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ICD-9 Data File List

ICD-9 Codes and Edits

Description
This data file contains compliance/claims edits for ICD-9 codes.

 

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File Layout
Field Data Element
Code ICD-9 Code
Text Full-Length textual description of code
Short_Text Short-Length textual description of code
Gender Gender Indicator: M = male F = Female Null = Not Gender Specific
Age Age Indicator: 1 = Newborn (0 - 1) 2 = Pediatric (1 - 12) 3 = Adult (>12) 4 = Maternal (12 - 50) Null = Not Age Specific
Validity Ability to bill: 1 = Non billable 0 = billable
Non_Specific_Code

Code Specificity: 1 = Non specific ICD9 code 0 = specific ICD9 code

When value = 1, indicates that this codes can be used when neither the diagnostic statement nor the documentation provide enough information to assign a more specific diagnosis code. These codes should not be used when a more specific diagnosis has been determined.

MSP 1 = (is) Medicare as a secondary Payor
Manifestation

1 = (is) Manifestation Code

When value = 1, code should not be used as primary diagnosis because each describes a manifestation of some other underlying disease, not the disease itself. This is also referred to mandatory multiple coding

N_date Year Added
R_Date Year Revised
Data files available in delimited format.

Updates
Updated October 1st, annually.


Licensing
The above price is based on the number of workstations using the data files and allows for a single user, non-transferable, non-exclusive license. Network, system or facility prices are quoted individually. All sales on data files are Final.







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