Diagnosis coding corner: ICD-10-CM proposals cover 1,100-plus new codes, scores of changes

Why This Topic Matters

Pending ICD-10-CM updates can affect diagnosis reporting, documentation review, payer readiness, and training planning well before the effective date. Readers can use this article to understand the breadth of the proposed changes and identify chapters and subject areas that may require follow-up once final guidance is released.

Article Sections

1. Overview of proposed FY2023 ICD-10-CM changes

   Summarizes the size and timing of the proposed diagnosis code update and places it in the context of CMS rulemaking and the annual ICD-10-CM update cycle.

2. Intervertebral annulus fibrous defect proposals

   Covers the proposed additions related to annulus fibrous defects in the spine and references the earlier committee discussion and topic packet.

3. Proposed muscle wasting and atrophy codes

   Describes a small set of proposed diagnosis codes related to muscle wasting and atrophy in the back.

4. COVID-19 vaccine status-related code reissues

   Notes proposed reissue of previously implemented status codes related to COVID-19 vaccination.

5. Other coding highlights

   Summarizes additional areas affected by the proposal, including dementia-related revisions, nervous system changes, cardiovascular updates, musculoskeletal refinements, injury code expansion, external cause codes, and health status factors.

6. FY2023 Proposed ICD-10-CM change counts by chapter

   Presents a chapter-by-chapter count of proposed new, revised, and invalidated ICD-10-CM codes across the classification.