There are 473 new code changes starting October 1, 2018, with 279 new codes, 143 revised codes and 51 deactivated codes for FY 2019 ICD-10-CM with 39 additional changes added from the proposed rule.

In Chapter 2, Neoplasm, there are several new codes and changes. Here are some examples of new codes to this chapter:

  • Add C43.111 Malignant melanoma of right upper eyelid, including canthus
  • Add C43.112 Malignant melanoma of right lower eyelid, including canthus
  • No Change C43.12 Malignant melanoma of left eyelid, including canthus
  • Add C43.121 Malignant melanoma of left upper eyelid, including canthus
  • Add C43.122 Malignant melanoma of left lower eyelid, including canthus

In Chapter 7, Diseases of the Eye and Adnexa, there are several new codes. Here are two examples:

  • Add H01.00A Unspecified blepharitis right eye, upper and lower eyelids
  • Add H01.00B Unspecified blepharitis left eye, upper and lower eyelids

Within the changes for “External Cause” codes, the following is the ICD-10-CM External Cause of Injuries Index 2019 Addenda:

  • No Change A
  • No Change Accident (to) X58
  • No Change– transport (involving injury to) V99
  • No Change– – pedestrian
  • No Change– – – conveyance (occupant) V09.9
  • Revise from– – – – baby stroller V00.828
  • Revise to– – – – baby stroller V00.828
  • No Change P
  • No Change Perpetrator, perpetration, of assault, maltreatment and neglect (by) Y07.9
  • Add- multiple perpetrators6
  • No Change Place of occurrence9
  • Revise from- road Y92.488
  • Revise to– road Y92.410

New codes in Chapter 19, Injury, poisoning and certain other consequences of external causes (S00-T88) are below:

  • 3 Psychological abuse, confirmed
  • Add Bullying and intimidation, confirmed
  • Add Intimidation through social media, confirmed
  • Add T74.5 Forced sexual exploitation, confirmed
  • Add T74.51 Adult forced sexual exploitation, confirmed
  • Add T74.52 Child sexual exploitation, confirmed
  • Add T74.6 Forced labor exploitation, confirmed
  • Add T74.61 Adult forced labor exploitation, confirmed
  • Add T74.62 Child forced labor exploitation, confirmed

Remember that the 2019 ICD-10CM codes are to be used from October 1, 2018 through September 30, 2019.

Reference: https://www.cdc.gov/nchs/icd/icd10cm.htm