ACDIS-AHIMA Query Practice Brief: No More Public Comment, so Listen to Talk Ten Tuesday

Hey, folks, today is Tuesday.

It's June 30th, 2026, and you're listening to the live edition of Talk 10 Tuesday.

And now is the time for Talk 10 Tuesday coding report with our good friend Christine Geiger, and good morning, Chris.

Good morning.

Today we're continuing our FY27 IPPS proposed rule preview with today's focus on MCC and CC conditions.

I've included the link to the CMS proposed rule homepage in my article, and I encourage you and your coding team to check it out.

The proposed additions to the MCC list can be ta- found in table 6I1.

There are a total of three additions to the MCC list for FY27, and we're gonna take a look at each of them.

First up is J4B, pulmonary mycetoma.

Now, currently mycetoma is coded to B47.9, mycetoma unspecified, and it currently is a CC condition.

At the alphabetic index, there's no further entry to specify as pulmonary, so this will be a new code allowing for that specificity to be assigned.

B47 falls into the mycoses code range of B35 through B49 in chapter one, that certain infectious and parasitic disease chapter.

Our new J4B code will fall into the chronic lower respiratory diseases code range of J40 to J40A, which we're now gonna expand to J40 to J40B, uh, to include pulmonary mycetoma.

According to a Mayo Clinic radiology abstract, a mycetoma, which they also refer to as a fungus ball, is, quote, "typically caused by an Aspergillus superinfection of a preexisting cavity or a cyst." It further notes that while mycetomas can be multiple, they are usually solitary, and they can occur anywhere in the lung where a cyst or cavity has been formed, often due to a chronic disease like tuberculosis.

On an AI note, Copilot notes that pulmonary mycetoma is also known as aspergilloma.

In the alphabetic index, aspergilloma instructs us, the coder, to see aspergillosis.

We currently have a code for pulmonary aspergillosis, B44.1, which is also a CC condition.

So if J4B is finalized, we're gonna watch for additional clarification in that Coding Clinic fourth quarter twenty twenty-six edition.

Our final two MCC additions on the list are K68.01, prevesical abscess, and K6A.09, other pelvic abscess.

Now, according to Merriam-Webster, prevesical means situation in- situated in front of a bladder, especially the urinary bladder.

Now, currently, there's no alphabetic index entry for abscess prevesical.

From that alphabetic index, abscess bladder instructs the coder to see cystitis, specified type not elsewhere classified.

Currently, we do have an alphabetic index entry for perivesical at abscess, which also instructs us to see cystitis, specified type not elsewhere classified.

For that pelvic abscess code, currently the alphabetic index requires the coder to identify female or male before being directed to a code option.

Again, we're gonna have to watch and see if these codes are included in that final rule, and then if they are considered to be MCC code categories.