Diagnostic Codes (ICD-10 Codes) are updated on October 1st of every year. Here, you can find recent updates to ICD-10 coding conventions that may impact you.
Headway updates
Z codes
Z diagnosis codes will be blocked from being billed alone on Headway. Z diagnosis codes, without an accompanying F diagnosis code, do not meet medical necessity for billing. You can learn more about these codes and medical necessity requirements here.
Unspecified Diagnoses
To align with insurer requirements, Headway can no longer accept "unspecified" diagnoses as primary diagnoses. Primary diagnoses are required to be as specific as possible, so please select the most appropriate and specific diagnosis to use in the primary position.
While secondary and tertiary diagnoses should also be as specific as possible, the unspecified diagnosis set will continue to be allowed in any non-primary position.
Deletions
F43.8
F43.8 is no longer a billable diagnosis code. In the update on October 1st, 2022, the guidelines have removed F43.8 and added two more specific codes for better clarity and ease of choice for providers. These codes are:
- F43.81 - Prolonged Grief Disorder; Complicated Grief; Complicated Grief Disorder; Persistent complex bereavement disorder and
- F43.89 - Other reactions to severe stress.
Which codes can I use instead of F43.8?
You can use F43.81 or F43.89 for specificity. Please choose whichever code is most relevant.
Additions
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Code Description Changes
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Disclaimer
This document is intended for educational purposes only. It is designed to facilitate compliance with payer requirements and applicable law, but please note that the applicable laws and requirements vary from payer to payer and state to state. Please check with your legal counsel or state licensing board for specific requirements.