Omphalocele and Gastroschisis

Effective October 1, 2009, new codes have been created under subcategory 756.7, Anomalies of abdominal wall, to identify omphalocele (756.72) and gastroschisis (756.73). Prior to the creation of these two codes, both conditions were indexed and included at code 756.79, Other congenital anomalies of the abdominal wall. This made it difficult to accurately separate these distinct defects. In order to improve better epidemiological tracking of these two separate entities, the American Academy of Pediatrics (AAP) requested that new unique codes be established for each condition. An omphalocele is a distinct ventral wall defect. The intestines...

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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 covers the October 1, 2009 ICD-9-CM update that created separate diagnosis codes for two congenital abdominal wall conditions and removed them from a broader legacy category. It also provides a general clinical overview of these anomalies, including their presentation, frequency, and associated findings, for coders and clinicians working with congenital anomaly classification and epidemiologic reporting.

Why This Topic Matters

Accurate classification of congenital abdominal wall defects supports cleaner documentation, better data tracking, and more precise reporting across pediatrics, obstetrics, and neonatal care. The article is relevant to professionals who need to understand the scope of the ICD-9-CM change and the broad clinical context behind it.

Article Sections

  1. Code update and background

    Introduces the ICD-9-CM abdominal wall anomaly update, including the reason separate diagnosis categories were created and the organizations involved.

  2. Omphalocele

    Summarizes the general clinical features, frequency, and common associated findings of this congenital abdominal wall defect.

  3. Gastroschisis

    Summarizes the general clinical features, frequency, and common associated findings of this congenital abdominal wall defect.

  4. ICD-9-CM code changes

    Lists the affected abdominal wall anomaly categories and notes the transition from the broader legacy grouping to the newer diagnosis-specific entries.

What You Will Learn

  • How the ICD-9-CM abdominal wall anomaly category changed in 2009
  • The general clinical differences between omphalocele and gastroschisis
  • Why these congenital defects were separated for reporting and tracking purposes
  • Which broad congenital anomaly category was affected by the update

Who Should Read This

  • Medical coders
  • Coding auditors
  • Clinical documentation improvement professionals
  • Pediatric clinicians
  • Obstetric and neonatal care teams
  • Health information management professionals

Codes Discussed

  • ICD-9-CM: 756.72
  • ICD-9-CM: 756.73
  • ICD-9-CM: 756.79
  • ICD-9-CM: 756.7
  • ICD-9-CM: 756

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