2011 ICD-9 Code Changes for Pediatricians

Each year in October, the Director of NCHS and the Administrator of CMS approve the release of new ICD-9 codes and revisions of existing ICD-9 codes.  New and updated codes should be used beginning on October 1, 2010.  

The list of new and updated codes is sometimes long, and not all codes apply to pediatric offices. PCC's Certified Pediatric Coder, Jan Blanchard, reviewed the list of updated codes to identify popular codes used by pediatric offices.  You may find the following list helpful as you prepare to use the new codes in your office.   Your practice management and electronic health record systems may both need to be updated in readiness for these new and updated codes.

New ICD-9 Codes Effective 10/01/10:

Diagnosis Code     Description

315.35*     Childhood onset fluency disorder
488.01*    Avian Flu virus with pneumonia
488.02*    Avian Flu virus w/other resp manifestations
488.09*    Avian Flu virus with other manifestations
488.11*    H1N1 influenza virus with pneumonia
488.12*    H1N1 influenza virus with other respiratory manifestations
488.19*    H1N1 influenza virus with other manifestations
560.32     Fecal impaction
780.33     Post traumatic seizures
780.66     Febrile nonhemolytic transfusion reaction
784.52*    Fluency disorder in conditions classified elsewhere
784.92     Jaw pain
786.30     Hemoptysis, unspecified
786.31     Acute idiopathic pulmonary hemorrhage in infants [AIPHI]
786.39     Other hemoptysis
787.60     Full incontinence of feces
787.61     Incomplete defecation
787.62     Fecal smearing
787.63     Fecal urgency
799.51     Attention or concentration deficit
799.52     Cognitive communication deficit
799.53     Visuospatial deficit
799.54     Psychomotor deficit
799.55     Frontal lobe and executive function deficit
799.59     Other signs and symptoms involving cognition
E000.2     Volunteer activity
V13.62     Personal Hx of other (corrected) congenital malformations of genitourinary system
V13.63     Personal history of (corrected) congenital malformations of nervous system
V13.64     Personal history of (corrected) congenital malformations of eye, ear, face and neck
V13.65     Personal history of (corrected) congenital malformations of heart and circulatory system
V13.66     Personal history of (corrected) congenital malformations of respiratory system
V13.67     Personal history of (corrected) congenital malformations of digestive system
V13.68** Personal history of (corrected) congenital malformations of integument, limbs, and musculoskeletal systems
V25.11     Encounter for insertion of intrauterine contraceptive device
V25.12     Encounter for removal of intrauterine contraceptive device
V25.13     Encounter for removal and reinsertion of intrauterine contraceptive device
V62.85     Homicidal ideation
V88.11     Acquired total absence of pancreas
V88.12     Acquired partial absence of pancreas

Revised ICD-9 Codes Effective 10/01/10:

Diagnosis Code     Description (Parentheses indicate modification)

E017.0     (Del:Activities involving) Roller coaster riding
V07.8*     (Del:Need for) Other specified prophylactic or treatment measure
V07.9*     (Del:Need for) Unspecified prophylactic or treatment measure
V13.61     Personal history of (Add:corrected) hypospadias
V13.69     Personal history of other (Add:corrected) congenital malformations

Deleted ICD-9 Codes Effective 10/01/10:

NOTE: This is a list of all deleted codes.  There were very few deleted codes this year so we opted to include all of them in our highlights list.

Diagnosis Code     Description
275.0     Disorders of iron metabolism
276.6     Fluid overload
287.4     Secondary thrombocytopenia
488.0*    Influenza due to identified avian influenza virus
488.1*    Influenza due to identified novel H1N1 influenza virus
752.3     Other anomalies of uterus
786.3     Hemoptysis
787.6     Incontinence of feces
970.8     Poisoning by other specified central nervous system stimulants
999.6     ABO incompatibility reaction
999.7     Rh incompatibility reaction
V25.1     Encounter for insertion of intrauterine contraceptive device
V85.4     Body Mass Index 40 and over, adult

Version 4.4 of PCC's Partner Practice Managment System has been updated to remind you to implement these code changes.   While the new codes are effective on 10/01/10, your implementation of the codes may depend on the readiness of your insurers to accept them.

New Codes:

* These diagnosis codes were discussed at the March 9-10, 2010 ICD-9-CM Coordination and Maintenance Committee meeting and were not finalized in time to include in the proposed rule. However, they will be implemented on October 1, 2010. Please note that new code 237.78, Other neurofibromatosis, that was listed as a new diagnosis code in the proposed rule has been modified to new code 237.79. New code 799.50, Unspecified signs and symptoms involving cognition, that was listed in the proposed rule as a new code has been deleted and will not be implemented on October 1, 2010.

**The code title has changed from the proposed rule.

Revised:

* These diagnosis codes were discussed at the March 9-10, 2010 ICD-9-CM Coordination and Maintenance Committee meeting and were not finalized in time to include in the proposed rule. However, they will be implemented on October 1, 2010.

Deleted:

* These diagnosis codes were discussed at the March 9-10, 2010 ICD-9-CM Coordination and Maintenance Committee meeting and were not finalized in time to include in the proposed rule. However, they will be deleted on October 1, 2010.