Updated on: March 21, 2016

Coordination and Maintenance Meeting Day 1: The Code Explosion

By
Original story posted on: March 10, 2016

EDITOR’S NOTE: Laurie Johnson is covering the two-day meeting of the federal Coordination and Maintenance meeting taking place Wednesday and Thursday at CMS headquarters in Baltimore. Johnson filed this report on yesterday’s proceedings and will file a report on Day 2, wrapping up later this afternoon. Complete coverage will be broadcast on Talk Ten Tuesdays, tomorrow, Friday, March 11 at 10:30 a.m. EST. Register to listen.

The Coordination and Maintenance Meeting on March 9, 2016 began with the acknowledgement that the implementation of ICD-10 went smoothly. The code freeze will be over October 1, 2016. It has been five years since ICD-10-CM/PCS were officially updated with the exception of public health issues and emerging technologies.

The procedure discussion was kicked off by acknowledging the volume of new procedure codes for ICD-10-PCS. There were will be 3,651 new procedure codes with 487 code revisions based on current speculation for FY17. Yesterday’s presentation covered thirteen new ICD-10-PCS topics. The presentations included clinical and coding information. The majority of the presentations were provided by device manufacturers who have participated in clinical trials. These presentations included several procedures that were presented during the New Technology Town Hall. Materials for the procedures presented can be found here. Comments regarding these procedures are due on to CMS by April 8, 2016. Comments can be sent to .  

Later in the day, Donna Pickett, RHIA from the Centers of Disease Control (CDC) began the discussions regarding new diagnosis codes. She stated that 1,928 new diagnosis codes would be added to ICD-10-CM as of today for FY17. The diagnoses discussed today will potentially be included in the FY18 ICD-10-CM addenda that begins October 1, 2017. There were fifteen topics discussed today (and ten more topics for Thursday) and the materials can be found here. Comments regarding these proposals are due May 6, 2016. Those comments can be sent to .

Ms. Pat Brooks, CMS, also presented updates to the General Equivalence Maps (GEMs) files will continue to be updated through October 1, 2018. The GEMs include translation for diagnosis and procedure forward and backward. Centers for Medicare and Medicaid Services (CMS) had previously stated that the GEMs file would be updated for three years post-ICD-10 implementation. The FY17 GEMs will be published in August 2016.

The final decisions regarding the proposed diagnosis and procedure codes are made with consideration of public input. CMS administrates the procedure codes and the CDC manages the diagnosis codes. It is up to the coding community to voice their opinions regarding the proposals. The videotape of the presentations will be available later this month so that coding professionals who could not attend could review and provide comments. The final version of the diagnosis and procedure addenda is scheduled to be released in June 2016.   

Are you part of the code explosion?  

Laurie Johnson, MS, RHIA, CPC-H, FAHIMA, AHIMA-Approved ICD-10-CM/PCS Trainer

Laurie M. Johnson, MS, RHIA, FAHIMA is currently a senior healthcare consultant for Revenue Cycle Solutions, based in Pittsburgh, Pa. Laurie is an American Health Information Management Association (AHIMA) approved ICD-10-CM/PCS trainer. She has more than 35 years of experience in health information management and specializes in coding and related functions. She has been a featured speaker in over 40 conferences. Laurie is a member of the ICD10monitor editorial board and makes frequent appearances on Talk Ten Tuesdays.