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Inside Track to ICD-10

What’s new for the 2014 ICD-10-CM and -PCS draft code sets

 

 

While ICD-10-CM and ICD-10-PCS are under the Limited Update rule for the 2014 draft editions both include numerous changes that can be classified as either falling under the new technology or emergent disease criteria or as corrections to prepare the files for implementation in 14 months.
 
 

ICD-10-CM

New codes: No new codes
  

Deleted codes: 5 (clinical inaccuracy)
Examples:

  • clinically inaccurate codes such as M47.17 Other spondylosis with myelopathy, lumbosacral region
  • clinically inappropriate codes such as T40.1X5 Adverse affect of heroin
  

Revised code titles: 18 (for diagnostic specificity)
Example: Adding ”other specified site” options, such as M08.88 Other juvenile arthritis, vertebra other specified site
 
 

New/revised/deleted Instructional Notes: 51 (for coding clarity)
Example: Adding “Use additional code to identify manifestation,” such as: diabetic glaucoma (H40-H42) under code E08.39 Diabetes mellitus due to underlying condition with ophthalmic complications and deleting the note from under M08.22 Diabetes mellitus due to underlying condition with kidney complications
 
 

New/revised/deleted Includes or Excludes terms/notes: 97 (for coding clarity)
Corrected code references: 105 (for accuracy)
Miscellaneous typographical corrections: 30
Lines of Index changes: 600
Coding Guidelines changes: New guidelines concerning Use of Signs/Symptom/Unspecified codes and Admission/Encounters for Rehabilitation
 
 

ICD-10-PCS

New codes: 7 (4 new technology and 3 adjusting for appropriate body part value)
Examples:
  • Insertion of Epiretinal Visual Prostheses (2 codes for laterality, right and left) 08H[0,1]05Z
  • Transfusion of Nonautologous 4-Factor Prothrombin Complex Concentrate in to vein (2 codes for approach, open and percutaneous) 3028[0,3]B1
  • Restriction of Abdominal Aorta with Intraluminal Device (2 codes for approach, open and percutaneous) 04V0[0,3]DJ
  

Deleted codes: 3 (adjusting for appropriate body part value)
Example: Restriction of Thoracic Aorta with Intraluminal Device (2 codes for approach, open and percutaneous) 04V0[0,3]DJ
 
 

Revised code titles: 0

Revised section title: 1
Radiation Oncology is now Radiation Therapy
  

New/revised/deleted Body Part and Device values definitions: 35
Lines of Index changes: 165
Coding Guidelines changes: New “Selection of Principal Procedure” guidelines
 
 

For the complete addenda of changes, visit:
ICD-10-CM code changes
ICD-10-PCS code changes
 
 

 

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To begin our preparation for change, let's address some of the most frequently asked questions that coders ask regarding ICD-10-CM and the guidelines. Click Here



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