The Centers for Disease Control and Prevention will implement a new ICD-10-CM diagnosis code for reporting vaping-related disorders starting April 1. The Centers for Medicare & Medicaid Services has updated the software it uses to classify inpatient prospective payment system claims into Medicare-Severity Diagnosis-Related Groups for payment to accommodate the new ICD-10-CM code.
CDC and the Food and Drug Administration last year began investigating an outbreak of vaping-associated lung injuries. To date, more than 2,700 patients have been hospitalized for the condition in the states, Puerto Rico and U.S. Virgin Islands, including 60 deaths.
ICD-10 MS-DRGs Version 37.1 Effective April 1, 2020
In response to recent occurrences of vaping related disorders, the Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics (NCHS) is implementing a new diagnosis code, U07.0, Vaping-related disorder, into the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), for reporting vaping-related disorder effective April 1, 2020.
The ICD-10 MS-DRG Grouper assigns each case into an MS-DRG based on the reported diagnosis and procedure codes and demographic information (age, sex, and discharge status). The ICD-10 MCE Version 37.1 uses edits for the ICD-10 codes reported to validate correct coding on claims for discharges on or after April 1, 2020.
The ICD-10 MS-DRG Grouper software package to accommodate this new code, Version 37.1, is effective for discharges on or after April 1, 2020.Assignment of new ICD-10-CM diagnosis code U07.0, Vaping-related disorder, is as follows: Diagnosis Code Description CCMDC MS-DRGU07.0 Vaping-related disorder N04205, 206 If diagnosis code U07.0, Vaping-related disorder, is reported as a principal diagnosis, the following diagnosis codes will be excluded from acting as a MCC when reported as a secondary diagnosis under the CC Exclusions List Principal Diagnosis Code Exclude Secondary Diagnosis Description U07.0 J67.8 Hypersensitivity pneumonitis due to other organic dusts J67.9 Hypersensitivity pneumonitis due to unspecified organic dust J68.0 Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors J68.1 Pulmonary edema due to chemicals, gases, fumes and vapors J69.1 Pneumonitis due to inhalation of oils and essences The ICD-10 MS-DRG V37.1
Grouper Software, Definitions Manual Table of Contents and the Definitions of Medicare Code Edits V37.1 manual will be available at https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software.html
The Index and Tabular Addenda for new diagnosis code U07.0, Vaping-related disorder, are available via the CDC website at: https://www.cdc.gov/nchs/icd/icd10cm.htm
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Photo courtesy of: CDC
Originally Published On: CDC
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