EDITOR’S NOTE: Laurie Johnson will be reporting live from the ICD-10 Coordination and Maintenance Committee meeting getting underway today. Her report will be carried during this week’s edition of Talk Ten Tuesdays, the Internet radio broadcast produced by ICD10monitor.
When are Type II myocardial infarctions (MIs) not really MIs?
Intensely debated during the ICD-10 Coordination and Maintenance (C&M) Committee meeting held this past March, the subject is expected to resurface during the next two days at the new Committee meeting getting underway in Baltimore.
During the last Committee meeting, the clinical opinion was that a condition had been proposed for the MI category that would be incorrect, from a classification perspective.
This meeting marks the next big milestone for ICD-10 development. It will cover the latest requests regarding diagnosis and procedure codes, as well as a review of the addenda. The meeting is being co-chaired by the Centers for Medicare & Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC), and attended by medical societies, professional coding associations, medical device manufacturers, and coders. It is an important process of the code development cycle and provides healthcare professionals the ability to participate in code creation.
It is possible to attend this meeting via the Internet at http://www.cms.gov/live/. There is no fee. There is also an option to dial in at 1-877-267-1577, with a meeting ID number of 997 795 269.
For the first time, virtual attendees will be able to comment on the proposals being presented at the meeting. The American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC) also provide continuing education credits for those attending.
The agendas for the procedure and diagnosis proposals can be found online at https://www.cms.gov/Medicare/Coding/ICD9ProviderDiagnosticCodes/meetings.html. The procedure agenda includes intramuscular autologous bone marrow cell therapy and resuscitative endovascular balloon occlusion of the aorta. The diagnosis agenda includes types of myocardial infarctions (again, a re-presentation from March 2016), intestinal obstructions, e-cigarette use, and antenatal screening.
This upcoming meeting promises to have something for everyone. Comments can be made after the meeting through email:
Typically, comments regarding the following fiscal year are due in April. For example, comments on codes for the 2018 fiscal year will be due in April 2017. The meeting materials will be updated to include deadlines.
There will be no final decisions made at this meeting with regard to diagnosis or procedure codes. CMS and the CDC will take the comments – verbal and written – and determine what is best for each code set. The addenda are typically released as part of the Inpatient Prospective Payment System (IPPS) proposed and final rules. For 2017, the ICD-10-CM/PCS codes were released early, accommodating the healthcare industry’s request for such, so that the code changes could be integrated into software systems prior to the implementation of ICD-10.
I have enjoyed attending these meetings over the years. The process encourages audience participation as well as provides background as to why and how codes are created.
The next Committee meeting after this one will be held next March, during which time more proposals for diagnosis and procedure codes will be heard. Typically, the applications for new procedure codes are related to new technology designation for additional payment and MS-DRG reimbursement. There will also be discussion regarding the addenda.
About the Author
Laurie Johnson, MS, RHIA, FAHIMA, is the director of health information management (HIM) consulting services for Panacea Health Solutions, Inc. She has conducted ICD-10 education sessions and documentation reviews for multiple organizations. She is a member of the ICD10monitor editorial board and a national correspondent for Talk-Ten-Tuesdays. Prior to working for Panacea, Laurie worked for Peak Health Solutions and Optum.