There are going to be some major coding updates and changes for Orthopedic Surgery in 2017. The recommended additions, revisions, and deletions of the ICD-10 codes is roughly 1900 in number. Some of the changes in ICD-10 codes for Orthopedic Surgery for 2017 are:
Diseases of the Nervous System (G00-G99):
Additions: Mononeuropathies of the upper limb (G56):
- 03: Carpal Tunnel Syndrome, bilateral upper limb.
- 13: Other lesion of the Median nerve, bilateral upper limb.
- 23: Lesion of Ulnar nerve, bilateral upper limb.
- 33: Lesion of the Radial nerve, bilateral upper extremity.
- 43: Causalgia, bilateral upper limb.
- 83: Other Specified Mononeuropathy, bilateral upper limb.
Additions: Mononeuropathies of the lower limb (G57):
- 03: Lesion of the Sciatic Nerve, bilateral lower limb.
- 13: Meralgia Paresthetica, bilateral lower limb.
- 23: Lesion of Femoral nerve, bilateral lower limb.
- 33: Lesion of Lateral Popliteal nerve, bilateral lower limb.
- 43: Lesion of Medial Popliteal nerve, bilateral lower limb.
- 53: Tarsal Tunnel Syndrome, bilateral lower limb.
- 63: Lesion of the Plantar Nerve, bilateral lower limb
- 73: Causalgia, bilateral lower limb.
- 83: Other Specified Mononeuropathy, bilateral lower limb.
Diseases of the Skin and Subcutaneous Tissue (L00-L99):
Additions: Intra-operative and post-procedural complications of skin and subcutaneous tissue (L76):
- 22: Post-procedural hemorrhage of subcutaneous tissue and skin following a non-dermatologic procedure (deleted the words “and hematoma”).
- 32: Post-procedural hematoma of subcutaneous tissue and skin following a non-dermatologic procedure.
Diseases of the Musculoskeletal System and Connective Tissue (M00- M99):
Additions: Other acquired deformities of the foot (M21.6):
- 611: Bunion right foot.
- 612: Bunion left foot.
- 621: Bunionette right foot.
- 622: Bunionette left foot.
Additions: Other disorders of muscle (M62):
- 84: Sarcopenia(muscle wasting and weakness; is a common cause of falls, particularly in the elderly and debilitated).
Additions: Peri-prosthetic fractures (M97):
- 0 X: Peri-prosthetic fracture around an implanted hipjoint prosthesis.
- 1 X: Peri-prosthetic fracture around an implanted kneejoint prosthesis.
- 2 X: Peri-prosthetic fracture around an implanted anklejoint prosthesis.
- 3 X: Peri-prosthetic fracture around an implanted shoulderjoint prosthesis.
- 4 X: Peri-prosthetic fracture around an implanted elbowprosthesis.
- 8XX _: Peri-prosthetic fracture around “other” implanted joint prosthesis.
Poisoning, and certain other consequences of external causes (T00-T88):
Revisions: T84.0: Mechanical complication of internal joint prosthesis
Deletions: T84.04: Peri-prosthetic fracture around a joint prosthesis and replaced by the Code Set M97: Peri-prosthetic fractures.
Other External Causes of Accidental Injury (W00-W95):
Additions: Contact with knife, sword, or dagger (W26):
- 2XX_: Contact with edge of stiff paper (paper cut).
- 8XX_: Contact with other sharp object, not elsewhere classified.
Deletions: Foreign body or object entering through skin (W45):
- 1XX_: Paper entering through skin.
- 2XX_: Lid of can entering through skin.
Factors influencing health status and contact with health services (Z00-Z99):
Additions: Persons encountering health services for specific procedures and treatment, not carried out (Z53):
- 33: Arthroscopic surgical procedure converted to an open procedure.
Additions: Other post-procedural states (Z98):
- 890: Other specified post-procedural state.
For more insights on all the changes that will affect Orthopedic Offices for the FY 2017, attend this Webinar by expert speaker Margie Scalley Vaught, CPC, CPC-H, CPC-I, CCS-P, PCE, MCS-P, ACS-EM, ACS-OR, who has over 30+ years’ experience in the healthcare industry, and understands how offices are structured. You will also learn about the new/revised/deleted CPT® codes for orthopedic offices for FY 2017.
