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Insights & Education

Coding Tips: Maintenance of the ICD-10-CM & ICD-10-PCS Coding Systems

By Marcy Blitch / September 19, 2023

The Centers for Medicare & Medicaid (CMS) announced in the fiscal year 2022 Hospital Prospective Payment System final rule published on August 2,2021 that it was adopting an April 1 implementation date for ICD-10-CM and ICD-10-PCS code updates, in addition to the annual October 1 update, beginning with April 1, 2022. The April 1 implementation… Read More »Coding Tips: Maintenance of the ICD-10-CM & ICD-10-PCS Coding Systems

Comparing Codes Across ICD Versions: Spinal stenosis

By Mary Stanfill / August 30, 2023
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The WHO ICD-11 classification is very different from the 10th version that the United States modified to create the ICD-10-CM code set that is used for reporting healthcare services on claims in the US today. In monthly code comparisons, we’ve looked at codes that are pre-coordinated or post-coordinated in ICD-11 and compared them with the… Read More »Comparing Codes Across ICD Versions: Spinal stenosis

ICD-11 Monthly – August 2023

By Mary Stanfill / August 8, 2023

Comparing Codes Across ICD Versions: Cholecystitis with cholelithiasis By: Mary H. Stanfill, MBI, ACHIP, RHIA, CCS, CCS-P, FAHIMA The WHO ICD-11 classification is very different from the 10th version that the United States modified to create the ICD-10-CM code set that is used for reporting healthcare services on claims in the US today. One distinct… Read More »ICD-11 Monthly – August 2023

FY 2024 ICD-10-CM Official Guidelines for Coding and Reporting

By Kathryn DeVault / July 14, 2023

The FY 2024 ICD-10-CM guidelines have been released and are now available for review.  While there aren’t a large amount of guideline changes and updates, there are several notable highlights in Section C, Chapter-Specific Coding Guidelines to be aware of:  The complete ICD-10-CM Official Guidelines for Coding and Reporting document can be found at :… Read More »FY 2024 ICD-10-CM Official Guidelines for Coding and Reporting

Comparing Codes Across ICD Versions: Coronary Artery Disease

By Mary Stanfill / June 28, 2023

The WHO ICD-11 classification is very different from the 10th version that the United States modified to create the ICD-10-CM code set that is used for reporting healthcare services on claims in the US today. One distinct difference is ICD-11 codes can be either pre-coordinated or post-coordinated, whereas all ICD-10-CM codes are post-coordinated. Let’s compare… Read More »Comparing Codes Across ICD Versions: Coronary Artery Disease

2024 CMS Proposed ICD-10-CM Changes

By Kathryn DeVault / June 22, 2023

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… Read More »2024 CMS Proposed ICD-10-CM Changes

Comparing Codes Across ICD Versions: Diabetes

By Mary Stanfill / June 2, 2023

The WHO ICD-11 classification is very different from the 10th version that the United States modified to create the ICD-10-CM code set that is used in the US today. One key difference, ICD-11 post-coordinated code clusters, provides a flexible way to represent details about a condition. Let’s compare codes for a common condition, diabetes mellitus,… Read More »Comparing Codes Across ICD Versions: Diabetes

Comparing Codes Across ICD Versions: Osteoarthritis

By Mary Stanfill / May 1, 2023

While implementation of ICD-11 in the US is likely years away, it is not too early to become familiar and comfortable with the structure and format. ICD-11 is a digital classification that is very different from ICD-10-CM. Let’s compare and contrast coding of a common condition, osteoarthritis. Note: In this example, the ICD-11 code is… Read More »Comparing Codes Across ICD Versions: Osteoarthritis

Rib Fracture – March 2023 Coding Tip

By Sarah Kriegshauser / March 28, 2023

A new subcategory for the fracture of ribs associated with compression of the chest and cardiopulmonary resuscitation, has been created.

Comparing Codes Across ICD Versions: Gastroenteritis

By Mary Stanfill / February 28, 2023

To become familiar and comfortable with the structure and format of ICD-11, compare and contrast the coding of gastroenteritis.