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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.
 
Make sure your practice uses the new version of the Advance Beneficiary Notice of Noncoverage when it goes into effect and consider an early switch to prevent mistakes.
 
Take an early look at the latest updates to the National Correct Coding Initiative (NCCI) procedure-to-procedure (PTP) and medically unlikely edits (MUE), which go into effect April 1, 2026. You'll find more than 3,750 new PTP code pairs bundled together, placing restrictions on billing eligibility.
 
CMS is forging ahead with the ambulatory specialty model, a mandatory quality of care program set to launch Jan. 1, 2027, and run through 2031.
 
Medicare patients can continue to receive telehealth services from home for the next two years, thanks to the latest extension of popular waivers that were introduced during the COVID-19 public health emergency.
 

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