1. ICD-10 Update 2020 Madison Area Chapter of the AAPC
Claudia Yoakum-Watson, CPC

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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

11. 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

12. 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

13. 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

14. 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

15. 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

16. 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

17. 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

18. 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

19. Club Feet

20. 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

21. 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

22. 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

23. 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

24. 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

25. 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

26. 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

27. 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

28. 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.

29. 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

30. 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

31. Fractures It wouldn’t be a proper update without new fracture codes.
Sixty new fracture codes

32. Orbital Anatomy
60 fracture codes.

33. 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.

34. 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

35. 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

36. 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

37. 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

38. 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

39. 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

40. 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

41. 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

42. 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

43. 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

44. 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

45. Legal Interventions
75 new codes for legal interventions

46. 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

47. 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

48. 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

49. 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

50. 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

51. 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

52. 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

53. 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

54. 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

55. 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

56. 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

57. 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"

58. 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

59. Go Forth and Code into 2020
Questions ???
Comments ???

60. Happy Coding Claudia Yoakum-Watson, CPC
Coding, Compliance, & Reimbursement Solutions