October 1, 2006 Brings Over 200 New ICD-9-CM Diagnosis Codes

(PYA Alert dated May 16, 2006)

New, revised and deleted ICD-9-CM diagnosis codes have been released by the Centers for Medicare and Medicaid Services (CMS). Among the new codes, you will find more detailed hypertensive chronic kidney and heart/chronic kidney disease codes.

The list of new codes includes:

• Eleven new codes for various types of pain
• Thirty-three new codes for pregnancy complications
• Six new codes for unspecified adverse effects of drug, anesthesia, insulin and other substances

There is no grace period to begin using the new ICD-9-CM codes and you are required to begin using them on October 1, 2006. Providers should link the most specific diagnosis code to support the reason for services. Carriers may deny submitted claims based on incorrect, non-specific or deleted diagnosis codes. Now is the time to prepare the necessary revisions to your patient superbills (charge tickets) for immediate use on October 1, 2006.

Click here to obtain a complete list of the new, revised and deleted ICD-9-CM diagnosis codes.

The codes are listed in Tables 6A, 6C and 6E starting on page 840.

Should you have any questions about how to implement these new codes, please do not hesitate to contact Maggie Mac at (800) 270-9629.

The information provided via PYA Alert, Tax Planning Alert, or Audit and Accounting Alert should not be construed as accounting, auditing, consulting, or legal advice on any specific facts or circumstances. The contents are intended for general information purposes only.  Please contact us at (800) 270-9629 to discuss your specific situation or to discuss any specific questions you may have.

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