ICD-10-CM Coding Changes for 2020
Table of Contents
The Centers for Medicaid and Medicare Services (CMS) has issued ICD-10-CM coding changes for the fiscal year beginning October 1, 2019 through September 30, 2020. As accurate coding is essential to quicker reimbursement, ensure that you and your staff are knowledgeable to not miscode.
Let’s breakdown the biggest takeaways for 2020 ICD-10-CM coding changes.
NUMBER OF CODES INCREASES
Fiscal year 2019 included 71,932 codes. The new fiscal year totals 72,184. Those changes are reflected in 273 new codes, 21 deleted codes, and 30 revised codes.
NEW CODES BY CHAPTER
Number of new codes
|3||Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89)||5|
|8||Diseases of the ear and mastoid process (H60-H95)||1|
|9||Diseases of the circulatory system (I00-I99)||30|
|12||Diseases of the skin and subcutaneous tissue (L00-L99)||25|
|14||Diseases of the genitourinary system (N00-N99)||3|
|17||Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)||31|
|18||Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)||3|
|19||Injury, poisoning and certain other consequences of external causes (S00-T88)||87|
|20||External causes of morbidity (V00-Y99)||75|
|21||Factors influencing health status and contact with health services (Z00-Z99)||13|
NEW CODES BY CHAPTER
CHAPTER 9: DISEASES OF THE CIRCULATORY SYSTEM (I00-I99)
This chapter has 30 new codes, including four new atrial fibrillation ones (additionally two existing codes 148.1, 148.2 were removed).
Eight new codes were added to subcategory I80.2, Phlebitis and thrombophlebitis of other and unspecified deep vessels of lower extremities, to identify phlebitis and thrombophlebitis of the peroneal vein and calf muscle veins. Additionally, specific codes for lower extremity veins were added to subcategories 4 and 5.
CHAPTER 12: DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE (L00-L99)
CHAPTER 17: CONGENITAL MALFORMATIONS, DEFORMATIONS AND CHROMOSOMAL ABNORMALITIES (Q00-Q99)
CHAPTER 19: INJURY, POISONING AND CERTAIN OTHER CONSEQUENCES OF EXTERNAL CAUSES (S00-T88)
2019 Severity Level
2020 Severity Level
No. of ICD-10 Codes
% of Total
As you can see, most of the changes are related to a reduction in severity level, while only a few had an increased severity level.
OTHER NOTABLE CHANGES
DOWNLOAD ICD-10-CM CODE CHANGES
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