ICD-10 to ICD-9 Conversion Table Billing Code: Billable ICD-9/ ICD-10 ...

ICD-10 to ICD-9 Conversion Table

Billing Code: Billable ICD-9/ ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purpose Eligibility Code: ICD-9/ICD-10 associated with diagnosed conditions with a high probability of developmental delay and related to EIP eligibility

Conversion (Conv.) Type: Approx.: Require clinical interpretation in order to determine the most appropriate conversion code(s) for your specific coding situation. Direct: An exact conversion from ICD-9 to ICD-10

ICD-10 CODE

E70.21 E70.29 E70.30 E70.5 E70.8 E71.0 E74.09 E75.25 F40.10 F41.1 F41.9

ICD-10 DESCRIPTION

Tyrosinemia Other disorders of tyrosine metabolism Albinism, unspecified Disorders of tryptophan metabolism Other disorders of aromatic amino-acid metabolism Maple-syrup-urine disease Other glycogen storage disease Metachromatic leukodystrophy Social phobia, unspecified Generalized anxiety disorder Anxiety disorder, unspecified

Can be Submitted on Relates to EI Eligibility /

EIP Provider Claims Diagnosed Condition with

on 10/1/2015 and

a high probablity of

thereafter

developmental delay

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

CONV. TYPE

Approx. Approx. Approx. Approx. Approx. Direct Direct

F84.0 Autistic disorder

YES

YES

Approx.

F84.5 Asperger's syndrome

YES

YES

Approx.

F84.8 Other pervasive developmental disorders F84.9 Pervasive developmental disorder, unspecified

YES

YES

Approx.

YES

YES

Approx.

F50.8 F98.29 F43.10 F43.12 F43.20

Other eating disorders Other feeding disorders of infancy and early childhood Post-traumatic stress disorder, unspecified Post-traumatic stress disorder, chronic Adjustment disorder, unspecified

YES

NO

Approx.

YES

NO

Approx.

YES

YES

YES

YES

Approx.

YES

NO

Approx.

F43.21 Adjustment disorder with depressed mood

YES

F43.22 Adjustment disorder with anxiety

YES

F43.23 Adjustment disorder with mixed anxiety and depressed mood

YES

F43.25 Adjustment disorder with mixed disturbance of emotions and conduct

YES

F44.6 Conversion disorder with sensory symptom or deficit

YES

F43.9 Reaction to severe stress, unspecified

YES

NO

Approx.

NO

Direct

NO

Direct

NO

Direct

NO

Approx.

NO

Approx.

F50.8 Other eating disorders

YES

NO

Approx.

F63.3 Trichotillomania

YES

F72 Severe intellectual disabilities

YES

F93.9 Childhood emotional disorder, unspecified

YES

F94.0 Selective mutism

YES

F94.8 Other childhood disorders of social functioning

YES

Unspecified behavioral and emotional disorders with onset usually occurring in

F98.9 childhood and adolescence

YES

NO

Approx.

NO

Direct

YES

Approx.

NO

Direct

Approx.

YES

Approx.

YES

Approx.

F93.8 Other childhood emotional disorders

YES

YES

Approx.

ICD-9 CODE

ICD-9 DESCRIPTION

270.2 270.3 271.0 333.0 300.23 300.02 300.00 299.00 299.01 299.80 299.81 299.80 299.81 299.9 307.54 307.59 307.59

Arom amin-acid metab NEC Disturbances of branched-chain amino-acid metabolism Glycogenosis Leukodystrophy Social phobia Generalized anxiety disorder Anxiety state, unspecified Infantile Autism active state Autistic disorder, residual state Pervasive Developmental Disorder (PDD) Other specified pervasive developmental disorders, residual state Pervasive Developmental Disorder (PDD) Other specified pervasive developmental disorders, residual state Unspecified pervasive developmental disorder, current or active state Psychogenic vomiting Other disorders of eating Other disorders of eating

309.81 309.9 309.0 309.1 309.24 309.28 309.4 300.11 309.9 307.54 307.59 307.9 312.39 318.1 313.9 313.23 313.9 302.29

Prolonged Post Traumatic Stress Disorder Unspecified adjustment reaction Adjustment disorder with depressed mood Prolonged depressive reaction Adjustment disorder with anxiety Adjustment disorder with mixed anxiety and depressed mood Adjustment disorder with mixed disturbance of emotions and conduct Conversion disorder Unspecified adjustment reaction Psychogenic vomiting Other disorders of eating Other and unspecified special symptoms or syndromes, not elsewhere classified Other disorders of impulse control Severe intellectual disabilities Emotional dis child NOS Selective mutism Emotional dis child NOS Adj react-emotion NEC

313.9 313.0 313.3 313.82 313.89

Emotional dis child NOS Overanxious disorder Relationship problems Identity disorder Emotional dis child NEC

ICD-10 --> ICD-9

Relates to EI Eligibility / Diagnosed Condition with

a high probablity of developmental delay

YES NO NO NO NO NO NO YES YES YES NO YES YES NO NO NO NO

YES NO NO NO NO NO NO NO NO NO NO NO NO NO YES NO YES NO

YES NO NO NO NO

1 of 11

ICD-10 CODE

F93.0 F94.1 F98.3 F98.8

ICD-10 DESCRIPTION

Separation anxiety disorder of childhood Reactive attachment disorder of childhood Pica of infancy and childhood Reactive attachment disorder of childhood

Can be Submitted on Relates to EI Eligibility /

EIP Provider Claims Diagnosed Condition with

on 10/1/2015 and

a high probablity of

thereafter

developmental delay

YES

YES

YES

YES

YES

NO

YES

NO

CONV. TYPE

Direct Approx. Approx. Approx.

ICD-9 CODE

309.21 313.89 307.52 313.89

Separation anxiety disorder Emotional dis child NEC Pica Emotional dis child NEC

ICD-9 DESCRIPTION

Relates to EI Eligibility / Diagnosed Condition with

a high probablity of developmental delay

NO NO NO NO

F90.0 Attention-deficit hyperactivity disorder, predominantly inattentive type

YES

No

Approx. 314.00 Prolonged Attention Deficit Disorder w/o Hyperactivity

YES

314.01 Attention deficit disorder with hyperactivity

YES

F90.8 Attention-deficit hyperactivity disorder, other type

YES

NO

Approx. 314.2 Hyperkinetic conduct disorder

NO

Approx. 314.00 Prolonged Attention Deficit Disorder w/o Hyperactivity

YES

Approx. 314.01 Attention Deficit/Hyperactivity Disorder-combined type

YES

F90.9 Attention-deficit hyperactivity disorder, unspecified type

YES

NO

Approx. 314.9 Hyperkinetic synd NOS

NO

F90.1 Attention-deficit hyperactivity disorder, predominantly hyperactive type

YES

NO

Approx. 314.01 Attention Deficit/Hyperactivity Disorder-combined type

YES

F90.2 Attention-deficit hyperactivity disorder, combined type

YES

YES

Approx. 314.01 Attention Deficit/Hyperactivity Disorder-combined type

YES

F91.9 Conduct disorder, unspecified

YES

NO

Direct 312.9 Unspecified disturbance of conduct

NO

F80.1 Expressive language disorder

YES

NO

Direct 315.31 Expressive language dis

NO

F80.2 Mixed receptive-expressive language disorder

YES

NO

Approx. 315.32 Recp-expres language dis

NO

H93.25 Central auditory processing disorder

YES

NO

Approx. 315.32 Recp-expres language dis

NO

H93.299 Other abnormal auditory perceptions, unspecified ear

YES

YES

Approx. 388.4 Abnormal auditory perception, unspecified

NO

388.9 Unspecified disorder of ear

NO

H93.90 Unspecified disorder of ear, unspecified ear

YES

NO

Approx. V41.3 Other ear problems

NO

I62.9 Nontraumatic intracranial hemorrhage, unspecified

YES

NO

Direct 432.9 Unspecified intracranial hemorrhage

NO

I63.50 Cerebral infarction due to unspecified occlusion or stenosis of unspecified

YES

NO

Approx. 434.91 Cerebral artery occlusion, unspecified with cerebral infarction

NO

I63.9 Cerebral infarction, unspecified

YES

NO

Approx. 434.91 Cerebral artery occlusion, unspecified with cerebral infarction

NO

I69.151 Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage

YES

F80.4 affecting right dominant side

YES

F80.0 Phonological disorder

YES

F80.9 Developmental disorder of speech and language, unspecified

YES

F80.81 Childhood onset fluency disorder

YES

F80.89 Other developmental disorders of speech and language

YES

F82 Specific developmental disorder of motor function

YES

F88 Other disorders of psychological development

YES

F81.9 Developmental disorder of scholastic skills, unspecified

YES

F89 Unspecified disorder of psychological development

YES

G12.0 Infantile spinal muscular atrophy, type I [Werdnig-Hoffman]

YES

G24.3 Spasmodic torticollis

YES

G24.9 Dystonia, unspecified

YES

G31.84 Mild cognitive impairment, so stated

YES

G40.009 Local-rel (focal) (partial) idio epi and epi syndromes w seizures of loc onst,not

YES

G80.9 intractable,w/o status epilepticus

YES

G81.01 Flaccid hemiplegia affecting right dominant side

YES

G81.02 Flaccid hemiplegia affecting left dominant side

YES

G80.1 Spastic diplegic cerebral palsy

YES

G80.2 Spastic hemiplegic cerebral palsy

YES

G80.3 Athetoid cerebral palsy

YES

G80.4 Ataxic cerebral palsy

YES

G80.0 Spastic quadriplegic cerebral palsy

YES

G80.8 Other cerebral palsy

YES

G81.90 Hemiplegia, unspecified affecting unspecified side

YES

NO

Approx. 438.21 Late effects of cerebrovascular disease, hemiplegia affecting dominant side

NO

Direct 315.34 Speech del d/t hear loss

NO

Approx. 315.39 Speech/language dis NEC

NO

Approx. 315.39 Speech/language dis NEC

NO

Direct 315.35 Childhood onset fluency disorder

NO

Approx. 315.39 Speech/language dis NEC

NO

Approx. 315.4 Developmental coordination disorder (Apraxia

NO

Approx. 315.8 Other specified delays in development

Approx. 315.9 Development delay NOS

NO

Approx. V40.0 Mental and behavioral problems with learning

NO

Approx. 315.9 Development delay NOS

YES

Direct 335.0 Werdnig-Hoffmann disease

NO

Direct 333.83 Spasmodic torticollis

NO

Approx. 333.89 Other fragments of torsion dystonia

NO

Direct 331.83 Mild cognitive impairment, so stated

Localization-related (focal) (partial) epilepsy and epileptic syndromes with simple partial

YES

Approx. 345.50 seizures, without mention of intractable epilepsy

YES

Direct 343.9 Cerebral palsy NOS

NO

Approx. 342.01 Flaccid hemiplegia and hemiparesis affecting dominant side

NO

Approx. 342.01 Flaccid hemiplegia and hemiparesis affecting dominant side

YES

Direct 343.0 Congenital diplegia

343.1 Congenital hemiplegia

YES

Approx. 343.4 Infantile hemiplegia

YES

Direct

333.71 Athetoid cerebral palsy

YES

Approx.

343.8 Other specified infantile cerebral palsy

YES

Direct 343.2 Congenital, quadriplegia

343.3 Congenital monoplegia

YES

Approx. 343.8 Other specified infantile cerebral palsy

342.80 Other specified hemiplegia and hemiparesis affecting unspecified side

NO

Approx. 342.90 Hemiplegia, unspecified, affecting unspecified side

ICD-10 --> ICD-9

NO NO NO NO NO NO YES NO NO NO NO YES NO NO NO

NO YES

NO NO NO

NO NO NO NO NO

2 of 11

ICD-10 CODE

ICD-10 DESCRIPTION

G81.94 G83.9 G91.0 G91.1 G93.5 G93.9 G40.821 G40.822 G40.823 G40.824 G40.909 G52.7 G54.0 G54.4 G71.11 G71.2 G72.89 G72.9 H35.00 H35.179 H35.159 H35.151 H35.152 H35.153 H35.169 H35.162 H35.161 H35.163 H35.50 H35.53 H35.54

Hemiplegia, unspecified affecting left nondominant side Paralytic syndrome, unspecified Communicating hydrocephalus Obstructive hydrocephalus Compression of brain Disorder of brain, unspecified Epileptic spasms, not intractable, with status epilepticus Epileptic spasms, not intractable, without status epilepticus Epileptic spasms, intractable, with status epilepticus Epileptic spasms, intractable, without status epilepticus Epilepsy, unspecified, not intractable, without status epilepticus Disorders of multiple cranial nerves Brachial plexus disorders Lumbosacral root disorders, not elsewhere classified Myotonic muscular dystrophy Congenital myopathies Other specified myopathies Myopathy, unspecified Unspecified background retinopathy Retrolental fibroplasia, unspecified eye Retinopathy of prematurity, stage 4, unspecified eye Retinopathy of prematurity, stage 4, right eye Retinopathy of prematurity, stage 4, left eye Retinopathy of prematurity, stage 4, bilateral Retinopathy of prematurity, stage 5, unspecified eye Retinopathy of prematurity, stage 5, left eye Retinopathy of prematurity, stage 5, right eye Retinopathy of prematurity, stage 5, bilateral Unspecified hereditary retinal dystrophy Other dystrophies primarily involving the sensory retina Dystrophies primarily involving the retinal pigment epithelium

H54.0 Blindness, both eyes H54.1 Blindness, one eye, low vision other eye H54.10 Blindness, one eye, low vision other eye, unspecified eyes

H54.2 H54.3 H54.4 H54.5 H54.6

Low vision, both eyes Unqualified visual loss, both eyes Blindness, one eye Low vision, one eye Unqualified visual loss, one eye

H54.7 Unspecified visual loss H54.8 Legal blindness, as defined in USA H47.039 Optic nerve hypoplasia, unspecified eye

H47.099 H47.319 H47.311 H47.312 H47.313 H50.00 H53.34 H53.60

Other disorders of optic nerve, not elsewhere classified, unspecified eye Coloboma of optic disc, unspecified eye Coloboma of optic disc, right eye Coloboma of optic disc, left eye Coloboma of optic disc, bilateral Unspecified esotropia Suppression of binocular vision Unspecified night blindness

Can be Submitted on Relates to EI Eligibility /

EIP Provider Claims Diagnosed Condition with

on 10/1/2015 and

a high probablity of

thereafter

developmental delay

CONV. TYPE

YES

NO

Approx.

YES

NO

Approx.

YES

YES

Direct

YES

YES

Approx.

YES

NO

Direct

YES

NO

Approx.

YES

YES

YES

YES

Approx.

YES

YES

Approx.

YES

YES

Approx.

YES

YES

Approx.

YES

NO

Approx.

YES

NO

Approx.

YES

NO

Approx.

YES

YES

Direct

YES

YES

Approx.

YES

YES

Approx.

YES

YES

Approx.

YES

YES

Direct

YES

YES

Approx.

YES

YES

Approx.

YES

YES

Approx.

YES

YES

Approx.

YES

YES

Approx.

YES

YES

Approx.

YES

YES

Approx.

YES

YES

Approx.

YES

YES

Approx.

YES

NO

Direct

YES

YES

Direct

YES

YES

Direct

YES

YES

Approx.

YES

YES

YES

YES

Approx.

ICD-9 CODE

342.82 342.92 344.90 331.30 331.40 348.40 348.9

ICD-9 DESCRIPTION

Other specified hemiplegia and hemiparesis affecting nondominant side Hemiplegia, unspecified, affecting nondominant side Paralysis, unspecified Communicating hydrocephalus Obstructive hydrocephalus Compression of brain Unspecified condition of brain

345.60 345.61 345.61 345.90 352.6 353.0 353.4 359.2 359.0 359.89 359.9 362.10 362.21 362.26 362.26 362.26 362.26 362.27 362.27 362.27 362.27 362.70 362.75 362.76 369.00 369.01

Infantile Spasms, without Intractable Epilepsy Infantile spasms, with intractable epilepsy Infantile spasms, with intractable epilepsy Epilepsy, unspecified, without mention of intractable epilepsy Multiple cranial nerve palsies Brachial plexus lesions Lumbosacral root lesions, not elsewhere classified Myotonic muscular dystrophy Cong hered musc dystrphy Myopathies NEC Myopathy, unspecified Background retinopathy, unspecified Retrolental fibroplasia Retinoph prematr.stage 4 Retinoph prematr.stage 4 Retinoph prematr.stage 4 Retinoph prematr.stage 4 Retinoph prematr,stage 5 Retinoph prematr,stage 5 Retinoph prematr,stage 5 Retinoph prematr,stage 5 Hered retin dystrphy NOS Other dystrophies primarily involving the sensory retina Dystrophies primarily involving the retinal pigment epithelium Blindness, both eyes Better eye: total vision impairment; lesser eye: total vision impairment

369.10 Blindness, one eye, low vision other eye 369.20 Low vision both eyes (moderate to severe)

YES

YES

Approx. 369.25 Better eye: moderate vision impairment; lesser eye: moderate vision impairment

YES

YES

Direct 369.3 Unqualified visual loss, both eyes

YES

YES

YES

YES

YES

YES

369.9 Unspecified visual loss

YES

YES

Approx. v41.0 Problems with sight

YES

YES

Approx. 369.4 Legal blindness, as defined in U.S.A

YES

YES

Approx. 377.43 Optic nerve hypoplasia

YES

YES

Approx. 377.49 Other disorders of optic nerve

YES

YES

YES

YES

YES

YES

YES

YES

Approx. 377.23 Optic nerve coloboma (bilateral), acquired

YES

NO

Direct 378.00 Esotropia, unspecified

YES

NO

Direct 368.31 Suppression of binocular vision

YES

NO

Direct 368.60 Night blindness, unspecified

ICD-10 --> ICD-9

Relates to EI Eligibility / Diagnosed Condition with

a high probablity of developmental delay

NO NO NO NO NO NO

YES YES YES NO NO NO NO

YES YES NO

YES NO NO NO NO NO NO NO NO NO

YES NO

YES YES

NO NO

NO NO NO

YES NO NO NO

3 of 11

ICD-10 CODE

H53.8 H55.03 H55.01 H90.2

ICD-10 DESCRIPTION

Other visual disturbances Visual deprivation nystagmus Congenital nystagmus Conductive hearing loss, unspecified

Can be Submitted on Relates to EI Eligibility /

EIP Provider Claims Diagnosed Condition with

on 10/1/2015 and

a high probablity of

thereafter

developmental delay

YES

NO

YES

YES

YES

NO

YES

YES

CONV. TYPE

Approx. Direct Direct Approx.

Conductive hearing loss, unilateral, right ear, with unrestricted hearing on the

H90.11 contralateral side

YES

YES

Approx.

Conductive hearing loss, unilateral, left ear, with unrestricted hearing on the

H90.12 contralateral side

YES

YES

Approx.

H90.0 Conductive hearing loss, bilateral

YES

H90.5 Unspecified sensorineural hearing loss

YES

H90.3 Sensorineural hearing loss, bilateral

YES

Sensorineural hearing loss, unilateral, right ear, with unrestricted hearing on the

H90.41 contralateral side

YES

Sensorineural hearing loss, unilateral, left ear, with unrestricted hearing on the

H90.42 contralateral side

YES

H90.8 Mixed conductive and sensorineural hearing loss, unspecified

YES

Mixed conductive and sensorineural hearing loss, unilateral, right ear, with

H90.71 unrestricted hearing on the contralateral side

YES

Mixed conductive and sensorineural hearing loss, unilateral, left ear, with

H90.72 unrestricted hearing on the contralateral side

YES

H90.6 Mixed conductive and sensorineural hearing loss, bilateral

YES

H91.3 Deaf nonspeaking, not elsewhere classified

YES

H91.90 Unspecified hearing loss, unspecified ear

YES

H91.91 Unspecified hearing loss, right ear

YES

H91.92 Unspecified hearing loss, left ear

YES

Other speech and language deficits following unspecified cerebrovascular

I69.928 disease

YES

YES

Approx.

YES

Approx.

YES

Approx.

YES

Approx.

YES

Approx.

YES

Direct

YES

Approx.

YES

Approx.

YES

Direct

YES

Direct

NO

Approx.

NO

Approx.

NO

Approx.

NO

Direct

ICD-9 CODE

368.8 379.53 379.51 389.00 389.01 389.02 389.03 389.04 389.05 389.08 389.01 389.02 389.03 389.04 389.05 389.08 389.01 389.02 389.03 389.04 389.06 389.08 389.10 389.14 389.16 389.11 389.12 389.14 389.18 389.13 389.14 389.15 389.17 389.13 389.14 389.15 389.17 389.20

ICD-9 DESCRIPTION

Other specified visual disturbances Visual deprivation nystagmus Congenital nystagmus Conductive Hearing Loss - NOS Conduc hear loss ext ear Conduct hear loss tympan Conduc hear loss mid ear Cond hear loss inner ear Condctv hear loss,unilat Cond hear loss comb type Conduc hear loss ext ear Conduct hear loss tympan Conduc hear loss mid ear Cond hear loss inner ear Condctv hear loss,unilat Cond hear loss comb type Conduc hear loss ext ear Conduct hear loss tympan Conduc hear loss mid ear Cond hear loss inner ear Condctv hear loss, bilat Cond hear loss comb type Sensorineural Hearing Loss (Nos.) Central hearing loss Sensoneur hear loss asym Sensry hearng loss,bilat Neural hearng loss,bilat Central hearing loss Sensonrl hear loss,bilat Neural hear loss, unilat Central hearing loss Sensorneur hear loss uni Sensory hear loss,unilat Neural hear loss, unilat Central hearing loss Sensorneur hear loss uni Sensory hear loss,unilat Mixed Conductive and Sensorineural Hearing Loss

389.21 Mixed hearing loss,unilt

389.21 389.22 389.7 389.9 389.9 389.9 438.10 438.19

Mixed hearing loss,unilt Mixed hearing loss,bilat Deaf, nonspeaking, not elsewhere classifiable Unspecified hearing loss Unspecified hearing loss Unspecified hearing loss Late ef-spch/lng def NOS Late ef-spch/lang df NEC

I69.953 Hemiplegia and hemiparesis following unspecified cerebrovascular disease

YES

NO

Approx. 438.22 Late effects of cerebrovascular disease, hemiplegia affecting nondominant side

Hemiplegia and hemiparesis following unspecified cerebrovascular disease

I69.954 affecting left non-dominant side

YES

I69.990 Apraxia following unspecified cerebrovascular disease

YES

J86.0 Pyothorax with fistula

YES

NO

Approx. 438.22 Late effects of cerebrovascular disease, hemiplegia affecting nondominant side

NO

Approx. 438.81 Other late effects of cerebrovascular disease, apraxia

510.0 Empyema with fistula

NO

Approx.

ICD-10 --> ICD-9

Relates to EI Eligibility / Diagnosed Condition with

a high probablity of developmental delay

NO YES NO YES NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO YES NO NO NO NO NO NO NO NO NO NO NO NO NO NO YES

NO

NO NO NO NO NO NO NO NO

NO

NO NO NO

4 of 11

ICD-10 CODE

J86.0 J98.4 K21.0 K21.9 K60.2 M08.00

ICD-10 DESCRIPTION

Pyothorax with fistula Other disorders of lung Gastro-esophageal reflux disease with esophagitis Gastro-esophageal reflux disease without esophagitis Anal fissure, unspecified Unspecified juvenile rheumatoid arthritis of unspecified site

M15.9 Polyosteoarthritis, unspecified

M19.90 M21.42 M21.549 M21.869 M21.939 M35.7 M43.6 M53.82 M62.3 M62.40

Unspecified osteoarthritis, unspecified site Flat foot [pes planus] (acquired), left foot Acquired clubfoot, unspecified foot Other specified acquired deformities of unspecified lower leg Unspecified acquired deformity of unspecified forearm Hypermobility syndrome Torticollis Other specified dorsopathies, cervical region Immobility syndrome (paraplegic) Contracture of muscle, unspecified site

M62.50 Q05.4 Q07.01 Q07.02 Q07.03 M62.81

Muscle wasting and atrophy, not elsewhere classified, unspecified site Unspecified spina bifida with hydrocephalus Arnold-Chiari syndrome with spina bifida Arnold-Chiari syndrome with hydrocephalus Arnold-Chiari syndrome with spina bifida and hydrocephalus Muscle weakness (generalized)

M62.89 Other specified disorders of muscle M62.9 Disorder of muscle, unspecified M67.00 Short Achilles tendon (acquired), unspecified ankle

O99.42 Q05.0 Q05.1 Q05.2 Q05.8 Q05.5 Q05.6 Q05.7 Q01.9 Q01.0 Q01.1 Q01.2 Q01.8 Q05.3 Q05.8

Diseases of the circulatory system complicating childbirth Cervical spina bifida with hydrocephalus Thoracic spina bifida with hydrocephalus Lumbar spina bifida with hydrocephalus Sacral spina bifida without hydrocephalus Cervical spina bifida without hydrocephalus Thoracic spina bifida without hydrocephalus Lumbar spina bifida without hydrocephalus Encephalocele, unspecified Frontal encephalocele Nasofrontal encephalocele Occipital encephalocele Encephalocele of other sites Sacral spina bifida with hydrocephalus Spina bifida without mention of hydrocephalus, unspecified region

Q05.9 Q06.0 Q06.1 Q06.3 Q06.8 Q02

Spina bifida, unspecified Amyelia Hypoplasia and dysplasia of spinal cord Other congenital cauda equina malformations Other specified congenital malformations of spinal cord Microcephaly

Can be Submitted on Relates to EI Eligibility /

EIP Provider Claims Diagnosed Condition with

on 10/1/2015 and

a high probablity of

thereafter

developmental delay

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

CONV. TYPE

Approx. Direct Direct Direct Approx. Approx.

YES

NO

Approx.

ICD-9 CODE

530.84 518.89 530.11 530.81 565.0 714.30 715.00 715.90

ICD-9 DESCRIPTION

Tracheoesophageal fistula Other diseases of lung, not elsewhere classified Reflux esophagitis Esophageal reflux Anal fissure Polyarticular juvenile rheumatoid arthritis, chronic or unspecified Osteoarthrosis, generalized, site unspecified Osteoarthrosis, unspecified whether generalized or localized, site unspecified

715.30 Osteoarthrosis, localized, not specified whether primary or secondary, site unspecified

YES

NO

Approx. 715.90 Osteoarthrosis, unspecified whether generalized or localized, site unspecified

YES

NO

Approx. 734 Flat foot

YES

NO

Approx. 736.71 Acquired equinovarus deformity

YES

NO

Approx. 736.6 Other acquired deformities of knee

YES

NO

Approx. 736.00 Unspecified deformity of forearm, excluding fingers

YES

NO

Direct 728.5 Hypermobility syndrome

YES

NO

Direct 723.5 Torticollis NOS

YES

NO

Approx. 723.8 Other syndromes affecting cervical region

YES

NO

Approx. 728.3 Other specific muscle disorders

YES

NO

Approx. 728.85 Spasm of muscle

YES

NO

Approx. 728.2 Muscular wasting and disuse atrophy, not elsewhere classified

YES

YES

Approx. 741.00 Spina Bifida with hydrocephalus (unspecified region)

YES

YES

Approx. 741.00 Spina Bifida with hydrocephalus (unspecified region)

YES

YES

Approx. 741.00 Spina Bifida with hydrocephalus (unspecified region)

YES

YES

Approx. 741.00 Spina Bifida with hydrocephalus (unspecified region)

YES

NO

Direct 728.87 Muscle weakness-general

728.3 Other specific muscle disorders

YES

NO

Approx. 728.89 Other disorders of muscle, ligament, and fascia

YES

NO

Approx. 728.9 Muscle/ligament dis NOS

YES

NO

Approx. 727.81 Contracture of tendon (sheath)

Cerebrovascular disorders in the puerperium, delivered, with or without mention of

674.01 antepartum condition

Cerebrovascular disorders in the puerperium, delivered, with mention of postpartum

YES

NO

Approx. 674.02 complication

YES

YES

Direct 741.01 Spin bif w hydrceph-cerv

YES

YES

Direct 741.02 Spin bif w hydrceph-dors

YES

YES

Approx. 741.03 Spin bif w hydrceph-lumb

YES

YES

Approx. 741.90 Spina Bifida w/o hydrocephalus (unspecified region)

YES

YES

Direct 741.91 Spina bifida-cerv

YES

YES

Direct 741.92 Spina bifida-dorsal

YES

YES

Direct 741.93 Spina bifida-lumbar

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

Approx. 742.0 Encephalocele

YES

YES

Approx. 741.03 Spin bif w hydrceph-lumb

YES

YES

Approx. 741.90 Spina Bifida w/o hydrocephalus (unspecified region)

741.00 Spina Bifida with hydrocephalus (unspecified region)

YES

YES

Approx. 741.90 Spina Bifida w/o hydrocephalus (unspecified region)

YES

NO

Approx. 742.59 Other specified congenital anomalies of spinal cord

YES

NO

Approx. 742.59 Other specified congenital anomalies of spinal cord

YES

NO

Approx. 742.59 Other specified congenital anomalies of spinal cord

YES

NO

Approx. 742.59 Other specified congenital anomalies of spinal cord

YES

YES

Direct 742.1 Microcephalus

ICD-10 --> ICD-9

Relates to EI Eligibility / Diagnosed Condition with

a high probablity of developmental delay

NO NO NO NO NO NO NO NO

NO NO NO NO NO NO NO NO NO YES NO

YES YES YES YES NO YES

NO NO

NO

NO YES YES YES YES YES YES YES

YES YES YES YES YES NO NO NO NO YES

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