2022 ICD-10-CM Codes Updates

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The 2022 ICD-10-CM codes have been published.  Here’s a link to the downloadable files.

The Official Coding and Reporting Guidelines for 2022 ICD-10-CM are not published yet.  As soon as they are, I’ll provide an update.

There are fewer updates to ICD-10-CM for 2022 than there were for 2021.  2022 includes 159 new codes, 32 deleted codes, and 20 revised codes.

Chapter 1 – Infectious and Parasitic Diseases

            1 new code. 

A79.82 – Anaplasmosis

Chapter 2 – Neoplasms

            3 new codes.

                        C56.3    Malignant neoplasm of bilateral ovaries

C796.3   Secondary malignant neoplasm of bilateral ovaries

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

Chapter 3 – Diseases of Blood and Blood Forming Organs

            5 new codes.

                        D55.21   Anemia due to pyruvate kinase deficiency

D55.29   Anemia due to other disorders of glycolytic enzymes

D75.838  Other thrombocytosis

D75.839  Thrombocytosis, unspecified

D89.44   Hereditary alpha tryptasemia

            1 deleted code.

                        D55.2    Anemia due to disorders of glycolytic enzymes

Chapter 4 – Endocrine, Nutritional, and Metabolic Diseases

            1 new code.

                        E75.244  Niemann-Pick disease type A/B

Chapter 5 – Mental, Behavioral, and Neurodevelopmental Disorders

            3 new codes.

                        F32.A    Depression, unspecified

                        F78.A1   SYNGAP1-related intellectual disability

F78.A9   Other genetic related intellectual disability

            1 deleted code.

                        F78     Other intellectual disabilities

Chapter 6 – Diseases of the Nervous System

            10 new codes.

                        G04.82   Acute flaccid myelitis

G44.86   Cervicogenic headache

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, gr ade 5

G92.8    Other toxic encephalopathy

G92.9    Unspecified toxic encephalopathy

            1 deleted code.

                        G92     Toxic encephalopathy

1 revised code (the spelling of unspecified was corrected from unspecifed)

“Revise from: G71.20   Congenital myopathy, unspecifed

Revise to:   G71.20   Congenital myopathy, unspecified”

Chapter 8 – Diseases of the Circulatory System

            1 new code.

I5A     Non-ischemic myocardial injury (non-traumatic)

Chapter 11 – Diseases of the Digestive System

            13 new codes.

                        K22,81   Esophageal polyp

K22.82   Esophagogastric junction polyp

K22.89   Other specified disease of esophagus

K31.A0   Gastric intestinal metaplasia, unspecified

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.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

            1 deleted code.

                        K22.8    Other specified diseases of esophagus

Chapter 12 – Diseases of Skin and Subcutaneous Tissue

            8 new codes.

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.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

Chapter 13 – Diseases of the Musculoskeletal System

            23 new codes.

                        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.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

            2 deleted codes.

                        M31.1    Thrombotic microangiopathy

M54.5    Low back pain

            12 revised codes (Sicca changed to Sjogren in description)

M35.00   Sjogren syndrome, unspecified

M35.01   Sjogren syndrome with keratoconjunctivitis

M35.02   Sjogren syndrome with lung involvement

M35.03   Sjogren syndrome with myopathy

M35.04   Sjogren syndrome with tubulo-interstitial nephropathy

M35.09   Sjogren syndrome with other organ involvement”

Chapter 16 – Conditions Originating in the Perinatal Period

            9 new codes.

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

            1 deleted code.

P09     Abnormal findings on neonatal screening

Chapter 18 – Signs, Symptoms, and Abnormal Clinical and Laboratory Findings

            14 new codes.

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

            3 deleted codes.

R05     Cough

R35.8    Other polyuria

R63.3    Feeding difficulties

Chapter 19 – Injuries and Poisonings

            45 new codes.

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.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

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

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

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

T40.712A 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

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

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

T40.713S Poisoning by cannabis, assault, sequela

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

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

T40.714S Poisoning by cannabis, undetermined, sequela

T40.715A Adverse effect of cannabis, initial encounter

T40.715D Adverse effect of cannabis, subsequent encounter

T40.715S Adverse effect of cannabis, sequela

T40.716A Underdosing of cannabis, initial encounter

T40.716D Underdosing of cannabis, subsequent encounter

T40.716S Underdosing of cannabis, sequela

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

T40.722A 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

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

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

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

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

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

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

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

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

T40.725S Adverse effect of synthetic cannabinoids, sequela

T40.726A Underdosing of synthetic cannabinoids, initial encounter

T40.726D Underdosing of synthetic cannabinoids, subsequent encounter

T40.726S Underdosing of synthetic cannabinoids, sequela

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

            18 deleted codes.

T40.7X1A Poisoning by cannabis (derivatives), accidental (unintentional), initial encounter

T40.7X1D Poisoning by cannabis (derivatives), accidental (unintentional), subsequent encounter

T40.7X1S Poisoning by cannabis (derivatives), accidental (unintentional), sequela

T40.7X2A Poisoning by cannabis (derivatives), intentional self-harm, initial encounter

T40.7X2D Poisoning by cannabis (derivatives), intentional self-harm, subsequent encounter

T40.7X2S Poisoning by cannabis (derivatives), intentional self-harm, sequela

T40.7X3A Poisoning by cannabis (derivatives), assault, initial encounter

T40.7X3D Poisoning by cannabis (derivatives), assault, subsequent encounter

T40.7X3S Poisoning by cannabis (derivatives), assault, sequela

T40.7X4A Poisoning by cannabis (derivatives), undetermined, initial encounter

T40.7X4D Poisoning by cannabis (derivatives), undetermined, subsequent encounter

T40.7X4S Poisoning by cannabis (derivatives), undetermined, sequela

T40.7X5A Adverse effect of cannabis (derivatives), initial encounter

T40.7X5D Adverse effect of cannabis (derivatives), subsequent encounter

T40.7X5S Adverse effect of cannabis (derivatives), sequela

T40.7X6A Underdosing of cannabis (derivatives), initial encounter

T40.7X6D Underdosing of cannabis (derivatives), subsequent encounter

T40.7X6S Underdosing of cannabis (derivatives), sequela

12 revised codes (the spelling of Portuguese was corrected from Portugese)

“Revise to:   T63.611A Toxic effect of contact with Portuguese Man-o-war, accidental (unintentional), initial encounter

Revise to:   T63.611D Toxic effect of contact with Portuguese Man-o-war, accidental (unintentional), subsequent encounter

Revise to:   T63.611S Toxic effect of contact with Portuguese Man-o-war, accidental (unintentional), sequela

Revise to:   T63.612A Toxic effect of contact with Portuguese Man-o-war, intentional self-harm, initial encounter

Revise to:   T63.612D Toxic effect of contact with Portuguese Man-o-war, intentional self-harm, subsequent encounter

Revise to:   T63.612S Toxic effect of contact with Portuguese Man-o-war, intentional self-harm, sequela

Revise to:   T63.613A Toxic effect of contact with Portuguese Man-o-war, assault, initial encounter

Revise to:   T63.613D Toxic effect of contact with Portuguese Man-o-war, assault, subsequent encounter

Revise to:   T63.613S Toxic effect of contact with Portuguese Man-o-war, assault, sequela

Revise to:   T63.614A Toxic effect of contact with Portuguese Man-o-war, undetermined, initial encounter

Revise to:   T63.614D Toxic effect of contact with Portuguese Man-o-war, undetermined, subsequent encounter

Revise to:   T63.614S Toxic effect of contact with Portuguese Man-o-war, undetermined, sequela”

Chapter 20 – External Cause of Morbidity

            3 new codes

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

Chapter 21 – Factors Influencing Health Status and Contact with Health Services

            19 new codes.

Z55.5    Less than a high school diploma

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

Z59.811  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

Z9.1014  Allergy to mammalian meats

Z91.51   Personal history of suicidal behavior

Z91.52   Personal history of nonsuicidal self-harm

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

            4 deleted codes.

Z59.0    Homelessness

Z59.4    Lack of adequate food and safe drinking water

Z59.8    Other problems related to housing and economic circumstances

Z91.5    Personal history of self-harm

            1 Revised code (the spelling of immunosuppression was corrected from immunosupression)

Revise to:   Z92.25   Personal history of immunosuppression therapy

Chapter 22 – Codes for Special Purposes

            1 new code

U099    Post COVID-19 condition, unspecified

ICD-10® is copyrighted by the World Health Organization (WHO)

ICD – ICD-10-CM – International Classification of Diseases …. https://www.cdc.gov/nchs/icd/icd10cm.htm

Happy 4th!

Stay safe

2 thoughts on “2022 ICD-10-CM Codes Updates

    1. Hello Margaret, are you able to download the ICD-10-CM (2022) files from the link that I provided?

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