The 2020 guidelines also include a new subsection at I.C.12.a.7:įor pressure-induced deep tissue damage or deep tissue pressure injury, assign only the appropriate code for pressure-induced deep tissue damage (L89.-6). Section I.C.12.a.1 adds “deep tissue pressure injury” in this sentence: “The ICD-10-CM classifies pressure ulcer stages based on severity, which is designated by stages 1-4, deep tissue pressure injury, unspecified stage, and unstageable.” The 2020 ICD-10 official guidelines again get updates in line with the 2020 code changes. Like other pressure ulcers, you’ll code based on site and side, such as L89.016 Pressure-induced deep tissue damage of right elbow. The 2020 code set makes the list of codes even longer by adding ICD-10 codes for pressure-induced deep tissue damage. The 2019 ICD-10 code set includes numerous codes for pressure ulcers because each code includes details such as site, side and stage (for example, L89.011 Pressure ulcer of right elbow, stage 1). Pressure-induced deep tissue damage will add to pressure ulcer code options For embolism and thrombosis, you’ll have one set of options for acute and another for chronic, such as I82.451 Acute embolism and thrombosis of right peroneal vein and I82.551 Chronic embolism and thrombosis of right peroneal vein. In each case, ICD-10 2020 adds codes specific to right, left, bilateral, and unspecified peroneal vein and calf muscular vein. Two more groups of changes apply to I80.0- Phlebitis and thrombophlebitis and I82.- Other venous embolism and thrombosis. I48.20 Chronic atrial fibrillation, unspecified.I48.19 Other persistent atrial fibrillation.Ĭode I48.2 Chronic atrial fibrillation also will divide into two new five-character code options:.I48.11 Longstanding persistent atrial fibrillation.Four-character code I48.1 Persistent atrial fibrillation will divide into these new codes that will require five characters: Next, your atrial fibrillation code options will increase. The updated guideline states, “Type 2 myocardial infarction (myocardial infarction due to demand ischemia or secondary to ischemic imbalance) is assigned to code I21.A1, Myocardial infarction type 2 with the underlying cause coded first.” (The guidelines mark updates in bold to make them easier to find.) The 2020 ICD-10-CM Official Guidelines for Coding and Reporting reflect this note change, as well, in Section I.C.9.e.5. This change is important because it relates to proper sequencing of the codes on your claim. ![]() In place of 2019’s “Code also” note, you will find an instruction to “Code first” the underlying cause, such as anemia, chronic obstructive pulmonary disease, paroxysmal tachycardia or shock. ![]() ICD-10 2020 includes several changes for Chapter 9: Diseases of the circulatory system (I00-I99).įirst, there is an instruction change under I21.A1 Myocardial infarction type 2. That means these diagnosis codes will help support proper reimbursement for your claims.Ĭirculatory system coding will get more specific Early training is worth the effort because payors check ICD-10 codes to evaluate medical necessity for the services you report. You can prepare now by viewing the updated codes and official guidelines, paying particular attention to the diagnosis codes and encounter codes you report most often.īelow is a selection from the more than 300 changes that are coming soon. The updated ICD-10 2020 code set will be effective Oct. This month’s tip comes from Deborah Marsh, senior content specialist for AAPC, a training and credentialing association for the business side of health care. CPR’s “Coding Corner” focuses on coding, compliance, and documentation issues relating specifically to physician billing.
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