How an ICD-10-CM Code Proposal Becomes a Code

<p>How does a new ICD-10-CM diagnosis code make its way into the code set?</p><p>On this episode of <strong>AHCC Talk</strong>, AHCC Advisory Board member <strong>Sherri Parson, RN, HCS-D, HCS-O, HCS-H, COS-C</strong>, and <strong>Sue Bowman, MJ, RHIA, CCS, FAHIMA</strong>, Senior Director, Coding Policy and Compliance with AHIMA, join the discussion to explain the ICD-10-CM code proposal and approval process.</p><p>Learn what makes a strong proposal, what evidence submitters should provide, how proposals move through the ICD-10 Coordination and Maintenance Committee process, and why public comments can have a meaningful impact on the final outcome. The presentation emphasizes clinical validity, documentation, statistical and public health needs, and technical considerations when evaluating a proposed code or revision. </p><p>Then, AHCC Advisory Board member <strong>Lisa Selman-Holman, JD, BSN, RN, HCS-D</strong>, Vice President of Clinical Services with McBee, walks through the answer and rationale to the latest coding and OASIS scenario, including how code sequencing can change a patient&#39;s PDGM clinical grouping, functional category, and payment. </p><p><br></p><p>✅ Jan Milliman, HCS-D, Director, AHCC</p><p>✅ Sue Bowman, MJ, RHIA, CCS, FAHIMA, Senior Director, Coding Policy and Compliance AHIMA®</p><p>✅ Sherri Parson, RN, HCS-D, HCS-O,HCS-H, COS-C, Owner, Parson Coding/Consulting LLC, and Regulatory Advisor, LSHERA</p><p>✅ Lisa Selman-Holman, JD, BSN, RN, HCS-D, HCS-H, HCS-O, COS-C, Vice President of Clinical Services, McBee</p><p><br></p><p>Links Mentioned In The Episode</p><p><strong>🔗 </strong><a href="https://www.cdc.gov/nchs/icd/icd-10-maintenance/index.html" target="_blank" rel="ugc noopener noreferrer"><strong>ICD-10-CM Coordination &amp; Maintenance Committee</strong></a> </p><p>🔗<strong> </strong><a href="https://www.cdc.gov/nchs/icd/icd-10-cm/files.html" target="_blank" rel="ugc noopener noreferrer"><strong>ICD-10-CM code files, addenda, and guidelines</strong></a></p><p>🔗 <a href="cms.gov/medicare/coding-billing/icd-10-codes" target="_blank" rel="ugc noopener noreferrer"><strong>CMS ICD-10 website</strong></a></p><p>🔗 <a href="codingclinicadvisor.com" target="_blank" rel="ugc noopener noreferrer"><strong>AHA Coding Clinic</strong></a></p><p>🔗<a href="https://www.federalregister.gov/documents/2026/07/06/2026-13602/calendar-year-2027-home-health-prospective-payment-system-hh-pps-rate-update-requirements-for-the-hh" target="_blank" rel="