Hospital Circular 17/1995: Hospital Circulars - Department of Health, Victoria, Australia

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Hospital Circular 17/1995
ICD-9_CM Codes for the Clinical Criteria for Newborns

Hospital Circular 17/1995

Publication Number: 17/1995 Date: 1 July 1995
ICD-9_CM Codes for the Clinical Criteria for Newborns

Attachment 5

Jaundice (IF treated with phototherapy)

Episode that meet this criterion will have a procedure code for phototherapy.

99.83 Other phototherapy

Feeding problems (IF requires gavage feeding)

Episode that meets this criterion will have a procedure code for gavage feeding.

96.35 Gastric gavage

Respiratory illness
(IF requires oxygen saturation monitoring or oxygen therapy for >6 hours)

Episodes that meet this criterion will have a procedure code to indicate 'oxygen saturation
monitoring' or 'oxygen therapy' for greater than six hours.

93.96 Other oxygen enrichment
Excludes Oxygen Saturation Monitoring or Oxygen Therapy for <6 hrs

Hypothermia (IF requires incubator care for >6 hours)

Episodes that meet this criterion will have a diagnosis code for hypothermia.

778.2 Cold injury syndrome for newborn
Excludes incubator care for <6 hours

778.3 Other hypothermia of newborn
Excludes incubator care for <6 hours

Hypoglycaemia (IF requires IV glucose infusion or frequent and repeated glucose monitoring)

Episodes that meet this criterion will have a diagnosis code for hypoglycaemia.

775.6 Neonatal hypoglycaemia
Excludes without IV glucose infusion or frequent and repeated glucose monitoring

Infant of Diabetic Mother (All cases)

Episodes that meet this criterion will have a diagnostic code for syndrome of 'infant of a diabetic mother'.

775.0 Syndrome of 'infant of diabetic mother'

Disorder of Electrolytes, Hydration and Blood Volume
(IF requires IV infusion for >6 hours or blood transfusion)

Episodes that meet this criterion will have a procedure code for either IV infusion to indicate IV infusion for longer than six hours, or a procedure code for blood transfusion.

99.18 Injection or infusion of electrolytes
Excludes IV infusion for <6 hours
99.29 Injection or infusion of other therapeutic or prophylactic substance
Excludes IV infusion for <6 hours
99.01 Exchange transfusion
99.02 Autotransfusion of the whole blood
99.03 Other transfusions of the whole blood
99.04 Transfusion of packed cells

Perinatal infection (IF requires parental antimicrobials)

Episodes that meet this criterion will have a procedure code for parenteral antimicrobials.

99.21 Injection of antibiotic
99.22 Injection of other anti-infective

Congenital malformations (Selected list only)

Episodes that meet this criterion will have a congenital malformations diagnosis code on the inclusion list.

See appendix for inclusion list.

Maternal illness/incapacity to care
(IF neonate is exclusively dependant on nursing care for >24 hours)

Episodes that meet this criterion will have a diagnosis of maternal illness and incapacity to care.

761.6 Maternal death
excludes exclusive dependence on nursing care for <24 hours

V20.0 Health supervision of foundling
Excludes exclusive dependence on nursing care for <24 hours

V20.1 Other healthy infant or child receiving care
Excludes exclusive dependence on nursing care for <24 hours

V60.4 no other household member able to render care
Excludes exclusive dependence on nursing care for <24 hours

V62.5 Legal circumstances
Excludes exclusive dependence on nursing care for <24 hours

V68.89 Other special administrative purpose (includes babies waiting for adoption)
Excludes exclusive dependence on nursing care for <24 hours

Appendix

Congenital Malformations Inclusion List

743.00 Clinical anophthalmos, unspecified
743.03 Cystic eyeball, congenital
743.06 Cryptophthalmos
743.10 Microphthalmos, unspecified
743.11 Simple microphthalmos
743.12 Microphthalmos associated with other anomalies of eye and adnexa
743.30 Congenital cataract, unspecified
743.31 Capsular and subcapsular cataract
743.32 Cortical and zonular cataract
743.33 Nuclear cataract
743.34 Total and subtotal cataract, congenital
743.35 congenital aphakia
743.36 Anomalies of lens shape
743.37 Congenital ectopic lens
743.39 Other congenital cataract and lens anomaly
743.41 Anomalies of corneal size and shape
743.42 Corneal opacities, interfering with vision, congenital
743.43 Other corneal opacities, congenital
743.44 Specified anomalies of anterior chamber, chamber angle, and related structures
743.45 Aniridia
743.46 Other specified anomalies of iris and ciliary body
743.47 Specified anomalies of sclera
743.48 Multiple and combined anomalies of anterior segment
743. 49 Other coloboma and other anomalies of interior segment
743.51 Vitreous anomalies
743.52 Fundus coloboma
743.53 Chorioretinal degeneration, congenital
743.54 Congenital folds and cysts of posterior segment
743.55 Congenital muscular changes
743.56 Other retinal changes, congenital
743.57 Specified anomalies of optic disc
743.58 Vascular anomalies
743.59 Other congenital anomalies of posterior segment
743.61 Congenital ptosis
743.62 Congenital deformities of eyelids
743.63 Other specifies congenital anomalies of eyelid
743.66 Specified congenital anomalies of orbit
743.69 Other congenital anomalies of eyelids, lacrimal system, and orbit
743.8 Other specified anomalies of eye
744.00 Unspecified anomaly of ear with impairment of hearing
744.01 Absence of external ear
744.02 Other anomalies of external ear with impairment of hearing
744.03 Anomaly of middle ear, except ossicles
744.04 Anomalies of ear ossicles
744.05 Anomalies of inner ear
744.09 Other anomalies of ear causing inpairment of hearing
744.04 Specified anomalies of Eustachian tube
747.82 Spinal vessel anomaly
748.69 Other anomalies of ung
749.00 Cleft palate, unspecified
749.01 Cleft palate, unilateral, complete
749.02 Cleft palate, unilateral, incomplete
749.03 Cleft palate, bilateral, complete
749.04 Cleft palate, bilateral, incomplete
749.10 Cleft lip, unspecified
749.11 Cleft lip, unilateral, complete
749.13 Cleft lip, unilateral, incomplete
749.14 Cleft lip, bilateral, complete
749.20 Cleft palate and cleft lip, unspecified
749.21 Cleft palate and cleft lip, unilateral, complete
749.22 Cleft palate and cleft lip, unilateral, incomplete
749.23 Cleft palate and cleft lip, bilateral, complete
749.24 Cleft palate and cleft lip, bilateral and incomplete
749.25 Other combinations of cleft palate and cleft lip
750.11 Aglossia
750.4 Other specified anomalies of esophagus
750.5 Congenital hypertrophic pyloric stenosis
750.6 Congenital hiatus hernia
751.5 Other anomalies of intestine
753.10 Cystic kidney disease, unspecified
753.11 Congenital single renal cyst
753.12 Polycystic kidney, unspecified type
753.13 Polycystic kidney, autosomal dominant
753.14 Polycystic kidney, autosomal recessive
753.15 Renal dysplasia
753.16 Medullary cystic kidney
753.17 Medullary sponge kidney
753.19 Other specified cystic kidney disease
753.2 Obstructive defects of renal pelvis and ureter
753.7 Anomalies of urachus
753.8 Other specified anomalies of bladder and urethra
754.2 Certain congenital musculoskeletal deformity of spine
754.30 Congenital dislocation of hip, unilateral
754.31 Congenital dislocation of hip, bilateral
754.32 Congenital subluxation of hip, unilateral
754.33 Congenital subluxation of hip, bilateral
754.35 Congenital dislocation of one hip and subluxation of other hip
754.41 Congenital dislocation of knee (with genu recurvatum)
755.21 Transverse deficiency of upper limb
755.22 Longitudinal deficiency of upper limb, not elsewhere classified
755.23 Longitudinal deficiency, combined, involving humerus, radius, and ulna (complete or incomplete)
755.24 Longitudinal deficiency, humeral, complete or partial (with or without distal deficiencies, incomplete)
755.25 Longitudinal deficiency, radioulnar, complete or partial (with or without distal deficiencies, incomplete)
755.26 Longitudinal deficiency, radial, complete or partial (with or without distal deficiencies, incomplete)
755.27 Longitudinal deficiency, ulnar, complete or partial (with or without distal deficiencies, incomplete)
755.28 Longitudinal deficiency, carpals or metacarpals, complete or partial (with or without incomplete phalangeal deficiency)
755.29 Longitudinal deficiency, phalanges, complete or partial
755.31 Tranverse deficiency of lower limb
755.32 Longitudinal deficiency of lower limb, not elsewhere classified
755.33 Longitudinal deficiency, combined, involving femur, tibia and fibula
(complete or incomplete)
755.34 Longitudinal deficiency, femoral, complete or partial (with or without distal deficiencies, incomplete)
755.35 Longitudinal deficiency, tibiofibular, complete or partial (with or without distal deficiencies, incomplete)
755.36 Longitudinal deficiency, tibia, complete or partial (with or without distal deficiencies, incomplete)
755.37 Longitudinal deficiency, fibular, complete or partial (with or without distal deficiencies, incomplete)
755.38 Longitudinal deficiency, tarsals or metatarsals complete or partial (with or without incomplete phalangeal deficiency)
755.39 Longitudinal deficiency, phalanges, complete or partial
755.55 Acrocephalosyndactyly
755.58 Cleft hand, congenital
756.13 Absence of vertebra, congenital
756.14 Hemivertebra
756.15 Fusion of spine (vertebra), congenital
756.19 Other anomalies of spine
757.0 Hereditary edema of legs
758.6 Gonadal dysgenesis
758.7 Klinefelter's syndrome
758.8 Other conditions due to sex chromosome anomalies
759.0 Anomalies of spleen
759.3 Situs inversus

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