Beruflich Dokumente
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Changes in Minutes
Presented By:
Rachel M. Kaser, BS, CPC, MHSA
AHIMA-Approved ICD-10-CM/PCS Trainer
Course Objectives
Tackle new, revised, deleted ICD-10 codes taking effect October 1,
2016
Boost coding productivity and avoid setbacks to reimbursement
Ensure accurate code selection for compliance
Obtain maximum reimbursement for services rendered using expert
tools
Guard Against Denials -- Prepare for changes now!
What Changed?
5 years since any updates to the ICD-10-CM code set
2017 will see over 1900 new codes; 350+ revised codes
Chapter by chapter overview of new, deleted, and revised codes
Logic of major changes and issuance of new codes
Guideline changes and pertinent background information on
new/revised codes
What Changed?
422 revised codes and 305 deleted codes for FY 2017
Better code options for Nexplanon contraceptive management
Clinical guidance and examples on the dependence classifications for
nicotine, which include:
Uncomplicated,
In remission,
With withdrawal,
With other nicotine-induced disorders; and
Unspecified nicotine-induced disorders
Interim Rule:
If the two conditions are not related to one another, it is permissible to report
both codes despite the presence of an Excludes1 note
D3A094
Revise to
D3A095
D3A095
Revise to
D3A096
D3A096
Revise to
D47Z2
Add
Castleman disease
D495
Delete
D49511
Add
D49512
Add
D49519
Add
D4959
Add
D7821
Revise from Postprocedural hemorrhage and hematoma of the spleen following a procedure on the spleen
D7821
Revise to
D7822
Revise from Postprocedural hemorrhage and hematoma of the spleen following other procedure
D7822
Revise to
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Add
F423
Add
Hoarding disorder
F424
Add
F428
Add
F429
Add
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12
13
14
15
J985
Delete
J9851
Add
Mediastinitis
J9859
Add
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Example:
K58.1: Irritable bowel syndrome with constipation
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Adding:
O11.4; Pre-existing hypertension with pre-eclampsia, complicating childbirth
O11.5; Pre-existing hypertension with pre-eclampsia, complicating the puerperium
O12.04; Gestational edema, complicating childbirth
O12.05; Gestational edema, complicating the puerperium
O12.14; Gestational proteinuria, complicating childbirth
O12.15; Gestational proteinuria, complicating the puerperium
O12.24; Gestational edema with proteinuria, complicating childbirth
O12.25; Gestational edema with proteinuria, complicating the puerperium
O13.4; Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating
childbirth
O13.5; Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating the
puerperium
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Revising O15.00-O15.03;
Now reads Pre-eclampsia complicating pregnancy instead of in pregnancy
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Revising O15.2
Now reads Eclampsia complicating the puerperium instead of in the puerperium
Adding:
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27
28
29
30
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Revise to
P00.4
New Codes:
P05.09: Newborn light for gestational age, greater than 2500 grams
P05.19: Newborn light for gestational age, other
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Delete
Atresia of aorta
Q2521
Add
Q2529
Add
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Neck,
Base of skull,
Facial bones,
Salter-Harris calcaneal fractures; and
Other fractures
Added:
Contact with paper or sharp objects
Overexertion
Activity of the choking game
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ICD-10-PCS
FY 2017 Updates
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65,676
Obstetrics
300
Placement
861
Administration
1,427
342
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Extracorporeal Therapies
46
Osteopathic
100
Other Procedures
60
Chiropractic
90
Imaging
2,943
Nuclear Medicine
463
Radiation Oncology
1,939
1,380
Mental Health
30
59
New Technology
41
TOTAL
75,789
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Crosswalks
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Summary
ICD-10-CM:
1,943 New Codes
ICD-10-PCS:
3, 827 New Codes
12 Deleted Codes
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References
ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Publications/ICD10CM/2017/NewICD10CMCodes_
FY2017.txt
https://www.cms.gov/Medicare/Coding/ICD10/Downloads/2017-Official-ICD-10-PCS-CodingGuidelines.pdf
www.cdc.gov
www.cdc.gov/nchs/icd/icd9cm_maintenance.htm
https://www.supercoder.com/icd10cm-code-changes-2017
www.cdc.gov/nchs/icd/icd9cm_maintenance.htm
www.cdc.gov/nchs/data/icd/Interim_advice_updated_final.pdf.
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Questions?
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Thank you for your participation today.
We look forward to your questions!
www.supercoder.com
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