Join host Jan Milliman, HCS-D (Director, AHCC) with AHCC Advisory Board members Lisa Selman-Holman, JD, BSN, RN, HCS-D, COS-C and Sherri Parson, RN, HCS-D, HCS-O, HCS-H, COS-C as we break down what’s new for FY2026—what changed, what matters, and how to apply it correctly in home health and beyond.

In this episode:

• Code transition implications for billing and documentation

• Specialty impacts (including hospice)

• Tabular/Index updates and notable new concepts (e.g., E11.A T2DM in remission)

• Obesity guidance (April 2025) + Coding Clinic Q1 2025 notes

• High-impact condition areas: hypercholesterolemia, multiple sclerosis, muscular dystrophy

• Hypertensive heart disease changes + new guideline and examples

• Wound and skin updates (L98.4 and related ulcer coding)

• COPD + other chronic bronchitis clarifications

• Anatomy/site updates (e.g., flank), pelvis reclassification to M80.0B

• Medication and risk concepts (fluoroquinolones, genetic susceptibility)

• Real-world scenario spotlights and an AHCC product/member update

CHAPTERS

1:29 Code Transition
2:15 What This Means for Billing
3:15 What About Hospice?
3:46 Inflammatory Breast Carcinoma
4:36 Tabular and Index Updates
5:29 E11.A – T2DM without complications in remission
7:10 E11.A Guideline
7:29 Diabetes Mellitus with Venous Insufficiency
8:40 Obesity – new guideline (Apr 2025), Coding Clinic Q1 2025
9:32 Hypercholesterolemia
10:08 Multiple Sclerosis
12:12 Muscular Dystrophy
13:24 Big Changes to Hypertensive Heart Disease
14:39 New Guideline – Hypertension with Heart Disease
16:16 HTN Examples
17:21 L98.4 – Non-pressure chronic ulcer of skin, NEC
18:22 Related to Ulcer Codes
20:10 COPD with Other Chronic Bronchitis
21:16 Flank added as a new anatomic site
22:13 Pelvic parts moved to M80.0B Pelvis
23:06 Fluoroquinolones
24:05 Genetic Susceptibility
25:47 Scenario Spotlight
26:06 August Scenario
27:52 August Scenario Answer
28:40 September Scenario
29:30 Product Spotlight: Home Health Pro
30:00 What’s New with AHCC: Advisory Board Update; Member Survey

RESOURCES & LINKS

• CMS ICD-10-CM code files: https://www.cms.gov/medicare/coding-billing/icd-10-codes

• Learn more about Home Health Pro: decisionhealth.com/homehealthpro

• AHCC Member Survey: https://www.surveymonkey.com/r/7SKBX2J

• Download the slides from this episode: https://ahcc.decisionhealth.com/ahcc-talk-episode-83-fy2026-coding-update/

Questions, topic requests, or guest suggestions? Email Jan Milliman: [email protected]

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