A new code was added for pseudobulbar affect (310.81), which
could also be described as an involuntary emotional depressive
disorder. A “code first” note follows this code to indicate that the
underlying condition, such as amyotrophic lateral sclerosis or
late effect of CVA, should be coded first.
A code was added to describe other specified nonpsychotic
mental disorders following organic brain damage (310.89).
Conditions classified to this code might include mild memory
disturbance or postencephalitic syndrome.
Nervous System Disorders
New codes were added for corticobasal degeneration (331.6)
and brain death (348.82). A new subcategory also was added
for Lambert-Eaton syndrome, which was further subdivided
into unspecified (358.30), in neoplastic disease (358.31), and in
other diseases classified elsewhere (358.39).
Glaucoma and Other Eye Disorders
Several new codes were added to further describe glaucoma.
The borderline glaucoma subcategory was expanded to describe open angle with borderline findings, high-risk (365.05),
and primary angle closure without glaucoma damage (365.06).
A new subcategory was added to describe the stage of glaucoma (365.7), which can be classified as mild (365.71), moderate
(365.72), severe (365.73), indeterminate (365.74), and unspecified (365.70). These glaucoma stage codes would be assigned in
addition to the code for the specific type of glaucoma.
An additional code was added to describe vitreomacular adhesion (379.27).
Cardiovascular Disorders
A new code was added to describe coronary atherosclerosis
due to calcified coronary lesion (414.4). This code would be assigned in addition to the code for the specific type of coronary
atherosclerosis.
New codes were added to report saddle emboli of the pulmonary artery and abdominal aorta (415.13, 444.01). An additional
code was added to classify other arterial embolism and thrombosis of abdominal aorta (444.09).
Two new codes were added to describe hypertrophic cardiomyopathy: 425.11, Hypertrophic obstructive cardiomyopathy,
and 425.18, Other hypertrophic cardiomyopathy.
Respiratory Disorders
Several new codes were added to describe respiratory disorders. A new subcategory was added for novel Influenza A virus,
with fifth-digits describing with pneumonia (488.81), with other
respiratory manifestations (488.82), and with other manifestations (488.89).
New codes were added for respiratory conditions due to
smoke inhalation (508.2) and postoperative air leak (512.2).
Subcategory 512.8, Other pneumothorax and air leak, was expanded to the fifth-digit level to describe the following:
x Primary spontaneous pneumothorax (512.81)
Coding Notes
x Secondary spontaneous pneumothorax (512.82)
x Chronic pneumothorax (512.83)
x Other air leak (512.84)
x Other pneumothorax (512.89)
Numerous codes were added to category 516, Other alveolar
and parietoalveolar pneumopathy, to describe interstitial pneumonia (516.30–516.37), lymphangioleiomyomatosis (516.4),
adult pulmonary Langerhans cell histiocytosis (516.5), and interstitial lung disorders of childhood (516.61–516.69).
Three new codes have been added to classify acute respiratory
failure following trauma and surgery (518.51), other pulmonary
insufficiency, NEC, following trauma and surgery (518.52), and
acute and chronic respiratory failure following trauma and surgery (518.53).
Digestive Disorders
A new category was added for complications of bariatric procedures (539). The subcategories include 539.0, Complications
of gastric band procedure, and 539.8, Complications of other
bariatric procedure. These two subcategories are further subdivided to the fifth-digit level to describe the type of complication
(i.e., infection or other complications). These codes require additional codes to specify the type of infection (e.g., cellulitis or
septicemia), causative organism, or specific complication.
A new code was added for hepatopulmonary syndrome
(573.5). When code 573.5 is assigned, the underlying condition
should be coded first, such as alcoholic cirrhosis of the liver.
Genitourinary and Pregnancy Disorders
Subcategory 596.8, Other specified disorders of bladder, was
expanded to include infection of cystostomy (596.81), mechanical complication of cystostomy (596.82), other complication of
cystostomy (596.83), and other specified disorders of bladder
(596.89).
Complications of implanted vaginal mesh and other prosthet-
ic materials are classified to subcategory 629.3, which is further
subdivided to:
Two new subcategories were added to category 631, Other
abnormal product of conception, to describe inappropriate
change in quantitative hCG in early pregnancy (631.0) and oth-
er abnormal products of conception (631.8).
Skin and Musculoskeletal Disorders
New codes were added for pilar cyst (704.41), trichilemmal cyst
(704.42), and partial tear of rotator cuff (726.13).
