OVERVIEW OF ICD-10 CODE: ADDITIONS, REVISIONS, AND DELETIONS – EFFECTIVE 10-1-2017

CMS has made available the updated ICD-10-CM and ICD-10-PCS Code lists for 2018. These codes take effect on October 1, 2017. This summary identifies the new codes added, any revised codes, and the deleted codes. The link following this summary document will provide you with the new, revised, or deleted codes by specialty. Reminder: ICD-10 requires health professionals to code to the highest degree of specificity.

SUMMARY OF CHANGES IN TOTAL:

  • NEW CODES ADDED – 360
  • REVISED CODES – 226
  • DELETED CODES – 142

SUMMARY OF CHANGES BY ICD 10 CM MANUAL

Chapter 1 – Certain Infectious and Parasitic Diseases (A00 – B99)

New Codes:

  • There are 2 new codes added to this chapter:
    • 2 new codes for Enterocolitis due to Clostridium difficile

Revised Codes:

  • There are no revised codes

Deleted Codes:

  • There is 1 deleted code for Enterocolitis

Chapter 2 – Neoplasms (C00 – D49)

New Codes:

  • There are 7 new codes added to this chapter:
    • 4 new codes for mast cell
    • 3 new codes for mastocytosis

Revised Codes:

  • There are NO code revisions for this chapter

Deleted Codes:

  • There are 2 deleted codes:
    • Malignant mast cell tumor
    • Histiocytic and mast cell tumors of uncertain behavior

Chapter 3 – Disease of the Blood and Blood Forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89)

  • There are NO new, revised or deleted codes for this chapter

Chapter 4 – Endocrine, Nutritional, and Metabolic Diseases (E00-E89)

New Codes:

  • There are 5 new codes for this chapter:
    • 2-Type 2 diabetes mellitus with ketoacidosis without coma and with coma
    • 1-Light chain (AL) amyloidosis
    • 1- Wild-type transthyretin-related (ATTR) amyloidosis
    • 1- Other amyloidosis

Revised Codes:

  • There are NO code revisions for this chapter

Deleted Codes:

  • There is 1 deleted code:
    • Other amyloidosis

Chapter 5 – Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)

New Codes:

  • There are 10 new codes added to this chapter, some include but not limited to:
    • alcohol, opioid, cannabis, sedative, cocaine, and other stimulant abuse in remission

Revised Codes:

  • There is 1 revised code:
    • Panic disorder [episodic paroxysmal anxiety] – “without agoraphobia” was removed

Deleted Codes:

  • There are NO code deletions for this chapter

Chapter 6 – Diseases of the Nervous System (G00-G99)

New Codes:

  • There are 3 new codes added to this chapter:
    • Primary lateral sclerosis
    • Familial motor neuron disease
    • Progressive spinal muscle atrophy

Revised Codes:

  • There are NO code revisions for this chapter

Deleted Codes:

  • There are NO code deletions for this chapter

Chapter 7 – Diseases of the Eye and Adnexa (H00-H59)

New Codes:

  • There are 55 new codes added to this chapter – some include but are not limited to Degenerative myopia with choroidal neovascularization of specified eye, Degenerative myopia, blindness or low vision

Revised Codes:

  • There are 7 revised codes – all 7 revisions were made to correct spelling error

Deleted Codes:

  • There are 8 deleted codes for this chapter – blindness and low vision were deleted and more specific code descriptions were added

Chapter 8 – Diseases of the Ear and Mastoid Process (H60-H95)

  • There are NO new, revised or deleted codes for this chapter

Chapter 9 – Diseases of the Circulatory System (I00-I99)

New Codes:

  • There are 19 new codes added to this chapter – some include but are not limited to acute MI, pulmonary hypertension, heart failure

Revised Codes:

  • There are 18 revised codes – left ventricular failure-unspecified was added, other revisions included changing arteries to artery and extremities to extremity

Deleted Codes:

  • There is 1 code deleted – other secondary pulmonary hypertension

 Chapter 10 – Diseases of the Respiratory System (J00-J99)

New Codes:

  • There are NO new codes for this chapter

Revised Codes:

  • There is 1 revised code – Pneumonia due to other Gram-negative bacteria- “aerobic” was removed

Deleted Codes:

  • There are NO code deletions for this chapter

Chapter 11 – Diseases of the Digestive System (K00-K95)

New Codes:

  • There are 20 new codes added to this chapter – some include but are not limited to localized and generalized gingival, intestinal adhesions and obstructions

Revised Codes:

  • There are NO code revisions for this chapter

Deleted Codes:

  • There are 5 codes deleted – all of which now have new more specific codes

 Chapter 12 – Diseases of the Skin and Subcutaneous Tissue (L00-L99)

New Codes:

  • There are 72 new codes added to this chapter – all 72 are pertaining to non-pressure chronic ulcers

Revised Codes:

  • There are NO code revisions for this chapter

Deleted Codes:

  • There are NO code deletions for this chapter

Chapter 13 – Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)

New Codes:

  • There are 5 new codes added to this chapter – some include but are not limited to Juvenile dermatomyositis, spinal stenosis

Revised Codes:

  • There are 8 revised codes – all 8 codes were changed from dermatopolymyositis to dermatomyositis

Deleted Codes:

  • There is 1 code deleted – Spinal stenosis, lumbar region which now has a more specific code description

Chapter 14 – Diseases of the Genitourinary System (N00-N99)

New Codes:

  • There are 15 new codes added to this chapter – some include but are not limited to unspecified lump of breast, axillary tail

Revised Codes:

  • There are 6 revised codes – urethral strictures adding male gender to each code

Deleted Codes:

  • There is 1 deleted code – unspecified lump in breast which now has a more specified description

Chapter 15 – Pregnancy, Childbirth, and the Puerperium (O00-O99)

New Codes:

  • There are 40 new codes added to this chapter – some include but are not limited to tubal pregnancy, ovarian pregnancy, maternal care for abnormalities of the fetal heart rate or rhythm by trimester and fetus

Revised Codes:

  • There are NO code revisions for this chapter

Deleted Codes:

  • There are 4 deleted codes – all of which now have new more specific code

Chapter 16 – Certain Conditions Originating in the Perinatal Period (P00-P96)

New Codes:

  • There are 8 new codes added to this chapter – some include but are not limited to pulmonary hypertension of newborn, gestational alloimmune liver disease, neonatal encephalopathy

Revised Codes:

  • There are NO code revisions for this chapter

Deleted Codes:

  • There are 3 deleted codes – all of which now have new more specific code

Chapter 17 – Congenital Malformations, Deformations, and Chromosomal Abnormalities (Q00 – Q99)

New Codes:

  • There are 6 new codes added to this chapter – some include but are not limited to unilateral or bilateral intraabdominal testis, unilateral or bilateral inguinal testis, unilateral or bilateral high scrotal testis

Revised Codes:

  • There are 2 revised codes – spelling correction and more specific description to an existing code were made

Deleted Codes:

  • There are 2 deleted codes – unilateral or bilateral abdominal testis both of which now have more specific codes

Chapter 18 – Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)

New Codes:

  • There are 3 new codes added to this chapter – which include abdominal testis, unilateral or bilateral non-palpable testicles

Revised Codes:

  • There are NO code revisions for this chapter

Deleted Codes:

  • There are NO code deletions for this chapter

 Chapter 19 – Injury, Poisoning, and Certain Other Consequences of External Causes (S00-T88)

New Codes:

  • There are 12 new codes added to this chapter – some include but are not limited unspecified multiple injuries by encounter, other injury of unspecified body region by encounter, injury unspecified by encounter, Suicide attempt by encounter

Revised Codes:

  • There are 176 revised codes – these revisions were made to add specificity to the code description. Some include but are not limited to changing right/left eye to right/left side, changing medial to middle, removing unspecified as related to dislocation

Deleted Codes:

  • There are 112 deleted codes- all of which now have more specific codes added as new

Chapter 20 – External Causes of Morbidity (V00-Y99)

New Codes:

  • There are 54 new codes added to this chapter – some include but are not limited to driver or passenger of 3 or 4 wheeled ATV injured in traffic accident by encounter, unspecified occupant of dirt bike or motor/cross bike injured in non-traffic accident by encounter

Revised Codes:

  • There are 3 revised codes – all of which included removing duplicate wording of “powered”

Deleted Codes:

  • There are NO code deletions for this chapter

Chapter 21 – Factors Influencing Health Status and Contact with Health Services (Z00-Z99)

New Codes:

  • There are 24 new codes added to this chapter – some include but are not limited to encounter for antenatal screening for chromosomal anomalies, exercise counseling, level of risk for dental caries

Revised Codes:

  • There are 4 revised codes – all of which added specificity to the code description

Deleted Codes:

  • There is 1 code deleted – encounter for antenatal screening of mother which now has more specific codes

Follow the link below to download: Update ICD-10 by Chapter 10-1-17

http://www.m3meridian.com/medical-management-resources/training/