The final rule contains 78,220 code changes, up by 117 from FY 2021.
The Centers for Medicare & Medicaid Services (CMS) has released the final ICD-10-PCS codes and guidelines for the 2022 fiscal year (FY).
The files included in the release include the Addenda File, Code Tables and Index file, FY 2022 PCS Version Update Summary, Order File, Codes File, and Conversion Table, in addition to the FY 2022 ICD-10-PCS guidelines.
The changes to the classification between FY 2021 and FY 2022 are shown below:
|
Section |
FY21 |
FY22 |
Net Changes |
|
Medical and Surgical |
67,655 |
67,754 |
+99 |
|
Obstetrics |
304 |
304 |
0 |
|
Placement |
861 |
861 |
0 |
|
Administration |
1,336 |
1,253 |
-83 |
|
Measurement & Monitoring |
421 |
422 |
+1 |
|
Extracorporeal or Systems Assistance |
51 |
52 |
+1 |
|
Extracorporeal or Systems Therapies |
46 |
46 |
0 |
|
Osteopathic |
100 |
100 |
0 |
|
Other Procedures |
78 |
78 |
0 |
|
Chiropractic |
90 |
90 |
0 |
|
Imaging |
2,973 |
2,977 |
+4 |
|
Nuclear Medicine |
463 |
463 |
0 |
|
Radiation Therapy |
2,087 |
2,087 |
0 |
|
Physical Rehabilitation and Audiology |
1,380 |
1,380 |
0 |
|
Mental Health |
30 |
30 |
0 |
|
Substance Abuse |
59 |
59 |
0 |
|
New Technology |
169 |
264 |
+95 |
|
Grand Total |
78,103 |
78,220 |
+117 |
The ICD-10-PCS FY 2022 guidelines represent changes in B3.7 (control versus more definitive root operations); B4.1c (general guidelines for body part); B4.8 (upper and lower intestinal tract); and E1.a and E1.b (general guidelines for new technology).
CMS has included a new PDF file for the ICD-10-PCS Index and code tables, which is being recreated by many coding book publishers. The conversion table is used to map data from FY 2021 to FY 2022 (and the reverse). The Order File is used by code developers. The addenda file is the file that you’ll want to review to see the specific changes in procedure codes for FY 2022.
Programming Note:
Listen to Laurie Johnson report on this story live on Talk Ten Tuesdays, coming up on Tuesday, June 8 at 10 a.m. EST.
Resources:
Guidelines: https://www.cms.gov/files/document/2022-official-icd-10-pcs-coding-guidelines.pdf
New Codes: https://www.cms.gov/medicare/icd-10/2022-icd-10-pcs
Today, we are continuing our January look at 2026 CPT code updates. As a reminder there were 5,933 new CPT codes with the January 1
I often begin my day with an environmental scan. Last week, an article from Becker’s Clinical Leadership caught my eye, “Hospital mortality, infectionrates improve despite
Please log in to your account to comment on this article.
Accurately determining the principal diagnosis is critical for compliant billing, appropriate reimbursement, and valid quality reporting — yet it remains one of the most subjective and error-prone areas in inpatient coding. In this expert-led session, Cheryl Ericson, RN, MS, CCDS, CDIP, demystifies the complexities of principal diagnosis assignment, bridging the gap between coding rules and clinical reality. Learn how to strengthen your organization’s coding accuracy, reduce denials, and ensure your documentation supports true medical necessity.
Denials continue to delay reimbursement, increase administrative burden, and threaten financial stability across healthcare organizations. This essential webcast tackles the root causes—rising payer scrutiny, fragmented workflows, inconsistent documentation, and underused analytics—and offers proven, data-driven strategies to prevent and overturn denials. Attendees will gain practical tools to strengthen documentation and coding accuracy, engage clinicians effectively, and leverage predictive analytics and AI to identify risks before they impact revenue. Through real-world case examples and actionable guidance, this session empowers coding, CDI, and revenue cycle professionals to shift from reactive appeals to proactive denial prevention and revenue protection.
Sepsis remains one of the most frequently denied and contested diagnoses, creating costly revenue loss and compliance risks. In this webcast, Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, provides practical, real-world strategies to align documentation with coding guidelines, reconcile Sepsis-2 and Sepsis-3 definitions, and apply compliant queries. You’ll learn how to identify and address documentation gaps, strengthen provider engagement, and defend diagnoses against payer scrutiny—equipping you to protect reimbursement, improve SOI/ROM capture, and reduce audit vulnerability in this high-risk area.
Only ICD10monitor delivers what you need: updates on must-know changes associated with the FY26 IPPS, including new ICD-10-CM/PCS codes, CCs/MCCs, and MS-DRGs, plus insights, analysis and answers to your questions from two of the country’s most respected subject matter experts.
Stay ahead of the 2026-2027 audit surge with “Top 10 Audit Targets for 2026-2027 for Hospitals & Physicians: Protect Your Revenue,” a high-impact webcast led by Michael Calahan, PA, MBA. This concise session gives hospitals and physicians clear insight into the most likely federal audit targets, such as E/M services, split/shared and critical care, observation and admissions, device credits, and Two-Midnight Rule changes, and shows how to tighten documentation, coding, and internal processes to reduce denials, recoupments, and penalties. Attendees walk away with practical best practices to protect revenue, strengthen compliance, and better prepare their teams for inevitable audits.
As AI reshapes healthcare compliance, the risk of biased outputs and opaque decision-making grows. This webcast, led by Frank Cohen, delivers a practical Four-Pillar Governance Framework—Transparency, Accountability, Fairness, and Explainability—to help you govern AI-driven claim auditing with confidence. Learn how to identify and mitigate bias, implement robust human oversight, and document defensible AI review processes that regulators and auditors will accept. Discover concrete remedies, from rotation protocols to uncertainty scoring, and actionable steps to evaluate vendors before contracts are signed. In a regulatory landscape that moves faster than ever, gain the tools to stay compliant, defend your processes, and reduce liability while maintaining operational effectiveness.
Get clear, practical answers to Medicare’s most confusing regulations. Join Dr. Ronald Hirsch as he breaks down real-world compliance challenges and shares guidance your team can apply right away.
Federal auditors are zeroing in on Inpatient Rehabilitation Facility (IRF) and hospital rehab unit services, with OIG and CERT audits leading to millions in penalties—often due to documentation and administrative errors, not quality of care. Join compliance expert Michael Calahan, PA, MBA, to learn the five clinical “pillars” of IRF-PPS admissions, key documentation requirements, and real-life case lessons to help protect your revenue.
Prepare for the 2025 CMS IPPS Final Rule with ICD10monitor’s IPPSPalooza! Click HERE to learn more
Get 15% OFF on all educational webcasts at ICD10monitor with code JULYFOURTH24 until July 4, 2024—start learning today!
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 1 with code CYBER25
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24
