Changes in the ICD-10 CM Code Set for 2018

Posted by admin | December 14, 2017 , (0) comments

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Last week on the blog, we talked about the new Medicare telehealth services codes that are set to take effect in January. These new codes were added to the CPT and the HCPCS code sets, but these are not the only code sets that are due for an update in 2018. The ICD-10 CM code set has also been revised and updated for the new year. Read on to learn more about the changes that have been made for 2018.

Overview of the Updates to the ICD-10 CM Code Set

The Centers for Medicare & Medicaid Services (CMS) released the upcoming changes to the ICD-10 CM code set earlier this year, so they are actually already in place. These coding changes apply to patient encounters and patient discharges between October 1, 2017, and September 30, 2018. Therefore, medical coding staff should already be familiarizing themselves with the new version of the code set.

For 2018, the following changes were made to the ICD-10-CM code set:

A) 363 codes were added.

B) 142 codes were deleted.

C) 226 codes were revised.

A Brief Look at a Few of the Code Changes

 It is impossible to go through all of the code changes here, but it may be helpful to highlight a few. For instance, there was a significant change in the coding procedure for blindness. There were seven codes for blindness and low vision that were deleted, and each was replaced by multiple, more specific codes that provide more detailed information by categorizing the level of blindness or low vision in each eye.

There were also a number of codes that were added to address substance abuse for patients in remission. These include:

A) F1011: Alcohol abuse, in remission

B) F1111: Opioid abuse, in remission

C) F1211: Cannabis abuse, in remission

D) F1311: Sedative, hypnotic, or anxiolytic abuse, in remission

E) F1411: Cocaine abuse, in remission

F) F1511: Other stimulant abuse, in remission

G) F1611: Hallucinogen abuse, in remission

H) F1811: Inhalant abuse, in remission

I) F1911: Other psychoactive substance abuse, in remission

There were also important changes to coding for different types of heart disease, which is one of the most prevalent conditions around the world. ICD-10 CM Code I272 – Other secondary pulmonary hypertension, was replaced by 6 new codes that provide more specific descriptions of secondary pulmonary hypertension.

With so many code changes coming in 2018, it can be hard to keep track of them all. For all of your medical coding and billing needs in the new year, AnnexMed is here to help. Contact us today for more information!

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