Date Posted: Thursday, August 22, 2024

 

The 2025 ICD-10-CM updates have been officially released, introducing a range of modifications for the upcoming fiscal year. The new updates encompass changes across the Index, Tabular List, Neoplasms, and External Causes sections. Key highlights include 252 new codes, 36 deletions, 13 revisions, and a total of 74,260 codes, all effective from October 1, 2024.

 

For access to the 2025 Code Tables, Tabular, and Index files, as well as the Coding Guidelines and Present on Admission (POA) Exempt Code List, please visit the Centers for Medicare & Medicaid Services (CMS) website or the CDC/NCHS website.

 

2025 ICD-10-CM Guidelines Overview

 

The ICD-10-CM guidelines for 2025 show only minor adjustments. Here is a summary of the key changes:

 

• Chapter 2: Neoplasms

  • Addition and Clarification: Updates in sections I.C.2.s and I.C.2.t regarding Breast Implant Associated Anaplastic Large Cell Lymphoma and Secondary Malignant Neoplasm of Lymphoid Tissue.

• Chapter 4: Endocrine

  • New Code Description: Introduction of a code for Presymptomatic Type 1 Diabetes Mellitus in section I.C.4.a.1) (a).

• Chapter 9: Circulatory

  • Clarification: Section I.C.9.e.5) now includes the phrase “if applicable” for Other Types of Myocardial Infarction.

• Chapter 21: Factors Influencing Health Status

  • Addition: Section I.c.21.c.3) now includes “and other hormones and factors” to the Z17 Estrogen Receptor Status.

• Appendix I

  • Update: The link to the POA indicator exempt list has been revised.

 

2025 ICD-10-CM New Codes Summary

 

Here's an overview of notable new codes for 2025:

 

• Chapter 2: 63 codes for lymphoma, including identifiers for "in remission."
• Chapter 3: 1 code for Fanconi anemia.
• Chapter 4: 16 codes covering Presymptomatic Type 1 DM, hypoglycemia levels, and obesity classifications.
• Chapter 5: 26 codes for classifications related to anorexia, bulimia, and binge-eating disorders.
• Chapter 6: 7 codes for KCNQ2, a common neonatal-onset epilepsy syndrome.
• Chapter 9: 4 codes for cement or fat embolism of the pulmonary artery.
• Chapter 10: 7 codes for nasal valve collapse.
• Chapter 11: 27 codes for anal fistula classifications by site and type.
• Chapter 12: 8 codes for cholestatic pruritus and specific alopecia types.
• Chapter 13: 33 codes for discogenic low back pain and related conditions.
• Chapter 17: 4 codes for congenital malformations of the aortic and mitral valves.
• Chapter 18: 1 code for anosognosia.
• Chapter 19: 30 codes addressing adverse effects of immune checkpoint inhibitor (ICI) immunotherapy and gastrointestinal tract anastomosis disruptions.
• Chapter 21: 25 codes for estrogen and other hormones and factors receptor status, sepsis aftercare encounters, social determinants of health, Duffy phenotype, pediatric obesity body mass index, family history of familial adenomatous polyposis, and personal history of colon polyps.

 

Download codes: 2025 ICD-10-CM | CMS

 

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ICD-10-CM Fiscal Year Releases

 

The federal government's fiscal year runs from October 1 through September 30 of the next year. The fiscal year is named for the calendar year in which it ends.

 

October 1, 2024, ICD-10-CM release:

 

• ICD-10-CM FY25, October 1, 2024
• FY25 ICD-10-CM codes should be used for healthcare services provided from October 1, 2024, through September 30, 2025.
• This release replaces the FY24, April 1, 2024, release.

 

Source: CMS