Coding Questions and Answers

This column of questions and answers to the HCFA Regional offices from HCFA's Bureau of Policy Development will be an ongoing feature of Coding Clinic for ICD-9-CM. The answers are being published as part of our overall effort to assist all coders who need guidance with these issues. The effective date for each question is listed. As with all material that appears in this publication, the answers have been reviewed by the Cooperating Parties (AHA, AHIMA, HCFA, and NCHS). 6/9/93 Question: What is the correct ICD-9-CM procedural code for transjugular intrahepatic portosystemic shunt (TIPS)? Answer: Assign procedural code 39...

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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 article compiles multiple coding questions and official responses focused on ICD-9-CM procedural and diagnosis coding issues. It is aimed at coders and coding reviewers who need to understand how the publication addressed common documentation scenarios, principal diagnosis sequencing, and updates referenced by HCFA and NCHS over time. The material also notes effective dates and references to coding policy changes discussed in the source.

Why This Topic Matters

It provides historical coding guidance that can affect how older ICD-9-CM records are interpreted, reviewed, or audited. It also shows how official advice evolved across specific dates and organizations, which is useful for compliance and retrospective coding research.

Article Sections

  1. Introduction

    A brief overview of the column format, its purpose, and the organizations involved in reviewing the answers.

  2. Questions and answers on ICD-9-CM procedural coding

    A series of procedure-coding scenarios involving vascular, transplant, neurosurgical, dialysis, fracture, and related inpatient cases, along with dated notes reflecting code updates over time.

  3. Questions and answers on ICD-9-CM diagnosis coding and sequencing

    A series of diagnosis-coding scenarios involving respiratory, renal, neurologic, oncology, obstetric, postoperative, and complication-related cases, including principal diagnosis sequencing and general guidance references.

  4. Policy and source guidance

    Questions addressing the source of official advice for PROs and whether that advice would be published in the column.

What You Will Learn

  • How the article organizes official ICD-9-CM questions and answers.
  • What kinds of procedural and diagnosis topics are addressed in the column.
  • Which organizations are referenced as sources or reviewers of coding advice.
  • How dated notes in the article relate to later coding updates and revisions.

Who Should Read This

  • Medical coders
  • Coding auditors and compliance staff
  • Health information management professionals
  • Coding educators and trainers
  • Retrospective coding researchers

Codes Discussed

  • ICD-9-CM: 39.1
  • ICD-9-CM: 54.98
  • ICD-9-CM: 54.25
  • ICD-9-CM: 00.55
  • ICD-9-CM: 36.07
  • ICD-9-CM: 39.90
  • ICD-9-CM: 39.59
  • ICD-9-CM: 493.90
  • ICD-9-CM: 996.81
  • ICD-9-CM: V67.09
  • ICD-9-CM: 01.59
  • ICD-9-CM: 93.59
  • ICD-9-CM: 191.1
  • ICD-9-CM: 39.49
  • ICD-9-CM: 39.42
  • ICD-9-CM: 285.1
  • ICD-9-CM: 280.0
  • ICD-9-CM: V58.1
  • ICD-9-CM: 584.9
  • ICD-9-CM: V56.0
  • ICD-9-CM: 79.1x
  • ICD-9-CM: 202.83
  • ICD-9-CM: 162.9
  • ICD-9-CM: V30.01
  • ICD-9-CM: V20.1
  • ICD-9-CM: 997.1
  • ICD-9-CM: 401.0
  • ICD-9-CM: 250.5x
  • ICD-9-CM: 250.9x
  • ICD-9-CM: 433
  • ICD-9-CM: 436
  • ICD-9-CM: 482.8
  • ICD-9-CM: 482.2
  • ICD-9-CM: 482.83
  • ICD-9-CM: 410.xx
  • ICD-9-CM: 411.1
  • ICD-9-CM: 996.03
  • ICD-9-CM: 466.0
  • ICD-9-CM: 492.8
  • ICD-9-CM: 491.2x
  • ICD-9-CM: 491.22
  • ICD-9-CM: 458.29
  • ICD-9-CM: 997.91
  • ICD-9-CM: 458.2
  • ICD-9-CM: 427.69
  • ICD-9-CM: 997.3
  • ICD-9-CM: 496

Code Ranges Discussed

  • ICD-9-CM: 00.45-00.48
  • ICD-9-CM: 00.40-00.43
  • ICD-9-CM: 410.xx
  • ICD-9-CM: 433.x
  • ICD-9-CM: 434.x

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