The 2026 ICD-10-CM updates bring new, revised, and deleted codes that clinicians, coders, and office staff need to know to ensure accurate documentation, compliant billing, and smooth audits. Staying current with these changes helps your practice reflect the patient’s true clinical picture while supporting proper reimbursement.
What’s New
Several new codes were added to capture emerging conditions and more specific clinical details. Diabetes updates now allow greater specificity for chronic kidney disease and neuropathy, and a new code tracks type 2 diabetes in remission. HIV sequencing guidance has been updated to clarify coding based on disease status and treatment. Behavioral health codes now reflect modern therapy approaches, while chronic ulcers and rare genetic or metabolic conditions include more detailed reporting options. These changes allow coders and clinicians to document patient care more precisely, supporting research, treatment tracking, and outcome analysis.
Revisions and Deletions
Some existing codes have refined descriptors to improve clarity. Cardiovascular, respiratory, obstetric, musculoskeletal, and nervous system codes now provide more precise reporting options. Minor updates, such as clarifying laterality, severity, or complications, ensure documentation aligns with the patient’s true clinical status. At the same time, certain outdated or redundant codes have been deleted, which makes reviewing historical coding important to avoid errors.
Why These Changes Matter
Accurate coding ensures patient records are correct, supports proper reimbursement, and reduces audit risk. Payers increasingly require specificity, and vague or outdated codes may lead to denied or downcoded claims.
Tips for Integration
- Review the full ICD-10-CM changes before October 1, 2025.
- Update your EHR or coding software to include new and revised codes.
- Train clinicians and coders on high-impact updates in areas your practice frequently encounters.
- Audit historical coding for conditions affected by deletions or revisions.
- Encourage detailed documentation—include laterality, complications, comorbidities, and treatment status.
Staying ahead of these updates ensures your practice is accurate, compliant, and ready for 2026. By integrating these changes thoughtfully, you support better patient care, precise reporting, and smooth operations across your organization.Sign up for our mailing list and follow along for more insights. http://eepurl.com/ihek1L