2026 ICD-10-CM (CMS)
2026 ICD-10-CM files
These files include updates for FY 2026. Use these codes for discharges occurring from April 1, 2026 – September 30, 2026, and for patient encounters occurring from April 1, 2026– September 30, 2026.
- April 1, 2026 Code Descriptions in Tabular Order (ZIP)
- April 1, 2026 Addendum (ZIP)
- April 1, 2026 Code Tables, Tabular and Index (ZIP)
- April 1, 2026 Conversion Table (ZIP)
These files include updates for FY 2026. Use these codes for discharges occurring from October 1, 2025 – March 31, 2026, and for patient encounters occurring from October 1, 2025– March 31, 2026.
- 2026 POA Exempt Codes (ZIP)
- 2026 Conversion Table (ZIP) – Updated 08/07/2025
- 2026 Code Descriptions in Tabular Order (ZIP)
- 2026 Addendum (ZIP)
- 2026 Code Tables, Tabular and Index (ZIP)
- FY 2026 ICD-10-CM Coding Guidelines (PDF)
2025 ICD-10-CM (CMS)
2025 ICD-10-CM files
These files include updates for FY 2025. Use the 2025 POA Exempt Codes file and the 2025 Conversion Table for discharges occurring from October 1, 2024 – September 30, 2025, and for patient encounters occurring from October 1, 2024 – September 30, 2025. Use the 2025 Code Descriptions in Tabular Order, 2025 Addendum, 2025 Code Tables, Tabular and Index, and the FY 2025 ICD-10-CM Guidelines files for discharges occurring from October 1, 2024 – March 31, 2025, and for patient encounters occurring from October 1, 2024 – March 31, 2025.
- 2025 POA Exempt Codes (ZIP)
- 2025 Conversion Table (ZIP)
- 2025 Code Descriptions in Tabular Order (ZIP)
- 2025 Addendum (ZIP)
- 2025 Code Tables, Tabular and Index (ZIP)
- FY 2025 ICD-10-CM Coding Guidelines (PDF)
These files include updates for FY 2025. Use these code files for discharges occurring from April 1, 2025 – September 30, 2025, and for patient encounters occurring from April 1, 2025 – September 30, 2025.
Note: There are no changes to the 2025 POA Exempt Codes file or the 2025 Conversion Table.
- 2025 Code Descriptions in Tabular Order (ZIP)
- 2025 Addendum (ZIP)
- 2025 Code Tables, Tabular and Index (ZIP)
2024 ICD-10-CM (CMS)
2024 ICD-10-CM files
These files include updates for FY 2024. Use these codes for discharges occurring from October 1, 2023 – September 30, 2024 and for patient encounters occurring from October 1, 2023 – September 30, 2024.
The ICD-10-CM April 1, 2024 update addresses typographical errors. There are no new diagnosis codes being implemented. The files below contain information on the ICD-10-CM updates effective with discharges on and after April 1, 2024.
- 2024 POA Exempt Codes (ZIP)
- 2024 Conversion Table (ZIP) – Updated 09/21/2023
- 2024 Addendum (ZIP) – Updated 02/01/2024
- 2024 Code Descriptions in Tabular Order (ZIP) – Updated 02/01/2024
- 2024 Code Tables, Tabular and Index (ZIP) – Updated 02/01/2024
- FY 2024 ICD-10-CM Coding Guidelines (PDF) – Updated 02/01/2024
- 2024 Errata (PDF) – July 26, 2023
2024 ICD-10-PCS files
These files include updates for FY 2024. Use these codes for discharges occurring from October 1, 2023 – September 30, 2024.
The updated ICD-10-PCS code files include 41 new procedure codes effective April 01, 2024.
- 2024 ICD-10-PCS Order File (Long and Abbreviated Titles) (ZIP) – Updated 12/19/2023
- 2024 Official ICD-10-PCS Coding Guidelines (PDF) – Updated 12/19/2023
- 2024 Version Update Summary (ZIP) – Updated 12/19/2023
- 2024 ICD-10-PCS Codes File (ZIP) – Updated 12/19/2023
- 2024 ICD-10-PCS Conversion Table (ZIP) – Updated 12/19/2023
- 2024 ICD-10-PCS Code Tables and Index (ZIP) – Updated 12/19/2023
- 2024 ICD-10-PCS Addendum (ZIP) – Updated 12/19/2023
- ERRATA – April 1 2024 ICD-10-PCS code update (PDF) – Posted 04/29/2024
2023 ICD-10-CM (CMS)
2023 ICD-10-PCS
2022 ICD-10-CM (CMS)
On October 1, 2015, the ICD-9 code sets used to report medical diagnoses and inpatient procedures were replaced by ICD-10 code sets. The transition to ICD-10 is required for everyone covered by the Health Insurance Portability Accountability Act (HIPAA). Please note, the change to ICD-10 does not affect CPT coding for outpatient procedures and physician services.
Click to visit the CDC website for more details
Download the Code Sets from the CDC website
2021 ICD-10-CM (CMS)
The 2021 ICD-10-CM files below contain information on the ICD-10-CM updates for FY 2021. These 2021 ICD-10-CM codes are to be used for discharges occurring from October 1, 2020 through September 30, 2021 and for patient encounters occurring from October 1, 2020 through September 30, 2021.
Note: There is no FY 2021 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.
2021 release of ICD-10-CM (CDC)
- ICD-10-CM FY2021 Guidelines pdf
- ICD-10-CM FY2021 Full PDF
- ICD-10-CM FY2021 XML
- ICD-10-CM FY 2021 Addenda PDF
- ICD-10-CM FY 2021 List of codes and Descriptions
- ICD-10-CM FY2021 Order Files
- Present on Admission (POA) Exempt Codes FY 2021
2020 release of ICD-10-CM
Note: This replaces the FY 2019 release. These files listed below represent the FY 2020 ICD-10-CM. The FY 2020 ICD-10-CM is available in both PDF (Adobe) and XML file formats. Most files are provided in compressed zip format for ease in downloading. These files have been created by the National Center for Health Statistics (NCHS), under authorization by the World Health Organization. Any questions regarding typographical or other errors noted on this release may be reported to nchsicd10cm@cdc.gov .
- Preface pdf icon[PDF – 51 KB]
- ICD-10-CM FY2020 Guidelines pdf icon[PDF – 592 KB]
- ICD-10-CM FY2020 Full PDF
- ICD-10-CM XML
- ICD-10-CM FY 2020 Addenda PDF
- ICD-10-CM FY 2020 List of codes and Descriptions
- ICD-10-CM FY2020 Order Files
- Present on Admission (POA) Exempt Codes FY 2020
- Conversion table FY2020
2019 Files and GEMs
These files listed below represent the FY 2019 ICD-10-CM. The FY 2019 ICD-10-CM is available in both PDF (Adobe) and XML file formats. Most files are provided in compressed zip format for ease in downloading. These files have been created by the National Center for Health Statistics (NCHS), under authorization by the World Health Organization. Any questions regarding typographical or other errors noted on this release may be reported to nchsicd10cm@cdc.gov.
- Preface[PDF – 50 KB]
- ICD-10-CM FY2019 Guidelines[PDF – 600 KB]
- ICD-10-CM FY2019 Full PDF
- Conversion table FY2019
- ICD-10-CM XML
- ICD-10-CM FY 2019 Addenda PDF
- ICD-10-CM FY 2019 List of codes and Descriptions
- ICD-10-CM FY2019 Order Files
- Present on Admission (POA) Exempt Codes FY 2019
2018 Files and GEMs
- 2018 Code Descriptions in Tabular Order [ZIP, 2MB]
- 2018 Code Tables and Index [ZIP, 20MB]
- 2018 Addendum [ZIP, 981KB]
- 2018 Errata – update June 27, 2017 [PDF, 147KB]
2017 Guidelines from CDC
• Preface [PDF- 48 KB]
• ICD-10-CM FY 2017 Guidelines [PDF- 977 KB]
• ICD-10-CM FY 2017 List of codes and Descriptions [PDF- 334 KB]
• ICD-10-CM FY2017 Order Files [PDF- 415 KB]
• Interim advice on excludes 1 note on conditions unrelated [PDF – 92 KB]
Note: Updated interim advice on excludes 1 note on conditions unrelated
These files are all contained in the same location:
• ICD-10-CM FY 2017 [Full PDF]
• ICD-10-CM [XML]
• ICD-10-CM FY 2017 Addenda [PDF]
• Conversion table FY 2017
• Present on Admission (POA) Exempt Codes [Zip – 1 MB]
CMS Resources
- 2020 Code Descriptions in Tabular Order [ZIP, 2MB]
- 2020 Code Tables and Index [ZIP, 20MB]
- 2020 Addendum [ZIP, 664KB]
- 2020 Conversion Table [ZIP, 81KB]
- 2020 Coding Guidelines [PDF, 604KB]
- 2020 POA Exempt Codes [ZIP, 1MB]
- 2020 ICD-10-PCS Codes File [ZIP, 605KB]
- 2020 ICD-10-PCS Code Tables and Index (Updated 08/14/19) [ZIP, 8MB]
- 2020-ICD-10-PCS-Addendum [ZIP, 921KB]
- 2020 Official ICD-10-PCS Coding Guidelines (Updated 6/13/19) [PDF, 180KB]
- 2020 Version Update Summary [PDF, 124KB]
- 2020 ICD-10-PCS Order File (Long and Abbreviated Titles) [ZIP, 1MB]
- 2020 ICD-10-PCS Conversion Table [ZIP, 1MB]
- 2019 Code Descriptions in Tabular Order [ZIP, 2MB]
- 2019 Code Tables and Index [ZIP, 18MB]
- 2019 Addendum [ZIP, 685KB]
- 2019 Conversion Table [ZIP, 73KB]
- 2019 Coding Guidelines [PDF, 619KB]
- 2019 POA Exempt Codes [ZIP, 1MB]
- 2019 Official ICD-10-PCS Coding Guidelines [ZIP, 353KB]
- 2019 Version Update Summary [ZIP, 212KB]
- 2019 ICD-10-PCS Code Tables and Index [ZIP, 7MB]
- 2019 ICD-10-PCS Codes File [ZIP, 585KB]
- 2019 ICD-10-PCS Order File (Long and Abbreviated Titles) [ZIP, 1MB]
- 2019 ICD-10-PCS Addendum [ZIP, 608KB]
- 2019 ICD-10-PCS Conversion Table [ZIP, 1MB]
- CMS ICD-10 web page
- Use ICD-10 Now: Offers useful information about coding in ICD-10 and gives a quick reference to helpful ICD-10 resources.
- Next Steps: Based on the Next Steps Toolkit, (and its companion infographic) it can help you analyze ICD-10 progress. Track and compare key performance indicators to assess progress, address findings, and maintain progress.
- The Latest News via CMS
- View official resources designed for Medicare Fee For Service Providers
- Medicaid Resources
- Statutes and Regulations regarding ICD-10
FY 2018: - 2018 Official ICD-10-PCS Coding Guidelines [PDF, 253KB]
- 2018 Version Update Summary [PDF, 148KB]
- 2018 ICD-10-PCS Code Tables and Index [ZIP, 7MB]
- 2018 ICD-10-PCS Order File (Long and Abbreviated Titles) [ZIP, 1MB]
- 2018 ICD-10-PCS Addendum [ZIP, 2MB]
- 2018 ICD-PCS Conversion Table [ZIP, 896KB]
- 2018 ICD-10-PCS Codes File [ZIP, 880KB]
Earlier Resources:
FY 2017 ICD-10-PCS Official Guidelines for Coding and Reporting
2017 ICD-10-PCS and GEMs
2017 ICD-10-CM and GEMs
2017 Code Descriptions in Tabular Order [ZIP, 2MB]
2017 Code Tables and Index [ZIP, 20MB]
2017 ICD-10-CM Duplicate Code Numbers [ZIP, 64KB]
2017 Addendum [ZIP, 1MB]
2016 ICD-10-PCS and GEMs
2016 ICD-10-CM and GEMs
FY 2016 ICD-10-CM Official Guidelines for Coding and Reporting
FY 2016 ICD-10-PCS Official Guidelines for Coding and Reporting
2015 ICD-10-CM and GEMs
2015 ICD-10-PCS and GEMs
2014 ICD-10-CM and GEMs
2014 ICD-10-PCS and GEMs
CMS Implementation Planning
CMS Provider Resources
CMS Recommended Timelines
Document “ICD 10 Myths & Facts” from CMS (April 2014).
September 15-16, 2010 Coordination and Maintenance Committee Meeting Handouts [PDF, 927KB]
ICD-10 MS-DRG Conversion Project
2012 Official ICD-10-PCS Coding Guidelines [PDF, 66KB]
2012 Version – What’s New [PDF, 50KB]
2012 Code Tables and Index [ZIP, 4.84MB]
2012 Code Descriptions – Long and Abbreviated Titles and README files [ZIP, 1MB]
2012 Development of the ICD-10 Procedure Coding System (ICD-10-PCS) [PDF, 244KB]
2012 ICD-10-PCS Reference Manual and Slides [ZIP, 4.75MB]
2012 Addendum [ZIP, 267KB]
2012 Mapping – “ICD-10-PCS to ICD-9-CM” and “ICD-9-CM to ICD-10-PCS”; and User Guide, Reimbursement Guide – Procedures [ZIP, 828KB]
See official resources designed to help providers, payers, vendors, and non-covered entities with the transition to ICD-10 on October 1, 2014.
