Healthcare News: 2019 ICD-10-CM coding guidelines released

August 7th, 2018

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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 news article reviews selected changes in the 2019 ICD-10-CM Official Guidelines for Coding and Reporting issued by CMS and the National Center for Health Statistics. It is useful for coders, CDI professionals, auditors, and compliance teams who need to stay current with annual guideline updates affecting diagnosis reporting, sepsis documentation, postprocedural conditions, myocardial infarction sequencing, and other coding topics.

Why This Topic Matters

Annual ICD-10-CM guideline updates can change how common and high-risk diagnoses are documented and reported. Staying current helps coding teams support consistent claims processing, accurate data reporting, and alignment with official guidance.

Article Sections

  1. Overview of 2019 ICD-10-CM guideline updates

    Introduces the newly released annual guidelines and summarizes the main areas of change discussed in the article.

  2. Clarification of the word “with”

    Describes an updated guideline interpretation related to terminology used in the ICD-10-CM coding system and related reference materials.

  3. Sepsis due to postprocedural infection

    Covers revised guidance for reporting sepsis when it is associated with postprocedural infection, including related obstetric and device/procedure contexts.

  4. Postprocedural septic shock

    Summarizes added direction for situations in which a postprocedural infection progresses to septic shock and requires additional reporting considerations.

  5. Subsequent myocardial infarction

    Explains the new guidance addressing reporting of later myocardial infarction events in relation to an earlier infarction.

  6. Other 2019 guideline updates

    Lists additional topics covered in the annual guideline release, including documentation, injury-related care, pregnancy-related substance use, and underdosing.

What You Will Learn

  • Which parts of the 2019 ICD-10-CM guidelines received notable updates
  • What broad topics were revised in sepsis and myocardial infarction guidance
  • Which additional subject areas were included in the annual guideline changes
  • How the article frames the impact of these updates for coding professionals

Who Should Read This

  • Medical coders
  • Coding auditors
  • CDI specialists
  • Compliance teams
  • Health information management professionals

Codes Discussed

  • ICD-10-CM: T81.40-
  • ICD-10-CM: T81.43-
  • ICD-10-CM: O86.00
  • ICD-10-CM: O86.03
  • ICD-10-CM: T81.44-
  • ICD-10-CM: O86.04
  • ICD-10-CM: R65.2.-
  • ICD-10-CM: T80.2-
  • ICD-10-CM: T88.0-
  • ICD-10-CM: T81.12-
  • ICD-10-CM: R65.21
  • ICD-10-CM: I21.-
  • ICD-10-CM: I22.-

Code Ranges Discussed

  • ICD-10-CM: T81.40- to T81.43-
  • ICD-10-CM: O86.00 to O86.03

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