ICD-10-CM proposed changes include new cough, lumbago codes, no post-COVID

by: Laura Evans, CPC Apr 28, 2021

Providers will find 205 proposed ICD-10-CM code changes in the FY 2022 version of the code set, slated to take effect Oct. 1, 2021. The proposed updates include 153 new diagnosis codes, 22 revised codes and 30 invalidated codes.

The changes were issued in the proposed Inpatient Prospective Payment System (IPPS) payment rule for acute and long-term care hospitals, released April 27.

Changes include new codes for coughs, low back pain and cannabis poisoning.

Note one code that so far is not included in the changes: a new code for Post COVID-19 adopted by the World Health Organization earlier this year (U09.9). ICD-10-CM officials proposed last month to add the code Oct. 1 during the ICD-10 Coordination and Maintenance Committee meeting.

Check out additional highlights of the proposed code changes:

The list of new codes includes re-issues of the COVID-19 codes that were added in January this year, including J12.82, M35.81, M35.89, Z11.52, Z20.822 and Z86.16.
Chapter 13 accounts for 35 ICD-10-CM code changes, including an expansion of the category for Sjogren syndrome (M35.0-) and a new series of codes for non-radiographic axial spondyloarthritis (M45.A-). The diagnosis code for low back pain (M54.5) has been expanded to distinguish vertebrogenic low back pain (M54.51) from other types.
In numerous changes to Chapter 18, six new specific codes for coughs (R05) were added, including acute, subacute, chronic, cough syncope, other specified and unspecified. Additional codes were added for polyuria (R35.8), nonsuicidal self-harm (R45.88) and feeding difficulties (R63.3-) to distinguish pediatric feeding disorder.
The bulk of changes occurred in Chapter 19, including new codes for traumatic brain compression (S06.A-) and poisoning by cannabis (T40.71-) and synthetic cannabinoids (T40.72-).

See the counts of ICD-10-CM changes by chapter, below.

To view the full list of ICD-10-CM changes as well as ICD-10-PCS updates, visit the CMS website. Look for more details on the changes in an upcoming issue of Part B News and the Specialty Coder’s Pink Sheets.

FY 2022 ICD-10-CM Proposed Changes by Chapter

Chapter	New	Revised	Invalidated
Chapter 1: Certain infectious and parasitic diseases (A00-B99)	1	0	0
Chapter 2: Neoplasms (C00-D49)	3	0	0
Chapter 3: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89)	5	0	1
Chapter 4: Endocrine, nutritional and metabolic diseases (E00-E89)	1	0	0
Chapter 5: Mental, Behavioral and Neurodevelopmental disorders (F01-F99)	3	0	1
Chapter 6: Diseases of the nervous system (G00-G99)	10	1	1
Chapter 7: Diseases of the eye and adnexa (H00-H59)	0	0	0
Chapter 8: Diseases of the ear and mastoid process (H60-H95)	0	0	0
Chapter 9: Diseases of the circulatory system (I00-I99)	1	0	0
Chapter 10: Diseases of the respiratory system (J00-J99)	1	0	0
Chapter 11: Diseases of the digestive system (K00-K95)	13	0	1
Chapter 12: Diseases of the skin and subcutaneous tissue (L00-L99)	8	0	0
Chapter 13: Diseases of the musculoskeletal system and connective tissue (M00-M99)	25	6	3
Chapter 14: Diseases of the genitourinary system (N00-N99)	0	0	0
Chapter 15: Pregnancy, childbirth and the puerperium (O00-O9A)	0	0	0
Chapter 16: Certain conditions originating in the perinatal period (P00-P96)	9	0	1
Chapter 17: Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)	0	0	0
Chapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)	14	0	3
Chapter 19: Injury, poisoning and certain other consequences of external causes (S00-T88)	45	12	18
Chapter 20: External causes of morbidity (V00-Y99)	3	0	0
Chapter 21: Factors influencing health status and contact with health services (Z00-Z99)	11	3	1
Chapter 22: Codes for special purposes (U00-U85)	0	0	0
Total	153	22	30

Blog Tags: COVID-19, ICD-10

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