Healthcare News: CMS, CDC releases ICD-10-CM, MS-DRG, and quality reporting update for COVID-19

March 31st, 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 news article explains recent CMS and CDC actions tied to COVID-19, including an ICD-10-CM update, related MS-DRG and CC/MCC guidance, and temporary exceptions for quality reporting programs. It is relevant to coders, compliance staff, revenue cycle teams, and facility leaders who need to understand the timing and scope of federal reporting and classification changes during the pandemic.

Why This Topic Matters

The article brings together multiple federal updates affecting diagnosis coding, inpatient grouping, and quality reporting obligations during COVID-19. Readers can quickly determine whether they need to review coding, case mix, or reporting workflows in response to the announced changes.

Article Sections

  1. ICD-10-CM update

    Covers the federal diagnosis coding update tied to COVID-19, including timing and related coordination committee action. Also notes the broader context for adopting the new diagnosis code.

  2. MS-DRG, CC/MCC update

    Summarizes the inpatient grouping and severity-status guidance released alongside the diagnosis code update. The section addresses how the federal agencies updated related classification information and where supporting documentation is available.

  3. Quality reporting update

    Describes temporary reporting exceptions, deadline extensions, and related flexibility for Medicare quality reporting programs during the public health emergency. It also notes the general scope of affected reporting periods and programs.

What You Will Learn

  • How CMS and CDC framed the COVID-19-related diagnosis coding update
  • What general types of inpatient grouping and severity-status guidance were released
  • Which quality reporting programs received temporary relief and deadline flexibility
  • How the federal response affected reporting timing during the COVID-19 period

Who Should Read This

  • Medical coders
  • Hospital inpatient coding staff
  • Clinical documentation improvement teams
  • Compliance professionals
  • Revenue cycle teams
  • Quality reporting staff
  • Facility administrators

Codes Discussed

  • ICD-10-CM: U07.1
  • ICD-10-CM: B34.2
  • ICD-10-CM: B97.89
  • ICD-10-CM: J12.81

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