2020 ICD-10 Changes
List of 2020 ICD-10 Codes for Dermatology, Ophthalmology, Orthopedics, Otolaryngology, Plastic Surgery and Gastroenterology
As of October 1, 2019, the release date for 2020 ICD-10 codes has come and gone, and the 2020 ICD-10 changes have been published. This includes 273 new ICD-10 codes, 30 revised codes and 21 deleted codes. These code changes apply now through September 30, 2020. In the 2019 fiscal year, there were 71,932 ICD-10-CM codes and with the 2020 ICD-10 update the total is now 72,184.
Some of the most notable changes include new codes related to orbital wall fractures, eye exams and neurostimulators. The revisions mainly affect codes for mid-cervical disc disorder and body mass index.
So how do you prepare for these ICD-10 changes when it comes to your electronic health record (EHR) system? The answer includes having an EHR system with these ICD-10 coding updates built-in. Modernizing Medicine’s specialty-specific and cloud EHR system, EMA®, offers this and so much more.
In addition to having an EHR system that’s prepared for such industry changes, it’s a good idea to stay in the know. Here are a few tips:
- Familiarize yourself with the changes relevant to your medical specialty. Stay updated with changes through official sources such as the CDC and CMS. Industry blogs and websites such as ICD10Monitor.com and AAPC.com could be great resources as well.
- Do your research. Understand the rationale behind the changes.
- Host sessions to educate your staff and encourage and support attendance at relevant conferences.
This post highlights revised and deleted codes as well as the 2020 ICD-10 codes for dermatology, ophthalmology, orthopedics, plastic surgery, otolaryngology and gastroenterology. For a complete list of ICD-10 codes and additional details on the changes, please visit the Center for Disease Control and Prevention’s website here.
Navigate to the codes relevant for your specialty by selecting from the list below.
ICD-10-CM Codes – Deleted for 2020
On the list of deleted codes is vertigo which is of particular importance to otolaryngology practices.
Code | Description |
---|---|
H81.41 | Vertigo of central origin, right ear |
H81.42 | Vertigo of central origin, left ear |
H81.43 | Vertigo of central origin, bilateral |
H81.49 | Vertigo of central origin, unspecified ear |
T67.0XXA | Heatstroke and sunstroke, initial encounter |
T67.0XXD | Heatstroke and sunstroke, subsequent encounter |
T67.0XXS | Heatstroke and sunstroke, sequela |
Revised ICD-10 Codes for 2020
Code | Description |
---|---|
B96.21 | Shiga toxin-producing Escherichia coli [E. coli] [STEC] O157 as the cause of diseases classified elsewhere |
B96.22 | Other specified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere |
B96.23 | Unspecified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere |
G43.A0 | Cyclical vomiting, in migraine, not intractable |
G43.A1 | Cyclical vomiting, in migraine, intractable |
I70.238 | Atherosclerosis of native arteries of right leg with ulceration of other part of lower leg |
I70.248 | Atherosclerosis of native arteries of left leg with ulceration of other part of lower leg |
J44.0 | Chronic obstructive pulmonary disease with (acute) lower respiratory infection |
M50.120 | Mid-cervical disc disorder, unspecified level |
M66.88 | Spontaneous rupture of other tendons, other sites |
M67.839 | Other specified disorders of synovium and tendon, unspecified wrist |
M77.50 | Other enthesopathy of unspecified foot and ankle |
M77.51 | Other enthesopathy of right foot and ankle |
M77.52 | Other enthesopathy of left foot and ankle |
N35.814 | Other anterior urethral stricture, male |
R82.993 | Hyperuricosuria |
T40.906A | Underdosing of unspecified psychodysleptics [hallucinogens], initial encounter |
T40.906D | Underdosing of unspecified psychodysleptics [hallucinogens], subsequent encounter |
T40.906S | Underdosing of unspecified psychodysleptics [hallucinogens], sequela |
T40.996A | Underdosing of other psychodysleptics [hallucinogens], initial encounter |
T40.996D | Underdosing of other psychodysleptics [hallucinogens], subsequent encounter |
T40.996S | Underdosing of other psychodysleptics [hallucinogens], sequela |
T44.1X6A | Underdosing of other parasympathomimetics [cholinergics], initial encounter |
T44.1X6D | Underdosing of other parasympathomimetics [cholinergics], subsequent encounter |
T44.1X6S | Underdosing of other parasympathomimetics [cholinergics], sequela |
V43.13XA | Car passenger injured in collision with pick-up truck in nontraffic accident, initial encounter |
V43.13XD | Car passenger injured in collision with pick-up truck in nontraffic accident, subsequent encounter |
V43.13XS | Car passenger injured in collision with pick-up truck in nontraffic accident, sequela |
Z45.42 | Encounter for adjustment and management of neurostimulator |
Z68.43 | Body mass index (BMI) 50.0-59.9, adult |
Specialty-Agnostic 2020 ICD-10 Codes
Code | Description |
---|---|
T50.911A | Poisoning by multiple unspecified drugs, medicaments and biological substances, accidental (unintentional), initial encounter |
T50.911D | Poisoning by multiple unspecified drugs, medicaments and biological substances, accidental (unintentional), subsequent encounter |
T50.911S | Poisoning by multiple unspecified drugs, medicaments and biological substances, accidental (unintentional), sequela |
T50.912A | Poisoning by multiple unspecified drugs, medicaments and biological substances, intentional self-harm, initial encounter |
T50.912D | Poisoning by multiple unspecified drugs, medicaments and biological substances, intentional self-harm, subsequent encounter |
T50.912S | Poisoning by multiple unspecified drugs, medicaments and biological substances, intentional self-harm, sequela |
T50.913A | Poisoning by multiple unspecified drugs, medicaments and biological substances, assault, initial encounter |
T50.913D | Poisoning by multiple unspecified drugs, medicaments and biological substances, assault, subsequent encounter |
T50.913S | Poisoning by multiple unspecified drugs, medicaments and biological substances, assault, sequela |
T50.914A | Poisoning by multiple unspecified drugs, medicaments and biological substances, undetermined, initial encounter |
T50.914D | Poisoning by multiple unspecified drugs, medicaments and biological substances, undetermined, subsequent encounter |
T50.914S | Poisoning by multiple unspecified drugs, medicaments and biological substances, undetermined, sequela |
T50.915A | Adverse effect of multiple unspecified drugs, medicaments and biological substances, initial encounter |
T50.915D | Adverse effect of multiple unspecified drugs, medicaments and biological substances, subsequent encounter |
T50.915S | Adverse effect of multiple unspecified drugs, medicaments and biological substances, sequela |
T50.916A | Underdosing of multiple unspecified drugs, medicaments and biological substances, initial encounter |
T50.916D | Underdosing of multiple unspecified drugs, medicaments and biological substances, subsequent encounter |
T50.916S | Underdosing of multiple unspecified drugs, medicaments and biological substances, sequela |
T67.01XA | Heatstroke and sunstroke, initial encounter |
T67.01XD | Heatstroke and sunstroke, subsequent encounter |
T67.01XS | Heatstroke and sunstroke, sequela |
T67.02XA | Exertional heatstroke, initial encounter |
T67.02XD | Exertional heatstroke, subsequent encounter |
T67.02XS | Exertional heatstroke, sequela |
T67.09XA | Other heatstroke and sunstroke, initial encounter |
T67.09XD | Other heatstroke and sunstroke, subsequent encounter |
T67.09XS | Other heatstroke and sunstroke, sequela |
Y35.009A | Legal intervention involving unspecified firearm discharge, unspecified person injured, initial encounter |
Y35.009D | Legal intervention involving unspecified firearm discharge, unspecified person injured, subsequent encounter |
Y35.009S | Legal intervention involving unspecified firearm discharge, unspecified person injured, sequela |
Y35.019A | Legal intervention involving injury by machine gun, unspecified person injured, initial encounter |
Y35.019D | Legal intervention involving injury by machine gun, unspecified person injured, subsequent encounter |
Y35.019S | Legal intervention involving injury by machine gun, unspecified person injured, sequela |
Y35.029A | Legal intervention involving injury by handgun, unspecified person injured, initial encounter |
Y35.029D | Legal intervention involving injury by handgun, unspecified person injured, subsequent encounter |
Y35.029S | Legal intervention involving injury by handgun, unspecified person injured, sequela |
Y35.039A | Legal intervention involving injury by rifle pellet, unspecified person injured, initial encounter |
Y35.039D | Legal intervention involving injury by rifle pellet, unspecified person injured, subsequent encounter |
Y35.039S | Legal intervention involving injury by rifle pellet, unspecified person injured, sequela |
Y35.049A | Legal intervention involving injury by rubber bullet, unspecified person injured, initial encounter |
Y35.049D | Legal intervention involving injury by rubber bullet, unspecified person injured, subsequent encounter |
Y35.049S | Legal intervention involving injury by rubber bullet, unspecified person injured, sequela |
Y35.099A | Legal intervention involving other firearm discharge, unspecified person injured, initial encounter |
Y35.099D | Legal intervention involving other firearm discharge, unspecified person injured, subsequent encounter |
Y35.099S | Legal intervention involving other firearm discharge, unspecified person injured, sequela |
Y35.109A | Legal intervention involving unspecified explosives, unspecified person injured, initial encounter |
Y35.109D | Legal intervention involving unspecified explosives, unspecified person injured, subsequent encounter |
Y35.109S | Legal intervention involving unspecified explosives, unspecified person injured, sequela |
Y35.119A | Legal intervention involving injury by dynamite, unspecified person injured, initial encounter |
Y35.119D | Legal intervention involving injury by dynamite, unspecified person injured, subsequent encounter |
Y35.119S | Legal intervention involving injury by dynamite, unspecified person injured, sequela |
Y35.129A | Legal intervention involving injury by explosive shell, unspecified person injured, initial encounter |
Y35.129D | Legal intervention involving injury by explosive shell, unspecified person injured, subsequent encounter |
Y35.129S | Legal intervention involving injury by explosive shell, unspecified person injured, sequela |
Y35.199A | Legal intervention involving other explosives, unspecified person injured, initial encounter |
Y35.199D | Legal intervention involving other explosives, unspecified person injured, subsequent encounter |
Y35.199S | Legal intervention involving other explosives, unspecified person injured, sequela |
Y35.209A | Legal intervention involving unspecified gas, unspecified person injured, initial encounter |
Y35.209D | Legal intervention involving unspecified gas, unspecified person injured, subsequent encounter |
Y35.209S | Legal intervention involving unspecified gas, unspecified person injured, sequela |
Y35.219A | Legal intervention involving injury by tear gas, unspecified person injured, initial encounter |
Y35.219D | Legal intervention involving injury by tear gas, unspecified person injured, subsequent encounter |
Y35.219S | Legal intervention involving injury by tear gas, unspecified person injured, sequela |
Y35.299A | Legal intervention involving other gas, unspecified person injured, initial encounter |
Y35.299D | Legal intervention involving other gas, unspecified person injured, subsequent encounter |
Y35.299S | Legal intervention involving other gas, unspecified person injured, sequela |
Y35.309A | Legal intervention involving unspecified blunt objects, unspecified person injured, initial encounter |
Y35.309D | Legal intervention involving unspecified blunt objects, unspecified person injured, subsequent encounter |
Y35.309S | Legal intervention involving unspecified blunt objects, unspecified person injured, sequela |
Y35.319A | Legal intervention involving baton, unspecified person injured, initial encounter |
Y35.319D | Legal intervention involving baton, unspecified person injured, subsequent encounter |
Y35.319S | Legal intervention involving baton, unspecified person injured, sequela |
Y35.399A | Legal intervention involving other blunt objects, unspecified person injured, initial encounter |
Y35.399D | Legal intervention involving other blunt objects, unspecified person injured, subsequent encounter |
Y35.399S | Legal intervention involving other blunt objects, unspecified person injured, sequela |
Y35.409A | Legal intervention involving unspecified sharp objects, unspecified person injured, initial encounter |
Y35.409D | Legal intervention involving unspecified sharp objects, unspecified person injured, subsequent encounter |
Y35.409S | Legal intervention involving unspecified sharp objects, unspecified person injured, sequela |
Y35.419A | Legal intervention involving bayonet, unspecified person injured, initial encounter |
Y35.419D | Legal intervention involving bayonet, unspecified person injured, subsequent encounter |
Y35.419S | Legal intervention involving bayonet, unspecified person injured, sequela |
Y35.499A | Legal intervention involving other sharp objects, unspecified person injured, initial encounter |
Y35.499D | Legal intervention involving other sharp objects, unspecified person injured, subsequent encounter |
Y35.499S | Legal intervention involving other sharp objects, unspecified person injured, sequela |
Y35.819A | Legal intervention involving manhandling, unspecified person injured, initial encounter |
Y35.819D | Legal intervention involving manhandling, unspecified person injured, subsequent encounter |
Y35.819S | Legal intervention involving manhandling, unspecified person injured, sequela |
Y35.831A | Legal intervention involving a conducted energy device, law enforcement official injured, initial encounter |
Y35.831D | Legal intervention involving a conducted energy device, law enforcement official injured, subsequent encounter |
Y35.831S | Legal intervention involving a conducted energy device, law enforcement official injured, sequela |
Y35.832A | Legal intervention involving a conducted energy device, bystander injured, initial encounter |
Y35.832D | Legal intervention involving a conducted energy device, bystander injured, subsequent encounter |
Y35.832S | Legal intervention involving a conducted energy device, bystander injured, sequela |
Y35.833A | Legal intervention involving a conducted energy device, suspect injured, initial encounter |
Y35.833D | Legal intervention involving a conducted energy device, suspect injured, subsequent encounter |
Y35.833S | Legal intervention involving a conducted energy device, suspect injured, sequela |
Y35.839A | Legal intervention involving a conducted energy device, unspecified person injured, initial encounter |
Y35.839D | Legal intervention involving a conducted energy device, unspecified person injured, subsequent encounter |
Y35.839S | Legal intervention involving a conducted energy device, unspecified person injured, sequela |
Y35.99XA | Legal intervention, means unspecified, unspecified person injured, initial encounter |
Y35.99XD | Legal intervention, means unspecified, unspecified person injured, subsequent encounter |
Y35.99XS | Legal intervention, means unspecified, unspecified person injured, sequela |
Z11.7 | Encounter for testing for latent tuberculosis infection |
Z22.7 | Latent tuberculosis |
Z71.84 | Encounter for health counseling related to travel |
Z86.002 | Personal history of in-situ neoplasm of other and unspecified genital organs |
Z86.003 | Personal history of in-situ neoplasm of oral cavity, esophagus and stomach |
Z86.004 | Personal history of in-situ neoplasm of other and unspecified digestive organs |
Z86.005 | Personal history of in-situ neoplasm of middle ear and respiratory system |
Z86.006 | Personal history of melanoma in-situ |
Z86.007 | Personal history of in-situ neoplasm of skin |
Z86.15 | Personal history of latent tuberculosis infection |
Z96.82 | Presence of neurostimulator |
2020 ICD-10 Codes for Dermatology
Code | Description |
---|---|
L89.006 | Pressure-induced deep tissue damage of unspecified elbow |
L89.016 | Pressure-induced deep tissue damage of right elbow |
L89.026 | Pressure-induced deep tissue damage of left elbow |
L89.106 | Pressure-induced deep tissue damage of unspecified part of back |
L89.116 | Pressure-induced deep tissue damage of right upper back |
L89.126 | Pressure-induced deep tissue damage of left upper back |
L89.136 | Pressure-induced deep tissue damage of right lower back |
L89.146 | Pressure-induced deep tissue damage of left lower back |
L89.156 | Pressure-induced deep tissue damage of sacral region |
L89.206 | Pressure-induced deep tissue damage of unspecified hip |
L89.216 | Pressure-induced deep tissue damage of right hip |
L89.226 | Pressure-induced deep tissue damage of left hip |
L89.306 | Pressure-induced deep tissue damage of unspecified buttock |
L89.316 | Pressure-induced deep tissue damage of right buttock |
L89.326 | Pressure-induced deep tissue damage of left buttock |
L89.46 | Pressure-induced deep tissue damage of contiguous site of back, buttock and hip |
L89.506 | Pressure-induced deep tissue damage of unspecified ankle |
L89.516 | Pressure-induced deep tissue damage of right ankle |
L89.526 | Pressure-induced deep tissue damage of left ankle |
L89.606 | Pressure-induced deep tissue damage of unspecified heel |
L89.616 | Pressure-induced deep tissue damage of right heel |
L89.626 | Pressure-induced deep tissue damage of left heel |
L89.816 | Pressure-induced deep tissue damage of head |
L89.896 | Pressure-induced deep tissue damage of other site |
L89.96 | Pressure-induced deep tissue damage of unspecified site |
N63.15 | Unspecified lump in the right breast, overlapping quadrants |
N63.25 | Unspecified lump in the left breast, overlapping quadrants |
Z86.006 | Personal history of melanoma in-situ |
Z86.007 | Personal history of in-situ neoplasm of skin |
2020 Ophthalmology ICD-10 Codes
Code | Description |
---|---|
S02.121A | Fracture of orbital roof, right side, initial encounter for closed fracture |
S02.121B | Fracture of orbital roof, right side, initial encounter for open fracture |
S02.121D | Fracture of orbital roof, right side, subsequent encounter for fracture with routine healing |
S02.121G | Fracture of orbital roof, right side, subsequent encounter for fracture with delayed healing |
S02.121K | Fracture of orbital roof, right side, subsequent encounter for fracture with nonunion |
S02.121S | Fracture of orbital roof, right side, sequela |
S02.122A | Fracture of orbital roof, left side, initial encounter for closed fracture |
S02.122B | Fracture of orbital roof, left side, initial encounter for open fracture |
S02.122D | Fracture of orbital roof, left side, subsequent encounter for fracture with routine healing |
S02.122G | Fracture of orbital roof, left side, subsequent encounter for fracture with delayed healing |
S02.122K | Fracture of orbital roof, left side, subsequent encounter for fracture with nonunion |
S02.122S | Fracture of orbital roof, left side, sequela |
S02.129A | Fracture of orbital roof, unspecified side, initial encounter for closed fracture |
S02.129B | Fracture of orbital roof, unspecified side, initial encounter for open fracture |
S02.129D | Fracture of orbital roof, unspecified side, subsequent encounter for fracture with routine healing |
S02.129G | Fracture of orbital roof, unspecified side, subsequent encounter for fracture with delayed healing |
S02.129K | Fracture of orbital roof, unspecified side, subsequent encounter for fracture with nonunion |
S02.129S | Fracture of orbital roof, unspecified side, sequela |
S02.831A | Fracture of medial orbital wall, right side, initial encounter for closed fracture |
S02.831B | Fracture of medial orbital wall, right side, initial encounter for open fracture |
S02.831D | Fracture of medial orbital wall, right side, subsequent encounter for fracture with routine healing |
S02.831G | Fracture of medial orbital wall, right side, subsequent encounter for fracture with delayed healing |
S02.831K | Fracture of medial orbital wall, right side, subsequent encounter for fracture with nonunion |
S02.831S | Fracture of medial orbital wall, right side, sequela |
S02.832A | Fracture of medial orbital wall, left side, initial encounter for closed fracture |
S02.832B | Fracture of medial orbital wall, left side, initial encounter for open fracture |
S02.832D | Fracture of medial orbital wall, left side, subsequent encounter for fracture with routine healing |
S02.832G | Fracture of medial orbital wall, left side, subsequent encounter for fracture with delayed healing |
S02.832K | Fracture of medial orbital wall, left side, subsequent encounter for fracture with nonunion |
S02.832S | Fracture of medial orbital wall, left side, sequela |
S02.839A | Fracture of medial orbital wall, unspecified side, initial encounter for closed fracture |
S02.839B | Fracture of medial orbital wall, unspecified side, initial encounter for open fracture |
S02.839D | Fracture of medial orbital wall, unspecified side, subsequent encounter for fracture with routine healing |
S02.839G | Fracture of medial orbital wall, unspecified side, subsequent encounter for fracture with delayed healing |
S02.839K | Fracture of medial orbital wall, unspecified side, subsequent encounter for fracture with nonunion |
S02.839S | Fracture of medial orbital wall, unspecified side, sequela |
S02.841A | Fracture of lateral orbital wall, right side, initial encounter for closed fracture |
S02.841B | Fracture of lateral orbital wall, right side, initial encounter for open fracture |
S02.841D | Fracture of lateral orbital wall, right side, subsequent encounter for fracture with routine healing |
S02.841G | Fracture of lateral orbital wall, right side, subsequent encounter for fracture with delayed healing |
S02.841K | Fracture of lateral orbital wall, right side, subsequent encounter for fracture with nonunion |
S02.841S | Fracture of lateral orbital wall, right side, sequela |
S02.842A | Fracture of lateral orbital wall, left side, initial encounter for closed fracture |
S02.842B | Fracture of lateral orbital wall, left side, initial encounter for open fracture |
S02.842D | Fracture of lateral orbital wall, left side, subsequent encounter for fracture with routine healing |
S02.842G | Fracture of lateral orbital wall, left side, subsequent encounter for fracture with delayed healing |
S02.842K | Fracture of lateral orbital wall, left side, subsequent encounter for fracture with nonunion |
S02.842S | Fracture of lateral orbital wall, left side, sequela |
S02.849A | Fracture of lateral orbital wall, unspecified side, initial encounter for closed fracture |
S02.849B | Fracture of lateral orbital wall, unspecified side, initial encounter for open fracture |
S02.849D | Fracture of lateral orbital wall, unspecified side, subsequent encounter for fracture with routine healing |
S02.849G | Fracture of lateral orbital wall, unspecified side, subsequent encounter for fracture with delayed healing |
S02.849K | Fracture of lateral orbital wall, unspecified side, subsequent encounter for fracture with nonunion |
S02.849S | Fracture of lateral orbital wall, unspecified side, sequela |
S02.85XA | Fracture of orbit, unspecified, initial encounter for closed fracture |
S02.85XB | Fracture of orbit, unspecified, initial encounter for open fracture |
S02.85XD | Fracture of orbit, unspecified, subsequent encounter for fracture with routine healing |
S02.85XG | Fracture of orbit, unspecified, subsequent encounter for fracture with delayed healing |
S02.85XK | Fracture of orbit, unspecified, subsequent encounter for fracture with nonunion |
S02.85XS | Fracture of orbit, unspecified, sequela |
Z01.020 | Encounter for examination of eyes and vision following failed vision screening without abnormal findings. |
Z01.021 | Encounter for examination of eyes and vision following failed vision screening with abnormal findings. |
ICD-10 for Orthopedics in 2020
Code | Description |
---|---|
L89.006 | Pressure-induced deep tissue damage of unspecified elbow |
L89.016 | Pressure-induced deep tissue damage of right elbow |
L89.026 | Pressure-induced deep tissue damage of left elbow |
L89.106 | Pressure-induced deep tissue damage of unspecified part of back |
L89.116 | Pressure-induced deep tissue damage of right upper back |
L89.126 | Pressure-induced deep tissue damage of left upper back |
L89.136 | Pressure-induced deep tissue damage of right lower back |
L89.146 | Pressure-induced deep tissue damage of left lower back |
L89.156 | Pressure-induced deep tissue damage of sacral region |
L89.206 | Pressure-induced deep tissue damage of unspecified hip |
L89.216 | Pressure-induced deep tissue damage of right hip |
L89.226 | Pressure-induced deep tissue damage of left hip |
L89.306 | Pressure-induced deep tissue damage of unspecified buttock |
L89.316 | Pressure-induced deep tissue damage of right buttock |
L89.326 | Pressure-induced deep tissue damage of left buttock |
L89.46 | Pressure-induced deep tissue damage of contiguous site of back, buttock and hip |
L89.506 | Pressure-induced deep tissue damage of unspecified ankle |
L89.516 | Pressure-induced deep tissue damage of right ankle |
L89.526 | Pressure-induced deep tissue damage of left ankle |
L89.606 | Pressure-induced deep tissue damage of unspecified heel |
L89.616 | Pressure-induced deep tissue damage of right heel |
L89.626 | Pressure-induced deep tissue damage of left heel |
L89.816 | Pressure-induced deep tissue damage of head |
L89.896 | Pressure-induced deep tissue damage of other site |
L89.96 | Pressure-induced deep tissue damage of unspecified site |
Q66.00 | Congenital talipes equinovarus, unspecified foot |
Q66.01 | Congenital talipes equinovarus, right foot |
Q66.02 | Congenital talipes equinovarus, left foot |
Q66.10 | Congenital talipes calcaneovarus, unspecified foot |
Q66.11 | Congenital talipes calcaneovarus, right foot |
Q66.12 | Congenital talipes calcaneovarus, left foot |
Q66.211 | Congenital metatarsus primus varus, right foot |
Q66.212 | Congenital metatarsus primus varus, left foot |
Q66.219 | Congenital metatarsus primus varus, unspecified foot |
Q66.221 | Congenital metatarsus adductus, right foot |
Q66.222 | Congenital metatarsus adductus, left foot |
Q66.229 | Congenital metatarsus adductus, unspecified foot |
Q66.30 | Other congenital varus deformities of feet, unspecified foot |
Q66.31 | Other congenital varus deformities of feet, right foot |
Q66.32 | Other congenital varus deformities of feet, left foot |
Q66.40 | Congenital talipes calcaneovalgus, unspecified foot |
Q66.41 | Congenital talipes calcaneovalgus, right foot |
Q66.42 | Congenital talipes calcaneovalgus, left foot |
Q66.70 | Congenital pes cavus, unspecified foot |
Q66.71 | Congenital pes cavus, right foot |
Q66.72 | Congenital pes cavus, left foot |
Q66.90 | Congenital deformity of feet, unspecified, unspecified foot |
Q66.91 | Congenital deformity of feet, unspecified, right foot |
Q66.92 | Congenital deformity of feet, unspecified, left foot |
Q79.60 | Ehlers-Danlos syndrome, unspecified |
Q79.61 | Classical Ehlers-Danlos syndrome |
Q79.62 | Hypermobile Ehlers-Danlos syndrome |
Q79.63 | Vascular Ehlers-Danlos syndrome |
Q79.69 | Other Ehlers-Danlos syndromes |
Q87.11 | Prader-Willi syndrome |
Q87.19 | Other congenital malformation syndromes predominantly associated with short stature |
Otolaryngology 2020 ICD-10
Code | Description |
---|---|
H81.4 | Vertigo of central origin |
Z86.005 | Personal history of in-situ neoplasm of middle ear and respiratory system |
2020 ICD-10 Codes Plastic Surgery
Code | Description |
---|---|
N63.15 | Unspecified lump in the right breast, overlapping quadrants |
N63.25 | Unspecified lump in the left breast, overlapping quadrants |
N99.85 | Post endometrial ablation syndrome |
Q66.00 | Congenital talipes equinovarus, unspecified foot |
Q66.01 | Congenital talipes equinovarus, right foot |
Q66.02 | Congenital talipes equinovarus, left foot |
Q66.10 | Congenital talipes calcaneovarus, unspecified foot |
Q66.11 | Congenital talipes calcaneovarus, right foot |
Q66.12 | Congenital talipes calcaneovarus, left foot |
Q66.211 | Congenital metatarsus primus varus, right foot |
Q66.212 | Congenital metatarsus primus varus, left foot |
Q66.219 | Congenital metatarsus primus varus, unspecified foot |
Q66.221 | Congenital metatarsus adductus, right foot |
Q66.222 | Congenital metatarsus adductus, left foot |
Q66.229 | Congenital metatarsus adductus, unspecified foot |
Q66.30 | Other congenital varus deformities of feet, unspecified foot |
Q66.31 | Other congenital varus deformities of feet, right foot |
Q66.32 | Other congenital varus deformities of feet, left foot |
Q66.40 | Congenital talipes calcaneovalgus, unspecified foot |
Q66.41 | Congenital talipes calcaneovalgus, right foot |
Q66.42 | Congenital talipes calcaneovalgus, left foot |
Q66.70 | Congenital pes cavus, unspecified foot |
Q66.71 | Congenital pes cavus, right foot |
Q66.72 | Congenital pes cavus, left foot |
Q66.90 | Congenital deformity of feet, unspecified, unspecified foot |
Q66.91 | Congenital deformity of feet, unspecified, right foot |
Q66.92 | Congenital deformity of feet, unspecified, left foot |
Q79.63 | Vascular Ehlers-Danlos syndrome |
Q79.69 | Other Ehlers-Danlos syndromes |
Gastroenterology ICD-10 for 2020
Code | Description |
---|---|
R11.15 | Cyclical vomiting syndrome unrelated to migraine |
R82.81 | Pyuria |
R82.89 | Other abnormal findings on cytological and histological examination of urine |
Z86.002 | Personal history of in-situ neoplasm of other and unspecified genital organs |
Z86.003 | Personal history of in-situ neoplasm of oral cavity, esophagus and stomach |
Z86.004 | Personal history of in-situ neoplasm of other and unspecified digestive organs |
Sources
Centers for Medicare and Medicaid Services (CMS). 2020 ICD-10-CM. https://www.cms.gov/Medicare/Coding/ICD10/2020-ICD-10-CM.html. Published August 8, 2019. Accessed October 3, 2019.
Gooch, Kelly. Becker’s Hospital Review. https://www.beckershospitalreview.com/finance/icd-10-cm-coding-changes-released-for-fy-2020-5-takeaways.html. Published June 26, 2019. Accessed October 3, 2019.
List of ICD-10 Codes for Dermatology, Ophthalmology, Orthopedics and Gastroenterology
October 1, 2018, the release date for 2019 ICD-10 codes, has come and gone, and the 473 ICD-10 changes have been published. This includes 279 new ICD-10 codes, 143 revised codes and 51 deleted codes focused primarily around the theme of increased specificity. These new codes apply through September 30, 2019.
Elana Oberstein, MD and Medical Director of Musculoskeletal, shared, “The new 2019 ICD-10 additions helped add more specificity for the classifications of certain conditions. For example, in the musculoskeletal subject area, we now have the ability to better specify an illness. If a patient has muscular dystrophy, we can detail if this is a Duchenne or Becker variant or Fascioscapulohumeral muscular dystrophy. This level of granularity can improve documentation and thus, a better understanding of affected patients.”
So how do you prepare for these ICD-10 changes when it comes to your electronic health record (EHR) system? The answer includes having an EHR system with these ICD-10 changes built in. Modernizing Medicine’s specialty-specific and cloud EHR system, EMA™, offers just this.
In addition to having an EHR system that’s prepared for such industry changes, it’s a good idea to stay in the know. Here are a few tips:
1. Familiarize yourself with the changes relevant to your medical specialty. Stay updated with changes through official sources such as the CDC and CMS. Industry blogs and websites such as ICD10Monitor.com and AAPC.com could be great resources as well.
2. Do your research. Understand the rationale behind the changes.
3. Host sessions to educate your staff and encourage and support attendance at relevant conferences.
This post highlights the 2019 ICD-10 codes for dermatology, ophthalmology, orthopedics, pain medicine and gastroenterology. For a complete list of ICD-10 codes and additional details on the changes, please visit the Center for Disease Control and Prevention’s website here.
2019 ICD-10 Codes for Dermatology, Plastic Surgery and Ophthalmology
Malignant melanoma of skin of eyelid, including canthus (GREATER SPECIFICITY) |
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 |
Unspecified malignant neoplasm of skin of eyelid, including canthus (GREATER SPECIFICITY) |
C44.1021 Unspecified malignant neoplasm of skin of right upper eyelid,including canthus |
C44.1022 Unspecified malignant neoplasm of skin of right lower eyelid,including canthus |
C44.1091 Unspecified malignant neoplasm of skin of left upper eyelid,including canthus |
C44.1092 Unspecified malignant neoplasm of skin of left lower eyelid,including canthus |
Basal cell carcinoma of skin of eyelid, including canthus (GREATER SPECIFICITY) |
C44.1121 Basal cell carcinoma of skin of right upper eyelid, including canthus |
C44.1122 Basal cell carcinoma of skin of right lower eyelid, including canthus |
C44.1191 Basal cell carcinoma of skin of left upper eyelid, including canthus |
C44.1192 Basal cell carcinoma of skin of left lower eyelid, including canthus |
Squamous cell carcinoma of skin of eyelid, including canthus (GREATER SPECIFICITY) |
C44.1221 Squamous cell carcinoma of skin of right upper eyelid, including canthus |
C44.1222 Squamous cell carcinoma of skin of right lower eyelid, including canthus |
C44.1291 Squamous cell carcinoma of skin of left upper eyelid, including canthus |
C44.1292 Squamous cell carcinoma of skin of left lower eyelid, including canthus |
Sebaceous cell carcinoma of skin of eyelid, including canthus (GREATER SPECIFICITY) |
C44.1321 Sebaceous cell carcinoma of skin of right upper eyelid, including canthus |
C44.1322 Sebaceous cell carcinoma of skin of right lower eyelid, including canthus |
C44.1391 Sebaceous cell carcinoma of skin of left upper eyelid, including canthus |
C44.1392 Sebaceous cell carcinoma of skin of left lower eyelid, including canthus |
Other specified malignant neoplasm of skin of eyelid,including canthus (GREATER SPECIFICITY) |
C44.1921 Other specified malignant neoplasm of skin of right upper eyelid,including canthus |
C44.1922 Other specified malignant neoplasm of skin of right lower eyelid,including canthus |
C44.1991 Other specified malignant neoplasm of skin of left upper eyelid,including canthus |
C44.1992 Other specified malignant neoplasm of skin of left lower eyelid,including canthus |
Merkel cell carcinoma of skin of eyelid, including canthus (GREATER SPECIFICITY) |
C4A.111 Merkel cell carcinoma of right upper eyelid, including canthus |
C4A.112 Merkel cell carcinoma of right lower eyelid, including canthus |
C4A.121 Merkel cell carcinoma of left upper eyelid, including canthus |
C4A.122 Merkel cell carcinoma of left lower eyelid, including canthus |
Melanoma in situ of skin of eyelid, including canthus (GREATER SPECIFICITY) |
D03.111 Melanoma in situ of right upper eyelid, including canthus |
D03.112 Melanoma in situ of right lower eyelid, including canthus |
D03.121 Melanoma in situ of left upper eyelid, including canthus |
D03.122 Melanoma in situ of left lower eyelid, including canthus |
Carcinoma in situ of skin of skin of eyelid,including canthus (GREATER SPECIFICITY) |
D04.111 Carcinoma in situ of skin of right upper eyelid, including canthus |
D04.112 Carcinoma in situ of skin of right lower eyelid, including canthus |
D04.121 Carcinoma in situ of skin of left upper eyelid, including canthus |
D04.122 Carcinoma in situ of skin of left lower eyelid, including canthus |
Melanocytic nevi of eyelid, including canthus (GREATER SPECIFICITY) |
D22.111 Melanocytic nevi of right upper eyelid, including canthus |
D22.112 Melanocytic nevi of right lower eyelid, including canthus |
D22.121 Melanocytic nevi of left upper eyelid, including canthus |
D22.122 Melanocytic nevi of left lower eyelid, including canthus |
Other benign neoplasm of skin of eyelid, including canthus (GREATER SPECIFICITY) |
D23.111 Other benign neoplasm of skin of right upper eyelid, including canthus |
D23.112 Other benign neoplasm of skin of right lower eyelid, including canthus |
D23.121 Other benign neoplasm of skin of left upper eyelid, including canthus |
D23.122 Other benign neoplasm of skin of left lower eyelid, including canthus |
Clonic hemifacial spasm (GREATER SPECIFICITY) |
G51.31 Clonic hemifacial spasm, right |
G51.32 Clonic hemifacial spasm, left |
G51.33 Clonic hemifacial spasm, bilateral |
G51.39 Clonic hemifacial spasm, unspecified |
Infection following a procedure – 7th Character ADS (GREATER SPECIFICITY) |
T81.40X Infection following a procedure, unspecified |
T81.41X Infection following a procedure, superficial incisional surgical site |
T81.42X Infection following a procedure, deep incisional surgical site |
T81.43X Infection following a procedure, organ and space surgical site |
2019 Ophthalmology ICD-10
Unspecified blepharitis (ADDITIONS TO THE EXISTING SERIES) |
H01.00A Unspecified blepharitis right eye, upper and lower eyelids |
H01.00B Unspecified blepharitis left eye, upper and lower eyelids |
Ulcerative blepharitis (ADDITIONS TO THE EXISTING SERIES) |
H01.01A Ulcerative blepharitis right eye, upper and lower eyelids |
H01.01B Ulcerative blepharitis left eye, upper and lower eyelids |
Squamous blepharitis (ADDITIONS TO THE EXISTING SERIES) |
H01.02A Squamous blepharitis right eye, upper and lower eyelids |
H01.02B Squamous blepharitis left eye, upper and lower eyelids |
Paralytic ectropion of eyelid (NEW SERIES) |
H02.151 Paralytic ectropion of right upper eyelid |
H02.152 Paralytic ectropion of right lower eyelid |
H02.153 Paralytic ectropion of right eye, unspecified eyelid |
H02.154 Paralytic ectropion of left upper eyelid |
H02.155 Paralytic ectropion of left lower eyelid |
H02.156 Paralytic ectropion of left eye, unspecified eyelid |
H02.159 Paralytic ectropion of unspecified eye, unspecified eyelid |
Unspecified lagophthalmos (ADDITIONS TO THE EXISTING SERIES) |
H02.20A Unspecified lagophthalmos right eye, upper and lower eyelids |
H02.20B Unspecified lagophthalmos left eye, upper and lower eyelids |
H02.20C Unspecified lagophthalmos, bilateral, upper and lower eyelids |
Mechanical lagophthalmos (ADDITIONS TO THE EXISTING SERIES) |
H02.22A Mechanical lagophthalmos right eye, upper and lower eyelids |
H02.22B Mechanical lagophthalmos left eye, upper and lower eyelids |
H02.22C Mechanical lagophthalmos, bilateral, upper and lower eyelids |
Paralytic lagophthalmos (ADDITIONS TO THE EXISTING SERIES) |
H02.23A Paralytic lagophthalmos right eye, upper and lower eyelids |
H02.23B Paralytic lagophthalmos left eye, upper and lower eyelids |
H02.23C Paralytic lagophthalmos, bilateral, upper and lower eyelids |
Meibomian gland dysfunction of eyelid (NEW SERIES) |
H02.881 Meibomian gland dysfunction right upper eyelid |
H02.882 Meibomian gland dysfunction right lower eyelid |
H02.883 Meibomian gland dysfunction of right eye, unspecified eyelid |
H02.884 Meibomian gland dysfunction left upper eyelid |
H02.885 Meibomian gland dysfunction left lower eyelid |
H02.886 Meibomian gland dysfunction of left eye, unspecified eyelid |
H02.88A Meibomian gland dysfunction right eye, upper and lower eyelids |
H02.88B Meibomian gland dysfunction left eye, upper and lower eyelids |
Rosacea conjunctivitis (NEW SERIES) |
H10.821 Rosacea conjunctivitis, right eye |
H10.822 Rosacea conjunctivitis, left eye |
H10.823 Rosacea conjunctivitis, bilateral |
H10.829 Rosacea conjunctivitis, unspecified eye |
Brow ptosis (NEW SERIES) |
H57.811 Brow ptosis, right |
H57.812 Brow ptosis, left |
H57.813 Brow ptosis, bilateral |
H57.819 Brow ptosis, unspecified |
Other specified disorders of eye and adnexa (NEW CODE) |
H57.89 Other specified disorders of eye and adnexa |
Gastroenterology ICD-10 for 2019
Acute appendicitis with generalized peritonitis (GREATER SPECIFICITY) |
K35.20 Acute appendicitis with generalized peritonitis, without abscess |
K35.21 Acute appendicitis with generalized peritonitis, with abscess |
Acute appendicitis with localized peritonitis (GREATER SPECIFICITY) |
K35.30 Acute appendicitis with localized peritonitis, without perforation or gangrene |
K35.31 Acute appendicitis with localized peritonitis and gangrene, without perforation |
K35.32 Acute appendicitis with perforation and localized peritonitis, without abscess |
K35.33 Acute appendicitis with perforation and localized peritonitis, with abscess |
Other and unspecified acute appendicitis (GREATER SPECIFICITY) |
K35.890 Other acute appendicitis without perforation or gangrene |
K35.891 Other acute appendicitis without perforation, with gangrene |
Ischiorectal abscess (GREATER SPECIFICITY) |
K61.31 Horseshoe abscess |
K61.39 Other ischiorectal abscess |
K61.5 Supralevator abscess |
K80 Cholelithiasis Series (NEW INSTRUCTION) |
Use Additional code if applicable for associated gangrene of gallbladder (K82.A1), or perforation of gallbladder (K82.A2) |
Disorders of gallbladder in diseases classified elsewhere (NEW CODES) |
K82.A1 Gangrene of gallbladder in cholecystitis |
K82.A2 Perforation of gallbladder in cholecystitis |
Cholangitis (GREATER SPECIFICITY) |
K83.01 Primary sclerosing cholangitis |
K83.09 Other cholangitis |
Orthopedic ICD-10 and Interventional Pain Management
Myalgia (GREATER SPECIFICITY) |
M79.10 Myalgia, unspecified site |
M79.11 Myalgia of mastication muscle |
M79.12 Myalgia of auxiliary muscles, head and neck |
M79.18 Myalgia, other site |
Muscular dystrophy (GREATER SPECIFICITY) |
G71.00 Muscular dystrophy, unspecified |
G71.01 Duchenne or Becker muscular dystrophy |
G71.02 Facioscapulohumeral muscular dystrophy |
Infection following a procedure – 7th Character ADS (GREATER SPECIFICITY) |
T81.40X Infection following a procedure, unspecified |
T81.41X Infection following a procedure, superficial incisional surgical site |
T81.42X Infection following a procedure, deep incisional surgical site |
T81.43X Infection following a procedure, organ and space surgical site |
Sources
Center for Disease Control and Prevention. International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM). https://www.cdc.gov/nchs/icd/icd10cm.htm. Published July 26, 2018. Accessed August 20, 2018.
Centers for Medicare and Medicaid Services. CMS Releases ICD-10 Assessment and Maintenance Toolkit. https://www.cms.gov/Medicare/Coding/ICD10/index.htmlPublished May 17, 2018. Accessed August 20, 2018.