J-17 ICD9 Codes List.pdf

DRAFT

World Trade Center Covered Conditions

PARAMETERS FOR USE

Common Name Code AMA Definition Code AMA Definition Code AMA Definition Guidelines

All Responders V04.81 Need for prophylactic vaccination and inoculation against influenza.

V58.69 Long term (current) use of other medications

Upper Airway Conditions Chronic rhinitis 472.0 Chronic rhinitis. Excludes allergic rhinitis

327.23 Obstructive sleep apnea

(adult) (pediatric)

OBSTRUCTIVE SLEEP APNEA - is secondary to chronic inflammatory conditions of the nasopharynx, sinuses, large airways, and GERD.

380.4 Impacted Cerumen IMPACTED CERUMEN - is secondary to all upper airway diagnoses.

478.0 Hypertrophy of nasal

turbinates

780.51 Insomnia with sleep

apnea, unspecified

780.53 Hypersomnia with sleep

apnea, unspecified

780.54 Hypersomnia, unspecified

HYPERSOMNIA, UNSPECIFIED - is a Work up to Chronic Inflammatory conditions of the nasopharynx, sinuses, large airways and GERD.

784.49 Voice disturbance, other

784.7 Epistaxis EPISTAXIS - is a secondary condition to

72.0 Chronic Rhinitis, 472.2 Chronic

Nasopharyngitis, 473.0 Chronic Sinusitis;

Maxillary, 473.2 Chronic Sinusitis;

Ethmoidal, 473.8 Other Chronic sinusitis,

473.9 Unspecified Sinusitis.

WORK-UP CONDITION

Upper Airway Conditions Upper Airway Conditions Upper Airway Conditions

PRIMARY CONDITION SECONDARY CONDITION

All Responders All Responders All Responders

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

Chronic pharyngitis 472.1 Chronic pharyngitis

327.23 Obstructive sleep apnea

(adult) (pediatric)

OBSTRUCTIVE SLEEP APNEA - is secondary to chronic inflammatory conditions of the nasopharynx, sinuses, large airways, and GERD.

380.4 Impacted Cerumen IMPACTED CERUMEN - is secondary to all upper airway diagnoses.

780.51 Insomnia with sleep

apnea, unspecified

780.53 Hypersomnia with sleep

apnea, unspecified

780.54 Hypersomnia, unspecified

HYPERSOMNIA, UNSPECIFIED - is a Work up to Chronic Inflammatory conditions of the nasopharynx, sinuses, large airways and GERD.

784.49 Voice disturbance, other

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

6/3/2010 World Trade Center Current and Proposed ICD9 Code List 1

PARAMETERS FOR USE

Common Name Code AMA Definition Code AMA Definition Code AMA Definition Guidelines

WORK-UP CONDITIONPRIMARY CONDITION SECONDARY CONDITION

Chronic nasopharyngitis

472.2 Chronic nasopharyngitis.

Excludes acute or unspecified nasopharyngitis

327.23 Obstructive sleep apnea

(adult) (pediatric)

OBSTRUCTIVE SLEEP APNEA - is secondary to chronic inflammatory conditions of the nasopharynx, sinuses, large airways, and GERD.

380.4 Impacted Cerumen IMPACTED CERUMEN - is secondary to all upper airway diagnoses.

478.0 Hypertrophy of nasal

turbinates

780.51 Insomnia with sleep

apnea, unspecified

780.53 Hypersomnia with sleep

apnea, unspecified

780.54 Hypersomnia, unspecified

HYPERSOMNIA, UNSPECIFIED - is a Work up to Chronic Inflammatory conditions of the nasopharynx, sinuses, large airways and GERD.

784.49 Voice disturbance, other

784.7 Epistaxis EPISTAXIS - is a secondary condition to

72.0 Chronic Rhinitis, 472.2 Chronic

Nasopharyngitis, 473.0 Chronic Sinusitis;

Maxillary, 473.2 Chronic Sinusitis;

Ethmoidal, 473.8 Other Chronic sinusitis,

473.9 Unspecified Sinusitis.

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

Chronic sinusitis/maxillary

473.0 Chronic sinusitis;

maxillary

327.23 Obstructive sleep apnea

(adult) (pediatric)

OBSTRUCTIVE SLEEP APNEA - is secondary to chronic inflammatory diti f th h iconditions of the nasopharynx, sinuses, large airways, and GERD.

380.4 Impacted Cerumen IMPACTED CERUMEN - is secondary to all upper airway diagnoses.

461.0 Acute sinusitis, maxillary ACUTE SINUSITIS is an exacerbation of underlying chronic sinusitis

461.9 Acute sinusitis;

unspecified

ACUTE SINUSITIS is an exacerbation of underlying chronic sinusitis

478.0 Hypertrophy of nasal

turbinates

780.51 Insomnia with sleep

apnea, unspecified

780.54 Hypersomnia, unspecified

HYPERSOMNIA, UNSPECIFIED - is a Work up to Chronic Inflammatory conditions of the nasopharynx, sinuses, large airways and GERD.

780.53 Hypersomnia with sleep

apnea, unspecified

784.49 Voice disturbance, other

784.7 Epistaxis EPISTAXIS - is a secondary condition to

72.0 Chronic Rhinitis, 472.2 Chronic

Nasopharyngitis, 473.0 Chronic Sinusitis;

Maxillary, 473.2 Chronic Sinusitis;

Ethmoidal, 473.8 Other Chronic sinusitis,

473.9 Unspecified Sinusitis.

786.2 Cough. Excludes cough:

psychogenic, smokers'

6/3/2010 World Trade Center Current and Proposed ICD9 Code List 2

Common Name Code AMA Definition Code AMA Definition Code AMA Definition Guidelines

WORK-UP CONDITIONPRIMARY CONDITION SECONDARY CONDITION

Chronic sinusitis/ethmoidal

473.2 Chronic sinusitis;

ethmoidal

327.23 Obstructive sleep apnea

(adult) (pediatric)

OBSTRUCTIVE SLEEP APNEA - is secondary to chronic inflammatory conditions of the nasopharynx, sinuses, large airways, and GERD.

380.4 Impacted Cerumen IMPACTED CERUMEN - is secondary to all upper airway diagnoses.

461.0 Acute sinusitis, maxillary ACUTE SINUSITIS is an exacerbation of underlying chronic sinusitis

461.9 Acute sinusitis;

unspecified

ACUTE SINUSITIS is an exacerbation of underlying chronic sinusitis

478.0 Hypertrophy of nasal

turbinates

780.51 Insomnia with sleep

apnea, unspecified

780.53 Hypersomnia with sleep

apnea, unspecified

780.54 Hypersomnia, unspecified

HYPERSOMNIA, UNSPECIFIED - is a Work up to Chronic Inflammatory conditions of the nasopharynx, sinuses, large airways and GERD.

784.49 Voice disturbance, other

784.7 Epistaxis EPISTAXIS - is a secondary condition to

72.0 Chronic Rhinitis, 472.2 Chronic

Nasopharyngitis, 473.0 Chronic Sinusitis;

Maxillary, 473.2 Chronic Sinusitis;

Ethmoidal, 473.8 Other Chronic sinusitis,

473.9 Unspecified Sinusitis.

Other chronic sinusitis

473.8 Other chronic sinusitis

327.23 Obstructive sleep apnea

(adult) (pediatric)

OBSTRUCTIVE SLEEP APNEA - is secondary to chronic inflammatory conditions of the nasopharynx, sinuses, large airways, and GERD.

380 4 Impacted Cerumen IMPACTED CERUMEN is secondary to all380.4 Impacted Cerumen IMPACTED CERUMEN - is secondary to all upper airway diagnoses.

461.0 Acute sinusitis, maxillary ACUTE SINUSITIS is an exacerbation of underlying chronic sinusitis

461.9 Acute sinusitis;

unspecified

ACUTE SINUSITIS is an exacerbation of underlying chronic sinusitis

478.0 Hypertrophy of nasal

turbinates

780.51 Insomnia with sleep

apnea, unspecified

780.53 Hypersomnia with sleep

apnea, unspecified

780.54 Hypersomnia, unspecified

HYPERSOMNIA, UNSPECIFIED - is a Work up to Chronic Inflammatory conditions of the nasopharynx, sinuses, large airways and GERD.

784.49 Voice disturbance, other

784.7 Epistaxis EPISTAXIS - is a secondary condition to

72.0 Chronic Rhinitis, 472.2 Chronic

Nasopharyngitis, 473.0 Chronic Sinusitis;

Maxillary, 473.2 Chronic Sinusitis;

Ethmoidal, 473.8 Other Chronic sinusitis,

473.9 Unspecified Sinusitis.

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

Unspecified chronic sinusitis

473.9 Unspecified sinusitis

(chronic)

6/3/2010 World Trade Center Current and Proposed ICD9 Code List 3

Common Name Code AMA Definition Code AMA Definition Code AMA Definition Guidelines

WORK-UP CONDITIONPRIMARY CONDITION SECONDARY CONDITION

327.23 Obstructive sleep apnea

(adult) (pediatric)

OBSTRUCTIVE SLEEP APNEA - is secondary to chronic inflammatory conditions of the nasopharynx, sinuses, large airways, and GERD.

380.4 Impacted Cerumen IMPACTED CERUMEN - is secondary to all upper airway diagnoses.

461.0 Acute sinusitis, maxillary ACUTE SINUSITIS is an exacerbation of underlying chronic sinusitis

461.9 Acute sinusitis;

unspecified

ACUTE SINUSITIS is an exacerbation of underlying chronic sinusitis

478.0 Hypertrophy of nasal

turbinates

780.51 Insomnia with sleep

apnea, unspecified

780.53 Hypersomnia with sleep

apnea, unspecified

780.54 Hypersomnia, unspecified

HYPERSOMNIA, UNSPECIFIED - is a Work up to Chronic Inflammatory conditions of the nasopharynx, sinuses, large airways and GERD.

784.49 Voice disturbance, other

784.7 Epistaxis EPISTAXIS - is a secondary condition to

72.0 Chronic Rhinitis, 472.2 Chronic

Nasopharyngitis, 473.0 Chronic Sinusitis;

Maxillary, 473.2 Chronic Sinusitis;

Ethmoidal, 473.8 Other Chronic sinusitis,

473.9 Unspecified Sinusitis.

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

Chronic tonsillitis 474.00 Chronic tonsillitis

327.23 Obstructive sleep apnea

(adult) (pediatric) OBSTRUCTIVE SLEEP APNEA - is secondary to chronic inflammatory conditions of the nasopharynx, sinuses, large airways, and GERD.

380 4 Impacted Ce men IMPACTED CERUMEN is seconda to all380.4 Impacted Cerumen IMPACTED CERUMEN - is secondary to all upper airway diagnoses.

780.51 Insomnia with sleep

apnea, unspecified

780.53 Hypersomnia with sleep

apnea, unspecified

780.54 Hypersomnia, unspecified

HYPERSOMNIA, UNSPECIFIED - is a Work up to Chronic Inflammatory conditions of the nasopharynx, sinuses, large airways and GERD.

784.49 Voice disturbance, other

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

Chronic adenoiditis 474.01 Chronic adenoiditis

327.23 Obstructive sleep apnea

(adult) (pediatric)

OBSTRUCTIVE SLEEP APNEA - is secondary to chronic inflammatory conditions of the nasopharynx, sinuses, large airways, and GERD.

380.4 Impacted Cerumen IMPACTED CERUMEN - is secondary to all upper airway diagnoses.

780.51 Insomnia with sleep

apnea, unspecified

780.53 Hypersomnia with sleep

apnea, unspecified

6/3/2010 World Trade Center Current and Proposed ICD9 Code List 4

Common Name Code AMA Definition Code AMA Definition Code AMA Definition Guidelines

WORK-UP CONDITIONPRIMARY CONDITION SECONDARY CONDITION

780.54 Hypersomnia, unspecified

HYPERSOMNIA, UNSPECIFIED - is a Work up to Chronic Inflammatory conditions of the nasopharynx, sinuses, large airways and GERD.

784.49 Voice disturbance, other

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

Chronic tonsillitis and adenoiditis

474.02 Chronic tonsillitis and

adenoiditis

327.23 Obstructive sleep apnea

(adult) (pediatric)

OBSTRUCTIVE SLEEP APNEA - is secondary to chronic inflammatory conditions of the nasopharynx, sinuses, large airways, and GERD.

380.4 Impacted Cerumen IMPACTED CERUMEN - is secondary to all upper airway diagnoses.

780.51 Insomnia with sleep

apnea, unspecified

780.53 Hypersomnia with sleep

apnea, unspecified

780.54 Hypersomnia, unspecified

HYPERSOMNIA, UNSPECIFIED - is a Work up to Chronic Inflammatory conditions of the nasopharynx, sinuses, large airways and GERD.

784.49 Voice disturbance, other

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

Chronic laryngitis 476.0 Chronic laryngitis.

Laryngitis: catarrhal, hypertrophic, sicca

327.23 Obstructive sleep apnea

(adult) (pediatric)

OBSTRUCTIVE SLEEP APNEA - is secondary to chronic inflammatory diti f th h iconditions of the nasopharynx, sinuses, large airways, and GERD.

380.4 Impacted Cerumen IMPACTED CERUMEN - is secondary to all upper airway diagnoses.

780.51 Insomnia with sleep

apnea, unspecified

780.53 Hypersomnia with sleep

apnea, unspecified

780.54 Hypersomnia, unspecified

HYPERSOMNIA, UNSPECIFIED - is a Work up to Chronic Inflammatory conditions of the nasopharynx, sinuses, large airways and GERD.

784.49 Voice disturbance, other

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

Chronic laryngotrachetitis

476.1 Chronic laryngotracheitis

327.23 Obstructive sleep apnea

(adult) (pediatric)

OBSTRUCTIVE SLEEP APNEA - is secondary to chronic inflammatory conditions of the nasopharynx, sinuses, large airways, and GERD.

380.4 Impacted Cerumen IMPACTED CERUMEN - is secondary to all upper airway diagnoses.

780.51 Insomnia with sleep

apnea, unspecified

6/3/2010 World Trade Center Current and Proposed ICD9 Code List 5

Common Name Code AMA Definition Code AMA Definition Code AMA Definition Guidelines

WORK-UP CONDITIONPRIMARY CONDITION SECONDARY CONDITION

780.53 Hypersomnia with sleep

apnea, unspecified

780.54 Hypersomnia, unspecified

HYPERSOMNIA, UNSPECIFIED - is a Work up to Chronic Inflammatory conditions of the nasopharynx, sinuses, large airways and GERD.

784.49 Voice disturbance, other

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

Upper airway hyperreactivity

478.8 Upper respiratory tract

hypersensitivity reaction, side unspecified.

Excludes hypersensitivity reaction of lower respiratory tract, as:

extrinsic allergic alveolitis, pneumoconiosis.

380.4 Impacted Cerumen IMPACTED CERUMEN - is secondary to all upper airway diagnoses.

477.9 Allergic rhinitis, cause

unspecified

478.0 Hypertrophy of nasal

turbinates

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

Lower Airway Conditions Chronic bronchitis 491.0 Simple chronic bronchitis. Excludes chronic obstructive asthma.

466 0 A t b hiti ACUTE BRONCHITIS b d t

Lower Airway Conditions Lower Airway Conditions Lower Airway Conditions

466.0 Acute bronchitis ACUTE BRONCHITIS can be secondary to

reactive airways disease, asthma, COPD, interstitial lung disease and fibrosis; acute exacerbation of a chronic condition should be coded as chronic bronchitis

491.8 Other chronic bronchitis

(chronic tracheitis and chronic tracheobronchitis.)

491.8 Other chronic bronchitis

(chronic tracheitis and chronic tracheobronchitis.)

491.9 Unspecified chronic

bronchitis

491.9 Unspecified chronic

bronchitis

508.9 Respiratory conditions

due to unspecified external agent.

518.89 Other diseases of lung, not elsewhere classified.

Includes calcification of the lung and lung disease NOS.

518.89 Other diseases of lung, not elsewhere classified.

Includes calcification of the lung and lung disease NOS.

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

794.2 Abnormal lung scan.

(Reduced: ventilatory capacity, vital capacity).

491.1 Mucopurulent chronic

bronchitis

6/3/2010 World Trade Center Current and Proposed ICD9 Code List 6

Common Name Code AMA Definition Code AMA Definition Code AMA Definition Guidelines

WORK-UP CONDITIONPRIMARY CONDITION SECONDARY CONDITION

466.0 Acute bronchitis ACUTE BRONCHITIS can be secondary to

reactive airways disease, asthma, COPD, interstitial lung disease and fibrosis; acute exacerbation of a chronic condition should be coded as chronic bronchitis

491.8 Other chronic bronchitis

(chronic tracheitis and chronic tracheobronchitis.)

491.9 Unspecified chronic

bronchitis

508.9 Respiratory conditions

due to unspecified external agent.

518.89 Other diseases of lung, not elsewhere classified.

Includes calcification of the lung and lung disease NOS.

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

794.2 Abnormal lung scan

(Reduced: ventilatory capacity, vital capacity)

COPD 491.20 Obstructive chronic bronchitis without exacerbation. Excludes asthmatic bronchitis (acute) NOS or chronic obstructive asthma.

466.0 Acute bronchitis ACUTE BRONCHITIS can be secondary to

reactive airways disease, asthma, COPD, interstitial lung disease and fibrosis; acuteinterstitial lung disease and fibrosis; acute exacerbation of a chronic condition should be coded as chronic bronchitis

491.8 Other chronic bronchitis

(chronic tracheitis and chronic tracheobronchitis.)

491.9 Unspecified chronic

bronchitis

508.9 Respiratory conditions

due to unspecified external agent.

518.89 Other diseases of lung, not elsewhere classified.

Includes calcification of the lung and lung disease NOS.

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

794.2 Abnormal lung scan

(Reduced: ventilatory capacity, vital capacity)

6/3/2010 World Trade Center Current and Proposed ICD9 Code List 7

Common Name Code AMA Definition Code AMA Definition Code AMA Definition Guidelines

WORK-UP CONDITIONPRIMARY CONDITION SECONDARY CONDITION

COPD with acute exacerbation

491.21 Obstructive chronic

bronchitis with (acute) exacerbation. Excludes chronic obstructive asthma with acute exacerbation.

466.0 Acute bronchitis ACUTE BRONCHITIS can be secondary to

reactive airways disease, asthma, COPD, interstitial lung disease and fibrosis; acute exacerbation of a chronic condition should be coded as chronic bronchitis

491.8 Other chronic bronchitis

(chronic tracheitis and chronic tracheobronchitis.)

491.9 Unspecified chronic

bronchitis

508.9 Respiratory conditions

due to unspecified external agent.

518.89 Other diseases of lung, not elsewhere classified.

Includes calcification of the lung and lung disease NOS.

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

794.2 Abnormal lung scan

(Reduced: ventilatory capacity, vital capacity)

Extrinsic asthma 493.00 Extrinsic asthma

465.8 Acute upper respiratory

infections of multiple orinfections of multiple or unspecified sites, Other multiple sites

465.9 Acute upper respiratory

infections of multiple or unspecified sites, Unspecified site

466.0 Acute bronchitis ACUTE BRONCHITIS can be secondary to

reactive airways disease, asthma, COPD, interstitial lung disease and fibrosis; acute exacerbation of a chronic condition should be coded as chronic bronchitis

477.9 Allergic rhinitis, cause

unspecified

486 Pneumonia, organism unspecified. Excludes hypostatic or passive pneumonia, influenza with pneumonia, any form, inhalation or aspiration pneumonia due to foreign materials, pneumonitis due to fumes and vapors.

LUNG INFECTION (PNEUMONIA) is secondary to reactive airways disease, asthma, COPD, and interstitial lung disease and fibrosis

786.2 Cough. Excludes cough:

psychogenic, smokers'

6/3/2010 World Trade Center Current and Proposed ICD9 Code List 8

Common Name Code AMA Definition Code AMA Definition Code AMA Definition Guidelines

WORK-UP CONDITIONPRIMARY CONDITION SECONDARY CONDITION

Asthma 493.01 Extrinsic asthma, with status asthmaticus

465.8 Acute upper respiratory

infections of multiple or unspecified sites, Other multiple sites

465.9 Acute upper respiratory

infections of multiple or unspecified sites, Unspecified site

466.0 Acute bronchitis ACUTE BRONCHITIS can be secondary to

reactive airways disease, asthma, COPD, interstitial lung disease and fibrosis; acute exacerbation of a chronic condition should be coded as chronic bronchitis

477.9 Allergic rhinitis, cause

unspecified

486 Pneumonia, organism unspecified. Excludes hypostatic or passive pneumonia, influenza with pneumonia, any form, inhalation or aspiration pneumonia due to foreign materials, pneumonitis due to fumes and vapors.

LUNG INFECTION (PNEUMONIA) is secondary to reactive airways disease, asthma, COPD, and interstitial lung disease and fibrosis

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

493.02 Extrinsic asthma with

(acute) exacerbation

465.8 Acute upper respiratory

infections of multiple or unspecified sites Otherunspecified sites, Other multiple sites

465.9 Acute upper respiratory

infections of multiple or unspecified sites, Unspecified site

466.0 Acute bronchitis ACUTE BRONCHITIS can be secondary to

reactive airways disease, asthma, COPD, interstitial lung disease and fibrosis; acute exacerbation of a chronic condition should be coded as chronic bronchitis

477.9 Allergic rhinitis, cause

unspecified

486 Pneumonia, organism unspecified. Excludes hypostatic or passive pneumonia, influenza with pneumonia, any form, inhalation or aspiration pneumonia due to foreign materials, pneumonitis due to fumes and vapors.

LUNG INFECTION (PNEUMONIA) is secondary to reactive airways disease, asthma, COPD, and interstitial lung disease and fibrosis

786.2 Cough. Excludes cough:

psychogenic, smokers'

6/3/2010 World Trade Center Current and Proposed ICD9 Code List 9

Common Name Code AMA Definition Code AMA Definition Code AMA Definition Guidelines

WORK-UP CONDITIONPRIMARY CONDITION SECONDARY CONDITION

493.20 Chronic obstructive

asthma, unspecified

465.8 Acute upper respiratory

infections of multiple or unspecified sites, Other multiple sites

465.9 Acute upper respiratory

infections of multiple or unspecified sites, Unspecified site

466.0 Acute bronchitis ACUTE BRONCHITIS can be secondary to

reactive airways disease, asthma, COPD, interstitial lung disease and fibrosis; acute exacerbation of a chronic condition should be coded as chronic bronchitis

477.9 Allergic rhinitis, cause

unspecified

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

493.82 Cough variant asthma

465.8 Acute upper respiratory

infections of multiple or unspecified sites, Other multiple sites

465.9 Acute upper respiratory

infections of multiple or unspecified sites, Unspecified site

466.0 Acute bronchitis ACUTE BRONCHITIS can be secondary to

reactive airways disease asthma COPDreactive airways disease, asthma, COPD, interstitial lung disease and fibrosis; acute exacerbation of a chronic condition should be coded as chronic bronchitis

477.9 Allergic rhinitis, cause

unspecified

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

Asthma, unspecified 493.90 Asthma, unspecified

465.8 Acute upper respiratory

infections of multiple or unspecified sites, Other multiple sites

465.9 Acute upper respiratory

infections of multiple or unspecified sites, Unspecified site

466.0 Acute bronchitis ACUTE BRONCHITIS can be secondary to

reactive airways disease, asthma, COPD, interstitial lung disease and fibrosis; acute exacerbation of a chronic condition should be coded as chronic bronchitis.

477.9 Allergic rhinitis, cause

unspecified

6/3/2010 World Trade Center Current and Proposed ICD9 Code List 10

Common Name Code AMA Definition Code AMA Definition Code AMA Definition Guidelines

WORK-UP CONDITIONPRIMARY CONDITION SECONDARY CONDITION

486 Pneumonia, organism unspecified. Excludes hypostatic or passive pneumonia, influenza with pneumonia, any form, inhalation or aspiration pneumonia due to foreign materials, pneumonitis due to fumes and vapors.

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

493.91 Asthma, unspecified, with status asthmaticus

465.8 Acute upper respiratory

infections of multiple or unspecified sites, Other multiple sites

465.9 Acute upper respiratory

infections of multiple or unspecified sites, Unspecified site

466.0 Acute bronchitis ACUTE BRONCHITIS can be secondary to

reactive airways disease, asthma, COPD, interstitial lung disease and fibrosis; acute exacerbation of a chronic condition should be coded as chronic bronchitis

477.9 Allergic rhinitis, cause

unspecified

486 Pneumonia, organism unspecified. Excludes hypostatic or passive pneumonia influenzapneumonia, influenza with pneumonia, any form, inhalation or aspiration pneumonia due to foreign materials, pneumonitis due to fumes and vapors.

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

493.92 Asthma, unspecified, with (acute) exacerbation

465.8 Acute upper respiratory

infections of multiple or unspecified sites, Other multiple sites

465.9 Acute upper respiratory

infections of multiple or unspecified sites, Unspecified site

466.0 Acute bronchitis ACUTE BRONCHITIS can be secondary to

reactive airways disease, asthma, COPD, interstitial lung disease and fibrosis; acute exacerbation of a chronic condition should be coded as chronic bronchitis.

6/3/2010 World Trade Center Current and Proposed ICD9 Code List 11

Common Name Code AMA Definition Code AMA Definition Code AMA Definition Guidelines

WORK-UP CONDITIONPRIMARY CONDITION SECONDARY CONDITION

477.9 Allergic rhinitis, cause

unspecified

486 Pneumonia, organism unspecified. Excludes hypostatic or passive pneumonia, influenza with pneumonia, any form, inhalation or aspiration pneumonia due to foreign materials, pneumonitis due to fumes and vapors.

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

Reactive airway dysfunction syn

496 Chronic airway obstruction, not elsewhere classified.

Excludes COPD.

465.8 Acute upper respiratory

infections of multiple or unspecified sites, Other multiple sites

465.9 Acute upper respiratory

infections of multiple or unspecified sites, Unspecified site

466.0 Acute bronchitis ACUTE BRONCHITIS can be secondary to

reactive airways disease, asthma, COPD, interstitial lung disease and fibrosis; acute exacerbation of a chronic condition should be coded as chronic bronchitis

477.9 Allergic rhinitis, cause

unspecified

486 Pneumonia organism486 Pneumonia, organism unspecified. Excludes hypostatic or passive pneumonia, influenza with pneumonia, any form, inhalation or aspiration pneumonia due to foreign materials, pneumonitis due to fumes and vapors.

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

Pneumonopathy due to inhalation of other dust

504 Pneumonopathy due to inhalation of other dust

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

Chronic respiratory conditions due to fumes and vapors

506.4 Chronic respiratory

conditions due to fumes and vapors

511.9 Pleurisy; unspecified

pleural effusion

6/3/2010 World Trade Center Current and Proposed ICD9 Code List 12

Common Name Code AMA Definition Code AMA Definition Code AMA Definition Guidelines

WORK-UP CONDITIONPRIMARY CONDITION SECONDARY CONDITION

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

518.1 Other diseases of lung, Interstitial emphysema

416.8 Other chronic pulmonary

heart diseases, Pulmonary Hypertension, Secondary

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

786.50 Chest Pain, unspecified

786.59 Chest pain, other

(discomfort, pressure, tightness in chest)

793.1 Nonspecific (abnormal)

findings on radiological and other examination of body structure, lung field.

*Pulmonary fibrosis 515 Post inflammatory pulmonary fibrosis

135 and 517.8

Sarcoidosis 517.8 Lung involvement in other diseases classified elsewhere

136.3 Pneumocytosis

416.8 Other chronic pulmonary

heart diseases, Pulmonary Hypertension, Secondary

446.4 Wegener’s

granulomatosis

465 8 Acute upper respiratory465.8 Acute upper respiratory infections of multiple or unspecified sites, Other multiple sites

465.9 Acute upper respiratory

infections of multiple or unspecified sites, Unspecified site

486 Pneumonia, organism unspecified. Excludes hypostatic or passive pneumonia, influenza with pneumonia, any form, inhalation or aspiration pneumonia due to foreign materials, pneumonitis due to fumes and vapors.

495.9 Extrinsic allergic alveolitis

-unspecified allergic alveolitis and pneumonitits

516.3 Fibrosis, idiopathic

pulmonary

135 and 517.8

Sarcoidosis 517.8 Lung involvement in other diseases classified elsewhere

786.2 Cough. Excludes cough:

psychogenic, smokers'

6/3/2010 World Trade Center Current and Proposed ICD9 Code List 13

Common Name Code AMA Definition Code AMA Definition Code AMA Definition Guidelines

WORK-UP CONDITIONPRIMARY CONDITION SECONDARY CONDITION

*Other alveolar, interstitial disease or Pneumonia, idiopathic interstitial, pneumonia, nonspecific interstitial, pneumonia, respiratory bronchiolitis

516.3 Idiopathic fibrosing

alveolitis

135 and 517.8

Sarcoidosis 517.8 Lung involvement in other diseases classified elsewhere

136.3 Pneumocytosis

446.4 Wegener’s

granulomatosis

465.8 Acute upper respiratory

infections of multiple or unspecified sites, Other multiple sites

465.9 Acute upper respiratory

infections of multiple or unspecified sites, Unspecified site

486 Pneumonia, organism unspecified. Excludes hypostatic or passive pneumonia, influenza with pneumonia, any form, inhalation or aspiration pneumonia due to foreign materials, pneumonitis due to fumes and vapors.

495.9 Extrinsic allergic alveolitis

-unspecified allergic alveolitis andalveolitis and pneumonitits

516.8 Other specified alveolar

and parietoalveolar pneumonopathies.

Excludes lipoid pneumonia, exogenous or unspecified

Secondary Pulmonary Hypertension

135 and 517.8

Sarcoidosis 517.8 Lung involvement in other diseases classified elsewhere

518.3 Pulmonary eosinophilia

786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

Any upper, lower or asthma primary condition above

Code Any upper, lower or asthma primary condition above

518.81 Acute respiratory failure

TBD 518.83 Chronic respiratory failure

Condition covered when secondary to a primary condition. Or in the absence of a linkage to a primary condition, code is approved while further diagnostic test are needed to determine etiology.

6/3/2010 World Trade Center Current and Proposed ICD9 Code List 14

Common Name Code AMA Definition Code AMA Definition Code AMA Definition Guidelines

WORK-UP CONDITIONPRIMARY CONDITION SECONDARY CONDITION

TBD 519.11 Acute bronchospasm Condition covered when secondary to a primary condition. Or in the absence of a linkage to a primary condition, code is approved while further diagnostic test are needed to determine etiology.

TBD 786.05 Shortness of breath Condition covered when secondary to a primary condition. Or in the absence of a linkage to a primary condition, code is approved while further diagnostic test are needed to determine etiology.

786.07 Wheezing Comparable to Shortness of Breath

(786.05) and Chest Tightness (786.59) as a symptom requiring evaluation.

TBD 786.09 Dyspnea and respiratory abnormalities; other

Condition covered when secondary to a primary condition. Or in the absence of a linkage to a primary condition, code is approved while further diagnostic test are needed to determine etiology.

TBD 786.2 Cough. Excludes cough:

psychogenic, smokers' with hemorrhage

TBD 786.50 Chest Pain, unspecified TBD 786.52 Painful respiration Condition covered when secondary to a primary condition. Or in the absence of a linkage to a primary condition, code is approved while further diagnostic test are needed to determine etiology.

TBD 786.59 Chest pain, other (discomfort, pressure, tightness in chest)

Gastrointestinal Conditions Gastroesophageal reflux

530.11 Esophagitis 530.0 Diseases of esophagus;

Achalasia and cardiospasm

Gastrointestinal Conditions Gastrointestinal Conditions Gastrointestinal Conditions p Gastroesophageal reflux

530.81 Esophageal Reflux

(gastroesophageal reflux)

787.20 Dysphagia, unspecified

327.23 Obstructive sleep apnea

(adult) (pediatric)

OBSTRUCTIVE SLEEP APNEA - is secondary to chronic inflammatory conditions of the nasopharynx, sinuses, large airways, and GERD.

530.10 Esophagitis, unspecified

530.3 Stricture and stenosis of

esophagus

530.85 Barrett's Esophagus

531.90 Gastric ulcer, unspecified

as acute or chronic, without mention of hemorrhage, perforation or obstruction

535.00 Acute gastritis without

mention of hemorrhage

535.10 Atrophic gastritis without

mention of hemorrhage

535.40 Other specified gastritis

535.50 Unspecified gastritis and

gastroduodenitis without mention of hemorrhage

Must establish this is upper GI bleed and related to GERD.

6/3/2010 World Trade Center Current and Proposed ICD9 Code List 15

Common Name Code AMA Definition Code AMA Definition Code AMA Definition Guidelines

WORK-UP CONDITIONPRIMARY CONDITION SECONDARY CONDITION

578.1 Gastrointestinal

hemorrhage, blood in stool

Must establish this is upper GI bleed and related to GERD.

784.49 Voice disturbance, other

780.51 Insomnia with sleep

apnea, unspecified

787.1 Heartburn

Musculoskeletal Disorders Carpal Tunnel Syndrome (CTS)

354.0 Mononeuritis of upper

limb and mononeuritis multiplex; Carpal Tunnel Syndrome

Lesion of the ulnar nerve

354.2 Mononeuritis of upper

limb and mononeuritis multiplex - lesion of ulnar nerve

Work-up for secondary conditions like atraumatic fracture or avascular necrosis associated with chronic corticosteroid use to treat some other primary WTC condition.

719.45 Pain in joint, pelvic

region and thigh

Work-up for secondary conditions like atraumatic fracture or avascular necrosis associated with chronic corticosteroid use to treat some other primary WTC condition.

722.10 Displacement of lumbar

intervertebral disc without myelopathy

723.1 Other Disorders Of

Cervical Region;

Cervicalgia

Cervical radiculitis 723.4 Other disorders of the cervical region - brachial neuritis or radiculitis NOS

Work-up for secondary conditions like atraumatic fracture or avascular necrosis associated with chronic corticosteroid use to treat some other primary WTC condition.

Low back pain 724.2 Lumbago Thoracic or lumbosacral neuritis

724.4 Thoracic or lumbosacral

neuritis or radiculitis

Work-up for secondary conditions like atraumatic fracture or avascular necrosis

Musculoskeletal Disorders Musculoskeletal Disorders Musculoskeletal Disorders lumbosacral neuritis or radiculitis, unspecified neuritis or radiculitis, unspecified atraumatic fracture or avascular necrosis associated with chronic corticosteroid use to treat some other primary WTC condition.

Rotator cuff syndrome NOS

726.10 Disorder of the bursae

and tendons in shoulder region, unspecified

Tear of medial meniscus

836.0 Dislocation Of Knee;

Tear of medial cartilage or meniscus of knee, current

Lumbosacral strain/ sprain

846.0 Sprains and strains of

sacroiliac region, lumbosacral (joint) (ligament)

Mental Health Conditions

Code Mental Health Conditions

Counseling-marital/partner problem

V61.10

Counseling-parent-child problem

V61.20

Counseling on subst use/abuse

V65.42

Major Depressive Disorder, single

296.20 Major depressive

disorder, single episode, unspecified

296.21 Major depressive

disorder, single episode, mild

6/3/2010 World Trade Center Current and Proposed ICD9 Code List 16

Common Name Code AMA Definition Code AMA Definition Code AMA Definition Guidelines

WORK-UP CONDITIONPRIMARY CONDITION SECONDARY CONDITION

296.22 Major depressive

disorder, single episode, moderate

296.23 Major depressive

disorder, single episode, severe without mention of psychotic behavior

296.24 Major depressive

disorder, single episode, severe, specified as with psychotic behavior

296.25 Major depressive

disorder, single episode, in partial or unspecified remission

296.26 Major depressive

disorder, single episode, in full remission

Major depressive disorder, recurrence

296.30 Major depressive

disorder, recurrent episode unspecified

296.31 Major depressive

disorder, recurrent episode, mild

296.32 Major depressive

disorder, recurrent episode, moderate

296.33 Major depressive

disorder, recurrent episode, severe, without mention of psychotic behavior

296.34 Major depressive

disorder, recurrent episode, severe, specified as with psychotic behavior

296 35 Major depressive296.35 Major depressive disorder, recurrent episode, in partial or unspecified remission

296.36 Major depressive

disorder, recurrent episode, in full remission

Anxiety Disorder

NOS

300.00 Anxiety state, unspecified

Panic Disorder without agoraphobia

300.01 Panic Disorder without

agoraphobia

Generalized Anxiety Disorder

300.02 Generalized Anxiety

Disorder

Dysthmic Disorder 300.4 Dysthymic disorder.

Excludes adjustment reaction with depressive symptoms, depression NOS, manic-depressive psychosis, depressed type, reactive depressive psychosis.

303.9 Other and unspecified

alcohol dependence

304.9 Unspecified drug

dependence

6/3/2010 World Trade Center Current and Proposed ICD9 Code List 17

Common Name Code AMA Definition Code AMA Definition Code AMA Definition Guidelines

WORK-UP CONDITIONPRIMARY CONDITION SECONDARY CONDITION

Alcohol abuse 305.00 Nondependent Abuse Of Drugs; Alcohol abuse

305.01 Nondependent Abuse Of

Drugs; Alcohol abuse, continuous

305.02 Nondependent Abuse Of

Drugs; Alcohol abuse, episodic

305.03 Nondependent Abuse Of

Drugs; Alcohol abuse, in remission

Tobacco Use Disorder

305.1 Tobacco Use Disorder

Other, mixed, unspecified drug abuse

305.90 Nondependent Abuse Of

Drugs; Other, mixed, unspecified drug abuse, unspecified

305.91 Nondependent Abuse Of

Drugs; Other, mixed, unspecified drug abuse, continuous

305.92 Nondependent Abuse Of

Drugs; Other, mixed, unspecified drug abuse, episodic

305.93 Nondependent Abuse Of

Drugs; Other, mixed, unspecified drug abuse in remission

309.28 Adjustment disorder with

mixed anxiety and depressed mood

Post Traumatic Disorder (PTSD)

309.81 Other Specified

Adjustment Reactions;

Posttraumatic stress disorder. Excludes acute stress disorderstress disorder, posttraumatic brain syndrome.

296.80 Bipolar disorder, unspecified

BIPOLAR DISORDER, UNSPECIFIED can be secondary to PTSD.

300.21 Agoraphobia with panic

disorder

AGORAPHOBIA WITH PANIC DISORDER

can be secondary to PTSD.

300.3 Obsessive Compulsive

Disorder

OBSESSIVE COMPULSIVE DISORDER can be secondary to PTSD.

Adjustment Disorder 309.9 Unspecified adjustment reaction

Depression NOS 311 Depressive disorder, not elsewhere classified

6/3/2010 World Trade Center Current and Proposed ICD9 Code List 18

Primary conditions - must be consistent with World Trade Center exposures Secondary conditions - must be as a result of a primary condition.

Work-up - diagnotic testing that must be associated with a suspected primary condition Parameter of Use - guidance for when a secondary code or work-up code is used

“Complications from Treatment” – 1st problem drug class are the corticosteroids and list the following:

1 For patients who have been prescribed oral corticosteroids for a WTC covered condition by a WTC Program Physician for 12 months or more shall have standard of care monitoring/treatment covered by the WTC Program for osteoporosis (includes baseline [if needed] and serial bone density scans and then as indicated pharmaceutical therapy).

2 For patients who have been prescribed oral corticosteroids for a WTC covered condition by a WTC Program Physician for 12 months, treatment of non-traumatic fractures will be covered if there is evidence of osteoporosis in the involved bone.

3 For patients who have been prescribed oral corticosteroids by a WTC Program Physician (independent of duration, as this is idosyncratic), diagnosis/treatment of aseptic necrosis of hips or other joints will be covered.

4 For patients on oral corticosteroids for a WTC covered condition who then develop new-onset diabetes and/or new-onset hypertension, their physician shall make every reasonable attempt to safely reduce/discontinue oral corticosteroids as clinically indicated. If despite that effort, the new-onset diabetes and/or new-onset hypertension persists, then therapy of new-onset diabetes and/or new-onset hypertension is covered as a secondary condition under the WTC Program. For now exacerbations of prior diabetes and/or hypertension is not a covered secondary condition.