Highlights of 2021 ICD-10-CM update

Highlights of 2021 ICD-10-CM update

Hundreds of new codes will be added to the ICD-10 code set on Oct. 1 as part of a June 30 update issued by the ICD-10-CM Coordination and Maintenance Committee. This includes U codes for COVID-19 and vaping-related disorders introduced earlier this year.

The 2021 update includes a total of 490 new codes, with 47 revised codes and 58 now deemed invalid.

Here are a few highlights among the changes:

  • N18.30 (Chronic kidney disease, stage 3 unspecified), N18.31 (Chronic kidney disease, stage 3a), and N18.32 (Chronic kidney disease, stage 3b)) – Added to capture stage 3 chronic kidney disease in new sub-stages.
  • M80.8AX- and M80.0AX- Added to capture other pathological fractures, such as a rib fracture.
  • D57.213 (Sickle-cell/Hb-C disease with cerebral vascular involvement) and D57.431 (Sickle-cell thalassemia beta zero with acute chest syndrome) – Two of 18 new detailed codes for sickle cell anemia, specifying complications related to the disease.
  • F10.923 (Alcohol use, unspecified with withdrawal with perceptual disturbance) – One of 21 new codes describing withdrawal from substances such as alcohol, cocaine and opioids.
  • U07.0 (Vaping-related disorder) and U07.1 (COVID-19) – The only two codes added to the Codes for Special Purposes. Both took effect earlier this year.
  • True deletions – Q51.20 (Other doubling of uterus, unspecified) and entire code family for T40.4X- (Poisoning by adverse effect of and underdosing of other synthetic narcotics)

There were also nearly 200 revisions within the tabular instructions for existing codes. Let us know if you are seeking clarification on any of these revisions.