Prepare for the Upcoming 2023 ICD-10 Coding Guidelines
Prepare for the Upcoming 2023 ICD-10 Coding Guidelines
The 2023 ICD-10 coding guidelines will apply to patient encounters and discharges from October 1, 2022, through September 30, 2023. The 2023 ICD-10-CM code set includes 1,176 code additions, 28 revisions, and 287 deletions (CMS, 2022). The 2023 ICD-10-PCS code set has 331 code additions and 64 deletions, bringing the total number of PCS codes to 78,496 (CMS, 2022).
ICD-10-CM Code & Guideline Updates
The 2023 ICD-10-CM Update course highlights the new, revised, and deleted codes in an 1.5-hour webinar. Some of the most notable CM guidance updates add underimmunization status to a list of exceptions requiring provider documentation (I.B.14). New verbiage was added in the Documentation of Complications of Care section (I.B.16). A new code (Chapter 5) and guideline (I.C.5. d) was included for dementia. Information regarding the use of social determinants of health codes was also added (I.C.21. 17).
The 2023 ICD-10-CM Guidelines Update course from YES HIM Education highlights the updated CM guidance in a concise 1-hour webinar. Learners will discuss the new guidelines for 2023 and explore key concepts via knowledge checks.
Chapter 1 – Infectious and Parasitic Diseases received a new code for vulva and vagina candidiasis. Chapter 3 – Diseases of the Blood and Blood-forming Organs was updated to include codes for hemolytic-uremic syndrome, Von Willebrand disease, and non-immune heparin-induced thrombocytopenia.
Our previous article provides further insights into the 2023 ICD-10-CM code and guideline updates.
ICD-10-PCS Code & Guideline Updates
The 2023 ICD-10-PCS Update webinar provides an in-depth review of the new PCS codes. New guideline B3.19 (“Detachment procedures of extremities”) includes details on the qualifiers used for this root operation and definitions for complete and partial amputation of the hand and foot. This information, which was previously available in the ICD-10-PCS Reference Manual is now a part of the Official Guidelines.
Guideline B4.1c was revised to clarify that this guideline applies specifically to single vascular procedures that involve arterial or venous body parts. Guideline B6.1a is also revised to add the words “an event documented” to the example given for a complication necessitating both the insertion and the removal of the device before the end of the operative episode.
There were several updates to New Technology, or Section X codes (CMS, 2022). Code additions include histotripsy of the liver, posterior vertebral tether procedures, lateral and medial meniscus replacement, and much more. The 2023 ICD-10-PCS New Technology Update course from YES HIM Education details these changes in a convenient 1-hour webinar.
Our previous article includes additional details on the 2023 ICD-10-PCS code and guideline changes.
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