ICD 10

The Increased Specificity in ICD-10-CM means documentation must more specific to accommodate the complications and combinations used.

The diabetes mellitus codes are combination codes that include the type of diabetes mellitus, the body system affected, and the complications affecting that body system.

The final list of the new ICD-10- CM codes that become effective October 1, 2016 has been released. There are approximately 1600 changes to the code set, making up for the four years the ICD-10- CM codes have not had a complete update. For fiscal year (FY) 2017, updates to the 2017 ICD-10- CM gynecology codes include more detailed codes, laterality, revision of postprocedural and other complications, such as problems with genitourinary implants and prostheses.

Breast Inflammatory Disorders of the Breast

The 2017 ICD-10-CM and ICD-10-PCS code updates, including a complete list of code titles, are available on the 2017 ICD-

The preliminary list of the new ICD-10- CM codes that become effective October 1, 2016 have been released. There are approximately 1600 changes to the code set, making up for the years the ICD-10- CM codes have not had updates.

For FY 2017, many changes have occurred in the ‘O’ Chapter, which consists of codes for the antepartum (first, second, and third trimesters), intrapartum and postpartum (puerperium] - 6 weeks after delivery) periods of a pregnancy.

A recent study in the The BMJ (formerly the British Medical Journal)suggests that medical mistakes could be the third leading cause of deaths in the United States. (http://www.bmj.com/content/353/bmj.i2139)

Major news outlets have picked up this story and interviewed various medical professionals:

Influenza in ICD-10-CM is classified in the following categories:

  • J09 Influenza due to certain identified influenza viruses – this includes the following types:

o   Avian

o   Bird

o   A/H1N1

o   Swine

o   Other influenza of animal origin (not bird/not swine) 

It turns out that there is a whole batch of new external cause codes for "Exposure to supernatural forces." They are in a new block from X40-X49.  You might want to pass this on to your contacts.  You can review the new codes here: Proposed new ICD-10 codes for 2017!

Noteworthy examples include:

X42.221_ Struck by invisible jet

X42.41 Injury due to contact with kryptonite

Congestive heart failure (CHF) is a common heart condition that exists in many patients. In ICD-9-CM coding, this was reported with code428.0. In ICD-10-CM, if only CHF or congestive heart failure is documented, it would be reported with I50.9 Heart failure, and would not reflect the true extent of the patients’ condition.

Who is in charge of these updates?

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