The FY 2026 PDPM ICD-10 Mappings are Now Available

CMS
 
The Centers for Medicare and Medicaid Services has posted the Patient Driven Payment Model (PDPM) ICD-10 Mapping Tool to their PDPM website. This workbook includes all ICD-10 code mapping for clinical categories, Speech-Language Pathology (SLP) comorbidities, and the Non-Therapy Ancillaries (NTA) comorbidities. 
 
The mapping includes 34 changes to the code mapping finalized in the FY 2026 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Final Rule. 
 
Providers should check with their software vendor to verify if the updated mapping has been applied and if any corrections are needed to prior billing (i.e., any changes in HIPPS codes).  
 
Questions may be directed to regulatory@ahca.org.