ICD-10 MS-DRGs Version 43.1: What Hospitals Must Prepare for Ahead of the April 2026 Update

ICD-10 MS-DRGs Version 43.1 introduces 80 new inpatient procedure codes—and the ripple effects go far beyond coding. Discover how the April 2026 update impacts MS-DRG assignment, reimbursement accuracy, and compliance, and what hospitals must do now to stay ahead.
The April 2026 ICD-10 update marks more than a routine mid-year refresh—it signals a meaningful shift in how inpatient procedures are classified, grouped, and reimbursed under Medicare Severity Diagnosis-Related Groups (MS-DRGs). With 80 new ICD-10-PCS procedure codes becoming effective April 1, 2026—on top of the 156 codes already implemented on October 1—hospital coding teams face growing complexity that directly impacts MS-DRG assignment, case mix index (CMI), and compliance risk. Read More…
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We are a California based organization, willing to change the tide of the Healthcare industry, from increased revenues to addressing claim issues promptly to beat the clock at the credentialing process, not breaking our heads to code, we are an expert in making the provider's revenue cycle management, cool, calm and collected, we have delivered and will continue to do so until we literally cannot anymore. We are burning with passion to create a wondrous nature for every provider that has entrusted us to have their backs; we do, we care. Bristol healthcare is run by people who have been in this industry for more than 20 years with great knowledge of every process involved in the medical billing industry and our floor’s average experience is 9 years. We have been going at it for as long as we can remember, and we do our best to stay grounded in this market.
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