ICD-10-CM 2018 Posted!

Let the Update

Games Begin
Check Changes by the Numbers

Based on the files posted, it looks like well be dealing

with more than 700 updates:

360 additions
142 deletions
226 revisions
71,704 codes total.
ICD-10-CM 2018 files are up on
the CMS site! Heres a quick overview of
whats coming when the new version goes
into effect Oct. 1, 2017. (Looking for PCS?
Click here.)
Single Our Your Specialty
Here are some changes from the chapters that will see the most updates. Be sure to check the complete
files to see the details on the changes that will affect your specialty.

Eye and adnexa: Some of the changes in this section are as simple as a spelling correction (in H02.05-,
entropian becomes entropion). But plenty of updates will have a real impact on your coding:

H44.2- (Degenerative myopia) will get new options to identify

cases with choroidal neovascularization, macular hole, retinal
detachment, foveoschisis, and other maculopathy by eye.

H54.- (Blindness and low vision) will see a lot of changes to allow
you to identify the category for each eye, such as H54.1131
(Blindness right eye category 3, low vision left eye category 1).
Cardiology and vascular: There are four main areas to watch for these updates:

Myocardial infarction codes will expand, including a new specific option for type 2 (I21.A1).
Pulmonary hypertension options will increase under I27.2- to allow you to better define
cause.
Heart failure coding options will grow with about 10 new changes, like I50.813 (Acute on
chronic right heart failure) and I50.84 (End stage heart failure).
Cerebral infarction (I63.-), embolism and thrombosis (I82.81-), and varicose veins (I83.8-)
will get some of those tough-to-spot changes, like revising plural terms to singular, so review
those with care if you code them.

Gastroenterology:

Coding for intestinal adhesions and obstruction will get more specific with about a dozen additions. To code correctly
youll need to know whether obstructions are partial or complete.

Wound care: If you thought the non-pressure chronic ulcer code list couldnt get any longer, think again! Youll get
lots of new options to help you report cases without evidence of necrosis.
Ob-gyn: If you code for womens health, keep an eye on these changes:

Youll be able to specify quadrant when coding for an unspecified lump in the breast under
N63.
Tubal (O00.1-) and ovarian (O00.2-) pregnancy codes will expand to let you identify the side
affected.
New subcategory O36.83- will allow you to report maternal care for abnormalities of the fetal
heart rate or rhythm, specific to the trimester and fetus involved.
Antenatal screening encounter codes (Z36) will get a makeover with 17 new codes so you
can identify what the screening is for, such as nuchal translucency (Z36.82) and Strep B
(Z36.84).

Neuro: The list of changes for brain conditions is relatively long, but grasping the updates is pretty simple
if you know the breakdown.
Injury codes of the optic tract (S04.03-) and visual cortex (S04.04-) will change terminology
from eye to side
Expect a mass deletion of subsequent and sequela codes from S06.- that have the phrase
loss of consciousness of any duration with death. (It makes sense when you think about it.)
Orthopedics: A few minor changes will lead to a whole lot of updates:

Code descriptors for metacarpal fracture (S62.3-) have a period in the middle in 2017, so
the 2018 version changes that to a comma.
Phalanx fracture codes for the finger (S26.6-) and toe (S92.5-) will see a language swap
from medial phalanx to middle phalanx.
Subluxation and dislocation codes (S63.12-) for thumb interphalangeal joints will get cleaned
up to remove references to proximal and distal.

What About You?

How do you prep for ICD-10-CM updates? Tip: You can get automatic updates by signing up
for ICD-10-CM Code Lookup FREE for a year!

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