2022 ICD-10 Updates & HCC/Risk Adjustment for Gastroenterology Practices

Presentation Materials

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This document is a presentation summary on the updates and risk adjustment guidelines for the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) related to gastroenterology practices in 2022. The document covers various topics including the objectives of the presentation, an overview of the ICD-10 CM updates, guidelines for documenting and coding medical necessity, the importance of Z codes in GI (factors influencing health status), and understanding risk adjustment and Hierarchical Condition Category (HCC) coding.<br /><br />The document provides examples of ICD-10 codes for different scenarios in gastroenterology practices, such as EGD procedures, heartburn and chronic cough, feeding difficulties, and hematemesis. It also highlights the updates related to COVID-19 in the ICD-10 CM guidelines.<br /><br />The importance of Z codes for GI conditions is emphasized, such as codes for resistance to certain medications, asymptomatic HIV status, dependence on supplemental oxygen, and long-term drug therapy categories.<br /><br />The document explains the concept of risk adjustment and HCC coding and provides a list of GI diagnoses associated with risk adjustment, including chronic viral hepatitis, malignant neoplasms of the gastrointestinal tract, ulcerative colitis, Crohn's disease, and liver diseases.<br /><br />The role of providers in risk adjustment and HCC coding is mentioned, emphasizing the need for accurate and complete ICD-10 coding, documenting all co-existing conditions, and coding to the highest level of specificity. The document also highlights the importance of proper documentation to support medical necessity and prevent claim denials.<br /><br />The document concludes with a Q&A session and provides information on upcoming webinars on GI coding.

Keywords

ICD-10-CM

gastroenterology practices

updates

risk adjustment guidelines

Z codes

COVID-19

HCC coding

chronic viral hepatitis

ulcerative colitis

providers