The Inpatient Prospective Payment System proposed rule released May 11 calls for 47 diagnosis codes to be revised for 2021.
Here are the 47 diagnoses CMS wants to revise codes for:
View a full list of the revised diagnosis codes in Table 6E. If approved, changes would take effect Oct. 1.
D57.411, Sickle-cell thalassemia, unspecified, with acute chest syndrome
D57.412, Sickle-cell thalassemia, unspecified, with splenic sequestration
D57.419, Sickle-cell thalassemia, unspecified, with crisis
H55.81, Deficient saccadic eye movements
Q51.21, Complete doubling of uterus
Q51.22, Partial doubling of uterus
Q51.28, Other and unspecified doubling of uterus
Y92.002, Bathroom of unspecified non-institutional (private) residence as the place of occurrence of the external cause
Z68.1, Body mass index [BMI] 19.9 or less, adult
Z68.20, Body mass index BMI, 20.0-20.9, adult
Z68.21, Body mass index [BMI] 21.0-21.9, adult
Z68.22, Body mass index [BMI] 22.0-22.9, adult
Z68.23, Body mass index [BMI] 23.0-23.9, adult
Z68.24, Body mass index [BMI] 24.0-24.9, adult
Z68.25, Body mass index [BMI] 25.0-25.9, adult
Z68.26, Body mass index [BMI] 26.0-26.9, adult
Z68.27, Body mass index [BMI] 27.0-27.9, adult
Z68.28, Body mass index [BMI] 28.0-28.9, adult
Z68.29, Body mass index [BMI] 29.0-29.9, adult
Z68.30, Body mass index [BMI] 30.0-30.9, adult
Z68.31, Body mass index [BMI] 31.0-31.9, adult
Z68.32, Body mass index [BMI] 32.0-32.9, adult
Z68.33, Body mass index [BMI] 33.0-33.9, adult
Z68.34, Body mass index [BMI] 34.0-34.9, adult
Z68.35, Body mass index [BMI] 35.0-35.9, adult
Z68.36, Body mass index [BMI] 36.0-36.9, adult
Z68.37, Body mass index [BMI] 37.0-37.9, adult
Z68.38, Body mass index [BMI] 38.0-38.9, adult
Z68.39, Body mass index [BMI] 39.0-39.9, adult
Z68.41, Body mass index [BMI] 40.0-44.9, adult
Z68.42, Body mass index [BMI] 45.0-49.9, adult
Z68.43, Body mass index [BMI] 50.0-59.9, adult
Z68.44, Body mass index [BMI] 60.0-69.9, adult
Z68.45, Body mass index [BMI] 70 or greater, adult
Z68.51, Body mass index [BMI] pediatric, less than 5th percentile for age
Z68.52, Body mass index [BMI], pediatric, 5th percentile to less than 85th percentile for age
Z68.53, Body mass index [BMI], pediatric, 85th percentile to less than 95th+ percentile for age
Z68.54, Body mass index [BMI], pediatric, greater than or equal to 95th percentile for age
Z88.1, Allergy status to other antibiotic agents
Z88.2, Allergy status to sulfonamides
Z88.3, Allergy status to other anti-infective agents
Z88.4, Allergy status to anesthetic agent
Z88.5, Allergy status to narcotic agents
Z88.6, Allergy status to analgesic agent
Z88.7, Allergy status to serum and vaccine
Z88.8, Allergy status to other drugs, medicaments and biological substances
Z88.9, Allergy status to unspecified drugs, medicaments and biological substances
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