AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Quarter 4; In This Issue
Changes to ICD-10-CM Official Guidelines for Coding and Reporting
A summary of the modifications to the ICD-10-CM Official Guidelines for Coding and Reporting are included below. The complete guidelines may be downloaded by visiting https://www.cdc.gov/nchs/icd/Comprehensive-Listing-of-ICD-10-CM-Files.htm The modifications are published below using the following format: Narrative changes appear in bold text (e.g., severe sepsis ) Items underlined were moved within the guidelines since October 1, 2021 (e.g., severe sepsis ) Deletions are shown as strikeouts (e.g., severe sepsis ) Section I. Conventions, general coding guidelines and chapter specific guidelines A. Conventions for the ICD-10-CM … 19. Code assignment and Clinical Criteria The assignment...
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Article Overview
This article reviews changes to the ICD-10-CM Official Guidelines for Coding and Reporting and is intended for coding professionals who need to track annual guideline updates. It covers general documentation principles, chapter-specific guidance, and selected Z code and diagnosis-related updates spanning infectious diseases, neoplasms, diabetes, mental health, pregnancy, perinatal care, injuries, and factors influencing health status. The content is useful for anyone comparing current and prior ICD-10-CM reporting guidance or preparing for guideline changes.
Why This Topic Matters
Guideline updates can affect diagnosis reporting, sequencing, and documentation interpretation across a wide range of clinical settings. Staying current helps coders, auditors, CDI teams, and billing staff align documentation review with the latest ICD-10-CM Official Guidelines.
Article Sections
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Section I. Conventions, general coding guidelines and chapter specific guidelines
Introduces general ICD-10-CM conventions, documentation principles, and chapter-specific guidance. Also includes selected topics related to provider documentation, complications of care, and special status reporting.
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Chapter 1: Certain Infectious and Parasitic Diseases
Covers guideline updates for infectious disease reporting within Chapter 1. Topics include HIV-related guidance, sepsis-related guidance, and coronavirus-related status/documentation references.
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Chapter 2: Neoplasms
Summarizes updates involving neoplasm admission and encounter rules. Also addresses guidance related to secondary malignant neoplasm patterns and lymphoid tissue involvement.
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Chapter 4: Endocrine, Nutritional, and Metabolic Diseases
Reviews diabetes-related guideline updates, including medication-use reporting across different treatment types. Secondary diabetes guidance is also addressed.
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Chapter 5: Mental, Behavioral and Neurodevelopmental disorders
Covers updates affecting substance-use disorders, remission reporting, alcohol-related documentation, and dementia severity guidance. The section focuses on provider documentation and clinical judgment references.
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Chapter 15: Pregnancy, Childbirth, and the Puerperium
Addresses obstetric coding guidance, including gestational age interpretation, diabetes in pregnancy references, and termination-of-pregnancy complications. The section highlights pregnancy-related reporting updates.
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Chapter 16: Certain Conditions Originating in the Perinatal Period
Summarizes guidance for newborn observation and evaluation when suspected conditions are ruled out. It also distinguishes situations involving signs or symptoms.
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Chapter 19: Injury, poisoning, and other certain other consequences of external causes
Covers adverse effects, poisoning, underdosing, and toxic effects guidance. The discussion includes how underdosing is categorized in the guideline framework.
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Chapter 21: Factors influencing health status and contact with health services
Reviews selected Z code guidance covering status, counseling, miscellaneous Z codes, and social determinants of health. The section reflects documentation-dependent reporting topics.
What You Will Learn
- How the ICD-10-CM Official Guidelines were modified across major chapters
- Which documentation principles were clarified for diagnosis reporting
- What areas of ICD-10-CM chapter guidance were updated
- How the article organizes changes affecting general coding and selected Z codes
- Which clinical documentation topics are emphasized in the update summary
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation integrity specialists
- Billing and reimbursement staff
- Healthcare compliance teams
- Provider education teams
Codes Discussed
Code Ranges Discussed
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