Medical Coding Updates Archives

2026 ICD-10-CM Updates Include 487 New Codes, Effective October 1st

By Teri Jorwic / August 6, 2025 / Comments Off

The updates to the FY 2026 ICD-10-CM code set will take effect on October 1, 2025, and include 487 new diagnosis codes. Here are some of the notable changes and guideline updates.

2026 ICD-10-PCS Updates Add 156 New Codes and Delete 27 Existing Codes

By Teri Jorwic / June 17, 2025 / Comments Off

The 2026 ICD-10-PCS updates have been released, including a comprehensive addendum and official coding guidelines. These codes are for discharges and patient encounters occurring from October 1, 2025, to September 30, 2026.

2025 Mid-Year CMS-HCC Update: What Medical Coders Need to Know

By Vanessa Youmans / May 21, 2025 / Comments Off

CMS has released its mid-year update to the HCC mappings and weights for 2025. The primary change in this release involves the addition of new diagnosis codes to existing HCC categories for CMS v28.

CMS Releases 2026 IPPS Proposed Rule for Review and Comments

By Teri Jorwic / April 21, 2025 / Comments Off

CMS has released the 2026 Inpatient Prospective Payment System (IPPS) Proposed Rule for public inspection. The rule will be published in the Federal Register on April 30, 2025.

2025 ICD 10 PCS Changes and CM Addenda: New Codes Effective April 1

By Teri Jorwic / February 11, 2025 / Comments Off

Stay updated on the 2025 ICD 10 PCS changes and the ICD 10 CM Addenda, featuring 50 new procedure codes and essential changes across multiple medical sections.

Important 2025 NCCI Guidelines Update: Cystectomy Procedures Now Include Total Urethrectomy

By Vanessa Youmans / January 21, 2025 / Comments Off

The 2025 NCCI edits now consider total urethrectomy to be included in cystectomy procedures. This means that when both procedures are performed together, only the cystectomy code should be reported.

Elevate Your Expertise: Our Top 5 Most Demanded Medical Coder Classes of 2024 Revealed

By YES HIM Consulting / January 7, 2025 / Comments Off

Here are the top five most demanded medical coder classes of 2024 based on their relevance, comprehensive content, and impact on professional growth. These courses are essential resources for HIM professionals striving to stay at the forefront of their field.

Unlock the Key to 2025 Coding Excellence: Join Our Free Webinar on CMS NCCI Edits and CPT Manual Updates

By YES HIM Consulting / December 31, 2024 / Comments Off

We’re here to help healthcare professionals navigate the 2025 NCCI updates with confidence. Mark your calendars for our free live webinar, “2025 NCCI Edits and Manual Updates,” on Tuesday, January 14, 2025, at 1 pm ET, led by COO Vanessa Youmans.

CMS Telehealth 2025 Policy Changes: Navigating the New Landscape

By Vanessa Youmans / December 24, 2024 / Comments Off

As we approach 2025, healthcare providers must prepare for significant changes to Medicare telehealth services. CMS has issued new regulations that will reshape telehealth coverage, marking a critical transition from the pandemic-era expansions.

2025 CPT Code Changes Simplified: What Your HIM Team Needs to Know

By Teri Jorwic / December 16, 2024 / Comments Off

January 1, 2025, is the effective date for all 2025 CPT code changes. This includes 420 updates: 270 new codes, 112 code deletions, and 38 revisions to existing codes (AMA). Some of these changes will not directly affect health information management functions.