On June 24, 2016, The Centers for Disease Control and Prevention (CDC) released 2017’s ICD-10-CM codes. These 2017 ICD-10-CM codes are to be used for patient encounters and for discharges occurring from October 1, 2016 through September 30, 2017.

What the CDC changed:

With the changes released, there are a total of 71,486 diagnosis codes. There are…

•  1,974 additions
•  311 deletions
•  425 revisions
•  There are addenda for the Index which is 90 pages
•  The Table of Drugs and Chemicals is 2 pages
•  The Neoplasm Table is 11 pages
•  The External Cause Index is 9 pages
•  Tabular is 160 pages
•  Two additional files include the Code Descriptor in Tabular Order file and Duplicate Code file are all available for download here.

Unfortunately, at this time, the Official Coding and Reporting Guidelines as well as the General Equivalence Mappings (GEMs) are still pending.

The list below highlights a few chapter additions that therapists might be interested in:

• Chapter 6 – Diseases of the Nervous System  |  Additions include G56.03 Carpal tunnel syndrome, bilateral upper limbs, G57.53 Tarsal tunnel syndrome, bilateral lower limbs, and numerous lesions of a variety of nerves.
• Chapter 9 – Diseases of the Circulatory System |  Addition of hypertensive diseases I10-I16, additions to the cerebral infarction (I63–) and cognitive deficits following cerebral infarction sequelae I69.310-I69.319, Sequelae of other cerebrovascular disease-Cognitive deficits following other cerebrovascular disease I69.810-I69.819. Sequelae of unspecified cerebrovascular diseases – cognitive deficits following unspecified cerebrovascular disease I69.910-I69.919.
• Chapter 13 – Diseases of the Musculoskeletal System and Connective Tissue |  Additions include bunion M21.611-M21.619, bunionette M21.621-M21.629, pain in joints of right M25.541 and left hand M25.542, right temporomandibular joint disorder M26.601 and Left temporomandibular joint disorder M26.602 and bilateral temporomandibular joint disorder M26.603 as well as other disorders of temporomandibular joint(s), cervical disc disorders M50.02-M50.923 specifying cervical level, atypical femoral fracture types M84.75-M84.759, and periprosthetic fracture around internal prosthetic joint M97-M97.9.
• Chapter 19 – Injury, Poisoning and Certain Other Consequences of External Causes |  Additions include fractures of skull S02.1-S02.11H, Fracture of orbital floor S02.3-S02.32, fracture of malar, maxillary and zygoma bones S02.4-S02.40F, additional specificity with fractures of the mandible and other facial bones, Sprain of jaw specificity codes added, fractures of the foot added S92.8-S92.819, and fractures of the calcaneus and metatarsal.

Please be sure your MDS Coordinators and Business Office Managers are aware of these updates.

Click here for frequently asked ICD-10-CM questions.

Gina Tomcsik, [email protected]

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