AHIMA May 31, 2024
Lisa A. Eramo, MA

While institutional and professional medical claims accommodate up to 25 and 12 ICD-10-CM diagnosis codes respectively, experts say this isn’t always enough space to meet new and emerging value-based payment and quality measure requirements. That’s especially true when you start adding Z codes for social determinants of health (SDOH) that have continued to expand in specificity and scope since they were first introduced in 2016.

This expansion comes in the wake of an increased focus on health equity and reducing healthcare disparities. As of January 1, 2024, the Centers for Medicare and Medicaid Services (CMS) started requiring hospitals to screen inpatients for five specific SDOH domains: food insecurity; housing insecurity; interpersonal safety; transportation insecurity; and utilities. The agency also introduced...

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Topics: Equity/SDOH, Healthcare System, HIM (Health Inf Mgmt), Provider, Technology
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