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American Medical Association - ICD-10-CM 2022 the Complete Official Codebook with Guidelines

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ICD-10-CM 2022 the Complete Official Codebook with Guidelines
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American Medical Association
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American Medical Association Press
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Year:
2021
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ICD-10-CM 2022 the Complete Official Codebook with Guidelines: summary, description and annotation

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ICD-10-CM 2022: The Complete Official Codebook provides the entire updated code set for diagnostic coding, organized to make the challenge of accurate coding easier. This codebook is the cornerstone for establishing medical necessity, correct documentation, determining coverage and ensuring appropriate reimbursement.

Each of the 22 chapters in the Tabular List of Diseases and Injuries is organized to provide quick and simple navigation to facilitate accurate coding. The book also contains supplementary appendixes including a coding tutorial, pharmacology listings, a list of valid three-character codes and additional information on Z-codes for long-term drug use and Z-codes that can only be used as a principal diagnosis. Official 2022 coding guidelines are included in this codebook.

FEATURES AND BENEFITS

Full list of code changes. Quickly see the complete list of new, revised, and deleted codes affecting the CY2022 codes, including a conversion table and code changes by specialty.
QPP symbol in the tabular section. The symbol identifies diagnosis codes associated with Quality Payment Program (QPP) measures under MACRA.
New and updated coding tips. Obtain insight into coding for physician and outpatient settings.
Chapter 22 features U-codes and coronavirus disease 2019 (COVID-19) codes
Improved icon placement for ease of use
New and updated definitions in the tabular listing. Assign codes with confidence based on illustrations and definitions designed to highlight key components of the disease process or injury and provide better understanding of complex diagnostic terms.
Intuitive features and format. This edition includes color illustrations and visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, codes associated with CMS hierarchical condition categories (HCC), Medicare Code Edits (MCEs), manifestation codes, other specified codes, and unspecified codes.
Placeholder X. This icon alerts the coder to an important ICD-10-CM convention--the use of a placeholder X for three-, four- and five-character codes requiring a seventh character extension.
Coding guideline explanations and examples. Detailed explanations and examples related to application of the ICD-10-CM chapter guidelines are provided at the beginning of each chapter in the tabular section.
Muscle/tendon translation table. This table is used to determine muscle/tendon action (flexor, extensor, other), which is a component of codes for acquired conditions and injuries affecting the muscles and tendons
Index to Diseases and Injuries. Shaded guides to show indent levels for subentries.
Appendices. Supplement your coding knowledge with information on proper coding practices, risk-adjustment coding, pharmacology, and Z-codes.

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Publishers Notice

The ICD-10-CM: The Complete Official Codebook is designed to be an accurate and authoritative source regarding coding and every reasonable effort has been made to ensure accuracy and completeness of the content. However, the American Medical Association (AMA) makes no guarantee, warranty, or representation that this publication is accurate, complete, or without errors. It is understood that the AMA is not rendering any legal or other professional services or advice in this publication and that the AMA bears no liability for any results or consequences that may arise from the use of this book.

Our Commitment to Accuracy

The AMA is committed to producing accurate and reliable materials.

AMA product updates, errata, and addenda can be found at amaproductupdates.org.

To report corrections, please call the AMA Unified Service Center at (800) 621-8335.

To purchase additional copies, contact the AMA at (612) 435-6065 or visit the AMA store at amastore.com. Refer to product number OP201422.

Acknowledgments

Marianne Randall, CPC, Product Manager

Anita Schmidt, BS, RHIA, AHIMA-approved ICD-10-CM/PCS Trainer, Subject Matter Expert

Leanne Patterson, CPC, Subject Matter Expert

Karen Krawzik, RHIT, CCS, AHIMA-approved ICD-10-CM/PCS Trainer, Subject Matter Expert

LaJuana Green, RHIA, CCS, Subject Matter Expert

Jacqueline R. Petersen, BS, RHIA, CHDA, CPC, Subject Matter Expert

Stacy Perry, Manager, Desktop Publishing

Tracy Betzler, Senior Desktop Publishing Specialist

Hope M. Dunn, Senior Desktop Publishing Specialist

Katie Russell, Desktop Publishing Specialist

Kate Holden, Editor

Copyright

Property of Optum360, LLC. Optum360 and the Optum360 logo are trademarks of Optum360, LLC. All other brand or product names are trademarks or registered trademarks of their respective owner.

Made in the USA
OP201422/BQ44

Leanne Patterson, CPC

Ms. Patterson has more than 15 years of experience in the healthcare profession. She has an extensive background in professional component coding, with expertise in E/M coding and auditing, and HIPAA compliance. Her experience includes general surgery coding, serving as Director of Compliance, conducting chart-to-claim audits, and physician education. She has been responsible for coding and denial management in large multi-specialty physician practices, and most recently has been part of a team developing content for educational products related to ICD-10-CM. Ms. Patterson is credentialed by the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC).

LaJuana Green, RHIA, CCS

Ms. Green is a Registered Health Information Administrator with over 35 years of experience in multiple areas of information management. She has proven expertise in the analysis of medical record documentation, assignment of ICD-10-CM and PCS codes, DRG validation, and CPT code assignment in ambulatory surgery units and the hospital outpatient setting. Her experience includes serving as a director of a health information management department, clinical technical editing, new technology research and writing, medical record management, utilization review activities, quality assurance, tumor registry, medical library services, and chargemaster maintenance. Ms. Green is an active member of the American Health Information Management Association (AHIMA).

Contents

Preface

ICD-10-CM Official Preface

This FY 2022 update of the International Statistical Classification of Diseases and Related Health Problems, 10th revision, Clinical Modification (ICD-10-CM) is being published by the United States government in recognition of its responsibility to promulgate this classification throughout the United States for morbidity coding. The International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10), published by the World Health Organization (WHO), is the foundation of ICD-10-CM. ICD-10 continues to be the classification used in cause-of-death coding in the United States. The ICD-10-CM is comparable with the ICD-10. The WHO Collaborating Center for the Family of International Classifications in North America, housed at the Centers for Disease Control and Preventions National Center for Health Statistics (NCHS), has responsibility for the implementation of ICD and other WHO-FIC classifications and serves as a liaison with the WHO, fulfilling international obligations for comparable classifications and the national health data needs of the United States. The historical background of ICD and ICD-10 can be found in the Introduction to the International Classification of Diseases and Related Health Problems (ICD-10), 2010, World Health Organization, Geneva, Switzerland.

ICD-10-CM is the United States clinical modification of the World Health Organizations ICD-10. The term clinical is used to emphasize the modifications intent: to serve as a useful tool in the area of classification of morbidity data for indexing of health records, medical care review, and ambulatory and other health care programs, as well as for basic health statistics. To describe the clinical picture of the patient the codes must be more precise than those needed only for statistical groupings and trend analysis.

Characteristics of ICD-10-CM

ICD-10-CM far exceeds its predecessors in the number of concepts and codes provided. The disease classification has been expanded to include health-related conditions and to provide greater specificity at the sixth and seventh character level. The sixth and seventh characters are not optional and are intended for use in recording the information documented in the clinical record.

ICD-10-CM extensions, interpretations, modifications, addenda, or errata other than those approved by the Centers for Disease Control and Prevention are not to be considered official and should not be utilized. Continuous maintenance of the ICD-10-CM is the responsibility of the aforementioned agencies. However, because the ICD-10-CM represents the best in contemporary thinking of clinicians, nosologists, epidemiologists, and statisticians from both public and private sectors, when future modifications are considered, advice will be sought from all stakeholders.

All official authorized addenda since the last complete update (October 1, 2021) have been included in this revision. For more detailed information please see the complete official authorized addenda to ICD-10-CM, including the ICD-10-CM Official Guidelines for Coding and Reporting, and a description of the ICD-10-CM updating and maintenance process.

How to Use ICD-10-CM: The Complete Official Codebook 2022

Introduction

ICD-10-CM: The Complete Official Codebook 2022 is your definitive coding resource, combining the work of the National Center for Health Statistics (NCHS), Centers for Medicare and Medicaid Services (CMS), American Hospital Association (AHA), and Publisher experts to provide the information you need for coding accuracy.

The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), is an adaptation of ICD-10, copyrighted by the World Health Organization (WHO). The development and maintenance of this clinical modification (CM) is the responsibility of the NCHS as authorized by WHO. Any new concepts added to ICD-10-CM are based on an established update process through the collaboration of WHOs Update and Revision Committee and the ICD-10-CM Coordination and Maintenance Committee.

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