2026 ICD-10-CM Expert for Hospitals/Payers

2026 ICD-10-CM Expert for Hospitals/Payers

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The 2026 ICD-10-CM Expert for Hospitals/Payers is designed with simple navigation, to help you find codes faster and boost productivity. More than just the most recent code set for accurate diagnosis coding, you also get official guidelines, definitions and expert tips so you won’t lose out on reimbursement payments due to coding errors. This manual is organized the way coders are accustomed to viewing the code set, featuring the alphabetic index and tabular, plus code descriptions and conventions

Get easy-to-understand coding information from experts that you can rely on to code claims accurately, prevent denials and secure every reimbursement dollar earned.

Features include:

• UPDATED! Complete HIPAA-mandated ICD-10-CM code set—all ICD-10-CM codes and descriptions, organized across 22 chapters, including external causes and reasons for visit
• UPDATED! Risk hierarchical condition code (HCC) icon—added to comply with risk adjustment reporting requirements
• UPDATED! ICD-10 MS-DRG reimbursement edits—CC and MCC icons alert facility coders to diagnoses that act as both primary and complicating/major complicating conditions
• UPDATED! Hospital Acquired Condition (HAC) icons—on those codes that trigger CMS’ HAC policy, indicating conditions that when not present on admission result in the hospital not receiving a higher paying MS-DRG
• UPDATED! Coding Tips—offer guidance and raise red flags to encourage compliance and accurate reimbursement
• UPDATED! ICD-10 guidelines excerpts—embedded in the tabular at the code level
• UPDATED! Medical term definitions—clarify diseases and conditions
• UPDATED! More than 200 code-specific illustrations—encourage better interpretation of clinical notes and ensure assignment of the correct code
• UPDATED! Tables and indexes—including the Neoplasm and Drug and Chemical Tables and External Causes and Alphabetic Disease Indexes
• UPDATED! Neoplasm Table moved into its own section for easier reference so that you can quickly find the correct Neoplasm code
• EXCLUDES 2 conventions—included along with all other coding conventions (Includes, Clarifying Terms, Code First and Use Additional Code notes)
• Placeholder “X”—added to 3-, 4- and 5-character codes requiring 7th characters with a dash (-) in the 7^th character position to identify it is needed
• 7th character icons—indicate codes that require a 7th digit to ensure specificity and validity
• Manifestation Code highlights—indicate codes that require pairing, plus blue “Code First” notes highlight manifestation codes requiring an etiology code
• Color coding—color sidebars for easy identification of chapters

Customer Testimonials

"Within the past few years, I have made several coding book purchases from DecisionHealth including the ICD-10-CM Expert for Hospitals/Payers and the ICD-10-CM Expert for Physicians. As a medical coder, I find both coding books to be very helpful. The detailed illustrations always help clarify some of the codes I encounter daily. I also find the color-coded icons and detailed descriptions and definitions to be very useful. Another valuable feature which I find beneficial are the updated code sets which include extra indicators to identify new, revised, and deleted codes."

— Ramona C.
Medical Coder, CPC

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