cms list of unacceptable principal diagnosis codes 2022

Visit the NCCI Medicaid Manual Archive for more information and prior versions of the manual.. includes guidelines for selection of principal diagnosis for nonoutpatient settings . SUBJECT: October 2021 Integrated Outpatient Code Editor (I/OCE) Specifications Version 22.3 A=Added To List, N=New Code Diagnosis Eff Date Description R* J1282 2021-01-01 Pneumonia due to coronavirus disease 2019 N Z1152 2021-01-01 Encounter for screening for COVID-19 N Z20822 2021-01-01 Contact with and (suspected . Please see below for a full list of these codes effective Oct. 1, 2022. Invalid Hospice Diagnosis Codes, Effective October 1, 2014. The following 23,106 ICD-10-CM codes are non-billable/non-specific and should generally not be used to indicate a diagnosis for reimbursement purposes. The reason for the encounter documented in the medical record will generally be the first listed diagnosis. endstream endobj 4734 0 obj <. (This list is a combination codes from ICD-10 Inappropriate Primary DX list and the CMS Medicare Unacceptable Principal Diagnosis Code List). 1. This is where ICD-10-CM coding guidelines are used and take priority over other coding rules in the outpatient setting. The 2021 ICD-10-CM codes are to be used from January 1, 2021 through September 30, 2021. Additional codes may be added upon request with documentation and justification as to why the patient has a prognosis of 6 months or less with this diagnosis. May 2022. website belongs to an official government organization in the United States. Home. lock 807: Diagnosis Code indicated is not valid as a primary diagnosis. Kamu juga bisa sepuasnya Download Aplikasi Android, Download Games Android, dan Download Apk Mod lainnya. CMS will implement a Medicare Code Editor edit beginning October 1, 2014 as a "Manifestation code as principal diagnosis" edit in the Integrated Outpatient Code Editor (IOCE). The Mainframe BAL software is not impacted. Congress recognized that it would be necessary to recalculate the DRG relative weights periodically to account for changes in resource consumption. Please visit 2022 ICD-10-CM (DIAGNOSIS) CODES - Effective 8/1/2022. This listening session was held on October 8, 2019; 2:00 3:00 PM ET. In response to the ongoing national emergency concerning COVID-19, the Centers for Disease Control and Preventions (CDC) National Center for Health Statistics (NCHS) is implementing 3 new diagnosis codes, Z28.310, Z28.311 and Z28.39, into the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), for reporting COVID-19 vaccination status effective April 1, 2022. It is important to code correctly, and then make whatever adjustment is required for reporting. Once identified for Section 111 reporting, diagnosis codes are retained on the lists from year to year. %PDF-1.6 % 4753 0 obj <>/Filter/FlateDecode/ID[]/Index[4733 30]/Info 4732 0 R/Length 102/Prev 822649/Root 4734 0 R/Size 4763/Type/XRef/W[1 3 1]>>stream Official websites use .govA FORMULA_COLLECTION_ID column removed from the file, it is an internal field that is unnecessary for users. Unacceptable principal diagnosis codes Requires secondary diagnosis code to support principal diagnosis; . For the transcript and audio file of the listening session, visit https://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/Downloads/10082019ListingSessionTrasncriptandQandAsandAudioFile.zip. The Java Source Code (JAR files) are provided for transparency around the grouping and editing methodology internals. 1.21.2022 - Conversion Factor for Anesthesia Codes Update. New Jersey New Jersey Medicaid allows the following ICD-10 diagnosis codes to be submitted in the primary position when billed with CPT code 3008F: Z68.51, Z68.52, Z68.53, Z68.54 Learn about ICD-10 codes and how they work. The annual revision of the Medicaid NCCI Technical Guidance Manual, effective February 28, 2021, is available on the Reference Documents webpage. Are we really calling a previous C-section or a previous myomectomy scar, obstructed labor? Age conflict 1.4 5. ICD-10-CM Complete Code Set 2022 This User's Guide is intended to support the design, implementation, analysis, interpretation, and quality . A joint effort between the healthcare provider and the coder is . The 2022 edition of ICD-10-CM R54 became effective on October 1, 2021. .gov The List of ICD-9 codes included codes for the following: Infectious and parasitic diseases. The ICD-10 Daignosis Codes lookup tool allows you to search by diagnosis code, diagnosis description or clinical term. This is meant to indicate codes that are operating room procedures, either extensive (attribute d68) or non-extensive (attribute d477). If the condition is no longer present, assign the appropriate aftercare code. ICD-10 Diagnosis Codes Unacceptable as Primary Diagnosis ICD-10 Diagnosis Code ICD10 Diagnosis Code Description B6013 Keratoconjunctivitis Due to Acanthamoeba C802 Malignant Neoplasm Associated with Transplanted Organ D47Z1 Post-Transplant Lymphoproliferative Disorder (PTLD) Unacceptable principal diagnosis codes. This listening session included a review of the methodology to measure the impact on resource use and provided an opportunity for CMS to receive public input on this analysis and to address any clarifying questions in order to assist the public in formulating written comments on the current severity level designations for consideration in future rulemaking. 1.21.2022 - The COVID-19 Public Health Emergency and Medicaid FAQs. The valid lists also include the, Excluded Liability and No-Fault ICD-10 List, Excluded Liability and No-Fault ICD-9 List, Coordination of Benefits & Recovery Overview. There are diagnosis codes that are applicable to liability and workers compensation situations but are not applicable to no-fault accidents or injuries. Otherwise, the coder runs the risk of developing incorrect coding practices that will distort data used for other purposes. B95.1 Streptococcus, group B, as the cause of diseases classified elsewhere. .gov The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. FY 2022 (October 1, 2021 - September 30, 2022) . However, a V code may be used in certain circumstances, such as to identify the Alleged Cause of Injury, Incident, or Illness, which is the reason why V codes will not appear on the list of excluded ICD-10 codes. A joint effort between the healthcare provider and the coder is . A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Fetal demise was the principal reason we sent her to the hospital to induce her. These codes are based on Medicare code edits (MCE). The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. In addition, the Centers for Medicare & Medicaid Services will implement seven new ICD-10 procedure codes for COVID-19 therapeutics and vaccines effective April 1, 2022. What else could we use here? Some additional notes are: CMS states that the ICD-10-CM code list is an exhaustive list that contains many codes that do not support the need for home health services and so are not appropriate . It may not display this or other websites correctly. Don't miss out on any articles! They must be used in conjunction with an underlying condition code, and they must be listed following the underlying condition. Result set includes synonyms and valid for submission marker. The aggregate market value of the voting and non-voting common equity held by non-affiliates of the registrant as of June 30, 2022, the last business day of the registrant's most recently completed second fiscal quarter, was $ 470.7 million, based on a closing price of $27.63 per share of the registrant's common stock as reported on the Nasdaq Global Market. Rank. Link to the supplementary file that was made available for the listening session: We are providing updated impact on resource use files so that the public can review the mathematical data for the impact on resource use generated using claims from the FY 2019 - FY 2021 MedPAR files: FY 2023 Version 40.1 (Effective April 1, 2023 through September 30, 2023), FY 2023 Version 40 (Effective October 1, 2022 through September 30, 2023). Sex conflict 6. Last Updated Wed, 11 May 2022 18:25:23 +0000. Proposed ICD-10-CM/PCS MS-DRG V38 Definitions Manual Table of Contents - Full Titles - HTML Version, Medicare Severity Diagnosis Related Group (MS-DRG) Test Grouper Software and Medicare Code Editor (MCE) Version 38, ICD-10 PC Software, FY 2020 -Version 37.2 - (Effective August 1, 2020 through September 30, 2020), V37.2 Definitions Manual Table of Contents - Full Titles - HTML Versions, Medicare Severity Diagnosis Related Group (MS-DRG) Grouper Software and Medicare Code Editor (MCE) Version. Skip to Main Content. Page 4 Mixed coded claims: Claims coded with ICD-9 and ICD-10 on the same claim will not be accepted. ICD-10-CM guidelines list which Z codes are reportable only as the first listed diagnosis, with exception (Note: Italics are added for emphasis, bold text is in the original guidelines): R20 - DRG Clinical Review Program. It is likely that most people will . 2022 ICD-10 MS-DRG ClassificationMedicare Severity-Diagnosis Related Group v39. In response to the national emergency that was declared concerning the COVID-19 outbreak, the Centers for Disease Control and Prevention's (CDC) National Center for Health Statistics (NCHS) is implementing 6 new diagnosis codes into the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), effective January Rosemead School Of Psychology Alumni Directory, Copyright 2018. By in jenny colgan cafe by the sea series. includes guidelines for selection of principal diagnosis for nonoutpatient settings . Unacceptable principal diagnosis 1.167 10 . The O32 codes have no such code first instructions, but do indicate: The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O32 that has a 7th character of 1 through 9. These 2022 ICD-10-CM codes are to be used for discharges occurring from October 1, 2021 through September 30, 2022 and for patient encounters occurring from October 1, 2021 through September 30, 2022. R54 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. : A zip file with the ICD-10 MS DRG Definitions Manual (Text Version) contains the complete documentation of the ICD-10 MS-DRG Grouper logic. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. a principal diagnosis. If the primary diagnosis does not fit into one of the 12 clinical groups in the payment model, this is considered a "Unacceptable Diagnosis". The complete Medicare list of unacceptable principal diagnosis codes can be accessed on the Centers for Medicare & Medicaid Services (CMS) MS-DRG Classifications and Software page. Non-specific principal diagnosis 1.166 8. . Code Z91.83 Sequence the underlying disorder first. Deleted 32 diagnosis codes. Diagnosis description revisions for 42 diagnosis codes. You can decide how often to receive updates. For additional information regarding the Version 39 Test GROUPER please see the file titled CMS-1752-P Tables 6P.1a and 6P.1b below. CMS reviews ICD 10 codes annually to identify the codes that may be used for Section 111 NGHP Claim Input File Detail Record submissions. When using code K74.00 in processing claims, check the following: See additional coding rules. Currently, cases are classified into Medicare Severity Diagnosis Related Groups (MS-DRGs) for payment under the IPPS based on the following information reported by the hospital: the principal diagnosis, up to 24 additional diagnoses, and up to 25procedures performed during the stay. . New valid codes are added and descriptions of existing codes are revised annually. The complete Medicare list of unacceptable principal diagnosis codes can be accessed on the Centers for Medicare & Medicaid Services (CMS) MS-DRG Classifications and Software page. In response to the national emergency that was declared concerning the COVID-19 outbreak, the Centers for Disease Control and Preventions (CDC) National Center for Health Statistics (NCHS) is implementing 6 new diagnosis codes into the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), effective January 1, 2021. washington, d.c. 20549 form 10-k (mark one) annual report pursuant to section 13 or 15(d) of the securities exchange act of 1934 for the fiscal year ended december 31, 2022. or transition report pursuant to section 13 or 15(d) of the securities exchange act of 1934 for the transition period from to April 2022. ( Oct 31, 2020. The files in the Downloads section below contain information on the ICD-10-CM updates effective with discharges on and after April 1, 2022. The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS), two departments within the U.S. Federal Government's Department of Health . The selection of appropriate ICD-10-CM diagnosis codes by providers is based on clinical information that is unavailable to the State of New Jersey. Pediatric diagnoses (age 0 through 17) Maternity diagnoses (age 12 through 55) Adult diagnoses (age 15 through 124) Diagnoses for females only. or The list goes on, but my question is what in the world are we supposed to use? An announcement was also made at the September 2017 ICD-10 Coordination and Maintenance Committee meeting that FY 2018 would be the last GEMs file update. Duplicate of PDX 4. They are saying the following codes (and others) are not allowable as principal diagnosis codes based on CMS coding: O34.211 (Previous C-section scar), O32.1xx0 (Maternal care for breech presentation), and O36 . But coders should be able to defend this with documentation of clinical circumstances, such as if the patient is: In the intensive care unit. When using ICD-10-CM, the term "first listed diagnosis" is used instead of the principal diagnosis. 10.1.2019 - HCPCS Hydroxyprogesterone Caproate Updates. If you comb the Chapter 15 section of the guidelines, which talk about how to use the codes, you will not see these codes mentioned either. These Z codes, therefore, are also excluded from Section 111 claim reports. It is highly recommended that agencies NEVER code a new Start of Care Plan of Care without an adequate Face-to-Face encounter note. . lock 10.1.2019 - Medicare Unacceptable Principal Diagnosis Codes. Unacceptable principal codes; Outcome of delivery codes; Present on Admission Exempt (POA) . The list goes on, but my question is what in the world are we supposed to use? External Cause of Injury : ICD Code Description Category; B95.0: Streptococcus, group A, as the cause of diseases classified elsewhere: B95.2 Enterococcus as the cause of diseases . https:// Endocrine, nutritional and metabolic diseases, and immunity disorders. The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. Click the links below to download the valid and excluded ICD diagnosis code lists in Excel (.xlsx). Any MS-DRG related inquiries should be sent to theMSDRGClassificationChange@cms.hhs.gov mailbox. How To Clean Drybar Hair Brush, FEATURES AND BENEFITS Full list of code changes. In addition, users are able to view the draft version of the ICD-10 MS-DRG Definitions Manual, Version 39. States should report all diagnoses relevant for the claim to CMS - up to twelve on an IP claim and up to five on an LT claim. They are saying the following codes (and others) are not allowable as principal diagnosis codes based on CMS coding: O34.211 (Previous C-section scar), O32.1xx0 (Maternal care for breech presentation), and O36.5930 (IUFD). The unacceptable principal diagnosis list is defined by the MCE I/OCE but there are some exclusions to the MCE list due to current OPPS coding requirements and guidelines. or principal, diagnosis code reported in DIAGNOSIS-CODE-1. ICD-10 conversion list of all of the diagnosis codes listed in CR 8877, Hospice Manual Update for . Share sensitive information only on official, secure websites. The 2021 ICD-10-CM files below contain information on the ICD-10-CM updates for FY 2021. I have tried to find where this has changed and applies to coding of both Inpatient and Outpatient scenarios in our acute care facility, or if we are getting edited inappropriately. J44.9 Chronic obstructive pulmonary disease. united states. Questions and Answers 1 Q: When an inappropriate diagnosis code is pointed to or linked as primary in box 24E on a CMS-1500 claim form Unacceptable principal diagnosis codes. June 2022. the Definition of Medicare Code Edits denote codes that are used only with patients of a specific sex. https:// UnitedHealthcare Definition of Medicare Code Edits V39.1 (ZIP) - Updated 3/14/22: The ICD-10 Definitions of Medicare Code Edits file contains the following: A description of each coding edit with the corresponding code lists as well as all the edits and the code lists effective for FY 2022. July 2022. G30.9 Alzheimer's disease, unspecified. 2022 ICD-10 MS-DRG Classification. They have given us a list of unacceptable principal diagnosis codes. Z codes that may only be principal/first-listed diagnosis; Z Codes as Principal, First-listed Diagnosis. endstream endobj startxref The Centers for Disease Control and Prevention will implement three new ICD-10 diagnosis codes for reporting COVID-19 vaccination status effective April 1, 2022. For MCE, refer to folder MCEV400_MF_Java_jar folder. For example: Z56.3 - Stressful work schedule C80.2 - Malignant neoplasm associated with transplanted organ . They must be used in conjunction with an underlying condition code, and they must be listed following the underlying condition.. Maintenance of the ICD-10-CM and ICD-10-PCS Coding Systems . The CDC has added 159 new diagnosis codes that went into effect October 1, 2021. 27 Top Diagnoses in 2017 28 . Z codes are designated as the principal/first listed diagnosis in specific situations such as: To indicate that a person with a resolving disease, injury or chronic condition is being seen for specific aftercare To indicate that a person is seen for the sole purpose of special therapy, such as chemotherapy, immunotherapy and radiation therapy Correct And Resubmit. Diseases of the blood and blood-forming organs. (CMS), the National Center for Health Statistics (NCHS), and the Department of Health and Human Services (HHS), . Appropriate documentation is required for these codes. Partial searches are allowed. Request for annual MS-DRG classification changes submitted through the MSDRGClassificationChange@cms.hhs.gov mailbox will no longer be considered. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, ICD-10-CM and ICD-10 PCS and GEMs Archive, ICD-10 Coordination and Maintenance Committee Meetings, Process for Requesting New/Revised ICD-10-PCS Procedure Codes, ICD-10 Coordination and Maintenance Committee Meeting Materials, ICD-9-CM Diagnosis and Procedure Codes: Abbreviated and Full Code Titles, Updates and Revisions to ICD-9-CM Procedure Codes (Addendum), 2022 POA Exempt Codes (Updated 02/15/2022) (ZIP), 2022 Conversion Table - Updated 02/01/2022 (ZIP), 2022 Code Descriptions in Tabular Order - Updated 02/01/2022 (ZIP), 2022 Code Tables, Tabular and Index - Updated 02/01/2022 (ZIP), FY 2022 ICD-10-CM Coding Guidelines - Updated 02/01/2022 (PDF). Those identified codes do not describe a current illness or injury, but a circumstance which influences a patient's health status. I have no clue what we are supposed to use for a patient who, for instance, has a fetal demise at 26 weeks and is scheduled for an induction, since apparently O36.5930 is an unacceptable principle diagnosis on the list as well. Secure .gov websites use HTTPSA an unacceptable number of patients. Answer:The instruction for the O34 codes is to Code first any associated obstructed labor (O65.5). This means if there is obstructed labor, you should code that as the principal diagnosis. Top 5 most commonly . They are saying the following codes (and others) are not allowable as principal diagnosis codes based on CMS coding: O34.211 (Previous C-section scar), O32.1xx0 (Maternal care for breech presentation), and O36.5930 (IUFD). Questions about the posted HCPCS-MS-DRG definitions manual and software can be directed to HCPCS_MS_DRG@cms.hhs.gov. This can lead to confusion in how states should submit data to T-MSIS. ) Effective with dates of service on and after October 22, 2016, Kansas Medicaid will adopt the Medicare list of unacceptable principal (primary) diagnosis codes in various health care settings as listed in KMAP Bulletin 16161. Questionable As Principal Diagnosis ICD-10-CM Codes. Unacceptable principal diagnosis 10. Children's deaths of any kind are rare, researchers noted. H. Uncertain Diagnosis or For example, ICD-9 codes beginning with the letter V and ICD-10 codes beginning with the letter Z are removed from the valid lists. O36.1130 Maternal care for Anti-A sensitization, third trimester, not applicable or unspecified. Some Z codes are reported only as a primary diagnosis. securities and exchange commission. Not all code types are added to the valid lists. Medicare identifies certain codes as unacceptable as the principal diagnosis. Medicare Severity Diagnosis Related Group (MS-DRG) Grouper Software and Medicare Code Editor (MCE) Version V38.0 R1MAINFRAME Software, Medicare Severity Diagnosis Related Group (MS-DRG) Grouper Software and Medicare Code Editor (MCE) Version V38.0 R1, ICD-10 PC Software, Proposed ICD-10 MS-DRG Definitions Manual Files V38. In addition, users are able to view the draft version of the ICD-10 MS-DRG Definitions Manual, Version 40. The MS-DRG and MCE Java Mainframe deliverables have updated install guide PDF with corrections for clarity. Heres how you know. Diagnosis Codes and Claims. 12. The following criteria, used to determine codes that are added to the Inappropriate Primary Diagnosis Codes list, are . lock Questionable admission 9. What Is Faster Than Planck Time, Codes for underdosing (Category T36-T50) should never be assigned as principal or first-listed diagnosis codes. Answer:The instruction for the O34 codes is to Code first any associated obstructed labor (O65.5). This means if there is obstructed labor, you should code that as the principal diagnosis. Medicare Severity-Diagnosis Related Groups are assigned a Major Diagnostic Category (MDC). (This warning had no effect on the component functionality). Those identified codes do not describe a current illness or injury, but a Principal Diagnosis and Code: Right orbital floor--S02.31XA Other Diagnoses and Codes: Right . We made the GEMs files available for FY 2016, FY 2017 and FY 2018. The book also contains supplementary appendixes including a coding tutorial, pharmacology listings, a list of valid three-character codes and additional information on Z-codes for long-term drug use and Z-codes that can only be used as a principal diagnosis. In a yearlong period from August 2021 to July 2022, 821 children ages 0 to 19 died from covid-19 at a rate of 1 per 100,000. %%EOF Inpatient hospital claims select the principal diagnosis code based on the Uniform Hospital Discharge Data Set (UHDDS). FY 2014 Hospice Wage Index and Payment RateUpdate; Hospice Quality . ZTclGu9$oF'BT&`$_K+Z5Y_`^ 8{q9}^9Gu^y=gh6;u)\tqw!sqi~rOC.1\fH5U|Ay10>gm:3k+\IWZpB}%vU l7IFedY Sign up to get the latest information about your choice of CMS topics. Indicates that a specific set of principal diagnoses are used in the definition of the MS-DRG. 11. patient/staff safety) 52 Discharge for patient unavailability, inability to receive care, or out of service area 85 Delayed recertification of hospice terminal illness (effective for claims received on or after 1/1/2017) CMS Pub. ( means youve safely connected to the .gov website. DIAGNOSIS VALIDITY & CODING GUIDELINES File Name: diagnosis_validity_MA Origination: 6/2022 Last Review: 12/2022 Next Review: 12/2023 Description Diagnosis (ICD-10-CM) codes are alphanumeric codes with three to seven characters and are used to describe a clinical picture. No. You can decide how often to receive updates. diagnosis codes is required under the Health Insurance Portability and Accountability Act . Medicare Guide for Snf Billing and Reimbursement The annual CPT "TM" . The COBOL wrapping programs provided have been enhanced to add redirectStandardStreams which allows greater flexibility in the location of log files on the Mainframe system. ICD-10-CM Diagnosis Code Restrictions Please note that there are two tabs on the spreadsheet. :The ICD-10 Definitions of Medicare Code Edits file contains the following: A description of each coding edit with the corresponding code lists as well as all the edits and the code lists effective for FY 2022. list. Medicare Severity Diagnosis Related Group (MS-DRG) Grouper Software and Medicare Code Editor (MCE) Java Beta Version 38.1 MAINFRAME Software (ZIP)- UPDATED 5.24.21, Inquiries related to this Java Beta version of the Grouper should be directed toGrouperBetaTesting@cms.hhs.gov, Errata (PDF): A document describing the changes from Version 38 to Version 38.0 R1, This is a supporting file for the FY 2021 IPPS/LTCH PPS Proposed Rule. This test software reflects the proposed GROUPER logic for FY 2021. A zip file with the ICD-10 MS DRG Definitions Manual (Text Version) contains the complete documentation of the ICD-10 MS-DRG Grouper logic. The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. Find ICD-10 diagnosis codes by code name, code description, synonyms, chapter, classification, valid for submission status code and code status. A supplementary or additional diagnosis code is not allowed as a principle . February 2022. The files in the Downloads section below contain information on the ICD-10-CM COVID-19 updates effective with discharges and patient encounters on and after January 1, 2021. A3:732/A3:254 Helpful Hint: Unacceptable Principal Diagnosis code per CMS billing guidelines. Refer to the Inappropriate Primary Diagnosis Code List for all codes applicable to this policy. Non- . They are saying the following codes (and others) are not allowable as principal diagnosis codes based on CMS coding: O34.211 (Previous C-section scar), O32.1xx0 (Maternal care for breech presentation), and O36.5930 (IUFD). Accordingly, section 1886(d)(4)(C) of the Act requires that the Secretary adjust the DRG classifications and relative weights at least annually. Browse for your desired term or condition, or search for a specific disease / condition. list of acceptable hospice diagnosis 2020 list of acceptable hospice diagnosis 2020 Home Realizacje i porady Bez kategorii list of acceptable hospice diagnosis 2020. that may not be used as primary codes: 1 Centers for Medicare and Medicaid Services. 32X (Home Health, Inpatient Part B) -- if a manifestation diagnosis code is listed as the claim's ICD-9-CM/ICD-10-CM principal diagnosis code, the claim line will receive Edit .