Medicare Compliance & Reimbursement

Utilize these current diagnoses code revisions to track trends for the next reporting year.

Don’t get too comfortable with the 2017 diagnoses code changes. The ICD-10 Coordination and Maintenance Committee Meeting has released its ICD-10-CM proposed changes for 2018 — and, nearly every specialty will be impacted.

Important: These may not be the only changes approved for Oct. 1, as the complete list will not be released until June in the Federal Register, warns Melanie Witt, RN, CPC, MA, an independent coding expert based in Guadalupita, New Mexico. Some of these are merely “editorial changes (mostly to correct typos) and not new codes or anything that actually changes how you report these codes.”

However, in the March 2017 Meeting Notes, you’ll find proposed codes for the following diagnoses:

• Acute Appendicitis
• Antenatal Screening
• Blepharitis
• Breakthrough Pain
• Brow Ptosis
• Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL)
• Amicus Therapeutics
• Classification of Types of Myocardial Infarction
• Disorders of the Gallbladder and Biliary Tract
• Disorders of Metabolism of Gamma Aminobutyric Acid (GABA)
• Diverticular Disease of Intestine
• Electronic Nicotine Delivery Systems
• Encounter for Rehabilitation Services
• Encounter for Screening for Certain Developmental Disorders in Childhood
• Epiphora
• Eyelid Cancer
• Factitious Disorder
• Fetal Inflammatory Response Syndrome
• Heart Failure Classification
• Hemifacial Spasm
• Immunization Not Carried Out
• Immunocompromised Status
• Infection Following a Procedure
• Infection of Obstetric Surgical Wound
• Lacunar Infarction
• Lagophthalmos
• Meibomian Gland Dysfunction
• Multiple Sulfatase Deficiency (MSD)
• Non-Healing Traumatic Wounds and Surgical Wounds
• Nonprocreative Genetic Counseling
• Nonruptured Cerebral Aneurysm
• Orbital Roof and Wall Fracture
• Osteoporosis Related Pathological Fracture of Jaw
• Osteoporosis Related Pathological Fracture of Rib and Pelvis
• Paralytic Ectropion
• Pediatric Glasgow Coma Scale
• Rosacea Conjunctivitis
• Secondary Mesothelioma and Mesothelioma in Remission
• Substance Use Disorders, In Remission
• Temporomandibular Joint Disorders
• Thyroid Eye Disease
• Urethral Stricture

You can read more about each of these conditions and the proposed codes at www.cdc.gov/nchs/data/icd/topic-packet_03_07_17.pdf.

Remember: These are not the final changes, so you should not treat them as such. Medicare Compliance and Reimbursement will continue to alert readers to any diagnosis code updates in the future, ensuring that you have the latest additions and changes to code compliantly.