BC Advantage - 2025 Issue 11

2026 ICD-10-CM Changes

Effective October 1, 2025, the 2026 ICD-10-CM update is live, with 480+ new codes, 38 revisions, and 28 deletions. The focus this year: sharper clinical detail, clearer guidance around genetics and social determinants of health (SDOH), and better data specificity for patient care and reimbursement. Why this update matters:   Greater clinical specificity and laterality Expanded recognition of genetic/hereditary conditions Better capture of SDOH Coding pathways for emerging diseases/treatments   Guideline Updates You'll Use Every Day   “Multiple sites” clarified: If documentation specifies each involved site, code each site separately. Use a “multiple sites” code only when...

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