Texas MedicaidLow ImpactBilling Codes
Updated 2026 ICD-10-PCS Procedure Codes Effective April 1, 2026
Published March 31, 2026Effective April 1, 2026
AI Summary
Texas Medicaid is implementing updated ICD-10-PCS procedure codes effective April 1, 2026, adding 57 new surgical codes, discontinuing 2 codes, and revising 1 code. These changes only affect inpatient hospital procedure coding and DRG assignment, not outpatient or professional billing.
Action Required
By April 1, 2026: Hospital billing teams must update ICD-10-PCS code sets in their systems to include 57 new surgical procedure codes and remove 2 discontinued codes (30233AZ, 30243AZ). Verify billing system vendor provides the 2026 ICD-10-PCS update. This only affects inpatient hospital claims coding for DRG assignment - no changes needed for outpatient or professional billing which continue using CPT/HCPCS codes.
Affected Billing Codes
F07DYD0F07EYD0F07FYD0F07GYD0F07HYD0F08E5AZF08E5BZF08E5CZF08E5DZF08E5EZF08E5FZF08E5UZF08E5YZF08E5ZZF08P5AZF08P5BZF08P5CZF08P5DZF08P5EZF08P5FZF08P5UZF08P5YZX2723CB
Plan Types
Medicaid
States
TX
Specialties
all-specialties