On Friday, June 16, the proposed CMS ICD-10-CM diagnosis code changes were released. The diagnosis code set changes consist of 395 additions, 12 revisions and 25 deletions. The total ICD-10-CM codes proposed for FY 2024 is 74,044.
Other inclusions in the newly released proposal is a 2.8% increase in payments as well as increasing the severity designation of three SDOH codes describing homelessness.
Highlights from the proposed changes include:
New codes for Parkinson’s disease to increase tracking and progress. Code additions include:
- G20A1 Parkinson’s disease without dyskinesia, without mention of fluctuations
- G20A2 Parkinson’s disease without dyskinesia, with fluctuations
- G20B1 Parkinson’s disease with dyskinesia, without mention of fluctuations
- G20B2 Parkinson’s disease with dyskinesia, with fluctuations
Thirty-four new codes related to the eyes:
- Sickle-cell related retinopathy – 9 new codes
- Muscle entrapment, different eye muscles – 21 new codes
- Foreign body sensation – 4 new codes
Thirty-six new codes for osteoporosis with current pathological pelvic fracture:
- These additions include age-related osteoporosis and other osteoporosis; and
- Initial, subsequent and sequela
- The subsequent treatment options include:
- Healing, delayed healing, non-union, and malunion
The proposed code additions also include thirteen new codes for greater specificity in coding mammography findings. This specificity includes identification of:
- Dense breasts
- Fatty tissue density
- Fibroglandular density
- Heterogeneous density
- Extreme density
Rounding out the new ICD-10-CM code proposals are 123 new external cause codes. These codes specify foreign body entering through a natural orifice. Specificity includes items such as:
- Plastic object
- Plastic toy
- Plastic bottle
- Glass
- Sharp object
- Magnetic object
- Rubber band
- Food
- Needle
- Knife
Once approved, these ICD-10-CM diagnosis code changes will take effect October 1, 2023. Additional information can be found at: 2024 ICD-10-CM | CMS