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New Codes for a New Year

Samuel A. Collins

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

January 2009