The International Classification of Diseases, 9th Revision, published by the World Health Organization (WHO) is the foundation of the ICD-9-CM and is still the classification used in cause-of-death coding in the United States. The ICD-9-CM is recommended for use in all clinical settings, but is required to report diagnoses and diseases to all US. Guidelines on the use of this classification can be found in the section "Guidelines for the use of ICD-9-CM.".
The historical background of the International Classification of Diseases can be found in the Introduction to ICD-9 (Manual of the International Classification of Diseases, Injuries and Causes of Death, World Health Organization, Geneva, Switzerland, 1977). ICD-9-CM is a clinical modification of the World Health Organization's International Classification of Diseases, 9th Revision (ICD-9). Annual amendments are made to the ICD-9-CM by the ICD-9-CM Coordination and Maintenance (C&M) Committee.
Those amendment proposals that are approved are incorporated into the official government version of the ICD-9-CM and become effective for use on October 1 of the year following their presentation. To code accurately, it is necessary to have a working knowledge of medical terminology and to understand the features, terminology, and conventions of the ICD-9-CM.
Transection of thyroid isthmus 06.92 Ligation of thyroid vessels 06.93 Thyroid suture 06.94 Reimplantation of thyroid tissue. Cryohypophysectomy, complete transfrontal approach 07.65 Total pituitary excision, transsphenoidal approach 07.68 Total pituitary excision, other specific approach 07.69 Total pituitary excision, non-specific approach.
Excludes: that associated with entropion and ectropion repair Eyelid reconstruction with skin flap or graft. Excludes: that associated with repair of entropion and ectropion Eyelid reconstruction, not otherwise specified. Excludes: exploratory sclerotomy Trephination of sclera with iridectomy 12.62 Thermocautery of sclera with iridectomy 12.63 Iridencleisis and iridotasis.
Repair or removal of cochlear prosthetic device (receiver) (electrode) Excludes: adjustment (external components) of cochlear prosthesis.
Excision of lesion of frontal sinus Obliteration of frontal sinus (with fat) Excludes: biopsy of paranasal sinus Other nasal sinusotomy. Reconstruction of the frontonasal canal Repair of bone of accessory sinus 22.9 Other surgeries on paranasal sinuses. Plastic repair of salivary gland or duct NOS Transplantation of salivary duct opening 26.9 Other operations on salivary gland or duct.
Excludes: radical dissection [excision] of the bronchus. Local excision or destruction of lesion or lung tissue. Excision of chest wall lesion NOS (with excision of ribs) Excludes: chest wall biopsy (34.23).
Correction of ventricular septal defect with tissue graft Repair of supracrystalline defect with tissue graft. Excludes: replacement and repair of cardiac assist system [VAD] (37.63) replacement or repair of total replacement thoracic unit. Excludes: implantation of total replacement heart system (37.52) insertion of percutaneous external cardiac assist device Repair of cardiac assist system.
Endovascular repair of defect of thoracic aorta with graft(s) or device(s) Stent graft(s) or device(s).
Anastomosis of peripheral lymphatics Expansion of peripheral lymphatics Ligation of peripheral lymphatics Obliteration of peripheral lymphatics Reconstruction of peripheral lymphatics Repair of peripheral lymphatics. Excludes: reduction of elephantiasis of scrotum (61.3) 41 Operations on bone marrow and spleen 41.0 Transplantation of bone marrow or hematopoietic stem cells. Note: To report donor source - see codes Excludes: bone marrow aspiration from donor Bone marrow transplant, not otherwise specified 41.01 Autologous bone marrow transplant without purification.
Allograft of bone marrow with in vitro removal (purification) of T cells 41.03 Allogeneic bone marrow transplantation without purification. Excludes: excision of extra spleen Marsupialization of splenic cyst 41.42 Excision of lesion or splenic tissue.
Cystoscopy for control of prostate bleeding 60.95 Transurethral balloon dilation of the prostatic urethra 60.96 Transurethral destruction of prostate tissue by microwaves. Excluding: prostate massage Operations on scrotum and tunica vaginalis 61.0 Incision and drainage of scrotum and tunica vaginalis. 63 Operations on the spermatic cord, epididymis and vas deferens. 63.0 Diagnostic procedures on the spermatic cord, epididymis and vas deferens.
High ligation of spermatic vein Hydrocelectomy of duct of Nuck 63.2 Excision of cyst of epididymis. Excludes: repair of epispadias and hypospadias Operations for sex transformation, not elsewhere classified 64.9 Other operations on male genital organs.
Excluding: those via laparoscope Laparoscopic simple suture of ovary 65.75 Laparoscopic reimplantation of ovary 65.76 Laparoscopic salpingo-oophoroplasty 65.79 Other repair of ovary. Excludes: lysis of intraluminal adhesions (70.13) repair of current obstetric tear (75.69) associated with cervical amputation Suture of tear in the vagina. Excludes: repair of current obstetric laceration. Suturing of laceration of vulva or perineum 71.72 Repair of fistula of vulva or perineum.
Excludes: dilation of cervix, obstetric to induce labor (73.1) insertion of bag or bougie to induce labor (73.1) removal of cerclage material (69.96). Excludes: repair of routine episiotomy Manual exploration of uterine cavity, postpartum 75.8 Obstetric tamponade of uterus or vagina.
Excludes: Closed reduction of temporomandibular joint dislocation Closed reduction of dislocation of unspecified site. Includes: open reduction (with internal and external fixation devices) Excludes: open reduction of temporomandibular joint dislocation Open reduction of dislocation of unspecified site. Craniocervical fusion by anterior, transoral or posterior technique C1-C2 fusion by anterior, transoral or posterior technique Occipital C2 fusion by anterior, transoral or posterior technique 81.02 Other cervical fusion, anterior technique.
Posterior lumbar interbody fusion (PLIF) Transforaminal lumbar interbody fusion (TLIF) 81.1 Arthrodesis and arthroreisis of the foot and ankle. Craniocervical fusion by anterior, transoral or posterior technique C1-C2 fusion by anterior, transoral or posterior technique Occiput C2 fusion by anterior, transoral or posterior technique 81.32 Refusion of second cervical spine, anterior technique. Coders should report only one code from the series 81.62 or 81.63 or 81.64 to show the total number of vertebrae fused on the patient.
Injection of bone filler (cement) (polymethyl methacrylate) (PMMA) into the diseased or broken vertebral body. Exclusion: kyphoplasty (81.66). Insertion of an inflatable balloon, bone plug, or other device to create a cavity for partial restoration of the height of the diseased or fractured vertebral body prior to injection of bone filler. cement)(polymethyl methacrylate) (PMMA) Excluding: vertebroplasty (81.65).
