2021 ICD-10-CM Eye-Related Code Changes
2021 ICD-10-CM (Diagnosis Codes) Eye-Related Codes Update GuideEffective October 1, 2020 through September 30, 2021Table of ContentsOverview of ICD-10 and 2021 Eye-Related ICD-10-CM Code Updates. 1ICD-10-CM 2021 Code Change Task Checklist . 2MaximEyes Software Simplifies ICD-10 Changes with Smart Selection Tool . 2NEW (Added) 2021 ICD-10-CM Codes . 3Chapter 7: Diseases of the eye and adnexa (H00-H59) . 3Chapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) 4Chapter 19: Injury, poisoning and certain other consequences of external causes (S00-T88) . 4Chapter 20: External causes of morbidity (V00-Y99). 5DELETED (Retired) 2021 ICD-10-CM Codes . 5Chapter 7: Diseases of the eye and adnexa (H00-H59) . 5Chapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) 5Chapter 19: Injury, poisoning and certain other consequences of external causes (S00-T88) . 5Chapter 20: External causes of morbidity (V00-Y99). 6REVISED (Modified Descriptions) 2021 ICD-10-CM Codes . 6Chapter 7: Diseases of the eye and adnexa (H00-H59) . 6Chapter 21: Factors influencing health status and contact with health services (Z00-Z99) . 6Industry Resources: ICD-10-CM Codes . 6Overview of ICD-10 and 2021 Eye-Related ICD-10-CM Code UpdatesNew Codes (53)Deleted Codes (14)Revised Codes (5)Corneal dystrophy, eye movements,headache, corneal transplant, andnonsurgical ophthalmic devices.Corneal dystrophy, headache,corneal transplant, and nonsurgicalophthalmic devices.Minor description changes tosaccadic eye movementscode and allergy status. On July 1, 2020, the Centers for Medicare & Medicaid Services (CMS) and the Centers for Disease Controland Prevention (CDC) National Center for Health Statistics (NCHS) released the fiscal year (FY) 2021 ICD10-CM code changes, which become effective October 1, 2020. There are 72 ICD-10-CM code changes for eye-related discharges and patient encounters occurring fromOctober 1, 2020 through September 30, 2021: 53 new codes, 14 deleted codes, and 5 revised codedescriptions.2021 ICD-10-CM Eye-Related Code Updates Page 1 of 6 First Insight Corporation www.first-insight.com 6723 NE Bennett Street, Suite 200, Hillsboro, OR 97124. Rev. 8/19/20
Claims that have a service date of September 30, 2020, or earlier, must continue to use the current 2020codes to avoid a rejected or denied claim. Claims with a service date of October 1, 2020, or later, must usethe new 2021 codes. This is the fifth mandated update to ICD-10-CM codes since ICD-10 codes went live on October 1, 2015.CMS and NCHS typically revise ICD-10 codes each year, which are always effective October 1. ICD-10-CM (International Classification of Diseases) codes are divided into 22 chapters and are based oncode subjects. Chapter 22 (Codes for Special Purposes, U00-U85) is new this year and only includes twocodes: vaping-related disorder (U07.0) and COVID-19 (U07.1).o Resource: ICD-10-CM 2021 Tabular List of Diseases and Injuries (PDF)2021 ICD-10-CM eye-related code changes affect Chapter 7 (Diseases of the Eye and Adnexa), Chapter 18(Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified), Chapter 19(Injury, Poisoning and Certain Other Consequences of External Causes), Chapter 20 (External causes ofmorbidity), and Chapter 21 (Factors influencing health status and contact with health services).ICD-10-CM 2021 Code Change Task ChecklistTo avoid delays in claim processing and/or rejected or denied claims, your practice should set aside time to: Review and become familiar with the new codes. Add new codes and remove old codes in your“favorites” list in your EHR or practice managementsystem. Review plans, assessments, and outbounddocuments that were mapped from old codes to newcodes. Review and update all “code rules” you created inyour EHR and practice management software thatare affected by the new and deleted 2021 codes. Be careful when using “copy from previous” as many optometry software systems will copy over removedcodes. Make sure the primary ICD-10 codes match the primary chief complaint and reason for the visit inthe exam note. Check with your optometry and ophthalmology industry associations for specific coding changes andICD-10 coding resources. American Optometric Association Marketplace American Academy of Ophthalmology Academy StoreMaximEyes Software Simplifies ICD-10 Changes with Smart Selection ToolOn October 1, 2021, MaximEyes EHR and practice management software will automatically start using the new2021 ICD-10-CM codes. Easily find and select ICD-10 codes with an intuitive ICD Code Selection Tool thatautomatically prompts you for coding modifiers if you forget any.2021 ICD-10-CM Eye-Related Code Updates Page 2 of 6 First Insight Corporation www.first-insight.com 6723 NE Bennett Street, Suite 200, Hillsboro, OR 97124. Rev. 8/19/20
NEW (Added) 2021 ICD-10-CM CodesChapter 7: Diseases of the eye and adnexa (H00-H59)Summary: The new codes add one digit to the end of the corneal dystrophies and corneal dystrophy codes tospecify laterality and more accurately represent the patient’s condition.Pro Tip: Before you use an unspecified code (especially when it refers to laterality), the examining provider mustindicate the affected anatomy.CodeDescriptionH18.501Unspecified hereditary corneal dystrophies, right eyeH18.502Unspecified hereditary corneal dystrophies, left eyeH18.503Unspecified hereditary corneal dystrophies, bilateralH18.509Unspecified hereditary corneal dystrophies, unspecified eyeH18.511Endothelial corneal dystrophy, right eyeH18.512Endothelial corneal dystrophy, left eyeH18.513Endothelial corneal dystrophy, bilateralH18.519Endothelial corneal dystrophy, unspecified eyeH18.521Epithelial (juvenile) corneal dystrophy, right eyeH18.522Epithelial (juvenile) corneal dystrophy, left eyeH18.523Epithelial (juvenile) corneal dystrophy, bilateralH18.529Epithelial (juvenile) corneal dystrophy, unspecified eyeH18.531Granular corneal dystrophy, right eyeH18.532Granular corneal dystrophy, left eyeH18.533Granular corneal dystrophy, bilateralH18.539Granular corneal dystrophy, unspecified eyeH18.541Lattice corneal dystrophy, right eyeH18.542Lattice corneal dystrophy, left eyeH18.543Lattice corneal dystrophy, bilateralH18.549Lattice corneal dystrophy, unspecified eyeH18.551Macular corneal dystrophy, right eyeH18.552Macular corneal dystrophy, left eyeH18.553Macular corneal dystrophy, bilateralH18.559Macular corneal dystrophy, unspecified eyeH18.591Other hereditary corneal dystrophies, right eyeH18.592Other hereditary corneal dystrophies, left eye2021 ICD-10-CM Eye-Related Code Updates Page 3 of 6 First Insight Corporation www.first-insight.com 6723 NE Bennett Street, Suite 200, Hillsboro, OR 97124. Rev. 8/19/20
CodeDescriptionH18.593Other hereditary corneal dystrophies, bilateralH18.599Other hereditary corneal dystrophies, unspecific eyeH55.82Deficient smooth pursuit eye movementsChapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified(R00-R99)Summary: The new codes add one digit to the end for specificity for headaches.CodeDescriptionR51.0Headache with orthostatic component, not elsewhere classifiedR51.9Headache, unspecifiedChapter 19: Injury, poisoning and certain other consequences of external causes (S00-T88)Summary: The new codes add one digit to specify laterality that describes corneal transplant rejection, failure,infection, and complications.CodeDescriptionT86.8401Corneal transplant rejection, right eyeT86.8402Corneal transplant rejection, left eyeT86.8403Corneal transplant rejection, bilateralT86.8409Corneal transplant rejection, unspecified eyeT86.8411Corneal transplant failure, right eyeT86.8412Corneal transplant failure, left eyeT86.8413Corneal transplant failure, bilateralT86.8419Corneal transplant failure, unspecified eyeT86.8421Corneal transplant infection, right eyeT86.8422Corneal transplant infection, left eyeT86.8423Corneal transplant infection, bilateralT86.8429Corneal transplant infection, unspecified eyeT86.8481Other complications of corneal transplant, right eyeT86.8482Other complications or corneal transplant, left eyeT86.8483Other complications of corneal transplant, bilateralT86.8489Other complications of corneal transplant, unspecified eyeT86.8491Unspecified complication of corneal transplant, right eyeT86.8492Unspecified complication of corneal transplant, left eye2021 ICD-10-CM Eye-Related Code Updates Page 4 of 6 First Insight Corporation www.first-insight.com 6723 NE Bennett Street, Suite 200, Hillsboro, OR 97124. Rev. 8/19/20
CodeDescriptionT86.8493Unspecified complication corneal transplant, bilateralT86.8499Unspecified complication of corneal transplant, unspecified eyeChapter 20: External causes of morbidity (V00-Y99)Summary: The new codes add one digit to the end for specificity.CodeDescriptionY77.11Contact lens associated with adverse incidentsY77.19Other therapeutic (nonsurgical) and rehabilitative ophthalmic devices associated with adverse incidentsDELETED (Retired) 2021 ICD-10-CM CodesChapter 7: Diseases of the eye and adnexa (H00-H59)CodeDescriptionH18.50Unspecified hereditary corneal dystrophiesH18.51Endothelial corneal dystrophyH18.52Epithelial (juvenile) corneal dystrophyH18.53Granular corneal dystrophyH18.54Lattice corneal dystrophyH18.55Macular corneal dystrophyH18.59Other hereditary corneal dystrophiesChapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere er 19: Injury, poisoning and certain other consequences of external causes (S00-T88)CodeDescriptionT86.840Corneal transplant rejectionT86.841Corneal transplant failureT86.842Corneal transplant infectionT86.848Other complications of corneal transplantT86.849Unspecified complication of corneal transplant2021 ICD-10-CM Eye-Related Code Updates Page 5 of 6 First Insight Corporation www.first-insight.com 6723 NE Bennett Street, Suite 200, Hillsboro, OR 97124. Rev. 8/19/20
Chapter 20: External causes of morbidity (V00-Y99)CodeDescriptionY77.1Therapeutic (nonsurgical) and rehabilitative ophthalmic devices associated with adverse incidentsREVISED (Modified Descriptions) 2021 ICD-10-CM CodesChapter 7: Diseases of the eye and adnexa (H00-H59)CodeOld DescriptionNew DescriptionH55.81Saccadic eye movementsDeficient saccadic eye movementsChapter 21: Factors influencing health status and contact with health services (Z00-Z99)CodeOld DescriptionNew DescriptionZ88.1Allergy status to other antibiotic agents statusAllergy status to other antibiotic agentsZ88.2Allergy status to sulfonamides statusAllergy status to sulfonamidesZ88.3Allergy status to other anti-infective agents statusAllergy status to other anti-infective agentsZ88.4Allergy status to anesthetic agent statusAllergy status to anesthetic agentIndustry Resources: ICD-10-CM Codes 2021 ICD-10-CM Code Description Files (cdc.gov) 2021 ICD-10-CM Code Description Files (cms.gov) ICD-10-CM Tabular List of Diseases and Injuries (PDF) (cdc.gov) ICD-10 codes, reference guides by specialty and more (aapc.com) ICD-10-CM Web-based Browser Tool (cdc.gov) Free medical coding references (ICD10Data.com) National Uniform Claim Committee (nucc.org, American Medical Association) Health Insurance Claim Form (nucc.org) ICD-10-CM Expert for Physicians with Guidelines (optum360coding.com) ICD-10-CM 2021: The Complete Official Code Book (medicalcodingbooks.com)2021 ICD-10-CM Eye-Related Code Updates Page 6 of 6 First Insight Corporation www.first-insight.com 6723 NE Bennett Street, Suite 200, Hillsboro, OR 97124. Rev. 8/19/20
the new 2021 codes. This is the fifth mandated update to ICD-10-CM codes since ICD-10 codes went live on October 1, 2015. CMS and NCHS typically revise ICD-10 codes each year, which are always effective October 1. ICD-10-CM (International Classification of Diseases) codes are
ICD-9 724.02 ICD-10 M48.06 Spinal stenosis, lumbar region ICD-9 720.2 ICD-10 M46.1 Sacroiliitis, not elsewhere classified ICD-9 724.8 ICD-10 R29.898 Other symptoms and signs involving the ** musculoskeletal system ICD-9 721.42 ICD-10 M47.16 Other spondylosis with myelopathy, lumbar region ICD-9 723.1 ICD-10 M54.2 Cervicalgia ICD
More on ICD-10. ICD-10-PCS replaces ICD-9-CM inpatient procedure coding: ICD-9-CM procedure codes 3 to 4 numeric digits ICD-10-CM codes 7 alphanumeric digits ICD-10-PCS code format substantially different from ICD -9 Unlike ICD-9, ICD-10
ICD-10 Tips from PHCS The Road to ICD-10 Flyer AMA ICD-10 Project Plan Template Educational Tools Folder Precyse University ICD-10 Physician Office Solution Brochure Precyse Catalog of ICD-10 Courses ICD-10 Precyse Apps for Physicians Resources Folder Free Resources ICD-9 to ICD-10 Crosswalk of Most Common ICD-9 .
Dec 14, 2010 · ICD-9. ICD-10. ICD-9. ICD-10. Inactive. Active. Combined Code Set. Core Technologies. ICD-9 and ICD-10 code values are unique. Generally, the industry is taking one of two approaches as it relates to the ICD-10 transition: Remediation: Modify/expand all systems and processes to accommodate ICD-
ICD-10 to ICD-10-CM Based on FY2017 ICD-10-CM codes Category and subcategory codes are shaded in grey and marked with an Cells shaded in pink and marked with an *indicate the preferred code when a single code maps to multiple codes (see Introduction) Reportable Neoplasms . Type of Code ICD-10 Category Chapter II (Neoplasms) ICD-10 Term . ICD .
7/13/2015 1 Tonya Mitchell, RHIT July 17, 2015 Objectives Review the History of ICD‐10 Discuss the Myths and Facts of ICD‐10 Discuss GlGeneral DttiDocumentation CtConcepts Review ICD‐10 Documentation Concepts Analyze Documentation for Top Diagnosis in ICD‐10 WHY CHANGE FROM ICD‐9 TO ICD‐10? ICD‐9 was developed in the 1970s and cannot support current
of the previous ICD-9 coding system. The volume of ICD-10 codes as compared to ICD-9 codes is significant because in ICD-10, the code size has been expanded, code values and interpretations have been redefined and specificity has been further improved. Global ICD-10 adoption The current version of ICD is ICD-10, which was adopted by the World .
According to CMS, GEMs are “a tool to assist with the conversion of ICD-9-CM codes to ICD-10 and the conversion of ICD-10 codes back to ICD-9-CM. The GEMs are forward and backward mappings between the ICD-9-CM and ICD-10 coding systems.” Watch out: Although you’ll see the term “cr
