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ICD-10-CM Changes for FY2026

The FY2026 ICD-10-CM update, effective October 1, 2025, added 383 codes (333 billable), deleted 0, and subdivided 20 previously billable codes into 79 more specific replacement codes. Notable changes include the subdivision of G35 (multiple sclerosis) by disease course, E78.01 (familial hypercholesterolemia) by zygosity, and R10.2 (pelvic and perineal pain) by laterality. Codes that became non-billable can no longer be used for claims with dates of service on or after October 1, 2025.

Also see the upcoming FY2027 ICD-10-CM changes, effective October 1, 2026.

383
New Codes
20
Subdivided Codes
0
Deleted Codes
Oct 1, 2025
Effective Date
Subdivided Codes: Billable in 2025, Non-Billable in 2026

These 20 codes were billable in FY2025 but are now non-billable parent codes. Claims must use one of the new, more specific replacement codes listed below.

Old Code (non-billable in 2026)Replacement Codes (billable)
B88.0
Other acariasis
D71
Functional disorders of polymorphonuclear neutrophils
  • D71.1 Leukocyte adhesion deficiency
  • D71.8 Other functional disorders of polymorphonuclear neutrophils
  • D71.9 Functional disorders of polymorphonuclear neutrophils, unspecified
E72.53
Primary hyperoxaluria
  • E72.530 Primary hyperoxaluria, type 1
  • E72.538 Other specified primary hyperoxaluria
  • E72.539 Primary hyperoxaluria, unspecified
E78.01
Familial hypercholesterolemia
  • E78.010 Homozygous familial hypercholesterolemia [HoFH]
  • E78.011 Heterozygous familial hypercholesterolemia [HeFH]
  • E78.019 Familial hypercholesterolemia, unspecified
E88.1
Lipodystrophy, not elsewhere classified
  • E88.10 Lipodystrophy, unspecified
  • E88.11 Partial lipodystrophy
  • E88.12 Generalized lipodystrophy
  • E88.13 Localized lipodystrophy
  • E88.14 HIV-associated lipodystrophy
  • E88.19 Other lipodystrophy, not elsewhere classified
G35
Multiple sclerosis
  • G35.A Relapsing-remitting multiple sclerosis
  • G35.B0 Primary progressive multiple sclerosis, unspecified
  • G35.B1 Active primary progressive multiple sclerosis
  • G35.B2 Non-active primary progressive multiple sclerosis
  • G35.C0 Secondary progressive multiple sclerosis, unspecified
  • G35.C1 Active secondary progressive multiple sclerosis
  • G35.C2 Non-active secondary progressive multiple sclerosis
  • G35.D Multiple sclerosis, unspecified
H01.8
Other specified inflammations of eyelid
  • H01.81 Other specified inflammation of right upper eyelid
  • H01.82 Other specified inflammation of right lower eyelid
  • H01.83 Other specified inflammation of right eye, unspecified eyelid
  • H01.84 Other specified inflammation of left upper eyelid
  • H01.85 Other specified inflammation of left lower eyelid
  • H01.86 Other specified inflammation of left eye, unspecified eyelid
  • H01.89 Other specified inflammation of unspecified eye, unspecified eyelid
  • H01.8A Other specified inflammation of right eye, upper and lower eyelids
  • H01.8B Other specified inflammation of left eye, upper and lower eyelids
Q89.8
Other specified congenital malformations
  • Q89.81 Kabuki syndrome
  • Q89.89 Other specified congenital malformations
Q99.8
Other specified chromosome abnormalities
R10.2
Pelvic and perineal pain
  • R10.20 Pelvic and perineal pain unspecified side
  • R10.21 Pelvic and perineal pain right side
  • R10.22 Pelvic and perineal pain left side
  • R10.23 Pelvic and perineal pain bilateral
  • R10.24 Suprapubic pain
R76.8
Other specified abnormal immunological findings in serum
  • R76.81 Abnormal rheumatoid factor and anti-citrullinated protein antibody without rheumatoid arthritis
  • R76.89 Other specified abnormal immunological findings in serum
S30.1
Contusion of abdominal wall
  • S30.11 Contusion of abdominal wall
  • S30.12 Contusion of groin
  • S30.13 Contusion of flank (latus) region
T78.07
Anaphylactic reaction due to milk and dairy products
  • T78.070 Anaphylactic reaction due to milk and dairy products with tolerance to baked milk
  • T78.071 Anaphylactic reaction due to milk and dairy products with reactivity to baked milk
  • T78.079 Anaphylactic reaction due to milk and dairy products, unspecified
T78.08
Anaphylactic reaction due to eggs
  • T78.080 Anaphylactic reaction due to egg with tolerance to baked egg
  • T78.081 Anaphylactic reaction due to egg with reactivity to baked egg
  • T78.089 Anaphylactic reaction due to eggs, unspecified
T78.1
Other adverse food reactions, not elsewhere classified
  • T78.110 Other adverse food reactions due to milk and dairy products with tolerance to baked milk
  • T78.111 Other adverse food reaction due to milk and dairy products with reactivity to baked milk
  • T78.119 Other adverse food reaction due to milk and dairy products with baked milk tolerance/reactivity, unspecified
  • T78.120 Other adverse food reaction due to egg with tolerance to baked egg
  • T78.121 Other adverse food reaction due to egg with reactivity to baked egg
  • T78.129 Other adverse food reaction due to egg with baked egg tolerance/reactivity, unspecified
  • T78.19 Other adverse food reactions, not elsewhere classified
Z40.8
Encounter for other prophylactic surgery
  • Z40.81 Encounter for prophylactic surgery for removal of ovary(s) for persons without known genetic/familial risk factors
  • Z40.82 Encounter for prophylactic surgery for removal of fallopian tube(s) for persons without known genetic/familial risk factors
  • Z40.89 Encounter for other prophylactic surgery
Z59.86
Financial insecurity
  • Z59.861 Financial insecurity, difficulty paying for utilities
  • Z59.868 Other specified financial insecurity
  • Z59.869 Financial insecurity, unspecified
Z84.1
Family history of disorders of kidney and ureter
  • Z84.11 Family history of APOL1-mediated kidney disease [AMKD]
  • Z84.19 Family history of other disorders of kidney and ureter
Z91.011
Allergy to milk products
  • Z91.0110 Allergy to milk products, unspecified
  • Z91.0111 Allergy to milk products with tolerance to baked milk
  • Z91.0112 Allergy to milk products with reactivity to baked milk
Z91.012
Allergy to eggs
  • Z91.0120 Allergy to eggs, unspecified
  • Z91.0121 Allergy to eggs with tolerance to baked egg
  • Z91.0122 Allergy to eggs with reactivity to baked egg
Deleted Codes

No ICD-10-CM codes were removed from the code set entirely in FY2026. The 20 codes listed above still exist as non-billable parent categories — they were subdivided rather than deleted, so code lookups continue to resolve while billing requires the new, more specific codes.

New Codes by Chapter

Chapter 1: Certain infectious and parasitic diseases (A00-B99)
2
Chapter 2: Neoplasms (C00-D49)
4
  • C50.AMalignant inflammatory neoplasm of breast
    Non-billable
  • C50.A0Malignant inflammatory neoplasm of unspecified breast
  • C50.A1Malignant inflammatory neoplasm of right breast
  • C50.A2Malignant inflammatory neoplasm of left breast
Chapter 3: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89)
3
  • D71.1Leukocyte adhesion deficiency
  • D71.8Other functional disorders of polymorphonuclear neutrophils
  • D71.9Functional disorders of polymorphonuclear neutrophils, unspecified
Chapter 4: Endocrine, nutritional and metabolic diseases (E00-E89)
25
  • E11.AType 2 diabetes mellitus without complications in remission
  • E72.530Primary hyperoxaluria, type 1
  • E72.538Other specified primary hyperoxaluria
  • E72.539Primary hyperoxaluria, unspecified
  • E72.54Secondary hyperoxaluria
    Non-billable
  • E72.540Dietary hyperoxaluria
  • E72.541Enteric hyperoxaluria
  • E72.548Other secondary hyperoxaluria
  • E72.549Secondary hyperoxaluria, unspecified
  • E78.010Homozygous familial hypercholesterolemia [HoFH]
  • E78.011Heterozygous familial hypercholesterolemia [HeFH]
  • E78.019Familial hypercholesterolemia, unspecified
  • E83.82Disorders of pyrophosphate metabolism
    Non-billable
  • E83.820Generalized arterial calcification of infancy with unspecified genetic causality
  • E83.821ENPP1 deficiency causing generalized arterial calcification of infancy
  • E83.822ENPP1 deficiency causing autosomal recessive hypophosphatemic rickets type 2
  • E83.823ABCC6 deficiency causing generalized arterial calcification of infancy
  • E83.824ABCC6 deficiency causing pseudoxanthoma elasticum
  • E83.825CD73 deficiency causing arterial calcification
  • E88.10Lipodystrophy, unspecified
  • E88.11Partial lipodystrophy
  • E88.12Generalized lipodystrophy
  • E88.13Localized lipodystrophy
  • E88.14HIV-associated lipodystrophy
  • E88.19Other lipodystrophy, not elsewhere classified
Chapter 6: Diseases of the nervous system (G00-G99)
12
  • G31.87Primary progressive apraxia of speech
  • G35.ARelapsing-remitting multiple sclerosis
  • G35.BPrimary progressive multiple sclerosis
    Non-billable
  • G35.B0Primary progressive multiple sclerosis, unspecified
  • G35.B1Active primary progressive multiple sclerosis
  • G35.B2Non-active primary progressive multiple sclerosis
  • G35.CSecondary progressive multiple sclerosis
    Non-billable
  • G35.C0Secondary progressive multiple sclerosis, unspecified
  • G35.C1Active secondary progressive multiple sclerosis
  • G35.C2Non-active secondary progressive multiple sclerosis
  • G35.DMultiple sclerosis, unspecified
  • G71.036Limb girdle muscular dystrophy due to fukutin related protein dysfunction
Chapter 7: Diseases of the eye and adnexa (H00-H59)
19
  • H01.81Other specified inflammation of right upper eyelid
  • H01.82Other specified inflammation of right lower eyelid
  • H01.83Other specified inflammation of right eye, unspecified eyelid
  • H01.84Other specified inflammation of left upper eyelid
  • H01.85Other specified inflammation of left lower eyelid
  • H01.86Other specified inflammation of left eye, unspecified eyelid
  • H01.89Other specified inflammation of unspecified eye, unspecified eyelid
  • H01.8AOther specified inflammation of right eye, upper and lower eyelids
  • H01.8BOther specified inflammation of left eye, upper and lower eyelids
  • H05.83Thyroid orbitopathy
    Non-billable
  • H05.831Thyroid orbitopathy, right orbit
  • H05.832Thyroid orbitopathy, left orbit
  • H05.833Thyroid orbitopathy, bilateral
  • H05.839Thyroid orbitopathy, unspecified orbit
  • H40.84Neovascular secondary angle closure glaucoma
    Non-billable
  • H40.841Neovascular secondary angle closure glaucoma, right eye
  • H40.842Neovascular secondary angle closure glaucoma, left eye
  • H40.843Neovascular secondary angle closure glaucoma, bilateral
  • H40.849Neovascular secondary angle closure glaucoma, unspecified eye
Chapter 9: Diseases of the circulatory system (I00-I99)
5
  • I27.84Fontan related circulation
    Non-billable
  • I27.840Fontan-associated liver disease [FALD]
  • I27.841Fontan-associated lymphatic dysfunction
  • I27.848Other Fontan-associated condition
  • I27.849Fontan related circulation, unspecified
Chapter 12: Diseases of the skin and subcutaneous tissue (L00-L99)
134
  • L02.217Cutaneous abscess of flank
  • L02.227Furuncle of flank
  • L03.31ACellulitis of flank
  • L03.32AAcute lymphangitis of flank
  • L98.43Non-pressure chronic ulcer of abdomen
    Non-billable
  • L98.431Non-pressure chronic ulcer of abdomen limited to breakdown of skin
  • L98.432Non-pressure chronic ulcer of abdomen with fat layer exposed
  • L98.433Non-pressure chronic ulcer of abdomen with necrosis of muscle
  • L98.434Non-pressure chronic ulcer of abdomen with necrosis of bone
  • L98.435Non-pressure chronic ulcer of abdomen with muscle involvement without evidence of necrosis
  • L98.436Non-pressure chronic ulcer of abdomen with bone involvement without evidence of necrosis
  • L98.438Non-pressure chronic ulcer of abdomen with other specified severity
  • L98.439Non-pressure chronic ulcer of abdomen with unspecified severity
  • L98.44Non-pressure chronic ulcer of chest
    Non-billable
  • L98.441Non-pressure chronic ulcer of chest limited to breakdown of skin
  • L98.442Non-pressure chronic ulcer of chest with fat layer exposed
  • L98.443Non-pressure chronic ulcer of chest with necrosis of muscle
  • L98.444Non-pressure chronic ulcer of chest with necrosis of bone
  • L98.445Non-pressure chronic ulcer of chest with muscle involvement without evidence of necrosis
  • L98.446Non-pressure chronic ulcer of chest with bone involvement without evidence of necrosis
  • L98.448Non-pressure chronic ulcer of chest with other specified severity
  • L98.449Non-pressure chronic ulcer of chest with unspecified severity
  • L98.45Non-pressure chronic ulcer of neck
    Non-billable
  • L98.451Non-pressure chronic ulcer of neck limited to breakdown of skin
  • L98.452Non-pressure chronic ulcer of neck with fat layer exposed
  • L98.453Non-pressure chronic ulcer of neck with necrosis of muscle
  • L98.454Non-pressure chronic ulcer of neck with necrosis of bone
  • L98.455Non-pressure chronic ulcer of neck with muscle involvement without evidence of necrosis
  • L98.456Non-pressure chronic ulcer of neck with bone involvement without evidence of necrosis
  • L98.458Non-pressure chronic ulcer of neck with other specified severity
  • L98.459Non-pressure chronic ulcer of neck with unspecified severity
  • L98.46Non-pressure chronic ulcer of face
    Non-billable
  • L98.461Non-pressure chronic ulcer of face limited to breakdown of skin
  • L98.462Non-pressure chronic ulcer of face with fat layer exposed
  • L98.463Non-pressure chronic ulcer of face with necrosis of muscle
  • L98.464Non-pressure chronic ulcer of face with necrosis of bone
  • L98.465Non-pressure chronic ulcer of face with muscle involvement without evidence of necrosis
  • L98.466Non-pressure chronic ulcer of face with bone involvement without evidence of necrosis
  • L98.468Non-pressure chronic ulcer of face with other specified severity
  • L98.469Non-pressure chronic ulcer of face with unspecified severity
  • L98.47Non-pressure chronic ulcer of groin
    Non-billable
  • L98.471Non-pressure chronic ulcer of groin limited to breakdown of skin
  • L98.472Non-pressure chronic ulcer of groin with fat layer exposed
  • L98.473Non-pressure chronic ulcer of groin with necrosis of muscle
  • L98.474Non-pressure chronic ulcer of groin with necrosis of bone
  • L98.475Non-pressure chronic ulcer of groin with muscle involvement without evidence of necrosis
  • L98.476Non-pressure chronic ulcer of groin with bone involvement without evidence of necrosis
  • L98.478Non-pressure chronic ulcer of groin with other specified severity
  • L98.479Non-pressure chronic ulcer of groin with unspecified severity
  • L98.ANon-pressure chronic ulcer of upper limb, not elsewhere classified
    Non-billable
  • L98.A1Non-pressure chronic ulcer of upper arm
    Non-billable
  • L98.A11Non-pressure chronic ulcer of right upper arm
    Non-billable
  • L98.A111Non-pressure chronic ulcer of right upper arm limited to breakdown of skin
  • L98.A112Non-pressure chronic ulcer of right upper arm with fat layer exposed
  • L98.A113Non-pressure chronic ulcer of right upper arm with necrosis of muscle
  • L98.A114Non-pressure chronic ulcer of right upper arm with necrosis of bone
  • L98.A115Non-pressure chronic ulcer of right upper arm with muscle involvement without evidence of necrosis
  • L98.A116Non-pressure chronic ulcer of right upper arm with bone involvement without evidence of necrosis
  • L98.A118Non-pressure chronic ulcer of right upper arm with other specified severity
  • L98.A119Non-pressure chronic ulcer of right upper arm with unspecified severity
  • L98.A12Non-pressure chronic ulcer of left upper arm
    Non-billable
  • L98.A121Non-pressure chronic ulcer of left upper arm limited to breakdown of skin
  • L98.A122Non-pressure chronic ulcer of left upper arm with fat layer exposed
  • L98.A123Non-pressure chronic ulcer of left upper arm with necrosis of muscle
  • L98.A124Non-pressure chronic ulcer of left upper arm with necrosis of bone
  • L98.A125Non-pressure chronic ulcer of left upper arm with muscle involvement without evidence of necrosis
  • L98.A126Non-pressure chronic ulcer of left upper arm with bone involvement without evidence of necrosis
  • L98.A128Non-pressure chronic ulcer of left upper arm with other specified severity
  • L98.A129Non-pressure chronic ulcer of left upper arm with unspecified severity
  • L98.A19Non-pressure chronic ulcer of unspecified upper arm
    Non-billable
  • L98.A191Non-pressure chronic ulcer of unspecified upper arm limited to breakdown of skin
  • L98.A192Non-pressure chronic ulcer of unspecified upper arm with fat layer exposed
  • L98.A193Non-pressure chronic ulcer of unspecified upper arm with necrosis of muscle
  • L98.A194Non-pressure chronic ulcer of unspecified upper arm with necrosis of bone
  • L98.A195Non-pressure chronic ulcer of unspecified upper arm with muscle involvement without evidence of necrosis
  • L98.A196Non-pressure chronic ulcer of unspecified upper arm with bone involvement without evidence of necrosis
  • L98.A198Non-pressure chronic ulcer of unspecified upper arm with other specified severity
  • L98.A199Non-pressure chronic ulcer of unspecified upper arm with unspecified severity
  • L98.A2Non-pressure chronic ulcer of forearm
    Non-billable
  • L98.A21Non-pressure chronic ulcer of right forearm
    Non-billable
  • L98.A211Non-pressure chronic ulcer of right forearm limited to breakdown of skin
  • L98.A212Non-pressure chronic ulcer of right forearm with fat layer exposed
  • L98.A213Non-pressure chronic ulcer of right forearm with necrosis of muscle
  • L98.A214Non-pressure chronic ulcer of right forearm with necrosis of bone
  • L98.A215Non-pressure chronic ulcer of right forearm with muscle involvement without evidence of necrosis
  • L98.A216Non-pressure chronic ulcer of right forearm with bone involvement without evidence of necrosis
  • L98.A218Non-pressure chronic ulcer of right forearm with other specified severity
  • L98.A219Non-pressure chronic ulcer of right forearm with unspecified severity
  • L98.A22Non-pressure chronic ulcer of left forearm
    Non-billable
  • L98.A221Non-pressure chronic ulcer of left forearm limited to breakdown of skin
  • L98.A222Non-pressure chronic ulcer of left forearm with fat layer exposed
  • L98.A223Non-pressure chronic ulcer of left forearm with necrosis of muscle
  • L98.A224Non-pressure chronic ulcer of left forearm with necrosis of bone
  • L98.A225Non-pressure chronic ulcer of left forearm with muscle involvement without evidence of necrosis
  • L98.A226Non-pressure chronic ulcer of left forearm with bone involvement without evidence of necrosis
  • L98.A228Non-pressure chronic ulcer of left forearm with other specified severity
  • L98.A229Non-pressure chronic ulcer of left forearm with unspecified severity
  • L98.A29Non-pressure chronic ulcer of unspecified forearm
    Non-billable
  • L98.A291Non-pressure chronic ulcer of unspecified forearm limited to breakdown of skin
  • L98.A292Non-pressure chronic ulcer of unspecified forearm with fat layer exposed
  • L98.A293Non-pressure chronic ulcer of unspecified forearm with necrosis of muscle
  • L98.A294Non-pressure chronic ulcer of unspecified forearm with necrosis of bone
  • L98.A295Non-pressure chronic ulcer of unspecified forearm with muscle involvement without evidence of necrosis
  • L98.A296Non-pressure chronic ulcer of unspecified forearm with bone involvement without evidence of necrosis
  • L98.A298Non-pressure chronic ulcer of unspecified forearm with other specified severity
  • L98.A299Non-pressure chronic ulcer of unspecified forearm with unspecified severity
  • L98.A3Non-pressure chronic ulcer of hand
    Non-billable
  • L98.A31Non-pressure chronic ulcer of right hand
    Non-billable
  • L98.A311Non-pressure chronic ulcer of right hand limited to breakdown of skin
  • L98.A312Non-pressure chronic ulcer of right hand with fat layer exposed
  • L98.A313Non-pressure chronic ulcer of right hand with necrosis of muscle
  • L98.A314Non-pressure chronic ulcer of right hand with necrosis of bone
  • L98.A315Non-pressure chronic ulcer of right hand with muscle involvement without evidence of necrosis
  • L98.A316Non-pressure chronic ulcer of right hand with bone involvement without evidence of necrosis
  • L98.A318Non-pressure chronic ulcer of right hand with other specified severity
  • L98.A319Non-pressure chronic ulcer of right hand with unspecified severity
  • L98.A32Non-pressure chronic ulcer of left hand
    Non-billable
  • L98.A321Non-pressure chronic ulcer of left hand limited to breakdown of skin
  • L98.A322Non-pressure chronic ulcer of left hand with fat layer exposed
  • L98.A323Non-pressure chronic ulcer of left hand with necrosis of muscle
  • L98.A324Non-pressure chronic ulcer of left hand with necrosis of bone
  • L98.A325Non-pressure chronic ulcer of left hand with muscle involvement without evidence of necrosis
  • L98.A326Non-pressure chronic ulcer of left hand with bone involvement without evidence of necrosis
  • L98.A328Non-pressure chronic ulcer of left hand with other specified severity
  • L98.A329Non-pressure chronic ulcer of left hand with unspecified severity
  • L98.A39Non-pressure chronic ulcer of unspecified hand
    Non-billable
  • L98.A391Non-pressure chronic ulcer of unspecified hand limited to breakdown of skin
  • L98.A392Non-pressure chronic ulcer of unspecified hand with fat layer exposed
  • L98.A393Non-pressure chronic ulcer of unspecified hand with necrosis of muscle
  • L98.A394Non-pressure chronic ulcer of unspecified hand with necrosis of bone
  • L98.A395Non-pressure chronic ulcer of unspecified hand with muscle involvement without evidence of necrosis
  • L98.A396Non-pressure chronic ulcer of unspecified hand with bone involvement without evidence of necrosis
  • L98.A398Non-pressure chronic ulcer of unspecified hand with other specified severity
  • L98.A399Non-pressure chronic ulcer of unspecified hand with unspecified severity
Chapter 13: Diseases of the musculoskeletal system and connective tissue (M00-M99)
1
  • M05.AAbnormal rheumatoid factor and anti-citrullinated protein antibody with rheumatoid arthritis
Chapter 14: Diseases of the genitourinary system (N00-N99)
7
  • N00.BAcute nephritic syndrome with immune complex membranoproliferative glomerulonephritis
    Non-billable
  • N00.B1Acute nephritic syndrome with idiopathic immune membranoproliferative glomerulonephritis (IC-MPGN)
  • N00.B2Acute nephritic syndrome with secondary immune complex membranoproliferative glomerulonephritis (IC-MPGN)
  • N04.BNephrotic syndrome with immune complex membranoproliferative glomerulonephritis (IC-MPGN)
    Non-billable
  • N04.B1Nephrotic syndrome with idiopathic immune complex membranoproliferative glomerulonephritis (IC-MPGN)
  • N04.B2Nephrotic syndrome with secondary immune complex membranoproliferative glomerulonephritis (IC-MPGN)
  • N07.BHereditary nephropathy, not elsewhere classified with APOL1-mediated kidney disease [AMKD]
Chapter 17: Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders (Q00-QA0)
31
  • Q87.87Hao-Fountain Syndrome
  • Q87.88CTNNB1 syndrome
  • Q89.81Kabuki syndrome
  • Q89.89Other specified congenital malformations
  • Q99.81Usher syndrome
    Non-billable
  • Q99.811Usher syndrome, type 1
  • Q99.812Usher syndrome, type 2
  • Q99.813Usher syndrome, type 3
  • Q99.818Other Usher syndrome
  • Q99.819Usher syndrome, unspecified
  • Q99.89Other specified chromosome abnormalities
  • QA0Neurodevelopmental disorders related to specific genetic pathogenic variants
    Non-billable
  • QA0.0Neurodevelopmental disorders related to pathogenic variants in specific genes
    Non-billable
  • QA0.01Neurodevelopmental disorders related to pathogenic variants in certain specific genes
    Non-billable
  • QA0.010Neurodevelopmental disorders, related to pathogenic variants in ion channel genes
    Non-billable
  • QA0.0101SCN2A-related neurodevelopmental disorder
  • QA0.0102CACNA1A-related neurodevelopmental disorder
  • QA0.0109Neurodevelopmental disorder related to pathogenic variant in other ion channel gene
  • QA0.011Neurodevelopmental disorders, related to pathogenic variants in glutamate receptor genes
  • QA0.012Neurodevelopmental disorders, related to pathogenic variants in other receptor genes
  • QA0.013Neurodevelopmental disorders, related to pathogenic variants in other transporter and solute carrier genes
    Non-billable
  • QA0.0131SLC6A1-related disorder
  • QA0.0139Neurodevelopmental disorder, related to pathogenic variant in other transporter or solute carrier gene
  • QA0.014Neurodevelopmental disorders, related to pathogenic variants in synapse related genes
    Non-billable
  • QA0.0141Syntaxin-binding protein 1-related disorder
  • QA0.0142DLG4-related synaptopathy
  • QA0.0149Neurodevelopmental disorder, related to pathogenic variant in other synapse related gene
  • QA0.015Neurodevelopmental disorders, related to genes associated with transcription and gene expression
    Non-billable
  • QA0.0151FOXG1 syndrome
  • QA0.0159Neurodevelopmental disorder, related to other genes associated with transcription and gene expression
  • QA0.8Other neurodevelopmental disorders related to pathogenic variants in other specific genes
Chapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
24
  • R10.20Pelvic and perineal pain unspecified side
  • R10.21Pelvic and perineal pain right side
  • R10.22Pelvic and perineal pain left side
  • R10.23Pelvic and perineal pain bilateral
  • R10.24Suprapubic pain
  • R10.85Abdominal pain of multiple sites
  • R10.8AFlank tenderness
    Non-billable
  • R10.8A1Right flank tenderness
  • R10.8A2Left flank tenderness
  • R10.8A3Suprapubic tenderness
  • R10.8A9Flank tenderness, unspecified
  • R10.APain localized to flank
    Non-billable
  • R10.A0Flank pain, unspecified side
  • R10.A1Flank pain, right side
  • R10.A2Flank pain, left side
  • R10.A3Flank pain, bilateral
  • R11.16Cannabis hyperemesis syndrome
  • R39.85Costovertebral (angle) tenderness
    Non-billable
  • R39.851Costovertebral (angle) tenderness, right side
  • R39.852Costovertebral (angle) tenderness, left side
  • R39.853Costovertebral (angle) tenderness, bilateral
  • R39.859Costovertebral (angle) tenderness, unspecified side
  • R76.81Abnormal rheumatoid factor and anti-citrullinated protein antibody without rheumatoid arthritis
  • R76.89Other specified abnormal immunological findings in serum
Chapter 19: Injury, poisoning and certain other consequences of external causes (S00-T88)
77
  • S30.11Contusion of abdominal wall
  • S30.12Contusion of groin
  • S30.13Contusion of flank (latus) region
  • S30.81AAbrasion of flank
  • S30.82ABlister (nonthermal) of flank
  • S30.84AExternal constriction of flank
  • S30.85ASuperficial foreign body of flank
  • S30.86AInsect bite (nonvenomous) of flank
  • S30.87AOther superficial bite of flank
  • S30.9AUnspecified superficial injury of flank
  • S31.106Unspecified open wound of abdominal wall, right flank without penetration into peritoneal cavity
  • S31.107Unspecified open wound of abdominal wall, left flank without penetration into peritoneal cavity
  • S31.10AUnspecified open wound of abdominal wall, unspecified flank without penetration into peritoneal cavity
  • S31.116Laceration without foreign body of abdominal wall, right flank without penetration into peritoneal cavity
  • S31.117Laceration without foreign body of abdominal wall, left flank without penetration into peritoneal cavity
  • S31.11ALaceration without foreign body of abdominal wall, unspecified flank without penetration into peritoneal cavity
  • S31.126Laceration with foreign body of abdominal wall, right flank without penetration into peritoneal cavity
  • S31.127Laceration with foreign body of abdominal wall, left flank without penetration into peritoneal cavity
  • S31.12ALaceration with foreign body of abdominal wall unspecified flank without penetration into peritoneal cavity
  • S31.136Puncture wound of abdominal wall without foreign body, right flank without penetration into peritoneal cavity
  • S31.137Puncture wound of abdominal wall without foreign body, left flank without penetration into peritoneal cavity
  • S31.13APuncture wound of abdominal wall without foreign body, unspecified flank without penetration into peritoneal cavity
  • S31.146Puncture wound of abdominal wall with foreign body, right flank without penetration into peritoneal cavity
  • S31.147Puncture wound of abdominal wall with foreign body, left flank without penetration into peritoneal cavity
  • S31.14APuncture wound of abdominal wall with foreign body, unspecified flank without penetration into peritoneal cavity
  • S31.156Open bite of abdominal wall, right flank without penetration into peritoneal cavity
  • S31.157Open bite of abdominal wall, left flank without penetration into peritoneal cavity
  • S31.15AOpen bite of abdominal wall, unspecified flank without penetration into peritoneal cavity
  • S31.606Unspecified open wound of abdominal wall, right flank with penetration into peritoneal cavity
  • S31.607Unspecified open wound of abdominal wall, left flank with penetration into peritoneal cavity
  • S31.60AUnspecified open wound of abdominal wall, unspecified flank with penetration into peritoneal cavity
  • S31.616Laceration without foreign body of abdominal wall, right flank with penetration into peritoneal cavity
  • S31.617Laceration without foreign body of abdominal wall, left flank with penetration into peritoneal cavity
  • S31.61ALaceration without foreign body of abdominal wall, unspecified flank with penetration into peritoneal cavity
  • S31.626Laceration with foreign body of abdominal wall, right flank with penetration into peritoneal cavity
  • S31.627Laceration with foreign body of abdominal wall, left flank with penetration into peritoneal cavity
  • S31.62ALaceration with foreign body of abdominal wall, unspecified flank with penetration into peritoneal cavity
  • S31.636Puncture wound of abdominal wall without foreign body, right flank with penetration into peritoneal cavity
  • S31.637Puncture wound of abdominal wall without foreign body, left flank with penetration into peritoneal cavity
  • S31.63APuncture wound of abdominal wall without foreign body, unspecified flank with penetration into peritoneal cavity
  • S31.646Puncture wound of abdominal wall with foreign body, right flank with penetration into peritoneal cavity
  • S31.647Puncture wound of abdominal wall with foreign body, left flank with penetration into peritoneal cavity
  • S31.64APuncture wound of abdominal wall with foreign body, unspecified flank with penetration into peritoneal cavity
  • S31.656Open bite of abdominal wall, right flank with penetration into peritoneal cavity
  • S31.657Open bite of abdominal wall, left flank with penetration into peritoneal cavity
  • S31.65AOpen bite of abdominal wall, unspecified flank with penetration into peritoneal cavity
  • T36.APoisoning by, adverse effect of and underdosing of fluoroquinolone antibiotics
    Non-billable
  • T36.AXPoisoning by, adverse effect of and underdosing of fluoroquinolone antibiotics
    Non-billable
  • T36.AX1Poisoning by fluoroquinolone antibiotics, accidental (unintentional)
  • T36.AX2Poisoning by fluoroquinolone antibiotics, intentional self-harm
  • T36.AX3Poisoning by fluoroquinolone antibiotics, assault
  • T36.AX4Poisoning by fluoroquinolone antibiotics, undetermined
  • T36.AX5Adverse effect of fluoroquinolone antibiotics
  • T36.AX6Underdosing of fluoroquinolone antibiotics
  • T65.84Toxic effect of xylazine
    Non-billable
  • T65.841Toxic effect of xylazine, accidental (unintentional)
  • T65.842Toxic effect of xylazine, intentional self-harm
  • T65.843Toxic effect of xylazine, assault
  • T65.844Toxic effect of xylazine, undetermined
  • T75.83Effects of war theater
    Non-billable
  • T75.830Gulf war illness
  • T75.838Effects of other war theater
  • T78.070Anaphylactic reaction due to milk and dairy products with tolerance to baked milk
  • T78.071Anaphylactic reaction due to milk and dairy products with reactivity to baked milk
  • T78.079Anaphylactic reaction due to milk and dairy products, unspecified
  • T78.080Anaphylactic reaction due to egg with tolerance to baked egg
  • T78.081Anaphylactic reaction due to egg with reactivity to baked egg
  • T78.089Anaphylactic reaction due to eggs, unspecified
  • T78.11Other adverse food reactions due to milk and dairy products
    Non-billable
  • T78.110Other adverse food reactions due to milk and dairy products with tolerance to baked milk
  • T78.111Other adverse food reaction due to milk and dairy products with reactivity to baked milk
  • T78.119Other adverse food reaction due to milk and dairy products with baked milk tolerance/reactivity, unspecified
  • T78.12Other adverse food reaction due to eggs
    Non-billable
  • T78.120Other adverse food reaction due to egg with tolerance to baked egg
  • T78.121Other adverse food reaction due to egg with reactivity to baked egg
  • T78.129Other adverse food reaction due to egg with baked egg tolerance/reactivity, unspecified
  • T78.19Other adverse food reactions, not elsewhere classified
Chapter 20: External causes of morbidity (V00-Y99)
11
  • W44.H9Other sharp object entering into or through a natural orifice
  • W45.3Fishing hook entering through skin
  • Y36.ABlast overpressure in war operations
    Non-billable
  • Y36.A1Low level blast overpressure in war operations
  • Y36.A2High level blast overpressure in war operations
  • Y37.ABlast overpressure in military operations
    Non-billable
  • Y37.A1Low level blast overpressure in military operations
  • Y37.A2High level blast overpressure in military operations
  • Y93.LOther outdoor activity
    Non-billable
  • Y93.L1Activity, splitting wood
  • Y93.L9Activity, other outdoor activity
Chapter 21: Factors influencing health status and contact with health services (Z00-Z99)
28
  • Z15.05Genetic susceptibility to malignant neoplasm of fallopian tube(s)
  • Z15.06Genetic susceptibility to malignant neoplasm of digestive system
    Non-billable
  • Z15.060Genetic susceptibility to colorectal cancer
  • Z15.068Genetic susceptibility to other malignant neoplasm of digestive system
  • Z15.07Genetic susceptibility to malignant neoplasm of urinary tract
  • Z15.3Genetic susceptibility to kidney disease
  • Z40.81Encounter for prophylactic surgery for removal of ovary(s) for persons without known genetic/familial risk factors
  • Z40.82Encounter for prophylactic surgery for removal of fallopian tube(s) for persons without known genetic/familial risk factors
  • Z40.89Encounter for other prophylactic surgery
  • Z59.861Financial insecurity, difficulty paying for utilities
  • Z59.868Other specified financial insecurity
  • Z59.869Financial insecurity, unspecified
  • Z77.3Contact with and (suspected) exposure to war theater
    Non-billable
  • Z77.31Contact with and (suspected) exposure to Gulf War theater
  • Z77.39Contact with and (suspected) exposure to other war theater
  • Z80.44Family history of malignant neoplasm of fallopian tube(s)
  • Z84.11Family history of APOL1-mediated kidney disease [AMKD]
  • Z84.19Family history of other disorders of kidney and ureter
  • Z84.AFamily history of exposure to diethylstilbestrol
  • Z85.4APersonal history of malignant neoplasm of fallopian tube(s)
  • Z86.00APersonal history of in-situ neoplasm of the fallopian tube(s)
  • Z91.0110Allergy to milk products, unspecified
  • Z91.0111Allergy to milk products with tolerance to baked milk
  • Z91.0112Allergy to milk products with reactivity to baked milk
  • Z91.0120Allergy to eggs, unspecified
  • Z91.0121Allergy to eggs with tolerance to baked egg
  • Z91.0122Allergy to eggs with reactivity to baked egg
  • Z91.BPersonal risk factor of exposure to diethylstilbestrol
About This Data

This page is generated by comparing the complete official FY2025 and FY2026 ICD-10-CM code sets published by the Centers for Medicare & Medicaid Services (CMS). ICD-10-CM is updated annually, effective October 1. Click any code to see its full detail page with billing status, clinical notes, and coding guidance.

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