2022 ICD-10 Updates

Numerous 2022 ICD-10 updates have just kicked in, thanks in some part to the many healthcare changes prompted by the unique times we’re in. October 1st of 2021 marks 159 additions, 25 deletions, and 27 revisions to the current codes.

But not to worry! There’s no need to track down all of these changes or stress about finding the right code. Because we’ve done the leg work already, and we’re here to share our insights with you.

There are 4 major categories of ICD-10 code updates for 2022. Yes, COVID-19 caused plenty of code changes, but there are also some common code adjustments, nervous system updates, and new codes for social determinants of health.

Click below to jump to a specific section, or scroll down to view them all:

Changes Related to COVID-19

From 2020 – 2022, COVID-19 has changed much about healthcare. So coronavirus is a significant factor in many of the following 2022 ICD-10 updates.

The following 8 new codes directly relate to COVID-19:

  • 9 – Post COVID-19 condition, unspecified
  • 82 – Pneumonia due to coronavirus disease
  • 81 – Multisystem inflammatory syndrome
  • 89 – Other specified system involvement of connective tissue
  • 52 – Encounter for screening for COVID-19
  • 822 – Contact with and (suspected) exposure to COVID-19
  • 16 – Personal history of COVID-19

The COVID-19 vaccine rollout also brought us one new code:

  • 85 Encounter for immunization safety counseling

It’s helpful to note that this code can be used for any visit that includes a discussion about the vaccine with a patient or caregiver. Meaning that you can use this code if a patient is hesitant about the COVID vaccine (or any other type of vaccine) and asks questions about it during the appointment.

Common Codes that Now Need More Specificity

You may be surprised at how many codes are deleted in the 2022 ICD-10 updates. However, most of the deleted codes are just changed slightly, to provide a more specific diagnosis.

Here are 2 of the most commonly used codes that will now need further specificity:

Cough

R05 Cough is deleted because it now needs further specificity:

  • 1 – Acute cough
  • 2 – Subacute cough
  • 3 – Chronic cough
  • 4 – Cough Syncope
  • 8 – Other specified cough
  • 9 – Cough, unspecified

Low Back Pain

M54.5 Low back pain is too broad and non-specific, so it is changed to:

  • 50 – Low back pain, unspecified
  • 51 – Vertebrogenic low back pain
  • 59 – Other low back pain

Nervous System Updates

2 of the 2022 ICD-10 updates are related to the nervous system.

Pro tip: These new codes can often be coupled with existing codes. For example, there may be manifestations or associated conditions related to each of these diagnoses.

  • 82 – Acute flaccid myelitis (code manifestations, if known)
  • 86 – Cerviogenic headache (code associated cervical spinal condition, if known)

Codes for Social Determinants of Health

There is a new initiative to determine how psychosocial factors affect patients’ health. Researchers want to know how patients’ education, employment, or housing may influence their health outcomes. They are also looking at the ways someone’s upbringing, occupational risks, and access to food may affect their wellbeing.

By including Z55-Z65 in the 2022 ICD-10 updates, researchers will have more information about the social determinants of health.

Here are some of the most important new codes in this category:

  • 5 – Less than a high school diploma
  • Z58 – Problems related to physical environment
    • 6 – Inadequate drinking-water supply
  • 0 – Homelessness
    • 00 – Homelessness unspecified
    • 01 – Sheltered homelessness
    • 02 – Unsheltered homelessness
    • 41 – Food Insecurity
    • 48 – Other specified lack of adequate food
  • 81 – Housing instability, housed
    • 811 – Housing instability, housed, with risk of homelessness
    • 812 – Housing instability, housed, homelessness in past 12 months
    • 819 – Housing instability, housed unspecified
    • 89 – Other problems related to housing and economic circumstances

Questions about 2022 ICD-10 Updates?

We hope this summary of the 2022 ICD-10 updates to code is helpful to you.

Even though we’ve covered the bulk of the information, please don’t hesitate to contact us with questions or clarifications.

We’re always happy to help!

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