The next Coordination and Maintenance Committee meeting is scheduled for March 19 and 20, from 9 a.m. to 5 p.m. EST each day. As usual, the procedures are scheduled for presentation first, to be followed by the diagnosis proposals. Attendees must register to attend this virtual meeting. One benefit of attending is free continuing education credits given by AAPC and the American Health Information Management Association (AHIMA).
The Centers for Disease Control and Prevention (CDC) has released the tentative agenda for the diagnosis portion of the meeting. It contains 31 topics, including the addenda discussion. Some of the topics have been presented in previous Coordination and Maintenance Committee meetings, while others are new to the agenda. Examples include:
- Cannabis Hyperemesis Syndrome;
- Do Not Resuscitate and Code Status;
- Kabuki Syndrome;
- Ledderhose Disease/Plantar Fibromatosis;
- Thyroid Eye Disease; and
- Type 2 Diabetes Mellitus in Remission.
The agenda also includes external cause codes, including an activity code for splitting wood and external cause of a fishing hook. The Gulf War Illness is a repeat topic on the agenda. The addenda, which address errors or code updates, will be reviewed as well.
The Centers for Medicare & Medicaid Services (CMS) has not published their tentative agenda, as of Feb. 21. There is a notice on the Coordination and Maintenance Committee procedure page that the following New Technology Add-On Payment (NTAP) topics will not be presented live:
- Administration of bentracimab;
- Administration of cefepime-taniborbactam;
- Administration of ceftobiprole medocaril;
- Administration of obecabtagene autoleucel;
- Administration of odronextamab;
- Administration of Orca-T;
- Administration of RP-L201 (marnetegragene autotemcel);
- Administration of zanidatamab; and
- Donislecel-jujn Allogeneic Pancreatic Islet Cellular Suspension for Hepatic Portal Vein Infusion.
These topics all involve the infusion of therapeutic substances. The NTAPs represent additional monies for a facility, on top of the MS-DRG reimbursement, when reported.
I have been assisting the Fight Colorectal Cancer organization in the proposal for a diagnosis code for Lynch syndrome. This condition increases a patient’s risk for various malignant neoplasms. According to the Fight Colorectal Cancer website, Lynch syndrome is the most common form of hereditary colorectal cancer, affecting 1.2 million people in the United States. The code is needed so that patients can be identified for genetic screening and tracking of patient outcomes.
The Coordination and Maintenance Committee meeting is a wonderful resource to assist coders in achieving understanding of the creation of codes and the reason the codes are needed, whether diagnosis or procedure. This meeting provides the spirit of the ICD-10-CM/PCS codes.
Talk Ten Tuesdays will be following this topic and providing updates. As usual, Dr. Erica Remer is planning on participating as well.
Resources:
ICD-10-PCS Coordination and Maintenance Committee Meeting Information: https://www.cms.gov/medicare/coding-billing/icd-10-codes/icd-10-coordination-maintenance-committee-meetings
ICD-10-CM Coordination and Maintenance Committee Meeting Information:
https://www.cdc.gov/nchs/icd/icd10cm_maintenance.htm
Registration for March 2024 Coordination and Maintenance Committee Meeting: https://cms.zoomgov.com/webinar/register/WN_zqbhSXNtSEmAVWJhs4-4kA
