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Indian Health Service The Federal Health Program for American Indians and Alaska Natives


     Indian Health Manual
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Part 4, Chapter 3:  Manual Appendix III

Ambulatory Patient Care Report Diagnostic Code
List Compared w/ICDA detailed List (8th Revision)


DIAGNOSIS

RECODE
INEFFECTIVE AND PARASITIC DISESES
ICD-9-CM
001 Measles 055.9
002 Rubella (German Measles) 056.9
003 Mumps 072.9
004 Chickenpox 052.9
005 TB, Pulm., Active 010-012
006 TB, Pulm., inact. after treatment --
007 TB, Pulm., not known to have been active --
008 TB, extrapulmanary 013-018
009 TB, late effects, all sites 137
010 TB convertor (Neg. within 1 year) ICD-9-CM code 795.5 implies either APC recode 010 or 011
011 TB reactor ICD-9-CM code 795.5 implies either APC recode 010 or 011
012 Tuberculosis Contact, Neg. Skin Test Vol.1
013 Bacillary Dysentery (shigellosis) 004
014 Gastroenteritis, Diarrhea, etc., NOS 008-009, 558.9
015 Infectious Hepatitis 070.0-070.1, 070.4-070.9, 072.71
016 Syphilis, Prim., Sec., or Early Latent 091-092
017 Syphilis, Other 090, 093,-097
018 Gonoccal Infections 098
019 Other Venereal Diseases 199
20 Ectoparasitic Infestations 132, 133.8-133.9, 134
021 Trachoma (exclude late effects) 076
022 Strep Throat 134.0

WRITE-IN NOTIFIABLE DISEASES


APC RECODE
DIAGNOSIS
ICD-9-CM
025 Anthrax 022
026 Amebiasis 006
027 Botulism 005.1
028 Brucellosis (Undulant Fever) 023
029 Cholera 001
032 Diphtheria 032
033 Erysipelas 035
034 Food Poisoning (Bacterial) 005.0, 005.2-005.9
036 Glanders 024
037 Hepatitis, Serum 070.2-070.3
030 Herpes Simplex, Genital 054.1
031 Herpes Simplex, Oral 054.2
035 Herpes Simplex, Ocular 054.4
038 Hydatidosis 122
039 Infection Mononucleosis 075
040 Leprosy 030
041 Leptospirosis 100
042 Malaria 084
043 Meningitis, Aseptic 047, 072.1
044 Meningitis, Cerebrospinal 036.0
045 Meninoccal Infection 036.1-036.9
046 Necrotizing Ulcerative Gingivitis 101
047 Plague 020
048 Poliomyelitis (exclude late effects) 045
049 Psittacosis 073
050 Puerperal Septicemia 670
051 Rabies 071
052 Relapsing Fever 087
053 Rocky Mountain Spotted Fever 082.0
054 Slamonellosis (other than Typhoid) 003
055 Scabies 133.0
056 Scarlet Fever 034.1
057 Systematic Mycosis 039, 114-117
058 Tapeworm Infestation 123
059 Tetanus 037
060 Trichinosis 124
061 Tularemia 021
062 Typhoid Fever 002
063 Typhus 080-081
064 Viral Encephalitis (exclude late effects) 049.8,-049.9, 052.0, 055.0, 056.01, 062-064, 072.2
065 Whooping Cough 033
066 Yellow Fever 060
067 All Other Infective and Parasitic Diseases 007, 025-027, 031, 038, 040-041, 046, 048-049.1, 050-051, 052.7-052.8, 053, 054.0, 054.3, 054.9, 055.7-055.8, 056.00, 056.09, 056.79-056.8, 057, 061, 065-066, 072.3, 072.72-072.8, 074, 118, 120-121, 125-130.0, 130.2-131, 135-136, 138-139

DIAGNOSIS

RECODE
NEOPLASMS
ICD-9-CM
070 Neoplasms, Malignant 140-208
071 Neoplasms, Benign and Unspecified 210-233.0, 233.4-235, 236.4-239

DIAGNOSIS

RECODE
ENDOCRINE, NUTRITIONAL AND METABLOLIC DISORDERS
ICD-9-CM
080 Diabetes Mellitus 250
081 All Other Endocrine Disorders 240-246, 251-259
082 Protein Malnutrition and Marasmus 260-263
083 Obesity, Non-Endocrine 278.0
084 Vitamin Deficiencies 264-269.9
085 Other Nutritional Disorders 269.3-269.9
086 Metabolic Disorders 270-277, 278.1-279

DIAGNOSIS

RECODE
DISEASE OF BLOOD AND BLOOD-FORMING ORGANS
ICD-9-CM
100 Iron Deficiency Anemia 280
101 Other Anemias 281-285
102 Other Diseases of the Blood and Blood-Forming Organs 286-289
DIAGNOSIS

RECODE
MENTAL DISORDERS
ICD-9-CM
120 Organic Brain Syndrome 290, 292-294
125 Schizophrenia and Other Psychoses 295-299
130 Neuroses (Anxiety, Depressive, etc.) 300
135 Personality Disorders 301, 302
140 Physical Disorders, presumably psychogenic 306
145 Adjustment Reaction of Adulthood 309
150 Drug Dependence of Abuse 304, 205.1-305.9
159 Alcoholism, Acute or Chronic 291, 303, 305.0, 980.0
160 Mental Retardation 317-319
170 Behavioral Disorders of Childhood and Adolescence 313-315
175 Other Mental Disorders 307-308, 310-312, 316

DIAGNOSIS

RECODE
DISEASES OF NERVOUS SYSTEMS
ICD-9-CM
200 Inflammatory Diseases of Central Nervous System 320-326
201 Epilepsy and Convulsive Disorder 345, 780.3
202 Other Diseases of Nervous System 330-344, 346-359

DIAGNOSIS

RECODE
EYE DISEASES
ICD-9-CM
209 Conjunctivitis (excluding Trachoma) 077, 130.1, 372
210 Refractive Error 367
211 Cataract 366
212 Glaucoma 365
213 Phlyct. Keratonconjunctivitis (PKC) 370.31
214 Other Inflammatory Diseases of Eye 360.0-360.1, 363.0-363.2, 364.0-364.3, 370.2, 370.32-370.5, 370.8-370.9, 373, 375.0, 375.3-375.4, 376.0-376.1, 379.0
216 Other Eye Diseases 360.2-362, 363.3-363.9, 364.4-364.9, 368-370.0, 370.6, 371, 374, 375.1-375.2, 375.5-375.9, 376.2-378, 379.1-379.9

DIAGNOSIS

RECODE
EAR DISEASES
ICD-9-CM
249 External Otitis 380.0-380.2
250 Acute Otitis Media 055.2, 381.0, 382.0
251 Chronic Otitis Media w/wo Mastoiditis 381.1-381.4, 382.1-382.9
254 Hearing Loss and Deafness 388.12, 388.2, 389
255 Cholesteatoma 385.3
256 Other Diseases or Ear 380.3-380.9, 381.5-381.9, 383-385.2, 385.8-388.11, 388.3-388.9

DIAGNOSIS

RECODE
DISEASES OF CIRCULATORY SYSTEM
ICD-9-CM
280 Ischemic Heart Disease 410-414
281 Active Rheumatic Fever 390-392
282 Chronic Rheumatic Heart Disease 393-398
283 Hypertensive Disease 401-405
284 Cerebrovascular Disorders 430-438
285 Other Heart & Arterial Dis. (Ex. CNS) 415-427, 428.1-429
286 Diseases of Veins & Lymphatics 440-448
287 Congestive Heart Failure, Etiology Unknown 428.0

DIAGNOSIS

RECODE
DISEASES OF RESPIRATORY SYSTEM
ICD-9-CM
300 Upper Resp. Infection, Common Cold 460-461, 464-465
301 Pharyngitis & Tonsillitis (Non-Strep) 462-463
302 Other Diseases of Upper Respiratory Tract 470-476, 478
303 Influenza 487
304 Acute Bronchitis or Bronchiolitis 466
305 Respiratory Allergy, Asthma & Hay Fever 477, 493
306 Pneumonia 052.1, 055.1, 480-486
307 Chronic Bronchitis/Emphysema 491-492
310 All Other Respiratory Diseases 490, 494-496, 500-519

DIAGNOSIS

RECODE
DISEASES OF DIGESTIVE SYSTEM
ICD-9-CM
350 Gastritis and Duodenitis 535
351 Peptic Disease of Stomach & Duodenum 531-534
352 Inguinal Hernia & Hernia of Abdominal Cavity 550-553
353 Cirrhosis of Liver 571
354 Diseases of Gallbladder & Bile Ducts 574-576
355 Diseases of Teeth & Gums 520-525
356 Other Diseases of Mouth 526-529
357 Other Diseases of GI Tract & Peritoneum 530, 536-537, 540-543, 555-558.2, 560-570, 572-573, 577-579

DIAGNOSIS

RECODE
DISEASES OF URINARY TRACT
ICD-9-CM
400 Urinary Tract Infection (Kidney & Bladder) 590, 595, 599.0
410 Nephritis and Nephrosis 580-584, 586-589
411 Chronic Renal Failure 585
420 Other Diseases of Urinary System 591-594, 596-598, 599.1-599.9
440 All Diseases of Male Genitalia (Excluding Venereal Disease) 072.0, 600-608

DIAGNOSIS

RECODE
FEMALE GENITALIA AND BREAST
ICD-9-CM
450 Infect. of Female Genitalia (Excluding VD) 614-616
452 Disorders of Menstruation 626
460 Abnormal Cytology 233.1-233.3, 236.0-236.3, 795.0
461 Other Gynecologic Problems 617-625, 627-629
470 Diseases of Breast (Excluding Puerperal) 610-611

DIAGNOSIS

RECODE
PREGNANCY, CHILDBIRTH & THE PUERPERIUM
ICD-9-CM
480 Prenatal Care V22-V23
481 Abortion 634-639
482 Hemorrhage of Pregnancy 640-641
483 Anemia of Pregnancy 648.2
484 Urinary Tract Infect. of Pregnancy and Puerperium 646.5
485 Toxemia of Pregnancy 642.3-642.9
486 Other Complications of Pregnancy 630-633, 642.0-642.2, 643, 645-646.4, 646.7-648.1, 648.3-648.9
487 Labor and False Labor 644, 650-669
489 Infect. of Genital Tract During Pregnancy 646.6
490 Postpartum Care V24
491 Complications of the Puerperium 671-674
492 Mastitis & Disorders of Lactation 675-676
495 Family Planning (for Contract Health Services use only) V25-V26

DIAGNOSIS

RECODE
DISEASES OF SKIN & SUBCUTANEOUS TISSUE
ICD-9-CM
500 Impetigo 684
501 Other Bacterial Infections of Skin 680-683, 685-686
502 Infected Wounds 910-917 (.1, .3, .5, .7, .9), 919 (.1, .3, .5, .7, .9), 958.3
503 Warts 078.1
504 Fungal Disease 110-112
505 Acne 706.0-706.1
510 Eczema, Urticaria or Skin Allergy 691-692, 708
520 Other Diseases of Skin 690, 693-698, 700-705, 706.2-707, 709

DIAGNOSIS

RECODE
MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE
ICD-9-CM
550 Rheumatoid Arthritis 714
555 Osteoarthritis 715
560 Other Forms of Arthritis 056.71, 710-713, 716
565 Disorders of the Spine 720-724
570 Other Bone and Joint Disorders 717-719
575 Other Musculoskeletal & Conn. Tissue Diseases 725-739

DIAGNOSIS

RECODE
CONGENITAL ANOMALIES
ICD-9-CM
600 Heart and Great Vessels 745-747
610 Cleft Lip and Palate 749
620 Congenial Dislocation of Hip 754.3
630 Other Congenial Anomalies 740-744, 748, 750-754.2, 754.4-759
650 Certain Causes of Perinatal Morbidity 760-779

DIAGNOSIS

RECODE
ACCIDENTS, POISONINGS, AND VIOLENCE
ICD-9-CM
700 Fracture of Skull, Spine or Trunk 800-809, 0-905.1
701 Fracture of Extremity 810-829, 905.2-905.5
702 Dislocations, Sprains and Strains 830-848, 905.6-905.7
710 Intracranial Injury 850-854, 907.0
711 Internal Thoracic Injury 860-862, 908.0
712 Internal Abdominal Injury 863-869, 908.1-908.2
720 Injuries to Eye 870-871, 918, 921, 930, 940
730 Laceration or Open Wound 872-904, 905.8-905.9, 906.0-906.1, 908.3-908.4
731 Superficial Injury or Contusion 910-917 (.0, .2, .4, .6, .8), 919 (.0, .2, .4, .6, .8), 920, 922-929, 906.2-906.4
740 Effects of Foreign Body Entering Through Orifice 931-939, 908.5
750 Burns 941-949, 906.5-906.9
760 Injury to Nerve or Spinal Cord 950-957, 907.1-907.9
770 Adverse Effect of Medicinal Agent 960-979, 909.0
771 Toxic Effect of Non-Medicinal Substances (Excluding ethyl alcohol) 980.1-989, 909.1
790 Effects of Reduced Temperature and Excessive Dampness 991
791 Other Adverse Effects 958.0-958.2, 958.4-959, 990, 99-999, 908.6-908.9, 909.2-909.9
792 Involved in Accident, No Injury or Adverse Effect V71.3-V71.6

DIAGNOSIS

RECODE
SYMPTOMS AND ILL-DEFINED CONDITIONS
ICD-9-CM
800 Precoridal Pain, Palpit., or Tachycardia 785.0-785.3, 786.51
801 Syncope or Fainting 780.2
802 Epistaxis 784.7
803 Cough 786.2
804 Nausea and Vomiting 787.0
805 Abdominal Pain 789.0
806 Fever of Unknown Origin 780.6
807 Nervousness and Debility 799.2-799.3
808 Headache 784.0
810 All Other Symptoms 780.0-781.1, 780.4-780.5, 780.7-783, 784.1-784.6, 784.8-784.9, 785.4-786.1, 786.3-786.50, 786.1-794, 795.1-795.4, 795.6-796
811 Observation V71.0-V71.2, V71.7-V71.9
812 Other Ill-Defined or undiagnosed Diseases 797-799, 799.4-799.9

DIAGNOSIS

RECODE
SUPPLEMENTAL
ICD-9-CM
818 Well Child Care V20
819 Other Preventive Health Services V03-V07, V72.0-V72.4, V72.8-V72.9
820 * Hospital Medical or Surgical Followup V51, V54-V58, V66-V67
821 Physical Examination V70
823 Tests Only (Lab, X-ray, Screening) V28, V72.5-V72.7, V73-V82
824 COntact/Carrier of Infectious Diseases V01.0, V01.2-V02
825 Socio-Economic Problems V60-V61
826 Environmental Problems V62-V63
827 All Other V10-V19, V21, V27, V30-V50, V52-V53, V59, V64-V65, V68

* Postoperative Followup - To be used only for as long as the physician is seeing the patient to evaluate and render services to the operative site; underlying disease and physiological result of the surgery notwithstanding.


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