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User-Friendly 2010 ICD-9 Change Update

This year, you have to contend with 151 new ICD-9-CM diagnosis codes, as well as 16 invalid codes. Rather than just list the changes in code order, the following tables are meant to provide them in an easy-to-read summary format. You’ll find the names of the chapters in the ICD-9-CM tabular list below –alphabetically – that contain either new or invalid codes. To see the entire list of changes for the chapters that interest you, click here.

Code additions

Blood and Blood-Forming Organs – 285.x

Complications of Pregnancy, Childbirth & Puerperium – 670.xx

Conditions in the Perinatal Period – 768.xx, 779.xx

Congenital Anomalies – 756.xx

Digestive System – 569.xx

Endocrine, Nutritional and Metabolic, Immunity – 274.xx, 277.xx, 279.xx

Genitourinary System – 621.xx

Injury and Poisoning – 813.xx, 832.x, 969.xx,

Neoplasm – 209.xx, 239.xx

Nervous System and Sense Organs – 348.xx, 359.xx, 372.xx

Respiratory System – 488.x

Symptoms, Signs, and Ill-Defined Conditions – 784.xx, 787.xx, 789.x, 793.xx, 799.xx

V codes – V10.xx, V15.xx, V20.xx, V26.xx, V53.xx, V60.xx, V61.xx, V72.xx, V80.xx, V87.xx

Invalid codes

Circulatory System – 453.x

Conditions in the Perinatal Period – 768.x, 779.x

Endocrine, Nutritional and Metabolic, Immunity – 274.x, 279.xx

Injury and Poisoning – 969.x

Neoplasm – 239.x

Nervous System and Sense Organs – 348.x

Symptoms, Signs, and Ill-Defined Conditions – 784.x, 799.x

V codes – V10.x, V53.x, V60.x, V72.x, V80.x

Of course, if you haven’t done so already, you should also become acquainted with the numerous index changes, instructional note changes, revised code titles and coding guideline revisions. The potential benefits to your workflow and denial rates make it well worth the time spent upfront. The following Centers for Medicare and Medicaid Services link will provide further details.

As you can see, the changes this year aren’t as extensive as in some years past. Still, it might speed your workflow – to say nothing of lowering denial rates – to proactively check for any modifications to your “old standby” codes.

How are these ICD-9 additions or invalid codes affecting your practice for 2010?

We would appreciate the chance to hear your opinions!