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ICD-9-CM Coordination and Maintenance Committee
Recognizing the ICD-9-CM as a dynamic statistical tool that must be flexible to meet expanding classification needs, the ICD-9-CM Coordination and Maintenance Committee was created as a forum for proposals to update ICD-9-CM. A representative from the National Center for Health Statistics (NCHS) and one from the Centers for Medicare and Medicaid Services (CMS) co-chair the ICD-9-CM Coordination and Maintenance Committee meetings. Responsibility for maintenance of the ICD-9-CM is divided between the two agencies, with classification of diagnoses (volumes 1 and 2) by NCHS and of procedures (volume 3) by CMS.
Although the ICD-9-CM Coordination and Maintenance Committee is a Federal Committee, suggestions for modifications come from both the public and private sectors. Interested parties are asked to submit recommendations for modification prior to a scheduled meeting. Proposals for a new code should include a description of the code being requested, and rationale for why the new code is needed. Supporting references and literature may also be submitted. Proposals should be consistent with the structure and conventions of the classification.
These meetings are open to the public; comments are encouraged both at the meetings and in writing. Recommendations and comments are carefully reviewed and evaluated before any final decisions are made. No decisions are made at the meetings. The ICD-9-CM Coordination and Maintenance Committee’s role is advisory. All final decisions are made by the Director of NCHS and the Administrator of CMS. Final decisions are made after the December meeting and become effective October 1 of the following year. Official code revision packages, which are referred to as addenda, are available from this site.
The minutes for the most recent meeting will include the deadline for comments on the most recent meeting, the scheduled dates for the next meeting, along with the deadline for receipt of modification proposals, and the mailing address and e-mail address to send either modification proposals or comments on proposals. The agenda for an upcoming meeting is posted here approximately one month prior to the meeting.
Minutes and Proposals for the diagnosis portion of the meetings are listed below. Information about the procedure portion of the meeting is available from the CMS web site.
Proposals for the diagnosis portion of the meetings for 4/2/2004 are linked below. Please note that the proposals "Acute bronchitis with COPD", "The Bethesda System", "Psychalgia", and "Stroke and cerebrovascular accident" are being considered for implementation with the addenda for October 1, 2004. Comments on these proposals were due 4/9/2004. Comments on other proposals will be accepted until early January, 2005.
Proposals (10/8/2004)
(45 pages)
View/download PDF
210 KB
Minutes (10/8/2004) (7
pages)
View/download PDF
22 KB
Attachment
1 to
minutes - Retinopathy (9 slides)
View/download PPT
68 KB
Attachment
2 to
minutes - Neuropathy (11 slides)
View/download PPT
165 KB
Attachment
3 to
minutes - Chronic Kidney Disease (24 slides)
View/download PPT
1891 KB
Proposals (4/2/2004)
(36 pages)
View/download PDF
129 KB
Minutes (4/2/2004) (8
pages)
View/download PDF 42 KB
Attachment 1 to
minutes - Dental - Edentulism (46 slides)
View/download PPT
3380 KB
Attachment 2 to
minutes - Psychalgia Coding Changes (14 slides)
View/download PPT
84 KB
Minutes (12/5/2003) (9
pages)
View/download PDF 91 KB
Attachment 1 to minutes
- Dental - Prosthodontics (17 slides)
View/download PPT 449 KB
Attachment 2 to
minutes - Dental - Rationale (32 slides)
View/download PPT 434 KB
Attachment 3 to
minutes - Hyperhydrosis (19 slides)
View/download PPT 459 KB
Attachment 4 to
minutes - Metabolic and Chromosomal Disorders (26 slides)
View/download PPT 388 KB
Proposals (12/5/2003)
(54
pages)
View/download PDF 452 KB
Proposals (4/3/2003)
(20
pages)
View/download PDF 177 KB
Minutes (4/3/2003) (6
pages)
View/download PDF 98 KB
Proposals (12/6/2002) (36
pages)
View/download PDF 330 KB
Minutes (12/6/2002) (6
pages)
View/download PDF 107 KB
Attachment 1 to minutes
- Sepsis and Septic Shock (18 slides)
View/download PPT 78 KB
Attachment 2 to
minutes - Dementia with Lewy Bodies (16 slides)
View/download PPT
273 KB
Attachment 3 to
minutes - Frontotemporal dementia (17 slides)
View/download PPT
149 KB
Minutes (4/19/2002) (8
pages)
View/download
PDF 38
KB
Attachment to Minutes
on Terrorism Codes and Revised Guideline Format (4/19/2002) (15 slides)
View/download
PPT 105
KB
Proposals (4/19/2002)
(34 pages)
View/download
PDF 136
KB
Minutes (11/2/2001) (10
pages)
View/download
PDF 14
KB
Attachment A to
Minutes-John Shaw on V-Codes (11/2/2001)
(10 slides)
View/download
PPT 67
KB
Attachment B to Minutes-AHA on V-Codes (11/2/2001) (1 page) View/download PDF 7 KB
Attachment C to
Minutes-AHIMA on V-Codes (11/2/2001)
(2 pages)
View/download
PDF 10
KB
Attachment D to
Minutes-Dr. Peter Morris on Severe Sepsis
(11/2/2001) (15 pages)
View/download
PPT 84
KB
Attachment E to
Minutes-Dr. Laura Powers on Late Effect Conditions of CVA (11/2/2001) (1
pages)
View/download
PPT 10
KB
Proposals (11/2/2001)
(40 pages)
View/download
PDF 48
KB
Minutes (5/18/2001) (8
pages)
View/download
PDF 14
KB
Attachment to Minutes
on Critical Illness Neuropathy (5/18/2001) (8 pages)
View/download
PDF 90
KB
Proposals (5/18/2001)
(34 pages)
View/download
PDF 42
KB
Minutes (11/17/2000) (7
pages)
View/download
PDF 14
KB
Proposals (11/17/2000)
(21 pages)
View/download
PDF 28
KB
Minutes (5/11/2000) (7
page)
View/download
PDF 17
KB
Proposals (5/11/2000)
(18 pages)
View/download
PDF 55
KB
Minutes (11/12/99) (5
pages)
View/download
PDF 9
KB
Proposals (11/12/99)
(17 pages)
View/download
PDF 55
KB
Attachment to Minutes
on IBS proposal (11/12/99) (4 pages)
View/download
PDF 275
KB
Minutes (5/13/99) (5
pages)
View/download
PDF 17KB
Proposals (5/13/99) (11
pages)
View/download
PDF 30
KB
Minutes (11/2/98) (8
pages)
View/download
PDF 36
KB
Proposals (11/2/98) (16
pages)
View/download
PDF 59KB
Minutes (6/4/98) (6
pages)
View/download
PDF 12
KB
Proposals (6/4/98) (16
pages)
View/download
PDF 22
KB
This page last reviewed
October 26, 2004
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