ICD-10-CM 10-1-19 Updates FY2020
Learn about the updated 2020 ICD-10-CM code set – and related clinical background
Learn from Ann and Teri, nation-wide recognized educators, about the new changes to the ICD-10-CM codes and guidelines, and how to apply these in your day-to-day: Meet Ann and Teri!
This course will explore the changes that will take effect on October 1, 2019, including over 200 new codes spanning ten ICD-10-CM Chapters. The new codes will be discussed as well as appropriate Index and Tabular changes. Clinical detail about the disease or condition will be included to gain a better understanding of the purposes of the code updates. Code revisions begin with presentations at the bi-annual ICD-10 Coordination and Maintenance Committee Meetings, and information from these meeting will be included. Updates to the ICD-10-CM Official Guidelines will also be explored.
Highlights of codes presented:
- Four new atrial fibrillation codes to classify longstanding persistent, other persistent, chronic, and permanent
- New codes for phlebitis and thrombophlebitis, acute embolism and thrombosis, and chronic embolism and thrombosis of peroneal vein and calf muscle vein
- Expansion of category L89, pressure ulcer to indicate pressure-induced deep tissue damage
- Added laterality to category Q66, congenital deformities of feet
- Codes expanded for Ehlers-Danlos syndrome
- Codes added for fractures of the orbital roof, medial orbital wall, and lateral orbital wall
- Codes added for encounters involving multiple unspecified drugs for poisoning, adverse effect or underdosing
- Specificity added to heatstroke and sunstroke
- Large expansion at category Y35, Legal Intervention to classify injuries in encounters between law enforcement and civilians when the injured person is not specified.
- Use of conducted energy device (TASER) added
- Personal history of in-situ neoplasms added
Highlights of examples of clinical detail discussed:
- ICD-10-CM Classification of atrial fibrillation
- Persistent – cases that do not terminate within seven days or require repeat pharmacological or electrical cardioversion - I48.19
- Longstanding persistent – persistent and continuous atrial fibrillation lasting longer than one year – I48.11
- Permanent – persistent or longstanding persistent where cardioversion is not indicated or cannot or will not be performed – II48.21
- Chronic – refers to any of these, but the use of more descriptive terms is preferred – I48.20
- New definitions to pressure ulcers and deep tissue pressure injury
- Ehlers-Danlos Syndromes
- A clinically and genetically heterogeneous group of connective tissue disorders characterized by articular hypermobility, skin hyperextensibility or laxity, and tissue fragility that impact every organ system such as skin, ligaments, joints, bone, muscle, blood vessels and various organs. Codes are expanded to classify classical, hypermobile, vascular and other.