November 4, 2022

Top Questions from the Coding Updates from IPPS 2023 Webinar

Looking for more information about the Coding Updates from IPPS 2023? BESLER’s Coding Analyst Supervisor Kristen Eglintine answers your questions from the recent webinar.

To watch the related Coding Updates from IPPS 2023 Webinar, click HERE.

I’m curious why there isn’t an updated motor vehicle accident code for collision with tree or rollover accident?
Revisions and additions to ICD-10-CM (Clinically Modified) in the U.S. come through the Coordination and Maintenance Committee. If a request has been made, it has not yet successfully been approved by the Committee. Only a portion of what is presented to the Committee each year is incorporated into ICD-10-CM.
Is the COVID pandemic going to end after the fiscal year 2023?
No one has estimated when the pandemic will end as the COVID virus continues to mutate. The U.S. government extended the COVID public health emergency (PHE) until January 11, 2023. The PHE continues to be renewed every 90 days. The administration has said it would provide 60 days’ notice if they intend to end the PHE.
Since we can now code under dosing when a patient doesn’t take meds for whatever reason, do we still code noncompliance?
Yes, both codes are needed. Under the T-codes used to identify the drug that was under dosed, there is a code or additional code(s) to specify under dosing of medication regimen (Z91.12-, Z91.13-).
Why is there no code for fully vaccinated?
I think there is still not a consensus regarding “fully vaccinated” and “best protected”. As of 2022, the CDC definition of fully vaccinated does not include a COVID-19 booster. Fully vaccinated, however, is not the same as having the best protection. People are best protected when they stay up to date with COVID-19 vaccinations, which includes getting a booster when eligible.