The CDC has published new codes that will be implemented on April 1, 2023. The website link is below.
The link above will give the coder access to the ICD-10-CM April 1 2023 release of:
- ICD-10-CM FY2023 April 1 2023 Guidelines
- ICD-10-CM FY2023 April 1 2023 Full PDF
- ICD-10-CM FY2023 April 1 2023 XML
- ICD-10-CM FY 2023 April 1 2023 Addenda PDF
- ICD-10-CM FY 2023 April 1 2023 List of codes and Descriptions
- ICD-10-CM FY2023 April 1 2023 Order Files
- ICD-10-CM FY2023 April 1 2023 Conversion table
- ICD-10-CM FY2023 April 1 2023 Present on Admission (POA) Exempt Codes
34 New or Expanded Diagnosis Codes Added, Seven Deletions, and One Revision
Most of the new codes have to do with specific abuse and added SDOH codes.
List of the new ICD-10-CM codes effective April 1, 2023:
Adult financial abuse, confirmed
Child financial abuse, confirmed
T76.A1Adult financial abuse, suspected
T76.A2Child financial abuse, suspected
Y07.010Husband, current, perpetrator of maltreatment and neglect
Y07.011Husband, former, perpetrator of maltreatment and neglect
Y07.020Wife, current, perpetrator of maltreatment and neglect
Wife, former, perpetrator of maltreatment and neglect
Male partner, current, perpetrator of maltreatment and neglect
Male partner, former, perpetrator of maltreatment and neglect
Female partner, current, perpetrator of maltreatment and neglect
Female partner, former, perpetrator of maltreatment and neglect
Non-binary partner, current, perpetrator of maltreatment and neglect
Non-binary partner, former, perpetrator of maltreatment and neglect
Child, perpetrator of maltreatment and neglect
Grandchild, perpetrator of maltreatment and neglect
Grandparent, perpetrator of maltreatment and neglect
Parental sibling, perpetrator of maltreatment and neglect
Acquaintance or friend, perpetrator of maltreatment and neglect
Problems related to health literacy
Basic services unavailable in physical environment
Other problems related to physical environment
Inadequate housing, unspecified
Inadequate housing environmental temperature
Inadequate housing utilities
Other inadequate housing
Personal history of child financial abuse
Personal history of intimate partner abuse in childhood
Patient's other noncompliance with medication regimen due to financial hardship
Z91.148Patient's other noncompliance with medication regimen for other reason
Patient's noncompliance with renal dialysis due to financial hardship
Patient's noncompliance with renal dialysis for other reason
Personal history of adult financial abuse
Z91.414Personal history of adult intimate partner abuse
Revise from Z59.87 Material hardship
Revise to Z59.87 Material hardship due to limited financial resources, not elsewhere classified
Keep in mind that the tabular has examples under each of these codes that can be referenced.
Some of the added codes above were expansions of existing codes.
We expect more and more SDOH codes to be added as time goes on. This data is being collected by CMS and other entities and could be used in future SDOH quality measures that are coming for 2024.
Hospitals should ensure this information is being well documented and coders should be educated in the importance of reporting these codes.
ICD-10-CM Official Guidelines for Coding and Reporting Changes
The Social Determinants of Health OCG have been updated as below in bold:
17) Social Determinants of Health
Social determinants of health (SDOH) codes describing social problems, conditions, or risk factors that influence a patient’s health should be assigned when this information is documented in the patient’s medical record. Assign as many SDOH codes as are necessary to describe all of the social problems, conditions, or risk factors documented during the current episode of care. For example, a patient who lives alone may suffer an acute injury temporarily impacting their ability to perform routine activities of daily living.
When documented as such, this would support assignment of code Z60.2, Problems related to living alone. However, merely living alone, without documentation of a risk or unmet need for assistance at home, would not support assignment of code Z60.2. Documentation by a clinician (or patient-reported information that is signed off by a clinician) that the patient expressed concerns with access and availability of food would support assignment of code Z59.41, Food insecurity. Similarly, medical record documentation indicating the patient is homeless would support assignment of a code from subcategory Z59.0-, Homelessness.
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