The Centers for Disease Control and Prevention (CDC) recently released the fiscal year (FY) 2019 ICD-10-CM (diagnosis) code changes. The ICD-10-CM code set for 2019 includes 279 additions, 51 deletions, and 143 revised codes – making it 71,932 codes, compared to the 71,701 codes of2018 (an additional 228 codes). Each year CDC updates these code sets and it is important for medical coders and medical coding companies to stay updated with these coding changes.

The updated 2019 ICD-10-CM codes are to be used from October 1, 2018 through September 30, 2019.

ICD 10 Code

FY2019 ICD-10-CM Code Changes

New Codes Added to Chapter 2 Neoplasm

Added

  • C43.111 Malignant melanoma of right upper eyelid, including canthus
  • C43.112 Malignant melanoma of right lower eyelid, including canthus
  • C43.121 Malignant melanoma of left upper eyelid, including canthus
  • C43.122 Malignant melanoma of left lower eyelid, including canthus

No Change to

  • C43.12 Malignant melanoma of left eyelid, including canthus

Added Codes to the Gangrene Code List

  • K3531 Acute appendicitis with localized peritonitis and gangrene, without perforation
  • K35890 Other acute appendicitis without perforation or gangrene
  • K35891 Other acute appendicitis without perforation, with gangrene

Spelling of the descriptor for code E67.1 (hypercarotinemia) is corrected to hypercarotenemia.

New Codes to Chapter 7 Diseases of the Eye and Adnexa

  • H01.00A Unspecified blepharitis right eye, upper and lower eyelids
  • H01.00B Unspecified blepharitis left eye, upper and lower eyelids

External Cause of Injuries Index 2019 Addenda

No Change A

  • No Change Accident (to) X58
  • No Change – transport (involving injury to) V99
  • No Change – – pedestrian
  • No Change – – – conveyance (occupant) V09.9
  • Revise from – – – – babystroller V00.828
  • Revise to – – – – baby stroller V00.828

No Change P

  • No Change Perpetrator, perpetration, of assault, maltreatment and neglect (by) Y07.9
  • Add – multiple perpetrators Y07.6
  • No Change Place of occurrence Y92.9
  • Revise from – road Y92.488
  • Revise to – road Y92.410

New Codes to Chapter 19 Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)

Added

  • T74.3 Psychological abuse, confirmed
  • Bullying and intimidation, confirmed
  • Intimidation through social media, confirmed
  • T74.5 Forced sexual exploitation, confirmed
  • T74.51 Adult forced sexual exploitation, confirmed
  • T74.52 Child sexual exploitation, confirmed
  • T74.6 Forced labor exploitation, confirmed
  • T74.61 Adult forced labor exploitation, confirmed
  • T74.62 Child forced labor exploitation, confirmed

Added codes to the Poisoning code list:

  • T43641A Poisoning by ecstasy, accidental (unintentional), initial encounter
  • T43641D Poisoning by ecstasy, accidental (unintentional), subsequent encounter
  • T43641S Poisoning by ecstasy, accidental (unintentional), sequela
  • T43642A Poisoning by ecstasy, intentional self-harm, initial encounter
  • T43642D Poisoning by ecstasy, intentional self-harm, subsequent encounter
  • T43642S Poisoning by ecstasy, intentional self-harm, sequela
  • T43643A Poisoning by ecstasy, assault, initial encounter
  • T43643D Poisoning by ecstasy, assault, subsequent encounter
  • T43643S Poisoning by ecstasy, assault, sequela
  • T43644A Poisoning by ecstasy, undetermined, initial encounter
  • T43644D Poisoning by ecstasy, undetermined, subsequent encounter
  • T43644S Poisoning by ecstasy, undetermined, sequela

Deleted codes from the Oncology Treatment code list

  • C002 Malignant neoplasm of external lip, unspecified
  • C005 Malignant neoplasm of lip, unspecified, inner aspect
  • C4311 Malignant melanoma of right eyelid, including canthus
  • C4312 Malignant melanoma of left eyelid, including canthus
  • C44102 Unspecified malignant neoplasm of skin of right eyelid, including canthus
  • C44109 Unspecified malignant neoplasm of skin of left eyelid, including canthus
  • C44112 Basal cell carcinoma of skin of right eyelid, including canthus
  • C44119 Basal cell carcinoma of skin of left eyelid, including canthus
  • C44122 Squamous cell carcinoma of skin of right eyelid, including canthus
  • C44129 Squamous cell carcinoma of skin of left eyelid, including canthus
  • C44291 Other specified malignant neoplasm of skin of unspecified ear and external auricular canal
  • C44192 Other specified malignant neoplasm of skin of right eyelid, including canthus
  • C44199 Other specified malignant neoplasm of skin of left eyelid, including canthus
  • C4A11 Merkel cell carcinoma of right eyelid, including canthus
  • C4A12 Merkel cell carcinoma of left eyelid, including canthus
  • D0311 Melanoma in situ of right eyelid, including canthus
  • D0312 Melanoma in situ of left eyelid, including canthus
  • D0411 Melanoma in situ of right eyelid, including canthus
  • D0412 Melanoma in situ of left eyelid, including canthus
  • D2211 Melanocytic nevi of right eyelid, including canthus
  • D2212 Melanocytic nevi of left eyelid, including canthus
  • D2311 Other benign neoplasm of skin of right eyelid, including canthus
  • D2312 Other benign neoplasm of skin of left eyelid, including canthus

While outsourcing their claim submission tasks, physician offices must also make sure that the medical billing and coding services provided by the chosen company also abides to such coding updates. Such companies must also provide standard training for their staff before October 1, 2018.