Since, we have now entered in October month, all the new updates in ICD 10 codes should be followed strictly from 1st October 2020. There are around 490 codes added, 58 deleted and 47 revised ICD 10 codes in the new updates effective from 1st october 2020. Since, their are many new ICD 10 codes, I have shared few of them chapterwise in this post. Below you can get the chapterwise details for the new ICD 10 codes for 2021. For COVID 19 updates we will learn about the changes for 2021 in separate post.
Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99)
A84.81- Powassan virus disease
A84.89- other tickborne viral encephalitis
Chapter 3: Disease of the Blood and Bloodforming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89)
D57.03- Hb-ss disease with cerebral vascular involvement
D57.09- Hb-ss disease with crisis with other specified complication
D57.213- sickle-cell/Hb-c disease with cerebral vascular involvement
D57.218- sickle-cell/Hb-c disease with crisis with other specified complication
D57.413- sickle-cell thalassemia, unspecified, with cerebral vascular involvement
D57.418- sickle-cell thalassemia, unspecified, with crisis with other specified complication
Chapter 3: Disease of the Blood and Bloodforming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89)
D57.431- sickle-cell thalassemia beta zero with acute chest syndrome
D57.432- sickle-cell thalassemia beta zero with splenic sequestration
D57.433- sickle-cell thalassemia beta zero with cerebral vascular involvement
D57.438- sickle-cell thalassemia beta zero with crisis with other specified complication
D57.439- sickle-cell thalassemia beta zero with crisis, unspecified
D57.451- sickle-cell thalassemia beta plus with acute chest syndrome
D57.452- sickle-cell thalassemia beta plus with splenic sequestration
D57.453- sickle-cell thalassemia beta plus with cerebral vascular involvement
D57.458- sickle-cell thalassemia beta plus with crisis with other specified complication
D57.459- sickle-cell thalassemia beta plus with crisis, unspecified
D57.813- other sickle-cell disorders with cerebral vascular involvement
D57.818- other sickle-cell disorders with crisis with other specified complication
D57.42- sickle-cell thalassemia beta zero without crisis
D57.44- sickle-cell thalassemia beta plus without crisis
D72.10- eosinophilia, unspecified
D72.110- idiopathic hypereosinophilic syndrome [IHES]
D72.111- lymphocytic variant hypereosinophilic syndrome [LHES]
D72.118- other hypereosinophilic syndrome
D72.119- hypereosinophilic syndrome [HES], unspecified
D72.12- drug rash with eosinophilia and systemic symptoms syndrome
D72.18- eosinophilia in diseases classified elsewhere
D72.19- other eosinophilia
D84.81- immunodeficiency due to conditions classified elsewhere
D84.821- immunodeficiency due to drugs
D84.822- immunodeficiency due to external causes
D84.89- other immunodeficiencies
D89.831- cytokine release syndrome, grade 1
D89.832- cytokine release syndrome, grade 2
D89.833- cytokine release syndrome, grade 3
D89.834- cytokine release syndrome, grade 4
D89.835- cytokine release syndrome, grade 5
D89.839- cytokine release syndrome, grade unspecified
Chapter 4: Endocrine, Nutritional, and Metabolic
Diseases (E00-E89)
E70.81- aromatic L-amino acid decarboxylase deficiency
E70.89- other disorders of aromatic amino-acid metabolism
E74.810- glucose transporter protein type 1 deficiency
E74.818- other disorders of glucose transport
E74.819- disorders of glucose transport, unspecified
E74.89- other specified disorders of carbohydrate metabolism
Chapter 5: Mental, Behavioral, and Neurodevelopmental Disorders (F01-F99)
F10.130- alcohol abuse with withdrawal, uncomplicated
F10.131- alcohol abuse with withdrawal delirium
F10.132- alcohol abuse with withdrawal with perceptual disturbance
F10.139- alcohol abuse with withdrawal, unspecified
F10.930- alcohol use, unspecified with withdrawal, uncomplicated
F10.931- alcohol use, unspecified with withdrawal delirium
F10.932- alcohol use, unspecified with withdrawal with perceptual disturbance
F10.939- alcohol use, unspecified with withdrawal, unspecified
F14.13- cocaine abuse, unspecified with withdrawal
F14.93- cocaine use, unspecified with withdrawal
F15.13- other stimulant abuse with withdrawal
F19.130- other psychoactive substance abuse with withdrawal, uncomplicated
F19.131- other psychoactive substance abuse with withdrawal delirium
F19.132- other psychoactive substance abuse with withdrawal with perceptual disturbance
F19.139- other psychoactive substance abuse with withdrawal, unspecified
Chapter 6: Diseases of the Nervous System (G00-G99)
G96.00- cerebrospinal fluid leak, unspecified
G96.01- cranial cerebrospinal fluid leak, spontaneous
G96.02- spinal cerebrospinal fluid leak, spontaneous
G96.08- other cranial cerebrospinal fluid leak
G96.09- other spinal cerebrospinal fluid leak
G97.83- intracranial hypotension following lumbar cerebrospinal fluid shunting
G97.84- intracranial hypotension following other procedure
G40.42- cyclin-dependent kinase-like 5 deficiency disorder
G96.191- perineural cyst
G96.198- other disorders of meninges, not elsewhere classified
G96.810- intracranial hypotension, unspecified
G96.811- intracranial hypotension, spontaneous
G96.819- other intracranial hypotension
G96.89- other specified disorders of central nervous system
Chapter 7: Diseases of the Eye and Adnexa (H00-H59)
H18.501- unspecified hereditary corneal dystrophies, right eye
H18.502- unspecified hereditary corneal dystrophies, left eye
H18.503- unspecified hereditary corneal dystrophies, bilateral
H18.509- unspecified hereditary corneal dystrophies, unspecified eye
H18.511- endothelial corneal dystrophy, right eye
H18.512- endothelial corneal dystrophy, left eye
H18.513- endothelial corneal dystrophy, bilateral
H18.519- endothelial corneal dystrophy, unspecified eye
H18.521- epithelial (juvenile) corneal dystrophy, right eye
H18.522- epithelial (juvenile) corneal dystrophy, left eye
H18.523- epithelial (juvenile) corneal dystrophy, bilateral
H18.529- epithelial (juvenile) corneal dystrophy, unspecified eye
H18.531- granular corneal dystrophy, right eye
H18.532- granular corneal dystrophy, left eye
H18.533- granular corneal dystrophy, bilateral eye
H18.539- granular corneal dystrophy, unspecified eye
H18.541- lattice corneal dystrophy, right eye
H18.542- lattice corneal dystrophy, left eye
H18.543- lattice corneal dystrophy, bilateral
H18.549- lattice corneal dystrophy, unspecified eye
H18.551- macular corneal dystrophy, right eye
H18.552- macular corneal dystrophy, left eye
H18.553- macular corneal dystrophy, bilateral
H18.559- macular corneal dystrophy, unspecified eye
H18.591- other hereditary corneal dystrophies, right eye
H18.592- other hereditary corneal dystrophies, left eye
H18.593- other hereditary corneal dystrophies, bilateral
H18.599- other hereditary corneal dystrophies, unspecified eye
H55.82- deficient smooth pursuit eye movements
Chapter 11: Diseases of the Digestive System (K00-K95)
K20.80- other esophagitis without bleeding
K20.90- esophagitis, unspecified without bleeding
K21.00- gastro-esophageal reflux disease with esophagitis, without bleeding
K59.81- Ogilvie syndrome
K59.89- other specified functional intestinal disorders
K74.00- hepatic fibrosis, unspecified
K74.01- hepatic fibrosis, early fibrosis
K74.02- hepatic fibrosis, advanced fibrosis
Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
M19.xx- osteoarthritis updates of other specified site
M24.xx- disorder, dislocation, contracture, or ankylosis of other specified joint
M25.xx- instability, pain, or stiffness in other specified joint
M26.6xx- arthritis or arthropathy of right, left, bilateral, or unspecified temporomandibular joint
M80.0AXA- age-related osteoporosis with current pathological fracture, other site, initial encounter for fracture
M80.0AXK- age-related osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with nonunion
M80.0AXP- age-related osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with malunion
M80.8AXA- other osteoporosis with current pathological fracture, other site, initial encounter for fracture
M80.8AXK- other osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with nonunion
M80.8AXP- other osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with malunion
M80.0AXD- age-related osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with routine healing
M80.0AXG- age-related osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with delayed healing
M80.0AXS- age-related osteoporosis with current pathological fracture, other site, sequela
M80.8AXD- other osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with routine healing
M80.8AXG- other osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with delayed healing
M80.8AXS- other osteoporosis with current pathological fracture, other site, sequela
Chapter 14: Diseases of the Genitourinary System (N00-N99)
N02.A- recurrent and persistent hematuria with C3 glomerulonephritis
N03.A- chronic nephritic syndrome with C3 glomerulonephritis
N04.A- nephrotic syndrome with C3 glomerulonephritis
N05.A- unspecified nephritic syndrome with C3 glomerulonephritis
N06.A- isolated proteinuria with C3 glomerulonephritis
N07.A- hereditary nephropathy, not elsewhere classified with C3 glomerulonephritis
N18.30- chronic kidney disease, stage 3 unspecified
N18.31- chronic kidney disease, stage 3a
N18.32- chronic kidney disease, stage 3b
N61.20- granulomatous mastitis, unspecified breast
N61.21- granulomatous mastitis, right breast
N61.22- granulomatous mastitis, left breast
N61.23- granulomatous mastitis, bilateral breast
Chapter 15: Pregnancy, Childbirth, and the Puerperium (O00-O9A)
O34.218- maternal care for other type scar from previous cesarean delivery
O34.22- maternal care for cesarean scar defect (isthmocele)
O99.891- other specified diseases and conditions complicating pregnancy
O99.892- other specified diseases and conditions complicating childbirth
O99.893- other specified diseases and conditions complicating puerperium
Chapter 16: Certain Conditions Originating in the Perinatal Period (P00-P96)
P91.821- neonatal cerebral infection, right side of brain
P91.822- neonatal cerebral infection, left side of brain
P91.823- neonatal cerebral infection, bilateral
P91.829- neonatal cerebral infection, unspecified side
Chapter 19: Injury, poisoning, and certain other consequences of external causes (S00-T88)
T86.8481- other complications of corneal transplant, right eye
T86.8482- other complications of corneal transplant, left eye
T86.8483- other complications of corneal transplant, bilateral
T86.8489- other complications of corneal transplant, unspecified eye
T86.8491- unspecified complication of corneal transplant, right eye
T86.8492- unspecified complication of corneal transplant, left eye
T86.8493- unspecified complication of corneal transplant, bilateral
T86.8499- unspecified complication of corneal transplant, unspecified eye
Chapter 21: Factors Influencing Health Status and Contact With Health Services (Z00-Z99)
Z03.821- encounter for observation for suspected ingested foreign body ruled out
Z03.822- encounter for observation for suspected aspirated (inhaled) foreign body ruled out
Z03.823- encounter for observation for suspected inserted (injected) foreign body ruled out
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[…] October 2021, their are many important changes in ICD 10 codes, which needs to reviewed by medical coders. These new changes are effective from 1st october 2021, […]