New codes are effective Oct. 1, 2021.
Highly anticipated, the fiscal year 2022 ICD-10-CM codes have been released by the Centers for Disease Control and Prevention (CDC), although still pending are the 2022 Official Coding and Reporting Guidelines which were not included in the package of new codes.
We are still waiting for the release of the 2022 Inpatient Prospective Payment System (IPPS) Final Rule in early August 2021. The CDC release on Wednesday contains 159 new codes, along with the Tabular and Index Addenda. The following is a synopsis of the new codes by chapter.
|
Chapter |
Description |
Begins With |
# New Codes |
Chapter Notes |
|
1 |
Infectious and Parasitic Diseases |
A-B |
1 |
New code A77.49 (Ehrlichiosis) |
|
2 |
Neoplasms |
C-D49 |
3 |
New codes for malignant bilateral ovaries as primary and secondary. |
|
3 |
Diseases of Blood and Blood Forming Organs |
D50 – D99 |
5 |
Expansion of D75.83 (thrombocytosis) |
|
4 |
Endocrine, Nutritional, and Metabolic Diseases |
E |
1 |
E75.244 (Niemann-Pick Disease A/B) |
|
5 |
Mental, Behavioral, and Neurodevelopmental Disorders |
F |
3 |
Expansion of depression (F32.-) |
|
6 |
Diseases of the Nervous System |
G |
10 |
Expansion of toxic encephalopathy (G92) |
|
7 |
Diseases of the Eye |
H – H59 |
0 |
|
|
8 |
Diseases of the Ear and Mastoid Process |
H60 – H99 |
0 |
|
|
9 |
Diseases of the Circulatory System |
I |
1 |
I5A (non-ischemic myocardial injury) |
|
10 |
Diseases of the Respiratory System |
J |
0 |
|
|
11 |
Diseases of the Digestive System |
K |
13 |
New subcategory, Gastric Intestinal Metaplasia (K31.A-) |
|
12 |
Diseases of Skin and Subcutaneous Tissue |
L |
8 |
New subcategories for Irritant Dermatitis (L24.A-, L24.B-) |
|
13 |
Diseases of the Musculoskeletal System |
M |
23 |
Expansion of Sjogren Syndrome (M35.0-), Non-Radiographic Axial Spondyloarthritis (M45.A-), and Low Back Pain (M54.5-) |
|
14 |
Diseases of Genitourinary System |
N |
0 |
|
|
15 |
Pregnancy, Childbirth, and Puerperium |
O |
0 |
|
|
16 |
Conditions Originating in the Perinatal Period |
P |
9 |
Expansion of Abnormal Findings on Neonatal Screening (P09.-) |
|
17 |
Congenital Malformations, Deformations, and Chromosomal Abnormalities |
Q |
0 |
|
|
18 |
Signs, Symptoms, and Abnormal Clinical and Laboratory Findings |
R |
14 |
Expansion of Cough (R05.-), Feeding Difficulties (R63.3-) |
|
19 |
Injuries and Poisonings |
S-T |
45 |
Traumatic brain compression and herniation (S06.A0-), Poisoning and adverse effect by cannabis (T40.7-) |
|
20 |
External Causes |
V, W, X, Y |
3 |
Legal intervention involving other means (Y35.899-) |
|
21 |
Factors Influencing Health Status |
Z |
19 |
Additions to Social Determinants of Health (Z55.5 – Less than High School Diploma; Z58.6 – Inadequate drinking/water supply; Expansion of Z59.0- Homelessness; Z59.4 Lack of food; Z59.8- Other Problems Related to Housing and Economic Circumstances) |
|
22 |
Codes for Special Purposes |
U |
1 |
U09.9 – Post-COVID-19 Condition, Unspecified |
The Chapter Notes do not include all new codes, but they do provide a highlight from the chapter. There were also many changes made in the coding instructions in the Tabular. A review of the Tabular Addenda is encouraged to become more familiar with the coding instructions.
The last documents needed for preparation for FY22 are the Official Coding and Reporting Guidelines for 2022 ICD-10-CM and Final Rule for Inpatient Prospective Payment System (IPPS).
Programming Note:
Listen to Laurie Johnson report this developing story live during the next live edition Talk Ten Tuesdays, 10 Eastern.
Resources:
https://www.cdc.gov/nchs/icd/icd10cm.htm
This week I thought I would revisit the concept of what provider documentation is. It is becoming increasingly difficult for clinical documentation integrity (CDI) and
UnitedHealthcare (UHC) Medicare Advantage will begin reinforcing denialsbased on its interpretation of the International Classification of Disease, 10 thEdition, Clinical Modification (ICD-10-CM) Excludes 1.(https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-reimbursement/rpub/UHC-MEDADV-RPUB-JAN-2026.pdf) As
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