Cozy up with the 2023 ICD-10-CM coding guidelines

Why This Topic Matters

The guidance summarized here affects how common and complex diagnoses are documented and reported for the 2023 ICD-10-CM year. Understanding the scope of these updates helps coding professionals recognize where revised official guidance may change diagnosis sequencing, documentation review, and encounter reporting.

Article Sections

1. General coding guidelines

   Introduces updates to the general ICD-10-CM coding guidance for the 2023 reporting year. Covers documentation expectations and broad reporting considerations.

2. Neoplasms

   Summarizes revised guidance in the neoplasm chapter, including sequencing topics and reporting considerations for malignancies and related conditions.

3. Complications after an elective abortion

   Explains that the 2023 guidelines added direction for reporting complications following elective abortion encounters.

4. Complications of care

   Describes updated documentation language for identifying care-related complications and the level of support needed in the record.

5. HIV-related conditions

   Covers a revised exception within the HIV-related conditions guidance involving sepsis and a specific associated condition.

6. Underdosing

   Notes new guidance related to documentation needed for assigning underdosing-related diagnoses in Chapter 19.

7. Dementia

   Reviews updated guidance on documenting dementia severity and reporting the highest level of severity seen during an inpatient stay.

8. Social determinants of health

   Summarizes new direction for assigning social determinants of health codes and the situations in which they may be reported.

9. Pediatric-to-adult transition counseling

   Describes the new counseling code guidance for encounters involving transition from pediatric to adult care.

10. Weeks of gestation

    Explains the updated definition of completed weeks of gestation and its effect on gestational age reporting.