In less than one month, the 2022 edition of ICD-10-CM/PCS will become effective.  This edition contains hundreds of ICD-10 code changes that include additions, revisions and deletions which will greatly impact your organization.

Here are the highlights:

The 2022 ICD-10-CM changes include:

• 159 new codes that include an addition of a new code to report a post-COVID-19 condition (U09.9)
• 20 revised codes
• 32 deleted codes 

Many of the changes impact the following chapters:

• Chapter 3:  Diseases of the Blood and Blood-forming Organs
• Chapter 11:  Diseases of the Digestive System
• Chapter 13:  Diseases of the Musculoskeletal System and Connective Tissue
• Chapter 19:  Injury, Poisoning and Certain Other Consequences of External Causes and Adverse Effects

The 2022 ICD-10-PCS changes include:

• 191 new codes
• 62 revised codes
• 107 deleted codes

 A large majority of these changes impact:

• General and surgical services
• Radiation therapy
• Physical rehabilitation and diagnostic audiology
• Administrations and placements 

In addition to the ICD-10 code changes, there are also many changes to the present on admission (POA), complications or comorbidities (CC), and major complications or comorbidities (MCC) reporting requirements. 

It is important these changes are communicated with your coding and clinical staff and education is provided to ensure appropriate and compliant use of the new and revised codes as well as to prevent costly coding denials  We also recommend you confirm your IT staff are aware of the upcoming deadline and an implementation plan is in place.

The 2022 ICD-10-CM and POA files can be found:
https://www.cms.gov/medicare/icd-10/2022-icd-10-cm

The IPPS final rule can be found:  
https://www.cms.gov/medicare/acute-inpatient-pps/fy-2022-ipps-final-rule-home-page

The 2022 ICD-10-PCS files can be found: 
https://www.cms.gov/medicare/icd-10/2022-icd-10-pcs

HBE’s team of coding and compliance experts is available to assist you with external reviews of your documentation, coding and reimbursement, process reviews, and data analysis.  Additionally, we can provide customized education and training for your administrative and clinical staff.  We are also available to provide assistance with conducting risk assessments, internal investigations and policy and procedure development.  

DISCLAIMER:  This newsletter contains only summary information and highlights; it should be read in conjunction with the full article or document provided as a link.  Any advice or recommendations are general and specific questions should be directed to professional counsel