Beneficiary Claims Data API (BCDA) Community
Hi BCDA Community,
CMS has designated 42 additional diagnosis codes as pertaining to substance use and behavioral health. BCDA and other CMS claims data sources suppress these to protect patient privacy in accordance with the 42 CFR Part 2 Final Rule. Effective today, April 23rd 2026, BCDA will suppress claims containing any of these new diagnosis codes as well as those already listed in Appendix A of the CCLF Information Packet. The CCLF Information Packet will include these codes in its next update. Please note that the data suppression includes claims such as Annual Wellness Visits where these diagnosis codes may be included as additional diagnoses.
What can I do to prepare?
No action is required from users at this time. CMS has recommended that this change be effective moving forward, but that past claims need not be remediated.
Please let us know if you have any questions about this change.
Thank you,
The BCDA team
Harley Dickey
Is there a way to get the list of the new 42 codes in advance of them being published in the new packet. I was assuming that they are known because they would have been agreed upon in the 42 CFR Part 2 Final Rule, but I wasn't locating the ICD-10 codes easily.
Mark Rucci
Is this the list of newly added codes or a complete list with the new codes included?
Is this list available publicly?
Mark A. Rucci, CEBS
Vice President, VBP Product Manager
Confidentiality Notice: This e-mail, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized use, disclosure, or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original messages.
From: Beneficiary Claims Data API (BCDA) Community <bc-...@googlegroups.com>
Sent: Thursday, May 7, 2026 12:02 PM
To: Beneficiary Claims Data API (BCDA) Community <bc-...@googlegroups.com>
Subject: [BCDA] Re: Private message regarding: Additional Substance Abuse Diagnosis Codes Suppressed
|
⚠ CAUTION EXTERNAL EMAIL!⚠ DO YOU RECOGNIZE THE SENDER? ARE YOU EXPECTING THIS EMAIL? If this email looks suspicious, click the Fish Hook Button in Outlook to report it. DO NOT click any links and NEVER input your username and password. |
--
You received this message because you are subscribed to the Google Groups "Beneficiary Claims Data API (BCDA) Community" group.
To unsubscribe from this group and stop receiving emails from it, send an email to
bc-api+un...@googlegroups.com.
To view this discussion visit
https://groups.google.com/d/msgid/bc-api/7ce8dab2-a6d8-41b8-bfcf-e50171afc57cn%40googlegroups.com.