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

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Code(s) Description 1 st Dx<br />

Only 1<br />

1 st or<br />

Add’l<br />

Dx 2<br />

Add’l<br />

Dx<br />

Only 3<br />

X<br />

V46.8 Other dependence on other enabling<br />

machines<br />

V46.9 Unspecified machine dependence X<br />

V47.X Other problems with internal organs X<br />

V48.X Problems with head, neck <strong>and</strong> trunk X<br />

V49.0 Deficiencies <strong>of</strong> limbs X<br />

V49.1 Mechanical problems with limbs X<br />

V49.2 Motor problems with limbs X<br />

V49.3 Sensory problems with limbs X<br />

V49.4 Disfigurements <strong>of</strong> limbs X<br />

V49.5 Other problems with limbs X<br />

V49.6X Upper limb amputation status X<br />

V49.7X Lower limb amputation status X<br />

V49.81 Asymptomatic postmenopausal status<br />

X<br />

(age-related) (natural)<br />

V49.82 Dental sealant status X<br />

V49.83 Awaiting organ transplant status X<br />

V49.84 Bed confinement status X<br />

V49.85 Dual sensory impairment X<br />

V49.89 Other specified conditions influencing health X<br />

status<br />

V49.9 Unspecified condition influencing health<br />

status<br />

V50.X Elective surgery <strong>for</strong> purposes other than<br />

X<br />

remedying health states<br />

V51.0 Encounter <strong>for</strong> breast reconstruction X<br />

following mastectomy<br />

V51.8 Other aftercare involving the use <strong>of</strong> plastic<br />

surgery<br />

V52.X Fitting <strong>and</strong> adjustment <strong>of</strong> prosthetic device<br />

X<br />

<strong>and</strong> implant<br />

V53.X Fitting <strong>and</strong> adjustment <strong>of</strong> other device X<br />

V54.X Other orthopedic aftercare X<br />

V55.X Attention to artificial openings X<br />

V56.0 Extracorporeal dialysis X<br />

Non-<br />

Specific<br />

Diagnosis 4<br />

X<br />

X<br />

1 Generally <strong>for</strong> use as first listed only but may be used as additional if patient has more than one encounter on one<br />

day or there is more than one reason <strong>for</strong> the encounter<br />

2 These codes may be used as first listed or additional codes<br />

3 These codes are only <strong>for</strong> use as additional codes<br />

4 These codes are primarily <strong>for</strong> use in the nonacute setting <strong>and</strong> should be limited to encounters <strong>for</strong> which no sign or<br />

symptom or reason <strong>for</strong> visit is documented in the record. Their use may be as either a first listed or additional code.<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 />

Page 85 <strong>of</strong> 119

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