Implementation date: 10/06/2014 Effective date:. 0):. 44 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Source ICD-10-CM Code Target ICD-9-CM Code; E13. ICD-10-CM Diagnosis Code G60. 93 became effective on October 1, 2023. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. ICD-10-CM Diagnosis Code H47. 500 results found. Find the ICD-10-CM diagnosis codes for neuropathy, neuropathic, a group of disorders that affect the peripheral nervous system. Neurogenic bladder dysfunction NOS. Right superficial peroneal neuropathy; ICD-10-CM G57. 6% of discharges had a code of Polyneuropathy in Diabetes. 43 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Quality ID #126 Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy Neurological Evaluation 2023 COLLECTION TYPE: MIPS CLINICAL QUALITY MEASURES (CQMS) MEASURE TYPE: Process . E09. 40 Other specified diabetes mellitus with diabetic neuropathy, unspecifiedE11. This was the first year ICD-10-CM was implemented into the HIPAA code set. 03 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 0 - other international versions of ICD-10 G99. Need ICD-10 codes for diabetes mellitus? Check out this full list of ICD-9 and ICD 10 codes covering type 1, type 2, and other forms of diabetes. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Diabetic peripheral neuropathy was defined using the Japanese Disease Name Code 8845100 (type 2 diabetic peripheral neuropathy), 2505018 (diabetic peripheral neuropathy), or 8848768 (diabetic neuropathic pain). ICD-10-CM Code E11. Short description: Diabetes due to undrl condition w oth diabetic neuro comp; The 2024 edition of ICD-10-CM E08. 44 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 0 became effective on October 1, 2023. 0): 073 Cranial and peripheral nerve disorders with mcc; 074 Cranial and peripheral nerve disorders without mcc; Convert G57. E10. Zeng L, Alongkronrusmee D, van Rijn RM. Nutritional optic neuropathy. 1 - other international versions of ICD-10 G61. G60. Now let's take a look at common ICD codes for neuropathy: Neuropathy ICD-10 Codes. Here are the primary ICD-10 codes. Type 1 diabetes mellitus with diabetic neuropathy, unspecified - Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy E11. The most common types of Diabetes are E10 (Type I, Insulin Dependent, Juvenile, etc. 40 became effective on October 1, 2023. 22 dermatitis E11. ICD-10 code E11. 41 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 0 :. Definition. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). 40 [convert to ICD-9-CM] Other specified diabetes mellitus with diabetic neuropathy, unspecified. Read the "AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS (ICD-9)" newsletter article titled: "Diabetes with Loss of Protective Sensation (LOPS)" - Subscription required. HCC 17 Diabetes with acute complications RAF 0. Autonomic Peripheral Neuropathy Coding. Showing 1-25: ICD-10-CM Diagnosis Code E11. 9:. 60 - Sec DM neuro nt st uncn: Combination Flag -. Centers for Medicare and Medicaid Services and the National Center for. Code History. E0969. Diabetic Complication ICD-10-CM Code Coding Guidelines and Documentation Type 1 Type 2 Best Practices Diabetes Mellitus without Complications E10. 1 became effective on October 1, 2023. 2 [convert to ICD-9-CM] Neuropathy in association with hereditary ataxia. Amyotrophy and/or Myasthenia* E10. E10. 0. 40 is a valid billable ICD-10 diagnosis code for Other specified diabetes mellitus with diabetic neuropathy, unspecified . Type 1 Excludes. 1, 2 Peripheral neuropathy can be classified clinically. It is found in the 2024 version of the. 42 for unspecified diabetic neuropathy, E08. Idiopathic small fiber peripheral neuropathy; Neuropathy (nerve damage), hereditary sensory; Notalgia paresthetica; Dominantly inherited sensory neuropathy; Morvan's disease; Nelaton's syndrome; Recessively inherited sensory neuropathy. G60. 9 to ICD-9-CM. Furuncle of limb. 51. with each term mapped to one or more ICD-10-CM code(s). This is the American ICD-10-CM version of G62. 9 became effective on October 1, 2023. Type 1 diabetes mellitus. We aimed to assess whether metformin treatment is. Other hereditary and idiopathic neuropathies. E11. Type 2 diabetes mellitus with diabetic neuropathy, unspecified: E1141: Type 2 diabetes mellitus with diabetic mononeuropathy: E1142: Type 2 diabetes mellitus with diabetic polyneuropathy: E1143:You will find the answer right below. 9 is a billable diagnosis code used to specify polyneuropathy, unspecified. For diabetic neuropathy, you may want to try: Capsaicin. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. G60. 43: 249. E11. 21 - other international versions of ICD-10 E11. Short description: Drug/chem diabetes w neuro comp w diabetic neuropathy, unsp; The 2024 edition of ICD-10-CM E09. The 2024 edition of ICD-10-CM G61. 0 may differ. This is the American ICD-10-CM version of E13. 31. 42. E10. Peripheral autonomic neuropathy due to disease; Peripheral autonomic neuropathy with other disease; underlying disease, such as:; amyloidosis (E85. 41: YesPeripheral neuropathy is one of the most common neurologic problems encountered by family physicians. 43 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. Type 2 diabetes mellitus with diabetic neuropathy, unsp; Diabetes 2, with neurogenic erectile dysfunction; Diabetes type 2 with peripheral neuropathy; Diabetes type 2 with peripheral sensory. 40 is a billable diagnosis code used to specify a medical diagnosis of type 1 diabetes mellitus with diabetic neuropathy, unspecified. 43. PERKENI 2019. 329. 0), Cushing syndrome (E24. 3 or G62. 9 - with. 8% have foot problems such as amputations and numbness, compared with 10% of. 15 [convert to ICD-9-CM] Late syphilitic neuropathy. Early assessment and intervention for individuals with DPN are strongly advocated (2,3), as a substantial fraction of individuals with diabetes have signs of DPN at the time of or briefly. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). Drug or chemical induced diabetes mellitus with other specified complication. 40 - E09. 1 may differ. This is the American ICD-10-CM version of E11. 43 [convert to ICD-9-CM]To: File: CAG-00059 Diabetic Peripheral Neuropathy with Loss of Protective Sensation From: Sean Tunis, MD, MSc Director, Coverage and Analysis Group Steve E. 40 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Drug/chem diabetes w neuro comp w diabetic neuropathy, unsp; Drug induced diabetes with diabetic neuropathy; Neuropathy due to drug induced diabetes mellitus. Centers for Medicare and Medicaid Services and the National Center for. ICD-10-CM. Side effects may include a burning feeling and skin irritation. Diabetic neuropathy is the main cause of neuropathy in the world (). The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. Significant nerve problems (clinical neuropathy) can develop within the first 10 years after a diabetes diagnosis. View E13. Ischemic optic neuropathy, unspecified eye. Understanding. 43 [convert to ICD-9-CM]ICD-10-CM/PCS MS-DRG v41. 40 - other. The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) code for type 1 diabetes without complications is E10. diabetes mellitus - see E08-E13 with . These updates do not expand, restrict, or alter existing coverage policy. to type 2 diabetes mellitus; Ulcer toe, chronic; Ulcer, neuropathic foot, established; Ulcer, neuropathic, foot, new; Varicose ulcer of foot; Venous stasis edema with ulcer of foot; Venous stasis edema. Peripheral neuropathy affects 25% to 50% of patients with diabetes, depending on factors such as the patient's age, number of years with diabetes, and level of diabetes control. G58. A 'billable code' is detailed enough to be used to specify a medical diagnosis. 40 Type 2 diabetes mellitus with diabetic neuropathy,. 36 - other international versions of ICD-10 E11. 1 became effective on October 1, 2023. Please consult the code set for further information. 9 may differ. ICD-10-CM Diagnosis Code E10. Under the code category for E08, there is an Excludes1 note for several conditions, including type 2 diabetes mellitus. Coding Diabetes Mellitus with Assumed Conditions. This is the American ICD-10-CM version of H35. 00-E09. G99. ICD-10 code E11. 43 Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy . Access the full ICD-10 Coding Guide for $9. 43 may differ. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. This is the American ICD-10-CM version of G99. 40 became effective on October 1, 2023. However, few studies have examined the relationship between metformin treatment and diabetic peripheral neuropathy (DPN), and the available findings are contradictory. 43 is grouped within Diagnostic Related Group(s) (MS. ICD-10-CM Diagnosis Code G56. The 2024 edition of ICD-10-CM N31. 29 may differ. G90. 49 for Type 2 diabetes mellitus with other diabetic neurological complication is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases . ICD-10-CM Diagnosis Code E09. 610, Diabetes mellitus due to underlying condition. The code is linked to some Quality Measures as part of. The following DM Neuropathy ICD codes are billable: E11. Type 2 diabetes mellitus with diabetic mononeuropathy. 82 may differ. Overseen by AHIMA’s coding experts for the Journal of AHIMA website, the Code Cracker blog takes a look at challenging areas and documentation opportunities for coding and reimbursement. G60. Congenital deformities of feet. The following code (s) above G62. Check in each month for a new discussion. 3 - other international versions of ICD-10 G60. ICD-10-CM Codes. PDX Collection 0588 (continued) Other inflammatory polyneuropathies. In people with diabetes, 22. Showing 1-25: ICD-10-CM Diagnosis Code H47. ICD-10-CM Diagnosis Code E10. In ICD-10-CM, the code would simply be recorded as E11. Neuropathic arthropathy due to drug induced diabetes mellitus; ICD-10-CM E09. E10. 40 Type 2 diabetes mellitus with diabetic neuropathy, unspecifiedType 2 diabetes mellitus with diabetic cataract. - Diabetes, diabetic (mellitus) (sugar) - E11. Therefore, the correct code for Diabetic Neuropathy depends on which type of Diabetes the patient has. ICD-10-CM Diagnosis Code G60. Ø Example 3E13. ICD-10 code. 9, G63, E11. The provider documented “Combination type 1 and type 2, diabetes mellitus in poor control. 40 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 4 Type 2 diabetes mellitus with neurological complications. Neuropathy can be categorized into various types, such as diabetic neuropathy, peripheral neuropathy, autonomic neuropathy, and others. ICD-10-CM Diagnosis Code E10. 642 [convert to ICD-9-CM]E08. E11. TYPE I DIABETIC IN KETOACIDOSIS WITH OSTEOMYELITIS. Neoplasm of unspecified behavior of unspecified siteICD 10 code for Other specified diabetes mellitus with diabetic neuropathic arthropathy. 42 – DM with polyneuropathy. 9 became effective on October 1, 2023. 42: Yes E11. 10:219-228. 500 results found. E11. 40 [convert to ICD-9-CM] Type 2 diabetes mellitus with diabetic neuropathy, unspecified. 40 became effective on October 1, 2023. 40 (DM with neuropathy) Other hereditary and idiopathic neuropathies. 0. G62. 2023. Diabetic neuropathy 6. The ICD-10-CM provides specific codes to accurately diagnose, treat, and bill for this complication. 31. 43: 249. Call Direct:. 40 [convert to ICD-9-CM] Other specified diabetes mellitus with diabetic neuropathy, unspecified Oth diabetes. 40 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified. 3 [convert to ICD-9-CM] Toxic. ) and E11 (Type 2, Adult Onset, Non-insulin. 49 for other diabetic neuropathy. diabetic autonomic (poly)neuropathy — diabetic gastroparesis . Get free rules, notes, crosswalks, synonyms, history for ICD-10 code E09. Diabetic nephropathy 7. The 2024 edition of ICD-10-CM E11. Search Results. 40 Other specified diabetes mellitus with diabetic neuropathy, unspecifiedICD-10-CM Diagnosis Code K55. It is found in the 2023 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2022 - Sep 30, 2023 . with neuropathy. Personal history of (corrected) gastroschisis. 65 Type 2 diabetes Code: mellitus with hyperglycemia Plan: Continue Neurontin and improve glucose control Initial Diagnosis Assessment: 66 year old female with controlled diabetes with neurological manifestations500 results found. 1 [convert to. ICD-10-CM E13. Drug or chemical induced diabetes mellitus with neurological complications with diabetic neuropathy, unspecified. 49 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. E10. Ischemic optic neuropathy. This is the American ICD-10-CM version of E13. This. Extravasation of vesicant antineoplastic chemotherapy. The code is linked to some Quality Measures as part of. 29 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified: E08. Further Examples of Combination Coding for ICD-10 include: I26. Endocrine, nutritional and metabolic diseases. -), cystic fibrosis (E84. 2 may differ. The code is valid during the current. Asymptomatic varicose veins of lower extremities. 40 [convert to ICD-9-CM] Type 2 diabetes mellitus with diabetic neuropathy, unspecified. Many of these individuals will require treatment, and the. 500 results found. Diab due to undrl cond w diabetic autonm (poly)neuropathy; Diabetes mellitus due to underlying condition with diabetic gastroparesis. ICD-10-CM does assume the link between diabetes and multiple. E11. 40 – Type 1 Diabetes with Diabetic Neuropathy; These codes help healthcare professionals accurately document and bill for cases of Diabetic Neuropathy in patients with Type 1 and Type 2 diabetes. E13. Plan: 1. Autonomic neuropathy in diseases classified elsewhere. ICD-10-CM Diagnosis Code S90. 0, G60. 00-E11. Type 1 diabetes mellitus (E10) Type 1 diabetes mellitus with diabetic polyneuropathy (E10. 9 Mononeuropathy, unspecified . 43. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. 40 free coding rules and guidelines, index. Its complex pathophysiology is not yet fully elucidated, which contributes to underassessment and undertreatment. 42) are billable codes under the ICD-10-CM system. Drug or chemical induced diabetes mellitus with hyperglycemia. 43 cataract E11. 1 may differ. This is the American ICD-10-CM version of R73. 9 - with. 0 [convert to ICD-9-CM] Auditory hallucinations. The 2024 edition of ICD-10-CM E10. Therefore, the correct code for Diabetic Neuropathy depends on which type of Diabetes the patient has. E11. 40 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 8 [convert to ICD-9-CM] Type 1 diabetes mellitus with unspecified complications. 42. codes. Hereditary and idiopathic neuropathy, unspecified. Drug or chemical induced diabetes mellitus with neurological complications with diabetic neuropathy, unspecified. Gangrene of small intestine; Necrosis of small intestine. Charcot's joint, right hand; Charcots joint of right hand; Neuropathic osteoarthropathy of right hand; Nonsyphilitic charcots joint of right hand. Type 2 diabetes mellitus. ICD-10-CM Diagnosis Code E11. 500 results found. 500 results found. Idiopathic small fiber peripheral neuropathy; Neuropathy (nerve damage), hereditary sensory; Notalgia paresthetica; Dominantly inherited sensory neuropathy; Morvan's disease; Nelaton's syndrome; Recessively inherited sensory neuropathy. ICD-10-CM Diagnosis Code E10. Although the term “diabetic neuropathy” encompasses a broad spectrum of. 1 [convert to ICD-9-CM] Small kidney, bilateral. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code E11. Peripheral Neuropathy, continued ICD‐10‐CM Coding examples Example 1 Final Diagnosis Type 1 diabetes mellitus, uncontrolled with diabetic autonomic neuropathy ICD‐10‐CM code :s ; E1Ø. 6, 7 Peripheral. (ICD-10) codes of E11. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code E13. The 2024 edition of ICD-10-CM G99. The 2024 edition of ICD-10-CM A52. E10. 0 became effective on October 1, 2023. 42 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ICD-10-CM Diagnosis Code I87. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ICD-10-CM Code for Type 2 diabetes mellitus with other diabetic neurological complication E11. The 2024 edition of ICD-10-CM G61. 302A [convert to ICD-9-CM] Unspecified injury of muscle (s) and tendon (s) of peroneal muscle group at lower leg level, left leg, initial encounter. Introduction. Type 2 diabetes mellitus with diabetic neuropathy, unsp; Diabetes 2, with neurogenic erectile dysfunction; Diabetes type 2 with peripheral neuropathy; Diabetes type 2 with peripheral sensory. The code is linked to some Quality Measures as part of. 40 became effective on October 1, 2023. ICD-10-CM Diagnosis Code G60. E1040. 43 diabetes mellitus with diabetic autonomic (poly)neuropathyICD-10-CM/PCS MS-DRG v35. ICD-10-CM Diagnosis Code A52. Diabetes is one of the fastest-growing health challenges of the 21 st century, with the number of adults living with diabetes having more than tripled over the past 20 years (). ICD-10-CM Diagnosis Code Q66. Sometimes, neuropathy can be the first sign of diabetes. The 2024 edition of ICD-10-CM. 2 - other international versions of ICD-10 G62. 4x, Diabetes mellitus due to underlying condition with neurological complications E08. 43: Diabetes mellitus due to underlying condition with diabetic. E11. 033 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 became effective on October 1, 2023. 500 results found. An EMG was done and it showed peripheral neuropathy. This is the American ICD-10-CM version of G56. 40 [convert to ICD-9-CM] Drug or chemical induced diabetes mellitus with neurological complications with diabetic neuropathy, unspecified. 40 may differ. E098. 023 [convert to ICD-9-CM] Atheroembolism of bilateral lower extremities. The 2024 edition of ICD-10-CM G90. Idiopathic small fiber peripheral neuropathy; Neuropathy (nerve damage), hereditary sensory; Notalgia paresthetica; Dominantly inherited sensory neuropathy; Morvan's disease; Nelaton's syndrome; Recessively inherited sensory neuropathy. Bilateral small kidney; Small kidneys, bilateral. 9 E11. 40 [convert to ICD-9-CM] Type 2 diabetes mellitus with diabetic neuropathy, unspecified. 40–E11. 3 Idiopathic progressive neuropathy. This is the American ICD-10-CM version of G58. G56. Type 2 diabetes mellitus with diabetic neuropathy, unspecified: E1141: Type 2 diabetes mellitus with diabetic mononeuropathy: E1142: Type 2 diabetes. ICD-10-CM Diagnosis Code E13. Déjérine-Sottas disease. The 2024 edition of ICD-10-CM G63 became effective on October 1, 2023. Diabetes continues to be a challenge for coders since the new instruction/guideline was released in AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS, First Quarter 2016. This disabling condition occurs in type 1 and type 2 DM. 43 Type 2 diabetes w diabetic autonomic (poly)neuropathy. Idiopathic small fiber peripheral neuropathy; Neuropathy (nerve damage), hereditary sensory; Notalgia paresthetica; Dominantly inherited sensory neuropathy; Morvan's disease; Nelaton's syndrome; Recessively inherited sensory neuropathy. This is the American ICD-10-CM version of B02. Type 2 diabetes mellitus with diabetic neuropathy, unsp; Diabetes 2,. 43 [convert to ICD-9-CM] Type 2 diabetes mellitus with diabetic nephropathy. Proximal neuropathy in diabetes mellitus (DM) is a condition in which patients develop severe aching or burning and lancinating pain in the hip and thigh. G99. This chronic painful neuropathy is common among people of all ages with either type 1 or type 2 diabetes. Showing 1-25: ICD-10-CM Diagnosis Code E11. BackgroundMetformin treatment is associated with vitamin B12 deficiency, which is a risk factor for neuropathy. Diabetic neuropathy is one of the most prevalent chronic complications in adults with type 1 or type 2 diabetes while also affecting individuals with prediabetes and young people with diabetes, with an estimated lifetime prevalence exceeding 50% (1–4). 0, G62. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code E08. 9 became effective on October 1, 2023. Other hereditary and idiopathic neuropathies. ICD-10-CM Coding Rules. Its prevalence has been estimated as being. 9 became effective on October 1, 2023. Dalam dunia medis, ada lebih dari 100 jenis kerusakan saraf, namun secara garis besar neuropati dapat dibagi. 2 became effective on October 1, 2023. 9. Idiopathic small fiber peripheral neuropathy; Neuropathy (nerve damage), hereditary sensory; Notalgia paresthetica; Dominantly inherited sensory neuropathy; Morvan's disease; Nelaton's syndrome; Recessively inherited sensory neuropathy. There has been some confusion among coding professionals regarding interpretation of the coding. ↓ See below for any exclusions, inclusions or special notations. 49 . G61. (Note: The category of diabetes in ICD-10-CM depends on the documented type of diabetes. 40 is a valid billable ICD-10 diagnosis code for Other specified diabetes mellitus with diabetic neuropathy, unspecified . Short description: Neuropathy in diabetes. 0 Definitions Manual: Skip to content : Appendix C: Principal diagnoses which convert CC/MCC to non-CC:. In this example, we default to E11 Type 2 diabetes mellitus, as directed by ICD-10-CM, because the. This is the American ICD-10-CM version of E11. 40 - E11. ICD-10-CM Diagnosis Code E10. 3 [convert to ICD-9-CM]. E11. However, if diabetes is not Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy: E1044: Type 1 diabetes mellitus with diabetic amyotrophy: E1049: Type 1 diabetes mellitus with other diabetic neurological complication: E10618: Type 1 diabetes mellitus with other diabetic arthropathy: E10620: Type 1 diabetes mellitus with diabetic dermatitis: E10621 Search Results. Diagnosis requires careful examination of the lower limbs. 01. Note: DM with peripheral neuropathy should be coded as E11. Diabetes continues to be a challenge for coders since the new instruction/guideline was released in AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS, First Quarter 2016. E11. ICD-10-CM Diagnosis Code E10. Intercostal neuralgia; Neuralgia, intercostal; Neuropathy (nerve damage), intercostal nerve. type 2 diabetes mellitus ( E11 . 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 03 became effective on October 1, 2023.