Medical Coding Updates
The 2024 ICD-10 coding updates and guideline changes will apply to patient encounters and discharges from October 1, 2023, through September 30, 2024. These updates encompass various additions, revisions, and deletions to the code sets.
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The 2024 IPPS Final Rule discusses overall adjustments to IPPS and updates to MS-DRGs, New Technology Add-on Payments (NTAP), and many other changes.
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What’s the difference between Inpatient and ProFee coding? Explore the coding basics, definitions, and reimbursement rules for Inpatient and ProFee coding.
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The Centers for Medicare & Medicaid Services (CMS) has posted the ICD-10-CM 2024 codes for use by all provider types, including Inpatient and Outpatient. The updates include 395 new codes and 25 deletions in 17 different chapters of ICD-10-CM.
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CMS updated the 2024 CMS-HCC risk adjustment model by including reliable predictors of future costs and excluding unreliable ones. In summary, the CY2024 CMS-HCC model classifies the ~74,000 ICD-10-CM diagnoses codes into 266 CMS-HCCs.
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CMS released the FY 2024 ICD-10-PCS file in June. With 78 new codes and five deletions, the total number of ICD-10-PCS codes for 2024 is 78,603. There were also 14 code title revisions. All these changes are effective on October 1, 2023.
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CMS released the 2024 IPPS Proposed Rule on April 10, 2023. The Rule will be published in the Federal Register on May 1, 2023.
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Times of frequent medical coding updates have highlighted the necessity of medical coding consultants, or coding subject matter experts (SMEs), to help healthcare providers navigate such changes.
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The White House announced that the declaration of national emergency, as well as the COVID-19 public health emergency (PHE) declaration, would both end on May 11, 2023, prompting a guideline change for Z11.52, screening for COVID-19.
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Medical coders are expected to maintain their coding knowledge and keep up with the frequent code and guideline changes. We’ve assembled a list of all the CPT coding guidelines and updates from recent years into one informational Resource Center.
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