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ICD 10 CM Official Updates and Changes - 2022 - New Codes

The 2022 ICD-10-CM files below contain information on the ICD-10-CM updates for FY 2022. These 2022 ICD-10-CM codes are to be used for discharges occurring from October 1, 2021, through September 30, 2022, and for patient encounters occurring from October 1, 2021, through September 30, 2022.

Total changes - 243

  • New Codes  - 191 Additions
  • Deleted Codes - 25 Deletions
  • Revised Codes - 27 Revisions 

NEW CODE EFFECTIVE FROM OCTOBER 1ST, 2021 TO SEPTEMBER 30, 2022

Code Description

A79.82 Anaplasmosis [A. phagocytophilum]

C56.3 Malignant neoplasm of bilateral ovaries

C79.63 Secondary malignant neoplasm of bilateral ovaries

C84.7A Anaplastic large cell lymphoma, ALK-negative, breast

D55.21 Anemia due to pyruvate kinase deficiency

D55.29 Anemia due to other disorders of glycolytic enzymes

D75.83 Thrombocytosis

D75.838 Other thrombocytosis

D75.839 Thrombocytosis, unspecified

D89.44 Hereditary alpha tryptasemia

E75.244 Niemann-Pick disease type A/B

F32.A Depression, unspecified

F78.A Other genetic related intellectual disabilities

F78.A1 SYNGAP1-related intellectual disability

F78.A9 Other genetic related intellectual disability

G04.82 Acute flaccid myelitis

G44.86 Cervicogenic headache

G92.0 Immune effector cell-associated neurotoxicity syndrome

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

G92.04 Immune effector cell-associated neurotoxicity syndrome, grade 4

G92.05 Immune effector cell-associated neurotoxicity syndrome, grade 5

G92.8 Other toxic encephalopathy

G92.9 Unspecified toxic encephalopathy

I5A         Non-ischemic myocardial injury (non-traumatic)

K22.81 Esophageal polyp

K22.82 Esophagogastric junction polyp

K22.89 Other specified disease of esophagus

K31.A Gastric intestinal metaplasia

K31.A0 Gastric intestinal metaplasia, unspecified

K31.A1 Gastric intestinal metaplasia without dysplasia

K31.A11 Gastric intestinal metaplasia without dysplasia, involving the antrum

K31.A12 Gastric intestinal metaplasia without dysplasia, involving the body (corpus)

K31.A13 Gastric intestinal metaplasia without dysplasia, involving the fundus

K31.A14 Gastric intestinal metaplasia without dysplasia, involving the cardia

K31.A15 Gastric intestinal metaplasia without dysplasia, involving multiple sites

K31.A19 Gastric intestinal metaplasia without dysplasia, unspecified site

K31.A2 Gastric intestinal metaplasia with dysplasia

K31.A21 Gastric intestinal metaplasia with low grade dysplasia

K31.A22 Gastric intestinal metaplasia with high grade dysplasia

K31.A29 Gastric intestinal metaplasia with dysplasia, unspecified

L24.A Irritant contact dermatitis due to friction or contact with body fluids

L24.A0 Irritant contact dermatitis due to friction or contact with body fluids, unspecified

L24.A1 Irritant contact dermatitis due to saliva

L24.A2 Irritant contact dermatitis due to fecal, urinary or dual incontinence

L24.A9 Irritant contact dermatitis due friction or contact with other specified body fluids

L24.B Irritant contact dermatitis related to stoma or fistula

L24.B0 Irritant contact dermatitis related to unspecified stoma or fistula

L24.B1 Irritant contact dermatitis related to digestive stoma or fistula

L24.B2 Irritant contact dermatitis related to respiratory stoma or fistula

L24.B3 Irritant contact dermatitis related to fecal or urinary stoma or fistula

M31.10 Thrombotic microangiopathy, unspecified

M31.11 Hematopoietic stem cell transplantation-associated thrombotic microangiopathy [HSCT-TMA]

M31.19 Other thrombotic microangiopathy

M35.05 Sjogren syndrome with inflammatory arthritis

M35.06 Sjogren syndrome with peripheral nervous system involvement

M35.07 Sjogren syndrome with central nervous system involvement

M35.08 Sjogren syndrome with gastrointestinal involvement

M35.0A Sjogren syndrome with glomerular disease

M35.0B Sjogren syndrome with vasculitis

M35.0C Sjogren syndrome with dental involvement

M45.A Non-radiographic axial spondyloarthritis

M45.A0 Non-radiographic axial spondyloarthritis of unspecified sites in spine

M45.A1 Non-radiographic axial spondyloarthritis of occipito-atlanto-axial region

M45.A2 Non-radiographic axial spondyloarthritis of cervical region

M45.A3 Non-radiographic axial spondyloarthritis of cervicothoracic region

M45.A4 Non-radiographic axial spondyloarthritis of thoracic region

M45.A5 Non-radiographic axial spondyloarthritis of thoracolumbar region

M45.A6 Non-radiographic axial spondyloarthritis of lumbar region

M45.A7 Non-radiographic axial spondyloarthritis of lumbosacral region

M45.A8 Non-radiographic axial spondyloarthritis of sacral and sacrococcygeal region

M45.AB Non-radiographic axial spondyloarthritis of multiple sites in spine

M54.50 Low back pain, unspecified

M54.51 Vertebrogenic low back pain

M54.59 Other low back pain

P00.82 Newborn affected by (positive) maternal group B streptococcus (GBS) colonization

P09.1 Abnormal findings on neonatal screening for inborn errors of metabolism

P09.2 Abnormal findings on neonatal screening for congenital endocrine disease

P09.3 Abnormal findings on neonatal screening for congenital hematologic disorders

P09.4 Abnormal findings on neonatal screening for cystic fibrosis

P09.5 Abnormal findings on neonatal screening for critical congenital heart disease

P09.6 Abnormal findings on neonatal screening for neonatal hearing loss

P09.8 Other abnormal findings on neonatal screening

P09.9 Abnormal findings on neonatal screening, unspecified

R05.1 Acute cough

R05.2 Subacute cough

R05.3 Chronic cough

R05.4 Cough syncope

R05.8 Other specified cough

R05.9 Cough, unspecified

R35.81 Nocturnal polyuria

R35.89 Other polyuria

R45.88 Nonsuicidal self-harm

R63.30 Feeding difficulties, unspecified

R63.31 Pediatric feeding disorder, acute

R63.32 Pediatric feeding disorder, chronic

R63.39 Other feeding difficulties

R79.83 Abnormal findings of blood amino-acid level

S06.A Traumatic brain compression and herniation

S06.A0 Traumatic brain compression without herniation

S06.A0XA Traumatic brain compression without herniation, initial encounter

S06.A0XD Traumatic brain compression without herniation, subsequent encounter

S06.A0XS Traumatic brain compression without herniation, sequela

S06.A1         Traumatic brain compression with herniation

S06.A1XA Traumatic brain compression with herniation, initial encounter

S06.A1XD Traumatic brain compression with herniation, subsequent encounter

S06.A1XS Traumatic brain compression with herniation, sequela

T40.71         Poisoning by, adverse effect of and underdosing of cannabis (derivatives)

T40.711         Poisoning by cannabis, accidental (unintentional)

T40.711A Poisoning by cannabis, accidental (unintentional), initial encounter

T40.711D Poisoning by cannabis, accidental (unintentional), subsequent encounter

T40.711S Poisoning by cannabis, accidental (unintentional), sequela

T40.712         Poisoning by cannabis, intentional self-harm

T40.712A Poisoning by cannabis, intentional self-harm, initial encounter

T40.712D Poisoning by cannabis, intentional self-harm, subsequent encounter

T40.712S Poisoning by cannabis, intentional self-harm, sequela

T40.713         Poisoning by cannabis, assault

T40.713A Poisoning by cannabis, assault, initial encounter

T40.713D Poisoning by cannabis, assault, subsequent encounter

T40.713S Poisoning by cannabis, assault, sequela

T40.714         Poisoning by cannabis, undetermined

T40.714A Poisoning by cannabis, undetermined, initial encounter

T40.714D Poisoning by cannabis, undetermined, subsequent encounter

T40.714S Poisoning by cannabis, undetermined, sequela

T40.715         Adverse effect of cannabis

T40.715A Adverse effect of cannabis, initial encounter

T40.715D Adverse effect of cannabis, subsequent encounter

T40.715S Adverse effect of cannabis, sequela

T40.716         Underdosing of cannabis

T40.716A Underdosing of cannabis, initial encounter

T40.716D Underdosing of cannabis, subsequent encounter

T40.716S Underdosing of cannabis, sequela

T40.72         Poisoning by, adverse effect of and underdosing of synthetic cannabinoids

T40.721         Poisoning by synthetic cannabinoids, accidental (unintentional)

T40.721A Poisoning by synthetic cannabinoids, accidental (unintentional), initial encounter

T40.721D Poisoning by synthetic cannabinoids, accidental (unintentional), subsequent encounter

T40.721S Poisoning by synthetic cannabinoids, accidental (unintentional), sequela

T40.722         Poisoning by synthetic cannabinoids, intentional self-harm

T40.722A Poisoning by synthetic cannabinoids, intentional self-harm, initial encounter

T40.722D Poisoning by synthetic cannabinoids, intentional self-harm, subsequent encounter

T40.722S Poisoning by synthetic cannabinoids, intentional self-harm, sequela

T40.723         Poisoning by synthetic cannabinoids, assault

T40.723A Poisoning by synthetic cannabinoids, assault, initial encounter

T40.723D Poisoning by synthetic cannabinoids, assault, subsequent encounter

T40.723S Poisoning by synthetic cannabinoids, assault, sequela

T40.724         Poisoning by synthetic cannabinoids, undetermined

T40.724A Poisoning by synthetic cannabinoids, undetermined, initial encounter

T40.724D Poisoning by synthetic cannabinoids, undetermined, subsequent encounter

T40.724S Poisoning by synthetic cannabinoids, undetermined, sequela

T40.725         Adverse effect of synthetic cannabinoids

T40.725A Adverse effect of synthetic cannabinoids, initial encounter

T40.725D Adverse effect of synthetic cannabinoids, subsequent encounter

T40.725S Adverse effect of synthetic cannabinoids, sequela

T40.726         Underdosing of synthetic cannabinoids

T40.726A Underdosing of synthetic cannabinoids, initial encounter

T40.726D Underdosing of synthetic cannabinoids, subsequent encounter

T40.726S Underdosing of synthetic cannabinoids, sequela

T80.82         Complication of immune effector cellular therapy

T80.82XA Complication of immune effector cellular therapy, initial encounter

T80.82XD Complication of immune effector cellular therapy, subsequent encounter

T80.82XS Complication of immune effector cellular therapy, sequela

U09                 Post COVID-19 condition

U09.9         Post COVID-19 condition, unspecified

Y35.899     Legal intervention involving other specified means, unspecified person injured

Y35.899A Legal intervention involving other specified means, unspecified person injured, initial encounter

Y35.899D Legal intervention involving other specified means, unspecified person injured, subsequent encounter

Y35.899S Legal intervention involving other specified means, unspecified person injured, sequela

Z55.5         Less than a high school diploma

Z58         Problems related to physical environment

Z58.6 Inadequate drinking-water supply

Z59.00 Homelessness unspecified

Z59.01 Sheltered homelessness

Z59.02 Unsheltered homelessness

Z59.41 Food insecurity

Z59.48 Other specified lack of adequate food

Z59.81 Housing instability, housed

Z59.811 Housing instability, housed, with risk of homelessness

Z59.812 Housing instability, housed, homelessness in past 12 months

Z59.819 Housing instability, housed unspecified

Z59.89 Other problems related to housing and economic circumstances

Z71.85 Encounter for immunization safety counseling

Z91.014 Allergy to mammalian meats

Z91.51 Personal history of suicidal behavior

Z91.52 Personal history of nonsuicidal self-harm

Z92.85 Personal history of cellular therapy

Z92.850 Personal history of Chimeric Antigen Receptor T-cell therapy

Z92.858 Personal history of other cellular therapy

Z92.859 Personal history of cellular therapy, unspecified

Z92.86 Personal history of gene therapy


Smoking Cessation Counselling

Smoking Cessation

The following codes are used to report the preventive medicine evaluation and management of infants, children, adolescents, and adults.

Modifier 25 should be added to the office/outpatient code to indicate that a significant, separately identifiable evaluation and management service was provided on the same day as the preventive medicine service. The appropriate preventive medicine service is additionally reported.

  • 99406 – Smoking and tobacco-use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes 
  • 99407 – Smoking and tobacco-use cessation counseling visit; intensive, greater than 10 minutes 

Required Documentation

  • Patient Current smoking details 
  • Time 
  • Counseling Content 

Covered ICD Codes 

  • F17.210 - Nicotine dependence, cigarettes, uncomplicated
  • F17.211 - Nicotine dependence, cigarettes, in remission
  • F17.213 - Nicotine dependence, cigarettes, with withdrawal
  • F17.218 - Nicotine dependence, cigarettes, with other nicotine-induced disorders
  • F17.219 - Nicotine dependence, cigarettes, with unspecified nicotine-induced disorders
  • F17.220 - Nicotine dependence, chewing tobacco, uncomplicated
  • F17.221 - Nicotine dependence, chewing tobacco, in remission
  • F17.223 - Nicotine dependence, chewing tobacco, with withdrawal
  • F17.228 - Nicotine dependence, chewing tobacco, with other nicotine-induced disorders
  • F17.229 - Nicotine dependence, chewing tobacco, with unspecified nicotine-induced disorders
  • F17.290 - Nicotine dependence, other tobacco product, uncomplicated
  • F17.291 - Nicotine dependence, other tobacco product, in remission
  • F17.293 - Nicotine dependence, other tobacco product, with withdrawal
  • F17.298 - Nicotine dependence, other tobacco product, with other nicotine-induced disorders
  • F17.299 - Nicotine dependence, other tobacco product, with unspecified nicotine-induced disorders

Clinical Example

The patient confirms the use of tobacco products (specify the product). Smoking 4 cigarettes per day.  

Spent 10 minutes for counseling and patient education about the dangers of smoking, health risk, and education hand out given to the patients for awareness. 

Discussed in detail complications with treatment plan due to continued use of tobacco products. The patient listen carefully and accepted to stop smoking  

COVID-19 updates UnitedHealthcare

Temporary cost-share waivers extended to Oct. 17, 2021

The national public health emergency has been extended from July 19, 2021, to Oct. 17, 2021. Below is an overview of how that extension affects temporary provisions for COVID-19 testing and testing-related visits.

Individual Exchange, Individual and Group Market health plans: 

  • From Feb. 4, 2020, through the national public health emergency period, UnitedHealthcare is waiving cost-sharing for in-network and out-of-network COVID-19 tests and testing-related visits.

Medicare Advantage: 

  • From Feb. 4, 2020, through the national public health emergency period, UnitedHealthcare is waiving cost-sharing for in-network and out-of-network tests for COVID-19, including testing-related telehealth visits.

Medicaid: 

  • State-specific rules and other state regulations may apply. For Medicaid and other state-specific regulations, please refer to your state-specific website or your state’s UnitedHealthcare Community Plan website. 

CMS Unveils Surprise-Billing Rules

Proposed Billing Rules 2022

CMS unveiled July 2 the first in a series of rules aimed at shielding patients from surprise billing. The interim final rule addresses several provisions in the No Surprises Act passed by Congress last year.

Most provisions outlined in the proposed rule will not take effect until Jan. 1, 2022. 

Ten things to know,

1. Bans surprise billing for emergency services

  • The interim final rule bans surprise billing for emergency services, regardless of where they are provided. 
  • Providers are required to bill emergency services on an in-network basis without prior authorization.

2. Bans high out-of-network cost-sharing for emergency and non-emergency services 

  • CMS proposed that patient cost-sharing, including coinsurance and deductibles, be based on in-network provider rates. 
  • This means that cost-sharing can't be higher than if the services were provided by an in-network physician. 

3. Bans surprise billing for ancillary services and any "others." 

  • The interim final rule prohibits out-of-network charges for ancillary care in in-network facilities in all instances. This includes anesthesiology services. 
  • CMS said that it also includes a ban on any other out-of-network charges to patients without notice. 

4. Interim payment or notice of denial from insurers. 

  • The interim final rule would require health plans to make an initial payment or issue a notice of denial to providers in 30 days after it receives a clean claim. 

5. Consent process to waive balance-billing protections. 

  • The law allows patients to waive their balance-billing protections and consent to out-of-network charges. 
  • The rule directs the departments to establish a process to obtain patient consent for balance billing. Providers can't use this for emergency services or some ancillary services.

6. Providers must disclose balance-billing protections. 

  • Providers will be required to post publicly to inform patients about their surprise-billing protections.

7. Qualifying payment amount. 

  • CMS defined the qualifying payment amount, which will calculate patient cost-sharing and be used by an arbiter in the independent dispute resolution process, as the issuer's median in-network rate for 2019 trended forward. 
  • The rule addresses several factors that will determine how the rates are set, including the type of contract, insurance market, geographic region, and rates for the same or similar services. 

8. Complaint process. 

  • Through the proposed rule, CMS will establish a process for which patients and others can submit complaints about violations of the balance-billing requirements. 

9. Arbitration process. 

  • The first interim rule doesn't discuss the dispute resolution process. 

10. Comment period. 

  • Providers will have 60 days to comment on the interim final rule.

ICD-10 CM Clinical Examples for Documentation

CLINICAL DOCUMENTATION

The providers need to be specifying the anatomical location and laterality in the documentation to select the appropriate most specific ICD codes. 

There are a few examples of clinical documentation updated below and how the physicians and clinicians communicate and what they pay attention to it is a matter of ensuring the information is captured in your documentation.

In ICD-10-CM, there are three main categories of changes,

  • Definition Changes
  • Terminology Differences
  • Increased Specificity

The expansion of ICD-10 codes is due to the addition of laterality (left, right, bilateral). Physicians and other clinicians likely already note the side when evaluating the clinically pertinent anatomical site(s).

Clinical Examples:1 - ACUTE MYOCARDIAL INFARCTION (AMI)

When documenting an AMI, include the following,

Timeframe An AMI is now considered “acute” for 4 weeks from the time of the incident.

The episode of care ICD-10 does not capture an episode of care (e.g. initial, subsequent, sequelae).

Subsequent AMI ICD-10 allows coding of a new MI that occurs during the 4 weeks “acute period” of the original AMI.

  • I21.02 ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery
  • I21.4 Non-ST elevation (NSTEMI) myocardial infarction
  • I22.1 Subsequent ST elevation (STEMI) myocardial infarction

Clinical Examples:2 - HYPERTENSION

In ICD-10, hypertension is defined as essential (primary). The concept of “benign or malignant” as it relates to hypertension no longer exists.

When documenting hypertension, include the following,

Types Hypertension - HTN, e.g. essential, secondary, etc.

Causal relationship e.g. Renal, pulmonary, etc.

  • I10 Essential (primary) hypertension
  • I11.9 Hypertensive heart disease without heart failure
  • I15.0 Renovascular hypertension

Clinical Examples:3 - ASTHMA

ICD-10 terminology used to describe asthma has been updated to reflect the current clinical classification system.

When documenting asthma, include the following,

Cause Exercise-induced, cough variant, related to smoking, chemical or particulate cause, occupational.

Severity Choose one of the three options below for persistent asthma patients
  • Mild persistent
  • Moderate persistent
  • Severe persistent
Temporal Factors Acute, chronic, intermittent, persistent, status asthmaticus,  acute exacerbation,

  • J45.30 Mild persistent asthma, uncomplicated
  • J45.991 Cough variant asthma

Clinical Examples:4 - UNDERDOSING

Underdosing is an important new concept and term in ICD-10. It allows you to identify when a patient is taking less of a medication than is prescribed.

When documenting underdosing, include the following,

Intentional, Unintentional, Non-compliance Is the underdosing deliberate? (e.g., patient refusal).

Reason Why is the patient not taking the medication? (e.g.financial hardship, age-related debility).

  • Z91.120 Patient’s intentional underdosing of medication regimen due to  financial hardship
  • T36.4x6A Underdosing of tetracyclines, initial encounter
  • T45.526D Underdosing of antithrombotic drugs, subsequent encounter

Clinical Examples:5 - DIABETES MELLITUS, HYPOGLYCEMIA, AND HYPERGLYCEMIA

The diabetes mellitus codes are combination codes that include the type of diabetes mellitus, the body system affected, and the complications affecting that body system. When documenting diabetes, include the following,

Type e.g. Type 1 or Type 2 disease, drug or chemical induces, due to underlying condition, gestational.

Complications What (if any) other body systems are affected by the diabetes condition? e.g. Foot ulcer related to diabetes mellitus.

Treatment Is the patient on insulin?.

A second important change is the concept of “hypoglycemia” and “hyperglycemia.” It is now possible to document and code for these conditions without using “diabetes mellitus.”  The provider can also specify if the condition is due to a procedure or other cause.

The final important change is that the concept of “secondary diabetes mellitus” is no longer used; instead, there are specific secondary options.

  • E08.65 Diabetes mellitus due to underlying condition with hyperglycemia
  • E09.01 Drug or chemical induced diabetes mellitus with  hyperosmolarity with coma
  • R73.9 Transient post-procedural hyperglycemia
  • R79.9 Hyperglycemia, unspecified

Clinical Examples:6  ABDOMINAL PAIN AND TENDERNESS

When documenting abdominal pain, including the following,

Location e.g. Generalized, Right upper quadrant, periumbilical, etc.

Pain or tenderness type e.g. Colic, tenderness, rebound

  • R10.31 Right lower quadrant pain
  • R10.32 Left lower quadrant pain
  • R10.33 Periumbilical pain

Cardiac Device Billing CPT Codes

Cardiac Device Monitoring Services

CPT 93294, 93295, 93296 -  Reported no more than once every 90 days. Do not report if the monitoring period is less than 30 days.

CPT 93297, 93299, G2066 -  Reported no more than once every 30 days. Do not report if the monitoring period is less than 10 days.

CPT 93264 - Reported no more than once every 30 days. Do not report if the monitoring period is less than 30 days.

May not be reported with in-person interrogation device evaluations and programming on the same date by the same individual.

For subcutaneous cardiac rhythm monitors, may not be reported with programming device evaluations for pacemakers and ICDs.

It may be reported with programming device evaluations during the remote interrogation device evaluation period.

May not be reported with in-person interrogation and device evaluations on the same date by the same individual. 

Report only remote services when an in-person interrogation device evaluation is performed during a period of remote interrogation device evaluation. 

However, a service center may report the technical code for remote interrogation (93296) during a period in which a physician or other qualified health professional performs an in-person interrogation device evaluation.

Peri-Procedural Device Evaluation Reported once before and once after surgery, procedure or test, when device evaluation and programming is performed before and after surgery, procedure or test.

If one provider performs both the pre-and post-evaluation and programming service, the appropriate code (93286 for pacemakers or 93287 for implantable defibrillators) would be reported two times. 

If one provider performs the pre-surgical service and a separate provider performs the post-surgical service, each provider reports either code only one time.

Programming or Device ERI/EOL

Z45.01 Encounter for adjustment and management of cardiac pacemaker or cardiac resynchronization therapy pacemaker (CRT-P)

Z45.02 Encounter for adjustment and management of automatic implantable cardiac defibrillator, automatic implantable cardiac defibrillator with synchronous cardiac pacemaker or cardiac resynchronization therapy defibrillator (CRT-D)

Z45.09 Encounter for adjustment and management of other cardiac device [used for ICMs] 

Interrogations

Z95.0 Presence of cardiac pacemaker or cardiac resynchronization therapy (CRT-P) pacemaker

Z95.810 Presence of automatic (implantable) cardiac defibrillator, automatic (implantable) cardiac defibrillator with synchronous cardiac pacemaker, cardiac resynchronization therapy defibrillator (CRT-D) or cardioverter-defibrillator (ICD)

Z95.818 Presence of other cardiac implants and grafts [for ICMs]

Note

Physicians should not report codes 93264 and G2066 together because 93264 includes the professional and technical components in the payment rate. 

However, G2066 may be billable by Outpatient Hospitals for the technical data acquisitions of PA pressure sensor remote monitoring if the requirements of the code are met.  

Glimpses of ICD 10 CM Revised Codes - 2022

Changes Codes Description

Revise from: G7120 Congenital myopathy, unspecified

Revise to: G7120 Congenital myopathy, unspecified

Revise from: M3500 Sicca syndrome, unspecified

Revise to: M3500 Sjogren syndrome, unspecified

Revise from: M3501 Sicca  syndrome with keratoconjunctivitis

Revise to: M3501 Sjogren syndrome with keratoconjunctivitis

Revise from: M3502 Sicca  syndrome with lung involvement

Revise to: M3502 Sjogren syndrome with lung involvement

Revise from: M3503 Sicca syndrome with myopathy

Revise to: M3503 Sjogren syndrome with myopathy

Revise from: M3504 Sicca syndrome with tubulo-interstitial nephropathy

Revise to: M3504 Sjogren syndrome with tubulo-interstitial nephropathy

Revise from: M3509 Sicca  syndrome with other organ involvement

Revise to: M3509 Sjogren syndrome with other organ involvement

Revise from: T63611A Toxic effect of contact with Portugese Man-o-war, accidental (unintentional), initial encounter

Revise to: T63611A Toxic effect of contact with Portuguese Man-o-war, accidental (unintentional), initial encounter

Revise from: T63611D Toxic effect of contact with Portugese Man-o-war, accidental (unintentional), subsequent encounter

Revise to: T63611D Toxic effect of contact with Portuguese Man-o-war, accidental (unintentional), subsequent encounter

Revise from: T63611S Toxic effect of contact with Portugese Man-o-war, accidental (unintentional), sequela

Revise to: T63611S Toxic effect of contact with Portuguese Man-o-war, accidental (unintentional), sequela

Revise from: T63612A Toxic effect of contact with Portugese Man-o-war, intentional self-harm, initial encounter

Revise to: T63612A Toxic effect of contact with Portuguese Man-o-war, intentional self-harm, initial encounter

Revise from: T63612D Toxic effect of contact with Portugese Man-o-war, intentional self-harm, subsequent encounter

Revise to: T63612D Toxic effect of contact with Portuguese Man-o-war, intentional self-harm, subsequent encounter

Revise from: T63612S Toxic effect of contact with Portugese Man-o-war, intentional self-harm, sequela

Revise to: T63612S Toxic effect of contact with Portuguese Man-o-war, intentional self-harm, sequela

Revise from: T63613A Toxic effect of contact with Portugese Man-o-war, assault, initial encounter

Revise to: T63613A Toxic effect of contact with Portuguese Man-o-war, assault, initial encounter

Revise from: T63613D Toxic effect of contact with Portugese Man-o-war, assault, subsequent encounter

Revise to: T63613D Toxic effect of contact with Portuguese Man-o-war, assault, subsequent encounter

Revise from: T63613S Toxic effect of contact with Portugese Man-o-war, assault, sequela

Revise to: T63613S Toxic effect of contact with Portuguese Man-o-war, assault, sequela

Revise from: T63614A Toxic effect of contact with Portugese Man-o-war, undetermined, initial encounter

Revise to: T63614A Toxic effect of contact with Portuguese Man-o-war, undetermined, initial encounter

Revise from: T63614D Toxic effect of contact with Portugese Man-o-war, undetermined, subsequent encounter

Revise to: T63614D Toxic effect of contact with Portuguese Man-o-war, undetermined, subsequent encounter

Revise from: T63614S Toxic effect of contact with Portugese Man-o-war, undetermined, sequela

Revise to: T63614S Toxic effect of contact with Portuguese Man-o-war, undetermined, sequela

Revise from: Z9225 Personal history of immunosupression therapy

Revise to: Z9225 Personal history of immunosuppression therapy



Glimpses of ICD 10 CM Deleted Codes - 2022

Deleted Codes Description

D552  Anemia due to disorders of glycolytic enzymes

F78  Other intellectual disabilities

G92 Toxic encephalopathy

K228 Other specified diseases of esophagus

M311 Thrombotic microangiopathy

M545 Low back pain

P09  Abnormal findings on neonatal screening

R05  Cough

R358  Other polyuria

R633  Feeding difficulties

T407X1A  Poisoning by cannabis (derivatives), accidental (unintentional), initial encounter

T407X1D  Poisoning by cannabis (derivatives), accidental (unintentional), subsequent encounter

T407X1S  Poisoning by cannabis (derivatives), accidental (unintentional), sequela

T407X2A  Poisoning by cannabis (derivatives), intentional self-harm, initial encounter

T407X2D  Poisoning by cannabis (derivatives), intentional self-harm, subsequent encounter

T407X2S  Poisoning by cannabis (derivatives), intentional self-harm, sequela

T407X3A  Poisoning by cannabis (derivatives), assault, initial encounter

T407X3D  Poisoning by cannabis (derivatives), assault, subsequent encounter

T407X3S  Poisoning by cannabis (derivatives), assault, sequela

T407X4A  Poisoning by cannabis (derivatives), undetermined, initial encounter

T407X4D  Poisoning by cannabis (derivatives), undetermined, subsequent encounter

T407X4S   Poisoning by cannabis (derivatives), undetermined, sequela

T407X5A  Adverse effect of cannabis (derivatives), initial encounter

T407X5D  Adverse effect of cannabis (derivatives), subsequent encounter

T407X5S  Adverse effect of cannabis (derivatives), sequela

T407X6A  Underdosing of cannabis (derivatives), initial encounter

T407X6D Underdosing of cannabis (derivatives), subsequent encounter

T407X6S  Underdosing of cannabis (derivatives), sequela

Z590  Homelessness

Z594  Lack of adequate food and safe drinking water

Z598  Other problems related to housing and economic circumstances

Z915  Personal history of self-harm


Glimpses of ICD 10 CM Codes - 2022

Just see below for the number of codes that are added, deleted, and revised in 2022

Total numbers of codes in  2021  - 72621 codes

Total numbers of codes in  2022  - 72748 codes

ICD 10 CM Updates for 2022

Total changes - 211

159 additions

32 deletions

20 revisions


Glimpses of ICD 10 CM New Codes - 2022

 ICD 10 CM New Code Description

A7982 Anaplasmosis [A. phagocytophilum]

C563 Malignant neoplasm of bilateral ovaries

C7963 Secondary malignant neoplasm of bilateral ovaries

C847A Anaplastic large cell lymphoma, ALK-negative, breast

D5521 Anemia due to pyruvate kinase deficiency

D5529 Anemia due to other disorders of glycolytic enzymes

D75838 Other thrombocytosis

D75839 Thrombocytosis, unspecified

D8944 Hereditary alpha tryptasemia

E75244 Niemann-Pick disease type A/B

F32A Depression, unspecified

F78A1 SYNGAP1-related intellectual disability

F78A9 Other genetic related intellectual disability

G0482 Acute flaccid myelitis

G4486 Cervicogenic headache

G9200 Immune effector cell-associated neurotoxicity syndrome, grade unspecified

G9201 Immune effector cell-associated neurotoxicity syndrome, grade 1

G9202 Immune effector cell-associated neurotoxicity syndrome, grade 2

G9203 Immune effector cell-associated neurotoxicity syndrome, grade 3

G9204 Immune effector cell-associated neurotoxicity syndrome, grade 4

G9205 Immune effector cell-associated neurotoxicity syndrome, grade 5

G928 Other toxic encephalopathy

G929 Unspecified toxic encephalopathy

I5A Non-ischemic myocardial injury (non-traumatic)

K2281 Esophageal polyp

K2282 Esophagogastric junction polyp

K2289 Other specified disease of esophagus

K31A0 Gastric intestinal metaplasia, unspecified

K31A11 Gastric intestinal metaplasia without dysplasia, involving the antrum

K31A12 Gastric intestinal metaplasia without dysplasia, involving the body (corpus)

K31A13 Gastric intestinal metaplasia without dysplasia, involving the fundus

K31A14 Gastric intestinal metaplasia without dysplasia, involving the cardia

K31A15 Gastric intestinal metaplasia without dysplasia, involving multiple sites

K31A19 Gastric intestinal metaplasia without dysplasia, unspecified site

K31A21 Gastric intestinal metaplasia with low grade dysplasia

K31A22 Gastric intestinal metaplasia with high grade dysplasia

K31A29 Gastric intestinal metaplasia with dysplasia, unspecified

L24A0 Irritant contact dermatitis due to friction or contact with body fluids, unspecified

L24A1 Irritant contact dermatitis due to saliva

L24A2 Irritant contact dermatitis due to fecal, urinary or dual incontinence

L24A9 Irritant contact dermatitis due friction or contact with other specified body fluids

L24B0 Irritant contact dermatitis related to unspecified stoma or fistula

L24B1 Irritant contact dermatitis related to digestive stoma or fistula

L24B2 Irritant contact dermatitis related to respiratory stoma or fistula

L24B3 Irritant contact dermatitis related to fecal or urinary stoma or fistula

M3110 Thrombotic microangiopathy, unspecified

M3111 Hematopoietic stem cell transplantation-associated thrombotic microangiopathy [HSCT-TMA]

M3119 Other thrombotic microangiopathy

M3505 Sjogren syndrome with inflammatory arthritis

M3506 Sjogren syndrome with peripheral nervous system involvement

M3507 Sjogren syndrome with central nervous system involvement

M3508 Sjogren syndrome with gastrointestinal involvement

M350A Sjogren syndrome with glomerular disease

M350B Sjogren syndrome with vasculitis

M350C Sjogren syndrome with dental involvement

M45A0 Non-radiographic axial spondyloarthritis of unspecified sites in spine

M45A1 Non-radiographic axial spondyloarthritis of occipito-atlanto-axial region

M45A2 Non-radiographic axial spondyloarthritis of cervical region

M45A3 Non-radiographic axial spondyloarthritis of cervicothoracic region

M45A4 Non-radiographic axial spondyloarthritis of thoracic region

M45A5 Non-radiographic axial spondyloarthritis of thoracolumbar region

M45A6 Non-radiographic axial spondyloarthritis of lumbar region

M45A7 Non-radiographic axial spondyloarthritis of lumbosacral region

M45A8 Non-radiographic axial spondyloarthritis of sacral and sacrococcygeal region

M45AB Non-radiographic axial spondyloarthritis of multiple sites in spine

M5450 Low back pain, unspecified

M5451 Vertebrogenic low back pain

M5459 Other low back pain

P0082 Newborn affected by (positive) maternal group B streptococcus (GBS) colonization

P091 Abnormal findings on neonatal screening for inborn errors of metabolism

P092 Abnormal findings on neonatal screening for congenital endocrine disease

P093 Abnormal findings on neonatal screening for congenital hematologic disorders

P094 Abnormal findings on neonatal screening for cystic fibrosis

P095 Abnormal findings on neonatal screening for critical congenital heart disease

P096 Abnormal findings on neonatal screening for neonatal hearing loss

P098 Other abnormal findings on neonatal screening

P099 Abnormal findings on neonatal screening, unspecified

R051 Acute cough

R052 Sub acute cough

R053 Chronic cough

R054 Cough syncope

R058 Other specified cough

R059 Cough, unspecified

R3581 Nocturnal polyuria

R3589 Other polyuria

R4588 Non suicidal self-harm

R6330 Feeding difficulties, unspecified

R6331 Pediatric feeding disorder, acute

R6332 Pediatric feeding disorder, chronic

R6339 Other feeding difficulties

R7983 Abnormal findings of blood amino-acid level

S06A0XA Traumatic brain compression without herniation, initial encounter

S06A0XD Traumatic brain compression without herniation, subsequent encounter

S06A0XS Traumatic brain compression without herniation, sequela

S06A1XA Traumatic brain compression with herniation, initial encounter

S06A1XD Traumatic brain compression with herniation, subsequent encounter

S06A1XS Traumatic brain compression with herniation, sequela

T40711A Poisoning by cannabis, accidental (unintentional), initial encounter

T40711D Poisoning by cannabis, accidental (unintentional), subsequent encounter

T40711S Poisoning by cannabis, accidental (unintentional), sequela

T40712A Poisoning by cannabis, intentional self-harm, initial encounter

T40712D Poisoning by cannabis, intentional self-harm, subsequent encounter

T40712S Poisoning by cannabis, intentional self-harm, sequela

T40713A Poisoning by cannabis, assault, initial encounter

T40713D Poisoning by cannabis, assault, subsequent encounter

T40713S Poisoning by cannabis, assault, sequela

T40714A Poisoning by cannabis, undetermined, initial encounter

T40714D Poisoning by cannabis, undetermined, subsequent encounter

T40714S Poisoning by cannabis, undetermined, sequela

T40715A Adverse effect of cannabis, initial encounter

T40715D Adverse effect of cannabis, subsequent encounter

T40715S Adverse effect of cannabis, sequela

T40716A Underdosing of cannabis, initial encounter

T40716D Underdosing of cannabis, subsequent encounter

T40716S Underdosing of cannabis, sequela

T40721A Poisoning by synthetic cannabinoids, accidental (unintentional), initial encounter

T40721D Poisoning by synthetic cannabinoids, accidental (unintentional), subsequent encounter

T40721S Poisoning by synthetic cannabinoids, accidental (unintentional), sequela

T40722A Poisoning by synthetic cannabinoids, intentional self-harm, initial encounter

T40722D Poisoning by synthetic cannabinoids, intentional self-harm, subsequent encounter

T40722S Poisoning by synthetic cannabinoids, intentional self-harm, sequela

T40723A Poisoning by synthetic cannabinoids, assault, initial encounter

T40723D Poisoning by synthetic cannabinoids, assault, subsequent encounter

T40723S Poisoning by synthetic cannabinoids, assault, sequela

T40724A Poisoning by synthetic cannabinoids, undetermined, initial encounter

T40724D Poisoning by synthetic cannabinoids, undetermined, subsequent encounter

T40724S Poisoning by synthetic cannabinoids, undetermined, sequela

T40725A Adverse effect of synthetic cannabinoids, initial encounter

T40725D Adverse effect of synthetic cannabinoids, subsequent encounter

T40725S Adverse effect of synthetic cannabinoids, sequela

T40726A Underdosing of synthetic cannabinoids, initial encounter

T40726D Underdosing of synthetic cannabinoids, subsequent encounter

T40726S Underdosing of synthetic cannabinoids, sequela

T8082XA Complication of immune effector cellular therapy, initial encounter

T8082XD Complication of immune effector cellular therapy, subsequent encounter

T8082XS Complication of immune effector cellular therapy, sequela

U099 Post COVID-19 condition, unspecified

Y35899A Legal intervention involving other specified means, unspecified person injured, initial encounter

Y35899D Legal intervention involving other specified means, unspecified person injured, subsequent encounter

Y35899S Legal intervention involving other specified means, unspecified person injured, sequela

Z555 Less than a high school diploma

Z586 Inadequate drinking-water supply

Z5900 Homelessness unspecified

Z5901 Sheltered homelessness

Z5902 Unsheltered homelessness

Z5941 Food insecurity

Z5948 Other specified lack of adequate food

Z59811 Housing instability, housed, with risk of homelessness

Z59812 Housing instability, housed, homelessness in past 12 months

Z59819 Housing instability, housed unspecified

Z5989 Other problems related to housing and economic circumstances

Z7185 Encounter for immunization safety counseling

Z91014 Allergy to mammalian meats

Z9151 Personal history of suicidal behavior

Z9152 Personal history of non suicidal self-harm

Z92850 Personal history of Chimeric Antigen Receptor T-cell therapy

Z92858 Personal history of other cellular therapy

Z92859 Personal history of cellular therapy, unspecified

Z9286 Personal history of gene therapy


 

ICD 10 CM Updates

New Rules for CPT Category III T Codes

Attach the Medical Records at initial Claim Submission Please note that when submitting your initial claim for any one of the CPT codes spec...