NEW ICD-10-CM Codes for 2019

Coding Tips,

Previous Code

E78.4  Other    hyperlipidemia

New Code(s)

E78.41   Elevated lipoprotein(a)

E78.49   Other hyperlipidemia

Previous Code

 F53   Puerperal psychosis

New Code(s)

F53.0    Postpartum depression

F53.1    Puerperal psychosis

Previously, there was no code for postpartum depression.  O90.6 continues to be available to report postpartum mood disturbance.


New Code(s)

O30.13-    Triplet pregnancy, trichorionic/triamniotic

O30.23-   Quadruplet pregnancy, quadrachorionic/quadra-amniotic,

O30.83-   Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses

Previously, there was no way to report circumstances in high order multiple gestations when the number of chorions and amnions were the same as the number of fetuses.  For these codes, the 6th character represents the trimester in which service is provided.


Previous Code

O86.0   Infection of obstetric surgical wound

New Code(s)

O86.00  Infection of obstetric surgical wound, unspecified

Infection of obstetric surgical wound…

O86.01  superficial incisional site

O86.02  deep incisional site

O86.03  organ and space site

O86.04  Sepsis following an obstetrical procedure

O86.09   Other surgical site

More specificity is required to define the exact location(s) of any obstetric wound infection


New Code(s)

Z13.31   Encounter for screening for maternal depression

This is a new code found in a new section created to report particular screening services.

New Code(s)

Z20.821   Contact with and (suspected) exposure to Zika virus

Previously, non-specific exposure codes had to be used when there was known or suspected exposure to the Zika virus.

New Code(s)

Z28.83   Immunization not carried out due to unavailability of vaccine

This circumstance could not be reported previously.

A complete list of all ICD-10-CM changes for 2019 is available on the CMS website at https://www.cms.gov/Medicare/Coding/ICD10/2019-ICD-10-CM.html

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