HCPCS Coding Clinic (Q1 2026): Brush up on changes to the IPO list


The first quarter 2026 AHA Coding Clinic® for HCPCS shines a spotlight on Medicare’s inpatient-only (IPO) list, which identifies services payable only in the inpatient setting. This issue offers helpful hints on the phaseout of the list, including how a procedure’s removal from the list impacts coding, billing, and workflow processes. The issue includes information on recent code updates, too.

To learn more about the topics in Volume 26, Number 1, subscribers to the Codify by AAPC HCPCS Coding Clinic search tool can look up these terms or select the year and quarter for the issue:

  • Category III codes, new, revised, July 2026
  • HCPCS Level II codes, new, deleted, revised, January 2026
  • Medicare inpatient only list: 22830, 27130, 27427, 27514, 37220-37222, 43281, 49591, 63030
  • Proprietary Laboratory Analyses codes, new, April 2026
  • Surgery section update, acne surgery, arthrodesis, breast tumor ablation: 10040, 19105, 27278, 27279, 0970T, 0971T

The Ask the Editor section of this issue discusses coding for a variety of procedures, and provides important tips like you should not consider a navigable access sheath to be a steerable ureteral catheter for C9761. Subscribers to our HCPCS Coding Clinic tool can find additional information by searching for these terms:

  • Aborted colonoscopy: 45378, 33, 74, G0121
  • Endoscopic dilation, salivary duct: 42660, 42699, J3301
  • HCPCS code C9761: 52356, C1747, C9761
  • Mastectomy with pectoralis major muscle excision: 19305, LT
  • Repair of nonunion Monteggia fracture dislocation: 24635, LT
  • Steerable catheter devices: C9761
  • Tracheobronchial Y-stent placement: 31899, C1874, C1875
  • Transnasal esophagoscopy with dilation: 43499
  • Transurethral resection of bladder tumor: 52234, 52235, 52240

Note: Tools and data available may vary based on your Codify package.