A new ICD-10 Clinical Modification (ICD-10-CM) code set took effect on October 1, 2021. There are some changes to codes that may relate to wound care. As a reminder, if a pathology played a role in the encounter and this is reflected in the documentation, it is likely appropriate to include the ICD-10-CM code that represents that pathology on the claim form.

COVID

COVID-19 may play a role in a wound care encounter. If that occurs, these new codes may need to be considered.

New Codes:

  • U09.9 Post COVID-19 condition, unspecified
  • Z20.822 Contact with and (suspected) exposure to COVID-19
  • Z86.16 Personal history of COVID-19

Thrombocytosis

Thrombocytosis occurs when a patient has a high platelet concentration. This may play a role in wound care and/or surgical planning.

New Codes: 

  • D75.838 Other thrombocytosis
  • D75.839 Thrombocytosis, unspecified

Sjogren’s Syndrome

Sjogren’s syndrome is an autoimmune disease that can have dermatologic manifestations.  Until now, the descriptor for the most appropriate ICD-10-CM code to use for Sjogren’s syndrome was, “Sicca syndrome [Sjogren].”  However, with this new code set, the descriptor for all M35.0- codes changes from “Sicca syndrome” to “Sjogren syndrome.”  With that change, the following code revisions are in the new ICD-10-CM code set:

  • Old: M35.00 Sicca syndrome, unspecified
  • New: M35.00 Sjögren syndrome, unspecified
  • Old: M35.01 Sicca syndrome with keratoconjunctivitis
  • New: M35.01 Sjögren syndrome with keratoconjunctivitis
  • Old: M35.02 Sicca syndrome with lung involvement
  • New: M35.02 Sjögren syndrome with lung involvement
  • Old: M35.03 Sicca syndrome with myopathy
  • New: M35.03 Sjögren syndrome with myopathy
  • Old: M35.04 Sicca syndrome with tubulo-interstitial nephropathy
  • New: M35.04 Sjögren syndrome with tubulo-interstitial nephropathy
  • Old: M35.09 Sicca syndrome with other organ involvement
  • New: M35.09 Sjögren syndrome with other organ involvement

In addition to those changes to the M35.0- codes, these new codes are added:

New codes:

  • M35.05 Sjögren syndrome with inflammatory arthritis
  • M35.06 Sjögren syndrome with peripheral nervous system involvement
  • M35.07 Sjögren syndrome with central nervous system involvement
  • M35.08 Sjögren syndrome with gastrointestinal involvement
  • M35.0A Sjögren syndrome with glomerular disease
  • M35.0B Sjögren syndrome with vasculitis
  • M35.0C Sjögren syndrome with dental involvement

Conclusion

These changes became effective October 1, 2021 and all providers of all types should be using the new ICD-10-CM code set now.

Dr. Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC
Dr. Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC

Dr. Lehrman is in private practice in Fort Collins, CO and operates Lehrman Consulting, LLC. He is a Diplomate of the American Board of Foot and Ankle Surgery, Fellow of the American Society of Podiatric Surgeons, and is recognized as a “Master” by the American Professional Wound Care Association. He is a Fellow of the American Academy of Podiatric Practice Management and an Expert Panelist on Codingline. In his role as a Consultant to the APMA Health Policy and Practice Department, Dr. Lehrman serves as an advisor to the APMA Coding Committee and the APMA MACRA Task Force. Dr. Lehrman sits on the board of directors of both the American Professional Wound Care Association and the American Society of Podiatric Surgeons. He is also on the editorial advisory board of the journal WOUNDS.