Here is an important checklist to help you prepare for new codes effective now.
On Oct. 1, the new 2022 fiscal year (FY) ICD-10-CM/PCS codes became effective. The new CM code set includes 159 new codes, 20 revised codes, and 18 deleted codes. The new ICD-10-PCS code set include 191 new codes, 62 revised titles, and 107 deleted codes. Most of the new procedure codes are in the Medical/Surgical section, followed by New Technology.
To prepare for the new fiscal year, there is a checklist of tasks to complete:
This is also a good time to determine baselines:
October would also be a good time to begin the discussion on social determinants of health (SDoH). Determine what areas of SDoH for which your organization has a data need. You may need to collaborate with contracting, as some payor contracts may include SDoH requirements. It is important that every organization realize that coders can capture this data.
The Talk Ten Tuesdays Listener’s Survey from Sept. 28 revealed that most organizations have reviewed the new ICD-10-CM/PCS codes and have done some other tasks to prepare for the fiscal year. It is imperative that the New Technology Add-On Payment (NTAP) items be identified and shared with coding staffs so that each organization will receive additional monies. This payment is based on the ICD-10-PCS codes that identify the NTAP items. These items are listed in the FY 2022 Inpatient Prospective Payment System (IPPS) Final Rule or available for review by listening to the ICD University webcast on the FY 2022 IPPS.
Programming Note: Listen to Laurie Johnson’s live coding report every Tuesday on Talk Ten Tuesdays, 10 Eastern.
This week I thought I would revisit the concept of what provider documentation is. It is becoming increasingly difficult for clinical documentation integrity (CDI) and
UnitedHealthcare (UHC) Medicare Advantage will begin reinforcing denialsbased on its interpretation of the International Classification of Disease, 10 thEdition, Clinical Modification (ICD-10-CM) Excludes 1.(https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-reimbursement/rpub/UHC-MEDADV-RPUB-JAN-2026.pdf) As
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Stay ahead of the 2026-2027 audit surge with “Top 10 Audit Targets for 2026-2027 for Hospitals & Physicians: Protect Your Revenue,” a high-impact webcast led by Michael Calahan, PA, MBA. This concise session gives hospitals and physicians clear insight into the most likely federal audit targets, such as E/M services, split/shared and critical care, observation and admissions, device credits, and Two-Midnight Rule changes, and shows how to tighten documentation, coding, and internal processes to reduce denials, recoupments, and penalties. Attendees walk away with practical best practices to protect revenue, strengthen compliance, and better prepare their teams for inevitable audits.
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