Use the Power of the Team to Master Code Updates

by Barry Libman, MS, RHIA, CCS

The ICD-10-CM and ICD-10-PCS code changes for FY 2023 will go into effect October 1 and the CPT changes for 2023 will go into effect on January 1. There will be new codes and guidelines to apply and implications to be understood and explored.

Rather than a solitary activity, mastering the code updates may best be seen as a team activity. Many people, in many different roles, need to understand what is changing and how the changes affect the organization.

The individual coder who works each day with the coding systems needs to know  specifically what changed and be able to accurately and efficiently apply the new codes and guidelines. They have the most hands-on relationship with the coding systems and require a very granular and specific understanding of the changes.

The coding team as a whole needs to have a shared understanding of the changes and a consistent approach to application. Enlisting the power of the team can ensure that everyone’s questions are answered, that concerns are raised, and that coding decisions have a cogent rational. While this may have been easier when teams could meet on site, technology to facilitate communication and sharing of information will help ensure everyone is on the same page.

The coding educators and team leads, anyone responsible for internal training, need to focus on the specific coding challenges for their specific team, for their specific organization. What have they struggled with in the past? What are the implications of the coding changes for their particular organization? What is the best way to share information and ensure consistent application across the organization? A few hours spent with the code changes before they become effective can forestall many hours spent later with audit findings and challenges.

The clinical documentation team needs to understand how this year’s changes might affect the documentation required to support the new codes. Before the CDI team can communicate the impact on documentation to the providers, they need to identify those efforts that will be most productive and efficient. Coders with their detailed knowledge of the coding systems can work with the CDI team members to identify challenges and opportunities for improving the completeness and accuracy of documentation.

Who else within your organization works with the code set? What do they need to know? Encourage your team to think broadly and anticipate how the code changes may affect other individuals and functions within the organization.

Preparing your organization for the code changes takes a team. Whether large or small, your team’s efforts will help to ensure that your organization will continue to thrive.


FY 2023 Code Updates: ICD-10-CM, ICD-10-PCS, and CPT

FY 2023 Code Updates: Learn what the changes mean and how to apply them. Purchase individually or pick your bundle and SAVE!  Train your entire team and save even more! Learn more here.

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Disclaimer: This article is written for educational purposes only. Every reasonable effort has been made to ensure its accuracy and completeness. It is the responsibility of the reader to refer to the definitions, descriptions, conventions, and guidelines specific to each coding classification, as well as relevant laws and regulations when selecting and reporting medical codes.

About the Author

Barry Libman, MS, RHIA, CCS
Barry is the founder of Libman Education, a leading provider of training for the health care workforce, as well as Barry Libman Inc., a company that provides coding, audit, and educational services to the HIM departments of healthcare institutions. Prior to forming these organizations, he held a number of positions in the health information management field, working for hospitals, insurers, consulting firms, and regulatory bodies. Barry is recognized for his in-depth knowledge of coding and reimbursement issues for acute care hospitals. An area of particular interest and expertise is Long Term Acute Care Hospital (LTACH) coding. Barry is often called upon to provide education and training on code updates and coding issues.

One thought on “Use the Power of the Team to Master Code Updates

  1. Debra Bales - September 12, 2020 at 7:21 am

    I intend to share this article with my CEO I hope and pray he will see the importance of the Coders being given the opportunity to receive the updates needed to be compliant. We are educating our providers but need it for ourselves first.


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