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ICD-10 Update 2020 Madison Area Chapter of the AAPC
Claudia Yoakum-Watson, CPC
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ICD-10 CM changes for 2020 Additions = 273 Deletions = 21
Revisions = 30 ICD-10 CM in 2020 = 72,184 71,704 codes in 2018 71,932 codes in ,184 codes in 2020 273 additions deletions 30 revisions
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Codes and Headers ADA Deficiency Code Deletion
D Adenosine deaminase [ADA] deficiency deleted as a code Header Addition added as a header Many codes groups have been expanded. Because of this, some less specific codes have been added as Headers. Headers - 70 additions, An example of this is D81.3 (ADA deficiency) The codes D81.30, 31, 32, and 39 have been added. D81.3 D81.30 Adenosine deaminase deficiency, unspecified D81.31 Severe combined immunodeficiency due to adenosine deaminase deficiency D81.32 Adenosine deaminase 2 deficiency D81.39 Other adenosine deaminase deficiency
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Other Deficiencies D75.A Glucose-6-phosphate dehydrogenase (G6PD) deficiency without anemia D Severe combined immunodeficiency due to adenosine deaminase deficiency D Adenosine deaminase 2 deficiency D Other adenosine deaminase deficiency D75.A Glucose-6-phosphate dehydrogenase (G6PD) deficiency without anemia D75.A Glucose-6-phosphate dehydrogenase (G6PD) deficiency without anemia D81.3 Adenosine deaminase [ADA] deficiency D81.30 Adenosine deaminase deficiency, unspecified D81.31 Severe combined immunodeficiency due to adenosine deaminase deficiency D81.32 Adenosine deaminase 2 deficiency D81.39 Other adenosine deaminase deficiency
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Vertigo Vertigo Delete H81.4 Vertigo of central origin as a code
Add H81.4 Vertigo of central origin as a header Delete: H81.41 Vertigo of central origin, right ear Delete: H81.42 Vertigo of central origin, left ear Delete: H81.43 Vertigo of central origin, bilateral Delete: H81.49 Vertigo of central origin, unspecified ear These were deleted because other more specific codes already exist. Deletion of H81.4 Vertigo of central origin as a code and added it as a header. Other deletion are H81.41, 42, 43, and 49
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Pulmonary Embolism I Single subsegmental pulmonary embolism without acute cor pulmonale I Multiple subsegmental pulmonary emboli without acute cor pulmonale I26.93 Single subsegmental pulmonary embolism without acute cor pulmonale I26.94 Multiple subsegmental pulmonary emboli without acute cor pulmonale
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Atrial Fibrillation Deleted as codes
I48.1 Persistent atrial fibrillation I48.2 Chronic atrial fibrillation Added as a header I48.11 Longstanding persistent atrial fibrillation I48.19 Other persistent atrial fibrillation I48.20 Chronic atrial fibrillation, unspecified I48.21 Permanent atrial fibrillation Deleted as codes I48.1 Persistent atrial fibrillation I48.2 Chronic atrial fibrillation Added as a header Added as new codes I48.11 Longstanding persistent I48.19 Other persistent atrial fibrillation I48.20 Chronic atrial fibrillation, unspecified I48.21 Permanent atrial fibrillation
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Phlebitis & Thrombophlebitis
New Header – I80.24 Phlebitis and thrombophlebitis of peroneal vein I … right peroneal vein I … left peroneal vein I … peroneal vein, bilateral I … unspecified peroneal vein There are 24 new codes for phlebitis, thrombophlebitis, embolism, & thrombosis I80.24 Phlebitis and thrombophlebitis of peroneal vein I Phlebitis and thrombophlebitis of right peroneal vein I Phlebitis and thrombophlebitis of left peroneal vein I Phlebitis and thrombophlebitis of peroneal vein, bilateral I Phlebitis and thrombophlebitis of unspecified peroneal vein
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Phlebitis & Thrombophlebitis
New Header – I80.25 Phlebitis and thrombophlebitis of calf vein I … right calf muscular vein I … left calf muscular vein I … calf muscular vein, bilateral I … unspecified calf muscular vein I80.25 Phlebitis and thrombophlebitis of calf muscular vein I Phlebitis and thrombophlebitis of right calf muscular vein I Phlebitis and thrombophlebitis of left calf muscular vein I Phlebitis and thrombophlebitis of calf muscular vein, bilateral I Phlebitis and thrombophlebitis of unspecified calf muscular vein
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Acute Embolism & Thrombosis
New Header – I82.45 Acute embolism and thrombosis of peroneal vein I … right peroneal muscular vein I … left peroneal muscular vein I … peroneal muscular vein, bilateral I … unspecified peroneal muscular vein I82.45 Acute embolism and thrombosis of peroneal vein I Acute embolism and thrombosis of right peroneal vein I Acute embolism and thrombosis of left peroneal vein I Acute embolism and thrombosis of peroneal vein, bilateral I Acute embolism and thrombosis of unspecified peroneal vein
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Acute Embolism & Thrombosis
New Header – I82.46 Acute embolism and thrombosis of calf muscular vein I … right calf muscular vein I … left calf muscular vein I … calf muscular vein, bilateral I … unspecified calf muscular vein New header for Acute embolism and thrombosis of calf muscular vein – I82.46 I … right calf muscular vei I … left calf muscular vein I … calf muscular vein, bilateral I … unspecified calf muscular vein
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Chronic Embolism & Thrombosis
New Header – I82.55 Chronic embolism and thrombosis of peroneal vein I … right peroneal vein I … left peroneal vein I … peroneal vein, bilateral I … unspecified peroneal vein I8255 Chronic embolism and thrombosis of peroneal vein I82551 Chronic embolism and thrombosis of right peroneal vein I82552 Chronic embolism and thrombosis of left peroneal vein I82553 Chronic embolism and thrombosis of peroneal vein, bilateral I82559 Chronic embolism and thrombosis of unspecified peroneal vein
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Chronic Embolism & Thrombosis
New Header – I82.56 Chronic embolism and thrombosis of calf muscular vein I … right calf muscular vein I … left calf muscular vein I … calf muscular vein, bilateral I … unspecified calf muscular vein I8256 Chronic embolism and thrombosis of calf muscular vein I82561 Chronic embolism and thrombosis of right calf muscular vein I82562 Chronic embolism and thrombosis of left calf muscular vein I82563 Chronic embolism and thrombosis of calf muscular vein, bilateral I82569 Chronic embolism and thrombosis of unspecified calf muscular vein
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Pressure-Induced Deep Tissue Damage
L … of unspecified elbow L … of right elbow L … of left elbow L … of unspecified part of back L … of right upper back L … of left upper back L … of right lower back L … of left lower back 25 new codes for pressure induced deep tissue damage L of unspecified elbow L of right elbow L of left elbow L of unspecified part of back L of right upper back L of left upper back L of right lower back L of left lower back
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Pressure-Induced Deep Tissue Damage
L … of sacral region L of unspecified hip L of right hip L of left hip L of unspecified buttock L of right buttock L of left buttock L of contiguous site of back, buttock and hip L of sacral region L of unspecified hip L of right hip L of left hip L of unspecified buttock L of right buttock L of left buttock L of contiguous site of back, buttock and hip
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Pressure-Induced Deep Tissue Damage
L of unspecified ankle L of right ankle L of left ankle L of unspecified heel L of right heel L of left heel L of head L of other site L of unspecified site L Pressure-induced deep tissue damage of unspecified ankle L Pressure-induced deep tissue damage of right ankle L Pressure-induced deep tissue damage of left ankle L Pressure-induced deep tissue damage of unspecified heel L Pressure-induced deep tissue damage of right heel L Pressure-induced deep tissue damage of left heel L Pressure-induced deep tissue damage of head L Pressure-induced deep tissue damage of other site L89.96 Pressure-induced deep tissue damage of unspecified site
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Moving On … N63.15 Unspecified lump in the right breast, overlapping quadrants N63.25 Unspecified lump in the left breast, overlapping quadrants N99.85 Post endometrial ablation syndrome N6315 Unspecified lump in the right breast, overlapping quadrants N6325 Unspecified lump in the left breast, overlapping quadrants N9985 Post endometrial ablation syndrome
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Congenital Abnormality of Feet
There are 24 new codes for foot adnominalizes. The first of these are related to the different types of club feet. Cavus, Adduction, Varus, Equinus There are 24 new codes for foot adnominalizes. The first of these are related to the different types of club feet. Cavus, Adduction, Varus, Equinus
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Club Feet
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Congenital Talipes Equinovarus
Deleted as a code Q Congenital talipes equinovarus Added as a header Q unspecified foot Q right foot Q left foot New codes for club feet Q66.0 Congenital talipes equinovarus Q66.00 Congenital talipes equinovarus, unspecified foot Q66.01 Congenital talipes equinovarus, right foot Q66.02 Congenital talipes equinovarus, left foot
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Congenital Metatarsus Primus Varus
Deleted as a code Q Congenital metatarsus primus varus Added as a header Q … right foot Q … left foot Q … unspecified foot Q66.21 Congenital metatarsus primus varus Q Congenital metatarsus primus varus, right foot Q Congenital metatarsus primus varus, left foot Q Congenital metatarsus primus varus, unspecified foot
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Congenital Metatarsus Adductus
Deleted as a code Q Congenital metatarsus adductus Added as a header Q Congenital metatarsus addictus Q … right foot Q … left foot Q … unspecified foot Q66.22 Congenital metatarsus adductus Q Congenital metatarsus adductus, right foot Q Congenital metatarsus adductus, left foot Q Congenital metatarsus adductus, unspecified foot
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Other Congenital Varus Deformities
Deleted as a code Q Other congenital varus deformities of feet Added as a header Q66.30 … unspecified foot Q66.31 … right foot… left foot Q66.32 … left foot Q66.3 Other congenital varus deformities of feet Q66.30 Other congenital varus deformities of feet, unspecified foot Q66.31 Other congenital varus deformities of feet, right foot Q66.32 Other congenital varus deformities of feet, left foot
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Congenital Talipes Calcaneovalgus
Deleted as a code Q Congenital talipes calcaneovalgus Added as a header Q66.40 … unspecified foot Q66.41 … right foot Q66.42 … left foot Q66.4 Congenital talipes calcaneovalgus Q66.40 Congenital talipes calcaneovalgus, unspecified foot Q66.41 Congenital talipes calcaneovalgus, right foot Q66.42 Congenital talipes calcaneovalgus, left foot
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Congenital Pes Cavus Deleted as a code Q66.7 - Congenital Pes Cavus
Added as a header Q66.70 … unspecified foot Q66.71 … right foot Q66.72 … left foot Pes cavus is characterized by high arch of the foot that does not flatten with weightbearing. The deformity can be located in the forefoot, the midfoot, the hindfoot, or a combination of these sites Q66.7 Congenital pes cavus Q66.70 Congenital pes cavus, unspecified foot Q66.71 Congenital pes cavus, right foot Q66.72 Congenital pes cavus, left foot
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Congenital Deformity of Feet
Deleted as a code Q Congenital deformity of feet, unspecified Added as a header Q66.90 … unspecified, unspecified foot Q66.91 … unspecified, right foot Q66.92 … unspecified, left foot Q66.9 Congenital deformity of feet, unspecified Q66.90 Congenital deformity of feet, unspecified, unspecified foot Q66.91 Congenital deformity of feet, unspecified, right foot Q66.92 Congenital deformity of feet, unspecified, left foot
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Ehlers-Danlos Syndrome
Deleted as a code Q Ehlers-Danlos Syndrome Added as a header Q79.60 Ehlers-Danlos syndrome, unspecified Q79.61 Classical Ehlers-Danlos syndrome Q79.62 Hypermobile Ehlers-Danlos syndrome Q79.63 Vascular Ehlers-Danlos syndrome Q79.69 Other Ehlers-Danlos syndromes Q79.6 Ehlers-Danlos syndromes Q79.6 Ehlers-Danlos syndrome Q79.60 Ehlers-Danlos syndrome, unspecified Q79.61 Classical Ehlers-Danlos syndrome Q79.62 Hypermobile Ehlers-Danlos syndrome Q79.63 Vascular Ehlers-Danlos syndrome Q79.69 Other Ehlers-Danlos syndromes
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Congenital Malformation Syndromes
Deleted as a code Q87.1 Congenital malformation syndromes predominantly associated with short stature Added as a header Q87.1 Congenital malformation syndromes predominantly associated with short stature Q87.11 Prader-Willi syndrome Q87.19 Other congenital malformation syndromes predominantly associated with short stature Prader – Willi Syndrome In newborns, symptoms include weak muscles, poor feeding, and slow development. Beginning in childhood, the person becomes constantly hungry, which often leads to obesity and type 2 diabetes.
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Lonely R Codes R11.15 Cyclical vomiting syndrome unrelated to migraine
R82.8 Abnormal findings on cytological and histological examination of urine R82.81 Pyuria R82.89 Other abnormal findings on cytological and histological examination of urine
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Cytological and Histological Exam
Deleted as a code R82.8 Abnormal findings on cytological and histological examination of urine Added as a header R82.81 Pyuria R82.89 Other abnormal findings on cytological and histological examination of urine R82.8 Abnormal findings on cytological and histological examination of urine R82.81 Pyuria R82.89 Other abnormal findings on cytological and histological examination of urine
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Fractures It wouldn’t be a proper update without new fracture codes.
Sixty new fracture codes
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Orbital Anatomy 60 fracture codes.
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Orbital Anatomy Just like a room, there are two walls, a roof, and a floor. The new codes pertain to the roof, lateral, and medical walls.
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Fractures of Orbital Roof
S02.121A – S02.121S … orbital roof, right side S02.122A – S02.122S … orbital roof, left side S02.129A – S02.129S … orbital roof, unspecified side Closed, Open, Subsequent with routine healing, Subsequent with delayed healing, Subsequent with nonunion, Sequela
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Fractures of Medial Orbital Wall
S02.831A – S02.831S … medial orbital wall, right side S02.832A – S02.832S … medial orbital wall, left side S02.839A – S02.839S … medial orbital wall, unspecified S02.831A – S02.831S Fracture of medial orbital wall, right side S02.832A – S02.832S Fracture of medial orbital wall, left side S02.839A – S02.839S Fracture of medial orbital wall, unspecified side S02.841A – S02.841S Fracture of lateral orbital wall, right side S02.842A – A02.842S Fracture of lateral orbital wall, left side S02.849A – S02.849S Fracture of lateral orbital wall, unspecified side S02.85XA – A02.85XS Fracture of orbit, unspecified
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Fractures of Lateral Orbital Wall
S02.841A – S02.841S …lateral orbital wall, right side S02.842A – S02.842S …lateral orbital wall, left side S02.849A – S02.849S … lateral orbital wall, unspecified S02.85XA – S02.85XS … lateral orbit, unspecified S02.831A – S02.831S Fracture of medial orbital wall, right side S02.832A – S02.832S Fracture of medial orbital wall, left side S02.839A – S02.839S Fracture of medial orbital wall, unspecified side S02.841A – S02.841S Fracture of lateral orbital wall, right side S02.842A – A02.842S Fracture of lateral orbital wall, left side S02.849A – S02.849S Fracture of lateral orbital wall, unspecified side S02.85XA – A02.85XS Fracture of orbit, unspecified
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Poisoning - Accidental
T50.911A – T50.911S Poisoning by multiple unspecified drugs, medicaments and biological substances, accidental (unintentional), A- Initial encounter D - Subsequent encounter S - Sequela T50.911A – T50.911S Poisoning by multiple unspecified drugs, medicaments and biological substances, accidental (unintentional), T50.912A – T50.912S Poisoning by multiple unspecified drugs, medicaments and biological substances, intentional self-harm T50913A – T50.913S Poisoning by multiple unspecified drugs, medicaments and biological substances, assault T50914A – T50.914S Poisoning by multiple unspecified drugs, medicaments and biological substances, undetermined
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Poisoning – Intentional Self Harm
T50.912A – T50.912S Poisoning by multiple unspecified drugs, medicaments and biological substances, intentional self harm, A- Initial encounter D - Subsequent encounter S - Sequela T50.912A – T50.912S Poisoning by multiple unspecified drugs, medicaments and biological substances, intentional self-harm T50913A – T50.913S Poisoning by multiple unspecified drugs, medicaments and biological substances, assault initial encounter subsequent encounter sequela
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Poisoning - Assault T50.913A – T50.913S
Poisoning by multiple unspecified drugs, medicaments and biological substances, assault, A- Initial encounter D - Subsequent encounter S - Sequela T50913A – T50.913S Poisoning by multiple unspecified drugs, medicaments and biological substances, assault T50914A – T50.914S Poisoning by multiple unspecified drugs, medicaments and biological substances, undetermined
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Poisoning - Undetermined
T50.914A – T50.914S Poisoning by multiple unspecified drugs, medicaments and biological substances, undetermined, A- Initial encounter D - Subsequent encounter S - Sequela T50914A – T50.914S Poisoning by multiple unspecified drugs, medicaments and biological substances, undetermined
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Adverse Effect T50.915A – T50.915S Adverse effect of multiple unspecified drugs, medicaments and biological substances A- Initial encounter D - Subsequent encounter S - Sequela T50915A – T50.915S Adverse effect of multiple unspecified drugs, medicaments and biological substances, initial encounter T50916A – T50.916S Underdosing of multiple unspecified drugs, medicaments and biological substances
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Underdosing T50.916A – T50.916S Underdosing of multiple unspecified drugs, medicaments and biological substances A- Initial encounter D - Subsequent encounter S - Sequela T50915A – T50.915S Adverse effect of multiple unspecified drugs, medicaments and biological substances, initial encounter T50916A – T50.916S Underdosing of multiple unspecified drugs, medicaments and biological substances
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Heatstroke and Sunstroke
Deleted T67.0XXA – T67.0XXS Heatstroke and sunstroke T67.01XA – T67.01XS T67.02XA – T67.02XS Exertional heatstroke T67.09XA – S67.09XS Other heatstroke and sunstroke T67.01XA – T67.01XS Heatstroke and sunstroke T67.02XA – T67.02XS Exertional heatstroke T67.09XA – S67.09XS Other heatstroke and sunstroke
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Legal Interventions Y35.009A – Y35.009S Legal intervention involving unspecified firearm discharge, unspecified person injured Y35.019A – Y35.019S ... by machine gun, unspecified person injured Y35.029A – Y35.029S ... by handgun, unspecified person injured Y35.039A – Y35.039S ... by rifle pellet, unspecified person injured Y35.049A – Y35.049S ... by rubber bullet, unspecified person injured Y35.099A – Y35.099S … involving other firearm discharge, unspecified person injured
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Legal Interventions 75 new codes for legal interventions
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Legal Intervention involving…
Y35.109A – Y35.109S … unspecified explosives, unspecified person injured Y35.119A – Y35.199S injury by dynamite, unspecified person injured Y35.129A – Y35.129S injury by explosive shell, unspecified person injured Y35.199A – Y35.199S other explosives, unspecified person injured Y35.209A – Y35.209S unspecified gas, unspecified person injured
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Legal Intervention involving…
Y35.219A – Y35.219S injury by tear gas, unspecified person injured Y35.299A – Y35.299S other gas, unspecified person injured Y35.309A – Y35.309S unspecified blunt objects, unspecified person injured Y35.319A – Y35.319S baton, unspecified person injured Y35.399A – Y35.399S other blunt objects, unspecified person injured
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Legal Intervention involving…
Y35.409A – Y35.409S unspecified sharp objects, unspecified person injured Y35.419A – Y35.419S bayonet, unspecified person injured Y35.499A – Y35.499S other sharp objects, unspecified person injured Y35.819A – Y35.819S manhandling, unspecified person injured
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Legal Intervention involving
conducted energy device … Y35.831A – Y35.831S law enforcement official injured Y35.832A – Y35.832S bystander injured Y35.833A – Y35.833S suspect injured Y35.839A – Y35.839S unspecified person injured Y35.99XA – Y35.99XS means unspecified, unspecified person injured
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Encounter Codes Z Encounter for examination of eyes and vision following failed vision screening without abnormal findings Z Encounter for examination of eyes and vision following failed vision screening with abnormal findings Z11.7 Encounter for testing for latent tuberculosis Z22.7 Latent tuberculosis Z Encounter for health counseling related to travel Z227 Latent tuberculosis Z7184 Encounter for health counseling related to travel
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Personal History of… Z in-situ neoplasm of other and unspecified genital organs Z in-situ neoplasm of oral cavity, esophagus and stomach Z in-situ neoplasm of other and unspecified digestive organs Z in-situ neoplasm of middle ear and respiratory system Z melanoma in-situ Z in-situ neoplasm of skin Z latent tuberculosis infection Z Presence of neurostimulator Z86002 – Z86007 Personal history of in-situ neoplasms Z8615 Personal history of latent tuberculosis infection Z9682 Presence of neurostimulator
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Revisions (STEC) to [STEC]
Revise from B96.21 Shiga toxin-producing Escherichia coli [E. coli] (STEC) O157 as the cause of diseases classified elsewhere Revise to B96.21 Shiga toxin-producing Escherichia coli [E. coli] [STEC] O157 as the cause of diseases classified elsewhere Revise from B96.22 Other specified Shiga toxin-producing Escherichia coli [E. coli] (STEC) as the cause of diseases classified elsewhere Revise to B96.22 Other specified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere Revise from B96.23 Unspecified Shiga toxin-producing Escherichia coli [E. coli] (STEC) as the cause of diseases classified elsewhere Revise to B96.23 Unspecified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere I48.1 Persistent atrial fibrillation delted and became a header I48.11 Longstanding persistent atrial fibrillation and I48.19 Other persistent atrial fibrillation were added for greater specificity. 75 Y section – Legal interventions 60 S section for orbital fractures. Roof, medical, or lateraly wall 31 Q section Of those, 24 are for congenital abnormalities of the foot 28 I section embolisms thrombosis Phlbitis 27 T section – poisoning and adverse effects 25 L section pressure induced deep tissue damage
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Revised to add “in migraine”
Revise from G43.A0 Cyclical vomiting, not intractable Revise to G43.A0 Cyclical vomiting, in migraine, not intractable Revise from G43.A1 Cyclical vomiting, intractable Revise to G43.A1 Cyclical vomiting, in migraine, intractable I48.1 Persistent atrial fibrillation delted and became a header I48.11 Longstanding persistent atrial fibrillation and I48.19 Other persistent atrial fibrillation were added for greater specificity. 75 Y section – Legal interventions 60 S section for orbital fractures. Roof, medical, or lateraly wall 31 Q section Of those, 24 are for congenital abnormalities of the foot 28 I section embolisms thrombosis Phlbitis 27 T section – poisoning and adverse effects 25 L section pressure induced deep tissue damage
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Removed redundant laterality
Revise from I Atherosclerosis of native arteries of right leg with ulceration of other part of lower right leg Revise to I Atherosclerosis of native arteries of right leg with ulceration of other part of lower leg Revise from I Atherosclerosis of native arteries of left leg with ulceration of other part of lower left leg Revise to I Atherosclerosis of native arteries of left leg with ulceration of other part of lower leg
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Revised acute to (acute)
Revise from J440 Chronic obstructive pulmonary disease with acute lower respiratory infection Revise to J440 Chronic obstructive pulmonary disease with (acute) lower respiratory infection I48.1 Persistent atrial fibrillation delted and became a header I48.11 Longstanding persistent atrial fibrillation and I48.19 Other persistent atrial fibrillation were added for greater specificity. 75 Y section – Legal interventions 60 S section for orbital fractures. Roof, medical, or lateraly wall 31 Q section Of those, 24 are for congenital abnormalities of the foot 28 I section embolisms thrombosis Phlbitis 27 T section – poisoning and adverse effects 25 L section pressure induced deep tissue damage
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What Changed for 2020 ICD-10 CM in 2020 = 72,184 Additions – 273
75 – Legal interventions 60 – Orbital fractures 31 – Q section = Of those, 24 are for congenital abnormalities of the foot 28 – Embolism, thrombosis, phlebitis 27 – Poisoning and adverse effects 25 – Pressure induced deep tissue damage 75 Y section – Legal interventions 60 S section for orbital fractures. Roof, medical, or lateraly wall 31 Q section Of those, 24 are for congenital abnormalities of the foot 28 I section embolisms thrombosis Phlbitis 27 T section – poisoning and adverse effects 25 L section pressure induced deep tissue damage
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What Changed for 2020 Deletions – 21 Revisions – 30
Revised from (STEC) to [STEC] Added "in migraine" Removed the redundant mention of the same leg Revised from "acute" to "(acute)" Revised from "unspecified" to "unspecified level" Revised from "other" to "other sites" Revised from "unspecified forearm" to "unspecified wrist" Revised from "foot" to "foot and ankle" Revised from "unspecified foot" to "unspecified foot and ankle"
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What Changed for 2020 Revisions – 30
Revised from "right foot" to "right foot and ankle" Revised from "left foot" to "left foot and ankle" Revised from "male, anterior" to "male" Revised hyperuricoscuria to hyperuricoscuria Revised to add [hallucinogens], initial, subsequent, and sequela Revised to add [cholinergics], initial, subsequent, and sequela Revised to add "truck" Revised to remove (brain), (perpheral nerve), (spinal cord) Revised from " " to " " Revised from " " to " " I48.1 Persistent atrial fibrillation delted and became a header I48.11 Longstanding persistent atrial fibrillation and I48.19 Other persistent atrial fibrillation were added for greater specificity. 75 Y section – Legal interventions 60 S section for orbital fractures. Roof, medical, or lateraly wall 31 Q section Of those, 24 are for congenital abnormalities of the foot 28 I section embolisms thrombosis Phlbitis 27 T section – poisoning and adverse effects 25 L section pressure induced deep tissue damage
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Go Forth and Code into 2020 Questions ??? Comments ???
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Happy Coding Claudia Yoakum-Watson, CPC
Coding, Compliance, & Reimbursement Solutions
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