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ICD-10 Code Changes Effective October 1, 2018

EI Providers:


Please be aware that three ICD-10 codes were removed effective October 1, 2018. PCG is notifying EI Providers of this change so that you can make any necessary changes to assist you with reimbursement. Please check your Needs Attention screens in EI Billing to avoid any delays in processing claims that have been denied for these codes. The deleted codes are listed below, including appropriate suggested replacement codes.


G71.0 Muscular dystrophy

Suggested replacement codes are:

G71.00-Muscular Dystrophy, unspecified

G71.01-Duchenne of Becker Muscular Dystrophy

G71.02-Facioscapulohumeral Muscular Dystrophy

G71.09-Other specified Muscular Dystrophies


Z13.3 Encounter for screening examination for mental health and behavioral disorders

Suggested replacement codes are:

Z13.30-Encounter for screening examination for mental health and behavioral disorders, unspecified

Z13.31-Encounter for screening for depression

Z13.32-Encounter for screening for maternal depression

Z13.39-Encounter for screening examination for other mental health and behavioral disorders


Z13.4 Encounter for screening for certain developmental disorders in childhood

Suggested replacement codes are:

Z13.40-Encounter for screening for unspecified developmental delays

Z13.41-Encounter for autism screening

Z13.42-Encounter for screening for global developmental delays (milestones)

Z13.49-Encounter for screening for other developmental delays

Article ID: 389, Created On: 10/24/2018, Modified: 11/16/2018

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