Reimbursement intelligence
ICD-10 Alerts before the October 1 update
CLV Intelligence delivers ICD-10 alerts that track the annual and mid-year ICD-10-CM changes — new codes, deletions, and revised guidance — plus the CMS and MAC coverage tied to the diagnosis codes you bill.
- 1,150+
- Policy alerts tracked
- 33
- Clinical specialties
- 7
- MAC contractors
- 15+
- Source families
ICD-10-CM is refreshed every October 1 by CMS and the CDC’s National Center for Health Statistics — with mid-year additions on April 1 — and each cycle adds, deletes, and revises hundreds of diagnosis codes. A deleted or newly-specific code your team keeps billing is a denial waiting to happen, and the coverage policies that reference those codes shift with them. CLV Intelligence turns the ICD-10 update into specific alerts: what changed, which of your codes are affected, and the CMS and MAC coverage that moved alongside them.
Coverage
What CLV monitors across CMS
Annual ICD-10-CM updates
The October 1 release — new codes, deletions, and description revisions — broken down by chapter and specialty.
Mid-year additions
April 1 code additions, so you’re not waiting a full year for new diagnoses to reach your workflow.
New and deleted codes
The additions you can start billing and, just as important, the deletions you must stop billing to avoid denials.
Revised descriptions & guidance
Changes to code titles, Excludes notes, and coding guidance that change how a diagnosis is reported.
Coverage tied to ICD-10
LCD and NCD coverage criteria that reference specific ICD-10 codes, so a coding change’s coverage impact is visible too.
Specialty mapping
Each change routed to the specialties that bill it, so you only see the ICD-10 updates that matter to you.
How it works
From source to action, every day
We monitor the sources
CMS, every Medicare Administrative Contractor, and the Federal Register — scanned continuously, with the originating government document linked on every alert.
AI translates the impact
Dense regulatory text is distilled into the specialties, codes, and dollar exposure that actually affect your claims, then ranked by a signal score.
You act before it bills
Severity-ranked alerts with plain-language action guidance — plus audit-ready exports — reach the right team in time to change the claim.
Why automated monitoring
Why it beats manual source-watching
The October 1 cliff is real
Hundreds of codes change at once each year. Catching the deletions and new specificity that affect your codes before the cutover is the difference between clean claims and a denial spike.
Codes and coverage move together
An ICD-10 change often comes with an LCD or NCD that references the code. Seeing both in one alert is what makes the change actionable, not just informational.
Filtered to your specialty
You don’t need every one of the thousands of ICD-10 changes — you need the ones your specialty bills. Alerts are mapped accordingly.
Who it’s for
- Revenue cycle leaders protecting net collections
- Coding professionals keeping pace with code and coverage changes
- Compliance officers building audit-ready documentation
- Healthcare finance executives quantifying reimbursement risk
- Reimbursement analysts replacing manual source-watching
- Specialty practice and billing-company leaders
Get CMS & MAC policy alerts by email — free
A weekly digest of the signal-scored changes that affect what you bill. No subscription required.
Frequently asked questions
When does ICD-10-CM update each year?
ICD-10-CM updates annually on October 1, the start of the federal fiscal year, with a smaller set of additions on April 1. CMS and the CDC’s National Center for Health Statistics maintain the code set, and each annual cycle typically adds, deletes, and revises hundreds of codes.
What kinds of ICD-10 changes does CLV Intelligence alert on?
New codes, deleted codes, revised code titles and descriptions, changes to Excludes and coding guidance, and the CMS and MAC coverage policies (LCDs and NCDs) that reference specific ICD-10 codes — each mapped to the specialties that bill it.
Can I track ICD-10 changes for specific codes I bill?
Yes. You can look up any ICD-10-CM code and add it to a watchlist, so when a policy change or code revision affects it, you get an alert tied to that code rather than the entire annual update.
How is this different from downloading the CMS ICD-10 files?
The CMS files tell you what changed in the code set; they don’t tell you which of your codes are affected, what coverage policies reference them, or what to do. CLV Intelligence interprets the update against your specialty and links the related coverage changes.
Is CLV Intelligence a substitute for compliance or legal advice?
No. CLV Intelligence surfaces, summarizes, and signal-scores official policy changes so your team can act in time, but it is not legal, billing, or compliance advice and it is not an audit certification. Every alert links to the originating government source so you can review the exact language, and final interpretation should be confirmed with qualified compliance counsel.
Explore the platform
HCPCS update tracker
Quarterly HCPCS Level II updates
ICD-10, HCPCS & CPT lookup
Per-code coverage alerts and context
Coding compliance software
NCCI, OIG, and audit-ready records
Specialty reimbursement alerts
CMS & MAC alerts mapped to your specialty
Denial prevention software
Catch denials before they bill
Stop finding out after the claim denies.
See the live feed of CMS and MAC policy changes, or talk to us about coverage for your team.