2009 ICD-9 Changes for Neurology

Transcription

1 2009 ICD-9 Changes for Neurology Index enda Agnosia (body image) (tactile) verbal visual developmental secondary to organic lesion Allergy, allergic (reaction) migraine Amyotrophia, amyotrophy, amyotrophic diabetic [353.5] due to secondary diabetes [353.5] Ataxia, ataxy, ataxic locomotor (progressive) diabetic [337.1] due to secondary diabetes [337.1] Aura, jacksonian (see also Epilepsy) jacksonian (see also Epilepsy) persistent migraine with cerebral infarction without cerebral infarction Bing-Horton syndrome (histamine cephalgia) Blindness (acquired) (congenital) (both eyes) face Carotid body or sinus syndrome Carotidynia Cephalgia, cephalagia (see also Headache) histamine other trigeminal autonomic (TACS) CJD (Creutzfeldt-Jakob disease) variant (vcjd) Coma diabetic (with ketoacidosis) hyperosmolar due to secondary diabetes hyperglycemic due to secondary diabetes hyperosmolar (diabetic) (nonketotic) due to secondary diabetes hypoglycemic diabetic Key: Bold ; Bold Strikeout ; Bold Underline Italic -

2 insulin hyperosmolar due to secondary diabetes Coma (cont.) Kussmaul s (diabetic) prediabetic due to secondary diabetes Complex regional pain syndrome type I lower limb specified site NEC upper limb type II lower limb upper limb Creutzfeldt-Jakob disease (CJD) (syndrome) (new variant) with behavioral disturbance [294.11] without behavioral disturbance ] familial iatrogenic specified NEC sporadic variant (vcjd) with behavioral disturbance [294.11] without behavioral disturbance [294.10] Cyclical vomiting associated with migraine Dementia due to or associated with condition(s) classified elsewhere Jakob-Creutzfeldt disease (CJD) (new variant) with behavioral disturbance [294.11] without behavioral disturbance [294.10] variant (vcmd) with behavioral disturbance [294.11] without behavioral disturbance [294.10] Key: Bold ; Bold Strikeout ; Bold Underline Italic -

3 Dependence on wheelchair V46.3 Diabetes, diabetic (brittle) (congenital) (familial) (mellitus) (poorly controlled) (severe) (slight) (without complication) with coma (with ketoacidosis) hyperosmolar (nonketotic) due to secondary diabetes amyotrophy [353.5] due to secondary diabetes [353.5] autonomic neuropathy (peripheral) [337.1] due to secondary diabetes [337.1] coma (with ketoacidosis) hyperglycemic hyperosmolar (nonketotic) due to secondary diabetes hypoglycemic insulin hyperosmolar coma due to secondary diabetes mononeuropathy [355.9] due to secondary diabetes [355.9] neuralgia [357.2] due to secondary diabetes [357.2] neuritis [357.2] due to secondary diabetes [357.2] neurogenic arthropathy [357.2] due to secondary diabetes [713.5] peripheral autonomic neuropathy [337.1] due to secondary diabetes [337.1] polyneuropathy [357.2] due to secondary diabetes [357.2] secondary (chemical-induced) (due to chronic condition) (due to infection) (drug-induced) with coma (with ketoacidosis) Key: Bold ; Bold Strikeout ; Bold Underline Italic -

4 hyperosmolar (nonketotic) coma (with ketoacidosis)249.3 hyperglycemic hyperosmolar (nonketotic)249.2 hypoglycemic insulin mononeuropathy [355.9] neuralgia [357.2] neuritis [357.2] neuropathy [357.2] peripheral autonomic neuropathy [337.1] polyneuropathy [357.2] Disease, diseased see also Syndrome Creutzfeldt-Jakob (CJD) (new variant) with behavioral disturbance [294.11] without behavioral disturbance [294.10] familial iatrogenic specified NEC variant (vcjd) with behavioral disturbance [294.11] without behavioral disturbance [294.10] Jakob-Creutzfeldt (CJD) (new variant) with behavioral disturbance [294.11] without behavioral disturbance [294.10] familial iatrogenic specified NEC sporadic variant (vcjd) with behavioral disturbance [294.11] without behavioral disturbance [294.10] Moebius, Moebius musculoskeletal system nervous system (central) prion NEC Disorder see also Disease musculoskeletal system NEC Key: Bold ; Bold Strikeout ; Bold Underline Italic -

5 Durotomy, incidental (inadvertent) (see also Tear, dural) Dystrophy, dystrophia cervical (sympathetic) NEC reflex neuromuscular see Dystrophy, sympathetic Encephalomyelitis (chronic) (granulomatous) (hemorrhagic necrotizing, acute) (myalgic, benign) (see also Encephalitis) Encephalopathy (acute) due to drugs (see also Table of Drugs and Chemicals) necrotizing hemorrhagic (acute) spongioform, subacute (viral) subacute spongioform viral, spongioform Fatal familial insomnia (FFI) GSS (Gerstmann-Straussler-Scheinker syndrome) Headache allergic associated with sexual activity cluster chronic episodic daily chronic new persistent (NPDH) drug induce histamine hypnic medication overuse menstrual nasal septum orgasmic post-traumatic acute chronic premenstrual preorgasmic primary cough exertional stabbing Key: Bold ; Bold Strikeout ; Bold Underline Italic -

6 thunderclap rebound short lasting unilateral neuralgiform with conjunctival injection and tearing (SUNCT) sick syndrome cluster complicated NEC periodic in child or adolescent specified NEC tension type chronic episodic Hemicrania continua paroxysmal chronic episodic Histamine cephalgia History (personal) of chemotherapy, antineoplastic V87.41 disease (of) V13.9 infectious V12.00 methicillin resistant Staphylococcus aureus (MRSA) V12.04 MRSA (methicillin resistant Staphylococcus aureus) V12.04 disorder (of) V13.9 musculoskeletal NEC V13.59 musculoskeletal disorder NEC V13.59 Horton s headache or neuralgia Hypoglycemia (spontaneous) coma diabetic Immobile, immobility complete due to severe physical disability or frailty Incontinence urine due to cognitive impairment Key: Bold ; Bold Strikeout ; Bold Underline Italic -

7 severe physical disability immobility functional Insomnia, unspecified fatal familial (FFI) Jakob-Creutzfeldt disease (CJD) (syndrome) (new variant) with behavioral disturbance [294.11] without behavioral disturbance [294.10] familial iatrogenic specified NEC sporadic variant (vcjd) with behavioral disturbance [294.11] without behavioral disturbance [294.10] Kussmaul s coma (diabetic) Landau-Kleffner syndrome Leukoencephalopathy (see also Encephalitis) reversible, posterior Malformation (congenital) see also Anomaly venous see Anomaly, vein Meningoencephalitis (see also Encephalitis) due to free-living amebae Naegleria (amebae) (gruberi) (organisms) primary amebic toxic NEC [323.71] due to carbon tetrachloride (vapor) [323.71] Migraine with aura (acute-onset) (without headache) (prolonged) (typical) without aura chronic transformed atypical basilar chronic without aura Key: Bold ; Bold Strikeout ; Bold Underline Italic -

8 classic(al) hemiplegic familial sporadic lower-half menstrual menstrually related ophthalmoplegic premenstrual pure menstrual retinal specified form NEC transformed without aura Mobius disease syndrome ophthalmoplegic migraine Mononeuropathy (see also Mononeuritis) diabetic NEC [355.9] due to secondary diabetes [355.9] lower limb [355.8] due to secondary diabetes [355.8] upper limb [354.9] due to secondary diabetes [354.9] Myasthenia syndrome in diabetes mellitus [358.1] due to secondary diabetes [358.1] Myelopathy (spinal cord) diabetic [336.3] due to secondary diabetes [336.3] Neuralgia, neuralgic (acute) (see also Neuritis) ciliary Horton s migrainous sluder s sphenopalatine (ganglion) Neuritis (see also Neuralgia) diabetic [357.2] due to secondary diabetes [357.2] Neuroendocrine tumor see Tumor, neuroendocrine Key: Bold ; Bold Strikeout ; Bold Underline Italic -

9 Neuropathy, neuropathic (see also Disorder, nerve) diabetic [357.2] due to secondary diabetes [357.2] peripheral (nerve) (see also Polyneuropathy) autonomic idiopathic in diabetes (mellitus) [337.1] due to secondary diabetes [337.1] Neurophthisis see also Disorder, nerve diabetic [357.2] due to secondary diabetes [357.2] NPDH (new persistent daily headache) Ophthalmoplegia (see also Strabismus) diabetic [378.86] due to secondary diabetes [378.86] migraine Paralysis, paralytic (complete) (incomplete) cervical sympathetic NEC sympathetic cervical NEC Periodic see also condition headache syndromes in child or adolescent Polyneuritis, polyneuritic (see also Polyneuropathy) diabetic [357.2] due to secondary diabetes [357.2] Polyneuropathy (peripheral) diabetic [357.2] due to secondary diabetes [357.2] in diabetes [357.2] due to secondary diabetes [357.2] Prosopagnosia Psychosis organic NEC due to or associated with disease Jakob-Creutzfeldt (new variant) with behavioral disturbance [294.11] without behavioral disturbance [294.10] familial Key: Bold ; Bold Strikeout ; Bold Underline Italic -

10 iatrogenic specified NEC sporadic variant with behavioral disturbance [294.11] without behavioral disturbance [294.10] Jakob-Creutzfeldt disease (syndrome) (new variant) with behavioral disturbance [294.11] without behavioral disturbance [294.10] variant with behavioral disturbance [294.11] without behavioral disturbance [294.10] Quadriplegia functional Seizure(s) migraine triggered Sluder s neuralgia or syndrome Status (post) administration of tpa (rtpa) in a different institution within the last 24 hours prior to admission to facility V45.88 wheelchair confinement V46.3 SUNCT (short lasting unilateral neuralgiform headache with conjunctival injection and tearing) Syncope (near) (pre-) carotid sinus Syndrome see also Disease alien hand carotid body or sinus cervical (root) (spine) NEC sympathetic paralysis Charcot-Weiss-Baker complex regional pain see also, Dystrophy, sympathetic type I see Dystrophy, sympathetic (posttraumatic) (reflex) type II see Causalgia Creutzfeldt-Jakob (new variant) with behavioral disturbance [294.11] without behavioral disturbance [294.10] variant Key: Bold ; Bold Strikeout ; Bold Underline Italic -

11 with behavioral disturbance [294.11] without behavioral disturbance [294.10] Gerstmann-Straussler-Scheinker (GSS) GSS (Gerstmann-Straussler-Scheinker) headache see Headache, syndrome Jakob-Creutzfeldt (new variant) with behavioral disturbance [294.11] without behavioral disturbance [294.10] variant with behavioral disturbance [294.11] without behavioral disturbance [294.10] Landau-Kleffner leukoencephalopathy, reversible, posterior Mobius ophthalmoplegic migraine pain see also Pain complex regional type I lower limb specified site NEC upper limb type II lower limb upper limb Sluder s sympathetic cervical paralysis vcjd (variant Creutzfeldt-Jakob disease) Vomiting cyclical associated with migraine Weiss-Baker syndrome (carotid sinus syncope) Wheelchair confinement status V46.3 Key: Bold ; Bold Strikeout ; Bold Underline Italic -

12 Alphabetic Index to External Causes of Injury Trauma cumulative from repetitive impact E927.4 motion or movements E927.3 sudden from strenuous movement E927.0 Key: Bold ; Bold Strikeout ; Bold Underline Italic -

13 Tabular enda POLIOMYELITIS AND OTHER NON-ARTHROPOD-BORNE VIRAL DISEASES AND PRION DISEASES OF CENTRAL NERVOUS SYSTEM ( ) 046 Slow virus infections and prion diseases of central nervous system Jakob-Creutzfeldt disease Subacute spongiform encephalopathy Variant Creutzfeldt-Jakob disease New Code vcjd Other and unspecified Creutzfeldt-Jakob disease New Code CJD Familial Creutzfeldt-Jakob disease Iatrogenic Creutzfeldt-Jakob disease Jakob-Creutzfeldt disease, unspecified Sporadic Creutzfeldt-Jakob disease Subacute spongiform encephalopathy Excludes: variant Creutzfeldt-Jakob disease (vcjd) (046.11) Other specified prion diseases of central nervous system New Subcategory Excludes: Creutzfeldt-Jakob disease ( ) Jakob-Creutzfeldt disease ( ) kuru (046.0) variant Creutzfeldt-Jakob disease (vcjd) (046.11) Gerstmann-Straussler-Scheinker syndrome New Code GSS syndrome Fatal Familial insomnia New Code FFI Other and unspecified prion disease of central nervous system New Code 136 Other and unspecified infectious and parasitic diseases Specific infections by free-living amebae Meningoencephalitis due to Naegleria Other specific infections by free-living amebae New Code Meningoencephalitis due to Naegleria 249 Secondary diabetes mellitus New Subcategory Includes: diabetes mellitus (due to) (in) (secondary) (with): drug induced or chemical induced infection Excludes: gestational diabetes (648.8) hyperglycemia NOS (790.29) neonatal diabetes mellitus (775.1) nonclinical diabetes (790.29) Type I diabetes see category 250 Type II diabetes see category 250 The following fifth digit subclassification is for use with category 249: 0 not stated as uncontrolled, or unspecified 1 uncontrolled

14 Use additional code to identify any associated insulin use (V58.67) Secondary diabetes mellitus with hyperosmolarity [0-1] New Subcategory Secondary diabetes mellitus with hyperosmolar (nonketotic) coma Secondary diabetes mellitus with other coma [0-1] New Subcategory Secondary diabetes mellitus with diabetic coma (with ketoacidosis) Secondary diabetes mellitus with diabetic hypoglycemic coma Secondary diabetes mellitus with insulin coma NOS Excludes: secondary diabetes mellitus with hyperosmolar coma (249.2) Secondary diabetes mellitus with neurological manifestations [0-1] New Subcategory Use additional code to identify manifestation, as: diabetic amyotrophy (353.5) diabetic gastroparalysis (536.3) diabetic gastroparesis (536.3) diabetic mononeuropathy ( ) diabetic neurogenic arthropathy (713.5) diabetic peripheral autonomic neuropathy (337.1) diabetic polyneuropathy (357.2) 250 Diabetes mellitus Diabetes with neurological manifestations Use additional code to identify manifestation, as: diabetic amyotrophy (353.5) 251 Other disorders of pancreatic internal secretion Hypoglycemic coma Excludes: hypoglycemic coma in diabetes mellitus (249.3, 250.3) 307 special symptoms or syndromes, not elsewhere classified Pain disorders related to psychological factors Tension headache Excludes: headache: syndromes ( ) tension type ( ) 310 Specific nonpsychotic mental disorders due to brain damage Postconcussion syndrome Use additional code to identify associated post-traumatic headache, if applicable ( ) 315 specific delays in development Developmental speech or language disorder Speech and language developmental delay due to hearing loss Use additional code to identify type of hearing loss ( ) 323 Encephalitis, myelitis, and encephalomyelitis Other encephalitis, myelitis, and encephalomyelitis due to infection classified elsewhere Other encephalitis and encephalomyelitis due to infection classified elsewhere

15 Excludes: meningoencephalitis due to free-living ameba [Naegleria] (136.29) 331 Other cerebral degenerations Use additional code, where applicable, to identify dementia: 337 Disorders of the autonomic nervous system Idiopathic peripheral autonomic neuropathy Carotid sinus syncope or syndrome Cervical sympathetic dystrophy or paralysis Idiopathic peripheral autonomic neuropathy, unspecified New Code Carotid sinus syndrome New Code Carotid sinus syncope Other idiopathic peripheral autonomic neuropathy New Code Cervical sympathetic dystrophy or paralysis Peripheral autonomic neuropathy in disorders classified elsewhere Code first underlying disease, as: diabetes (249.6, 250.6) Reflex sympathetic dystrophy Reflex sympathetic dystrophy, unspecified Complex regional pain syndrome type I, unspecified Reflex sympathetic dystrophy of the upper limb Complex regional pain syndrome type I of the upper limb Reflex sympathetic dystrophy of the lower limb Complex regional pain syndrome type I of the lower limb Reflex sympathetic dystrophy of other specified site Complex regional pain syndrome type I of other specified site Autonomic dysreflexia Use additional code to identify the cause, such as: decubitus pressure ulcer ( ) 338 Pain, not elsewhere classified Excludes: headache syndromes ( ) migraines ( ) OTHER HEADACHE SYNDROMES (339) New Section 339 Other headache syndromes New Category Excludes: headache: NOS (784.0) due to lumbar puncture (349.0) migraine ( ) Cluster headaches and other trigeminal autonomic cephalgias New Subcategory TACS Cluster headache syndrome, unspecified New Code Ciliary neuralgia Cluster headache NOS Histamine cephalgia Lower half migraine

16 Migrainous neuralgia Episodic cluster headache New Code Chronic cluster headache New Code Episodic paroxysmal hemicrania New Code Paroxysmal hemicrania NOS Chronic paroxysmal hemicrania New Code Short lasting unilateral neuralgiform headache with New Code conjunctival injection and tearing SUNCT Other trigeminal autonomic cephalgias New Code Tension type headache New Subcategory Excludes: tension headache NOS (307.81) tension headache related to psychological factors (307.81) tension type headache, unspecified New Code Episodic tension type headache New Code Chronic tension type headache New Code Post-traumatic headache New Subcategory Post-traumatic headache, unspecified New Code Acute post-traumatic headache New Code Chronic post-traumatic headache New Code Drug induced headache, not elsewhere classified New Code Medication overuse headache rebound headache Complicated headache syndromes New Subcategory Hemicrania continua New Code New daily persistent headache New Code NDPH Primary thunderclap headache New Code Other complicated headache syndrome New Code Other specified headache syndromes New Subcategory Hypnic headache New Code Headache associated with sexual activity New Code Orgasmic headache Preorgasmic headache Primary cough headache New Code Primary exertional headache New Code Primary stabbing headache New Code Other specified headache syndromes New Code 346 Migraine Excludes: headache: NOS (784.0) syndromes ( ) The following fifth-digit subclassification is for use with category 346: 0 without mention of intractable migraine without mention of status

17 migrainosus 1 with intractable migraine, so stated, without mention of status migrainosus 2 without mention of intractable migraine with status migrainosus 3 with intractable migraine, so stated, with status migrainosus Classical migraine Migraine with aura [0-3] Migraine with aura Basilar migraine Classic migraine Migraine triggered seizures Migraine with acute-onset aura Migraine with aura without headache (migraine equivalents) Migraine with prolonged aura Migraine with typical aura Retinal migraine Excludes: persistent migraine aura (346.5, 346.6) Common migraine Migraine without aura Atypical migraine Sick headache Common migraine Variants of migraine, not elsewhere classified [0-3] Cluster headache Histamine cephalgia Horton s neuralgia Migraine: abdominal basilar lower half retinal Neuralgia: ciliary migrainous Abdominal migraine Cyclical vomiting associated with migraine Ophthalmoplegic migraine Periodic headache syndromes in child or adolescent Excludes: cyclical vomiting NOS ) psychogenic cyclical vomiting (306.4) Hemiplegic migraine New Code [0-3] Familial migraine Sporadic migraine Menstrual migraine New Code [0-3] Menstrual headache

18 Menstrually related migraine Premenstrual headache Premenstrual migraine Pure menstrual migraine Persistent migraine aura without cerebral infarction New Code [0-3] Persistent migraine aura NOS Persistent migraine aura with cerebral infarction New Code [0-3] Chronic migraine without aura New Code [0-3] Transformed migraine without aura Other forms of migraine [0-3] Migraine: hemiplegic ophthalmoplegic Migraine, unspecified [0-3] 349 Other and unspecified disorders of the nervous system Dural tear New Subcategory Accidental puncture or laceration of dura during a procedure New Code Incidental (inadvertent) durotomy Other dural tear New code 353 Nerve root and plexus disorders Lumbosacral plexus lesions Code first, if applicable, associated diabetes mellitus (250.6) Neuralgic amyotrophy Code first any associated underlying disease, such as: diabetes mellitus (249.6, 250.6) 354 Mononeuritis of upper limb and mononeuritis multiplex Causalgia of upper limb Complex regional pain syndrome type II of the upper limb Excludes: complex regional pain syndrome type II of the lower limb (355.71) 355 Mononeuritis of lower limb Other mononeuritis of lower limb Causalgia of lower limb Excludes: complex regional pain syndrome of upper limb (354.4) Mononeuritis of unspecified site Complex regional pain syndrome NOS Excludes: complex regional pain syndrome: lower limb (355.71) upper limb (354.4) 357 Inflammatory and toxic neuropathy Polyneuropathy in diabetes Code first underlying disease (249.6, 250.6)

19 358 Myoneural disorders Myasthenic syndromes in diseases classified elsewhere Code first underlying disease, as: botulism (005.1, ) 368 Visual disturbances Subjective visual disturbances Psychophysical visual disturbances Prosopagnosia Visual: object agnosia 386 Veriginous syndromes and other disorders of vestibular system Meniere s disease Meniere s syndrome or vertigo Meniere s disease, unspecified Meniere s disease (active) Active Meniere s disease, cochleovestibular Active Meniere s disease, cochlear Active Meniere s disease, vestibular Inactive Meniere s disease Meniere s disease in remission 433 Occlusion and stenosis of precerebral arteries Use additional code, if applicable, to identify status post administration of tpa (rtpa) in a different facility within the last 24 hours prior to admission to current facility (V45.88) 434 Occlusion of cerebral arteries Use additional code, if applicable, to identify status post administration of tpa (rtpa) in a different facility within the last 24 hours prior to admission to current facility (V45.88) 780 General Symptoms Alteration of consciousness Excludes: coma: diabetic ( , ) Dizziness and giddiness Excludes: Meniere s disease and other specified verginous syndromes ( ) Malaise and fatigue Functional quadriplegia New Code Complete immobility due to severe physical disability or frailty Excludes: hysterical paralysis (300.11) immobility syndrome (728.3) neurologic quadriplegia ( ) quadriplegia NOS (344.00) Other general symptoms Excludes: hypothermia

20 memory disturbance as part of a pattern of mental disorder memory disturbance as part of a pattern of mental disorder 788 Symptoms involving urinary system Other symptoms involving urinary system Extrarenal uremia Vesical: pain tenesmus Functional urinary incontinence New Code Urinary incontinence due to cognitive impairment, or severe physical disability or immobility Excludes: urinary incontinence due to physiologic condition ( ) 850 Concussion With prolonged loss of consciousness, without return to pre-existing conscious level 998 Other complications of procedures, not elsewhere classified Accidental puncture or laceration during a procedure Excludes: specified complications classified elsewhere, such as: dural tear ( incidental durotomy (349.31) PERSONS WITH POTENTIAL HEALTH HAZARDS RELATED TO PERSONAL AND FAMILY HISTORY (V10-V19) V13 Personal history of other diseases V13.5 Other musculoskeletal disorders V13.59 Other musculoskeletal disorders New Code V45 Other postprocedural states V45.8 Other postprocedural states V45.88 Status post administration of tpa (rtpa) in a different facility New Code within the last 24 hours prior to admission to current facility Code first condition requiring tpa administration, such as: acute cerebral infarction ( with fifth-digit 1, with fifth digit 1)