Home Health, and Hospice ICD-10 Codes for 2023

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2023 ICD-10 CODING Updates

• Presented By
• Sharon M. Litwin
• RN, BSHS, MHA, HCS-D, COQS

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2
HIGHLIGHTS

• 1,176 NEW CODES!
• 28 codes revisions to their descriptors
• 251 deleted
• Many of these are external cause codes
• Important changes to Dementia (F codes) -69 new
  codes to identify the stage of severity, and
  behavioral and psychological symptoms of dementia
  (BPSD)
• Most all additions are to increase specificity as
  is the case each year
• No COVID code changes
• Every chapter except 7 and 8, eye and ear, has
  revisions.
• Chapter 12 skin/subcu (L codes) has only 1
  change to an exclude 1 note

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Other HIGHLIGHTS

• Circulatory (I codes) - addition of 43 new codes
• Injuries to the head (S00-S09 codes) addition of
  86 new codes
• Genitourinary system (N00-N99) adds almost 400
  new codes for ob-gyn conditions with 168 for
  endometriosis
• Pregnancy, Childbirth (O00-O9A) added 200 new
  codes
• Chapter 19 (S00-T88) adds a new poisoning and
  adverse effect category for methamphetamines

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CHAPTERS

• Chapter 1 Infections
• Chapter 2 Neoplasms
• Chapter 3 Blood and Blood forming organs
• Chapter 4 Endocrine
• Chapter 5 Mental Disorders
• Chapter 6 Nervous system
• Chapter 9 Circulatory system

• Chapter 13 Musculoskeletal system
• Chapter 14 Genitourinary system
• Chapter 15 Pregnancy and childbirth
• Chapter 16 Perinatal period
• Chapter 17 Congenital malformations
• Chapter 19 Injuries and poisoning
• Chapter 20 External causes
• Chapter 21 Z codes

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Chapter 1 Certain Infections and Parasitic
Diseases (A00-B99)
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Chapter 2 Neoplasms (C00-D49)
7
Chapter 3Disease of the blood and blood-forming
organs and certain disorders involving the immune
mechanism (D50-D89)
8
Chapter 4 Endocrine, nutritional and metabolic
diseases (E00-E89)
This Photo by Unknown Author is licensed under CC
BY
9
Chapter 5Mental, Behavioral and
Neurodevelopmental disorders (F01 F99)
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CHAPTER 6Diseases of the nervous system
(G00-G99)
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Chapter 9Diseases of the circulatory system
(I00-I99)
12
Chapter 10Diseases of the respiratory system
(J00-J99)
13
Chapter 11Diseases of the digestive system
(K00-K95)
14
Chapter 12Diseases of the skin and subcutaneous
tissue (L00-L99)

• Other disorders of the skin and subcutaneous
  tissue (L80-L99)
• L81 Other disorders of pigmentation
• Excludes1
• Revise from Peutz-Jeghers syndrome (Q85.8)
• Revise to Peutz-Jeghers syndrome (Q85.89)

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Chapter 13Diseases of the musculoskeletal
system and connective tissue(M00-M99)
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• Chapter 14
• Diseases of the genitourinary system
• (N00-N99)

This Photo by Unknown Author is licensed under CC
BY-NC
17

• 168 new! Endometriosis codes
• Anatomic locations
• Multiple Locations
• Depth unspecified, superficial and deep
• Laterality

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Chapter 15Pregnancy, childbirth and the
puerperium(O00-O9A)
This Photo by Unknown Author is licensed under CC
BY-SA-NC
19
Chapter 16Certain Conditions Originating In The
Perinatal Period (P00-P96)

• Expanded subcategories of P28.3 and P28.4
• P28.3 Primary sleep apnea of newborn
• P28.30 Primary sleep apnea of newborn,
  unspecified
• Transient oxygen desaturation spells of newborn
  during sleep
• P28.31 Primary central sleep apnea of newborn
• P28.32 Primary obstructive sleep apnea of newborn
  
• P28.33 Primary mixed sleep apnea of newborn
• P28.39 Other primary sleep apnea of newborn
• P28.4 Other apnea of newborn

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Chapter 17Congenital malformations,
deformations and chromosomal abnormalities
(Q00-Q99)
This Photo by Unknown Author is licensed under CC
BY-SA-NC
21
Chapter 18Symptoms, signs and abnormal clinical
and laboratory findings, not elsewhere classified
(R00-R99)
22
Chapter 19Injury, poisoning and certain other
consequences of external causes (S00-T88)
23
Chapter 20External causes of morbidity(V00-Y99
)
24
Chapter 21Factors influencing health status and
contact with healthservices (Z00-Z99)
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• A LOT of added and more detailed code categories
  for 2023!
• Major area Dementia Severity Levels and expanded
  codes
• Check Official CMS Links for
• Coding Guidelines,
• Tabular list of diseases and injuries
• Table of New and Revised codes
• Remember, these are effective
• October 1, 2022!

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• Sharon M. Litwin, RN, BSHS, MHA, HCS-D, COQS

REGISTER NOW