ICD-10-CM update: Guidance for reporting 2020 Y and Z codes

July 16th, 2019

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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 explains a subset of the 2020 ICD-10-CM changes affecting Chapter 21 Z codes and Chapter 20 Y codes. It is aimed at coders and billing professionals who need to understand the scope of the updates, the affected categories, and the related documentation and reporting considerations discussed by the author.

Why This Topic Matters

Annual ICD-10-CM updates can affect how encounters, histories, screenings, and external-cause circumstances are documented and reported. Understanding which sections changed helps coders stay aligned with the current code set and identify when additional guidance or related codes may be relevant.

Article Sections

  1. 2020 ICD-10-CM update overview

    Introduces the annual code set changes and the general focus of the article on new and revised ICD-10-CM content.

  2. Chapter 21 Z code updates

    Covers selected updates within the Chapter 21 factor and history categories, including screening, counseling, personal history, and implant-related codes.

  3. Chapter 20 Y code updates

    Summarizes selected new external-cause codes related to legal intervention and conducted energy device circumstances.

What You Will Learn

  • Which broad ICD-10-CM sections were updated for 2020
  • How the article groups changes within Chapter 21 Z code categories
  • How the article groups changes within Chapter 20 Y code categories
  • What types of reporting and documentation topics are addressed in the update

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing and reimbursement staff
  • Physician office staff
  • Outpatient facility coders
  • Health information management professionals

Codes Discussed

  • ICD-10-CM: Z01.02
  • ICD-10-CM: Z01.020
  • ICD-10-CM: Z01.021
  • ICD-10-CM: Z01.00
  • ICD-10-CM: Z01.01
  • ICD-10-CM: Z11.1
  • ICD-10-CM: Z11.7
  • ICD-10-CM: Z22.7
  • ICD-10-CM: R76.12
  • ICD-10-CM: R76.11
  • ICD-10-CM: Z71.84
  • ICD-10-CM: Z23
  • ICD-10-CM: Z02.-
  • ICD-10-CM: Z01.-
  • ICD-10-CM: Z86.002
  • ICD-10-CM: D07.-
  • ICD-10-CM: Z86.003
  • ICD-10-CM: D00.-
  • ICD-10-CM: Z86.004
  • ICD-10-CM: D01.-
  • ICD-10-CM: Z86.005
  • ICD-10-CM: D02.-
  • ICD-10-CM: Z86.006
  • ICD-10-CM: D03.-
  • ICD-10-CM: Z86.007
  • ICD-10-CM: D04.-
  • ICD-10-CM: Z86.15
  • ICD-10-CM: Z96.82
  • ICD-10-CM: Y35.009
  • ICD-10-CM: Y35.019
  • ICD-10-CM: Y35.029
  • ICD-10-CM: Y35.039
  • ICD-10-CM: Y35.049
  • ICD-10-CM: Y35.099
  • ICD-10-CM: Y35.109
  • ICD-10-CM: Y35.119
  • ICD-10-CM: Y35.129
  • ICD-10-CM: Y35.199
  • ICD-10-CM: Y35.83
  • ICD-10-CM: Y35.831
  • ICD-10-CM: Y35.832
  • ICD-10-CM: Y35.833
  • ICD-10-CM: Y35.839

Code Ranges Discussed

  • ICD-10-CM: Z00-Z13
  • ICD-10-CM: Z11.-
  • ICD-10-CM: Z20-Z29
  • ICD-10-CM: Z22.-
  • ICD-10-CM: Z71.8-
  • ICD-10-CM: Z86.00-
  • ICD-10-CM: Z96.8-
  • ICD-10-CM: Y35.-

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