Notice

Twice Yearly ICD-9-CM Coding Updates The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 contains a provision for the Secretary to add new diagnosis and procedure codes in April 1 of each year (Pub. Law 108-173, Sec. 503). Code updates will now occur twice yearly on April 1 and October 1. Prior to this legislation, new ICD-9-CM diagnosis and procedure codes were implemented once a year on October 1. The Centers for Medicare & Medicaid Services (CMS) plans to discuss a proposal to accomplish this new congressional requirement in the Notice of Proposed Rulemaking (NPRM) for the Hospital...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This notice explains a federal requirement that affects the schedule for diagnosis and procedure code updates and references CMS rulemaking related to implementation. It is relevant to coding professionals, compliance teams, vendors, and payers who need to track changes in update timing and prepare for operational impacts.

Why This Topic Matters

The article helps readers understand a regulatory timing change that can affect coding workflows, system updates, and coordination with vendors and payers.

Article Sections

  1. Twice Yearly ICD-9-CM Coding Updates

    Overview of the update schedule change and the related CMS rulemaking discussion. The section also notes communication considerations for organizations affected by the change.

What You Will Learn

  • How the ICD-9-CM update schedule changed
  • What CMS rulemaking process is referenced
  • Why coordination with vendors and payers is part of the notice
  • What types of operational stakeholders may need to review the update timing

Who Should Read This

  • Medical coders
  • Coding managers
  • Compliance staff
  • Healthcare administrators
  • Software vendors
  • Payers

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