Begin tooling your EMR and billing software for new FY 2018 ICD-10-CM codes

August 1st, 2017

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews selected FY 2018 ICD-10-CM changes and explains why they matter for EMR setup, billing workflows, and clinical documentation practices. It is aimed at coders, CDI specialists, clinicians, and revenue cycle teams that need to understand how the updated classification of substance-use remission, myocardial infarction, and heart failure may affect record capture and downstream reporting. The discussion focuses on broad documentation themes, coding structure changes, and coordination between clinical and coding teams.

Why This Topic Matters

The changes discussed can affect how diagnoses are captured in the record, how claims are supported, and how patient severity and quality reporting are reflected in risk-adjustment models.

Article Sections

  1. Drug/alcohol abuse in remission

    Discusses FY 2018 ICD-10-CM changes related to substance-use remission and the documentation context in which they arise. Also frames the broader relevance to coding, billing, and quality measurement.

  2. Initial myocardial infarctions

    Reviews updated ICD-10-CM classification issues for acute myocardial infarction and related documentation elements. The section focuses on broad reporting considerations for MI subtypes and associated clinical features.

  3. Non–Type 1 AMI within 28 days of a previous AMI

    Explains changes affecting myocardial infarction events occurring within a short interval of a prior MI and the resulting coding structure. It also highlights the need for documentation and workflow review around these scenarios.

  4. New heart failure codes

    Summarizes new and revised heart failure classification topics introduced in FY 2018 ICD-10-CM. The section addresses broad documentation themes for left-sided, right-sided, biventricular, high-output, and end-stage heart failure.

What You Will Learn

  • Which broad ICD-10-CM areas changed for FY 2018
  • How documentation and billing workflows may need to be updated
  • Why substance-use remission reporting affects broader patient profiling
  • What general documentation elements matter for myocardial infarction reporting
  • How revised heart failure classification topics may affect coding and risk adjustment
  • How to coordinate changes across clinical, CDI, and billing teams

Who Should Read This

  • Medical coders
  • Clinical documentation integrity specialists
  • Physicians and other clinicians
  • Revenue cycle and billing staff
  • Health information management professionals

Codes Discussed

  • ICD-10-CM: I21
  • ICD-10-CM: I21.A1
  • ICD-10-CM: I21.A9
  • ICD-10-CM: I22
  • ICD-10-CM: I50.814
  • ICD-10-CM: I50.82
  • ICD-10-CM: I50.83
  • ICD-10-CM: I50.84
  • ICD-10-CM: Z91.89

Code Ranges Discussed

  • ICD-10-CM: I50.2x–I50.4x

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