Skip to main content

ICD-10-PCS FY2025 (April) code changes

Historical release · ICD-10-PCS FY2025 (April) · Effective April 1, 2025 – September 30, 2025 ICD-10-PCS FY2027 is the release in force (effective October 1, 2026).

Part of FY2025 coding changes

Every recorded ICD-10-PCS code addition, deletion, description revision, billable-status change and tabular-instruction change for FY2025 (April), effective April 1, 2025.

These changes are based on recorded release data. MedCoder does not generate coding changes with AI.

Release
ICD-10-PCS FY2025 (April)
Effective
April 1, 2025
Code set period
2025-04-01 through 2025-09-30

FY2025 (April) at a glance

50Added50 of them valid for submission12Deleted12 were valid for submission2Revised descriptionsSame code, different wording

Explore the complete recorded change list →

Compare a code

Enter any ICD-10-PCS code to see what this release does to it: added, deleted, description revised, billable status changed, new child codes, or no change at all. The answer is a lookup against the recorded changes below — nothing is generated.

Deleted codes — what to report instead

These codes leave the code set on April 1, 2025. Where a successor was determined from the source files it is named below; where none was, that is stated rather than guessed.

No successor was determined for these codes.

FY2025 codeFY2025 descriptionFY2025 (April) statusEffective
0SG604ZFusion of Coccygeal Joint with Internal Fixation Device, Open ApproachDeleted — not valid for submissionApril 1, 2025
0SG607ZFusion of Coccygeal Joint with Autologous Tissue Substitute, Open ApproachDeleted — not valid for submissionApril 1, 2025
0SG60JZFusion of Coccygeal Joint with Synthetic Substitute, Open ApproachDeleted — not valid for submissionApril 1, 2025
0SG60KZFusion of Coccygeal Joint with Nonautologous Tissue Substitute, Open ApproachDeleted — not valid for submissionApril 1, 2025
0SG634ZFusion of Coccygeal Joint with Internal Fixation Device, Percutaneous ApproachDeleted — not valid for submissionApril 1, 2025
0SG637ZFusion of Coccygeal Joint with Autologous Tissue Substitute, Percutaneous ApproachDeleted — not valid for submissionApril 1, 2025
0SG63JZFusion of Coccygeal Joint with Synthetic Substitute, Percutaneous ApproachDeleted — not valid for submissionApril 1, 2025
0SG63KZFusion of Coccygeal Joint with Nonautologous Tissue Substitute, Percutaneous ApproachDeleted — not valid for submissionApril 1, 2025
0SG644ZFusion of Coccygeal Joint with Internal Fixation Device, Percutaneous Endoscopic ApproachDeleted — not valid for submissionApril 1, 2025
0SG647ZFusion of Coccygeal Joint with Autologous Tissue Substitute, Percutaneous Endoscopic ApproachDeleted — not valid for submissionApril 1, 2025
0SG64JZFusion of Coccygeal Joint with Synthetic Substitute, Percutaneous Endoscopic ApproachDeleted — not valid for submissionApril 1, 2025
0SG64KZFusion of Coccygeal Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic ApproachDeleted — not valid for submissionApril 1, 2025

Revised descriptions

The code itself is unchanged; its description is not. A reworded title can move which diagnoses belong under it.

XW133G8

Transfusion of OTL-200 into Peripheral Vein, Percutaneous Approach, New Technology Group 8

→ Transfusion of Atidarsagene Autotemcel into Peripheral Vein, Percutaneous Approach, New Technology Group 8

XW143G8

Transfusion of OTL-200 into Central Vein, Percutaneous Approach, New Technology Group 8

→ Transfusion of Atidarsagene Autotemcel into Central Vein, Percutaneous Approach, New Technology Group 8

The full recorded change list

Every recorded change, grouped by what kind of change it is. Each entry shows the code's own description first; tabular instructions and relationship text are labeled separately beneath it.

Added to the code set (50)

  • 0B118D6 — Bypass Trachea to Esophagus with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
  • 0CYS0Z0 — Transplantation of Larynx, Allogeneic, Open Approach
  • 0CYS0Z1 — Transplantation of Larynx, Syngeneic, Open Approach
  • 0DX80Z7 — Transfer Small Intestine to Vagina, Open Approach
  • 0DX84Z7 — Transfer Small Intestine to Vagina, Percutaneous Endoscopic Approach
  • 0TT00Z0 — Resection of Right Kidney, Open Approach, Allogeneic
  • 0TT00Z1 — Resection of Right Kidney, Open Approach, Syngeneic
  • 0TT00Z2 — Resection of Right Kidney, Open Approach, Zooplastic
  • 0TT10Z0 — Resection of Left Kidney, Open Approach, Allogeneic
  • 0TT10Z1 — Resection of Left Kidney, Open Approach, Syngeneic
  • 0TT10Z2 — Resection of Left Kidney, Open Approach, Zooplastic
  • 0U7C7DJ — Dilation of Cervix with Intraluminal Device, Temporary, Via Natural or Artificial Opening
  • 10D10ZZ — Extraction of Products of Conception, Retained, Open Approach
  • 3E0U0GC — Introduction of Other Therapeutic Substance into Joints, Open Approach
  • D228DZZ — Stereotactic Other Photon Radiosurgery of Conduction Mechanism
  • X2KA30A — Bypass Left Atrium using Conduit through Coronary Sinus to Right Atrium, Percutaneous Approach, New Technology Group 10
  • X2U93YA — Supplement Right Atrium with Intraluminal Device, Heterotopic Bioprosthetic Valve(s), Percutaneous Approach, New Technology Group 10
  • XNS40GA — Reposition Right Humeral Shaft with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10
  • XNS43GA — Reposition Right Humeral Shaft with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10
  • XNS50GA — Reposition Left Humeral Shaft with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10
  • XNS53GA — Reposition Left Humeral Shaft with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10
  • XNS60GA — Reposition Right Radius with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10
  • XNS63GA — Reposition Right Radius with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10
  • XNS70GA — Reposition Left Radius with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10
  • XNS73GA — Reposition Left Radius with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10
  • XNS80GA — Reposition Right Ulna with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10
  • XNS83GA — Reposition Right Ulna with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10
  • XNS90GA — Reposition Left Ulna with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10
  • XNS93GA — Reposition Left Ulna with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10
  • XNSA0GA — Reposition Right Upper Femur with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10
  • XNSA3GA — Reposition Right Upper Femur with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10
  • XNSB0GA — Reposition Left Upper Femur with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10
  • XNSB3GA — Reposition Left Upper Femur with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10
  • XNSC0GA — Reposition Right Lower Femur with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10
  • XNSC3GA — Reposition Right Lower Femur with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10
  • XNSD0GA — Reposition Left Lower Femur with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10
  • XNSD3GA — Reposition Left Lower Femur with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10
  • XNSE0GA — Reposition Right Femoral Shaft with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10
  • XNSE3GA — Reposition Right Femoral Shaft with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10
  • XNSF0GA — Reposition Left Femoral Shaft with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10
  • XNSF3GA — Reposition Left Femoral Shaft with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10
  • XNSG0GA — Reposition Right Tibia with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10
  • XNSG3GA — Reposition Right Tibia with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10
  • XNSH0GA — Reposition Left Tibia with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10
  • XNSH3GA — Reposition Left Tibia with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10
  • XW033MA — Introduction of Emapalumab-lzsg Anti-IFNy Monoclonal Antibody into Peripheral Vein, Percutaneous Approach, New Technology Group 10
  • XW033NA — Introduction of Tarlatamab-dlle Antineoplastic into Peripheral Vein, Percutaneous Approach, New Technology Group 10
  • XW043MA — Introduction of Emapalumab-lzsg Anti-IFNy Monoclonal Antibody into Central Vein, Percutaneous Approach, New Technology Group 10
  • XW043NA — Introduction of Tarlatamab-dlle Antineoplastic into Central Vein, Percutaneous Approach, New Technology Group 10
  • XXE5X5A — Measurement of Immune Response, Whole Blood Cellular Assessment via Microfluidic Deformability, New Technology Group 10

Removed from the code set (12)

  • 0SG604Z — Fusion of Coccygeal Joint with Internal Fixation Device, Open Approach
  • 0SG607Z — Fusion of Coccygeal Joint with Autologous Tissue Substitute, Open Approach
  • 0SG60JZ — Fusion of Coccygeal Joint with Synthetic Substitute, Open Approach
  • 0SG60KZ — Fusion of Coccygeal Joint with Nonautologous Tissue Substitute, Open Approach
  • 0SG634Z — Fusion of Coccygeal Joint with Internal Fixation Device, Percutaneous Approach
  • 0SG637Z — Fusion of Coccygeal Joint with Autologous Tissue Substitute, Percutaneous Approach
  • 0SG63JZ — Fusion of Coccygeal Joint with Synthetic Substitute, Percutaneous Approach
  • 0SG63KZ — Fusion of Coccygeal Joint with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0SG644Z — Fusion of Coccygeal Joint with Internal Fixation Device, Percutaneous Endoscopic Approach
  • 0SG647Z — Fusion of Coccygeal Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0SG64JZ — Fusion of Coccygeal Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0SG64KZ — Fusion of Coccygeal Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

Description revised (2)

  • XW133G8 — Transfusion of Atidarsagene Autotemcel into Peripheral Vein, Percutaneous Approach, New Technology Group 8
    Transfusion of OTL-200 into Peripheral Vein, Percutaneous Approach, New Technology Group 8 → Transfusion of Atidarsagene Autotemcel into Peripheral Vein, Percutaneous Approach, New Technology Group 8
  • XW143G8 — Transfusion of Atidarsagene Autotemcel into Central Vein, Percutaneous Approach, New Technology Group 8
    Transfusion of OTL-200 into Central Vein, Percutaneous Approach, New Technology Group 8 → Transfusion of Atidarsagene Autotemcel into Central Vein, Percutaneous Approach, New Technology Group 8

Sources

Official source data

Publisher
Centers for Medicare & Medicaid Services (CMS) and the National Center for Health Statistics (CDC/NCHS)
Release
ICD-10-PCS FY2025 (April)
Source file
2025-icd-10-pcs-codes-file-april.zip
File checksum (SHA-256)
2899b358d44ec28d4ae6e07af03dcd60f76b8e7008a86beaf933860ca1664e97
Data type
Public domain code descriptions and tabular instructions. No licensed content.

MedCoder-derived analysis

Change detection
Every addition, deletion, description revision, billable-status change and tabular-instruction change on this page is computed by diffing the two code-description files above, line by line.
Editorial analysis
The grouping of changes into themes, the successor determinations and the coder-impact notes are written by MedCoder against those files. They are not CMS statements.
Independence
MedCoder is an independent coding reference built on public federal data. It is not affiliated with, endorsed by or certified by CMS, and it is not an official CMS coding tool.

Continue

All releases in the Change Ledger

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "ICD-10-PCS FY2025 (April) code changes." ICD-10-PCS FY2025 (April). https://medcoder.ai/updates/icd10pcs/icd10pcs-fy2025apr