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Centers for Medicare & Medicaid Services

 

*_ICD-10 MS-DRGs Version 42.1 Effective April 1, 2025_*

The Centers for Medicare & Medicaid Services (CMS) is implementing 50 new procedure codes into the International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS), effective April 1, 2025. For more information, please review the announcement available at: https://www.cms.gov/medicare/coding-billing/icd-10-codes.  

The Code Tables, Index and related Addenda files for the 50 new procedure codes is available at: https://www.cms.gov/medicare/coding-billing/icd-10-codes.

The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) April 1, 2025 update will address typographical errors. There will be no new diagnosis codes implemented.

 

The ICD-10 MS-DRG Version 42.1 Grouper Software, Definitions Manual Table of Contents, and the Definitions of Medicare Code Edits Version 42.1 Manual to accommodate these new procedure codes, effective for discharges on or after April 1, 2025 will be available by February 1, 2025 at: https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/ms-drg-classifications-and-software.

 

*_Upcoming ICD-10 C&M Committee Meeting_*__

Friday, December 6, 2024 is the deadline for members of the public to submit code requests for discussion at the March 18-19, 2025 ICD-10 Coordination and Maintenance Committee Meeting. Please indicate if you are submitting your request for consideration of an October 1, 2025 or an April 1, 2026 implementation date.


* CMS will only accept ICD-10-PCS procedure code request applications submitted via the Medicare Electronic Application Request Information System™ (MEARIS™). The ICD-10-PCS code request application can be accessed at: https://mearis.cms.gov. Requests submitted through the ICDProcedureCodeRequest mailbox will not be considered.
* Within MEARIS™ we have built in several resources to support requestors:
* Please refer to the “Resources” section for guidance regarding the request application submission process at: https://mearis.cms.gov/public/resources.
* Technical support is available under “Useful Links” at the bottom of the MEARIS™ site.
* Request application related questions can be submitted to CMS using the form available under “Contact” at: https://mearis.cms.gov/public/resources?app=icd-10-pcs.


* The time required for request submission, including the time needed to gather relevant information as well as to complete the form may be extensive depending on the nature of the code request. Requestors are therefore encouraged to start in advance of the due date to ensure adequate time for submission.

Diagnosis code requests should be directed to NCHS at nchsicd10cm@cdc.gov.  For additional information, visit https://www.cdc.gov/nchs/icd/icd-10-maintenance/proposals.html.

 

Centers for Medicare & Medicaid Services (CMS) has sent this ICD-10 Coordination and Maintenance Committee Meetings Update. To contact Centers for Medicare & Medicaid Services (CMS) go to our *contact us [ http://www.cms.gov/About-CMS/Agency-Information/ContactCMS/index.html ] *page.    

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