ICD-10-CM Official Guidelines for Coding and Reporting FY 2022 Posted

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

The FY 2022 ICD-10-CM Official Guidelines  for Coding and Reporting were posted July 12, 2021.

“The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS), two departments within the U.S. Federal Government’s Department of Health and Human Services (DHHS) provide the following guidelines for coding and reporting using the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM). These guidelines should be used as a companion document to the official version of the ICD-10-CM as published on the NCHS website. The ICD-10-CM is a morbidity classification published by the United States for classifying diagnoses and reason for visits in all health care settings. The ICD10-CM is based on the ICD-10, the statistical classification of disease published by the World Health Organization (WHO).

These guidelines (115 pages) are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM itself. The instructions and conventions of the classification take precedence over guidelines. These guidelines are based on the coding and sequencing instructions in the Tabular List and Alphabetic Index of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated.”

A quick search of this PDF document reveals instructions for assigning the new U09.9 – Post COVID-19 condition starting on page 30 of the guidelines with COVID-19 coding in general starting on page 27.

My blog on July 7, 2021 provides the links to the actual FY2022 ICD-10-CM codes proper.