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All told, 273 codes are proposed to be added, 30 codes revised and 21 invalidated in the ICD-10-CM code set for fiscal year 2020. The code changes, once finalized, would take effect Oct. 1, 2019. CMS issued the proposed lists of new, revised and invalid codes April 23 in conjunction with the proposed inpatient hospital prospective payment system rule.
It may sound counterintuitive, but two patients who are attributed the same diagnosis during a patient encounter can have wildly divergent risk-adjustment coding scores.
When coding under a risk-adjustment paradigm, capturing the full range of a patient’s chronic conditions takes on elevated importance. That’s because your payments, and ultimately your coding compliance, may be impacted.
As coders mark the third anniversary this October of the U.S. implementation of ICD-10, its newly minted successor is waiting in the wings, nearly ready for adoption.
Providers will have a total of 473 code changes beginning Oct. 1, including  279 new codes, 143 revised codes and 51 deactivated codes, according to the final list of changes issued today by the Centers for Disease Control and Prevention.

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