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ICD-9-CM Expert ICD-9-CM Expert for Payers Volumes 1, 2 & 3 International Classification of Diseases 9th Revision Clinical Modification Sixth Edition Edited by: Anita C. Hart, RHIA, CCS, CCS-P Catherine A. Hopkins Beth Ford, RHIT, CCS Ingenix is committed to providing you with the ICD-9-CM code update information you need to code accurately and to be in compliance with HIPAA regulations. In the case of adoption of additional ICD-9-CM code changes effective April 1, 2006, Ingenix will provide these code changes to you at no additional cost! Just check back at http://www.IngenixOnline.com and look for the ICD-9-CM Update icon to review the latest information concerning any new code changes. Codes Valid October 1, 2005, through September 30, 2006 Tabular List CIRCULATORY SYSTEM 425.8–427.0 Nerve Conduction of the Heart 426.3 ¥>Other left bundle branch block MC Left bundle branch block: NOS anterior fascicular with posterior fascicular complete main stem 426.4 ¥>Right bundle branch block AHA: 3Q, ‘00, 3 k 426.5 Bundle branch block, other and unspecified 426.50 <¥>Bundle branch block, unspecified 426.51 Right bundle branch block and left MC posterior fascicular block 426.52 Right bundle branch block and left MC anterior fascicular block 426.53 Other bilateral bundle branch block CC MC Bifascicular block NOS 425.8 ¥><Cardiomyopathy in other diseases classified CC CD Bilateral bundle branch block NOS ¥>elsewhere Right bundle branch with left bundle Code first underlying disease, as: branch block (incomplete) (main stem) Friedreich’s ataxia (334.0) CC Excl: See code 426.0 myotonia atrophica (359.2) 426.54 Trifascicular block CC MC progressive muscular dystrophy (359.1) sarcoidosis (135) CC Excl: See code 426.0 E X C L U D E S cardiomyopathy in Chagas’ disease 426.6 Other heart block CC (086.0) Intraventricular block: Sinoatrial block CC Excl: See code 425.0 NOS Sinoauricular block AHA: 2Q, ‘93, 9 diffuse 425.9 Secondary cardiomyopathy, unspecified CC CD myofibrillar CC Excl: See code 425.0 CC Excl: See code 426.0 426.7 Anomalous atrioventricular excitation CC ' 426 Conduction disorders Atrioventricular conduction: DEF: Disruption or disturbance in the electrical impulses that regulate accelerated heartbeats. accessory 426.0 Atrioventricular block, complete CC MC pre-excitation Third degree atrioventricular block Ventricular pre-excitation CC Excl: 426.0-426.9, 427.0-427.5, 427.89, 459.89, 459.9 Wolff-Parkinson-White syndrome k 426.1 Atrioventricular block, other and unspecified CC Excl: See code 426.0 426.10 Atrioventricular block, unspecified MC DEF: Wolff-Parkinson-White: normal conduction pathway is Atrioventricular [AV] block (incomplete) bypassed; results in short P-R interval on EKG; tendency to (partial) supraventricular tachycardia. 426.11 First degree atrioventricular block k 426.8 Other specified conduction disorders Incomplete atrioventricular block, first 426.81 Lown-Ganong-Levine syndrome CC degree Syndrome of short P-R interval, normal QRS Prolonged P-R interval NOS complexes, and supraventricular 426.12 Mobitz (type) II atrioventricular CC MC tachycardias block CC Excl: See code 426.0 Incomplete atrioventricular block: Mobitz (type) II 426.82 Long QT syndrome second degree, Mobitz (type) II AHA: w4Q, ’05, 72x CC Excl: See code 426.0 DEF: Condition characterized by recurrent syncope, malignant DEF: Impaired conduction of excitatory impulse from arrhythmias, and sudden death; characteristic prolonged Q-T cardiac atrium to ventricle through AV node. interval on electrocardiogram. 426.13 Other second degree atrioventricular CC MC 426.89 Other CC block Incomplete atrioventricular block: Dissociation: Mobitz (type) I [Wenckebach’s] atrioventricular [AV] second degree: interference NOS isorhythmic Mobitz (type) I Nonparoxysmal AV nodal tachycardia with 2:1 atrioventricular response [block] CC Excl: See code 426.0 Wenckebach’s phenomenon 426.9 Conduction disorder, unspecified CC CC Excl: See code 426.0 Heart block NOS Stokes-Adams syndrome DEF: Wenckebach’s phenomenon: impulses generated at CC Excl: See code 426.0 constant rate to sinus node, P-R interval lengthens; results in cycle of ventricular inadequacy and shortened ' 427 Cardiac dysrhythmias P-R interval; second-degree A-V block commonly called E X C L U D E S that complicating: "Mobitz type 1.” abortion (634-638 with .7, 639.8) ectopic or molar pregnancy (639.8) 426.2 Left bundle branch hemiblock ¥>< labor or delivery (668.1, 669.4) Block: left anterior fascicular AHA: J-A, ‘85, 15 left posterior fascicular DEF: Disruption or disturbance in the rhythm of heartbeats. ' Additional Digit Required Nonspecific PDx Unacceptable PDx Manifestation Code MSP Medicare Secondary Payer wx Revised Text l New Code s Revised Code Title k 2006 ICD•9•CM (02/06) February 2006 • Volume 1 — 123 Tabular List OPERATIONS ON THE CARDIOVASCULAR SYSTEM 37.67–37.79 37.67 ¥>Implantation of cardiomyostimulation Insertion of Pacemaker ¥>system Note: Two-step open procedure consisting of tranfer of one end of the latissimus dorsi muscle; wrapping it around the heart; rib resection; implantation of epicardial cardiac pacing leads into the right ventricle; tunneling and pocket creation for the cardiomyostimulator. AHA: 4Q, ‘98, 75; 1Q, ‘98, 8 37.68 ¥><Insertion of percutaneous external heart ¥>assist device Circulatory assist device Extrinsic heart assist device pVAD 12 37.76 ¥>Replacement of transvenous atrial and/or Percutaneous heart assist device ¥>ventricular lead(s) [electrode] I N C L U D E S percutaneous [femoral] Removal or abandonment of existing insertion of cannulae transvenous or epicardial lead(s) with attachments transvenous lead(s) replacement s ' 37.7 Insertion, revision, replacement, and removal of E X C L U D E S replacement of epicardial lead pacemaker leads; insertion of temporary pacemaker [electrode] (37.74) system; or revision of cardiac device pocket Code also any insertion and replacement of 37.77 ¥>Removal of lead(s) [electrode] without pacemaker device (37.80-37.87) ¥>replacement E X C L U D E S implantation or replacement of Removal: transvenous lead [electrode] into epicardial lead (transthoracic approach) left ventricular cardiac venous transvenous lead(s) system (00.52) E X C L U D E S removal of temporary trans- AHA: 1Q, ‘94, 16; 3Q, ‘92, 3; M-J, ‘87, 1 venous pacemaker system — omit code 10 37.70 <¥>Initial insertion of lea<¥>d [electrode], not that with replacement of: ¥><otherwise specified <¥> atrial and/or ventricular E X C L U D E S insertion of temporary lead(s) [electrode] transvenous pacemaker (37.76) system (37.78) epicardial lead [electrode] replacement of atrial and/or (37.74) ventricular lead(s) (37.76) 37.78 Insertion of temporary transvenous 10 37.71 ¥><Initial insertion of transvenous lead pacemaker system ¥><[electrode] into ventricle E X C L U D E S E X C L U D E S insertion of temporary intraoperative cardiac transvenous pacemaker pacemaker (39.64) system (37.78) AHA: 3Q, ‘93, 12; 1Q, ‘89, 2 replacement of atrial and/or s 37.79 ¥>Revision or relocation of cardiac device ventricular lead(s) (37.76) ¥>pocket 11 37.72 ¥><Initial insertion of transvenous leads Debridement and reforming pocket (skin ¥><[electrodes] into atrium and ventricle and subcutaneous tissue) E X C L U D E S insertion of temporary Relocation of pocket [creation of new pocket] transvenous pacemaker pacemaker or CRT-P system (37.78) wRevision or relocation of pacemaker, replacement of atrial and/or ventricular lead(s) (37.76) defibrillator, or other implanted AHA: 2Q, ‘97, 4 cardiac device pocketx 10 37.73 ¥><Initial insertion of transvenous lead Left Atrial Appendage Device Insertion ¥><[electrode] into atrium E X C L U D E S insertion of temporary transvenous pacemaker system (37.78) replacement of atrial and/or ventricular lead(s) (37.76) 13 37.74 <¥>Insertion or replacement of epicardial lead ¥>[electrode] into epicardium Insertion or replacement of epicardial lead by: sternotomy thoracotomy E X C L U D E S replacement of atrial and/or ventricular lead(s) (37.76) 37.75 ¥>Revision of lead [electrode] Repair of electrode [removal with re - i n s e r t i o n ] Repositioning of lead [electrode] Revision of lead NOS E X C L U D E S repositioning of temporary transvenous pacemaker system — omit code AHA: 2Q, ‘99, 11 10 Valid OR procedure code if accompanied by one of the following codes: 37.80, 37.81, 37.82, 37.85, 37.86, 37.87 11 Valid OR procedure code if accompanied by one of the following codes: 37.80, 37.83 12 Valid OR procedure code if accompanied by one of the following codes: 37.80, 37.85, 37.86, 37.87 13 Valid OR procedure code if accompanied by one of the following codes: 37.80, 37.81, 37.82, 37.83, 37.85, 37.86, 37.87 3 ' Additional Digit Required Nonspecific OR Procedure Valid OR Procedure Non-OR Procedure Adjunct Code 2006 ICD•9•CM October 2005 • Volume 3 — 125 Resources 2006 ICD•9•CM Resources — 15 Home Health PPS Clinical Dimension Diagnosis List Home Health PPS Clinical Dimensions Group The home health resource group (HHRG) classification system includes the clinical dimensions case mix group. The data elements are organized into three dimensions; clinical, functional, and service utilization. The clinical dimension is defined by certain primary and secondary diagnosis codes as reported on the OASIS assessment instrument under data elements M0230 and M0240. Codes with four and five digits must be coded to that level on the OASIS assessment instrument. A list of those primary and secondary codes is provided in this resource. Refer to the “Overview of the Home Health Agency Prospective Payment System” resource in your code book for a more detailed discussion of the case mix classification system.
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