Version 2022 ICD-10-CA/CCI classifications, Canadian Coding Standards and related products

Updates to v2022 ICD-10-CA/CCI include

• 159 new and 74 disabled ICD-10-CA codes
• 94 new and 103 disabled CCI codes

Details of the changes can be found in

• Destination: v2022 Canadian Coding Standards and Classifications (available in CIHI’s Learning Centre)
• Table of Changes: v2022 ICD-10-CA and CCI Codes

Folio Views™ software

Folio click-wrap licence agreement

For all Folio Views products, there is a new Folio click-wrap agreement in CIHI’s eStore. Clients must read and agree to the terms outlined in the agreement by clicking I agree to check out the Folio Views product. For a quick reminder of the terms and conditions related to ICD-10-CA/CCI Folio Views, the Folio licence agreement is also available on cihi.ca.

Downloading version 2022 ICD-10-CA/CCI

Version 2022 is available for download by Core Plan and non–Core Plan clients.

• Core Plan clients: A 100-user licence is available to Core Plan clients. If you require more than 100 licences, please email help@cihi.ca. ICD-10-CA/CCI with a 100-user licence must be installed on a network or server.
• Non–Core Plan clients: 1-user and 5-user licences are available to Non–Core Plan clients.

Notes

• Version 2022 Folio Views™ runs on Microsoft Windows only.
• Instructions on how to download Folio Views from CIHI’s eStore and how to extract the files before installation are available in Instructions for Accessing Folio Views Software.
• Technical information about installing version 2022 ICD-10-CA/CCI can be found in the v2022 ICD-10-CA/CCI installation instructions.
• Frequently asked questions about v2022 ICD‐10‐CA/CCI

If you have a version 2018 Shadow File

See v2022 Shadow File upgrade_Export Notes for instructions on merging your version 2018 Shadow Files with the version 2022 classifications.

Reminder of Folio Views™ features

• Code basket — A feature in Folio Views™ that, when active, will make it easier to collect, organize and reuse commonly used classification codes so they can be exported for use in patient record abstracting systems; ideally used in an ambulatory care setting (e.g., emergency department, day surgery, clinic). Code basket instructions
• Enhanced search functionality — An enhanced search functionality that will enable the search of tabular data within Includes, Excludes, Code Also and Notes, and of content in Attributes (CCI only). Enhanced tabular search in Folio application instructions
• Instructions for searching the ICD-10-CA/CCI infobase — Instructions on how to search and navigate Folio; appended to the first page of each Folio infobase (ICD-10-CA/CCI). Search techniques for ICD-10-CA (PDF) and CCI using Folio Views (PDF)

There are lots of ways to search in Folio Views, but which is the best way? Learn now by viewing our short YouTube video: What’s the Best Way to Search ICD-10-CA/CCI?

Table of Changes: v2022 ICD-10-CA and CCI Codes

This product lists a subset of v2022 ICD-10-CA/CCI codes that are new or have been disabled, compared with v2018. For ICD-10-CA, concept (i.e., condition, sign, symptom or circumstances) movements (i.e., a concept has moved from one code to another) are noted.

Canadian Coding Standards for Version 2022 ICD-10-CA and CCI

What’s new?

For version 2022, several existing coding standards have been amended and new coding standards have been added. There have also been enhancements to the appendices.

The Canadian Coding Standards applies to all data sets submitted to the Discharge Abstract Database (DAD) and the National Ambulatory Care Reporting System (NACRS).

What’s changed?

• 5 new standards and 1 new appendix
• 34 amended standards
• 1 retired standard and 2 retired appendices

Canadian Coding Standards for Version 2022 ICD-10-CA and CCI — Addendum: Pandemics and Epidemics (COVID-19)

Due to the evolving nature of the COVID-19 pandemic, direction related to COVID-19 code assignment will be maintained in an addendum to the Canadian Coding Standards. For direction on COVID-19 code assignment, refer to the Canadian Coding Standards for Version 2022 ICD-10-CA and CCI — Addendum: Pandemics and Epidemics (COVID-19), which can be found in CIHI’s eStore.

Coding Standards Evolution Chronicle

The Coding Standards Evolution Chronicle is a comprehensive listing of the changes to the coding standards from 2001 onward. It shows the history of amendments for each coding standard for each version year, including both the description of the change and the rationale for the change.

Education products to assist with transition to v2022

To support your transition to v2022 of ICD-10-CA/CCI and the Canadian Coding Standards, we’ve created a new learning bundle: Destination: v2022 Canadian Coding Standards and Classifications, available in CIHI’s Learning Centre. (It replaces the What’s New for Classifications and Terminologies web conference and Moving Forward self-learning (PDF) product.) This bundle includes a set of short self-learning (PDF) and eLearning courses that will guide you through the key changes and help you apply them to the charts you code. We’ve also created a handy checklist — Preparing for the v2022 Changes to Coding and Abstracting — that details all the courses and resources you should use to set yourself up for success.

Within this new bundle, you will start by completing the following 2 self-learning courses to get an overview of the major changes:

• Exploring Key Changes in v2022 of ICD-10-CA/CCI and the Canadian Coding Standards
• Points of Interest: v2022 ICD-10-CA/CCI and the Canadian Coding Standards

Then take all the eLearning courses that are relevant to your role:

• Changes to Mental and Behavioural Disorders
• Changes to Adverse Reactions Versus Poisonings Coding Standard
• Changes to Therapeutic Interventions on the Middle Ear
• Changes to Cleft Palate and Velopharyngeal Insufficiency (VPI) Repair
• Changes to Heart Valve Replacement

Visit the Learning Centre and register today!

These new learning products are offered free for Core Plan subscribers. See a cost? Simply log in to the Learning Centre and the price will adjust to reflect your entitlements.

Don't have an account? No worries, it’s easy to create one today!

Got questions? Contact us at education@cihi.ca, we’re happy to help!

Retired education products

Bulletins/guidelines – retired June 30, 2022

• Updated ICD-10-CA coding direction: Sessile serrated polyps, admission for follow-up examination for chronic disease, and diabetes mellitus
• Updated ICD-10-CA coding direction: Homelessness, and falls from an electric scooter (e-scooter), mobility scooter, Segway® or hoverboard
• ICD-10-CA coding direction for vaping-related disorder
• Opioid Overdose Coding Direction
• Guidelines to Support Capturing Cases of Opioid Overdose (Poisoning)

Job-aids (part of the course Using ICD-10-CA/CCI: What Every Analyst Needs to Know)

• CIHI Registries
• Toolbox for Analyst

Webinar

• Opioid Overdose

Tips for Coders

• Admissions “Solely for a Specific Purpose”
• Apheresis
• Urosepsis
• Amniotic Fluid Embolism
• Failed Induction of Labor
• Selecting the Primary Code for a Post-Intervention Condition
• Spinal Decompression
• Thrombolytic Therapy
• Ventilator-Associated Pneumonia versus Postoperative Pneumonia
• Bariatric Surgery and Diagnosis Code Mismatch
• Endoscopic Retrograde Cholangiography with Sphincterotomy Alone or Concomitant with Extraction

The list below indicates which courses have been updated as of April 2022 to reflect v2022 changes to the ICD-10-CA/CCI classifications and/or coding standards. New courses will be added throughout the year; visit CIHI’s Learning Centre for the most up-to-date list.

Course name

• 5000E-Practise Assigning Diagnosis Types/Main and Other Problem 
  • 1136E-Practise with Support: Acute Care
  • 1137E-Practise on Your Own: Acute Care
  • 1138E-Practise Reviewing Work: Acute Care
  • 1140E-Practise Reviewing Work: Ambulatory Care
• 91E — Knee Joint Replacement 
• 5003E — Different Strokes Need Different Codes
  • 1089E-Different Strokes Need Different Codes (Basic)
  • 1117E-Different Strokes Need Different Codes (Intermediate)
  • 1118E-Different Strokes Need Different Codes (Advanced)
• 379E — Emergency Department Coding: Getting Your Diagnosis Codes Right* 
• 606E — Exploring the Lower GI Tract With CCI
• 832E — Acute on Chronic Kidney Disease
• 853E — Hip Joint Replacement
• 1005E-Using ICD-10-CA/CCI: What Every Analyst Needs to Know
• 5001E — Practice With iCODE
  • 982E — Introduction to the iCODE Strategy 
  • 307E — iCODE Case Study: Sepsis/Pneumonia/COPD 
  • 459E — iCODE Case Study: Pathological Periprosthetic Fracture and Post-Operative Low Hemoglobin
  • 539E — iCODE Case Study: Multiple Post-Intervention Conditions
  • 605E — iCODE Case Study: Metastatic Breast Cancer

Note

* Course is not applicable in Quebec.

Got questions? Contact us at education@cihi.ca, we’re happy to help!