ICD-10-CM Update 2024

The speaker, Terry Tropin, introduces himself as a healthcare administration informatics expert with a master's degree from the University of Maryland Global Campus. He holds RHIA and CCSP certifications and is an AHIMA-approved ICD-10 trainer. Tropin used to teach at Montgomery College and has authored books aimed at simplifying complex guidelines. He discusses the changes to ICD-10-CM for 2024, effective from October 1st, and emphasizes the importance of staying updated with these changes.

Tropin delves into the updates made to ICD-10-CM codes for specific conditions. He explains that previously uncoded conditions now have specific codes, and existing codes have been expanded or added to provide more detailed information. For instance, glomerulonephritis has been specified into primary and secondary types. Changes also include new and revised codes for examinations, encounters, screenings, and risk factors, with particular attention to the updates in the tabular list notes, such as the change from 'excludes one' to 'excludes two'.

The speaker discusses the new codes added for neoplasms, such as the specific code for familial adenomatous polyposis and desmoid tumor. He also covers the expansion of sickle cell disorders codes to include dactylitis and the addition of specific codes for glycogen storage disease and other sphingolipidoses. In nutritional and metabolic diseases, codes for hypoparathyroidism have been expanded to include causes and types, and new codes have been introduced for conditions like Canavan disease and hereditary xanthoma.

Tropin addresses changes in the nervous system chapter, highlighting new codes for conditions like hypermyelination and leukodystrophy with Vanishing white matter syndrome. He also mentions the addition of a code for Parkinson's disease with and without dyskinesia and fluctuations. In the eye diseases chapter, new codes have been introduced for mechanical strabismus and foreign body sensation, with specific codes for different types of foreign bodies and their locations.

The speaker discusses the new code for resistant hypertension and microvascular dysfunction, including myocardial infarction with coronary microvascular dysfunction. He also mentions the addition of a code for restrictive allograft syndrome in the respiratory system, which is a common cause of mortality in lung transplant recipients. A new code for bronchiolitis obliterans and bronchiolitis obliterans syndrome has been introduced, related to the 'popcorn lung' condition.

Tropin covers the new code for small intestine bacterial overgrowth and short bowel syndrome in the digestive system. In the urinary system, he discusses the addition of codes for recurrent and persistent hematuria due to immunoglobulin A nephropathy and nephrotic syndrome with diffuse mesangial glomerulonephritis. He also mentions the new code for intrahepatic cholestasis of pregnancy and postpartum acute kidney failure.

The speaker talks about the new codes added for congenital malformations, such as craniosynostosis and other specified congenital malformations of the skull. He also discusses the changes in the coma guidelines, including the use of Coma Scale codes and the addition of a code for non-traumatic coma due to an underlying condition. Changes in mammographic density codes and the deletion of COVID-19 related guidelines are also mentioned.

Tropin explains the updates related to codes for examinations, encounters, and screenings. He mentions the deletion of the COVID-19 pandemic note and the new guidance on using Z11.52 for COVID-19 screening. The addition of a code for HIV pre-exposure prophylaxis encounters and changes in follow-up examination codes are highlighted. The speaker also discusses the changes in risk factors, such as the documentation of food insecurity and homelessness, and the expansion of non-compliance codes.

The speaker provides insights into the importance of understanding changes in the notes under ICD-10 codes. He explains the implications of changes from 'excludes one' to 'excludes two' and the use of additional codes. Tropin emphasizes the need to keep track of these changes for accurate claim reporting and provides resources for further information, including his books and contact information.