Pentagon’s New Coding Rules Aim to Protect Warfighters

On January 23, 2026, the Department of Defense’s Traumatic Brain Injury Center of Excellence published updated ICD-10-CM coding guidance specifically for warfighter brain injuries. ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) is the standardized system doctors use to classify and record diagnoses. Without precise codes, injuries go miscounted and undertreated.

The new guidance is particularly critical now, as modern warfare inflicts unique brain hazards. Low-level blast overpressure from repeated weapons firing, extreme G-forces on pilots, and unexplained neurological incidents now have dedicated diagnostic codes, enabling better surveillance and resource allocation.

Just days earlier, on January 20, the Center released a research review revealing that mild TBI raises PTSD risk two- to threefold, findings that will shape military treatment protocols. Meanwhile, the Army’s baseline cognitive screening program, launched in August 2024, aims to assess every troop’s brain health proactively.