ICD-10-CM Official Guidelines for Coding and Reporting
FY 2022
Reserved for future guideline expansion ...................................................................................... 46
9. Chapter 9: Diseases of the Circulatory System (I00-I99) ....................................................... 47
a. Hypertension ......................................................................................................................... 47
b. Atherosclerotic Coronary Artery Disease and Angina ......................................................... 49
c. Intraoperative and Postprocedural Cerebrovascular Accident .............................................. 49
d. Sequelae of Cerebrovascular Disease ................................................................................... 50
e. Acute myocardial infarction (AMI) ...................................................................................... 50
10. Chapter 10: Diseases of the Respiratory System (J00-J99), U07.0 ........................................ 52
a. Chronic Obstructive Pulmonary Disease [COPD] and Asthma ........................................... 52
b. Acute Respiratory Failure ..................................................................................................... 52
c. Influenza due to certain identified influenza viruses ............................................................ 53
d. Ventilator associated Pneumonia .......................................................................................... 53
e. Vaping-related disorders ....................................................................................................... 54
11. Chapter 11: Diseases of the Digestive System (K00-K95) ..................................................... 54
Reserved for future guideline expansion ...................................................................................... 54
12. Chapter 12: Diseases of the Skin and Subcutaneous Tissue (L00-L99) ................................. 54
a. Pressure ulcer stage codes ..................................................................................................... 54
b. Non-Pressure Chronic Ulcers ............................................................................................... 56
13. Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) ... 57
a. Site and laterality .................................................................................................................. 57
b. Acute traumatic versus chronic or recurrent musculoskeletal conditions ............................ 57
c. Coding of Pathologic Fractures ............................................................................................ 57
d. Osteoporosis .......................................................................................................................... 58
e. Multisystem Inflammatory Syndrome .................................................................................. 58
14. Chapter 14: Diseases of Genitourinary System (N00-N99) ................................................... 58
a. Chronic kidney disease ......................................................................................................... 58
15. Chapter 15: Pregnancy, Childbirth, and the Puerperium (O00-O9A) ................................... 59
a. General Rules for Obstetric Cases ........................................................................................ 59
b. Selection of OB Principal or First-listed Diagnosis .............................................................. 60
c. Pre-existing conditions versus conditions due to the pregnancy .......................................... 61
d. Pre-existing hypertension in pregnancy ................................................................................ 62
e. Fetal Conditions Affecting the Management of the Mother ................................................. 62
f. HIV Infection in Pregnancy, Childbirth and the Puerperium ............................................... 62
g. Diabetes mellitus in pregnancy ............................................................................................. 62
h. Long term use of insulin and oral hypoglycemics ................................................................ 63
i. Gestational (pregnancy induced) diabetes ............................................................................ 63
j. Sepsis and septic shock complicating abortion, pregnancy, childbirth and the puerperium 63
k. Puerperal sepsis ..................................................................................................................... 63
l. Alcohol, tobacco and drug use during pregnancy, childbirth and the puerperium ............... 64
m. Poisoning, toxic effects, adverse effects and underdosing in a pregnant patient .................. 64
n. Normal Delivery, Code O80 ................................................................................................. 64
o. The Peripartum and Postpartum Periods............................................................................... 65
p. Code O94, Sequelae of complication of pregnancy, childbirth, and the puerperium ........... 66
q. Termination of Pregnancy and Spontaneous abortions ........................................................ 66
r. Abuse in a pregnant patient................................................................................................... 66
s. COVID-19 infection in pregnancy, childbirth, and the puerperium ..................................... 67
16. Chapter 16: Certain Conditions Originating in the Perinatal Period (P00-P96) ..................... 67
a. General Perinatal Rules......................................................................................................... 67
b. Observation and Evaluation of Newborns for Suspected Conditions not Found ................. 68
c. Coding Additional Perinatal Diagnoses ................................................................................ 69