AHA Coding Clinic® for ICD-9 - 2005 Issue 4
October 1, 2005 (FY06) V Code Update
There are many significant changes to the V Codes with this year’s addenda. Two of the most significant are the expansion of code V58.1, Chemotherapy, to include immunotherapy, and the new codes for Body Mass Index, category V85. The information provided in this article and the changes to the V Code Table will be incorporated into the next release of the “ICD-9-CM Official Guidelines for Coding and Reporting.†Subcategories V49.6, Upper limb amputation status, and V49.7, Lower limb amputation status, have been moved from additional only to...
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Article Overview
This premium article explains the October 1, 2005 updates to ICD-9-CM V codes and the related table changes that were incorporated into the next official coding guidelines. It is aimed at coders, auditors, compliance staff, and clinical documentation teams who need to understand how the revised V code structure affects encounter reporting across personal history, family history, counseling, obstetrics, status, aftercare, preventive services, donor situations, and other administrative or special-issue encounters.
Why This Topic Matters
The update includes multiple new, revised, and moved V code entries that affect how encounters are categorized and reported in the FY06 code set. Understanding these changes helps maintain accurate documentation alignment and code selection under the updated ICD-9-CM framework.
Article Sections
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Overview of V code changes
Introduces the scope of the year’s V code addenda and notes that the changes are reflected in the updated official guidelines and V code table.
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History (of)
Covers newly added personal history and family history codes and the general purpose of history coding in the V code structure.
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Counseling/Obstetrics
Discusses new and revised codes related to genetic counseling and testing, along with related psychosocial and family circumstance additions.
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Status
Addresses new and revised status codes, including dialysis, respirator dependence, bed confinement, and body mass index reporting.
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Aftercare
Summarizes updates to antineoplastic therapy aftercare coding and the revised structure for chemotherapy and immunotherapy encounters.
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Routine and Administrative Examinations
Covers additions affecting pregnancy testing and blood typing within the routine and administrative examination categories.
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Donor
Describes new donor category additions related to egg donation and the associated encounter reporting framework.
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Miscellaneous
Reviews vaccination-not-carried-out updates and the addition of a behavioral insomnia of childhood code.
What You Will Learn
- How the FY06 V code update changes the structure of several ICD-9-CM categories
- Which broad encounter types gained new or revised V code entries
- How the article organizes changes across history, status, aftercare, preventive, donor, and miscellaneous topics
- What general documentation areas are affected by the updated V code table
Who Should Read This
- Medical coders
- Coding auditors
- Compliance staff
- Clinical documentation teams
- Billing and reimbursement professionals
Codes Discussed
Code Ranges Discussed
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