Professional Documents
Culture Documents
PREFACE
This sixth edition of the International Classification of Diseases, 9th Revision, Clinical
Modification (ICD- 9- CM) is being published by the United States Government in recognition
of its responsibility to promulgate this classification throughout the United States for morbidity
coding. The International Classification of Diseases, 9th Revision, published by the World
Health Organization (WHO) is the foundation of the ICD- 9- CM and continues to be the
classification employed in cause- of- death coding in the United States. The ICD- 9- CM is
completely comparable with the ICD- 9. The WHO Collaborating Center for Classification of
Diseases in North America serves as liaison between the international obligations for
comparable classifications and the national health data needs of the United States.
The ICD- 9- CM is recommended for use in all clinical settings but is required for reporting
diagnoses and diseases to all U.S. Public Health Service and the Centers for Medicare &
Medicaid Services (formerly the Health Care Financing Administration) programs. Guidance in
the use of this classification can be found in the section "Guidance in the Use of ICD- 9- CM."
All official authorized addenda through October 1, 2009, have been included in this sixth
edition.
3
ACKNOWLEDGMENTS
4
INTRODUCTION
The International Classification of Diseases, 9th Revision, Clinical Modification (ICD- 9- CM) is
based on the official version of the World Health Organization's 9th Revision, International
Classification of Diseases (ICD- 9). ICD- 9 is designed for the classification of morbidity and
mortality information for statistical purposes, and for the indexing of hospital records by disease
and operations, for data storage and retrieval. The historical background of the International
Classification of Diseases may 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). The term "clinical" is used to emphasize the
modification's intent: to serve as a useful tool in the area of classification of morbidity data for
indexing of medical records, medical care review, and ambulatory and other medical care
programs, as well as for basic health statistics. To describe the clinical picture of the patient, the
codes must be more precise than those needed only for statistical groupings and trend
analysis..
THE ICD-9-CM COORDINATION AND MAINTENANCE COMMITTEE
Annual modifications are made to the ICD- 9- CM through the ICD- 9- CM Coordination and
Maintenance Committee (C&M). The Committee is made up of representatives from two Federal
Government agencies, the National Center for Health Statistics and the Centers for Medicare &
Medicaid Services. The Committee holds meetings twice a year which are open to the public.
Modifcation proposals submitted to the Committee for consideration are presented at the
meetings for public discussion. Those modification proposals which are approved are
incorporated into the official government version of the ICD- 9- CM and become effective for use
the October 1 of the year following their presentation. This CD- ROM contains the modifications
approved from the March 2008 - March 2009 C&M cycle.
This CD- ROM is the only official federal government version of the ICD- 9- CM. It may be
purchased through the Government Printing Office.
CONVENTIONS USED IN THE TABULAR LIST
The ICD- 9- CM Tabular List for both the Disease and Procedure Classification makes use of
certain abbreviations, punctuation, and other conventions which need to be clearly understood.
Abbreviations
NEC Not elsewhere classifiable. The category number for the term including NEC is to be used
only when the coder lacks the information necessary to code the term to a more specific
category.
NOS Not otherwise specified. This abbreviation is the equivalent of "unspecified." Punctuation
[ ] Brackets are used to enclose synonyms, alternative wordings, or explanatory
phrases.
5
() Parentheses are used to enclose supplementary words which may be present or absent in the
statement of a disease or procedure without affecting the code number to which it is
assigned.
: Colons are used in the Tabular List after an incomplete term which needs one or more of the
modifiers which follow in order to make it assignable to a given category.
OTHER CONVENTIONS
QUESTIONS
Questions regarding the use and interpretation of the International Classification of Diseases, 9th Revision,
Clinical Modification can be directed to any of the organizations listed below.
Central Office on ICD-9-CM
American Hospital Association Hyattsville, Maryland 20782
1 North Franklin Chicago, Illinois 60606 Centers for Medicare & Medicaid Services Division of
Prospective Payment System Office of Hospital Policy
National Center for Health Statistics Centers for
Disease Control and Prevention Department of Health 7500 Security Blvd., C5- 06- 27
and Human Services 3311 Toledo Road Baltimore, Maryland 21244- 1850
6
TABLE OF CONTENTS
CLASSIFICATION OF PROCEDURES
system 113
urinary system 153 11 60- 64 Operations on the male genital organs 166 12 65- 71
Operations on the female genital organs 173 13 72- 75 Obstetrical procedures 188
7
8
CLASSIFICATION OF PROCEDURES
9
10
PROCEDURES AND INTERVENTIONS, NOT ELSEWHERE CLASSIFIED (00)
0. PROCEDURES AND INTERVENTIONS , NOT ELSEWHERE CLASSIFIED (00)
00.1 Pharamaceuticals
00.10 Implantation of chemotherapeutic agent
Brain wafer chemotherapy
Interstitial/ intracavitary
Excludes: injection or infusion of cancer chemotherapeutic
substance (99.25)
00.11 Infusion of drotrecogin alfa (activated)
Infusion of recombinant protein
New code ®
Revised code ❹4 th
digit required 11
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
New code ®
Revised code ❹4 th
digit required 15
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
New code ®
Revised code ❹4 th
digit required 17
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
Includes the use of any embolic protection device, distal protection device,
filter device, or stent delivery system
Code also any:
number of vascular stents inserted (00.45 00.48)
number of vessels treated (00.40 00.43)
percutaneous angioplasty or atherectomy of intracranial vessel(s)
(00.62)
procedure on vessel bifurcation (00.44)
Excludes: angioplasty or atherectomy of other non-coronary vessel(s) (39.50)
insertion of drug-eluting peripheral vessel stent(s) (00.55)
New code ®
Revised code ❹4 th
digit required 19
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
New code ®
Revised code ❹4 th
digit required 21
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
1. OPERATIONS ON THE NERVOUS SYSTEM (01-05)
radioisotope scan:
cerebral (92.11)
head NEC (92.12)
tomography of head:
C.A.T. scan (87.03)
other (87.04)
brain temperature monitoring (01.17)
intracranial oxygen monitoring (01.16)
intracranial pressure monitoring (01.10)
01.19 Other diagnostic procedures on skull
Excludes: transillumination of skull (89.16)
x-ray of skull (87.17)
New code ®
Revised code ❹4 th
digit required 23
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
02.2 Ventriculostomy
Anastomosis of ventricle to:
cervical subarachnoid space
cisterna magna
Insertion of Holter valve
Ventriculocisternal intubation
New code ®
Revised code ❹4 th
digit required 25
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
03.2 Chordotomy
03.21 Percutaneous chordotomy
Stereotactic chordotomy
03.29 Other chordotomy
Chordotomy NOS
Tractotomy (one- stage) (two- stage) of spinal cord
Transection of spinal cord tracts
New code ®
Revised code ❹4 th
digit required 27
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
New code ®
Revised code ❹4 th
digit required 29
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
07.6 Hypophysectomy
07.61 Partial excision of pituitary gland, transfrontal approach
Cryohypophysectomy, partial transfrontal approach
Division of hypophyseal stalk transfrontal approach
Excision of lesion of pituitary [hypophysis] transfrontal approach
Hypophysectomy, subtotal transfrontal approach
Infundibulectomy, hypophyseal transfrontal approach
Excludes: biopsy of pituitary gland, transfrontal approach (07.13) 07.62 Partial
excision of pituitary gland, transsphenoidal approach Excludes: biopsy of pituitary
gland, transsphenoidal approach (07.14) 07.63 Partial excision of pituitary gland,
unspecified approach Excludes: biopsy of pituitary gland NOS (07.15)
07.64 Total excision of pituitary gland, transfrontal approach Ablation of
pituitary by implantation (strontium- yttrium) (Y)
transfrontal approach
Cryohypophysectomy, complete transfrontal approach
07.65 Total excision of pituitary gland, transsphenoidal approach 07.68 Total
excision of pituitary gland, other specified approach
07.69 Total excision of pituitary gland, unspecified approach
Hypophysectomy NOS
Pituitectomy NOS
New code ®
Revised code ❹4 th
digit required 35
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
08 Operations on eyelids
Includes: operations on the eyebrow
08.0 Incision of eyelid
08.01 Incision of lid margin
08.02 Severing of blepharorrhaphy
08.09 Other incision of eyelid
New code ®
Revised code ❹4 th
digit required 39
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
10 Operations on conjunctiva
10.0 Removal of embedded foreign body from conjunctiva by incision
Excludes: removal of:
embedded foreign body without incision (98.22)
superficial foreign body (98.21)
10.4 Conjunctivoplasty
10.41 Repair of symblepharon with free graft
10.42 Reconstruction of conjunctival cul-de-sac with free graft Excludes:
revision of enucleation socket with graft (16.63)
11 Operations on cornea
11.0 Magnetic removal of embedded foreign body from cornea
Excludes: that with incision (11.1)
New code ®
Revised code ❹4 th
digit required 41
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
New code ®
Revised code ❹4 th
digit required 43
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
12.55 Cyclodialysis
12.59 Other facilitation of intraocular circulation
13 Operations on lens
13.0 Removal of foreign body from lens
Excludes: removal of pseudophakos (13.8)
13.00 Removal of foreign body from lens, not otherwise specified 13.01
Removal of foreign body from lens with use of magnet 13.02 Removal of foreign
body from lens without use of magnet 13.1 Intracapsular extraction of lens
Code also any synchronous insertion of pseudophakos (13.71)
13.11 Intracapsular extraction of lens by temporal inferior route
13.19 Other intracapsular extraction of lens
Cataract extraction NOS
Cryoextraction of lens
Erysiphake extraction of cataract
Extraction of lens NOS
13.2 Extracapsular extraction of lens by linear extraction technique ® Code
also any synchronous insertion of pseudophakos (13.71)
13.3 Extracapsular extraction of lens by simple aspiration (and
irrigation) technique ®
Irrigation of traumatic cataract
Code also any synchronous insertion of pseudophakos (13.71)
13.4 Extracapsular extraction of lens by fragmentation and aspiration
technique ®
Code also any synchronous insertion of pseudophakos (13.71)
13.41 Phacoemulsification and aspiration of cataract
13.42 Mechanical phacofragmentation and aspiration of cataract by posterior
route
Code also any synchronous vitrectomy (14.74)
13.43 Mechanical phacofragmentation and other aspiration of cataract
New code ®
Revised code ❹4 th
digit required 45
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
14.4 Repair of retinal detachment with scleral buckling and implant 14.41
Scleral buckling with implant
14.49 Other scleral buckling
Scleral buckling with:
air tamponade
resection of sclera
vitrectomy
New code ®
Revised code ❹4 th
digit required 47
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
New code ®
Revised code ❹4 th
digit required 49
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
New code ®
Revised code ❹4 th
digit required 53
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
4. OPERATIONS ON THE EAR (18-20)
Stapedectomy
Excludes: revision of previous stapedectomy (19.21-19.29) stapes
mobilization only (19.0)
19.11 Stapedectomy with incus replacement
Stapedectomy with incus:
homograft
prosthesis
19.19 Other stapedectomy
New code ®
Revised code ❹4 th
digit required 55
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
19.4 Myringoplasty
Epitympanic, type I
Myringoplasty by:
cauterization
graft
Tympanoplasty (type I)
New code ®
Revised code ❹4 th
digit required 57
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
21 Operations on nose
Includes: operations on:
bone of nose
skin of nose
21.21 Rhinoscopy
New code ®
Revised code ❹4 th
digit required 61
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
21.99 Other
Excludes: dilation of frontonasal duct (96.21)
irrigation of nasal passages (96.53)
removal of:
intraluminal foreign body without incision (98.12)
nasal packing (97.32)
replacement of nasal packing (97.21)
23.49 Other
New code ®
Revised code ❹4 th
digit required 63
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
23.73 Apicoectomy
24.2 Gingivoplasty
Gingivoplasty with bone or soft tissue graft
24.5 Alveoloplasty
Alveolectomy (interradicular) (intraseptal) (radical) (simple) (with graft or implant)
Excludes: biopsy of alveolus (24.12)
en bloc resection of alveolar process and palate (27.32)
25 Operations on tongue
25.0 Diagnostic procedures on tongue
New code ®
Revised code ❹4 th
digit required 65
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
26.3 Sialoadenectomy
26.30 Sialoadenectomy, not otherwise specified
26.31 Partial sialoadenectomy
26.32 Complete sialoadenectomy
En bloc excision of salivary gland lesion
Radical sialoadenectomy
New code ®
Revised code ❹4 th
digit required 67
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
27.6 Palatoplasty
27.61 Suture of laceration of palate
27.62 Correction of cleft palate
Correction of cleft palate by push- back operation
Excludes: revision of cleft palate repair (27.63)
New code ®
Revised code ❹4 th
digit required 69
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
29.0 Pharyngotomy
Drainage of pharyngeal bursa
Excludes: incision and drainage of retropharyngeal abscess (28.0) removal
of foreign body (without incision) (98.13)
29.11 Pharyngoscopy
29.12 Pharyngeal biopsy
Biopsy of supraglottic mass
New code ®
Revised code ❹4 th
digit required 71
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
6. OPERATIONS ON THE RESPIRATORY SYSTEM (30-34)
30 Excision of larynx
30.0 Excision or destruction of lesion or tissue of larynx 30.01
Marsupialization of laryngeal cyst
30.09 Other excision or destruction of lesion or tissue of larynx Stripping of
vocal cords
Excludes: biopsy of larynx (31.43)
laryngeal fistulectomy (31.62)
laryngotracheal fistulectomy (31.62)
30.1 Hemilaryngectomy
30.2 Other partial laryngectomy
30.21 Epiglottidectomy
30.22 Vocal cordectomy
Excision of vocal cords
30.29 Other partial laryngectomy
Excision of laryngeal cartilage
New code ®
Revised code ❹4 th
digit required 75
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
New code ®
Revised code ❹4 th
digit required 77
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
New code ®
Revised code ❹4 th
digit required 79
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)