Prepare for the Changes: Summary of 2024 ICD-10 Coding Updates & Guideline Changes
Prepare for the Changes: Summary of 2024 ICD-10 Coding Updates & Guideline Changes
The Centers for Medicare & Medicaid Services (CMS) has announced the upcoming changes to the ICD-10-CM and ICD-10-PCS coding systems, set to go into effect on October 1, 2023. 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.
The 2024 ICD-10-CM code set includes 395 code additions and 25 deletions across 17 different chapters (CMS, 2023). The 2024 ICD-10-PCS code set has 78 code additions and five deletions, bringing the total number of PCS codes to 78,603 (CMS, 2023). There were 14 revisions to the code titles. Let’s delve into the key highlights of the 2024 coding updates.
ICD-10-CM Code & Guideline Updates
Chapter 1 – Infectious and Parasitic Diseases received two new codes for Acinetobacter baumannii sepsis or the cause of diseases classified elsewhere. Chapter 2 – Neoplasms got 13 new codes, and 10 of those codes are devoted to desmoid tumors. Chapter 3 – Diseases of Blood and Blood-Forming Organs and Disorders Involving Immune Mechanism saw 8 code additions, including codes to report Sickle-cell conditions with dactylitis.
We divided our comprehensive 2024 ICD-10-CM Update presentation into two courses. The 2024 ICD-10-CM Chapters 1-9 Update course focuses on the new and revised information from Chapters 1-9. The 2024 ICD-10-CM Chapters 10-21 Update course reviews the changes from Chapters 10-21. Both courses discuss applicable guidelines and a synopsis of how many codes have been added, revised, and deleted.
Our previous article provides further insights into the 2024 ICD-10-CM code and guidelines updates.
ICD-10-PCS Code & Guideline Updates
The latest PCS update doesn’t introduce any new guidelines. However, there are two revisions, one addition, and one deletion. Guideline B5.2b has been modified and renamed as Percutaneous endoscopic approach with hand-assistance or extension of incision. It now encompasses hand-assistance and exteriorization of a body structure.
Guideline B6.1a in the General Guidelines for Devices no longer includes the parenthetical examples. These examples were related to situations where a device needed to be removed before the end of a procedure, even though it was intended to be left in place after the procedure was completed. The guideline now only includes the coding for both the insertion and removal of the device. The two examples previously found in parentheses, regarding inadequate device size and documented complications, have been removed.
For FY 2024, New Technology (Section X) introduces 40 new temporary codes and tables for new procedures, substances, and devices, including X05 for Destruction in the Nervous System and Ultrasound Ablation of the Renal Sympathetic Nerve(s). The 2024 ICD-10-PCS New Technology Update course from YES HIM Education discusses these changes in a convenient 1.5-hour webinar.
If you’re interested in learning more about the changes to the 2024 ICD-10-PCS codes and guidelines, you can find additional information in our previous article.
Let YES Take Care of Your Team’s Education Needs
To assist healthcare professionals and coding teams in adapting to these changes, YES is offering comprehensive presentations that provide in-depth insights into the 2024 ICD-10-CM and ICD-10-PCS updates. These presentations cover a wide range of topics, including code changes, guideline updates, and clinical details related to various conditions. Separate sessions are also dedicated to the Medical and Surgical section, the New Technology section, and the implications of the updates on MS-DRGs.
Additionally, our team offers tailored education solutions through our Annual Education Subscriptions. These subscriptions provide corporate coding teams with personalized training, unlimited access to coding updates, refresher courses, and specialty coding subjects. With options for Inpatient, Outpatient, and ProFee coding, healthcare professionals can ensure their skills are up-to-date and aligned with the latest coding practices.
For individual coders and auditors seeking education, YES also provides individual bundles focusing on Inpatient, Outpatient, and ProFee coding.
For more detailed information about the 2024 ICD-10-CM and ICD-10-PCS changes, be sure to explore our ICD-10 Coding Guidelines and Updates Resource Center.
Ann Zeisset, RHIT, CCS, CCS-P, Contract Educator, co-authored this article with Teri Jorwic, MPH, RHIA, CCS, CCS-P, FAHIMA, Contract Educator.
