ICD10monitor April 22, 2024
Gloryanne Bryant, RHIA, CDIP, CCS, CCDS

The Centers for Medicare & Medicaid Services (CMS) has issued its 2025 Inpatient Prospective Payment System (IPPS) Proposed Rule, through which it proposes to change the severity designation for several Social Determinants of Health (SDoH) ICD-10-CM codes. The SDoH generally continues to prove to be very important data element across healthcare. SDoH are social problems, conditions, or risk factors that influence or affect a patient’s health and quality-of-life outcomes.

CMS recently conducted a data analysis of the impact on resource use, generated utilizing claims data, and they are suggesting for 2025 the introduction of seven ICD-10-CM diagnosis codes describing inadequate housing and housing instability from non-complication or comorbidity (Non-CC) pr complication or comorbidity (CC), based on the higher average resource...

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Topics: CMS, Equity/SDOH, Govt Agencies, Health System / Hospital, Healthcare System, Insurance, Medicare, Provider
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