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2007 ICD-9-CM Volume 1 Diagnosis Codes Home > Symptoms, Signs, And Ill-Defined Conditions 780-799 > Symptoms 780-789 > Symptoms Concerning Nutrition Metabolism And Development 783.* > 2007 ICD-9-CM Diagnosis 783.4 Lack of expected normal physiological development in childhood  On October 1, 2008 the 2009 ICD-9-CM codes came into effect. Therefore, this code may be out of date. The 2009 version of ICD-9-CM 783.4 can be accessed here. 783.4 is a non-specific code that cannot be used to specify a diagnosis View the ICD-9-CM Volume 1 783.* hierarchy 783.4 excludes: delay in sexual development and puberty (259.0) gonadal dysgenesis (758.6) pituitary dwarfism (253.3) slow fetal growth and fetal malnutrition (764.00-764.99) specific delays in mental development (315.0-315.9)