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Updates to ICD-10-CM Coding 2022

The American Psychological Association (APA) announced coding updates to its DSM-5 diagnosis list based on the Centers for Medicare and Medicaid Services (CMS) ICD-10 diagnostic coding updates for 2022.

Healthcare providers worldwide use the ICD-10-CM as a standardized system to share and compare health information. Each year, the CMC reviews and approves changes to the ICD-10-CM. Several code changes for 2022 pertain to diagnoses listed in the APA’s DSM-5. These coding changes went into effect on October 1, 2021, and are already live in Valant’s system.

Updated Codes

The updated codes break down several diagnoses into more specific sub-categories.

  • Homelessness previously fell under the Z59.0 code, but has been subdivided into two categories: sheltered homelessness (Z59.01) for patients who have access to homeless shelters, domestic violence shelters, or other temporary relief measures; and unsheltered homelessness (Z59.02) for those who lack access to any adequate housing situation.
  • The new codes separate lack of access to adequate food and lack of access to safe drinking water. Previously grouped under Z59.4, they’re now broken into the categories of food insecurity (Z59.41) and lack of safe drinking water (Z58.6)
  • For identifying a patient’s personal history of self-harm, the codes now differentiate between personal history of suicidal behavior (Z91.51) vs. personal history of non-suicidal self-injury (Z91.52).
  • Other changes include a code change for unspecified depressive disorder (now F32.A) and the addition of non-suicidal self-injury (R45.88).

Here’s a chart that explains the changes (as ordered in the DSM-V classification):

Disorder DSM-5 Recommended ICD-10-CM Code for use through September 30, 2021 DSM-5 Recommended ICD-10-CM Code for use beginning October 1, 2021
Unspecified depressive disorder F32.9 F32.A
Homelessness* (changed to Sheltered Homelessness in DSM-5-TR) Z59.0 Z59.01
Homelessness** (changed to Unsheltered Homelessness in DSM-5-TR) Z59.0 Z59.02
Lack of adequate food or safe drinking water (changed to Food insecurity in DSM-5-TR) Z59.4 Z59.41
Lack of adequate food or safe drinking water (changed to Lack of safe drinking water in DSM-5-TR) Z59.4 Z58.6
Personal History of Self-Harm (Changed to Personal history of suicidal behavior in DSM-5-TR) Z91.5 Z91.51
Personal History of Self-Harm (Changed to Personal history of nonsuicidal self-injury in DSM-5-TR) Z91.5 Z91.52
Nonsuicidal self-injury Not in DSM-5 R45.88

 

How to Enter Codes in Valant

Input codes easily into patient records with Valant’s three-step diagnostic coding process.

  1. In the Diagnosis tab on the patient chart, create a new diagnosis by clicking “New.”
  2. Search for the code you need in the Code/Description field using at least three characters. You can filter code search results to include only those that appear in the DSM-5 by clicking the box for Show DSM-5 Diagnoses Only.
  3. Choose the correct code and hit save. You’re done!

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