2021 ICD10-CM Updates

2021 update 10-1-2020

  • 72,616 Codes
  • 490 Additions
  • 58 Deletions
  • 47 Revisions

As occurs every October 1 there are additions and deletions to the ICD10 code set that is effective on October 1, 2020. Though these are 2021 codes the effective date is October 1 of the prior year.

The most likely one that can affect your day to day coding is a new code for unspecified headache. There are also updates however to arthropathy/arthritis to the TMJ, osteochondrosis, and contusion/abrasion of the chest wall. There are more that may possibly affect your coding for neuromusculoskeletal codes listed below.

This list compromises the codes most likely to affect chiropractic claims. As always The HJ Ross Digital Coding allows you to search for updates via a keyword search but also by using “10-1-2020” as a search that corresponds to the effective date of the new code.

Please note any care on or after October 1, 2020, 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 in the Digital Coding) Those updates can be searched also by typing in 10-1- followed by the year 2017, 2018, 2019, or 2020)

Note for Network members who do not subscribe to the digital coding will not be able to do this search but can see the codes listed below or simply request directly from Sam.

Delete:      R51     Headache

New:         R51.0    Headache with orthostatic component, not elsewhere classified

New:         R51.9    Headache, unspecified (note this includes the approximate Synonyms: Cervicogenic headache; Chronic facial pain; Chronic mixed headache syndrome; Chronic pain in face; Craniofacial pain; Daily headache; Facial pain; Facial pain, chronic;, Headache, cervicogenic Headache, chronic daily; Headache, mixed;  Headache, occipital; Headache, sinus; Occipital headache; Pain in face; Sinus headache; & Sinus pain

 

New:         M19.09   Primary osteoarthritis, other specified site

New:         M19.19   Post-traumatic osteoarthritis, other specified site

New:         M19.29   Secondary osteoarthritis, other specified site

 

New:         M24.19   Other articular cartilage disorders, other specified site

New:         M24.29   Disorder of ligament, other specified site

New:         M24.39   Pathological dislocation of other specified joint, not elsewhere classified

New:         M24.49   Recurrent dislocation, other specified joint

New:         M24.59   Contracture, other specified joint

New:         M24.69   Ankylosis, other specified joint

New:         M24.89   Other specific joint derangement of other specified joint, not elsewhere

classified

 

New:         M25.39   Other instability, other specified joint

New:         M25.59   Pain in other specified joint

New:         M25.69   Stiffness of other specified joint, not elsewhere classified

 

New:         M26.641  Arthritis of right temporomandibular joint

New:         M26.642  Arthritis of left temporomandibular joint

New:         M26.643  Arthritis of bilateral temporomandibular joint

New:         M26.649  Arthritis of unspecified temporomandibular joint

New:         M26.651  Arthropathy of right temporomandibular joint

New:         M26.652  Arthropathy of left temporomandibular joint

New:         M26.653  Arthropathy of bilateral temporomandibular joint

New:         M26.659  Arthropathy of unspecified temporomandibular joint

 

Delete:      M92.50   Juvenile osteochondrosis of tibia and fibula, unspecified leg

New:         M92.501  Unspecified juvenile osteochondrosis, right leg

New:         M92.502  Unspecified juvenile osteochondrosis, left leg

New:         M92.503  Unspecified juvenile osteochondrosis, bilateral leg

New:         M92.509  Unspecified juvenile osteochondrosis, unspecified leg

Delete:      M92.51   Juvenile osteochondrosis of tibia and fibula, right leg

New:         M92.511  Juvenile osteochondrosis of proximal tibia, right leg

New:         M92.512  Juvenile osteochondrosis of proximal tibia, left leg

New:         M92.513  Juvenile osteochondrosis of proximal tibia, bilateral

New:         M92.519  Juvenile osteochondrosis of proximal tibia, unspecified leg

Delete:      M92.52   Juvenile osteochondrosis of tibia and fibula, left leg

New:         M92.521  Juvenile osteochondrosis of tibia tubercle, right leg

New:         M92.522  Juvenile osteochondrosis of tibia tubercle, left leg

New:         M92.523  Juvenile osteochondrosis of tibia tubercle, bilateral

New:         M92.529  Juvenile osteochondrosis of tibia tubercle, unspecified leg

New:         M92.591  Other juvenile osteochondrosis of tibia and fibula, right leg

New:         M92.592  Other juvenile osteochondrosis of tibia and fibula, left leg

New:         M92.593  Other juvenile osteochondrosis of tibia and fibula, bilateral

New:         M92.599  Other juvenile osteochondrosis of tibia and fibula, unspecified leg

 

New:         S20.213A Contusion of bilateral front wall of thorax, initial encounter

New:         S20.213D Contusion of bilateral front wall of thorax, subsequent encounter

New:         S20.213S Contusion of bilateral front wall of thorax, sequela

New:         S20.214A Contusion of middle front wall of thorax, initial encounter

New:         S20.214D Contusion of middle front wall of thorax, subsequent encounter

New:         S20.214S Contusion of middle front wall of thorax, sequela

New:         S20.223A Contusion of bilateral back wall of thorax, initial encounter

New:         S20.223D Contusion of bilateral back wall of thorax, subsequent encounter

New:         S20.223S Contusion of bilateral back wall of thorax, sequela

New:         S20.224A Contusion of middle back wall of thorax, initial encounter

New:         S20.224D Contusion of middle back wall of thorax, subsequent encounter

New:         S20.224S Contusion of middle back wall of thorax, sequela


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