HCPro, JustCoding Outpatient - 2018 Issue 27 (July)
FY 2019 ICD-10-CM update: Returning (somewhat) to the norm
July 2nd, 2018
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Article Overview
This article reviews the FY 2019 ICD-10-CM update and summarizes broad areas of change across multiple chapters, with emphasis on neoplasms, mental and behavioral disorders, pregnancy-related conditions, perinatal conditions, poisonings, postoperative infections, and screening examinations. It is intended for coding professionals, HIM staff, and others who need a high-level understanding of the update landscape and the kinds of guidance being finalized for the effective date.
Why This Topic Matters
The article helps readers anticipate how yearly ICD-10-CM revisions may affect reporting and preparation for claims beginning with the new effective period. It is useful for teams reviewing code-set changes and planning education or workflow updates.
Article Sections
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Overview of the FY 2019 ICD-10-CM update
Introduces the annual update cycle and summarizes the scale and timing of changes. Provides context for the areas discussed in the rest of the article.
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The “eyes” have it!
Reviews ophthalmology-related changes and the broader focus on neoplasms and eye conditions. Highlights the article’s emphasis on increased specificity within this area.
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Mental, behavioral, and neurodevelopmental disorders
Covers updates in Chapter 5 related to behavioral health and substance-related diagnoses. Also notes distinctions added within postpartum-related mental health conditions.
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Pregnancy, childbirth, and the puerperium
Summarizes changes involving multiple gestations and obstetric specificity. Focuses on updates within pregnancy-related coding categories.
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Perinatal conditions
Discusses new and revised coding for newborn conditions originating in the perinatal period. Includes topics related to maternal exposures and newborn electrolyte-related conditions.
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Poisonings
Addresses updates for poisoning classifications involving a specific substance class. Describes the addition of a new subcategory and related encounter structure.
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Postoperative infections
Covers expansion of infection categories following procedures and the resulting increase in specificity. Notes the article’s focus on infection site distinctions.
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Screening examinations
Summarizes additions related to screening for psychiatric, behavioral, and developmental health conditions. Places these updates within Chapter 21 of ICD-10-CM.
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Takeaway
Provides a closing reminder about the status of official guidance and the need to monitor final updates. Reinforces the article’s planning and preparation theme.
What You Will Learn
- Which ICD-10-CM chapters and subject areas saw notable FY 2019 updates
- How the update cycle and effective date relate to coding preparation
- What kinds of revisions were made to specific clinical categories
- Which general areas were emphasized for added specificity in the annual update
Who Should Read This
- Medical coders
- HIM professionals
- Coding educators
- Revenue cycle staff
- Clinical documentation improvement professionals
Codes Discussed
Code Ranges Discussed
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