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New 2012 ICD-9 Code Updates

Sep 13, 11

Each year, BDA provides tools to assist physicians and organizations with the ICD-9 code changes. We’ve put together a Power Point presentation that goes over these new 2012 ICD9 changes for you, which you may view or download below. October 1 is when the 2012 ICD-9-CM codes take effect. Neglecting to update your existing billing software with the new updates could delay claims which may result in delayed payments.

New 2012 ICD9 Code Updates

2012 ICD-9 Changes

The Centers for Medicare & Medicaid Services (CMS) have posted the new, revised and invalid ICD-9-CM diagnosis codes for 2012. The updated code set will be effective for dates of service on or after Oct. 1. Post the October 1 deadline, CMS will only add new ICD-9 codes on an emergency basis as it gears up to switch over the diagnosis coding system to ICD-10.

In the 2012 “New” ICD-9 category, there are several new codes for Dermatology Coders. The new “derm” codes make it easier in reporting the location of carcinomas and other neoplasms of the skin. There is an expansion of the 173.x (Other malignant neoplasm of skin) series. In this series, each code will have a 5th digit that will specify whether the malignant neoplasm is basal cell, squamous cell or unspecified.

2012 ICD9 New Code Updates2012 New ICD9 Code Updates Power PointICD-9-CM Guidelines, Conversion Table, and Addenda

The International Classification of Diseases, Clinical Modification is used to code and classify morbidity data from the inpatient and outpatient records, physician offices, and most National Center for Health Statistics (NCHS) surveys.

From: New, Deleted, and Revised ICD-9-CM Codes – Summary Tables

The final addendum providing complete information on changes to the diagnosis part of ICD-9-CM is posted on CDC’s webpage at: www.cdc.gov/nchs/icd9.htm

  • 237.73 – Schwannomatosis
  • 237.79* – Other neurofibromatosis
  • 275.01 – Hereditary hemochromatosis
  • 275.02 – Hemochromatosis due to repeated red blood cell transfusions
  • 275.03 – Other hemochromatosis
  • 275.09 – Other disorders of iron metabolism
  • 276.61 – Transfusion associated circulatory overload
  • 276.69 – Other fluid overload
  • 278.03 – Obesity hypoventilation syndrome
  • 287.41 – Posttransfusion purpura
  • 287.49 – Other secondary thrombocytopenia
  • 315.35* – Childhood onset fluency disorder
  • 447.70 – Aortic ectasia, unspecified site
  • 447.71 – Thoracic aortic ectasia
  • 447.72 – Abdominal aortic ectasia
  • 447.73 – Thoracoabdominal aortic ectasia
  • 488.01* – Influenza due to identified avian influenza virus with pneumonia
  • 488.02* – Influenza due to identified avian influenza virus with other respiratory manifestations
  • 488.09* – Influenza due to identified avian influenza virus with other manifestations
  • 488.11* – Influenza due to identified novel H1N1 influenza virus with pneumonia
  • 488.12* – Influenza due to identified novel H1N1 influenza virus with other respiratory manifestations
  • 488.19* – Influenza due to identified novel H1N1 influenza virus with other manifestations
  • 560.32 – Fecal impaction
  • 724.03 – Spinal stenosis, lumbar region, with neurogenic claudication
  • 752.31 – Agenesis of uterus
  • 752.32 – Hypoplasia of uterus
  • 752.33 – Unicornuate uterus
  • 752.34 – Bicornuate uterus
  • 752.35 – Septate uterus
  • 752.36 – Arcuate uterus
  • 752.39 – Other anomalies of uterus
  • 752.43 – Cervical agenesis
  • 752.44 – Cervical duplication
  • 752.45 – Vaginal agenesis
  • 752.46 – Transverse vaginal septum
  • 752.47 – Longitudinal vaginal septum
  • 780.33 – Post traumatic seizures
  • 780.66 – Febrile nonhemolytic transfusion reaction
  • 784.52* – Fluency disorder in conditions classified elsewhere
  • 784.92 – Jaw pain
  • 786.30 – Hemoptysis, unspecified
  • 786.31 – Acute idiopathic pulmonary hemorrhage in infants [AIPHI]
  • 786.39 – Other hemoptysis
  • 787.60 – Full incontinence of feces
  • 787.61 – Incomplete defecation
  • 787.62 – Fecal smearing
  • 787.63 – Fecal urgency
  • 799.51 – Attention or concentration deficit
  • 799.52 – Cognitive communication deficit
  • 799.53 – Visuospatial deficit
  • 799.54 – Psychomotor deficit
  • 799.55 – Frontal lobe and executive function deficit
  • 799.59 – Other signs and symptoms involving cognition
  • 970.81 – Poisoning by cocaine
  • 970.89 – Poisoning by other central nervous system stimulants
  • 999.60 – ABO incompatibility reaction, unspecified
  • 999.61 – ABO incompatibility with hemolytic transfusion reaction not specified as acute or delayed
  • 999.62 – ABO incompatibility with acute hemolytic transfusion reaction
  • 999.63 – ABO incompatibility with delayed hemolytic transfusion reaction
  • 999.69 – Other ABO incompatibility reaction
  • 999.70 – Rh incompatibility reaction, unspecified
  • 999.71 – Rh incompatibility with hemolytic transfusion reaction not specified as acute or delayed
  • 999.72 – Rh incompatibility with acute hemolytic transfusion reaction
  • 999.73 – Rh incompatibility with delayed hemolytic transfusion reaction
  • 999.74 – Other Rh incompatibility reaction
  • 999.75 – Non-ABO incompatibility reaction, unspecified
  • 999.76 – Non-ABO incompatibility with hemolytic transfusion reaction not specified as acute or delayed
  • 999.77 – Non-ABO incompatibility with acute hemolytic transfusion reaction
  • 999.78 – Non-ABO incompatibility with delayed hemolytic transfusion reaction
  • 999.79 – Other non-ABO incompatibility reaction
  • 999.80 – Transfusion reaction, unspecified
  • 999.83 – Hemolytic transfusion reaction, incompatibility unspecified
  • 999.84 – Acute hemolytic transfusion reaction, incompatibility unspecified
  • 999.85 – Delayed hemolytic transfusion reaction, incompatibility unspecified
  • E000.2 – Volunteer activity
  • V11.4 – Personal history of combat and operational stress reaction
  • V13.23 – Personal history of vaginal dysplasia
  • V13.24 – Personal history of vulvar dysplasia
  • V13.62 – Personal history of other (corrected) congenital malformations of genitourinary system
  • V13.63 – Personal history of (corrected) congenital malformations of nervous system
  • V13.64 – Personal history of (corrected) congenital malformations of eye, ear, face and neck
  • V13.65 – Personal history of (corrected) congenital malformations of heart and circulatory system
  • V13.66 – Personal history of (corrected) congenital malformations of respiratory system
  • V13.67 – Personal history of (corrected) congenital malformations of digestive system
  • V13.68** – Personal history of (corrected) congenital malformations of integument, limbs, and musculoskeletal systems
  • V15.53 – Personal history of retained foreign body fully removed
  • V25.11 – Encounter for insertion of intrauterine contraceptive device
  • V25.12 – Encounter for removal of intrauterine contraceptive device
  • V25.13 – Encounter for removal and reinsertion of intrauterine contraceptive device
  • V49.86 – Do not resuscitate status
  • V49.87* – Physical restraints status
  • V62.85 – Homicidal ideation
  • V85.41 – Body Mass Index 40.0-44.9, adult
  • V85.42 – Body Mass Index 45.0-49.9, adult
  • V85.43 – Body Mass Index 50.0-59.9, adult
  • V85.44 – Body Mass Index 60.0-69.9, adult
  • V85.45 – Body Mass Index 70 and over, adult
  • V88.11 – Acquired total absence of pancreas
  • V88.12 – Acquired partial absence of pancreas
  • V90.01 – Retained depleted uranium fragments
  • V90.09 – Other retained radioactive fragments
  • V90.10 – Retained metal fragments, unspecified
  • V90.11 – Retained magnetic metal fragments
  • V90.12 – Retained nonmagnetic metal fragments
  • V90.2 – Retained plastic fragments
  • V90.31 – Retained animal quills or spines
  • V90.32 – Retained tooth
  • V90.33 – Retained wood fragments
  • V90.39 – Other retained organic fragments
  • V90.81 – Retained glass fragments
  • V90.83 – Retained stone or crystalline fragments
  • V90.89 – Other specified retained foreign body
  • V90.9 – Retained foreign body, unspecified material
  • V91.00 – Twin gestation, unspecified number of placenta, unspecified number of amniotic sacs
  • V91.01 – Twin gestation, monochorionic/monoamniotic (one placenta, one amniotic sac)
  • V91.02 – Twin gestation, monochorionic/diamniotic (one placenta, two amniotic sacs)
  • V91.03 – Twin gestation, dichorionic/diamniotic (two placentae, two amniotic sacs)
  • V91.09 – Twin gestation, unable to determine number of placenta and number of amniotic sacs
  • V91.10 – Triplet gestation, unspecified number of placenta and unspecified number of amniotic sacs
  • V91.11 – Triplet gestation, with two or more monochorionic fetuses
  • V91.12 – Triplet gestation, with two or more monoamniotic fetuses
  • V91.19 – Triplet gestation, unable to determine number of placenta and number of amniotic sacs
  • V91.20 – Quadruplet gestation, unspecified number of placenta and unspecified number of amniotic sacs
  • V91.21 – Quadruplet gestation, with two or more monochorionic fetuses
  • V91.22 – Quadruplet gestation, with two or more monoamniotic fetuses
  • V91.29 – Quadruplet gestation, unable to determine number of placenta and number of amniotic sacs
  • V91.90 – Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs
  • V91.91 – Other specified multiple gestation, with two or more monochorionic fetuses
  • V91.92 – Other specified multiple gestation, with two or more monoamniotic fetuses
  • V91.99 – Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs

* These diagnosis codes were discussed at the March 9-10, 2010 ICD-9-CM Coordination and Maintenance Committee meeting and were not finalized in time to include in the proposed rule. However, they will be implemented on October 1, 2010. Please note that new code 237.78, Other neurofibromatosis, that was listed as a new diagnosis code in the proposed rule has been modified to new code 237.79. New code 799.50, Unspecified signs and symptoms involving cognition, that was listed in the proposed rule as a new code has been deleted and will not be implemented on October 1, 2010.

**The code title has changed from the proposed rule.


View/Download New 2012 ICD9 Code Updates Presentation


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Online 2012 ICD-9 Code Updates Presentation



Updated ICD-9 Guidelines

The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS), two departments within the U.S. Federal Government's Department of Health and Human Services (DHHS) provide these updated guidelines for coding and reporting using the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM). These guidelines should be used as a companion document to the official version of the ICD-9-CM as published on CD-ROM by the U.S. Government Printing Office (GPO).

The official updated guidelines released by the CDC have been approved by the four organizations that make up the Cooperating Parties for the ICD-9-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS.

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