Introduction:

As we step into the fiscal year 2024, the ICD-10-CM code set is undergoing a significant update. This comprehensive revision encompasses the addition of 395 new codes, the removal of 25 existing codes, and modifications to 22 codes (including nine with changes to the short title only). Here are some key changes by Section.

Certain Infectious and Parasitic Diseases

  • Sepsis following a postprocedural wound (surgical site) infection now requires sequencing a specific code from T81.41 to T81.43 or O86.00 to O86.03.
  • A new code, Z11.52, is introduced for screening for COVID-19.

Neoplasms

The Neoplasms section sees revisions, including the creation of eleven new codes for Desmoid Tumor as requested by the Desmoid Tumor Research Foundation

For FY 2024, the ICD-10-CM code set was expanded per the request of the Desmoid Tumor Research Foundation with eleven new codes, some of which are listed below:

  • D48.11 Desmoid tumor
  • D48.115 Desmoid tumor of upper extremity and shoulder girdle
  • D48.118 Desmoid tumor of other site
  • D48.119 Desmoid tumor of unspecified sit

Diseases of the Blood and Blood-Forming

New codes address Schwachman-Diamond syndrome (D61.02) and Immunoglobulin G4-related disease (D89.84) in Sickle Cell Disorders.

Endocrine, Nutritional, and Metabolic Diseases

A new subcategory for Autosomal Dominant Hypocalcemia (ADH) is introduced (E20.810), providing detailed codes for type 1 and type 2 ADH.

Diseases of the Nervous System

Chronic Migraine with aura now has its dedicated code set (G43.E), with additional codes specifying variations and associated conditions.

Diseases of the Eye and Adnexa

21 new diagnosis codes (H50.62 – H50.68) are introduced to identify extraocular muscle entrapment, along with new codes under category H36 for sickle-cell retinopathy.

Diseases of the Circulatory System

New codes cover various conditions such as resistant hypertension, angina pectoris with coronary microvascular dysfunction, and different forms of acute coronary microvascular dysfunction.

Diseases of the Digestive System

New codes address short bowel syndrome with and without colon in continuity, intestinal failure, acute appendicitis, and retroperitoneal fibrosis.

Diseases of the Musculoskeletal System and Connective Tissue

New codes cover conditions such as primary membranous nephropathy, osteoporosis with pathological fractures, and more.

Pregnancy

New codes include Hepatorenal Syndrome following labor and delivery, other postpartum acute kidney failure, and intrahepatic cholestasis of pregnancy.

Congenital Malformations

New codes for Bardet-Biedl syndrome, Laurence-Moon syndrome, and unspecified craniosynostosis are introduced.

Factors Influencing Health Status

Notable additions include social determinants of health (SDoH) codes capturing details related to child upbringing.

Key Takeaways:

  • Of the 395 new codes, 123 are external cause codes to capture accidents and injuries.
  • CMS proposes 36 new codes for osteoporosis with current pathological pelvic fracture.
  • Notable additions for sickle cell anemia, Parkinson’s disease, migraine with aura, and insulin resistance.
  • Significant updates across various chapters, including the disease of the nervous system, eye and adnexa, musculoskeletal system, congenital malformations, and factors influencing health status.

In conclusion, these updates to the ICD-10-CM code set for FY 2024 reflect a thorough response to evolving medical nuances, ensuring accurate and detailed coding for a wide range of conditions. Practitioners and coders alike should familiarize themselves with these changes to maintain precision in healthcare documentation and reporting.

At Globe Centrix, we train our staff to stay abreast of industry updates to make sure we deliver our best coding in the industry standards. Feel free to reach out to us with any questions.