2017 ICD-10 CHANGES

(EFFECTIVE: OCTOBER 1, 2016)

Introduction

In October of 2015 the Centers for Medicare and Medicaid Services (CMS) implemented ICD-10 in spite of fervent opposition from the American Medical Association (AMA). A compromise was reached whereby ICD-10 implementation included a one-year grace period to allow providers and healthcare payers more time to fully embrace the change. CMS promised not to deny claims submitted to Medicare and Medicaid that contained ICD-10 codes in the correct “family of codes.” Many healthcare payers followed suit but are now requiring more specificity.

The CMS one-year grace period for using non-specific ICD-10 codes ended October 1, 2016. At the same time, CMS also implemented more than 2,700 ICD-10 changes for 2017 (effective October 1, 2016) and requires providers to use codes with more precision and specificity.

We have researched the IDC-10 code changes and have assembled some resources to help our clients adjust to the new 2017 changes.

So what has changed (click to expand)?

Below you will find the highlighted ICD-10 changes for 2017:

M26.62: is not a billable or specific ICD-10 diagnosis code as there are 4 new codes below that describe this diagnosis in greater detail

M26.621: Arthralgia of right temporomandibular joint (new for 2017)
M26.622: Arthralgia of left temporomandibular joint (new for 2017)
M26.623: Arthralgia of bilateral temporomandibular joint (new for 2017)
M26.629: Arthralgia of temporomandibular joint (unspecified side) (new for 2017)

M26.63: is not a billable or specific ICD-10 diagnosis code as there are 4-codes below that describe this diagnosis in greater detail.

M26.631: Articular disc disorder of right temporomandibular joint (new for 2017)
M26.632: Articular disc disorder of left temporomandibular joint (new for 2017)
M26.633: Articular disc disorder of bilateral temporomandibular joint (new for 2017)
M26.639: Articular disc disorder of temporomandibular joint (unspecified side) (new for 2017)

S02.62XA: Fracture of subcondylar process of mandible, initial encounter for closed fracture has been removed no longer a billable or specific ICD-10 diagnosis code

S03.0XXA: Dislocation of jaw, initial encounter, initial encounter for closed fracture has been removed no longer a billable or specific ICD-10 diagnosis code

S02.620A: Fracture of subcondylar process of mandible, unspecified side, initial encounter for closed fracture (new for 2017)

S03.621A: Fracture of subcondylar process of right mandible, initial encounter for closed fracture (new for 2017)

S03.622A: Fracture of subcondylar process of left mandible, initial encounter for closed fracture (new for 2017)

S03.00XA: Dislocation of jaw, unspecified side, initial encounter (new for 2017)

S03.01XA: Dislocation of jaw, right side, initial encounter (new for 2017)

S03.02XA: Dislocation of jaw, left side, initial encounter (new for 2017)

S03.03XA: Dislocation of jaw, bilateral, initial encounter (new for 2017)

ICD-10 Reference Chart (OSA, TMJ & Orofacial Pain (click to collapse)

The following ICD-10 Reference Chart was created for our clients from data collected from our clients. It is intended to be used as a reference guide only and was never intended to be a complete and/or sole ICD-10 reference.

The new ICD-10 Reference Chart includes the most commonly used ICD-10 codes for the treatment of Obstructive Sleep Apnea, Temporomandibular Joint Disorders and Orofacial Pain.

Note: In addition to the new 2017 ICD-10 Conversion chart, Triton has already made the changes to all of our clients online charge slips/super bills/e-bills within their medical billing software, so all you need to do is start using the new codes.

Please print a copy of the ICD-10 Reference Chart as it will be required on October 1, 2016.