2022 ICD-10 Changes
It’s that time of year again - the new ICD-10 codes took effect October 1. There are a few important updates to address; most notably the addition of higher specificity to the frequently used cough code, R05, as well as the creation of the code U09.0 - Post COVID-19 Condition, Unspecified.
First, let’s break down the new cough codes. If you have ever worked for any general or family practice, this code is commonly used for a variety of different types of coughs. Thankfully with the addition of the new codes, providers are better able to differentiate what type of cough the patient has.
R05.1 Acute Cough
R05.2 Subacute Cough
R05.3 Chronic Cough
R05.4 Cough syncope
R05.8 Other specified cough
R05.9 Cough, unspecified
Let me be the first to say this is a great improvement to the common cough code. While documentation is still key to assigning the best code out of the new list, it will prove to be beneficial in the long run.
The new code U09.9 - Post COVID-19 Condition, Unspecified comes hard on the heels of the additions made last year for the novel coronavirus SARS-CoV-2 that has affected millions globally. Many people exposed to the virus experienced symptoms on a mild to severe level, with symptoms usually resolving within a few weeks. There are some instances, however, when new symptoms manifest weeks or months after the initial infection.
According to the below article posted by the AAPC:
“ICD-10-CM code U09.9 is not to be used in cases of ongoing COVID-19.
In the 2022 ICD-10-CM guidelines, new section I.C.1.g.1.m specifies that for sequela of COVID-19 or associated symptoms or conditions that develop following a previous COVID-19 infection, assign codes for the specific symptoms or conditions related to the prior COVID-19 infection, if known, and code U09.9. This means, beginning Oct. 1, if the provider’s documentation includes a description of a residual condition following COVID-19 or sequela of COVID-19, you will report U09.9 instead of the B94 Sequelae of other and unspecified infectious and parasitic diseases.”
So for those looking to utilize this new code, be sure you are reviewing the guidelines in their entirety in the new ICD-10 2022 book, now available for purchase.
For more information about the codes discussed above, or to see what other new codes went into effect on Oct 1st, see the link below for the entire reference article.