ICD-10-CM 2025 Deep Dive: New Codes, Guidelines, and Compliance Strategies

Each year the ICD-10 Coordination and Maintenance Committee meets twice to consider requests for new codes and clarifications of existing ones. For 2025 the Committee has approved several codes of significance. This includes classifications of Hypoglycemia and then Code Also Notes to use these as additional codes when coding certain Diabetes codes. There are also new codes for presymptomatic Type 1 diabetes mellitus that indicate staging to learn about.  There is new Use Additional Code notation for malignant neoplasms of the breast along with new codes in the Estrogen Receptor Status section.  New codes in the unspecified synovitis and tenosynovitis in several extremities should help in identifying this disorder. Clarifications in the Code First and Code Also listings for Pneumonia codes ask for additional information not previously required. New SDOH codes for insufficient health insurance coverage expand this section.  Overall, for 2025 there are new codes that you should be aware of. Just as important are the sub code notations seeking clarifications that a coder should know of and pass along to their providers to have the specificity in coding required by the ICD-10-CM codes.

Join us for an essential webinar on the ICD-10-CM Coding Updates for 2025, featuring expert speaker Jill M. Young, CEMA, CPC, CEDC, CIMC. This session will cover the significant changes to the ICD-10-CM code set effective from October 1, 2024, including 252 new codes, 36 code deletions, and 13 code revisions. Staying informed about these updates is crucial for ensuring accurate diagnosis and billing practices in your medical office. Jill will provide comprehensive insights and practical guidance to help you navigate these changes efficiently.

Webinar Objectives

• Understand the major changes to the ICD-10-CM codes for 2025.
• Learn about the new codes, their requestors, and proper usage.
• Gain insights into the clinical context for the new and updated codes.
• Review the updates to the coding guidelines and their implications for code assignment.

Webinar Agenda

• Introduction and Overview
  • Welcome and objectives
  • Importance of ICD-10-CM updates
• Major Changes to Codes
  • Comprehensive review of significant updates
  • Impact on current coding practices
• New Codes
  • Detailed explanations of new codes
  • Who requested the codes and their intended use
  • Clinical information and context
• Changes to Coding Guidelines
  • Overview of general coding guidelines updates
  • Specific guideline changes by chapter
• Chapter-Specific Changes
  • Chapter 5: Mental, Behavioral, and Neurodevelopmental disorders
  • Chapter 9: Diseases of the Circulatory System
  • Chapter 19: Injury, poisoning, and certain other consequences of external causes
• Key Pointers from FY25 Guidelines
  • "See" and "See Also" instructions
  • Code Also Note
  • Default codes and their usage
  • Code assignment and clinical criteria
  • General coding guidelines
  • Placeholder character (X) and 7th characters
  • Abbreviations and punctuation usage
  • Use of "And" in code descriptions
• Q&A Session
  • Open floor for attendee questions and clarifications
• Conclusion
  • Summary of key takeaways
  • Final thoughts and next steps

Webinar Highlights

• New Coding Guidelines: Essential updates on reporting codes for COVID-19, dementia with behavioral disturbances, and more.
• Chapter-Specific Changes:
  • Chapter 5: Updates on substance use disorders, including new guidelines for vaping-related disorders.
  • Chapter 9: New codes and guidelines for heart failure and hypertension with heart disease.
  • Chapter 19: Updates on coding for injuries, abuse, and assault cases.
• General Coding Updates: Emphasis on the importance of using both the Alphabetic Index and Tabular List, and reporting codes to their highest level of specificity.
• Clinical Information: Contextual details to aid in the proper application of new codes.

Who Should Attend

Coders, billers, auditors, office managers