ICD 09
International Classification of Diseases
ICD 09
• The Ninth Revision of the International Classification of Diseases
was approved by the 29th World Health Assembly in May 1976 to
come into effect January 1, 1979.
• ICD-9 was adopted in Canada in 1979. ICD-9 is divided into two
volumes:
• Tabular List
• Alphabetic Index.
ICD-9-CM (Clinical Modification)
• ICD-9-CM is a Clinical Modification of ICD-9 published by the
United States government for morbidity coding in the US.
• Clinical modification was needed to better describe the clinical
picture of the patient.
• The codes are more precise than those needed only for statistical
groupings and trend analysis.
• The diagnosis component of ICD-9-CM is completely comparable
to ICD-9:
ICD-09 CM
• 3-digit rubrics and their contents are the same as ICD-9;
• Sequence of 3-digit rubrics is the same a ICD-9;
• 5th digits are added where necessary to provide more specificity.
• ICD-9-CM has 3 parts:
• Diseases Tabular List (Vol 1);
• Diseases Alphabetic Index (Vol 2); and
• Procedures: Tabular List and Alphabetic Index (Vol 3).
Types of Codes in ICD-9-CM
• Diagnosis Codes (Volumes 1 & 2) – Used to classify diseases and
health conditions.
• Procedure Codes (Volume 3) – Used for inpatient hospital
procedures.
• Special Codes (E-Codes & V-Codes) – External causes of injuries
and supplementary health-related factors.
Diagnosis Codes (Volumes 1 & 2)
• Format: 3 to 5 digits (###.##)
• Purpose: Identify diseases, conditions, and symptoms.
• Structure:
• 3-digit codes: Broad disease categories.
• 4th digit: Provides more specificity.
• 5th digit: Indicates even more details, such as disease severity or affected body part.
Examples of Diagnosis Codes:
250 Diabetes mellitus (general)
250.00 Diabetes mellitus, type 2, without complications
250.02 Diabetes mellitus, type 1, uncontrolled
401.9 Essential hypertension, unspecified
410.9 Acute myocardial infarction (heart attack), unspecified
Procedure Codes (Volume 3)
• Format: 2 to 4 digits (##.##)
• Purpose: Used in hospitals to code inpatient medical procedures.
• Structure:
• First 2 digits: Broad category of procedures.
• 3rd and 4th digits: Provide details about the procedure.
Examples of Procedure Codes:
81.51 Total hip replacement
99.15 Injection of insulin
03.31 Lumbar puncture (spinal tap)
36.01 Coronary artery bypass graft (CABG)
Special Codes
• ICD-9-CM includes E-Codes and V-Codes for specific use cases.
E-Codes (External Causes of Injury & Poisoning)
• Start with "E"
• Purpose: Describe external causes of injuries, accidents, and poisonings.
• Format: E###.##
Examples of E-Codes:
E812.0 Motor vehicle traffic accident involving a collision with another motor vehicle
E950.3 Suicide and self-inflicted injury by firearm
E980.9 Unspecified external cause of injury
Special Codes (cont’d)
V-Codes (Supplementary Health Factors & Reasons for Healthcare
Visits)
• Start with "V"
• Purpose: Indicate reasons for a healthcare visit that are not diseases.
• Format: V##.##
Examples of V-Codes:
V70.0 Routine general medical exam
V22.0 Pregnancy, supervision of normal first pregnancy
V58.61 Long-term (current) use of anticoagulants
V49.89 Other specified conditions influencing health status
