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ICD-9-CM Official Guidelines for Coding and Reporting

ICD-9-CM Official Guidelines for Coding and Reporting Effective October 1, 2011 Narrative changes appear in bold text Items underlined have been moved within the Guidelines since October 1, 2010 The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS), two departments within the Federal Government s Department of Health and Human Services (DHHS) provide the following Guidelines for Coding and Reporting using the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9- CM). These Guidelines should be used as a companion document to the Official version of the ICD-9-CM as published on CD-ROM by the Government Printing Office (GPO). These Guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-9-CM : the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS.

ICD-9-CM Official Guidelines for Coding and Reporting Effective October 1, 2011 Page 6 of 107 Section I. Conventions, general coding guidelines and chapter specific guidelines The conventions, general guidelines and chapter-specific guidelines are applicable to all health care settings unless otherwise indicated. The

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