FY 2021 IPPS Proposed Rule Includes 600 Potential Code Changes

ICD-10-CM-PCS Code Change

The entire list of proposed changes to ICD-10-CM/PCS codes is available in tables 6A-6K and 6P.1a-6P.4a of the rule.

CMS released the fiscal year (FY) 2020 Inpatient Prospective Payment System (IPPS) proposed rule May 11, which includes just shy of 600 ICD-10-CM code changes. Proposed changes include 490 code additions, 47 revisions, and 58 invalidations, slated to go into effect October 1.

The proposed changes include new ICD-10-CM codes in the following categories:

  • D57, sickle-cell disorders
  • D89, other disorders involving the immune mechanism, not elsewhere classified
  • F19, other psychoactive substance related disorders, as well as categories F10-F15
  • H18, other disorders of cornea
  • M05, rheumatoid arthritis with rheumatoid factor
  • M06, other rheumatoid arthritis
  • M08, juvenile arthritis
  • M19, other and unspecified osteoarthritis
  • R51, headache
  • S20, superficial injury of thorax
  • T40, poisoning by, adverse effect of and underdosing of narcotics and psychodysleptics (hallucinogens)
  • V00-V06 for electric scooter and other micro-mobility pedestrian conveyance injuries

Proposed ICD-10-CM code deletions include:

  • Some H18 corneal dystrophy codes because of the proposed expanded additions
  • R51 because of proposed specified headache additions
  • Some T40 codes for poisoning due to proposed specified additions

Proposed revised ICD-10-CM codes include:

  • Z68 (body mass index) codes relating to both adult and pediatric body mass index
  • Z88 (allergy status to drugs, medicaments, and biological substances) codes

For More Information:  https://www.healthleadersmedia.com/finance/fy-2021-ipps-proposed-rule-includes-600-potential-code-changes

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