FY2023 ICD-10-CM Coding Guidelines and Code Changes

September 9, 2022


The 2023 ICD-10-CM Code Updates go into effect on October 1st. This webinar will review each of the changes to the ICD-10-CM coding guidelines that impact long-term care, including changes to: Dementia coding, long-term injectable non-insulin medication use, sepsis coding, HIV coding, etc. ICD-10-CM coding accuracy is required by HIPAA. The facility clinical team must ensure that diagnosis coding is accurately completed in each medical record. ICD-10-CM coding impacts payment under PDPM.

This webinar will end with recommendations that will assist facilities to understand the steps that need to be taken each October 1st when the coding guidelines and ICD-10-CM codes are updated with additions, revisions, and/or deletions.

Learning Objectives:

  1. State the new code for mild Dementia in diseases classified elsewhere.
  2. List one new item that can be coded when documented by a non-physician practitioner.
  3. Explain the change to coding related to insulin and oral anti-hypoglycemic medications.
  4. Report three steps that should be taken each October 1st to ensure the resident ICD-10-CM.



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, 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

  • 1.5 hours for Licensed Nurses
  • 1.5 NAB hours for Nursing Home Adminstrators

This pre-recorded webinar expires on August 26, 2024.


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.


  • This nursing continuing professional development activity was approved by Montana Nurses Association, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation.
  • Enduring material: To meet the requirements for these contact hours, you must watch the entire recorded presentation as well as answer and submit the post-test evaluation that is provided as a link along with the link to your webinar which you will receive via email after completing your purchase.