FY 2026 ICD-10-PCS Code Updates
Instructor
Cari Greenwood, RHIA, CCS, CPC, CICADescription
Get ready for the FY 2026 ICD-10-PCS procedure coding changes with HIAlearn’s self-paced course—now available. This course provides a detailed review of new, revised, and deleted ICD-10-PCS procedure codes effective October 1, 2025, along with updates to the ICD-10-PCS Official Guidelines for Coding and Reporting. You’ll also gain an understanding of the clinical reasons behind selected significant changes to ensure accurate application.
With approximately 60 minutes of content and 1 AHIMA CEU, this course is designed for inpatient coders who need to stay current with FY 2026 procedure code updates. By the end, you’ll have the knowledge and context needed to apply these changes confidently and compliantly.
Key Takeaways
- Decrease in Code Volume: FY 2026 introduces 156 new ICD-10-PCS codes, which is less than half the number added in FY 2025.
- Sections Impacted: The majority of updates are in the Medical and Surgical and New Technology sections, with smaller changes across other areas such as Obstetrics, Administration, and Rehabilitation.
- Guideline Updates: Revisions were made to examples in the New Technology guidelines to reflect current procedures and technologies.
- Alphabetic Index Changes: Updates and corrections were made to improve accuracy and guide coders to the correct body part values and tables.
- Code Table Enhancements: Both existing and new tables were added across multiple sections, with most updates focused on Medical and Surgical and New Technology.
FAQs
How many new ICD-10-PCS codes are being introduced for FY 2026?
There are 156 new ICD-10-PCS codes for FY 2026, which is less than half the number added in FY 2025. Most of these changes are focused on the Medical and Surgical and New Technology sections, with smaller updates to other areas such as Obstetrics, Administration, and Rehabilitation.
What updates were made to the ICD-10-PCS guidelines for FY 2026?
The FY 2026 updates include revisions to the examples in the New Technology guidelines (E.1a and E.1b). Outdated examples were replaced with current technologies to provide clearer, more accurate coding references.
When do the FY 2026 ICD-10-PCS updates go into effect?
All ICD-10-PCS updates are effective October 1, 2025. Coders should review the changes in advance to ensure accurate and compliant reporting when the new codes take effect.
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.
Overview



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Code Type
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