New ICD-10-CM codes bring changes to documentation, coding

Why This Topic Matters

The article helps readers understand which FY 2018 ICD-10-CM updates require more precise provider documentation and which diagnoses may affect code assignment and record specificity.

Article Sections

1. New pulmonary hypertension codes

   Discusses new ICD-10-CM pulmonary hypertension categories and the documentation focus associated with their introduction. It also references related classification concepts and code set updates tied to this topic.

2. Type 2 diabetes mellitus with ketoacidosis

   Covers the addition of new ICD-10-CM diabetes-related codes for patients presenting with ketoacidosis. The section addresses the documentation and coding relevance of this update.

3. COPD with lower respiratory infection

   Summarizes a change affecting chronic obstructive pulmonary disease with acute lower respiratory infection and related sequencing guidance. It highlights the coding impact when pneumonia is also present.

4. Bowel obstruction

   Reviews updated ICD-10-CM expectations for reporting bowel obstruction and related postoperative considerations. It also notes the relationship between obstruction and ileus documentation.

5. Greater specificity of non-pressure chronic ulcers

   Describes increased granularity for chronic non-pressure ulcer reporting. The section focuses on the broader severity categories made available for documentation and coding.

6. Neurogenic claudication with spinal stenosis

   Notes the return of a diagnosis concept that had been removed in ICD-10-CM. The section addresses its relevance to spinal stenosis reporting.

7. Diffuse sclerosing glomerulonephritis

   Explains updated guidance for reporting diffuse sclerosing glomerulonephritis within ICD-10-CM. It emphasizes how this diagnosis is classified for coding purposes.

8. Acute respiratory distress

   Introduces a code for acute respiratory distress and distinguishes it from other respiratory conditions. The section focuses on terminology and documentation differentiation.

9. Glasgow Coma Scale

   Covers pediatric indicator changes and other updates related to the Glasgow Coma Scale in ICD-10-CM. The section also notes concerns about code structure and documentation alignment.