UnitedHealthcare has announced they will begin enforcing the application of Excludes 1 guidelines across all claim types to include outpatient and professional claim types. This will include outpatient therapy services. To learn about Excludes 1 and diagnosis coding, read this article. The effective date of UHC enforcing the application of Excludes 1 guidelines is

Beginning with dates of service on and after October 1, 2025, there are new ICD-10 codes for pelvic and abdominal pain. The new codes with descriptors are as follows:

ICD-10 diagnosis codes are updated yearly. Fiscal Year (FY) 2026 ICD-10 become effective for outpatient therapy dates of service that occur between October 1, 2025 – September 30, 2026. Changes that begin October 1, 2025 include, but are not limited to: To see the complete list of additions, deletions, and revisions to FY ICD-10 diagnosis codes, log into your account and click

UnitedHealthcare (UHC)has introduced a comprehensive diagnosis code requirement policy for both professional and facility services. This new policy will combine 3 existing diagnosis policies into this new comprehensive diagnosis policy. The effective date of the new policy is To access this new policy as it applies to UHC Medicare Advantage, click To access this new policy as it applies to UHC Community Plans, click To access this new policy as it applies to UHC Individual Exchange Plans, click

This 2-hour webinar program will build upon the basics of ICD-10 by providing in-depth ICD-10 coding and documentation scenarios for physical therapy services with a focus on pelvic health conditions.