ICD-9-CM Coordination and Maintenance Committee Meeting March 9-10, 2011 Diagnosis Agenda Welcome and announcements Donna Pickett, MPH, RHIA Co-Chair, ICD-9-CM Coordination and Maintenance Committee Diagnosis Topics: Contents Seclusion status ......................................................................................................................... 7 Vitreomacular adhesion ............................................................................................................. 8 Partial Tear of Rotator Cuff ........................................................................................................ 9 Malnutrition ...............................................................................................................................10 Solitary Pulmonary Nodules ......................................................................................................14 Alexander Chen, MD Washington University School of Medicine and Barnes Jewish Hospital St. Louis, Missouri Wandering ................................................................................................................................17 Acute Kidney Diseases and Related Disorders .........................................................................19 Lesley Stevens Inker MD MS Tufts Medical Center National Kidney Foundation Smoke inhalation ......................................................................................................................22 Positive finding for Interferon Gamma Release Assays (IGRA) .................................................23 Atypical femoral fracture ...........................................................................................................24 Severely calcified coronary lesions ...........................................................................................26 Jeffrey Chambers, MD Minneapolis, MN Hepatopulmonary Syndrome .....................................................................................................27 Infection Following Transfusion .................................................................................................28 Postoperative Respiratory Failure .............................................................................................30 Postoperative Shock .................................................................................................................33 Drug-Induced Pancytopenia ......................................................................................................35 Hypertrophic Cardiomyopathy ...................................................................................................36 ICD-9-CM Coordination and Maintenance Committee Meeting March 9-10, 2011 Acute Interstitial Pneumonitis ....................................................................................................37 Pneumothorax and Air Leak ......................................................................................................39 Thalassemia .............................................................................................................................41 Jeanne Boudreaux, MD Medical Director & Director of the Thalassemia Program at the Aflac Center & Blood Disorders Service at Children’s Healthcare of Atlanta Infection Due to Central Venous Catheter .................................................................................45 Atrial Fibrillation and Flutter.......................................................................................................48 Novel Influenza .........................................................................................................................51 ICD-9-CM TABULAR LIST OF DISEASES ...............................................................................57 ICD-9-CM INDEX TO DISEASES AND INJURIES ....................................................................59 ICD-10-CM TOPICS Place of Occurrence .................................................................................................................62 Other Chronic Pain ...................................................................................................................63 Migraines ..................................................................................................................................64 Landau- Kleffner Syndrome ......................................................................................................67 David Labiner, M.D. Vice President National Association Epilepsy Centers Arizona Comprehensive Epilepsy Program, University Medical Center Epilepsy and recurrent seizures ................................................................................................68 Epileptic Seizures Related to External Causes..........................................................................73 Vascular Headaches .................................................................................................................74 Post-traumatic Headache ..........................................................................................................75 Ventral hernia ...........................................................................................................................76 Methicillin Resistant Staphylococcus Aureus (MRSA) and Drug Resistance .............................78 Underdosing .............................................................................................................................82 Orthopedic deformities ..............................................................................................................85 Hidden or buried penis ..............................................................................................................86 Glasgow Coma Scale ................................................................................................................87 Femoroacetabular impingement ................................................................................................88 Dehiscence of amputation stump ..............................................................................................89 Benign Shuddering Attacks .......................................................................................................90 Pulmonary conditions ................................................................................................................91 Complications of genitourinary devices, implants and grafts .....................................................93 Posterior Reversible Encephalopathy Syndrome (PRES) and Cerebral Vasoconstriction .........97 Acute Necrotizing Hemorrhagic Encephalopathy ......................................................................99 Acute disseminated encephalitis and encephalomyelitis (ADEM) ............................................100 Cerebellar Ataxia in Diseases Classified Elsewhere ............................................................... 102 Reclassification of hemorrhoids in ICD-10 ...............................................................................103 Concussion Codes ..................................................................................................................105 ICD-10-CM TABULAR LIST OF DISEASES ...........................................................................106 ICD-10-CM INDEX OF DISEASES .........................................................................................110 2 ICD-9-CM Coordination and Maintenance Committee Meeting March 9-10, 2011 ICD-9-CM TIMELINE A timeline of important dates in the ICD-9-CM process is described below: March 9 – March 10 ICD-9-CM Coordination and Maintenance Committee 2011 meeting. April 1, 2011 There will not be any new ICD-9-CM codes implemented on April 1, 2011 to capture new technology. April 1, 2011 Deadline for receipt of public comments on proposed code revisions discussed at the March 9-10, 2011 ICD-9-CM Coordination and Maintenance Committee meetings for implementation on October 1, 2011. April 2011 Notice of Proposed Rulemaking to be published in the Federal Register as mandated by Public Law 99-509. This notice will include the final ICD-9-CM diagnosis and procedure codes for the upcoming fiscal year. It will also include proposed revisions to the DRG system on which the public may comment. The proposed rule can be accessed at: http://www.cms.hhs.gov/AcuteInpatientPPS/IPPS/list.asp April 2011 Summary report of the Procedure part of the March 9, 2011 ICD- 9-CM Coordination and Maintenance Committee meeting will be posted on CMS homepage as follows: http://www.cms.hhs.gov/ICD9ProviderDiagnosticCodes Summary report of the Diagnosis part of the March 10, 2011 ICD- 9-CM Coordination and Maintenance Committee meeting report will be posted on NCHS homepage as follows: http://www.cdc.gov/nchs/icd.htm June 2011 Final addendum posted on web pages as follows: Diagnosis addendum at – http://www.cdc.gov/nchs/icd.htm Procedure addendum at – http://www.cms.hhs.gov/ICD9ProviderDiagnosticCodes July 15, 2011 Those members of the public requesting that topics be discussed at the September 14 – 15, 2011 ICD-9-CM Coordination and Maintenance Committee meeting must have their requests to CMS for procedures and NCHS for diagnoses. August 1, 2011 Hospital Inpatient Prospective Payment System final rule to be published in the Federal Register as mandated by Public Law 99- 509. This rule will also include all the final codes to be implemented on October 1, 2011.