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Take note of the differences between the proposed and final versions of the ICD-10-CM code set. The ICD-10-CM Coordination & Maintenance Committee added six new codes that describe a personal history of gender transition (Z87.8901-Z87.8909 and Z87.893) that were not featured in the April release of the proposed codes. In addition, the committee changed course on its proposal to delete C75.9 (Malignant neoplasm of endocrine gland, unspecified).
 
Don't forget about a key change to a Medicare-covered HCPCS code that providers reported hundreds of thousands of times in its debut year. As of Jan. 1, code G0136 now covers physical activity and nutrition assessments, not social determinants of health (SDOH).
 
 
Remind your team that the provider/patient relationship is the focus of G2211 and sit tight for updates that will allow the add-on code with unbundled home or residence E/Ms visits.
 
 
Practices should keep a careful eye on their virtual check-in claims and heed the codes' billing timelines after an OIG audit found millions of dollars in improper payments for the technology-based services.
 
 
Proposed changes to the ICD-10-CM code set include new codes for ectopic pregnancy, vanishing twin syndrome, cardiomyopathy, osteomyelitis, numerous toxic effect codes and personal history of clostridiodes difficile infection, among others.
 
The update, which includes 184 new codes, 30 invalidated codes and four revised codes, was released Friday, April 10, as part of the proposed Medicare FY2027 Hospital Inpatient PPS (IPPS) rule. If finalized, the changes will take effect Oct. 1, 2026.
 

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