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
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2023 ICD-10 Coding Revisions for Home Health Agencies
The International Classification of Diseases, 10th Revision (ICD-10) is a medical coding system used by healthcare providers to classify and report diagnoses and procedures. The ICD-10 codes are updated regularly to reflect changes in medical technology, procedures, and diagnostic criteria. The 2023 ICD-10 coding updates for home health and hospice are expected to bring several changes that will affect the way these services are coded and billed.
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Another significant update for home health in 2023 is the addition of new codes for virtual therapy services. The new codes will allow home health providers to bill for virtual therapy services, such as occupational and physical therapy, in the same way as in-person therapy.
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CHAPTER 2AN OVERVIEW OF ICD-10-CMSlide ‹#›Copyright
CHAPTER 2
AN OVERVIEW OF ICD-10-CM
Slide ‹#›
Copyright © 2022 by Elsevier Inc.
Slide ‹#›
Copyright © 2022 by Elsevier Inc.
An Overview of the ICD-10-CM
Classification System
Morbidity (illness)
Mortality (death)
ICD = International Classification of Diseases
WHO’s ICD-10 used globally
World Health Organization
ICD-10-CM = 10th Revision; CM, Clinical Modification
Continuity of data
(Cont’d…)
Slide ‹#›
Copyright © 2022 by Elsevier Inc.
The International Classification of Diseases, 10th Edition, Clinical Modification (ICD-10-CM) is designed for the classification of patient morbidity and mortality information for statistical purposes and for the indexing of health records by disease and operation for data storage and retrieval.
Index
Main terms and subterms
Figure 2.2
ICD-10-CM Index (From Elsevier: Buck’s 2022 ICD-10-CM for Hospitals, St. Louis, 2022, Elsevier.)
Slide ‹#›
Copyright © 2022 by Elsevier Inc.
I-10 Index is alphabetic, with the main terms in bold type and subterms indented under the main term.
ICD-10-CM Chapters
Chapter 1 Certain Infectious and Parasitic Diseases (A00–B99)
Chapter 2 Neoplasms (C00–D49)
Chapter 3 Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism
(D50–D89)
Chapter 4 Endocrine, Nutritional, and Metabolic Diseases (E00–E89)
Chapter 5 Mental, Behavioral and Neurodevelopmental Disorders (F01–F99)
Chapter 6 Diseases of the Nervous System (G00–G99)
Chapter 7 Diseases of the Eye and Adnexa (H00-H59)
Chapter 8 Diseases of the Ear and Mastoid Process (H60–H95)
Chapter 9 Diseases of the Circulatory System (I00–I99)
Chapter 10 Diseases of the Respiratory System (J00–J99)
Chapter 11 Diseases of the Digestive System (K00–K95)
Chapter 12 Diseases of the Skin and Subcutaneous Tissue (L00–L99)
Chapter 13 Diseases of the Musculoskeletal System and Connective Tissue (M00–M99)
Chapter 14 Diseases of the Genitourinary System (N00–N99)
Chapter 15 Pregnancy, Childbirth, and the Puerperium (O00–O9A)
Chapter 16 Certain Conditions Originating in the Perinatal Period (P00–P96)
Chapter 17 Congenital Malformations, Deformations, and Chromosomal Abnormalities (Q00–Q99)
Chapter 18 Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00–R99)
Chapter 19 Injury, Poisoning, and Certain Other Consequences of External Causes (S00–T88)
Chapter 20 External Causes of Morbidity
(V00–Y99)
Chapter 21 Factors Influencing Health Status and Contact with Health Services (Z00–Z99)
Chapter 22 Codes for Special Purposes (U00-U85)
Slide ‹#›
Copyright © 2022 by Elsevier Inc.
4
Tabular
Each section begins with unique letter and codes arranged in numerical order
ICD-10-CM Tabular, R codes. (From Elsevier: Buck’s 2022 ICD-10-CM for Hospitals, St. Louis, 2022, Elsevier.)
Figure 2.5
Slide ‹#›
Copyright © 2022 by Elsevier Inc.
All codes in a chapter begin with a letter.
Official Instructional Notations
Includes
Define or give examples of category ...
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CHAPTER 2AN OVERVIEW OF ICD-10-CMSlide ‹#›Copyright
CHAPTER 2
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Slide ‹#›
Copyright © 2022 by Elsevier Inc.
Slide ‹#›
Copyright © 2022 by Elsevier Inc.
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Classification System
Morbidity (illness)
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ICD = International Classification of Diseases
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(Cont’d…)
Slide ‹#›
Copyright © 2022 by Elsevier Inc.
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Index
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Figure 2.2
ICD-10-CM Index (From Elsevier: Buck’s 2022 ICD-10-CM for Hospitals, St. Louis, 2022, Elsevier.)
Slide ‹#›
Copyright © 2022 by Elsevier Inc.
I-10 Index is alphabetic, with the main terms in bold type and subterms indented under the main term.
ICD-10-CM Chapters
Chapter 1 Certain Infectious and Parasitic Diseases (A00–B99)
Chapter 2 Neoplasms (C00–D49)
Chapter 3 Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism
(D50–D89)
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Chapter 6 Diseases of the Nervous System (G00–G99)
Chapter 7 Diseases of the Eye and Adnexa (H00-H59)
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Chapter 9 Diseases of the Circulatory System (I00–I99)
Chapter 10 Diseases of the Respiratory System (J00–J99)
Chapter 11 Diseases of the Digestive System (K00–K95)
Chapter 12 Diseases of the Skin and Subcutaneous Tissue (L00–L99)
Chapter 13 Diseases of the Musculoskeletal System and Connective Tissue (M00–M99)
Chapter 14 Diseases of the Genitourinary System (N00–N99)
Chapter 15 Pregnancy, Childbirth, and the Puerperium (O00–O9A)
Chapter 16 Certain Conditions Originating in the Perinatal Period (P00–P96)
Chapter 17 Congenital Malformations, Deformations, and Chromosomal Abnormalities (Q00–Q99)
Chapter 18 Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00–R99)
Chapter 19 Injury, Poisoning, and Certain Other Consequences of External Causes (S00–T88)
Chapter 20 External Causes of Morbidity
(V00–Y99)
Chapter 21 Factors Influencing Health Status and Contact with Health Services (Z00–Z99)
Chapter 22 Codes for Special Purposes (U00-U85)
Slide ‹#›
Copyright © 2022 by Elsevier Inc.
4
Tabular
Each section begins with unique letter and codes arranged in numerical order
ICD-10-CM Tabular, R codes. (From Elsevier: Buck’s 2022 ICD-10-CM for Hospitals, St. Louis, 2022, Elsevier.)
Figure 2.5
Slide ‹#›
Copyright © 2022 by Elsevier Inc.
All codes in a chapter begin with a letter.
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Includes
Define or give examples of category ...
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xCaldwellCD10 FINAL Term Paper
This document discusses the transition from ICD-9 to ICD-10 coding in the United States. ICD-9, implemented in 1979, is outdated and limited to around 15,000 codes. Most other countries adopted ICD-10 in the 1990s. The U.S. has faced delays in implementing ICD-10, most recently pushing the deadline to October 1, 2014. The transition requires upgrades to comply with HIPAA 5010 standards as well as extensive testing and revisions to systems and processes. The new system will include over 141,000 codes and impact billing, reimbursement and data reporting.
ICD10chapters 1
This document provides a summary of the 21 chapters of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) coding system. Each chapter covers a different body system or type of disease and is identified by a alphanumeric code range. The chapters include certain infectious diseases, neoplasms, diseases of the blood, endocrine diseases, mental disorders, diseases of various body systems, injuries, external causes, and factors influencing health.
ICD-10 Delay: Relief or Grief by Peter Edu, MD, CPC, CPC-I, CCS
This document discusses the delay in implementation of ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) coding standards in the United States from October 2014 to October 2015. It provides background on ICD coding systems and the changes in ICD-10-CM. The delay provides both relief and challenges - relief through more time to prepare but wasted early investments, while the challenges include needing to refresh trainings before the new implementation date. Next steps discussed are building a knowledgeable local coding workforce and achieving ICD-10-CM compliance among currently certified coders.
Icd updt
The ICD-10 is a systematic coding system developed by the World Health Organization for classifying diseases and health conditions into categories for statistical analysis and reporting, and it has been revised over 100 years. The ICD-10 code structure is alphanumeric and used internationally to classify morbidity and mortality data for purposes like epidemiology, health services planning, and medical care management. Proper use of ICD-10 codes allows for consistent and accurate health statistics to be produced and compared across hospitals, regions, and countries.
Implementation of ICD-10
This was a PowerPoint presentation that I did for my Advanced Coding course while attending Colorado Technical University.
ICD-10: 4 Steps to Success
ICD-10 is right around the corner. Have you put off preparing for ICD-10? If so, you can’t wait any longer. This major change could have an impact on your bottom line. As a small business, you can’t afford not to be prepared. This webinar offers four simple steps to help make the transition easier on your practice.
In this free webinar, ICD-10-CM trainer Michelle Cavanaugh will review:
1. What ICD-10 is and how it differs from ICD-9
2. What you should have already done
3. The 4 steps to help ensure success on October 1st
Merck @ JP MORGAN 2016 HEALTHCARE CONFERENCE
Ken Frazier, CEO of Merck & Co., presented at the 2016 JPMorgan Healthcare Conference. He discussed Merck's strategy of adapting, innovating, and executing to create long-term value as a research-intensive biopharmaceutical company. Merck has a rich history of breakthrough products and has several major approvals, filings, and data readouts anticipated in 2016 for drugs like Keytruda and their hepatitis C pipeline. Merck remains committed to pursuing innovative science to address unmet medical needs through internal research and business development partnerships.
Merck & Co., Inc. at 34th Annual J.P. Morgan Healthcare Conference
Ken Frazier, CEO of Merck & Co., presented at the 2016 JPMorgan Healthcare Conference. He discussed Merck's strategy of adapting, innovating, and executing to create long-term value as a research-intensive biopharmaceutical company. Merck has a rich history of breakthrough products and has several recent approvals and ongoing trials. Merck will continue investing in its robust pipeline, pursuing the most promising science to address unmet medical needs through business development deals and internal research. Potential catalysts in 2016 include data readouts, regulatory filings, and approvals for products like Keytruda and treatments for hepatitis C.
ICD-10 Effect on Alternative Payment Models
Presentation on how ICD-10 affects the new payments models (i.e. risk adjustment and value based purchasing) and clinical documentation and operational tips.
R d = s icd-10-cm to icd-9-cm cross reference whitebook-sample 1
R d = s icd-10-cm to icd-9-cm cross reference whitebook-sample 1RARE-data = Solutions d/b/a RARE Advisors, LLC
A sample of a solution for the transition from ICD-9-CM to ICD-10-CM to speed up the education process for healthcare. Looking for institutions who are willing to critique this Whitebook sample. For further details on the full Whitebook, e-mail: mail.rareadvisorsllc@gmail.comMapping UMLS to ICD10 codes
This document describes how to map Unified Medical Language System (UMLS) codes to International Classification of Diseases 10th Revision (ICD10) codes. It involves building an ontology of the ICD10 code hierarchy and using SPARQL queries over the ontology and UMLS concepts to find the most specific ICD10 code for a given set of UMLS codes describing a patient's diagnosis. An application was created to demonstrate mapping UMLS codes from an electronic medical record to the appropriate ICD10 code for billing and other purposes.
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Preparing for the Conclusion of ICD-10 Grace Period
Preparing for the Conclusion of ICD-10 Grace Period
ICD-10 Delay: Relief or Grief by Peter Edu, MD, CPC, CPC-I, CCS
ICD-10 Delay: Relief or Grief by Peter Edu, MD, CPC, CPC-I, CCS
Merck & Co., Inc. at 34th Annual J.P. Morgan Healthcare Conference
Merck & Co., Inc. at 34th Annual J.P. Morgan Healthcare Conference
R d = s icd-10-cm to icd-9-cm cross reference whitebook-sample 1
R d = s icd-10-cm to icd-9-cm cross reference whitebook-sample 1
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2024 HIPAA Compliance Training Guide to the Compliance Officers
Join us for a comprehensive 90-minute lesson designed specifically for Compliance Officers and Practice/Business Managers. This 2024 HIPAA Training session will guide you through the critical steps needed to ensure your practice is fully prepared for upcoming audits. Key updates and significant changes under the Omnibus Rule will be covered, along with the latest applicable updates for 2024.
Key Areas Covered:
Texting and Email Communication: Understand the compliance requirements for electronic communication.
Encryption Standards: Learn what is necessary and what is overhyped.
Medical Messaging and Voice Data: Ensure secure handling of sensitive information.
IT Risk Factors: Identify and mitigate risks related to your IT infrastructure.
Why Attend:
Expert Instructor: Brian Tuttle, with over 20 years in Health IT and Compliance Consulting, brings invaluable experience and knowledge, including insights from over 1000 risk assessments and direct dealings with Office of Civil Rights HIPAA auditors.
Actionable Insights: Receive practical advice on preparing for audits and avoiding common mistakes.
Clarity on Compliance: Clear up misconceptions and understand the reality of HIPAA regulations.
Ensure your compliance strategy is up-to-date and effective. Enroll now and be prepared for the 2024 HIPAA audits.
Enroll Now to secure your spot in this crucial training session and ensure your HIPAA compliance is robust and audit-ready.
https://conferencepanel.com/conference/hipaa-training-for-the-compliance-officer-2024-updates
Medicare and Medicaid Managed Care Enrollments in 2024
The process of enrolling with Medicare and Medicaid Managed Care as a provider/organization can be incredibly tedious and time-consuming. The number of new Medicare and Medicaid enrollment applications continues to decline due to the enormous complexities surrounding enrollment application requirements. The cost of getting these enrollment application submissions wrong can have systemic consequences on an organization, including cash flow delays, credentialing issues, coding issues, claims backlogs, denial management issues, patient satisfaction, and even impact quality scores.
In 2024, Medicare opened the enrollment gates for new mental health providers (MFTs and MHCs) that had previously been excluded from providing services to Medicare beneficiaries. In today's webinar, we discuss the submission options, which providers are eligible for Medicare and Medicaid enrollment, each enrollment type, how to navigate the enrollment process, key terminology, what ancillary documentation is needed with enrollment submission, applicable fees, linkage issues with PTAN numbers, most common errors, and best practice tips for successfully completing the Medicare and Medicaid enrollments in 2024.
Learning Objectives
Understand the CMS 855 enrollment submission process for 2024.
Recall CMS 855A, 855B, and 855I Application requirements for 2024.
Recall the most complicated sections on the 855 applications for 2024.
Recall strategies to complete 855 forms accurately for 2024.
Recall ancillary documentation required with 855 enrollment submissions for 2024.
Avoid common rejections and errors with 855 form submissions.
Recall best practice tips for 855 form submissions for 2024.
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Dissect the various Medicare and Medicaid enrollment types in 2024.
Outline a sample workflow for completing Medicare enrollment.
Outline a sample workflow for completing Medicaid Managed Care enrollment.
Review enrollment forms for Medicare and Medicaid.
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Discuss strategies to complete the Medicare and Medicaid enrollment forms accurately for 2024.
Review the process of reassigning Medicare benefits to organizations for 2024.
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Areas covered will be texting, email, encryption, medical messaging, voice data, personal devices, and risk factors.
I will uncover myths versus reality as they relate to this enigmatic law based on over 1000 risk assessments performed and years of experience in dealing directly with the Office for Civil Rights HIPAA auditors.
I will speak on specific experiences from over 18 years of experience working as an outsourced compliance auditor and expert witness on multiple HIPAA cases in state law and thoroughly explain how patients can now get cash remedies for wrongful disclosures of private health information.
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Don't always believe what you read online about HIPAA, especially regarding encryption and IT; many groups sell more than necessary.
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This program will revisit information on HIPAA from the Office of Civil Rights, including the difference between patient access versus when authorization is needed. There will also be a discussion on The Joint Commission, which changed many of its standards to comply with the CMS CoP requirements.
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Recall that CMS has specific informed consent requirements.
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Explain both CMS and The Joint Commission standards on verbal orders.
Recall that CMS has standards for preprinted orders, standing orders, and protocols.
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Hospitals receiving Medicare or Medicaid reimbursements must adhere to CMS Conditions of Participation, with grievance requirements often cited for deficiencies. While acute hospitals have specific grievance standards outlined in the patient rights section, Critical Access Hospitals (CAHs) must also establish policies to address patient grievances.
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Prior Authorizations are a cost containment strategy that third-party payers leverage to control costs, restrict patient access to services, testing, and medications, and ultimately discourage medical providers from ordering unnecessary medical treatment. Prior authorizations are a major source of headaches for healthcare providers nationwide. Despite the intention to control costs and ensure appropriate care, the prior authorization process has been criticized for its enormous administrative burden, potential delays in necessary medical treatment, and added complexity for healthcare providers.
Striking a balance between cost control and efficient patient care remains a major challenge in the healthcare industry. Join us for an insightful 60-minute webinar as we take a deep dive into the complexities of the Prior Authorization process, discuss the pearls and pitfalls, define medical necessity requirements, and demystify the intricacies of obtaining prior authorizations, ensuring a smoother workflow and higher approval outcomes in 2024.
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Understand the major Prior Authorization Updates for 2024.
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Discuss the major Prior Authorization Updates for 2024.
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Identify which insurance payers require Prior Authorizations in 2024.
Discuss methods for obtaining Prior Authorizations in 2024.
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Outline successful strategies to overcome challenges with obtaining Prior Authorizations in 2024.
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Share best practice compliance tips for Prior Authorizations in 2024.
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Learn how to safeguard your healthcare practice from unintentional HIPAA violations in online marketing. Discover simple steps to ensure compliance with HIPAA Privacy Rule while effectively engaging patients online. Join our webinar to understand the risks of using visible and invisible tracking technologies and how to mitigate them. Stay competitive in the digital marketplace without compromising patient privacy. Don't miss out on essential administrative safeguards to protect your organization from liability. Register now for actionable insights!
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Website HIPAA Compliance
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Social Media HIPAA compliance
Facebook – common violations - Terms of Use – Prohibited
Facebook Terms of Use and Posts Prohibited by Facebook
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Title: Understanding CMS Hospital QAPI Standards and Guidelines: Key Elements for Implementation and Compliance
Description: Explore the significance of Quality Assessment and Performance Improvement (QAPI) programs in Medicare-certified hospitals, focusing on the updated CMS standards and interpretive guidelines. Learn about essential requirements, areas of assessment, and the role of hospital leadership in ensuring compliance and enhancing patient safety.
Quality Assessment and Performance Improvement (QAPI) Conditions of Participation deficiencies rank among the top three cited issues for Medicare-certified hospitals, highlighting the critical need for robust QAPI programs. CMS emphasizes the pivotal role of well-designed and maintained QAPI initiatives in enhancing patient care quality, reducing medical errors, and fostering a safer healthcare environment.
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Understand the CMS 855 enrollment submission process for 2024.
Recall CMS 855A, 855B, and 855I Application requirements for 2024.
Recall the most complicated sections on the 855 applications for 2024.
Recall strategies to complete 855 forms accurately for 2024.
Recall ancillary documentation required with 855 enrollment submissions for 2024.
Avoid common rejections and errors with 855 form submissions.
Recall best practice tips for 855 form submissions for 2024.
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https://conferencepanel.com/conference/navigating-the-2024-medicare-855-enrolments-form-updates
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This webinar aims to elucidate the changes for the year 2024 concerning billing for shared and incident care services. Furthermore, it will delineate the requisite documentation requirements essential for both shared and incident care billing scenarios.
By attending this webinar, healthcare providers can gain a comprehensive understanding of the evolving CMS policies and the intricacies of billing for shared and incident care. Armed with this knowledge, they can adopt proper billing practices and uphold the requisite documentation standards, thereby minimizing the risk of audits, paybacks, and reimbursement delays.
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Understanding CPT Code Revisions in 2024
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The document summarizes key points from a presentation on anticipated changes to HIPAA privacy and security regulations for 2024 and beyond. It discusses proposed 2023 rule changes enhancing protections for reproductive health information. These changes are being extended into 2024 through ongoing rulemaking. The presentation covers differences between privacy and security, employee training requirements, best practices for cybersecurity and incident response, and conclusions on avoiding liability when new regulations take effect.
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The 2024 Medicare Physician Fee Schedule (MPFS) Final Rule introduces extensive changes, including substantial cuts to the 2024 conversion factor, updates to the Medicare Economic Index, and significant alterations to Evaluation and Management (E/M) services. The revisions extend to code valuations and various quality reporting programs. Faced with record-breaking inflation, physician and provider organizations are expressing outrage and advocating for urgent congressional action and payment reform. In response, a webinar has been organized to thoroughly dissect these updates, offering healthcare professionals actionable insights to navigate the complexities effectively. The session aims to empower participants with tangible information that can be immediately applied in response to the unprecedented changes in the healthcare landscape.
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Participants will gain knowledge on provider credential verification, the setup and maintenance of crucial systems such as CAQH, NPPES, PECOS, and I&A, CV verification, application preparation, review and submission processes, identification of red flags, linking providers to existing contracts, re-verification procedures, and ongoing provider file maintenance. The webinar also includes a FAQ section and guidance on establishing a successful provider enrollment program.
As a bonus, attendees will receive multiple free printable and customizable forms for provider enrollment. The webinar concludes with a live Q&A session, providing participants with the opportunity to have their specific questions addressed. Whether you are new to credentialing or seeking to enhance your existing knowledge, this webinar offers a detailed view of provider enrollment, maintenance, and the development of successful programs.
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What Physicians Need to Know: CMS Final Rules 2024
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Knowledge of issues that were not implemented for 2023 provides valuable insights into what CMS is considering for the following year. This foresight enables strategic planning for 2024, allowing healthcare professionals to anticipate and prepare for potential changes. This year's update promises significant changes to key areas such as EM services, splits/shared care, remote patient monitoring (RPM), and complex chronic care management (CCM).
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We are excited to invite you to an informative webinar that will address recent changes in CMS regulations concerning History and Physicals (H&P) for healthy outpatients. The evolving landscape of healthcare policies requires hospitals to stay abreast of alterations in guidelines to ensure compliance.
Why Attend:
Stay informed about recent changes in CMS regulations.
Learn how to develop a comprehensive policy addressing H&P requirements.
Ensure compliance with The Joint Commission and DNV standards.
Gain insights into common deficiencies and strategies for improvement.
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https://conferencepanel.com/conference/history-and-physicals-meeting-hospital-cops-in-2023
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Medicare Preventive Care: A CMS Perspective
CMS Preventive Services for Medicare Patients refers to the Centers for Medicare & Medicaid Services (CMS) programs that provide preventive healthcare services to Medicare beneficiaries. These services are designed to detect and address health issues early, helping seniors maintain their well-being and potentially reducing healthcare costs in the long run. Preventive services covered by Medicare may include vaccinations, screenings, annual wellness visits, and counseling on various health-related topics. These services are essential for promoting the health and longevity of Medicare patients while preventing more serious and costly medical conditions.
The webinar is designed to provide information and guidance to healthcare providers and professionals on preventive services covered by Medicare for their patients. These services are aimed at helping Medicare patients maintain and improve their health by identifying and preventing illnesses or conditions. The webinar likely covers topics such as eligibility, coding, billing, and updates on preventive services guidelines for Medicare beneficiaries. It is a resource to keep healthcare providers updated on Medicare's preventive care offerings.
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Prepare for October 2023: ICD-10 Coding Changes Ahead
- 1. 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
- 2. 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
- 3. Chapter 1 Certain infectious and parasitic diseases (A00-B99) 3
- 4. Chapter 2 Neoplasms (C00-D49) 4
- 5. Chapter 3 Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) 5
- 6. Chapter 4 Endocrine, nutritional and metabolic diseases (E00-E89) 6
- 7. Chapter 5 Mental, behavioral, and neurodevelopmental disorders (F01 – F99) 7
- 8. Chapter 6 Diseases of the Nervous System (G00-G99) 8
- 9. 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
- 10. Chapter 9 Diseases of the Circulatory System (I00-I99) 10
- 11. Chapter 10 Chapter 10: Diseases of the Respiratory System (J00-J99) 11
- 12. Chapter 11 Diseases of the Digestive System (K00-K95) 12 17 New Codes
- 13. Chapter 12 Diseases of the skin and subcutaneous tissue (L00-L99) 13 NO CHANGES!
- 14. Chapter 13 Diseases of the musculoskeletal system and connective tissue (M00-M99) 14
- 15. Chapter 14 Diseases of the genitourinary system (N00-N99) 15 15 New Codes
- 16. Chapter 15 Pregnancy, childbirth, and the puerperium (O00-O9A) 16
- 17. Chapter 16 Certain conditions originating in the perinatal period (P00-P96) 17 No Changes
- 18. Chapter 17 Congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99) 18
- 19. Chapter 18 Symptoms, signs, and abnormal clinical and laboratory findings not elsewhere classified (R00-R99) 19 18 New Codes
- 20. Chapter 19 Injury, poisoning, and certain other consequences of external causes (S00-T88)12 20
- 21. Chapter 20 External causes of morbidity (V00-Y99) 21
- 22. Chapter 21 Factors influencing health status and contact with health services (Z00-Z99) 22
- 23. 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
- 24. REGISTER NOW 24