2019 Ophthalmology CMS ICD-10 Updates

This week the Centers for Medicare and Medicaid Services (CMS) released the ICD-10-CM updates for FY 2019. The 2019 ICD-10-CM codes are to be used for patient encounters and discharges occurring from October 1, 2018 through September 30, 2019. Below is a list of ICD-10 code changes that impact ophthalmology.

For the ICD-10 codes below: new codes include upper and lower eyelids for right and left eye, including canthus.

  • C43.1 Malignant melanoma of eyelid, including canthus
  • C43.10 Malignant melanoma of unspecified eyelid, including canthus
  • C43.11 Malignant melanoma of right eyelid, including canthus
  • C43.111 Malignant melanoma of right upper eyelid, including canthus
  • C43.112 Malignant melanoma of right lower eyelid, including canthus
  • C43.12 Malignant melanoma of left eyelid, including canthus
  • C43.121 Malignant melanoma of left upper eyelid, including canthus
  • C43.122 Malignant melanoma of left lower eyelid, including canthus
  • C4A.1 Merkel cell carcinoma of eyelid, including canthus
  • C4A.10 Merkel cell carcinoma of unspecified eyelid, including canthus
  • C4A.11 Merkel cell carcinoma of right eyelid, including canthus
  • C4A.111 Merkel cell carcinoma of right upper eyelid, including canthus
  • C4A.112 Merkel cell carcinoma of right lower eyelid, including canthus
  • C4A.12 Merkel cell carcinoma of left eyelid, including canthus
  • C4A.121 Merkel cell carcinoma of left upper eyelid, including canthus
  • C4A.122 Merkel cell carcinoma of left lower eyelid, including canthus
  • C44.1 Other and unspecified malignant neoplasm of skin of eyelid, including canthus Excludes 1: connective tissue of eyelid (C49.0)
  • C44.10 Unspecified malignant neoplasm of skin of eyelid, including canthus
  • C44.101 Unspecified malignant neoplasm of skin of unspecified eyelid, including canthus
  • C44.102 Unspecified malignant neoplasm of skin of right eyelid, including canthus
  • C44.1021 Unspecified malignant neoplasm of skin of right upper eyelid, including canthus
  • C44.1022 Unspecified malignant neoplasm of skin of right lower eyelid, including canthus
  • C44.109 Unspecified malignant neoplasm of skin of left eyelid, including canthus
  • C44.1091 Unspecified malignant neoplasm of skin of left upper eyelid, including canthus
  • C44.1092 Unspecified malignant neoplasm of skin of left lower eyelid, including canthus
  • C44.11 Basal cell carcinoma of skin of eyelid, including canthus
  • C44.111 Basal cell carcinoma of skin of unspecified eyelid, including canthus
  • C44.112 Basal cell carcinoma of skin of right eyelid, including canthus
  • C44.1121 Basal cell carcinoma of skin of right upper eyelid, including canthus
  • C44.1122 Basal cell carcinoma of skin of right lower eyelid, including canthus
  • C44.119 Basal cell carcinoma of skin of left eyelid, including canthus
  • C44.1191 Basal cell carcinoma of skin of left upper eyelid, including canthus
  • C44.1192 Basal cell carcinoma of skin of left lower eyelid, including canthus
  • C44.12 Squamous cell carcinoma of skin of eyelid, including canthus
  • C44.121 Squamous cell carcinoma of skin of unspecified eyelid, including canthus
  • C44.122 Squamous cell carcinoma of skin of right eyelid, including canthus
  • C44.1221 Squamous cell carcinoma of skin of right upper eyelid, including canthus
  • C44.1222 Squamous cell carcinoma of skin of right lower eyelid, including canthus
  • C44.129 Squamous cell carcinoma of skin of left eyelid, including canthus
  • C44.1291 Squamous cell carcinoma of skin of left upper eyelid, including canthus
  • C44.1292 Squamous cell carcinoma of skin of left lower eyelid, including canthus
  • C44.13 Sebaceous cell carcinoma of skin of eyelid, including canthus
  • C44.131 Sebaceous cell carcinoma of skin of unspecified eyelid, including canthus
  • C44.132 Sebaceous cell carcinoma of skin of right eyelid, including canthus
  • C44.1321 Sebaceous cell carcinoma of skin of right upper eyelid, including canthus
  • C44.1322 Sebaceous cell carcinoma of skin of right lower eyelid, including canthus
  • C44.139 Sebaceous cell carcinoma of skin of left eyelid, including canthus
  • C44.1391 Sebaceous cell carcinoma of skin of left upper eyelid, including canthus
  • C44.1392 Sebaceous cell carcinoma of skin of left lower eyelid, including canthus
  • D03.1 Melanoma in situ of eyelid, including canthus
  • D03.10 Melanoma in situ of unspecified eyelid, including canthus
  • D03.11 Melanoma in situ of right eyelid, including canthus
  • D03.111 Melanoma in situ of right upper eyelid, including canthus
  • D03.112 Melanoma in situ of right lower eyelid, including canthus
  • D03.12 Melanoma in situ of left eyelid, including canthus
  • D03.121 Melanoma in situ of left upper eyelid, including canthus
  • D03.122 Melanoma in situ of left lower eyelid, including canthus
  • D04.1 Carcinoma in situ of skin of eyelid, including canthus
  • D04.10 Carcinoma in situ of skin of unspecified eyelid, including canthus
  • D04.11 Carcinoma in situ of skin of right eyelid, including canthus
  • D04.111 Carcinoma in situ of skin of right upper eyelid, including canthus
  • D04.112 Carcinoma in situ of skin of right lower eyelid, including canthus
  • D04.12 Carcinoma in situ of skin of left eyelid, including canthus
  • D04.121 Carcinoma in situ of skin of left upper eyelid, including canthus
  • D04.122 Carcinoma in situ of skin of left lower eyelid, including canthus
  • D22.1 Melanocytic nevi of eyelid, including canthus
  • D22.10 Melanocytic nevi of unspecified eyelid, including canthus
  • D22.11 Melanocytic nevi of right eyelid, including canthus
  • D22.111 Melanocytic nevi of right upper eyelid, including canthus
  • D22.112 Melanocytic nevi of right lower eyelid, including canthus
  • D22.12 Melanocytic nevi of left eyelid, including canthus
  • D22.121 Melanocytic nevi of left upper eyelid, including canthus
  • D22.122 Melanocytic nevi of left lower eyelid, including canthus
  • D23.1 Other benign neoplasm of skin of eyelid, including canthus
  • D23.10 Other benign neoplasm of skin of unspecified eyelid, including canthus
  • D23.11 Other benign neoplasm of skin of right eyelid, including canthus
  • D23.111 Other benign neoplasm of skin of right upper eyelid, including canthus
  • D23.112 Other benign neoplasm of skin of right lower eyelid, including canthus
  • D23.12 Other benign neoplasm of skin of left eyelid, including canthus
  • D23.121 Other benign neoplasm of skin of left upper eyelid, including canthus
  • D23.122 Other benign neoplasm of skin of left lower eyelid, including canthus

G51 FACIAL NERVE DISORDERS

  • G51.31, clonic hemifacial spasm, right
  • G51.32, clonic hemifacial spasm, left
  • G51.33, clonic hemifacial spasm, bilateral
  • G51.39, clonic hemifacial spasm, unspecified

H01.0 BLEPHARITIS, UNSPECIFIED

  • H01.001, upper right lid
  • H01.002, lower right lid
  • H01.00A, upper and lower right lids
  • H01.004, upper left lid
  • H01.005, lower left lid
  • H01.00B, upper and lower left lids

H01.0 BLEPHARITIS, ULCERATIVE

  • H01.011, upper right lid
  • H01.012, lower right lid
  • H01.01A, upper and lower right lids
  • H01.014, upper left lid
  • H01.015, lower left lid
  • H01.01B, upper and lower left lids

H01.0 BLEPHARITIS, SQUAMOUS

  • H01.021, upper right lid
  • H01.022, lower right lid
  • H01.02A, upper and lower right lids
  • H01.024, upper left lid
  • H01.025, lower left lid
  • H01.02B, upper and lower left lids

H02.88 MEIBOMIAN GLAND DYSFUNCTION OF EYELID

  • H02.881, upper right lid
  • H02.882, lower right lid
  • H02.88A, upper and lower right lids
  • H02.884, upper left lid
  • H02.885, lower left lid
  • H02.88B, upper and lower left lids

H02.2 LAGOPHTHALMOS, CICATRICIAL

  • H02.211, upper right lid
  • H02.212, lower right lid
  • H02.21A, upper and lower right lids
  • H02.214, upper left lid
  • H02.215, lower left lid
  • H02.21B, upper and lower left lids
  • H02.21C, bilateral, upper and lower lids

H02.2 LAGOPHTHALMOS, MECHANICAL

  • H02.221, upper right lid
  • H02.222, lower right lid
  • H02.22A, upper and lower right lids
  • H02.224, upper left lid
  • H02.225, lower left lid
  • H02.22B, upper and lower left lids
  • H02.22C, bilateral, upper and lower lids

H02.2 LAGOPHTHALMOS, PARALYTICS

  • H02.231, upper right lid
  • H02.232, lower right lid
  • H02.23A, upper and lower right lids
  • H02.234, upper left lid
  • H02.235, lower left lid
  • H02.23B, upper and lower left lids
  • H02.23C, bilateral, upper and lower lids

H02.2 LAGOPHTHALMOS, UNSPECIFIED

  • H02.201, upper right lid
  • H02.202, lower right lid
  • H02.20A, upper and lower right lids
  • H02.204, upper left lid
  • H02.205, lower left lid
  • H02.20B, upper and lower left lids
  • H02.20C, bilateral, upper and lower lids

H10.82 ROSACEA CONJUNCTIVITIS

  • Code first underlying rosacea dermatitis (L71.-)
  • H10.821 Rosacea conjunctivitis, right eye
  • H10.822 Rosacea conjunctivitis, left eye
  • H10.823 Rosacea conjunctivitis, bilateral
  • H10.829 Rosacea conjunctivitis, unspecified eye

H57.8 OTHER SPECIFIED DISORDERS OF EYE AND ADNEXA

  • H57.811 Brow ptosis, right
  • H57.812 Brow ptosis, left
  • H57.813 Brow ptosis, bilateral
  • H57.819 Brow ptosis, unspecified
  • H57.89 Other specified disorders of eye and adnexa
  • H57.9 Unspecified disorder of eye and adnexa

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