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