New Coding Clinic Reveals Insights Into New and Revised Codes Effective Oct. 1, 2016
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1 New Coding Clinic Reveals Insights Into New and Revised Codes Effective Oct. 1, AHA Coding Clinic for ICD-10-CM and PCS, Vol. 3, No. 4, updates you about the addition of new and revised ICD-10-CM and PCS codes implemented Oct. 1, 2016, covering a wide range of specialties. This issue will also guide you on the importance of adding laterality and using seventh characters to identify stages of severity in diabetes. These concepts relate to the addition of roughly 250 new codes for diabetic ophthalmic complications alone. Take advantage of SuperCoder's code and keyword search to keep your skills up to date: Guideline Changes for Coding and Reporting, ICD-10-CM: A00, A92.5, B99, E00, E89, F45.8, G47.63, I00, I12, I13, I16, I21, I50.-, I51.4-I51.9, I63, I99, L00, L89, L99, M00, M99, N18, O00, O08, O09, O24.4, O80, O9A, P00, P96, R00, R29.7-, R40.2-, R99, S00, T76, T88, X92, Y07, Y09, Z00, Z00.0-, Z04.41, Z04.42, Z05, Z19, Z20.828, Z29, Z33.32, Z38, Z3A, Z51, Z68, Z72, Z79.4, Z79.84, Z99 Guideline Changes for Coding and Reporting, ICD-10-PCS Assist Device, Heart: 02H, 02HA3RS, 02PA3RZ, 5A0, 5A0221D ICD-10-CM Updates Abnormal Findings, Diagnostic Imaging: R93.4-R93.49 Abnormal Prostate Specific Antigen Levels: R97, R97.2- R97.21 Age-Related Macular Degeneration: H H35.319, H H35.329, H35.361, H35.362, Z01.01 Amblyopia: H H Arterial Tortuosity Syndrome: Q87.82 Autoinflammatory Syndromes: M04- M04.9
2 Bacteriuria: R82.7-R82.79 Behavioral and Neurodevelopmental Disorders: F01, F32.81, F32.89, F34.81, F34.89, F42-F42.9, F50.81, F50.89, F64, F64.1, F80.82, F99, L98.1, N94.3 Bladder Pain, Chronic: R39.8-R39.89 Bunion, Bunionette: M20.1-, M21.6-M21.619, M M Car Occupant Injured in Collision: V47 Cardiac and Vascular Prosthetic Devices, Complications: T83-T Castleman Disease: D47.Z, D47.Z2 Cerebral Infarction, Bilateral: I63 Cervical Disc Disorders: M50.0-M50.9 Choking Game: Y93.8, Y93.85, R41.0, T71.191A Coarctation and Atresia, Aorta: Q25.1-Q25.29 Cognitive Sequelae, Cerebrovascular Diseases: I69 Complications of Pregnancy, Labor and Delivery, Newborn: E83.41, P00-P04, Z05, Z05.41, Z38.00 Concussion: S06, S06.0, S06.0X9, S06.1-, S06.6-, S06.81-, S Congenital Malformations, Aorta: Q25.4-Q25.49 Constipation: K59.03, K59.04 Contact With Sharp Objects: W26-W26.9 Dental Codes: K04-K08 Diabetes, Ophthalmic Complications: E08.3- E13.3
3 Dislocations and Sprains, Jaw: S03.0, S03.4 Dyspareunia: N94.1- N94.19 Ectopic and Molar Pregnancy: O00.00-O00.91, O09.1, O09.10-O09.13, O09.A, O09.A0- O09.A3 Excessive Skin and Subcutaneous Tissue: L98, L98.7 Exocrine Pancreatic Insufficiency: K86, K86.81, K86.89 Femoral Fractures, Atypical: M84.75, T45.8X5A, Z79.83 Fossa Navicularis Urethral Stricture, Postprocedural: N99.11, N99.113, N Fracture, Foot: S92.81 Gastroenteritis and Colitis, Noninfective: K52-K Gastrointestinal Stromal Tumor: C49.A-C49.A0 Genitourinary Prosthetic Devices, Complications: T82.81-T82.84, T T82.858, T82.86 Gestational Diabetes Mellitus: O24.4-O Glasgow Coma Scale: R40.2-, R40.21-, R40.22-, R40.23-, R Glaucoma: H40.1- H Gluten Sensitivity and Malabsorption, Non-Celiac: K90.4, K90.41, K90.49 Hearing Loss: H90.A11- H90.A32, Z01.10, Z86.69 Hematoma, Hemorrhage, and Seroma, Postprocedural: D78.-, E89.8.-, G97.-, H59.3.-, H95.-, I97.6.-, J95.8.-, K91.-, L76.-, M96.8-, M96.841, N99.8- Hematuria, Microscopic: R31.2-R31.29 Hypercholesterolemia: E78.0-E78.01
4 Hypertension in Pregnancy: O10-O16 Hypertensive Crisis, Urgency, and Emergency: I10, I15, I16.0- I16.9, I61.0, I16.1, 00C00ZZ Internal Prosthetic Devices, Complications: T85-T85.89 Irritable Bowel Syndrome: K58.1-K58.8 Longitudinal Vaginal Septum: N89.7, Q Q52.129, 0U9G7ZZ, 0WJJ4ZZ Low Birth Weight Infant: P05.09, P05.19 Mast Cell Activation Syndromes: D89.4- D89.49 Maternal Care for Disproportion, Fetal Deformities: O30, O33.7 Mediastinitis: J98.5- J98.59, T81.- Megacolon: K59.31, K59.39 Metatarsus Primus Varus and Metatarsus Adductus, Congenital: Q66.2-Q66.22 Micturition: R39.19-R Mononeuropathies, Limbs: G56.03-G56.43, G56.83, G56.93, G57.03-G57.93 Multifocal Motor Neuropathy: G61.82 National Institutes of Health Stroke Scale: R29.7-, I63-, I63.9, R Ovary, Fallopian Tube and Broad Ligament, Noninflammatory Disorders: N83-N83.5- Overexertion: S39.012A, X50-X50.9-, X50.3, X50.0XXA, Y93.F2 Pain in Hand Joints: M25.5- M Pancreatitis, Acute: K85- K85.9-
5 Perineal Laceration During Delivery, Third Degree: O70.2- O70.23 Periorbital Cellulitis: L03.21, L Periprosthetic Fractures: M84.454A, M97-M97.8, S72.401A, T84.01, T84.04 Placenta Previa: O44-O44.5 Postprocedural Erectile Dysfunction: N52.3-N52.37 Pre-Cerebral and Vertebral Arteries, Aneurysm and Dissection: I72.5- I77.79 Prediabetes: R73.03, R73.09 Pre-Pubertal Vaginal Bleeding: N93.1 Pulsatile Tinnitus: D44.7, H93.A1- H93.A9, 03VM3DZ Retinal Vein Occlusion: H34.8 Sacral Dimple, Congenital: Q82.6 Salter-Harris Fracture and Other Physeal Fractures, Foot and Ankle: S99- S99.29 Sarcopenia: M84.75, T45.8X5A, Z79.83 Skull and Facial Bones, Fracture: S02.1- S02.8 Small Acinar Proliferation, Atypical: N42.3, N42.39 Stoma of Urinary Tract, Complications: N99.5-N Temporomandibular Joint Disorders: M26.6- M26.63 Testicular and Scrotal Pain: N50.8- N50.89 Unintended Awareness, General Anesthesia: T88.5, T88.53, T88.53XA, Z92.8, Z92.84
6 Unspecified Behavior Kidney and Genitourinary Organ, Neoplasm: D D49.59 Ureteropelvic Junction Obstruction, Acquired: N13, N13.0, N13.5 Urinary Incontinence: N39.42, N39.491, N39.49, N Uterine Scar, Previous Surgery: O34.21, O34.211, O34.212, O34.219, O34.29, Z Vascular Disorders, Intestine: K55, K K55.04-, K K55.33 Vulva, Hypertrophy of N90.6- N90.69 Z-codes Update: O34.2, Z05.0- Z05.9, Z19.1, Z19.2, Z22.5, Z29 - Z29.14, Z29.3, Z29.8, Z29.9, Z30 - Z30.017, Z Z30.46, Z33, Z33.3, Z31.7, Z40, Z51.6, Z53.31-Z53.39, Z79.84, Z83.42, Z84.82, Z92.84 Z98.890, Z Zika Virus: A92.5, G93.89, O28.3, O35.3XX0, O98.512, O98.513, P35.8, Q02, Z03.73, Z03.79, Z20.828, Z34.--, Z38.00, Z3A.16, Z3A.20, Z3A.22, Z3A.32, Z71.1, Z86.1 ICD-10-PCS Updates Application of Wound Matrix Bone Marrow and Stem Cell Transfusion Branched and Fenestrated Endograft Repair, Aneurysms: 02V, 02VW3DZ, 04V, 04V03E6, 04V03F6, 04VC3EZ, 04VD3EZ Cerebral Embolic Filtration: X2A Congenital Heart Defects, Correction: 021, 02L, 02Q, 024F08J, 024F0JJ, 024G0J2, 024G0K2, 024J0J2, 024J0K2, 02S, 02U, 02UF0KJ, 02UG0JE, 02UJ0KG, 02UM08Z, 02QF0ZJ, 02QG0ZE, 02QJ0ZG, 02S10ZZ, 02SP0ZZ, 02SX0ZZ Coronary and Peripheral Artery Bifurcation: 027, 037, 03C, 047, 04V, 02C, , , 02703ZZ, 04CK3Z6, 047K3Z6 Cranial Cavity and Brain, Substances Applied: 3E0Q005
7 Donor Organ Perfusion Fluorescence Vascular Angiography: 4A1 Hip and Knee Devices, Removal and Revision: 0SP, 0SPR0JZ, 0SP909Z, 0SRR0J9, 0SUA09Z, 0SW, 0SWW0JZ Intracardiac Pacemaker: 02H, 02P, 02PA3NZ, 02W, 02WA3NZ Magnetic Growth Rods, Placements: XNS Number of Arteries, Coronary Artery: 021, 027, 02C, 02Q, 02S, X2C, 02100AW, W, 02100Z9 Number of Stents, Coronary Artery: Z, 02703EZ, I25.810, Z Number of Stents, Peripheral Artery Partial Knee Replacement: 0SR, 0SRD0JZ, 0SRD0LZ Phrenic Neurostimulator: 05H, 05H032Z, 05H43MZ, 05P, 05W, 0JH60MZ Rapid Deployment, Aortic Valve: X2R Root Operation Control: I97.42, Z53.31, 0W3, 0W3F0ZZ, 0W3P8ZZ, 0X3, 0Y3 Root Operation Creation: 02Q, 02U, 024, 0W4 Thoracic, Ascending/Arch, and Descending Aorta: 021, 025, 027, 02B, 02C, 02H, 02N, 02Q, 02R, 02S, 02U, 02V Transplantation: 0WY, 0XY Ask the Editor: The latest Coding Clinic also includes its targeted Ask the Editor section, providing answers for specific scenarios and news for reporting ICD-10- CM and PCS codes for arthritis, diabetes, osteomyelitis, Lewy body dementia, high-risk pregnancy, and many more topics. To find the help you need, search for these codes and keywords on SuperCoder's code and keyword search: Arthritis, Default ICD-10-CM Code: M19.90
8 Atrial Septal Defect, Repair: 021V09S Clinical Criteria and Code Assignment Diabetes and Osteomyelitis: E08, E08.69, E11.69, E11.9, E13.69 Diabetic Cataract High-Risk Pregnancy, Supervision: O09, O09.523, O80 Lewy Body Dementia: F02-, F02.80, G31.83 Modified Warden Procedure, Septal Defect: 021V08S Osteoarthritis, Hip, Bilateral Primary: M16.0 Osteoarthritis, Left Knee: M17.12, M17.9 Osteoarthritis, Right Shoulder: M POA Indicator for Pressure Ulcer Progression: L89.622, L Readmission Post Myocardial Infarction: I21 Use of X-Ray for Pain.
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