decisionhealth Newsletters, Coder Pink Sheets - 2018 Issue 6 (June)
Neoplasms, eyes, external causes dominate proposed new ICD-10-CM codes
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Article Overview
This article reviews proposed ICD-10-CM updates tied to the IPPS proposed rule and highlights where new, revised, and invalidated diagnosis codes are concentrated. It is useful for coders, compliance staff, and clinical documentation teams who need a broad view of upcoming changes across neoplasms, eye and adnexa conditions, injuries and external causes, nervous system disorders, newborn and pregnancy-related diagnoses, screenings, and other diagnostic categories.
Why This Topic Matters
These proposed changes affect how providers document and report diagnoses across several high-volume chapters. Knowing the scope early helps organizations prepare for annual code-set updates and review documentation workflows before the new code year begins.
Article Sections
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Proposed code changes overview
Summarizes the overall volume of proposed diagnosis code changes and identifies the major chapters affected. Also introduces the rulemaking context for the update cycle.
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Post-procedural infection updates
Discusses proposed changes related to post-procedural infection coding and the expansion of a surgical-site infection category. Notes that related code formats require seventh characters.
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Neoplasms and eyelid-related updates
Covers proposed changes in neoplasm coding, with emphasis on eye and eyelid conditions. Includes discussion of added specificity in malignancy and benign tumor classifications.
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Other diagnosis category updates
Reviews additional proposed changes across several diagnosis groupings, including mental health, nervous system, eye and adnexa, circulatory system, digestive system, musculoskeletal conditions, pregnancy, newborn conditions, laboratory findings, poisoning, screening, and infectious exposure reporting.
What You Will Learn
- The overall scope of the proposed diagnosis code updates
- Which broad ICD-10-CM chapters are most affected
- How the article organizes changes by clinical topic
- What kinds of diagnosis categories are receiving added specificity
- Which types of providers and coding staff may need to review these updates
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation improvement specialists
- Revenue cycle staff
- Compliance teams
- Healthcare providers
Codes Discussed
Code Ranges Discussed
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