80 New ICD-10-PCS Codes Effective April 1, 2026
Summary
CMS has released 80 new ICD-10-PCS procedure codes effective April 1, 2026. NC Medicaid Direct and NC Medicaid Managed Care providers must use these codes for discharges and patient encounters from April 1, 2026 through September 30, 2026. The complete code list is available on the CMS ICD-10 webpage.
What changed
CMS has added 80 new ICD-10-PCS procedure codes to the 2026 code set, effective April 1, 2026. These codes apply to all NC Medicaid Direct and NC Medicaid Managed Care providers for discharges and patient encounters through September 30, 2026.
Healthcare providers billing NC Medicaid must update their coding systems to include the new codes and ensure claims submitted after April 1 use the 2026 ICD-10-PCS codes. Providers can download the complete code list from the CMS ICD-10 webpage or contact the NCTracks Call Center at 800-688-6696 for assistance.
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Apr 18, 2026GovPing captured this document from the original source. If the source has since changed or been removed, this is the text as it existed at that time.
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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 “orderaddenda2026.txt“
Contact
NCTracks Call Center: 800-688-6696
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