A presentation at 2023 ICD-10 Revisions for Home and Hospice Care in in California, USA by Conference Panel
2023 ICD-10 CODING UPDATES Presented By Sharon M. Litwin RN, BSHS, MHA, HCS-D, COQS REGISTER NOW
HIGHLIGHTS 1,176 NEW CODES! 28 codes revisions to their descriptors 251 deleted Many of these are external cause codes Important changes to Dementia (F codes) -69 new codes to identify the stage of severity, and behavioral and psychological symptoms of dementia (BPSD) Most all additions are to increase specificity as is the case each year No COVID code changes Every chapter except 7 and 8, eye and ear, has revisions. Chapter 12 – skin/subcu (L codes) has only 1 change to an exclude 1 note
OTHER HIGHLIGHTS Circulatory Injuries (I codes) - addition of 43 new codes to the head (S00-S09 codes) addition of 86 new codes Genitourinary system (N00-N99) adds almost 400 new codes for ob-gyn conditions with 168 for endometriosis Pregnancy, Chapter Childbirth (O00-O9A) added 200 new codes 19 (S00-T88) adds a new poisoning and adverse effect category for methamphetamines
CHAPTERS Chapter 1 – Infections Chapter 13 – Musculoskeletal system Chapter 2 – Neoplasms Chapter 14 – Genitourinary system Chapter 3 – Blood and Blood forming organs Chapter 15 – Pregnancy and childbirth Chapter 16 – Perinatal period Chapter 4 – Endocrine Chapter 17 – Congenital malformations Chapter 5 – Mental Disorders Chapter 19 – Injuries and poisoning Chapter 6 – Nervous system Chapter 20 – External causes Chapter 9 – Circulatory system Chapter 21 – Z codes
CHAPTER 1 CERTAIN INFECTIONS AND PARASITIC DISEASES (A00-B99)
CHAPTER 2 NEOPLASMS (C00-D49)
CHAPTER 3 DISEASE 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) This Photo by Unknown Author is licensed under CC BY
CHAPTER 5 MENTAL, BEHAVIORAL AND NEURODEVELOPMENTAL DISORDERS (F01 – F99)
CHAPTER 6 DISEASES OF THE NERVOUS SYSTEM (G00-G99)
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) Other disorders of the skin and subcutaneous tissue (L80-L99) L81 Other disorders of pigmentation ▪ Excludes1: ▪ Revise from Peutz-Jeghers syndrome (Q85.8) ▪ Revise to Peutz-Jeghers syndrome (Q85.89)
CHAPTER 13 DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE (M00-M99)
Chapter 14 Diseases of the genitourinary system (N00-N99) This Photo by Unknown Author is licensed under CC BY-NC
168 new! Endometriosis codes Anatomic locations Multiple Locations Depth – unspecified, superficial and deep Laterality
CHAPTER 15 PREGNANCY, CHILDBIRTH AND THE PUERPERIUM (O00-O9A) This Photo by Unknown Author is licensed under CC BY-SA-NC
Chapter 16 Certain Conditions Originating In The Perinatal Period (P00-P96) Expanded subcategories of: P28.3 and P28.4 P28.3 Primary sleep apnea of newborn P28.30 Primary sleep apnea of newborn, unspecified Transient oxygen desaturation spells of newborn during sleep P28.31 Primary central sleep apnea of newborn P28.32 Primary obstructive sleep apnea of newborn P28.33 Primary mixed sleep apnea of newborn P28.39 Other primary sleep apnea of newborn P28.4 Other apnea of newborn
CHAPTER 17 CONGENITAL MALFORMATIONS, DEFORMATIONS AND CHROMOSOMAL ABNORMALITIES (Q00-Q99) This Photo by Unknown Author is licensed under CC BY-SA-NC
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)
A LOT of added and more detailed code categories for 2023! Major area: Dementia Severity Levels and expanded codes Check Official CMS Links for: Coding Guidelines, Tabular list of diseases and injuries Table of New and Revised codes Remember, these are effective October 1, 2022!
Sharon M. Litwin, RN, BSHS, MHA, HCS-D, COQS REGISTER NOW
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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