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2018 ICD-10-CM Updates

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2018 ICD-10-CM Updates

Housekeeping Items All attendees are muted to eliminate background

noise

Questions will be addressed at the end of the session via Questions queue

Session recording will be provided in the coming day along with a PDF of the slides

Attendees will receive an certificate of attendance

AHIMA CEUs can be applied for immediately

AAPC CEUs will be available in the next several weeks (an email notification will be provided when this is finalized)

Ms. Scott is the current director of coding quality and professional development at TrustHCS. She has vast management, education, coding and auditing expertise. She has over 12 years of management experience, a combined 17 years educating, and 28 years of coding and auditing experience. Throughout her management and coding experience she has also performed coding compliance audits and DRG validation reviews. Her engagements with other HIM professionals have focused on guiding coding efforts to increase accuracy and timeliness. She has experience working with a wide range of HIM departments. This experience allows her to combine her knowledge with real-world experience to drive HIM department efforts and programs.

Todays PresenterNena Scott, MSEd, RHIA, CCS, CCS-P, CCDS

Objectives

At the completion of this presentation the learner will be able to:

Apply the 2018 ICD-10-CM new, deleted and revised codes

Identify the key documentation issues needed to apply the new ICD-10-CM/PCS codes

2018 ICD-10-CM

Summary New, Revised, Deleted Codes

2018 New Codes 2018 Revised Codes 2018 Deleted Codes

363 250 142

Chapter 1 Infectious and Parasitic Diseases(A00 B99)

New Codes - Infectious and Parasitic Diseases

Diagnosis Code Description

A04.71 Enterocoltis due to clostridirum difficile, recurrent

A04.72 Enterocolitis Due to clostridirum difficile, not specified as recurrent

Alphabetic Index RevisionNew Entry:

Heartland virus disease A93.8

Revision:

2018 Revised ulcerosa from a nonessential modifier to a subterm

Scarlatina; ulcerosa A38.8

20

17

2018

Chapter 2 Neoplasms (C00 D49)

New Codes - Neoplasm

Diagnosis Code Description

C96.20 Malignant mast cell neoplasm, unspecified

C96.21 Aggressive systemic mastocytosis

C96.22 Mast cell sarcoma

C96.29 Other malignant mast cell neoplasm

New Codes - Neoplasm

Diagnosis Code Description

D47.01 Cutaneous mastocytosis

D47.02 Systemic mastocytosis

D47.09 Other mast cell neoplasms of uncertain behavior

Chapter 3Diseases of the Blood and Blood-Forming Organs (D50 D89)

Excludes Note Updates Blood and Blood Forming Organs D63.0 Anemia in neoplastic disease

Excludes2: anemia due to antineoplastic chemotherapy (D64.81)D89.4 Mast cell activation syndrome and related disorders

Excludes1: aggressive systemic mastocytosis (C96.21)congenital cutaneous mastocytosis (Q82.2)(non-congenital) cutaneous mastocytosis (D47.01)(indolent) systemic mastocytosis (D47.02)malignant mast cell neoplasm (C96.2-)malignant mastocytoma (C96.29)mast cell sarcoma (C96.22)mastocytoma NOS (D47.09)other mast cell neoplasms of uncertain behavior (D47.09)systemic mastocytosis associated with a clonal hematologic non-mast

cell lineage disease (SM-AHNMD)(D47.02)

New Alphabetic Index Entry

PANDAS (pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection syndrome) D89.89

Chapter 4Diseases of the Endocrine, Nutritional and Metabolic Disorders (E00 E89)

New Codes - Diseases of the Endocrine, Nutritional and Metabolic Disorders

Diagnosis Code Description

E11.10 Type 2 diabetes mellitus with ketoacidosis without coma

E11.11 Type 2 diabetes mellitus with ketoacidosis with coma

Excludes Note Updates - Diseases of the Endocrine, Nutritional and Metabolic Disorders

Alphabetic Index Updates - Diseases of the Endocrine, Nutritional and Metabolic Disorders

New Alphabetic Index Entries:

Cardiomyopathy, amyloid, transthyretin-related (ATTR) familial E85.4

Hypothyroidism, autoimmune see, Thyroiditis autoimmune

Revised Alphabetic Index Entries:

Current - Hypoglycemia, coma, diabetic see Diabetes, coma

Revised - Hypoglycemia, coma, diabetic, see Diabetes, by type, with hypoglycemia, with coma

New Codes - Diseases of the Endocrine, Nutritional and Metabolic Disorders

Diagnosis Code Description

E85.81 Light chain (AL) amyloidosis

E85.82 Wild-type transthyretin-related (ATTR) amyloidosis

E85.89 Other amyloidosis

Excludes Note Updates - Diseases of the Endocrine, Nutritional and Metabolic Disorders

Chapter 5 Mental, Behavioral, Neurodevelopment Disorders (F01 F99)

New Codes - Mental, Behavioral, Neurodevelopment Disorders

Diagnosis Code Description

F50.82 Avoidant/restrictive food intake disorder

Alphabetic Index and Tabular Updates - Mental, Behavioral, Neurodevelopment Disorders

New Alphabetic Index Entries:

Disorder, obsessive-compulsive, and related disorder due to a known physiological conditions F06.8

Tabular

Alphabetic Index and Tabular Updates - Mental, Behavioral, Neurodevelopment Disorders

New Alphabetic Index Entries:

Disorder; Anxiety

New Codes - Mental, Behavioral, Neurodevelopment Disorders

Diagnosis Code Description

F10.11 Alcohol abuse, in remission

F11.11 Opioid abuse, in remission

F12.11 Cannabis abuse, in remission

F13.11 Sedative, hypnotic or anxiolytic abuse, in remission

F14.11 Cocaine abuse, in remission

F15.11 Other stimulant abuse, in remission

F16.11 Hallucinogen abuse, in remission

F18.11 Inhalant abuse, in remission

F19.11 Other psychoactive substance abuse, in remission

Tabular List Update - Mental, Behavioral, Neurodevelopment Disorders

Inclusion Note Added - Mental, Behavioral, Neurodevelopment Disorders

F17.201 Nicotine dependence, unspecified, in remissionF17.211 Nicotine dependence, cigarettes, in remissionF17.221 Nicotine dependence, chewing tobacco, in remissionF17.291 Nicotine dependence, other tobacco, in remission

Alphabetic Index and Tabular Updates - Mental, Behavioral, Neurodevelopment Disorders

New Alphabetic Index Entries:

Disorder; social; anxiety (of childhood) F40.10

Tabular

New Alphabetic Index Entries:

Gambling and Betting Z72.6

Disorder

gambling F63.0

Alphabetic Index and Tabular Updates - Mental, Behavioral, Neurodevelopment Disorders

Chapter 6Diseases of the Nervous System (G00 G99)

New Codes - Diseases of the Nervous System

Diagnosis Code Description

G12.23 Primary lateral sclerosis

G12.24 Familial motor neuron disease

G12.25 Progressive spinal muscle atrophy

Excludes Note Updates - Diseases of the Nervous System

2017 2018

Tabular List Update - Diseases of the Nervous System

Tabular List Update - Diseases of the Nervous System

2017 2018

Chapter 7Diseases of the Eye and Adnexa (H00 H59)

2017 2018

New Codes - Diseases of the Eye and Adnexa

Diagnosis Code Description

H44.2A1 Degenerative myopia with choroidal neovascularization, right eye

H44.2A2 Degenerative myopia with choroidal neovascularization, left eye

H44.2A3 Degenerative myopia with choroidal neovascularization, bilateral eye

H44.2A9 Degenerative myopia with choroidal neovascularization, unspecified eye

H44.2B1 Degenerative myopia with macular hole, right eye

H44.2B2 Degenerative myopia with macular hole, left eye

H44.2B3 Degenerative myopia with macular hole, bilateral eye

H44.2B9 Degenerative myopia with macular hole, unspecified eye

H44.2C1 Degenerative myopia with retinal detachment, right eye

H44.2C2 Degenerative myopia with retinal detachment, left eye

H44.2C3 Degenerative myopia with retinal detachment, bilateral eye

H44.2C9 Degenerative myopia with retinal detachment, unspecified eye

New Codes - Diseases of the Eye and Adnexa

Diagnosis Code Description

H44.2D1 Degenerative myopia with foveoschisis, right eye

H44.2D2 Degenerative myopia with foveoschisis, left eye

H44.2D3 Degenerative myopia with foveoschisis, bilateral eye

H44.2D9 Degenerative myopia with foveoschisis, unspecified eye

H44.2E1 Degenerative myopia with other maculopathy, right eye

H44.2E2 Degenerative myopia with other maculopathy, left eye

H44.2E3 Degenerative myopia with other maculopathy, bilateral eye

H44.2E9 Degenerative myopia with other maculopathy, unspecified eye

Diagnosis Code Description

H54.0X33 Blindness right eye category 3, blindness left eye category 3

H54.0X34 Blindness right eye category 3, blindness left eye category 4

H54.0X35 Blindness right eye category 3, blindness left eye category 5

H54.0X43 Blindness right eye category 4, blindness left eye category 3

H54.0X44 Blindness right eye category 4, blindness left eye category 4

H54.0X45 Blindness right eye category 4, blindness left eye category 5

H54.0X53 Blindness right eye category 5, blindness left eye category 3

H54.0X54 Blindness right eye category 5, blindness left eye category 4

H54.0X55 Blindness right eye category 5, blindness left eye category 5

New Codes - Diseases of the Eye and Adnexa

Diagnosis Code Description

H54.1131 Blindness right eye category 3, low vision left eye category 1

H54.1132 Blindness right eye category 3, low vision left eye category 2

H54.1141 Blindness right eye category 4, low vision left eye category 1

H54.1142 Blindness right eye category 4, low vision left eye category 2

H54.1151 Blindness right eye category 5, low vision left eye category 1

H54.1152 Blindness right eye category 5, low vision left eye category 2

H54.1213 Low vision right eye category 1, blindness left eye category 3

H54.1214 Low vision right eye category 1, blindness left eye category 4

H54.1215 Low vision right eye category 1, blindness left eye category 5

H54.1223 Low vision right eye category 2, blindness left eye category 3

H54.1224 Low vision right eye category 2, blindness left eye category 4

H54.1225 Low vision right eye category 2, blindness left eye category 5

New Codes - Diseases of the Eye and Adnexa

Diagnosis Code Description

H54.2X11 Low vision right eye category 1, low vision left eye category 1

H54.2X12 Low vision right eye category 1, low vision left eye category 2

H54.2X21 Low vision right eye category 2, low vision left eye category 1

H54.2X22 Low vision right eye category 2, low vision left eye category 2

H54.413A Blindness right eye category 3, normal vision left eye

H54.414A Blindness right eye category 4, normal vision left eye

H54.415A Blindness right eye category 5, normal vision left eye

H54.42A3 Blindness left eye category 3, normal vision right eye

H54.41A4 Blindness left eye category 4, normal vision right eye

H54.41A5 Blindness left eye category 5, normal vision right eye

New Codes - Diseases of the Eye and Adnexa

Diagnosis Code Description

H54.511A Low vision right eye category 1, normal vision left eye

H54.512A Low vision right eye category 2, normal vision left eye

H54.52A1 Low vision left eye category 1, normal vision right eye

H54.52A2 Low vision left eye category 2, normal vision right eye

New Codes - Diseases of the Eye and Adnexa

Chapter 8Diseases of the Ear and Mastoid Process (H60 H95)

Diseases of the Ear and Mastoid Process

No additions, deletions or revisions

Chapter 9Diseases of the Circulatory System (I00 I99)

Tabular Updates Diseases of Circulatory

Type 1 ST elevation myocardial infarction of unspecified site

New Code Diseases of Circulatory

New

New

New Code Diseases of Circulatory

New

Tabular Update - Diseases of Circulatory

Tabular Update - Diseases of Circulatory

2017 2018

Alphabetic Index Updates - Diseases of Circulatory

New Alphabetic Index Entries:Infarct, infarction; myocardium, myocardial

Alphabetic Index Updates -Diseases of Circulatory

Tabular Update - Diseases of Circulatory

2017 2018

Deleted

Tabular Update - Diseases of Circulatory

2017 2018

Added

New Codes Diseases of Circulatory

Diagnosis Code Description

I27.20 Pulmonary hypertension, unspecified

I27.21 Secondary pulmonary arterial hypertension

I27.22 Pulmonary hypertension due to left heart disease

I27.23 Pulmonary hypertension due to lung diseases and hypoxia

I27.24 Chronic thromboembolic pulmonary hypertension

I27.29 Other secondary pulmonary hypertension

I27.83 Eisenmengers syndrome

New Codes Diseases of Circulatory

New Codes Diseases of Circulatory

New Codes Diseases of Circulatory

New Codes Diseases of Circulatory

New Codes Diseases of Circulatory

Tabular Update - Diseases of Circulatory

2017 2018

Tabular Update - Diseases of Circulatory

2017 2018

Tabular Update - Diseases of Circulatory

20172018

Tabular Update - Diseases of Circulatory

Code also end stage heart failure, if applicable (I50.84)

2017 2018

New Codes - Diseases of Circulatory

New Codes - Diseases of Circulatory

Tabular Update - Diseases of Circulatory

2017 2018

Deleted

Deleted

Tabular Update - Diseases of Circulatory

2017 2018

Tabular Update - Diseases of Circulatory

Added

Added

Added

2017 2018

Tabular Update - Diseases of Circulatory

Deleted

Added

2017 2018

Tabular Update - Diseases of Circulatory

20182017

Added

Chapter 10Diseases of the Respiratory System (J00 J99)

New Codes Disease of the Respiratory System

No NEW codes in the respiratory chapter

Tabular Update - Diseases of the Respiratory System

Added

Revised

Added

2017 2018

Tabular Update - Diseases of the Respiratory System

20172018

Added

Added

Alphabetic Index Updates - Diseases of the Respiratory System

New Alphabetic Index Entries Cold, symptoms J00

Symptoms, cold J00

Symptoms, viral cold J00

Failure, respiration, with, hypercarbia J96.02

Alphabetic Index Revisions Disease, Lung, Obstructive (Chronic) with, Emphysema J43.9

Chapter 11Diseases of the Digestive System (K00 K95)

New Codes - Diseases of the Digestive System

Diagnosis Code Description

K06.010 Localized gingival recession, unspecified

K06.011 Localized gingival recession, minimal

K06.012 Localized gingival recession, moderate

K06.013 Localized gingival recession, severe

K06.020 Generalized gingival recession, unspecified

K06.021 Generalized gingival recession, minimal

K06.022 Generalized gingival recession, moderate

K06.023 Generalized gingival recession, severe

New Codes - Diseases of the Digestive System

Diagnosis Code Description

K56.50 Intestinal adhesions [bands], unspecified as to partial versus complete obstruction

K56.51 Intestinal adhesions [bands], with partial obstruction

K56.52 Intestinal adhesions [bands], with complete obstruction

Diagnosis Code Description

K56.600 Partial intestinal obstruction, unspecified as to cause

K56.601 Complete intestinal obstruction, unspecified as to cause

K56.609 Unspecified intestinal obstruction, unspecified as to partial versus complete obstruction

K56.690 Other partial intestinal obstruction

K56.691 Other complete intestinal obstruction

K56.699 Other intestinal obstruction unspecified as to partial versus complete obstruction

K61.31 Horseshoe abscess

K61.32 Ischiorectal abscess, NOS

K61.5 Supralevator abscess

K91.30 Postprocedural intestinal obstruction, unspecified as to partial versus complete

K91.31 Postprocedural partial intestinal obstruction

K91.32 Postprocedural complete intestinal obstruction

New Codes - Diseases of the Digestive System

Diagnosis Code Description

K56.600 Partial intestinal obstruction, unspecified as to cause

K56.601 Complete intestinal obstruction, unspecified as to cause

K56.609 Unspecified intestinal obstruction, unspecified as to partial versus complete obstruction

K56.690 Other partial intestinal obstruction

K56.691 Other complete intestinal obstruction

K56.699 Other intestinal obstruction unspecified as to partial versus complete obstruction

K61.31 Horseshoe abscess

K61.32 Ischiorectal abscess, NOS

K61.5 Supralevator abscess

K91.30 Postprocedural intestinal obstruction, unspecified as to partial versus complete

K91.31 Postprocedural partial intestinal obstruction

K91.32 Postprocedural complete intestinal obstruction

New Codes - Diseases of the Digestive System

Tabular Update - Diseases of the Digestive System

2017 2018

Added

Alphabetic Index Updates Disease of the Digestive System

New Alphabetic Index Entries

Ileus, postoperative K91.89

Infection, tooth, pulp, irreversible K04.02

Infection, tooth, pulp, reversible K04.01

Alphabetic Index Revisions

Atrophy, gum (see Recession, gingival)

Recession, receding, gingival

Subterms have been added for generalized and localized

Minimal, moderate, severe all added as subterms under both generalized and localized

Chapter 12Diseases of the Skin and Subcutaneous Tissue (L00 L99)

New Codes - Diseases of the Skin and Subcutaneous Tissue

Diagnosis Code Description

L97.105 Non-pressure chronic ulcer of unspecified thigh with muscle involvement without evidence of necrosis

L97.106 Non-pressure chronic ulcer of unspecified thigh with bone involvement without evidence of necrosis

L97.108 Non-pressure chronic ulcer of unspecified thigh with other specified severity

L97.115 Non-pressure chronic ulcer of right thigh with muscle involvement without evidence of necrosis

L97.116 Non-pressure chronic ulcer of right thigh with bone involvement without evidence of necrosis

L97.118 Non-pressure chronic ulcer of right thigh with other specified severity

L97.125 Non-pressure chronic ulcer of left thigh with muscle involvement without evidence of necrosis

L97.126 Non-pressure chronic ulcer of left thigh with bone involvement without evidence of necrosis

L97.128 Non-pressure chronic ulcer of left thigh with other specified severity

Diagnosis Code Description

L97.205 Non-pressure chronic ulcer of unspecified calf with muscle involvement without evidence of necrosis

L97.206 Non-pressure chronic ulcer of unspecified calf with bone involvement without evidence of necrosis

L97.208 Non-pressure chronic ulcer of unspecified calf with other specified severity

L97.215 Non-pressure chronic ulcer of right calf with muscle involvement without evidence of necrosis

L97.216 Non-pressure chronic ulcer of right calf with bone involvement without evidence of necrosis

L97.218 Non-pressure chronic ulcer of right calf with other specified severity

L97.225 Non-pressure chronic ulcer of left calf with muscle involvement without evidence of necrosis

L97.226 Non-pressure chronic ulcer of left calf with bone involvement without evidence of necrosis

L97.228 Non-pressure chronic ulcer of left calf with other specified severity

New Codes - Diseases of the Skin and Subcutaneous Tissue

Diagnosis Code Description

L97.305 Non-pressure chronic ulcer of unspecified ankle with muscle involvement without evidence of necrosis

L97.306 Non-pressure chronic ulcer of unspecified ankle with bone involvement without evidence of necrosis

L97.308 Non-pressure chronic ulcer of unspecified ankle with other specified severity

L97.315 Non-pressure chronic ulcer of right ankle with muscle involvement without evidence of necrosis

L97.316 Non-pressure chronic ulcer of right ankle with bone involvement without evidence of necrosis

L97.318 Non-pressure chronic ulcer of right ankle with other specified severity

L97.325 Non-pressure chronic ulcer of left ankle with muscle involvement without evidence of necrosis

L97.326 Non-pressure chronic ulcer of left ankle with bone involvement without evidence of necrosis

L97.328 Non-pressure chronic ulcer of left ankle with other specified severity

New Codes - Diseases of the Skin and Subcutaneous Tissue

Diagnosis Code Description

L97.405 Non-pressure chronic ulcer of unspecified heel and midfoot with muscle involvement without evidence of necrosis

L97.406 Non-pressure chronic ulcer of unspecified heel and midfoot with bone involvement without evidence of necrosis

L97.408 Non-pressure chronic ulcer of unspecified heel and midfoot with other specified severity

L97.415 Non-pressure chronic ulcer of right heel and midfoot with muscle involvement without evidence of necrosis

L97.416 Non-pressure chronic ulcer of right heel and midfoot with bone involvement without evidence of necrosis

L97.418 Non-pressure chronic ulcer of right heel and midfoot with other specified severity

L97.425 Non-pressure chronic ulcer of left heel and midfoot with muscle involvement without evidence of necrosis

L97.426 Non-pressure chronic ulcer of left heel and midfoot with bone involvement without evidence of necrosis

L97.428 Non-pressure chronic ulcer of left heel and midfoot with other specified severity

New Codes - Diseases of the Skin and Subcutaneous Tissue

Diagnosis Code Description

L97.505 Non-pressure chronic ulcer of unspecified foot with muscle involvement without evidence of necrosis

L97.506 Non-pressure chronic ulcer of unspecified foot with bone involvement without evidence of necrosis

L97.508 Non-pressure chronic ulcer of unspecified foot with other specified severity

L97.515 Non-pressure chronic ulcer of right foot with muscle involvement without evidence of necrosis

L97.516 Non-pressure chronic ulcer of right foot with bone involvement without evidence of necrosis

L97.518 Non-pressure chronic ulcer of right foot with other specified severity

L97.525 Non-pressure chronic ulcer of left foot with muscle involvement without evidence of necrosis

L97.526 Non-pressure chronic ulcer of left foot with bone involvement without evidence of necrosis

L97.528 Non-pressure chronic ulcer of left foot with other specified severity

New Codes - Diseases of the Skin and Subcutaneous Tissue

Tabular Updates Diseases of the Skin and Subcutaneous Tissue

2017 2018

Added

Alphabetic Index Updates Disease of the Skin and Subcutaneous TissueAlphabetic Index Revisions

New Subterms for each body site under ulcer, ulcerated, ulcerating, ulceration and ulcerative

Bone involvement without evidence of necrosis

Muscle involvement without evidence of necrosis

Specified severity NEC

Chapter 13Diseases of the Musculoskeletal System and Connective Tissue (M00 M99)

Diagnosis Code Description

M33.03 Juvenile dermatomyositis without myopathy

M33.13 Other dermatomyositis without myopathy

M33.93 Dermatopolymyositis, unspecified without myopathy

New Codes - Diseases of the Musculoskeletal System and Connective Tissue

Diagnosis Code Description

M48.061 Spinal stenosis, lumbar region without neurogenic claudication

M48.062 Spinal stenosis, lumbar region with neurogenic claudication

New Codes - Diseases of the Musculoskeletal System and Connective Tissue

Tabular Update Diseases of the Musculoskeletal System and Connective Tissue

Added

2017

2018

Alphabetic Index Updates Diseases of the Musculoskeletal System and Connective Tissue

Alphabetic Index Additions

Dermatopolymyositis, without mypopathy M33.93

Vasculitis, systemic M31.8

Alphabetic Index Revisions

Dermatomyositis subterms have been added

Code for Osteoarthritis, Knee has been updated

2017 2018

Chapter 14Diseases of the Genitourinary System (N00 N99)

Diagnosis Code Description

N63.0 Unspecified lump in unspecified breast

N63.10 Unspecified lump in the right breast, unspecified quadrant

N63.11 Unspecified lump in the right breast, upper outer quadrant

N63.12 Unspecified lump in the right breast, upper inner quadrant

N63.13 Unspecified lump in the right breast, lower outer quadrant

N63.14 Unspecified lump in the right breast, lower inner quadrant

New Codes - Diseases of the Genitourinary System

2017 2018

Diagnosis Code Description

N63.20 Unspecified lump in the left breast, unspecified quadrant

N63.21 Unspecified lump in the left breast, upper outer quadrant

N63.22 Unspecified lump in the left breast, upper inner quadrant

N63.23 Unspecified lump in the left breast, lower outer quadrant

N63.24 Unspecified lump in the left breast, lower inner quadrant

New Codes - Diseases of the Genitourinary System

Diagnosis Code Description

N63.31 Unspecified lump in axillary tail of the right breast

N63.32 Unspecified lump in axillary tail of the left breast

N63.41 Unspecified lump in right breast, subareolar

N63.42 Unspecified lump in left breast, subareolar

New Codes - Diseases of the Genitourinary System

Tabular Updates - Diseases of the Genitourinary System

Excludes1: secondary hyperparathyroidism, non=renal (E21.1)Excludes2: metabolic disorder classifiable to E70-E88

Deleted

Added

Added

2017

2018

Tabular Updates - Diseases of the Genitourinary System

2017 2018

Chapter 15Pregnancy, Childbirth, and the Puerperium (O00 O9A)

Diagnosis Code Description

O00.101 Right tubal pregnancy without intrauterine pregnancy

O00.102 Left tubal pregnancy without intrauterine pregnancy

O00.109 Unspecified tubal pregnancy without intrauterine pregnancy

O00.111 Right tubal pregnancy with intrauterine pregnancy

O00.112 Left tubal pregnancy with intrauterine pregnancy

O00.119 Unspecified tubal pregnancy with intrauterine pregnancy

New Codes - Pregnancy, Childbirth, and the Puerperium

Diagnosis Code Description

O00.201 Right ovarian pregnancy without intrauterine pregnancy

O00.202 Left ovarian pregnancy without intrauterine pregnancy

O00.209 Unspecified ovarian pregnancy without intrauterine pregnancy

O00.211 Right ovarian pregnancy with intrauterine pregnancy

O00.212 Left ovarian pregnancy without intrauterine pregnancy

O00.219 Unspecified ovarian pregnancy with intrauterine pregnancy

New Codes - Pregnancy, Childbirth, and the Puerperium

Diagnosis Code

Description

O36.8310 Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, not applicable or unspecified

O36.8311 Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 1

O36.8312 Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 2

O36.8313 Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 3

O36.8314 Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 4

O36.8315 Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 5

O36.8319 Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, other fetus

New Codes - Pregnancy, Childbirth, and the Puerperium

Diagnosis Code

Description

O36.8320 Maternal care for abnormalities of the fetal heart rate or rhythm, second trimester, not applicable or unspecified

O36.8321 Maternal care for abnormalities of the fetal heart rate or rhythm, second trimester, fetus 1

O36.8322 Maternal care for abnormalities of the fetal heart rate or rhythm, second trimester, fetus 2

O36.8323 Maternal care for abnormalities of the fetal heart rate or rhythm, second trimester, fetus 3

O36.8324 Maternal care for abnormalities of the fetal heart rate or rhythm, second trimester, fetus 4

O36.8325 Maternal care for abnormalities of the fetal heart rate or rhythm, second trimester, fetus 5

O36.8329 Maternal care for abnormalities of the fetal heart rate or rhythm, second trimester, other fetus

New Codes - Pregnancy, Childbirth, and the Puerperium

Diagnosis Code

Description

O36.8330 Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, not applicable or unspecified

O36.8331 Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, fetus 1

O36.8332 Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, fetus 2

O36.8333 Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, fetus 3

O36.8334 Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, fetus 4

O36.8335 Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, fetus 5

O36.8339 Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, other fetus

New Codes - Pregnancy, Childbirth, and the Puerperium

Diagnosis Code

Description

O36.8390 Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, not applicable or unspecified

O36.8391 Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, fetus 1

O36.8392 Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, fetus 2

O36.8393 Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, fetus 3

O36.8394 Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, fetus 4

O36.8395 Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, fetus 5

O36.8399 Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, other fetus

New Codes - Pregnancy, Childbirth, and the Puerperium

Alphabetic Index Updates - Pregnancy, Childbirth, and the Puerperium

Alphabetic Index Updates - Pregnancy, Childbirth, and the Puerperium

Alphabetic Index Revisions

2017 Defect; coagulation; postpartum O72.3

2018 Defect; coagulation; postpartum O99.13

with hemorrhage O72.3

2017 Delivery; obstructed see delivery, complicated by, obstructions

2018 Delivery; obstructed see delivery, complicated by, obstructive labor

2017 Pregnancy; complicated; by genital herpes O98.51-

2018 Pregnancy; complicated; by genital herpes O98.3-

Tabular Updates - Pregnancy, Childbirth, and the Puerperium

2017 2018

Chapter 16Conditions Originating in the Perinatal Period (P00 P96)

Diagnosis Code Description

P29.30 Pulmonary hypertension of newborn

P29.38 Other persistent fetal circulation

New Codes - Conditions Originating in the Perinatal Period

Diagnosis Code Description

P78.84 Gestational Alloimmune Liver Disease

New Codes - Conditions Originating in the Perinatal Period

Diagnosis Code Description

P83.81 Umbilical granuloma

P83.88 Other specified conditions of integument specific to newborn

New Codes - Conditions Originating in the Perinatal Period

Diagnosis Code Description

P91.811 Neonatal encephalopathy in diseases classified elsewhere

P91.819 Neonatal encephalopathy, unspecified

P91.88 Other specified disturbances of cerebral status of newborn

New Codes - Conditions Originating in the Perinatal Period

Tabular Updates - Conditions Originating in the Perinatal Period

Chapter 17Congenital Malformations, Deformations(Q00 Q99)

Diagnosis Code Description

Q53.111 Unilateral intraabdominal testis

Q53.112 Unilateral inguinal testis

Q53.13 Unilateral high scrotal testis

Q53.211 Bilateral intraabdominal testes

Q53.212 Bilateral inguinal testes

Q53.23 Bilateral high scrotal testes

New Codes - Congenital Malformations, Deformations

Chapter 18 Signs and Symptoms

Diagnosis Code Description

R06.03 Acute respiratory distress

R39.83 Unilateral non-palpable testicle

R39.84 Bilateral non-palpable testicles

New Codes Signs and Symptoms

Chapter 19Injury, Poisoning, and Certain Other Consequences of External Causes (S00 T88)

Diagnosis Code Description

T07.XXXA Unspecified multiple injuries, initial encounter

T07.XXXD Unspecified multiple injuries, subsequent encounter

T07.XXXS Unspecified multiple injuries, sequela

T14.8XXA Other injury of unspecified body region, initial encounter

T14.8XXD Other injury of unspecified body region, subsequent encounter

T14.8XXS Other injury of unspecified body region, sequela

T14.90XA Injury, unspecified, initial encounter

T14.90XD Injury, unspecified, subsequent encounter

T14.90XS Injury, unspecified, sequela

New Codes - Injury, Poisoning, and Certain Other Consequences of External Causes

Diagnosis Code Description

T14.91XA Suicide attempt, initial encounter

T14.91XD Suicide attempt, subsequent encounter

T14.91XS Suicide attempt, sequela

New Codes - Injury, Poisoning, and Certain Other Consequences of External Causes

Chapter 20External Causes of Morbidity (V00 Y99)

Diagnosis Code Description

V86.05XA Driver of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident, initial encounter

V86.05XD Driver of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident, subsequent encounter

V86.05XS Driver of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident, sequela

New Codes - External Causes of Morbidity

Chapter 21Factors Influencing Health Status and Contact with Health Services (Z00 Z99)

Diagnosis Code Description

Z40.03 Encounter for prophylactic removal of fallopian tube(s)

Z71.82 Exercise counseling

Z91.841 Risk for dental caries, low

Z91.842 Risk for dental caries, moderate

Z91.843 Risk for dental caries, high

Z91.849 Unspecified risk for dental caries

New Codes - Factors Influencing Health Status and Contact with Health Service

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