ICD-9-CM Official Guidelines for Coding and Reporting - Office of ...

g. Symptoms, signs, and ill-defined conditions listed in
Chapter 16 associated with neoplasms
Symptoms, signs, and ill-defined conditions listed in Chapter 16
characteristic of, or associated with, an existing primary or secondary
site malignancy cannot be used to replace the malignancy as principal
or first-listed diagnosis, regardless of the number of admissions or
encounters for treatment and care of the neoplasm.
See section I.C.18.d.14, Encounter for prophylactic organ removal.
h. Admission/encounter for pain control/management
See Section I.C.6.a.5 for information on coding admission/encounter
for pain control/management.
i. Malignant neoplasm associated with transplanted organ
A malignant neoplasm of a transplanted organ should be coded as
a transplant complication. Assign first the appropriate code from
subcategory 996.8, Complications of transplanted organ, followed
by code 199.2, Malignant neoplasm associated with transplanted
organ. Use an additional code for the specific malignancy.
3. Chapter 3: Endocrine, Nutritional, and Metabolic Diseases
and Immunity Disorders (240-279)
a. Diabetes mellitus
Codes under category 250, Diabetes mellitus, identify
complications/manifestations associated with diabetes mellitus. A
fifth-digit is required for all category 250 codes to identify the type of
diabetes mellitus and whether the diabetes is controlled or
uncontrolled.
See I.C.3.a.7 for secondary diabetes
1) Fifth-digits for category 250:
The following are the fifth-digits for the codes under category
250:
0 type II or unspecified type, not stated as uncontrolled
1 type I, [juvenile type], not stated as uncontrolled
2 type II or unspecified type, uncontrolled
3 type I, [juvenile type], uncontrolled
The age of a patient is not the sole determining factor, though
most type I diabetics develop the condition before reaching
ICD-9-CM Official Guidelines for Coding and Reporting
Effective October 1, 2008
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