BCA Summary of Diagnosis Coding Updates for April 2023

The International Classification of Diseases, Tenth Revision, Clinical
Modifications (ICD10CM) is updated April 1st and October 1 st every year. These
updates provide opportunities to review the current HIPAA mandated diagnosis
coding guidelines, encourage team members to update the accuracy of
patient’s chronic problem list and determine necessary educational
opportunities for the entire team

This April 2023 update includes 42 additions, 7 deletions and 1 revision, leaving the ICD10CM
code set to include 73,674 codes in all.

Although officially housed on at Centers for Disease Control and Prevention (CDC), current
ICD10CM codes and updates can also be found at the Center for Medicare and Medicaid
Services (CMS)
. The updated guidelines can be accessed and downloaded from either of these
sources for your reference.

Out of the 42 additions, 12 are new financial abuse codes, 15 are due to neglect/maltreatment
and 15 new Z codes, including, extended specificity options for items such as, inadequate
housing and noncompliance with medication due to financial difficulties.

A few highlights of these updates are summarized below:


Z59.1 Inadequate housing
Z91.15 Patient’s noncompliance with renal dialysis


Z55.6 Problems related to health literacy
Z58.81 Basic services unavailable in physical environment
Z58.89 Other problems related to physical environment
Z59.10 Inadequate housing, unspecified
Z59.11 Inadequate housing environmental temperature
Z59.12 Inadequate housing utilities
Z59.19 Other inadequate housing
Z62.814 Personal history of child financial abuse
Z62.815 Personal history of intimate partner abuse in childhood
Z91.141 Patient’s other noncompliance with medication regimen due to financial hardship
Z91.148 Patient’s other noncompliance with medication regimen for other reason
Z91.151 Patient’s noncompliance with renal dialysis due to financial hardship
Z91.158 Patient’s noncompliance with renal dialysis for other reason
Z91.413 Personal history of adult financial abuse
Z91.414 Personal history of adult intimate partner abuse

Need help? Contact BCA for educational coding support for your team.