News: FY 2025 ICD-10-PCS update adds new codes, effective April 1

CMS recently published an update to the fiscal year (FY) 2025 ICD-10-PCS code set, available for discharges occurring from April 1 through September 30, 2025. Although CMS made no changes to the ICD-10-PCS Official Guidelines for Coding and Reporting, which is not available yet for viewing, the update includes 50 new codes, 12 deleted codes, and two new tables, JustCoding reported.

The new codes will cover a broad range of procedures, some of which include the following tabular updates:

• New approach, device, and qualifier characters in table 0B1 for Bypass of trachea
• New table for Transplantation procedures involving the mouth and throat
• New qualifier character in table 0DX for Transfer of small intestine to vagina
• New qualifier characters in table 0TT for Resection of right or left kidney using an open approach
• New qualifier character in table 0U7 for Dilation of cervix
• New approach character in table 10D for Extraction of retained products of conception
• New qualifier character in table 3E0 for Introduction of other therapeutic substances to joints
• New table for a Stereotactic Radiosurgery procedure of the heart and great vessels under section D, Radiation Therapy

These additions include ICD-10-PCS codes such as:

• 0B118D6, Bypass of trachea to esophagus with intraluminal device, via natural or artificial opening endoscopic
• 0DX84Z7, Transfer small intestine to vagina, percutaneous endoscopic approach
• 0TT00Z1, Resection of right kidney, open approach, syngeneic
• 0U7C7DJ, Dilation of cervix with intraluminal device, temporary, via natural or artificial opening
• 10D10ZZ, Extraction of products of conception, retained, open approach
• 3E0U0GC, Introduction of other therapeutic substance into joints, open approach

The remaining additions involve new technologies group 10, with new codes in the following tables:

• X2K, Bypass of cardiovascular system
• X2U, Supplement of cardiovascular system
• XNS, Reposition of bones
• XW0, Introduction of anatomical regions
• XXE, Measurement of physiological systems

All codes in table 0SG for Fusion of the coccygeal joint were removed, accounting for all 12 code deletions. You can find the full list of code additions, revisions, and deletions on the CMS website by downloading the order addenda in the 2025 ICD-10-PCS Order File (Long and Abbreviated Titles) (ZIP) file.

Editor’s note: This article originally appeared in JustCoding. To access the CMS update, click here.