Download presentation
Presentation is loading. Please wait.
1
Presented by: Melody Draper Hnatovic, RHIT, CHPS, CCS
FY 2018 ICD-10 CM CODE UPDATES Presented by: Melody Draper Hnatovic, RHIT, CHPS, CCS
2
FY 2018 ICD-10 CM CODE UPDATES 360 additions 142 deletions
226 revisions 225 revisions to both long and short titles 1 revision to long title only 0 revisions to short title only
3
Chapter 1: Infectious and Parasitic Diseases
Delete: A Enterocolitis due to Clostridium difficile Add: A Enterocolitis due to Clostridium difficile, recurrent Add: A Enterocolitis due to Clostridium difficile, not specified as recurrent This subentry for has been added under: Colitis K52.9 Diarrhea, diarrheal R19.7 Enteritis K52.9 Enterocolitis K52.9 Infection, infected, infective B99.9 Megacolon K59.39
4
Chapter 2: Neoplasm Delete: C96.2 Malignant mast cell tumor
Add: C Malignant mast cell neoplasm, unspecified Add: C Aggressive systemic mastocytosis Add: C Mast cell sarcoma Add: C Other malignant mast cell neoplasm Delete: D Histiocytic and mast cell tumors of uncertain behavior Add: D Cutaneous mastocytosis Add: D Systemic mastocytosis Add: D Other mast cell neoplasms of uncertain behavior
5
Chapter: 4. Endocrine, nutritional and metabolic diseases
Add: E Type 2 diabetes mellitus with ketoacidosis without coma Add: E Type 2 diabetes mellitus with ketoacidosis with coma Delete: E Other amyloidosis Add: E Light chain (AL) amyloidosis Add: E Wild-type transthyretin-related (ATTR) amyloidosis Add: E Other amyloidosis
6
Chapter: 5. Mental, Behavioral and Neurodevelopmental disorders
Add: F Alcohol abuse, in remission Add: F Opioid abuse, in remission Add: F Cannabis abuse, in remission Add: F Sedative, hypnotic or anxiolytic abuse, in remission Add: F Cocaine abuse, in remission Add: F Other stimulant abuse, in remission Add: F Hallucinogen abuse, in remission Add: F Inhalant abuse, in remission Add: F Other psychoactive substance abuse, in remission Revise from: F Panic disorder [episodic paroxysmal anxiety] without agoraphobia Revise to: F Panic disorder [episodic paroxysmal anxiety] Add: F Avoidant/restrictive food intake disorder
7
Chapter: 6. Diseases of the nervous system (G00-G99)
Add: G Primary lateral sclerosis Add: G Familial motor neuron disease Add: G Progressive spinal muscle atrophy
8
Chapter: 7. Diseases of the eye and adnexa
Add: H44.2A1-H44.2A9 Degenerative myopia with choroidal neovascularization Add: H44.2B1-H44.2B9 Degenerative myopia with macular hole Add: H44.2C1-H44.2C9 Degenerative myopia with retinal detachment Add: H44.2D1-H44.2D9 Degenerative myopia with foveoschisis Add: H44.2E1-H44.2E9 Degenerative myopia with other maculopathy 6th characters identify right, left, bilateral or unspecified eye
9
Chapter: 7. Diseases of the eye and adnexa
Delete: H Blindness, both eyes Add: H54.0X33 Blindness right eye category 3, blindness left eye category 3 Add: H54.0X34 Blindness right eye category 3, blindness left eye category 4 Add: H54.0X35 Blindness right eye category 3, blindness left eye category 5 Add: H54.0X43 Blindness right eye category 4, blindness left eye category 3 Add: H54.0X44 Blindness right eye category 4, blindness left eye category 4 Add: H54.0X45 Blindness right eye category 4, blindness left eye category 5 Add: H54.0X53 Blindness right eye category 5, blindness left eye category 3 Add: H54.0X54 Blindness right eye category 5, blindness left eye category 4 Add: H54.0X55 Blindness right eye category 5, blindness left eye category 5
10
Chapter: 7. Diseases of the eye and adnexa
Delete: H Blindness, right eye, low vision left eye Add: H Blindness right eye category 3, low vision left eye category 1 Add: H Blindness right eye category 3, low vision left eye category 2 Add: H Blindness right eye category 4, low vision left eye category 1 Add: H Blindness right eye category 4, low vision left eye category 2 Add: H Blindness right eye category 5, low vision left eye category 1 Add: H Blindness right eye category 5, low vision left eye category 2
11
Chapter: 7. Diseases of the eye and adnexa
Delete: H Blindness, left eye, low vision right eye Add: H Low vision right eye category 1, blindness left eye category 3 Add: H Low vision right eye category 1, blindness left eye category 4 Add: H Low vision right eye category 1, blindness left eye category 5 Add: H Low vision right eye category 2, blindness left eye category 3 Add: H Low vision right eye category 2, blindness left eye category 4 Add: H Low vision right eye category 2, blindness left eye category 5
12
Chapter: 7. Diseases of the eye and adnexa
Delete: H Low vision, both eyes Add: H54.2X11 Low vision right eye category 1, low vision left eye category 1 Add: H54.2X12 Low vision right eye category 1, low vision left eye category 2 Add: H54.2X21 Low vision right eye category 2, low vision left eye category 1 Add: H54.2X22 Low vision right eye category 2, low vision left eye category 2
13
Chapter: 7. Diseases of the eye and adnexa
Delete: H Blindness, right eye, normal vision left eye Add: H54.413A Blindness right eye category 3, normal vision left eye Add: H54.414A Blindness right eye category 4, normal vision left eye Add: H54.415A Blindness right eye category 5, normal vision left eye Delete: H Blindness, left eye, normal vision right eye Add: H54.42A3 Blindness left eye category 3, normal vision right eye Add: H54.42A4 Blindness left eye category 4, normal vision right eye Add: H54.42A5 Blindness left eye category 5, normal vision right eye
14
Chapter: 7. Diseases of the eye and adnexa
Delete: H Low vision, right eye, normal vision left eye Add: H54.511A Low vision right eye category 1, normal vision left eye Add: H54.512A Low vision right eye category 2, normal vision left eye Delete: H Low vision, left eye, normal vision right eye Add: H54.52A1 Low vision left eye category 1, normal vision right eye Add: H54.52A2 Low vision left eye category 2, normal vision right eye
15
Chapter: 9. Diseases of the circulatory system
Add: I Acute myocardial infarction, unspecified Add: I21.A1 Myocardial infarction type 2 Add: I21.A9 Other myocardial infarction type
16
Chapter: 9. Diseases of the circulatory system
Delete: I Other secondary pulmonary hypertension Add: I Pulmonary hypertension, unspecified Add: I Secondary pulmonary arterial hypertension Add: I Pulmonary hypertension due to left heart disease Add: I Pulmonary hypertension due to lung diseases and hypoxia Add: I Chronic thromboembolic pulmonary hypertension Add: I Other secondary pulmonary hypertension Add: I Eisenmenger's syndrome
17
Chapter: 9. Diseases of the circulatory system
Revise from: I Left ventricular failure Revise to: I Left ventricular failure, unspecified Add: I Right heart failure, unspecified Add: I Acute right heart failure Add: I Chronic right heart failure Add: I Acute on chronic right heart failure Add: I Right heart failure due to left heart failure Add: I Biventricular heart failure Add: I High output heart failure Add: I End stage heart failure Add: I Other heart failure
18
Chapter: 9. Diseases of the circulatory system
Revise from: I Cerebral infarction due to unspecified occlusion or stenosis of right vertebral arteries Revise to: I Cerebral infarction due to unspecified occlusion or stenosis of right vertebral artery Revise from: I Cerebral infarction due to thrombosis of bilateral anterior arteries Revise to: I Cerebral infarction due to thrombosis of bilateral anterior cerebral arteries Revise from: I Embolism and thrombosis of superficial veins of right lower extremities Revise to: I Embolism and thrombosis of superficial veins of right lower extremity
19
Chapter: 9. Diseases of the circulatory system
Revise from: I Varicose veins of right lower extremities with pain Revise to: I Varicose veins of right lower extremity with pain
20
Chapter: 10. Diseases of the respiratory system
Revise from: J Pneumonia due to other aerobic Gram- negative bacteria Revise to: J Pneumonia due to other Gram-negative bacteria
21
Chapter: 11. Diseases of the digestive system
Delete: K Gingival recession Add: K Localized gingival recession, unspecified Add: K Localized gingival recession, minimal Add: K Localized gingival recession, moderate Add: K Localized gingival recession, severe Add: K Generalized gingival recession, unspecified Add: K Generalized gingival recession, minimal Add: K Generalized gingival recession, moderate Add: K Generalized gingival recession, severe
22
Chapter: 11. Diseases of the digestive system
Delete: K Intestinal adhesions [bands] with obstruction (postprocedural) (postinfection) Add: K Intestinal adhesions [bands], unspecified as to partial versus complete obstruction Add: K Intestinal adhesions [bands], with partial obstruction Add: K Intestinal adhesions [bands] with complete obstruction Delete: K Unspecified intestinal obstruction Add: K Partial intestinal obstruction, unspecified as to cause Add: K Complete intestinal obstruction, unspecified as to cause Add: K Unspecified intestinal obstruction, unspecified as to partial versus complete obstruction Delete: K Other intestinal obstruction Add: K Other partial intestinal obstruction Add: K Other complete intestinal obstruction Add: K Other intestinal obstruction unspecified as to partial versus complete obstruction Delete: K Postprocedural intestinal obstruction Add: K Postprocedural intestinal obstruction, unspecified as to partial versus complete Add: K Postprocedural partial intestinal obstruction Add: K Postprocedural complete intestinal obstruction
23
Chapter: 12. Diseases of the skin and subcutaneous tissue
Add: L Non-pressure chronic ulcer of unspecified thigh with muscle involvement without evidence of necrosis Add: L Non-pressure chronic ulcer of unspecified thigh with bone involvement without evidence of necrosis Add: L Non-pressure chronic ulcer of unspecified thigh with other specified severity These changes have been made for all locations on legs, feet, buttocks, back and other specified sites
24
Chapter: 13. Diseases of the musculoskeletal system and connective tissue
Revise from: M Juvenile dermatopolymyositis, organ involvement unspecified Revise to: M Juvenile dermatomyositis, organ involvement unspecified Add: M Juvenile dermatomyositis without myopathy Revise from: M Other dermatopolymyositis, organ involvement unspecified Revise to: M Other dermatomyositis, organ involvement unspecified Add: M Other dermatomyositis without myopathy Add: M Dermatopolymyositis, unspecified without myopathy
25
Chapter: 13. Diseases of the musculoskeletal system and connective tissue
Delete: M Spinal stenosis, lumbar region Add: M Spinal stenosis, lumbar region without neurogenic claudication Add: M Spinal stenosis, lumbar region with neurogenic claudication
26
Chapter: 14. Diseases of the genitourinary system
Revise from: N Postinfective bulbous urethral stricture, not elsewhere classified Revise to: N Postinfective bulbous urethral stricture, not elsewhere classified, male Revise from: N Postinfective membranous urethral stricture, not elsewhere classified Revise to: N Postinfective membranous urethral stricture, not elsewhere classified, male Revise from: N Postinfective anterior urethral stricture, not elsewhere classified Revise to: N Postinfective anterior urethral stricture, not elsewhere classified, male
27
Chapter: 14. Diseases of the genitourinary system
Delete: N Unspecified lump in breast Add: N Unspecified lump in unspecified breast Add: N Unspecified lump in the right breast, unspecified quadrant Add: N Unspecified lump in the right breast, upper outer quadrant Add: N Unspecified lump in the right breast, upper inner quadrant Add: N Unspecified lump in the right breast, lower outer quadrant Add: N Unspecified lump in the right breast, lower inner quadrant Same changes for left breast
29
Chapter: 14. Diseases of the genitourinary system
Add: N Unspecified lump in axillary tail of the right breast Add: N Unspecified lump in axillary tail of the left breast Add: N Unspecified lump in right breast, subareolar Add: N Unspecified lump in left breast, subareolar
30
Chapter: 14. Diseases of the genitourinary system
Revise from: N Postprocedural bulbous urethral stricture Revise to: N Postprocedural bulbous urethral stricture, male Revise from: N Postprocedural membranous urethral stricture Revise to: N Postprocedural membranous urethral stricture, male Revise from: N Postprocedural anterior bulbous urethral stricture Revise to: N Postprocedural anterior bulbous urethral stricture, male
31
Chapter: 15. Pregnancy, childbirth and the puerperium
Delete: O Tubal pregnancy without intrauterine pregnancy Add: O Right tubal pregnancy without intrauterine pregnancy Add: O Left tubal pregnancy without intrauterine pregnancy Add: O Unspecified tubal pregnancy without intrauterine pregnancy Delete: O Tubal pregnancy with intrauterine pregnancy Add: O Right tubal pregnancy with intrauterine pregnancy Add: O Left tubal pregnancy with intrauterine pregnancy Add: O Unspecified tubal pregnancy with intrauterine pregnancy Delete: O Ovarian pregnancy without intrauterine pregnancy Add: O Right ovarian pregnancy without intrauterine pregnancy Add: O Left ovarian pregnancy without intrauterine pregnancy Add: O Unspecified ovarian pregnancy without intrauterine pregnancy Delete: O Ovarian pregnancy with intrauterine pregnancy Add: O Right ovarian pregnancy with intrauterine pregnancy Add: O Left ovarian pregnancy without intrauterine pregnancy Add: O Unspecified ovarian pregnancy with intrauterine pregnancy
32
Chapter: 15. Pregnancy, childbirth and the puerperium
Add: O Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, not applicable or unspecified Add: O Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 1 Codes added for each trimester and fetus 6th character will indicate trimester 7th character will indicate fetus
33
Chapter: 16. Certain conditions originating in the perinatal period
Delete: P Persistent fetal circulation Add: P Pulmonary hypertension of newborn Add: P Other persistent fetal circulation Add: P Gestational alloimmune liver disease Delete: P Other specified conditions of integument specific to newborn Add: P Umbilical granuloma Add: P Other specified conditions of integument specific to newborn Delete: P Other specified disturbances of cerebral status of newborn Add: P Neonatal encephalopathy in diseases classified elsewhere Add: P Neonatal encephalopathy, unspecified Add: P Other specified disturbances of cerebral status of newborn
34
Chapter: 17. Congenital malformations, deformations and chromosomal abnormalities
Delete: Q Abdominal testis, unilateral Add: Q Unilateral intraabdominal testis Add: Q Unilateral inguinal testis Add: Q Unilateral high scrotal testis Delete: Q Abdominal testis, bilateral Add: Q Bilateral intraabdominal testes Add: Q Bilateral inguinal testes Add: Q Bilateral high scrotal testes Revise from: Q Cloacal extrophy of urinary bladder Revise to: Q Cloacal exstrophy of urinary bladder Revise from: Q Mastocytosis Revise to: Q Congenital cutaneous mastocytosis
35
Chapter: 18. Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
Add: R Acute respiratory distress Add: R Unilateral non-palpable testicle Add: R Bilateral non-palpable testicles
36
Chapter: 19. Injury, poisoning and certain other consequences of external causes
Revise from: S04.031A Injury of optic tract and pathways, right eye, initial encounter Revise to: S04.031A Injury of optic tract and pathways, right side, initial encounter Revise from: S04.041A Injury of visual cortex, right eye, initial encounter Revise to: S04.041A Injury of visual cortex, right side, initial encounter
37
Chapter: 19. Injury, poisoning and certain other consequences of external causes
Delete: S06.1X7D Traumatic cerebral edema with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter Delete: S06.1X7S Traumatic cerebral edema with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela Codes in category S06 with 7th character S and D have been deleted. Note in tabular states 7th characters “D” and “S” do not apply in category S06 with 6th character “7-death due to brain injury prior to regaining consciousness” or “8-death due to other cause prior to regaining consciousness”
38
Chapter: 19. Injury, poisoning and certain other consequences of external causes
Revise from: S62.620A Displaced fracture of medial phalanx of right index finger, initial encounter for closed fracture Revise to: S62.620A Displaced fracture of middle phalanx of right index finger, initial encounter for closed fracture Revise from: S63.121A Subluxation of unspecified interphalangeal joint of right thumb, initial encounter Revise to: S63.121A Subluxation of interphalangeal joint of right thumb, initial encounter Delete: S63.131A Subluxation of proximal interphalangeal joint of right thumb, initial encounter Delete: S63.144A Dislocation of distal interphalangeal joint of right thumb, initial encounter
39
Chapter: 19. Injury, poisoning and certain other consequences of external causes
Revise from: S92.521A Displaced fracture of medial phalanx of right lesser toe(s), initial encounter for closed fracture Revise to: S92.521A Displaced fracture of middle phalanx of right lesser toe(s), initial encounter for closed fracture
40
Chapter: 19. Injury, poisoning and certain other consequences of external causes
Delete: T Unspecified multiple injuries Add: T07.XXXA Unspecified multiple injuries, initial encounter Add: T07.XXXD Unspecified multiple injuries, subsequent encounter Add: T07.XXXS Unspecified multiple injuries, sequela Delete: T Other injury of unspecified body region Add: T14.8XXA Other injury of unspecified body region, initial encounter Add: T14.8XXD Other injury of unspecified body region, subsequent encounter Add: T14.8XXS Other injury of unspecified body region, sequela Delete: T Injury, unspecified Add: T14.90XA Injury, unspecified, initial encounter Add: T14.90XD Injury, unspecified, subsequent encounter Add: T14.90XS Injury, unspecified, sequela Delete: T Suicide attempt Add: T14.91XA Suicide attempt, initial encounter Add: T14.91XD Suicide attempt, subsequent encounter Add: T14.91XS Suicide attempt, sequela
41
Chapter: 20. External causes of morbidity
Add: V86.05XA Driver of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident, initial encounter Add: V86.05XD Driver of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident, subsequent encounter Add: V86.05XS Driver of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident, sequela Add: V86.06XA Driver of dirt bike or motor/cross bike injured in traffic accident, initial encounter Add: V86.06XD Driver of dirt bike or motor/cross bike injured in traffic accident, subsequent encounter Add: V86.06XS Driver of dirt bike or motor/cross bike injured in traffic accident, sequela Add: V86.25XA Person on outside of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident, initial encounter Add: V86.26XD Person on outside of dirt bike or motor/cross bike injured in traffic accident, subsequent encounter
42
Chapter: 21. Factors influencing health status and contact with health services
Revise from: Z Encounter for genetic counseling Revise to: Z Encounter for procreative genetic counseling Delete: Z Encounter for antenatal screening of mother Add: Z Encounter for antenatal screening for chromosomal anomalies Add: Z Encounter for antenatal screening for raised alphafetoprotein level Add: Z Encounter for other antenatal screening follow-up Add: Z Encounter for antenatal screening for malformations Add: Z Encounter for antenatal screening for fetal growth retardation Add: Z Encounter for antenatal screening for isoimmunization Add: Z Encounter for antenatal screening for hydrops fetalis Add: Z Encounter for antenatal screening for nuchal translucency Add: Z Encounter for fetal screening for congenital cardiac abnormalities Add: Z Encounter for antenatal screening for fetal lung maturity
43
Chapter: 21. Factors influencing health status and contact with health services
Add: Z Encounter for antenatal screening for Streptococcus B Add: Z Encounter for antenatal screening for cervical length Add: Z Encounter for antenatal screening for uncertain dates Add: Z Encounter for antenatal screening for fetal macrosomia Add: Z Encounter for other specified antenatal screening Add: Z36.8A Encounter for antenatal screening for other genetic defects Add: Z Encounter for antenatal screening, unspecified Revise from: Z Encounter for prophylactic removal of ovary Revise to: Z Encounter for prophylactic removal of ovary(s) Add: Z Encounter for prophylactic removal of fallopian tube(s )
44
Chapter: 21. Factors influencing health status and contact with health services
Revise from: Z Body mass index (BMI) 19 or less, adult Revise to: Z Body mass index (BMI) 19.9 or less, adult Add: Z Exercise counseling Add: Z Encounter for nonprocreative genetic counseling Revise from: Z Hormone replacement therapy (postmenopausal) Revise to: Z Hormone replacement therapy Add: Z Risk for dental caries, low Add: Z Risk for dental caries, moderate Add: Z Risk for dental caries, high Add: Z Unspecified risk for dental caries
45
References 2018 ICD-10 –Code Descriptions
Similar presentations
