2023 ICD-10 Revisions for Home and Hospice Care

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