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2019 Coding Changes for Chiropractic

January 3rd, 2019 - Wyn Staheli, Director of Research
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The new year is upon us and so it’s time to double check and make sure we are ready. Those with Premium Membership can use the ChiroCode Online Library and search all the official code sets: ICD-10-CM, CPT, and HCPCS. It also includes the updated NCCI edits and RVUs for fees.

Diagnosis Code Changes

For the official ICD-10-CM code set fiscal year 2019 which began October 1, 2018, there were 279 new codes, 51 deleted codes, and 143 revised codes. However, there weren’t very many changes which affect chiropractic. As we mentioned back in September, the most significant change is the expansion of code M79.1 “Myalgia” to 4 new codes. M79.12 “Myalgia of auxiliary muscles, head and neck” and M79.18 “Myalgia, other site” will most likely be the ones used in your office. Since M79.12 says ‘auxiliary muscles’, it seems that M79.18 would be the most commonly used code of the two.

Code G71.0 “Muscular dystrophy” has also been expanded to define the type of dystrophy.

In the External Causes, Chapter 20, there were no new codes added that are of primary interest in a chiropractic setting. However, it should be noted that there were quite a few minor revisions to the External Causes, Chapter 20. For example, snowboarding is now one word instead of two (e.g., snow boarding) and baby stroller is two words instead of one.

Procedure Code Changes

For the CPT code set, there are 168 new codes, 72 deleted codes, and 49 revised codes for 2019. There were also many HCPCS code set revisions, but out of all these changes, there were only a few of particular note for chiropractic.

Supply Code Changes

Please note that when the 2019 ChiroCode DeskBook was published, the HCPCS code set had not been released. The following are changes which might affect your practice:

Be sure to get your 2019 books today - CLICK HERE.

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