INGENIX Ingenix

Transcription

1 New, Revised, and Invalid ICD-9-CM Codes for Fiscal 2012 The following code lists contain the new, revised, and invalid ICD-9-CM codes effective October 1, 2011, as approved by the ICD-9-CM Coordination and Maintenance Committee and published in the Federal Register dated May 5, 2011 and CMS-1518-P Tables 6A-6F. While the lists are official, they are not complete. It is expected that there will be additional new and revised codes released in the published official addenda to ICD-9-CM. Current code counts are as follows: new diagnosis codes, 125; revised diagnosis codes, 30: invalid diagnosis codes, 25: new procedure codes, 1: revised procedure codes, 1: invalid procedure codes, 0. Note: Ingenix will post a final list of code changes on our website at once the FY2012 Official Addenda for ICD-9- CM Volumes 1, 2 & 3 are released. New Diagnosis Codes Shiga toxin-producing Escherichia coli [E. coli] (STEC) O Other specified Shiga toxin-producing Escherichia coli [E. coli] (STEC) Shiga toxin-producing Escherichia coli [E. coli] (STEC), unspecified Other and unspecified Escherichia coli [E. coli] Unspecified malignant neoplasm of skin of lip Basal cell carcinoma of skin of lip Squamous cell carcinoma of skin of lip Other specified malignant neoplasm of skin of lip Unspecified malignant neoplasm of eyelid, including canthus Basal cell carcinoma of eyelid, including canthus Squamous cell carcinoma of eyelid, including canthus Other specified malignant neoplasm of eyelid, including canthus Unspecified malignant neoplasm of skin of ear and external auditory canal Basal cell carcinoma of skin of ear and external auditory canal Squamous cell carcinoma of skin of ear and external auditory canal Other specified malignant neoplasm of skin of ear and external auditory canal Unspecified malignant neoplasm of skin of other and unspecified parts of face Basal cell carcinoma of skin of other and unspecified parts of face Squamous cell carcinoma of skin of other and unspecified parts of face Other specified malignant neoplasm of skin of other and unspecified parts of face Unspecified malignant neoplasm of scalp and skin of neck Basal cell carcinoma of scalp and skin of neck Squamous cell carcinoma of scalp and skin of neck Other specified malignant neoplasm of scalp and skin of neck Unspecified malignant neoplasm of skin of trunk, except scrotum Basal cell carcinoma of skin of trunk, except scrotum

2 Squamous cell carcinoma of skin of trunk, except scrotum Other specified malignant neoplasm of skin of trunk, except scrotum Unspecified malignant neoplasm of skin of upper limb, including shoulder Basal cell carcinoma of skin of upper limb, including shoulder Squamous cell carcinoma of skin of upper limb, including shoulder Other specified malignant neoplasm of skin of upper limb, including shoulder Unspecified malignant neoplasm of skin of lower limb, including hip Basal cell carcinoma of skin of lower limb, including hip Squamous cell carcinoma of skin of lower limb, including hip Other specified malignant neoplasm of skin of lower limb, including hip Unspecified malignant neoplasm of other specified sites of skin Basal cell carcinoma of other specified sites of skin Squamous cell carcinoma of other specified sites of skin Other specified malignant neoplasm of other specified sites of skin Unspecified malignant neoplasm of skin, site unspecified Basal cell carcinoma of skin, site unspecified Squamous cell carcinoma of skin, site unspecified Other specified malignant neoplasm of skin, site unspecified Acquired hemophilia Antiphospholipid antibody with hemorrhagic disorder Other hemorrhagic disorder due to intrinsic circulating anticoagulants, antibodies, or inhibitors Dementia, unspecified, without behavioral disturbance Dementia, unspecified, with behavioral disturbance Pseudobulbar affect Other specified nonpsychotic mental disorders following organic brain damage Corticobasal degeneration Brain death Lambert-Eaton syndrome, unspecified Lambert-Eaton syndrome in neoplastic disease Lambert-Eaton syndrome in other diseases classified elsewhere Open angle with borderline findings, high risk Primary angle closure without glaucoma damage Glaucoma stage, unspecified Mild stage glaucoma Moderate stage glaucoma Severe stage glaucoma Indeterminate stage glaucoma Saddle embolus of pulmonary artery Saddle embolus of abdominal aorta Other arterial embolism and thrombosis of abdominal aorta Idiopathic interstitial pneumonia, not otherwise specified Idiopathic pulmonary fibrosis Idiopathic non-specific interstitial pneumonitis

3 Respiratory bronchiolitis interstitial lung disease Idiopathic lymphoid interstitial pneumonia Cryptogenic organizing pneumonia Desquamative interstitial pneumonia Lymphangioleiomyomatosis Adult pulmonary Langerhans cell histiocytosis Neuroendocrine cell hyperplasia of infancy Pulmonary interstitial glycogenosis Surfactant mutations of the lung Alveolar capillary dysplasia with vein misalignment Other interstitial lung diseases of childhood Infection due to gastric band procedure Other complications of gastric band procedure Infection due to other bariatric procedure Other complications of other bariatric procedure Infection of cystostomy Mechanical complication of cystostomy Other complication of cystostomy Other specified disorders of bladder Erosion of implanted vaginal mesh and other prosthetic materials to surrounding organ or tissue Exposure of implanted vaginal mesh and other prosthetic materials into vagina Inappropriate change in quantitative human chorionic gonadotropin (hcg) in early pregnancy Other abnormal products of conception Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section, delivered, with or without mention of antepartum condition Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section, delivered, with mention of postpartum complication Pilar cyst Trichilemmal cyst Pulmonary artery coarctation and atresia Pulmonary arteriovenous malformation Other anomalies of pulmonary artery and pulmonary circulation Multiple closed pelvic fractures without disruption of pelvic circle Multiple open pelvic fractures without disruption of pelvic circle Complications of transplanted organ, stem cell Postprocedural aspiration pneumonia Retained cholelithiasis following cholecystectomy Other digestive system complications Anaphylactic reaction due to administration of blood and blood products Anaphylactic reaction due to vaccination Anaphylactic reaction due to other serum

4 Other serum reaction due to administration of blood and blood products Other serum reaction due to vaccination Other serum reaction V12.21 Personal history of gestational diabetes V12.29 Personal history of other endocrine, metabolic, and immunity disorders V12.55 Personal history of pulmonary embolism V13.81 Personal history of anaphylaxis V13.89 Personal history of other specified diseases V19.11 Family history of glaucoma V19.19 Family history of other specified eye disorder V23.42 Pregnancy with history of ectopic pregnancy V23.87 Pregnancy with inconclusive fetal viability V54.82 Aftercare following explantation of joint prosthesis V87.02 Contact with and (suspected) exposure to uranium V88.21 Acquired absence of hip joint V88.22 Acquired absence of knee joint V88.29 Acquired absence of other joint Revised Diagnosis Codes Other encephalitis and encephalomyelitis due to other infections classified elsewhere Other myelitis due to other infections classified elsewhere Migraine with aura, with intractable migraine, so stated, without mention of status migrainosus Migraine without aura, with intractable migraine, so stated, without Variants of migraine, not elsewhere classified, with intractable migraine, so stated, without Hemiplegic migraine, with intractable migraine, so stated, without Menstrual migraine, with intractable migraine, so stated, without mention of status migrainosus Persistent migraine aura without cerebral infarction, with intractable migraine, so stated, without Persistent migraine aura with cerebral infarction, with intractable migraine, so stated, without Chronic migraine without aura, with intractable migraine, so stated, without Other forms of migraine, with intractable migraine, so stated, without Migraine, unspecified, with intractable migraine, so stated, without Open angle with borderline findings, low risk Liver and biliary tract disorders in pregnancy, unspecified as to episode of care or not applicable

5 Liver and biliary tract disorders in pregnancy, delivered, with or without mention of antepartum condition Liver and biliary tract disorders in pregnancy, antepartum condition or complication Multiple closed pelvic fractures with disruption of pelvic circle Multiple open pelvic fractures with disruption of pelvic circle Surface ([topical]) and infiltration anesthetics Other anaphylactic shock reaction Anaphylactic shock reaction due to unspecified food Anaphylactic shock reaction due to peanuts Anaphylactic shock reaction due to crustaceans Anaphylactic shock reaction due to fruits and vegetables Anaphylactic shock reaction due to tree nuts and seeds Anaphylactic shock reaction due to fish Anaphylactic shock reaction due to food additives Anaphylactic shock reaction due to milk products Anaphylactic shock reaction due to eggs Anaphylactic shock reaction due to other specified food Invalid Diagnosis Codes Escherichia coli [E. coli] infection in conditions classified elsewhere and of unspecified site Other malignant neoplasm of skin of lip Other malignant neoplasm of skin of eyelid, including canthus Other malignant neoplasm of skin of ear and external auditory canal Other malignant neoplasm of skin of other and unspecified parts of face Other malignant neoplasm of scalp and skin of neck Other malignant neoplasm of skin of trunk, except scrotum Other malignant neoplasm of skin of upper limb, including shoulder Other malignant neoplasm of skin of lower limb, including hip Other malignant neoplasm of other specified sites of skin Other malignant neoplasm of skin, site unspecified Hemorrhagic disorder due to intrinsic circulating anticoagulants Other specified nonpsychotic mental disorders following organic brain damage Embolism and thrombosis of abdominal aorta Idiopathic fibrosing alveolitis Other specified disorders of bladder 631 Other abnormal product of conception Unspecified intrapelvic protrusion of acetabulum, site unspecified Anomalies of pulmonary artery Digestive system complications, not elsewhere classified Anaphylactic shock due to serum Other serum reaction, not elsewhere classified V12.2 Personal history of endocrine, metabolic, and immunity disorders V13.8 Personal history of other specified diseases

6 V19.1 Family history of other eye disorders New Procedure Code Insertion of implantable pressure sensor without lead for intracardiac or great vessel hemodynamic monitoring Revised Procedure Code Insertion or replacement of implantable pressure sensor with [lead] for intracardiac or great vessel hemodynamic monitoring Invalid Procedure Code There were no invalid procedure codes. Strikethrough indicates deleted text Underline indicates new text