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2022 New ICD-10 Codes Changes : What You Need to Know to Get Paid

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CMS just released their updates to the ICD-10, which will apply to all services performed between October 1st, 2021, and September 30th, 2022. For the fiscal year (FY) 2022, there are 159 new codes, 32 deleted codes, and 20 revised codes – a total of 72,748 codes to choose from.
2022 New ICD-10 Codes Changes

2022 New ICD-10 Codes Changes : What You Need to Know to Get Paid

What’s New in 2022

CMS just released their updates to the ICD-10, which will apply to all services performed between October 1st, 2021, and September 30th, 2022. For the fiscal year (FY) 2022, there are 159 new codes, 32 deleted codes, and 20 revised codes – a total of 72,748 codes to choose from.

Below are highlights from the 43-page ICD-10-CM Tabular List of Diseases and Injuries 2022 Addenda. We’ll focus mostly on codes, so be sure to check for note and instruction updates in the official code set as you dig deeper into the changes that affect you.

2022 New ICD-10 COVID code

For FY 2022, there is a new code for providers to report conditions resulting secondary to COVID-19 infection (sequelae):

  • U09.9: Post COVID-19 condition, unspecified

The new code above joins the six new codes that were added on January 1, 2021:

  • 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

CHAPTER 1 : Certain Infectious and Parasitic Diseases (A00-B99)

2022 ICD-10-CM code set adds one code to this chapter:

ICD-10 Chapter Codes Code Description
1 A79.82 Anaplasmosis [A. phagocytophilum]

CHAPTER 2 : Neoplasms (C00-D49)

Chapter 2 now includes three new codes.

ICD-10 Chapter Codes Code Description
2 C84.7A Anaplastic large cell lymphoma, ALK-negative, breast.
2 C56.3 Malignant neoplasm of bilateral ovaries
2 C79.63 Secondary malignant neoplasm of bilateral ovaries

CHAPTER 3 : Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89)

The 2022 code set brings five new codes to this chapter.

ICD-10 Chapter Codes Code Description
3 D55.21 Anemia due to pyruvate kinase deficiency
3 D55.29 Anemia due to other disorders of glycolytic enzymes
3 D75.83 Thrombocytosis
3 D75.838 Other thrombocytosis
3 D75.839 Thrombocytosis unspecified

CHAPTER 4 : Endocrine, Nutritional and Metabolic Diseases (E00-E89)

The primary update to this chapter is the addition of one code

  • E75.24– Niemann-Pick disease: E75.244 Niemann-Pick disease type A/B.

CHAPTER 5 : Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)

Changes in Chapter 5 include one new code for depression

ICD-10 Chapter Codes Code Description
5 F32.A Depression, unspecified
5 F78 Other intellectual disabilities
5 F78.A Other genetic related intellectual disabilities
5 F78.A1 SYNGAP1-related intellectual disability
5 F78.A19 Other genetic related intellectual disability

CHAPTER 6 : Diseases of the Nervous System (G00-G99)

ICD-10 now includes an additional 10 new codes in this category, with many classified as MCC or CC codes (please see above). The new codes in this category include the following:

ICD-10 Chapter Codes Code Description
6 G04.82 Acute flaccid myelitis (MCC)
6 G44.86 Cervicogenic headache
6 G92.00 Immune effector cell-associated neurotoxicity syndrome, grade unspecified
6 G92.01 Immune effector cell-associated neurotoxicity syndrome, grade 1
6 G92.02 Immune effector cell-associated neurotoxicity syndrome, grade 2
6 G92.03 Immune effector cell-associated neurotoxicity syndrome, grade 3 (CC)
6 G92.04 Immune effector cell-associated neurotoxicity syndrome, grade 4 (CC)
6 G92.05 Immune effector cell-associated neurotoxicity syndrome, grade 5 (CC)
6 G92.8 Other toxic encephalopathy (MCC)
6 G92.9 Unspecified toxic encephalopathy (MCC)

CHAPTER 9 : Diseases of the Circulatory System (I00-I99)

The 2022 code set does add one code to Chapter 9

  • I5A Non-ischemic myocardial injury (non-traumatic).

CHAPTER 11 : Diseases of the Digestive System (K00-K95)

For FY 2022, ICD-10 now includes 13 new codes in this category:

ICD-10 Chapter Codes Code Description
11 K22.81 Esophageal polyp
11 K22.82 Esophagogastric junction polyp
11 K22.89 Other specified disease of esophagus
11 K31.A0 Gastric intestinal metaplasia, unspecified
11 K31.A11 Gastric intestinal metaplasia without dysplasia, involving the antrum
11 K31.A12 Gastric intestinal metaplasia without dysplasia, involving the body (corpus)
11 K31.A13 Gastric intestinal metaplasia without dysplasia, involving the fundus
11 K31.A14 Gastric intestinal metaplasia without dysplasia, involving the cardia
11 K31.A15 Gastric intestinal metaplasia without dysplasia, involving multiple sites
11 K31.A19 Gastric intestinal metaplasia without dysplasia, unspecified site
11 K31.A21 Gastric intestinal metaplasia with low-grade dysplasia
11 K31.A22 K31.A22: Gastric intestinal metaplasia with high-grade dysplasia
11 K31.A29 Gastric intestinal metaplasia with dysplasia, unspecified

CHAPTER 12 : Diseases of the Skin and Subcutaneous Tissue (L00-L99)

The update brings eight new codes to Chapter 12.

ICD-10 Chapter Codes Code Description
12 L24.A Irritant contact dermatitis due to friction or contact with body fluids
12 L24.A0 Irritant contact dermatitis due to friction or contact with body fluids unspecified
12 L24.A1 Irritant contact dermatitis due to saliva
12 L24.A2 Irritant contact dermatitis due to fecal urinary or dual incontinence
12 L24.A9 Irritant contact dermatitis due friction or contact with other specified body fluids
12 L24.B Irritant contact dermatitis related to stoma or fistula
12 L24.B0 Irritant contact dermatitis related to unspecified stoma or fistula
12 L24.B1 Irritant contact dermatitis related to digestive stoma or fistula
12 L24.B2 Irritant contact dermatitis related to respiratory stoma or fistula
12 L24.B3 Irritant contact dermatitis related to fecal or urinary stoma or fistula

CHAPTER 13 : Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)

 

ICD-10 Chapter Comment Codes Code Description
13 Revised M35.0 Sjögren syndrome (previously named Sicca syndrome [Sjögren’s syndrome])
13 Added Sicca syndrome
13 Added Excludes 1: Dry mouth, unspecified (R68.2)
13 Revised M35.00 Sjögren’s syndrome, unspecified
13 Revised M35.01 Sjögren’s syndrome with keratoconjunctivitis
13 Revised M35.02 Sjögren’s syndrome with lung involvement
13 Revised M35.03 Sjögren’s syndrome with myopathy
13 Revised M35.04 Sjögren’s syndrome with tubulo-interstitial nephropathy
13 New code M35.05 Sjögren’s syndrome with inflammatory arthritis
13 New code M35.06 Sjögren’s syndrome with peripheral nervous system involvement
13 New code M35.07 Sjögren’s syndrome with central nervous system involvement (CC)
13 New code M35.08 Sjögren’s syndrome with gastrointestinal involvement
13 New code M35.0A Sjögren’s syndrome with glomerular disease
13 New code M35.0B Sjögren’s syndrome with vasculitis
13 New code M35.0C Sjögren’s syndrome with dental involvement
13 New code M35.09 Sjögren’s syndrome with other organ involvement

For FY 2022, ICD-10 also now includes new codes to specify non-radiographic axial spondyloarthritis by specific site, to further characterize low back pain, and to classify microangiopathies.

ICD-10 Chapter Codes Code Description
13 M31.10 Thrombotic microangiopathy, unspecified (MCC)
13 M31.11 Hematopoietic stem cell transplantation-associated thrombotic microangiopathy (MCC)
13 M31.19 Other thrombotic microangiopathy (MCC)
13 M45.A1 Non-radiographic axial spondyloarthritis of occipito-atlanto-axial region
13 M45.A2 Non-radiographic axial spondyloarthritis of cervical region
13 M45.A3 Non-radiographic axial spondyloarthritis of cervicothoracic region
13 M45.A4 Non-radiographic axial spondyloarthritis of thoracic region
13 M45.A5 Non-radiographic axial spondyloarthritis of thoracolumbar region
13 M45.A6 Non-radiographic axial spondyloarthritis of lumbar region
13 M45.A7 Non-radiographic axial spondyloarthritis of lumbosacral region
13 M45.A8 Non-radiographic axial spondyloarthritis of sacral and sacrococcygeal region
13 M45.AB Non-radiographic axial spondyloarthritis of multiple sites in spine
13 M54.50 Low back pain, unspecified
13 M54.51 Vertebrogenic low back pain

CHAPTER 16 : Certain Conditions Originating in the Perinatal Period (P00-P96)

ICD-10 now contains eight new codes regarding neonatal screening and a new code regarding newborns affected by contact with positive maternal group B streptococcus:

ICD-10 Chapter Codes Code Description
16 P00.82 Newborn affected by (positive) maternal group B streptococcus (GBS) colonization
16 P09.1 Abnormal findings on neonatal screening for inborn errors of metabolism
16 P09.2 Abnormal findings on neonatal screening for congenital endocrine disease
16 P09.3 Abnormal findings on neonatal screening for congenital hematologic disorders
16 P09.4 Abnormal findings on neonatal screening for cystic fibrosis
16 P09.5 Abnormal findings on neonatal screening for congenital heart disease
16 P09.6 Abnormal findings on neonatal screening for neonatal hearing loss
16 P09.8 Other abnormal findings on neonatal screening
16 P09.9 Abnormal findings on neonatal screening, unspecified

CHAPTER 17 : Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)

Two minor revisions are the only changes noted in the addenda for Chapter 17 and include revising “Nephronopthisis” to “Nephronophthisis” under code Q61.5 Medullary cystic kidney.

CHAPTER 18 : Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)

ICD-10 now has 14 additional codes in this category, including more specific codes for coughs:

ICD-10 Chapter Codes Code Description
18 R05.1 Acute cough
18 R05.2 Subacute cough
18 R05.3 Chronic cough
18 R05.4 Cough syncope
18 R05.8 Other specified cough
18 R05.9 Cough, unspecified
18 R35.81 Nocturnal polyuria
18 R35.89 Other polyuria
18 R45.88 Non-suicidal self-harm
18 R63.30 Feeding difficulties, unspecified
18 R63.31 Pediatric feeding disorder, acute
18 R63.32 Pediatric feeding disorder, chronic
18 R63.39 Other feeding difficulties
18 R79.83 Abnormal findings of blood amino-acid level

CHAPTER 19 : Injury, Poisoning, and Certain Other Consequences of External Causes (S00-T88)

For FY 2022, ICD-10 has added 45 new codes in this category. They include codes classifying traumatic brain compression with and without herniation and poisonings, adverse effects, and underdosing regarding synthetic cannabinoids and cannabis.

ICD-10 Chapter Codes Code Description
19 S06.A0XA Traumatic brain compression without herniation, initial encounter (MCC)
19 S06.A0XD Traumatic brain compression without herniation, subsequent encounter
19 S06.A0XS Traumatic brain compression without herniation, sequela
19 S06.A1XA Traumatic brain compression with herniation, initial encounter (MCC)
19 S06.A1XD Traumatic brain compression with herniation, subsequent encounter
19 S06.A1XS Traumatic brain compression with herniation, sequela
19 T40.711A Poisoning by cannabis, accidental (unintentional), initial encounter
19 T40.711D Poisoning by cannabis, accidental (unintentional), subsequent encounter
19 T40.711S Poisoning by cannabis, accidental (unintentional), sequela
19 T40.712A Poisoning by cannabis, intentional self-harm, initial encounter
19 T40.712D Poisoning by cannabis, intentional self-harm, subsequent encounter
19 T40.712S Poisoning by cannabis, intentional self-harm, sequela
19 T40.713A Poisoning by cannabis, assault, initial encounter
19 T40.713D Poisoning by cannabis, assault, subsequent encounter
19 T40.713S Poisoning by cannabis, assault, sequela
19 T40.714.A Poisoning by cannabis, undetermined, initial encounter
19 T40.714.D Poisoning by cannabis, undetermined, subsequent encounter
19 T40.714.S Poisoning by cannabis, undetermined, sequela
19 T40.715.A Adverse effect of cannabis, initial encounter
19 T40.715.D Adverse effect of cannabis, subsequent encounter
19 T40.715.S Adverse effect of cannabis, sequela
19 T40.716.A Underdosing of cannabis, initial encounter
19 T40.716.D Underdosing of cannabis, subsequent encounter
19 T40.716.S Underdosing of cannabis, sequela
19 T40.721.A Poisoning by synthetic cannabinoids, accidental (unintentional), initial encounter
19 T40.721.D Poisoning by synthetic cannabinoids, accidental (unintentional), subsequent encounter
19 T40.721.S Poisoning by synthetic cannabinoids, accidental (unintentional), sequela
19 T40.722.A Poisoning by synthetic cannabinoids, intentional self-harm, initial encounter
19 T40.722.D Poisoning by synthetic cannabinoids, intentional self-harm, subsequent encounter
19 T40.722.S Poisoning by synthetic cannabinoids, intentional self-harm, sequela
19 T40.723.A Poisoning by synthetic cannabinoids, assault, initial encounter
19 T40.723.D Poisoning by synthetic cannabinoids, assault, subsequent encounter
19 T40.723.S Poisoning by synthetic cannabinoids, assault, sequela
19 T40.724.A Poisoning by synthetic cannabinoids, undetermined, initial encounter
19 T40.724.D Poisoning by synthetic cannabinoids, undetermined, subsequent encounter
19 T40.724.S Poisoning by synthetic cannabinoids, undetermined, sequela
19 T40.725.A Adverse effect of synthetic cannabinoids, initial encounter
19 T40.725.D Adverse effect of synthetic cannabinoids, subsequent encounter
19 T40.725.S Adverse effect of synthetic cannabinoids, sequela
19 T40.726.A Underdosing of synthetic cannabinoids, initial encounter
19 T40.726.D Underdosing of synthetic cannabinoids, subsequent encounter
19 T40.726.S Underdosing of synthetic cannabinoids, sequela

CHAPTER 20 : External Causes of Morbidity (V00-Y99)

Chapter 20 includes new codes for legal interventions involving other specified means to include an unspecified injured person.

ICD-10 Chapter Codes Code Description
20 Y35.899 Legal intervention involving other specified means, unspecified person injured
20 Y35.899A Legal intervention involving other specified means, unspecified person injured, initial encounter
20 Y35.899D Legal intervention involving other specified means, unspecified person injured, subsequent encounter
20 Y35.899S Legal intervention involving other specified means, unspecified person injured, sequela

CHAPTER 21 : Factors Influencing Health Status and Contact With Health Services (Z00-Z99)

Twenty-two new codes are now included in ICD-10 within this classification:

ICD-10 Chapter Codes Code Description
21 Z59.00 : Homelessness, unspecified
21 Z59.01 : Sheltered homelessness
21 Z59.02 : Unsheltered homelessness
21 Z59.41 : Food insecurity
21 Z59.48 : Other specified lack of adequate food
21 Z59.811 : Housing instability, housed, with risk of homelessness
21 Z59.812 : Housing instability, housed, homelessness in past 12 months
21 Z59.819 : Housing instability, housed, unspecified
21 Z59.89 : Other problems related to housing and economic circumstances
21 Z91.51 : Personal history of suicidal behavior
21 Z91.52 : Personal history of non-suicidal self-harm
21 Z92.850 : Personal history of Chimeric Antigen Receptor T-cell therapy
21 Z92.858 : Personal history of other cellular therapy
21 Z92.859 : Personal history of cellular therapy, unspecified
21 Z92.86 : Personal history of gene therapy

CHAPTER 22 : Codes for Special Purposes (U00-U85)

Updates to this chapter include one new code: U09.9 Post COVID-19 condition, unspecified. Also added is a Code first note. It instructs you to list the code for the specific condition related to COVID-19, if known, first. For example, J96.1- Chronic respiratory failure, R43.8 Loss of smell, R43.8 Loss of taste, or M35.81 Multisystem inflammatory syndrome.

Author: Amena Khan

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