ICD-9-CM coding for patients with Spinal Cord Injury*



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ICD-9-CM coding for patients with Spinal Cord Injury* indicates intervening codes have been left out of this list. OTHER DISORDERS OF THE CENTRAL NERVOUS SYSTEM (340-349) 344 Other paralytic syndromes Note: This category is to be used when the listed conditions are reported without further specification or are stated to be old or long-standing but of unspecified cause. The category is also for use in multiple coding to identify these conditions resulting from any cause. Includes: paralysis (complete) (incomplete), except as classifiable to 342 and 343 Excludes: congenital or infantile cerebral palsy (343.0-343.9) hemiplegia (342.0-342.9) congenital or infantile (343.1, 343.4) 344.0 Quadriplegia and quadriparesis 344.00 Quadriplegia, unspecified 344.01 C1-C4, complete 344.02 C1-C4, incomplete 344.03 C5-C7, complete 344.04 C5-C7, incomplete 344.09 Other 344.1 Paraplegia Paralysis of both lower limbs Paraplegia (lower) Causative diagnoses DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS (320-389) INFLAMMATORY DISEASES OF THE CENTRAL NERVOUS SYSTEM (320-326) 323 Encephalitis, myelitis, and encephalomyelitis Includes: myelitis (acute): ascending transverse 336 Other diseases of spinal cord 336.0 Syringomyelia and syringobulbia 336.1 Vascular myelopathies Acute infarction of spinal cord (embolic) (nonembolic) Arterial thrombosis of spinal cord Edema of spinal cord Hematomyelia Subacute necrotic myelopathy MATERNAL CAUSES OF PERINATAL MORBIDITY AND MORTALITY (760-763) 767 Birth trauma 767.4 Injury to spine and spinal cord Dislocation of spine or spinal cord due to birth trauma Fracture of spine or spinal cord due to birth trauma Laceration of spine or spinal cord due to birth trauma Rupture of spine or spinal cord due to birth trauma FRACTURE OF NECK AND TRUNK (805-809)

805 Fracture of vertebral column without mention of spinal cord injury Includes: neural arch spine spinous process transverse process vertebra 806.0 Cervical, closed 806.00 C1-C4 level with unspecified spinal cord injury Cervical region with spinal cord injury 806.01 C1-C4 level with complete lesion of cord 806.02 C1-C4 level with anterior cord syndrome 806.03 C1-C4 level with central cord syndrome 806.04 C1-C4 level with other specified spinal cord injury C1-C4 level with: 806.05 C5-C7 level with unspecified spinal cord injury 806.06 C5-C7 level with complete lesion of cord 806.07 C5-C7 level with anterior cord syndrome 806.08 C5-C7 level with central cord syndrome 806.09 C5-C7 level with other specified spinal cord injury C5-C7 level with: 806.1 Cervical, open 806.10 C1-C4 level with unspecified spinal cord injury 806.11 C1-C4 level with complete lesion of cord 806.12 C1-C4 level with anterior cord syndrome 806.13 C1-C4 level with central cord syndrome 806.14 C1-C4 level with other specified spinal cord injury C1-C4 level with: 806.15 C5-C7 level with unspecified spinal cord injury 806.16 C5-C7 level with complete lesion of cord 806.17 C5-C7 level with anterior cord syndrome 806.18 C5-C7 level with central cord syndrome 806.19 C5-C7 level with other specified spinal cord injury C5-C7 level with: 806.2 Dorsal [thoracic], closed 806.20 T1-T6 level with unspecified spinal cord injury Thoracic region with spinal cord injury 806.21 T1-T6 level with complete lesion of cord 806.22 T1-T6 level with anterior cord syndrome 806.23 T1-T6 level with central cord syndrome 806.24 T1-T6 level with other specified spinal cord injury T1-T6 level with: 806.25 T7-T12 level with unspecified spinal cord injury

806.26 T7-T12 level with complete lesion of cord 806.27 T7-T12 level with anterior cord syndrome 806.28 T7-T12 level with central cord syndrome 806.29 T7-T12 level with other specified spinal cord injury T7-T12 level with: 806.3 Dorsal [thoracic], open 806.30 T1-T6 level with unspecified spinal cord injury 806.31 T1-T6 level with complete lesion of cord 806.32 T1-T6 level with anterior cord syndrome 806.33 T1-T6 level with central cord syndrome 806.34 T1-T6 level with other specified spinal cord injury T1-T6 level with: 806.35 T7-T12 level with unspecified spinal cord injury 806.36 T7-T12 level with complete lesion of cord 806.37 T7-T12 level with anterior cord syndrome 806.38 T7-T12 level with central cord syndrome 806.39 T7-T12 level with other specified spinal cord injury T7-T12 level with: INJURY TO NERVES AND SPINAL CORD (950-957) Includes: division of nerve lesion in continuity (with open wound) traumatic neuroma (with open wound) traumatic transient paralysis (with open wound) 952 Spinal cord injury without evidence of spinal bone injury 952.0 Cervical 952.00 C1-C4 level with unspecified spinal cord injury Spinal cord injury, cervical region 952.01 C1-C4 level with complete lesion of spinal cord 952.02 C1-C4 level with anterior cord syndrome 952.03 C1-C4 level with central cord syndrome 952.04 C1-C4 level with other specified spinal cord injury Incomplete spinal cord lesion at C1-C4 level: with 952.05 C5-C7 level with unspecified spinal cord injury 952.06 C5-C7 level with complete lesion of spinal cord 952.07 C5-C7 level with anterior cord syndrome 952.08 C5-C7 level with central cord syndrome 952.09 C5-C7 level with other specified spinal cord injury Incomplete spinal cord lesion at C5-C7 level: with 952.1 Dorsal [thoracic] 952.10 T1-T6 level with unspecified spinal cord injury Spinal cord injury, thoracic region

952.11 T1-T6 level with complete lesion of spinal cord 952.12 T1-T6 level with anterior cord syndrome 952.13 T1-T6 level with central cord syndrome 952.14 T1-T6 level with other specified spinal cord injury Incomplete spinal cord lesion at T1-T6 level: with 952.15 T7-T12 level with unspecified spinal cord injury 952.16 T7-T12 level with complete lesion of spinal cord 952.17 T7-T12 level with anterior cord syndrome 952.18 T7-T12 level with central cord syndrome 952.19 T7-T12 level with other specified spinal cord injury Incomplete spinal cord lesion at T7-T12 level: with 952.2 Lumbar Secondary diagnoses HEREDITARY AND DEGENERATIVE DISEASES OF THE CENTRAL NERVOUS SYSTEM (330-337) 337 Disorders of the autonomic nervous system Includes: disorders of peripheral autonomic, sympathetic, parasympathetic, or vegetative system 337.3 Autonomic dysreflexia Use additional code to identify the underlying cause, such as: fecal impaction (560.39) urinary tract infection (599.0) OTHER DISEASES OF RESPIRATORY SYSTEM (510-519) 518.5 Pulmonary insufficiency following trauma and surgery Adult respiratory distress syndrome Pulmonary insufficiency following: shock surgery trauma Shock lung 518.8 Other diseases of lung 518.83 Chronic respiratory failure 518.84 Acute and chronic respiratory failure OTHER DISEASES OF INTESTINES AND PERITONEUM (560-569) 564 Functional digestive disorders, not elsewhere classified 564.0 Constipation 564.8 Other specified functional disorders of intestine Excludes: malabsorption (579.0-579.9) 564.81 Neurogenic bowel OTHER DISEASES OF URINARY SYSTEM (590-599) 590 Infections of kidney

Use additional code to identify organism, such as Escherichia coli [E. coli] (041.4) 590.0 Chronic pyelonephritis Chronic pyelitis Chronic pyonephrosis Code first any associated vesicoureteral reflux (593.70-593.73) 590.1 Acute pyelonephritis 590.9 Infection of kidney, unspecified 593.7 Vesicoureteral reflux 593.70 Unspecified or without reflux nephropathy 593.71 With reflux nephropathy, unilateral 593.72 With reflux nephropathy, bilateral 593.73 With reflux nephropathy 596.5 Other functional disorders of bladder Excludes: cauda equina syndrome with neurogenic bladder (344.61) 596.53 Paralysis of bladder 596.54 Neurogenic bladder 599.0 Urinary tract infection, site not specified OTHER DISEASES OF SKIN AND SUBCUTANEOUS TISSUE (700-709) 707 Chronic ulcer of skin Includes: non-infected sinus of skin non-healing ulcer 707.0 Decubitus ulcer RHEUMATISM, EXCLUDING THE BACK (725-729) Includes: disorders of muscles and tendons and their attachments, and of other soft tissues 728 Disorders of muscle, ligament, and fascia Excludes: enthesopathies (726.0-726.9) muscular dystrophies (359.0-359.1) myoneural disorders (358.0-358.9) myopathies (359.2-359.9) 728.8 Other disorders of muscle, ligament, and fascia 728.85 Spasm of muscle SYMPTOMS (780-789) 781 Symptoms involving nervous and musculoskeletal systems 781.0 Abnormal involuntary movements Spasms * Abstracted from International Classification of Diseases, 9 th revision, Clinical Modification, issued by the US Department of Health and Human Services. Available in electronic versions from http://www.cdc.gov/nchs/about/otheract/icd9/abticd9.htm. Annual updates and revisions are available at http://www.cms.hhs.gov/medlearn/icd9code.asp. Published copies of ICD-9-CM are available from a variety of sources and should be found in any medical library.