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 ANATOMICAL ILLUSTRATIONS xcv BRAIN FUNCTION ICD-9-CM 2015 ANATOMICAL ILLUSTRATIONS xcvi BREAST ANATOMY 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 classication 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- deciency Virus (HIV) was claried, 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-specic 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 simplications 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 modied 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 windsurng (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,