Advisory Board February 13, 2020
Providers increasingly are focusing on social determinants of health (SDOHs) as a way to improve their patients’ outcomes, but a recent CMS report suggests providers have been slow to adopt new SDOH-related claims codes.
Report details
The Z codes are a subset of ICD-10 codes, created in 2016, that are designed to capture “factors that influence health status and contact with health services.” To gauge how providers are using the Z codes, CMS analyzed Medicare fee-for-service (FFS) claims and enrollment data for 2016 and 2017.
Findings
CMS found that, in 2016, providers used Z codes to document SDOHs for a total of 446,171 FFS Medicare beneficiaries. That number increased by 4.7% in 2017, with...
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