New/Updated ICD-10-CM Diagnosis Codes for 2022

Coding Tips,

Effective each year on October 1, additions, deletions, and updates to the ICD-10-CM code set are published.  This year, no significant changes were made to Chapter 15, the obstetrics chapter.  However, there are a few new codes that could affect the practice of Maternal Fetal Medicine.

The changes are as follows:

OLD CODE(S)F32.9  Major depressive disorder, single episode, unspecified
F33.9  Major depressive disorder, recurrent, unspecified

NEW CODE(S)F32.A  Depression, unspecified

NOTESAll of these codes are still valid, but F32.A can now be used for occasions in which the provider is not aware of the nature of the patient’s depression.

OLD CODE(S)
M54.5  Low back pain

NEW CODE(S)
M54.50  
Low back pain, unspecified
M54.51  Vertebrogenic low back pain
M54.59  Other low back pain

NOTES M54.5 is no longer a valid code.  Provider documentation will need to be more specific to facilitate diagnosis assignment.

OLD CODE(S)
R05
         Cough

NEW CODE(S) 
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

NOTES
R05
is no longer a valid code.  Provider documentation will need to be more specific to facilitate diagnosis assignment.

NEW CODE(S)
R45.88 
Nonsuicidal self-harm

NEW CODE(S)U09.9  Post COVID-19 condition, unspecified

NOTESThis new code can only be used as a secondary diagnosis.  The primary diagnosis should be the specified condition(s) caused by/related to COVID-19.

NEW CODES(S)
Z71.85 
Encounter for immunization safety counseling

NOTESThis new code can be used for an encounter related to any immunization safety counseling.  If the patient does pursue the immunization, Z23 should be reported as the secondary diagnosis.  If the patient does not pursue the immunization, the appropriate Z28.- code should be reported.

OLD CODE(S)
Z59.0 
Homelessness

NEW CODE(S)
Z59.00 
Homelessness, unspecified
Z59.01  Sheltered homelessness
Z59.02 Unsheltered homelessness

NOTES
Z59.0
is no longer a valid code.  Provider documentation will need to be more specific to facilitate diagnosis assignment.

OLD CODE(S)
Z59.4 
Lack of adequate food

NEW CODE(S)
Z59.41 
Food insecurity
Z59.48  Other specified lack of adequate food

NOTES
Z59.4
is no longer a valid code.  Provider documentation will need to be more specific to facilitate diagnosis assignment.

OLD CODE(S)
Z59.8 
Other problems related to housing and economic circumstances

NEW CODE(S)
Z59.81  
Housing instability, housed
Z59.811  …w/risk of homelessness
Z59.812  …homelessness in past 12 months
Z59.819  …unspecified
Z59.89  Other problems related to housing and economic circumstances

NOTES

Z59.8 is no longer a valid code.  Provider documentation will need to be more specific to facilitate diagnosis assignment.  Z59.81 is not a valid code because it has additional valid codes within its category.

The complete detail of every change in ICD-10-CM for 2022 can be found here.

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