Imminent ICD-10-CM Changes You Need To Know

As the new fiscal year begins next month, any changes to the ICD-10 (diagnoses) codes that we use will go into effect October 1, 2018. There are a total of 473 code changes this year. That includes 279 new codes, 143 revised codes and 51 codes that have been deactivated. Some of these changes are pertinent to podiatrists and they are listed below. 

The following new ICD-10 codes are effective on October 1, 2018.

F12.23 – Cannabis dependence with withdrawal

F12.93 – Cannabis use, unspecified with withdrawal

G71.00 – Muscular dystrophy, unspecified

G71.01 – Duchenne or Becker muscular dystrophy

G71.09 – Other specified muscular dystrophies

M79.10 – Myalgia, unspecified site

R93.89 – Abnormal findings on diagnostic imaging of other specified body structures

T81.40X__ (requires seventh character) Infection following a procedure, unspecified

T81.41X__ (requires seventh character) Infection following a procedure, superficial incisional surgical site

T81.42X__ (requires seventh character) Infection following a procedure, deep incisional surgical site

T81.44X__ (requires seventh character) Sepsis following a procedure

T81.49X__ (requires seventh character) Infection following a procedure, other surgical site

The following changes to existing ICD-10 codes will be effective on October 1, 2018.

G71.0- (Muscular dystrophy) now requires a fifth character

M79.1- (Myalgia) now requires a fifth character

R93.8 – (Abnormal findings on diagnostic imaging of other specified body structures) now requires a fifth character

T81.4 – (Infection following a procedure) now requires a fifth character

The following revisions to existing ICD-10 codes go into effect on October 1, 2018 (verbiage in bold is new).

L98.495 Non-pressure chronic ulcer of skin of other sites with muscle involvement without evidence of necrosis

L98.496 Non-pressure chronic ulcer of skin of other sites with bone involvement without evidence of necrosis

L98.498 Non-pressure chronic ulcer of skin of other sites with other specified severity

Dr. Lehrman is a consultant to the American Podiatric Medical Association Health Policy and Practice Department, serves as an expert panelist on Codingline, and is a Fellow of the American Academy of Podiatric Practice Management (AAPPM). Follow him on Twitter @DrLehrman.

References

1. American Podiatric Medical Association. Coding Resource Center. Available at www.apmaCodingRC.org .

2. Bryant G. News Alert: FY2019 ICD-10-CM code changes have been released. ICD10 Monitor. Available at

https://www.icd10monitor.com/news-alert-fy2019-icd-10-cm-code-changes-have-been-released . Published June 12, 2018.