Vitalware Insight Into the 2024 ICD10 CM Updates.pdf

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© Health Catalyst. Confidential and Proprietary. Insight into the 2024 ICD-10-CM Updates Mikki Fazzio, RHIT, CCS, Charge Integrity Specialist
© Health Catalyst. Confidential and Proprietary. Disclaimer Statement This presentation was current at the time it was published or provided via the web and is designed to provide accurate and authoritative information regarding the subject matter covered. The information provided is only intended to be a general overview with the understanding that neither the presenter nor the event sponsor is engaged in rendering specific coding advice. It is not intended to take the place of either the written policies or regulations. We encourage participants to review the specific regulations and other interpretive materials, as necessary. All CPT® codes are trademarked by the American Medical Association (AMA) and all revenue codes are copyrighted by the American Hospital Association (AHA).
Agenda © Health Catalyst. Confidential and Proprietary. • MCC/CC Changes • ICD-10-CM Chapter-Specific Code Additions, Deletions, and Revisions • ICD-10-CM Guideline Changes • MS-DRG Updates
© Health Catalyst. Confidential and Proprietary. CM Code Changes Summary For FY 2024 Overall Changes to CM: • 395 new codes • 13 revisions • 25 deletions Total CM codes from 73,674 to 74,044 • 429 new POA exempt codes added, 8 POA exempt codes deleted • MCC/CC Changes: – 18 new MCCs – 3 deleted MCCs – 79 new CCs – 8 deleted CCs
© Health Catalyst. Confidential and Proprietary. MCC/CC Changes
© Health Catalyst. Confidential and Proprietary. Additions to MCC List MCC and CC Changes
© Health Catalyst. Confidential and Proprietary. Deletions to MCC List MCC and CC Changes
© Health Catalyst. Confidential and Proprietary. Additions to CC List MCC and CC Changes
© Health Catalyst. Confidential and Proprietary. Deletions to CC List MCC and CC Changes
© Health Catalyst. Confidential and Proprietary. ICD-10-CM Chapter Specific Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions A41.54 Sepsis due to Acinetobacter baumannii MCC B96.83 Acinetobacter baumannii as the cause of diseases classified elsewhere Chapter 1: Certain Infectious and Parasitic Diseases ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions D13.91 Familial adenomatous polyposis D13.99 Benign neoplasm of ill-defined sites within the digestive system [Deletion: D13.9 Benign neoplasm of ill-defined sites within the digestive system] D48.110 Desmoid tumor of head and neck D48.111 Desmoid tumor of chest wall D48.112 Desmoid tumor, intrathoracic D48.113 Desmoid tumor of abdominal wall D48.114 Desmoid tumor, intraabdominal Chapter 2: Neoplasms ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions D48.115 Desmoid tumor of upper extremity and shoulder girdle D48.116 Desmoid tumor of lower extremity and pelvic girdle D48.117 Desmoid tumor of back D48.118 Desmoid tumor of other site D48.119 Desmoid tumor of unspecified site D48.19 Other specified neoplasm of uncertain behavior of connective and other soft tissue [Deletion: D48.1, Neoplasm of uncertain behavior of connective and other soft tissue] Chapter 2: Neoplasms ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Chapter 2: Neoplasms ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions D61.02 Shwachman-Diamond syndrome CC • Code also, if applicable, associated conditions such as: acute myeloblastic leukemia (C92.0-), exocrine pancreatic insufficiency (K86.81), myelodysplastic syndrome (D46.-) • Use additional code, if applicable, for genetic susceptibility to other malignant neoplasm (Z15.09) D89.84 IgG4-related disease Chapter 3: Diseases of Blood/Blood-Forming Organs & Disorders Involving Immune Mechanism ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions D57.04 Hb-SS disease with dactylitis MCC D57.214 Sickle-cell/Hb-C disease with dactylitis MCC D57.414 Sickle-cell thalassemia, unspecified, with dactylitis MCC D57.434 Sickle-cell thalassemia beta zero with dactylitis MCC D57.454 Sickle-cell thalassemia beta plus with dactylitis MCC D57.814 Other sickle-cell disorders with dactylitis MCC Chapter 3: Diseases of Blood/Blood-Forming Organs & Disorders Involving Immune Mechanism ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions E20.810 Autosomal dominant hypocalcemia • Code also, if applicable, any associated conditions, such as: calculus of kidney (N20.0), chronic kidney disease (N18.-), respiratory distress (J80, R06.-), seizure disorder (G40.-, R56.9) E20.811 Secondary hypoparathyroidism in diseases classified elsewhere E20.812 Autoimmune hypoparathyroidism E20.818 Other specified hypoparathyroidism due to impaired parathyroid hormone secretion E20.819 Hypoparathyroidism due to impaired parathyroid hormone secretion, unspecified E20.89 Other specified hypoparathyroidism [Deletion: E20.8 Other hypoparathyroidism] Chapter 4: Endocrine, Nutritional and Metabolic Diseases ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions E88.811 Insulin resistance syndrome, Type A E88.818 Other insulin resistance E88.819 Insulin resistance, unspecified E88.810 Metabolic syndrome E74.05 Lysosome-associated membrane protein 2 [LAMP2] deficiency CC • Code also, if applicable, associated manifestations such as: dilated cardiomyopathy (I42.0), obstructive hypertrophic cardiomyopathy (I42.1) Chapter 4: Endocrine, Nutritional and Metabolic Diseases ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. E75.27 Pelizaeus-Merzbacher disease CC E75.28 Canavan disease CC E79.81 Aicardi-Goutieres syndrome CC E79.82 Hereditary xanthinuria CC E79.89 Other specified disorders of purine and pyrimidine metabolism CC [Deletion: E79.8 Other disorders of purine and pyrimidine metabolism] [Deletion: E88.81 Metabolic Syndrome] Chapter 4: Endocrine, Nutritional and Metabolic Diseases Additions ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions E88.43 Disorders of mitochondrial tRNA synthetases CC E88.A Wasting disease (syndrome) due to underlying condition • Code first the underlying condition. • This is no longer coded as part of category R64, Cachexia. Chapter 4: Endocrine, Nutritional and Metabolic Diseases ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions G20.A1 Parkinson's disease without dyskinesia, without mention of fluctuations G20.A2 Parkinson's disease without dyskinesia, with fluctuations G20.B1 Parkinson's disease with dyskinesia, without mention of fluctuations G20.B2 Parkinson's disease with dyskinesia, with fluctuations G20.C Parkinsonism, unspecified [Deletion: G20 Parkinson’s disease] G37.81 Myelin oligodendrocyte glycoprotein antibody disease CC • Code also associated manifestations, if known, such as: noninfectious acute disseminated encephalomyelitis (G04.81), neuromyelitis optica (G36.0) G37.89 Other specified demyelinating diseases of central nervous system CC [Deletion: G37.8 Other specified demyelinating diseases of central nervous system] Chapter 6: Diseases of the Nervous System ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions G40.C01 Lafora progressive myoclonus epilepsy, not intractable, with status epilepticus CC G40.C09 Lafora progressive myoclonus epilepsy, not intractable, without status epilepticus CC G40.C11 Lafora progressive myoclonus epilepsy, intractable, with status epilepticus CC G40.C19 Lafora progressive myoclonus epilepsy, intractable, without status epilepticus CC • Code also, if applicable, associated conditions such as dementia (F02.8-) Chapter 6: Diseases of the Nervous System ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions G43.E01 Chronic migraine with aura, not intractable, with status migrainosus G43.E09 Chronic migraine with aura, not intractable, without status migrainosus G43.E11 Chronic migraine with aura, intractable, with status migrainosus G43.E19 Chronic migraine with aura, intractable, without status migrainosus G93.42 Megaloencephalic leukoencephalopathy with subcortical cysts CC G93.43 Leukoencephalopathy with calcifications and cysts CC G23.3 Hypomyelination with atrophy of the basal ganglia and cerebellum CC G31.86 Alexander disease Chapter 6: Diseases of the Nervous System ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions G11.5 Hypomyelination - hypogonadotropic hypogonadism – hypodontia CC G11.6 Leukodystrophy with vanishing white matter disease CC G23.3 Hypomyelination with atrophy of the basal ganglia and cerebellum CC G31.80 Leukodystrophy, unspecified G90.B LMNB1-related autosomal dominant leukodystrophy G93.44 Adult-onset leukodystrophy with axonal spheroids CC Chapter 6: Diseases of the Nervous System ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions H36.811 Nonproliferative sickle-cell retinopathy, right eye H36.812 Nonproliferative sickle-cell retinopathy, left eye H36.813 Nonproliferative sickle-cell retinopathy, bilateral H36.819 Nonproliferative sickle-cell retinopathy, unspecified eye H36.821 Proliferative sickle-cell retinopathy, right eye H36.822 Proliferative sickle-cell retinopathy, left eye H36.823 Proliferative sickle-cell retinopathy, bilateral H36.829 Proliferative sickle-cell retinopathy, unspecified eye • Code first underlying disease, such as: lipid storage disorders (E15.-) or sickle-cell disorders (D57.-) [Deletion: H36 Retinal disorders in diseases classified elsewhere] Chapter 7: Diseases of the Eye and Adnexa ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions H57.8A1 Foreign body sensation, right eye H57.8A2 Foreign body sensation, left eye H57.8A3 Foreign body sensation, bilateral eyes H57.8A9 Foreign body sensation, unspecified eye H36.89 Other retinal disorders in diseases classified elsewhere Chapter 7: Diseases of the Eye and Adnexa ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Chapter 7: Diseases of the Eye and Adnexa ICD-10-CM Code Additions, Deletions, and Revisions Additions H50.621 Inferior oblique muscle entrapment, right eye H50.622 Inferior oblique muscle entrapment, left eye H50.629 Inferior oblique muscle entrapment, unspecified eye H50.631 Inferior rectus muscle entrapment, right eye H50.632 Inferior rectus muscle entrapment, left eye H50.639 Inferior rectus muscle entrapment, unspecified eye H50.641 Lateral rectus muscle entrapment, right eye H50.642 Lateral rectus muscle entrapment, left eye H50.649 Lateral rectus muscle entrapment, unspecified eye H50.651 Medial rectus muscle entrapment, right eye H50.652 Medial rectus muscle entrapment, left eye • Code the muscle entrapment in addition to the orbital fracture H50.659 Medial rectus muscle entrapment, unspecified eye H50.661 Superior oblique muscle entrapment, right eye H50.662 Superior oblique muscle entrapment, left eye H50.669 Superior oblique muscle entrapment, unspecified eye H50.671 Superior rectus muscle entrapment, right eye H50.672 Superior rectus muscle entrapment, left eye H50.679 Superior rectus muscle entrapment, unspecified eye H50.681 Extraocular muscle entrapment, unspecified, right eye H50.682 Extraocular muscle entrapment, unspecified, left eye H50.689 Extraocular muscle entrapment, unspecified, unspecified eye
© Health Catalyst. Confidential and Proprietary. Additions I1A.0 Resistant hypertension • Code first specific type of existing hypertension, if known, such as: essential hypertension (I10) or secondary hypertension (I15.-) I20.81 Angina pectoris with coronary microvascular dysfunction I20.89 Other forms of angina pectoris [Deletion: I20.8 Other forms of angina pectoris] I21.B Myocardial infarction with coronary microvascular dysfunction MCC I24.81 Acute coronary microvascular dysfunction CC I24.89 Other forms of acute ischemic heart disease CC I25.85 Chronic coronary microvascular dysfunction [Deletion: I24.8 Other forms of acute ischemic heart disease] Chapter 9: Diseases of the Circulatory System ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions I47.10 Supraventricular tachycardia, unspecified CC I47.11 Inappropriate sinus tachycardia, so stated CC I47.19 Other supraventricular tachycardia CC [Deletion: I47.1 Supraventricular tachycardia] Chapter 9: Diseases of the Circulatory System ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. I25.112, Atherosclerosic heart disease of native coronary artery with refractory angina pectoris Revised to: I25.112, Atherosclerotic heart disease of native coronary artery with refractory angina pectoris Chapter 9: Diseases of the Circulatory System ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. I71.51, Supraceliac aneurysm of the abdominal aorta, ruptured I71.61, Supraceliac aneurysm of the abdominal aorta, without rupture Revised to: I71.51, Supraceliac aneurysm of the thoracoabdominal aorta, ruptured I71.61, Supraceliac aneurysm of the thoracoabdominal aorta, without rupture Chapter 9: Diseases of the Circulatory System ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. I71.52, Paravisceral aneurysm of the abdominal aorta, ruptured I71.62, Paravisceral aneurysm of the abdominal aorta, without rupture Revised to: I71.52, Paravisceral aneurysm of the thoracoabdominal aorta, ruptured I71.62, Paravisceral aneurysm of the thoracoabdominal aorta, without rupture Chapter 9: Diseases of the Circulatory System ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions J15.61 Pneumonia due to Acinetobacter baumannii MCC J15.69 Pneumonia due to other Gram-negative bacteria MCC [Deletion: J15.6 Pneumonia due to other Gram-negative bacteria] J44.81 Bronchiolitis obliterans and bronchiolitis obliterans syndrome J44.89 Other specified chronic obstructive pulmonary disease J4A.0 Restrictive allograft syndrome J4A.8 Other chronic lung allograft dysfunction J4A.9 Chronic lung allograft dysfunction, unspecified Chapter 10: Diseases of the Respiratory System ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions K35.200 Acute appendicitis with generalized peritonitis, without perforation or abscess CC K35.201 Acute appendicitis with generalized peritonitis, with perforation, without abscess CC K35.209 Acute appendicitis with generalized peritonitis, without abscess, unspecified as to perforation CC K35.210 Acute appendicitis with generalized peritonitis, without perforation, with abscess MCC K35.211 Acute appendicitis with generalized peritonitis, with perforation and abscess MCC K35.219 Acute appendicitis with generalized peritonitis, with abscess, unspecified as to perforation MCC [Deletion: K35.20 Acute appendicitis with generalized peritonitis, without abscess and K3521 Acute appendicitis with generalized peritonitis, with abscess] K63.8211 Small intestinal bacterial overgrowth, hydrogen-subtype K63.8212 Small intestinal bacterial overgrowth, hydrogen sulfide-subtype K63.8219 Small intestinal bacterial overgrowth, unspecified K63.822 Small intestinal fungal overgrowth K63.829 Intestinal methanogen overgrowth, unspecified Chapter 11: Diseases of the Digestive System ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions K68.2 Retroperitoneal fibrosis MCC • Code also, if applicable, associated obstruction of ureter (N13.5) K68.3 Retroperitoneal hematoma MCC K90.821 Short bowel syndrome with colon in continuity CC K90.822 Short bowel syndrome without colon in continuity CC K90.829 Short bowel syndrome, unspecified CC K90.83 Intestinal failure CC Chapter 11: Diseases of the Digestive System ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions M80.0B1A Age-related osteoporosis with current pathological fracture, right pelvis, initial encounter for fracture M80.0B1D Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with routine healing M80.0B1G Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with delayed healing M80.0B1K Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with nonunion M80.0B1P Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with malunion M80.0B1S Age-related osteoporosis with current pathological fracture, right pelvis, sequela M80.0B2A Age-related osteoporosis with current pathological fracture, left pelvis, initial encounter for fracture M80.0B2D Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with routine healing M80.0B2G Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with delayed healing M80.0B2K Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with nonunion M80.0B2P Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with malunion M80.0B2S Age-related osteoporosis with current pathological fracture, left pelvis, sequela Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions M80.0B9A Age-related osteoporosis with current pathological fracture, unspecified pelvis, initial encounter for fracture M80.0B9D Age-related osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with routine healing M80.0B9G Age-related osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with delayed healing M80.0B9K Age-related osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with nonunion M80.0B9P Age-related osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with malunion M80.0B9S Age-related osteoporosis with current pathological fracture, unspecified pelvis, sequela M80.8B1A Other osteoporosis with current pathological fracture, right pelvis, initial encounter for fracture M80.8B1D Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with routine healing M80.8B1G Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with delayed healing M80.8B1K Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with nonunion M80.8B1P Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with malunion M80.8B1S Other osteoporosis with current pathological fracture, right pelvis, sequela Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions M80.8B2A Other osteoporosis with current pathological fracture, left pelvis, initial encounter for fracture M80.8B2D Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with routine healing M80.8B2G Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with delayed healing M80.8B2K Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with nonunion M80.8B2P Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with malunion M80.8B2S Other osteoporosis with current pathological fracture, left pelvis, sequela M80.8B9A Other osteoporosis with current pathological fracture, unspecified pelvis, initial encounter for fracture M80.8B9D Other osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with routine healing M80.8B9G Other osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with delayed healing M80.8B9K Other osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with nonunion M80.8B9P Other osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with malunion M80.8B9S Other osteoporosis with current pathological fracture, unspecified pelvis, sequela Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions N02.B1 Recurrent and persistent immunoglobulin A nephropathy with glomerular lesion CC N02.B2 Recurrent and persistent immunoglobulin A nephropathy with focal and segmental glomerular lesion CC N02.B3 Recurrent and persistent immunoglobulin A nephropathy with diffuse membranoproliferative glomerulonephritis CC N02.B4 Recurrent and persistent immunoglobulin A nephropathy with diffuse membranous glomerulonephritis CC N02.B5 Recurrent and persistent immunoglobulin A nephropathy with diffuse mesangial proliferative glomerulonephritis CC N02.B6 Recurrent and persistent immunoglobulin A nephropathy with diffuse mesangiocapillary glomerulonephritis CC N02.B9 Other recurrent and persistent immunoglobulin A nephropathy CC Chapter 14: Diseases of Genitourinary System ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions N04.20 Nephrotic syndrome with diffuse membranous glomerulonephritis, unspecified CC N04.21 Primary membranous nephropathy with nephrotic syndrome CC N04.22 Secondary membranous nephropathy with nephrotic syndrome CC  Code first, if applicable, other disease or disorder or poisoning causing membranous nephropathy  Use additional code, if applicable, for adverse effect of drug causing membranous nephropathy N04.29 Other nephrotic syndrome with diffuse membranous glomerulonephritis CC [Deletion: N04.2 Nephrotic syndrome with diffuse membranous glomerulonephritis] Chapter 14: Diseases of Genitourinary System ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions N06.20 Isolated proteinuria with diffuse membranous glomerulonephritis, unspecified CC N06.21 Primary membranous nephropathy with isolated proteinuria CC N06.22 Secondary membranous nephropathy with isolated proteinuria CC • Code first, if applicable, other disease or disorder or poisoning causing membranous nephropathy • Use additional code, if applicable, for adverse effect of drug causing membranous nephropathy N06.29 Other isolated proteinuria with diffuse membranous glomerulonephritis CC [Deletion: N06.2 Isolated proteinuria with diffuse membranous glomerulonephritis] Chapter 14: Diseases of Genitourinary System ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. N35.812, Other urethral bulbous stricture, male Revised to: N35.812, Other bulbous urethral stricture, male Chapter 14: Diseases of Genitourinary System ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions O26.641 Intrahepatic cholestasis of pregnancy, first trimester CC O26.642 Intrahepatic cholestasis of pregnancy, second trimester CC O26.643 Intrahepatic cholestasis of pregnancy, third trimester CC O26.649 Intrahepatic cholestasis of pregnancy, unspecified trimester O90.41 Hepatorenal syndrome following labor and delivery MCC O90.49 Other postpartum acute kidney failure MCC [Deletion: O90.4 Postpartum acute kidney failure] Chapter 15: Pregnancy, Childbirth and the Puerperium ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. P19.9, Metabolic acidemia, unspecified Revised to: P19.9, Metabolic acidemia in newborn, unspecified Chapter 16: Certain Conditions Originating in the Perinatal Period ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions Q44.70 Other congenital malformation of liver, unspecified CC Q44.71 Alagille syndrome CC Q44.79 Other congenital malformations of liver CC [Deletion: Q44.7 Other congenital malformations of liver] Chapter 17: Congenital Malformations, Deformations, and Chromosomal Abnormalities ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions Q75.001 Craniosynostosis unspecified, unilateral Q75.002 Craniosynostosis unspecified, bilateral Q75.009 Craniosynostosis unspecified Q75.01 Sagittal craniosynostosis Q75.021 Coronal craniosynostosis unilateral Q75.022 Coronal craniosynostosis bilateral Q75.029 Coronal craniosynostosis unspecified Q75.03 Metopic craniosynostosis [Deletion: Q75.0 Craniosynostosis] Chapter 17: Congenital Malformations, Deformations, and Chromosomal Abnormalities ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions Q75.041 Lambdoid craniosynostosis, unilateral Q75.042 Lambdoid craniosynostosis, bilateral Q75.049 Lambdoid craniosynostosis, unspecified Q75.058 Other multi-suture craniosynostosis Q75.08 Other single-suture craniosynostosis Q75.051 Cloverleaf skull Q75.052 Pansynostosis Q75.058 Other multi-suture craniosynostosis Q75.08 Other single-suture craniosynostosis Chapter 17: Congenital Malformations, Deformations, and Chromosomal Abnormalities ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions Q87.83 Bardet-Biedl syndrome CC Q87.84 Laurence-Moon syndrome CC Q87.85 MED13L syndrome CC • Code also, if applicable, any associated manifestations such as: autism spectrum disorder (F84.0-), congenital malformations of cardiac septa (Q21-), epilepsy and recurrent seizures (G40.-), intellectual disability (F70-F79) Q93.52 Phelan-McDermid syndrome CC • Use additional code(s) to identify any associated conditions, such as: autism spectrum disorder (F84.0), degree of intellectual disabilities (F70-F79), epilepsy and recurrent seizures (G40.-), lyphedema (I89.0) Chapter 17: Congenital Malformations, Deformations, and Chromosomal Abnormalities ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Q85.81, PTEN tumor syndrome Revised to: Q85.81, PTEN hamartoma tumor syndrome Q87.40, Marfan's syndrome, unspecified Revised to: Q87.40, Marfan syndrome, unspecified Q87.410, Marfan's syndrome with aortic dilation Revised to: Q87.410, Marfan syndrome with aortic dilation Chapter 17: Congenital Malformations, Deformations, and Chromosomal Abnormalities ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Q87.418, Marfan's syndrome with other cardiovascular manifestations Revised to: Q87.418, Marfan syndrome with other cardiovascular manifestations Q87.42, Marfan's syndrome with ocular manifestations Revised to: Q87.42, Marfan syndrome with ocular manifestations Q87.43, Marfan's syndrome with skeletal manifestation Revised to: Q87.43, Marfan syndrome with skeletal manifestation Chapter 17: Congenital Malformations, Deformations, and Chromosomal Abnormalities ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions R09.A0 Foreign body sensation, unspecified R09.A1 Foreign body sensation, nose R09.A2 Foreign body sensation, throat R09.A9 Foreign body sensation, other site R40.2A Nontraumatic coma due to underlying condition MCC • Code first underlying condition Chapter 18: Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions R92.30 Dense breasts, unspecified R92.311 Mammographic fatty tissue density, right breast R92.312 Mammographic fatty tissue density, left breast R92.313 Mammographic fatty tissue density, bilateral breasts R92.321 Mammographic fibroglandular density, right breast R92.322 Mammographic fibroglandular density, left breast R92.323 Mammographic fibroglandular density, bilateral breasts R92.331 Mammographic heterogeneous density, right breast R92.332 Mammographic heterogeneous density, left breast R92.333 Mammographic heterogeneous density, bilateral breasts R92.341 Mammographic extreme density, right breast R92.342 Mammographic extreme density, left breast R92.343 Mammographic extreme density, bilateral breasts Chapter 18: Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions T56.821A Toxic effect of gadolinium, accidental (unintentional), initial encounter T56.821D Toxic effect of gadolinium, accidental (unintentional), subsequent encounter T56.821S Toxic effect of gadolinium, accidental (unintentional), sequela T56.822A Toxic effect of gadolinium, intentional self-harm, initial encounter T56.822D Toxic effect of gadolinium, intentional self-harm, subsequent encounter T56.822S Toxic effect of gadolinium, intentional self-harm, sequela T56.823A Toxic effect of gadolinium, assault, initial encounter T56.823D Toxic effect of gadolinium, assault, subsequent encounter T56.823S Toxic effect of gadolinium, assault, sequela T56.824A Toxic effect of gadolinium, undetermined, initial encounter T56.824D Toxic effect of gadolinium, undetermined, subsequent encounter T56.824S Toxic effect of gadolinium, undetermined, sequela Chapter 19: Injury, Poisoning, and Certain Other Consequences of External Causes ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions W44.8XXA Other foreign body entering into or through a natural orifice, initial encounter W44.8XXD Other foreign body entering into or through a natural orifice, subsequent encounter W44.8XXS Other foreign body entering into or through a natural orifice, sequela W44.9XXA Unspecified foreign body entering into or through a natural orifice, initial encounter W44.9XXD Unspecified foreign body entering into or through a natural orifice, subsequent encounter W44.9XXS Unspecified foreign body entering into or through a natural orifice, sequela W44.A0XA Battery unspecified, entering into or through a natural orifice, initial encounter W44.A0XD Battery unspecified, entering into or through a natural orifice, subsequent encounter W44.A0XS Battery unspecified, entering into or through a natural orifice, sequela W44.A1XA Button battery entering into or through a natural orifice, initial encounter W44.A1XD Button battery entering into or through a natural orifice, subsequent encounter W44.A1XS Button battery entering into or through a natural orifice, sequela Chapter 20: External Causes of Morbidity ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions W44.A9XA Other batteries entering into or through a natural orifice, initial encounter W44.A9XD Other batteries entering into or through a natural orifice, subsequent encounter W44.A9XS Other batteries entering into or through a natural orifice, sequela W44.B0XA Plastic object unspecified, entering into or through a natural orifice, initial encounter W44.B0XD Plastic object unspecified, entering into or through a natural orifice, subsequent encounter W44.B0XS Plastic object unspecified, entering into or through a natural orifice, sequela W44.B1XA Plastic bead entering into or through a natural orifice, initial encounter W44.B1XD Plastic bead entering into or through a natural orifice, subsequent encounter W44.B1XS Plastic bead entering into or through a natural orifice, sequela W44.B2XA Plastic coin entering into or through a natural orifice, initial encounter W44.B2XD Plastic coin entering into or through a natural orifice, subsequent encounter W44.B2XS Plastic coin entering into or through a natural orifice, sequela Chapter 20: External Causes of Morbidity ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions W44.B3XA Plastic toy and toy part entering into or through a natural orifice, initial encounter W44.B3XD Plastic toy and toy part entering into or through a natural orifice, subsequent encounter W44.B3XS Plastic toy and toy part entering into or through a natural orifice, sequela W44.B4XA Plastic jewelry entering into or through a natural orifice, initial encounter W44.B4XD Plastic jewelry entering into or through a natural orifice, subsequent encounter W44.B4XS Plastic jewelry entering into or through a natural orifice, sequela W44.B5XA Plastic bottle entering into or through a natural orifice, initial encounter W44.B5XD Plastic bottle entering into or through a natural orifice, subsequent encounter W44.B5XS Plastic bottle entering into or through a natural orifice, sequela W44.B9XA Other plastic object entering into or through a natural orifice, initial encounter W44.B9XD Other plastic object entering into or through a natural orifice, subsequent encounter W44.B9XS Other plastic object entering into or through a natural orifice, sequela Chapter 20: External Causes of Morbidity ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions W44.C0XA Glass unspecified, entering into or through a natural orifice, initial encounter W44.C0XD Glass unspecified, entering into or through a natural orifice, subsequent encounter W44.C0XS Glass unspecified, entering into or through a natural orifice, sequela W44.C1XA Sharp glass entering into or through a natural orifice, initial encounter W44.C1XD Sharp glass entering into or through a natural orifice, subsequent encounter W44.C1XS Sharp glass entering into or through a natural orifice, sequela W44.C2XA Intact glass entering into or through a natural orifice, initial encounter W44.C2XD Intact glass entering into or through a natural orifice, subsequent encounter W44.C2XS Intact glass entering into or through a natural orifice, sequela W44.D0XA Magnetic metal object unspecified, entering into or through a natural orifice, initial encounter W44.D0XD Magnetic metal object unspecified, entering into or through a natural orifice, subsequent encounter W44.D0XS Magnetic metal object unspecified, entering into or through a natural orifice, sequela Chapter 20: External Causes of Morbidity ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions W44.D1XA Magnetic metal bead entering into or through a natural orifice, initial encounter W44.D1XD Magnetic metal bead entering into or through a natural orifice, subsequent encounter W44.D1XS Magnetic metal bead entering into or through a natural orifice, sequela W44.D2XA Magnetic metal coin entering into or through a natural orifice, initial encounter W44.D2XD Magnetic metal coin entering into or through a natural orifice, subsequent encounter W44.D2XS Magnetic metal coin entering into or through a natural orifice, sequela W44.D3XA Magnetic metal toy entering into or through a natural orifice, initial encounter W44.D3XD Magnetic metal toy entering into or through a natural orifice, subsequent encounter W44.D3XS Magnetic metal toy entering into or through a natural orifice, sequela W44.D4XA Magnetic metal jewelry entering into or through a natural orifice, initial encounter W44.D4XD Magnetic metal jewelry entering into or through a natural orifice, subsequent encounter W44.D4XS Magnetic metal jewelry entering into or through a natural orifice, sequela Chapter 20: External Causes of Morbidity ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions W44.D9XA Other magnetic metal objects entering into or through a natural orifice, initial encounter W44.D9XD Other magnetic metal objects entering into or through a natural orifice, subsequent encounter W44.D9XS Other magnetic metal objects entering into or through a natural orifice, sequela W44.E0XA Non-magnetic metal object unspecified, entering into or through a natural orifice, initial encounter W44.E0XD Non-magnetic metal object unspecified, entering into or through a natural orifice, subsequent encounter W44.E0XS Non-magnetic metal object unspecified, entering into or through a natural orifice, sequela W44.E1XA Non-magnetic metal bead entering into or through a natural orifice, initial encounter W44.E1XD Non-magnetic metal bead entering into or through a natural orifice, subsequent encounter W44.E1XS Non-magnetic metal bead entering into or through a natural orifice, sequela W44.E2XA Non-magnetic metal coin entering into or through a natural orifice, initial encounter W44.E2XD Non-magnetic metal coin entering into or through a natural orifice, subsequent encounter W44.E2XS Non-magnetic metal coin entering into or through a natural orifice, sequela Chapter 20: External Causes of Morbidity ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions W44.E3XA Non-magnetic metal toy entering into or through a natural orifice, initial encounter W44.E3XD Non-magnetic metal toy entering into or through a natural orifice, subsequent encounter W44.E3XS Non-magnetic metal toy entering into or through a natural orifice, sequela W44.E4XA Non-magnetic metal jewelry entering into or through a natural orifice, initial encounter W44.E4XD Non-magnetic metal jewelry entering into or through a natural orifice, subsequent encounter W44.E4XS Non-magnetic metal jewelry entering into or through a natural orifice, sequela W44.E9XA Other non-magnetic metal objects entering into or through a natural orifice, initial encounter W44.E9XD Other non-magnetic metal objects entering into or through a natural orifice, subsequent encounter W44.E9XS Other non-magnetic metal objects entering into or through a natural orifice, sequela W44.F0XA Objects of natural or organic material unspecified, entering into or through a natural orifice, initial encounter W44.F0XD Objects of natural or organic material unspecified, entering into or through a natural orifice, subsequent encounter W44.F0XS Objects of natural or organic material unspecified, entering into or through a natural orifice, sequela Chapter 20: External Causes of Morbidity ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions W44.F1XA Bezoar entering into or through a natural orifice, initial encounter W44.F1XD Bezoar entering into or through a natural orifice, subsequent encounter W44.F1XS Bezoar entering into or through a natural orifice, sequela W44.F2XA Rubber band entering into or through a natural orifice, initial encounter W44.F2XD Rubber band entering into or through a natural orifice, subsequent encounter W44.F2XS Rubber band entering into or through a natural orifice, sequela W44.F3XA Food entering into or through a natural orifice, initial encounter W44.F3XD Food entering into or through a natural orifice, subsequent encounter W44.F3XS Food entering into or through a natural orifice, sequela W44.F4XA Insect entering into or through a natural orifice, initial encounter W44.F4XD Insect entering into or through a natural orifice, subsequent encounter W44.F4XS Insect entering into or through a natural orifice, sequela Chapter 20: External Causes of Morbidity ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions W44.F9XD Other object of natural or organic material, entering into or through a natural orifice, subsequent encounter W44.F9XS Other object of natural or organic material, entering into or through a natural orifice, sequela W44.G0XA Other non-organic objects unspecified, entering into or through a natural orifice, initial encounter W44.G0XD Other non-organic objects unspecified, entering into or through a natural orifice, subsequent encounter W44.G0XS Other non-organic objects unspecified, entering into or through a natural orifice, sequela W44.G1XA Audio device entering into or through a natural orifice, initial encounter W44.G1XD Audio device entering into or through a natural orifice, subsequent encounter W44.G1XS Audio device entering into or through a natural orifice, sequela W44.G2XA Combination metal and plastic toy and toy part entering into or through natural orifice, initial encounter W44.G2XD Combination metal and plastic toy and toy part entering into or through natural orifice, subsequent encounter W44.G2XS Combination metal and plastic toy and toy part entering into or through natural orifice, sequela W44.G3XA Combination metal and plastic jewelry entering into or through a natural orifice, initial encounter Chapter 20: External Causes of Morbidity ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions W44.G3XD Combination metal and plastic jewelry entering into or through a natural orifice, subsequent encounter W44.G3XS Combination metal and plastic jewelry entering into or through a natural orifice, sequela W44.G9XA Other non-organic objects entering into or through a natural orifice, initial encounter W44.G9XD Other non-organic objects entering into or through a natural orifice, subsequent encounter W44.G9XS Other non-organic objects entering into or through a natural orifice, sequela W44.H0XA Other sharp object unspecified, entering into or through a natural orifice, initial encounter W44.H0XD Other sharp object unspecified, entering into or through a natural orifice, subsequent encounter W44.H0XS Other sharp object unspecified, entering into or through a natural orifice, sequela W44.H1XA Needle entering into or through a natural orifice, initial encounter W44.H1XD Needle entering into or through a natural orifice, subsequent encounter W44.H1XS Needle entering into or through a natural orifice, sequela W44.H2XA Knife, sword or dagger entering into or through a natural orifice, initial encounter W44.H2XD Knife, sword or dagger entering into or through a natural orifice, subsequent encounter W44.H2XS Knife, sword or dagger entering into or through a natural orifice, sequela Chapter 20: External Causes of Morbidity ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions Z16.13 Resistance to carbapenem CC Z22.340 Carrier of carbapenem-resistant Acinetobacter baumannii Z22.341 Carrier of carbapenem-sensitive Acinetobacter baumannii Z22.349 Carrier of Acinetobacter baumannii, unspecified Z22.350 Carrier of carbapenem-resistant Enterobacterales Z22.358 Carrier of other Enterobacterales Z22.359 Carrier of Enterobacterales, unspecified Z29.81 Encounter for HIV pre-exposure prophylaxis • Code also, if applicable, risk factors for HIV, such as: contact with and (suspected) exposure to human immunodeficiency virus [HIV] (Z20.6) and high risk sexual behavior (Z72.5-) Z29.89 Encounter for other specified prophylactic measures [Deletion: Z29.8 Encounter for other specified prophylactic measures] Chapter 21: Factors Influencing Health Status and Contact with Health Services ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions Z02.84 Encounter for child welfare exam Z62.23 Child in custody of non-parental relative Z62.24 Child in custody of non-relative guardian Z62.823 Parent-step child conflict Z62.831 Non-parental relative-child conflict Z62.832 Non-relative guardian-child conflict Z62.833 Group home staff-child conflict Z62.892 Runaway [from current living environment] Chapter 21: Factors Influencing Health Status and Contact with Health Services ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions Z05.81 Observation and evaluation of newborn for suspected condition related to home physiologic monitoring device ruled out Z05.89 Observation and evaluation of newborn for other specified suspected condition ruled out [Deletion: Z05.8 Observation and evaluation of newborn for other specified suspected condition ruled out] Z91.85 Personal history of military service • Excludes personal history of military deployment (Z91.82) Chapter 21: Factors Influencing Health Status and Contact with Health Services ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Additions Z83.710 Family history of adenomatous and serrated polyps Z83.711 Family history of hyperplastic colon polyps Z83.718 Other family history of colon polyps Z83.719 Family history of colon polyps, unspecified [Deletion: Z83.71 Family history of colonic polyps] Z91.A41 Caregiver's other noncompliance with patient's medication regimen due to financial hardship Z91.A48 Caregiver's other noncompliance with patient's medication regimen for other reason Z91.A51 Caregiver's noncompliance with patient's renal dialysis due to financial hardship Z91.A58 Caregiver's noncompliance with patient's renal dialysis for other reason Z91.A91 Caregiver's noncompliance with patient's other medical treatment and regimen due to financial hardship Z91.A98 Caregiver's noncompliance with patient's other medical treatment and regimen for other reason [Deletion: Z91.A4 Caregiver's other noncompliance with patient's medication regimen, Z91A5 Caregiver's noncompliance with patient's renal dialysis, and Z91A9 Caregiver's noncompliance with patient's other medical treatment and regimen] Chapter 21: Factors Influencing Health Status and Contact with Health Services ICD-10-CM Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. ICD-10-CM Guideline Changes
© Health Catalyst. Confidential and Proprietary. Guideline I.C.1.d.5 (b)- Infectious Diseases ICD-10-CM Guideline Changes
© Health Catalyst. Confidential and Proprietary. Guideline I.C.1.g.1 (f)- Infectious Disease ICD-10-CM Guideline Changes
© Health Catalyst. Confidential and Proprietary. Guideline I.C.2.t- Neoplasms ICD-10-CM Guideline Changes
© Health Catalyst. Confidential and Proprietary. Guideline I.C.9.a.12- New Guideline Regarding Resistant Hypertension ICD-10-CM Guideline Changes
© Health Catalyst. Confidential and Proprietary. Guideline I.C.9.e.6- New Guideline Regarding Coronary Microvascular Dysfunction ICD-10-CM Guideline Changes
© Health Catalyst. Confidential and Proprietary. Guideline I.C.18.e (1)- Symptoms ICD-10-CM Guideline Changes
© Health Catalyst. Confidential and Proprietary. Guideline I.C.18.i- Symptoms ICD-10-CM Guideline Changes
© Health Catalyst. Confidential and Proprietary. Guideline I.C.21.c.8- Z Codes ICD-10-CM Guideline Changes
© Health Catalyst. Confidential and Proprietary. Section III- Reporting Additional Diagnoses ICD-10-CM Guideline Changes
© Health Catalyst. Confidential and Proprietary. MS-DRG Updates
© Health Catalyst. Confidential and Proprietary. • Reassign ICD–10–CM diagnosis codes H34.10, H34.11, H34.12, H34.13, H34.231, H34.232, H34.233, and H34.239 from MS–DRG 123 to MS–DRGs 124 and 125 • Designate the 10 ICD–10–PCS procedure codes describing the administration of a thrombolytic agent as “non-O.R. procedures” that affect the MS–DRG • Change the titles of MS–DRGs 124 and 125 from “Other Disorders of the Eye, with and without MCC, respectively” to “Other Disorders of the Eye with MCC or Thrombolytic Agent, and without MCC” MDC 02 (Diseases and Disorders of the Eye): Retinal Artery Occlusion MS-DRG Updates
© Health Catalyst. Confidential and Proprietary. • Create new MS–DRG 173 (Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism) MDC 04 (Diseases and Disorders of the Respiratory System) MS-DRG Updates
© Health Catalyst. Confidential and Proprietary. • Create a new MS–DRG 212 (Concomitant Aortic and Mitral Valve Procedures) • Reassign ICD–10–PCS code 02HA0RZ (Insertion of short-term external heart assist system into heart, open approach) from MDC 05 in MS–DRG 215 to Pre-MDC MS–DRGs 001 and 002 when reported as a standalone procedure • Create new MS–DRG 278 (Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC) and new MS–DRG 279 (Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC) • Create new MS–DRG 323 (Coronary Intravascular Lithotripsy with Intraluminal Device with MCC), new MS–DRG 324 (Coronary Intravascular Lithotripsy with Intraluminal Device without MCC) and new MS–DRG 325 (Coronary Intravascular Lithotripsy without Intraluminal Device) MDC 05 (Diseases and Disorders of the Circulatory System) MS-DRG Updates
© Health Catalyst. Confidential and Proprietary. • Delete MS–DRGs 246, 247, 248, and 249 • Create new MS–DRG 321 (Percutaneous Cardiovascular Procedures with Intraluminal Device with MCC or 4+ Arteries/Intraluminal Devices) and new MS–DRG 322 (Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC) • Reassign the procedure codes from current MS–DRGs 246, 247, 248, and 249 to the new MS– DRGs 321 and 322. • Revise the titles of MS–DRGs 250 and 251 from “Percutaneous Cardiovascular Procedures without Coronary Artery Stent with MCC, and without MCC, respectively” to “Percutaneous Cardiovascular Procedures without Intraluminal Device with MCC, and without MCC MDC 05 (Diseases and Disorders of the Circulatory System) MS-DRG Updates
© Health Catalyst. Confidential and Proprietary. • Delete MS–DRGs 222, 223, 224, 225, 226, and 227 • Create new MS–DRG 275 (Cardiac Defibrillator Implant with Cardiac Catheterization and MCC), new MS– DRG 276 (Cardiac Defibrillator Implant with MCC), and new MS–DRG 277 (Cardiac Defibrillator Implant without MCC) • Designate the procedure codes describing cardiac catheterization as non-O.R. procedures affecting the MS– DRG. • Designate ICD-10-PCS procedure codes 0T768DZ, 0T778DZ, and 0T788DZ reported with a principal diagnosis of I10.0 from various MS-DRGs to MS-DRG 264. • Designate the 28 ICD-10-PCS procedure codes describing the open excision of muscle with a principal diagnosis of gangrene, not elsewhere classified (diagnosis code I96) to MS–DRG 264. MDC 05 (Diseases and Disorders of the Circulatory System) MS-DRG Updates
© Health Catalyst. Confidential and Proprietary. • Delete MS–DRGs 338, 339, 340, 341, 342, and 343 • Create MS–DRGs 397, 398, and 399 (Appendix Procedures with MCC, with CC, and without CC/MCC) MDC 06 (Diseases and Disorders of the Digestive System): Appendicitis MS-DRG Updates
© Health Catalyst. Confidential and Proprietary. • Designate ICD–10–PCS procedure code 0NR00JZ, Replacement of skull with synthetic substitute, open approach, to MDC 09. Cases reporting procedure code 0NR00JZ with a principal diagnosis in MDC 09 (such as encounter for other plastic and reconstructive surgery following medical procedure or healed injury) would group to MS–DRGs 579, 580, and 581 (Other Skin, Subcutaneous Tissue and Breast Procedures with MCC, with CC, and without MCC/CC). MDC 09- Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast MS-DRG Updates
© Health Catalyst. Confidential and Proprietary. • Designate ICD–10–PCS procedure code 0DTN4ZZ, Resection of sigmoid colon, percutaneous endoscopic approach, with a principal diagnosis of vesicointestinal fistula (diagnosis code N32.1), to MS-DRGs 673, 674, and 675 (Other Kidney and Urinary Tract Procedures with MCC, with CC, and without MCC/CC). MDC 11- Diseases and Disorders of the Kidney and Urinary Tract MS-DRG Updates
© Health Catalyst. Confidential and Proprietary. • Redesignate the nine procedure codes that describe the occlusion of the splenic artery from various MDCs to MDC 16 (Diseases and Disorders of Blood, Blood Forming Organs and Immunologic Disorders) in MS–DRGs 799, 800, and 801 (Splenectomy with MCC, CC, and without MCC/CC) • Revise the titles of MDC 16 MS–DRGs 799, 800, and 801 from “Splenectomy with MCC, with CC, and without CC/MCC, respectively” to “Splenic Procedures with MCC, with CC, and without CC/MCC MDC 16-Diseases and Disorders of Blood, Blood Forming Organs and Immunologic Disorders MS-DRG Updates
© Health Catalyst. Confidential and Proprietary. Resources Hospital Inpatient Prospective Payment System (IPPS) Final Rule. Federal Register. https://www.federalregister.gov/documents/2023/08/28/2023-16252/medicare-program-hospital- inpatient-prospective-payment-systems-for-acute-care-hospitals-and-the FY 2024 Code Updates: CM & PCS. Libman Education. https://libmaneducation.com/ Hospital-Acquired Conditions (HAC) Coding. CMS. https://www.cms.gov/medicare/payment/fee-for- service-providers/hospital-aquired-conditions-hac/coding FY 2024 IPPS Final Rule Home Page. CMS. https://www.cms.gov/medicare/payment/prospective-payment- systems/acute-inpatient-pps/fy-2024-ipps-final-rule-home-page
Questions? © Health Catalyst. Confidential and Proprietary. Q&A Document can be found on Healthcatalyst.com under Resources/Webinars
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Prepare for mandatory ICD-10 CM diagnosis code updates, which take effect on October 1, 2023. By attending this 60-minute educational session, medical coders and healthcare professionals will gain a comprehensive understanding of the changes to the 2024 ICD-10 diagnosis codes and their guidelines, along with major complication or comorbidity (MCC), complication or comorbidity (CC), and Medicare Severity Diagnosis Related Groups (MS-DRGs) classification changes. With this information, professionals can ensure accurate and compliant diagnosis coding for optimal billing and reimbursement.

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Vitalware Insight Into the 2024 ICD10 CM Updates.pdf

  • 1. © Health Catalyst. Confidential and Proprietary. Insight into the 2024 ICD-10-CM Updates Mikki Fazzio, RHIT, CCS, Charge Integrity Specialist
  • 2. © Health Catalyst. Confidential and Proprietary. Disclaimer Statement This presentation was current at the time it was published or provided via the web and is designed to provide accurate and authoritative information regarding the subject matter covered. The information provided is only intended to be a general overview with the understanding that neither the presenter nor the event sponsor is engaged in rendering specific coding advice. It is not intended to take the place of either the written policies or regulations. We encourage participants to review the specific regulations and other interpretive materials, as necessary. All CPT® codes are trademarked by the American Medical Association (AMA) and all revenue codes are copyrighted by the American Hospital Association (AHA).
  • 3. Agenda © Health Catalyst. Confidential and Proprietary. • MCC/CC Changes • ICD-10-CM Chapter-Specific Code Additions, Deletions, and Revisions • ICD-10-CM Guideline Changes • MS-DRG Updates
  • 4. © Health Catalyst. Confidential and Proprietary. CM Code Changes Summary For FY 2024 Overall Changes to CM: • 395 new codes • 13 revisions • 25 deletions Total CM codes from 73,674 to 74,044 • 429 new POA exempt codes added, 8 POA exempt codes deleted • MCC/CC Changes: – 18 new MCCs – 3 deleted MCCs – 79 new CCs – 8 deleted CCs
  • 5. © Health Catalyst. Confidential and Proprietary. MCC/CC Changes
  • 6. © Health Catalyst. Confidential and Proprietary. Additions to MCC List MCC and CC Changes
  • 7. © Health Catalyst. Confidential and Proprietary. Deletions to MCC List MCC and CC Changes
  • 8. © Health Catalyst. Confidential and Proprietary. Additions to CC List MCC and CC Changes
  • 9. © Health Catalyst. Confidential and Proprietary. Deletions to CC List MCC and CC Changes
  • 10. © Health Catalyst. Confidential and Proprietary. ICD-10-CM Chapter Specific Code Additions, Deletions, and Revisions
  • 11. © Health Catalyst. Confidential and Proprietary. Additions A41.54 Sepsis due to Acinetobacter baumannii MCC B96.83 Acinetobacter baumannii as the cause of diseases classified elsewhere Chapter 1: Certain Infectious and Parasitic Diseases ICD-10-CM Code Additions, Deletions, and Revisions
  • 12. © Health Catalyst. Confidential and Proprietary. Additions D13.91 Familial adenomatous polyposis D13.99 Benign neoplasm of ill-defined sites within the digestive system [Deletion: D13.9 Benign neoplasm of ill-defined sites within the digestive system] D48.110 Desmoid tumor of head and neck D48.111 Desmoid tumor of chest wall D48.112 Desmoid tumor, intrathoracic D48.113 Desmoid tumor of abdominal wall D48.114 Desmoid tumor, intraabdominal Chapter 2: Neoplasms ICD-10-CM Code Additions, Deletions, and Revisions
  • 13. © Health Catalyst. Confidential and Proprietary. Additions D48.115 Desmoid tumor of upper extremity and shoulder girdle D48.116 Desmoid tumor of lower extremity and pelvic girdle D48.117 Desmoid tumor of back D48.118 Desmoid tumor of other site D48.119 Desmoid tumor of unspecified site D48.19 Other specified neoplasm of uncertain behavior of connective and other soft tissue [Deletion: D48.1, Neoplasm of uncertain behavior of connective and other soft tissue] Chapter 2: Neoplasms ICD-10-CM Code Additions, Deletions, and Revisions
  • 14. © Health Catalyst. Confidential and Proprietary. Chapter 2: Neoplasms ICD-10-CM Code Additions, Deletions, and Revisions
  • 15. © Health Catalyst. Confidential and Proprietary. Additions D61.02 Shwachman-Diamond syndrome CC • Code also, if applicable, associated conditions such as: acute myeloblastic leukemia (C92.0-), exocrine pancreatic insufficiency (K86.81), myelodysplastic syndrome (D46.-) • Use additional code, if applicable, for genetic susceptibility to other malignant neoplasm (Z15.09) D89.84 IgG4-related disease Chapter 3: Diseases of Blood/Blood-Forming Organs & Disorders Involving Immune Mechanism ICD-10-CM Code Additions, Deletions, and Revisions
  • 16. © Health Catalyst. Confidential and Proprietary. Additions D57.04 Hb-SS disease with dactylitis MCC D57.214 Sickle-cell/Hb-C disease with dactylitis MCC D57.414 Sickle-cell thalassemia, unspecified, with dactylitis MCC D57.434 Sickle-cell thalassemia beta zero with dactylitis MCC D57.454 Sickle-cell thalassemia beta plus with dactylitis MCC D57.814 Other sickle-cell disorders with dactylitis MCC Chapter 3: Diseases of Blood/Blood-Forming Organs & Disorders Involving Immune Mechanism ICD-10-CM Code Additions, Deletions, and Revisions
  • 17. © Health Catalyst. Confidential and Proprietary. Additions E20.810 Autosomal dominant hypocalcemia • Code also, if applicable, any associated conditions, such as: calculus of kidney (N20.0), chronic kidney disease (N18.-), respiratory distress (J80, R06.-), seizure disorder (G40.-, R56.9) E20.811 Secondary hypoparathyroidism in diseases classified elsewhere E20.812 Autoimmune hypoparathyroidism E20.818 Other specified hypoparathyroidism due to impaired parathyroid hormone secretion E20.819 Hypoparathyroidism due to impaired parathyroid hormone secretion, unspecified E20.89 Other specified hypoparathyroidism [Deletion: E20.8 Other hypoparathyroidism] Chapter 4: Endocrine, Nutritional and Metabolic Diseases ICD-10-CM Code Additions, Deletions, and Revisions
  • 18. © Health Catalyst. Confidential and Proprietary. Additions E88.811 Insulin resistance syndrome, Type A E88.818 Other insulin resistance E88.819 Insulin resistance, unspecified E88.810 Metabolic syndrome E74.05 Lysosome-associated membrane protein 2 [LAMP2] deficiency CC • Code also, if applicable, associated manifestations such as: dilated cardiomyopathy (I42.0), obstructive hypertrophic cardiomyopathy (I42.1) Chapter 4: Endocrine, Nutritional and Metabolic Diseases ICD-10-CM Code Additions, Deletions, and Revisions
  • 19. © Health Catalyst. Confidential and Proprietary. E75.27 Pelizaeus-Merzbacher disease CC E75.28 Canavan disease CC E79.81 Aicardi-Goutieres syndrome CC E79.82 Hereditary xanthinuria CC E79.89 Other specified disorders of purine and pyrimidine metabolism CC [Deletion: E79.8 Other disorders of purine and pyrimidine metabolism] [Deletion: E88.81 Metabolic Syndrome] Chapter 4: Endocrine, Nutritional and Metabolic Diseases Additions ICD-10-CM Code Additions, Deletions, and Revisions
  • 20. © Health Catalyst. Confidential and Proprietary. Additions E88.43 Disorders of mitochondrial tRNA synthetases CC E88.A Wasting disease (syndrome) due to underlying condition • Code first the underlying condition. • This is no longer coded as part of category R64, Cachexia. Chapter 4: Endocrine, Nutritional and Metabolic Diseases ICD-10-CM Code Additions, Deletions, and Revisions
  • 21. © Health Catalyst. Confidential and Proprietary. Additions G20.A1 Parkinson's disease without dyskinesia, without mention of fluctuations G20.A2 Parkinson's disease without dyskinesia, with fluctuations G20.B1 Parkinson's disease with dyskinesia, without mention of fluctuations G20.B2 Parkinson's disease with dyskinesia, with fluctuations G20.C Parkinsonism, unspecified [Deletion: G20 Parkinson’s disease] G37.81 Myelin oligodendrocyte glycoprotein antibody disease CC • Code also associated manifestations, if known, such as: noninfectious acute disseminated encephalomyelitis (G04.81), neuromyelitis optica (G36.0) G37.89 Other specified demyelinating diseases of central nervous system CC [Deletion: G37.8 Other specified demyelinating diseases of central nervous system] Chapter 6: Diseases of the Nervous System ICD-10-CM Code Additions, Deletions, and Revisions
  • 22. © Health Catalyst. Confidential and Proprietary. Additions G40.C01 Lafora progressive myoclonus epilepsy, not intractable, with status epilepticus CC G40.C09 Lafora progressive myoclonus epilepsy, not intractable, without status epilepticus CC G40.C11 Lafora progressive myoclonus epilepsy, intractable, with status epilepticus CC G40.C19 Lafora progressive myoclonus epilepsy, intractable, without status epilepticus CC • Code also, if applicable, associated conditions such as dementia (F02.8-) Chapter 6: Diseases of the Nervous System ICD-10-CM Code Additions, Deletions, and Revisions
  • 23. © Health Catalyst. Confidential and Proprietary. Additions G43.E01 Chronic migraine with aura, not intractable, with status migrainosus G43.E09 Chronic migraine with aura, not intractable, without status migrainosus G43.E11 Chronic migraine with aura, intractable, with status migrainosus G43.E19 Chronic migraine with aura, intractable, without status migrainosus G93.42 Megaloencephalic leukoencephalopathy with subcortical cysts CC G93.43 Leukoencephalopathy with calcifications and cysts CC G23.3 Hypomyelination with atrophy of the basal ganglia and cerebellum CC G31.86 Alexander disease Chapter 6: Diseases of the Nervous System ICD-10-CM Code Additions, Deletions, and Revisions
  • 24. © Health Catalyst. Confidential and Proprietary. Additions G11.5 Hypomyelination - hypogonadotropic hypogonadism – hypodontia CC G11.6 Leukodystrophy with vanishing white matter disease CC G23.3 Hypomyelination with atrophy of the basal ganglia and cerebellum CC G31.80 Leukodystrophy, unspecified G90.B LMNB1-related autosomal dominant leukodystrophy G93.44 Adult-onset leukodystrophy with axonal spheroids CC Chapter 6: Diseases of the Nervous System ICD-10-CM Code Additions, Deletions, and Revisions
  • 25. © Health Catalyst. Confidential and Proprietary. Additions H36.811 Nonproliferative sickle-cell retinopathy, right eye H36.812 Nonproliferative sickle-cell retinopathy, left eye H36.813 Nonproliferative sickle-cell retinopathy, bilateral H36.819 Nonproliferative sickle-cell retinopathy, unspecified eye H36.821 Proliferative sickle-cell retinopathy, right eye H36.822 Proliferative sickle-cell retinopathy, left eye H36.823 Proliferative sickle-cell retinopathy, bilateral H36.829 Proliferative sickle-cell retinopathy, unspecified eye • Code first underlying disease, such as: lipid storage disorders (E15.-) or sickle-cell disorders (D57.-) [Deletion: H36 Retinal disorders in diseases classified elsewhere] Chapter 7: Diseases of the Eye and Adnexa ICD-10-CM Code Additions, Deletions, and Revisions
  • 26. © Health Catalyst. Confidential and Proprietary. Additions H57.8A1 Foreign body sensation, right eye H57.8A2 Foreign body sensation, left eye H57.8A3 Foreign body sensation, bilateral eyes H57.8A9 Foreign body sensation, unspecified eye H36.89 Other retinal disorders in diseases classified elsewhere Chapter 7: Diseases of the Eye and Adnexa ICD-10-CM Code Additions, Deletions, and Revisions
  • 27. © Health Catalyst. Confidential and Proprietary. Chapter 7: Diseases of the Eye and Adnexa ICD-10-CM Code Additions, Deletions, and Revisions Additions H50.621 Inferior oblique muscle entrapment, right eye H50.622 Inferior oblique muscle entrapment, left eye H50.629 Inferior oblique muscle entrapment, unspecified eye H50.631 Inferior rectus muscle entrapment, right eye H50.632 Inferior rectus muscle entrapment, left eye H50.639 Inferior rectus muscle entrapment, unspecified eye H50.641 Lateral rectus muscle entrapment, right eye H50.642 Lateral rectus muscle entrapment, left eye H50.649 Lateral rectus muscle entrapment, unspecified eye H50.651 Medial rectus muscle entrapment, right eye H50.652 Medial rectus muscle entrapment, left eye • Code the muscle entrapment in addition to the orbital fracture H50.659 Medial rectus muscle entrapment, unspecified eye H50.661 Superior oblique muscle entrapment, right eye H50.662 Superior oblique muscle entrapment, left eye H50.669 Superior oblique muscle entrapment, unspecified eye H50.671 Superior rectus muscle entrapment, right eye H50.672 Superior rectus muscle entrapment, left eye H50.679 Superior rectus muscle entrapment, unspecified eye H50.681 Extraocular muscle entrapment, unspecified, right eye H50.682 Extraocular muscle entrapment, unspecified, left eye H50.689 Extraocular muscle entrapment, unspecified, unspecified eye
  • 28. © Health Catalyst. Confidential and Proprietary. Additions I1A.0 Resistant hypertension • Code first specific type of existing hypertension, if known, such as: essential hypertension (I10) or secondary hypertension (I15.-) I20.81 Angina pectoris with coronary microvascular dysfunction I20.89 Other forms of angina pectoris [Deletion: I20.8 Other forms of angina pectoris] I21.B Myocardial infarction with coronary microvascular dysfunction MCC I24.81 Acute coronary microvascular dysfunction CC I24.89 Other forms of acute ischemic heart disease CC I25.85 Chronic coronary microvascular dysfunction [Deletion: I24.8 Other forms of acute ischemic heart disease] Chapter 9: Diseases of the Circulatory System ICD-10-CM Code Additions, Deletions, and Revisions
  • 29. © Health Catalyst. Confidential and Proprietary. Additions I47.10 Supraventricular tachycardia, unspecified CC I47.11 Inappropriate sinus tachycardia, so stated CC I47.19 Other supraventricular tachycardia CC [Deletion: I47.1 Supraventricular tachycardia] Chapter 9: Diseases of the Circulatory System ICD-10-CM Code Additions, Deletions, and Revisions
  • 30. © Health Catalyst. Confidential and Proprietary. I25.112, Atherosclerosic heart disease of native coronary artery with refractory angina pectoris Revised to: I25.112, Atherosclerotic heart disease of native coronary artery with refractory angina pectoris Chapter 9: Diseases of the Circulatory System ICD-10-CM Code Additions, Deletions, and Revisions
  • 31. © Health Catalyst. Confidential and Proprietary. I71.51, Supraceliac aneurysm of the abdominal aorta, ruptured I71.61, Supraceliac aneurysm of the abdominal aorta, without rupture Revised to: I71.51, Supraceliac aneurysm of the thoracoabdominal aorta, ruptured I71.61, Supraceliac aneurysm of the thoracoabdominal aorta, without rupture Chapter 9: Diseases of the Circulatory System ICD-10-CM Code Additions, Deletions, and Revisions
  • 32. © Health Catalyst. Confidential and Proprietary. I71.52, Paravisceral aneurysm of the abdominal aorta, ruptured I71.62, Paravisceral aneurysm of the abdominal aorta, without rupture Revised to: I71.52, Paravisceral aneurysm of the thoracoabdominal aorta, ruptured I71.62, Paravisceral aneurysm of the thoracoabdominal aorta, without rupture Chapter 9: Diseases of the Circulatory System ICD-10-CM Code Additions, Deletions, and Revisions
  • 33. © Health Catalyst. Confidential and Proprietary. Additions J15.61 Pneumonia due to Acinetobacter baumannii MCC J15.69 Pneumonia due to other Gram-negative bacteria MCC [Deletion: J15.6 Pneumonia due to other Gram-negative bacteria] J44.81 Bronchiolitis obliterans and bronchiolitis obliterans syndrome J44.89 Other specified chronic obstructive pulmonary disease J4A.0 Restrictive allograft syndrome J4A.8 Other chronic lung allograft dysfunction J4A.9 Chronic lung allograft dysfunction, unspecified Chapter 10: Diseases of the Respiratory System ICD-10-CM Code Additions, Deletions, and Revisions
  • 34. © Health Catalyst. Confidential and Proprietary. Additions K35.200 Acute appendicitis with generalized peritonitis, without perforation or abscess CC K35.201 Acute appendicitis with generalized peritonitis, with perforation, without abscess CC K35.209 Acute appendicitis with generalized peritonitis, without abscess, unspecified as to perforation CC K35.210 Acute appendicitis with generalized peritonitis, without perforation, with abscess MCC K35.211 Acute appendicitis with generalized peritonitis, with perforation and abscess MCC K35.219 Acute appendicitis with generalized peritonitis, with abscess, unspecified as to perforation MCC [Deletion: K35.20 Acute appendicitis with generalized peritonitis, without abscess and K3521 Acute appendicitis with generalized peritonitis, with abscess] K63.8211 Small intestinal bacterial overgrowth, hydrogen-subtype K63.8212 Small intestinal bacterial overgrowth, hydrogen sulfide-subtype K63.8219 Small intestinal bacterial overgrowth, unspecified K63.822 Small intestinal fungal overgrowth K63.829 Intestinal methanogen overgrowth, unspecified Chapter 11: Diseases of the Digestive System ICD-10-CM Code Additions, Deletions, and Revisions
  • 35. © Health Catalyst. Confidential and Proprietary. Additions K68.2 Retroperitoneal fibrosis MCC • Code also, if applicable, associated obstruction of ureter (N13.5) K68.3 Retroperitoneal hematoma MCC K90.821 Short bowel syndrome with colon in continuity CC K90.822 Short bowel syndrome without colon in continuity CC K90.829 Short bowel syndrome, unspecified CC K90.83 Intestinal failure CC Chapter 11: Diseases of the Digestive System ICD-10-CM Code Additions, Deletions, and Revisions
  • 36. © Health Catalyst. Confidential and Proprietary. Additions M80.0B1A Age-related osteoporosis with current pathological fracture, right pelvis, initial encounter for fracture M80.0B1D Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with routine healing M80.0B1G Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with delayed healing M80.0B1K Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with nonunion M80.0B1P Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with malunion M80.0B1S Age-related osteoporosis with current pathological fracture, right pelvis, sequela M80.0B2A Age-related osteoporosis with current pathological fracture, left pelvis, initial encounter for fracture M80.0B2D Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with routine healing M80.0B2G Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with delayed healing M80.0B2K Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with nonunion M80.0B2P Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with malunion M80.0B2S Age-related osteoporosis with current pathological fracture, left pelvis, sequela Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue ICD-10-CM Code Additions, Deletions, and Revisions
  • 37. © Health Catalyst. Confidential and Proprietary. Additions M80.0B9A Age-related osteoporosis with current pathological fracture, unspecified pelvis, initial encounter for fracture M80.0B9D Age-related osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with routine healing M80.0B9G Age-related osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with delayed healing M80.0B9K Age-related osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with nonunion M80.0B9P Age-related osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with malunion M80.0B9S Age-related osteoporosis with current pathological fracture, unspecified pelvis, sequela M80.8B1A Other osteoporosis with current pathological fracture, right pelvis, initial encounter for fracture M80.8B1D Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with routine healing M80.8B1G Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with delayed healing M80.8B1K Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with nonunion M80.8B1P Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with malunion M80.8B1S Other osteoporosis with current pathological fracture, right pelvis, sequela Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue ICD-10-CM Code Additions, Deletions, and Revisions
  • 38. © Health Catalyst. Confidential and Proprietary. Additions M80.8B2A Other osteoporosis with current pathological fracture, left pelvis, initial encounter for fracture M80.8B2D Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with routine healing M80.8B2G Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with delayed healing M80.8B2K Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with nonunion M80.8B2P Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with malunion M80.8B2S Other osteoporosis with current pathological fracture, left pelvis, sequela M80.8B9A Other osteoporosis with current pathological fracture, unspecified pelvis, initial encounter for fracture M80.8B9D Other osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with routine healing M80.8B9G Other osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with delayed healing M80.8B9K Other osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with nonunion M80.8B9P Other osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with malunion M80.8B9S Other osteoporosis with current pathological fracture, unspecified pelvis, sequela Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue ICD-10-CM Code Additions, Deletions, and Revisions
  • 39. © Health Catalyst. Confidential and Proprietary. Additions N02.B1 Recurrent and persistent immunoglobulin A nephropathy with glomerular lesion CC N02.B2 Recurrent and persistent immunoglobulin A nephropathy with focal and segmental glomerular lesion CC N02.B3 Recurrent and persistent immunoglobulin A nephropathy with diffuse membranoproliferative glomerulonephritis CC N02.B4 Recurrent and persistent immunoglobulin A nephropathy with diffuse membranous glomerulonephritis CC N02.B5 Recurrent and persistent immunoglobulin A nephropathy with diffuse mesangial proliferative glomerulonephritis CC N02.B6 Recurrent and persistent immunoglobulin A nephropathy with diffuse mesangiocapillary glomerulonephritis CC N02.B9 Other recurrent and persistent immunoglobulin A nephropathy CC Chapter 14: Diseases of Genitourinary System ICD-10-CM Code Additions, Deletions, and Revisions
  • 40. © Health Catalyst. Confidential and Proprietary. Additions N04.20 Nephrotic syndrome with diffuse membranous glomerulonephritis, unspecified CC N04.21 Primary membranous nephropathy with nephrotic syndrome CC N04.22 Secondary membranous nephropathy with nephrotic syndrome CC  Code first, if applicable, other disease or disorder or poisoning causing membranous nephropathy  Use additional code, if applicable, for adverse effect of drug causing membranous nephropathy N04.29 Other nephrotic syndrome with diffuse membranous glomerulonephritis CC [Deletion: N04.2 Nephrotic syndrome with diffuse membranous glomerulonephritis] Chapter 14: Diseases of Genitourinary System ICD-10-CM Code Additions, Deletions, and Revisions
  • 41. © Health Catalyst. Confidential and Proprietary. Additions N06.20 Isolated proteinuria with diffuse membranous glomerulonephritis, unspecified CC N06.21 Primary membranous nephropathy with isolated proteinuria CC N06.22 Secondary membranous nephropathy with isolated proteinuria CC • Code first, if applicable, other disease or disorder or poisoning causing membranous nephropathy • Use additional code, if applicable, for adverse effect of drug causing membranous nephropathy N06.29 Other isolated proteinuria with diffuse membranous glomerulonephritis CC [Deletion: N06.2 Isolated proteinuria with diffuse membranous glomerulonephritis] Chapter 14: Diseases of Genitourinary System ICD-10-CM Code Additions, Deletions, and Revisions
  • 42. © Health Catalyst. Confidential and Proprietary. N35.812, Other urethral bulbous stricture, male Revised to: N35.812, Other bulbous urethral stricture, male Chapter 14: Diseases of Genitourinary System ICD-10-CM Code Additions, Deletions, and Revisions
  • 43. © Health Catalyst. Confidential and Proprietary. Additions O26.641 Intrahepatic cholestasis of pregnancy, first trimester CC O26.642 Intrahepatic cholestasis of pregnancy, second trimester CC O26.643 Intrahepatic cholestasis of pregnancy, third trimester CC O26.649 Intrahepatic cholestasis of pregnancy, unspecified trimester O90.41 Hepatorenal syndrome following labor and delivery MCC O90.49 Other postpartum acute kidney failure MCC [Deletion: O90.4 Postpartum acute kidney failure] Chapter 15: Pregnancy, Childbirth and the Puerperium ICD-10-CM Code Additions, Deletions, and Revisions
  • 44. © Health Catalyst. Confidential and Proprietary. P19.9, Metabolic acidemia, unspecified Revised to: P19.9, Metabolic acidemia in newborn, unspecified Chapter 16: Certain Conditions Originating in the Perinatal Period ICD-10-CM Code Additions, Deletions, and Revisions
  • 45. © Health Catalyst. Confidential and Proprietary. Additions Q44.70 Other congenital malformation of liver, unspecified CC Q44.71 Alagille syndrome CC Q44.79 Other congenital malformations of liver CC [Deletion: Q44.7 Other congenital malformations of liver] Chapter 17: Congenital Malformations, Deformations, and Chromosomal Abnormalities ICD-10-CM Code Additions, Deletions, and Revisions
  • 46. © Health Catalyst. Confidential and Proprietary. Additions Q75.001 Craniosynostosis unspecified, unilateral Q75.002 Craniosynostosis unspecified, bilateral Q75.009 Craniosynostosis unspecified Q75.01 Sagittal craniosynostosis Q75.021 Coronal craniosynostosis unilateral Q75.022 Coronal craniosynostosis bilateral Q75.029 Coronal craniosynostosis unspecified Q75.03 Metopic craniosynostosis [Deletion: Q75.0 Craniosynostosis] Chapter 17: Congenital Malformations, Deformations, and Chromosomal Abnormalities ICD-10-CM Code Additions, Deletions, and Revisions
  • 47. © Health Catalyst. Confidential and Proprietary. Additions Q75.041 Lambdoid craniosynostosis, unilateral Q75.042 Lambdoid craniosynostosis, bilateral Q75.049 Lambdoid craniosynostosis, unspecified Q75.058 Other multi-suture craniosynostosis Q75.08 Other single-suture craniosynostosis Q75.051 Cloverleaf skull Q75.052 Pansynostosis Q75.058 Other multi-suture craniosynostosis Q75.08 Other single-suture craniosynostosis Chapter 17: Congenital Malformations, Deformations, and Chromosomal Abnormalities ICD-10-CM Code Additions, Deletions, and Revisions
  • 48. © Health Catalyst. Confidential and Proprietary. Additions Q87.83 Bardet-Biedl syndrome CC Q87.84 Laurence-Moon syndrome CC Q87.85 MED13L syndrome CC • Code also, if applicable, any associated manifestations such as: autism spectrum disorder (F84.0-), congenital malformations of cardiac septa (Q21-), epilepsy and recurrent seizures (G40.-), intellectual disability (F70-F79) Q93.52 Phelan-McDermid syndrome CC • Use additional code(s) to identify any associated conditions, such as: autism spectrum disorder (F84.0), degree of intellectual disabilities (F70-F79), epilepsy and recurrent seizures (G40.-), lyphedema (I89.0) Chapter 17: Congenital Malformations, Deformations, and Chromosomal Abnormalities ICD-10-CM Code Additions, Deletions, and Revisions
  • 49. © Health Catalyst. Confidential and Proprietary. Q85.81, PTEN tumor syndrome Revised to: Q85.81, PTEN hamartoma tumor syndrome Q87.40, Marfan's syndrome, unspecified Revised to: Q87.40, Marfan syndrome, unspecified Q87.410, Marfan's syndrome with aortic dilation Revised to: Q87.410, Marfan syndrome with aortic dilation Chapter 17: Congenital Malformations, Deformations, and Chromosomal Abnormalities ICD-10-CM Code Additions, Deletions, and Revisions
  • 50. © Health Catalyst. Confidential and Proprietary. Q87.418, Marfan's syndrome with other cardiovascular manifestations Revised to: Q87.418, Marfan syndrome with other cardiovascular manifestations Q87.42, Marfan's syndrome with ocular manifestations Revised to: Q87.42, Marfan syndrome with ocular manifestations Q87.43, Marfan's syndrome with skeletal manifestation Revised to: Q87.43, Marfan syndrome with skeletal manifestation Chapter 17: Congenital Malformations, Deformations, and Chromosomal Abnormalities ICD-10-CM Code Additions, Deletions, and Revisions
  • 51. © Health Catalyst. Confidential and Proprietary. Additions R09.A0 Foreign body sensation, unspecified R09.A1 Foreign body sensation, nose R09.A2 Foreign body sensation, throat R09.A9 Foreign body sensation, other site R40.2A Nontraumatic coma due to underlying condition MCC • Code first underlying condition Chapter 18: Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified ICD-10-CM Code Additions, Deletions, and Revisions
  • 52. © Health Catalyst. Confidential and Proprietary. Additions R92.30 Dense breasts, unspecified R92.311 Mammographic fatty tissue density, right breast R92.312 Mammographic fatty tissue density, left breast R92.313 Mammographic fatty tissue density, bilateral breasts R92.321 Mammographic fibroglandular density, right breast R92.322 Mammographic fibroglandular density, left breast R92.323 Mammographic fibroglandular density, bilateral breasts R92.331 Mammographic heterogeneous density, right breast R92.332 Mammographic heterogeneous density, left breast R92.333 Mammographic heterogeneous density, bilateral breasts R92.341 Mammographic extreme density, right breast R92.342 Mammographic extreme density, left breast R92.343 Mammographic extreme density, bilateral breasts Chapter 18: Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified ICD-10-CM Code Additions, Deletions, and Revisions
  • 53. © Health Catalyst. Confidential and Proprietary. Additions T56.821A Toxic effect of gadolinium, accidental (unintentional), initial encounter T56.821D Toxic effect of gadolinium, accidental (unintentional), subsequent encounter T56.821S Toxic effect of gadolinium, accidental (unintentional), sequela T56.822A Toxic effect of gadolinium, intentional self-harm, initial encounter T56.822D Toxic effect of gadolinium, intentional self-harm, subsequent encounter T56.822S Toxic effect of gadolinium, intentional self-harm, sequela T56.823A Toxic effect of gadolinium, assault, initial encounter T56.823D Toxic effect of gadolinium, assault, subsequent encounter T56.823S Toxic effect of gadolinium, assault, sequela T56.824A Toxic effect of gadolinium, undetermined, initial encounter T56.824D Toxic effect of gadolinium, undetermined, subsequent encounter T56.824S Toxic effect of gadolinium, undetermined, sequela Chapter 19: Injury, Poisoning, and Certain Other Consequences of External Causes ICD-10-CM Code Additions, Deletions, and Revisions
  • 54. © Health Catalyst. Confidential and Proprietary. Additions W44.8XXA Other foreign body entering into or through a natural orifice, initial encounter W44.8XXD Other foreign body entering into or through a natural orifice, subsequent encounter W44.8XXS Other foreign body entering into or through a natural orifice, sequela W44.9XXA Unspecified foreign body entering into or through a natural orifice, initial encounter W44.9XXD Unspecified foreign body entering into or through a natural orifice, subsequent encounter W44.9XXS Unspecified foreign body entering into or through a natural orifice, sequela W44.A0XA Battery unspecified, entering into or through a natural orifice, initial encounter W44.A0XD Battery unspecified, entering into or through a natural orifice, subsequent encounter W44.A0XS Battery unspecified, entering into or through a natural orifice, sequela W44.A1XA Button battery entering into or through a natural orifice, initial encounter W44.A1XD Button battery entering into or through a natural orifice, subsequent encounter W44.A1XS Button battery entering into or through a natural orifice, sequela Chapter 20: External Causes of Morbidity ICD-10-CM Code Additions, Deletions, and Revisions
  • 55. © Health Catalyst. Confidential and Proprietary. Additions W44.A9XA Other batteries entering into or through a natural orifice, initial encounter W44.A9XD Other batteries entering into or through a natural orifice, subsequent encounter W44.A9XS Other batteries entering into or through a natural orifice, sequela W44.B0XA Plastic object unspecified, entering into or through a natural orifice, initial encounter W44.B0XD Plastic object unspecified, entering into or through a natural orifice, subsequent encounter W44.B0XS Plastic object unspecified, entering into or through a natural orifice, sequela W44.B1XA Plastic bead entering into or through a natural orifice, initial encounter W44.B1XD Plastic bead entering into or through a natural orifice, subsequent encounter W44.B1XS Plastic bead entering into or through a natural orifice, sequela W44.B2XA Plastic coin entering into or through a natural orifice, initial encounter W44.B2XD Plastic coin entering into or through a natural orifice, subsequent encounter W44.B2XS Plastic coin entering into or through a natural orifice, sequela Chapter 20: External Causes of Morbidity ICD-10-CM Code Additions, Deletions, and Revisions
  • 56. © Health Catalyst. Confidential and Proprietary. Additions W44.B3XA Plastic toy and toy part entering into or through a natural orifice, initial encounter W44.B3XD Plastic toy and toy part entering into or through a natural orifice, subsequent encounter W44.B3XS Plastic toy and toy part entering into or through a natural orifice, sequela W44.B4XA Plastic jewelry entering into or through a natural orifice, initial encounter W44.B4XD Plastic jewelry entering into or through a natural orifice, subsequent encounter W44.B4XS Plastic jewelry entering into or through a natural orifice, sequela W44.B5XA Plastic bottle entering into or through a natural orifice, initial encounter W44.B5XD Plastic bottle entering into or through a natural orifice, subsequent encounter W44.B5XS Plastic bottle entering into or through a natural orifice, sequela W44.B9XA Other plastic object entering into or through a natural orifice, initial encounter W44.B9XD Other plastic object entering into or through a natural orifice, subsequent encounter W44.B9XS Other plastic object entering into or through a natural orifice, sequela Chapter 20: External Causes of Morbidity ICD-10-CM Code Additions, Deletions, and Revisions
  • 57. © Health Catalyst. Confidential and Proprietary. Additions W44.C0XA Glass unspecified, entering into or through a natural orifice, initial encounter W44.C0XD Glass unspecified, entering into or through a natural orifice, subsequent encounter W44.C0XS Glass unspecified, entering into or through a natural orifice, sequela W44.C1XA Sharp glass entering into or through a natural orifice, initial encounter W44.C1XD Sharp glass entering into or through a natural orifice, subsequent encounter W44.C1XS Sharp glass entering into or through a natural orifice, sequela W44.C2XA Intact glass entering into or through a natural orifice, initial encounter W44.C2XD Intact glass entering into or through a natural orifice, subsequent encounter W44.C2XS Intact glass entering into or through a natural orifice, sequela W44.D0XA Magnetic metal object unspecified, entering into or through a natural orifice, initial encounter W44.D0XD Magnetic metal object unspecified, entering into or through a natural orifice, subsequent encounter W44.D0XS Magnetic metal object unspecified, entering into or through a natural orifice, sequela Chapter 20: External Causes of Morbidity ICD-10-CM Code Additions, Deletions, and Revisions
  • 58. © Health Catalyst. Confidential and Proprietary. Additions W44.D1XA Magnetic metal bead entering into or through a natural orifice, initial encounter W44.D1XD Magnetic metal bead entering into or through a natural orifice, subsequent encounter W44.D1XS Magnetic metal bead entering into or through a natural orifice, sequela W44.D2XA Magnetic metal coin entering into or through a natural orifice, initial encounter W44.D2XD Magnetic metal coin entering into or through a natural orifice, subsequent encounter W44.D2XS Magnetic metal coin entering into or through a natural orifice, sequela W44.D3XA Magnetic metal toy entering into or through a natural orifice, initial encounter W44.D3XD Magnetic metal toy entering into or through a natural orifice, subsequent encounter W44.D3XS Magnetic metal toy entering into or through a natural orifice, sequela W44.D4XA Magnetic metal jewelry entering into or through a natural orifice, initial encounter W44.D4XD Magnetic metal jewelry entering into or through a natural orifice, subsequent encounter W44.D4XS Magnetic metal jewelry entering into or through a natural orifice, sequela Chapter 20: External Causes of Morbidity ICD-10-CM Code Additions, Deletions, and Revisions
  • 59. © Health Catalyst. Confidential and Proprietary. Additions W44.D9XA Other magnetic metal objects entering into or through a natural orifice, initial encounter W44.D9XD Other magnetic metal objects entering into or through a natural orifice, subsequent encounter W44.D9XS Other magnetic metal objects entering into or through a natural orifice, sequela W44.E0XA Non-magnetic metal object unspecified, entering into or through a natural orifice, initial encounter W44.E0XD Non-magnetic metal object unspecified, entering into or through a natural orifice, subsequent encounter W44.E0XS Non-magnetic metal object unspecified, entering into or through a natural orifice, sequela W44.E1XA Non-magnetic metal bead entering into or through a natural orifice, initial encounter W44.E1XD Non-magnetic metal bead entering into or through a natural orifice, subsequent encounter W44.E1XS Non-magnetic metal bead entering into or through a natural orifice, sequela W44.E2XA Non-magnetic metal coin entering into or through a natural orifice, initial encounter W44.E2XD Non-magnetic metal coin entering into or through a natural orifice, subsequent encounter W44.E2XS Non-magnetic metal coin entering into or through a natural orifice, sequela Chapter 20: External Causes of Morbidity ICD-10-CM Code Additions, Deletions, and Revisions
  • 60. © Health Catalyst. Confidential and Proprietary. Additions W44.E3XA Non-magnetic metal toy entering into or through a natural orifice, initial encounter W44.E3XD Non-magnetic metal toy entering into or through a natural orifice, subsequent encounter W44.E3XS Non-magnetic metal toy entering into or through a natural orifice, sequela W44.E4XA Non-magnetic metal jewelry entering into or through a natural orifice, initial encounter W44.E4XD Non-magnetic metal jewelry entering into or through a natural orifice, subsequent encounter W44.E4XS Non-magnetic metal jewelry entering into or through a natural orifice, sequela W44.E9XA Other non-magnetic metal objects entering into or through a natural orifice, initial encounter W44.E9XD Other non-magnetic metal objects entering into or through a natural orifice, subsequent encounter W44.E9XS Other non-magnetic metal objects entering into or through a natural orifice, sequela W44.F0XA Objects of natural or organic material unspecified, entering into or through a natural orifice, initial encounter W44.F0XD Objects of natural or organic material unspecified, entering into or through a natural orifice, subsequent encounter W44.F0XS Objects of natural or organic material unspecified, entering into or through a natural orifice, sequela Chapter 20: External Causes of Morbidity ICD-10-CM Code Additions, Deletions, and Revisions
  • 61. © Health Catalyst. Confidential and Proprietary. Additions W44.F1XA Bezoar entering into or through a natural orifice, initial encounter W44.F1XD Bezoar entering into or through a natural orifice, subsequent encounter W44.F1XS Bezoar entering into or through a natural orifice, sequela W44.F2XA Rubber band entering into or through a natural orifice, initial encounter W44.F2XD Rubber band entering into or through a natural orifice, subsequent encounter W44.F2XS Rubber band entering into or through a natural orifice, sequela W44.F3XA Food entering into or through a natural orifice, initial encounter W44.F3XD Food entering into or through a natural orifice, subsequent encounter W44.F3XS Food entering into or through a natural orifice, sequela W44.F4XA Insect entering into or through a natural orifice, initial encounter W44.F4XD Insect entering into or through a natural orifice, subsequent encounter W44.F4XS Insect entering into or through a natural orifice, sequela Chapter 20: External Causes of Morbidity ICD-10-CM Code Additions, Deletions, and Revisions
  • 62. © Health Catalyst. Confidential and Proprietary. Additions W44.F9XD Other object of natural or organic material, entering into or through a natural orifice, subsequent encounter W44.F9XS Other object of natural or organic material, entering into or through a natural orifice, sequela W44.G0XA Other non-organic objects unspecified, entering into or through a natural orifice, initial encounter W44.G0XD Other non-organic objects unspecified, entering into or through a natural orifice, subsequent encounter W44.G0XS Other non-organic objects unspecified, entering into or through a natural orifice, sequela W44.G1XA Audio device entering into or through a natural orifice, initial encounter W44.G1XD Audio device entering into or through a natural orifice, subsequent encounter W44.G1XS Audio device entering into or through a natural orifice, sequela W44.G2XA Combination metal and plastic toy and toy part entering into or through natural orifice, initial encounter W44.G2XD Combination metal and plastic toy and toy part entering into or through natural orifice, subsequent encounter W44.G2XS Combination metal and plastic toy and toy part entering into or through natural orifice, sequela W44.G3XA Combination metal and plastic jewelry entering into or through a natural orifice, initial encounter Chapter 20: External Causes of Morbidity ICD-10-CM Code Additions, Deletions, and Revisions
  • 63. © Health Catalyst. Confidential and Proprietary. Additions W44.G3XD Combination metal and plastic jewelry entering into or through a natural orifice, subsequent encounter W44.G3XS Combination metal and plastic jewelry entering into or through a natural orifice, sequela W44.G9XA Other non-organic objects entering into or through a natural orifice, initial encounter W44.G9XD Other non-organic objects entering into or through a natural orifice, subsequent encounter W44.G9XS Other non-organic objects entering into or through a natural orifice, sequela W44.H0XA Other sharp object unspecified, entering into or through a natural orifice, initial encounter W44.H0XD Other sharp object unspecified, entering into or through a natural orifice, subsequent encounter W44.H0XS Other sharp object unspecified, entering into or through a natural orifice, sequela W44.H1XA Needle entering into or through a natural orifice, initial encounter W44.H1XD Needle entering into or through a natural orifice, subsequent encounter W44.H1XS Needle entering into or through a natural orifice, sequela W44.H2XA Knife, sword or dagger entering into or through a natural orifice, initial encounter W44.H2XD Knife, sword or dagger entering into or through a natural orifice, subsequent encounter W44.H2XS Knife, sword or dagger entering into or through a natural orifice, sequela Chapter 20: External Causes of Morbidity ICD-10-CM Code Additions, Deletions, and Revisions
  • 64. © Health Catalyst. Confidential and Proprietary. Additions Z16.13 Resistance to carbapenem CC Z22.340 Carrier of carbapenem-resistant Acinetobacter baumannii Z22.341 Carrier of carbapenem-sensitive Acinetobacter baumannii Z22.349 Carrier of Acinetobacter baumannii, unspecified Z22.350 Carrier of carbapenem-resistant Enterobacterales Z22.358 Carrier of other Enterobacterales Z22.359 Carrier of Enterobacterales, unspecified Z29.81 Encounter for HIV pre-exposure prophylaxis • Code also, if applicable, risk factors for HIV, such as: contact with and (suspected) exposure to human immunodeficiency virus [HIV] (Z20.6) and high risk sexual behavior (Z72.5-) Z29.89 Encounter for other specified prophylactic measures [Deletion: Z29.8 Encounter for other specified prophylactic measures] Chapter 21: Factors Influencing Health Status and Contact with Health Services ICD-10-CM Code Additions, Deletions, and Revisions
  • 65. © Health Catalyst. Confidential and Proprietary. Additions Z02.84 Encounter for child welfare exam Z62.23 Child in custody of non-parental relative Z62.24 Child in custody of non-relative guardian Z62.823 Parent-step child conflict Z62.831 Non-parental relative-child conflict Z62.832 Non-relative guardian-child conflict Z62.833 Group home staff-child conflict Z62.892 Runaway [from current living environment] Chapter 21: Factors Influencing Health Status and Contact with Health Services ICD-10-CM Code Additions, Deletions, and Revisions
  • 66. © Health Catalyst. Confidential and Proprietary. Additions Z05.81 Observation and evaluation of newborn for suspected condition related to home physiologic monitoring device ruled out Z05.89 Observation and evaluation of newborn for other specified suspected condition ruled out [Deletion: Z05.8 Observation and evaluation of newborn for other specified suspected condition ruled out] Z91.85 Personal history of military service • Excludes personal history of military deployment (Z91.82) Chapter 21: Factors Influencing Health Status and Contact with Health Services ICD-10-CM Code Additions, Deletions, and Revisions
  • 67. © Health Catalyst. Confidential and Proprietary. Additions Z83.710 Family history of adenomatous and serrated polyps Z83.711 Family history of hyperplastic colon polyps Z83.718 Other family history of colon polyps Z83.719 Family history of colon polyps, unspecified [Deletion: Z83.71 Family history of colonic polyps] Z91.A41 Caregiver's other noncompliance with patient's medication regimen due to financial hardship Z91.A48 Caregiver's other noncompliance with patient's medication regimen for other reason Z91.A51 Caregiver's noncompliance with patient's renal dialysis due to financial hardship Z91.A58 Caregiver's noncompliance with patient's renal dialysis for other reason Z91.A91 Caregiver's noncompliance with patient's other medical treatment and regimen due to financial hardship Z91.A98 Caregiver's noncompliance with patient's other medical treatment and regimen for other reason [Deletion: Z91.A4 Caregiver's other noncompliance with patient's medication regimen, Z91A5 Caregiver's noncompliance with patient's renal dialysis, and Z91A9 Caregiver's noncompliance with patient's other medical treatment and regimen] Chapter 21: Factors Influencing Health Status and Contact with Health Services ICD-10-CM Code Additions, Deletions, and Revisions
  • 68. © Health Catalyst. Confidential and Proprietary. ICD-10-CM Guideline Changes
  • 69. © Health Catalyst. Confidential and Proprietary. Guideline I.C.1.d.5 (b)- Infectious Diseases ICD-10-CM Guideline Changes
  • 70. © Health Catalyst. Confidential and Proprietary. Guideline I.C.1.g.1 (f)- Infectious Disease ICD-10-CM Guideline Changes
  • 71. © Health Catalyst. Confidential and Proprietary. Guideline I.C.2.t- Neoplasms ICD-10-CM Guideline Changes
  • 72. © Health Catalyst. Confidential and Proprietary. Guideline I.C.9.a.12- New Guideline Regarding Resistant Hypertension ICD-10-CM Guideline Changes
  • 73. © Health Catalyst. Confidential and Proprietary. Guideline I.C.9.e.6- New Guideline Regarding Coronary Microvascular Dysfunction ICD-10-CM Guideline Changes
  • 74. © Health Catalyst. Confidential and Proprietary. Guideline I.C.18.e (1)- Symptoms ICD-10-CM Guideline Changes
  • 75. © Health Catalyst. Confidential and Proprietary. Guideline I.C.18.i- Symptoms ICD-10-CM Guideline Changes
  • 76. © Health Catalyst. Confidential and Proprietary. Guideline I.C.21.c.8- Z Codes ICD-10-CM Guideline Changes
  • 77. © Health Catalyst. Confidential and Proprietary. Section III- Reporting Additional Diagnoses ICD-10-CM Guideline Changes
  • 78. © Health Catalyst. Confidential and Proprietary. MS-DRG Updates
  • 79. © Health Catalyst. Confidential and Proprietary. • Reassign ICD–10–CM diagnosis codes H34.10, H34.11, H34.12, H34.13, H34.231, H34.232, H34.233, and H34.239 from MS–DRG 123 to MS–DRGs 124 and 125 • Designate the 10 ICD–10–PCS procedure codes describing the administration of a thrombolytic agent as “non-O.R. procedures” that affect the MS–DRG • Change the titles of MS–DRGs 124 and 125 from “Other Disorders of the Eye, with and without MCC, respectively” to “Other Disorders of the Eye with MCC or Thrombolytic Agent, and without MCC” MDC 02 (Diseases and Disorders of the Eye): Retinal Artery Occlusion MS-DRG Updates
  • 80. © Health Catalyst. Confidential and Proprietary. • Create new MS–DRG 173 (Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism) MDC 04 (Diseases and Disorders of the Respiratory System) MS-DRG Updates
  • 81. © Health Catalyst. Confidential and Proprietary. • Create a new MS–DRG 212 (Concomitant Aortic and Mitral Valve Procedures) • Reassign ICD–10–PCS code 02HA0RZ (Insertion of short-term external heart assist system into heart, open approach) from MDC 05 in MS–DRG 215 to Pre-MDC MS–DRGs 001 and 002 when reported as a standalone procedure • Create new MS–DRG 278 (Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC) and new MS–DRG 279 (Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC) • Create new MS–DRG 323 (Coronary Intravascular Lithotripsy with Intraluminal Device with MCC), new MS–DRG 324 (Coronary Intravascular Lithotripsy with Intraluminal Device without MCC) and new MS–DRG 325 (Coronary Intravascular Lithotripsy without Intraluminal Device) MDC 05 (Diseases and Disorders of the Circulatory System) MS-DRG Updates
  • 82. © Health Catalyst. Confidential and Proprietary. • Delete MS–DRGs 246, 247, 248, and 249 • Create new MS–DRG 321 (Percutaneous Cardiovascular Procedures with Intraluminal Device with MCC or 4+ Arteries/Intraluminal Devices) and new MS–DRG 322 (Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC) • Reassign the procedure codes from current MS–DRGs 246, 247, 248, and 249 to the new MS– DRGs 321 and 322. • Revise the titles of MS–DRGs 250 and 251 from “Percutaneous Cardiovascular Procedures without Coronary Artery Stent with MCC, and without MCC, respectively” to “Percutaneous Cardiovascular Procedures without Intraluminal Device with MCC, and without MCC MDC 05 (Diseases and Disorders of the Circulatory System) MS-DRG Updates
  • 83. © Health Catalyst. Confidential and Proprietary. • Delete MS–DRGs 222, 223, 224, 225, 226, and 227 • Create new MS–DRG 275 (Cardiac Defibrillator Implant with Cardiac Catheterization and MCC), new MS– DRG 276 (Cardiac Defibrillator Implant with MCC), and new MS–DRG 277 (Cardiac Defibrillator Implant without MCC) • Designate the procedure codes describing cardiac catheterization as non-O.R. procedures affecting the MS– DRG. • Designate ICD-10-PCS procedure codes 0T768DZ, 0T778DZ, and 0T788DZ reported with a principal diagnosis of I10.0 from various MS-DRGs to MS-DRG 264. • Designate the 28 ICD-10-PCS procedure codes describing the open excision of muscle with a principal diagnosis of gangrene, not elsewhere classified (diagnosis code I96) to MS–DRG 264. MDC 05 (Diseases and Disorders of the Circulatory System) MS-DRG Updates
  • 84. © Health Catalyst. Confidential and Proprietary. • Delete MS–DRGs 338, 339, 340, 341, 342, and 343 • Create MS–DRGs 397, 398, and 399 (Appendix Procedures with MCC, with CC, and without CC/MCC) MDC 06 (Diseases and Disorders of the Digestive System): Appendicitis MS-DRG Updates
  • 85. © Health Catalyst. Confidential and Proprietary. • Designate ICD–10–PCS procedure code 0NR00JZ, Replacement of skull with synthetic substitute, open approach, to MDC 09. Cases reporting procedure code 0NR00JZ with a principal diagnosis in MDC 09 (such as encounter for other plastic and reconstructive surgery following medical procedure or healed injury) would group to MS–DRGs 579, 580, and 581 (Other Skin, Subcutaneous Tissue and Breast Procedures with MCC, with CC, and without MCC/CC). MDC 09- Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast MS-DRG Updates
  • 86. © Health Catalyst. Confidential and Proprietary. • Designate ICD–10–PCS procedure code 0DTN4ZZ, Resection of sigmoid colon, percutaneous endoscopic approach, with a principal diagnosis of vesicointestinal fistula (diagnosis code N32.1), to MS-DRGs 673, 674, and 675 (Other Kidney and Urinary Tract Procedures with MCC, with CC, and without MCC/CC). MDC 11- Diseases and Disorders of the Kidney and Urinary Tract MS-DRG Updates
  • 87. © Health Catalyst. Confidential and Proprietary. • Redesignate the nine procedure codes that describe the occlusion of the splenic artery from various MDCs to MDC 16 (Diseases and Disorders of Blood, Blood Forming Organs and Immunologic Disorders) in MS–DRGs 799, 800, and 801 (Splenectomy with MCC, CC, and without MCC/CC) • Revise the titles of MDC 16 MS–DRGs 799, 800, and 801 from “Splenectomy with MCC, with CC, and without CC/MCC, respectively” to “Splenic Procedures with MCC, with CC, and without CC/MCC MDC 16-Diseases and Disorders of Blood, Blood Forming Organs and Immunologic Disorders MS-DRG Updates
  • 88. © Health Catalyst. Confidential and Proprietary. Resources Hospital Inpatient Prospective Payment System (IPPS) Final Rule. Federal Register. https://www.federalregister.gov/documents/2023/08/28/2023-16252/medicare-program-hospital- inpatient-prospective-payment-systems-for-acute-care-hospitals-and-the FY 2024 Code Updates: CM & PCS. Libman Education. https://libmaneducation.com/ Hospital-Acquired Conditions (HAC) Coding. CMS. https://www.cms.gov/medicare/payment/fee-for- service-providers/hospital-aquired-conditions-hac/coding FY 2024 IPPS Final Rule Home Page. CMS. https://www.cms.gov/medicare/payment/prospective-payment- systems/acute-inpatient-pps/fy-2024-ipps-final-rule-home-page
  • 89. Questions? © Health Catalyst. Confidential and Proprietary. Q&A Document can be found on Healthcatalyst.com under Resources/Webinars