MedicaidBilling CodesLow impact
Updated 2026 ICD-10-PCS Procedure Codes Effective April 1, 2026
Texas Medicaid·TX·Coding
Effective date
Apr 1, 2026
We identified it
Mar 31, 2026
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.