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As New year has commenced, with so many other changes healthcare practices should also be prepared for ICD-10 changes. Here the question arises, Is Your Practice Already Prepared for the New ICD-10 2022 Guidelines? Don`t worry! In this article, you can adhere to the New ICD-10 Coding Guidelines 2022.

What are ICD-10 Guidelines?

In all healthcare settings, ICD-10-CM guidelines are used to classify diagnoses, morbidities, and reasons for patient visits. Healthcare providers, billers, and coders must use these guidelines and reporting requirements as companion documents to the official version of the ICD-10-CM.  ICD-10-CM and the ICD-10 code set under the new guidelines, including new, revised, and retired codes, are updated. The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS) also implement the newly updated International Classification of Diseases, 10th Revision, Clinical Modification, and the ICD-10 code set.

New ICD-10 Codes 2022 Guidelines

Total 72,748 codes are available this year including:

  • 159 new codes
  • 32 deleted codes
  • 20 revised codes

New Codes for COVID-19 Infection

New codes are available for 2022 to report conditions secondary to COVID-19 infection:

  • J12.82: Pneumonia due to Coronavirus disease 2019 (MCC)
  • M35.81: Multisystem inflammatory syndrome (CC)
  • M35.89: Other specified system involvement of connective tissue (CC)
  • Z11.52: Encounter for screening for COVID-19
  • Z20.822: Contact with and (suspected) exposure to COVID-19
  • Z86.16: Personal history of COVID-19
  • U09.9: Post COVID-19 condition, unspecified

New codes for conditions affecting the nervous system

In this category ICD-10 now includes 10 new codes, with many of them classified as MCC or CC codes. Some of these new codes include:

  • G04.82: Acute flaccid myelitis (MCC)
  • G44.86: Cervicogenic headache
  • G92.00: Immune effector cell-associated neurotoxicity syndrome, grade unspecified
  • G92.01: Immune effector cell-associated neurotoxicity syndrome, grade 1
  • G92.02: Immune effector cell-associated neurotoxicity syndrome, grade 2
  • G92.03: Immune effector cell-associated neurotoxicity syndrome, grade 3 (CC)
  • G92.04: Immune effector cell-associated neurotoxicity syndrome, grade 4 (CC)
  • G92.05: Immune effector cell-associated neurotoxicity syndrome, grade 5 (CC)
  • G92.8: Other toxic encephalopathy (MCC)
  • G92.9: Unspecified toxic encephalopathy (MCC)

ICD-10 2022 New and Deleted Codes

ICD-10-CM coding guideline changes for 2022 include numerous corrections to spelling errors, as well as significant changes to diseases and conditions. Code additions and deletions are also crucial areas of change.

The table below is a noteworthy breakdown of additions and deletions to the ICD-10-CM coding guidelines for 2022.

 

Chapter Action 2022 Codes 2022 Code Descriptions
1 New Code A79.82 Anaplasmosis [A. phagocytophilum]
2 New Code C56.3 Malignant neoplasm of bilateral ovaries
2 New Code C79.63 Secondary malignant neoplasm of bilateral ovaries
2 New Code C84.7A Anaplastic large cell lymphoma, ALK-negative, breast
3 New Code D55.21 Anemia due to pyruvate kinase deficiency
3 New Code D55.29 Anemia due to other disorders of glycolytic enzymes
3 New Code D75.83 Thrombocytosis
3 New Code D75.838 Other thrombocytosis
3 New Code D75.839 Thrombocytosis, unspecified
3 New Code D89.44 Hereditary alpha tryptasemia
4 New Code E75.244 Niemann-Pick disease type A/B
5 New Code F32.A Depression, unspecified
5 New Code F78.A Other genetic related intellectual disabilities
5 New Code F78.A1 SYNGAP1-related intellectual disability
5 New Code F78.A9 Other genetic related intellectual disability
6 New Code G04.82 Acute flaccid myelitis
6 New Code G44.86 Cervicogenic headache
6 New Code G92.0 Immune effector cell-associated neurotoxicity syndrome
6 New Code G92.00 Immune effector cell-associated neurotoxicity syndrome, grade unspecified
6 New Code G92.01 Immune effector cell-associated neurotoxicity syndrome, grade 1
6 New Code G92.02 Immune effector cell-associated neurotoxicity syndrome, grade 2
6 New Code G92.03 Immune effector cell-associated neurotoxicity syndrome, grade 3
6 New Code G92.04 Immune effector cell-associated neurotoxicity syndrome, grade 4
6 New Code G92.05 Immune effector cell-associated neurotoxicity syndrome, grade 5
6 New Code G92.8 Other toxic encephalopathy
6 New Code G92.9 Unspecified toxic encephalopathy
9 New Code I5A Non-ischemic myocardial injury (non-traumatic)
11 New Code K22.81 Esophageal polyp
11 New Code K22.82 Esophagogastric junction polyp
11 New Code K22.89 Other specified disease of esophagus
11 New Code K31.A Gastric intestinal metaplasia
11 New Code K31.A0 Gastric intestinal metaplasia, unspecified
11 New Code K31.A1 Gastric intestinal metaplasia without dysplasia
11 New Code K31.A11 Gastric intestinal metaplasia without dysplasia, involving the antrum
11 New Code K31.A12 Gastric intestinal metaplasia without dysplasia, involving the body (corpus)
11 New Code K31.A13 Gastric intestinal metaplasia without dysplasia, involving the fundus
11 New Code K31.A14 Gastric intestinal metaplasia without dysplasia, involving the cardia
11 New Code K31.A15 Gastric intestinal metaplasia without dysplasia, involving multiple sites
11 New Code K31.A19 Gastric intestinal metaplasia without dysplasia, unspecified site
11 New Code K31.A2 Gastric intestinal metaplasia with dysplasia
11 New Code K31.A21 Gastric intestinal metaplasia with low grade dysplasia
11 New Code K31.A22 Gastric intestinal metaplasia with high-grade dysplasia
11 New Code K31.A29 Gastric intestinal metaplasia with dysplasia, unspecified
12 New Code L24.A Irritant contact dermatitis due to friction or contact with body fluids
12 New Code L24.A0 Irritant contact dermatitis due to friction or contact with body fluids, unspecified
12 New Code L24.A1 Irritant contact dermatitis due to saliva
12 New Code L24.A2 Irritant contact dermatitis due to fecal, urinary, or dual incontinence
12 New Code L24.A9 Irritant contact dermatitis due to friction or contact with other specified body fluids
12 New Code L24.B Irritant contact dermatitis related to stoma or fistula
12 New Code L24.B0 Irritant contact dermatitis related to unspecified stoma or fistula
12 New Code L24.B1 Irritant contact dermatitis related to digestive stoma or fistula
12 New Code L24.B2 Irritant contact dermatitis related to respiratory stoma or fistula
12 New Code L24.B3 Irritant contact dermatitis related to fecal or urinary stoma or fistula
13 New Code M31.10 Thrombotic microangiopathy, unspecified
13 New Code M31.11 Hematopoietic stem cell transplantation-associated thrombotic microangiopathy [HSCT-TMA]
13 New Code M31.19 Other thrombotic microangiopathy
13 New Code M35.05 Sjögren syndrome with inflammatory arthritis
13 New Code M35.06 Sjögren syndrome with peripheral nervous system involvement
13 New Code M35.07 Sjögren syndrome with central nervous system involvement
13 New Code M35.08 Sjögren syndrome with gastrointestinal involvement
13 New Code M35.0A Sjögren syndrome with glomerular disease
13 New Code M35.0B Sjögren syndrome with vasculitis
13 New Code M35.0C Sjögren syndrome with dental involvement
13 New Code M45.A Non-radiographic axial spondyloarthritis
13 New Code M45.A0 Non-radiographic axial spondyloarthritis of unspecified sites in spine
13 New Code M45.A1 Non-radiographic axial spondyloarthritis of occipito-atlanto-axial region
13 New Code M45.A2 Non-radiographic axial spondyloarthritis of cervical region
13 New Code M45.A3 Non-radiographic axial spondyloarthritis of cervicothoracic region
13 New Code M45.A4 Non-radiographic axial spondyloarthritis of thoracic region
13 New Code M45.A5 Non-radiographic axial spondyloarthritis of thoracolumbar region
13 New Code M45.A6 Non-radiographic axial spondyloarthritis of lumbar region
13 New Code M45.A7 Non-radiographic axial spondyloarthritis of lumbosacral region
13 New Code M45.A8 Non-radiographic axial spondyloarthritis of sacral and sacrococcygeal region
13 New Code M45.AB Non-radiographic axial spondyloarthritis of multiple sites in spine
13 New Code M54.50 Low back pain, unspecified
13 New Code M54.51 Vertebrogenic low back pain
13 New Code M54.59 M54.59
16 New Code P00.82 Newborn affected by (positive) maternal group B streptococcus (GBS) colonization
16 New Code P09.1 Abnormal findings on neonatal screening for inborn errors of metabolism
16 New Code P09.2 Abnormal findings on neonatal screening for congenital endocrine disease
16 New Code P09.3 Abnormal findings on neonatal screening for congenital hematologic disorders
16 New Code P09.4 Abnormal findings on neonatal screening for cystic fibrosis
16 New Code P09.5 Abnormal findings on neonatal screening for critical congenital heart disease
16 New Code P09.6 Abnormal findings on neonatal screening for neonatal hearing loss
16 New Code P09.8 Other abnormal findings on neonatal screening
16 New Code P09.9 Abnormal findings on neonatal screening, unspecified
18 New Code R05.1 Acute cough
18 New Code R05.2 Subacute cough
18 New Code R05.3 Chronic cough
18 New Code R05.4 Cough syncope
18 New Code R05.8 Other specified cough
18 New Code R05.9 Cough, unspecified
18 New Code R35.81 Nocturnal polyuria
18 New Code R35.89 Other polyuria
18 New Code R45.88 Nonsuicidal self-harm
18 New Code R63.30 Feeding difficulties, unspecified
18 New Code R63.31 Pediatric feeding disorder, acute
18 New Code R63.32 Pediatric feeding disorder, chronic
18 New Code R63.39 Other feeding difficulties
18 New Code R79.83 Abnormal findings of blood amino-acid level
19 New Code S06.A Traumatic brain compression and herniation
19 New Code S06.A0 Traumatic brain compression without herniation
19 New Code S06.A1 Traumatic brain compression with herniation
19 New Code T40.71 Poisoning by, adverse effect of and underdosing of cannabis (derivatives)
19 New Code T40.711 Poisoning by cannabis, accidental (unintentional)
19 New Code T40.712 Poisoning by cannabis, intentional self-harm
19 New Code T40.713 Poisoning by cannabis, assault
19 New Code T40.714 Poisoning by cannabis, undetermined
19 New Code T40.715 Adverse effect of cannabis
19 New Code T40.716 Underdosing of cannabis
19 New Code T40.72 Poisoning by, adverse effect of and underdosing of synthetic cannabinoids
19 New Code T40.721 Poisoning by synthetic cannabinoids, accidental (unintentional)
19 New Code T40.722 Poisoning by synthetic cannabinoids, intentional self-harm
19 New Code T40.723 Poisoning by synthetic cannabinoids, assault
19 New Code T40.724 Poisoning by synthetic cannabinoids, undetermined
19 New Code T40.725 Adverse effect of synthetic cannabinoids
19 New Code T40.726 Underdosing of synthetic cannabinoids
19 New Code T80.82 Complication of immune effector cellular therapy
20 New Code Y35.899 Legal intervention involving other specified means, unspecified person injured
21 New Code Z55.5 Less than a high school diploma
21 New Code Z58 Problems related to physical environment
21 New Code Z58.6 Inadequate drinking-water supply
21 New Code Z59.00 Homelessness unspecified
21 New Code Z59.01 Sheltered homelessness
21 New Code Z59.02 Unsheltered homelessness
21 New Code Z59.41 Food insecurity
21 New Code Z59.48 Other specified lack of adequate food
21 New Code Z59.81 Housing instability, housed
21 New Code Z59.811 Housing instability, housed, with risk of homelessness
21 New Code Z59.812 Housing instability, housed, homelessness in past 12 months
21 New Code Z59.819 Housing instability, housed unspecified
21 New Code Z59.89 Other problems related to housing and economic circumstances
21 New Code Z71.85 Encounter for immunization safety counseling
21 New Code Z91.014 Allergy to mammalian meats
21 New Code Z91.51 Personal history of suicidal behavior
21 New Code Z91.52 Personal history of nonsuicidal self-harm
21 New Code Z92.85 Personal history of cellular therapy
21 New Code Z92.850 Personal history of Chimeric Antigen Receptor T-cell therapy
21 New Code Z92.858 Personal history of other cellular therapy
21 New Code Z92.859 Personal history of cellular therapy, unspecified
21 New Code Z92.86 Personal history of gene therapy
22 New Code U09 Post COVID-19 condition
22 New Code U09.9 Post COVID-19 condition, unspecified

Deleted codes

19 Deleted Code T40.7X Poisoning by, adverse effect of and underdosing of cannabis (derivatives
19 Deleted Code T40.7X1 Poisoning by cannabis (derivatives), accidental (unintentional)
19 Deleted Code T40.7X2 Poisoning by cannabis (derivatives), intentional self-harm
19 Deleted Code T40.7X3 Poisoning by cannabis (derivatives), assault
19 Deleted Code T40.7X4 Poisoning by cannabis (derivatives), undetermined
19 Deleted Code T40.7X5 Adverse effect of cannabis (derivatives
19 Deleted Code T40.7X6 Underdosing of cannabis (derivatives)

Note: There was no change or deletion to chapters not listed above.

Implementing Diagnosis Code Changes

To ensure that claims are paid, healthcare practices should integrate the 2022 ICD-10-CM coding guideline changes into their system.

To cut the risk of Billing/medical records in ICD-10-CM updates you must teach your staff and providers about the key changes to the 2022 ICD-10-CM coding guidelines. With this, you will improve efficiency and accuracy when choosing diagnosis codes – either electronically or on paper.

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