AHA Coding Clinic® for ICD-9 - 2009 Issue 4
V Code Update
History (of) There are new codes that describe personal history of malignant neuroendocrine tumor (V10.91), and personal history of unspecified malignant neoplasm (V10.90). Code V10.91 is for use for persons who have had a history of a malignant neuroendocrine tumor, which has been previously excised or eradicated with no further treatment. Assign code series (209.3X-209.6X) for a current malignant neuroendocrine tumor. For patients with a history of malignant neuroendocrine tumor that continues to have functional activity such as carcinoid syndrome (259.2), sequence the carcinoid syndrome first, followed by the personal history V code...
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Article Overview
This premium article explains a set of ICD-9-CM V code changes and additions, organized by clinical and administrative topic. It is useful for coders, billers, auditors, and compliance staff who need to understand how the updated V code categories are grouped and where the new or revised status, history, screening, aftercare, counseling, newborn, laboratory, and social circumstance codes fit within the broader code set.
Why This Topic Matters
V code changes affect how encounters are classified across history, preventive care, follow-up, counseling, and social factors. Understanding the scope of the updates helps coding professionals recognize when a V code category is relevant and distinguish it from related diagnostic or procedural classifications.
Article Sections
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History (of)
Covers updates in personal history categories, including broader history and status concepts tied to prior conditions and exposures. It also notes related current-condition categories used for context.
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Screening
Summarizes new screening categories added for neurologic-related evaluation. The section focuses on preventive and early-detection screening topics.
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Aftercare
Describes revisions in aftercare coding for appliance and device-related follow-up. The section addresses a narrowed set of updated device-fitting topics.
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Counseling and Obstetrics and Related Conditions
Explains new counseling and related obstetric history categories involving fertility preservation and selected family or household counseling circumstances. It also covers household disruption and family conflict topics.
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Newborn, Infant and Child
Reviews additions within child health supervision categories for newborn age-based visits. The section covers the expansion of newborn supervision topics.
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Routine and Administrative Examinations
Summarizes additions to laboratory examination categories used in routine, pre-procedural, and other administrative contexts. It also distinguishes these from other types of testing categories.
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Miscellaneous
Covers newly added social and housing-related status categories. The section addresses foster care and other specified living or economic circumstances.
What You Will Learn
- Which ICD-9-CM V code categories were updated in this article
- How the article groups changes by clinical and administrative topic
- What broad types of history, screening, aftercare, counseling, newborn, laboratory, and social circumstance updates are included
- Which specialties or encounter types the V code changes relate to
- How the article frames revised status and history concepts within the V code set
Who Should Read This
- Medical coders
- Coding auditors
- Billing and reimbursement staff
- Compliance professionals
- Healthcare documentation specialists
Codes Discussed
Code Ranges Discussed
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