Program_Memos / 2000 / AB-00-57

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article summarizes a June 2000 HCFA Program Memorandum reminding Medicare contractors about the annual ICD-9-CM update effective October 1, 2000. It covers broad implementation timing for claims processing, contractor communications, and the attached ICD-9-CM addenda for drugs, index entries, tabular changes, and procedure updates. The material is relevant to Part A and Part B contractors, hospital outpatient and OPPS-related billing staff, and coding professionals who need to understand the scope of the annual code-set changes and related system updates.

Why This Topic Matters

The update affects how claims were accepted and processed during the transition period, and it includes changes that impacted diagnosis, procedure, and edit systems used by Medicare contractors and providers. Understanding the scope helps readers assess whether the full memorandum is relevant to ICD-9-CM maintenance, claim-processing updates, and Medicare billing operations.

Article Sections

  1. Program Memorandum Overview

    Introduces the Medicare contractor update and the general purpose of the memorandum. It also identifies the effective and implementation timing at a high level.

  2. Carrier Information

    Summarizes instructions directed to carriers regarding acceptance of updated diagnosis coding during the transition period and contractor bulletin communication. The section also references the general need to keep systems aligned with the annual update.

  3. Intermediary Information

    Covers instructions for intermediaries on updated diagnosis and procedure coding, related grouper and code-editor updates, and outpatient billing implications. It addresses distribution and implementation timing for affected providers.

  4. Attachment A — ICD-9-CM Table of Drugs and Chemicals Addenda

    Lists addenda entries tied to the ICD-9-CM drug and chemical table. The attachment reflects updates affecting poisoning, accident, therapeutic use, and related index structure.

  5. Attachment B — ICD-9-CM Index Addenda

    Presents a long set of index revisions, additions, and deletions across many ICD-9-CM diagnosis terms. The attachment spans multiple body systems, conditions, history and screening topics, and E-code index updates.

  6. Attachment C — ICD-9-CM Tabular Addenda

    Shows tabular ICD-9-CM revisions and new entries for diagnosis categories and subcategories. It includes diagnostic updates, screening categories, and related exclusion and inclusion changes.

  7. Attachment D — Addenda FY 2001 Final ICD-9-CM Volume 3 Procedures

    Provides procedure code addenda for ICD-9-CM Volume 3, including new codes, revised code titles, and index changes. The attachment reflects procedure-related updates effective with the October 1, 2000 transition.

What You Will Learn

  • How the annual ICD-9-CM update was communicated to Medicare contractors
  • What types of diagnosis and procedure addenda were included in the update
  • How the memorandum relates to claims timing and system implementation
  • Which general areas of ICD-9-CM coding were affected by the addenda
  • How the accompanying attachments were organized across index, tabular, and procedure references

Who Should Read This

  • Medicare Part A contractors
  • Medicare Part B contractors
  • Intermediaries and carriers
  • Hospital coding staff
  • Hospital outpatient billing staff
  • OPPS providers
  • Medical records personnel
  • Coding compliance and reimbursement teams

Codes Discussed

Code Ranges Discussed

  • ICD-9-CM: 493.0-493.9
  • ICD-9-CM: 707.10-707.9
  • ICD-9-CM: 494.0-494.1
  • ICD-9-CM: 250.80-250.83
  • ICD-9-CM: 294.10-294.11
  • ICD-9-CM: 64.71 - 39.79
  • ICD-9-CM: 92.30-92.39
  • ICD-9-CM: 39.71 - 39.79
  • ICD-9-CM: 39.50
  • ICD-9-CM: 39.90
  • ICD-9-CM: 38.44
  • ICD-9-CM: 38.48
  • ICD-9-CM: 38.43
  • ICD-9-CM: 38.45
  • ICD-9-CM: 60.61 - 60.69
  • ICD-9-CM: 60.21 - 60.29
  • ICD-9-CM: 81.00 - 81.85
  • ICD-9-CM: 995.60-995.69
  • ICD-9-CM: V14.0-V14.9
  • ICD-9-CM: V15.01-V15.09
  • ICD-9-CM: V21.30-V21.35
  • ICD-9-CM: V10.40-V10.44
  • ICD-9-CM: 860.2-860.5
  • ICD-9-CM: 862.29
  • ICD-9-CM: 862.39
  • ICD-9-CM: 494.1

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