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2021 ICD-10 Procedure Coding System

Guidance for ICD-10-PCS updates for FY 2021

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: August 19, 2020

COVID-19 UPDATE

In response to the COVID-19 public health emergency, the Centers for Medicare and Medicaid Services (CMS) is implementing 21 new procedure codes to describe the introduction or infusion of therapeutics into the International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS), effective January 1, 2021. 

The files in the Downloads section below contain information on the ICD-10-PCS COVID-19 updates effective with discharges on and after January 1, 2021.

The 2021 ICD-10 Procedure Coding System (ICD-10-PCS) files below contain information on the ICD-10-PCS updates for FY 2021. These 2021 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2020 through September 30, 2021.

Note:
There is no GEMs file. As stated in the FY 2016 IPPS/LTCH PPS final rule (80 FR 49388), the GEMs have been updated on an annual basis as part of the ICD-10 Coordination and Maintenance Committee meetings process and will continue to be updated for approximately 3 years after ICD-10 is implemented.

We made the GEMs files available for FY 2016, FY 2017 and FY 2018.

An announcement was also made at the September 2017 ICD-10 Coordination and Maintenance Committee meeting that FY 2018 would be the last GEMs file update.

 

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.