CHANGES TO OFFICIAL GUIDELINES FOR CODING AND REPORTING

Effective October 1, 1996, there are some changes to the Official Guidelines for Coding and Reporting. The modifications are published below using the following format: Additions are shown underlined, (e.g. Late effects) Deletions are shown as strikeouts, (e.g. usually) The text of these modified guidelines is consistent with the content appearing on the CD-ROM. Official Guidelines for Coding and Reporting Diagnostic Coding and Reporting Guidelines for Outpatient Services (Hospital-Based and Physician Office) 12 Diagnostic Coding and Reporting Requirements for Physician Billing (HCFA) P External Causes of Diseases and Injuries 11 Child and Adult Abuse 11.5 General...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This page reviews a set of updates to the official coding and reporting guidelines in effect beginning October 1, 1996. It is relevant to coders working with ICD-9-CM guidance across inpatient, outpatient, physician billing, HIV-related encounters, obstetrics, and external-cause documentation. The article presents the revised guideline language and highlights areas where coding policy, sequencing, and reporting expectations were updated.

Why This Topic Matters

It helps coding professionals understand which guideline areas changed and where official instruction was revised for documentation and reporting consistency. This is useful for accurate code assignment, compliance, and interpreting historical ICD-9-CM guideline materials.

Article Sections

  1. Official Guidelines for Coding and Reporting

    Introduces the guideline update format and lists the major guideline areas affected by the revisions.

  2. General Inpatient Coding Guidelines

    Covers inpatient guideline updates related to diagnosis sequencing, reporting of additional diagnoses, obstetrics, HIV-related encounters, and related documentation topics.

  3. Guidelines for Coding External Causes of Injuries, Poisonings and Adverse Effects of Drugs (E Codes)

    Summarizes external-cause coding guidance, including place of occurrence, multiple causes, abuse, transport events, and undetermined or unknown circumstances.

  4. Diagnostic Coding and Reporting Guidelines for Outpatient Services (Hospital-based and Physician Office)

    Addresses outpatient reporting guidance for documented conditions and the handling of historical conditions in encounter-based coding.

  5. Diagnostic Coding and Reporting Requirements for Physician Billing (HCFA)

    Identifies physician billing reporting material referenced in the guideline update.

What You Will Learn

  • Which guideline sections were revised in the 1996 update
  • How the article organizes inpatient, outpatient, HIV, obstetric, and E-code guidance
  • What broad documentation and sequencing topics are addressed in the revised instructions
  • Which guideline areas are affected by effective-date changes

Who Should Read This

  • Medical coders
  • Coding auditors
  • Compliance staff
  • Billing professionals
  • Clinical documentation staff

Codes Discussed

  • ICD-9-CM: V10-V19
  • ICD-9-CM: V72.6
  • ICD-9-CM: V65.44
  • ICD-9-CM: V08
  • ICD-9-CM: 42
  • ICD-9-CM: V73.89
  • ICD-9-CM: V69.8
  • ICD-9-CM: 042
  • ICD-9-CM: E849.9
  • ICD-9-CM: E967
  • ICD-9-CM: E904.0
  • ICD-9-CM: E928.9
  • ICD-9-CM: E958.9
  • ICD-9-CM: E968.9
  • ICD-9-CM: 995.5
  • ICD-9-CM: V61.21
  • ICD-9-CM: 995.50-995.59
  • ICD-9-CM: 995.80-995.85
  • ICD-9-CM: E980-E989
  • ICD-9-CM: E800-E928.9
  • ICD-9-CM: E850-E869
  • ICD-9-CM: E880-E928
  • ICD-9-CM: E908-E909
  • ICD-9-CM: E960-E969

Code Ranges Discussed

  • ICD-9-CM: V10-V19
  • ICD-9-CM: 995.50-995.59
  • ICD-9-CM: 995.80-995.85
  • ICD-9-CM: E980-E989
  • ICD-9-CM: E800-E928.9
  • ICD-9-CM: E850-E869
  • ICD-9-CM: E880-E928
  • ICD-9-CM: E908-E909
  • ICD-9-CM: E960-E969

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