In this blog, we are going to discuss about the proposed changes of ICD-10 CM 2022, slated to take effect on Oct 1, 2021. This is not the final list of changes as the panel discussions are still open to include the changes.
The proposed updates includes 153 new diagnosis codes, 22 revised codes and 30 invalid codes. The most significant changes would include the addition of new codes for cough, low back pain and cannabis poisoning.
Highlights of the proposed code changes:
The list of new codes established in January 2021 will be added into the FY ICD10-CM 2022. These codes include J12.82, M35.81, M35.89, Z11.52, Z20.822 and Z86.16 already discussed in the article of NEW ICD-10 CM codes effective January 1,2021.
Bilateral codes for Malignant and secondary neoplasm of ovaries:
Currently, the codes for both the malignant and secondary neoplasm of ovaries are limited to only right and left laterality. There is no code to represent the bilateral neoplasm condition. Therefore, the proposed changes would include the codes for bilateral neoplasm of ovaries.
C56.3 – Malignant neoplasm of bilateral ovaries.
C79.63 – Secondary malignant neoplasm of bilateral ovaries.
As you are aware, there are numerous codes currently available to represent the polyp condition. There are codes for gastric polyp, ascending polyp, descending polyp, transverse polyp, rectal polyp and others. However, there is no code to represent esophageal polyp. Therefore, the proposed changes would include the addition of new codes for esophageal polyp.
K22.81 – Esophageal polyp
K22.82 – Esophagogastric junction polyp
K22.89 – Other specified disease of esophagus
The category of Sjogren syndrome is further expanded to specify the GI system and other organ system involvement with the syndrome.
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
Non-radiographic axial spondyloarthritis:
A new series of codes for non-radiographic axial spondyloarthritis includes the addition of ten new codes as below:
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
Expansion of low back pain:
The most commonly used diagnosis code M54.5 – low back pain is proposed to be expanded to distinguish the low back pain from other types.
M54.50 – Low back pain, unspecified
M54.51 – Vertebrogenic low back pain
M54.59 – Other low back pain
The other commonly used code R05 for cough is expanded to a set of new codes to represent the type of cough as acute, subacute, chronic, cough syncope, other specified and 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
Currently, there is only one code R63.3 to represent the feeding difficulties. It is a NOS code which includes both elderly and infant in its description. It is proposed to get expanded to represent the pediatric feeding disorders of acute and chronic types.
R63.30 – Feeding difficulties, unspecified
R63.31 – Pediatric feeding disorder, acute
R63.32 – Pediatric feeding disorder, chronic
R63.39 – Other feeding difficulties
The majority of changes occurred in Chapter 19, including new codes for traumatic brain compression, poisoning by cannabis and synthetic cannabinoids.
I have shared only the highlights of the proposals and the comprehensive list of code changes will be shared in a separate article with more updates.
Happy learning! Happy coding!