395 new diagnosis codes have been proposed by CMS for fiscal year 2024.
CMS recently released the fiscal year 2024 inpatient prospective payment system proposed rule, and with it came the annual proposed ICD-10-CM diagnosis code changes which include new codes to enhance the tracking and progression of Parkinson’s disease and more reimbursement for certain social determinates of health (SDOH).
The proposed rule includes 395 additions, 12 revisions, and 25 deletions to the ICD-10-CM diagnosis code set. If finalized, these changes will take effect October 1.
Of the 395 new ICD-10-CM codes, 123 of them are external cause codes to capture accidents and injuries. CMS also proposes 36 new codes for osteoporosis with current pathological pelvic fracture.
Other notable proposed code additions include:
- Several new codes for sickle cell anemia
- Five new codes for Parkinson’s disease with and without dyskinesia
- Four new codes for migraine with aura
- Three new codes for insulin resistance
When it comes to SDOH, the proposed changes would create two codes that indicate if a caregiver’s noncompliance is due to financial hardship or another reason. For example, the current code for “caregiver’s other noncompliance with patient's medication regimen” would become invalid and coders would use Z91.A41 (Caregiver's other noncompliance with patient’s medication regimen due to financial hardship) and Z91.A48 (Caregiver's other noncompliance with patient's medication regimen for other reason).
In the proposed rule, CMS also recognizes homelessness as an indicator of increased resource utilization. To compensate acute care hospitals for resources needed to care for patients experiencing homelessness, CMS proposes to increase the severity designation of three ICD-10-CM codes describing homelessness.
CMS invites the public to comment on all proposals. For more information on the rule, see the Federal Register. Comments are due to CMS no later than June 9.
Amanda Norris is the Director of Content for HealthLeaders.
KEY TAKEAWAYS
The proposed rule includes 395 additions, 12 revisions, and 25 deletions to the ICD-10-CM diagnosis code set.
To compensate acute care hospitals for resources needed to care for patients experiencing homelessness, CMS proposes to increase the severity designation of three codes describing homelessness.
If finalized, these changes will take effect October 1.