2009 Pediatric ICD-9-CM Codes Effective October 1, 2008
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1 There are approximately 450 new codes, revisions and deletions to ICD-9-CM for Listed below are the codes of most interest to general pediatricians. New codes Methicillin resistant Staphylococcus aureus septicemia Methicillin resistant Staphylococcus aureus in conditions classified elsewhere and of unspecified site Plantar wart Other specific infections by free-living amebae Malignant neoplasm associated with transplant organ Leukemia codes (see new codes for specific type) Malignant carcinoid tumor (see new codes for specific site) Benign carcinoid tumor (see new codes for specific site) Post-transplant lymphoproliferative disorder (PTLD) Secondary diabetes mellitus (see new codes for specific conditions) Androgen insensitivity, unspecified Androgen insensitivity syndrome Partial androgen insensitivity Hungry bone syndrome Graft-versus-host disease, unspecified Acute graft-versus-host disease Chronic graft-versus-host disease Acute on chronic graft-versus-host disease Heparin-induced thrombocytopenia (HIT) Idiopathic peripheral autonomic neuropathy, unspecified Carotid sinus syndrome Other idiopathic peripheral autonomic neuropathy Cluster headache syndrome, unspecified Episodic cluster headache Chronic cluster headache Episodic paroxysmal hemicrania Chronic paroxysmal hemicrania Short lasting unilateral neuralgiform headache with conjunctival injection and tearing Other trigeminal autonomic cephalgias Tension type headache, unspecified Episodic tension type headache Chronic tension type headache Post-traumatic headache, unspecified Acute post-traumatic headache
2 Chronic post-traumatic headache Drug induced headache, not elsewhere classified Hemicrania continua New daily persistent headache Primary thunderclap headache Other complicated headache syndrome Hypnic headache Headache associated with sexual activity Primary cough headache Primary exertional headache Primary stabbing headache Other headache syndrome Migraine with aura, without mention of intractable migraine with status Migraine with aura, with intractable migraine, so stated, with status Migraine without aura, without mention of intractable migraine with status Migraine without aura, with intractable migraine, so stated, with status Variants of migraine, not elsewhere classified, without mention of intractable migraine with status Variants of migraine, not elsewhere classified, with intractable migraine, so stated, with status Hemiplegic migraine, without mention of intractable migraine without mention of status Hemiplegic migraine, with intractable migraine, so stated, without mention of status Hemiplegic migraine, without mention of intractable migraine with status Hemiplegic migraine, with intractable migraine, so stated with status Menstrual migraine, without mention of intractable migraine without mention of status Menstrual migraine, with intractable migraine, so stated, without mention of status Menstrual migraine, without mention of intractable migraine with status Menstrual migraine, with intractable migraine, so stated, with status Persistent migraine aura without cerebral infarction, without mention of intractable migraine without mention of status Persistent migraine aura without cerebral infarction, with intractable migraine, so stated, without mention of status Persistent migraine aura without cerebral infarction, without mention of intractable migraine with status Persistent migraine aura without cerebral infarction, with intractable migraine, so stated, with status Persistent migraine aura with cerebral infarction, without mention of intractable migraine without mention of status Persistent migraine aura with cerebral infarction, with intractable migraine, so stated, without mention of status Persistent migraine aura with cerebral infarction, without mention of intractable migraine with status
3 Persistent migraine aura with cerebral infarction, with intractable migraine, so stated with status Chronic migraine without aura, without mention of intractable migraine without mention of status Chronic migraine without aura, with intractable migraine, so stated, without mention of status Chronic migraine without aura, without mention of intractable migraine with status Chronic migraine without aura, with intractable migraine, so stated, with status Other forms of migraine, without mention of intractable migraine with status Other forms of migraine, with intractable migraine, so stated, with status Migraine, unspecified, without mention of intractable migraine with status Migraine, unspecified, with intractable migraine, so stated, with status Accidental puncture or laceration of dura during a procedure Other dural tear Retinopathy of prematurity, unspecified Plateau iris syndrome Pingueculitis Coronary atherosclerosis due to lipid rich plaque Methicillin resistant pneumonia due to Staphylococcus aureus Malignant pleural effusion Other specified forms of effusion, except tuberculous Eosinophilic esophagitis Eosinophilic gastritis, without mention of hemorrhage Eosinophilic gastritis, with hemorrhage Eosinophilic gastroenteritis Eosinophilic colitis Dysplasia of anus Autoimmune hepatitis Hematuria, unspecified Gross hematuria Microscopic hematuria Ptosis of breast Hypoplasia of breast Capsular contracture of breast implant Other specified disorders of breast Deformity of reconstructed breast Disproportion of reconstructed breast Vulvodynia, unspecified Vulvar vestibulitis Other vulvodynia Fetal hematologic conditions, unspecified as to episode of care or not applicable Fetal hematologic conditions, delivered, with or without mention of antepartum condition Fetal hematologic conditions, antepartum condition or complication Fetal conjoined twins, unspecified as to episode of care or not applicable
4 Fetal conjoined twins, delivered, with or without mention of antepartum condition Fetal conjoined twins, antepartum condition or complication Fetal complications from in utero procedures, unspecified as to episode of care or not applicable Fetal complications from in utero procedures, delivered, with or without mention of antepartum condition Fetal complications from in utero procedures, delivered, with mention of postpartum complication Fetal complications from in utero procedures, antepartum condition or complication Fetal complications from in utero procedures, postpartum condition or complication Erythema multiforme, unspecified Erythema multiforme minor Erythema multiforme major Stevens-Johnson syndrome Stevens-Johnson syndrome-toxic epidermal necrolysis overlap syndrome Toxic epidermal necrolysis Other erythema multiforme Exfoliation due to erythematous condition involving less than 10 percent of body Exfoliation due to erythematous condition involving percent of body Exfoliation due to erythematous condition involving percent of body Exfoliation due to erythematous condition involving percent of body Exfoliation due to erythematous condition involving percent of body Exfoliation due to erythematous condition involving percent of body Exfoliation due to erythematous condition involving percent of body Exfoliation due to erythematous condition involving percent of body Exfoliation due to erythematous condition involving percent of body Exfoliation due to erythematous condition involving 90 percent or more of body Pressure ulcer, unspecified stage Disorders of soft tissue, unspecified Nontraumatic hematoma of soft tissue Other disorders of soft tissue Stress fracture of femoral neck Stress fracture of shaft of femur Stress fracture of pelvis Newborn affected by amniocentesis Newborn affected by other in utero procedure Newborn affected by other surgical procedure on mother during pregnancy Necrotizing enterocolitis in newborn, unspecified
5 Fever, unspecified Fever presenting with conditions classified elsewhere Postprocedural fever Postvaccination fever Chills (without fever) Hypothermia not associated with low environmental temperature Functional quadriplegia Functional urinary incontinence Other symptoms involving urinary system Satisfactory cervical smear but lacking transformation zone Abnormal glandular Papanicolaou smear of vagina Papanicolaou smear of vagina with atypical squamous cells of undetermined significance (ASC-US) Papanicolaou smear of vagina with atypical squamous cells cannot exclude high grade squamous intraepithelial lesion (ASC-H) Papanicolaou smear of vagina with low grade squamous intraepithelial lesion (LGSIL) Papanicolaou smear of vagina with high grad squamous intraepithelial lesion (HGSIL) Vaginal high risk human papillomavirus (HPV) DNA test positive Papanicolaou smear of vagina with cytologic evidence of malignancy Unsatisfactory vaginal cytology smear Other abnormal Papanicolaou smear of vagina and vaginal HPV Abnormal glandular Papanicolaou smear of anus Papanicolaou smear of anus with atypical squamous cells of undetermined significance (ASC-US) Papanicolaou smear of anus with atypical squamous cells cannot exclude high grade squamous intraepithelial lesion (ASC-H) Papanicolaou smear of anus with low grade squamous intraepithelial lesion (LGSIL) Papanicolaou smear of anus with high grade squamous intraepithelial lesion (HGSIL) Anal high risk human papillomavirus (HPV) DNA test positive Papanicolaou smear of anus with cytologic evidence of malignancy Satisfactory anal smear but lacking transformation zone Unsatisfactory anal cytology smear Other abnormal Papanicolaou smear of anus and anal HPV Ventilator associated pneumonia Other respiratory complications Disruption of wound, unspecified Disruption of traumatic injury wound repair Extravasation of vesicant chemotherapy Extravasation of other vesicant agent Other infusion reaction Other transfusion reaction V02.53 Carrier or suspected carrier of Methicillin susceptible Staphylococcus aureus V02.54 Carrier or suspected carrier of Methicillin resistant Staphylococcus aureus V12.04 Personal history of Methicillin resistant Staphylococcus aureus V13.51 Personal history of pathologic fracture V13.52 Personal history of stress fracture V13.59 Personal history of other musculoskeletal disorders
6 V15.22 Personal history of undergoing in utero procedure while a fetus V15.29 Personal history of surgery to other organs V15.51 Personal history of traumatic fracture V15.59 Personal history of other injury V45.11 Renal dialysis status V45.12 Noncompliance with renal dialysis V45.87 Transplanted organ removal status V45.88 Status post administration of tpa (rtpa) in a different facility within the last 24 hours prior to admission to current facility V46.3 Wheelchair dependence V51.8 Other aftercare involving the use of plastic surgery V61.01 Family disruption due to family member on military deployment V61.02 Family disruption due to return of family member from military deployment V61.03 Family disruption due to divorce or legal separation V61.04 Family disruption due to parent-child estrangement V61.05 Family disruption due to child in welfare custody V61.06 Family disruption due to child in foster care or in care of non-parental family member V61.09 Other family disruption V62.21 Personal current military deployment status V62.22 Personal history of return from military deployment V62.29 Other occupational circumstances or maladjustment V87.01 Contact with and (suspected) exposure to arsenic V87.09 Contact with and (suspected) exposure to other hazardous metals V87.11 Contact with and (suspected) exposure to aromatic amines V87.12 Contact with and (suspected) exposure to benzene V87.19 Contact with and (suspected) exposure to other hazardous aromatic compounds V87.2 Contact with and (suspected) exposure to other potentially hazardous chemicals V87.31 Contact with and (suspected) exposure to mold V87.39 Contact with and (suspected) exposure to potentially hazardous substances V87.41 Personal history of antineoplastic chemotherapy V87.42 Personal history of monoclonal drug therapy V87.49 Personal history of other drug therapy V88.01 Acquired absence of both cervix and uterus V88.02 Acquired absence of uterus with remaining cervical stump V88.03 Acquired absence of cervix with remaining uterus Revised Codes Methicillin susceptible Staphylococcus aureus septicemia Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site Methicillin susceptible pneumonia due to Staphylococcus aureus V45.71 Acquired absence of breast and nipple Deleted Codes Jakob-Creutzfeldt disease Cowpox Specific infections by free-living amebae
7 Deleted Codes Androgen insensitivity syndrome Idiopathic peripheral autonomic neuropathy Other specified forms of pleural effusion, except tuberculous Hematuria Other specified disorders of breast Erythema multiforme Other and unspecified disorders of soft tissue Surgical operation on mother Necrotizing enterocolitis in fetus or newborn Fever Other symptoms involving urinary system Nonspecific abnormal Papanicolaou smear of other site Respiratory complications Other transfusion reaction V13.5 Personal history of other musculoskeletal disorders V15.2 Personal history of surgery to other major organs V15.5 Personal history of injury V28.8 Encounter for other specified antenatal screening V45.1 Renal dialysis status V51 Aftercare involving the use of plastic surgery V61.0 Family disruption V62.2 Other occupational circumstances or maladjustment Be sure to order your new 2009 ICD-9-CM manual! An entire list of code changes can be obtained from the National Center for Healthcare Statistics website at:
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