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

When a congenital anomaly does not have a unique code assignment,
assign additional code(s) for any manifestations that may be present.
When the code assignment specifically identifies the congenital
anomaly, manifestations that are an inherent component of the
anomaly should not be coded separately. Additional codes should be
assigned for manifestations that are not an inherent component.
Codes from Chapter 14 may be used throughout the life of the patient.
If a congenital anomaly has been corrected, a personal history code
should be used to identify the history of the anomaly. Although
present at birth, a congenital anomaly may not be identified until later
in life. Whenever the condition is diagnosed by the physician, it is
appropriate to assign a code from codes 740-759.
For the birth admission, the appropriate code from category V30,
Liveborn infants, according to type of birth should be sequenced as the
principal diagnosis, followed by any congenital anomaly codes, 740-
759.
15.
Chapter 15: Newborn (Perinatal) Guidelines (760-779)
For coding and reporting purposes the perinatal period is defined as before
birth through the 28th day following birth. The following guidelines are
provided for reporting purposes. Hospitals may record other diagnoses as
needed for internal data use.
a. General Perinatal Rules
1) Chapter 15 Codes
They are never for use on the maternal record. Codes from
Chapter 11, the obstetric chapter, are never permitted on the
newborn record. Chapter 15 code may be used throughout the
life of the patient if the condition is still present.
2) Sequencing of perinatal codes
Generally, codes from Chapter 15 should be sequenced as the
principal/first-listed diagnosis on the newborn record, with the
exception of the appropriate V30 code for the birth episode,
followed by codes from any other chapter that provide
additional detail. The “use additional code” note at the
beginning of the chapter supports this guideline. If the index
does not provide a specific code for a perinatal condition,
assign code 779.89, Other specified conditions originating in
the perinatal period, followed by the code from another chapter
that specifies the condition. Codes for signs and symptoms
ICD-9-CM Official Guidelines for Coding and Reporting
Effective October 1, 2008
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