Post by mdeyedoc on Sept 22, 2019 12:12:49 GMT -6
I've attached my updated ICD10 code file for 2020 and the change file from CMS (icd10cm_codes_addenda_2020.txt). These codes take effect 10/1/2019.
Warning: if you edit you code file in Excel, make sure you save it as a .csv file or it will drop trailing zeros and your claims will bounce.
These are the eye related codes I added. Note: I only added the initial visit and sequela on the fracture codes for the very unlikely event we will be the first to see these patients or we see them for some sequela from the fracture. I also removed some of the existing subsequent orbital floor fracture codes for the same reason. I don't include unbillable codes and I generally exclude unspec eye codes because I figure we should know what eye is involved. I do keep unspec eye in some of the lid and neuro codes because I refuse to use 4 codes for blepharitis.
Z01.020 Exam of eyes and vision following failed vision screening without abnormal findings
Z01.021 Exam of eyes and vision following failed vision screening with abnormal findings
S02.121A Fracture of orbital roof, right side, closed fracture, initial
S02.121B Fracture of orbital roof, right side, open fracture, initial
S02.121S Fracture of orbital roof, right side, sequela
S02.122A Fracture of orbital roof, left side, closed fracture, initial
S02.122B Fracture of orbital roof, left side, open fracture, initial
S02.122S Fracture of orbital roof, left side, sequela
S02.831A Fracture of medial orbital wall, right side, closed fracture, initial
S02.831B Fracture of medial orbital wall, right side, open fracture, initial
S02.831S Fracture of medial orbital wall, right side, sequela
S02.832A Fracture of medial orbital wall, left side, closed fracture, initial
S02.832B Fracture of medial orbital wall, left side, open fracture, initial
S02.832S Fracture of medial orbital wall, left side, sequela
S02.841A Fracture of lateral orbital wall, right side, closed fracture, initial
S02.841B Fracture of lateral orbital wall, right side, open fracture, initial
S02.841S Fracture of lateral orbital wall, right side, sequela
S02.842A Fracture of lateral orbital wall, left side, closed fracture, initial
S02.842B Fracture of lateral orbital wall, left side, open fracture, initial
S02.842S Fracture of lateral orbital wall, left side, sequela
S02.85XA Fracture of orbit, unspec, closed fracture, initial
S02.85XB Fracture of orbit, unspec, open fracture, initial
S02.85XS Fracture of orbit, unspec, sequela
To use my code file:
Go to Admin/Diag codes
Select Import From File
Browse to wherever you saved the codes cvs file and upload it. It will overwrite the existing code file so, if you made any modifications to the existing file you will lose them.
AFAIK, if you update to Crystal's 2020 codes you will also lose any modifications you made.
From my notes from 2 years ago:
I edited some codes to make them easier to differentiate in a search and/or to shorten them. I added or substituted some common abbreviations like T1D, DME, CRVO, BRVO, EKC, RCE. I added examples or common labels for diseases that fall under obscure descriptions (e.g. EBMD, Kruckenberg Spindle, lid twitch) to help find them in a search. Terms that I have added to a description are in parentheses.
I added (SX) to codes that were more symptoms so I could find them more easily. EG. Ocular pain, unspecified visual disturbances, visual discomfort, visual distortion of shape and size, other subjective visual disturbances, unspecified night blindness, glare, impaired contrast sensitivity, other specified disorders of eye/adnexa. I added (unknown) to the head scratcher unspecified XYZ codes so I can find them when all else fails.
These are the search terms I use on my diagnosis buttons that work with my code descriptions to narrow down the options as much as possible:
IOL <a>Pseudophakia</a>
Blepharitis <a>Unspecified blepharitis</a>
Int Hordeolum <a>Hordeolum internum</a>
Ext Hordeolum <a>Hordeolum externum</a>
Chalazion <a>Chalazion</a>
Dermatochalasis <a>Dermatochalasis</a>
Subconj hem <a>Conjunctival hemorrhage</a>
Allergic Conj <a>Acute atopic conjunctivitis</a>
Bacterial Conj <a>Other mucopurulent conjunctivitis</a>
Pinguecula <a>Pinguecul</a> (drop the a at the end to get pinguecula AND pingueculitis )
CLARE <a>Corneal disorder due to contact lens</a>
SPK <a>superficial keratitis</a>
Corneal abrasion <a>corneal abrasion</a>
Dry Eye <a>Dry eye</a> (displays aqueous deficiency and KCS)
Pterygium <a>Pterygium</a>
EBMD <a>Other hereditary corneal dystrophies</a>
Uveitis <a>acute iridocyclitis</a>
Corneal FB <a>FB cornea,</a>
EKC <a>Keratoconjunctivitis due to adenovirus</a>
Cataracts <a>age-related cataract</a> (only displays age-related cataract options)
PCO <a>other secondary cataract</a>
POAG <a>(POAG)</a>
G Susp Lo <a>Open angle w borderline findings low</a>
G Susp Hi <a>Open angle w borderline findings high</a>
NAG Susp <a>Anatomical narrow angle</a>
T1D <a>T1D w/o complications</a> (only pulls up w/o comps. Other buttons are used with complications)
T2D <a>T2D w/o complications</a> (only pulls up w/o comps. Other buttons are used with complications)
NPDR <a>NPDR (diabetes)</a> (the “(diabetes)” only displays T1/T2)
ProDR <a>Proliferative DR (diabetes)</a> (the “(diabetes)” only displays T1/T2)
DME <a>with DME (diabetes)</a> (the “(diabetes)” only displays T1/T2)
BRVO <a>retinal vein</a> (gives CRVO and BRVO)
Choroidal Nevus <a>Benign neoplasm of choroid</a>
Retinal Degen <a>retdegen</a>
Floaters <a>vitreous opacities</a>
PVD <a>Vitreous degeneration</a>
ERM <a>Macular Pucker</a>
Drusen <a>drusen degenerative</a>
AMD-Dry <a>Dry AMD</a>
AMD-Wet <a>Wet AMD</a>
RCE <a>Recurrent erosion of cornea</a>
Warning: if you edit you code file in Excel, make sure you save it as a .csv file or it will drop trailing zeros and your claims will bounce.
These are the eye related codes I added. Note: I only added the initial visit and sequela on the fracture codes for the very unlikely event we will be the first to see these patients or we see them for some sequela from the fracture. I also removed some of the existing subsequent orbital floor fracture codes for the same reason. I don't include unbillable codes and I generally exclude unspec eye codes because I figure we should know what eye is involved. I do keep unspec eye in some of the lid and neuro codes because I refuse to use 4 codes for blepharitis.
Z01.020 Exam of eyes and vision following failed vision screening without abnormal findings
Z01.021 Exam of eyes and vision following failed vision screening with abnormal findings
S02.121A Fracture of orbital roof, right side, closed fracture, initial
S02.121B Fracture of orbital roof, right side, open fracture, initial
S02.121S Fracture of orbital roof, right side, sequela
S02.122A Fracture of orbital roof, left side, closed fracture, initial
S02.122B Fracture of orbital roof, left side, open fracture, initial
S02.122S Fracture of orbital roof, left side, sequela
S02.831A Fracture of medial orbital wall, right side, closed fracture, initial
S02.831B Fracture of medial orbital wall, right side, open fracture, initial
S02.831S Fracture of medial orbital wall, right side, sequela
S02.832A Fracture of medial orbital wall, left side, closed fracture, initial
S02.832B Fracture of medial orbital wall, left side, open fracture, initial
S02.832S Fracture of medial orbital wall, left side, sequela
S02.841A Fracture of lateral orbital wall, right side, closed fracture, initial
S02.841B Fracture of lateral orbital wall, right side, open fracture, initial
S02.841S Fracture of lateral orbital wall, right side, sequela
S02.842A Fracture of lateral orbital wall, left side, closed fracture, initial
S02.842B Fracture of lateral orbital wall, left side, open fracture, initial
S02.842S Fracture of lateral orbital wall, left side, sequela
S02.85XA Fracture of orbit, unspec, closed fracture, initial
S02.85XB Fracture of orbit, unspec, open fracture, initial
S02.85XS Fracture of orbit, unspec, sequela
To use my code file:
Go to Admin/Diag codes
Select Import From File
Browse to wherever you saved the codes cvs file and upload it. It will overwrite the existing code file so, if you made any modifications to the existing file you will lose them.
AFAIK, if you update to Crystal's 2020 codes you will also lose any modifications you made.
From my notes from 2 years ago:
I edited some codes to make them easier to differentiate in a search and/or to shorten them. I added or substituted some common abbreviations like T1D, DME, CRVO, BRVO, EKC, RCE. I added examples or common labels for diseases that fall under obscure descriptions (e.g. EBMD, Kruckenberg Spindle, lid twitch) to help find them in a search. Terms that I have added to a description are in parentheses.
I added (SX) to codes that were more symptoms so I could find them more easily. EG. Ocular pain, unspecified visual disturbances, visual discomfort, visual distortion of shape and size, other subjective visual disturbances, unspecified night blindness, glare, impaired contrast sensitivity, other specified disorders of eye/adnexa. I added (unknown) to the head scratcher unspecified XYZ codes so I can find them when all else fails.
These are the search terms I use on my diagnosis buttons that work with my code descriptions to narrow down the options as much as possible:
IOL <a>Pseudophakia</a>
Blepharitis <a>Unspecified blepharitis</a>
Int Hordeolum <a>Hordeolum internum</a>
Ext Hordeolum <a>Hordeolum externum</a>
Chalazion <a>Chalazion</a>
Dermatochalasis <a>Dermatochalasis</a>
Subconj hem <a>Conjunctival hemorrhage</a>
Allergic Conj <a>Acute atopic conjunctivitis</a>
Bacterial Conj <a>Other mucopurulent conjunctivitis</a>
Pinguecula <a>Pinguecul</a> (drop the a at the end to get pinguecula AND pingueculitis )
CLARE <a>Corneal disorder due to contact lens</a>
SPK <a>superficial keratitis</a>
Corneal abrasion <a>corneal abrasion</a>
Dry Eye <a>Dry eye</a> (displays aqueous deficiency and KCS)
Pterygium <a>Pterygium</a>
EBMD <a>Other hereditary corneal dystrophies</a>
Uveitis <a>acute iridocyclitis</a>
Corneal FB <a>FB cornea,</a>
EKC <a>Keratoconjunctivitis due to adenovirus</a>
Cataracts <a>age-related cataract</a> (only displays age-related cataract options)
PCO <a>other secondary cataract</a>
POAG <a>(POAG)</a>
G Susp Lo <a>Open angle w borderline findings low</a>
G Susp Hi <a>Open angle w borderline findings high</a>
NAG Susp <a>Anatomical narrow angle</a>
T1D <a>T1D w/o complications</a> (only pulls up w/o comps. Other buttons are used with complications)
T2D <a>T2D w/o complications</a> (only pulls up w/o comps. Other buttons are used with complications)
NPDR <a>NPDR (diabetes)</a> (the “(diabetes)” only displays T1/T2)
ProDR <a>Proliferative DR (diabetes)</a> (the “(diabetes)” only displays T1/T2)
DME <a>with DME (diabetes)</a> (the “(diabetes)” only displays T1/T2)
BRVO <a>retinal vein</a> (gives CRVO and BRVO)
Choroidal Nevus <a>Benign neoplasm of choroid</a>
Retinal Degen <a>retdegen</a>
Floaters <a>vitreous opacities</a>
PVD <a>Vitreous degeneration</a>
ERM <a>Macular Pucker</a>
Drusen <a>drusen degenerative</a>
AMD-Dry <a>Dry AMD</a>
AMD-Wet <a>Wet AMD</a>
RCE <a>Recurrent erosion of cornea</a>
Ocular migraine <a>scintillating scotoma</a>
Marcia
