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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