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ED Coding and Reimbursement Alert

New ICD-9 Codes You Should Note for the ED

Published on Sat Mar 01, 2003

Here are the new ICD-9 codes you should note for ED claims, suggested by Robert Polglase, MD, JD, CEO of Stratagem Group Inc. in Augusta, Ga.

Please refer to the article for further elaboration on the key codes from this list. (Note that this list does not include revised or deleted codes.)

Infectious Disease

040.82 Toxic shock syndrome


  • 066.4 West Nile fever

  • Endocrine and Metabolic Section
    277.02 Cystic fibrosis with pulmonary manifestations

  • Neurology Section
    357.81 Chronic inflammatory demyelinating polyneuritis
    365.83 Aqueous misdirection (malignant glaucoma)
    Circulatory System
    414.06 Coronary atherosclerosis; of coronary artery of transplanted heart

    414.12 Dissection of coronary artery 428.20-428.23 Systolic heart failure ...
    428.30-428.33 Diastolic heart failure ...
    428.40-428.43 Combined systolic and diastolic heart failure ...
    443.21-443.24, 443.29 Other arterial dissection
    445.01-445.02, 445.81-445.89 Atheroembolism ...
    459.10-459.13, 459.19 Postphlebitic syndrome without complications
    Obstetrics and Gynecology
    633.00-633.91 Ectopic pregnancy

  • 765.20-765.29 Weeks of gestation
    770.81-770.84, 770.89 Other respiratory conditions of fetus and newborn; other respiratory problems after birth
    Signs and Symptoms
    780.91 Fussy infant (baby)
    780.92 Excessive crying of infant (baby)

  • 795.31 Nonspecific positive findings for anthrax
    795.39 Other nonspecific positive culture findings
    Injuries and Poisoning
    995.90-995.94 Systemic inflammatory response syndrome (SIRS)
    Postoperative Complications
    998.31 Disruption of internal operation wound

  • 998.32 Disruption of external operation wound

  • V Codes
    V01.81 Contact with or exposure to anthrax
    V01.89 Contact with or exposure to other communicable diseases
    V23.41 Pregnancy with history of pre-term labor
    V23.49 Pregnancy with other poor obstetric history
    V71.82 Observation and evaluation for suspected exposure to anthrax
    V71.83 Observation and evaluation for suspected exposure to other biological agent
    E Codes
    E885.0 Fall from (nonmotorized) scooter
    E955.7 Suicide and self-inflected injury by paintball gun
    E979.0-E979.9 Terrorism

    = You can use this code in the ED, and some cases will warrant it, but use it with caution because the situation may be better described by another code, usually a prior one.

  • = Mentioned in the article on p. 20.

    No star = You can use this code in the ED, maybe even frequently. Take advantage of the cases that come up.

     

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