Healthcare News: CMS proposes CC/MCC, ICD-10-CM/PCS updates

May 26th, 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’s FY 2021 IPPS proposed rule and its broad set of proposed inpatient coding changes. It is relevant for hospital coders, CDI professionals, compliance teams, and revenue cycle staff who follow CC/MCC designation updates and ICD-10-CM/PCS revisions. The coverage includes proposed additions, deletions, and revisions across multiple diagnosis and procedure code areas, along with timing and comment-period information for the rulemaking process.

Why This Topic Matters

Proposed IPPS coding changes can affect diagnosis grouping, procedure reporting, and inpatient reimbursement planning. Readers tracking CMS rulemaking need a concise view of which code families and policy areas are being updated so they can assess operational impact.

What You Will Learn

  • What categories of inpatient coding updates CMS proposed for FY 2021
  • Which broad diagnosis and procedure code families were targeted for additions, deletions, or revisions
  • How the proposed rule fits into the CMS comment and finalization timeline
  • What types of stakeholders may need to review the proposed changes

Who Should Read This

  • Hospital coders
  • Inpatient coding specialists
  • Clinical documentation integrity professionals
  • Revenue cycle staff
  • Compliance professionals
  • Health information management professionals

Codes Discussed

  • ICD-10-CM: U07.1
  • ICD-10-CM: A84.8
  • ICD-10-PCS: 02FS3Z0
  • ICD-10-PCS: 02FS3ZZ
  • ICD-10-PCS: 02FT3Z0
  • ICD-10-PCS: 0W9J70Z
  • ICD-10-PCS: 0W9J7ZX
  • ICD-10-PCS: BF532ZZ
  • ICD-10-PCS: BF55200

Code Ranges Discussed

  • ICD-10-CM: D57.-
  • ICD-10-CM: F10.- to F15.- and F19.-
  • ICD-10-CM: T86.-
  • ICD-10-CM: D89.-
  • ICD-10-CM: H18.-
  • ICD-10-CM: M05.-
  • ICD-10-CM: M06.-
  • ICD-10-CM: M08.-
  • ICD-10-CM: M19.-
  • ICD-10-CM: R51.-
  • ICD-10-CM: S20.-
  • ICD-10-CM: T40.-
  • ICD-10-CM: V00.- to V06.-
  • ICD-10-CM: Z68.-
  • ICD-10-CM: Z88.-
  • ICD-10-PCS: 02F-
  • ICD-10-PCS: 03F-
  • ICD-10-PCS: 04F-

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