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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 : What You Need to Know to Get Paid

2022 New ICD-10 Codes Changes

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

CHAPTER 1 : CERTAIN INFECTIOUS AND PARASITIC DISEASES (A00-B99)

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

ICD-10 ChapterCodesCode Description
1A79.82Anaplasmosis [A. phagocytophilum]

CHAPTER 2 : NEOPLASMS (C00-D49)

Chapter 2 now includes three new codes.

ICD-10 ChapterCodesCode Description
2C84.7AAnaplastic large cell lymphoma, ALK-negative, breast.
2C56.3Malignant neoplasm of bilateral ovaries
2C79.63Secondary 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 ChapterCodesCode Description
3D55.21Anemia due to pyruvate kinase deficiency
3D55.29Anemia due to other disorders of glycolytic enzymes
3D75.83Thrombocytosis
3D75.838Other thrombocytosis
3D75.839Thrombocytosis 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 ChapterCodesCode Description
5F32.ADepression, unspecified
5F78Other intellectual disabilities
5F78.AOther genetic related intellectual disabilities
5F78.A1SYNGAP1-related intellectual disability
5F78.A19Other 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 ChapterCodesCode Description
6G04.82Acute flaccid myelitis (MCC)
6G44.86Cervicogenic headache
6G92.00Immune effector cell-associated neurotoxicity syndrome, grade unspecified
6G92.01Immune effector cell-associated neurotoxicity syndrome, grade 1
6G92.02Immune effector cell-associated neurotoxicity syndrome, grade 2
6G92.03Immune effector cell-associated neurotoxicity syndrome, grade 3 (CC)
6G92.04Immune effector cell-associated neurotoxicity syndrome, grade 4 (CC)
6G92.05Immune effector cell-associated neurotoxicity syndrome, grade 5 (CC)
6G92.8Other toxic encephalopathy (MCC)
6G92.9Unspecified 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 ChapterCodesCode Description
11K22.81Esophageal polyp
11K22.82Esophagogastric junction polyp
11K22.89Other specified disease of esophagus
11K31.A0Gastric intestinal metaplasia, unspecified
11K31.A11Gastric intestinal metaplasia without dysplasia, involving the antrum
11K31.A12Gastric intestinal metaplasia without dysplasia, involving the body (corpus)
11K31.A13Gastric intestinal metaplasia without dysplasia, involving the fundus
11K31.A14Gastric intestinal metaplasia without dysplasia, involving the cardia
11K31.A15Gastric intestinal metaplasia without dysplasia, involving multiple sites
11K31.A19Gastric intestinal metaplasia without dysplasia, unspecified site
11K31.A21Gastric intestinal metaplasia with low-grade dysplasia
11K31.A22K31.A22: Gastric intestinal metaplasia with high-grade dysplasia
11K31.A29Gastric 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 ChapterCodesCode Description
12L24.AIrritant contact dermatitis due to friction or contact with body fluids
12L24.A0Irritant contact dermatitis due to friction or contact with body fluids unspecified
12L24.A1Irritant contact dermatitis due to saliva
12L24.A2Irritant contact dermatitis due to fecal urinary or dual incontinence
12L24.A9Irritant contact dermatitis due friction or contact with other specified body fluids
12L24.BIrritant contact dermatitis related to stoma or fistula
12L24.B0Irritant contact dermatitis related to unspecified stoma or fistula
12L24.B1Irritant contact dermatitis related to digestive stoma or fistula
12L24.B2Irritant contact dermatitis related to respiratory stoma or fistula
12L24.B3Irritant contact dermatitis related to fecal or urinary stoma or fistula

CHAPTER 13 : DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE (M00-M99)

ICD-10 ChapterCommentCodesCode Description
13RevisedM35.0Sjögren syndrome (previously named Sicca syndrome [Sjögren’s syndrome])
13Added Sicca syndrome
13Added Excludes 1: Dry mouth, unspecified (R68.2)
13RevisedM35.00Sjögren’s syndrome, unspecified
13RevisedM35.01Sjögren’s syndrome with keratoconjunctivitis
13RevisedM35.02Sjögren’s syndrome with lung involvement
13RevisedM35.03Sjögren’s syndrome with myopathy
13RevisedM35.04Sjögren’s syndrome with tubulo-interstitial nephropathy
13New codeM35.05Sjögren’s syndrome with inflammatory arthritis
13New codeM35.06Sjögren’s syndrome with peripheral nervous system involvement
13New codeM35.07Sjögren’s syndrome with central nervous system involvement (CC)
13New codeM35.08Sjögren’s syndrome with gastrointestinal involvement
13New codeM35.0ASjögren’s syndrome with glomerular disease
13New codeM35.0BSjögren’s syndrome with vasculitis
13New codeM35.0CSjögren’s syndrome with dental involvement
13New codeM35.09Sjögren’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 ChapterCodesCode Description
13M31.10Thrombotic microangiopathy, unspecified (MCC)
13M31.11Hematopoietic stem cell transplantation-associated thrombotic microangiopathy (MCC)
13M31.19Other thrombotic microangiopathy (MCC)
13M45.A1Non-radiographic axial spondyloarthritis of occipito-atlanto-axial region
13M45.A2Non-radiographic axial spondyloarthritis of cervical region
13M45.A3Non-radiographic axial spondyloarthritis of cervicothoracic region
13M45.A4Non-radiographic axial spondyloarthritis of thoracic region
13M45.A5Non-radiographic axial spondyloarthritis of thoracolumbar region
13M45.A6Non-radiographic axial spondyloarthritis of lumbar region
13M45.A7Non-radiographic axial spondyloarthritis of lumbosacral region
13M45.A8Non-radiographic axial spondyloarthritis of sacral and sacrococcygeal region
13M45.ABNon-radiographic axial spondyloarthritis of multiple sites in spine
13M54.50Low back pain, unspecified
13M54.51Vertebrogenic 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 ChapterCodesCode Description
16P00.82Newborn affected by (positive) maternal group B streptococcus (GBS) colonization
16P09.1Abnormal findings on neonatal screening for inborn errors of metabolism
16P09.2Abnormal findings on neonatal screening for congenital endocrine disease
16P09.3Abnormal findings on neonatal screening for congenital hematologic disorders
16P09.4Abnormal findings on neonatal screening for cystic fibrosis
16P09.5Abnormal findings on neonatal screening for congenital heart disease
16P09.6Abnormal findings on neonatal screening for neonatal hearing loss
16P09.8Other abnormal findings on neonatal screening
16P09.9Abnormal 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 ChapterCodesCode Description
18R05.1Acute cough
18R05.2Subacute cough
18R05.3Chronic cough
18R05.4Cough syncope
18R05.8Other specified cough
18R05.9Cough, unspecified
18R35.81Nocturnal polyuria
18R35.89Other polyuria
18R45.88Non-suicidal self-harm
18R63.30Feeding difficulties, unspecified
18R63.31Pediatric feeding disorder, acute
18R63.32Pediatric feeding disorder, chronic
18R63.39Other feeding difficulties
18R79.83Abnormal 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 ChapterCodesCode Description
19S06.A0XATraumatic brain compression without herniation, initial encounter (MCC)
19S06.A0XDTraumatic brain compression without herniation, subsequent encounter
19S06.A0XSTraumatic brain compression without herniation, sequela
19S06.A1XATraumatic brain compression with herniation, initial encounter (MCC)
19S06.A1XDTraumatic brain compression with herniation, subsequent encounter
19S06.A1XSTraumatic brain compression with herniation, sequela
19T40.711APoisoning by cannabis, accidental (unintentional), initial encounter
19T40.711DPoisoning by cannabis, accidental (unintentional), subsequent encounter
19T40.711SPoisoning by cannabis, accidental (unintentional), sequela
19T40.712APoisoning by cannabis, intentional self-harm, initial encounter
19T40.712DPoisoning by cannabis, intentional self-harm, subsequent encounter
19T40.712SPoisoning by cannabis, intentional self-harm, sequela
19T40.713APoisoning by cannabis, assault, initial encounter
19T40.713DPoisoning by cannabis, assault, subsequent encounter
19T40.713SPoisoning by cannabis, assault, sequela
19T40.714.APoisoning by cannabis, undetermined, initial encounter
19T40.714.DPoisoning by cannabis, undetermined, subsequent encounter
19T40.714.SPoisoning by cannabis, undetermined, sequela
19T40.715.AAdverse effect of cannabis, initial encounter
19T40.715.DAdverse effect of cannabis, subsequent encounter
19T40.715.SAdverse effect of cannabis, sequela
19T40.716.AUnderdosing of cannabis, initial encounter
19T40.716.DUnderdosing of cannabis, subsequent encounter
19T40.716.SUnderdosing of cannabis, sequela
19T40.721.APoisoning by synthetic cannabinoids, accidental (unintentional), initial encounter
19T40.721.DPoisoning by synthetic cannabinoids, accidental (unintentional), subsequent encounter
19T40.721.SPoisoning by synthetic cannabinoids, accidental (unintentional), sequela
19T40.722.APoisoning by synthetic cannabinoids, intentional self-harm, initial encounter
19T40.722.DPoisoning by synthetic cannabinoids, intentional self-harm, subsequent encounter
19T40.722.SPoisoning by synthetic cannabinoids, intentional self-harm, sequela
19T40.723.APoisoning by synthetic cannabinoids, assault, initial encounter
19T40.723.DPoisoning by synthetic cannabinoids, assault, subsequent encounter
19T40.723.SPoisoning by synthetic cannabinoids, assault, sequela
19T40.724.APoisoning by synthetic cannabinoids, undetermined, initial encounter
19T40.724.DPoisoning by synthetic cannabinoids, undetermined, subsequent encounter
19T40.724.SPoisoning by synthetic cannabinoids, undetermined, sequela
19T40.725.AAdverse effect of synthetic cannabinoids, initial encounter
19T40.725.DAdverse effect of synthetic cannabinoids, subsequent encounter
19T40.725.SAdverse effect of synthetic cannabinoids, sequela
19T40.726.AUnderdosing of synthetic cannabinoids, initial encounter
19T40.726.DUnderdosing of synthetic cannabinoids, subsequent encounter
19T40.726.SUnderdosing 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 ChapterCodesCode Description
20Y35.899Legal intervention involving other specified means, unspecified person injured
20Y35.899ALegal intervention involving other specified means, unspecified person injured, initial encounter
20Y35.899DLegal intervention involving other specified means, unspecified person injured, subsequent encounter
20Y35.899SLegal 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 ChapterCodesCode Description
21Z59.00: Homelessness, unspecified
21Z59.01: Sheltered homelessness
21Z59.02: Unsheltered homelessness
21Z59.41: Food insecurity
21Z59.48: Other specified lack of adequate food
21Z59.811: Housing instability, housed, with risk of homelessness
21Z59.812: Housing instability, housed, homelessness in past 12 months
21Z59.819: Housing instability, housed, unspecified
21Z59.89: Other problems related to housing and economic circumstances
21Z91.51: Personal history of suicidal behavior
21Z91.52: Personal history of non-suicidal self-harm
21Z92.850: Personal history of Chimeric Antigen Receptor T-cell therapy
21Z92.858: Personal history of other cellular therapy
21Z92.859: Personal history of cellular therapy, unspecified
21Z92.86: 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.

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