On Demand: 2025 ICD-10-CM CV Coding Updates-Presentation Slides

Presentation Slides
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The document titled "2025 ICD-10-CM CV Coding Updates" by Jammie Quimby provides comprehensive updates for the 2025 fiscal year on cardiovascular (CV) coding and reporting according to ICD-10-CM guidelines. Key highlights include:<br /><br />1. **Updates and Changes**: The document details numerous updates, including 252 new additions, 36 deletions, and 13 revisions in the ICD-10-CM codes. This affects a total of 74,260 codes.<br /><br />2. **Specific Disease Guidelines**: <br />   - For sepsis related to postprocedural infections, codes from categories T81.44 and O86.04 should be utilized along with identifying the infectious agent and any acute organ dysfunctions.<br />   - Type 2 myocardial infarction is coded as I21.A1, while Type 1 STEMI and NSTEMI have specific subcategories (I21.01-I21.4 for STEMI and I21.4 for NSTEMI).<br /><br />3. **Hypertension Coding**: <br />   - Hypertensive heart diseases are classified under category I11, while hypertensive kidney disease falls under I12.<br />   - Conditions such as hypertension with both heart and kidney involvement are coded as I13. Additional codes for heart failure and chronic kidney disease (CKD) must be included.<br /><br />4. **New Codes**: The document introduces new codes for various conditions, such as embolism of pulmonary artery with acute cor pulmonale, and updates involving diseases of multiple systems like the skin, digestive, and respiratory systems.<br /><br />5. **Myocardial Infarction (MI) Classification**: <br />   - Defined types include Type 1 (spontaneous) and Type 2 (secondary to ischemia). Each type comes with specific coding guidelines depending on presentations and conditions.<br />   - Additional categories cover myocardial injury and various types of ventricular tachycardia and fibrillation.<br /><br />6. **Heart Failure Staging and Types**: <br />   - Detailed staging from A to D according to ACC/AHA guidelines.<br />   - Coding guidance differentiates between various types of heart failure such as HFrEF, HFpEF, and combinations thereof.<br /><br />7. **Clinical Documentation**: Emphasizes the importance of accurate documentation and coding practices to ensure proper classification and reimbursement. It includes the use of MEAT (Monitor, Evaluate, Assess, and Treat) and TAMPER (Treatment, Assessment, Monitor, Plan, Evaluate, Referral) criteria.<br /><br />8. **Risk Adjustment**: Discusses different risk adjustment models (e.g., HCC for Medicare) and how diagnoses influence insurance payments and quality care assessments. Accurate documentation of chronic conditions is crucial for risk adjustment factor (RAF) scoring.<br /><br />The document underscores the critical need for providers to stay updated with the latest coding changes to ensure compliance and accurate billing. Additionally, MedAxiom includes a disclaimer emphasizing that the presentation should not be considered legal, reimbursement, or coding advice.
Keywords
ICD-10-CM
cardiovascular coding
2025 updates
myocardial infarction
hypertension coding
heart failure
risk adjustment
clinical documentation
new codes
Jammie Quimby