October 2009 ICD-9-CM Changes

Abstract

reviewed and evaluated before any final decisions are made. No decisions are made at the meetings. The ICD-9-CM Coordination and Maintenance Committee's role is advisory, with all final decisions made by the Director of NCHS and the Administrator of CMS. Final decisions made after the fall meeting generally become effective October 1 of the following year. Some changes for October 2009 include changing the wording from renal to kidney or vice versa. Other changes add a new code and remove the diagnosis for the new code from a previous code. Some changes were just grammatical, changing a small letter to a capital letter. New codes were added for the new H1N1 flu. There were changes made for newborn exams, for those under 28 days. New codes for ordering lab work for a physical exam and for a preop exam have been added, and those who use an electronic health record will especially find these beneficial. Some of the new, revised, and deleted codes effective October 1, 2009 include: • 272.2 Mixed hyperlipidemia • Add Combined hyperlipidemia • Add Elevated cholesterol with elevated triglycerides NEC • 272.4 Other and unspecified hyperlipidemia • Delete Combined hyperlipidemia • 274.0 Gouty arthropathy • New 274.00 Gouty arthropathy, unspecified • New 274.01 Acute gouty arthropathy ■ Acute gout ■ Gout attack ■ Gout flare ■ Podagra • New 274.02 Chronic gouty arthropathy without mention of tophus (tophi) • New 274.03 Chronic gouty arthropathy with tophus (tophi) ■ Chronic tophaceous gout ■ Gout with tophi NOS • 274.8 Gout with other specified manifestations • 274.82 Gouty tophi of other sites • Add Excludes: gout with tophi NOS (274.03) and • Add gouty arthropathy with tophi (274.03)