Changes to the ICD-10-CM Official Guidelines for Coding and Reporting

FY 2022 -- UPDATED April 1, 2022(October 1, 2021 - September 30, 2022)Updates to the ICD-10-CM Official Guidelines for Coding and Reporting the new diagnosis codes that describe immunization status for COVID-19 are included below. The complete guidelines may be downloaded by visiting the following website: https://www.cdc.gov/nchs/icd/icd10cm.htmThe 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). Italics are used to indicate revisions to...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium article reviews a FY 2022 update to the ICD-10-CM Official Guidelines for Coding and Reporting. It focuses on a chapter-specific update related to coronavirus infections and COVID-19 immunization status, and it is relevant to coders, compliance staff, and clinicians working with diagnosis coding policy and reporting guidance.

Why This Topic Matters

Updates to the ICD-10-CM official guidelines can affect diagnosis code assignment, documentation review, and reporting consistency. This article helps readers identify the areas of the guidelines that changed and understand the general scope of the COVID-19-related update.

Article Sections

  1. Section I. Conventions, general coding guidelines and chapter specific guidelines

    Introduces the part of the official guidelines that addresses general conventions and chapter-specific guidance within ICD-10-CM.

  2. C. Chapter Specific Coding Guidelines

    Covers the chapter-specific guidance area where the update is placed and frames the affected infectious disease chapter material.

  3. Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99), U07.1, U09.9

    Identifies the chapter and related diagnosis code areas referenced in the update, with emphasis on infectious disease and coronavirus-related content.

  4. g. Coronavirus infections

    Addresses the coronavirus infection subsection within the chapter-specific guidelines.

  5. 1) COVID-19 infection (infection due to SARS-CoV-2)

    Focuses on the COVID-19 infection guidance contained in the coronavirus subsection and its relation to diagnosis coding updates.

  6. (n) Underimmunization for COVID-19 Status

    Summarizes the newly added guidance section concerning COVID-19 immunization-status diagnosis coding and related reporting context.

What You Will Learn

  • Which parts of the ICD-10-CM Official Guidelines were updated for FY 2022
  • How the update is organized within the chapter-specific guideline structure
  • What general topic area the new COVID-19 immunization-status guidance addresses
  • Which organizations and official resources are referenced for further guidance

Who Should Read This

  • ICD-10-CM medical coders
  • Coding auditors and compliance professionals
  • Health information management staff
  • Clinicians documenting diagnosis and immunization status

Codes Discussed

  • ICD-10-CM: U07.1
  • ICD-10-CM: U09.9
  • ICD-10-CM: Z28.310
  • ICD-10-CM: Z28.311

Code Ranges Discussed

  • ICD-10-CM: A00-B99

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