ICD-10 Update Effective April 1, 2026

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

The Centers for Medicare & Medicaid Services (CMS) has released 80 new ICD-10-PCS codes, effective April 1, 2026. 

The April 1, 2026, procedure code update files are now available. Use these codes for discharges occurring from April 1, 2026 – Sept. 30, 2026, and for patient encounters occurring from April 1, 2026 – Sept. 30, 2026. 

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

ICD-10-PCS Codes   

• Click on “2026 ICD-10-PCS Order File (Long and Abbreviated Titles) [ZIP]” 

• Select the file titled “order_addenda_2026.txt“