Radiology Coding Update: Mastering 2027 ICD-10-CM Diagnosis Codes and Guidelines

Presenter: Teri Bedard, BA, RT(R)(T) (ARRT), CPC

Date: Tuesday, November 10, 2026

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

Duration: 60 minutes

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Course Description

Join coding, policy, and reimbursement expert Teri Bedard for a practical review of the 2027 ICD-10-CM diagnosis coding and guideline updates relevant to radiology. Designed for professionals working in private practices, freestanding imaging centers, and hospital settings, this webinar connects selected annual changes with the documentation and coding decisions encountered in everyday radiology workflows.

The session begins with an overview of the diagnosis code update cycle and the distinction between ICD-10-CM diagnosis coding and procedure coding. Teri revisits essential coding conventions, including definitive versus uncertain diagnoses, signs and symptoms, laterality, documentation specificity, Excludes1 and Excludes2 notes, and instructions for additional codes and sequencing.

Participants will explore selected updates across multiple chapters, including neoplasms, circulatory and respiratory conditions, digestive diseases, musculoskeletal disorders, pregnancy-related diagnoses, genetic disorders, abnormal findings, injuries, and factors influencing health status. Radiology-relevant examples include expanded osteomyelitis specificity, plantar fasciitis coding, pelvic abscess classifications, hepatic fibrosis distinctions, ectopic pregnancy categories, and gadolinium-related findings and exposure codes. The presentation also discusses selected guideline revisions involving perinatal conditions, genetic disorders, and present-on-admission reporting.

Through practical explanations and documentation examples, attendees will strengthen their understanding of how clinical terminology, anatomical location, laterality, and encounter circumstances influence diagnosis code selection. The webinar emphasizes reviewing applicable coding instructions, recognizing when documentation clarification is needed, and consulting the complete CMS and CDC update files rather than treating this presentation as an exhaustive review of every change.

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Learning Outcomes

• Identify key 2027 ICD-10-CM diagnosis code and guideline updates for radiology.
• Locate official ICD-10-CM updates from CMS and CDC.
• Apply ICD-10-CM conventions, including Excludes1, Excludes2, sequencing, and “use additional code” guidance.
• Select the most specific diagnosis codes based on site, laterality, acuity, and clinical documentation.
• Determine when to code signs and symptoms versus a definitive diagnosis.
• Recognize new and revised codes for neoplasms, cardiovascular, respiratory, digestive, and musculoskeletal conditions.
• Apply updated codes for pelvic abscesses, hepatic fibrosis, plantar fasciitis, and osteomyelitis.
• Identify coding changes for ectopic pregnancy, genetic disorders, and congenital conditions.
• Recognize gadolinium-related diagnosis and exposure code updates.
• Apply 2027 ICD-10-CM updates to practical radiology coding scenarios

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Areas Covered in the Session

• 2027 ICD-10-CM overview
• ICD-10-CM coding conventions
  • Excludes1 vs. Excludes2
  • Code first, code also, and use additional code
  • Sequencing based on encounter circumstances
• Definitive versus uncertain diagnoses
• Documentation specificity
  • Anatomical site
  • Laterality
  • Acuity and clinical context
• Neoplasm coding updates
  • Secondary malignant neoplasm codes
  • Carcinoma in situ versus malignant neoplasm changes
• Cardiovascular coding updates
  • Dilated cardiomyopathy
  • Ventricular tachycardia and other arrhythmias
• Respiratory coding updates
  • Sinusitis specificity
  • Chronic bronchitis and exposure-related conditions
  • Pneumonitis and associated infections
• Digestive system coding updates
  • Pyloric stenosis
  • Diverticular disease and pelvic abscess
  • Hepatic fibrosis and intestinal failure-associated liver disease
• Musculoskeletal coding updates
  • Plantar fasciitis and plantar fascial fibromatosis
  • Osteomyelitis site and laterality expansion
• Genitourinary coding updates
  • Pelvic inflammatory disease and pelvic abscess
  • Breast-related post-procedural complications
• Obstetric coding updates
  • Ectopic pregnancy types and laterality
  • Multiple gestation and vanishing twin syndrome
  • Maternal care for suspected fetal abnormalities
• Congenital and genetic disorder updates
  • Chapter 17 title change
  • Genetic disorders associated with neoplasms
  • Inherited neoplasm predisposition syndromes
• Symptoms, signs, and abnormal findings
  • Abdominal pain and nausea/vomiting
  • Abnormal gadolinium level
  • NIH Stroke Scale and blood chemistry findings
• Injury, poisoning, and external causes
  • Traumatic midline shift of the brain
  • Immune checkpoint inhibitor terminology
  • Toxic effects of solvents, gases, and metals
• Z codes and health status factors
  • Screening and palliative care encounters
  • Gadolinium exposure and blast overpressure
  • Personal history, allergy status, and gender transition history
• Interactive Q&A session with Teri Bedard

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Recommended Participants

• Radiology coders
• Diagnostic radiology coders
• Interventional radiology coders
• Medical billing specialists
• Radiology billing managers
• Revenue cycle professionals
• Coding compliance officers
• Radiology compliance managers
• Coding auditors
• Billing auditors
• HIM professionals
• Medical records professionals
• Practice managers
• Radiology practice administrators
• Freestanding imaging center staff
• Hospital radiology department staff
• Physician practice billing staff
• Radiology business office staff
• Coding educators and trainers
• Healthcare consultants specializing in radiology coding and reimbursement

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About the Presenter

Teri Bedard brings over 25 years of experience in healthcare, combining clinical expertise with deep knowledge of healthcare policy, coding, and reimbursement. She is widely regarded as a national authority in radiation oncology revenue cycle management and compliance.

After earning her degree in biology, Teri pursued radiologic technology training at Mayo Clinic, where a pivotal clinical experience led her to specialize in radiation therapy. Her career has since spanned both clinical roles and strategic leadership, eventually transitioning into healthcare consulting and education.

As Executive Director of Client & Corporate Resources at Revenue Cycle Coding Strategies (RCCS), Teri leads initiatives in coding, compliance, and revenue optimization. She is a frequent national speaker and educator and contributes to regulatory and advocacy efforts that shape oncology care delivery.

Teri serves on the Board of Trustees for AAMD, the Society for Radiation Oncology Administrators (SROA) Editorial Panel, and the ACROinsights team. She also consults with the AMA’s RUC committee for the Society of Interventional Radiology.

Outside of her professional work, Teri enjoys travel, yoga, live music, and art. She has visited all 50 U.S. states and is known for her humor, curiosity, and energetic approach to both life and work.

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