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2.4 ICD-9-CM Chapter-Specific Guidelines

2-16. 2.4 ICD-9-CM Chapter-Specific Guidelines. Chapter guidelines refer to the chapters in the ICD-9 manual The ICD-9 manual contains 17 chapters plus sections for V and E codes. 2-17. 2.4 ICD-9-CM Chapter-Specific Guidelines (continued). Chapter-Specific Guidelines for ICD-9-CM:

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2.4 ICD-9-CM Chapter-Specific Guidelines

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  1. 2-16 2.4 ICD-9-CM Chapter-Specific Guidelines • Chapter guidelines refer to the chapters in the ICD-9 manual • The ICD-9 manual contains 17 chapters plus sections for V and E codes

  2. 2-17 2.4 ICD-9-CM Chapter-Specific Guidelines (continued) • Chapter-Specific Guidelines for ICD-9-CM: • Infectious and Parasitic Diseases: Guidelines are specific and concern coding of HIV, septicemia, SIRS, sepsis, and MRSA. Guidelines include selection and sequencing instructions specific to these conditions. • Neoplasms: Guidelines pertain to general guidelines for reporting neoplasms and sequencing instructions pertaining to history of malignant neoplasm, administration of chemotherapy, radiotherapy, and complications due to the condition or therapy. • Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders: Guidelines for diabetes. Codes in this chapter require fifth digits. There are also multiple-sequencing guidelines, including those on the use of slanted brackets (etiology/manifestation sequencing).

  3. 2-18 2.4 ICD-9-CM Chapter-Specific Guidelines (continued) • Chapter-Specific Guidelines for ICD-9-CM (cont.): • Diseases of Blood and Blood-Forming Organs: General and sequencing instructions for anemia are included. Also included are instructions for coding anemia associated with other diseases. • Mental Disorders: Currently there are no guidelines for this chapter. • Diseases of the Nervous System and Sense Organs: Specific guidelines for coding pain. • Diseases of the Circulatory System: Hypertension and hypertensive heart and kidney disease guidelines, along with guidelines on cerebral infarction, stroke, cerebral vascular accident, late effects, and myocardial infarction. • Diseases of the Respiratory System: Instructions and code sequencing for chronic obstructive pulmonary disease (COPD), asthma, bronchitis, and respiratory failure.

  4. 2-19 2.4 ICD-9-CM Chapter-Specific Guidelines (continued) • Chapter-Specific Guidelines for ICD-9-CM (cont.): • Diseases of the Digestive System: Currently there are no guidelines for this chapter. • Diseases of the Genitourinary System: Guidelines include instructions for the coding and sequencing of chronic kidney disease (CKD). • Complications of Pregnancy, Childbirth, and the Puerperium: Guidelines include general rules for obstetric care and coding and sequencing instructions for fetal conditions affecting management of pregnancy, HIV infection in pregnancy, normal delivery and postpartum conditions, and abortions. • Diseases of the Skin and Subcutaneous Tissue: Guidelines for coding pressure ulcer stages.

  5. 2-20 2.4 ICD-9-CM Chapter-Specific Guidelines (continued) • Chapter-Specific Guidelines for ICD-9-CM (cont.): • Diseases of the Musculoskeletal System and Connective Tissue: Guidelines for the coding of pathologic fractures are included in this chapter. • Congenital Anomalies : Currently there are no guidelines for this chapter. • Newborn (Perinatal) Guidelines: General perinatal rules and sequencing are included in these guidelines. The use of some V codes is also reviewed here. • Symptoms, Signs, and Ill-Defined Conditions: Currently there are no guidelines for this chapter. • Injury and Poisoning: Instructions on injuries, fractures, burns, adverse effects, poisoning, and toxic effects. V and E codes: Guidelines for V and E codes and their sequencing are also included in the chapter-specific guideline section.

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