AHA Coding Clinic® for ICD-9 - 2002 Fourth Quarter
VOLUME 3 NEW/REVISED CODES
Chapters 00 and 17 The ICD-9-CM system was developed in the 1970s and implemented in 1979. Over the years, many of the categories have become full making it difficult to create new codes. Once a category is full, several types of similar procedures are combined under one code, or a place is found in another section of the codebook for a new code. As a short-term solution, the Centers for Medicare & Medicaid Services (CMS) examined ICD-9-CM to identify an open series of codes that could be used for new procedures and technologies. Chapters 00 (codes 00.00 through...
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Article Overview
This premium article explains a set of ICD-9-CM Volume 3 procedure code changes made to accommodate new procedures and technologies, especially within Chapter 00 and related new/revised entries effective October 1, 2002. It is aimed at coding professionals who need to understand the scope of the updates, the general clinical areas involved, and the structural changes to the procedure code set. The article also includes detailed code-specific discussion and examples that support code lookup and classification work.
Why This Topic Matters
These updates affect how new procedures are represented in ICD-9-CM and help coders recognize where emerging services were placed in the procedure code structure. Understanding the article supports accurate review of code changes, code family structure, and the areas of medicine impacted by the revisions.
Article Sections
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Chapters 00 and 17
Overview of the ICD-9-CM procedure code structure, why new code capacity was needed, and the general approach used to expand available procedure reporting space.
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Therapeutic Ultrasound
Discussion of new procedure code entries related to therapeutic ultrasound applications and the broader clinical areas associated with these additions.
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Implantation of Chemotherapeutic Agent
Coverage of a new procedure code category for implantation of a chemotherapeutic agent and the clinical context in which it is used.
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Infusion of Drotrecogin Alfa (Activated)
Explanation of a newly created procedure code for infusion of a biological agent and the general treatment setting it addresses.
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Administration of Inhaled Nitric Oxide
Overview of a new procedure code for administration of inhaled nitric oxide and the respiratory care context described in the article.
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Injection or Infusion of Nesiritide
Discussion of a new procedure code for administering a heart failure medication and the related clinical use described in the article.
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Injection or Infusion of Oxazolidinone Class of Antibiotics
Coverage of a new procedure code for a class of antibiotic administration and the infection-control settings mentioned in the article.
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Cardiac Resynchronization Therapy
Review of new procedure codes related to cardiac resynchronization therapy, including system types, components, and associated procedural categories.
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Implantation of a "bi-ventricular" defibrillator
A coding-focused clinical example addressing how a resynchronization therapy defibrillator case is categorized.
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Upgrade to a cardiac resynchronization therapy defibrillator
A clinical example involving a change from an existing cardiac device to a resynchronization therapy defibrillator system.
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Implantation of a cardiac resynchronization therapy pacemaker
A clinical example involving a cardiac resynchronization therapy pacemaker scenario and associated classification considerations.
What You Will Learn
- How ICD-9-CM Volume 3 was expanded to accommodate new procedures and technologies
- Which broad clinical areas were affected by the Chapter 00 updates
- How the article organizes new procedure categories across therapeutic, pharmaceutical, and cardiovascular topics
- The types of code-change explanations and clinical examples included in the update review
Who Should Read This
- Medical coders
- Coding auditors
- Health information management professionals
- Clinical documentation specialists
- Reimbursement and billing staff
Codes Discussed
Code Ranges Discussed
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