasm of unspecified nature of other specified sites
• 274.0 Gouty arthropathy
• 279.4 Autoimmune disease, not elsewhere classified
• 348.8 Other conditions of brain
• 453.8 Other venous embolism and thrombosis of other specified veins
• 488*** Influenza due to identified avian influenza virus
• 768.7 Hypoxic-ischemic encephalopathy (HIE)
• 779.3 Feeding problems in newborn
• 784.5 Other speech disturbance
• 799.2 Nervousness
• 969.0 Poisoning by antidepressants
• 969.7 Poisoning by psychostimulants
• V10.9 Unspecified personal history of malignant neoplasm
• V53.5 Fitting and adjustment of other intestinal appliance
• V60.8 Other specified housing or economic circumstances
• V72.6 Laboratory examination
• V80.0 Special screening for neurological conditions

*** CDC created new flu codes to better capture H1N1 flu cases in response to the recent flu outbreak. As a result, code 488 was deleted.