Explain ICD 10 Guidelines 2021
ICD-10 is a coding system used by healthcare providers to classify and code diagnoses and procedures. The system is regularly updated to reflect changes in medical knowledge and technology. The latest version of ICD-10, ICD-10-CM/PCS, was released in 2021.
ICD-10-CM
ICD-10-CM is the clinical modification of ICD-10 used in the United States. It is used to code diagnoses and is maintained by the National Center for Health Statistics (NCHS). The 2021 version of ICD-10-CM includes several new codes and updated guidelines.
New Codes
Some of the new codes added to ICD-10-CM in 2021 include:
– Z11.52 Encounter for screening for COVID-19
– M62.891 Other specified disorders of muscle (includes sarcopenia)
– T78.6XXA Anaphylactic reaction due to vaccine or serum, initial encounter
Updated Guidelines
The 2021 version of ICD-10-CM includes updated guidelines for several chapters, including:
| Chapter | ICD-10 Code Range |
|---|---|
| 1 | Certain Infectious and parasitic diseases |
| 2 | Neoplasms |
| 4 | Endocrine, nutritional, and metabolic diseases |
| 6 | Diseases of the nervous system |
| 15 | Pregnancy, childbirth, and the Puerperium |
The updated guidelines provide additional information and clarification on how to code certain conditions and scenarios.
ICD-10-PCS
ICD-10-PCS is the procedure coding system used in the United States. It is used to code inpatient procedures and is maintained by the Centers for Medicare and Medicaid Services (CMS). The 2021 version of ICD-10-PCS includes several updates.
New Codes
Some of the new codes added to ICD-10-PCS in 2021 include:
– 0D1Y7ZZ Extraction of Intracranial Venous Shunt, Percutaneous Approach
– 02B13ZX Supplement Right Heart with Synthetic Substitute, Percutaneous Approach
– 0WNYX3Z Supplement Right Femur with Synthetic Substitute, External Approach
Updated Guidelines
The 2021 version of ICD-10-PCS includes updated guidelines for several sections, including:
– Section 3: Administration
– Section 4: Measurement and Monitoring
– Section 5: Extracorporeal Assistance and Performance
– Section 6: Extracorporeal or Systemic Therapies
– Section 8: Nuclear Medicine
The updated guidelines provide additional information and clarification on how to code certain procedures and scenarios.
Chapters of the ICD 10 Code
The International Classification of Diseases, 10th Revision (ICD-10) consists of several chapters, each representing a specific category of diseases and conditions. Here are the chapters of the ICD-10 code:
1. Chapter I: Certain Infectious and parasitic diseases
2. Chapter II: Neoplasms (tumors)
3. Chapter III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
4. Chapter IV: Endocrine, nutritional, and metabolic diseases
5. Chapter V: Mental and behavioral disorders
6. Chapter VI: Diseases of the nervous system
7. Chapter VII: Diseases of the eye and adnexa (accessory structures)
8. Chapter VIII: Diseases of the Ear and mastoid process
9. Chapter IX: Diseases of the circulatory system
10. Chapter X: Diseases of the respiratory system
11. Chapter XI: Diseases of the digestive system
12. Chapter XII: Diseases of the Skin and subcutaneous tissue
13. Chapter XIII: Diseases of the musculoskeletal system and connective tissue
14. Chapter XIV: Diseases of the genitourinary system
15. Chapter XV: Pregnancy, childbirth, and the puerperium (postpartum period)
16. Chapter XVI: Certain conditions originating in the perinatal period (around the time of birth)
17. Chapter XVII: Congenital malformations, deformations, and chromosomal abnormalities
18. Chapter XVIII: Symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified
19. Chapter XIX: Injury, poisoning, and certain other consequences of external causes
20. Chapter XX: External Causes of Morbidity and Mortality
21. Chapter XXI: Factors influencing health status and contact with health services
22. Chapter XXII: Codes for special purposes
Each chapter contains further subcategories and codes that classify specific diseases, disorders, and conditions.
Conclusion
ICD-10 is an important coding system used by healthcare providers to classify and code diagnoses and procedures. The 2021 version of ICD-10-CM/PCS includes several new codes and updated guidelines. Healthcare providers should stay up-to-date with these changes to ensure accurate coding and billing.
FAQs
1. What is ICD-10?
ICD-10 is a coding system used by healthcare providers to classify and code diagnoses and procedures.
2. What is the difference between ICD-10-CM and ICD-10-PCS?
ICD-10-CM is used to code diagnoses and ICD-10-PCS is used to code inpatient procedures.
3. Who maintains ICD-10-CM and ICD-10-PCS?
ICD-10-CM is maintained by the National Center for Health Statistics (NCHS) and ICD-10-PCS is maintained by the Centers for Medicare and Medicaid Services (CMS).
4. What are some of the new codes added to ICD-10 in 4. What are some of the new codes added to ICD-10 in 2021?
Some of the new codes added to ICD-10-CM in 2021 include codes for COVID-19 screening, sarcopenia, and anaphylactic reaction due to vaccines or serum. Some of the new codes added to ICD-10-PCS in 2021 include codes for percutaneous extraction of an intracranial venous shunt, supplement to the right heart with a synthetic substitute, and supplement to the right femur with a synthetic substitute.
5. Why are updated guidelines important for ICD-10 coding?
Updated guidelines provide additional information and clarification on how to code certain conditions and procedures, which helps ensure accurate coding and billing.