AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 1; In this Issue
New IC-10-PCS Codes
A summary of the ICD-10-PCS changes effective April 1, 2022 is provided below. The addenda changes demonstrating the specific revisions to the code titles are not included in the explanations below. The Code Tables, Index and related Addenda files are available on the Centers for Medicare & Medicaid Services (CMS) website at https://www.cms.gov/medicare/icd-10/2022-icd-10-pcs. Nine new procedure codes are created to describe the introduction or infusion of therapeutics, including vaccines, monoclonal antibodies and a drug for COVID-19 treatment.COVID-19 Vaccine Administration Four new procedure codes are created for COVID-19 vaccines as shown below. Two codes were created...
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Article Overview
This article explains a set of ICD-10-PCS changes effective April 1, 2022 and is aimed at coders, CDI staff, and billing professionals who need to stay current with new procedure code additions. It covers newly created codes tied to COVID-19 vaccine administration, new therapeutic substances, and related updates in ICD-10-PCS tables and new technology group designations. The article also notes where official CMS resources and related guidance can be found.
Why This Topic Matters
New ICD-10-PCS code additions can affect inpatient procedure reporting, documentation review, and coding accuracy for COVID-19 vaccine administration and therapeutic substance delivery. Staying aligned with these updates helps organizations reflect current procedures and avoid miscoding when new substances or vaccine scenarios are documented.
Article Sections
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COVID-19 Vaccine Administration
This section covers newly added ICD-10-PCS procedure codes associated with COVID-19 vaccine administration and discusses the broader clinical context for vaccine timing and documentation. It also notes the evolving guidance environment surrounding boosters and additional doses.
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Introduction of New Therapeutic Substances
This section describes new substance values added to an ICD-10-PCS table and the general category of therapeutic substance introductions they support. It introduces the substances and technology group context referenced by the update.
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Fostamatinib
This section addresses newly created procedure codes related to administration of fostamatinib and the setting in which it may be documented. It also mentions the broader clinical and regulatory context for this substance.
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Tixagevimab and Cilgavimab
This section covers the new code associated with administration of a monoclonal antibody combination and the related prophylaxis context. It also explains the general reporting scenario discussed for this treatment.
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Other Monoclonal Antibody
This section discusses a new code for other new monoclonal antibody treatments and the circumstances under which it may be relevant. It also notes the distinction from monoclonal antibody use for non-COVID-19 conditions.
What You Will Learn
- How the April 1, 2022 ICD-10-PCS update is organized
- What broad categories of inpatient procedure changes were introduced
- Which types of COVID-19 vaccine and therapeutic substance topics are covered
- How the article frames the documentation context for the new procedure code additions
Who Should Read This
- Inpatient coders
- Coding supervisors
- Clinical documentation integrity staff
- Revenue cycle professionals
- Healthcare compliance teams
Codes Discussed
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