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ICD 10 CM Official Updates and Changes - 2023 - Deleted Codes

There are 1790 code changes in 2023 and including new, deleted, revised, and parent codes. These 2023 ICD-10-CM codes are to be used from the effective date of services from October 1, 2022, through September 30, 2023. 

Total changes - 1790 codes

  • New Codes  - 1468 Additions
  • Deleted Codes - 251 Deletions
  • Revised Codes -  35 Revisions 
  • Converted to Parent Code - 36 Codes

DELETED CODE EFFECTIVE FROM OCTOBER 1ST, 2022 TO SEPTEMBER 30, 2023

Code  Description

O35.0XX0 Maternal care for (suspected) central nervous system malformation in fetus, not applicable or unspecified
O35.0XX1 Maternal care for (suspected) central nervous system malformation in fetus, fetus 1
O35.0XX2 Maternal care for (suspected) central nervous system malformation in fetus, fetus 2
O35.0XX3 Maternal care for (suspected) central nervous system malformation in fetus, fetus 3
O35.0XX4 Maternal care for (suspected) central nervous system malformation in fetus, fetus 4
O35.0XX5 Maternal care for (suspected) central nervous system malformation in fetus, fetus 5
O35.0XX9 Maternal care for (suspected) central nervous system malformation in fetus, other fetus
O35.1XX0 Maternal care for (suspected) chromosomal abnormality in fetus, not applicable or unspecified
O35.1XX1 Maternal care for (suspected) chromosomal abnormality in fetus, fetus 1
O35.1XX2 Maternal care for (suspected) chromosomal abnormality in fetus, fetus 2
O35.1XX3 Maternal care for (suspected) chromosomal abnormality in fetus, fetus 3
O35.1XX4 Maternal care for (suspected) chromosomal abnormality in fetus, fetus 4
O35.1XX5 Maternal care for (suspected) chromosomal abnormality in fetus, fetus 5
O35.1XX9 Maternal care for (suspected) chromosomal abnormality in fetus, other fetus
V20.0XXA Motorcycle driver injured in collision with pedestrian or animal in nontraffic accident, initial encounter
V20.0XXD Motorcycle driver injured in collision with pedestrian or animal in nontraffic accident, subsequent encounter
V20.0XXS Motorcycle driver injured in collision with pedestrian or animal in nontraffic accident, sequela
V20.1XXA Motorcycle passenger injured in collision with pedestrian or animal in nontraffic accident, initial encounter
V20.1XXD Motorcycle passenger injured in collision with pedestrian or animal in nontraffic accident, subsequent encounter
V20.1XXS Motorcycle passenger injured in collision with pedestrian or animal in nontraffic accident, sequela
V20.2XXA Unspecified motorcycle rider injured in collision with pedestrian or animal in nontraffic accident, initial encounter
V20.2XXD Unspecified motorcycle rider injured in collision with pedestrian or animal in nontraffic accident, subsequent encounter
V20.2XXS Unspecified motorcycle rider injured in collision with pedestrian or animal in nontraffic accident, sequela
V20.3XXA Person boarding or alighting a motorcycle injured in collision with pedestrian or animal, initial encounter
V20.3XXD Person boarding or alighting a motorcycle injured in collision with pedestrian or animal, subsequent encounter
V20.3XXS Person boarding or alighting a motorcycle injured in collision with pedestrian or animal, sequela
V20.4XXA Motorcycle driver injured in collision with pedestrian or animal in traffic accident, initial encounter
V20.4XXD Motorcycle driver injured in collision with pedestrian or animal in traffic accident, subsequent encounter
V20.4XXS Motorcycle driver injured in collision with pedestrian or animal in traffic accident, sequela
V20.5XXA Motorcycle passenger injured in collision with pedestrian or animal in traffic accident, initial encounter
V20.5XXD Motorcycle passenger injured in collision with pedestrian or animal in traffic accident, subsequent encounter
V20.5XXS Motorcycle passenger injured in collision with pedestrian or animal in traffic accident, sequela
V20.9XXA Unspecified motorcycle rider injured in collision with pedestrian or animal in traffic accident, initial encounter
V20.9XXD Unspecified motorcycle rider injured in collision with pedestrian or animal in traffic accident, subsequent encounter
V20.9XXS Unspecified motorcycle rider injured in collision with pedestrian or animal in traffic accident, sequela
V21.0XXA Motorcycle driver injured in collision with pedal cycle in nontraffic accident, initial encounter
V21.0XXD Motorcycle driver injured in collision with pedal cycle in nontraffic accident, subsequent encounter
V21.0XXS Motorcycle driver injured in collision with pedal cycle in nontraffic accident, sequela
V21.1XXA Motorcycle passenger injured in collision with pedal cycle in nontraffic accident, initial encounter
V21.1XXD Motorcycle passenger injured in collision with pedal cycle in nontraffic accident, subsequent encounter
V21.1XXS Motorcycle passenger injured in collision with pedal cycle in nontraffic accident, sequela
V21.2XXA Unspecified motorcycle rider injured in collision with pedal cycle in nontraffic accident, initial encounter
V21.2XXD Unspecified motorcycle rider injured in collision with pedal cycle in nontraffic accident, subsequent encounter
V21.2XXS Unspecified motorcycle rider injured in collision with pedal cycle in nontraffic accident, sequela
V21.3XXA Person boarding or alighting a motorcycle injured in collision with pedal cycle, initial encounter
V21.3XXD Person boarding or alighting a motorcycle injured in collision with pedal cycle, subsequent encounter
V21.3XXS Person boarding or alighting a motorcycle injured in collision with pedal cycle, sequela
V21.4XXA Motorcycle driver injured in collision with pedal cycle in traffic accident, initial encounter
V21.4XXD Motorcycle driver injured in collision with pedal cycle in traffic accident, subsequent encounter
V21.4XXS Motorcycle driver injured in collision with pedal cycle in traffic accident, sequela
V21.5XXA Motorcycle passenger injured in collision with pedal cycle in traffic accident, initial encounter
V21.5XXD Motorcycle passenger injured in collision with pedal cycle in traffic accident, subsequent encounter
V21.5XXS Motorcycle passenger injured in collision with pedal cycle in traffic accident, sequela
V21.9XXA Unspecified motorcycle rider injured in collision with pedal cycle in traffic accident, initial encounter
V21.9XXD Unspecified motorcycle rider injured in collision with pedal cycle in traffic accident, subsequent encounter
V21.9XXS Unspecified motorcycle rider injured in collision with pedal cycle in traffic accident, sequela
V22.0XXA Motorcycle driver injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, initial encounter
V22.0XXD Motorcycle driver injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, subsequent encounter
V22.0XXS Motorcycle driver injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, sequela
V22.1XXA Motorcycle passenger injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, initial encounter
V22.1XXD Motorcycle passenger injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, subsequent encounter
V22.1XXS Motorcycle passenger injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, sequela
V22.2XXA Unspecified motorcycle rider injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, initial encounter
V22.2XXD Unspecified motorcycle rider injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, subsequent encounter
V22.2XXS Unspecified motorcycle rider injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, sequela
V22.3XXA Person boarding or alighting a motorcycle injured in collision with two- or three-wheeled motor vehicle, initial encounter
V22.3XXD Person boarding or alighting a motorcycle injured in collision with two- or three-wheeled motor vehicle, subsequent encounter
V22.3XXS Person boarding or alighting a motorcycle injured in collision with two- or three-wheeled motor vehicle, sequela
V22.4XXA Motorcycle driver injured in collision with two- or three-wheeled motor vehicle in traffic accident, initial encounter
V22.4XXD Motorcycle driver injured in collision with two- or three-wheeled motor vehicle in traffic accident, subsequent encounter
V22.4XXS Motorcycle driver injured in collision with two- or three-wheeled motor vehicle in traffic accident, sequela
V22.5XXA Motorcycle passenger injured in collision with two- or three-wheeled motor vehicle in traffic accident, initial encounter
V22.5XXD Motorcycle passenger injured in collision with two- or three-wheeled motor vehicle in traffic accident, subsequent encounter
V22.5XXS Motorcycle passenger injured in collision with two- or three-wheeled motor vehicle in traffic accident, sequela
V22.9XXA Unspecified motorcycle rider injured in collision with two- or three-wheeled motor vehicle in traffic accident, initial encounter
V22.9XXD Unspecified motorcycle rider injured in collision with two- or three-wheeled motor vehicle in traffic accident, subsequent encounter
V22.9XXS Unspecified motorcycle rider injured in collision with two- or three-wheeled motor vehicle in traffic accident, sequela
V23.0XXA Motorcycle driver injured in collision with car, pick-up truck or van in nontraffic accident, initial encounter
V23.0XXD Motorcycle driver injured in collision with car, pick-up truck or van in nontraffic accident, subsequent encounter
V23.0XXS Motorcycle driver injured in collision with car, pick-up truck or van in nontraffic accident, sequela
V23.1XXA Motorcycle passenger injured in collision with car, pick-up truck or van in nontraffic accident, initial encounter
V23.1XXD Motorcycle passenger injured in collision with car, pick-up truck or van in nontraffic accident, subsequent encounter
V23.1XXS Motorcycle passenger injured in collision with car, pick-up truck or van in nontraffic accident, sequela
V23.2XXA Unspecified motorcycle rider injured in collision with car, pick-up truck or van in nontraffic accident, initial encounter
V23.2XXD Unspecified motorcycle rider injured in collision with car, pick-up truck or van in nontraffic accident, subsequent encounter
V23.2XXS Unspecified motorcycle rider injured in collision with car, pick-up truck or van in nontraffic accident, sequela
V23.3XXA Person boarding or alighting a motorcycle injured in collision with car, pick-up truck or van, initial encounter
V23.3XXD Person boarding or alighting a motorcycle injured in collision with car, pick-up truck or van, subsequent encounter
V23.3XXS Person boarding or alighting a motorcycle injured in collision with car, pick-up truck or van, sequela
V23.4XXA Motorcycle driver injured in collision with car, pick-up truck or van in traffic accident, initial encounter
V23.4XXD Motorcycle driver injured in collision with car, pick-up truck or van in traffic accident, subsequent encounter
V23.4XXS Motorcycle driver injured in collision with car, pick-up truck or van in traffic accident, sequela
V23.5XXA Motorcycle passenger injured in collision with car, pick-up truck or van in traffic accident, initial encounter
V23.5XXD Motorcycle passenger injured in collision with car, pick-up truck or van in traffic accident, subsequent encounter
V23.5XXS Motorcycle passenger injured in collision with car, pick-up truck or van in traffic accident, sequela
V23.9XXA Unspecified motorcycle rider injured in collision with car, pick-up truck or van in traffic accident, initial encounter
V23.9XXD Unspecified motorcycle rider injured in collision with car, pick-up truck or van in traffic accident, subsequent encounter
V23.9XXS Unspecified motorcycle rider injured in collision with car, pick-up truck or van in traffic accident, sequela
V24.0XXA Motorcycle driver injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounter
V24.0XXD Motorcycle driver injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounter
V24.0XXS Motorcycle driver injured in collision with heavy transport vehicle or bus in nontraffic accident, sequela
V24.1XXA Motorcycle passenger injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounter
V24.1XXD Motorcycle passenger injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounter
V24.1XXS Motorcycle passenger injured in collision with heavy transport vehicle or bus in nontraffic accident, sequela
V24.2XXA Unspecified motorcycle rider injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounter
V24.2XXD Unspecified motorcycle rider injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounter
V24.2XXS Unspecified motorcycle rider injured in collision with heavy transport vehicle or bus in nontraffic accident, sequela
V24.3XXA Person boarding or alighting a motorcycle injured in collision with heavy transport vehicle or bus, initial encounter
V24.3XXD Person boarding or alighting a motorcycle injured in collision with heavy transport vehicle or bus, subsequent encounter
V24.3XXS Person boarding or alighting a motorcycle injured in collision with heavy transport vehicle or bus, sequela
V24.4XXA Motorcycle driver injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter
V24.4XXD Motorcycle driver injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounter
V24.4XXS Motorcycle driver injured in collision with heavy transport vehicle or bus in traffic accident, sequela
V24.5XXA Motorcycle passenger injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter
V24.5XXD Motorcycle passenger injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounter
V24.5XXS Motorcycle passenger injured in collision with heavy transport vehicle or bus in traffic accident, sequela
V24.9XXA Unspecified motorcycle rider injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter
V24.9XXD Unspecified motorcycle rider injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounter
V24.9XXS Unspecified motorcycle rider injured in collision with heavy transport vehicle or bus in traffic accident, sequela
V25.0XXA Motorcycle driver injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter
V25.0XXD Motorcycle driver injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter
V25.0XXS Motorcycle driver injured in collision with railway train or railway vehicle in nontraffic accident, sequela
V25.1XXA Motorcycle passenger injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter
V25.1XXD Motorcycle passenger injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter
V25.1XXS Motorcycle passenger injured in collision with railway train or railway vehicle in nontraffic accident, sequela
V25.2XXA Unspecified motorcycle rider injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter
V25.2XXD Unspecified motorcycle rider injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter
V25.2XXS Unspecified motorcycle rider injured in collision with railway train or railway vehicle in nontraffic accident, sequela
V25.3XXA Person boarding or alighting a motorcycle injured in collision with railway train or railway vehicle, initial encounter
V25.3XXD Person boarding or alighting a motorcycle injured in collision with railway train or railway vehicle, subsequent encounter
V25.3XXS Person boarding or alighting a motorcycle injured in collision with railway train or railway vehicle, sequela
V25.4XXA Motorcycle driver injured in collision with railway train or railway vehicle in traffic accident, initial encounter
V25.4XXD Motorcycle driver injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter
V25.4XXS Motorcycle driver injured in collision with railway train or railway vehicle in traffic accident, sequela
V25.5XXA Motorcycle passenger injured in collision with railway train or railway vehicle in traffic accident, initial encounter
V25.5XXD Motorcycle passenger injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter
V25.5XXS Motorcycle passenger injured in collision with railway train or railway vehicle in traffic accident, sequela
V25.9XXA Unspecified motorcycle rider injured in collision with railway train or railway vehicle in traffic accident, initial encounter
V25.9XXD Unspecified motorcycle rider injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter
V25.9XXS Unspecified motorcycle rider injured in collision with railway train or railway vehicle in traffic accident, sequela
V26.0XXA Motorcycle driver injured in collision with other nonmotor vehicle in nontraffic accident, initial encounter
V26.0XXD Motorcycle driver injured in collision with other nonmotor vehicle in nontraffic accident, subsequent encounter
V26.0XXS Motorcycle driver injured in collision with other nonmotor vehicle in nontraffic accident, sequela
V26.1XXA Motorcycle passenger injured in collision with other nonmotor vehicle in nontraffic accident, initial encounter
V26.1XXD Motorcycle passenger injured in collision with other nonmotor vehicle in nontraffic accident, subsequent encounter
V26.1XXS Motorcycle passenger injured in collision with other nonmotor vehicle in nontraffic accident, sequela
V26.2XXA Unspecified motorcycle rider injured in collision with other nonmotor vehicle in nontraffic accident, initial encounter
V26.2XXD Unspecified motorcycle rider injured in collision with other nonmotor vehicle in nontraffic accident, subsequent encounter
V26.2XXS Unspecified motorcycle rider injured in collision with other nonmotor vehicle in nontraffic accident, sequela
V26.3XXA Person boarding or alighting a motorcycle injured in collision with other nonmotor vehicle, initial encounter
V26.3XXD Person boarding or alighting a motorcycle injured in collision with other nonmotor vehicle, subsequent encounter
V26.3XXS Person boarding or alighting a motorcycle injured in collision with other nonmotor vehicle, sequela
V26.4XXA Motorcycle driver injured in collision with other nonmotor vehicle in traffic accident, initial encounter
V26.4XXD Motorcycle driver injured in collision with other nonmotor vehicle in traffic accident, subsequent encounter
V26.4XXS Motorcycle driver injured in collision with other nonmotor vehicle in traffic accident, sequela
V26.5XXA Motorcycle passenger injured in collision with other nonmotor vehicle in traffic accident, initial encounter
V26.5XXD Motorcycle passenger injured in collision with other nonmotor vehicle in traffic accident, subsequent encounter
V26.5XXS Motorcycle passenger injured in collision with other nonmotor vehicle in traffic accident, sequela
V26.9XXA Unspecified motorcycle rider injured in collision with other nonmotor vehicle in traffic accident, initial encounter
V26.9XXD Unspecified motorcycle rider injured in collision with other nonmotor vehicle in traffic accident, subsequent encounter
V26.9XXS Unspecified motorcycle rider injured in collision with other nonmotor vehicle in traffic accident, sequela
V27.0XXA Motorcycle driver injured in collision with fixed or stationary object in nontraffic accident, initial encounter
V27.0XXD Motorcycle driver injured in collision with fixed or stationary object in nontraffic accident, subsequent encounter
V27.0XXS Motorcycle driver injured in collision with fixed or stationary object in nontraffic accident, sequela
V27.1XXA Motorcycle passenger injured in collision with fixed or stationary object in nontraffic accident, initial encounter
V27.1XXD Motorcycle passenger injured in collision with fixed or stationary object in nontraffic accident, subsequent encounter
V27.1XXS Motorcycle passenger injured in collision with fixed or stationary object in nontraffic accident, sequela
V27.2XXA Unspecified motorcycle rider injured in collision with fixed or stationary object in nontraffic accident, initial encounter
V27.2XXD Unspecified motorcycle rider injured in collision with fixed or stationary object in nontraffic accident, subsequent encounter
V27.2XXS Unspecified motorcycle rider injured in collision with fixed or stationary object in nontraffic accident, sequela
V27.3XXA Person boarding or alighting a motorcycle injured in collision with fixed or stationary object, initial encounter
V27.3XXD Person boarding or alighting a motorcycle injured in collision with fixed or stationary object, subsequent encounter
V27.3XXS Person boarding or alighting a motorcycle injured in collision with fixed or stationary object, sequela
V27.4XXA Motorcycle driver injured in collision with fixed or stationary object in traffic accident, initial encounter
V27.4XXD Motorcycle driver injured in collision with fixed or stationary object in traffic accident, subsequent encounter
V27.4XXS Motorcycle driver injured in collision with fixed or stationary object in traffic accident, sequela
V27.5XXA Motorcycle passenger injured in collision with fixed or stationary object in traffic accident, initial encounter
V27.5XXD Motorcycle passenger injured in collision with fixed or stationary object in traffic accident, subsequent encounter
V27.5XXS Motorcycle passenger injured in collision with fixed or stationary object in traffic accident, sequela
V27.9XXA Unspecified motorcycle rider injured in collision with fixed or stationary object in traffic accident, initial encounter
V27.9XXD Unspecified motorcycle rider injured in collision with fixed or stationary object in traffic accident, subsequent encounter
V27.9XXS Unspecified motorcycle rider injured in collision with fixed or stationary object in traffic accident, sequela
V28.0XXA Motorcycle driver injured in noncollision transport accident in nontraffic accident, initial encounter
V28.0XXD Motorcycle driver injured in noncollision transport accident in nontraffic accident, subsequent encounter
V28.0XXS Motorcycle driver injured in noncollision transport accident in nontraffic accident, sequela
V28.1XXA Motorcycle passenger injured in noncollision transport accident in nontraffic accident, initial encounter
V28.1XXD Motorcycle passenger injured in noncollision transport accident in nontraffic accident, subsequent encounter
V28.1XXS Motorcycle passenger injured in noncollision transport accident in nontraffic accident, sequela
V28.2XXA Unspecified motorcycle rider injured in noncollision transport accident in nontraffic accident, initial encounter
V28.2XXD Unspecified motorcycle rider injured in noncollision transport accident in nontraffic accident, subsequent encounter
V28.2XXS Unspecified motorcycle rider injured in noncollision transport accident in nontraffic accident, sequela
V28.3XXA Person boarding or alighting a motorcycle injured in noncollision transport accident, initial encounter
V28.3XXD Person boarding or alighting a motorcycle injured in noncollision transport accident, subsequent encounter
V28.3XXS Person boarding or alighting a motorcycle injured in noncollision transport accident, sequela
V28.4XXA Motorcycle driver injured in noncollision transport accident in traffic accident, initial encounter
V28.4XXD Motorcycle driver injured in noncollision transport accident in traffic accident, subsequent encounter
V28.4XXS Motorcycle driver injured in noncollision transport accident in traffic accident, sequela
V28.5XXA Motorcycle passenger injured in noncollision transport accident in traffic accident, initial encounter
V28.5XXD Motorcycle passenger injured in noncollision transport accident in traffic accident, subsequent encounter
V28.5XXS Motorcycle passenger injured in noncollision transport accident in traffic accident, sequela
V28.9XXA Unspecified motorcycle rider injured in noncollision transport accident in traffic accident, initial encounter
V28.9XXD Unspecified motorcycle rider injured in noncollision transport accident in traffic accident, subsequent encounter
V28.9XXS Unspecified motorcycle rider injured in noncollision transport accident in traffic accident, sequela
V29.00XA Motorcycle driver injured in collision with unspecified motor vehicles in nontraffic accident, initial encounter
V29.00XD Motorcycle driver injured in collision with unspecified motor vehicles in nontraffic accident, subsequent encounter
V29.00XS Motorcycle driver injured in collision with unspecified motor vehicles in nontraffic accident, sequela
V29.09XA Motorcycle driver injured in collision with other motor vehicles in nontraffic accident, initial encounter
V29.09XD Motorcycle driver injured in collision with other motor vehicles in nontraffic accident, subsequent encounter
V29.09XS Motorcycle driver injured in collision with other motor vehicles in nontraffic accident, sequela
V29.10XA Motorcycle passenger injured in collision with unspecified motor vehicles in nontraffic accident, initial encounter
V29.10XD Motorcycle passenger injured in collision with unspecified motor vehicles in nontraffic accident, subsequent encounter
V29.10XS Motorcycle passenger injured in collision with unspecified motor vehicles in nontraffic accident, sequela
V29.19XA Motorcycle passenger injured in collision with other motor vehicles in nontraffic accident, initial encounter
V29.19XD Motorcycle passenger injured in collision with other motor vehicles in nontraffic accident, subsequent encounter
V29.19XS Motorcycle passenger injured in collision with other motor vehicles in nontraffic accident, sequela
V29.20XA Unspecified motorcycle rider injured in collision with unspecified motor vehicles in nontraffic accident, initial encounter
V29.20XD Unspecified motorcycle rider injured in collision with unspecified motor vehicles in nontraffic accident, subsequent encounter
V29.20XS Unspecified motorcycle rider injured in collision with unspecified motor vehicles in nontraffic accident, sequela
V29.29XA Unspecified motorcycle rider injured in collision with other motor vehicles in nontraffic accident, initial encounter
V29.29XD Unspecified motorcycle rider injured in collision with other motor vehicles in nontraffic accident, subsequent encounter
V29.29XS Unspecified motorcycle rider injured in collision with other motor vehicles in nontraffic accident, sequela
V29.3XXA Motorcycle rider (driver) (passenger) injured in unspecified nontraffic accident, initial encounter
V29.3XXD Motorcycle rider (driver) (passenger) injured in unspecified nontraffic accident, subsequent encounter
V29.3XXS Motorcycle rider (driver) (passenger) injured in unspecified nontraffic accident, sequela
V29.40XA Motorcycle driver injured in collision with unspecified motor vehicles in traffic accident, initial encounter
V29.40XD Motorcycle driver injured in collision with unspecified motor vehicles in traffic accident, subsequent encounter
V29.40XS Motorcycle driver injured in collision with unspecified motor vehicles in traffic accident, sequela
V29.49XA Motorcycle driver injured in collision with other motor vehicles in traffic accident, initial encounter
V29.49XD Motorcycle driver injured in collision with other motor vehicles in traffic accident, subsequent encounter
V29.49XS Motorcycle driver injured in collision with other motor vehicles in traffic accident, sequela
V29.50XA Motorcycle passenger injured in collision with unspecified motor vehicles in traffic accident, initial encounter
V29.50XD Motorcycle passenger injured in collision with unspecified motor vehicles in traffic accident, subsequent encounter
V29.50XS Motorcycle passenger injured in collision with unspecified motor vehicles in traffic accident, sequela
V29.59XA Motorcycle passenger injured in collision with other motor vehicles in traffic accident, initial encounter
V29.59XD Motorcycle passenger injured in collision with other motor vehicles in traffic accident, subsequent encounter
V29.59XS Motorcycle passenger injured in collision with other motor vehicles in traffic accident, sequela
V29.60XA Unspecified motorcycle rider injured in collision with unspecified motor vehicles in traffic accident, initial encounter
V29.60XD Unspecified motorcycle rider injured in collision with unspecified motor vehicles in traffic accident, subsequent encounter
V29.60XS Unspecified motorcycle rider injured in collision with unspecified motor vehicles in traffic accident, sequela
V29.69XA Unspecified motorcycle rider injured in collision with other motor vehicles in traffic accident, initial encounter
V29.69XD Unspecified motorcycle rider injured in collision with other motor vehicles in traffic accident, subsequent encounter
V29.69XS Unspecified motorcycle rider injured in collision with other motor vehicles in traffic accident, sequela
V29.81XA Motorcycle rider (driver) (passenger) injured in transport accident with military vehicle, initial encounter
V29.81XD Motorcycle rider (driver) (passenger) injured in transport accident with military vehicle, subsequent encounter
V29.81XS Motorcycle rider (driver) (passenger) injured in transport accident with military vehicle, sequela
V29.88XA Motorcycle rider (driver) (passenger) injured in other specified transport accidents, initial encounter
V29.88XD Motorcycle rider (driver) (passenger) injured in other specified transport accidents, subsequent encounter
V29.88XS Motorcycle rider (driver) (passenger) injured in other specified transport accidents, sequela
V29.9XXA Motorcycle rider (driver) (passenger) injured in unspecified traffic accident, initial encounter
V29.9XXD Motorcycle rider (driver) (passenger) injured in unspecified traffic accident, subsequent encounter
V29.9XXS Motorcycle rider (driver) (passenger) injured in unspecified traffic accident, sequela

ICD 10 CM Official Updates and Changes - 2023 - Revised & Parent Codes

There are 1790 code changes in 2023 and including new, deleted, revised, and parent codes. These 2023 ICD-10-CM codes are to be used from the effective date of services from October 1, 2022, through September 30, 2023. 

Total changes - 1790 codes

  • New Codes  - 1468 Additions
  • Deleted Codes - 251 Deletions
  • Revised Codes -  35 Revisions 
  • Converted to Parent Code - 36 Codes

REVISED CODE EFFECTIVE FROM OCTOBER 1ST, 2022 TO SEPTEMBER 30, 2023

Codes  Description

C84.40 Peripheral T-cell lymphoma, not elsewhere classified, unspecified site
C84.41 Peripheral T-cell lymphoma, not elsewhere classified, lymph nodes of head, face, and neck
C84.42 Peripheral T-cell lymphoma, not elsewhere classified, intrathoracic lymph nodes
C84.43 Peripheral T-cell lymphoma, not elsewhere classified, intra-abdominal lymph nodes
C84.44 Peripheral T-cell lymphoma, not elsewhere classified, lymph nodes of axilla and upper limb
C84.45 Peripheral T-cell lymphoma, not elsewhere classified, lymph nodes of inguinal region and lower limb
C84.46 Peripheral T-cell lymphoma, not elsewhere classified, intrapelvic lymph nodes
C84.47 Peripheral T-cell lymphoma, not elsewhere classified, spleen
C84.48 Peripheral T-cell lymphoma, not elsewhere classified, lymph nodes of multiple sites
C84.49 Peripheral T-cell lymphoma, not elsewhere classified, extranodal and solid organ sites
C94.6 Myelodysplastic disease, not elsewhere classified
F01.50 Vascular dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
F02.80 Dementia in other diseases classified elsewhere, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
F03.90 Unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
G31.09 Other frontotemporal neurocognitive disorder
G31.83 Neurocognitive disorder with Lewy bodies
G31.84 Mild cognitive impairment of uncertain or unknown etiology
K35.32 Acute appendicitis with perforation, localized peritonitis, and gangrene, without abscess
K35.33 Acute appendicitis with perforation, localized peritonitis, and gangrene, with abscess
M93.011 Acute slipped upper femoral epiphysis, stable (nontraumatic), right hip
M93.012 Acute slipped upper femoral epiphysis, stable (nontraumatic), left hip
M93.013 Acute slipped upper femoral epiphysis, stable (nontraumatic), unspecified hip
M93.021 Chronic slipped upper femoral epiphysis, stable (nontraumatic), right hip
M93.022 Chronic slipped upper femoral epiphysis, stable (nontraumatic), left hip
M93.023Chronic slipped upper femoral epiphysis, stable (nontraumatic), unspecified hip
M93.031 Acute on chronic slipped upper femoral epiphysis, stable (nontraumatic), right hip
M93.032 Acute on chronic slipped upper femoral epiphysis, stable (nontraumatic), left hip
M93.033 Acute on chronic slipped upper femoral epiphysis, stable (nontraumatic), unspecified hip

PARENT CODE EFFECTIVE FROM OCTOBER 1ST, 2022 TO SEPTEMBER 30, 2023

Code  Description

B37.3 Candidiasis of vulva and vagina
D59.3 Hemolytic-uremic syndrome
D68.0 Von Willebrand's disease
D75.82 Heparin induced thrombocytopenia (HIT)
E34.3 Short stature due to endocrine disorder
E87.2 Acidosis
F01.51 Vascular dementia with behavioral disturbance
F02.81 Dementia in other diseases classified elsewhere with behavioral disturbance
F03.91 Unspecified dementia with behavioral disturbance
F43.8 Other reactions to severe stress
G93.3 Postviral fatigue syndrome
I31.3 Pericardial effusion (noninflammatory)
I34.8 Other nonrheumatic mitral valve disorders
I47.2 Ventricular tachycardia
I71.01 Dissection of thoracic aorta
I71.1 Thoracic aortic aneurysm, ruptured
I71.2 Thoracic aortic aneurysm, without rupture
I71.3 Abdominal aortic aneurysm, ruptured
I71.4 Abdominal aortic aneurysm, without rupture
I71.5 Thoracoabdominal aortic aneurysm, ruptured
I71.6 Thoracoabdominal aortic aneurysm, without rupture
N14.1 Nephropathy induced by other drugs, medicaments and biological substances
N80.0 Endometriosis of uterus
N80.1 Endometriosis of ovary
N80.2 Endometriosis of fallopian tube
N80.3 Endometriosis of pelvic peritoneum
N80.4 Endometriosis of rectovaginal septum and vagina
N80.5 Endometriosis of intestine
P28.3 Primary sleep apnea of newborn
P28.4 Other apnea of newborn
Q21.1 Atrial septal defect
Q21.2 Atrioventricular septal defect
Q85.8 Other phakomatoses, not elsewhere classified
Z87.76 Personal history of (corrected) congenital malformations of integument, limbs and musculoskeletal system
Z91.11 Patient's noncompliance with dietary regimen
Z91.19 Patient's noncompliance with other medical treatment and regimen

Telehealth Update Medicare - 2022

The listed CPT codes are covered in telehealth and changes are effective from dated on June 16, 2022

Medicare telehealth services require that the services occur over real-time audio and visual interactive telecommunications. For purposes of diagnosis, evaluation, or treatment of mental health disorders.

If the patient doesn’t have the technical capacity or the availability of real-time audio and visual interactive telecommunications, or they don’t consent to the use of real-time video technology, we allow audio-only communication for telehealth mental health services to established patients located in their homes.

After the PHE ends, Telehealth Mental Health services may include new or established patients so long as an in-person, face-to-face, non-telehealth service takes place within 6 months of the telehealth mental health services.

This means that all telehealth mental health patients should have had a first in-person visit no later than 6 months after the PHE.

After the PHE and after the initial 6-month in-person visit, all telehealth mental health patients must have a subsequent non-telehealth in-person visit within 12 months of the initial 6-month in-person visit date

During the initial 6-month in-person visit or during the subsequent 12-month in-person visits, if the original telehealth practitioner is unavailable for the face-to-face visit, we allow the clinician’s colleague in the same subspecialty and in the same group practice, to provide the in-person, non-telehealth service to the patient.

There are two additional modifiers for the current year in 2022 that relate to telehealth mental health services. The modifiers are, 

  • FQ - A telehealth service was furnished using real-time audio-only communication technology
  • FR - A supervising practitioner was present through a real-time two-way, audio/video communication technology

Evaluation and Management (E/M) Services - Domiciliary or Rest Home Environment

Domiciliary, Rest Home, or Custodial Care Services CPT codes 99324 - 99337

Domiciliary, Rest Home (e.g. Boarding Home), or Custodial Care Services, are used to report E/M services to individuals residing in a facility which provides room, board, and other personal assistance services, generally on a long-term basis. 

These codes are also used to report E/M services in an assisted living facility. The facility’s services do not include a medical component.

A home or domiciliary visit includes a patient History, Physical Examination and Medical Decision Making in various levels depending upon a patient’s needs and diagnosis. 

The visits may also be performed as counseling and/or coordination of car, when medically necessary outside the office environment and are an integral part of a continuous of the patient's care. 

The patients seen may have chronic conditions, may be disabled, either physically or mentally, making access to a traditional office visit very difficult, or may have limited support systems. 

The home or domiciliary visit in turn can lead to improved medical care by identification of unmet needs, coordination of treatment with appropriate referrals and potential reduction of acute exacerbation of medical conditions, resulting in less frequent trips to the Hospital or Emergency services.

The home-based health care is rapidly expanding and growth in hospital-based house call programs. 

The Physicians and qualified non-physician practitioners (NPPs) are required to oversee or directly provide progressively more involving a great deal of worldly experience and knowledge of fashion and culture for home visits. 

A Patients must understand the nature of a pre-arranged visit and consent to treatment in the home or domiciliary care facility. There is no requirement that the patient must be homebound. 

If the service is provided to a patient for the first time, the patient, his/her delegate, or another medical provider managing the patient’s care, must request the service. The visiting provider may not directly solicit referrals. 

  • An example of inappropriate solicitation is knocking on residents’ doors or placing calls to residents on the telephone to offer medical care services when there has been no referral from another professional that is already involved in the case.

If laboratory and diagnostic tests are performed during the course of home or domiciliary care visits, they must be documented in the medically necessary reason. Medical reasons for repeat testing must be clearly documented.

Every page of the record must be legible and include appropriate patient identification information (e.g., complete name, dates of service[s]). 

The documentation must include the legible signature of the physician or non-physician practitioner responsible for and providing the care to the patient.

Many elderly patients have chronic conditions, such as hypertension, diabetes, orthopedic conditions, and abnormalities of the toenails. 

Required Criteria

  • A home or domiciliary care visit must meet all of the following criteria.
  • Chief complaint or a specific, reasonable, and medical necessity is required for each visit.
  • A payable diagnosis alone does not support medical necessity of ANY service.
  • Medical necessity must exist for each individual visit.
  • Visit will be regarded as a social visit unless medical record clearly documents medical necessity for every visit.
  • Service/visit must be medically reasonable and necessary and not for physician or qualified NPP convenience.
  • Service must be of equal quality to a similar service provided in an office.
  • Frequency of visits required to address any given clinical problem should be dictated by medical necessity rather than site of service.
  • It is expected that frequency of visits for any given medical problem addressed in home setting will not exceed that of an office setting, except on rare occasion.
  • Training of domiciliary staff is not considered medically necessary.
  • The E/M service will not be considered medically necessary when it is performed only to provide supervision for a visiting nurse/home health agency visit(s).

Acceptable Location 

Home based services are provided services which are performed in,

  • Private Residence - Home, apartment, town-home etc.
  • Domiciliary Care Facility - A home providing mainly custodial and personal care for persons who do not require medical or nursing supervision, but may require assistance with activities of daily living because of a physical or mental disability. This may also be referred to as a sheltered living environment.
  • Rest Home - A place where people live and are cared for when they cannot take care of themselves.
  • Custodial Care Services - Custodial care is non-medical assistance, either at home or in a nursing or assisted-living facility with the activities of daily life (such as bathing, eating, dressing, using the toilet) for someone who's unable to fully perform those activities without help.
  • Residential Substance Abuse Facility - A facility which provides treatment for substance (alcohol and drug) abuse to live-in residents.

Place of Service (POS) Codes

  • 12 - Home
  • 13 - Assisted Living Facility (adult living facility)
  • 14 - Group Home
  • 33 - Custodial Care Facility
  • 55 - Residential Substance Abuse Facility

Domiciliary, Rest Home, or Custodial Care Services Listing -CPT 99324 to 99337

CPT   Code Description

99324 Level 1 new patient domiciliary, rest home, or custodial care visit  

99325 Level 2 new patient domiciliary, rest home, or custodial care visit

99326 Level 3 new patient domiciliary, rest home, or custodial care visit

99327 Level 4 new patient domiciliary, rest home, or custodial care visit

99328 Level 5 new patient domiciliary, rest home, or custodial care visit

99334 Level 1 established patient domiciliary, rest home, or custodial care visit

99335 Level 2 established patient domiciliary, rest home, or custodial care visit

99336 Level 3 established patient domiciliary, rest home, or custodial care visit

99337 Level 4 established patient domiciliary, rest home, or custodial care visit

Home Visits Listing - CPT codes 99341 - 99350

  • The Home Services codes, are used to report E/M services furnished to a patient residing in his or her own private residence. 
  • The Private residence considered following, Private home, an apartment, or town home.

CPT    Code Description

99341 Level 1 new patient home visit

99342 Level 2 new patient home visit

99343 Level 3 new patient home visit

99344 Level 4 new patient home visit

99345 Level 5 new patient home visit

99347 Level 1 established patient home visit

99348 Level 2 established patient home visit

99349 Level 3 established patient home visit

99350 Level 4 established patient home visit

Refer New Patient vs. Established Guidelines



Home Health (HH) Billing Updates'2022

Correction to Home Health (HH) Billing for Denial Notices

The implementation of the one-time home health Notice of Admission (NOA) in calendar year 2022, every claim for a home health period of care first required the submission of a Request for Anticipated Payment (RAP).

Correction to the Calculation of 60-Day Gaps in Home Health Services

A sequence of related home health periods of care is defined beginning with an admission to home health services and ending when there is a 60-day gap in home health services.

This 60-day gap is used by Medicare systems for two purposes.
  • It is used to validate whether a home health period of care is correctly coded as an early or later period.
  • It is also used to identify early periods that should pay a Low Utilization Payment Adjustment (LUPA) add-on amount.
  • Medicare administrative contractors recently identified a minor variance between the way the 60-day gap is counted and used for these two purposes.
  • The requirements below revise the counting method used for identifying LUPA add-ons, in order to create consistency.

Submission and Processing

In order to submit a no-payment bill to Medicare under HH PPS, providers must use TOB 0320, and condition code 21.

The claims with condition code 21 and any other TOB will be returned to the provider for correction. 
A Notice of Admission (TOB 032A) is not required before the submission of a claim with TOB 0320 and condition code 21.

The claims to process through the subsequent HH PPS edits in the system, providers are instructed to submit a 0023 revenue line on the claim. 
If no OASIS assessment was done or if the HHA chooses not to perform payment grouping before submitting the claim, report any valid HIPPS code.

The claim must meet other minimum Medicare requirements. If an OASIS assessment was done and the HHA chooses to perform payment grouping for their internal accounting purposes, the HHA may report the resulting HIPPS code.

Simultaneous Covered and Non-Covered Services

In some cases, the providers may need to obtain a Medicare denial notice for non-covered services delivered in the same period as covered services that are part of an HH PPS period of care.

In such cases, the provider should submit a non-payment bill according to the instructions above for the non covered services alone, AND submit the appropriate NOA and claim for the HH PPS period of care.

The period billed under the HH PPS claim and the non-payment bill should be the same. Medicare standard systems and the CWF will allow such duplicate claims to process when all services on one claim are non-covered.

Custodial Care under HH PPS, or Termination of the Benefit during a Period

In certain cases, Medicare allows the use of no payment claims in association with an ABN involving custodial care and termination of a benefit during a period of care.

This does not apply to cases in which a determination is being requested as to the beneficiary’s homebound status at the beginning of a period of care; there an ABN must be used assuming a triggering event occurs (i.e., the initiation of completely non-covered care).

However, in cases where the HH plan of care prescribes only custodial care, or if the benefit has terminated during a previous period, and the physician, beneficiary, and provider are all in agreement the benefit has terminated or does not apply, home health agencies (HHAs) can use,
  • The ABN for notification of the beneficiary,
  • A condition code 21 no-payment claim to bill all subsequent services.

Diagnostic Angiography and Revascularization of Lower Extremity

The Catheterization is divided into two types and there are, 

  • Non Selective Catheter Placement
  • Selective Catheter Placement

Non Selective Catheter Placement

  • The non selective catheter placement is not to be coded with selective catheter placement together. 
  • And the following to be considered as non selective catheter placement, puncture of catheter, Insertion, and placement of catheter into the aorta. 
  • Also, if the catheter does not have any further movement it should be considered as non selective catheter placement.

E.g.,

When the documentation shows that the catheter placement was only in the aorta, the non-selective catheter placement CPT code 36200 is to be coded.

Selective Catheter Placement

  • The selective catheter placement is advanced from the original vessel of puncture sites to another vessels and it should be considered as selective catheter placement.
  • When the catheter is advanced and/or crossed from the aorta and it should be considered as selective catheter placement.

E.g., 

Insertion of a catheter into the aorta is considered non-selective. The catheter can “enter” the aorta, but it is considered a non-selective vessel. When the documentation shows that the catheter placement was only in the aorta, the non-selective catheter placement CPT code 36200 is coded. Once the catheter is placed into a selective artery, the non-selective code is removed and bundled in with the highest of level selective catheter placement. (First order, Second order, Third order).

Tips

The documentation states the catheter placed into a 3rd order vascular family (CPT 36247), any non-selective codes (36200), first order (36245), and second order (36246) are considered as bundled with CPT 36247 on the ipsilateral side (same side as catheter placement).Only highest level of catheter placement can be coded for each insertion point. 

Guidelines

The lower extremity endovascular revascularization codes describing services performed for occlusive disease (37220-37235) include catheterization (36200, 36140, 36245-36248) in the work described by the codes. 

Catheterization codes are not additionally reported for diagnostic lower extremity angiography when performed through the same access site as the interventional procedures (37220-37235) performed in the same session. 

However, catheterization for the diagnostic lower extremity angiogram may be reported separately if a different arterial puncture site is necessary.

Diagnostic angiography and radiological supervision and interpretation codes should NOT be used with interventional procedures,

  • Contrast injections, angiography, roadmapping, and/or fluoroscopic guidance for the intervention,
  • Vessel measurement, and
  • Post-angioplasty/stent/atherectomy angiography, as this work is captured in the radiological supervision and interpretation code(s). In those therapeutic codes that include radiological supervision and interpretation, this work is captured in the therapeutic code.

Diagnostic angiography performed at the time of an interventional procedure is separately reportable if,

  • No prior catheter-based angiographic study is available and a full diagnostic study is performed, and the decision to intervene is based on the diagnostic study, OR
  • A prior study is available, but as documented in the medical record:

    • The patient's condition with respect to the clinical indication has changed since the prior study, OR
    • There is inadequate visualization of the anatomy and/or pathology, OR
    • There is a clinical change during the procedure that requires new evaluation outside the target area of intervention.

Diagnostic angiography performed at a separate sessions from an interventional procedure is separately reported.

Lower Extremity Vascular Family 

There are three vascular territories categorized for coding purposes in the lower extremities. There are,

  • Iliac territory - Which included of Common Iliac, Internal Iliac, and External Iliac arteries.
  • Femoral/Popliteal territory - Which has the common femoral, profunda femoral, superficial femoral, and popliteal arteries
  • Tibial/Peroneal territory -  Which includes the Anterior Tibial, Posterior Tibial, and Peroneal arteries.

There is a hierarchy that must be followed when reporting these interventions which is a stent with atherectomy supersedes atherectomy, which supersedes stent, which supersedes angioplasty when performed in the same vessel territory.

Note: Diagnostic angiography performed at the time of an interventional procedure is NOT separately reportable if it is specifically included in the interventional code descriptor.

Tips for Selecting the codes,




Pneumococcal Vaccine Claims Processing Updates April 2022

The Pneumococcal Vaccine CPT codes will be payable by Medicare. The new codes will be in the 2021 Medicare Physician Fee Schedule Database file update and the annual HCPCS update. 

90677-  Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use.

  • Which is effective for Dates of Service (DOS) on or after July 1, 2021

90671 - Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use

  • Which is effective for DOS on or after July 16, 2021 
  • The CPT 90677 does not apply for Coinsurance and deductible.

A Medicare Administrative Contractor (MAC) will pay institutional providers for these codes based on the Type of Bill (TOB) used. The two payment methods are,

      1. The Medicare Administrative Contractor (MAC) will pay these institutional providers using reasonable cost if you use the following,

    • Hospitals (TOBs 12X and 13X)
    • Skilled Nursing Facilities (TOBs 22X and 23X)
    • Home Health Agencies (TOB 34X)
    • Hospital-based Renal Dialysis Facilities (RDFS) (TOB 72X)
    • Critical Access Hospitals (CAHs) (TOB 85X)
      2. A MACs will pay these institutional providers based on the lower of the actual charge or 95% of the Average Wholesale Price (AWP) if you use,
    • Comprehensive Outpatient Rehabilitation Facilities (TOB 75X)
    • Independent RDFs (TOB 72X)
    • Indian Health Services (IHS),
      • Hospitals (TOBs 12X and 13X)
      • Hospices (TOBs 81X and 82X)
      • IHS CAHs (TOB 85X)

A MAC will hold  the claims they get before April 1, 2022, for mentioned below CPT codes,

  • HCPCS code 90677 with DOS on and after July 1, 2021
  • HCPCS code 90671 with DOS on or after July 16, 2021

A MAC will process the claims when Medicare systems are ready on April 4, 2022. Also, your MAC will initiate a mass adjustment for any claims that rejected with HCPCS 90677 with a DOS from July 1, 2021 to September 30, 2021. 

They will also adjust rejected claims with HCPCS code 90671 with dates of service from July 16, 2021 to March 31, 2022. These adjustments will occur after April 4, 2022.

ICD 10 CM Updates

New Rules for CPT Category III T Codes

Attach the Medical Records at initial Claim Submission Please note that when submitting your initial claim for any one of the CPT codes spec...