List of ICD-10 CC & MCC Codes (ADDITIONS from FY 2014)

evanspx@sutterhealth.orgevanspx@sutterhealth.org
in CDI Talk Archive
Hello - Has anyone located a list of NEW CC/MCC codes effective for 1 Oct 2014? I have found the complete list of both, but it would be beneficial to review any new/edited codes on this list. Example: Some types of Atrial Fibrillation will be a CC in ICD-10. However, I simply stumbled upon this finding while reviewing the exhaustive listing of proposed CC/MCC codes for next year. Is not there a better way to find these so that we may all begin to review and revise our query forms?

Paul Evans, RHIA, CCDS, CCS, CCS=P

Comments

  • dvitalone1dvitalone1
    edited April 2016
    Paul can you please share the CC/MCC list for ICD-10 that you currently have?


    Dawn


  • tpeytontpeyton
    edited April 2016
    Paul if you wouldn't mind sharing I would like a copy as well. Thank you.

    Tracy M Peyton RN, CCDS
    Bradford Regional Medical Center
    Upper Allegany Health Systems
    116 Interstate Parkway
    Bradford, PA 16701
    814-558-0406





  • tcoffeytcoffey
    edited April 2016
    Ditto!

    Theresa A. Coffey RN, BSN, CCM / CDI Specialist
    HealthAlliance Hospital - A Member of UMass Memorial Health Care
    60 Hospital Road, Leominster, MA 01453 | www.healthalliance.com
    phone: 978-466-2824
    fax: 978-466-4159
    email: tcoffey@healthalliance.com


  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited April 2016
    Hello, Everyone

    There is a list of (ICD-10) CC and MCC conditions, as well as ICD-9 CC and MCC codes and conditions on the ACDIS Website - I believe this is found under helpful resources or tools...this is how I downloaded a copy.

    Paul



    Paul Evans, RHIA, CCS, CCS-P, CCDS
     
    Manager, Regional Clinical Documentation & Coding Integrity
    Sutter West Bay
    633 Folsom St., 7th Floor, Office 7-044
    San Francisco, CA 94107
    Cell:  415.637.9002

    evanspx@sutterhealth.org



  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited April 2016
    Go to ACDIS website



    Helpful resources and see



    [cid:image001.png@01CF435B.F45156D0]





    Paul Evans, RHIA, CCS, CCS-P, CCDS



    Manager, Regional Clinical Documentation & Coding Integrity

    Sutter West Bay

    633 Folsom St., 7th Floor, Office 7-044

    San Francisco, CA 94107

    Cell: 415.637.9002



    evanspx@sutterhealth.org









  • ddouthitddouthit
    edited April 2016
    Draft ICD-10-CM/PCS MS-DRGv31R Definitions Manual has been released and is available on CMS website. According to CMS website, The Final ICD-10 MS-DRG v32 logic which will be implemented on October 1, 2014 will be subject to rulemaking.

    Appendix C Complications or Comorbidities Exclusion list.
    Part 1: List of CC and Major CC codes
    Part 2: Major CC only for patients discharged alive.

    http://www.cms.gov/Medicare/Coding/ICD10/ICD-10-MS-DRG-Conversion-Project.html

    Dorie Douthit RHIT,CCS
    ddouthit@stmarysathens.org


  • jolene.filejolene.file
    edited April 2016
    Thanks, Paul!

    Jolene File,RHIT,CCS,CPC-H,CCDS
    Documentation Improvement Specialist-Coder
    Hays Medical Cente
    email: Jolene.file@haysmed.com

    IMPORTANT: This communication contains information from Hays Medical Center which may be confidential and privileged.  If it appears that the communication was addressed or sent to you in error, you may not use or copy this communication or any information contained therein, and you may not disclose this communication or the information contained therein to anyone else.  In such circumstances, please notify me immediately by reply email or by telephone.  Thank you.
  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited April 2016
    Hi, Dorie

    Yes: I have this listing - but, does anyone have from this list those codes and conditions that were ADDITIONS to the CC or MCC list for ICD-10?



    Paul Evans, RHIA, CCS, CCS-P, CCDS
     
    Manager, Regional Clinical Documentation & Coding Integrity
    Sutter West Bay
    633 Folsom St., 7th Floor, Office 7-044
    San Francisco, CA 94107
    Cell:  415.637.9002

    evanspx@sutterhealth.org




  • kbenson@uwhealth.orgkbenson@uwhealth.org
    Me too please!

    Kathy Benson RN, BSN, CCDS
    Supervisor, Clinical Documentation Integrity
    UWHealth University of Wisconsin Hospital & Clinics
    600 Highland Avenue, Mail Code 7685
    Office number F2/402
    Madison, WI
  • ssalinasssalinas
    edited April 2016
    Paul,
    Where did you see that some types of A.Fib would be a CC? I don't see it on the list I have.
    Thanks,

    Sharon Salinas, CCS
    Barlow Respiratory Hospital
    2000 Stadium Way, Los Angeles CA 90026
    Tel: 213-250-4200 ext 3336
    ssalinas@barlow2000.org

  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited April 2016
    See I48.1 = persistent Afib = cc

    Paul Evans, RHIA, CCS, CCS-P, CCDS
     
    Manager, Regional Clinical Documentation & Coding Integrity
    Sutter West Bay
    633 Folsom St., 7th Floor, Office 7-044
    San Francisco, CA 94107
    Cell:  415.637.9002

    evanspx@sutterhealth.org


  • ssalinasssalinas
    edited April 2016
    Thanks Paul!

    I48.1 is listed as Atrial Flutter on the CMS list. I did not catch that I48.1 is actually A.Fib. I guess we lost A.Flutter as a CC? Or do they mean A. Flutter will remain and listed the incorrect code? More questions than answers.

    CMS Draft MCC/CC listing (https://www.cms.gov/icd10manual/fullcode_cms/P0370.html)

    I481 CC codes Atrial flutter

    Thanks Again,

    Sharon Salinas, CCS
    Barlow Respiratory Hospital
    2000 Stadium Way, Los Angeles CA 90026
    Tel: 213-250-4200 ext 3336
    ssalinas@barlow2000.org


  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited April 2016
    I am using DRG Expert and it list the following as a CC

    I48.1
    I48.3
    I48.4

    Persistent Atrial Fibrillation
    Typical Atrial Flutter
    Atypical Atrial Flutter

    Paul Evans, RHIA, CCS, CCS-P, CCDS
     
    Manager, Regional Clinical Documentation & Coding Integrity
    Sutter West Bay
    633 Folsom St., 7th Floor, Office 7-044
    San Francisco, CA 94107
    Cell:  415.637.9002

    evanspx@sutterhealth.org

  • katysuegood@gmail.comkatysuegood@gmail.com
    edited April 2016
    Sharon,
    I believe that CMS list may not be the most updated list. I have found discrepancies in the past. My 2014 Optum Draft code set and the 3M training module both have I48.1 as persistent atrial fibrillation. A-Flutter falls into codes I48.3-I48.9. That being said, I am not sure what that means for the actual CC/MCC designation as none of the A-Flutter codes are listed on the CMS website as a CC/MCC and it seems as if it should be a CC. I am wondering whether the code set was modified to move A-fib to I48.1 but this was not reflected in the CC/MCC list?

    I don’t know....

    Katy Good, RN, BSN, CCDS, CCS
    Clinical Documentation Program Coordinator
    AHIMA Approved ICD-10CM/PCS Trainer
    Flagstaff Medical Center
    Kathryn.Good@nahealth.com
    Cell: 928.814.9404


  • katysuegood@gmail.comkatysuegood@gmail.com
    edited April 2016
    If this is true the CMS website is inaccurate. I48.1 is the only code in that group listed as a CC.

    Katy Good, RN, BSN, CCDS, CCS
    Clinical Documentation Program Coordinator
    AHIMA Approved ICD-10CM/PCS Trainer
    Flagstaff Medical Center
    Kathryn.Good@nahealth.com
    Cell: 928.814.9404
  • debra.stewart@halifaxregional.comdebra.stewart@halifaxregional.com
    edited April 2016
    I would like a list too if someone has it!
    Thanks,

    Debra Stewart RN, BSN
    Clinical Documentation Specialist
    Sentara/Halifax Regional Hospital
    South boston, va. 24592
    (434)-517-3317 Work
    (434)-222-9884 Cell

  • ssalinasssalinas
    edited April 2016
    Guess we will just have to wait on the Proposed and Final Rule from CMS. Seems like more questions keep arising rather than answers!

    I'm with you Katy - Just don't know!

    Sharon Salinas, CCS
    Barlow Respiratory Hospital
    2000 Stadium Way, Los Angeles CA 90026
    Tel: 213-250-4200 ext 3336
    ssalinas@barlow2000.org

  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited April 2016
    These are stated as CC conditions per pg 1023 of 2014 Edition of OPTUM DRG Expert.

    Paul Evans, RHIA, CCS, CCS-P, CCDS
     
    Manager, Regional Clinical Documentation & Coding Integrity
    Sutter West Bay
    633 Folsom St., 7th Floor, Office 7-044
    San Francisco, CA 94107
    Cell:  415.637.9002

    evanspx@sutterhealth.org

  • jlightfoot@marshallmedical.orgjlightfoot@marshallmedical.org
    edited April 2016
    Thanks for the great info Paul! The ICD 10 CC/MCC list I've been
    referencing (from the CMS website) lists I48.1 as a CC but shows it as
    "Atrial flutter"; however, I see that when I reference the Ingenix
    coding book it shows I48.1 as "persistent Atrial fibrillation" and it is
    indeed a cc. I like it!!!

    Jillian Lightfoot RN
    Clinical Documentation Team
    Marshall Medical Center
    Placerville, CA 95667
    (530) 626-2770 Ext. 6203
    jlightfoot@marshallmedical.org

  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    It will be interesting to view the final list of approved CC conditions and codes issued for the next Fiscal year - bear in mind that is the official list.

    Paul Evans, RHIA, CCS, CCS-P, CCDS
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