New ICD-10-PCS Codes Are Here

New ICD-10-PCS Codes Are Here

The new ICD-10-PCS codes for the 2025 fiscal year (FY) were posted on the Centers for Medicare & Medicaid Services website on June 6. The Version Summary reflects 371 new codes and 61 deleted codes.

The table below shows the changes by section:

PCS SectionFY24 TotalFY25 TotalChange
Medical & Surgical68,09268,367275
Obstetrics3043040
Placement8618610
Administration1,2721,2720
Measurement & Monitoring4224220
Extracorporeal or Systemic Assistance54551
Extracorporeal or Systemic Therapies46460
Osteopathic1001000
Other Procedure88891
Chiropractic90900
Imaging2,9782,9780
Nuclear Medicine4634630
Radiation Therapy2,0562,0560
Physical Rehabilitation & Diagnostic Audiology1,3801,3800
Mental Health28280
Substance Abuse Treatment59590
New Technology34537833
Total78,63878,948310

Some of the new procedure codes are the following:

  • Laser interstitial thermal therapy (LITT) of brain and specific areas of the spinal cord;
  • Stereo electroencephalographic radiofrequency ablation of the brain;
  • Mapping of brain or specific areas of the brain;
  • Bypass of splenic or hepatic artery using renal artery or lower artery;
  • Dilation of various arteries using intraluminal devices with or without drug-coated balloon or sustained release;
  • Bypass of lymphatic vessels using peripheral or central vein, lymphatic vessel, thoracic duct, or cisterna chyli;
  • Removing drainage device from gallbladder or pancreas;
  • Revising drainage device from gallbladder or pancreas; and
  • Various new technology procedure.

There were no updates for the FY 2025 guidelines. These guidelines and procedure codes will be effective Oct. 1, 2024.

The files that were released may be used to prepare for FY 2025 changes. More updates will be covered during the August ICD-10-PCS webinar.

Resources:

FY25 ICD-10-PCS Codes: https://www.cms.gov/medicare/coding-billing/icd-10-codes/2025-icd-10-pcs

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Laurie M. Johnson, MS, RHIA, FAHIMA, AHIMA Approved ICD-10-CM/PCS Trainer

Laurie Johnson is currently a senior healthcare consultant for Revenue Cycle Solutions, based in Pittsburgh, Pa. Laurie is an AHIMA-approved ICD-10-CM/PCS trainer. She has more than 35 years of experience in health information management and specializes in coding and related functions. She has been a featured speaker in over 40 conferences. Laurie is a member of the ICD10monitor editorial board and is a permanent panelist on Talk Ten Tuesdays

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