Master the upcoming ICD-10 code and IPPS changes! Prepare your team for the upcoming changes taking effect on October 1. Discover the benefits of IPPSPalooza and how it can drive your success. Click here >

New ICD-10-CM/PCS Codes Warrant Attention

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:

    1. Review and educate on the new diagnosis and procedure codes. There are many webinars that review the code changes. It is recommended that you and your coding staff listen, or review a code update.
    2. Identify and educate on New Technology items. There are 38-39 substances or devices that are newly active for the fiscal year. Review the list with pharmacy, central stores, or the OR, and then compare with the list of items used by your facility. Identify the documentation that would trigger a coder to confirm use and assign a procedure code for the New Technology items.
    3. Review changes to the MS-DRG. You may want to work with finance to understand how the changes will impact your bottom line.
    4. Update your facility-specific coding guidelines to incorporate the FY 2022 changes. Maintain a copy of your previous facility coding guidelines that may be used for any retrospective audits.
    5. Review and update query templates for the fiscal year. Review query response statistics and determine which templates may need to be updated to increase physician response.

This is also a good time to determine baselines:

    1. Calculate your complication and comborbidity (CC) and major CC (MCC) capture rate as of the end of September 2021. I like reviewing this information on a quarterly basis to monitor the effectiveness of clinical documentation improvement (CDI) and coding staffs. If you need assistance in this calculation, there is an American Health Information Management Association (AHIMA) Practice Brief on the subject.
    2. Determine the accuracy rate overall, and for each of your coders. If you haven’t completed internal quality reviews, you may want to have an external audit. Coding reviews are a great method of providing feedback to the coders and determining if additional education is warranted.

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.

Print Friendly, PDF & Email
Facebook
Twitter
LinkedIn
Email
Print

Laurie M. Johnson, MS, RHIA, FAHIMA, AHIMA Approved ICD-10-CM/PCS Trainer

Laurie Johnson is currently a senior healthcare consultant for Revenue Cycle Solutions, based in Pittsburgh, Pa. Laurie is an AHIMA-approved ICD-10-CM/PCS trainer. She has more than 35 years of experience in health information management and specializes in coding and related functions. She has been a featured speaker in over 40 conferences. Laurie is a member of the ICD10monitor editorial board and is a permanent panelist on Talk Ten Tuesdays

Related Stories

New Codes Proposed During Two-Day C&M Meeting

New Codes Proposed During Two-Day C&M Meeting

The Coordination and Maintenance (C&M) Committee meeting was held on Sept. 12 and 13. The meeting began with the procedure proposals, which were followed by

Print Friendly, PDF & Email
Read More

Leave a Reply

Please log in to your account to comment on this article.

Featured Webcasts

Mastering the Two-Midnight Rule: Keys to Navigating Short-Stay Admissions with Confidence

Mastering the Two-Midnight Rule: Keys to Navigating Short-Stay Admissions with Confidence

The CMS Two-Midnight Rule and short-stay audits are here to stay, impacting inpatient and outpatient admissions, ASC procedures, and Medicare Parts C & D. New for 2024, the Two-Midnight Rule applies to Medicare Advantage patients, requiring differentiation between Medicare plans affecting Case Managers, Utilization Review, and operational processes and knowledge of a vital distinction between these patients that influences post-discharge medical reviews and compliance risk. Join Michael G. Calahan for a comprehensive webcast covering federal laws for all admission processes. Gain the knowledge needed to navigate audits effectively and optimize patient access points, personnel, and compliance strategies. Learn Two-Midnight Rule essentials, Medicare Advantage implications, and compliance best practices. Discover operational insights for short-stay admissions, outpatient observation, and the ever-changing Inpatient-Only Listing.

Print Friendly, PDF & Email
September 19, 2023
Secondary Diagnosis Coding: A Deep Dive into Guidelines and Best Practices

Secondary Diagnosis Coding: A Deep Dive into Guidelines and Best Practices

Explore comprehensive guidelines and best practices for secondary diagnosis coding in our illuminating webcast. Delve into the intricacies of accurately assigning secondary diagnosis codes to ensure precise medical documentation. Learn how to navigate complex scenarios and adhere to coding regulations while enhancing coding proficiency. Our expert-led webcast covers essential insights, including documentation requirements, sequencing strategies, and industry updates. Elevate your coding skills and stay current with the latest coding advancements so you can determine the correct DRG assignment to optimize reimbursement, support medical decision-making, and maintain compliance.

Print Friendly, PDF & Email
September 20, 2023
Principal Diagnosis Coding: Mastering Selection and Sequencing

Principal Diagnosis Coding: Mastering Selection and Sequencing

Enhance your inpatient coding precision and revenue with Principal Diagnosis Coding: Mastering Selection and Sequencing. Join our expert-led webcast to conquer the challenges of principal diagnosis selection and sequencing. We’ll decode the intricacies of ICD-10-CM guidelines, equipping you with a clear grasp of the rules and the official UHDDS principal diagnosis definition. Uncover the crucial role of coding conventions, master the sequencing of related conditions, and confidently tackle cases with equally valid principal diagnoses.

Print Friendly, PDF & Email
September 14, 2023
2024 IPPS Summit: Final Rule Update with Expert Insights and Analysis

2024 IPPS Summit: Final Rule Update with Expert Insights and Analysis

Only ICD10monitor delivers what you need: updates on must-know changes associated with the FY24 Inpatient Prospective Payment System (IPPS) Final Rule, including new ICD-10-CM/PCS codes, plus insights, analysis and answers to questions from the country’s most respected subject matter experts.

Print Friendly, PDF & Email
2024 IPPS Summit Day 3: MS-DRG Shifts and NTAPs

2024 IPPS Summit Day 3: MS-DRG Shifts and NTAPs

This third session in our 2024 IPPS Summit will feature a review of FY24 changes to the MS-DRG methodology and new technology add-on payments (NTAPs), presented by senior healthcare consultant Laurie Johnson, with bonus insights and analysis from two acclaimed subject matter experts

Print Friendly, PDF & Email
August 17, 2023

Trending News