ICDs for OB/GYN, Neurology, Personal History, Foreign Body

OB/GYN 

Several new codes have been added that are related to obstetrics and gynecological services (OB/GYN). See the 2011 ICD-9-CM manual for additional information on the following additions:
•    Congenital Anomalies of the Uterus (752.31 thru 752.39)
•    Congenital Anomalies of Genital Organs (752.43 thru 752.47)
•    Personal History of Vaginal or Vulvar Disease (V13.23 or V13.24)
•    Intrauterine Contraceptive Device Management (V25.11 thru V25.13)
•    Multiple Gestation Placenta Status (V91.00 thru V91.99) 

Neurology

Seven new Symptoms, Signs and Ill-Defined Conditions diagnoses were added in order to describe cognitive deficits in patients who have suffered a traumatic brain injury (TBI). The new codes include the following:
•    799.50 – Unspecified signs and symptoms involving cognition
•    799.51 – Attention or concentration deficit
•    799.52 – Cognitive communication deficit
•    799.53 – Visuospatial deficit
•    799.54 – Psychomotor deficit
•    799.55 – Frontal lobe and executive function deficit
•    799.59 – Other signs and symptoms involving cognition 

Personal History
Eight new personal history codes (V13.62 thru V13.69) were added this year to document corrected congenital conditions (See the ICD-9 manual for more detailed definitions). These codes ought to be used in addition to the diagnosis for the condition itself. For example, a child with a surgically repaired cleft would be documented as 749.00, cleft palate, and V13.64,
personal history of corrected congenital malformations of eye, ear, face and neck.

Foreign Body

Several new codes were added this year in regards to foreign bodies. Providers must distinguish between foreign bodies that have been fully removed, as opposed to foreign bodies that remain in the body. With retained foreign bodies, code selection is based on the type of foreign body present. The new codes are listed as: personal history of retained foreign body fully removed (V15.53), and retained foreign body status (V90.01 thru V90.89).