Allergy

NEW

Code Description

D89.40 Mast cell activation, unspecified

D89.41 Monoclonal mast cell activation syndrome

D89.42 Idiopathic mast cell activation syndrome

D89.43 Secondary mast cell activation

D89.49 Other mast cell activation disorder

NEWS
New Coding Clinic Reveals Insights Into New and
Revised Codes Effective Oct. 1, 2016
2016-10-06
AHA Coding Clinic for ICD-10-CM and PCS, Vol. 3, No. 4, updates you about the
addition of new and revised ICD-10-CM and PCS codes implemented Oct. 1, 2016,
covering a wide range of specialties. This issue will also guide you on the importance of
adding laterality and using seventh characters to identify stages of severity in diabetes.
These concepts relate to the addition of roughly 250 new codes for diabetic ophthalmic
complications alone.
Take advantage of SuperCoders code and keyword search to keep your skills up to date:
Guideline Changes for Coding and Reporting, ICD-10-CM: A00, A92.5, B99, E00, E89,
F45.8, G47.63, I00, I12, I13, I16, I21 , I50.- , I51.4-I51.9, I63, I99, L00, L89, L99, M00,
M99, N18, O00, O08, O09, O24.4 , O80, O9A, P00, P96, R00, R29.7-, R40.2-, R99, S00,
T76, T88, X92, Y07, Y09, Z00, Z00.0-, Z04.41, Z04.42, Z05, Z19, Z20.828, Z29, Z33.32,
Z38, Z3A, Z51, Z68, Z72, Z79.4, Z79.84, Z99
Guideline Changes for Coding and Reporting, ICD-10-PCS
Assist Device, Heart: 02H, 02HA3RS, 02PA3RZ, 5A0, 5A0221D

ICD-10-CM Updates
Abnormal Findings, Diagnostic Imaging: R93.4-R93.49
Abnormal Prostate Specific Antigen Levels: R97, R97.2- R97.21
Age-Related Macular Degeneration: H35.311-H35.319, H35.321-H35.329, H35.361,
H35.362, Z01.01
Amblyopia: H53.04- H53.049
Arterial Tortuosity Syndrome: Q87.82
Autoinflammatory Syndromes: M04- M04.9
Bacteriuria: R82.7-R82.79
Behavioral and Neurodevelopmental Disorders: F01, F32.81, F32.89, F34.81, F34.89,
F42-F42.9, F50.81, F50.89, F64, F64.1, F80.82, F99, L98.1, N94.3
Bladder Pain, Chronic: R39.8-R39.89
Bunion, Bunionette: M20.1-, M21.6-M21.619, M21.621-M21.629
Car Occupant Injured in Collision: V47
Cardiac and Vascular Prosthetic Devices, Complications: T83-T83.729
Castleman Disease: D47.Z, D47.Z2
Cerebral Infarction, Bilateral: I63
Cervical Disc Disorders: M50.0-M50.9
Choking Game: Y93.8, Y93.85, R41.0, T71.191A
Coarctation and Atresia, Aorta: Q25.1-Q25.29
Cognitive Sequelae, Cerebrovascular Diseases: I69
Complications of Pregnancy, Labor and Delivery, Newborn: E83.41, P00-P04, Z05,
Z05.41, Z38.00
Concussion: S06, S06.0, S06.0X9, S06.1-, S06.6-, S06.81-, S06.82-
Congenital Malformations, Aorta: Q25.4-Q25.49
Constipation: K59.03, K59.04
Contact With Sharp Objects: W26-W26.9
Dental Codes: K04-K08
Diabetes, Ophthalmic Complications: E08.3- E13.3
Dislocations and Sprains, Jaw: S03.0, S03.4
Dyspareunia: N94.1- N94.19
Ectopic and Molar Pregnancy: O00.00-O00.91, O09.1, O09.10-O09.13, O09.A, O09.A0-
O09.A3
Excessive Skin and Subcutaneous Tissue: L98, L98.7
Exocrine Pancreatic Insufficiency: K86, K86.81, K86.89
Femoral Fractures, Atypical: M84.75, T45.8X5A, Z79.83
Fossa Navicularis Urethral Stricture, Postprocedural: N99.11, N99.113, N99.115
Fracture, Foot: S92.81
Gastroenteritis and Colitis, Noninfective: K52-K52.839
Gastrointestinal Stromal Tumor: C49.A-C49.A0
Genitourinary Prosthetic Devices, Complications: T82.81-T82.84, T82.855-T82.858,
T82.86
Gestational Diabetes Mellitus: O24.4-O24.435
Glasgow Coma Scale: R40.2-, R40.21-, R40.22-, R40.23-, R40.24-
Glaucoma: H40.1- H40.119
Gluten Sensitivity and Malabsorption, Non-Celiac: K90.4, K90.41, K90.49
Hearing Loss: H90.A11- H90.A32, Z01.10, Z86.69
Hematoma, Hemorrhage, and Seroma, Postprocedural: D78.-, E89.8.-, G97.-, H59.3.-,
H95.-, I97.6.-, J95.8.-, K91.-, L76.-, M96.8-, M96.841, N99.8-
Hematuria, Microscopic: R31.2-R31.29
Hypercholesterolemia: E78.0-E78.01
Hypertension in Pregnancy: O10-O16
Hypertensive Crisis, Urgency, and Emergency: I10, I15, I16.0- I16.9, I61.0, I16.1,
00C00ZZ
Internal Prosthetic Devices, Complications: T85-T85.89
Irritable Bowel Syndrome: K58.1-K58.8
Longitudinal Vaginal Septum: N89.7, Q52.12- Q52.129, 0U9G7ZZ, 0WJJ4ZZ
Low Birth Weight Infant: P05.09, P05.19
Mast Cell Activation Syndromes: D89.4- D89.49
Maternal Care for Disproportion, Fetal Deformities: O30, O33.7
Mediastinitis: J98.5- J98.59, T81.-
Megacolon: K59.31, K59.39
Metatarsus Primus Varus and Metatarsus Adductus, Congenital: Q66.2-Q66.22
Micturition: R39.19-R39.198
Mononeuropathies, Limbs: G56.03-G56.43, G56.83, G56.93, G57.03-G57.93
Multifocal Motor Neuropathy: G61.82
National Institutes of Health Stroke Scale: R29.7-, I63-, I63.9, R29.730
Ovary, Fallopian Tube and Broad Ligament, Noninflammatory Disorders: N83-N83.5-
Overexertion: S39.012A, X50-X50.9-, X50.3, X50.0XXA, Y93.F2
Pain in Hand Joints: M25.5- M25.549
Pancreatitis, Acute: K85- K85.9-
Perineal Laceration During Delivery, Third Degree: O70.2- O70.23
Periorbital Cellulitis: L03.21, L03.213
Periprosthetic Fractures: M84.454A, M97-M97.8, S72.401A, T84.01, T84.04
Placenta Previa: O44-O44.5
Postprocedural Erectile Dysfunction: N52.3-N52.37
Pre-Cerebral and Vertebral Arteries, Aneurysm and Dissection: I72.5- I77.79
Prediabetes: R73.03, R73.09
Pre-Pubertal Vaginal Bleeding: N93.1
Pulsatile Tinnitus: D44.7, H93.A1- H93.A9, 03VM3DZ
Retinal Vein Occlusion: H34.8
Sacral Dimple, Congenital: Q82.6
Salter-Harris Fracture and Other Physeal Fractures, Foot and Ankle: S99- S99.29
Sarcopenia: M84.75, T45.8X5A, Z79.83
Skull and Facial Bones, Fracture: S02.1- S02.8
Small Acinar Proliferation, Atypical: N42.3, N42.39
Stoma of Urinary Tract, Complications: N99.5-N99.533
Temporomandibular Joint Disorders: M26.6- M26.63
Testicular and Scrotal Pain: N50.8- N50.89
Unintended Awareness, General Anesthesia: T88.5, T88.53, T88.53XA, Z92.8, Z92.84
Unspecified Behavior Kidney and Genitourinary Organ, Neoplasm: D49.511- D49.59
Ureteropelvic Junction Obstruction, Acquired: N13, N13.0, N13.5
Urinary Incontinence: N39.42, N39.491, N39.49, N39.492
Uterine Scar, Previous Surgery: O34.21, O34.211, O34.212, O34.219, O34.29, Z98.891
Vascular Disorders, Intestine: K55, K55.01- K55.04-, K55.30- K55.33
Vulva, Hypertrophy of N90.6- N90.69
Z-codes Update: O34.2, Z05.0- Z05.9, Z19.1, Z19.2, Z22.5, Z29 - Z29.14, Z29.3 , Z29.8,
Z29.9, Z30 - Z30.017, Z30.44 - Z30.46, Z33, Z33.3, Z31.7, Z40, Z51.6, Z53.31-Z53.39,
Z79.84, Z83.42, Z84.82, Z92.84 Z98.890, Z98.891
Zika Virus: A92.5, G93.89, O28.3, O35.3XX0, O98.512, O98.513, P35.8, Q02, Z03.73,
Z03.79, Z20.828, Z34.--, Z38.00, Z3A.16, Z3A.20, Z3A.22, Z3A.32, Z71.1, Z86.1

ICD-10-PCS Updates
Application of Wound Matrix
Bone Marrow and Stem Cell Transfusion
Branched and Fenestrated Endograft Repair, Aneurysms: 02V, 02VW3DZ, 04V, 04V03E6,
04V03F6, 04VC3EZ, 04VD3EZ
Cerebral Embolic Filtration: X2A
Congenital Heart Defects, Correction: 021, 02L, 02Q, 024F08J, 024F0JJ, 024G0J2,
024G0K2, 024J0J2, 024J0K2, 02S, 02U, 02UF0KJ, 02UG0JE, 02UJ0KG, 02UM08Z, 02QF0ZJ,
02QG0ZE, 02QJ0ZG, 02S10ZZ, 02SP0ZZ, 02SX0ZZ
Coronary and Peripheral Artery Bifurcation: 027, 037, 03C, 047, 04V, 02C, 0271356,
0270346, 02703ZZ, 04CK3Z6, 047K3Z6
Cranial Cavity and Brain, Substances Applied: 3E0Q005
Donor Organ Perfusion
Fluorescence Vascular Angiography: 4A1
Hip and Knee Devices, Removal and Revision: 0SP, 0SPR0JZ, 0SP909Z, 0SRR0J9,
0SUA09Z, 0SW, 0SWW0JZ
Intracardiac Pacemaker: 02H, 02P, 02PA3NZ, 02W, 02WA3NZ
Magnetic Growth Rods, Placements: XNS
Number of Arteries, Coronary Artery: 021, 027, 02C, 02Q, 02S, X2C, 02100AW,
021109W, 02100Z9
Number of Stents, Coronary Artery: 027136Z, 02703EZ, I25.810, 027037Z
Number of Stents, Peripheral Artery
Partial Knee Replacement: 0SR, 0SRD0JZ, 0SRD0LZ
Phrenic Neurostimulator: 05H, 05H032Z, 05H43MZ, 05P, 05W, 0JH60MZ
Rapid Deployment, Aortic Valve: X2R
Root Operation Control: I97.42, Z53.31, 0W3, 0W3F0ZZ, 0W3P8ZZ, 0X3, 0Y3
Root Operation Creation: 02Q, 02U, 024, 0W4
Thoracic, Ascending/Arch, and Descending Aorta: 021, 025, 027, 02B, 02C, 02H, 02N,
02Q, 02R, 02S, 02U, 02V
Transplantation: 0WY, 0XY

Ask the Editor: The latest Coding Clinic also includes its targeted Ask the Editor
section, providing answers for specific scenarios and news for reporting ICD-10-CM and
PCS codes for arthritis, diabetes, osteomyelitis, Lewy body dementia, high-risk
pregnancy, and many more topics. To find the help you need, search for these codes
and keywords on SuperCoders code and keyword search:
Arthritis, Default ICD-10-CM Code: M19.90
Atrial Septal Defect, Repair: 021V09S
Clinical Criteria and Code Assignment
Diabetes and Osteomyelitis: E08, E08.69, E11.69, E11.9, E13.69
Diabetic Cataract
High-Risk Pregnancy, Supervision: O09, O09.523, O80
Lewy Body Dementia: F02-, F02.80, G31.83
Modified Warden Procedure, Septal Defect: 021V08S
Osteoarthritis, Hip, Bilateral Primary: M16.0
Osteoarthritis, Left Knee: M17.12, M17.9
Osteoarthritis, Right Shoulder: M19.011
POA Indicator for Pressure Ulcer Progression: L89.622, L89.623
Readmission Post Myocardial Infarction: I21
Use of X-Ray for Pain.