ICD-10-CM 2024 updates and regulatory readiness
TLDRThe 2024 ICD-10 CM updates and Regulatory Readiness webinar covered significant changes in the ICD-10-CM coding system, including new codes for social determinants of health, infectious diseases, and neoplasms. Presenters from IMO discussed the addition of 395 new codes, revisions in chapters like Infectious Disease and Respiratory, and the introduction of HCC version 28 support. The webinar also addressed COVID-19 coding updates, changes in mental health and circulatory chapter, and new calculator prompts for conditions like Parkinson's disease and craniosynostosis.
Takeaways
- 📚 The webinar discussed the 2024 ICD-10 CM updates and regulatory readiness, highlighting the importance of maintaining current coding practices for accurate data and reimbursement.
- 🌟 IMO supports clients by updating code sets and providing resources to ensure compliance with the latest ICD-10-CM changes.
- 🚑 There were approximately 40 new codes related to social determinants of health added, and 395 total updates this year, including additions, deletions, and revised titles.
- 🦠 New codes were introduced for infectious diseases, such as acinobacter Bomani, and conditions like sepsis, reflecting the evolving understanding of bacterial infections and their treatment.
- 🧬 Updates to neoplasm codes included new categories for desmoid tumors and familial adenomatous polyposis, emphasizing the need for precision in cancer-related coding.
- 🩺 Changes in the mental health chapter included reclassification of conditions like prolonged grief disorder and schizophrenia, aligning with the most recent diagnostic criteria.
- 💊 The presentation touched on the impact of new codes for conditions like sickle cell dactylitis and Parkinson's disease, which can help in tracking and developing targeted interventions.
- 📈 IMO's support for HCC version 28 includes providing indicators for both version 24 and 28 during the transition period, aiding in the adaptation to new risk adjustment models.
- 🔍 The webinar provided insights into the use of ICD-10 codes for various conditions, including the use of Z codes for social determinants of health and the importance of accurate documentation.
- 📝 IMO's calculator changes for 2024 included updates to reflect new etiologies, diagnoses, and the addition of prompts for conditions like craniosynostosis and dense breast tissue.
- 🎓 Participants of the webinar will receive a certificate of attendance, which may be used for continuing education units (CEUs) depending on professional association guidelines.
Q & A
What was the main focus of the 2024 ICD-10 CM updates and Regulatory Readiness webinar?
-The main focus of the webinar was to discuss the updates and revisions of ICD-10-CM, highlight changes within the index and tabular, and provide insights into how IMO is supporting clients with these changes, particularly with the HCC version 28 and ICD-10 modifier changes.
How many new codes were added to ICD-10-CM effective from April 1st, 2024?
-There were about 40 new codes related to social determinants of Health added, and in total, there were 395 editions, 25 deletions, and 13 revised titles.
What is the significance of the new codes related to Acinetobacter Bomani in the Infectious Disease chapter?
-The new codes related to Acinetobacter Bomani, a gram-negative bacteria, are significant because they help capture infections in various parts of the body and address the challenge of antibiotic resistance, which is common with this bacteria.
How has the COVID-19 screening guideline been updated in the ICD-10-CM?
-The COVID-19 screening guideline has been updated to reflect that we are no longer in an emergency state for the pandemic. Now, Z1152 should be assigned when patients come in for screening in the absence of any symptoms.
What is the importance of the new codes for desmoid tumors in the Neoplasm chapter?
-The new codes for desmoid tumors, a rare type of tumor, are important because they help classify these tumors more accurately and provide a specific subcategory for them, which can aid in treatment and management.
What is the significance of the new code for Sickle Cell dactylitis?
-The new code for Sickle Cell dactylitis is significant as it helps in the early recognition of this severe inflammation of the fingers and toes, which is commonly seen in infants with sickle cell anemia. Early recognition can prevent later complications of sickle cell disease.
How does the new code for immunoglobulin G4 related disease assist in treatment?
-The new code for immunoglobulin G4 related disease assists in treatment by capturing the specific details of this rare, multifocal disease, which can help shorten the time to diagnosis and improve treatment approaches, potentially reducing the need for steroids with the use of rituximab.
What is the purpose of the new calculator changes in the ICD-10-CM update?
-The new calculator changes in the ICD-10-CM update are designed to enhance the specificity and accuracy of code assignment. They include prompts for new etiologies, diagnoses, and conditions, ensuring that users can capture more detailed and accurate information related to the patient's health status.
Why is IMO supporting both version 24 and version 28 of the HCC indicators?
-IMO is supporting both version 24 and version 28 of the HCC indicators due to the transition period established by CMS. This allows for a gradual shift from one version to the other and ensures that healthcare providers have the necessary resources and time to adapt to the changes.
What are the implications of the new codes for social determinants of Health (SDOH)?
-The new codes for social determinants of Health (SDOH) allow for better identification and tracking of non-medical factors that influence health outcomes. This can lead to more targeted interventions and potentially improve patient care by addressing underlying social issues.
Outlines
📝 Introduction and Webinar Overview
The webinar begins with Jordan Levitz introducing the 2024 ICD-10 CM updates and Regulatory Readiness session. The presentation is recorded and will be available with a slide deck and certificate of attendance. Attendees are in listen-only mode with a Q&A session at the end. Interactive poll questions are encouraged, and three presenters from IMO are introduced: June Bronner, Teresa Rihanna, and Dr. Julie Glasgow. The focus is on maintaining accurate terminology and code mappings for reimbursement and data correctness, with IMO supporting clients through code set updates.
🧬 ICD-10-CM Updates and Infectious Disease Codes
Teresa Rihanna discusses the importance of keeping ICD-10-CM codes updated and highlights new additions and revisions. Notable changes include 40 new codes related to social determinants of health and 395 editions, deletions, and revised titles. Specific focus is given to Infectious Disease chapter updates, including new codes for Acinetobacter Bomani infections, sepsis, and resistance to carbapenems. The COVID-19 screening guideline is updated to reflect the non-emergency state of the pandemic, and new codes for neoplasms, specifically desmoid tumors, are discussed.
🩺 Updates on Familial Adenomatous Polyposis and Other Conditions
The presentation continues with a discussion on Familial Adenomatous Polyposis (FAP), its types, and the new coding for it. Changes in the indexing for FAP and aggressive fibromatosis are highlighted. New codes for family history of colon polyps are introduced. Sickle Cell Dactylitis gets new representation, and changes in the coding for sickle cell disease complications are discussed. Updates on Sharpen Diamond syndrome, hypoparathyroidism, and metabolic chapter codes are also covered.
🧠 Mental Health and Neurological Disorders Coding
This section focuses on updates related to mental health and neurological disorders. Prolonged grief disorder and childhood schizophrenia reclassifications are discussed. Parkinson's disease coding is updated to specify motor and non-motor symptoms, including new codes for dyskinesia and fluctuations (off syndromes). Other neurological conditions like MOG antibody disease and Lephora Body Disease receive new coding, and chronic migraine with aura is added to the migraine chapter.
🩸 Circulatory and Respiratory System Updates
The circulatory and respiratory systems chapter updates are discussed, including new codes for non-proliferative and proliferative sickle cell retinopathy. Extraocular muscle entrapment and foreign body sensation of the eye are also newly coded. Coronary microvascular dysfunction is highlighted with new guidelines and codes. Bronchiolitis obliterans syndrome and chronic lung allograft dysfunction (BOS) receive attention, with new codes for restrictive allograft syndrome and mixed BOS.
🏥 Digestive Disorders and Intestinal Conditions
Updates on digestive disorders include new codes for acute appendicitis with peritonitis and intestinal microbial overgrowth. Retroperitoneal fibrosis and hemorrhage are reclassified, and short bowel syndrome gets new coding to specify the state of the small intestine in relation to the colon. Intestinal failure is also introduced as a new code, applicable to patients unable to absorb sufficient nutrients for autonomy.
🧬 Nephropathy and Obstetric Disorders
Nephropathy conditions are updated with new codes for immunoglobulin A nephropathy and membranous nephropathy. Obstetric disorders include new codes for intrahepatic cholestasis of pregnancy and entanglement of the umbilical cord. Updates on congenital conditions like craniosynostosis and new syndrome-specific codes are also discussed.
📈 Signs, Symptoms, and External Cause Codes
Updates on signs and symptoms codes include new codes for non-traumatic coma due to underlying conditions and specific mammography density findings. Changes to external cause codes involve new additions related to foreign bodies entering natural orifices. The presentation also touches on new codes for social determinants of health, including military service history and caregiver non-compliance.
🛠️ IMO's Support for HCC Indicators and Calculator Changes
IMO's support for the transition between HCC versions 24 and 28 is discussed, with a three-year transition period outlined. The presentation highlights IMO's resources for identifying both versions of HCC indicators. Dr. Julie Glasgow covers calculator changes, including new prompts for coronary microvascular dysfunction, migraine, Parkinson's disease, and sickle cell dactylitis, among others. New calculator areas for craniosynostosis and dense breast tissue are introduced.
💬 Q&A and Closing Remarks
The session concludes with a live Q&A where attendees can ask questions related to the presentation. Common queries include CEU credits, IMO's support for version 24 and 28 HCC indicators, COVID-19 coding updates, and resources for coding and clinical criteria. The recording, slides, and certificate of attendance will be sent out to attendees, and contact information for customer support and sales inquiries is provided.
Mindmap
Keywords
💡ICD-10 CM updates
💡Regulatory Readiness
💡Clinical Terminology
💡Healthcare Coding
💡Webinar
💡Health Information Management
💡Medical Clearance Exam
💡Social Determinants of Health (SDOH)
💡Neoplasm
💡Chronic Conditions
💡Coding Guidelines
Highlights
The webinar covers the 2024 ICD-10 CM updates and Regulatory Readiness, focusing on additions, revisions, and important changes in the ICD-10 CM coding system.
There were approximately 40 new codes related to social determinants of health added, effective from April 1st, 2024.
The Infectious Disease chapter includes new codes for Acinobacter Bomani infections and sepsis, highlighting the importance of antibiotic resistance.
The COVID-19 screening guideline has been updated to reflect the transition from emergency pandemic status, with new codes for pre-operative testing and screening.
Desmoid tumors, a rare type of tumor, have been given specific ICD-10 CM codes to better capture their behavior and impact.
Familial adenomatous polyposis (FAP) and its subtypes have been detailed with new codes to better represent the condition and its progression.
Sickle Cell disease complications, including a new code for sickle cell dactylitis, are now more accurately represented in the ICD-10 CM.
New codes for hypoparathyroidism and related conditions aim to better capture the genetic and metabolic aspects of these disorders.
The mental health chapter has seen reclassification of certain conditions, including prolonged grief disorder and schizophrenia-related codes.
Parkinson's disease coding has been expanded to include dyskinesia and fluctuations (off syndromes), providing more detailed data for treatment and intervention development.
New codes for chronic migraine with aura and other headache disorders provide more specificity for diagnosis and treatment tracking.
The eye disorders section includes new codes for sickle cell-related retinopathy and extraocular muscle entrapment, improving identification and management of these conditions.
Resistant hypertension and other circulatory conditions have been given new codes to better represent the complexity and treatment of these disorders.
The webinar also discusses the impact of the transition from HCC version 24 to version 28, including the three-year transition period and the support provided by IMO.
New calculator changes and prompts have been introduced by IMO to assist users in identifying specific ICD-10 CM codes based on the latest updates.
The presentation concludes with a live Q&A session, addressing questions related to the recording, slides, and specific coding scenarios.
Transcripts
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