CHARTS Patch 159 Documentation
This patch includes:
1) An updated list of ICD-10 diagnosis codes effective October 2026,
2) Updated Medicare PDPM rates and wage index tables, and
3) An updated Bank Routing Number Table.
ICD-10 Diagnosis Codes Update
The Centers for Medicare & Medicaid Services (CMS) recently released the 2027
version of the ICD-10-CM files. These recently released files contain information on the
ICD-10-CM coding updates for the 2027 fiscal year. These 2026 ICD-10-CM codes are
to be used for billing for discharges occurring from October 1, 2026 through September
30, 2027, and for patient encounters occurring from October 1, 2026 through
September 30, 2027.
This release incorporates these new ICD 10 diagnosis codes into the CHARTS ICD 10
diagnosis tables.
After loading this update, it is recommended that facilities run a LIST RESIDENT ICD10
CODES REPORT – “LISTICD” [ CC, 5, 7 ] with ‘Print Only Currently Invalid Diagnosis’
set to ‘Y’ to determine which diagnosis codes currently on file will become invalid in
October 2026.
Medicare PDPM Rates and Wage Index Update
PDPM went into effect starting October 1, 2019. Each October CMS updates the associated PDPM rates for Urban and Rural facilities along with the wage index for each county. The tables required to calculate expected PDPM payments have been downloaded as part of this release. This update also sets the facility Medicare Wage Index as appropriate for the facility based on the Core Based Statistical Area (CBSA) where the facility is located.
Please note that the software updates the wage index based on the Urban or Rural Indicator and CBSA code on file in User Parameters [UP, screen #3].
Change Table File [CTF] – 8, 34 – Wage Index / VBP Table for fiscal 2027.
For fiscal 2027 the VBP Multiplier is facility specific. Please update the VBP Multiplier as appropriate for you facility.
Bank Routing Number Table Updated
We have included in this release several bank routing numbers for banks newly formed within the past few years. When an employee directs his direct deposit to a bank already on the bank routing table, the user will no longer be asked to verify the routing number.
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