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ICD Diagnosis Coding

ICD-9-CM Coding System

International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes indicate the condition, symptoms, problems, complaints, diagnosis or other reasons for the visit or procedure. In other words, ICD-9 codes justify the use of CPT® codes. You may list up to four ICD-9 codes on the Medicare claim form, but the first one used must reflect the chief reason for the services provided. Enter only one diagnosis per detail line on the electronic or paper claim. The additional diagnoses are used to describe any co-existing conditions. The chief reason and the co-existing conditions must also be noted in the medical record. Co-existing conditions requiring specific tests or procedures should also be recorded on the claim form and in the medical record.

Billing the Highest Level

ICD-9 codes are composed of three-, four- and five-digit numeric and alphanumeric codes. ICD-9 codes classify groups of diseases and injuries by etiology and by organ system. These codes also classify symptoms.

Diagnosis codes must always be documented to the highest known level of specificity. If a three-digit code lists four- and five-digit codes as subcodes, then the three-digit code becomes a category, not a billable code. Only those codes highlighted in bold in the example below are billable codes.

Samples of ICD-9 Levels

596 Other disorders of bladder
596.0 Bladder neck obstruction
596.1 Intestinovesical fistula
596.2 Vesical fistula, not elsewhere classified
596.3 Diverticulum of bladder
596.4 Atony of bladder
596.5 Other functional disorders of bladder
596.51 Hypertonicity of bladder
596.52 Low bladder compliance
596.53 Paralysis of bladder
596.54 Neurogenic bladder
596.55 Detrusor sphincter dyssynergia
596.59 Other functional disorder of bladder
596.6 Rupture of bladder, nontraumatic
596.7 Hemorrhage of bladder wall
596.8 Other specified disorders of bladder
596.9 Unspecified disorder of bladder

Using ICD-9 V Codes
When circumstances other than a disease or injury need to be recorded as a diagnosis, a V code must be used. Some examples are: a patient comes in for a prostate check-up because of family history; a patient is seen due to his desire to be an organ donor; or a problem is present that influences the patient's health but is not, in itself, a current injury or illness.

V codes are now more commonly accepted by insurers for many conditions. Here are some examples of V codes used by urologists:

ICD-9 V Codes

V01.6 Contact with or exposure to communicable diseases, venereal disease
V10.46 Personal history of malignant neoplasm, prostate
V55.6 Attention to artificial openings, other artificial opening of urinary tract (nephrostomy, ureterostomy, urethrostomy)
V64.41 Laparoscopic surgical procedure converted to open procedure


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