What's New in ICD-10 Coding: October 2023 Edition

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New ICD-10 Coding Updates for Hospice Home
Health FY 2024September 2023
Presented By Sharon Litwin RN, BSHS, MHA, HCS-D,
COQS slitwinconsulting_at_outlook.com
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Overview

• FY 2024 ICD-10-CM code set has
• 395 new diagnosis codes,
• 25 deletions, and
• 13 revisions for the fiscal year
• New codes are being added throughout the
  chapters with increased specificity
• There are no changes in every section, Such As
  Chapter 12 Diseases of the Skin and
  Subcutaneous Tissue (L00-L99)

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Chapter 1
Certain infectious and parasitic diseases
(A00-B99)
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4
Chapter 2
Neoplasms (C00-D49)
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5
Chapter 3
Diseases of the blood and blood-forming organs
and certain disorders involving the immune
mechanism (D50-D89)
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6
Chapter 4
Endocrine, nutritional and metabolic diseases
(E00-E89)
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7
Chapter 5
Mental, behavioral, and neurodevelopmental
disorders (F01 F99)
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Chapter 6
Diseases of the Nervous System (G00-G99)
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Chapter 7 8
Diseases of the Eye and Adnexa (H00-H59)
Diseases of the Ear and Mastoid process
(H60-H95)
H Chapter has a lot of additions to add laterality
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10
Chapter 9
Diseases of the Circulatory System (I00-I99)
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Chapter 10
Chapter 10 Diseases of the Respiratory System
(J00-J99)
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12
Chapter 11
Diseases of the Digestive System (K00-K95)
17 New Codes
12
13
Chapter 12
Diseases of the skin and subcutaneous tissue
(L00-L99)
NO CHANGES!
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Chapter 13
Diseases of the musculoskeletal system and
connective tissue (M00-M99)
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15
Chapter 14
Diseases of the genitourinary system (N00-N99)
15 New Codes
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Chapter 15
Pregnancy, childbirth, and the puerperium
(O00-O9A)
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Chapter 16
Certain conditions originating in the perinatal
period (P00-P96)
No Changes
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Chapter 17
Congenital malformations, deformations, and
chromosomal abnormalities (Q00-Q99)
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19
18 New Codes
Chapter 18
Symptoms, signs, and abnormal clinical and
laboratory findings not elsewhere classified
(R00-R99)
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Chapter 19
Injury, poisoning, and certain other consequences
of external causes (S00-T88)12
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Chapter 20
External causes of morbidity (V00-Y99)
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Chapter 21
Factors influencing health status and contact
with health services (Z00-Z99)
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Conclusions

• A Lot of new codes BUT less than what weve had
  annually since ICD 10.
• Have to use the 2024 Code Set NOW for payment
  periods beginning Sept 2, as you bill Oct 1 may
  have to dual code until Oct 1 when they go into
  effect.
• The Guidelines have changes as wellso be sure to
  pay attention to those as well!
• Also be sure to follow all of the instructions,
  such as excludes 1 and 2 notes, Code First, Code
  Also, etc. etc.
• Most of all, code to the providers documentation!
  
• Query the provider when you do not have
  sufficient information starting with
  Intake/Admission.
• By the time a coder gets the record, all
  diagnoses should be consistent and accurate!

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