Don’t Be Intimidated by ICD-10-CM Changes

Don’t Be Intimidated by ICD-10-CM Changes – October 2016
by Margaret M. Maley, BSN, MS

A systematic look at the code update in orthopaedics

The 2,000 new ICD-10-CM (International Classification of Diseases, 10th edition, Clinical Modification) codes that go into effect Oct. 1, 2016, shouldn’t send you into a panic. The changes, when analyzed and approached systematically, are not overwhelming.

This article addresses changes in the musculoskeletal and injury chapters that affect orthopaedics. It does not cover editorial changes, additional punctuation, and codes not typically used by orthopaedic surgeons. Keep this article handy while examining the entire list of code changes in these two chapters. The online version of this article links to the 2017 changes. Choose the option “2017 Addendum,” then “tabular addenda.”

Gout
The “excludes 1” note for the M1A–Chronic Gout and the M10–Gout code categories has been eliminated. The “excludes 1” note indicated that the two listed codes should never be reported together and prevented the reporting of acute and chronic gout concurrently. These categories now have an “excludes 2” note, so the two codes can be used together if both conditions exist at the time.

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