ICD-10 Files & News Archive

This page contains past versions of ICD-10-CM & GEMs files, ICD-10 PCS & GEMs files, ICD-10 MS-DRG Conversion files, and News items.

ICD-10 Files

2020 ICD-10 CM & PCS files

2020 ICD-10-CM files

These files include updates for FY 2020. Use these codes for discharges occurring from October 1, 2019 – September 30, 2020 and for patient encounters occurring from October 1, 2019 – September 30, 2020.

2020 ICD-10-PCS files

These files include updates for FY 2020. Use these codes for discharges occurring from October 1, 2019 – September 30, 2020.

In response to the COVID-19 public health emergency, CMS implemented 12 new procedure codes to describe the introduction or infusion of therapeutics into the ICD-10-PCS, effective August 01, 2020.

The files below contain information on the ICD-10-PCS COVID-19 updates effective with discharges on and after August 1, 2020.

Note:
There is no FY 2020 GEMs file. As stated in the FY 2016 IPPS/LTCH PPS final rule (80 FR 49388), the GEMs have been updated on an annual basis as part of the ICD-10 Coordination and Maintenance Committee meetings process and will continue to be updated for approximately 3 years after ICD-10 is implemented.

2019 ICD-10 CM & PCS files

2019 ICD-10-CM files

These files include updates for FY 2019. Use these codes for discharges occurring from October 1, 2018 – September 30, 2019 and for patient encounters occurring from October 1, 2018 – September 30, 2019.

2019 ICD-10-PCS files

These files include updates for FY 2019. Use these codes for discharges occurring from October 1, 2018 – September 30, 2019.

Note:
There is no FY 2019 GEMs file. As stated in the FY 2016 IPPS/LTCH PPS final rule (80 FR 49388), the GEMs have been updated on an annual basis as part of the ICD-10 Coordination and Maintenance Committee meetings process and will continue to be updated for approximately 3 years after ICD-10 is implemented.

2018 ICD-10 CM & PCS files

2018 ICD-10-CM files & GEMs

These files include updates for FY 2018. Use these codes for discharges occurring from October 1, 2017 – September 30, 2018 and for patient encounters occurring from October 1, 2017 – September 30, 2018.

2018 ICD-10-PCS files & GEMs

These files include updates for FY 2018. Use these codes for discharges occurring from October 1, 2017 – September 30, 2018.

2017 ICD-10 CM & PCS files

2017 ICD-10-CM files & GEMs

These files include updates for FY 2017. Use these codes for discharges occurring from October 1, 2016 – September 30, 2017 and for patient encounters occurring from October 1, 2017 – September 30, 2018.

2017 ICD-10-PCS files & GEMs

These files include updates for FY 2017. Use these codes for discharges occurring from October 1, 2016 – September 30, 2017.

2017 ICD-10-PCS Addendum (ZIP)
2017 ICD-PCS Conversion Table (ZIP) - Updated 06/27/2016
2017 Official ICD-10-PCS Coding Guidelines (PDF) - Updated 06/13/2016
2017 General Equivalence Mappings (GEMs) - Procedure Codes (ZIP) - Updated 12/01/2016
2017 ICD-10-PCS Code Tables and Index (ZIP)
2017 ICD-10-PCS Codes File (ZIP)
2017 Version Update Summary (ZIP)
2017 ICD-10-PCS Order File (Long and Abbreviated Titles) (ZIP)

Note:
We're no longer updating and posting the Reimbursement Mappings and the ICD-10-PCS Reference Manual.

2016 ICD-10 CM & PCS files

2016 ICD-10-CM files & GEMS

These files contain information on the new diagnosis coding system, ICD-10-CM, that's a replacement for ICD-9-CM, Volumes 1 and 2. Use these codes for services provided from October 1, 2015 – September 30, 2016.

2016 ICD-10-PCS files & GEMS

These files contain information on the new procedure coding system, ICD-10-PCS, that's a replacement for ICD-9-CM, Volume 3. Use these codes for discharges occurring from October 1, 2015 – September 30, 2016.

2015 ICD-10 CM & PCS files

2015 ICD-10-CM files & GEMS

The files below contain information on the new diagnosis coding system, ICD-10-CM, that was developed as a replacement for ICD-9-CM, Volumes 1 and 2.

2015 ICD-10-PCS files & GEMS

The files below contain information on the new procedure coding system, ICD-10-PCS, that was developed as a replacement for ICD-9-CM, Volume 3.

2014 ICD-10 CM & PCS files

2014 ICD-10-CM files & GEMS

The files below contain information on the new diagnosis coding system, ICD-10-CM, that was developed as a replacement for ICD-9-CM, Volumes 1 and 2.

2014 ICD-10-PCS files & GEMS

The files below contain information on the new procedure coding system, ICD-10-PCS, that was developed as a replacement for ICD-9-CM, Volume 3.

Note:
We updated the 2014 Reimbursement files on November 12, 2013.

ICD-10 MS-DRG Conversion Project

This section contains information on using the General Equivalence Mappings (GEMs) to convert the MS-DRGs to ICD-10-CM, ICD-10-PCS and similar conversion projects. The Final ICD-10 MS-DRG v33 logic was implemented on October 1, 2015. For information on the ICD-10 MS-DRG and MCE v33 including ordering the software, see the FY 2016 Acute Inpatient PPS page.