ICD-9 Codes

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ICD-9 Codes

Instructions
Mental Retardation, Developmental Delays, CP and Related Disorders
Physical and Occupational Therapy Related Diagnosis
Speech Related
Psychology Related

Instructions

The following ICD-9 codes represent the diagnoses most frequently encountered when working with persons having a developmental disability. Having a developmental disability does not imply by itself that therapy is required, therefore you will usually use two or more codes. For example, autism (299.01) alone is an insufficient diagnosis for speech therapy. Many high functioning autistic people speak well and, to a lay person, may be indistinguishable from the general public. However, you may be treating an autistic individual for articulation (315.39) and receptive / expressive language disorder (315.32). In this example, you would list all three in order of their importance.

Listing articulation and receptive / expressive language disorder without autism is also insufficient, because the autism is the cause of the other disorders. Also, the developmental disabilities diagnosis in combination with the treating diagnosis helps to support the need for long term treatment.

Points to remember:

You must include a code from the section, "Mental Retardation, Developmental Delays, CP and Related Disorders" unless these conditions do not exist in the patient.
Include one or more applicable diagnoses from the section for your discipline. These should be the diagnostic codes for the treatment you are providing, not all of the patient's conditions.

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Mental Retardation, Developmental Delays, CP and Related Disorders

Diagnosis	ICD-9 Codes
Aphasia	784.3
Attention Deficit Disorder ( w/ hyperactivity)	314.01
Attention Deficit Disorder (w/out hyperactivity)	314.00
Autism	299.01
Cerebral Palsy, unspecified	343.9
Chromosomal anomalies include: syndromes associated with anomalies in the number and form of chromosomes.	758.89
Down's Syndrome	758.0
Edward's Syndrome	758.2
Fragile X Syndrome	759.83
Hyperkinesis with developmental delay	314.1
Hyperkinetic conduct disorder (w/out developmental delay)	314.2
Infantile autism	299.01
Infantile cerebral palsy	343.9
Klinefelter's Syndrome	758.7
Marfan syndrome	759.82
Mild MR	317
Mixed developmental disorder	315.5
Moderate MR	318.0
Other specific learning difficulties	315.2
Other specified delay in development	315.8
Patau's Syndrome	758.1
Prader-Willi Syndrome	759.81
Profound MR	318.2
Severe MR	318.1
Unspecified delay in development	315.9
Unspecified Mental Retardation	319

Physical and Occupational Therapy Related Diagnosis

Ambulation - Gait, Coordination, Balance and Posture related diagnoses

Diagnosis	ICD-9 Codes
Abnormality of gait: ataxic, paralytic, spastic, staggering	781.2
Cerebral Ataxia	331.89
Coordination disorder (Clumsiness, dyspraxia and/or specific motor development disorder)	315.4
Difficulty in walking	719.70
Friedreich's ataxia	334.0
Lack of coordination; ataxia, not otherwise specified; muscular incoordination	781.3
Other cerebellar ataxia	334.3
Other extrapyramidal disease & abnormal movement disorder	333.9
This code is no longer available - please consider another listed code.	781.9
Spine and related diagnoses

Adolescent postural kyphosis	737.0
Anomalies of spine	756.10
Back disorders, other unspecified Ankylosis of spine, not otherwise specified; compression of spinal nerve root, not elsewhere classified; spinal disorder, not otherwise specified	724.9
Curvature of spine unspecified	737.40
Kyphoscoliosis and scoliosis	737.30
Kyphosis (acquired)	737.10
Lordosis (acquired)	737.20
Lumbago Low back pain, low back syndrome, lumbalgia	724.2
Spina bifida	741.90
Sprains and strains of Lumbosacral region	846.0
Sprains and strains of neck	847.0
Sprains and strains of other and unspecified parts of back	847.9
Sprains and strains of sacroiliac region	846.9

Upper Extremity and Related Diagnoses

Diagnosis	ICD-9 Codes
Carpal tunnel syndrome	354.0
Claw hand acquired	736.06
Club hand acquired	736.07
Clubbing of the fingers	781.5
Contracture of palmer fascia Dupuytren's Contracture	728.6
Dislocation of shoulder	831.00
Dislocation of wrist	833.00
Fracture of carpal bones	814.00
Fracture of humerus	812.20
Fracture of radius and ulna	813.83
Injury to Brachial Plexus (Birth Trauma- new born)	767.6
Lower end of forearm Colles' fracture closed	813.41
Swelling of Limb	729.81
Wrist drop	736.05

Lower Extremity and related diagnoses

Contracture of joint, lower leg	718.46
Contracture of joint; pelvic region and thigh	718.45
Contracture of tendon (sheath) Short Achilles tendon (acquired)	727.81
Swelling of Limb	729.81

Bone (Fractures, dislocations, etc.), Muscle, Joint, Tendon, Fascia, Synovium, Nerve, and Bursa Related Diagnosis

Ankylosis of joint	718.50
Contracture of joint, site unspecified	718.40
Disorders of muscle, ligament and fascia	728.89
Malunion and nonunion of fractures	733.82
Muscular dystrophy	359.1
Muscular wasting and disuse atrophy	728.2
Other derangement of joint	718.90
Other disorders of bone and cartilage	733.90
Other disorders of muscle, ligament, and fascia	728.89
Other disorders of soft tissue	729.9
Other disorders of synovium, tendon, and bursa	727.89
Other joint derangement, not elsewhere classified Instability of joint	718.80
Other musculoskeletal symptoms referable to limbs	729.89
Other specified disorders of joint Calcification of joint	719.80
Recurrent dislocation of joints	718.30
Rupture of tendon, nontraumatic	727.60
Spasm of muscle	728.85
Stiffness of Joint (unspecified)	719.50
Tendinitis	726.90

Miscellaneous Diagnoses

Abnormal involuntary movements	781.0
Adult Physical Abuse	995.81
Alexia & dyslexia	784.61
Birth trauma unspecified	767.9
Blindness	369.00
Chickenpox	052
Chromosomal anomalies includes: syndromes associated with anomalies in the number and form of chromosomes	758.9
Cystic fibrosis	277.00
Deafness	389.9
Edema	782.3
Gout, unspecified	274.9
Head injury unspecified	959.01
Other acquired deformity	738.9
Rett's Syndrome	330.8
TBI	854.00
Visual impairment (Moderate or severe, both eyes)	369.20
Arithmetic Disorder	315.1
Other specific learning difficulties	315.2

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Speech Related

Diagnosis	ICD-9 Codes
Aphasia	784.3
Aphonia	784.41
Apraxia	784.69
Developmental articulation disorder /other	315.39
Developmental language disorder (mixed) receptive/expressive language disorder	315.32
Developmental language disorder/ expressive language disorder: includes developmental aphasia	315.31
Dysphagia	787.2
Other Speech Disturbance: Dysarthria, dysphagia, slurred speech	784.5
Reading Disorder	315.00
Voice:
Dysphonia/change	784.49
Disturbance	784.40
Hearing:
Conductive	389.00
Neural	389.12
Sensorineural	389.10
Mixed conductive and sensorineural	389.2

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Psychology Related

Dementia of Alzheimer's, Cerebrovascular Types

Diagnosis	ICD-9 Code
Alzheimer's disease	331.0
Arteriosclerotic dementia	290.40
Presenile dementia	290.10
Unspecified senile psychotic condition	290.9
Cognitive Impairment Related to Alcohol and other Drugs
Alcohol amnestic syndrome	291.1
Alcohol withdrawal	291.81
Alcoholic withdrawal delirium (delirium tremens)	291.0
Drug withdrawal syndrome	292.0
Drug-induced delirium	292.81
Drug-induced organic affective syndrome	292.84
Idiosyncratic alcohol intoxication	291.4
Other alcoholic dementia	291.2
Other drug-induced organic personality syndrome/ mental disorder	292.89

Cognitive Impairments: Confusional states, Amnestic disorders etc.

Acute delirium	293.0
Amnestic syndrome, chronic (as in Korsakoff's syndrome)	294.0
Organic affective syndrome	293.83
Other organic brain syndromes (chronic) [i.e., epileptic psychosis NOS, Mixed paranoid and affective organic psychotic states]	294.8

Schizophrenia

Acute schizophrenic episode	295.40
Other specified types of schizophrenia	295.80
Residual schizophrenia (Chronic undifferentiated type)	295.60
Schizophrenia, simple type	295.00
Unspecified schizophrenia	295.90

Other Psychotic and Paranoid Disorders

Acute paranoid reaction	298.3
Hallucinations	780.1
Paranoia (chronic paranoid psychosis, Sander's disease, systematized delusions)	297.1

Bipolar and Depressive Disorders

Atypical depressive disorder	296.82
Atypical manic disorder	296.81
Bipolar affective disorder, depressed	296.50
Bipolar affective disorder, manic	296.40
Bipolar affective disorder, mixed	296.60
Bipolar affective disorder, unspecified	296.7
Depressive disorder, not elsewhere classified (Depression, NOS)	311
Major depressive disorder, recurrent episode	296.30
Major depressive disorder, single episode	296.20
Manic depressive psychosis, other and unspecified	296.80
Manic disorder, single episode	296.00
Non-Psychotic Axis I Psychiatric Disorders (Including Eating Disorders)
Diagnosis	ICD-9 Code
Adjustment reaction with anxious mood	309.24
Adjustment reaction with mixed disturbance of emotions and conduct	309.4
Adjustment reaction with mixed emotional features	309.28
Adjustment reaction with predominant disturbance of conduct	309.3
Agoraphobia with panic attacks	300.21
Anorexia nervosa	307.1
Bulimia	307.51
Chronic factitious illness with physical symptoms (e.g., hospital addiction syndrome, multiple operations syndrome, Munchausen syndrome)	301.51
Conversion disorder (e.g., paralysis, blindness, deafness)	300.11
Eating disorder, unspecified	307.50
Generalized anxiety disorder	300.02
Hypochondriasis	300.7
Intermittent explosive disorder	312.34
Kleptomania	312.32
Multiple personality	300.14
Obsessive-compulsive disorders	300.3
Other isolated or simple phobias	300.29
Other neurotic disorder (e.g., occupational neurosis, psychasthenia)	300.89
Panic disorder	300.01
Pica	307.52
Prolonged post-traumatic stress disorder	309.81
Psychogenic amnesia	300.12
Psychogenic fugue	300.13
Psychogenic rumination (vomiting without physiological cause, reswallowing)	307.53
Pyromania	312.33
Social phobia	300.23
Somatization disorder	300.81

Personality Disorders (Axis II)

Affective personality disorder, unspecified	301.10
Antisocial personality disorder	301.7
Avoidant personality	301.82
Borderline personality	301.83
Compulsive personality disorder	301.4
Dependent personality disorder	301.6
Explosive personality disorder	301.3
Histrionic personality disorder, unspecified	301.50
Narcissistic personality	301.81
Paranoid personality disorder	301.0
Passive-aggressive personality	301.84
Schizoid personality disorder, unspecified	301.20
Schizotypal personality	301.22
Unspecified personality disorder	301.9

Substance Use Disorders

Acute alcoholic intoxication	303.00
Alcohol abuse	305.00
Amphetamine or related acting sympathomimetic abuse	305.70
Cannabis abuse	305.20
Cocaine abuse	305.60
Other specified drug dependence (absinthe, glue, NOT tobacco – see 305.1)	304.60
Tobacco use disorder (tobacco dependence)	305.10

Psychiatric, Cognitive, and Developmental Disorders Typically Originating in Childhood and Adolescence

Conduct disorder, adolescent onset type	312.82
Conduct disorder, childhood onset type	312.81
Impulse control disorder, unspecified	312.30
Infantile autism	299.01
Misery and unhappiness disorder	313.1
Mixed disturbance of conduct and emotions	312.4
Oppositional disorder	313.81
Other specified early childhood psychoses	299.80
Separation anxiety disorder	309.21
Socialized conduct disorder (childhood truancy, socialized)	312.20
Unspecified delay in development	315.9

Seizure Disorders, Migraines
Epilepsy	345.00

Encephalopathy, CVA, and Other Varieties of Brain Damage

Anoxic brain damage	348.1
Cerebral edema	348.5
Chronic meningitis	322.2
Encephalopathy, unspecified	348.3
Multiple sclerosis	340
Myasthenia Gravis	358.0
Other causes of encephalitis	323.8
Parkinson's disease	332.0
Pick's disease	331.1
Toxic encephalopathy	349.82
Unspecified Cerebral degeneration of childhood	330. 9

CVA- Strokes

Cognitive deficits from CVA	438.0
CVA	436
Hypertensive encephalopathy	437.2
Late effects of cerebrovascular disease, cognitive effects	438.0
Unspecified cerebrovascular disease	437.9

Cognitive and Motor Effects of Brain Damage

Alexia	315.01
Aphasia	438.11
Apraxia	438.81
Frontal lobe syndrome (includes lobotomy and leukotomy syndromes, state if so)	310.0
Organic personality syndrome	310.1
Other specified infantile cerebral palsy	343.8
Postconcussion syndrome	310.2

Other Disorders

Other dysfunction's of sleep stages or arousal from sleep (nightmares falls here)	307.47
Somnambulism or night terrors	307.26
Stereotyped repetitive movements (e.g., head banging, body rocking)	307.3

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