Diagnostic Coding Guidelines

CDM AND PRIMARY HEALTH CARE
UPDATED 2005
Diagnostic Coding on Teleplan Claims/Encounters

1. The minimum reporting requirement is one 3 digit ICD9 code. Reporting the diagnostic code to the 4th or 5th digits is recommended where possible as this will lead to a more accurate calculation of the practices funding level (i.e. more accurate ACG assignments for each patient). To assist in recording the diagnostic code, a list of the 100 most frequently used codes is supplied in Table 1. This list can be used as a short list by the software vendor, or as a pick list in the practice. NOTE: This list of common ICD9 codes is not comprehensive practices are encouraged to use any and all appropriate ICD9 codes, not just the 100 most common codes on this list. The Top 100 list in Table 1 is provided for ease of reference only. Tables 2 and 3 provide similar reference lists of ICD9 codes specific to HIV infection (Table 2) and mental health (Table 3). These codes will be especially useful to the PHCO sites that provide primary care to patients with special needs in these areas. 2. Up to three ICD9 codes can now be reported on a patient encounter record. While only the first diagnostic code is required, it is recommended that all diagnoses established during the patient encounter be reported on the encounter record. Since up to three diagnostic codes can be recorded on the patient encounter record, the order in which the codes are recorded is important. The following can be used as a guide to coding diagnoses: The first (or the Main) diagnostic code is the ICD9 code representing the patients condition established after assessment that is clearly more severe and demanding of resources and that is the primary reason for the patients visit to the practice. The second diagnostic code is the ICD9 code representing a patient condition that coexists with the main diagnosis (e.g. chronic underlying condition, external cause of the condition). The third diagnostic code is the code representing another patient condition identified during the visit at the practice.
DIAGNOSTIC CODING GUIDELINES UPDATED : 2005
Page 1 OF 27
UPDATED 2005
Examples of Reporting Diagnostic Codes
1. A healthy patient visits the physician for a routine check-up. Principle Diagnosis Routine general medical examination at a health care facility (V70.0) Second Diagnosis (none leave blank) Third Diagnosis (none - leave blank) 2. A patient with a long history of hypertension is diagnosed with arteriosclerosis. During the visit, the patient asks the physician to look at a mole on her arm. Principle diagnosis: Artherosclerosis (440) Second diagnosis: Essential hypertension (401.9) Third diagnosis: Benign neoplasm of skin (216) 3. A woman goes in for a routine prenatal care visit for a second pregnancy. While she is there, she complains of a sore throat. Principle diagnosis: Supervision of other normal pregnancy (V22.1) Second diagnosis: (none leave blank) Third diagnosis: Acute pharyngitis (462) 4. A child comes into the office with an open wound on his ankle caused by getting his foot caught in the spokes of a bicycle. Principle diagnosis: Open wound of knee, leg and ankle (891.0) Second diagnosis: Pedal cycle accident (E826.1) Third diagnosis: (none leave blank) 5. A patient goes to the physician 10 days after having ligation of her varicose veins. The physician diagnoses post-op cellulitis. A swab shows Staphylococcus Aureus. Principle Diagnosis Postoperative infection (998.5) Second Diagnosis Cellulitis of the leg (682.6) Third Diagnosis Staphylococcus (041.1) 6. A patient is diagnosed with dementia in Alzheimers Disease. Principle Diagnosis Dementia in conditions classified elsewhere (294.1) Second Diagnosis Alzheimers Disease (331.0) Third Diagnosis (none leave blank) 7. A patient is diagnosed with chronic renal failure secondary to glomerulonephritis with hypertension. Principle Diagnosis Hypertensive Renal Disease not specified as malignant or benign (403.9) Second Diagnosis Chronic Glomerulonephritis (582.9) Third Diagnosis (none leave blank)
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UPDATED 2005
Additional Diagnostic Code Reporting Guidelines
The International Classification of Diseases Revision Conference, which is an international meeting of experts on disease and related health problem reporting, has provided the following guidelines for recording diagnostic information: 1. The health care practitioner should select the main condition to be recorded, as well as any other conditions, for each episode of health care. 2. Each diagnostic statement should be as informative as possible in order to classify the condition to the most specific ICD category. 3. If no definite diagnosis has been established by the end of an episode of health care, then the information that permits the greatest degree of specificity and knowledge about the condition that necessitated care or investigation should be recorded. 4. Episodes of health care may occur when someone who may not currently be sick requires or receives limited services. The details of the circumstances should be recorded as the main condition (e.g. immunization). 5. Where an episode of health care concerns a number of related conditions, the one that is clearly more severe and demanding of resources should be recorded as the "main" condition. Where no one condition predominates, a term incorporating multiple conditions (e.g. multiple fractures) may be recorded as the "main" condition. 6. When a condition of external causes is recorded, it is important to describe both the nature of the condition and the circumstances that gave rise to it. (e.g. open wound of the chin - patient fell from bicycle and hit chin on the curb). 7. Where an episode of care concerns a residual condition of a disease that is no longer present, the sequela should be fully described and its origin stated with a clear indication that the disease is no longer present. NOTE: Contact the Teleplan Helpdesk with questions concerning the coding and submission of diagnostic codes:
TELEPLAN HELPDESK
Victoria tel: 952-2668 all other areas of BC tel: 1-800-663-7206
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UPDATED 2005
Table 1 Commonly Used Diagnostic Codes: 1993/94 to 1997/98

Diagnostic Codes Common to All Years & Ranked within the Top 100 Codes Used Neoplasms
216 250 300 304 308 311 346 362 365 366 367 367.1 372 379 380 381 382 401 413 427 428 460 461 462S 463 465 466 477 490 493 595 599 Benign Neoplasm of Skin Diabetes Mellitus Neurotic Disorders Drug Dependence Acute Reaction to Stress Depressive Disorder - Not Elsewhere Classified Migraine Other Retinal Disorders Glaucoma Cataract Disorders of Refraction and Accommodation Disorders of Refraction and Accommodation - Myopia Disorders of Conjunctiva Other Disorders of Eye Disorders of External Ear Nonsuppurative Otitis Media and Eustachian Tube Disorders Suppurative and Unspecified Otitis Media Essential Hypertension Angina Pectoris Cardiac Dysrhythmias Heart Failure Acute Nasopharyngitis (Common Cold) Acute Sinusitis Acute Pharyngiti Acute Tonsillitis Acute Upper Respiratory Infections of Multiple or Unspecified Sites Acute Bronchitis and Bronchiolitis Allergic Rhinitis Bronchitis - Not Specified as Acute or Chronic Asthma Cystitis Other Disorders of Urethra and Urinary Tract
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Endocrine, Nutritional, Metabolic, Immunity Mental Disorders
Nervous System and Sense Organs
Circulatory System
Respiratory System
Genitourinary System
UPDATED 2005
611 616 626 629 682 692 703 706 709 715 719 723 723.0 723.1 724 724.0 724.5 727 728 729 739.1 739.2 739.3 780 781 782 783 784 785 786 787 788 789 840 842 843 844 845 847
Other Disorders of Breast Inflammatory Disease of Cervix, Vagina and Vulva Disorders of Menstruation and Other Abnormal Bleeding from Female Genital Tract Other Disorders of Female Genital Organs Other Cellulitis and Abscess Contact Dermatitis and Other Eczema Diseases of Nail Diseases of Sebaceous Glands Other Disorders of Skin and Subcutaneous Tissue Osteoarthrosis and Allied Disorders Other and Unspecified Disorder of Joint Other Disorders of Cervical Region Other Disorders of Cervical Region - Spinal Stenosis in Cervical Region Other Disorders of Cervical Region -Cervicalgia Other and Unspecified Disorders of Back Other and Unspecified Disorders of Back - Spinal Stenosis other than Cervical Other and Unspecified Disorders of Back - Backache Unspecified Other Disorders of Synovium, Tendon and Bursa Disorders of Muscle, Ligament and Fascia Other Disorders of Soft Tissues Nonallopathic Lesions, Not Elsewhere Classified - Cervical Region Nonallopathic Lesions, Not Elsewhere Classified - Thoracic Region Nonallopathic Lesions, Not Elsewhere Classified - Lumbar Region General Symptoms Symptoms Involving Nervous and Musculoskeletal Systems Symptoms Involving Skin and Other Integumentary Tissue Symptoms Concerning Nutrition, Metabolism and Development Symptoms Involving Head and Neck Symptoms Involving Cardiovascular System Symptoms Involving Respiratory System and Other Chest Symptoms Symptoms Involving Digestive System Symptoms Involving Urinary System Other Symptoms Involving Abdomen and Pelvis Sprains and Strains of Shoulder and Upper Arm Sprains and Strains of Wrist and Hand Sprains and Strains of Hip and Thigh Sprains and Strains of Knee and Leg Sprains and Strains of Ankle and Foot Sprains and Strains of Other and Unspecified Parts of Back
Skin and Subcutaneous Tissue
Musculoskeletal System and Connective Tissue
Symptoms, Signs and Ill-Defined Conditions
Injury and Poisoning
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UPDATED 2005
847.0 847.2 959 999
Sprains and Strains of Other and Unspecified Parts of Back Neck Sprains and Strains of Other and Unspecified Parts of Back Lumbar Injury, Other and Unspecified Complications of Medical Care, Not Elsewhere Classified
MSP Internal Codes

Initially, the MSP Claims System could not accommodate a diagnostic code longer than 3 digits. To compensate, the following MSP Internal Codes were developed for use. Up to three, 3-, 4- or 5-digit ICD9 codes can now be reported through the Claims system. Where an appropriate ICD9 code exists, the ICD9 code should be used, although the MSP Internal codes (in the table below) are still accepted:
MSP Internal Codes

01A 01L 01X 01Z 02A 05A 30B 32A 33A 34A 50B Dizziness, Vertigo, Insomnia Laboratory X-Ray Anaesthetic Abdominal Swelling NOS or Abdominal Pain Growth and Development Prenatal Care Injection Allergy Injection Other Contraceptive Advice Anxiety/Depression
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UPDATED 2005
Table 2 HIV Infection - ICD9 Diagnostic Codes*

(*derived from the Canadian Classification of Health Interventions, Canadian Institute for Health Information)
Principle Diagnosis 042

042.0 042.1 042.2 042.9
Human Immunodeficiency Virus (HIV) Infection with Conditions

HIV Infection with Certain Specified Infections HIV Infection Causing Other Specified Infections HIV Infection with Specified Malignant Neoplasms Acquired Immunodeficiency Syndrome with or without Other Conditions
043
043.0 043.1 043.2 043.3 043.9
HIV Infection Causing Other Specified Conditions

HIV Infection Causing Lymphadenopathy (7856) HIV Infection Causing Specified Diseases of the Central Nervous System HIV Infection Causing Other Disorders Involving the Immune Mechanism HIV Infection Causing Other Specified Conditions Acquired Immunodeficiency Syndrome-Related Complex
044
044.0 044.9
Other Human Immunodeficiency Virus (HIV) Infection

HIV Infection Causing Specified Acute Infections HIV Infection Not Otherwise Specified
Second Diagnosis Respiratory Disorders 010

010.0 010.1 010.8 010.9
Primary Tuberculous Infection

Primary Tuberculous Complex Tuberculous Pleurisy in Primary Progressive Tuberculosis Other Primary Progressive Tuberculosis Unspecified
011
011.0 011.1 011.2 011.3 011.4 011.5 011.6 011.7 011.8 011.9
Pulmonary Tuberculosis
Tuberculosis of Lung, Infiltrative Tuberculosis of Lung, Nodular Tuberculosis of Lung With Cavitation Tuberculosis of Bronchus Tuberculous Fibrosis of Lung Tuberculous Bronchiectasis Tuberculous Pneumonia (Any Form) Tuberculous Pneumothorax Other Pulmonary Tuberculosis Unspecified
012
012.0 012.8
Other Respiratory Tuberculosis

Tuberculous Pleurisy Other
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UPDATED 2005
017
017.8
Tuberculosis of Other Organs

Other
018
018.0 018.8 018.9
Miliary Tuberculosis
Acute Other Unspecified
031
031.0
Diseases Due to Other Mycobacteria

Pulmonary
039
039.1
Actinomycotic Infections
Pulmonary
041
041.3 041.5
Bacterial Infection in Conditions Classified Elsewhere and of Unspecified Site

Friedlander's Bacillus Haemophilus Influenzae (Hinfluenzae)
112
112.4
Candidiasis
Of Lung
114 115
115.0 115.1 115.9
Coccidioidomycosis Histoplasmosis
Infection by Histoplasma Capsulatum Infection by Histoplasma Duboisii Unspecified
117
117.3
Other Mycoses
Aspergillosis
136
136.3
Other and Unspecified Infectious and Parasitic Diseases

Pneumocystosis
162
162.9
Malignant Neoplasm of Trachea, Bronchus and Lung

Bronchus and Lung, Unspecified
382
382.9
Suppurative and Unspecified Otitis Media

Unspecified Otitis Media
386
386.3
Vertiginous Syndromes And Other Disorders Of Vestibular System

Labyrinthitis
415
415.1
Acute Pulmonary Heart Disease

Pulmonary Embolism
416
416.0
Chronic Pulmonary Heart Disease

Primary Pulmonary Hypertension
461
461.0 461.1 461.2 461.3 461.8 461.9
Acute Sinusitis
Maxillary Frontal Ethmoidal Sphenoidal Other Unspecified
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UPDATED 2005
462 465
465.0 465.8 465.9
Acute Pharyngitis Acute Upper Respiratory Infections Of Multiple Or Unspecified Site

Acute Laryngopharyngitis Other Multiple Sites Unspecified Site
466
466.0
Acute Bronchitis And Bronchiolitis

Acute Bronchitis
473
473.0 473.1 473.2 473.3 473.8 473.9
Chronic Sinusitis
Maxillary Frontal Ethmoidal Sphenoidal Other Unspecified
478
478.2 478.5
Other Diseases of Upper Respiratory Tract

Other Diseases of Pharynx, Not Elsewhere Classified Other Diseases of Vocal Cords
480
480.0 480.1 480.2 480.8 480.9
Viral Pneumonia
Pneumonia due to Adenovirus Pneumonia due to Respiratory Syncytial Virus Pneumonia due to Parainfluenza Virus Pneumonia due to Other Virus, Not Elsewhere Classified Viral Pneumonia, Unspecified
481 482
482.0 482.1 482.2 482.3 482.4 482.8 482.9
Pneumococcal Pneumonia Other Bacterial Pneumonia

Pneumonia due to Klebsiella Pneumoniae Pneumonia due to Pseudomonas Pneumonia due to Haemophilus Influenzae (Hinfluenzae) Pneumonia due to Streptococcus Pneumonia due to Staphylococcus Pneumonia due to Other Specified Bacteria Bacterial Pneumonia, Unspecified
483 485 486 490 507

507.0
Pneumonia due to Other Specified Organism Bronchopneumonia, Organism Unspecified Pneumonia, Organism Unspecified Bronchitis, Not Specified as Acute or Chronic Pneumonitis due to Solids and Liquids
Due to Inhalation of Food or Vomit
510
510.0 510.9
Empyema
With Fistula Without Mention of Fistula
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UPDATED 2005
511
511.0 511.1 511.8 511.9
Pleurisy
Without Mention of Effusion or Current Tuberculosis With Effusion, with Mention of a Bacterial Cause Other Than Tuberculosis Other Specified Forms of Effusion, Except Tuberculosis Unspecified Pleural Effusion
512 513
513.0
Pneumothorax Abscess Of Lung And Mediastinum

Abscess of Lung
515 516
516.0 516.2 516.3 516.8 516.9
Postinflammatory Pulmonary Fibrosis Other Alveolar and Parietoalveolar Pneumopathy

Pulmonary Alveolar Proteinosis Pulmonary Alveolar Microlithiasis Idiopathic Fibrosing Alveolitis Other Unspecified
518
518.0 518.3 518.8
Other Diseases of Lung

Pulmonary Collapse Pulmonary Eosinophilia Other Diseases of Lung, Not Elsewhere Classified
519
519.8
Other Diseases of Respiratory System

Other Diseases of Respiratory System, Not Elsewhere Classified
786
786.0 786.3
Symptoms Involving Respiratory System and Other Chest Symptoms

Dyspnoea and Respiratory Abnormalities Haemoptysis
799
799.1
Other Ill-Defined and Unknown Causes of Morbidity and Mortality

Respiratory Failure
Second Diagnosis (contd) CNS Infection 013

013.0
Tuberculosis of Meninges and Central Nervous System

Tuberculous Meningitis
036
036.0 036.2
Meningococcal Infection
Meningococcal Meningitis Meningococcaemia
046
046.3 046.8 046.9
Slow Virus Infection of Central Nervous System

Progressive Multifocal Leucoencephalopathy Other Unspecified
047
047.0 047.1 047.8 047.9
Meningitis due to Enterovirus

Coxsackie Virus Echo Virus Other Unspecified
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UPDATED 2005
049
049.8 049.9
Other Non-Arthropod-Borne Viral Diseases of Central Nervous System

Other Unspecified
053
053.0 053.1
Herpes Zoster
With Meningitis With Other Nervous System Complications
054
054.3
Herpes Simplex
Herpetic Meningoencephalitis
094
094.8 094.9
Neurosyphilis
Other Unspecified
117
117.5
Other Mycoses
Cryptococcosis
130 239
239.6
Toxoplasmosis Neoplasm of Unspecified Nature

Brain
320
320.0 320.1 320.2 320.3 320.8 320.9
Bacterial Meningitis
Haemophilus Meningitis Pneumococcal Meningitis Streptococcal Meningitis Staphylococcal Meningitis Meningitis due to Other Specified Bacteria Meningitis due to Unspecified Bacterium
322
322.9
Meningitis of Unspecified Cause

Meningitis, Unspecified
323
323.8 323.9
Encephalitis, Myelitis and Encephalomyelitis

Other Unspecified Cause
Second Diagnosis (contd) G.I. or Hepatobiliary Disorders 003

003.0 003.2 003.8 003.9
Other Salmonella Infections

Salmonella Gastroenteritis Localized Salmonella Infections Other Unspecified
007
007.1 007.2
Other Protozoal Intestinal Diseases

Giardiasis Coccidiosis
008
008.0 008.1
Intestinal Infections due to Other Organisms

Escherichia Coli Arizona
Page 11 OF 27
UPDATED 2005
008.2 008.3 008.4 008.5 008.6 008.8
Aerobacter Aerogenes Proteus (Mirabilis) (Morganii) Other Specified Bacteria Bacterial Enteritis, Unspecified Enteritis due to Specified Virus Other Organism, Not Elsewhere Classified
009
009.0 009.1 009.2 009.3
Ill-Defined Intestinal Infections

Infectious Colitis, Enteritis and Gastroenteritis Colitis, Enteritis and Gastroenteritis of Presumed Infectious Origin Infectious Diarrhoea Diarrhoea, of Presumed Infectious Origin
054
054.2
Herpes Simplex
Herpetic Gingivostomatitis
070
070.0 070.1 070.2 070.3 070.4 070.5 070.6 070.9
Viral Hepatitis
Viral Hepatitis A with Hepatic Coma Viral Hepatitis A without Mention of Hepatic Coma Viral Hepatitis B with Hepatic Coma Viral Hepatitis B without Mention of Hepatic Coma Other Specified Viral Hepatitis With Hepatic Coma Other Specified Viral Hepatitis Without Mention of Hepatic Coma Unspecified Viral Hepatitis with Hepatic Coma Unspecified Viral Hepatitis without Mention Of Hepatic Coma
112
112.0 112.8 112.9
Candidiasis
Of Mouth Of Other Sites Of Unspecified Site
127
127.2
Other Intestinal Helminthiases

Strongyloidiasis
145
145.5
Malignant Neoplasm of Other and Unspecified Parts of Mouth

Palate, Unspecified
159
159.0 159.9
Malignant Neoplasm of Other and Ill-Defined Sites Within the Digestive

Intestinal Tract, Part Unspecified Ill-Defined
260 261 262 263

263.0 263.1 263.8 263.9
Kwashiorkor Nutritional Marasmus Other Severe Protein-Calorie Malnutrition Other And Unspecified Protein-Calorie Malnutrition
Malnutrition of Moderate Degree Malnutrition of Mild Degree Other Protein-Calorie Malnutrition Unspecified
264
264.8
Vitamin A Deficiency
Other Manifestations Of Vitamin A Deficiency
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UPDATED 2005
264.9
Unspecified
265
265.0 265.1 265.2
Thiamine and Niacin Deficiency States

Beriberi Other and Unspecified Manifestations of Thiamine Deficiency Pellagra
266
266.0 266.1 266.2 266.9
Deficiency of B Complex Components

Ariboflavinosis Vitamin B6 Deficiency Other B-Complex Deficiencies Unspecified Vitamin B Deficiency
267 268
268.0 268.9
Ascorbic Acid Deficiency Vitamin D Deficiency

Rickets, Active Unspecified
269
269.0 269.1 269.2 269.3 269.8 269.9
Other Nutritional Deficiencies

Deficiency of Vitamin K Deficiency of Other Vitamins Unspecified Vitamin Deficiency Mineral Deficiency, Not Elsewhere Classified Other Nutritional Deficiency Unspecified
276
276.0 276.1 276.2 276.3 276.4 276.5 276.6 276.7 276.8 276.9
Disorders of Fluid, Electrolyte and Acid-Base Balance

Hyperosmolality and/or Hypernatraemia Hyposmolality and/or Hyponatraemia Acidosis Alkalosis Mixed Acid-Base Balance Disorder Volume Depletion Fluid Overload Hyperpotassaemia Hypopotassaemia Electrolyte and Fluid Disorders, Not Elsewhere Classified
530
530.1
Diseases Of Oesophagus
Oesophagitis
558 565
565.0 565.1
Other Noninfective Gastroenteritis and Colitis Anal Fissure and Fistula

Anal Fissure Anal Fistula
566 567
567.2
Abscess Of Anal And Rectal Regions Peritonitis

Other Suppurative Peritonitis
569
569.4
Other Disorders Of Intestine

Other Disorders Of Rectum And Anus
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UPDATED 2005
569.5 569.8 569.9
Abscess Of Intestine Other Unspecified
571
571.4 571.5 571.6 571.8 571.9
Chronic Liver Disease and Cirrhosis

Chronic Hepatitis Cirrhosis of Liver Without Mention of Alcohol Biliary Cirrhosis Other Chronic Nonalcoholic Liver Disease Unspecified Chronic Liver Disease without Mention of Alcohol
572
572.8
Liver Abscess and Sequelae of Chronic Liver Disease

Other Sequelae of Chronic Liver Disease
573
573.3 573.8 573.9
Other Disorders of Liver

Hepatitis Unspecified Other Unspecified
576
576.1 576.2
Other Disorders of Biliary Tract

Cholangitis Obstruction of Bile Duct
577
577.0 577.1
Diseases of Pancreas
Acute Pancreatitis Chronic Pancreatitis
578
578.9
Gastrointestinal Haemorrhage
Haemorrhage of Gastrointestinal Tract, Unspecified
579
579.9
Intestinal Malabsorption
Unspecified
780
780.7
General Symptoms
Malaise And Fatigue
782
782.4 783 783.2
Symptoms Involving Skin and Other Integumentary Tissue

Jaundice Unspecified, Not of Newborn Symptoms Concerning Nutrition, Metabolism and Development Abnormal Loss of Weight
787
787.0 787.2
Symptoms Involving Digestive System

Nausea and Vomiting Dysphagia
789
789.0 789.1 789.3 789.5
Other Symptoms Involving Abdomen and Pelvis

Abdominal Pain Hepatomegaly Abdominal or Pelvic Swelling, Mass or Lump Ascites
799
799.4
Other Ill-Defined and Unknown Causes of Morbidity and Mortality

Cachexia
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UPDATED 2005
Second Diagnosis (contd) Ophthalmic disorders 053

053.2
Herpes Zoster
With Ophthalmic Complications
054
054.4
Herpes Simplex
With Ophthalmic Complications
078
078.5
Other Diseases due to Viruses and Chlamydiae

Cytomegalic Inclusion Disease
360
360.0
Disorders of the Globe

Purulent Endophthalmitis
361
361.9
Retinal Detachments and Defects

Unspecified
362
362.1 362.2 362.3 362.4 362.5 362.6 362.8 362.9
Other Retinal Disorders

Other Background Retinopathy and Retinal Vascular Changes Other Proliferative Retinopathy Retinal Vascular Occlusion Separation of Retinal Layers Degeneration Oof Macula and Posterior Pole Peripheral Retinal Degenerations Other Retinal Disorders Unspecified
363
363.0 363.1 363.2
Chorioretinal Inflammations and Scars and Other Disorders of Choroid

Focal Chorioretinitis and Focal Retinochoroiditis Disseminated Chorioretinitis and Disseminated Retinochoroiditis Other and Unspecified Forms of Chorioretinitis and Retinochoroiditis
369
369.0 369.1 369.6 369.9
Blindness and Low Vision

Blindness, Both Eyes Blindness, One Eye, Low Vision Other Eye Blindness, One Eye Unspecified Visual Loss
372
372.0 372.1 372.2 372.3 372.4 372.5 372.6 372.7 372.8 372.9
Disorders Of Conjunctiva
Acute Conjunctivitis Chronic Conjunctivitis Blepharoconjunctivitis Other and Unspecified Conjunctivitis Pterygium Conjunctival Degenerations and Deposits Conjunctival Scars Conjunctival Vascular Disorders and Cysts Other Disorders of Conjunctiva Unspecified
379
379.2
Other Disorders of Eye

Disorders of Vitreous Body
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UPDATED 2005
Second Diagnosis (contd) Blood Infection 003

003.1
Other Salmonella Infections

Salmonella Septicaemia
031
031.8 031.9
Diseases due to Other Mycobacteria

Other Unspecified
038
038.0 038.1 038.2 038.3 038.4 038.8 038.9
Septicaemia
Streptococcal Septicaemia Staphylococcal Septicaemia Pneumococcal Septicaemia Septicaemia due to Anaerobes Septicaemia Ddue to Other Gram-Negative Organisms Other Specified Septicaemias Unspecified Septicaemia
075 112
112.5
Infectious Mononucleosis Candidiasis

Disseminated
Second Diagnosis (contd) Lymphoma 017

017.2
Tuberculosis of Other Organs

Peripheral Lymph Nodes
200
200.0 200.1 200.2 200.8
Lymphosarcoma and Reticulosarcoma

Reticulosarcoma Lymphosarcoma Burkitt's Tumour Other Named Variants
202
202.0 202.8 202.9
Other Malignant Neoplasm of Lymphoid and Histiocytic Tissue

Nodular Lymphoma Other Lymphomas Other and Unspecified
Second Diagnosis (contd) Psychosocial Conditions 290

290.1
Senile and Presenile Organic Psychotic Conditions

Presenile Dementia
293
293.0 293.1 293.8 293.9
Transient Organic Psychotic Conditions

Acute Confusional State Subacute Confusional State Other Unspecified
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UPDATED 2005
294
294.1 294.8 294.9
Other Organic Psychotic Conditions (Chronic)

Dementia in Conditions Classified Elsewhere Other Unspecified
296
296.0 296.2 296.4 296.5 296.6
Affective Psychoses
Manic-Depressive Psychosis, Manic Type Manic-Depressive Psychosis, Circular Type But Currently Manic Manic-Depressive Psychosis, Circular Type, Mixed Manic-Depressive Psychosis, Circular Type, Current Condition Not Specified Manic-Depressive Psychosis, Other and Unspecified
298
298.8 298.9
Other Nonorganic Psychoses

Other And Unspecified Reactive Psychosis Unspecified Psychosis
300
300.0 300.4
Neurotic Disorders
Anxiety States Neurotic Depression
310
310.1 310.9
Specific Nonpsychotic Mental Disorders Following Organic Brain Damage

Cognitive or Personality Change of Other Type Unspecified
311 331
331.8 331.9
Depressive Disorder, Not Elsewhere Classified Other Cerebral Degenerations

Other Cerebral Degeneration Unspecified
348
348.3
Other Conditions of Brain

Encephalopathy, Unspecified
Second Diagnosis (contd) Other Conditions 012

012.1
Other Respiratory Tuberculosis

Tuberculosis of Intrathoracic Lymph Nodes
195
195.8
Malignant Neoplasm of Other and Ill-Defined Sites

Other Specified Sites
199
199.1
Malignant Neoplasm Without Specification of Site

Other
421
421.0 421.9
Acute and Subacute Endocarditis

Acute and Subacute Bacterial Endocarditis Acute Endocarditis, Unspecified
422
422.9
Acute Myocarditis
Other and Unspecified Acute Myocarditis
424
424.9
Other Diseases of Endocardium

Endocarditis, Valve Unspecified
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UPDATED 2005
425
425.4 425.9
Cardiomyopathy
Other Primary Cardiomyopathies Secondary Cardiomyopathy, Unspecified
780
780.6
General Symptoms
Pyrexia of Unknown Origin
785
785.6
Symptoms Involving Cardiovascular System

Enlargement of Lymph Nodes
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UPDATED 2005
Table 3 Mental Disorders - ICD9 Diagnostic Codes

The following provides a listing of the World Health Organizations ICD9 codes for mental health disorders. The DSM IV equivalent descriptions have been provided for comparison purposes. In some cases a DSM IV equivalent description was not available, and thus this list does not provide a complete translation of ICD9 codes.
Related Diagnostic Codes ICD9 and DSM Equivalents

ICD9 Code ICD9 Description Senile dementia, simple type DSM IV Equivalent Description Dementia of the Alzheimers type, with late onset, uncomplicated, with delusions, or with depressed mood Dementia of the Alzheimers type, with early onset, uncomplicated, with delusions, or with depressed mood; Dementia due to Picks disease; Dementia due to Creutzfeldt-Jakob disease Dementia of the Alzheimers type, with late onset, with delusions or depressed mood
290
290.0
Senile and presenile organic psychotic conditions
290.1
Presenile dementia
290.2 290.3 290.4 290.8
Senile dementia, depressed or paranoid type Senile dementia with acute confusional state Arteriosclerotic dementia Other
Vascular dementia Dementia due to head trauma; Dementia due to (Indicate the General Medical Condition) Dementia NOS Alcohol withdrawal delirium Alcohol-induced persisting amnesic disorder Alcohol-induced persisting dementia Alcohol-induced psychotic disorder, with hallucinations Alcohol-induced psychotic disorder, with delusions Alcohol-induced sleep disorder, mood disorder, anxiety disorder, sexual dysfunction; Alcohol withdrawal Alcohol-related disorder NOS Withdrawal state due to psychoactive substance abuse, with or without delirium Psychoactive substance-induced psychotic disorder, with hallucination or delusion
290.9
Unspecified
291
291.0 291.1 291.2 291.3 291.4 291.5 291.8
Alcoholic psychoses
Delerium tremens Korsakov's psychosis, alcoholic Other alcoholic dementia Other alcoholic hallucinosis Pathological drunkenness Alcoholic jealousy Other
291.9
Unspecified
292
292.0 292.1
Drug psychoses
Drug withdrawal syndrome Paranoid and/or hallucinatory states induced by drugs
Page 19 OF 27
UPDATED 2005
ICD9 Code 292.2 292.8 292.9
ICD9 Description Pathological drug intoxication Other Unspecified
DSM IV Equivalent Description
Psychoactive substance-related disorders NOS Delirium NOS Delirium due to (Indicate the general medical condition); Delirium NOS Psychotic disorder due to (Indicate the general medical condition); Catatonic disorder due to (Indicate the general medical condition) Cognitive disorder NOS due to (Indicate the general medical condition); Delirium NOS; Mental disorder NOS due to (Indicate the general medical condition) Psychoactive substance-induced persisting amnestic disorder; Amnestic disorder due to (Indicate the general medical condition) Dementia due to HIV disease, head trauma, Parkinsons disease, or Huntingtons disease; Dementia due to (Indicate the general medical condition) Psychotic disorder due to (Indicate the general medical condition) Cognitive disorder NOS; Mental disorder NOS due to (Indicate the general medical condition) Schizophrenia Schizophrenia, catatonic type Schizophrenia, paranoid type Schizophreniform disorder Schizotypal personality disorder Schizophrenia, residual type Schizoaffective disorder Schizophreniform disorder Schizophreniform disorder Bipolar I disorder, manic episode mild,
Page 20 OF 27
293
293.0 293.1
Transient organic psychotic conditions

Acute confusional state Subacute confusional state
293.8
Other
293.9
Unspecified
294
294.0
Other organic psychotic conditions (chronic)

Korsakov's psychosis or syndrome (nonalcoholic)
294.1
Dementia in conditions classified elsewhere
294.8 294.9
Other Unspecified
295
295.0 295.1 295.2 295.3 295.4 295.5 295.6 295.7 295.8 295.9
Schizophrenic psychoses
Simple type Hebephrenic type Catatonic type Paranoid type Acute schizophrenic episode Latent schizophrenia Residual schizophrenia Schizoaffective type Other Unspecified
296
296.0
Affective psychoses
Manic-depressive psychosis, manic
UPDATED 2005
ICD9 Code
ICD9 Description type Manic-depressive psychosis, depressed type Manic-depressive psychosis, circular type but currently manic Manic-depressive psychosis, circular type but currently depressed Manic-depressive psychosis, circular type, mixed
DSM IV Equivalent Description moderate or severe, with or without psychotic features Major depressive disorder, single or recurrent episode severe with or without psychotic features Bipolar I disorder, hypomanic or manic episode mild, moderate or severe, with or without psychotic features Bipolar I disorder, depressed episode mild, moderate or severe, with or without psychotic features Bipolar I disorder, mixed episode mild, moderate, severe with or without psychotic features, in partial remission, in full remission, unspecified Bipolar I disorder, unspecified episode; Bipolar disorder NOS Schizoaffective disorder; Bipolar I disorder, unspecified episode; Bipolar disorder NOS Schizoaffective disorder; Bipolar I disorder, single manic episode, in full remission; Bipolar II disorder Mood disorder NOS Delusional disorder Delusional disorder Delusional disorder Shared psychotic disorder Delusional disorder Delusional disorder Major depressive disorder, single or recurrent episode, severe with or without psychotic features Bipolar I disorder, single manic episode mild, moderate, severe with or without psychotic features, in partial remission, in full remission; Brief psychotic disorder Brief psychotic disorder; Dissociative fugue; Acute stress disorder Shared psychotic disorder;
Page 21 OF 27
296.1
296.2
296.3
296.4
296.5 296.6
Manic-depressive psychosis, circular type, current condition not specified Manic-depressive psychosis, other and unspecified Bipolar affective disorder, unspecified Other
296.7 296.8
296.9
Unspecified
297
297.0 297.1 297.2 297.3 297.8 297.9
Paranoid states
Paranoid state, simple Paranoia Paraphrenia Induced psychosis Other Unspecified
298
298.0
Other nonorganic psychoses

Depressive type
298.1
Excitative type
298.2
Reactive confusion
298.3 298.4
Acute paranoid reaction Psychogenic paranoid psychosis
UPDATED 2005
ICD9 Code 298.8 298.9
ICD9 Description Other and unspecified reactive psychosis Unspecified psychosis
DSM IV Equivalent Description Delusional disorder Brief psychotic disorder Psychotic disorder NOS; Unspecified Mental disorder Retts disorder; Autistic disorder Childhood disintegrative disorder Aspergers syndrome Pervasive developmental disorder; Schizophreniform disorder Agoraphobia without history of panic disorder; Panic disorder with agoraphobia; Panic disorder without agoraphobia; Adjustment disorder, with mixed anxiety and depression; Generalized anxiety disorder NOS; Anxiety disorder NOS Conversion Disorder; Dissociative disorder NOS; Dissociative fugue; Dissociative amnesia Specific phobia; Social phobia Obsessive-compulsive disorder Adjustment disorder, with depressed mood; Major depressive disorder, single or recurrent episode mild; Dysthymic disorder Depersonalization disorder Body dysmorphic disorder; Hypochondriasis Unspecified mental disorder (nonpsychotic) Paranoid personality disorder Cyclothymic disorder; Dysthymic disorder; Narcissistic personality disorder Schizoid personality disorder
299
299.0 299.1 299.8 299.9
Psychoses with origin specific to childhood

Infantile autism Disintegrative psychosis Other Unspecified
300
300.0
Neurotic disorders
Anxiety states
300.1
Hysteria
300.2 300.3 300.4
Phobic state Obsessive-compulsive disorders Neurotic depression
300.5 300.6 300.7 300.8 300.9
Neurasthenia Depersonalization syndrome Hypochondriasis Other neurotic disorders Unspecified
301
301.0 301.1
Personality disorders
Paranoid personality disorder Affective personality disorder
301.2
Schizoid personality disorder
Page 22 OF 27
UPDATED 2005
ICD9 Code 301.3 301.4 301.5 301.6 301.7 301.8 301.9
ICD9 Description Explosive personality disorder Anankastic personality disorder Hysterical personality disorder Asthenic personality disorder Personality disorder with predominant sociopathic or asocial manifestation Other personality disorders Unspecified
DSM IV Equivalent Description Borderline personality disorder Obsessive-compulsive personality disorder Histrionic personality disorder Dependent personality disorder Antisocial personality disorder Avoidant personality disorder; Narcissistic personality disorder Personality disorder NOS
303 304
304.0 304.1 304.2 304.3 304.4 304.5 304.6 304.7 304.8 304.9
Alcohol dependence syndrome Drug dependence

Morphine type Barbiturate type Cocaine Cannabis Amphetamine type and other psychostimulants Hallucinogens Other Combinations of morphine type drug with any other Combinations excluding morphine type drug Unspecified Alcohol dependence Opioid dependence Sedative, Hypnotic, or Anxiolytic dependence Cannabis dependence Amphetamine dependence Hallucinogen dependence Polysubstance dependence; Inhalant dependence Polysubstance dependence Polysubstance dependence Polysubstance dependence Alcohol abuse; Alcohol intoxication Cannabis abuse; Cannabis intoxication Hallucinogen abuse; Hallucinogen intoxication Sedative, hypnotic or anxiolytic abuse; Sedative, hypnotic or anxiolytic intoxication Opioid abuse; Opioid intoxication Cocaine abuse; Cocaine intoxication Amphetamine abuse; Amphetamine intoxication Phenylcyclidine abuse;
Page 23 OF 27
305
305.0 305.1 305.2 305.3 305.4 305.5 305.6 305.7 305.8 305.9
Nondependent abuse of drugs

Alcohol Tobacco Cannabis Hallucinogens Barbiturates and tranquillizers Morphine type Cocaine type Amphetamine type Antidepressants Other, mixed or unspecified
UPDATED 2005
ICD9 Code
ICD9 Description
DSM IV Equivalent Description Other (or unknown) substance abuse
306
306.0 306.1 306.2 306.3 306.4 306.5 306.6 306.7 306.8 306.9
Physiological malfunction arising from mental factors

Musculoskeletal Respiratory Cardiovascular Skin Gastrointestinal Genitourinary Endocrine Organs of special sense Other Unspecified Stammering and stuttering Anorexia nervosa Tics Somatoform Disorders Somatoform Disorders Somatoform Disorders Somatoform Disorders Somatoform Disorders Somatoform Disorders Somatoform Disorders Somatoform Disorders Somatoform Disorders Somatoform Disorder NOS Stuttering Anorexia Nervosa Transient tic disorder; Chronic motor or vocal tic disorder; Tourettes disorder; Tic disorder NOS Stereotypic movement disorder Primary insomnia; Insomnia related to (Indicate Axis I or Axis II disorder); Primary hypersomnia; Hypersomnia related to (Indicate Axis I or Axis II disorder); Circadian Rhythm sleep disorder; Sleepwalking disorder; Sleep terror disorder; Nightmare disorder; Parasomnia NOS; Dyssomnia NOS Bulimia Nervosa; Pica; Rumination Disorder; Feeding disorder of infancy or early childhood; Eating disorder NOS Enuresis not due to a general medical condition Encopresis without constipation and overflow incontinence Pain disorder associated with psychological factors and/or a general medical condition Phonological disorder;
Page 24 OF 27
307
307.0 307.1 307.2
Special symptoms or syndromes not elsewhere classified
307.3 307.4
Stereotyped repetitive movements Specific disorders of sleep
307.5
Other and unspecified disorders of eating
307.6 307.7 307.8 307.9
Enuresis Encopresis Psychalgia Other and unspecified
UPDATED 2005
ICD9 Code
ICD9 Description
DSM IV Equivalent Description Attention-deficit/hyperactivity disorder predominantly inattentive type; Disorder of infancy, childhood, or adolescence NOS
308
308.0 308.1 308.2 308.3 308.4 308.9
Acute reaction to stress

Predominant disturbance of emotions Predominant disturbance of consciousness Predominant psychomotor disturbance Other Mixed Unspecified Acute stress disorder Acute stress disorder Acute stress disorder Acute stress disorder Acute stress disorder Acute stress disorder Adjustment disorder with depressed mood Adjustment disorder with depressed mood Separation anxiety Adjustment disorder with disturbance of conduct Adjustment disorder with mixed disturbance of emotions and conduct Adjustment disorder with anxiety Adjustment disorder unspecified
309
309.0 309.1 309.2 309.3 309.4 309.8 309.9
Adjustment reaction
Brief depressive reaction Prolonged depressive reaction With predominant disturbance of other emotions With predominant disturbance of conduct With mixed disturbance of emotions and conduct Other Unspecified Frontal lobe syndrome Cognitive or personality change of other type Postconcussional syndrome Other Unspecified
310
310.0 310.1 310.2 310.8 310.9
Specific nonpsychotic mental disorders following organic brain damage
Cognitive disorder not otherwise specified Anxiety disorder due to (Indicate the general medical condition)
311 312
312.0 312.1 312.2 312.3 312.8
Depressive disorder, not Major depressive disorder, recurrent, elsewhere classified unspecified Disturbance of conduct not elsewhere classified
Unsocialized disturbance of conduct Socialized disturbance of conduct Compulsive conduct disorder Mixed disturbance of conduct and emotions Other Conduct disorder, unspecified onset; Conduct disorder, childhood-onset type; Conduct disorder, adolescent-onset type; Oppositional defiant disorder Disruptive behavior disorder
Page 25 OF 27
312.9
Unspecified
UPDATED 2005
ICD9 Code
ICD9 Description With anxiety and fearfulness With misery and unhappiness
DSM IV Equivalent Description Separation anxiety disorder; Selective mutism; Major depressive disorder, single episode, mild; Adjustment disorder, with depressed mood; Selective mutism Sibling relational problem; Reactive attachment disorder of infancy or early childhood Identity problem
313
313.0 313.1
Disturbance of emotions specific to childhood and adolescence
313.2 313.3
With sensitivity, shyness and social withdrawal Relationship problems
313.8 313.9
Other or mixed Unspecified Simple disturbance of activity and attention
314
314.0
Hyperkinetic syndrome of childhood

Attention-deficit/hyperactivity disorder, predominantly hyperactive-impulsive type; Attention-deficit/hyperactivity disorder, combined type Attention-deficit/hyperactivity disorder, predominantly hyperactive-impulsive type; Attention-deficit/hyperactivity disorder, combined type
314.1
Hyperkinesis with developmental delay
314.2 314.8 314.9
Hyperkinetic conduct disorder Other Unspecified
Attention-deficit/hyperactivity disorder NOS Reading disorder Mathematics disorder Phonological disorder; Expressive language disorder; Mixed receptive-expressive language disorder; Communication disorder NOS Developmental coordination disorder
315
315.0 315.1 315.2 315.3
Specific delays in development

Specific reading retardation Specific arithmetical retardation Other specific learning difficulties Developmental speech or language disorder
315.4 315.5 315.8 315.9
Specific motor retardation Mixed development disorder Other Unspecified
Learning disorder NOS
316
317 318
318.0 318.1
Psychic factors associated with (Specified psychological factor) diseases classified elsewhere affecting (Indicate the general medical condition) Mild mental retardation Mild mental retardation Other specified mental retardation
Moderate mental retardation Severe mental retardation Moderate mental retardation Severe mental retardation
Page 26 OF 27
UPDATED 2005
ICD9 Code 318.2
ICD9 Description Profound mental retardation
DSM IV Equivalent Description Profound mental retardation
319
Unspecified mental retardation
Mental retardation, severity unspecified
Page 27 OF 27

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