International Classification of Disease, Tenth Revision, Clinical Modification (ICD-10-CM) codes serve as the cornerstone for disease documentation, reporting, and reimbursement. Accurate coding is essential not only for regulatory compliance but also to minimize the risk of audits and ensure appropriate reimbursement.
With new ICD-10-CM code and guideline changes set to take effect on October 1, it's critical that both you and your team are educated and aligned with the standards. The upcoming update includes 553 diagnosis code changes that apply to all insurers, underscoring the importance of proactive education and alignment with current standards.
Take steps now to review the revised codes and proactively ensure your team is fully prepared to implement them effectively. Join Leigh Poland, VP of Coding Services, and Shanith Prabhakar, CPC, Director of Medical Coding and Quality, for a 90-minute webinar as they discuss the changes to the coding guidelines and code set.
Key Takeaways
- Get an overview of the 487 new diagnosis codes, 28 deletions, and 38 revisions for the fiscal year (FY) 2026 ICD-10-CM code set announced by the Centers for Medicare & Medicaid Services (CMS), which is finalized to take effect on October 1, 2025.
- Review key diagnosis code changes such as inflammatory neoplasm of breast, multiple sclerosis, non-pressure chronic ulcer, and pain code updates.
- Learn about key guideline changes including chapter-specific changes, general coding guideline updates, and coding convention updates.
