2024 Gastroenterology Reimbursement and Coding Update | November 2023-06 - 2024 ICD-10 and Risk Adjustment Updates

06 - 2024 ICD-10 and Risk Adjustment Updates_Vaughn

Pdf Summary

The presentation discusses updates to the 2024 ICD-10 codes related to gastrointestinal (GI) conditions and risk adjustment. Key points covered include the new GI-specific codes, guidelines for documenting and coding medical necessity, avoiding non-specific diagnosis codes, distinguishing between personal history and current condition codes, and the importance of Z codes for factors influencing health status. The presentation also addressed common questions related to ICD-10 coding in the GI field and provided an overview of risk adjustment and its purpose. Risk adjustment diagnosis codes specific to GI conditions were provided, as well as an overview of co-morbidities and risk factors associated with HCC (hierarchical condition category) risk adjustment. Overall, the presentation aimed to inform healthcare professionals about the updates to ICD-10 codes in the GI field and how to accurately code and document conditions to ensure appropriate risk adjustment for Medicare Advantage plans.

Keywords

2024 ICD-10 codes

gastrointestinal conditions

risk adjustment

GI-specific codes

medical necessity

non-specific diagnosis codes

personal history codes

Z codes

ICD-10 coding

co-morbidities