ICD-10

ICD-10

What’s New?

CMS announces 41 new ICD-10-PCS codes (PDF), effective April 1. 2024

For older announcements, visit ICD-10 Files & News Archive  

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On October 1, 2015, the health care industry transitioned from ICD-9 to ICD-10 codes for diagnoses and inpatient procedures. Use ICD-10 to code services provided on or after October 1, 2015. ICD-10 applies to all parties covered by the Health Insurance Portability and Accountability Act (HIPAA), not just providers who bill Medicare or Medicaid.

ICD-10 Resources

ICD-10 Files

2025 ICD-10 CM & PCS files

2025 ICD-10-CM files

These files include updates for FY 2025. Use these codes for discharges occurring from October 1, 2024 – September 30, 2025, and for patient encounters occurring from October 1, 2024 – September 30, 2025.

2025 ICD-10-PCS files

These files include updates for FY 2025. Use these codes for discharges occurring from October 1, 2024 – September 30, 2025.

2024 ICD-10 CM & PCS files

2024 ICD-10-CM files

These files include updates for FY 2024. Use these codes for discharges occurring from October 1, 2023 – September 30, 2024 and for patient encounters occurring from October 1, 2023 – September 30, 2024.

The ICD-10-CM April 1, 2024 update addresses typographical errors. There are no new diagnosis codes being implemented. The files below contain information on the ICD-10-CM updates effective with discharges on and after April 1, 2024.

2024 ICD-10-PCS files

These files include updates for FY 2024. Use these codes for discharges occurring from October 1, 2023 – September 30, 2024.

The updated ICD-10-PCS code files include 41 new procedure codes effective April 01, 2024. 

Note:
There is no FY 2024 GEMs file. As stated in the FY 2016 IPPS/LTCH PPS final rule (80 FR 49388), the GEMs have been updated on an annual basis as part of the ICD-10 Coordination and Maintenance Committee meetings process and will continue to be updated for approximately 3 years after ICD-10 is implemented.
2023 ICD-10 CM & PCS files

2023 ICD-10-CM files

These files include updates for FY 2023. Use these codes for discharges occurring from October 1, 2022 – September 30, 2023 and for patient encounters occurring from October 1, 2022 – September 30, 2023.

In an effort to better enable the collection of health-related social needs (HRSNs), defined as individual-level, adverse social conditions that negatively impact a person’s health or healthcare, are significant risk factors associated with worse health outcomes as well as increased healthcare utilization, the Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics (NCHS) is implementing 42 new diagnosis codes into the ICD-10-CM, for reporting effective April 1, 2023.

2023 ICD-10-PCS files

These files include updates for FY 2023. Use these codes for discharges occurring from October 1, 2022 – September 30, 2023.

The updated ICD-10-PCS code files include 34 new procedure codes effective April 01, 2023.

Note:
There is no FY 2024 GEMs file. As stated in the FY 2016 IPPS/LTCH PPS final rule (80 FR 49388), the GEMs have been updated on an annual basis as part of the ICD-10 Coordination and Maintenance Committee meetings process and will continue to be updated for approximately 3 years after ICD-10 is implemented.
2022 ICD-10 CM & PCS files

2022 ICD-10-CM files

These files include updates for FY 2022. Use these codes for discharges occurring from October 1, 2021 through September 30, 2022 and for patient encounters occurring from October 1, 2021 through September 30, 2022.

In response to the ongoing national emergency concerning COVID-19, the Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics (NCHS) is implementing 3 new diagnosis codes, Z28.310, Z28.311 and Z28.39, into the ICD-10-CM, for reporting COVID-19 vaccination status effective April 1, 2022.

The files below contain information on the ICD-10-CM updates effective with discharges on and after April 1, 2022.

2022 ICD-10-PCS files

These files include updates for FY 2022. Use these codes for discharges occurring from October 1, 2021 through September 30, 2022.

In response to the COVID-19 pandemic, CMS is implementing 9 new procedure codes, to describe the introduction or infusion of therapeutics, including vaccines for COVID-19 treatment, into the ICD-10-PCS, effective April 1, 2022.

The files below contain information on the ICD-10-PCS COVID-19 updates effective with discharges on and after April 1, 2022. Additional files containing information related to 2 newer procedure codes is located below as ERRATA.

Note:
There is no FY 2024 GEMs file. As stated in the FY 2016 IPPS/LTCH PPS final rule (80 FR 49388), the GEMs have been updated on an annual basis as part of the ICD-10 Coordination and Maintenance Committee meetings process and will continue to be updated for approximately 3 years after ICD-10 is implemented.
2021 ICD-10 CM & PCS files

2021 ICD-10-CM files

These files include updates for FY 2021. Use these codes for discharges occurring from October 1, 2020 – September 30, 2021 and for patient encounters occurring from October 1, 2020 – September 30, 2021.

In response to the national emergency that was declared concerning the COVID-19 outbreak, the Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics (NCHS) is implementing 6 new diagnosis codes into the ICD-10-CM, effective January 1, 2021.

The files below contain information on the ICD-10-CM COVID-19 updates effective with discharges and patient encounters on and after January 1, 2021.

2021 ICD-10-PCS files

These files include updates for FY 2021. Use these codes for discharges occurring from October 1, 2020 – September 30, 2021.

In response to the COVID-19 public health emergency, the Centers for Medicare and Medicaid Services (CMS) is implementing 21 new procedure codes to describe the introduction or infusion of therapeutics into the ICD-10-PCS, effective January 1, 2021.

The files below contain information on the ICD-10-PCS COVID-19 updates effective with discharges on and after January 1, 2021.

Note:
There is no FY 2024 GEMs file. As stated in the FY 2016 IPPS/LTCH PPS final rule (80 FR 49388), the GEMs have been updated on an annual basis as part of the ICD-10 Coordination and Maintenance Committee meetings process and will continue to be updated for approximately 3 years after ICD-10 is implemented.

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Page Last Modified:
09/18/2024 11:59 AM
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