ED Coding and Reimbursement Alert
Get Ready for More Substance Use, Poisoning Codes
Also, see how well 2-wheeled vehicle accidents are represented in 2023. ED coders will want to start looking into updating their coding for patients that report with a consumption or poisoning issue related to substance use. ICD-10 2023 has a bevy of new codes aimed at making your claims for patients with various substance use issues more detailed. With these codes, you will be able to paint a more accurate picture of exactly what the patient’s issues are. This should, in turn, lead to better patient outcomes and more directed care. Take a look at these new ICD-10 codes, set to take effect Oct. 1, 2022. When ICD-10 2023 takes effect, there will be new (but similar) additions to each of these current code sets: New codes: In ICD-10 2023, coders can add these codes to the above diagnosis sets: Get Ready for Codes Representing This Poisoning Type The ICD-10 code set T43.6- (Poisoning by, adverse effect of and underdosing of psychostimulants) will devote a new section solely to methamphetamine use. The new codes you’ll have for this condition in ICD-10 2023 are: Impact: This will make coding for these methamphetamine use conditions more specific. Previously, you would have had to code these conditions with T43.691- (Poisoning by other psychostimulants, accidental (unintentional)) through T43.696- (Underdosing of other psychostimulants). This V Code Group Grows … a Lot There are also a staggering number of new V codes in the External Causes of Morbidity (V00-Y99) code set. There are far too many codes to list, but they mostly concern some type of accident on a two-wheeled motorized vehicle that is not a motorized scooter (e.g., motorcycle, electric bike). The new codes, which will number in the hundreds, will be bookended by V20.01 (Electric (assisted) bicycle driver injured in collision with pedestrian or animal in nontraffic accident) and V29.9XXA (Rider (driver) (passenger) of other motorcycle injured in unspecified traffic accident, initial encounter). No scooter codes: Of note, of the dozens of new codes in this family, none describe injuries from electric or motorized scooters. Widespread use of these scooters has dramatically increased injuries presenting to the ED, especially as many tourists use them for the first time when traveling. Do this: Resist the temptation of using these new codes that specify bicycle or motorcycle in the descriptor for scooter-related injuries. Contact your payer if you need more information on how to report V codes for motorized scooter accident victims. Other diagnoses in the V code additions for 2023 include:
Several Substances Get More Substantive Dx Codes
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