CMS Releases 2019 ICD-10CM Updates with Significant Changes to Ophthalmology Codes
This week, the Centers for Medicare and Medicaid Services (CMS) released the ICF-10CM updates for FY 2019. The 2019 ICD-10-CM codes are to be used for patient encounters and discharges occurring from October 1, 2018 through September 30, 2019. Below is a list of the 2019 ICD-10 code changes that impact ophthalmology.
2019 ICD-10 Ophthalmic Code Changes
A92.5 Zika virus disease
- Adds note: Excludes 1: congenital zika virus disease (P35.4)
C43 - Malignant melanoma of skin - new category
C4A - Markel cell carcinoma - new category
C44 - Other and unspecified malignant neoplasm of skin - new category
D03 - Melanoma in situ - new category
D04 - Carcinoma in situ of skin - new category
D22 - Melanocytic nevi - new category
D23 - Other benign neoplasms of skin - new category
- Adds new diagnosis codes for upper and lower eyelid of right and left eye, including canthus in the above categories
G51 - Facial nerve disorders
- Adds codes for G51.31, Clonic hemifacial spams, right
- G51.31, Clonic hemifacial spasm, left
- G51.33, Clonic hemifacial spasm, bilateral
- G51.39, Clonic hemifacial spasm, unspecified
G71.0 - Primary disorders of muscles
- Deleted examples under G71.0, Muscular dystrophy and added more specific descriptions of muscular dystrophy
H01 - Other inflammation of eyelid
H02 - Other disorders of eyelid
- Adds new diagnosis codes for upper and lower eyelid of right and left eye and bilateral
H02.88 - Meibomian gland dysfunction of eyelid
- New category
- Also includes codes for upper and lower eyelid of right and left eye and bilateral
H04 - Disorders of lacrimal system
- Revises diagnosis code descriptions to remove reference to “lacrimal gland”
H10.51 - Ligneous conjunctivitis
- Adds statement to code also underlying condition if known, such as: plasminogen deficiency (E88.02)
H10.82 - Rosacea conjunctivitis
- Adds statement to code first underlying rosacea dermatitis (L71.-)
- Adds new codes for right eye, left eye, bilateral and unspecified rosacea conjunctivitis
H57.81 - Brow ptosis
- Adds new codes for right, left, bilateral and unspecified brow ptosis
- Adds new code H57.89, Other specified disorders of eye and adnexa
Please visit the CMS website to access the full list of updates.