ICD-9-CM Guidelines, Conversion Table, and Addenda
Guidelines
Official Guidelines for coding are included on the CD-ROM. They have been approved by the Cooperating Parties and the Editorial Advisory Board for Coding Clinic for the ICD-9-CM.
- ICD-9-CM Guidelines [PDF - 368 KB]. 112 pp.
Note: These guidelines were created on 08/31/2009 and are effective as of 10/01/2009.
Conversion table
A conversion table for diagnostic and procedural code changes between 1986-2009 is provided to assist users in data retrieval. The table shows the date the new code became effective and its previously assigned code equivalent. New codes effective October 1, 2009, are shown in bold.
- ICD-9-CM Code Conversion Table [PDF - 165 KB]. 64 pp. (10/01/2009)
Note: This Conversion table was updated on 06/03/2009.
Addenda
The annual update to ICD-9-CM is provided as addenda changes to the index and tabular list of ICD-9-CM. In the index, additions are marked with bold and underlining, revisions are marked with bold, underlining and italic, while deletions are marked with bold and strikeout.
2008 Addenda
The addenda below were effective October 1, 2008.
Note: These addenda were updated on 05/30/2008.
- ICD-9-CM Index Addenda [PDF - 306 KB]. 52 pp. (10/01/2008)
- ICD-9-CM Tabular Addenda [PDF - 280 KB]. 72 pp. (10/01/2008)
- ICD-9-CM Tabular 5th digits [PDF - 194 KB]. 36 pp. (10/01/2008)
Note: These addenda were created on 07/18/2008.
- ICD-9-CM Index Addenda Errata [PDF - 17 KB]. 1 pp. (10/01/2008)
- ICD-9-CM Tabular Addenda Errata [PDF - 14 KB]. 1 pp. (10/01/2008)
2009 Addenda
As part of the 2009 Addenda for ICD-9-CM, an expansion has been made changing the three digit code 488 to a category, with two new codes added: 488.0, Influenza due to identified avian influenza virus, and 488.1, Influenza due to identified novel H1N1 influenza virus. These codes have been created to provide data capture for the novel H1N1 influenza virus (swine flu virus), which was first identified in April, after the March 2009 ICD-9-CM Coordination and Maintenance Committee meeting.
The addenda below are effective October 1, 2009.
Note: These addenda were created on 06/03/2009.
Note: These errata were created on 07/20/2009.
- ICD-9-CM Index Addenda Errata [PDF - 30 KB]. 2 pp.
- ICD-9-CM Tabular Addenda Errata [PDF - 15 KB]. 1 pp.

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