2020 ICD10-CM Updates
71,932 codes in ICD10-CM 2018
72,184 codes in ICD10-CM 2019
273 New Codes
21 Deleted Codes
30 revisions
As occurs every October 1 there are additions and deletions to the ICD10 code set.
This year is had very minor updates and changes related to chiropractic coding and claims. There is a new code for vertigo that allows a simpler code set. Also for providers who do foot orthosis there are several new codes for congenital foot issues that now allow coding to differentiate left and right.
This list compromises the codes most likely to affect chiropraxtic claims. As always The HJ Ross Digital Coding allows you to search for updates via a keyword search 10-1-2019 for this year, which corresponds to the effective date of the new code.
Pleasae note any care on or after October 1, 2019 must use the updated code or the claim will be denied for improper or invalid code.
A summary of the changes for each year 2017 to present is also listed) Those updates can be searched also by typing in 10-1- followed by the year 2018 or 2017) Note for Network members who do not subscribe to the AcuCode will not be able to do this search but can see the codes updated below.

Revision: G43A0 Cyclical vomiting, in migraine, not intractable
Revision: G43A1 Cyclical vomiting, in migraine, intractable

Add: H814 Vertigo of central origin
Delete: H8141 Vertigo of central origin, right ear
Delete: H8142 Vertigo of central origin, left ear
Delete: H8143 Vertigo of central origin, bilateral
Delete: H8149 Vertigo of central origin, unspecified ear

Revision: M50120 Mid-cervical disc disorder, unspecified level

Revision: M6688 Spontaneous rupture of other tendons, other sites

Revision: M67839 Other specified disorders of synovium and tendon, unspecified wrist

Revision: M7750 Other enthesopathy of unspecified foot and ankle
Revision: M7751 Other enthesopathy of right foot and ankle
Revision: M7752 Other enthesopathy of left foot and ankle

Revision: Z6843 Body mass index (BMI) 50.0-59.9, adult

Delete: Q660 Congenital talipes equinovarus
Add: Q6600 Congenital talipes equinovarus, unspecified foot
Add: Q6601 Congenital talipes equinovarus, right foot
Add: Q6602 Congenital talipes equinovarus, left foot

Delete: Q661 Congenital talipes calcaneovarus
Add: Q6610 Congenital talipes calcaneovarus, unspecified foot
Add: Q6611 Congenital talipes calcaneovarus, right foot
Add: Q6612 Congenital talipes calcaneovarus, left foot

Delete: Q6621 Congenital metatarsus primus varus
Add: Q66211 Congenital metatarsus primus varus, right foot
Add: Q66212 Congenital metatarsus primus varus, left foot
Add: Q66219 Congenital metatarsus primus varus, unspecified foot

Delete: Q6622 Congenital metatarsus adductus
Add: Q66221 Congenital metatarsus adductus, right foot
Add: Q66222 Congenital metatarsus adductus, left foot
Add: Q66229 Congenital metatarsus adductus, unspecified foot

Delete: Q663 Other congenital varus deformities of feet
Add: Q6630 Other congenital varus deformities of feet, unspecified foot
Add: Q6631 Other congenital varus deformities of feet, right foot
Add: Q6632 Other congenital varus deformities of feet, left foot

Delete: Q664 Congenital talipes calcaneovalgus
Add: Q6640 Congenital talipes calcaneovalgus, unspecified foot
Add: Q6641 Congenital talipes calcaneovalgus, right foot
Add: Q6642 Congenital talipes calcaneovalgus, left foot

Delete: Q667 Congenital pes cavus
Add: Q6670 Congenital pes cavus, unspecified foot
Add: Q6671 Congenital pes cavus, right foot
Add: Q6672 Congenital pes cavus, left foot
Delete: Q669 Congenital deformity of feet, unspecified
Add: Q6690 Congenital deformity of feet, unspecified, unspecified foot
Add: Q6691 Congenital deformity of feet, unspecified, right foot
Add: Q6692 Congenital deformity of feet, unspecified, left foot

Delete: Q796 Ehlers-Danlos syndrome
Add: Q7960 Ehlers-Danlos syndrome, unspecified
Add: Q7961 Classical Ehlers-Danlos syndrome
Add: Q7962 Hypermobile Ehlers-Danlos syndrome
Add: Q7963 Vascular Ehlers-Danlos syndrome
Add: Q7969 Other Ehlers-Danlos syndromes

Add: R1115 Cyclical vomiting syndrome unrelated to migraine

2019 Updates

– Myalgia
M79.10 Myalgia (myofascial pain syndrome), unspecified site
M79.11 Myalgia of mastication muscle
M79.12 Myalgia of auxiliary muscles, head and neck
M79.18 Myalgia, other site
Type 1 excludes (do not code together)
Fibromyalgia M79.7
Myositis M60.0-M60.9

– Post Partum Depression F53.0
– Muscular dystrophy G71.00-G71.09

2018 Updates

– Spinal stenosis lumbar M48.061-M48.062

2017 Updates

– TMJ disorder M26.601-M26.609, M26.611-M26.619, M26.621-M26.629, and M26.631-M26.639
– Cervical disc M50.020-M50-920
– Sprain of jaw S03.40XA-S03.43XS
– Post procedural states (post-surgical pain) Z89.890


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