Preparing for the 2027 ICD-10-CM Updates

So this was released on June 5th.

and the update includes 190 new codes 30 now they don't call them deleted anymore they call them invalidated codes and the reason is is you don't want to delete them from your hard drive you want to say do not use after October 1st so of this year so just make sure that you're aware of that where don't delete them because let's say you have an outstanding claim from January of this year on a specific code if you delete it then you try to rebuild that if you haven't been paid yet it'll suppress your claim so you just want to have a note within your internal file maintenance system that says invalidated and the date that way when it pops up as a choice for either a physician or a coder that you're aware of the internal direction on that And then there's four revised codes, which actually isn't many.

And revised codes, remember the code stays, the base code stays the same, but there's maybe an additional digit or there could be, actually let me change that.

Revised codes are not about digits, they are about narratives.

They may have put a semicolon, a colon, or changed with or without, or when performed, things like that.

So the invalidated codes also could have the digit change.

meaning that they had four digits and now they're at five or six or more, or there was a placeholder before and now that's been updated and put into the new codes.

That's also why they say invalidated because again, they weren't necessarily deleted.

they could have been changed, but they don't put that in revision because that's just for the narrative description.

So for the new coders out there, I just want to make sure you have that differentiation so that you understood it.

Okay, so let's take a look and see what we're looking at.

Okay, so the differences between the proposed and final versions of the ICD-10 code set, where the proposed came out in April, and then the coordination and maintenance committee added six new codes, And they also, okay, so these codes, a little controversial, but they don't, I don't mean to be, I just know the topic is.

So it describes a personal history of gender transition and those codes are Z87.8901 to Z87.8909 and then Z87.893.

So they were not in the April release of the proposed codes.

Also, the committee changed its course on the proposal to delete a malignant neoplasm of endocrine gland unspecified, the C75.9.

So that didn't change.

That's actually stayed.

So here are some things just to make sure that you have.

And I'm going to go by different chapters, not necessarily in order.

I just want to make sure you have the overview here.

And just so you know, you can always find this on the CMS website, but I think it's important to get the overview so you know what you're looking at going into October.

So in Chapter 21, Factors Influencing Health Status and Contact with Health Services, these are typically secondary services in the Z code section, but sometimes you're going to report them as primary.

So Z00.8. to Z99.

So a new code is added, and this is for the personal history of the C. difficile infection.

So that's the Z86.17.