FY 2027 ICD-10-PCS Code Updates
Instructor
Cari Greenwood, RHIA, CCS, CPC, CICADescription
Get ready for the FY 2027 ICD-10-PCS procedure coding changes with HIAlearn’s self-paced course. This course provides a detailed review of the new, revised, and deleted ICD-10-PCS procedure codes effective October 1, 2026, along with updates to the ICD-10-PCS Official Guidelines for Coding and Reporting.
You’ll also learn the clinical reasoning behind select significant changes and how updates to the Alphabetic Index and code tables affect code assignment. Designed for inpatient coders, this approximately 60-minute course provides the context needed to apply the FY 2027 changes accurately and confidently.
Key Takeaways
- 101 New Codes: FY 2027 introduces 101 new ICD-10-PCS codes, along with 38 deleted codes and three revised code titles.
- Sections Affected: Review changes across the Medical and Surgical, Administration, Measurement and Monitoring, Extracorporeal or Systemic Assistance and Performance, Imaging, Physical Rehabilitation and Diagnostic Audiology, and New Technology sections.
- Guideline Updates: Learn about revisions to conventions A6 and A7, new examples in guidelines B3.3, B3.4a and B3.5, and a wording change in guideline E.1a.
- Alphabetic Index Changes: Explore updated entries involving new root operation, body part, device, substance and technology values.
- Code Table Updates: Review changes to existing tables and the addition of new tables in the Imaging and New Technology sections.
- Significant Procedures and Technologies: Examine updates involving LAMPOON procedures, fluorescein retinal angiography, vagus nerve neurostimulators, cardiac contractility modulation devices and other emerging technologies.
- New Technology Substances: Learn about new substance values for therapies including elamipretide, landiolol, gene therapy and vancomycin-eluting bone void filler.
- Implementation Date: Apply the FY 2027 ICD-10-PCS updates to procedures performed beginning October 1, 2026.
FAQs
How many ICD-10-PCS code changes are included for FY 2027?
FY 2027 includes 101 new ICD-10-PCS codes, 38 deleted codes and three revised code titles. Changes affect several sections, with notable updates in the Medical and Surgical and New Technology sections.
What updates were made to the ICD-10-PCS guidelines for FY 2027?
The FY 2027 guideline updates include capitalization changes in conventions A6 and A7, new examples in guidelines B3.3, B3.4a and B3.5, and a wording change from “assigned” to “coded” in guideline E.1a.
Which procedures and technologies are affected by the FY 2027 updates?
Significant updates include new coding options for LAMPOON procedures, continuous decompression using the eLym System, fluorescein retinal angiography, vagus nerve neurostimulators, single-use scopes for hepatobiliary imaging and cardiac contractility modulation devices with defibrillators.
When do the FY 2027 ICD-10-PCS updates take effect?
The FY 2027 ICD-10-PCS code and guideline updates take effect October 1, 2026. Inpatient coders should review changes to the guidelines, Alphabetic Index and code tables before the implementation date.
About Our Medical Coding Courses
HIAlearn, powered by Health Information Associates (HIA)—a leader in medical coding and auditing for more than three decades—offers a flexible, online education platform designed for today’s coders. With a growing catalog of AHIMA and AAPC-approved coding courses, HIAlearn supports both beginners and experienced coders looking to build confidence, accuracy, and CEU credits.
Courses are available across various coding types including CPT, E/M, ICD-10-CM, and ICD-10-PCS, and are designed for multiple specialties including inpatient, outpatient, profee, and CDI.
To stay up to date, coders can explore our Coding Updates hub for the latest ICD-10-CM, ICD-10-PCS, CPT, and IPPS changes. HIAlearn also supports organizations with group discounts and scalable team access, promoting accuracy, compliance, and continuous professional development across departments.
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