List of New ICD-10-CM Codes

The CDC has published new codes that will be implemented on April 1, 2023. The website link is below.

https://www.cdc.gov/nchs/icd/Comprehensive-Listing-of-ICD-10-CM-Files.htm

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:

T74.A1

Adult financial abuse, confirmed

T74.A2

Child financial abuse, confirmed

T76.A1

T76.A2

Y07.010

Y07.011

Y07.020

Y07.021

Y07.030

Y07.031

Y07.040

Y07.041

Y07.050

Y07.051

Y07.44

Y07.45

Y07.46

Y07.47

Y07.54

Z55.6

Z58.81

Z58.89

Z59.10

Z59.11

Z59.12

Inadequate housing utilities

Z59.19

Other inadequate housing

Z62.814

Personal history of child financial abuse

Z62.815

Personal history of intimate partner abuse in childhood

Z91.141

Patient's other noncompliance with medication regimen due to financial hardship

Z91.148

Z91.151

Z91.158

Z91.413

Z91.414

Code Revisions:

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. 

References
https://www.cdc.gov/nchs/icd/Comprehensive-Listing-of-ICD-10-CM-Files.htm
https://racmonitor.medlearn.com/how-to-integrate-a-sdoh-coding-and-quality-question/
https://www.healthleadersmedia.com/revenue-cycle/sdoh-reporting-links-diagnosis-codes-93b-hospitalization-costs 

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