Q: I always have difficulty getting updates for new codes for the new year. For whatever reason, I never get them until the spring or later. I am hoping you have and will share any new information or codes that are pertinent to the chiropractic profession. Can you help?
A: As you are aware, diagnosis and procedure codes may update or change at the start of a new year. This year is no different, and there are codes in the International Classification of Diseases-9th revision that have relevance to the chiropractic profession.
For 2009, there are 35 new and updated ICD-9 codes for headaches and eight updates for overexertion, strenuous and repetitive movements/loads. Procedure codes for physical medicine and rehabilitation had no updates or new codes. The diagnosis updates are:
For more specific information on the ICD-9, you can visit the Center for Disease Control's National Center for Health Statistics Web site at the following URL: www.cdc.gov/nchs/datawh/ftpserv/ftpicd9/ftpicd9.htm#guidelines.
| 307.80 Psychogenic pain, unspecified |
| 307.89 Pain disorder related to psychological factors, other |
| 339.00 Cluster headache syndrome, unspecified |
| 339.01 Episodic cluster headache |
| 339.03 Episodic paroxysmal hemicranias |
| 339.04 Chronic paroxysmal hemicranias |
| 339.05 Short-lasting unilateral neuralgiform headache with conjunctival injectionand tearing |
| 339.09 Other trigeminal autonomic cephalgias |
| 339.10 Tension-type headache, unspecified |
| 339.11 Episodic tension-type headache |
| 339.12 Chronic tension-type headache |
| 339.20 Posttraumatic headache, unspecified |
| 339.21 Acute posttraumatic headache |
| 339.22 Chronic posttraumatic headache |
| 339.30 Drug-induced headache, not elsewhere classified |
| 339.41 Hemicrania continua |
| 339.42 New daily persistent headache |
| 339.43 Primary thunderclap headache |
| 339.44 Other complicated headache syndrome |
| 339.81 Hypnic headache |
| 339.82 Headache associated with sexual activity |
| 339.83 Primary cough headache |
| 339.84 Primary exertional headache |
| 339.85 Primary stabbing headache |
| 339.89 Other specified headache syndromes |
| 346.00 Migraine with aura |
| 346.10 Migraine without aura |
| 346.20 Variants of migraine |
| 346.30 Hemiplegic migraine |
| 346.40 Menstrual migraine |
| 346.50 Persistent migraine aura without cerebral infarction |
| 346.60 Persistent migraine aura with cerebral infarction |
| 346.70 Chronic migraine with aura |
| 346.80 Other forms of migraine |
| 346.90 Migraine, unspecified |
| 994.5 Exhaustion due to excessive exertion |
| E927.0 Overexertion from sudden strenuous and repetitive movements or loads |
| E927.1 Overexertion from prolonged static position |
| E927.2 Excessive physical exertion from prolonged activity |
| E927.3 Cumulative trauma from repetitive motion |
| E927.4 Cumulative trauma from repetitive impact |
| E927.8 Other overexertion and strenuous and repetitive movements or load |
| E927.9 Unspecified overexertion and strenuous and repetitive movements or loads |
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