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eNews from MdHIMA

Issue 61 – Fall 2018

Inside this Issue:

Date Correction! - Quarterly
Business Meeting

Please save the date for the October 27th MDHIMA Quarterly Business Meeting!

The Maryland Health Information Management Association would like to announce that their next Quarterly Business Meeting is scheduled for Saturday, October 27th, 2018, 8am to 3:30pm at the Mt. Washington Pediatric Hospital. Education session topics include: 2018 ICD 10 CM updates, privacy and security, cyber security, and leadership. A continental breakfast and lunch will be provided.

Registration will be available the last week of September at We hope you will attend to learn more regarding the current topics and issues in the Health Information Management profession!

Mt. Washington Pediatric Hospital
1708 W. Rogers Avenue
Baltimore, MD   21209

Data Quality News

Change Is not an event it’s a process
Author unknown--

The Data Quality Team meets monthly to discuss topics related to data, coding questions and a liaison to the Maryland HSCRC and other professional groups. 

It is that time of year to change to the FY 2019 CM/PCS code system. You can begin using the FY2019 ICD-10 CM/PCS codes on October 1, 2018. The number of changes occurring annually is slowing down since ICD-10 CM/PCS has been implemented for a few years and the code freeze has been lifted. It is a great time to review your checklist of departments that use ICD-10 CM or PCS codes. It is also important to review documents and tools those departments use that contain codes. All forms reviewed and/or materials developed should include an annual revised review date. Some areas to focus on include electronic dictionaries, chargemaster, paper/electronic encounter forms, training coders, management and clinical team including providers. In addition to the actual code changes there are guideline updates for each area this year. A snapshot of the changes is noted below.
Summary of I10-CM changes:

The 2019 ICD-10-CM code changes were released by the CDC on June 11, 2018. The update contains 39 additional changes from what was released in the proposed rule.

Summary of changes:
  • New Codes - 279
  • Revised Codes - 143
  • Deactivated - 51
  • Total changes - 473
Most of new codes are in the following chapters:

Chapter - Codes
  • Chapter 2 - Neoplasm - 48
  • Chapter 7- Diseases of the eye and adnexa - 47
  • Chapter 11- Diseases of the digestive system - 16
  • Chapter 14 - Diseases of the genitourinary system - 19
  • Chapter 15 - Pregnancy, childbirth and puerperium - 21
  • Chapter 16 - Certain conditions originating in the
    perinatal period - 26
  • Chapter 18 - Signs and symptoms and abnormal
    clinical and laboratory findings, not elsewhere classified - 11
  • Chapter 19 - Injury, poisoning and certain other consequences of external causes - 23
  • Chapter 21 - Factors influencing health status and contact with health services - 19
ICD-10 PCS FY2019 Changes

Remember that the new codes are effective 10/1-9/30/2019 for hospital inpatients. The total number of PCS Codes for FY2018 is 78,705 and FY2019 will be 78,881. 
  • New codes - 392
  • Revised titles - 8
  • Deleted codes - 216
MdHIMA is hosting two coding educational sessions one dedicated to diagnosis changes and the other dedicated to the PCS changes. New this year MdHIMA is offering both sessions with an on-demand option. 
Brenda Watson RHIA, CCS, CCS-P, CPC, CRC, CPC-I, AHIMA Approved ICD-10 CM/PCS Trainer

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