ICD-10-CM 2018 Posted! Let the Update Games Begin

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ICD-10-CM 2018 Posted! Let the Update Games Begin
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Check Changes by the Numbers
Based on the files posted, it looks like well be
dealing with more than 700 updates

• 360 additions
• 142 deletions
• 226 revisions
• 71,704 codes total.

ICD-10-CM 2018 files are up on the CMS site!
Heres a quick overview of whats coming when the
new version goes into effect Oct. 1, 2017.
(Looking for PCS? Click here.)
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Single Our Your Specialty
Here are some changes from the chapters that will
see the most updates. Be sure to check the
complete files to see the details on the changes
that will affect your specialty. Eye and
adnexa Some of the changes in this section are
as simple as a spelling correction (in H02.05-,
entropian becomes entropion). But plenty of
updates will have a real impact on your coding

• H44.2- (Degenerative myopia) will get new options
  to identify cases with choroidal
  neovascularization, macular hole, retinal
  detachment, foveoschisis, and other maculopathy
  by eye.
• H54.- (Blindness and low vision) will see a lot
  of changes to allow you to identify the category
  for each eye, such as H54.1131 (Blindness right
  eye category 3, low vision left eye category 1).

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Cardiology and vascular There are four main
areas to watch for these updates

• Myocardial infarction codes will expand,
  including a new specific option for type 2
  (I21.A1).
• Pulmonary hypertension options will increase
  under I27.2- to allow you to better define cause.
• Heart failure coding options will grow with about
  10 new changes, like I50.813 (Acute on chronic
  right heart failure) and I50.84 (End stage heart
  failure).
• Cerebral infarction (I63.-), embolism and
  thrombosis (I82.81-), and varicose veins (I83.8-)
  will get some of those tough-to-spot changes,
  like revising plural terms to singular, so review
  those with care if you code them.

Gastroenterology  Coding for intestinal
adhesions and obstruction will get more specific
with about a dozen additions. To code correctly
youll need to know whether obstructions are
partial or complete. Wound care If you thought
the non-pressure chronic ulcer code list couldnt
get any longer, think again! Youll get lots of
new options to help you report cases without
evidence of necrosis.  
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Ob-gyn If you code for womens health, keep an
eye on these changes

• Youll be able to specify quadrant when coding
  for an unspecified lump in the breast under N63.
• Tubal (O00.1-) and ovarian (O00.2-) pregnancy
  codes will expand to let you identify the side
  affected.
• New subcategory O36.83- will allow you to report
  maternal care for abnormalities of the fetal
  heart rate or rhythm, specific to the trimester
  and fetus involved.
• Antenatal screening encounter codes (Z36) will
  get a makeover with 17 new codes so you can
  identify what the screening is for, such as
  nuchal translucency (Z36.82) and Strep B (Z36.84).

Neuro The list of changes for brain conditions
is relatively long, but grasping the updates is
pretty simple if you know the breakdown.

• Injury codes of the optic tract (S04.03-) and
  visual cortex (S04.04-) will change terminology
  from eye to side
• Expect a mass deletion of subsequent and sequela
  codes from S06.- that have the phrase loss of
  consciousness of any duration with death. (It
  makes sense when you think about it.)

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Orthopedics A few minor changes will lead to a
whole lot of updates

• Code descriptors for metacarpal fracture (S62.3-)
  have a period in the middle in 2017, so the 2018
  version changes that to a comma.
• Phalanx fracture codes for the finger (S26.6-)
  and toe (S92.5-) will see a language swap from
  medial phalanx to middle phalanx.
• Subluxation and dislocation codes (S63.12-) for
  thumb interphalangeal joints will get cleaned up
  to remove references to proximal and distal.

What About You? How do you prep for ICD-10-CM
updates? Tip You can get automatic updates by
signing up for ICD-10-CM Code Lookup FREE for a
year! To Read the Original Content Click
here-http//bit.ly/2rFoSQ9
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