Description 

FY 2026 ICD-10-CM Code and Guideline signals a massive update with 487 new diagnosis codes, 38 revisions, and 28 deletions, including enhanced detail for areas like non-pressure ulcers, SDOH, and mental health—changes that demand accurate implementation for proper reimbursement, documentation, and audit preparedness.

With the FY 2026 ICD-10-CM codes and Official Guidelines now finalized, it's critical for healthcare professionals to understand what's changing, how to apply the updates correctly, and how these changes affect documentation, coding accuracy, and revenue cycle integrity.

Session Highlights

This 90-minute master class offers an in-depth breakdown of the FY 2026 ICD 10 CM changes—vital knowledge ahead of the October 1, 2025 implementation date. We'll cover:

New Codes, Revisions, Deletions

• 487 brand-new codes, 38 revised, and 28 removed codes effective October 1, 2025, through September 30, 2026
• High-specificity updates, including 100+ new non-pressure ulcer codes categorized by site and severity, cannabis hyperemesis syndrome, and expanded Z-codes for social determinants

Official FY 2026 Coding Guidelines

• Updated guidelines clarify sequencing rules, SDOH documentation, coding for HIV and Type 2 diabetes in remission, and multi-site conditions

Audit and Quality Reporting Implications

• Expect higher scrutiny on risk adjustment coding accuracy, documentation specificity, and correct code sequencing to prevent claim denials

Learning Objectives

By the end of this session, attendees will be equipped to:

• Correctly assign all relevant FY 2026 ICD 10 CM codes and guideline updates
• Enhance provider documentation to support new specificity requirements
• Identify and mitigate areas of audit risk, including SDOH and chronic condition coding
• Prepare internal workflows, encounter forms, and EHR templates for October 1
• Educate and train clinical and coding staff on all critical updates

Areas Covered

• Overview: 487 new codes, 38 modifications, 28 deletions (Oct 1 2025–Sept 30 2026)
• Deep dive on high-impact categories: non-pressure ulcers, CHS, digestive/abdominal pain, pelvic/flank R codes, mental health, SDOH Z codes
• Review of updated Official Guidelines: sequencing, Tabular/Alphabetic changes, Excludes/Includes notes
• Best practices for documentation improvement tied to new codes
• Audit focus areas, risk adjustment implications, denial prevention strategies
• Tools & resources: code tables, conversion guide, addenda, POA exemption lists

Who Should Attend

This master class is tailored for professionals responsible for diagnosis coding, compliance, clinical documentation, and revenue integrity:

• Medical coders, CDI specialists, HIM and auditing professionals
• Revenue cycle managers, risk adjustment analysts, and compliance officers
• Physicians, NPs, PAs, and clinical educators
• Billing managers and practice administrators
• Consultants, payers, policy advisors, and trainers