FY 2020 IPPS final rule: Reviewing crucial ICD-10-CM/PCS coding updates

Why This Topic Matters

Annual CMS rulemaking can change how inpatient diagnoses and procedures are captured, reported, and reviewed. Understanding the scope of these ICD-10-CM and ICD-10-PCS updates helps coding teams prepare for the new fiscal year and monitor areas where manual revisions may affect documentation review and code assignment processes.

Article Sections

1. ICD-10-CM guideline updates

   Summarizes changes to the ICD-10-CM Official Guidelines for Coding and Reporting for FY 2020. The section focuses on broad clarification topics affecting diagnosis coding and sequencing.

2. ICD-10-CM updates

   Reviews the FY 2020 ICD-10-CM code set changes by chapter and highlights the categories of new and revised diagnosis codes discussed in the article.

3. ICD-10-PCS guideline updates

   Covers the FY 2020 ICD-10-PCS Official Guidelines for Coding and Reporting and the general types of clarifications CMS added for procedure coding.

4. ICD-10-PCS table changes

   Outlines broad ICD-10-PCS table revisions across multiple sections of the code set, including new table entries, new qualifiers, and other structural updates.

5. Update to qualifier value bifurcation

   Describes a specific ICD-10-PCS revision involving the removal of a qualifier value and related structural changes within the procedure classification.