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 documentationSpecialty 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 notesHigh-impact condition areas: hypercholesterolemia, multiple sclerosis, muscular dystrophyHypertensive heart disease changes + new guideline and examplesWound and skin updates (L98.4 and related ulcer coding)COPD + other chronic bronchitis clarificationsAnatomy/site updates (e.g., flank), pelvis reclassification to M80.0BMedication and risk concepts (fluoroquinolones, genetic susceptibility)Real-world scenario spotlights and an AHCC product/member updateCHAPTERS1:29 Code Transition2:15 What This Means for Billing3:15 What About Hospice?3:46 Inflammatory Breast Carcinoma4:36 Tabular and Index Updates5:29 E11.A – T2DM without complications in remission7:10 E11.A Guideline7:29 Diabetes Mellitus with Venous Insufficiency8:40 Obesity – new guideline (Apr 2025), Coding Clinic Q1 20259:32 Hypercholesterolemia10:08 Multiple Sclerosis12:12 Muscular Dystrophy13:24 Big Changes to Hypertensive Heart Disease14:39 New Guideline – Hypertension with Heart Disease16:16 HTN Examples17:21 L98.4 – Non-pressure chronic ulcer of skin, NEC18:22 Related to Ulcer Codes20:10 COPD with Other Chronic Bronchitis21:16 Flank added as a new anatomic site22:13 Pelvic parts moved to M80.0B Pelvis23:06 Fluoroquinolones24:05 Genetic Susceptibility25:47 Scenario Spotlight26:06 August Scenario27:52 August Scenario Answer28:40 September Scenario29:30 Product Spotlight: Home Health Pro30:00 What’s New with AHCC: Advisory Board Update; Member SurveyRESOURCES & LINKSCMS ICD-10-CM code files: https://www.cms.gov/medicare/coding-billing/icd-10-codesLearn more about Home Health Pro: decisionhealth.com/homehealthproAHCC Member Survey: https://www.surveymonkey.com/r/7SKBX2JDownload 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]🎧 If you found this episode helpful, follow AHCC Talk and share it with your team!

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