Why You Need to be Aware of Birthing Codes

Why You Need to be Aware of Birthing Codes

The March 2023 Coordination and Maintenance Committee is the venue for the birthing of new codes.

The March Coordination and Maintenance Committee Meeting is over.

The recordings for both days have been posted on the Centers for Medicare & Medicaid Services (CMS) website. Additionally, the question-and-answer document for the procedures has been published.

There were 22 topics on the final procedure agenda, as well as nine therapeutic agent proposals that were not reviewed during the procedure presentation. Twenty proposals involved requested new technology add-on payment (NTAP) status for the 2024 fiscal year; one intends to request NTAP status for 2025, and one intends to apply for NTAP status for 2026 consideration. The slides have also been published. There were 32 topics and the addenda on the agenda for diagnoses.

The deadline for receipt of public comments on the Oct. 1 proposed new codes and revisions is April 7. The deadline for receipt of public comments for new procedure codes and revisions effective April 1, 2024 is May 5, 2023, which is also the deadline for comments on new and revised diagnosis codes effective Oct. 1, 2024. Send procedure comments to ICDProcedureCodeRequest@cms.hhs.gov and diagnosis comments to nchsicd10cm@cdc.gov. The 2024 codes that become effective on Oct. 1, 2023 will be published in the May/June time frame.

The deadline for submitting a proposal for the Sept. 12 and 13 Coordination and Maintenance Committee Meeting is June 9. The proposal should include the desire for consideration for the April 1, 2024 or Oct. 1, 2024 implementation date. The procedure proposals must be submitted through MEARIS™, which is the Medicare Electronic Application Request Information System. Diagnosis proposals may be emailed to nchsicd10cm@cdc.gov.

One way to keep current on the activities of the Coordination and Maintenance Committee is to sign up for the subscriber list. To sign up, go to the CMS website.

The Coordination and Maintenance Committee Meeting provides the process to “birth” a new code. There is also a preparation for the birth, which is begun during the application process. Each proposal, which includes clinical as well as coding information, is then presented at the Coordination and Maintenance Committee meetings. After this presentation, there are discussions at CMS and the Centers for Disease Control and Prevention (CDC). The code “birth” occurs when the final codes are published in the Federal Register and on the CMS and CDC websites.

The process of developing a new code is very important, as it impacts the revenue cycle and statistics. The revenue cycle uses the data to project revenue expectations, and the statistics are used by researchers, government officials, medical companies, etc. If you haven’t participated in the Coordination and Maintenance Committee meeting, I encourage you to listen to the March meeting and send constructive feedback. The feedback is not made public, and you can earn the satisfaction of impacting the coding system.

Programming note: Listen to Laurie Johnson’s live Coding Report today and every Tuesday on Talk Ten Tuesdays  with Chuck Buck and Dr. Erica Remer.

Resources:

ICD-10-PCS: ICD-10 Coordination and Maintenance Committee Meeting Materials | CMS

ICD-10-CM: ICD – ICD-10-CM – Coordination and Maintenance Committee (cdc.gov)

Facebook
Twitter
LinkedIn

Laurie M. Johnson, MS, RHIA, FAHIMA, AHIMA Approved ICD-10-CM/PCS Trainer

Laurie Johnson is currently a senior healthcare consultant for Revenue Cycle Solutions, based in Pittsburgh, Pa. Laurie is an AHIMA-approved ICD-10-CM/PCS trainer. She has more than 35 years of experience in health information management and specializes in coding and related functions. She has been a featured speaker in over 40 conferences. Laurie is a member of the ICD10monitor editorial board and is a permanent panelist on Talk Ten Tuesdays

Related Stories

Leave a Reply

Please log in to your account to comment on this article.

Featured Webcasts

Mastering Principal Diagnosis: Coding Precision, Medical Necessity, and Quality Impact

Mastering Principal Diagnosis: Coding Precision, Medical Necessity, and Quality Impact

Accurately determining the principal diagnosis is critical for compliant billing, appropriate reimbursement, and valid quality reporting — yet it remains one of the most subjective and error-prone areas in inpatient coding. In this expert-led session, Cheryl Ericson, RN, MS, CCDS, CDIP, demystifies the complexities of principal diagnosis assignment, bridging the gap between coding rules and clinical reality. Learn how to strengthen your organization’s coding accuracy, reduce denials, and ensure your documentation supports true medical necessity.

December 3, 2025

Proactive Denial Management: Data-Driven Strategies to Prevent Revenue Loss

Denials continue to delay reimbursement, increase administrative burden, and threaten financial stability across healthcare organizations. This essential webcast tackles the root causes—rising payer scrutiny, fragmented workflows, inconsistent documentation, and underused analytics—and offers proven, data-driven strategies to prevent and overturn denials. Attendees will gain practical tools to strengthen documentation and coding accuracy, engage clinicians effectively, and leverage predictive analytics and AI to identify risks before they impact revenue. Through real-world case examples and actionable guidance, this session empowers coding, CDI, and revenue cycle professionals to shift from reactive appeals to proactive denial prevention and revenue protection.

November 25, 2025
Sepsis: Bridging the Clinical Documentation and Coding Gap to Reduce Denials

Sepsis: Bridging the Clinical Documentation and Coding Gap to Reduce Denials

Sepsis remains one of the most frequently denied and contested diagnoses, creating costly revenue loss and compliance risks. In this webcast, Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, provides practical, real-world strategies to align documentation with coding guidelines, reconcile Sepsis-2 and Sepsis-3 definitions, and apply compliant queries. You’ll learn how to identify and address documentation gaps, strengthen provider engagement, and defend diagnoses against payer scrutiny—equipping you to protect reimbursement, improve SOI/ROM capture, and reduce audit vulnerability in this high-risk area.

September 24, 2025

Trending News

Featured Webcasts

Top 10 Audit Targets for 2026-2027 for Hospitals & Physicians: Protect Your Revenue

Stay ahead of the 2026-2027 audit surge with “Top 10 Audit Targets for 2026-2027 for Hospitals & Physicians: Protect Your Revenue,” a high-impact webcast led by Michael Calahan, PA, MBA. This concise session gives hospitals and physicians clear insight into the most likely federal audit targets, such as E/M services, split/shared and critical care, observation and admissions, device credits, and Two-Midnight Rule changes, and shows how to tighten documentation, coding, and internal processes to reduce denials, recoupments, and penalties. Attendees walk away with practical best practices to protect revenue, strengthen compliance, and better prepare their teams for inevitable audits.

January 29, 2026

AI in Claims Auditing: Turning Compliance Risks into Defensible Systems

As AI reshapes healthcare compliance, the risk of biased outputs and opaque decision-making grows. This webcast, led by Frank Cohen, delivers a practical Four-Pillar Governance Framework—Transparency, Accountability, Fairness, and Explainability—to help you govern AI-driven claim auditing with confidence. Learn how to identify and mitigate bias, implement robust human oversight, and document defensible AI review processes that regulators and auditors will accept. Discover concrete remedies, from rotation protocols to uncertainty scoring, and actionable steps to evaluate vendors before contracts are signed. In a regulatory landscape that moves faster than ever, gain the tools to stay compliant, defend your processes, and reduce liability while maintaining operational effectiveness.

January 13, 2026
Surviving Federal Audits for Inpatient Rehab Facility Services

Surviving Federal Audits for Inpatient Rehab Facility Services

Federal auditors are zeroing in on Inpatient Rehabilitation Facility (IRF) and hospital rehab unit services, with OIG and CERT audits leading to millions in penalties—often due to documentation and administrative errors, not quality of care. Join compliance expert Michael Calahan, PA, MBA, to learn the five clinical “pillars” of IRF-PPS admissions, key documentation requirements, and real-life case lessons to help protect your revenue.

November 13, 2025

Trending News

Prepare for the 2025 CMS IPPS Final Rule with ICD10monitor’s IPPSPalooza! Click HERE to learn more

Get 15% OFF on all educational webcasts at ICD10monitor with code JULYFOURTH24 until July 4, 2024—start learning today!

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 1 with code CYBER25

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24