New Coding Issues Emerge To Confront Coders

The brand new codes and subsequent points can be efficient Oct. 1, 2023.

In keeping with senior healthcare advisor Laurie Johnson, who introduced the data throughout the collection, three main points emerged from her analysis and manifested themselves in her presentation —a presentation that was augmented with commentary from Erica Remer, MD, co-host for the long-running Speak Ten Tuesdays Web broadcast.

“New know-how add-on funds (NTAPs) are anticipated to be a recreation changer,” Johnson advised ICD10monitor in an e-mail. “Many NTAPs for FY23 come at a time when hospitals are dropping cash, since lots of them are for medicines,” indicating that that is considered one of three looming adjustments for 2023.

The second main change comes from the OR designation relative to CC and MCC designation, in keeping with Johnson.

The third problem that Johnson mentioned was revealed throughout the 2023 IPPS Coding Summit pertains to Nationwide Drug Codes (NDCs).

Including the NDCs into the cost grasp may start preparation for a time when an ICD-10-PCS code for a medicine doesn’t set off the NTAP.

Johnson mentioned the Facilities for Medicare & Medicaid Companies (CMS) is entertaining utilizing NDCs rather than PCS codes to set off the NTAP.

The usage of the NDC codes rather than PCS codes will take away the necessity to get a PCS code for brand new know-how add-on funds (NTAPs).  This motion may even impression the Coordination and Upkeep Committee assembly agenda.

In recent times, the PCS agenda has been crammed with administration of latest medicines and gadgets.  Sometimes, coders wouldn’t assign codes for the administration of particular medicines or gadgets used throughout a process.

The MCE Edit #20 (Unspecified Codes) which turned efficient April 1, 2022.  This edit seems to be for unspecified laterality for ICD-10-CM codes and is triggered when the laterality is unspecified. When the edit is triggered, there’s a particular response if the code can’t be up to date to a specified laterality.

When downloading the on-demand collection, right here is reader’s information to the content material that was introduced final Tuesday, Wednesday and Thursday.

2023 IPPS Summit Day 1: Grasp ICD-10-CM Modifications

The primary session contains a overview of FY23 adjustments to ICD-10-CM codes.

2023 IPPS Summit Day 2: Grasp ICD-10-PCS Modifications

That is the second session and contains a overview of the a whole bunch of FY23 adjustments to ICD-10-PCS codes.

2023 IPPS Summit Day 3: MS-DRG Shifts and NTAPs

The third and remaining session contains a overview of FY23 adjustments to the MS-DRG methodology and the NTAPs.

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