Table of Contents

Notice Regarding ICD-9-CM Updates...... ii Chapter 5. Mental Disorders...... 85 Chapter 6. Diseases of the Nervous System Preface...... iii and Sense Organs...... 103 Chapter 7. Diseases of the Circulatory System...... 142 List of Features...... iv Chapter 8. Diseases of the Respiratory System...... 165 Characteristics of ICD-9-CM...... v Chapter 9. Diseases of the Digestive System...... 179 Chapter 10. Diseases of the Genitourinary System...... 203 Practical Steps for Using the ICD-9-CM Manual...... vii Chapter 11. Complications of Pregnancy, Childbirth, and the Puerperium...... 221 Additional Conventions Specific to this Chapter 12. Diseases of the Skin and Subcutaneous ICD-9-CM Manual...... ix Tissue...... 238 Checklist for ICD-10-CM Preparation...... x Chapter 13. Diseases of the Musculoskeletal System and Connective Tissue...... 249 Legacy of ICD-9-CM and ICD-9-CM to Chapter 14. Congenital Anomalies...... 265 ICD-10-CM Crosswalk...... xiii Chapter 15. Certain Conditions Originating in the Perinatal Period...... 282 Test Yourself: ICD-10-CM Challenge...... xliv Chapter 16. Symptoms, Signs, and Ill-Defined Conditions...... 293 ICD-9-CM Official Guidelines for Coding and Chapter 17. Injury and Poisoning...... 311 Reporting...... xlvii

Anatomical Illustrations...... xcv Supplementary Classifications: Classification of Factors Influencing Health Status and Alphabetic Index to Diseases...... 1 Contact with Health Services...... 364 Classification of External Causes of Injury and Alphabetic Index to Poisoning and External Poisoning ...... 406 Causes of Adverse Effects of Drugs and Other Chemical Substances – Table of Drugs and Chemicals.....401 Appendices, Including Explanations of each Appendix: A. Morphology of Neoplasms...... i Alphabetic Index to External Causes of Injury B. Glossary of Mental Disorders – Deleted and Poisoning (E code)...... 447 October 1, 2004...... ix C. Classification of Drugs by American Hospital Classification of Diseases and Injuries, Including Sections Formulary Service List Number and and Highlights from the Official Guidelines: Their ICD-9-CM Equivalents...... x Chapter 1. Infectious and Parasitic Diseases...... 1 D. Classification of Industrial Accidents Chapter 2. Neoplasms...... 32 According to Agency...... xiv Chapter 3. Endocrine, Nutritional, and Metabolic E. List of Three-Digit Categories...... xvi Diseases and Immunity Disorders...... 61 Chapter 4. Diseases of the Blood and Blood-Forming Organs...... 75

ICD-9-CM 2015 i ICD-9-CM 2015 BRAIN FUNCTION An a tomic a l I llustr a tions

xcv ICD-9-CM 2015 BREAST ANATOMY tions a l I llustr a l tomic An a xcvi ince 1979, the U.S. has used the International Classifi- The prototype International Classification of Disease Scation of Diseases, Ninth Revision, Clinical Modifica- (ICD) was adopted in 1893 by the International Statistical tions (ICD-9-CM) to identify diagnoses related to morbid- Institute. By 1938, the classification system would undergo ity and mortality. Twenty five years later, we will transition five revisions. International interest led to a sixth revision from ICD-9-CM to ICD-10-CM, on or after Oct. 2015. by the newly created World Health Organization (WHO) We have become very fa- in 1948. The seventh and miliar with ICD-9-CM; and, eighth revisions followed it is all many providers and in 1955 and 1965. The ninth coders have ever known revision, released in 1975, for diagnosis coding. As we forms the basis of our cur- transition from this long rent codes. used code set, let’s take a The Legacy of The National Center for quick look back to see what Health Statistics applied has brought us to where we clinical modifications are today. (CM) to ICD-9 in 1977. The ICD-9-CM code set provided for A LONG-TIME GOAL a wide variety of signs, Efforts to catalogue and symptoms, abnormal classify disease reach back findings, complaints, at least 400 years and social circumstances, and burgeoned during the 18th procedures. ICD-9-CM was Century. Responding to an adopted nationally in 1979. 1853 request of the newly formed International Statisti- cal Congress, English medical statistician William Farr and ADVENT OF ICD-10 Swiss physician Marc d’Espine each prepared a uniform WHO member states began adopting the tenth revi- classification of causes of death to present to the Inter- sion of the ICD in 1994. Compared to ICD-9-CM, ICD-10 national Statistical Congress in Paris. The resulting hybrid provides for greater specificity, promising to enhance the system of classification was never internationally adopted clarity of shared patient data. AAPC provides the follow- but we derive the principle of categorizing diseases by ing crosswalk of the most reported ICD-9-CM diagnoses anatomical site from these attempts. to ICD-10-CM codes for a number of specialties.

ICD-10-CM Crosswalk—Copyright © AAPC xiii 692.2 1982 1986 ICD-9-CM became the driver of the An interim classi cation characterizing new Diagnosis Related Group (DRG) the causative agent of AIDS was added. reimbursement system. This facility inpatient payment system relies largely on the diagnoses and procedures 1988 documented for a patient by using The Catastrophic Coverage Act of

ICD-9-CM codes. made the use of the ICD-9-CM system on all Medicare claims mandatory. 1991 465.9 The nomenclature for Human Immuno- de ciency Virus (HIV) was clari ed, 1994 adding the 042-V044 series of 042 becomes the single code for HIV categories. disease and V08 is added for Asymp- tomatic HIV infection. HIV-speci c 1996 guidelines are added to assist coders in selection and sequencing of The Health Insurance Portability and HIV-related illness. Accountability Act’s (HIPAA) Title II administration simpli cations clause make ICD-9-CM one of the ocial codesets to be used in all healthcare 2000 transactions. Worries about a computer-crushing “Millennium Bug” prompted the federal government to freeze ICD-9-

2001 E840.3 CM for the 2000 code year. No new The September 11 terror attacks codes were implemented in October resulted in a new set of U codes to 1999 but updates resumed the describe mortality and morbidity following year when fears passed. related to terror attacks. And E999, which was used previously to denote the late eects of war operations, was modi ed to include late eects of terrorism in 2001. 2003 Severe Acute Respiratory Syndrome (SARS) virus in 2003 prompted the addition of both 480.31 Pneumonia 2006 due to SARS-associated coronavirus Present on Admissions rules were and V01.82 Exposure to SARS-

added to the ICD-9-CM Guidelines 280.9 associated coronaviruss Oct. 1, 2006.

2009 2009 The prevalence of traumatic brain The emergence of “swine u” (2009 injury (TBI) suered by solders falling H1N1) led to the creation of a new victim to improvised explosive diagnosis code in 2009. Several years devices in the Iraq War motivated later, the inuenza codes were once the U.S. Department of Defense to again overhauled to allow reporting request new codes for sequela of novel inuenza A virus. related to TBI (799.21-799.29), as well as codes for TBI screening (V80.01) 2009

and personal history of traumatic 782.4 E codes reecting new exercise and brain injury (V15.52). The new codes sporting activities such as boogie joined ICD-9-CM in October 2009. boarding and windsur ng (E002.7); bungee jumping (E004.3); and Pilates (E010.3) were added in 2009. 2013 Other activity E codes for knitting With conversion to ICD-10-CM and and crocheting (E012.0); laundry ICD-10-PCS near, 2013 brings no (E013.1); vacuuming (E013.2); ironing changes to the diagnostic codes and (E013.3); and oor mopping and one new code in Vol. 3. cleaning (E013.4) also made their ICD-9-CM debut in 2009.

The following crosswalks were developed by AAPC based on the ICD-10 Fast Forward crosswalking quick reference tools. If you’d like to purchase a laminated Fast Forward for your specialty, please go to www.aapc.com. xiv ICD-10-CM Crosswalk—Copyright © AAPC ICD-9 719.41 M53.2x8 Spinal instabilities, sacral and sacrococcygeal region Anesthesia ICD-10 M25.511 Pain in right shoulder ICD-9 355.8 ICD-9 722.52 M25.512 Pain in left shoulder ICD-10 G57.90 Unspecified mononeuropathy of unspecified lower limb ICD-10 M51.37 Other intervertebral disc degeneration, lumbosacral region M25.519 Pain in unspecified shoulder ** There are more specific code choice selections available in ICD-10-CM. These include: ICD-9 721.3 ICD-9 719.45 G57.91 Unspecified mononeuropathy of right lower limb ICD-10 M47.817 Spondylosis without myelopathy or radiculopathy, ICD-10 M25.551 Pain in right hip G57.92 Unspecified mononeuropathy of left lower limb lumbosacral region M25.552 Pain in left hip G57.80 Other specified mononeuropathies of unspecified ICD-9 724.2 M25.559 Pain in unspecified hip lower limb ICD-10 M54.5 Low back pain ICD-9 722.4 G57.81 Other specified mononeuropathies of right lower limb ICD-9 724.4 ICD-10 M50.30 Other cervical disc degeneration, unspecified cervical G57.82 Other specified mononeuropathies of left lower limb ICD-9 ICD-10 M54.14 Radiculopathy, thoracic region region 337.29 ICD-10 M54.17 Radiculopathy, lumbosacral region M50.31 Other cervical disc degeneration, occipito-atlanto-axial G90.59 Complex regional pain syndrome I of other specified site ICD-9 ICD-9 724.02 region 789.03 ICD-10 ICD-10 M48.06 Spinal stenosis, lumbar region M50.32 Other cervical disc degeneration, mid-cervical region R10.31 Right lower quadrant pain ICD-9 ICD-9 720.2 M50.33 Other cervical disc degeneration, cervicothoracic region 738.4 ICD-10 ICD-10 M46.1 Sacroiliitis, not elsewhere classified ICD-9 719.40 M43.10 Spondylolisthesis, site unspecified ICD-9 724.8 ICD-10 M25.50 Pain in unspecified joint M43.11 Spondylolisthesis, occipito-atlanto-axial region ICD-10 R29.898 Other symptoms and signs involving the ** There are more specific code choice selections available in ICD-10-CM. These include: M43.12 Spondylolisthesis, cervical region musculoskeletal system M25.511 Pain in right shoulder M43.13 Spondylolisthesis, cervicothoracic region ICD-9 721.42 M25.512 Pain in left shoulder M43.14 Spondylolisthesis, thoracic region ICD-10 M47.16 Other spondylosis with myelopathy, lumbar region M25.519 Pain in unspecified shoulder M43.15 Spondylolisthesis, thoracolumbar region ICD-9 723.1 M25.521 Pain in right elbow M43.16 Spondylolisthesis, lumbar region ICD-10 M54.2 Cervicalgia M25.522 Pain in left elbow M43.17 Spondylolisthesis, lumbosacral region ICD-9 729.1 M25.529 Pain in unspecified elbow M43.18 Spondylolisthesis, sacral and sacrococcygeal region ICD-10 M79.1 Myalgia M25.531 Pain in right wrist M43.19 Spondylolisthesis, multiple sites in spine ICD-9 M79.7 Fibromyalgia M25.532 Pain in left wrist 723.4 ICD-10 M60.9 Myositis, unspecified M25.539 Pain in unspecified wrist M54.12 Radiculopathy, cervical region ** There are more specific code choice selections available in ICD-10-CM. These include: M25.551 Pain in right hip M54.13 Radiculopathy, cervicothoracic region M60.811 Other myositis, right shoulder M25.552 Pain in left hip ICD-9 354.2 M60.822 Other myositis, left shoulder M25.559 Pain in unspecified hip ICD-10 G56.20 Lesion of ulnar nerve, unspecified upper limb M60.819 Other myositiis, unspecified shoulder M25.561 Pain in right knee G56.21 Lesion of ulnar nerve, right upper limb M60.821 Other myositis, right upper arm M25.562 Pain in left knee G56.22 Lesion of ulnar nerve, left upper limb M60.822 Other myositis, left upper arm M25.569 Pain in unspecified knee ICD-9 722.51 M60.829 Other myositis, unspecified upper arm M25.571 Pain in right ankle and joints of the right foot ICD-10 M51.34 Other intervertebral disc degeneration, thoracic region M60.831 Other myositis, right forearm M25.572 Pain in left ankle and joints of the left foot M51.35 Other intervertebral disc degeneration, thoracolumbar M60.832 Other myositis, left forearm M25.579 Pain in unspecified ankle region M60.839 Other myositis, unspecified forearm ICD-9 162.9 M51.36 Other intervertebral disc degeneration, lumbar region M60.841 Other myositis, right hand ICD-10 C34.90 Malignant neoplasm of unspecified part of unspecified M51.37 Other intervertebral disc degeneration, lumbosacral region M60.842 Other myositis, left hand bronchus or lung ICD-9 346.00 M60.849 Other myositis, unspecified hand ** There are more specific code choice selections available in ICD-10-CM. These include: ICD-10 G43.109 Migraine with aura, not intractable, without status M60.851 Other myositis, right thigh C34.00 Malignant neoplasm of unspecified main bronchus migrainosus M60.852 Other myositis, left thigh C34.01 Malignant neoplasm of right main bronchus ** Code also any associated seizure (G40-, R56.9) M60.859 Other myositis, unspecified thigh C34.02 Malignant neoplasm of left main bronchus ICD-9 726.60 M60.861 Other myositis, right lower leg C34.10 Malignant neoplasm of upper lobe, unspecified ICD-10 M70.50 Other bursitis of knee, unspecified knee M60.862 Other myositis, left lower leg bronchus or lung M70.51 Other bursitis of knee, right knee M60.869 Other myositis, unspecified lower leg C34.11 Malignant neoplasm of upper lobe, right bronchus or lung M70.52 Other bursitis of knee, left knee M60.871 Other myositis, right ankle and foot C34.12 Malignant neoplasm of upper lobe, left bronchus or lung ** Use additional external cause code to identify activity causing disorder (Y93-) M60.872 Other myositis, left ankle and foot C34.2 Malignant neoplasm of middle lobe, bronchus or lung M76.50 Patellar tendinitis, unspecified knee M60.879 Other myositis, unspecified ankle and foot C34.30 Malignant neoplasm of lower lobe, unspecified M76.51 Patellar tendinitis, right knee M76.52 Patellar tendinitis, left knee ICD-9 722.6 bronchus or lung ICD-9 322.9 ICD-10 M51.34 Other intervertebral disc degeneration, thoracic region C34.31 Malignant neoplasm of lower lobe, right bronchus or lung C34.32 Malignant neoplasm of lower lobe, left bronchus or lung ICD-10 G03.9 Meningitis, unspecified M51.35 Other intervertebral disc degeneration, thoracolumbar ** There are more specific code choice selections available in ICD-10-CM. These include: region C34.80 Malignant neoplasm of overlapping sites of unspecified bronchus or lung G00.0 Hemophilus meningitis M51.36 Other intervertebral disc degeneration, lumbar region G00.1 Pneumococcal meningitis M51.37 Other intervertebral disc degeneration, lumbosacral C34.81 Malignant neoplasm of overlapping sites of right bronchus or lung G00.2 Streptococcal meningitis region G00.3 Staphylococcal meningitis ICD-9 715.00 C34.82 Malignant neoplasm of overlapping sites of left Use additional code to further identify organism (B96.61-B95.8) ICD-10 M15.0 Primary generalized (osteo)arthritis bronchus or lung G00.8 Other bacterial meningitis M15.4 Erosive (osteo)arthritis C34.91 Malignant neoplasm of unspecified part of right Use additional code to further identify organism (B96-) M15.8 Other polyosteoarthritis bronchus or lung G00.9 Bacterial meningitis, unspecified M15.9 Polyosteoarthritis, unspecified C34.92 Malignant neoplasm of unspecified part of left bronchus G01 Meningitis in bacterial diseases classified elsewhere ICD-9 726.5 or lung ** Code first underlying disease ICD-10 M70.60 Trochanteric bursitis, unspecified hip ICD-9 721.0 G02 Meningitis in other infectious and parasitic diseases M70.61 Trochanteric bursitis, right hip ICD-10 M47.812 Spondylosis without myelopathy or radiculopathy, classified elsewhere ** Code first underlying disease, such as: poliovirus infection (A80-) M70.62 Trochanteric bursitis, left hip cervical region G03.0 Nonpyogenic meningitis M70.70 Other bursitis, unspecified hip ICD-9 337.22 G03.1 Chronic meningitis M70.71 Other bursitis, right hip ICD-10 G90.529 Complex regional pain syndrome I of unspecified lower G03.2 Benign recurrent meningitis (Mollaret) M70.72 Other bursitis, left hip limb ** Use additional external cause code to identify activity causing disorder (Y93-) ** There are more specific code choice selections available in ICD-10-CM. These include: G03.8 Meningitis due to other specified causes M76.10 Psoas tendinitis, unspecified hip G90.521 Complex regional pain syndrome I of right lower limb ICD-9 170.9 M76.11 Psoas tendinitis, right hip G90.522 Complex regional pain syndrome I of left lower limb ICD-10 C41.9 Malignant neoplasm of bone and articular cartilage, M76.12 Psoas tendinitis, left hip G90.523 Complex regional pain syndrome I of lower limb, bilateral unspecified ** There are more specific code choice selections available in ICD-10-CM. These include: M76.20 Iliac crest spur, unspecified hip ICD-9 722.10 C41.0 Malignant neoplasm of bones of skull and face M76.21 Iliac crest spur, right hip ICD-10 M51.26 Other intervertebral disc displacement, lumbar region C41.1 Malignant neoplasm of mandible M76.22 Iliac crest spur, left hip ICD-9 338.4 C41.2 Malignant neoplasm of vertebral column ICD-9 726.19 ICD-10 G89.4 Chronic pain syndrome * Code also related phychological factors associated with pain (G54.42-) C41.3 Malignant neoplasm of ribs, sternum and clavicle ICD-10 M75.80 Other shoulder lesions, unspecified shoulder ICD-9 724.6 C41.4 Malignant neoplasm of pelvic bones, sacrum and coccyx M75.81 Other shoulder lesions, right shoulder ICD-10 M53.3 Sacrococcygeal disorders, not elsewhere classified ICD-9 722.80 M75.82 Other shoulder lesions, left shoulder M43.28 Fusion of spine, sacral and sacrococcygeal region ICD-10 M96.1 Postlaminectomy syndrome, not elsewhere classified

ICD-10-CM Crosswalk—Copyright © AAPC xv ICD-9-CM 2015 Index to Diseases AAT - Abnormal Aberrant — continued Abnormal — continued Abnormal — continued AAT- Abnormal A thyroid gland 759.2 low (see also Hypotension) fat distribution 782.9 AAT (alpha-1 antitrypsin) upper limb vessel (peripheral) 458.9 feces 787.7 deficiency 273.4 747.63 reading (incidental) fetal heart rate - see Distress, AAV (disease) (illness) Aberratio (isolated) (nonspecific) fetal (infection) - see Human lactis 757.6 796.3 fetus NEC immunodeficiency virus testis 752.51 blood sugar 790.29 affecting management (disease) (illness) (infection) Aberration - see also Anomaly bowel sounds 787.5 of pregnancy - see Abactio - see Abortion, induced chromosome - see Anomaly, breathing behavior - see Pregnancy, management Abactus venter - see Abortion, chromosome(s) Respiration affected by, fetal induced distantial 368.9 caloric test 794.19 causing disproportion 653.7 Abarognosis 781.99 mental (see also Disorder, cervix (acquired) NEC 622.9 affecting fetus or newborn Abasia (-astasia) 307.9 mental, nonpsychotic) congenital 752.40 763.1 atactica 781.3 300.9 in pregnancy or childbirth causing obstructed labor choreic 781.3 Abetalipoproteinemia 272.5 654.6 660.1 hysterical 300.11 Abionarce 780.79 causing obstructed labor affecting fetus or paroxysmal trepidant 781.3 Abiotrophy 799.89 660.2 newborn 763.1 spastic 781.3 Ablatio affecting fetus or findings without manifest trembling 781.3 placentae - see Placenta, newborn 763.1 disease - see Findings, trepidans 781.3 ablatio chemistry, blood NEC 790.6 abnormal Abderhalden-Kaufmann-Lignac retinae (see also Detachment, chest sounds 786.7 fluid syndrome (cystinosis) 270.0 retina) 361.9 chorion 658.9 amniotic 792.3 Abdomen, abdominal - see also Ablation affecting fetus or newborn cerebrospinal 792.0 condition pituitary (gland) (with 762.9 peritoneal 792.9 accordion 306.4 hypofunction) 253.7 chromosomal NEC 758.89 pleural 792.9 acute 789.0 placenta - see Placenta, ablatio analysis, nonspecific result synovial 792.9 angina 557.1 uterus 621.8 795.2 vaginal 792.9 burst 868.00 Ablepharia, ablepharon, autosomes (see also forces of labor NEC 661.9 convulsive equivalent (see also ablephary 743.62 Abnormal, autosomes affecting fetus or newborn Epilepsy) 345.5 Ablepsia - see Blindness NEC) 758.5 763.7 heart 746.87 Ablepsy - see Blindness fetal, (suspected) affecting form, teeth 520.2 muscle deficiency syndrome Ablutomania 300.3 management of function studies 756.79 Abnormal, abnormality, pregnancy 655.1 auditory 794.15 obstipum 756.79 abnormalities - see also sex 758.81 bladder 794.9 Abdominalgia 789.0 Anomaly clinical findings NEC 796.4 brain 794.00 periodic 277.31 acid-base balance 276.4 communication - see Fistula cardiovascular 794.30 Abduction contracture, hip or fetus or newborn - see configuration of pupils 379.49 endocrine NEC 794.6 other joint - see Contraction, Distress, fetal coronary kidney 794.4 joint adaptation curve, dark 368.63 artery 746.85 liver 794.8 Abercrombie's syndrome (amyloid alveolar ridge 525.9 vein 746.9 nervous system degeneration) 277.39 amnion 658.9 cortisol-binding globulin 255.8 central 794.00 Aberrant (congenital) - see also affecting fetus or newborn course, Eustachian tube 744.24 peripheral 794.19 Malposition, congenital 762.9 creatinine clearance 794.4 oculomotor 794.14 adrenal gland 759.1 anatomical relationship NEC dentofacial NEC 524.9 pancreas 794.9 blood vessel NEC 747.60 759.9 functional 524.50 placenta 794.9 arteriovenous NEC 747.60 apertures, congenital, specified type NEC 524.89 pulmonary 794.2 cerebrovascular 747.81 diaphragm 756.6 development, developmental retina 794.11 gastrointestinal 747.61 auditory perception NEC NEC 759.9 special senses 794.19 lower limb 747.64 388.40 bone 756.9 spleen 794.9 renal 747.62 autosomes NEC 758.5 central nervous system 742.9 thyroid 794.5 spinal 747.82 13 758.1 direction, teeth 524.30 vestibular 794.16 upper limb 747.63 18 758.2 Dynia (see also Defect, gait 781.2 breast 757.6 21 or 22 758.0 coagulation) 286.9 hysterical 300.11 D 758.1 Ebstein 746.2 gastrin secretion 251.5 endocrine gland NEC 759.2 1 E 758.2 echocardiogram 793.2 globulin gastrointestinal vessel 3 (peripheral) 747.61 G 758.0 echoencephalogram 794.01 cortisol-binding 255.8 hepatic duct 751.69 ballistocardiogram 794.39 echogram NEC - see Findings, thyroid-binding 246.8 lower limb vessel (peripheral) basal metabolic rate (BMR) abnormal, structure glucagon secretion 251.4 747.64 794.7 electrocardiogram (ECG) (EKG) glucose 790.29 pancreas 751.7 biosynthesis, testicular 794.31 in pregnancy, childbirth, or parathyroid gland 759.2 androgen 257.2 electroencephalogram (EEG) puerperium 648.8 peripheral vascular vessel NEC blood level (of) 794.02 fetus or newborn 775.0 747.60 cobalt 790.6 electromyogram (EMG) 794.17 non-fasting 790.29 copper 790.6 ocular 794.14 gravitational (G) forces or

pituitary gland (pharyngeal) Index to 759.2 iron 790.6 electro-oculogram (EOG) states 994.9 renal blood vessel 747.62 lead 790.6 794.12 hair NEC 704.2 sebaceous glands, mucous lithium 790.6 electroretinogram (ERG) 794.11 hard tissue formation in pulp membrane, mouth 750.26 magnesium 790.6 erythrocytes 289.9 522.3 mineral 790.6 congenital, with perinatal head movement 781.0 spinal vessel 747.82 Di seases spleen 759.0 zinc 790.6 jaundice 282.9 [774.0] heart testis (descent) 752.51 blood pressure Eustachian valve 746.9 rate thymus gland 759.2 elevated (without diagnosis excitability under minor stress fetus, affecting liveborn of hypertension) 796.2 301.9 infant

4th digit required 5th digit required 1 ICD-9-CM 2015 Index to Diseases Abnormal Abnormal — continued Abnormal — continued Abnormal — continued Abnormal — continued before the onset of labor organs or tissues of pelvis NEC low grade squamous respiration signs - see 763.81 in pregnancy or childbirth intraepithelial lesion Respiration during labor 763.82 654.9 (LGSIL) 795.13 response to nerve stimulation unspecified as to time of affecting fetus or newborn glandular 795.10 794.10 bnormal onset 763.83 763.89 specified finding NEC retinal correspondence 368.34

A intrauterine causing obstructed labor 795.19 rhythm, heart - see also before the onset of labor 660.2 parturition Arrhythmia 763.81 affecting fetus or affecting fetus or newborn fetus - see Distress, fetal during labor 763.82 newborn 763.1 763.9 saliva 792.4 unspecified as to time of origin - see Malposition, mother - see Delivery, scan onset 763.83 congenital complicated brain 794.09 newborn palmar creases 757.2 pelvis (bony) - see Deformity, kidney 794.4 before the onset of labor Papanicolaou (smear) pelvis liver 794.8 763.81 anus 796.70 percussion, chest 786.7 lung 794.2 during labor 763.82 with periods (grossly) (see also thyroid 794.5 unspecified as to time of atypical squamous cells Menstruation) 626.9 secretion onset 763.83 cannot exclude high phonocardiogram 794.39 gastrin 251.5 shadow 793.2 grade squamous placenta - see Placenta, glucagon 251.4 sounds NEC 785.3 intraepithelial abnormal semen 792.2 hemoglobin (see also Disease, lesion (ASC-H) plantar reflex 796.1 serum level (of) hemoglobin) 282.7 796.72 plasma protein - see acid phosphatase 790.5 trait - see Trait, hemoglobin, of undetermined Deficiency, plasma, protein alkaline phosphatase 790.5 abnormal significance AS( C- pleural folds 748.8 amylase 790.5 hemorrhage, uterus - see US) 796.71 position - see also Malposition enzymes NEC 790.5 Hemorrhage, uterus cytologic evidence of gravid uterus 654.4 lipase 790.5 histology NEC 795.4 malignancy 796.76 causing obstructed labor shape increase in high grade squamous 660.2 cornea 743.41 appetite 783.6 intraepithelial lesion affecting fetus or gallbladder 751.69 development 783.9 (HGSIL) 796.74 newborn 763.1 gravid uterus 654.4 involuntary movement 781.0 low grade squamous posture NEC 781.92 affecting fetus or newborn jaw closure 524.51 intraepithelial lesion presentation (fetus) - see 763.89 karyotype 795.2 (LGSIL) 796.73 Presentation, fetus, causing obstructed labor knee jerk 796.1 glandular 796.70 abnormal 660.2 labor NEC 661.9 specified finding NEC 796.79 product of conception NEC affecting fetus or affecting fetus or newborn cervix 795.00 631.8 newborn 763.1 763.7 with puberty - see Puberty head (see also Anomaly, skull) laboratory findings -see atypical squamous cells pulmonary 756.0 Findings, abnormal cannot exclude high artery 747.39 organ or site, congenital NEC length, organ or site, grade squamous function, newborn 770.89 - see Distortion congenital - see Distortion intraepithelial test results 794.2 sinus venosus 747.40 liver function test 790.6 lesion (ASC-H) ventilation, newborn 770.89 size loss of height 781.91 795.02 hyperventilation 786.01 fetus, complicating delivery loss of weight 783.21 of undetermined pulsations in neck 785.1 653.5 lung shadow 793.19 significance AS( C- pupil reflexes 379.40 causing obstructed labor mammogram 793.80 US) 795.01 quality of milk 676.8 660.1 calcification 793.89 cytologic evidence of radiological examination gallbladder 751.69 calculus 793.89 malignancy 795.06 793.99 head (see also Anomaly, skull) microcalcification 793.81 high grade squamous abdomen NEC 793.6 756.0 Mantoux test 795.51 intraepithelial lesion biliary tract 793.3 organ or site, congenital NEC membranes (fetal) (HGSIL) 795.04 breast 793.89 - see Distortion affecting fetus or newborn low grade squamous mammogram NOS 793.80 teeth 520.2 762.9 intraepithelial lesion mammographic skin and appendages, complicating pregnancy (LGSIL) 795.03 calcification 793.89 congenital NEC 757.9 658.8 nonspecific finding NEC calculus 793.89 soft parts of pelvis - see menstruation - see 795.09 microcalcification 793.81 Abnormal, organs or Menstruation other site 796.9 gastrointestinal tract 793.4 tissues of pelvis metabolism (see also vagina 795.10 genitourinary organs 793.5 spermatozoa 792.2 condition) 783.9 with head 793.0 sputum (amount) (color) movement 781.0 atypical squamous cells image test inconclusive due (excessive) (odor) disorder NEC 333.90 cannot exclude high to excess body fat 793.91 (purulent) 786.4 sleep related, unspecified grade squamous intrathoracic organ NEC 793.2 stool NEC 787.7 780.58 intraepithelial lung (field) 793.19 bloody 578.1 specified NEC 333.99 lesion (ASC-H) musculoskeletal system 793.7 occult 792.1 head 781.0 795.12 retroperitoneum 793.6 bulky 787.7 involuntary 781.0 of undetermined skin and subcutaneous tissue color (dark) (light) 792.1 specified type NEC 333.99 significance AS( C- 793.99 content (fat) (mucus) (pus) muscle contraction, localized US) 795.11 skull 793.0 792.1

Di seases 728.85 cytologic evidence of red blood cells 790.09 occult blood 792.1 myoglobin (Aberdeen) malignancy 795.16 morphology 790.09 synchondrosis 756.9 (Annapolis) 289.9 high grade squamous volume 790.09 test results without manifest narrowness, eyelid 743.62 intraepithelial lesion reflex NEC 796.1 disease - see Findings, optokinetic response 379.57 (HGSIL) 795.14 renal function test 794.4 abnormal Index to to Index

2 4th digit required 5th digit required ICD-9-CM 2015 Index to Diseases Abnormal - Abortion Abnormal - Abortion Abnormal Abnormal — continued Abnormity (any organ or part) - Abortion — continued Abortion — continued thebesian valve 746.9 see Anomaly accidental - see Abortion, toxemia 636.3 thermography - see Findings, ABO spontaneous unspecified complication(s) abnormal, structure hemolytic disease 773.1 artificial -see Abortion, induced 636.8 threshold, cones or rods (eye) incompatibility (due to attempted (failed) - see urinary tract infection 368.63 transfusion of blood or Abortion, failed 636.7 thyroid-binding globulin 246.8 blood products) criminal - see Abortion, illegal fetus 779.6 thyroid product 246.8 with hemolytic transfusion early - see Abortion, induced 637.9 toxicology (findings) NEC 796.0 reaction (HTR) (not spontaneous illegal - see Abortion, illegal tracheal cartilage (congenital) specified as acute or elective - see Abortion, legal legal indications - see 748.3 delayed) 999.61 failed (legal) 638.9 Abortion, legal transport protein 273.8 24 hours or more after with medical indications - see ultrasound results - see transfusion 999.63 damage to pelvic organ Abortion, legal Findings, abnormal, acute 999.62 (laceration) (rupture) therapeutic - see Abortion, structure delayed 999.63 (tear) 638.2 legal umbilical cord less than 24 hours after embolism (air) (amniotic late - see Abortion, affecting fetus or newborn transfusion 999.62 fluid) (blood clot) spontaneous 762.6 unspecified time after (pulmonary) (pyemic) legal (legal indication) complicating delivery 663.9 transfusion 999.61 (septic) (soap) 638.6 (medical indication) (under specified NEC 663.8 reaction 999.60 genital tract and pelvic medical supervision) union specified NEC 999.69 infection 638.0 635.9 cricoid cartilage and thyroid Abocclusion 524.20 hemorrhage, delayed or with cartilage 748.3 Abolition, language 784.69 excessive 638.1 damage to pelvic organ larynx and trachea 748.3 Aborter, habitual or recurrent NEC metabolic disorder 638.4 (laceration) (rupture) thyroid cartilage and hyoid without current pregnancy renal failure (acute) 638.3 (tear) 635.2 bone 748.3 629.81 sepsis (genital tract) (pelvic embolism (air) (amniotic urination NEC 788.69 current abortion (see also organ) 638.0 fluid) (blood clot) psychogenic 306.53 Abortion, spontaneous) urinary tract 638.7 (pulmonary) (pyemic) stream 634.9 shock (postoperative) (septic) (soap) 635.6 intermittent 788.61 affecting fetus or newborn (septic) 638.5 genital tract and pelvic slowing 788.62 761.8 specified complication NEC infection 635.0 splitting 788.61 observation in current 638.7 hemorrhage, delayed or weak 788.62 pregnancy 646.3 toxemia 638.3 excessive 635.1 urgency 788.63 Abortion (complete) unspecified complication(s) metabolic disorder 635.4 urine (constituents) NEC 791.9 (incomplete) (inevitable) 638.8 renal failure (acute) 635.3 uterine hemorrhage (see also (with retained products of urinary tract infection 638.7 sepsis (genital tract) (pelvic Hemorrhage, uterus) 626.9 conception) 637.9 fetal indication - see Abortion, organ) 635.0 climacteric 627.0 legal urinary tract 635.7 postmenopausal 627.1 Note: Use the following fifth- fetus 779.6 shock (postoperative) vagina (acquired) (congenital) digit subclassification with following threatened abortion (septic) 635.5 in pregnancy or childbirth categories 634-637: - see Abortion, by type specified complication NEC 654.7 0 unspecified habitual or recurrent (care 635.7 affecting fetus or newborn 1 incomplete during pregnancy) 646.3 toxemia 635.3 763.89 2 complete with current abortion unspecified complication(s) causing obstructed labor (see also Abortion, 635.8 660.2 with spontaneous) 634.9 urinary tract infection affecting fetus or complication(s) (any) following affecting fetus or newborn 635.7 newborn 763.1 previous abortion - see 761.8 fetus 779.6 vascular sounds 785.9 category 639 without current pregnancy medical indication - see vectorcardiogram 794.39 damage to pelvic organ 629.81 Abortion, legal visually evoked potential (VEP) (laceration) (rupture) homicidal - see Abortion, illegal mental hygiene problem - see 794.13 (tear) 637.2 illegal 636.9 Abortion, legal vulva (acquired) (congenital) embolism (air) (amniotic with missed 632 in pregnancy or childbirth fluid) (blood clot) damage to pelvic organ operative - see Abortion, legal 654.8 (pulmonary) (pyemic) (laceration) (rupture) psychiatric indication - see affecting fetus or newborn (septic) (soap) 637.6 (tear) 636.2 Abortion, legal 763.89 genital tract and pelvic embolism (air) (amniotic recurrent - see Abortion, causing obstructed labor infection 637.0 fluid) (blood clot) spontaneous 660.2 hemorrhage, delayed or (pulmonary) (pyemic) self-induced - see Abortion, affecting fetus or excessive 637.1 (septic) (soap) 636.6 illegal newborn 763.1 metabolic disorder 637.4 genital tract and pelvic septic - see Abortion, by type, weight renal failure (acute) 637.3 infection 636.0 with sepsis gain 783.1 sepsis (genital tract) (pelvic hemorrhage, delayed or spontaneous 634.9 of pregnancy 646.1 organ) 637.0 excessive 636.1 with Index to with hypertension urinary tract 637.7 metabolic disorder 636.4 damage to pelvic organ - see Toxemia, of shock (postoperative) (septic) renal failure 636.3 (laceration) (rupture) pregnancy 637.5 sepsis (genital tract) (pelvic (tear) 634.2 loss 783.21 specified complication NEC organ) 636.0 embolism (air) (amniotic x-ray examination - see 637.7 urinary tract 636.7 fluid) (blood clot) Di seases Abnormal, radiological toxemia 637.3 shock (postoperative) (pulmonary) (pyemic) examination unspecified complication(s) (septic) 636.5 (septic) (soap) 634.6 Abnormally formed uterus - see 637.8 specified complication NEC genital tract and pelvic Anomaly, uterus urinary tract infection 637.7 636.7 infection 634.0

4th digit required 5th digit required 3 ICD-9-CM 2015 Index to Diseases Abortion - Abscess Abortion — continued Abscess — continued Abscess — continued Abscess — continued hemorrhage, delayed or abdomen, abdominal bladder (wall) 595.89 colon (wall) 569.5 excessive 634.1 cavity 567.22 amebic 006.8 colostomy or enterostomy metabolic disorder 634.4 wall 682.2 bone (subperiosteal) (see also 569.61 bscess renal failure 634.3 abdominopelvic 567.22 Osteomyelitis) 730.0 conjunctiva 372.00 sepsis (genital tract) (pelvic accessory sinus (chronic) (see accessory sinus (chronic) (see connective tissue NEC 682.9 organ) 634.0 also Sinusitis) 473.9 also Sinusitis) 473.9 cornea 370.55 urinary tract 634.7 adrenal (capsule) (gland) 255.8 acute 730.0 with ulcer 370.00 shock (postoperative) alveolar 522.5 chronic or old 730.1 corpus (septic) 634.5 with sinus 522.7 jaw (lower) (upper) 526.4 cavernosum 607.2

bortion - A specified complication NEC amebic 006.3 mastoid - see Mastoiditis, luteum (see also Salpingo-

A 634.7 bladder 006.8 acute oophoritis) 614.2 toxemia 634.3 brain (with liver or lung petrous (see also Petrositis) Cowper's gland 597.0 unspecified complication(s) abscess) 006.5 383.20 cranium 324.0 634.8 liver (without mention of spinal (tuberculous) (see also cul-de-sac (Douglas') urinary tract infection brain or lung abscess) Tuberculosis) 015.0 (posterior) (see also 634.7 006.3 [730.88] Disease, pelvis, fetus 761.8 with nontuberculous 730.08 inflammatory) 614.4 threatened 640.0 brain abscess (and lung bowel 569.5 acute 614.3 affecting fetus or newborn abscess) 006.5 brain (any part) 324.0 dental 522.5 762.1 lung abscess 006.4 amebic (with liver or lung with sinus (alveolar) 522.7 surgical - see Abortion, legal lung (with liver abscess) 006.4 abscess) 006.5 dentoalveolar 522.5 therapeutic - see Abortion, with brain abscess 006.5 cystic 324.0 with sinus (alveolar) 522.7 legal seminal vesicle 006.8 late effect -see category 326 diaphragm, diaphragmatic threatened 640.0 specified site NEC 006.8 otogenic 324.0 567.22 affecting fetus or newborn spleen 006.8 tuberculous (see also digit NEC 681.9 762.1 anaerobic 040.0 Tuberculosis) 013.3 Douglas' cul-de-sac or pouch tubal - see Pregnancy, tubal ankle 682.6 breast (acute) (chronic) (see also Disease, pelvis, voluntary - see Abortion, legal anorectal 566 (nonpuerperal) 611.0 inflammatory) 614.4 Abortus fever 023.9 antecubital space 682.3 newborn 771.5 acute 614.3 Aboulomania 301.6 antrum (chronic) (Highmore) puerperal, postpartum 675.1 Dubois' 090.5 Abrachia 755.20 (see also Sinusitis, tuberculous (see also ductless gland 259.8 Abrachiatism 755.20 maxillary) 473.0 Tuberculosis) 017.9 ear Abrachiocephalia 759.89 anus 566 broad ligament (chronic) acute 382.00 Abrachiocephalus 759.89 apical (tooth) 522.5 (see also Disease, pelvis, external 380.10 Abrami's disease (acquired with sinus (alveolar) 522.7 inflammatory) 614.4 inner 386.30 hemolytic jaundice) 283.9 appendix 540.1 acute 614.3 middle - see Otitis media Abramov-Fiedler myocarditis areola (acute) (chronic) Brodie's (chronic) (localized) elbow 682.3 (acute isolated myocarditis) (nonpuerperal) 611.0 (see also Osteomyelitis) endamebic - see Abscess, 422.91 puerperal, postpartum 730.1 amebic Abrasion - see also Injury, 675.1 bronchus 519.19 entamebic - see Abscess, superficial, by site arm (any part, above wrist) buccal cavity 528.3 amebic cornea 918.1 682.3 bulbourethral gland 597.0 enterostomy 569.61 dental 521.20 artery (wall) 447.2 bursa 727.89 epididymis 604.0 extending into atheromatous 447.2 pharyngeal 478.29 epidural 324.9 dentine 521.22 auditory canal (external) buttock 682.5 brain 324.0 pulp 521.23 380.10 canaliculus, breast 611.0 late effect -see category 326 generalized 521.25 auricle (ear) (staphylococcal) canthus 372.20 spinal cord 324.1 limited to enamel 521.21 (streptococcal) 380.10 cartilage 733.99 epiglottis 478.79 localized 521.24 axilla, axillary (region) 682.3 cecum 569.5 epiploon, epiploic 567.22 teeth, tooth (dentifrice) lymph gland or node 683 with appendicitis 540.1 erysipelatous (see also (habitual) (hard tissues) back (any part) 682.2 cerebellum, cerebellar 324.0 Erysipelas) 035 (occupational) (ritual) Bartholin's gland 616.3 late effect -see category 326 esophagostomy 530.86 (traditional) (wedge with cerebral (embolic) 324.0 esophagus 530.19 defect) (see also Abrasion, abortion - see Abortion, by late effect -see category 326 ethmoid (bone) (chronic) dental) 521.20 type, with sepsis cervical (neck region) 682.1 (sinus) (see also Sinusitis, Abrikossov's tumor (M9580/0) ectopic pregnancy (see lymph gland or node 683 ethmoidal) 473.2 - see also Neoplasm, also categories 633.0 stump (see also Cervicitis) 616.0 external auditory canal 380.10 connective tissue, benign -633.9 ) 639.0 cervix (stump) (uteri) (see also extradural 324.9 malignant (M9580/3) - see molar pregnancy (see also Cervicitis) 616.0 brain 324.0 Neoplasm, connective categories 630-632) cheek, external 682.0 late effect -see category 326 tissue, malignant 639.0 inner 528.3 spinal cord 324.1 Abrism 988.8 complicating pregnancy or chest 510.9 extraperitoneal - see Abscess, Abruption, placenta - see puerperium 646.6 with fistula 510.0 peritoneum Placenta, abruptio following wall 682.2 eye 360.00 Abruptio placentae - see abortion 639.0 chin 682.0 eyelid 373.13 Placenta, abruptio ectopic or molar pregnancy choroid 363.00 face (any part, except eye) Abscess (acute) (chronic) 639.0 ciliary body 364.3 682.0

Di seases (infectional) (lymphangitic) bartholinian 616.3 circumtonsillar 475 fallopian tube (see also (metastatic) (multiple) Bezold's 383.01 cold (tuberculous) - see also Salpingo-oophoritis) 614.2 (pyogenic) (septic) (with bile, biliary, duct or tract (see Tuberculosis, abscess fascia 728.89 lymphangitis) (see also also Cholecystitis) 576.8 articular - see Tuberculosis, fauces 478.29 Cellulitis) 682.9 bilharziasis 120.1 joint fecal 569.5 Index to to Index

4 4th digit required 5th digit required Table of Drugs and Chemicals

INDEX TO POISONING AND EXTERNAL CAUSES OF ADVERSE

EFFECTS OF DRUGS AND OTHER CHEMICAL SUBSTANCES

This table contains a classification of drugs and other chemical Assault (E961-E962)—injury or poisoning inflicted by another person substances to identify poisoning states and external causes of adverse with the intent to injure or kill. effects. Undetermined (E980-E982)—to be used when the intent of the Each of the listed substances in the table is assigned a code according poisoning or injury cannot be determined whether it was intentional to the poisoning classification (960-989). These codes are used when or accidental. there is a statement of poisoning, overdose, wrong substance given or taken, or intoxication. The American Hospital Formulary Service (AHFS) list numbers are included in the table to help classify new drugs not identified in the The table also contains a listing of external causes of adverse effects. table by name. The AHFS list numbers are keyed to the continually An adverse effect is a pathologic manifestation due to ingestion or revised AHFS (American Hospital Formulary Service, 2 vol. Washington, exposure to drugs or other chemical substances (e.g., dermatitis, D.C.: American Society of Hospital Pharmacists, 1959-). These listings hypersensitivity reaction, aspirin gastritis). The adverse effect is to are found in the table under the main term Drug. be identified by the appropriate code found in Section 1, Index to Diseases and Injuries. An external cause code can then be used to Excluded from the table are radium and other radioactive substances. identify the circumstances involved. The table headings pertaining to The classification of adverse effects and complications pertaining to external causes are defined below: these substances will be found in Index to Diseases and Injuries, and Index to External Causes of Injuries. Accidental poisoning (E850-E869)—accidental overdose of drug, wrong substance given or taken, drug taken inadvertently, accidents in Although certain substances are indexed with one or more subentries, the usage of drugs and biologicals in medical and surgical procedures, the majority are listed according to one use or state. It is recognized and to show external causes of poisonings classifiable to 980-989. that many substances may be used in various ways, in medicine and in industry, and may cause adverse effects whatever the state of the Therapeutic use (E930-E949)—a correct substance properly agent (solid, liquid, or fumes arising from a liquid). In cases in which the administered in therapeutic or prophylactic dosage as the external reported data indicate a use or state not in the table, or which is clearly cause of adverse effects. different from the one listed, an attempt should be made to classify the substance in the form which most nearly expresses the reported facts. Suicide attempt (E950-E952)—instances in which self-inflicted injuries or poisonings are involved. Table of Drugs an d Chemi c als

401 ICD-9-CM 2015 Table of Drugs and Chemicals 1-propanol - Albumin

External Cause (E-Code) External Cause (E-Code) se se ttempt ttempt lbumin ssault ssault ccident ccident Poisoning A U Therapeutic S uicide A A U ndetermined Poisoning A U Therapeutic S uicide A A U ndetermined 1-propanol 980.3 E860.4 - E950.9 E962.1 E980.9 Acids (corrosive) NEC 983.1 E864.1 - E950.7 E962.1 E980.6 2-propanol 980.2 E860.3 - E950.9 E962.1 E980.9 Aconite (wild) 988.2 E865.4 - E950.9 E962.1 E980.9 2,4-D (dichlorophen- 989.4 E863.5 - E950.6 E962.1 E980.7 Aconitine (liniment) 976.8 E858.7 E946.8 E950.4 E962.0 E980.4 oxyacetic acid) Aconitum ferox 988.2 E865.4 - E950.9 E962.1 E980.9 2,4-toluene diisocyanate 983.0 E864.0 - E950.7 E962.1 E980.6 Acridine 983.0 E864.0 - E950.7 E962.1 E980.6 1-propanol - A 1-propanol 2,4,5-T (trichloro- 989.2 E863.5 - E950.6 E962.1 E980.7 vapor 987.8 E869.8 - E952.8 E962.2 E982.8 phenoxyacetic acid) Acriflavine 961.9 E857 E931.9 E950.4 E962.0 E980.4 14-hydroxydihydro- 965.09 E850.2 E935.2 E950.0 E962.0 E980.0 Acrisorcin 976.0 E858.7 E946.0 E950.4 E962.0 E980.4 morphinone Acrolein (gas) 987.8 E869.8 - E952.8 E962.2 E982.8 ABOB 961.7 E857 E931.7 E950.4 E962.0 E980.4 liquid 989.89 E866.8 - E950.9 E962.1 E980.9 Abrus (seed) 988.2 E865.3 - E950.9 E962.1 E980.9 Actaea spicata 988.2 E865.4 - E950.9 E962.1 E980.9 Absinthe 980.0 E860.1 - E950.9 E962.1 E980.9 Acterol 961.5 E857 E931.5 E950.4 E962.0 E980.4 beverage 980.0 E860.0 - E950.9 E962.1 E980.9 ACTH 962.4 E858.0 E932.4 E950.4 E962.0 E980.4 Acenocoumarin, 964.2 E858.2 E934.2 E950.4 E962.0 E980.4 Acthar 962.4 E858.0 E932.4 E950.4 E962.0 E980.4 acenocoumarol Actinomycin (C) (D) 960.7 E856 E930.7 E950.4 E962.0 E980.4 Acepromazine 969.1 E853.0 E939.1 E950.3 E962.0 E980.3 Adalin (acetyl) 967.3 E852.2 E937.3 E950.2 E962.0 E980.2 Acetal 982.8 E862.4 - E950.9 E962.1 E980.9 Adenosine (phosphate) 977.8 E858.8 E947.8 E950.4 E962.0 E980.4 Acetaldehyde (vapor) 987.8 E869.8 - E952.8 E962.2 E982.8 Adhesives 989.89 E866.6 - E950.9 E962.1 E980.9 liquid 989.89 E866.8 - E950.9 E962.1 E980.9 ADH 962.5 E858.0 E932.5 E950.4 E962.0 E980.4 Acetaminophen 965.4 E850.4 E935.4 E950.0 E962.0 E980.0 Adicillin 960.0 E856 E930.0 E950.4 E962.0 E980.4 Acetaminosalol 965.1 E850.3 E935.3 E950.0 E962.0 E980.0 Adiphenine 975.1 E855.6 E945.1 E950.4 E962.0 E980.4 Acetanilid(e) 965.4 E850.4 E935.4 E950.0 E962.0 E980.0 Adjunct, pharmaceutical 977.4 E858.8 E947.4 E950.4 E962.0 E980.4 Acetarsol, acetarsone 961.1 E857 E931.1 E950.4 E962.0 E980.4 Adrenal (extract, 962.0 E858.0 E932.0 E950.4 E962.0 E980.4 Acetazolamide 974.2 E858.5 E944.2 E950.4 E962.0 E980.4 cortex or medulla) Acetic (glucocorticoids) acid 983.1 E864.1 - E950.7 E962.1 E980.6 (hormones) with sodium acetate 976.3 E858.7 E946.3 E950.4 E962.0 E980.4 (mineralocorticoids) (ointment) ENT agent 976.6 E858.7 E946.6 E950.4 E962.0 E980.4 irrigating solution 974.5 E858.5 E944.5 E950.4 E962.0 E980.4 ophthalmic preparation 976.5 E858.7 E946.5 E950.4 E962.0 E980.4 lotion 976.2 E858.7 E946.2 E950.4 E962.0 E980.4 topical NEC 976.0 E858.7 E946.0 E950.4 E962.0 E980.4 anhydride 983.1 E864.1 - E950.7 E962.1 E980.6 Adrenalin 971.2 E855.5 E941.2 E950.4 E962.0 E980.4 ether (vapor) 982.8 E862.4 - E950.9 E962.1 E980.9 Adrenergic blocking 971.3 E855.6 E941.3 E950.4 E962.0 E980.4 Acetohexamide 962.3 E858.0 E932.3 E950.4 E962.0 E980.4 agents Acetomenaphihone 964.3 E858.2 E934.3 E950.4 E962.0 E980.4 Adrenergics 971.2 E855.5 E941.2 E950.4 E962.0 E980.4 Acetomorphine 965.01 E850.0 E935.0 E950.0 E962.0 E980.0 Adrenochrome 972.8 E858.3 E942.8 E950.4 E962.0 E980.4 Acetone (oils) (vapor) 982.8 E862.4 - E950.9 E962.1 E980.9 (derivatives) Acetophenazine 969.1 E853.0 E939.1 E950.3 E962.0 E980.3 Adrenocorticotropic 962.4 E858.0 E932.4 E950.4 E962.0 E980.4 (maleate) hormone Acetophenetidin 965.4 E850.4 E935.4 E950.0 E962.0 E980.0 Adrenocorticotropin 962.4 E858.0 E932.4 E950.4 E962.0 E980.4 Acetophenone 982.0 E862.4 - E950.9 E962.1 E980.9 Adriamycin 960.7 E856 E930.7 E950.4 E962.0 E980.4 Acetorphine 965.09 E850.2 E935.2 E950.0 E962.0 E980.0 Aerosol spray—see Sprays Acetosulfone (sodium) 961.8 E857 E931.8 E950.4 E962.0 E980.4 Aerosporin 960.8 E856 E930.8 E950.4 E962.0 E980.4 Acetrizoate (sodium) 977.8 E858.8 E947.8 E950.4 E962.0 E980.4 ENT agent 976.6 E858.7 E946.6 E950.4 E962.0 E980.4 Acetylcarbromal 967.3 E852.2 E937.3 E950.2 E962.0 E980.2 ophthalmic preparation 976.5 E858.7 E946.5 E950.4 E962.0 E980.4 Acetylcholine (chloride) 971.0 E855.3 E941.0 E950.4 E962.0 E980.4 topical NEC 976.0 E858.7 E946.0 E950.4 E962.0 E980.4 Acetylcysteine 975.5 E858.6 E945.5 E950.4 E962.0 E980.4 Aethusa cynapium 988.2 E865.4 - E950.9 E962.1 E980.9 Acetyldigitoxin 972.1 E858.3 E942.1 E950.4 E962.0 E980.4 Afghanistan black 969.6 E854.1 E939.6 E950.3 E962.0 E980.3 Acetyldihydrocodeine 965.09 E850.2 E935.2 E950.0 E962.0 E980.0 Aflatoxin 989.7 E865.9 - E950.9 E962.1 E980.9

als Acetyldihydrocodeinone 965.09 E850.2 E935.2 E950.0 E962.0 E980.0 African boxwood 988.2 E865.4 - E950.9 E962.1 E980.9 Acetylene (gas) 987.1 E868.1 - E951.8 E962.2 E981.8 Agar (-agar) 973.3 E858.4 E943.3 E950.4 E962.0 E980.4 (industrial) Agricultural agent NEC 989.89 E863.9 - E950.6 E962.1 E980.7 incomplete combustion Agrypnal 967.0 E851 E937.0 E950.1 E962.0 E980.1

Chemi c of—see Carbon Air contaminant(s), source 987.9 E869.9 - E952.9 E962.2 E982.9 monoxide, fuel, utility or type not specified tetrachloride (vapor) 982.3 E862.4 - E950.9 E962.1 E980.9 specified type—see Acetyliodosalicylic acid 965.1 E850.3 E935.3 E950.0 E962.0 E980.0 specific substance Acetylphenylhydrazine 965.8 E850.8 E935.8 E950.0 E962.0 E980.0 Akee 988.2 E865.4 - E950.9 E962.1 E980.9 Acetylsalicylic acid 965.1 E850.3 E935.3 E950.0 E962.0 E980.0 Akrinol 976.0 E858.7 E946.0 E950.4 E962.0 E980.4 Achromycin 960.4 E856 E930.4 E950.4 E962.0 E980.4 Alantolactone 961.6 E857 E931.6 E950.4 E962.0 E980.4 ophthalmic preparation 976.5 E858.7 E946.5 E950.4 E962.0 E980.4 Albamycin 960.8 E856 E930.8 E950.4 E962.0 E980.4 topical NEC 976.0 E858.7 E946.0 E950.4 E962.0 E980.4 Albumin (normal human 964.7 E858.2 E934.7 E950.4 E962.0 E980.4 Acidifying agents 963.2 E858.1 E933.2 E950.4 E962.0 E980.4 serum) Table of Drugs an d Drugs of Table 402 ICD-9-CM 2015 Hypertension, hypertensive — Hypertension, hypertensive Hypertension - heart Index Malignant Benign Unspecified Malignant Benign Unspecified Hypertension, hypertensive 401.0 401.1 401.9 Hypertension, hypertensive— (arterial) (arteriolar) (crisis) continued (degeneration) (disease) cerebrovascular disease NEC 437.2 437.2 437.2 (essential) (fluctuating) complicating pregnancy, 642.2 642.0 642.9 (idiopathic) (intermittent) childbirth, or the puerperium (labile) (low renin) (orthostatic) with (paroxysmal) (primary) albuminuria (and edema) - - 642.4 (systemic) (uncontrolled) (mild) (vascular) severe - - 642.5 with chronic kidney disease 642.2 642.2 642.2 chronic kidney disease and heart disease 642.2 642.2 642.2 stage I through stage IV, or 403.00 403.10 403.90 edema (mild) - - 642.4 unspecified severe - - 642.5 stage V or end stage renal 403.01 403.11 403.91 heart disease 642.2 642.2 642.2 disease and chronic kidney disease 642.2 642.2 642.2 heart involvement (conditions 402.00 402.10 402.90 renal disease 642.2 642.2 642.2 classifiable to 429.0- and heart disease 642.2 642.2 642.2 429.3, 429.8, 429.9 due chronic 642.2 642.0 642.0 to hypertension) (see also with pre-eclampsia or 642.7 642.7 642.7 Hypertension, heart) eclampsia with kidney involvement ­ see fetus or newborn 760.0 760.0 760.0 Hypertension, cardiorenal Hypertension, h essential - 642.0 642.0 renal (kidney) involvement 403.00 403.10 403.90 (only conditions classifiable with pre-eclampsia or - 642.7 642.7 to 585, 587) (excludes eclampsia conditions classifiable to fetus or newborn 760.0 760.0 760.0 584) (see also Hypertension, fetus or newborn 760.0 760.0 760.0 kidney) gestational - - 642.3 with heart involvement ­ see 403.01 403.11 403.91 pre-existing 642.2 642.0 642.0 Hypertension, cardiorenal with pre-eclampsia or 642.7 642.7 642.7 failure (and sclerosis) eclampsia ypertensive — Hypertension, h (see also Hypertension, fetus or newborn 760.0 760.0 760.0 kidney) secondary to renal disease 642.1 642.1 642.1 sclerosis without failure 403.00 403.10 403.90 with pre-eclampsia or 642.7 642.7 642.7 (see also Hypertension, eclampsia kidney) fetus or newborn 760.0 760.0 760.0 accelerated (see also Hypertension, 401.0 - - transient - - 642.3 by type, malignant) due to antepartum ­ see Hypertension, aldosteronism, primary 405.09 405.19 405.99 complicating pregnancy, brain tumor 405.09 405.19 405.99 childbirth, or the puerperium bulbar poliomyelitis 405.09 405.19 405.99 borderline - - 796.2 calculus cardiorenal (disease) 404.00 404.10 404.90 kidney 405.09 405.19 405.99 with ureter 405.09 405.19 405.99 chronic kidney disease coarctation, aorta 405.09 405.19 405.99 stage I through stage IV, or 404.00 404.10 404.90 Cushing’s disease 405.09 405.19 405.99

unspecified glomerulosclerosis (see also 403.00 403.10 403.90 ypertensive and heart failure 404.01 404.11 404.91 Hypertension, kidney) stage V or end stage renal 404.02 404.12 404.92 periarteritis nodosa 405.09 405.19 405.99 disease pheochromocytoma 405.09 405.19 405.99 and heart failure 404.03 404.13 404.93 polycystic kidney(s) 405.09 405.19 405.99 heart failure 404.01 404.11 404.91 polycythemia 405.09 405.19 405.99 and chronic kidney disease 404.01 404.11 404.91 porphyria 405.09 405.19 405.99 stage I through stage IV 404.01 404.11 404.91 pyelonephritis 405.09 405.19 405.99 or unspecified renal (artery) stage V or end stage 404.03 404.13 404.93 aneurysm 405.01 405.11 405.91 renal disease anomaly 405.01 405.11 405.91 cardiovascular disease 402.00 402.10 402.90 embolism 405.01 405.11 405.91 (arteriosclerotic) (sclerotic) fibromuscular hyperplasia 405.01 405.11 405.91 with occlusion 405.01 405.11 405.91 heart failure 402.01 402.11 402.91 stenosis 405.01 405.11 405.91 renal involvement (conditions 404.00 404.10 404.90 thrombosis 405.01 405.11 405.91 classifiable to 403) encephalopathy 437.2 437.2 437.2 (see also Hypertension, gestational (transient) NEC - - 642.3 cardiorenal) Goldblatt’s 440.1 440.1 440.1 cardiovascular renal (disease) 404.00 404.10 404.9 heart (disease) (conditions 402.00 402.10 402.90 (sclerosis) (see also classifiable to 429.0- Hypertension, cardiorenal) 429.3, 429.8, 429.9 due to hypertension)

4th digit required 5th digit required 199 ICD-9-CM 2015 Hypertension, hypertensive — Hypertension, hypertensive heart - venous

Malignant Benign Unspecified Malignant Benign Unspecified Hypertension, hypertensive— Hypertension, hypertensive— continued continued Index heart — continued secondary NEC — continued with due to — continued heart failure 402.01 402.11 402.91 calculus — continued hypertensive kidney 404.00 404.10 404.90 kidney 405.09 405.19 405.99 disease (conditions ureter 405.09 405.19 405.99 classifiable to 403) see( coarctation, aorta 405.09 405.19 405.99 also Hypertension, Cushing’s disease 405.09 405.19 405.99 cardiorenal) glomerulosclerosis (see also 403.00 403.10 403.90 renal sclerosis (see 404.00 404.10 404.90 Hypertension, kidney) also Hypertension, periarteritis nodosa 405.09 405.19 405.99 cardiorenal) pheochromocytoma 405.09 405.19 405.99 intracranial, benign - 348.2 - polycystic kidney(s) 405.09 405.19 405.99 intraocular - - 365.04 polycythemia 405.09 405.19 405.99 kidney 403.00 403.10 403.90 porphyria 405.09 405.19 405.99 with pyelonephritis 405.09 405.19 405.99 chronic kidney disease renal (artery) stage I through stage IV, or 403.00 403.10 403.90 aneurysm 405.01 405.11 405.91 unspecified anomaly 405.01 405.11 405.91 stage V or end stage renal 403.01 403.11 403.91 embolism 405.01 405.11 405.91 disease fibromuscular hyperplasia 405.01 405.11 405.91 heart involvement (conditions 404.00 404.10 404.90 occlusion 405.01 405.11 405.91 classifiable to stenosis 405.01 405.11 405.91 429.0-429.3, 429.8, 429.9 thrombosis 405.01 405.11 405.91 due to hypertension) transient - - 796.2 (see also Hypertension, cardiorenal) of pregnancy - - 642.3 hypertensive heart 404.00 404.10 404.90 venous, chronic (asymptomatic) - - 459.30 (disease) (conditions (idiopathic) classifiable to 402) with (see also Hypertension, complication, NEC - - 459.39 inflammation - - 459.32 ypertensive cardiorenal) with ulcer - - 459.33 lesser circulation - - 416.0 ulcer - - 459.31 necrotizing 401.0 - - with inflammation - - 459.33 ocular - - 365.04 due to pancreatic duct - code to deep vein thrombosis (see - - 459.10 underlying condition also Syndrome, with postphlebitic) - chronic pancreatitis - - 577.1 portal (due to chronic liver - - 572.3 disease) postoperative 997.91 psychogenic - - 306.2 puerperal, postpartum ­ see Hypertension, complicating pregnancy, childbirth, or the puerperium ypertensive — Hypertension, h Hypertension, — ypertensive pulmonary (artery) (secondary) - - 416.8 with cor pulmonale (chronic) - - 416.8 acute - - 415.0 right heart ventricular strain/ - - 416.8 failure acute - - 415.0 idiopathic 416.0

Hypertension, h Hypertension, primary 416.0 of newborn 747.83 secondary - - 416.8 renal (disease) (see also 403.00 403.10 403.90 Hypertension, kidney) renovascular NEC 405.01 405.11 405.91 secondary NEC 405.09 405.19 405.99 due to aldosteronism, primary 405.09 405.19 405.99 brain tumor 405.09 405.19 405.99 bulbar poliomyelitis 405.09 405.19 405.99 calculus

200 4th digit required 5th digit required Chapter 1: Infectious and Parasitic Diseases (001-139) 1 - - - ) Human

). Then reportThen 042 ). Other diseases viral Other related problems Other specifiedviral ), too. epticemia, SIRS, epticemia, Nonspecific serologic evidence of human of evidence Nonspecific serologic ). ) correctly, you first need to understand first need you ) correctly, When a patient presents with an HIV-related with an HIV-related presents a patient When When a patient with no definitive diagnosis or diagnosis with no definitive a patient When ossibility for HIV Encounters ossibility for iseases (001-139) iseases Septicemia nly P When documentation doesn’t record any symptoms, symptoms, any record doesn’t documentation When ). ) as the primary code. Code V65.44 is also the appropriate code to use when a to code V65.44 is also the appropriate Code and learns she is HIV results the test for returns patient then is HIV positive, the patient If shows the test negative. reportyou should but first also be appropriate, V65.44 may a symp or 042 for patient an asymptomatic V08 for either also should you patients, symptomatic For patient. tomatic HIV-related or confirmed the symptoms for add codes diagnoses. ➠ ➠ epsis efinitions for S the Definitions hrough est Codes Vary Based on Circumstances Based on Circumstances Vary est Codes You should use the screening code V73.89 ( V73.89 code should use the screening You diseases for in a high-risk group who are without symptoms patients For V69.8 ( secondary should add you code HIV, lifestyleto or symptoms, because of signs, has an HIV test a patient When report should you the illness, of an HIV-related confirmation condition. or confirmed If the symptoms, the signs, for code(s) V65.44 ( the same session, report at has counseling patient immunodeficiency virus [HIV]counseling T T • • • • • • symptomatic: ort regnancy, puerperium: regnancy, Asymptomatic human immunodeficiencyAsymptomatic human virus [HIV] infection status ably, so proper coding requires understanding the definitions the requires coding so proper ably, ICD-9-CM and possibly querying for guidelines provide the provider clarification if needed. HIV of HIV determination for report presents you when a patient codes The specific case. the patient’s depends on status S and S reporting Official sectionproper The on Guidelines include a lengthy of and septic shock. sepsis, severe SIRS, sepsis, septicemia, report 038.xx ( To terms interchange use these may Providers sepsis. from it differs how The guidelines indicate the above sequencing rules apply regardless of rules apply regardless sequencing above the indicate guidelines The encoun or has had previous is newly diagnosed whether the patient conditions. HIV-related for ters the O 042 Isn’t A V08 should use you is HIV positive, the patient but it does show ( treatment AIDS, documents if the provider than 042. However, rather being caused by conditions or one or more illness, an HIV-related for should use 042. then you HIV-positive, serology: Inconclusive should not you HIV serology, HIV has an inconclusive of manifestations use 795.71 ( should You use 042. immunodeficiency [HIV] virus has ever V08 or 795.71 if the patient use should never you that Note always You falls under 042. with an HIV illness that been diagnosed illness. had an HIV-related who have patients should use 042 for P childbirth, first-listed or the puerperium, your illness during pregnancy, ( the 647.6x range must be from (or principal) code pregnancy childbirthcomplicating or the puerperium Sequence illnesses. HIV-related the patient’s for or codes and the code 15, Certain Chapter to Conditions ICD-9 that the conditions indexes first. (760-779), Period in the Perinatal Originating V08. report 647.6x and HIV, is asymptomatic status If the patient’s arasitic D arasitic - - - -

fficial -9-CM O nswers for Coders Coders for nswers rom the ICD rom rovide Crucial A Crucial rovide Whether you use 042 as the first-listed (or principal) use 042 as the first-listed you Whether ections 090-099: Syphilis and Other Venereal Diseases Venereal and Other090-099: Syphilis 100-104: Other Diseases Spirochetal 110-118: Mycoses 120-129: Helminthiases Diseases 130-136: Other Infectious Parasitic And Diseases Parasitic Effects 137-139: Late Of And Infectious 045-049: Poliomyelitis And Other Non-Arthropod-Borne Viral Viral Other And Non-Arthropod-Borne 045-049: Poliomyelitis Nervous System Diseases of Central Diseases and Prion Exanthem by Diseases Accompanied Viral 050-059: Diseases Viral 060-066: Arthropod-Borne Chlamydiae and Viruses 070-079: Other Diseases Due to 080-088: Rickettsioses Other and Arthropod-Borne Diseases 001-009: Intestinal Infectious001-009: Intestinal Diseases 010-018: Tuberculosis Bacterial Diseases 020-027: Zoonotic 030-041: Other Bacterial Diseases Virus (HIV) 042: Human Immunodeficiency Infection Chapter 1: InfectiousChapter P and • • • • • • • • • • • • • • • • ighlights F ighlights • • • • • • • • • • • • • • • • equencing: lated condition (unless the patient is pregnant or recently gave birth, gave as or recently is pregnant (unless the patient condition lated the also should report for additional diagnoses You below). explained the patient. for documented conditions HIV-related a condition for admits the patient if the provider On the other hand, based on principal diagnosis should choose your you HIV, to unrelated the patient’s reportThen for 042 and codes admission. for the reason conditions. other HIV-related First, you must use 042 (Human immunodeficiency you virus [HIV]First, disease) the from statement A diagnostic reportto cases of HIV. only confirmed illness HIV or has an HIV-related for is positive the patient that provider as confirmation. counts S visit. of the patient’s depends on the nature diagnosis an HIV-re for admitted a patient for 042 as the principal diagnosis Use tions, and MRSA. The information below covers the major points of Sec the major points covers below information The and MRSA. tions, version. Oct.recent tion I.C.1 of the guidelines effective 1, 2011, the most Guidelines P Reporting HIV variety for a practical you guidance coding OfficialThe give Guidelines scenarios. of HIV-related H Reporting and Coding Guidelines for ICD-9-CMThe Coding and Reporting Official for for Chapter Guidelines condi and related septicemia HIV, for coding on proper 1 keep the focus List of S Chapter 1 of ICD-9-CMChapter and parasitic a long list of infectious includes taxoplasmo and bubonic plague to cholera Everything from diseases. ICD-9-CM keep in mind that code, may But as you sis has a home here. of instead area anatomic their specific for in the chapters list infections and then confirm the index search code, you 1. Each time in Chapter in the tabular list. choice code your ICD-9-CM 2015 Chapter 1: Infectious and Parasitic Diseases (001-139) Tabular List Definitions: Septicemia is a systemic condition that involves the pres- Apply This Sequencing for Septic Shock ence of toxins and pathological microorganisms in the blood. Examples Septic shock is a kind of acute organ dysfunction because it involves include bacteria, viruses, and fungi, but this is not an exclusive list. circulatory failure related to severe sepsis. When a patient has septic Sepsis is infection-caused systemic inflammatory response syndrome shock, your codes should follow this order: (SIRS). If the patient has acute organ dysfunction associated with the •• The code for the systemic infection sepsis, this qualifies as severe sepsis. When the patient has acute organ dysfunction related to a medical condition other than sepsis, you •• 995.92 for severe sepsis; note that documentation does not need should not report severe sepsis. to specify “severe” sepsis because septic shock indicates severe sepsis Remember Sequencing Rules for SIRS, Sepsis, •• 785.52 (Septic shock) or 998.02 (Postoperative septic shock); note and Severe Sepsis that you may not report septic shock as a principal diagnosis •• Whether you’re reporting SIRS, sepsis, or severe sepsis, you must •• Codes for other acute organ dysfunctions. report at least two codes so that the claim identifies both the underlying cause and the SIRS. Note: See Chapter 11 to report sepsis and septic shock connected to pregnancy, birth, and abortion. See Chapter 15 to report newborn sepsis. ➠➠ Sequence the underlying cause code first, and then include a code from 995.9x (Systemic inflammatory response syn- Post Procedural Sepsis Coding Has Variations to Watch drome [SIRS]). •• When the diagnosis is sepsis or severe sepsis, you must report When documentation reveals post procedural sepsis, you should report a code for the systemic infection along with the code for sepsis your codes in the following order: (995.91) or severe sepsis (995.92). •• The complication code, such as 998.59 (Other postoperative infec- •• In some cases, the documentation will not specify the organism tion) or 674.3x (Other complications of obstetrical surgical wounds) causing the infection. In that situation, you should report 038.9 •• The sepsis code, 995.91 or 995.92 (Unspecified septicemia). •• Codes for any acute organ dysfunction for severe sepsis •• Coding for severe sepsis has another rule: report one or more additional codes for the associated acute organ dysfunction. Your coding will change a bit if post procedural infection leads to severe sepsis and post procedural septic shock: Documentation tips: You should follow the rules for coding severe •• Complication code sepsis when documentation shows the patient has sepsis with multiple organ dysfunctions. •• Sepsis codes: systemic infection and 995.92 Also, you may not report SIRS diagnoses from 995.9x unless documen- •• 998.02 (Postoperative shock, septic) tation specifies sepsis or SIRS. •• Codes for any acute organ dysfunction for severe sepsis Note: There are separate rules for SIRS related to post procedural infec- tion and to non-infectious processes like trauma and burns. Don’t Assume Infection Caused the Sepsis POA warning: Facility coders who must watch whether a diagnosis When the sepsis results from something other than infection, use the is present on admission (POA) should note that it’s appropriate to use following order for your codes: 995.91 (Sepsis) or 995.92 (Severe sepsis) as secondary when the condi- tion develops after admission. If you can’t tell from the documentation •• The code for the noninfectious condition, such as the appropriate whether the condition was POA, you should ask the provider. burn or injury code, assuming this condition meets the definition of a principal diagnosis Lock Down Proper Coding When Patient Has Localized •• The code for the systemic infection

Infection, Too •• The sepsis code, 995.91 or 995.92 If the provider documents both sepsis, severe sepsis, or SIRS and a •• Codes for any acute organ dysfunction for severe sepsis. localized infection as reasons for admission, you should report at least three codes: Note that if the sepsis meets the principal diagnosis requirements, you should report the systemic infection and sepsis/severe sepsis codes •• The systemic infection code, such as 038.xx followed by the code for the noninfectious condition. You may report •• The appropriate sepsis code, 995.91 or 995.92 either the noninfectious condition or the sepsis as principal if both •• The localized infection code. meet the definition of principal diagnosis.

seases (001-139) Di seases Caution: When a patient has a noninfectious condition that results in an Urosepsis: When the documentation shows only “urosepsis,” you infection that then leads to sepsis/severe sepsis, you should report 995.91 should report 599.0 (Urinary tract infection site not specified). If the or 995.92 as appropriate. You should not also report 995.93 (Systemic in- medical record also shows the organism causing the urosepsis, you flammatory response syndrome due to noninfectious process without acute should report a code for the organism, as well. organ dysfunction) or 995.94 (Systemic inflammatory response syndrome aras i t ic due to noninfectious process with acute organ dysfunction). Turn to 038.0 for Bacterial Sepsis and Septicemia Note: See Chapter 17 to report SIRS related to noninfectious causes. You’ll often use 038.0 with 995.9x for bacterial sepsis and septicemia. See Chapter 19 to report external cause of injury codes when SIRS is Two examples of when you’ll use 038.0 include streptococcal sepsis due to trauma. and streptococcal septicemia:

ous and P and t i ous •• For streptococcal sepsis, you should report 038.0 and then 995.91. •• For streptococcal septicemia, you should report only 038.0 unless querying the provider offers additional information. Chapter 1: Infe c 1: Chapter 2 Chapter 1: Infectious and Parasitic Diseases (001-139) 3 - - - Tabular List Tabular Staphylococcus Staphylococcus ecessary Carrier or suspected carrier of methicillin of methicillin or suspected carrier Carrier ). When the patient has both MRSA coloniza the patient When ). ). Carrier or suspected carrier of methicillin suscepti of or suspected carrier Carrier When documentation shows MSSA colonization, you you colonization, MSSA shows documentation When (MSSA) on or in the body without being sick. on or in the body without (MSSA) In cases, these istinguish Between Colonization and Infection Colonization istinguish Between ow to code: to ow p on the Codes When N When Double Up on the Codes a cur for code a combination the option of using have always won’t You should report as well you MRSA infection. In the condition cases, those rent as an additional code. V09.0 report shouldn’t You 041.12. as MRSA code D MRSA or Methicillin susceptible have A person may aureus carrier, carriage, colonization, to refer see the documentation may you positive. or MRSA nasal swab positive, MRSA screen H V02.53 ( should report aureus ble staphylococcus V02.54 ( use colonization, MSSA For aureus staphylococcus resistant both. report for may codes you tion and MRSA infection documented, ). ). iseases (001-139) ). You also should not report also should not You ). arasitic D arasitic eature Combination Codes Combination eature ften F (MRSA) diagnoses. In those cases, you should should you In those cases, diagnoses. (MRSA) When combination codes apply, you should not should you apply, codes combination When Methicillin resistant staphylococcus aureus in conditions in conditions aureus staphylococcus Methicillin resistant Methicillin resistant staphylococcus aureus septicemia aureus staphylococcus Methicillin resistant staphylococcus due to pneumonia Methicillin resistant The patient has septicemia caused by MRSA. You should You MRSA. by caused has septicemia patient The The patient has pneumonia due to MRSA. You should You MRSA. to has pneumonia due patient The Infection with microorganisms resistant to penicillins to resistant Infection with microorganisms ). Do not report: report 041.12 ( unspecified and of site classified elsewhere V09.0 ( Staphylococcus aureus Staphylococcus condition describes the complete that report code the combination than reportingrather elements. the individual Example 1: report 038.12 ( Example 2: report 482.42 ( aureus Conditions O MRSA Conditions certainfor resistant codes ICD-9-CM methicillin combination offers Chapter 1: InfectiousChapter and P Chapter 1 Infectious and Parasitic Diseases

INFECTIOUS AND PARASITIC DISEASES (001-139) 004.2 s higella boydii 001 - 006.4 Infection by group C Shigella Note: Categories for "late effects" of infectious and parasitic diseases are to be found at 137-139. 004.3 s higella sonnei INCLUDES diseases generally recognized as communicable or Infection by group D Shigella transmissible as well as a few diseases of 004.8 other specified shigella infections unknown but possibly infectious origin 004.9 s higellosis, unspecified Excludes: acute respiratory infections (460-466) carrier or suspected carrier of infectious organism 005 other food poisoning (bacterial) (V02.0-V02.9) Excludes: salmonella infections (003.0-003.9) certain localized infections toxic effect of: influenza (487.0-487.8, 488.01-488.19) food contaminants (989.7) noxious foodstuffs (988.0-988.9) INTESTINAL INFECTIOUS DISEASES (001-009) 005.0 staphylococcal food poisoning Excludes: helminthiases (120.0-129) Staphylococcal toxemia specified as due to food 001 Cholera 005.1 Botulism food poisoning AHA: Q2, 2002; Q4, 2002; Q1, 2005; Q1, 2006; Q4, 2006; Q4, 2007; Q4, Botulism NOS 2008; Q4, 2009; Q4, 2010 Food poisoning due to Clostridium botulinum Excludes: infant botulism (040.41) 001.0 due to Vibrio cholerae AHA: Q2, 2002; Q4, 2002; Q1, 2005; Q1, 2006; Q4, 2006; Q4, wound botulism (040.42) 2007; Q4, 2008; Q4, 2010 AHA: Q4, 2007

001.1 due to Vibrio cholerae el tor 005.2 food poisoning due to Clostridium perfringens [C. welchii] 001.9 Cholera, unspecified Enteritis necroticans 002 typhoid and paratyphoid fevers 005.3 food poisoning due to other Clostridia 002.0 t yphoid fever 005.4 food poisoning due to Vibrio parahaemolyticus Typhoid (fever) (infection) [any site] 005.8 other bacterial food poisoning 002.1 paratyphoid fever A Excludes: salmonella food poisoning (003.0-003.9) 002.2 paratyphoid fever B AHA: Q4, 2001; Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010 002.3 paratyphoid fever C 005.81 Food poisoning due to Vibrio vulnificus 002.9 paratyphoid fever, unspecified AHA: Q4, 2001; Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010 003 other salmonella infections INCLUDES infection or food poisoning by Salmonella [any serotype] 005.89 other bacterial food poisoning

Food poisoning due to Bacillus cereus 003.0 s almonella gastroenteritis AHA: Q4, 2001; Q4, 2002; Q4, 2004; Q4, 2005; Q4, Salmonellosis 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010 003.1 s almonella septicemia 005.9 food poisoning, unspecified 003.2 Localized salmonella infections 006 Amebiasis 003.20 Localized salmonella infection, INCLUDES infection due to Entamoeba histolytica unspecified Excludes: amebiasis due to organisms other than Entamoeba 003.21 s almonella meningitis histolytica (007.8) AHA: Q4, 2008 seases (001-139) Di seases 003.22 s almonella pneumonia 003.23 s almonella arthritis 006.0 acute amebic dysentery without mention of 003.24 s almonella osteomyelitis abscess Acute amebiasis 003.29 o ther aras i t ic 006.1 Chronic intestinal amebiasis without mention of 003.8 other specified salmonella infections abscess 003.9 salmonella infection, unspecified Chronic: amebiasis 004 Shigellosis amebic dysentery INCLUDES bacillary dysentery 006.2 amebic nondysenteric colitis ous and P and t i ous 004.0 s higella dysenteriae 006.3 amebic liver abscess Infection by group A Shigella (Schmitz) (Shiga) Hepatic amebiasis 004.1 s higella flexneri 006.4 amebic lung abscess Infection by group B Shigella Amebic abscess of lung (and liver)

4th digit required 5th digit required Newborn Maternity Pediatric Adult Female Male AHA AHA Coding Clinic® Unacceptable principal diagnosis symbol per Medicare code edits Code exempt from diagnosis present on admission requirement Chapter 1: Infe c 1: Chapter 4 Tabular List Chapter 1: Infectious and Parasitic Diseases (001-139) 006.5 - 008.8 006.5 - 008.8 006.5 amebic brain abscess 008.09 other intestinal E. coli infections Amebic abscess of brain (and liver) (and lung) AHA: Q4, 2001; Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010 006.6 amebic skin ulceration Cutaneous amebiasis 008.1 arizona group of paracolon bacilli 006.8 amebic infection of other sites 008.2 a erobacter aerogenes Amebic: Enterobacter aerogenes appendicitis 008.3 proteus (mirabilis) (morganii) balanitis Ameboma 008.4 other specified bacteria Excludes: specific infections by free-living amebae 008.41 s taphylococcus (136.21-136-29) Staphylococcal enterocolitis AHA: Q4, 2008 008.42 p seudomonas 006.9 a mebiasis, unspecified 008.43 Campylobacter Amebiasis NOS AHA: Q4, 2001; Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010 007 other protozoal intestinal diseases INCLUDES protozoal: 008.44 Yersinia enterocolitica colitis 008.45 Clostridium difficile diarrhea Pseudomembranous colitis dysentery AHA: Q4, 2000 008.46 o ther anaerobes Anaerobic enteritis NOS 007.0 Balantidiasis Bacteroides (fragilis) Infection by Balantidium coli Gram-negative anaerobes 007.1 Giardiasis 008.47 other gram-negative bacteria Infection by Giardia lamblia Gram-negative enteritis NOS Lambliasis Excludes: gram-negative anaerobes (008.46) 007.2 Coccidiosis AHA: Q4, 2001; Q4, 2002; Q4, 2004; Q4, 2005; Q4, Infection by Isospora belli and Isospora hominis 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010 Isosporiasis 008.49 o ther 007.3 Intestinal trichomoniasis AHA: Q4, 2001; Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010 007.4 Cryptosporidiosis AHA: Q4, 2001; Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 008.5 Bacterial enteritis, unspecified 2007; Q4, 2008; Q4, 2009; Q4, 2010 008.6 enteritis due to specified virus 007.5 Cyclosporiasis AHA: Q4, 2001; Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, AHA: Q4, 2000; Q4, 2001; Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010 008.61 r otavirus 007.8 other specified protozoal intestinal diseases AHA: Q4, 2001; Q4, 2002; Q4, 2004; Q4, 2005; Q4, Amebiasis due to organisms other than Entamoeba 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010 histolytica

008.62 a denovirus Chapter 1: Infe c AHA: Q4, 2001; Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010 008.63 n orwalk virus Norovirus 007.9 unspecified protozoal intestinal disease Norwalk-like agent Flagellate diarrhea 008.64 other small round viruses [SRV's] Protozoal dysentery NOS Small round virus NOS 008 Intestinal infections due to other organisms 008.65 Calicivirus INCLUDES any condition classifiable to 009.0-009.3 with mention 008.66 a strovirus of the responsible organisms t i ous and P Excludes: food poisoning by these organisms (005.0-005.9) 008.67 e nterovirus NEC 008.0 escherichia coli [E. coli] Coxsackie virus AHA: Q4, 2001; Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, Echovirus 2007; Q4, 2008; Q4, 2009; Q4, 2010 Excludes: poliovirus (045.0-045.9)

008.00 e. coli, unspecified 008.69 other viral enteritis i t ic aras E. coli enteritis NOS Torovirus AHA: Q4, 2001; Q4, 2002; Q4, 2004; Q4, 2005; Q4, AHA: Q4, 2001; Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010

008.01 enteropathogenic E. coli 008.8 other organism, not elsewhere classified Viral: Di seases (001-139) 008.02 enterotoxigenic E. coli enteritis NOS 008.03 enteroinvasive E. coli gastroenteritis Excludes: influenza with involvement of gastrointestinal 008.04 enterohemorrhagic E. coli tract (487.8, 488.09, 488.19) AHA: Q4, 2010

Complication or comorbidity Major complication or comorbidity Chief morbidity exclusion Unspecified Other specified Questionable admission V code as primary diagnosis Manifestation not allowed as principal diagnosis Hospital-acquired condition (HAC) alert

5 00 - 00.19 Chapter 0 Procedures And Interventions , Not Elsewhere Classified

PROCEDURES AND INTERVENTIONS, NOT 00.1 Pharamaceuticals ELSEWHERE CLASSIFIED (00) 00.10 Implantation of chemotherapeutic agent Brain wafer chemotherapy 00 procedures and interventions, Not Elsewhere Classified Interstitial/ intracavitary Excludes: injection or infusion of cancer 00.0 t herapeutic ultrasound chemotherapeutic substance Excludes: diagnostic ultrasound (non-invasive) (88.71- (99.25) 88.79) AHA: Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; intracardiac echocardiography [ICE] (heart Q4, 2008; Q4, 2009; Q4, 2010 chamber(s)) (37.28) intravascular imaging (adjunctive) (00.21- 00.11 Infusion of drotrecogin alfa (activated) 00.29) Infusion of recombinant protein AHA: Q4, 2002 AHA: Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010 00.01 therapeutic ultrasound of vessels of head and neck 00.12 administration of inhaled nitric oxide Anti-restenotic ultrasound Nitric oxide therapy Intravascular non-ablative ultrasound AHA: Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Excludes: diagnostic ultrasound of: Q4, 2008; Q4, 2009; Q4, 2010 eye (95.13) 00.13 Injection or infusion of nesiritide head and neck (88.71) Human B-type natriuretic peptide (hBNP) that of inner ear (20.79) AHA: Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; ultrasonic: Q4, 2008; Q4, 2009; Q4, 2010 angioplasty of non-coronary vessel (39.50) 00.14 Injection or infusion of oxazolidinone class of embolectomy (38.01, 38.02) antibiotics endarterectomy (38.11, 38.12) Linezolid injection thrombectomy (38.01, 38.02) AHA: Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; AHA: Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010 Q4, 2008; Q4, 2009; Q4, 2010

00.15 high-dose infusion interleukin-2 [IL-2] Chapter 0: P ro c eduresA nd Intervent i ons , N oti f ed E lsewhere Class 00.02 therapeutic ultrasound of heart Infusion (IV bolus, CIV) interleukin Anti-restenotic ultrasound Injection of aldesleukin Intravascular non-ablative ultrasound Excludes: low-dose infusion interleukin-2 (99.28) Excludes: diagnostic ultrasound of heart (88.72) AHA: Q4, 2003; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; ultrasonic ablation of heart lesion Q4, 2008; Q4, 2009; Q4, 2010 (37.34) 00.16 pressurized treatment of venous bypass graft ultrasonic angioplasty of coronary [conduit] with pharmaceutical substance vessels (00.66, 36.09) Ex-vivo treatment of vessel AHA: Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Hyperbaric pressurized graft [conduit] Q4, 2008; Q4, 2009; Q4, 2010 AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; 00.03 therapeutic ultrasound of peripheral vascular Q4, 2009; Q4, 2010 vessels 00.17 Infusion of vasopressor agent Anti-restenotic ultrasound AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Intravascular non-ablative ultrasound Q4, 2009; Q4, 2010 Excludes: diagnostic ultrasound of peripheral vascular system (88.77) 00.18 Infusion of immunosuppressive antibody ultrasonic angioplasty of: therapy non-coronary vessel (39.50) INCLUDES during induction phase of solid organ AHA: Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; transplantation Q4, 2008; Q4, 2009; Q4, 2010 monoclonal antibody therapy polyclonal antibody therapy 00.09 other therapeutic ultrasound AHA: Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Excludes: ultrasonic: Q4, 2010 fragmentation of urinary stones (59.95) 00.19 disruption of blood brain barrier via infusion percutaneous nephrostomy with [BBBD] fragmentation (55.04) Infusion of substance to disrupt blood brain physical therapy (93.35) barrier transurethral guided laser induced Code also chemotherapy (99.25) prostatectomy (TULIP) (60.21) Excludes: other perfusion (39.97) AHA: Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; AHA: Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010 Q4, 2008; Q4, 2009; Q4, 2010

3rd digit required 4th digit required Bilateral procedure Non-covered procedure Limited coverage procedure Non-OR Procedure Valid OR Procedure Female Male

1 ICD-9-CM 2015 00.2 - 00.40 Chapter 0: Procedures And Interventions , Not Elsewhere Classified Tabular List 00.2 Intravascular imaging of blood vessels 00.28 Intravascular imaging, other specified vessel(s) Endovascular ultrasonography AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Intravascular ultrasound (IVUS) Q4, 2009; Q4, 2010 Intravascular [ultrasound] imaging of blood vessels 00.29 Intravascular imaging, unspecified vessel(s) Virtual histology intravascular ultrasound [VH-IVUS] AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Note: real-time imaging of lumen of blood vessel(s) Q4, 2009; Q4, 2010

00.2 - 00.40 using sound waves Code also any synchronous diagnostic or therapeutic 00.3 Computer assisted surgery [CAS] procedures CT-free navigation Excludes: adjunct vascular system procedures, number of Image guided navigation (IGN) vessels treated (00.40-00.43) Image guided surgery (IGS) diagnostic procedures on blood vessels (38.21- Imageless navigation 38.29) That without the use of robotic(s) technology diagnostic ultrasound of peripheral vascular Code also diagnostic or therapeutic procedure system (88.77) Excludes: robotic assisted procedures (17.41-17.49) intravascular imaging of vessel(s) by OCT stereotactic frame application only (93.59) (38.24-38.25) AHA: Q4, 2004 magnetic resonance imaging (MRI) (88.91- 88.97) 00.31 Computer assisted surgery with CT/CTA therapeutic ultrasound (00.01-00.09) AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; AHA: Q4, 2004 Q4, 2009; Q4, 2010; Q4, 2013 00.21 Intravascular imaging of extracranial cerebral 00.32 Computer assisted surgery with MR/MRA vessels AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Common carotid vessels and branches Q4, 2009; Q4, 2010 Intravascular ultrasound (IVUS), extracranial 00.33 Computer assisted surgery with fluoroscopy cerebral vessels AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Excludes: diagnostic ultrasound (non-invasive) of Q4, 2009; Q4, 2010 head and neck (88.71) AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; 00.34 Imageless computer assisted surgery Q4, 2009; Q4, 2010 AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010 00.22 Intravascular imaging of intrathoracic vessels Aorta and aortic arch 00.35 Computer assisted surgery with multiple Intravascular ultrasound (IVUS), intrathoracic datasets vessels AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Vena cava (superior) (inferior) Q4, 2009; Q4, 2010 Excludes: diagnostic ultrasound (non-invasive) of 00.39 other computer assisted surgery other sites of thorax (88.73) Computer assisted surgery NOS AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010 Q4, 2009; Q4, 2010; Q4, 2013 00.23 Intravascular imaging of peripheral vessels 00.4 adjunct Vascular System Procedures Imaging of: Note: These codes can apply to both coronary and vessels of arm(s) peripheral vessels.These codes are to be used in vessels of leg(s) conjunction with other Intravascular ultrasound (IVUS), peripheral therapeutic procedure codes to provide vessels additional information on the number of Excludes: diagnostic ultrasound (non-invasive) vessels upon which a procedure of peripheral vascular system was performed and/or the number of stents (88.77) inserted.As appropriate, code both the AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; number of vessels operated Q4, 2009; Q1, 2010; Q4, 2010 on (00.40-00.43), and the number of stents 00.24 Intravascular imaging of coronary vessels inserted (00.45-00.48). Intravascular ultrasound (IVUS), coronary vessels Code also any: angioplasty (00.61-00.62, 00.66, 39.50) Excludes: diagnostic ultrasound (non-invasive) of heart (88.72) atherectomy (17.53-17.56) intracardiac echocardiography [ICE] endarterectomy (38.10-38.18) (ultrasound of heart chamber(s)) insertion of vascular stent(s) (00.55, 00.63-00.65, (37.28) 36.06-36.07, 39.90) AHA: Q4, 2004; Q4, 2005; Q3, 2006; Q4, 2006; Q4, 2007; other removal of coronary artery obstruction (36.09) Q4, 2008; Q4, 2009; Q1, 2010; Q4, 2010 AHA: Q4, 2005 00.25 Intravascular imaging of renal vessels 00.40 procedure on single vessel Intravascular ultrasound (IVUS), renal vessels Number of vessels, unspecified Renal artery Excludes: (aorto)coronary bypass (36.10-36.19) Excludes: diagnostic ultrasound (non-invasive) of intravascular imaging of blood vessels urinary system (88.75) (00.21-00.29) AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; AHA: Q4, 2005; Q3, 2006; Q4, 2006; Q1, 2007; Q4, 2007; Q4, 2009; Q4, 2010 Q4, 2008; Q2, 2009; Q3, 2009; Q4, 2009; Q2, 2010; Q4, 2010; Q2, 2012; Q4, 2013

3rd digit required 4th digit required Bilateral procedure Non-covered procedure Limited coverage procedure Non-OR Procedure Valid OR Procedure Female Male lsewhere Class E lsewhere i f ed N ot , i ons Intervent A nd c edures P ro 0: Chapter 2 Tabular List Chapter 0: Procedures And Interventions , Not Elsewhere Classified 00.41 - 00.51 00.41 - 00.51 00.41 procedure on two vessels 00.5 other cardiovascular procedures Excludes: (aorto) coronary bypass (36.10-36.19) AHA: Q4, 2002 intravascular imaging of blood vessels (00.21-00.29) 00.50 Implantation of cardiac resynchronization pacemaker without mention of defibrillation, AHA: Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010; Q3, 2012 total system [CRT-P] Biventricular pacemaker 00.42 procedure on three vessels Biventricular pacing without internal cardiac Excludes: (aorto) coronary bypass (36.10-36.19) defibrillator intravascular imaging of blood vessels BiV pacemaker (00.21-00.29) Implantation of cardiac resynchronization AHA: Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; (biventricular) pulse generator pacing Q4, 2010 device, formation of pocket, transvenous leads including 00.43 procedure on four or more vessels placement of lead into left ventricular Excludes: (aorto) coronary bypass (36.10-36.19) coronary venous system, and intravascular imaging of blood vessels intraoperative procedures for evaluation of (00.21-00.29) lead signals. AHA: Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; That with CRT-P generator and one or more Q4, 2010 leads 00.44 procedure on vessel bifurcation Note: Device testing during procedure - omit Note: This code is to be used to identify the code presence of a vessel bifurcation; it does Excludes: implantation of cardiac not describe a specific bifurcation stent. resynchronization defibrillator, Use this code only once per operative total system [CRT-D] (00.51) episode, irrespective of the number of insertion or replacement of any type bifurcations in vessels. pacemaker device (37.80-37.87) AHA: Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010; replacement of cardiac resynchronization Q4, 2011; Q1, 2013 defibrillator pulse generator only [CRT-D](00.54) 00.45 Insertion of one vascular stent replacement of cardiac Number of stents, unspecified resynchronization pacemaker AHA: Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q3, 2009; pulse generator only [CRT-P] Q4, 2009; Q4, 2010 (00.53) 00.46 Insertion of two vascular stents AHA: Q4, 2002; Q4, 2004; Q3, 2005; Q4, 2005; Q4, 2006; AHA: Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q2, 2009; Q4, 2007; Q3, 2008; Q4, 2008; Q4, 2009; Q4, 2010 Chapter 0: P ro c eduresA nd Intervent i ons , N oti f ed E lsewhere Class Q4, 2009; Q4, 2010; Q3, 2012; Q4, 2013 00.51 Implantation of cardiac resynchronization 00.47 Insertion of three vascular stents defibrillator, total system [CRT-D] AHA: Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; BiV defibrillator Q4, 2010; Q4, 2013 Biventricular defibrillator Biventricular pacing with internal cardiac 00.48 Insertion of four or more vascular stents defibrillator AHA: Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; BiV ICD Q4, 2010; Q4, 2013 BiV pacemaker with defibrillator 00.49 superSaturated oxygen therapy BiV pacing with defibrillator Aqueous oxygen (AO) therapy Implantation of a cardiac resynchronization (biventricular) pulse generator with SS02 SuperOxygenation infusion therapy defibrillator [AICD], formation Code also any: injection or infusion of of pocket, transvenous leads, including thrombolytic agent (99.10) placement of lead into left ventricular insertion of coronary artery stent(s) (36.06- coronary venous system, 36.07) intraoperative procedures for evaluation intracoronary artery thrombolytic infusion of lead signals, and obtaining defibrillator (36.04) threshold measurements. number of vascular stents inserted (00.45- That with CRT-D generator and one or more leads 00.48) Note: Device testing during procedure - omit number of vessels treated (00.40-00.43) code open chest coronary artery angioplasty Excludes: implantation of cardiac (36.03) resynchronization pacemaker, other removal of coronary obstruction total system [CRT-P](00.50) (36.09) implantation or replacement of automatic percutaneous transluminal coronary cardioverter/defibrillator, total angioplasty [PTCA] (00.66) system [AICD] (37.94) procedure on vessel bifurcation (00.44) replacement of cardiac resynchronization defibrillator pulse generator, only transluminal coronary atherectomy (17.55) [CRT-D](00.54) Excludes: other oxygen enrichment (93.96) AHA: Q4, 2002; Q4, 2004; Q3, 2005; Q4, 2005; Q4, 2006; other perfusion (39.97) Q1, 2007; Q4, 2007; Q3, 2008; Q4, 2008; Q4, 2009; Q4, AHA: Q4, 2008; Q4, 2009; Q4, 2010 2010; Q4, 2011

3rd digit required 4th digit required Bilateral procedure Non-covered procedure Limited coverage procedure Non-OR Procedure Valid OR Procedure Female Male

3 ICD-9-CM 2015 00.52 - 00.6 Chapter 0: Procedures And Interventions , Not Elsewhere Classified Tabular List 00.52 Implantation or replacement of transvenous number of vascular stents inserted (00.45- lead [electrode] into left ventricular coronary 00.48) venous system number of vessels treated (00.40-00.43) Excludes: implantation of cardiac procedure on vessel bifurcation (00.44) resynchronization defibrillator, Excludes: drug-coated peripheral stents, e.g., total system [CRT-D](00.51) heparin coated (39.90) implantation of cardiac insertion of cerebrovascular stent(s) 00.52 - 00.6 resynchronization pacemaker, (00.63-00.65) total system [CRT-P](00.50) insertion of drug-eluting coronary initial insertion of transvenous lead artery stent (36.07) [electrode] (37.70-37.72) insertion of drug-eluting stent(s) of replacement of transvenous atrial and/ superficial femoral artery (00.60) or ventricular lead(s) [electrodes] insertion of non-drug-eluting stent(s): (37.76) coronary artery (36.06) AHA: Q4, 2002; Q4, 2004; Q3, 2005; Q4, 2005; Q4, 2006; peripheral vessel (39.90) Q4, 2007; Q3, 2008; Q4, 2008; Q4, 2009; Q4, 2010 that for other endovascular procedure 00.53 Implantation or replacement of cardiac (39.71-39.79) resynchronization pacemaker pulse generator AHA: Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; only [CRT-P] Q4, 2008; Q4, 2009; Q4, 2010; Q3, 2012 Implantation of CRT-P device with removal of 00.56 Insertion or replacement of implantable any existing CRT-P or other pacemaker pressure sensor with lead for intracardiac or device great vessel hemodynamic monitoring Note: Device testing during procedure - omit Note: The sensor is physically connected by a code lead to a separately implanted monitor. Excludes: implantation of cardiac Code also any associated implantation or resynchronization pacemaker, replacement of subcutaneous monitor total system [CRT-P] (00.50) (00.57) implantation or replacement of cardiac Excludes: circulatory monitoring (blood gas, resynchronization defibrillator arterial or venous pressure, pulse generator only [CRT-D] cardiac output and coronary (00.54) blood flow) (89.60-89.69) insertion or replacement of any type insertion of implantable pressure sensor pacemaker device (37.80-37.87) without lead for intracardiac AHA: Q4, 2002; Q4, 2004; Q3, 2005; Q4, 2005; Q4, 2006; or great vessel hemodynamic Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010; Q4, 2011 monitoring (38.26) 00.54 Implantation or replacement of cardiac AHA: Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010; resynchronization defibrillator pulse generator Q4, 2011 device only [CRT-D] 00.57 Implantation or replacement of subcutaneous Implantation of CRT-D device with removal of device for intracardiac or great vessel any existing CRT-D, CRT-P, pacemaker, or hemodynamic monitoring defibrillator Implantation of monitoring device with device formation of subcutaneous pocket and Note: Device testing during procedure - omit connection to intracardiac pressure sensor code via lead Excludes: implantation of automatic Code also any associated insertion or cardioverter/defibrillator pulse replacement of implanted pressure sensor generator only (37.96) with lead (00.56) implantation of cardiac AHA: Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010; resynchronization defibrillator, Q4, 2011 total system [CRT-D] (00.51) implantation or replacement of cardiac 00.58 Insertion of intra-aneurysm sac pressure resynchronization pacemaker monitoring device (intraoperative) pulse generator only [CRT-P] Insertion of pressure sensor during (00.53) endovascular repair of abdominal or AHA: Q4, 2002; Q4, 2004; Q3, 2005; Q4, 2005; Q4, 2006; thoracic aortic aneurysm(s) Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010; Q4, 2011; Q2, AHA: Q4, 2008; Q4, 2009; Q4, 2010 2012 00.59 Intravascular pressure measurement of 00.55 Insertion of drug-eluting stent(s) of other coronary arteries peripheral vessel(s) INCLUDES fractional flow reserve (FFR) Endograft(s) Code also any synchronous diagnostic or Endovascular graft(s) therapeutic procedures Stent grafts Excludes: intravascular pressure measurement of Code also any: intrathoracic arteries (00.67) angioplasty of other non-coronary AHA: Q4, 2008; Q4, 2009; Q4, 2010 vessel(s) (39.50) 00.6 procedures on blood vessels atherectomy of other non-coronary AHA: Q4, 2004; Q4, 2005 vessel(s) (17.56)

3rd digit required 4th digit required Bilateral procedure Non-covered procedure Limited coverage procedure Non-OR Procedure Valid OR Procedure Female Male lsewhere Class E lsewhere i f ed N ot , i ons Intervent A nd c edures P ro 0: Chapter 4 ICD-9-CM 2015 Index to Procedures Abbe - Alexander Ablation — continued Adams — continued Administration — continued - Alexander Abbe A prostate crushing of nasal septum TNKase™ 99.10 Abbe operation by 21.88 toxoid construction of vagina 70.61 cryoablation 60.62 excision of palmar fascia 82.35 diphtheria 99.36 with graft or prosthesis 70.63 laser, transurethral 60.21 Adenectomy -- see also Excision, with tetanus and pertussis, intestinal anastomosis -- see radical cryosurgical ablation by site combined (DTP) 99.39 Anastomosis, intestine (RCSA) 60.62 prostate NEC 60.69 tetanus 99.38 Abciximab, infusion 99.20 radiofrequency retropubic 60.4 with diphtheria and Abdominocentesis 54.91 thermotherapy 60.97 Adenoidectomy (without pertussis, combined Abdominohysterectomy 68.49 transurethral needle tonsillectomy) 28.6 (DTP) 99.39 laparoscopic 68.41 ablation (TUNA) 60.97 with tonsillectomy 28.3 vaccine -- see also Vaccination Abdominoplasty 86.83 tissue Adhesiolysis -- see also Lysis, BCG 99.33 Abdominoscopy 54.21 heart - see Ablation, lesion, adhesions measles-mumps-rubella Abdominouterotomy 68.0 heart for collapse of lung 33.39 (MMR) 99.48 obstetrical 74.99 liver - see Ablation, lesion, middle ear 20.23 poliomyelitis 99.41 Abduction, arytenoid 31.69 liver Adipectomy 86.83 TAB 99.32 AbioCor® total replacement heart lung - see Ablation, lesion, Adjustment Wechsler 37.52 lung cardiac pacemaker program Intelligence Scale (adult) Ablation renal - see Ablation, lesion, (reprogramming) -- omit (children) 94.01 renal code Memory Scale 94.02 biliary tract (lesion) by ERCP ® 51.64 Abortion, therapeutic 69.51 cochlear prosthetic device Xigris 00.11 endometrial (hysteroscopic) by (external components) Adrenalectomy (unilateral) 07.22 68.23 aspiration curettage 69.51 95.49 with partial removal of inner ear (cryosurgery) dilation and curettage 69.01 dental 99.97 remaining gland 07.29 (ultrasound) 20.79 hysterectomy -- see gastric restrictive device bilateral 07.3 by injection 20.72 Hysterectomy (laparoscopic) 44.98 partial 07.29 lesion hysterotomy 74.91 occlusal 24.8 subtotal 07.29 esophagus 42.39 insertion orthopedic device complete 07.3 endoscopic 42.33 laminaria 69.93 (noninvasive) partial NEC 07.29 heart prostaglandin suppository external fixator - omit code remaining gland 07.3 by peripherally inserted 96.49 spectacles 95.31 subtotal NEC 07.29 catheter 37.34 intra-amniotic injection Administration (of) -- see also total 07.3 (saline) 75.0 Injection Adrenalorrhaphy 07.44 endovascular approach ® 37.34 Abrasion Activase 99.10 Adrenalotomy (with drainage) maze procedure (Cox-maze) corneal epithelium 11.41 adhesion barrier substance 07.41 endovascular approach for smear or culture 11.21 99.77 Advancement 37.34 epicardial surface 36.39 Alteplase (tPA, generic) 99.10 extraocular muscle 15.12 open approach 37.33 pleural 34.6 Anistreplase (tPA, generic) multiple (with resection or thoracoscopic approach skin 86.25 99.10 recession) 15.3 37.37 Abscission, cornea 11.49 antitoxins NEC 99.58 eyelid muscle 08.59 thoracoscopic approach Absorptiometry photon (dual) botulism 99.57 eye muscle 15.12 37.37 (single) 88.98 diphtheria 99.58 multiple (with resection or intestine Aburel operation (intra-amniotic gas gangrene 99.58 recession) 15.3 large 45.49 injection for abortion) 75.0 scarlet fever 99.58 graft -- see Graft endoscopic 45.43 Accouchement forcé 73.99 tetanus 99.56 leaflet (heart) 35.10 large intestine 45.49 Acetabulectomy 77.85 Bender Visual-Motor Gestalt pedicle (flap) 86.72 endoscopic 45.43 Acetabuloplasty NEC 81.40 test 94.02 profundus tendon (Wagner) liver 50.26 with prosthetic implant 81.52 Benton Visual Retention test 82.51 laparoscopic 50.25 Achillorrhaphy 83.64 94.02 round ligament 69.22 delayed 83.62 DrotAA 00.11 tendon 83.71 open 50.23 ® percutaneous 50.24 Achillotenotomy 83.11 Eminase 99.10 hand 82.51 lung 32.26 plastic 83.85 inhaled nitric oxide 00.12 profundus (Wagner) 82.51 bronchoscopic Achillotomy 83.11 intelligence test or scale Wagner (profundus tendon) plastic 83.85 (Stanford-Binet) (Wechsler) 82.51 thermoplasty 32.27 ® open 32.23 Acid peel, skin 86.24 (adult) (children) 94.01 AESOP (Automated Endoscopic percutaneous 32.24 Acromionectomy 77.81 Minnesota Multiphasic System for Optimal thoracoscopic 32.25 Acromioplasty 81.83 Personality Inventory Positioning) - see category renal 55.35 for recurrent dislocation of (MMPI) 94.02 17.4 laparoscopic 55.34 shoulder 81.82 MMPI (Minnesota Multiphasic Albee operation open 55.32 partial replacement 81.81 Personality Inventory) bone peg, femoral neck 78.05 percutaneous 55.33 total replacement, NEC 81.80 94.02 graft for slipping patella other 81.80 neuroprotective agent 99.75 78.06

pituitary 07.69 ® Index toProcedures by reverse 81.88 Proleukin (low-dose) 99.28 sliding inlay graft, tibia 78.07 Cobalt-60 92.32 Actinotherapy 99.82 high-dose 00.15 Albert operation (arthrodesis of Activities of daily living (ADL) psychologic test 94.02 knee) 81.22 implantation (strontium- ® yttrium) (Y) NEC 07.68 therapy 93.83 Retavase 99.10 Aldridge (-Studdiford) operation transfrontal approach training for the blind 93.78 Reteplase (tPA, generic) 99.10 (urethral sling) 59.5 Acupuncture 99.92 Stanford-Binet test 94.01 Alexander operation 07.64 ® transphenoidal approach with smouldering moxa 93.35 Streptase 99.10 prostatectomy 07.65 for anesthesia 99.91 Streptokinase (tPA, generic) perineal 60.62 proton beam (Bragg peak) Adams operation 99.10 suprapubic 60.3 92.33 advancement of round Tenecteplase (tPA, generic) shortening of round ligaments ligament 69.22 99.10 69.22

4th digit required 1 ICD-9-CM 2015 Index to Procedures Alexander-Adams - Anastomosis Alexander-Adams operation Amputation — continued Amputation — continued Anastomosis — continued (shortening of round forequarter 84.09 thigh 84.17 carotid-subclavian artery 39.22 ligaments) 69.22 Gordon-Taylor (hindquarter) thumb 84.02 caval-mesenteric vein 39.1 Alimentation, parenteral 99.29 84.19 toe (through caval-pulmonary artery 39.21 Allograft -- see Graft Gritti-Stokes (knee metatarsophalangeal joint) cervicoesophageal 42.59 Almoor operation (extrapetrosal disarticulation) 84.16 84.11 colohypopharyngeal drainage) 20.22 Guyon (ankle) 84.13 transcarpal 84.03 (intrathoracic) 42.55 Altemeier operation (perineal hallux 84.11 transmetatarsal 84.12 antesternal or antethoracic rectal pull-through) 48.49 hand 84.03 upper limb NEC -- see also 42.65 Alveolectomy (interradicular) Hey's (foot) 84.12 Amputation, arm 84.00 common bile duct 51.39 (intraseptal) (radical) hindquarter 84.19 wrist (disarticulation) 84.04 common pulmonary trunk (simple) (with graft) (with hip (disarticulation) 84.18 Amygdalohippocampotomy and left atrium (posterior implant) 24.5 humerus 84.07 01.39 wall) 35.82 Alveoloplasty (with graft or interscapulothoracic 84.09 Amygdalohippocampectomy cystic bile duct 51.39 implant) 24.5 interthoracoscapular 84.09 01.59 cystocolic 57.88 Alveolotomy (apical) 24.0 King-Steelquist (hindquarter) Amygdalotomy 01.39 epididymis to vas deferens Ambulatory cardiac monitoring 84.19 Analysis 63.83 (ACM) 89.50 Kirk (thigh) 84.17 cardiac rhythm device esophagocolic (intrathoracic) Ammon operation knee (disarticulation) 84.16 (AICD) (CRT-D) (CRT-P) NEC 42.56

Alexander-Adams - Anastomosis Alexander-Adams (dacryocystotomy) 09.53 Kutler (revision of current (pacemaker) - see with interposition 42.55 Amniocentesis (transuterine) traumatic amputation of Interrogation antesternal or antethoracic (diagnostic) 75.1 finger) 84.01 character 94.03 NEC 42.66 with intra-amniotic injection Larry (shoulder disarticulation) gastric 89.39 with interposition 42.65 of saline 75.0 84.08 psychologic 94.31 esophagocologastric Amniography 87.81 leg NEC 84.10 transactional (intrathoracic) 42.55 Amnioinfusion 75.37 above knee (AK) 84.17 group 94.44 antesternal or antethoracic Amnioscopy, internal 75.31 below knee (BK) 84.15 individual 94.39 42.65 Amniotomy 73.09 through Anastomosis esophagoduodenal to induce labor 73.01 ankle (disarticulation) 84.13 abdominal artery to coronary (intrathoracic) NEC 42.54 Amputation (cineplastic) (closed femur (AK) 84.17 artery 37.17 with interposition 42.53 flap) (guillotine) (kineplastic) foot 84.12 accessory-facial nerve 04.72 esophagoenteric (open) 84.91 hip (disarticulation) 84.18 accessory-hypoglossal nerve (intrathoracic) NEC abdominopelvic 84.19 tibia and fibula (BK) 84.15 04.73 -- see also Anastomosis, above-elbow 84.07 Lisfranc anus (with formation of esophagus, to intestinal above-knee (AK) 84.17 foot 84.12 endorectal ileal pouch) segment 42.54 ankle (disarticulation) 84.13 shoulder (disarticulation) 45.95 antesternal or antethoracic through malleoli of tibia and 84.08 aorta (descending)-pulmonary NEC -- see also fibula 84.14 Littlewood (forequarter) 84.09 (artery) 39.0 Anastomosis, esophagus, arm NEC 84.00 lower limb NEC -- see also aorta-renal artery 39.24 antesternal, to intestinal through Amputation, leg 84.10 aorta-subclavian artery 39.22 segment 42.64 carpals 84.03 Mazet (knee disarticulation) aortoceliac 39.26 esophagoesophageal elbow (disarticulation) 84.16 aorto(ilio)femoral 39.25 (intrathoracic) 42.51 84.06 metacarpal 84.03 aortomesenteric 39.26 antesternal or antethoracic forearm 84.05 metatarsal 84.11 appendix 47.99 42.61 humerus 84.07 head (bunionectomy) 77.59 arteriovenous NEC 39.29 esophagogastric shoulder (disarticulation) metatarsophalangeal (joint) for renal dialysis 39.27 (intrathoracic) 42.52 84.08 84.11 artery (suture of distal to antesternal or antethoracic wrist (disarticulation) 84.04 midtarsal 84.12 proximal end) 39.31 42.62 upper 84.07 nose 21.4 with esophagus (intrapleural) Batch-Spittler-McFaddin (knee penis (circle) (complete) (flap) bypass graft 39.29 (intrathoracic) disarticulation) 84.16 (partial) (radical) 64.3 extracranial-intracranial (retrosternal) NEC 42.59 below-knee (BK) NEC 84.15 Pirogoff's (ankle amputation [EC-IC] 39.28 with conversion into above-knee through malleoli of tibia excision or resection gastrectomy (partial) 43.5 amputation 84.17 and of vessel -- see complete or total 43.99 Boyd (hip disarticulation) fibula) 84.14 Arteriectomy, with interposition (of) NEC 42.58 84.18 ray anastomosis, by site colon 42.55 Callander's (knee finger 84.01 revision 39.49 jejunum 42.53 disarticulation) 84.16 foot 84.11 bile ducts 51.39 small bowel 42.53 carpals 84.03 toe (metatarsal head) 84.11 bladder NEC 57.88 antesternal or antethoracic cervix 67.4 root (apex) (tooth) 23.73 with NEC 42.69 Chopart's (midtarsal) 84.12 with root canal therapy 23.72 isolated segment of with clitoris 71.4 shoulder (disarticulation) intestine 57.87 [45.50] interposition (of) NEC Dieffenbach (hip 84.08 colon (sigmoid) 57.87 42.68 disarticulation) 84.18 Sorondo-Ferre (hindquarter) [45.52] colon 42.65 Dupuytren's (shoulder 84.19 ileum 57.87 [45.51] jejunal loop 42.63 disarticulation) 84.08 S. P. Rogers (knee open loop of ileum 57.87 small bowel 42.63 ear, external 18.39 disarticulation) 84.16 [45.51] rubber tube 42.68 elbow (disarticulation) 84.06 supracondyler, above-knee to intestine 57.88 to intestinal segment NEC finger, except thumb 84.01 84.17 ileum 57.87 [45.51] 42.64 thumb 84.02 supramalleolar, foot 84.14 bowel -- see also Anastomosis, with interposition 42.68 foot (middle) 84.12 Syme's (ankle amputation intestine 45.90 colon NEC 42.66 forearm 84.05 through malleoli of tibia bronchotracheal 33.48 with interposition forefoot 84.12 and fibula) 84.14 bronchus 33.48 42.65 Index to Procedures to Index

2 4th digit required ICD-9-CM 2015 Index to Procedures Anastomosis - Angiectomy Anastomosis — continued Anastomosis — continued Anastomosis — continued Aneurysmectomy — continued - Angiectomy Anastomosis small bowel NEC 42.64 accessory-facial 04.72 ventricle, ventricular atrial, auricular 37.32 with interposition accessory-hypoglossal 04.73 (intracerebral) (with head and neck NEC 38.62 42.63 hypoglossal-facial 04.71 valve) -- see also Shunt, heart 37.32 to intestinal segment pancreas (duct) (to) 52.96 ventricular 02.22 intracranial NEC 38.61 (intrathoracic) NEC 42.54 bile duct 51.39 ventriculoatrial (with valve) lower limb with interposition 42.58 gall bladder 51.33 02.32 artery 38.68 antesternal or antethoracic intestine 52.96 ventriculocaval (with valve) vein 38.69 NEC 42.64 jejunum 52.96 02.32 sinus of Valsalva 35.39 with interposition 42.68 stomach 52.96 ventriculomastoid (with valve) thoracic NEC 38.65 colon (intrathoracic) NEC pleurothecal (with valve) 03.79 02.31 upper limb (artery) (vein) 42.56 portacaval 39.1 ventriculopleural (with valve) 38.63 with interposition 42.55 portal vein to inferior vena 02.33 ventricle (myocardium) 37.32 antesternal or cava 39.1 vesicle -- see Anastomosis, Aneurysmoplasty -- see antethoracic 42.66 pulmonary-aortic (Pott's) 39.0 bladder Aneurysmorrhaphy with interposition pulmonary artery and superior Anderson operation (tibial Aneurysmorrhaphy NEC 39.52 42.65 vena cava 39.21 lengthening) 78.37 by or with small bowel NEC 42.54 pulmonary-innominate artery Anel operation (dilation of anastomosis -- see with interposition 42.53 (Blalock) 39.0 lacrimal duct) 09.42 Aneurysmectomy, with antesternal or pulmonary-subclavian artery Anesthesia anastomosis, by site antethoracic 42.64 (Blalock-Taussig) 39.0 acupunture for 99.91 clipping 39.51 with interposition pulmonary vein and azygos cryoanalgesia nerve (cranial) coagulation 39.52 42.63 vein 39.23 (peripheral) 04.2 electrocoagulation 39.52 facial-accessory nerve 04.72 pyeloileocutaneous 56.51 spinal -- omit code endovascular graft facial-hypoglossal nerve 04.71 pyeloureterovesical 55.86 Aneurysmectomy 38.60 abdominal aorta 39.71 fallopian tube 66.73 radial artery 36.19 with fenestrated (branching) by reanastomosis 66.79 rectum, rectal NEC 48.74 anastomosis 38.30 graft 39.78 gallbladder 51.35 stump to small intestine abdominal lower extremity artery(s) to 45.92 artery 38.36 39.79 hepatic ducts 51.31 renal (pelvis) 55.86 vein 38.37 thoracic aorta 39.73 intestine 51.32 vein and splenic vein 39.1 aorta (arch) (ascending) upper extremity artery(s) pancreas 51.33 renoportal 39.1 (descending) 38.34 39.79 stomach 51.34 salpingothecal (with valve) head and neck NEC 38.32 excision or resection -- see gastroepiploic artery to 03.79 intracranial NEC 38.31 also Aneurysmectomy, coronary artery 36.17 splenic to renal veins 39.1 lower limb by site hepatic duct 51.39 splenorenal (venous) 39.1 artery 38.38 with hypoglossal-accessory nerve arterial 39.26 vein 38.39 anastomosis -- see 04.73 subarachnoid-peritoneal (with thoracic NEC 38.35 Aneurysmectomy, hypoglossal-facial nerve 04.71 valve) 03.71 upper limb (artery) (vein) with anastomosis, ileal loop to bladder 57.87 subarachnoid-ureteral (with 38.33 by site [45.51] valve) 03.72 graft replacement graft replacement -- see ileoanal 45.95 subclavian-aortic 39.22 (interposition) 38.40 Aneurysmectomy, ileorectal 45.93 superior vena cava to abdominal with graft inferior vena cava and portal pulmonary artery 39.21 aorta replacement, by site vein 39.1 systemic-pulmonary artery endovascular approach filipuncture 39.52 internal mammary artery (to) 39.0 39.71 graft replacement -- see coronary artery (single vessel) thoracic artery (to) fenestrated Aneurysmectomy, with 36.15 coronary artery (single) 36.15 (branching) graft graft replacement, by site double vessel 36.16 double 36.16 39.78 methyl methacrylate 39.52 myocardium 36.2 myocardium 36.2 open approach 38.44 suture 39.52 intestine 45.90 ureter (to) NEC 56.79 Zenith® Renu™ AAA wiring 39.52 large-to-anus 45.95 bladder 56.74 graft 39.71 wrapping 39.52 large-to-large 45.94 colon 56.71 artery 38.46 Matas' 39.52 large-to-rectum 45.94 ileal pouch (bladder) 56.51 vein 38.47 Aneurysmotomy -- see large-to-small 45.93 ileum 56.71 aorta (arch) (ascending) Aneurysmectomy small-to-anus 45.95 intestine 56.71 (descending thoracic) Angiectomy small-to-large 45.93 skin 56.61 abdominal 38.44 with small-to-rectal stump 45.92 ureterocalyceal 55.86 thoracic 38.45 anastomosis 38.30 small-to-small 45.91 ureterocolic 56.71 thoracoabdominal 38.45 abdominal intrahepatic 51.79 ureterovesical 56.74 [38.44] artery 38.36 intrathoracic vessel NEC 39.23 urethra (end-to-end) 58.44 head and neck NEC 38.42 vein 38.37 kidney (pelvis) 55.86 vas deferens 63.82 intracranial NEC 38.41 aorta (arch) (ascending) lacrimal sac to conjunctiva veins (suture of proximal to lower limb (descending) 38.34 Index toProcedures 09.82 distal end) (with bypass artery 38.48 head and neck NEC 38.32 left-to-right (systemic- graft) 39.29 vein 38.49 intracranial NEC 38.31 pulmonary artery) 39.0 with excision or resection of thoracic NEC 38.45 lower limb lymphatic (channel) vessel -- see Phlebectomy, upper limb (artery) (vein) artery 38.38 (peripheral) 40.9 with anastomosis, by site 38.43 vein 38.39 mesenteric-caval 39.1 mesenteric to vena cava 39.1 abdominal thoracic vessel NEC 38.35 mesocaval 39.1 portal to inferior vena cava artery 38.66 upper limb (artery) (vein) nasolacrimal 09.81 39.1 vein 38.67 38.33 nerve (cranial) (peripheral) revision 39.49 aorta (arch) (ascending) graft replacement NEC 04.74 splenic and renal 39.1 (descending) 38.64 (interposition) 38.40

4th digit required 3 ICD-9-CM 2015 Index to Procedures Angiectomy - Application Angiectomy — continued Angiography — continued Angiotripsy 39.98 Appendectomy (with drainage) abdominal non-coronary, intra-operative Ankylosis, production of -- see 47.09 aorta 38.44 fluorescence 17.71 Arthrodesis incidental 47.19 artery 38.46 placenta 88.46 Annuloplasty (heart) laparoscopic 47.11 vein 38.47 pulmonary 88.43 (posteromedial) 35.33 laparoscopic 47.01 aorta (arch) (ascending) renal 88.45 Anoplasty 49.79 Appendicectomy (with (descending thoracic) specified artery NEC 88.49 with hemorrhoidectomy 49.46 drainage) 47.09 abdominal 38.44 transfemoral 88.48 Anoscopy 49.21 incidental 47.19 thoracic 38.45 upper extremity NEC 88.49 Antibiogram -- see Examination, laparoscopic 47.11 thoracoabdominal 38.45 veins -- see Phlebography microscopic laparoscopic 47.01 [38.44] vertebral 88.41 Antiembolic filter, vena cava 38.7 Appendicocecostomy 47.91 head and neck NEC 38.42 Angioplasty (laser) -- see also Antiphobic treatment 94.39 Appendicoenterostomy 47.91 intracranial NEC 38.41 Repair, blood vessel Antrectomy Appendicolysis 54.59 lower limb mastoid 20.49 with appendectomy 47.09 artery 38.48 Note: Also use 00.40, 00.41, maxillary 22.39 laparoscopic 47.01

Angiectomy - Application Angiectomy vein 38.49 00.42, or 00.43 to show the radical 22.31 other 47.09 thoracic vessel NEC 38.45 total number of vessels treated. pyloric 43.6 laparoscopic 54.51 upper limb (artery) (vein) Use code 00.44 once to show Antrostomy -- see Antrotomy Appendicostomy 47.91 38.43 procedure on a bifurcated Antrotomy (exploratory) (nasal closure 47.92 Angiocardiography (selective) vessel. In addition, use 00.45, sinus) 22.2 Appendicotomy 47.2 88.50 00.46, 00.47, or 00.48 to show Caldwell-Luc (maxillary sinus) Application carbon dioxide (negative the number of vascular stents 22.39 adhesion barrier substance contrast) 88.58 inserted. with removal of membrane 99.77 combined right and left heart balloon (percutaneous lining 22.31 anti-shock trousers 93.58 88.54 transluminal) NEC 39.50 intranasal 22.2 arch bars (orthodontic) 24.7 intra-operative coronary coronary artery 00.66 with external approach for immobilization (fracture) fluorescence vascular coronary 36.09 (Caldwell-Luc) 22.39 93.55 88.59 open chest approach 36.03 radical 22.31 barrier substance, adhesion left heart (aortic valve) percutaneous transluminal maxillary (simple) 22.2 99.77 (atrium) (ventricle) (balloon) 00.66 with Caldwell-Luc approach Barton's tongs (skull) (with (ventricular outflow tract) percutaneous transluminal 22.39 synchronous skeletal 88.53 (balloon) with removal of membrane traction) 02.94 combined with right heart basilar 00.62 lining 22.31 bone growth stimulator 88.54 carotid 00.61 external (Caldwell-Luc (surface) (transcutaneous) right heart (atrium) cerebrovascular approach) 22.39 99.86 (pulmonary valve) extracranial 00.61 with removal of membrane bone morphogenetic ™ ™ (ventricle) (ventricular intracranial 00.62 lining 22.31 protein (Infuse )(OP-1 ) outflow tract) 88.52 coronary (balloon) 00.66 radical (with removal of (recombinant)(rhBMP) combined with left heart extracranial 00.61 membrane lining) 22.31 84.52 88.54 femoropopliteal 39.50 Antrum window operation -- see Bryant's traction 93.44 SPY, coronary 88.59 iliac 39.50 Antrotomy, maxillary with reduction of fracture vena cava (inferior) (superior) intracranial 00.62 Aorticopulmonary window or dislocation -- see 88.51 lower extremity NOS 39.50 operation 39.59 Reduction, fracture and Angiography (arterial) -- see also mesenteric 39.50 Aortogram, aortography Reduction, dislocation Arteriography 88.40 peripheral NEC 39.50 (abdominal) (retrograde) Buck's traction 93.46 by C.A.T. - see Scan, C.A.T., by renal 39.50 (selective) (translumbar) caliper tongs (skull) (with site subclavian 39.50 88.42 synchronous skeletal by computed tomography - upper extremity NOS 39.50 Aortoplasty (aortic valve) (gusset traction) 02.94 see Scan, C.A.T., by site vertebral 00.61 type) 35.11 cast (fiberglass) (plaster) by magnetic resonance - intracranial portion 00.62 Aortotomy 38.04 (plastic) NEC 93.53 see Imaging, magnetic specified site NEC 39.50 Apexcardiogram (with ECG lead) with reduction of fracture resonance, by site cerebrovascular 89.57 or dislocation -- see by radioisotope -- see Scan, extracranial 00.61 Apheresis, therapeutic - see Reduction, fracture and radioisotope, by site intracranial 00.62 category 99.7 Reduction, dislocation by ultrasound -- see peripheral 39.50 Apicectomy spica 93.51 Ultrasonography, by site Angiorrhaphy 39.30 lung 32.39 cervical collar 93.52 basilar 88.41 artery 39.31 thoracoscopic 32.30 with reduction of fracture brachial 88.49 vein 39.32 petrous pyramid 20.59 or dislocation -- see carotid (internal) 88.41 Angioscopy, percutaneous 38.22 tooth (root) 23.73 Reduction, fracture and celiac 88.47 eye (fluorescein) 95.12 with root canal therapy 23.72 Reduction, dislocation cerebral (posterior circulation) Angiotomy 38.00 Apicoectomy 23.73 clamp, cerebral aneurysm 88.41 abdominal with root canal therapy 23.72 (Crutchfield) (Silverstone) coronary NEC 88.57 artery 38.06 Apicolysis (lung) 33.39 39.51 intra-operative fluorescence vein 38.07 Apicostomy, alveolar 24.0 croupette, croup tent 93.94 vascular 88.59 aorta (arch) (ascending) Aponeurectomy 83.42 crown (artificial) 23.41 eye (fluorescein) 95.12 (descending) 38.04 hand 82.33 Crutchfield tongs (skull) (with femoral 88.48 head and neck NEC 38.02 Aponeurorrhaphy -- see also synchronous skeletal heart 88.50 intracranial NEC 38.01 Suture, tendon 83.64 traction) 02.94 intra-abdominal NEC 88.47 lower limb hand -- see also Suture, Dunlop's traction 93.44 intracranial 88.41 artery 38.08 tendon, hand 82.45 with reduction of fracture intrathoracic vessels NEC 88.44 vein 38.09 Aponeurotomy 83.13 or dislocation -- see lower extremity NEC 88.48 thoracic NEC 38.05 hand 82.11 Reduction, fracture and neck 88.41 upper limb (artery) (vein) 38.03 Reduction, dislocation Index to Procedures to Index

4 4th digit required 00 - 00.19 Chapter 0 Procedures And Interventions , Not Elsewhere Classified

PROCEDURES AND INTERVENTIONS, NOT 00.1 Pharamaceuticals ELSEWHERE CLASSIFIED (00) 00.10 Implantation of chemotherapeutic agent Brain wafer chemotherapy 00 procedures and interventions, Not Elsewhere Classified Interstitial/ intracavitary Excludes: injection or infusion of cancer 00.0 t herapeutic ultrasound chemotherapeutic substance Excludes: diagnostic ultrasound (non-invasive) (88.71- (99.25) 88.79) AHA: Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; intracardiac echocardiography [ICE] (heart Q4, 2008; Q4, 2009; Q4, 2010 chamber(s)) (37.28) intravascular imaging (adjunctive) (00.21- 00.11 Infusion of drotrecogin alfa (activated) 00.29) Infusion of recombinant protein AHA: Q4, 2002 AHA: Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010 00.01 therapeutic ultrasound of vessels of head and neck 00.12 administration of inhaled nitric oxide Anti-restenotic ultrasound Nitric oxide therapy Intravascular non-ablative ultrasound AHA: Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Excludes: diagnostic ultrasound of: Q4, 2008; Q4, 2009; Q4, 2010 eye (95.13) 00.13 Injection or infusion of nesiritide head and neck (88.71) Human B-type natriuretic peptide (hBNP) that of inner ear (20.79) AHA: Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; ultrasonic: Q4, 2008; Q4, 2009; Q4, 2010 angioplasty of non-coronary vessel (39.50) 00.14 Injection or infusion of oxazolidinone class of embolectomy (38.01, 38.02) antibiotics endarterectomy (38.11, 38.12) Linezolid injection thrombectomy (38.01, 38.02) AHA: Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; AHA: Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010 Q4, 2008; Q4, 2009; Q4, 2010

00.15 high-dose infusion interleukin-2 [IL-2] Chapter 0: P ro c eduresA nd Intervent i ons , N oti f ed E lsewhere Class 00.02 therapeutic ultrasound of heart Infusion (IV bolus, CIV) interleukin Anti-restenotic ultrasound Injection of aldesleukin Intravascular non-ablative ultrasound Excludes: low-dose infusion interleukin-2 (99.28) Excludes: diagnostic ultrasound of heart (88.72) AHA: Q4, 2003; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; ultrasonic ablation of heart lesion Q4, 2008; Q4, 2009; Q4, 2010 (37.34) 00.16 pressurized treatment of venous bypass graft ultrasonic angioplasty of coronary [conduit] with pharmaceutical substance vessels (00.66, 36.09) Ex-vivo treatment of vessel AHA: Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Hyperbaric pressurized graft [conduit] Q4, 2008; Q4, 2009; Q4, 2010 AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; 00.03 therapeutic ultrasound of peripheral vascular Q4, 2009; Q4, 2010 vessels 00.17 Infusion of vasopressor agent Anti-restenotic ultrasound AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Intravascular non-ablative ultrasound Q4, 2009; Q4, 2010 Excludes: diagnostic ultrasound of peripheral vascular system (88.77) 00.18 Infusion of immunosuppressive antibody ultrasonic angioplasty of: therapy non-coronary vessel (39.50) INCLUDES during induction phase of solid organ AHA: Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; transplantation Q4, 2008; Q4, 2009; Q4, 2010 monoclonal antibody therapy polyclonal antibody therapy 00.09 other therapeutic ultrasound AHA: Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Excludes: ultrasonic: Q4, 2010 fragmentation of urinary stones (59.95) 00.19 disruption of blood brain barrier via infusion percutaneous nephrostomy with [BBBD] fragmentation (55.04) Infusion of substance to disrupt blood brain physical therapy (93.35) barrier transurethral guided laser induced Code also chemotherapy (99.25) prostatectomy (TULIP) (60.21) Excludes: other perfusion (39.97) AHA: Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; AHA: Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010 Q4, 2008; Q4, 2009; Q4, 2010

3rd digit required 4th digit required Bilateral procedure Non-covered procedure Limited coverage procedure Non-OR Procedure Valid OR Procedure Female Male

1 ICD-9-CM 2015 00.2 - 00.40 Chapter 0: Procedures And Interventions , Not Elsewhere Classified Tabular List 00.2 Intravascular imaging of blood vessels 00.28 Intravascular imaging, other specified vessel(s) Endovascular ultrasonography AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Intravascular ultrasound (IVUS) Q4, 2009; Q4, 2010 Intravascular [ultrasound] imaging of blood vessels 00.29 Intravascular imaging, unspecified vessel(s) Virtual histology intravascular ultrasound [VH-IVUS] AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Note: real-time imaging of lumen of blood vessel(s) Q4, 2009; Q4, 2010

00.2 - 00.40 using sound waves Code also any synchronous diagnostic or therapeutic 00.3 Computer assisted surgery [CAS] procedures CT-free navigation Excludes: adjunct vascular system procedures, number of Image guided navigation (IGN) vessels treated (00.40-00.43) Image guided surgery (IGS) diagnostic procedures on blood vessels (38.21- Imageless navigation 38.29) That without the use of robotic(s) technology diagnostic ultrasound of peripheral vascular Code also diagnostic or therapeutic procedure system (88.77) Excludes: robotic assisted procedures (17.41-17.49) intravascular imaging of vessel(s) by OCT stereotactic frame application only (93.59) (38.24-38.25) AHA: Q4, 2004 magnetic resonance imaging (MRI) (88.91- 88.97) 00.31 Computer assisted surgery with CT/CTA therapeutic ultrasound (00.01-00.09) AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; AHA: Q4, 2004 Q4, 2009; Q4, 2010; Q4, 2013 00.21 Intravascular imaging of extracranial cerebral 00.32 Computer assisted surgery with MR/MRA vessels AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Common carotid vessels and branches Q4, 2009; Q4, 2010 Intravascular ultrasound (IVUS), extracranial 00.33 Computer assisted surgery with fluoroscopy cerebral vessels AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Excludes: diagnostic ultrasound (non-invasive) of Q4, 2009; Q4, 2010 head and neck (88.71) AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; 00.34 Imageless computer assisted surgery Q4, 2009; Q4, 2010 AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010 00.22 Intravascular imaging of intrathoracic vessels Aorta and aortic arch 00.35 Computer assisted surgery with multiple Intravascular ultrasound (IVUS), intrathoracic datasets vessels AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Vena cava (superior) (inferior) Q4, 2009; Q4, 2010 Excludes: diagnostic ultrasound (non-invasive) of 00.39 other computer assisted surgery other sites of thorax (88.73) Computer assisted surgery NOS AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010 Q4, 2009; Q4, 2010; Q4, 2013 00.23 Intravascular imaging of peripheral vessels 00.4 adjunct Vascular System Procedures Imaging of: Note: These codes can apply to both coronary and vessels of arm(s) peripheral vessels.These codes are to be used in vessels of leg(s) conjunction with other Intravascular ultrasound (IVUS), peripheral therapeutic procedure codes to provide vessels additional information on the number of Excludes: diagnostic ultrasound (non-invasive) vessels upon which a procedure of peripheral vascular system was performed and/or the number of stents (88.77) inserted.As appropriate, code both the AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; number of vessels operated Q4, 2009; Q1, 2010; Q4, 2010 on (00.40-00.43), and the number of stents 00.24 Intravascular imaging of coronary vessels inserted (00.45-00.48). Intravascular ultrasound (IVUS), coronary vessels Code also any: angioplasty (00.61-00.62, 00.66, 39.50) Excludes: diagnostic ultrasound (non-invasive) of heart (88.72) atherectomy (17.53-17.56) intracardiac echocardiography [ICE] endarterectomy (38.10-38.18) (ultrasound of heart chamber(s)) insertion of vascular stent(s) (00.55, 00.63-00.65, (37.28) 36.06-36.07, 39.90) AHA: Q4, 2004; Q4, 2005; Q3, 2006; Q4, 2006; Q4, 2007; other removal of coronary artery obstruction (36.09) Q4, 2008; Q4, 2009; Q1, 2010; Q4, 2010 AHA: Q4, 2005 00.25 Intravascular imaging of renal vessels 00.40 procedure on single vessel Intravascular ultrasound (IVUS), renal vessels Number of vessels, unspecified Renal artery Excludes: (aorto)coronary bypass (36.10-36.19) Excludes: diagnostic ultrasound (non-invasive) of intravascular imaging of blood vessels urinary system (88.75) (00.21-00.29) AHA: Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; AHA: Q4, 2005; Q3, 2006; Q4, 2006; Q1, 2007; Q4, 2007; Q4, 2009; Q4, 2010 Q4, 2008; Q2, 2009; Q3, 2009; Q4, 2009; Q2, 2010; Q4, 2010; Q2, 2012; Q4, 2013

3rd digit required 4th digit required Bilateral procedure Non-covered procedure Limited coverage procedure Non-OR Procedure Valid OR Procedure Female Male lsewhere Class E lsewhere i f ed N ot , i ons Intervent A nd c edures P ro 0: Chapter 2 Tabular List Chapter 0: Procedures And Interventions , Not Elsewhere Classified 00.41 - 00.51 00.41 - 00.51 00.41 procedure on two vessels 00.5 other cardiovascular procedures Excludes: (aorto) coronary bypass (36.10-36.19) AHA: Q4, 2002 intravascular imaging of blood vessels (00.21-00.29) 00.50 Implantation of cardiac resynchronization pacemaker without mention of defibrillation, AHA: Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010; Q3, 2012 total system [CRT-P] Biventricular pacemaker 00.42 procedure on three vessels Biventricular pacing without internal cardiac Excludes: (aorto) coronary bypass (36.10-36.19) defibrillator intravascular imaging of blood vessels BiV pacemaker (00.21-00.29) Implantation of cardiac resynchronization AHA: Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; (biventricular) pulse generator pacing Q4, 2010 device, formation of pocket, transvenous leads including 00.43 procedure on four or more vessels placement of lead into left ventricular Excludes: (aorto) coronary bypass (36.10-36.19) coronary venous system, and intravascular imaging of blood vessels intraoperative procedures for evaluation of (00.21-00.29) lead signals. AHA: Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; That with CRT-P generator and one or more Q4, 2010 leads 00.44 procedure on vessel bifurcation Note: Device testing during procedure - omit Note: This code is to be used to identify the code presence of a vessel bifurcation; it does Excludes: implantation of cardiac not describe a specific bifurcation stent. resynchronization defibrillator, Use this code only once per operative total system [CRT-D] (00.51) episode, irrespective of the number of insertion or replacement of any type bifurcations in vessels. pacemaker device (37.80-37.87) AHA: Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010; replacement of cardiac resynchronization Q4, 2011; Q1, 2013 defibrillator pulse generator only [CRT-D](00.54) 00.45 Insertion of one vascular stent replacement of cardiac Number of stents, unspecified resynchronization pacemaker AHA: Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q3, 2009; pulse generator only [CRT-P] Q4, 2009; Q4, 2010 (00.53) 00.46 Insertion of two vascular stents AHA: Q4, 2002; Q4, 2004; Q3, 2005; Q4, 2005; Q4, 2006; AHA: Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q2, 2009; Q4, 2007; Q3, 2008; Q4, 2008; Q4, 2009; Q4, 2010 Chapter 0: P ro c eduresA nd Intervent i ons , N oti f ed E lsewhere Class Q4, 2009; Q4, 2010; Q3, 2012; Q4, 2013 00.51 Implantation of cardiac resynchronization 00.47 Insertion of three vascular stents defibrillator, total system [CRT-D] AHA: Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; BiV defibrillator Q4, 2010; Q4, 2013 Biventricular defibrillator Biventricular pacing with internal cardiac 00.48 Insertion of four or more vascular stents defibrillator AHA: Q4, 2005; Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; BiV ICD Q4, 2010; Q4, 2013 BiV pacemaker with defibrillator 00.49 superSaturated oxygen therapy BiV pacing with defibrillator Aqueous oxygen (AO) therapy Implantation of a cardiac resynchronization (biventricular) pulse generator with SS02 SuperOxygenation infusion therapy defibrillator [AICD], formation Code also any: injection or infusion of of pocket, transvenous leads, including thrombolytic agent (99.10) placement of lead into left ventricular insertion of coronary artery stent(s) (36.06- coronary venous system, 36.07) intraoperative procedures for evaluation intracoronary artery thrombolytic infusion of lead signals, and obtaining defibrillator (36.04) threshold measurements. number of vascular stents inserted (00.45- That with CRT-D generator and one or more leads 00.48) Note: Device testing during procedure - omit number of vessels treated (00.40-00.43) code open chest coronary artery angioplasty Excludes: implantation of cardiac (36.03) resynchronization pacemaker, other removal of coronary obstruction total system [CRT-P](00.50) (36.09) implantation or replacement of automatic percutaneous transluminal coronary cardioverter/defibrillator, total angioplasty [PTCA] (00.66) system [AICD] (37.94) procedure on vessel bifurcation (00.44) replacement of cardiac resynchronization defibrillator pulse generator, only transluminal coronary atherectomy (17.55) [CRT-D](00.54) Excludes: other oxygen enrichment (93.96) AHA: Q4, 2002; Q4, 2004; Q3, 2005; Q4, 2005; Q4, 2006; other perfusion (39.97) Q1, 2007; Q4, 2007; Q3, 2008; Q4, 2008; Q4, 2009; Q4, AHA: Q4, 2008; Q4, 2009; Q4, 2010 2010; Q4, 2011

3rd digit required 4th digit required Bilateral procedure Non-covered procedure Limited coverage procedure Non-OR Procedure Valid OR Procedure Female Male

3 ICD-9-CM 2015 00.52 - 00.6 Chapter 0: Procedures And Interventions , Not Elsewhere Classified Tabular List 00.52 Implantation or replacement of transvenous number of vascular stents inserted (00.45- lead [electrode] into left ventricular coronary 00.48) venous system number of vessels treated (00.40-00.43) Excludes: implantation of cardiac procedure on vessel bifurcation (00.44) resynchronization defibrillator, Excludes: drug-coated peripheral stents, e.g., total system [CRT-D](00.51) heparin coated (39.90) implantation of cardiac insertion of cerebrovascular stent(s) 00.52 - 00.6 resynchronization pacemaker, (00.63-00.65) total system [CRT-P](00.50) insertion of drug-eluting coronary initial insertion of transvenous lead artery stent (36.07) [electrode] (37.70-37.72) insertion of drug-eluting stent(s) of replacement of transvenous atrial and/ superficial femoral artery (00.60) or ventricular lead(s) [electrodes] insertion of non-drug-eluting stent(s): (37.76) coronary artery (36.06) AHA: Q4, 2002; Q4, 2004; Q3, 2005; Q4, 2005; Q4, 2006; peripheral vessel (39.90) Q4, 2007; Q3, 2008; Q4, 2008; Q4, 2009; Q4, 2010 that for other endovascular procedure 00.53 Implantation or replacement of cardiac (39.71-39.79) resynchronization pacemaker pulse generator AHA: Q4, 2002; Q4, 2004; Q4, 2005; Q4, 2006; Q4, 2007; only [CRT-P] Q4, 2008; Q4, 2009; Q4, 2010; Q3, 2012 Implantation of CRT-P device with removal of 00.56 Insertion or replacement of implantable any existing CRT-P or other pacemaker pressure sensor with lead for intracardiac or device great vessel hemodynamic monitoring Note: Device testing during procedure - omit Note: The sensor is physically connected by a code lead to a separately implanted monitor. Excludes: implantation of cardiac Code also any associated implantation or resynchronization pacemaker, replacement of subcutaneous monitor total system [CRT-P] (00.50) (00.57) implantation or replacement of cardiac Excludes: circulatory monitoring (blood gas, resynchronization defibrillator arterial or venous pressure, pulse generator only [CRT-D] cardiac output and coronary (00.54) blood flow) (89.60-89.69) insertion or replacement of any type insertion of implantable pressure sensor pacemaker device (37.80-37.87) without lead for intracardiac AHA: Q4, 2002; Q4, 2004; Q3, 2005; Q4, 2005; Q4, 2006; or great vessel hemodynamic Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010; Q4, 2011 monitoring (38.26) 00.54 Implantation or replacement of cardiac AHA: Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010; resynchronization defibrillator pulse generator Q4, 2011 device only [CRT-D] 00.57 Implantation or replacement of subcutaneous Implantation of CRT-D device with removal of device for intracardiac or great vessel any existing CRT-D, CRT-P, pacemaker, or hemodynamic monitoring defibrillator Implantation of monitoring device with device formation of subcutaneous pocket and Note: Device testing during procedure - omit connection to intracardiac pressure sensor code via lead Excludes: implantation of automatic Code also any associated insertion or cardioverter/defibrillator pulse replacement of implanted pressure sensor generator only (37.96) with lead (00.56) implantation of cardiac AHA: Q4, 2006; Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010; resynchronization defibrillator, Q4, 2011 total system [CRT-D] (00.51) implantation or replacement of cardiac 00.58 Insertion of intra-aneurysm sac pressure resynchronization pacemaker monitoring device (intraoperative) pulse generator only [CRT-P] Insertion of pressure sensor during (00.53) endovascular repair of abdominal or AHA: Q4, 2002; Q4, 2004; Q3, 2005; Q4, 2005; Q4, 2006; thoracic aortic aneurysm(s) Q4, 2007; Q4, 2008; Q4, 2009; Q4, 2010; Q4, 2011; Q2, AHA: Q4, 2008; Q4, 2009; Q4, 2010 2012 00.59 Intravascular pressure measurement of 00.55 Insertion of drug-eluting stent(s) of other coronary arteries peripheral vessel(s) INCLUDES fractional flow reserve (FFR) Endograft(s) Code also any synchronous diagnostic or Endovascular graft(s) therapeutic procedures Stent grafts Excludes: intravascular pressure measurement of Code also any: intrathoracic arteries (00.67) angioplasty of other non-coronary AHA: Q4, 2008; Q4, 2009; Q4, 2010 vessel(s) (39.50) 00.6 procedures on blood vessels atherectomy of other non-coronary AHA: Q4, 2004; Q4, 2005 vessel(s) (17.56)

3rd digit required 4th digit required Bilateral procedure Non-covered procedure Limited coverage procedure Non-OR Procedure Valid OR Procedure Female Male lsewhere Class E lsewhere i f ed N ot , i ons Intervent A nd c edures P ro 0: Chapter 4