Prepare for October 2023: ICD-10 Coding Changes Ahead

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The 2024 ICD-10 code set updates include 395 new diagnosis codes, 25 deletions, and 13 revisions. Notable changes involve Hypertensive Chronic Kidney Disease (I12.-), Hypertensive Heart And Chronic Kidney Disease (I13.-), and Hypertensive Heart Disease (I11.-). Updates to Parkinson's disease and epilepsy (G00-G99), Osteoporosis With Fractures (M00-M99), and A41 (Other Sepsis) are also important. Additionally, there are changes in the U chapter related to U07.1 (COVID-19) instructions, new codes in the V and W chapters for accidents and injuries, and expanded Z codes, like Z63.5 for family disruption due to separation and divorce and Z72.5 for high-risk sexual behavior. Attend the webinar to stay updated on Diagnosis Coding for the 2024 ICD-10 Coding Guidelines. Register, https://conferencepanel.com/conference/icd-10-coding-updates-effective-october-1-2023

Healthcare

NEW ICD-10 CODING
UPDATES FOR HOSPICE
&
HOME HEALTH FY 2024
SEPTEMBER 2023
Presented By
Sharon Litwin
RN, BSHS, MHA, HCS-D, COQS
slitwinconsulting@outlook.com

Overview
FY 2024 ICD-10-CM code set has:
◦ 395 new diagnosis codes,
◦ 25 deletions, and
◦ 13 revisions for the fiscal year
◦ New codes are being added throughout the chapters with increased specificity
◦ There are no changes in every section, Such As Chapter 12 – Diseases of the
Skin and Subcutaneous Tissue (L00-L99)
2

Chapter 1 Certain infectious and parasitic
diseases (A00-B99)
3

Chapter 3
Diseases of the blood and
blood-forming organs and
certain disorders involving the
immune mechanism (D50-D89)
5

Chapter 4 Endocrine, nutritional and
metabolic diseases (E00-E89)
6

Chapter 5
Mental, behavioral, and
neurodevelopmental disorders
(F01 – F99)
7

Chapter 6 Diseases of the Nervous
System (G00-G99)
8

Chapter 7 & 8
Diseases of the Eye and
Adnexa (H00-H59)
Diseases of the Ear and
Mastoid process (H60-H95)
9
H Chapter has a lot of
additions to add laterality

Chapter 9 Diseases of the Circulatory
System (I00-I99)
10

Chapter 10
Chapter 10: Diseases of
the Respiratory System
(J00-J99)
11

Chapter 11 Diseases of the Digestive
System (K00-K95)
12
17 New Codes

Chapter 12 Diseases of the skin and
subcutaneous tissue (L00-L99)
13
NO CHANGES!

Chapter 13
Diseases of the
musculoskeletal system and
connective tissue (M00-M99)
14

Chapter 14 Diseases of the genitourinary
system (N00-N99)
15
15 New Codes

Chapter 15 Pregnancy, childbirth, and the
puerperium (O00-O9A)
16

Chapter 16 Certain conditions originating in
the perinatal period (P00-P96)
17
No Changes

Chapter 17
Congenital malformations,
deformations, and chromosomal
abnormalities (Q00-Q99)
18

Chapter 18
Symptoms, signs, and
abnormal clinical and laboratory
findings not elsewhere
classified (R00-R99)
19
18 New Codes

Chapter 19
Injury, poisoning, and certain
other consequences of external
causes (S00-T88)12
20

Chapter 20 External causes of morbidity
(V00-Y99)
21

Chapter 21
Factors influencing health
status and contact with
health services (Z00-Z99)
22

Conclusions
◦ A Lot of new codes BUT less than what we’ve had annually since ICD 10.
◦ Have to use the 2024 Code Set NOW for payment periods beginning Sept 2, as you bill
Oct 1 – may have to dual code until Oct 1 when they go into effect.
◦ The Guidelines have changes as well…so be sure to pay attention to those as well!
◦ Also be sure to follow all of the instructions, such as excludes 1 and 2 notes, Code First,
Code Also, etc. etc.
◦ Most of all, code to the providers documentation!
◦ Query the provider when you do not have sufficient information – starting with
Intake/Admission.
◦ By the time a coder gets the record, all diagnoses should be consistent and accurate!
23

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