Updated 2025 ICD-10-PCS Procedure Codes

Date: April 10, 2025

Attention: Providers

Effective date: April 1, 2025

Call to action: Effective for dates of service on or after April 1, 2025, the 2025 International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) surgical procedure codes were updated.

The ICD-10-PCS procedure codes are inpatient hospital procedure codes and must be submitted, as applicable, only on inpatient hospital claims.

How this impacts providers: Providers must continue to use the American Medical Association (AMA) Current Procedural Terminology (CPT) Manual and the Centers for Medicare and Medicaid (CMS) Healthcare Common Procedure Coding System (HCPCS) Manual for professional and outpatient procedures and services.

ICD-10-PCS inpatient hospital surgical procedure code changes for inpatient hospital providers are as follows.

Please note, these procedure codes are surgical codes used to assign the proper diagnosis-related group (DRG) for an inpatient hospital stay and are processed as informational only.

Next step for Providers: Providers should share this communication with their staff. Providers should also refer to the appropriate copyright holder’s code listing for descriptions of the new, discontinued, and revised procedure codes indicated in this commuicatin. All discontinued procedure codes will not be reimbursed for dates of service on or after April 1, 2025.

If you have any questions, please email Provider Relations at: providerrelations@texaschildrens.org. 

For access to all provider alerts: www.texaschildrenshealthplan.org/provideralerts.