ICD-10 Updates

Each year, CMS makes minor changes to the ICD-10-CM code set. Changes are effective October 1 of the preceding year. For example, the 2020 ICD-10 changes are effective on October 1, 2019. In some cases, CMS adds new codes and retires others. In other cases, only the description associated with the code is changed.

The updated codes apply only to claims with a service date of October 1 or later. Claims with a service date of September 30 or earlier will continue to use the prior codes. Billers should familiarize themselves with the changes and verify that the correct codes are appearing on claims.

Eyecare-Related ICD-10 Updates

This section includes current and historical ICD-10 information:

For more information about ICD-10 updates, go to www.cms.gov/icd10.

Will Your Eyefinity Software be Ready?

Eyefinity products and services are ready to support ICD-10 changes each October 1. Expand the text below to see what you can expect from your Eyefinity product each year.

Eyefinity EHR users will automatically see the new or updated ICD-10 codes in their software on October 1 of each year. Providers must finalize open exams prior to October 1 each year to prevent sending invalid ICD-10 codes to billing.

Eyefinity Practice Management users will automatically see the new or updated ICD-10 codes in their software on October 1 of each year. The software will validate ICD-10 codes based on date of service, but billers are encouraged to file any open claims as of September 30.

OfficeMate/ExamWRITER users will need to install an update (available in mid-September) prior to October 1 of each year. If you’re running OfficeMate/ExamWRITER 15 or later, run the OfficeMate Server Update program on the server desktop to update your software. If you’re using an earlier version of OfficeMate/ExamWRITER, upgrade to the latest version by visiting www.eyefinity.com.

Providers must finalize open exams prior to October 1 each year to prevent sending invalid ICD-10 codes to billing.

Older versions of OfficeMate/ExamWRITER will not autocode exams with the latest ICD-10 codes. If you remain on an older version, you must manually select the appropriate ICD-10 codes in ExamWRITER exams and OfficeMate fee slips to prevent your insurance claims from being rejected. Refer to the following topics to learn how to update ICD-10 codes in older versions of OfficeMate/ExamWRITER:

AcuityLogic users will automatically see the new or updated ICD-10 codes in their software on October 1 of each year. The software will validate ICD-10 codes based on date of service, but billers are encouraged to file any open claims as of September 30.

In years when there are minor ICD-10 updates, AcuityLogic On-Premises users are responsible for adding, removing, and updating ICD-10 codes.

  1. In AcuityLogic Admin, click Master Data Admin and click Diagnosis Code.

    The Diagnosis Code window opens.

  2. Click the ICD Revision drop-down and select ICD-10.
  3. To filter the diagnosis codes, type a diagnosis code in the Code field, type a code description in the Description field, click Filter, and select one of the following for each:
    • No Filter: Clear a previous filter and display all results.
    • Contains: The results contain the text you typed in the field.
    • Equal To: The results are the exact match of the text you typed in the field.

      The search tool is case sensitive. For example, if you search for “v72” and the diagnosis code V72 is in the database, the code is not returned. You must search instead for “V72.”

      The results that meet your search criteria are displayed.

  4. Do one of the following:
    • To add a diagnosis code, click Add Diagnosis Code.
    • To modify a code, click Edit.
  5. In the Code field, enter the diagnosis (ICD-10) code.
  6. In the Description field, enter the diagnosis code description.
  7. Click the Category drop-down and select a diagnosis category.
  8. Click the Exam Type drop-down and select Vision Only or Medical Only as needed.
    • If you set up a code with an Exam Type of Vision Only, you can use it with only a vision-only insurance plan.
    • If you set up a code with an Exam Type of Medical Only, you can use it with only a medical-only insurance plan
    • If you set up a code with an Exam Type of Vision And Medical, you can use it with both vision-only and medical-only insurance plans.
  9. In the PQRI Code field, enter the appropriate PQRS code if necessary.
  10. Select the Active check box to activate the code.
  11. Save the diagnosis code using one of the following:
    • Click Insert to add a new diagnosis code.
    • Click Update to update an existing diagnosis code.