Healthcare News: CMS approves new ICD-10-CM/PCS codes for COVID-19

December 8th, 2020

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article summarizes CMS-approved coding updates tied to COVID-19, including new diagnosis and procedure codes, related MS-DRG assignment changes, and the effective date for use. It is relevant for hospital coders, CDI professionals, inpatient reimbursement teams, and anyone tracking federal coding updates for COVID-19-related care. The article focuses on the broad categories of codes added, their grouping impact, and the accompanying CMS guidance notes.

Why This Topic Matters

These updates affect how COVID-19-related diagnoses and procedures are classified and reported in inpatient settings. Understanding the CMS changes helps coding and reimbursement teams stay current with federal guidance and avoid outdated code usage.

Article Sections

  1. CMS announcement and effective date

    Introduces the scope of the CMS update and the timing for when the changes take effect. It frames the article around COVID-19-related diagnosis and procedure coding updates.

  2. New ICD-10-CM diagnosis codes

    Summarizes the newly added diagnosis coding categories and their related MS-DRG assignment implications. It also notes the CMS discussion of exclusions tied to selected diagnosis categories.

  3. New ICD-10-PCS procedure codes

    Covers the added procedure code set for COVID-19 vaccines and therapeutics. The section describes the general procedure-reporting context and notes the inpatient grouping impact.

What You Will Learn

  • Which broad COVID-19-related coding updates CMS approved
  • How the article frames related inpatient grouping changes
  • What general categories of ICD-10-CM diagnosis updates were added
  • What general categories of ICD-10-PCS procedure updates were added
  • Which CMS guidance areas the article highlights for coding teams

Who Should Read This

  • Hospital coders
  • Clinical documentation integrity specialists
  • Inpatient reimbursement professionals
  • Revenue cycle teams
  • Health information management staff

Codes Discussed

  • ICD-10-CM: J12.82
  • ICD-10-CM: M35.81
  • ICD-10-CM: M35.89
  • ICD-10-CM: Z11.52
  • ICD-10-CM: Z20.822
  • ICD-10-CM: Z86.16
  • ICD-10-CM: M35.1
  • ICD-10-CM: M35.5
  • ICD-10-PCS: XW013H6
  • ICD-10-PCS: XW013K6
  • ICD-10-PCS: XW013S6
  • ICD-10-PCS: XW013T6
  • ICD-10-PCS: XW013U6
  • ICD-10-PCS: XW023S6
  • ICD-10-PCS: XW023T6
  • ICD-10-PCS: XW023U6
  • ICD-10-PCS: XW033E6
  • ICD-10-PCS: XW033F6
  • ICD-10-PCS: XW033G6
  • ICD-10-PCS: XW033H6
  • ICD-10-PCS: XW033L6
  • ICD-10-PCS: XW043E6
  • ICD-10-PCS: XW043F6
  • ICD-10-PCS: XW043G6
  • ICD-10-PCS: XW043H6
  • ICD-10-PCS: XW043L6
  • ICD-10-PCS: XW0DXM6
  • ICD-10-PCS: XW0G7M6
  • ICD-10-PCS: XW0H7M6

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