Don’t you love summertime? School is out, we are taking vacations and trips, barbeques, sunny days, AND the new ICD-10-CM codes get released! Yes, it has occurred already (earlier than expected), the FY2022 ICD-10-CM codes have been released by the Centers for Medicare and Medicaid Services (CMS). For those of you keeping track of the dates of these releases, this FY2022 release will replace the January 1, 2021, release of updated ICD-10-CM codes.  Also, remember that the FY2022 ICD-10-PCS (inpatient procedure) new codes were released back on June 4, 2021.

We will be using these new 2022 ICD-10-CM codes for encounters from October 1, 2021, through September 30, 2022.  Go to the CDC website to review the ICD-10-CM files: ICD – ICD-10-CM – International Classification of Diseases, Tenth Revision, Clinical Modification (cdc.gov)

The CMS FY2022 files that have been released include:

  1. Addenda (by Chapter)
  2. Code Description
  3. ICD-10-CM Conversion Table 2022
  4. Table and Index

After a quick review of the tabular addenda, the following “new” codes might be of interest to HIM and CDI professionals (this is not an all-inclusive list, just a few of the new codes to get the coding juices flowing):

Chapter 2  Neoplasms (C00-D49)

New Code C56.3Malignant neoplasm of bilateral ovaries
New Code C79.63 Secondary malignant neoplasm, of bilateral ovaries
New Code C84.7AAnaplastic large cell lymphoma, ALK-negative, breast

Chapter 3 Disease of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89)

New Code D55.21Anemia due to pyruvate kinase deficiency
New Code D55.29Anemia due to other disorders of glycolytic enzymes
New Code D75.838Other thrombocytosis
New Code D75.839Thrombocytosis, unspecified
New Code D89.44Hereditary alpha tryptasemia

Chapter 4 Endocrine, nutritional and metabolic diseases (E00-E89)

New Code E75.244Niemann-Pick disease type A/B

Chapter 5 Mental, Behavioral and Neurodevelopmental disorders (F01-F99)

New Code F32.ADepression, unspecified
New  F78.AOther genetic related intellectual disabilities
New Code F78.A1SYNGAP1-related intellectual disability
New Code F78.A9Other genetic related intellectual disability

And there are others, including new additions to Social Determinants of Health (SDOH) Chapter 21, Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65) and of course the new code in Chapter 22 Codes for Special purposes (U00-U99), specifically related to Post COVID-19. The new code is U09.9 Post COVID-19 condition, unspecified. This particular condition and code have had lots of dialog and discussions regarding it and does have an instructional “NOTE” and “Code First” instruction which need to be followed.

But don’t forget that there are also several new inclusion terms for several already established codes, plus a review for new or revised “excludes1, excludes2, and code also” instructions which needs to be read over with the annual updates.  

Updates to the Official Guidelines for Coding and Reporting will be released at a later date, so stay tuned for that to come as well as the FY2022 Inpatient Prospective Payment System (IPPS) update.

As Health Information Management and Clinical Documentation Integrity Professionals, learning about the new codes is an imperative, and honestly I love that about our profession, always learning.  In fact, the learning process involves obtaining knowledge about the clinical aspects of the diseases and conditions that are not identified through a specific ICD-10-CM code. Anatomy and physiology are part of the clinical coding skillset.  So, between now and October 1, 2021, let’s all put our learning hats on and obtain education on this important annual coding update.

Written by Gloryanne Bryant, RHIA, CDIP, CCS, CCDS, AHIMA Approved ICD-10-CM/PCS Trainer

Reimbursement Management Consultants (RMC) can provide assistance with medical coding support, auditing, education, compliance consulting, and HCC/risk adjustment services. RMC is a woman-owned, US-based and operated company which specializes in a variety of medical coding and auditing services. Contact us here.