ICD-10-CM and ICD-10-PCS Codes and Coding

ICD-10-CM and ICD-10-PCS Codes and Coding / en Sun, 15 Jun 2025 00:53:03 -0500 Fri, 23 May 25 08:08:08 -0500 Overview of Final IPPS Rule (FY) 2026 /education-events/overview-final-ipps-rule-fy-2026 Overview of Final IPPS Rule (FY) 2026Date: &nbsp; Thursday August 28, 2025 12:00 – 1:00 PM Central TimeThis webinar will provide an overview of the published final rule for the fiscal year (FY) 2026 Inpatient Prospective Payment System (IPPS) specific to coding, MS-DRGs, NTAPs and other regulatory finalized proposals related to coding.Topics will include:<ul><li>MS-DRG classification – finalized changes</li><li>ICD-10-CM Severity Level Designations – outcome from proposed rule comments</li><li>Comprehensive CC/MCC Analysis – outcome from proposed rule comments</li><li>New Technology Add-on Payment (NTAP) – finalized NTAPs, corresponding ICD-10-CM/PCS codes for reporting and importance of data capture</li><li>Hospital Inpatient Quality Reporting Program – outcome of proposals with potential coding considerations</li><li>Transforming Episode Accountability Model (TEAM) – outcome of proposals</li><li>Other notable proposal finalizations specific to coding</li><li>Deregulation Request for Information (RFI) – updates/comments summary in response to RFI related to coding&nbsp;</li><li>References and Questions</li></ul>Speaker:&nbsp; Tammy Love, MSHI, RHIA, CCS, CDIP – Director Coding Classification and Policy, �� AssociationWebinar Cost:&nbsp; $38/personWe can only accept credit card payments and no refunds will be processed. Please make sure you are registering for the correct webinar. Please verify your email address before purchasing.For group registrations of 30 or more, information can be found <a href="https://sponsors.aha.org/HFC_GEN_Coding_Group_Registration_Landing_Page.html">here</a>. &nbsp; For registration questions, please email <a href="mailto:codingwebinars@aha.org">codingwebinars@aha.org.</a>CEU Information: &nbsp; 1-hour AAPC&nbsp; This program meets AAPC guidelines for 1.0 CEU. Can be split between Core A and all specialties except CIRCC and CPMS for continuing education units.1-hour AHIMA&nbsp; This program has been approved for 1 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.If you can't attend on the live date, an on-demand link will be provided post-webinar. Fri, 23 May 2025 08:08:08 -0500 ICD-10-CM and ICD-10-PCS Codes and Coding AHEAD Model Office Hours and Q&A with CMMI Representatives from CMMI discuss AHEAD Model updates, including version 3.0 financial specifications, and answer questions from members. If AHA members have questions, please submit to <a class="ck-anchor" id="mailto:VBP@aha.org">VBP@aha.org</a> . &nbsp;<a href="https://aha-org.zoom.us/rec/share/DoSAiWa1LowKvDqZ5aUEkmjxurBQKef8OBrMeOwVL6esJRqfsuARjP-tLLUJ3HHc.NTsoIzW10ZNXgXCg?startTime=1747155573000">View recording</a> and <a href="/system/files/media/file/2025/05/AHEAD_T5_Medicare%20HGB%20v3%20Webinar%20Deck_May%202025_For%20AHA.pdf">download slides</a>.&nbsp; Wed, 14 May 2025 11:16:12 -0500 ICD-10-CM and ICD-10-PCS Codes and Coding Overview of Proposed IPPS Rule (FY) 2026 /education-events/overview-proposed-ipps-rule-fy-2026 Date: &nbsp; Thursday, May 22, 2025&nbsp; 12:00 – 1:00 PM Central TimeThis webinar will provide an overview of the published CMS proposed rule for the fiscal year (FY) 2026 Inpatient Prospective Payment System (IPPS).The FY 2026 IPPS proposed rule webinar will provide insight to the FY 2026 IPPS proposals related to coding, MS-DRGs, NTAPs and other regulatory proposal considerations.<ul><li>MS-DRG Classifications Review – proposed changes and updates</li><li>Severity levels for ICD-10-CM codes – proposed revisions</li><li>Comprehensive CC/MCC Analysis – status and proposals&nbsp;</li><li>&nbsp;New Technology Add-on Payments (NTAPs) – summary of proposals and importance of data capture&nbsp;</li><li>Hospital Inpatient Quality Reporting Program – proposals with potential coding considerations&nbsp;</li><li>&nbsp;Transforming Episode Accountability Model (TEAM) – status and proposals</li><li>Other notable coding related proposals&nbsp;</li><li>References and Questions</li></ul>Speaker:&nbsp; Tammy Love, MSHI, RHIA, CCS, CDIP – Director Coding Classification and Policy, �� AssociationWebinar Cost:&nbsp; $38/personWe can only accept credit card payments and no refunds will be processed. Please make sure you are registering for the correct webinar. Please verify your email address before purchasing.For group registrations of 30 or more, information can be found <a href="https://sponsors.aha.org/HFC_GEN_Coding_Group_Registration_Landing_Page.html" target="_blank">here</a>. &nbsp;&nbsp; For registration questions, please email <a href="mailto:codingwebinars@aha.org">codingwebinars@aha.org</a>.CEU Information: &nbsp; 1 hour AAPC&nbsp; This program meets AAPC guidelines for 1.0 CEU. Can be split between Core A and all specialties except CIRCC and CPMS for continuing education units.1 hour AHIMA&nbsp; This program has been approved for 1 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.If you can't attend on the live date, an on-demand link will be provided post-webinar. &nbsp; Wed, 14 May 2025 09:26:18 -0500 ICD-10-CM and ICD-10-PCS Codes and Coding FY 2026 Inpatient Prospective Payment System Proposed Rule Member Webinar This webinar reviews key provisions proposed in the<a href="/inpatient-pps"> FY 2026 Inpatient PPS proposed rule,</a> presented by AHA policy staff members Shannon Wu, Tammy Love, and Akin Demehin. Topics include proposals related to Medicare disproportionate share hospitals, Medicare-severity diagnosis-related group changes, area wage index changes, promoting interoperability programs, and quality reporting programs, among others.Members can view the <a href="https://aha-org.zoom.us/rec/share/BdcIVwSnEYv07Ya1j1pAnLKz4thBpQZscT-GsMgVUtQRK0gZeInrmszq4lNBlUx4.lvUXrjf1DgGZy6JD?startTime=1745859557000">recording of the session</a> and download slides below for further review. Wed, 30 Apr 2025 09:44:08 -0500 ICD-10-CM and ICD-10-PCS Codes and Coding CY 2025 Physician Fee Schedule Proposed Rule Webinar In this webinar, AHA staff discussed the recently&nbsp;released <a href="https://chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://public-inspection.federalregister.gov/2024-14828.pdf">CY 2025 Physician Fee Schedule proposed rule.</a> This rule proposes updates to physician fee schedule&nbsp;rates, changes to telehealth services, updates for behavioral health and opioid use disorder, and other&nbsp;aspects of physician payment. The rule also proposes changes to the Medicare Shared Savings Program (MSSP)&nbsp;and Quality Payment Program (QPP) created by the Medicare Access and CHIP Reauthorization Act (MACRA) of&nbsp;2015.&nbsp; &nbsp;See the <a href="/2024-07-31-medicare-physician-fee-schedule-proposed-rule-cy-2025">AHA Regulatory Advisory</a> for a summary of the rule. Members can <a href="https://aha-org.zoom.us/rec/share/Ozc6eCdUVw5YQz3c3Mnwjt9iQWektk9lsKKRQJMQHdjjoxJ1f_EKjKU-T_TW1JKw.yyusAHVAqgI0hus4?startTime=1723222710000">view the recording of the session </a>and download slides below for further review. Mon, 12 Aug 2024 17:57:51 -0500 ICD-10-CM and ICD-10-PCS Codes and Coding Despite AI Advancements, Human Oversight Remains Essential /role-hospitals-icahn-school-medicine-study-despite-ai-advancements-human-oversight-remains-essential <div class="container"><div class="row"><div class="col-md-9"><div class="col-md-5"><img src="/sites/default/files/2024-08/ths-ai-accuracy-study-700x532.jpg" data-entity-uuid data-entity-type="file" alt="Icahn School of Medicine. Stock AI in medicine concept image shows medical holographic icons around a central AI icon" width="700" height="532"></div>The introduction of artificial intelligence-driven technology into health care continues at a brisk pace, with sometimes uneven results.Researchers at the Icahn School of Medicine at Mount Sinai wanted to know how state-of-the-art artificial intelligence systems known as large language models (LLMs) would perform as medical coders, a precise, laborious and time-consuming task that is mostly still performed by humans.Their study, published in the April 19 online issue of NEJM emphasizes the necessity for refinement and validation of these technologies before considering clinical implementation.The study cross-checked the results of more than 27,000 unique diagnosis and procedure codes originally produced by human medical coders against the results generated by OpenAI, Google, and Meta, when those programs were fed the same medical data.The generated codes were compared with the original codes and errors were analyzed for any patterns. All of the studied LLM’s showed limited accuracy (below 50 percent) in reproducing the original medical codes, highlighting a significant gap in their usefulness for medical coding.Co-senior author Girish Nadkarni, M.D., said “This study sheds light on the current capabilities and challenges of AI in health care, emphasizing the need for careful consideration and additional refinement prior to widespread adoption.”<a class="btn btn-primary" href="https://www.mountsinai.org/about/newsroom/2024/despite-ai-advancements-human-oversight-remains-essential">LEARN MORE</a></div><div class="col-md-3"><div><h4>Resources on the Role of Hospitals</h4><ul><li><a href="/topics/innovation">Innovation, Research and Quality Improvement</a></li><li><a href="/roleofhospitals">All Case Studies</a></li></ul></div></div></div></div> Mon, 12 Aug 2024 11:12:47 -0500 ICD-10-CM and ICD-10-PCS Codes and Coding FY 2025 Updates Part 2: ICD-10-PCS Codes and Official Guidelines for Coding and Reporting /education-events/fy-2025-updates-part-2-icd-10-pcs-codes-and-official-guidelines-coding-and-reporting FY 2025 Updates Part 2: ICD-10-PCS Codes and Official Guidelines for Coding and Reporting Date: &nbsp;Thursday, September 19, 2024&nbsp; 12:00 – 1:00 PM Central Time&nbsp;Summary:This webinar will provide updates on changes to the ICD-10-PCS codes and Official Guidelines for Coding and Reporting that are effective October 1, 2024.Objectives:Learn about key code changes that include:<ul><li>Dilation with Sustained Release Drug-Eluting Intraluminal Device</li><li>Lymphatic System Bypass</li><li>Lumbar Perforator Flap Breast Replacement</li><li>Drug-Eluting Resorbable Scaffold System</li><li>Section X – New Technology Updates</li><li>Introduction of New Therapeutic Substances</li><li>FY 2025 Updates to ICD-10-PCS Official Guidelines for Coding and Reporting</li></ul>Speakers:<ul><li>Denene Harper, RHIA, Director of Coding Classification Content, Executive Editor Coding Clinic, �� Association</li><li>Tammy Love, RHIA, CCS, CDIP, Director of Coding Classification Policy, �� Association&nbsp;</li></ul>&nbsp;Webinar Cost:&nbsp; $35/person We can only accept credit card payments and no refunds will be processed.Please make sure you are registering for the correct webinar.Please verify your email address before purchasing.For group registrations of 30 or more, information can be found here:&nbsp;<a href="https://sponsors.aha.org/HFC_GEN_Coding_Group_Registration_Landing_Page.html">https://sponsors.aha.org/HFC_GEN_Coding_Group_Registration_Landing_Page.html</a>For registration questions, please email&nbsp;<a href="mailto:codingwebinars@aha.org">codingwebinars@aha.org</a>. CEU Information:&nbsp;&nbsp; 1-hour AAPC&nbsp; This program meets AAPC guidelines for 1.0 CEU. Can be split between Core A and all specialties except CIRCC and CPMS for continuing education units. 1-hour AHIMA&nbsp; This program has been approved for 1 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor. If you can't attend on the live date, an on-demand link will be provided post-webinar.<a href="https://join.eventcastplus.com/eventcastplus/FY-2025-Updates-Part-1-ICD-10-CM-Codes-and-Official-Guidelines-for-Coding-and-Reporting?utm_bmcr_source=AHA" target="_blank" title="Click here to register for the FY 2025 Updates Part 1: ICD-10-CM Codes and Official Guidelines for Coding and Reporting webinar." data-widget="image"><img src="/sites/default/files/2024-08/FY-2025-Updates-Part-1-ICD-10-CM-Codes-and-Official-Guidelines-for-Coding-and-Reporting-700x230.jpg" data-entity-uuid="" data-entity-type="" alt="FY 2025 Updates Part 1: ICD-10-CM Codes and Official Guidelines for Coding and Reporting. Webinar. September 18, 2024. 12:00–1:00 PM CT. �� Association. AHA Coding Clinic." width="700" height="230"></a> Mon, 05 Aug 2024 13:15:43 -0500 ICD-10-CM and ICD-10-PCS Codes and Coding FY 2025 Updates Part 1: ICD-10-CM Codes and Official Guidelines for Coding and Reporting /education-events/fy-2025-updates-part-1-icd-10-cm-codes-and-official-guidelines-coding-and-reporting FY 2025 Updates Part 1: ICD-10-CM Codes and Official Guidelines for Coding and Reporting Date: &nbsp;Wednesday, September 18, 2024&nbsp; 12:00 – 1:00 PM Central Time&nbsp;Summary:This webinar will provide updates on changes to the ICD-10-CM codes and Official Guidelines for Coding and Reporting that are effective October 1, 2024.Objectives:Learn about key code changes that include:<ul><li>Lymphoma remission status</li><li>Presymptomatic type 1 Diabetes Mellitus</li><li>Obesity due to Disruption of Melanocortin 4 Receptor (MC4R) Pathway</li><li>Specific types of eating disorders</li><li>Cement and Fat Pulmonary Artery Embolisms</li><li>Anal and Rectal Fistulas</li><li>Alopecia</li><li>New Z codes</li><li>FY 2025 Updates to ICD-10-CM Official Guidelines for Coding and Reporting</li></ul>Speakers:<ul><li>Denene Harper, RHIA, Director of Coding Classification Content, Executive Editor Coding Clinic, �� Association</li><li>Gretchen Young-Charles, RHIA, Managing Editor of Coding Clinic for ICD-10- CM/PCS, �� Association</li><li>Susan Latham, RHIT, CCS, Coding Consultant, �� Association</li><li>Kathy White, RHIA, Coding Manager, �� Association</li></ul>&nbsp;Webinar Cost:&nbsp; $35/person We can only accept credit card payments and no refunds will be processed.Please make sure you are registering for the correct webinar.Please verify your email address before purchasing.For group registrations of 30 or more, information can be found here:&nbsp;<a href="https://sponsors.aha.org/HFC_GEN_Coding_Group_Registration_Landing_Page.html">https://sponsors.aha.org/HFC_GEN_Coding_Group_Registration_Landing_Page.html</a>For registration questions, please email&nbsp;<a href="mailto:codingwebinars@aha.org">codingwebinars@aha.org</a>. CEU Information:&nbsp;&nbsp; 1-hour AAPC&nbsp; This program meets AAPC guidelines for 1.0 CEU. Can be split between Core A and all specialties except CIRCC and CPMS for continuing education units. 1-hour AHIMA&nbsp; This program has been approved for 1 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor. If you can't attend on the live date, an on-demand link will be provided post-webinar.<a href="https://join.eventcastplus.com/eventcastplus/FY-2025-Updates-Part-2-ICD-10-PCS-Codes-and-Official-Guidelines-for-Coding-and-Reporting?utm_bmcr_source=AHA" target="_blank" title="Click here to register for the the FY 2025 Updates Part 2: ICD-10-PCS Codes and Official Guidelines for Coding and Reporting webinar." data-widget="image"><img src="/sites/default/files/2024-08/FY-2025-Updates-Part-2-ICD-10-PCS-Codes-and-Official-Guidelines-for-Coding-and-Reporting-Webinar-700x300.jpg" data-entity-uuid="" data-entity-type="" alt="FY 2025 Updates Part 2: ICD-10-PCS Codes and Official Guidelines for Coding and Reporting. Webinar. September 19, 2024. 12:00–1:00 PM CT. �� Association. AHA Coding Clinic." width="700" height="300"></a> Mon, 05 Aug 2024 13:09:06 -0500 ICD-10-CM and ICD-10-PCS Codes and Coding Overview of Proposed IPPS Rule (FY) 2025 /education-events/overview-proposed-ipps-rule-fy-2025 Date: &nbsp;Thursday May 30, 2024&nbsp; 12:00 – 1:00 PM Central Time&nbsp;This webinar will provide an overview of the released CMS proposed rule for the fiscal year (FY) 2025 Inpatient Prospective Payment System (IPPS). &nbsp;The FY 2025 IPPS proposed rule webinar will provide insight to the FY 2025 IPPS proposals related to coding, MS-DRGs and regulatory proposals.<ul type="square"><li>MS-DRG Classifications Review – proposed changes and updates</li><li>Severity levels for ICD-10-CM codes – proposed revisions</li><li>Comprehensive CC/MCC Analysis – status and proposed updates</li><li>New Technology Add-on Payment (NTAP) – summary of proposals</li><li>Medicare Code Editor (MCE) – status and future considerations</li><li>Hospital Inpatient Quality Reporting Program – proposals with potential coding considerations</li><li>Other related coding and MS-DRG items</li><li>References and Questions</li></ul>&nbsp;Speakers:<ul><li>Tammy Love, RHIA, CCS, CDIP – Director Coding Classification and Policy, �� Association</li></ul>Webinar Cost:&nbsp; $35/person We can only accept credit card payments and no refunds will be processed.Please make sure you are registering for the correct webinar.Please verify your email address before purchasing.For group registrations of 30 or more, information can be found <a href="https://sponsors.aha.org/HFC_GEN_Coding_Group_Registration_Landing_Page.html" target="_blank">here</a>.For registration questions, please email&nbsp;<a href="mailto:codingwebinars@aha.org">codingwebinars@aha.org</a>. CEU Information:&nbsp;&nbsp; 1 hour AAPC&nbsp; This program meets AAPC guidelines for 1.0 CEU. Can be split between Core A and all specialties except CIRCC and CPMS for continuing education units. 1 hour AHIMA&nbsp; This program has been approved for 1 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor. If you can't attend on the live date, an on-demand link will be provided post-webinar. Fri, 01 Mar 2024 09:08:26 -0600 ICD-10-CM and ICD-10-PCS Codes and Coding AHA provides input to CDC on potential transition to ICD-11 for morbidity coding /news/headline/2024-01-12-aha-provides-input-cdc-potential-transition-icd-11-morbidity-coding The National Committee on Vital and Health Statistics should consider taking certain actions before finalizing its recommendations on the potential use of ICD-11 for morbidity coding, including working with the Centers for Medicare &amp; Medicaid Services to determine if the potential benefits outweigh the health care operational issues, AHA told the Centers for Disease Control and Prevention’s National Center for Health Statistics Jan. 12.“The AHA supports NCVHS in its effort to promote the transition to ICD-11 and educate industry stakeholders on its potential to offer enhanced data reportability and consistency,” AHA <a href="/lettercomment/2024-01-12-aha-responds-cdc-rfi-icd-11-morbidity-coding-use-0">wrote</a>, responding to an NCVHS request for information on the issue. “However, before NCHVS finalizes a recommendation for an ICD-11 transition and implementation, the AHA encourages the NCVHS to provide side-by-side ICD-10 to ICD-11 case scenario comparisons and an in-depth analysis specifying reporting differences, benefits and challenges. Access to this type of information will better position organizations to understand the impacts of an ICD-11 transition. It will also help inform responses to the questions posed in this RFI.” &nbsp; Fri, 12 Jan 2024 15:01:00 -0600 ICD-10-CM and ICD-10-PCS Codes and Coding