Pay Attention to These New 2019 ICD-10-CM Codes to Maximize Reimbursement Success
The newest changes to the ICD-10-CM code set will go into effect in just a few days – but if you’re still waiting for the arrival of your 2019 ICD-10 coding books to start your preparation, here’s an overview of some new codes you’re using for your specialty effective Oct. 1:
Cardiology: Welcome New Cerebral Infarction & Cerebrovascular Disease Codes
Cardiology practices will now have two new codes — I63.81 and I63.89 — to report cerebral infarction under category I63-.The 2019 code set also adds new subcategory I67.85- under Category I67-. And under the new sub category, you’ll find two additional cerebrovascular disease codes: I67.850 and I67.858.
Gastroenterology: Find New Reporting Options for Abscess, Gallbladder Disorders, and More
The 2019 ICD-10-CM code set introduces several new abscess codes — K61.31 (horseshoe abscess), K61.39 (other ischiorectal abscess) and K61.5 (supralevator abscess). These codes will provide clarity when gastroenterology surgeons perform more invasive procedures.
In addition, you’ll see new codes for gallbladder disorders — K82.A, K82.A1, and K82.A2 along with two new, more specific codes for cholangitis K83.01 and K83.09 that replaces the catch-all code K83.0.
Ophthalmology: Pay Attention to New Codes in Eyelid Cancer Category & Blepharitis
Of all the specialties, ophthalmology has the maximum number of new codes this year. You’ll find several new codes in the eyelid cancer category, many of which were actually proposed by the AAO last year but were not implemented. Among the most notable updates are new codes under the C43.1 category that provides site-specific codes to specify which eyelid is affected, such as: C43.111, C43.112, C43.121, and C43.122.
Additionally, there are also new codes affecting laterality and upper/lower eyelid: C4A.1, C44.10, C44.11, C44.12, and C44.19. You’ll also find more site-specific codes for eyelid lesions in the “Neoplasms” section of ICD-10, including D03.11, D22.11, and D23.12.
This year’s crop of new codes also includes several new diagnoses related to blepharitis — H01.00A, H01.00B, H01.01A, H01.01B, H01.02A, and H01.02B and a completely new category— C44.13 — that includes seven new codes to describe the site or whether the location is unspecified.
Eye care coders will also be pleased to find an entire new subcategory for paralytic ectropion of eyelid (H02.15) with seven code options, and new codes for multiple lagophthalmos conditions.
Ob-Gyn: Explore New Series of Multiple Gestation Codes, Surgical Wound Infection
Ob-gyn specialty is also majorly impacted, with a new series of multiple gestation codes that specify that the number of chorions and amnions equal the number of fetuses. New codes for triplet pregnancies include: O30.131, O30.132, O30.133, and O30.139 with similar codes for quadruplet pregnancy: O30.231, O30.232, O30.233, and O30.239.
The infection of obstetric surgical wound code O86.0 expands to include six new codes, including O86.00 and O86.01. In addition, you will also find a new maternal depression screening code Z13.32.
There are also a bunch of new gynecology diagnoses that ob-gyn coders will need to master — such as N35.92. Plus, five new abnormal urine finding codes to use in place of existing code R82.99 that expands to include R82.991, R82.992, R82.993, R82.994, and R82.998.
Orthopedics: Use New Codes for Myalgia, Muscular Dystrophy
Orthopedics is also majorly impacted, including some significant additions that address myalgia — M79.10, M79.11, M79.12, and M79.18. You can also expect to report one out of the four new, more specific codes from the G71 series for muscular dystrophy.
Pediatrics: Don’t Overlook New Codes for Newborn Affected by Maternal Use
Pediatrics is also one of the top impacted specialties, with over 50 new codes. You’ll look forward to new codes for ‘newborn affected by maternal use’ of various drugs as well as more specific codes for Zika virus and child sexual exploitation and forced labor.
Urology: Dig Into New Urethral Stricture Codes
Urology figures among the top 10 specialties impacted by this year’s code changes, with 30 new codes to adopt. You’ll have a dozen new codes that address urethral stricture, both male and female, by the site of the stricture (N35), including N35.81, N35.811, and N35.812. The 2019 ICD-10-CM code set will also add eight more “unspecified” options to your urethral stricture coding armory.
Additionally, you’ll spot eight new codes being added to focus on postprocedural urethral stricture and abnormal findings in urine, such as N35.016, N35.116, N99.116, and R82.991, just to mention a few.
Assign New Codes with Confidence
You’ve got numerous new codes —and umpteen revisions — to analyze properly to secure your diagnostic coding compliance—and maximize your reimbursement success. To report accurately, consider investing in updated medical code books that includes new/revised ICD-10-CM codes and their descriptors, practical advice and key features — including the official ICD-10 coding guidelines, tips for interpreting guidelines, and more.
Source: New ICD-10-CM Codes for 2019