ICD-10-PCS Update Effective April 1, 2025

The Centers for Medicare & Medicaid Services (CMS) is implementing 50 new procedure codes effective April 1, 2025.

This bulletin applies to NC Medicaid Direct and NC Medicaid Managed Care.

The April 1, 2025 procedure code update files are now available. These codes are to be used for discharges occurring from April 1, 2025 – Sept. 30, 2025, and for patient encounters occurring from April 1, 2025 – Sept. 30, 2025.

Providers can access the list of ICD-10 codes on the CMS ICD-10 webpage.

ICD-10-PCS Codes

  • Click on “2025 ICD-10-PCS Order File (Long and Abbreviated Titles) [ZIP]”
  • Select the file titled “order_addenda_2025.txt”

Contact

NCTracks Call Center: 800-688-6696

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