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Industry & Regulatory Updates

September 3, 2025

Q3 2025 ICD-10 Coding Clinic® Updates: What You Need to Know

Effective Date: September 1, 2025

Official Guidance: AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS

The Third Quarter 2025 ICD-10 Coding Clinic® is here, and with it comes new guidance that coders, auditors and compliance teams cannot afford to overlook. Each quarterly update provides clarifications that directly impact coding accuracy, reimbursement and audit readiness.

Key Updates at a Glance

This quarter includes 31 Q&As covering:

  • Hyperlipidemia Associated with Type 2 Diabetes Mellitus
  • Microalbuminuria with/due to Diabetes Mellitus
  • Spontaneous Rupture of Membranes (SROM)
  • Dementia with Depression/Mood Disturbance
  • Dementia with Anxiety and Depression
  • Dementia with Behavioral Disturbance/Psychotic Disorder and Hallucinations
  • Sternal Plating Fixation
  • Removal of Prolift® Mesh
  • Temporary Transvenous Pacemaker Insertion
  • Encounter for Administration of Prophylactic Monoclonal Antibodies in Newborns for Prevention of Respiratory Syncytial Virus (RSV)
  • Administration of Prophylactic Monoclonal Antibodies for Respiratory Syncytial Virus (RSV)
  • Second-Hand Vaping Related Disorder
  • Vaping Use: THC, CBD, or Unspecified Substances
  • Vaping of Marijuana
  • Diffuse Idiopathic Pulmonary Neuroendocrine Cell Hyperplasia (DIPNECH) in Adults
  • Triangular Fibrocartilage Complex Disruption (TFCC)
  • Neurogenic Stunned Myocardium (NSM)
  • Borderline Serous Ovarian Tumor
  • Complex Sleep Apnea (ComSA) 
  • Aneurysmal Subarachnoid Hemorrhage with Hydrocephalus following Delivery for Intrauterine Fetal Demise (IUFD)
  • Corona Radiata Stroke
  • Failed Back Syndrome
  • Disc Space Narrowing
  • Decompensated Liver Cirrhosis
  • Missed Abortion with Trisomy 21
  • Pancytopenia due to Chimeric Antigen Receptor (CAR) T-Cell Therapy
  • Present on Admission (POA) Indicator for Acute Kidney Injury (AKI) with Acute Tubular Necrosis (ATN)
  • Reduction of Breast for Asymmetry
  • Endoscopy with Suctioning of Blood
  • Methyl Methacrylate (MMA) Cranioplasty
  • Endoscopic Ultrasound-Directed Transgastric ERCP (EDGE) Procedure Status Post Gastric Bypass

Why It Matters

Every quarter, new guidance reshapes how codes are assigned. Missing these changes can mean:

  • Costly coding errors
  • Increased denials and audit vulnerability
  • Hours wasted searching through past issues manually

Don’t Risk Falling Behind

The Q3 2025 updates are live now, and staying current is essential to protect your organization from costly errors and audit risk. Each quarterly release contains critical clarifications across multiple specialties, from common conditions like diabetes and dementia to complex procedures and rare disorders. Coders, auditors and compliance leaders who delay reviewing these updates risk missing important guidance that could impact reimbursement, compliance and operational efficiency. Ensure your team has access to the latest updates, can quickly search across the archive from 2014-present and can confidently apply accurate codes.

The Smarter Way to Stay Updated

MedKoder’s Coding Clinic® Collection gives you every new release, without the steep price tag of direct AHA access.

  • $440 annually with MedKoder (contact sales@medkoder.com for group deals)
  • $925 annually (non-members) or $740 annually (members) with AHA Unlimited Access

Our Collection is continuously enhanced, including a powerful new search feature that allows you to search across the entire archive by topic, year and Q&A.

Coding Clinic® Access: MedKoder vs. AHA

  • The AHA’s Annual Subscription ($134–$180) gives you access to quarterly Coding Clinic® newsletters for that year only, in PDF format. While affordable, it requires manual searching issue by issue and doesn’t provide historical archives.
  • The Unlimited Subscription ($740–$925) unlocks all years with searchable access, but at a much higher cost.
  • MedKoder’s Coding Clinic® Collection bridges the gap—offering all years, quarterly updates and an enhanced full-archive search—at just $440 annually.

Faq

What is the AHA Coding Clinic®?

The AHA Coding Clinic® is the official resource for coding advice and guidance for ICD-10-CM and ICD-10-PCS. It is recognized by CMS and other payers as the authoritative source for coding clarification.

Why do coders need access to the Coding Clinic®?

Each issue provides critical updates, clarifications and instructions that directly affect coding accuracy, reimbursement and compliance. Without access, coders risk errors, denials and audit exposure.

How often are Coding Clinic® updates released?

Updates are released quarterly, with new issues published in March, June, September and December each year.

What’s the difference between MedKoder’s Coding Clinic® Collection and AHA direct access?

MedKoder’s Collection provides all the same quarterly updates and archives at a lower price point: $440 annually compared to $740–$925 annually through AHA.

Who benefits most from subscribing?

Coders, auditors, compliance teams, revenue cycle leaders and anyone responsible for accurate ICD-10 coding will benefit from ongoing access to the Coding Clinic® Collection.

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