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Medical Diagnostic Laboratories, L.L.C. www.mdlab.com • Toll Free (877) 269-0090 ICD-9 Codes To avoid unwarranted denials, requisitions must include all medically appropriate ICD-9 diagnosis codes. ICD-9 diagnosis codes are required by all third party payors to confirm the medical necessity of the test(s) and/or profile(s) ordered. The codes listed below are some of the most commonly received codes and were taken from the 2004 ICD-9 manual issued by the AMA. While this list may be a useful tool, it is not complete. Please refer to the ICD-9 manual for a complete listing. The ultimate responsibility for correct coding lies with the ordering practitioner. Please place all medically appropriate ICD-9 codes on the requisition in their order of importance. If ordering testing solely for screening purposes, please provide the appropriate screening ICD-9 code(s). Providers are encouraged to code the requisition that describes the patient’s condition using terminology that includes specific diagnosis as well as symptoms, problems or reasons for the encounter. If symptoms are present, but a definitive diagnosis has not yet been determined, code the symptoms. Code Description (signs, symptoms, illness, injury or complaint) Code Description (signs, symptoms, illness, injury or complaint) Code Description (signs, symptoms, illness, injury or complaint) 041.02 041.81 041.84 052.9 054.10 054.11 054.12 054.19 054.8 054.9 078.0 078.10 078.11 078.19 079.4 079.88 079.89 079.98 079.99 090.0 090.1 090.2 091.0 091.1 091.2 098.0 098.2 098.10 098.11 098.13 098.15 098.16 098.17 098.30 Streptococcus, Group B Mycoplasma Other specified bacterial infections Varicellla, no complication Herpes, genital, unspecified Herpes, genital, vulvovaginitis Herpes, genital, ulceration of vulva Herpes, genital, other Herpes, unspecified complication Herpes, no complication Molluscum contagiosum Viral warts, unspecified Viral warts, condyloma acuminatum Viral warts, other Human papillomavirus (HPV) Other specified chlamydial infection Other specified viral infection Unspecified chlamydial infection Unspecified viral infection Syphilis, early cogenital, symptomatic Syphilis, early cogenital, latent Syphilis, early cogenital, unspecified Syphilis, early primary symptomatic, genital Syphilis, early primary symptomatic, anal Syphilis, early primary symptomatic, other Gonococcal infections, acute of lower tract Gonococcal infections, chronic of lower tract Gonococcal infections, acute of upper tract, site unspecified Gonococcal cystitis, acute of upper tract Gonococcal epididymo-orchitis, acute of upper tract Gonococcal cervicitis, acute of upper tract Gonococcal endometritis, acute of upper tract Gonococcal salpingitis, acute of upper tract Gonococcal infection, chronic of upper tract, site unspecified 098.31 098.33 098.35 098.36 098.37 099.0 099.40 099.41 099.49 099.50 099.52 099.53 099.54 099.55 099.56 099.59 099.8 099.9 112.1 112.2 131.00 131.01 131.02 131.09 131.8 131.9 614.0 614.1 614.2 614.3 614.4 614.5 614.7 614.8 Gonococcal cystitis, chronic of upper tract Gonococcal epididymo-orchitis, chronic of upper tract Gonococcal cervicitis, chronic of upper tract Gonococcal endometritis, chronic of upper tract Gonococcal salpingitis, chronic of upper tract Chancroid NGU, other unspecified Chlamydia trachomatis, other NGU NGU, other specified organism Other VD due to Chlamydia trachomatis, unspecified site Other VD due to Chlamydia trachomatis, anus and rectum Other VD due to Chlamydia trachomatis, lower sites Other VD due to Chlamydia trachomatis, other sites Other VD due to Chlamydia trachomatis, unspecified site Other VD due to Chlamydia trachomatis, peritoneum Other VD due to Chlamydia trachomatis, other site Other VD due to Chlamydia trachomatis, other specified VD Other VD due to Chlamydia trachomatis, unspecified Candidiasis, vulva and vagina Candidiasis, other urogential sites Trichomoniasis, urogenital, unspecified Trichomoniasis, vulvovaginitis Trichomoniasis, urethritis Trichomoniasis, urogential, other Trichomoniasis, other Trichomoniasis, unspecified Acute salpingitis and oophoritis Chronic salpingitis and oophoritis Salpingitis and oophoritis not specified as acute, subacute, or chronic Acute parametritis and pelvic cellulitis Chronic or unspecified parametritis and pelvic cellulitis Acute or unspecified pelvic peritonitis, female Other chronic pelvic peritonitis, female Other specified inflammatory disease of female pelvic organs / tissues 614.9 616.0 616.10 616.50 616.8 616.9 622.1 623.0 623.1 623.5 623.8 623.9 625.8 625.9 627.3 628.8 628.9 795.00 795.1 V02.51 V02.7 V02.8 V02.9 V22.0 V22.1 V28.6 V28.8 V28.9 V69.2 V73.88 V73.89 V73.98 V73.99 V74.5 Unspecified inflammatory disease of female pelvic organs / tissues Cervicitis and endocervicitis Vaginitis and vulvovaginitis, unspecified Ulceration of vuvla, unspecified Other specified inflammatory diseases of cervix, vagina, and vulva Inflammatory diseases of cervix, vagina, and vulva, unspecified Dysplasia of cervix, (uteri) Dysplasia of vagina Leukoplakia of vagina Leukorrhea, not specified as infective Other specified noninflammatory disorder of vagina Unspecified noninflammatory disorder of vagina Pain and other symptoms associated with female genital organs Unspecified symptom associated with female genital organs Postmenopausal atrophic vaginitis Infertility female, other specified origin Infertility female, unspecified origin Pap smear, cervical, abnormal, nonspecific Pap smear, not cervical, abnormal Streptococcus, Group B Gonorrhea, acute of lower tract Other venereal diseases Other specified infectious organisms Pregnancy, normal, first pregnancy Pregnancy, normal, other normal pregnancy Streptococcus, Group B, screening Antenatal screening, other Antenatal screening, unspecified High risk sexual behavior Other specified chlamydial diseases Other specified viral diseases Unspecified chlamydial infections Unspecified viral disease Venereal disease, screening Use these codes when the documentation indicates a specified diagnosis, but the ICD-9CM system does not have a specific code that describes the diagnosis. Use these codes when neither the diagnostic statement nor the documentation provides enough information to assign a more specified diagnosis code. Medical Diagnostic Laboratories, L.L.C. www.mdlab.com • Toll Free (877) 269-0090 ICD-9 Codes To avoid unwarranted denials, requisitions must include all medically appropriate ICD-9 diagnosis codes. ICD-9 diagnosis codes are required by all third party payors to confirm the medical necessity of the test(s) and/or profile(s) ordered. The codes listed below are some of the most commonly received codes and were taken from the 2004 ICD-9 manual issued by the AMA. While this list may be a useful tool, it is not complete. Please refer to the ICD-9 manual for a complete listing. The ultimate responsibility for correct coding lies with the ordering practitioner. Please place all medically appropriate ICD-9 codes on the requisition in their order of importance. If ordering testing solely for screening purposes, please provide the appropriate screening ICD-9 code(s). Providers are encouraged to code the requisition that describes the patient’s condition using terminology that includes specific diagnosis as well as symptoms, problems or reasons for the encounter. If symptoms are present, but a definitive diagnosis has not yet been determined, code the symptoms. Code Description (signs, symptoms, illness, injury or complaint) Code Description (signs, symptoms, illness, injury or complaint) Code Description (signs, symptoms, illness, injury or complaint) 614.5 614.3 614.0 V28.8 V28.9 112.2 112.1 616.0 099.0 099.41 614.4 614.1 622.1 623.0 098.15 098.35 098.11 098.31 098.16 098.36 098.13 098.33 098.30 098.0 098.10 098.2 098.17 098.37 V02.7 054.19 054.12 054.10 054.11 054.9 Acute or unspecified pelvic peritonitis, female Acute parametritis and pelvic cellulitis Acute salpingitis and oophoritis Antenatal screening, other Antenatal screening, unspecified Candidiasis, other urogential sites Candidiasis, vulva and vagina Cervicitis and endocervicitis Chancroid Chlamydia trachomatis, other NGU Chronic or unspecified parametritis and pelvic cellulitis Chronic salpingitis and oophoritis Dysplasia of cervix, (uteri) Dysplasia of vagina Gonococcal cervicitis, acute of upper tract Gonococcal cervicitis, chronic of upper tract Gonococcal cystitis, acute of upper tract Gonococcal cystitis, chronic of upper tract Gonococcal endometritis, acute of upper tract Gonococcal endometritis, chronic of upper tract Gonococcal epididymo-orchitis, acute of upper tract Gonococcal epididymo-orchitis, chronic of upper tract Gonococcal infection, chronic of upper tract, site unspecified Gonococcal infections, acute of lower tract Gonococcal infections, acute of upper tract, site unspecified Gonococcal infections, chronic of lower tract Gonococcal salpingitis, acute of upper tract Gonococcal salpingitis, chronic of upper tract Gonorrhea, acute of lower tract Herpes, genital, other Herpes, genital, ulceration of vulva Herpes, genital, unspecified Herpes, genital, vulvovaginitis Herpes, no complication 054.8 V69.2 079.4 628.8 628.9 616.9 623.1 623.5 078.0 041.81 099.49 099.40 614.7 041.84 V73.88 079.88 V02.9 614.8 616.8 623.8 V73.89 079.89 099.52 099.53 099.59 099.54 099.8 099.56 099.9 099.50 099.55 V02.8 625.8 795.00 Herpes, unspecified complication High risk sexual behavior Human papillomavirus (HPV) Infertility female, other specified origin Infertility female, unspecified origin Inflammatory diseases of cervix, vagina, and vulva, unspecified Leukoplakia of vagina Leukorrhea, not specified as infective Molluscum contagiosum Mycoplasma NGU, other specified organism NGU, other unspecified Other chronic pelvic peritonitis, female Other specified bacterial infections Other specified chlamydial diseases Other specified chlamydial infection Other specified infectious organisms Other specified inflammatory disease of female pelvic organs / tissues Other specified inflammatory diseases of cervix, vagina, and vulva Other specified noninflammatory disorder of vagina Other specified viral diseases Other specified viral infection Other VD due to Chlamydia trachomatis, anus and rectum Other VD due to Chlamydia trachomatis, lower sites Other VD due to Chlamydia trachomatis, other site Other VD due to Chlamydia trachomatis, other sites Other VD due to Chlamydia trachomatis, other specified VD Other VD due to Chlamydia trachomatis, peritoneum Other VD due to Chlamydia trachomatis, unspecified Other VD due to Chlamydia trachomatis, unspecified site Other VD due to Chlamydia trachomatis, unspecified site Other venereal diseases Pain and other symptoms associated with female genital organs Pap smear, cervical, abnormal, nonspecific 795.1 627.3 V22.0 V22.1 614.2 041.02 V02.51 V28.6 090.1 090.0 090.2 091.1 091.0 091.2 131.8 131.9 131.02 131.09 131.00 131.01 616.50 V73.98 079.98 614.9 623.9 625.9 V73.99 079.99 616.10 052.9 V74.5 078.11 078.19 078.10 Pap smear, not cervical, abnormal Postmenopausal atrophic vaginitis Pregnancy, normal, first pregnancy Pregnancy, normal, other normal pregnancy Salpingitis and oophoritis not specified as acute, subacute, or chronic Streptococcus, Group B Streptococcus, Group B Streptococcus, Group B, screening Syphilis, early cogenital, latent Syphilis, early cogenital, symptomatic Syphilis, early cogenital, unspecified Syphilis, early primary symptomatic, anal Syphilis, early primary symptomatic, genital Syphilis, early primary symptomatic, other Trichomoniasis, other Trichomoniasis, unspecified Trichomoniasis, urethritis Trichomoniasis, urogenital, other Trichomoniasis, urogenital, unspecified Trichomoniasis, vulvovaginitis Ulceration of vuvla, unspecified Unspecified chlamydial infections Unspecified chlamydial infection Unspecified inflammatory disease of female pelvic organs / tissues Unspecified noninflammatory disorder of vagina Unspecified symptom associated with female genital organs Unspecified viral disease Unspecified viral infection Vaginitis and vulvovaginitis, unspecified Varicellla, no complication Venereal disease, screening Viral warts, condyloma acuminatum Viral warts, other Viral warts, unspecified Use these codes when the documentation indicates a specified diagnosis, but the ICD-9CM system does not have a specific code that describes the diagnosis. Use these codes when neither the diagnostic statement nor the documentation provides enough information to assign a more specified diagnosis code.
