Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
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AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 4; New/Revised ICD-10-CM Codes
Multiple Drug Ingestion
A new subcategory (T50.91-) has been created for poisoning by, adverse effect of, and underdosing of multiple unspecified drugs, medicaments and biological substances. The change resulted in 18 new codes, including the seventh character extensions to better identify and track these episodes of care. Individuals may ingest multiple drugs, by accident or intentionally as a suicidal attempt. In many cases, the only information available within the medical record on the initial encounter is that more than one drug was ingested. There are also cases where the identity of one or more of the ingested agents is not identified...
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