On Demand: ICD-10-CM CV Coding Updates for FY 2026-Webinar Recording

Video Transcription

Video Summary

In this comprehensive webcast, Jamie Quimby, Director of Coding at MedAxiom, reviews the ICD-10-CM coding updates for fiscal year 2026 with a focus on cardiovascular diagnosis coding. Key points include the addition of 487 new codes, 28 deletions, and 38 minor revisions, bringing the total to 74,719 codes effective October 1, 2025. Quimby highlights important changes in official coding guidelines, including documentation by clinicians other than the primary provider, multiple sites coding, and the introduction of a new code for type 2 diabetes in remission.<br /><br />Significant emphasis is placed on the cardiovascular chapter (Chapter 9) guidelines, particularly hypertensive heart and kidney diseases and correct coding of associated conditions, including when to use combination codes or code conditions separately—especially regarding hypertensive heart disease, chronic kidney disease, and cardiomegaly. The webcast stresses proper use of exclude notes and adherence to chapter-specific rules.<br /><br />Quimby also covers common cardiology coding tips for preoperative clearance, valve disease, myocardial infarction types (Type 1 vs. Type 2), coronary artery disease with or without bypass grafts, arrhythmias, and detailed heart failure classification including stages and ejection fraction terminology for precise coding.<br /><br />The session underscores the importance of accurate and specific provider documentation to support coding, adherence to risk adjustment coding for quality and reimbursement, and the need to code only addressed and monitored conditions. CMS’s MEAT and TAMPR acronyms guide documentation validation.<br /><br />The webcast concludes with Q&A addressing hypertension coding, diabetes remission versus resolution, payer considerations, DNR code usage, and documentation of recovered ejection fraction, while previewing an upcoming deep dive into electrophysiology ablation coding.

Keywords

ICD-10-CM 2026 updates

cardiovascular diagnosis coding

new ICD-10 codes

coding guideline changes

type 2 diabetes remission code

hypertensive heart disease coding

chronic kidney disease coding

cardiomegaly coding

cardiology coding tips

heart failure classification

provider documentation requirements

risk adjustment coding