Inside the FY 2027 IPPS and ICD-10-PCS Updates

Presenter: Mary D. Gregory, RHIT, CCS, CDIP, CRC, CPC, CPC-I, Coding

Consultant/Educator, Approve AHIMA ICD-10-CM-PCS Trainer

Date: Wednesday, November 04, 2026

Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT

Duration: 90 minutes

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Course Description

The FY 2027 IPPS and coding updates bring changes that go beyond learning a list of new codes. Coders must understand how revised ICD-10-CM guidance, new ICD-10-PCS procedure options, and MS-DRG grouping changes affect the way they review documentation and assign codes. Join Mary D. Gregory, RHIT, CCS, CDIP, CPC, CRC, CCS-P, for a practical Coding Roundtable focused on applying these updates to inpatient coding.

We will begin with selected changes to the FY 2027 ICD-10-CM Official Guidelines and review new diagnosis codes across several clinical areas. We will also look at changes to the Alphabetic Index that may affect familiar code searches and encoder suggestions. The discussion will then move to ICD-10-PCS, including procedure and new technology updates involving cardiovascular care, spinal fusion, and other clinical services. Coding scenarios will give participants an opportunity to think through procedure details, root operations, and the documentation needed to support code selection.

The webinar will also examine selected FY 2027 IPPS and MS-DRG changes, including revised pathways for pacemaker procedures, spinal fusion, hip and knee procedures, and qualifying antibiotic-eluting bone void fillers. We will connect these changes to the diagnosis and procedure information that drives grouping, so participants can identify cases that may need a closer review.

This session is designed for inpatient coders, CDI specialists, coding educators, and others who want a clearer understanding of what changed effective October 1, 2026. Come ready to work through examples, ask questions, and leave with practical points to bring back to your coding practice.

Coders Get Paid to Think.

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Learning Outcomes

• Identify selected FY 2027 ICD-10-CM guideline, code, and Alphabetic Index changes that affect code assignment.
• Apply ICD-10-CM Official Guidelines to common inpatient coding scenarios.
• Apply ICD-10-PCS root operation guidance to the procedure coding scenarios presented.
• Describe selected FY 2027 ICD-10-PCS new technology and procedure updates, including cardiovascular care and spinal fusion.
• Explain how selected FY 2027 MS-DRG changes affect the grouping of spinal fusion, cardiovascular, and hip and knee cases.
• Recognize the impact of qualifying antibiotic-eluting bone void fillers on MS-DRG assignment.
• Identify documentation details needed to support accurate coding and MS-DRG assignment.
• Apply FY 2027 coding and grouping updates to practical inpatient cases requiring closer review.
  

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Areas Covered in the Session

• FY 2027 ICD-10-CM Official Guidelines changes, including revised guidance and the new family history of diethylstilbestrol (DES) exposure guideline.
• New and revised ICD-10-CM diagnosis codes across major clinical areas:
  • Circulatory system
  • Respiratory system
  • Digestive system
  • Musculoskeletal system
  • Obstetrical coding
  • Injury coding
• Alphabetic Index changes and their effect on familiar code searches and encoder suggestions.
• Changes to complication and comorbidity (CC) and major complication and comorbidity (MCC) designations.
• FY 2027 ICD-10-PCS procedure updates, with attention to:
  • Root operations
  • Procedure details
  • Documentation requirements
  • New and revised procedure options
• ICD-10-PCS New Technology codes for selected cardiovascular procedures, devices, and therapies.
• Practical coding scenarios involving:
  • The LAMPOON procedure
  • A patient-specific spinal fusion device
  • The eLym System
  • Documentation considerations for procedure code selection
• FY 2027 cardiovascular MS-DRG restructuring, including pacemaker revision and replacement.
• MS-DRG changes affecting spinal fusion procedures.
• FY 2027 changes involving hip and knee procedures, including selected procedure pathways and grouping considerations.
• Periprosthetic joint infection and related MS-DRG considerations.
• Antibiotic-eluting bone void fillers and their impact on MS-DRG assignment.
• Additional MS-DRG updates involving:
• Islet-cell transplantation
• Endocrine procedures
• Prostate procedures
• Uterine and adnexal malignancy procedures
• Connecting diagnosis and procedure coding changes to MS-DRG grouping and identifying cases that may require closer review.
• Documentation and coding considerations that support accurate code assignment and appropriate FY 2027 MS-DRG assignment.
• Interactive Q&A Session with Mary Gregory

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Recommended Participants

• Inpatient Coders (CCS, CCS-P, CPC, COC)
• Certified Coding Specialists (CCS)
• Certified Professional Coders (CPC)
• Certified Inpatient Coders (CIC)
• Certified Documentation Improvement Practitioners (CDIP)
• Certified Clinical Documentation Specialists (CCDS)
• Clinical Documentation Improvement (CDI) Specialists
• Coding Auditors (CCS, CPC, COC)
• HIM Managers and Directors (RHIA, RHIT)
• Coding Managers and Supervisors
• HIM Directors and Administrators
• Coding Educators and Trainers
• Revenue Integrity Professionals (CHRI)
• Patient Financial Services Managers
• Revenue Cycle Managers and Directors
• Denial and Appeals Specialists
• Clinical Documentation Integrity Managers
• Medical Billing and Reimbursement Specialists
• Physician Advisors and CDI Physician Leaders
• Health Information Management Professionals (RHIA, RHIT)

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About the Presenter

Mary D. Gregory, RHIT, CCS, CDIP, CRC, CPC, CPC-I, Coding Consultant/Educator, Approve AHIMA ICD-10-CM-PCS Trainer

Mary Gregory, Owner of Medical Administrative Solutions, is a subject matter expert in ICD-10-CM/PCS and revenue cycle coding. With decades of experience, Mary has become a subject matter expert in inpatient and outpatient coding. Her knowledge of the IPPS/DRG system led to a position as a trainer with major hospital corporations.

Mary is a highly sought-after educator who teaches that excellent coding skills begin with knowing the coding guidelines and becoming skilled in applying ICD-10-CM/PCS, CPT, and CMS NCCI Edits.

Mary completed her associate degree in Health Information Management at Central Piedmont Community College. In addition, she has obtained her RHIT, CCS, CDIP, CPC, and CCS-P credentials. Mary is a Licensed PMCC Instructor and an AHIMA-Approved ICD-10-CM/PCS Trainer. She is an active member of AHIMA, AAPC, and NCHIMA, where she served as President from 2019–2020.

Mary is a strong proponent of self-empowerment and believes that life is a lifelong learning journey.

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