International Classification of Diseases9th Revision, Clinical Modification

2009

Hospital and Payer Professional

ICD-9-CMVolumes 1, 2 & 3

Codes valid for use October 1, 2008 – September 30, 2009

Table of ContentsIntroduction

Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iiIntroductiontoICD-9-CM . . . . . . . . . . . . . . . . . . . . . . . .iiiHowtoUsetheICD-9-CM . . . . . . . . . . . . . . . . . . . . . . .ivICD-9-CMOfficialConventions . . . . . . . . . . . . . . . . . . . .viAdditionalConventions . . . . . . . . . . . . . . . . . . . . . . . . vii2009ICD-9-CMCodeChanges . . . . . . . . . . . . . . . . . . viii2009ICD-9-CMDiagnosisCodeCrosswalk . . . . . . . . . xii2009ICD-9-CMProcedureCodeCrosswalk . . . . . . . . . xiiiOfficialCodingGuidelines . . . . . . . . . . . . . . . . . . . . . . . 1

Volume 2Alphabetic Index to Diseases

AlphabeticIndextoDiseases . . . . . . . . . . . . . . . . . . 2-3TableofHypertension . . . . . . . . . . . . . . . . . . . . . . 2-167TableofNeoplasms . . . . . . . . . . . . . . . . . . . . . . . 2-218TableofDrugsandChemicals . . . . . . . . . . . . . . . . 2-333AlphabeticIndextoExternalCausesofInjuryand

Poisoning . . . . . . . . . . . . . . . . . . . . . . . . 2-377

Volume 1Tabular List for Diseases

1 . InfectiousandParasiticDiseases(001-139) . 1-32 . Neoplasms(140-239) . . . . . . . . . . . . . . . . 1-303 . Endocrine,NutritionalandMetabolic

Diseases,andImmunityDisorders(240-279) . 1-544 . DiseasesoftheBloodandBlood-Forming

Organs(280-289) . . . . . . . . . . . . . . . . . . . 1-665 . MentalDisorders(290-319) . . . . . . . . . . . . 1-736 . DiseasesoftheNervousSystemandSense

Organs(320-389) . . . . . . . . . . . . . . . . . . . 1-867 . DiseasesoftheCirculatorySystem

(390-459) . . . . . . . . . . . . . . . . . . . . . . . . 1-1228 . DiseasesoftheRespiratory

System(460-519) . . . . . . . . . . . . . . . . . . 1-1449 . DiseasesoftheDigestiveSystem

(520-579) . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15610 . DiseasesoftheGenitourinary

System(580-629) . . . . . . . . . . . . . . . . . . 1-17811 . ComplicationsofPregnancy,Childbirth,

andthePuerperium(630-677) . . . . . . . . . 1-19512 . DiseasesoftheSkinandSubcutaneous

Tissue(680-709) . . . . . . . . . . . . . . . . . . . 1-21113 . DiseasesoftheMusculoskeletalSystem

andConnectiveTissue(710-739) . . . . . . . 1-22114 . CongenitalAnomalies(740-759) . . . . . . . . 1-23815 . CertainConditionsOriginatinginthe

PerinatalPeriod(760-779) . . . . . . . . . . . . 1-25116 . Symptoms,Signs,andIll-Defined

Conditions(780-799) . . . . . . . . . . . . . . . . 1-26017 . InjuryandPoisoning(800-999) . . . . . . . . . 1-271

Tabular List for Supplementary Classifications

18 . ClassificationofFactorsInfluencingHealthStatusandContactWithHealthServices(VCodes) . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-323

19 . ClassificationofExternalCausesofInjuryandPoisoning(ECodes) . . . . . . . . . . . . . 1-343

Official ICD-9-CM Government Appendices

A . MorphologyofNeoplasms . . . . . . . Appendices-2B . GlossaryofMentalDisorders . . . . . Appendices-6C . ClassificationofDrugsbyAmerican

HospitalFormularyServicesListNumberandTheirICD-9-CMEquivalents . . . Appendices-7

D . ClassificationofIndustrialAccidentsAccordingtoAgency . . . . . . . . . . . . Appendices-9

E . ListofThree-DigitCategories . . . . Appendices-10

Volume 3Alphabetic Index to Procedures

AlphabeticIndextoProcedures . . . . . . . . . . . . . . . . . 3-3

Tabular List for Procedures

0 . ProceduresandInterventions,NEC(00) . . . 3-831 . OperationsontheNervousSystem(01-05) . 3-872 . OperationsontheEndocrine

System(06-07) . . . . . . . . . . . . . . . . . . . . . 3-913 . OperationsontheEye(08-16) . . . . . . . . . . 3-934 . OperationsontheEar(18-20) . . . . . . . . . . 3-995 . OperationsontheNose,Mouth,

andPharynx(21-29) . . . . . . . . . . . . . . . . 3-1016 . OperationsontheRespiratory

System(30-34) . . . . . . . . . . . . . . . . . . . . 3-1057 . OperationsontheCardiovascular

System(35-39) . . . . . . . . . . . . . . . . . . . . 3-1098 . OperationsontheHemicandLymphatic

System(40-41) . . . . . . . . . . . . . . . . . . . . 3-1219 . OperationsontheDigestive

System(42-54) . . . . . . . . . . . . . . . . . . . . 3-12310 . OperationsontheUrinarySystem(55-59) . 3-13611 . OperationsontheMaleGenital

Organs(60-64) . . . . . . . . . . . . . . . . . . . . 3-14112 . OperationsontheFemaleGenital

Organs(65-71) . . . . . . . . . . . . . . . . . . . . 3-14413 . ObstetricalProcedures(72-75) . . . . . . . . . 3-14914 . OperationsontheMusculoskeletal

System(76-84) . . . . . . . . . . . . . . . . . . . . 3-15115 . OperationsontheIntegumentary

System(85-86) . . . . . . . . . . . . . . . . . . . . 3-16316 . MiscellaneousDiagnosticandTherapeutic

Procedures(87-99) . . . . . . . . . . . . . . . . . 3-167

Alphabetic Index to Diseases

Volume 2 — 352009 ICD-9-CM

4 Fourth-Digit Required 5 Fifth-Digit Required [code] Manifestation Code Revised Text  l New Line  s Revised Code

Arthritis, arthritic – continuedspine – continued

nonpyogenic 721.90with myelopathy 721.91

pyogenic 720.9rheumatoid 720.0traumatic (old) 721.7tuberculous (see also Tuberculosis) 015.0 5

[720.81]staphylococcal 711.0 5streptococcal 711.0 5suppurative 711.0 5syphilitic 094.0 [713.5]

congenital 090.49 [713.5]syphilitica deformans (Charcôt) 094.0 [713.5]temporomandibular joint 524.69thoracic (see also Spondylosis, thoracic) 721.2toxic of menopause 716.3 5transient 716.4 5traumatic (chronic) (old) (post) 716.1 5

current injury – see nature of injurytuberculous (see also Tuberculosis, arthritis)

015.9 5 [711.4] 5urethritica 099.3 [711.1] 5urica, uratic 274.0venereal 099.3 [711.1] 5vertebral (see also Arthritis, spine) 721.90villous 716.8 5von Bechterew’s 720.0

Arthrocele (see also Effusion, joint) 719.0 5Arthrochondritis – see ArthritisArthrodesis status V45.4Arthrodynia (see also Pain, joint) 719.4 5

psychogenic 307.89Arthrodysplasia 755.9Arthrofibrosis, joint (see also Ankylosis) 718.5 5Arthrogryposis 728.3

multiplex, congenita 754.89Arthrokatadysis 715.35Arthrolithiasis 274.0Arthro-onychodysplasia 756.89Arthro-osteo-onychodysplasia 756.89Arthropathy (see also Arthritis) 716.9 5

Note – Use the following fifth-digit subclassification with categories 711-712, 716:0 site unspecified1 shoulder region2 upper arm3 forearm4 hand5 pelvic region and thigh6 lower leg7 ankle and foot8 other specified sites9 multiple sites

Behçet’s 136.1 [711.2] 5Charcôt’s 094.0 [713.5]

diabetic 250.6 5 [713.5]syringomyelic 336.0 [713.5]tabetic 094.0 [713.5]

crystal (-induced) – see Arthritis, due to crystalsgouty 274.0neurogenic, neuropathic (Charcôt’s) (tabetic)

094.0 [713.5]diabetic 250.6 5 [713.5]nonsyphilitic NEC 349.9 [713.5]syringomyelic 336.0 [713.5]

postdysenteric NEC 009.0 [711.3] 5postrheumatic, chronic (Jaccoud’s) 714.4psoriatic 696.0pulmonary 731.2specified NEC 716.8 5syringomyelia 336.0 [713.5]tabes dorsalis 094.0 [713.5]tabetic 094.0 [713.5]transient 716.4 5traumatic 716.1 5uric acid 274.0

Arthrophyte (see also Loose, body, joint) 718.1 5Arthrophytis 719.80

ankle 719.87elbow 719.82foot 719.87hand 719.84hip 719.85knee 719.86multiple sites 719.89pelvic region 719.85

Arthrophytis – continuedshoulder (region) 719.81specified site NEC 719.88wrist 719.83

Arthropyosis (see also Arthritis, pyogenic) 711.0 5Arthroscopic surgical procedure converted to open

procedure V64.43Arthrosis (deformans) (degenerative) (see also

Osteoarthrosis) 715.9 5Charcôt’s 094.0 [713.5]polyarticular 715.09spine (see also Spondylosis) 721.90

Arthus phenomenon 995.21 due to

correct substance properly administered 995.21 

overdose or wrong substance given or taken 977.9

specified drug – see Table of Drugs and Chemicals

serum 999.5Articular – see also condition

disc disorder (reducing or non-reducing) 524.63spondylolisthesis 756.12

Articulationanterior 524.27posterior 524.27reverse 524.27

Artificialdevice (prosthetic) – see Fitting, deviceinsemination V26.1menopause (states) (symptoms) (syndrome)

627.4opening status (functioning) (without

complication) V44.9anus (colostomy) V44.3colostomy V44.3cystostomy V44.50

appendico-vesicostomy V44.52cutaneous-vesicostomy V44.51specifed type NEC V44.59

enterostomy V44.4gastrostomy V44.1ileostomy V44.2intestinal tract NEC V44.4jejunostomy V44.4nephrostomy V44.6specified site NEC V44.8tracheostomy V44.0ureterostomy V44.6urethrostomy V44.6urinary tract NEC V44.6vagina V44.7vagina status V44.7

ARV (disease) (illness) (infection) – see Human immunodeficiency virus (disease) (illness) (infection)

Arytenoid – see conditionAsbestosis (occupational) 501Asboe-Hansen’s disease (incontinentia pigmenti)

757.33Ascariasis (intestinal) (lung) 127.0Ascaridiasis 127.0Ascaridosis 127.0Ascaris 127.0

lumbricoides (infestation) 127.0pneumonia 127.0

Ascending – see conditionASC-H (atypical squamous cells cannot exclude high

grade squamous intraepithelial lesion) 795.02Aschoff’s bodies (see also Myocarditis, rheumatic)

398.0Ascites 789.59

abdominal NEC 789.59 cancerous (M8000/6) 789.51 cardiac 428.0chylous (nonfilarial) 457.8

filarial (see also Infestation, filarial) 125.9congenital 778.0due to S. japonicum 120.2fetal, causing fetopelvic disproportion 653.7 5heart 428.0joint (see also Effusion, joint) 719.0 5malignant (M8000/6) 789.51 pseudochylous 789.59 syphilitic 095.2tuberculous (see also Tuberculosis) 014.0 5

Ascorbic acid (vitamin C) deficiency (scurvy) 267

ASC-US (atypical squamous cells of undetermined significance) 795.01

ASCVD (arteriosclerotic cardiovascular disease) 429.2

Aseptic – see conditionAsherman’s syndrome 621.5Asialia 527.7Asiatic cholera (see also Cholera) 001.9Asocial personality or trends 301.7Asomatognosia 781.8Aspergillosis 117.3

with pneumonia 117.3 [484.6]allergic bronchopulmonary 518.6nonsyphilitic NEC 117.3

Aspergillus (flavus) (fumigatus) (infection) (terreus) 117.3

Aspermatogenesis 606.0Aspermia (testis) 606.0Asphyxia, asphyxiation (by) 799.01

antenatal – see Distress, fetalbedclothes 994.7birth (see also Asphyxia, newborn) 768.9bunny bag 994.7carbon monoxide 986caul (see also Asphyxia, newborn) 768.9cave-in 994.7

crushing – see Injury, internal, intrathoracic organs

constriction 994.7crushing – see Injury, internal, intrathoracic

organsdrowning 994.1fetal, affecting newborn 768.9food or foreign body (in larynx) 933.1

bronchioles 934.8bronchus (main) 934.1lung 934.8nasopharynx 933.0nose, nasal passages 932pharynx 933.0respiratory tract 934.9

specified part NEC 934.8throat 933.0trachea 934.0

gas, fumes, or vapor NEC 987.9specified – see Table of Drugs and Chemicals

gravitational changes 994.7hanging 994.7inhalation – see Inhalationintrauterine

fetal death (before onset of labor) 768.0during labor 768.1

liveborn infant – see Distress, fetal, liveborn infant

local 443.0mechanical 994.7

during birth (see also Distress, fetal) 768.9mucus 933.1

bronchus (main) 934.1larynx 933.1lung 934.8nasal passages 932newborn 770.18 pharynx 933.0respiratory tract 934.9

specified part NEC 934.8throat 933.0trachea 934.0vaginal (fetus or newborn) 770.18

newborn 768.9with neurologic involvement 768.5blue 768.6livida 768.6mild or moderate 768.6pallida 768.5severe 768.5white 768.5

pathological 799.01 plastic bag 994.7postnatal (see also Asphyxia, newborn) 768.9

mechanical 994.7pressure 994.7reticularis 782.61strangulation 994.7submersion 994.1traumatic NEC – see Injury, internal, intrathoracic

organsvomiting, vomitus – see Asphyxia, food or foreign

body

Arthritis, arthritic – Asphyxia, asphyxiationArthritis, arthritic – Asphyxia, asphyxiation

Tabular List

Volume 1 — 201

Skin and SubcuTaneouS TiSSue

2009 icd-9-cM

HAC Hospital Acquired Condition CC/MCC Complicating/Major Complicating Condition AAdult (15+ yrs) MMaternity (12-55 yrs) NNewborn (0 yrs) PPediatric (0-17 yrs) ♂Male ♀Female

4707 ChroniculcerofskinIncludes non-infectedsinusofskin

non-healingulcerExcludes specificinfectionsclassifiedunder“Infectiousand

ParasiticDiseases”(001.0-136.9)varicoseulcer(454.0,454.2)

AHA:4Q2004,92 5707.0 Decubitusulcer

BedsoreDecubitusulcer[anysite]PlasterulcerPressureulcer

AHA:1Q2004,14;4Q2003,110;4Q1999,20;1Q1996,15;3Q1990,15;Nov-Dec1987,9

Sacral decubitus ulcerPressure sore stages

Bed soreStage 1

Stage 2

Stage 3

Skin layers

Subcutaneous soft tissueBone

Stage 4

707.00 Unspecifiedsite CCCCEx: 707.0,707.8–707.9,709.8

707.01 Elbow HACCCCCEx: See707.00

707.02 Upperback HACMCCShoulder blades

CCEx: See707.00 707.03 Lowerback HACMCC

SacrumCCEx: See707.00AHA:1Q2005,16

707.04 Hip HACMCCCCEx: See707.00

707.05 Buttock HACMCCCCEx: See707.00

707.06 Ankle HACMCCCCEx: See707.00

707.07 Heel HACMCCCCEx: See707.00AHA:1Q2005,16

707.09 Othersite CCHead

CCEx: See707.00

5707.1 Ulceroflowerlimbs,exceptdecubitusUlcer,chronic,oflowerlimb:

neurogenicoflowerlimbtrophicoflowerlimb

Code,ifapplicable,anycausalconditionfirst:atherosclerosisoftheextremitieswithulceration

(440.23)chronicvenoushypertensionwithulcer(459.31)chronicvenoushypertensionwithulcerand

inflammation(459.33)diabetesmellitus(250.80-250.83)postphlebiticsyndromewithulcer(459.11)postphlebiticsyndromewithulcerandinflammation

(459.13)AHA:4Q2000,44;4Q1999,15

707.10 Ulceroflowerlimb,unspecified CCCCEx: 707.10–707.15,707.19,707.8–707.9,709.8AHA:3Q2004,5;4Q2002,43

707.11 Ulcerofthigh CCCCEx: See707.10

707.12 Ulcerofcalf CCCCEx: See707.10

707.13 Ulcerofankle CCCCEx: See707.10

707.14 Ulcerofheelandmidfoot CCPlantarsurfaceofmidfoot

CCEx: See707.10 707.15 Ulcerofotherpartoffoot

ToesCCEx: See707.10

707.19 Ulcerofotherpartoflowerlimb CCCCEx: See707.10

707.8 ChroniculcerofotherspecifiedsitesUlcer,chronic,ofotherspecifiedsites:

neurogenicofotherspecifiedsitestrophicofotherspecifiedsites

CCEx: 707.10–707.15,707.19

707.9 ChroniculcerofunspecifiedsiteChroniculcerNOSTrophiculcerNOSTropicalulcerNOSUlcerofskinNOS

CCEx: See707.8

4708 UrticariaExcludes edema:

angioneurotic(995.1)Quincke’s(995.1)

hereditaryangioedema(277.6)urticaria:

giant(995.1)papulosa(Hebra)(698.2)pigmentosa(juvenile)(congenital)(757.33)

708.0 Allergicurticaria

Allergic urticaria Characterized by smooth, raised pink or white

bumps that appear on or beneath the skin

708.1 Idiopathicurticaria 708.2 Urticariaduetocoldandheat

Thermalurticaria 708.3 Dermatographicurticaria

DermatographiaFactitialurticaria

708.4 Vibratoryurticaria 708.5 Cholinergicurticaria

Hivesthatoccurinresponsetoariseinbodytemperature,suchasfromexercise,stress,oroverheating.

708.8 OtherspecifiedurticariaNettlerashUrticaria:

chronic recurrentperiodic 708.9 Urticaria,unspecified

HivesNOS

4709 Otherdisordersofskinandsubcutaneoustissue 5709.0 Dyschromia

Excludes albinism(270.2)pigmentednevus(216.0-216.9)thatofeyelid(374.52-374.53)

Disorderofskinpigmentation. 709.00 Dyschromia,unspecified 709.01 Vitiligo

Whitepatchesdevoidofpigmentationappearingonotherwisenormalskin.

709.09 Other

707 – 709.09 Skin and Subcutaneous Tissue 707 – 709.09

Tabular List

Volume 1 — 329

v codes

A Adult (15+ years) M Maternity (12-55 years) N Neonates (0 years) PPediatric (0-17 years) ♂ Male ♀ Female

2009 Icd-9-cM

4V26 Procreativemanagement V26.0 Tuboplastyorvasoplastyafterprevioussterilization

AHA:2Q 1995, 10

yV26.1 Artificialinsemination♀ 5V26.2 Investigationandtesting

Excludes postvasectomyspermcount(V25.8)AHA:4Q 2000, 56

yV26.21 FertilitytestingFallopian insufflationSperm count for fertility testingExcludes geneticcounselingandtesting

(V26.31-V26.39) yV26.22 Aftercarefollowingsterilizationreversal

Fallopian insufflation following sterilization reversal

Sperm count following sterilization reversal y V26.29 Otherinvestigationandtesting

AHA:2Q 1996, 9; Nov-Dec, 1985, 15

5V26.3 GeneticcounselingandtestingExcludes fertilitytesting(V26.21)

nonprocreativegeneticscreening(V82.71,V82.79)

AHA:4Q 2005, 96

Coding Guidelines Note:Counselingcodesarenotnecessaryforuseinconjunctionwithadiagnosiscodewhencounselingcomponentofcareisconsideredintegraltostandardtreatment.

yV26.31 Testingoffemaleforgeneticdiseasecarrierstatus♀

yV26.32 Othergenetictestingoffemale♀ Use additional code to identify habitual aborter

(629.81, 646.3) yV26.33 Geneticcounseling yV26.34 Testingofmaleforgeneticdiseasecarrier

status♂ yV26.35 Encounterfortestingofmalepartnerofhabitual

aborter♂ yV26.39 Othergenetictestingofmale♂ 5V26.4 Generalcounselingandadvice

Coding Guidelines Note:Counselingcodesarenotnecessaryforuseinconjunctionwithadiagnosiscodewhencounselingcomponentofcareisconsideredintegraltostandardtreatment.

yV26.41 Procreativecounselingandadviceusingnaturalfamilyplanning

yV26.49 Otherprocreativemanagementcounselingandadvice

5V26.5 SterilizationstatusCoding Guidelines Note:Statuscodesindicatethatapatientiseitheracarrierofadiseaseorhasthesequelaeorresidualorapastdisease/condition.Astatuscodeisinformativeandshouldnotbeusedwithadiagnosiscode.

yV26.51 Tuballigationstatus♀Excludes infertilitynotduetoprevioustubal

ligation(628.0-628.9)

yV26.52 Vasectomystatus♂ 5 V26.8 Otherspecifiedprocreativemanagement yV26.81 Encounterforassistedreproductivefertility

procedurecyclePatient undergoing in vitro fertilization cycle Use additional code to identify the type of

infertility Excludes pre-cyclediagnosisandtesting

–codetoreasonforencounter

yV26.89 Otherspecifiedprocreativemanagement y V26.9 Unspecifiedprocreativemanagement

4V27 OutcomeofdeliveryNote: Thiscategoryisintendedforthecodingoftheoutcomeof

deliveryonthemother’srecord.AHA:2Q 1991, 16

yV27.0 Singleliveborn♀MAHA:4Q 2005, 81; 2Q 2003, 9; 2Q 2002, 10; 1Q 2001, 10;

3Q 2000, 5; 4Q 1998, 77; 4Q 1995, 59; 1Q 1992, 9

yV27.1 Singlestillborn♀M yV27.2 Twins,bothliveborn♀M yV27.3 Twins,onelivebornandonestillborn♀M yV27.4 Twins,bothstillborn♀M y V27.5 Othermultiplebirth,allliveborn♀M y V27.6 Othermultiplebirth,someliveborn♀M y V27.7 Othermultiplebirth,allstillborn♀M y V27.9 Unspecifiedoutcomeofdelivery♀M

4V28 EncounterforantenatalscreeningofmotherExcludes abnormalfindingsonscreening-codetofindings

AHA:1Q 2004, 11 yV28.0 Screeningforchromosomalanomaliesby

amniocentesis♀M yV28.1 Screeningforraisedalpha-fetoproteinlevelsinamniotic

fluid♀M y V28.2 Otherscreeningbasedonamniocentesis♀M yV28.3 Screeningformalformationusingultrasonics♀ yV28.4 Screeningforfetalgrowthretardationusingultrasonics♀ yV28.5 Screeningforisoimmunization♀ yV28.6 ScreeningforStreptococcusB♀M

AHA:4Q 1997, 46

y V28.8 Otherspecifiedantenatalscreening♀AHA:3Q 1999, 16

y V28.9 Unspecifiedantenatalscreening♀

4V29 ObservationandevaluationofnewbornsforsuspectedconditionnotfoundNote: Thiscategoryistobeusedfornewborns,withinthe

neonatalperiod(thefirst28daysoflife),whoaresuspectedofhavinganabnormalconditionresultingfromexposurefromthemotherorthebirthprocess,butwithoutsignsorsymptoms,andwhich,afterexaminationandobservation,isfoundnottoexist.

AHA:1Q 2000, 25; 4Q 1994, 47; 1Q 1994, 9; 4Q 1992, 21

V29.0 ObservationforsuspectedinfectiousconditionNAHA:1Q 2001, 10

V29.1 ObservationforsuspectedneurologicalconditionN V29.2 ObservationforsuspectedrespiratoryconditionN yV29.3 Observationforsuspectedgeneticormetabolic

conditionNAHA:2Q 2005, 21; 4Q 1998, 59, 68

V29.8 ObservationforotherspecifiedsuspectedconditionNAHA:2Q 2003, 15

y V29.9 ObservationforunspecifiedsuspectedconditionNAHA:1Q 2002, 6

LIVEBORN INFANTS ACCORDING TO TYPE OF BIRTH (V30-V39)Note: Thesecategoriesareintendedforthecodingofliveborn

infantswhoareconsuminghealthcare[e.g.,criborbassinetoccupancy].

AHA:1Q 2001, 10

The following fourth-digit subdivisions are for use with categories V30-V39:

5.0 Borninhospital .1 Bornbeforeadmissiontohospital .2 Bornoutsidehospitalandnothospitalized

The following two fifth-digits are for use with the fourth-digit .0, Born in hospital:

0 deliveredwithoutmentionofcesareandelivery 1 deliveredbycesareandelivery

4V30 SinglelivebornN (y is only valid for fourth-digit “2”) (N only applies to fourth-digits “0” and "1")

AHA:2Q 2003, 9; 4Q 1998, 46, 59; 1Q 1994, 9; For Code V30.00: 1Q 2004, 8, 16; 4Q 2003, 68; For Code V30.01: 4Q 2005, 88; For Code V30.1: 3Q 2006, 10-11

4V31 Twin,matelivebornN (y is only valid for fourth-digit “2”) (N only applies to fourth-digits “0” and "1")

AHA:3Q 1992, 10

4V32 Twin,matestillbornN (y is only valid for fourth-digit “2”) (N only applies to fourth-digits “0” and "1")

v26 – v32 V Codes V26 – V32

Tabular List OperaTiOns On The CardiOvasCuLar sysTem

Volume 3 — 1092009 iCd-9-Cm

HAC Hospital Acquired Condition CC/MCC  Complicating/Major Complicating Condition  Valid O.R. Procedure  Non-O.R. Procedure ♂ Male ♀ Female

35.92 Creationofconduitbetweenrightventricleandpulmonaryartery

Creation of shunt between right ventricle and (distal) pulmonary artery

Excludes thatassociatedwithtotalrepairoftruncusarteriosus(35.83)

35.93 CreationofconduitbetweenleftventricleandaortaCreation of apicoaortic shuntShunt between apex of left ventricle and aorta

35.94 CreationofconduitbetweenatriumandpulmonaryarteryFontan procedure

35.95 RevisionofcorrectiveprocedureonheartReplacement of prosthetic heart valve poppetResuture of prosthesis of:

septum valveExcludes completerevision-codetospecific

procedurereplacementofprosthesisorgraftof:

septum(35.50-35.63)valve(35.20-35.28)

35.96 PercutaneousvalvuloplastyPercutaneous balloon valvuloplasty

AHA: 3Q 2004, 10 35.98 Otheroperationsonseptaofheart 35.99 Otheroperationsonvalvesofheart

OperatiOns On Vessels Of heart (36)Includes sternotomy (median) (transverse) as operative approach

thoracotomy as operative approachCodealsoany:

cardiopulmonary bypass, if performed [extracorporeal circulation] [heart-lung machine] (39.61)

injection or infusion of platelet inhibitor (99.20)injection or infusion of thrombolytic agent (99.10)

4 36.0 Removalofcoronaryarteryobstructionandinsertionofstent(s)AHA: 2Q 1990, 24; Jul-Aug 1985, 8

36.03 OpenchestcoronaryarteryangioplastyCoronary (artery):

endarterectomy (with patch graft)thromboendarterectomy (with patch graft)

Open surgery for direct relief of coronary artery obstruction

Codealsoany:insertion of drug-eluting coronary stent(s) (36.07)insertion of non-drug-eluting coronary stent(s) (36.06)number of vascular stents inserted (00.45-00.48)number of vessels treated (00.40-00.43)

procedure on vessel bifurcation (00.44)Excludes thatwithcoronaryarterybypassgraft

(36.10-36.19)AHA: 3Q 1993, 7

36.04 IntracoronaryarterythrombolyticinfusionThat by direct coronary artery injection, infusion, or

catheterization:enzyme infusionplatelet inhibitor

Excludes infusionofplateletinhibitor(99.20)infusionofthrombolyticagent(99.10)thatassociatedwithanyprocedurein

36.03 36.06 Insertionofnon-drug-elutingcoronaryartetystent(s)

Bare stent(s)Bonded stent(s)Drug-coated stent(s), i.e. heparin coatedEndograft(s)Endovascular graft(s)Stent graftsCodealsoany:

number of vascular stents inserted (00.45-00.48)number of vessels treated (00.40-00.43)open chest coronary artery angioplasty (36.03)percutaneous transluminal coronary angioplasty

[PTCA] or coronary atherectomy (00.66)procedure on vessel bifurcation (00.44)

Excludes insertionofdrug-elutingcoronaryarterystent(s)(36.07)

36.07 Insertionofdrug-elutingcoronaryarterystent(s)Endograft(s)Endovascular graft(s)Stent graft(s)Codealsoany:

number of vascular stents inserted (00.45-00.48)number of vessels treated (00.40-00.43)open chest coronary artery angioplasty (36.03)percutaneous transluminal coronary angioplasty

[PTCA] or coronary atherectomy (00.66) procedure on vessel bifurcation (00.44)

Excludes drug-coatedstents,e.g.,heparincoated(36.06)

insertionofnon-drug-elutingcoronaryarterystent(s)(36.06)

AHA: 4Q 2005, 105, 106 36.09 Otherremovalofcoronaryarteryobstruction

Coronary angioplasty NOSCodealsoany:

number of vascular stents inserted (00.45-00.48)number of vessels treated (00.40-00.43)procedure on vessel bifurcation (00.44)

Excludes thatbyopenangioplasty(36.03)thatbypercutaneoustransluminal

coronaryangioplasty[PTCA]orcoronaryatherectomy(00.66)

4 36.1 BypassanastomosisforheartrevascularizationNote: Donotassigncodesfromseries00.40-00.43withcodes

fromseries36.10-36.19Codealso:

cardiopulmonary bypass [extracorporeal circulation] [heart-lung machine] (39.61)

pressurized treatment of venous bypass graft [conduit] with pharmaceutical substance, if performed (00.16)

AHA: 3Q 1993, 7; 2Q 1990, 24; 1Q 1989, 8 36.10 Aortocoronarybypassforheartrevascularization,not

otherwisespecified HACMCCDirect revascularization:

cardiac with catheter stent, prosthesis, or vein graftcoronary with catheter stent, prosthesis, or vein graftheart muscle with catheter stent, prosthesis, or

vein graftmyocardial with catheter stent, prosthesis, or vein graft

Heart revascularization NOSAHA: 4Q 1989, 3-5

36.11 (Aorto)coronarybypassofonecoronaryarteryHACMCCAHA: 3Q 2002, 4-9; 2Q 1996, 6-8; 4Q 1989, 3-5

36.12 (Aorto)coronarybypassoftwocoronaryarteriesHACMCCAHA: 3Q 2002, 4-9; 4Q 1999, 15-16; 2Q 1996, 6-8; 1Q

1991, 7-9; 4Q 1989, 3-5 36.13 (Aorto)coronarybypassofthreecoronary

arteries HACMCCAHA: 3Q 2002, 4-9; 2Q 1996, 6-8; 1Q 1991, 7-9; 4Q 1989, 3-5

36.14 (Aorto)coronarybypassoffourormorecoronaryarteries HACMCCAHA: 3Q 2002, 4-9; 2Q 1996, 6-8; 1Q 1991, 7-9; 4Q 1989, 3-5

36.15 Singleinternalmammary-coronaryarterybypass HACMCC

Anastomosis (single):mammary artery to coronary arterythoracic artery to coronary artery

AHA: 3Q 2002, 4-9; 4Q 1999, 15-16; 2Q 1996, 6-8; 1Q 1991, 7-9; 3Q 1990, 12; 4Q 1989, 3-5

Coronary artery bypass

Blockage

Bypass using internalmammary arteryBypass using

artery harvestedfrom site on body

Blockage

35.92 – 36.15 Operations on the Cardiovascular system

35.92 – 36.15