№ lp_2_1_30912
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Professional coding update bulletin outlining 2026 ICD-10-CM diagnosis code revisions and approved 2027 obstetric CPT code changes relevant to Maternal Fetal Medicine practice.
Year:
2026–2027
Subject:
ICD-10-CM diagnosis code changes and CPT obstetric coding revisions
Type of document:
Coding update bulletin
Relevant specialties:
Maternal Fetal Medicine (MFM), Obstetrics
New ICD-10-CM Codes (2026):
487
Revised ICD-10-CM Codes (2026):
38
Deleted ICD-10-CM Codes (2026):
28
Effective date (ICD-10-CM changes):
October 1, 2026
Approved changes (CPT Editorial Panel):
September 2025
Effective date (CPT obstetric changes):
January 1, 2027
Issuing/related organizations:
Centers for Medicare & Medicaid Services (CMS); American Medical Association (AMA); Society for Maternal-Fetal Medicine (SMFM); American College of Obstetricians and Gynecologists (ACOG)
Audience:
Maternal Fetal Medicine clinicians and coders
Referenced resources:
2026 ICD-10-CM Addendum; September 2025 CPT Editorial Panel Summary of Actions
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Year:
2023
Region / city:
N/A
Topic:
Medical coding, Osteopathy, ICD-10
Document type:
Supplementary Material
Institution:
N/A
Author:
N/A
Target audience:
Healthcare professionals, medical coders
Period of validity:
N/A
Approval date:
N/A
Date of changes:
N/A
Context:
A supplementary material presenting the mapping of ICD-10-CM and ICD-10-PCS codes related to somatic dysfunction and osteopathic treatments to specific body areas.
Year:
Not specified
Academic course:
MCCG137
Document type:
Academic assignment
Subject area:
Medical coding
Coding system:
ICD-10-CM
Healthcare setting:
Inpatient, outpatient, and physician services
Scenarios included:
Pneumonia, dehydration, atrial fibrillation, COPD, ruptured berry aneurysm, Parkinson’s disease, adverse drug effects, cirrhosis with esophageal varices, sequela of fracture
Educational level:
Postsecondary healthcare education
Assessment type:
Graded portfolio project
Required format:
Narrative rationale with code identification
Minimum word count requirement:
75 words per scenario
Medical classification focus:
Diagnostic coding guidelines and sequencing
Authorship attribution:
Student submission
Source context:
Coursework instructions and completed responses
Jurisdiction:
North Carolina, United States
Subject:
NC I/DD Waiver Benefit and Mental Health Services
Document Type:
Supplemental statistical and coding tables
Statistical Measure:
Risk Ratio (95% CI) with P-values
Geographic Unit:
County-level random intercepts
Clinical Classification System:
ICD-10-CM
Service Coding Systems:
CPT, HCPCS, Revenue Codes
Outcomes Defined:
Emergency Department Visit
Content Includes:
Diagnoses of interest, comorbid conditions, screening codes, treatment codes
Year:
2022
Region / City:
Not specified
Topic:
Medical coding, Myocardial Infarction
Document Type:
Medical guidelines
Organization / Institution:
Not specified
Author:
Not specified
Target Audience:
Healthcare professionals, coders
Effective Period:
FY 2022
Approval Date:
Not specified
Modification Date:
Not specified
Author:
Annette McCollough
Document Type:
Educational examination material
Subject:
Medical coding
Coding Systems Referenced:
ICD-10-CM; CPT; HCPCS Level II
Context of Use:
Physician office and outpatient encounters
Examination Sections Referenced:
Section 1; Section 2; Section 3
Case Study 1 Date of Visit:
1/05/2014
Case Study 1 Setting:
Office visit
Case Study 1 Patient Age:
65
Case Study 1 Patient Sex:
Female
Case Study 1 Insurance:
Medicare
Case Study 2 Date of Visit:
1/06/2014
Case Study 2 Setting:
Office visit
Case Study 2 Patient Age:
25
Case Study 2 Patient Sex:
Female
Case Study 2 Insurance:
Worker’s Compensation
Document sections:
Appendix A; Appendix B
Subject:
Diagnostic and procedure coding for skull base fracture and related conditions
Classification systems:
ICD-9-CM; ICD-10-CM; ICD-10-PCS; CPT-4; HCPCS; NDC; DRG
Conditions included:
Skull base fracture; Facial weakness/paralysis/spasm; Loss of consciousness; Hearing loss; Tympanic membrane rupture; Vertigo/disequilibrium; Cerebrospinal fluid leak
Procedures included:
Facial nerve decompression; Facial nerve repair/reanimation; Static eye procedures; Chemodenervation
Medications included:
OnabotulinumtoxinA; IncobotulinumtoxinA; AbobotulinumtoxinA; RimabotulinumtoxinB; Steroids; Antivirals
Drug routes specified:
Oral; IV; IM; Intra-tympanic
Purpose:
Identification of admissions, inclusion and exclusion criteria, secondary outcomes, and treatments
Type of document:
Medical coding reference appendix
Year:
2013–2021
Region / City:
United States, Canada
Subject:
Cirrhosis and liver disease coding
Document type:
Supplementary table / Research data
Institution:
University of Pennsylvania health system; Parkland Hospital; Outpatient hepatology clinic in Toronto
Authors:
Nehra, Goldberg, Niu, Philip, Hagstrom
Target population:
Patients with cirrhosis or liver disease
Validation status:
Mixed validated and non-validated algorithms
Coding system:
ICD-9-CM, ICD-10-CM
Conditions covered:
Cirrhosis, decompensated cirrhosis, hepatitis B, hepatitis C, alcohol-related liver disease, non-alcoholic fatty liver disease, hepatocellular carcinoma, liver transplant
Data extraction method:
Algorithm-based diagnosis code identification
Clinical relevance:
Identification and classification of liver disease conditions for research and clinical coding purposes
Reference:
Peer-reviewed studies and expert consensus statements
Supplementary notes:
ICD-10-CM codes derived using GEM mapping when not directly validated
Year:
Not stated
Region:
Canberra, Australian Capital Territory
Thematic area:
Obstetric emergencies
Document type:
Clinical guideline
Issuing organisation:
Canberra Health Services
Clinical focus:
Postpartum haemorrhage (primary and secondary)
Definition of condition:
Blood loss ≥500 mL after childbirth
Target population:
Women during and after childbirth
Intended users:
Medical officers, registered midwives, nurses, midwifery students under supervision
Scope of application:
Antenatal, intrapartum and postpartum care
Care settings:
Vaginal birth and caesarean section
Related conditions:
Maternal morbidity and mortality
Includes sections:
Risk factors, prevention, management, resuscitation, postpartum care, evaluation, references
Year:
2018
Period:
1 April 2018 to 30 March 2022 with option to extend once until 31 March 2024
Date of Review:
30 October 2021
Commissioner Lead:
Merton and Wandsworth CCGs
Provider Lead:
Subject to Any Qualified Provider Selection (AQP) Process
Population Needs:
National context and evidence base
Service Scope:
Diagnostic tests and clinical decision-making
Geographical Areas:
NHS Merton CCG, NHS Wandsworth CCG
NHS Merton CCG Population:
226,532
NHS Wandsworth CCG Population:
390,786
Total Population:
617,318
Local Context:
South West London Sustainability & Transformation Plan
Service Delivery Area:
London Borough of Merton and Wandsworth
Provider Participation:
Standardised referral form for MRI and Non Obstetric Ultrasound Scan
Framework:
AQP Direct Access Diagnostic Framework
AQP Framework Prices:
Public sector austerity considerations
Contract Review:
Year 3 of contract for price adjustments
Service Improvement:
Annual commissioner and provider diagnostic services forum, biannual audit programme
Outcomes:
NHS Outcomes Framework Domains & Indicators (Domain 1 to Domain 5)
Links to South West London Sustainability Transformation Programme:
Improved care standards, diagnostics, and financial sustainability
Year:
2019
Region / city:
Not specified
Theme:
Obstetric anaesthesia, research funding
Document type:
Application form
Author:
Not specified
Target audience:
Researchers in obstetric anaesthesia
Period of validity:
Not specified
Approval date:
Not specified
Date of changes:
Not specified
Year:
Not specified
Region / City:
Not specified
Topic:
Health, Medical Consent
Document Type:
Consent Form
Organization / Institution:
Not specified
Author:
Not specified
Target Audience:
Adult patients with capacity to consent or refuse treatment
Effective Period:
Not specified
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2023
Publisher:
Te Whatu Ora – Health New Zealand
Location:
Wellington, New Zealand
Type of document:
Clinical referral guidelines
Target audience:
Maternity care providers, health practitioners, specialists
Related legislation:
Primary Maternity Services Notice 2021
Licence:
Creative Commons Attribution 4.0 International
Content:
Referral processes, consultation procedures, emergency transfer, cultural safety, Te Tiriti o Waitangi guidance
Format:
Online publication, ISBN 978-1-99-106708-1
Year:
2019
Region / city:
Wellington, New Zealand
Theme:
Obstetric Ultrasound
Document Type:
Guidelines
Organization / Institution:
Ministry of Health
Author:
Ministry of Health
Target audience:
Healthcare professionals, Obstetricians, Radiologists, Sonographers
Period of validity:
Not specified
Approval Date:
March 2019
Amendment Date:
Not specified
Year:
2020
Organization:
The Leeds Teaching Hospitals NHS Trust Print Unit
Document type:
Referral form
Target audience:
Pregnant or post-partum patients
Contact email:
[email protected]
Referral code:
WQN1327
Eligibility:
Less than 12 weeks pregnant or within 12 months post-delivery
Required information:
Full name, NHS number, address, date of birth, phone number, email, reason for referral, relevant medical history, interpreter requirement
Year:
2015
Region / City:
United Kingdom
Document Type:
Educational Resource
Organization / Institution:
Pelvic, Obstetric and Gynaecological Physiotherapy (POGP)
Author:
Pelvic, Obstetric and Gynaecological Physiotherapy (POGP)
Target Audience:
Physiotherapists working in pelvic, obstetric, and gynaecological fields
Period of Validity:
2015-2019 (reviewed in 2019)
Date of Approval:
2015
Date of Changes:
2019
Year:
2023/24
Organisation:
Scottish Obstetric Cardiology Network (SOCN)
Country:
Scotland
Type of document:
Annual report
Subject:
Obstetric cardiology and cardiac disease in pregnancy
Reporting period:
1 April 2023 – 31 March 2024
Lead Clinician:
Vacant
Programme Manager:
Gillian Kinstrie
Programme Support Officer:
Aneta Gorczynski
Established:
1 September 2018
Related publication:
MBRRACE-UK report “Saving Lives, Improving Mothers’ Care” (December 2016)
Key activities:
Development of clinical guidelines, care pathways, patient information materials, education events, data collection initiatives
Collaborating bodies:
Network for Inherited Cardiac Conditions Scotland (NICCS), National Services Division (NSD), NHS Health Boards in Scotland
Events held:
SOCN Symposium (16 June 2023, Edinburgh); Virtual Clinical Case Discussion (3 November 2023)
Target audience:
Healthcare professionals involved in cardiac obstetric care in Scotland
Year:
2026
Region / City:
Salisbury, Wiltshire, UK
Topic:
Obstetric Anal Sphincter Injury follow-up care
Document Type:
Survey questionnaire
Organization:
Salisbury Maternity Unit, SDH
Target Audience:
Maternity service managers and clinicians
Service Area:
Perinatal period
Departments Involved:
Maternity/Obstetrics, Gynaecology, Colorectal, Physiotherapy
Clinic Frequency:
Weekly, Fortnightly, Monthly, Ad Hoc
Assessment Tools:
Wexner score, ICIQ-B, PROMs, EPAQs
Diagnostics:
EAUS, Anal manometry, TPUS, MRI
Staff Roles:
Obstetrician, Colorectal surgeon, Sonographer/Physiologist, Specialist Midwife, Physiotherapist, ACP
Multidisciplinary Clinic:
MDT, Midwife & Physio, Obstetrician & Physio, Obstetrician & Midwife
Training Requirements:
Professional Qualification, Accredited Course, In-house training, On the Job training
Audit and Governance:
Competency assessments, routine data auditing
Year:
2012
Region / City:
Birmingham
Subject:
Obstetric Anaesthesia
Document Type:
Handbook
Organization / Institution:
Birmingham Women’s Hospital
Author:
Selwyn Crawford Department of Anaesthetics
Target Audience:
Anaesthetists
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2021
Region / City:
Texas
Topic:
Medicaid policy review
Document Type:
Policy Draft
Organization / Institution:
HHSC (Health and Human Services Commission)
Author:
Texas HHSC
Target Audience:
Medicaid providers, healthcare professionals, obstetricians, and licensed midwives
Period of Validity:
Indefinite, subject to review
Approval Date:
Not specified
Date of Changes:
Public comment period starts in 2021
Scope:
Medicaid medical policy
Policy Code:
Not specified