FY2021 ICD-10-CM Coding Updates and Coding Guidelines

November 25, 2020


Each October 1st, the ICD-10-CM codes and coding guidelines are updated. The new guidelines for FY2021 include new coding instructions and codes related to COVID-19 plus new codes and guidelines related to vaping illnesses and lung injuries. ICD-10-CM codes have a major impact on PDPM payment for Medicare, Managed Medicare and beginning 10/1/2020 may also impact case mix payment in states requiring the PDPM HIPPS codes on all of the MDS assessments completed. Additionally, ICD-10-CM codes are added, deleted and changed each October. The SNF team must learn which codes must be added, deleted and updated for present residents so that their medical records are accurate.

Learning Objectives:
1. Participants can name one new COVID diagnosis guideline.
2. Participants can explain how to code an asymptomatic COVID positive resident.
3. Participants will state one new coding guideline related to vaping.
4. NHAs can report when new ICD-10-CM codes and guidelines become effective.



Carol Maher is a Board Certified Gerontological Registered Nurse with over 30 years of long term care experience and has worked in long term care in many roles. She worked as the MDS Coordinator in a 300 bed SNF in Pennsylvania for 8 years before moving to CA to become the MDS Coordinator/Director for a 1200 bed SNF in San Francisco. She has also worked as the MDS Coordinator in a SNF that typically had 60-75 residents on Medicare in addition to 160 long-term care residents. Most recently she was the Senior VP of Utilization Services and Director of Reimbursement for large multi-facility organizations.

Carol has worked as one of the Gold Standard nurses for MDS 3.0, serving on the RAP workgroup to prepare the way for the CAAs for MDS 3.0, and participating on a number of Technical Expert Panels related to MDS, Quality Measures and care planning. A sought-after speaker, she has given presentations at AANAC, AHCA and Leading Age national conferences as well as many state organization presentations. She is also a frequent author of articles related to the RAI process and PPS. Carol served as a member of the AANAC Board of Directors for 9 years. She is presently serving as the chair of the AANAC Expert Advisory Panel and as an AANAC Master Teacher of the RAC-CT and RAC-CTA certification courses. Ms. Maher is the Director of Education for Hansen Hunter & Co. P.C., providing MDS and Medicare classes across the country, presenting monthly educational webinars and completing compliance audits. She is the author of Long-Term Care MDS Coordinator’s Field Guide (HCPRO 2016).

Credit Hours

  • 1 credit hours for RNs
  • 1 credit hours for NABs

This pre-recorded webinar expires on October 1, 2021.


Hansen Hunter & Co. P.C. clients are invited to access any of our webinars for free by contacting Allison Johnson at our office at 503.244.2134 to receive your free registration code.