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ICD-10 Update Effective Oct. 1, 2026

The Centers for Medicare & Medicaid Services released the 2027 ICD-10 code list, Effective Oct. 1, 2026.

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

The Oct. 1, 2026, procedure code update files are now available.  Use these codes for discharges occurring from Oct. 1, 2026, to Sept. 30, 2027, and for patient encounters occurring from Oct. 1, 2026, to Sept. 30, 2027.

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

ICD-10-CM Codes  

  • Click on “2027 Code Description in Tabular Order [ZIP]” 
  • Select the file titled “order_addenda_2027.txt” 

ICD-10-PCS Codes  

  • Click on “2027 ICD-10-PCS Order File (Long and Abbreviated Titles) [ZIP]”
  • Select the file titled “order_addenda_2027.txt”

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