CMS proposed a final set of codes in April’s hospital IPPS rule, including over three hundred changes.
Starting Oct. 1, it will be possible to select a specific ICD-10-CM code when a patient is in remission from abuse of each of a variety of substances, including alcohol, opioids, cannabis, and nicotine.
Those nine new codes are among 360 new, 142 deleted, and 226 revised diagnosis codes in the final 2018 update posted by the Centers for Medicare & Medicaid Services to its website on June 13. The final 2018 ICD-10-CM codes include 322 more changes than what was proposed by CMS for the hospital IPPS rule in April.
Explanatory information included with the substance abuse remission codes will classify the severity of the use as mild, moderate, or severe to better coordinate ICD-10-CM coding with the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-5).