Effective October 1st, 2017, there will be updated code sets for FY 2018 for both ICD-10-CM and PCS. Check with your software vendor and/or TQIP (Trauma Quality Improvement Program) if you are a participating hospital for information on when these changes will go into effect. These updated code sets have been recently released by CMS (Centers for Medicare and Medicaid).

Below I have outlined some of the changes applicable to Trauma in the ICD-10-CM codes. The 2018 ICD-10-CM codes include approximately 363 new codes, 142 deletions, and more than 250 code revisions.

For a complete listing please refer to CMS.

No Change Chapter 20
No Change External causes of morbidity (V00-Y99)
No Change This chapter contains the following blocks:
Delete X50 Overexertion and strenuous or repetitive movements

No Change Other land transport accidents (V80-V89)
No Change V86 Occupant of special all-terrain or other off-road motor vehicle, injured in transport accident
No Change V86.0 Driver of special all-terrain or other off-road motor vehicle injured in traffic accident
Add V86.05 Driver of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident
Add V86.06 Driver of dirt bike or motor/cross bike injured in traffic accident

Susan Schmunk, CAISS, CSTR
Senior Trauma Registry Consultant

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