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

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15. Chapter 15: Newborn (Perinatal) <strong>Guidelines</strong> (760-779)......................................................... 53<br />

a. General Perinatal Rules......................................................................................................... 53<br />

b. Use <strong>of</strong> codes V30-V39.......................................................................................................... 54<br />

c. Newborn transfers................................................................................................................. 54<br />

d. Use <strong>of</strong> category V29 ............................................................................................................. 55<br />

e. Use <strong>of</strong> other V codes on perinatal records............................................................................ 55<br />

f. Maternal Causes <strong>of</strong> Perinatal Morbidity............................................................................... 55<br />

g. Congenital Anomalies in Newborns ..................................................................................... 55<br />

h. <strong>Coding</strong> Additional Perinatal Diagnoses................................................................................ 56<br />

i. Prematurity <strong>and</strong> Fetal Growth Retardation........................................................................... 56<br />

j. Newborn sepsis ..................................................................................................................... 56<br />

16. Chapter 16: Signs, Symptoms <strong>and</strong> Ill-Defined Conditions (780-799).................................... 57<br />

Reserved <strong>for</strong> future guideline expansion .............................................................................. 57<br />

17. Chapter 17: Injury <strong>and</strong> Poisoning (800-999) .......................................................................... 57<br />

a. <strong>Coding</strong> <strong>of</strong> Injuries ................................................................................................................. 57<br />

b. <strong>Coding</strong> <strong>of</strong> Traumatic Fractures ............................................................................................. 57<br />

c. <strong>Coding</strong> <strong>of</strong> Burns.................................................................................................................... 59<br />

d. <strong>Coding</strong> <strong>of</strong> Debridement <strong>of</strong> Wound, Infection, or Burn......................................................... 61<br />

e. Adverse Effects, Poisoning <strong>and</strong> Toxic Effects ..................................................................... 61<br />

f. Complications <strong>of</strong> care ........................................................................................................... 63<br />

g. SIRS due to Non-infectious Process..................................................................................... 65<br />

18. Classification <strong>of</strong> Factors Influencing Health Status <strong>and</strong> Contact with Health Service<br />

(Supplemental V01-V89)........................................................................................................ 65<br />

a. Introduction........................................................................................................................... 65<br />

b. V codes use in any healthcare setting ................................................................................... 66<br />

c. V Codes indicate a reason <strong>for</strong> an encounter.......................................................................... 66<br />

d. Categories <strong>of</strong> V Codes .......................................................................................................... 66<br />

e. V Code Table ........................................................................................................................ 80<br />

19. Supplemental Classification <strong>of</strong> External Causes <strong>of</strong> Injury <strong>and</strong> Poisoning<br />

(E-codes, E800-E999)............................................................................................................. 90<br />

a. General E Code <strong>Coding</strong> <strong>Guidelines</strong>...................................................................................... 90<br />

b. Place <strong>of</strong> Occurrence Guideline ............................................................................................. 91<br />

c. Adverse Effects <strong>of</strong> Drugs, Medicinal <strong>and</strong> Biological Substances <strong>Guidelines</strong>...................... 91<br />

d. Multiple Cause E Code <strong>Coding</strong> <strong>Guidelines</strong>.......................................................................... 93<br />

e. Child <strong>and</strong> Adult Abuse Guideline......................................................................................... 93<br />

f. Unknown or Suspected Intent Guideline .............................................................................. 93<br />

g. Undetermined Cause............................................................................................................. 94<br />

h. Late Effects <strong>of</strong> External Cause <strong>Guidelines</strong> ........................................................................... 94<br />

i. Misadventures <strong>and</strong> Complications <strong>of</strong> Care <strong>Guidelines</strong>......................................................... 95<br />

j. Terrorism <strong>Guidelines</strong> ............................................................................................................ 95<br />

Section II. Selection <strong>of</strong> Principal Diagnosis........................................................................................ 96<br />

A. Codes <strong>for</strong> symptoms, signs, <strong>and</strong> ill-defined conditions ................................................................ 96<br />

B. Two or more interrelated conditions, each potentially meeting the definition <strong>for</strong> principal<br />

diagnosis. ...................................................................................................................................... 96<br />

C. Two or more diagnoses that equally meet the definition <strong>for</strong> principal diagnosis......................... 96<br />

D. Two or more comparative or contrasting conditions. ................................................................... 96<br />

E. A symptom(s) followed by contrasting/comparative diagnoses................................................... 97<br />

<strong>ICD</strong>-9-<strong>CM</strong> <strong>Official</strong> <strong>Guidelines</strong> <strong>for</strong> <strong>Coding</strong> <strong>and</strong> <strong>Reporting</strong><br />

Effective October 1, 2008<br />

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