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Continue your team’s training on new coding guidance for existing diagnosis codes. This overview covers updated instructions such as clarifying terms, Excludes notes and Code also notes that will go into effect Oct. 1, in ICD-10-CM chapters 11, 14, 15, 18, 19 and 21.
 
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).
 
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.
 
 
Guide your team through the updates to the ICD-10-CM guidelines before they go into effect.
 
 
Start training your staff on the diagnosis code changes that will go into effect Oct. 1. CMS will adopt the ICD-10-CM additions, revisions and deletions that it previewed in April.
 

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