2025 ICD-10-CM and ICD-10-PCS Updates: A Comprehensive Overview
2025 ICD-10-CM and ICD-10-PCS Updates: A Comprehensive Overview
The annual release of ICD-10-CM and ICD-10-PCS updates is a critical component of accurate coding and reimbursement in healthcare. The 2025 ICD-10 updates, effective October 1, 2024, bring forth significant changes that will impact coding practices across various settings. These coding updates and guideline changes will apply to patient encounters and discharges from October 1, 2024, through September 30, 2025.
2025 ICD-10-CM Updates
The 2025 ICD-10-CM code set introduces 252 new codes, deletes 36, revises 13, and maintains a total of 74,260 codes. While the ICD-10-CM guidelines for 2025 remain relatively unchanged, there are crucial clarifications and additions.
Key Changes to ICD-10-CM:
- Expanded Neoplasm Codes: Chapter 2 encompasses new codes for conditions like Breast Implant Associated Anaplastic Large Cell Lymphoma and Secondary Malignant Neoplasm of Lymphoid Tissue.
- Endocrine System Enhancements: Chapter 4 includes a new code for presymptomatic Type 1 Diabetes Mellitus, providing greater specificity for earlier-stage diagnoses.
- Circulatory System Clarifications: Chapter 9 offers refinements to myocardial infarction coding, ensuring an accurate representation of cardiac events.
- Factors Influencing Health Status Additions: Chapter 21 expands with codes for estrogen and other hormone receptor statuses, addressing evolving healthcare practices.
- New Code Areas: The code set introduces codes for conditions such as Fanconi anemia, KCNQ2 epilepsy syndrome, and various types of alopecia, reflecting advancements in medical knowledge.
- Expanded Coding for Musculoskeletal Conditions: Chapter 13 incorporates codes for discogenic low back pain, multifidus muscle dysfunction, and expanded synovitis and tenosynovitis codes.
- Social Determinants of Health Codes: Including codes for Social Determinants of Health signifies the recognition of nonmedical factors influencing health outcomes.
If you’re interested in learning more about the changes to the 2025 ICD-10-CM codes and guidelines, you can find additional information in our previous article.
2025 ICD-10-PCS Updates
The 2025 ICD-10-PCS code set incorporates 371 new codes and deletes 61, resulting in a total of 78,948 codes. The structure of the 2025 ICD-10-PCS code set has evolved to accommodate new procedures and technologies.
Key Changes to ICD-10-PCS:
- Medical and Surgical Section Expansions: New codes for procedures like Stereoelectroencephalographic Radiofrequency Ablation and Connectomic Analysis Brain Mapping reflect advancements in surgical techniques.
- Bypass and Dilation Procedures: Updates to bypass and dilation codes provide greater specificity for interventional procedures.
- Hepatobiliary and Pancreas Procedures: The introduction of approach value 8 for endoscopic procedures enhances coding accuracy for gallbladder and pancreas interventions.
- Breast Reconstruction and Nasal/Facial Bone Procedures: New qualifiers and device values allow for more precise coding of these procedures.
- Medical and Surgical Related Sections Updates: Additions to Extracorporeal Assistance and other procedure codes reflect emerging treatment modalities.
- New Technology Section Expansions: The inclusion of codes for radiofrequency ablation of renal sympathetic nerves and intraluminal bioprosthetic leaflet splitting exemplifies the incorporation of innovative medical practices.
If you’re interested in learning more about the changes to the 2025 ICD-10-PCS codes and guidelines, you can find additional information in our previous article.
2025 ICD-10 Updates Training & Resources
Effective implementation of the 2025 ICD-10 updates requires comprehensive training and support. To facilitate a smooth transition and ensure accurate coding, our in-house education experts have developed several 2025 ICD-10 Updates courses.
Our 2025 ICD-10-CM Chapters 1-6 and 9 Update course reviews the new and revised information in these chapters and offers learners 1 CEU. Our experts present an overview of the changes, identify guideline updates, review new codes, and discuss clinical details related to the code changes.
Our 2025 ICD-10-CM Chapters 10-21 Update course provides a detailed review of the new codes, deletions, and revisions. Learners will gain insights into the applicable guidelines, tabular and index changes, as well as the clinical details related to the code changes. This course also includes 1 CEU.
This 2025 ICD-10-PCS Update course provides an in-depth overview of the changes to the code set, including new codes, addenda updates, and revisions to the Medical, Surgical, and Medical and Surgical Related code tables. Through detailed discussions and case studies, this course equips healthcare professionals with the knowledge and skills necessary to accurately apply the 2025 ICD-10-PCS codes in their daily practice. Upon completion, participants will earn 1 CEU.
Our 2025 ICD-10-PCS New Technology Update course focuses on the 2025 New Technology Section X Codes. Learners will delve into the specific changes and modifications introduced to these codes, effective October 1, 2024, and earn 1 CEU. Clinical and procedural details will be discussed to ensure a comprehensive understanding of the updates.
For additional resources and insights, visit our ICD-10 Coding Resource Center. This centralized platform offers access to the latest updates, coding guidelines, and educational materials.
Our team is committed to supporting healthcare providers in this transition by offering expert coding training and guidance. Schedule a free consultation if you need to arrange external coding support and ongoing education for your team.
Ann Zeisset, RHIT, CCS, CCS-P, Contract Educator, co-authored this article with Teri Jorwic, MPH, RHIA, CCS, CCS-P, FAHIMA, Contract Educator.
