2017 Updated on ICD-10 CM codes for Cardiology

The Oct. 1, 2016, updates to the ICD-10 code sets comprises around 1,943 additional codes and at least 400 code revisions. The really good news is that all those changes will apply to all healthcare professionals.

For cardiology practices, there are three top cardiology coding changes in the ICD-10 updates:

  1. Hypertensive crisis
  2. Familial hypercholesterolemia
  3. Myocardial infarction

Hypertensive Crisis

ICD-10-CM for 2017 provides specific codes for hypertensive urgency and emergency, which are both considered hypertension crises. In the switch to ICD-10-CM, hypertension stopped being classified as malignant, benign, or unspecified, as it was in ICD-9-CM, and the terms “emergency” and “urgency” disappeared. The update for 2017 adds these two terms back in and goes one step further by having specific codes for the concepts.

  • 0 Hypertensive urgency
  • 1 Hypertensive emergency
  • 9 Hypertensive crisis, unspecified

Familial hypercholesterolemia

To code the condition familial hypercholesterolemia currently, you’d have to settle for E78.0 (Pure hypercholesterolemia). But the word “pure hypercholesterolemia” (as opposed to mixed hypercholesterolemia) is an inaccurate means of referring to the genetic disorder familial hypercholesterolemia (FH), which can be linked with other indicators other than high blood cholesterol, like yellowish patches of cholesterol deposits under the skin in places like the eyelids. Because ICD-10 is all about precision, for FY 2017 it deletes E78.0 and adds the following new codes:

  • 00 (Pure hypercholesterolemia, unspecified)
  • 01 (Familial hypercholesterolemia)

Myocardial infarction

  • Section I21 has Type 2 Exclusions. These are conditions that are not covered by the codes in this section. Be sure to review section I21’s exclusions before using this code for reimbursement purposes.
  • Codes in section I21 must be followed by one or more additional code(s) that represent the manifestation. Therefore, if you are using code I21.3 for reimbursement purposes, be sure to refer to I21.

Also Read: Top ICD-10-CM Changes for Cardiology in 2017

Included terms

The following additional terms are covered by code I21.3. They are intended to further define the code.

  • Acute transmural myocardial infarction of unspecified site
  • Myocardial infarction (acute) NOS
  • Transmural (Q wave) myocardial infarction NOS

For more one ICD-10-CM 2017 Updates for Cardiology, join expert speaker Terry A. Fletcher, in a Live Conference on Thu, Sep 15, 2016. During this session, Terry will provide you with all the insights on ICD-10-CM codes for Cardiology, preparing you for 2017 and beyond.

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