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SNOMED CT United States Edition

The SNOMED CT United States (US) Edition is the official source of SNOMED CT for use in US healthcare systems. The US Edition is a standalone release that combines the content of both the US Extension and the International releases of SNOMED CT. NLM distributes the US Edition of SNOMED CT to licensed individuals via the UMLS Terminology Services. Please see the Licensing page to learn more about licensing and how to register to obtain an Affiliate License.

For older versions of the US Edition of SNOMED CT, please see the SNOMED CT Archives page.

Current US Edition Release

NOTE: For the SNOMED CT SARS-CoV-2/COVID-19 content, see: http://snomed.org/covid-19

March 2026

Version: 20260301

Release Date: March 1, 2026

The March 2026 SNOMED CT United States (US) Edition release is now available for download. This release contains 114 new active concepts specific to the US Extension. The March 2026 US Edition of SNOMED CT is based on the content published in the January 2026 SNOMED CT International Edition. This latest version of the US Edition also includes the SNOMED CT to ICD-10-CM reference set, with over 126,000 SNOMED CT source concepts mapped to ICD-10-CM targets.

Please note - While the SNOMED CT International Edition has moved to monthly releases, the US Edition of SNOMED CT will remain on the current bi-annual release schedule of March and September.

Download Now!

MD5 hash: 5f804f95396db268775703a1316ec9a8

Download | View Release Notes

Download Transitive Closure Resources

MD5 hash: f774eaf801642c60909cde765222d725

Download SNOMED CT to ICD-10-CM Mapping Resources

MD5 hash: bd5c064ec4ead4fdb9fbd0828a7bfcb6

View Release Notes

View Technical Specifications


Announcement - Changes in the March 2026 US Edition release

  • Notice of Deprecation - Concept Non Current Indicators

    As planned, Concept Non Current (CNC) indicators were deprecated in the January 2026 International Edition of SNOMED CT. A total of 111 CNC indicators remained active following the January 2026 International Edition release, these have been inactivated in the February 2026 International Edition release.

    The addition of CNC indicators to active descriptions on inactive concepts has now ceased. Inactive CNC indicators will be left in place as inactive components. This deprecation is not expected to have any impact on existing SNOMED CT implementations but will instead simplify the product and reduce associated maintenance costs.

    For further information please see here.

  • JSON file

    A metadata file called "release_package_information.json" has been added to the US Edition package to provide additional information on the Release's contents. It can be found directly in the main package. The data included so far is mostly based on additional information on the package structure and its contents, but it also includes data describing the language refsets included in the release, etc.

  • Reminder of SNOMED International proposal to increase description character limit

    SNOMED International, owners of SNOMED CT, propose to increase the maximum length of Fully Specified Name (FSN) and Synonym descriptions from 255 characters to 4096 characters. The requirement for this change has come from the Pharmaceutical / biologic product hierarchy, where the terming guidance for FSNs causes the current limit to be exceeded where there is a large number of ingredients in a medicinal product, which is particularly common in multivalent vaccines.

    There is some likelihood that implementers will have hardcoded database schemas to 255 characters, so a significant lead time is proposed before this change would take effect. Taking into account feedback received from stakeholders, the proposed changes will be implemented in July 2026.

    It is important to note that there is absolutely no intention to increase the length of a multitude of the International Descriptions. The proposal is simply to increase the maximum possible size to 4096, in order to allow a small number of necessarily longer terms to be consumed. However, most Descriptions will remain at their current length, well below 255 characters.

    Please see the latest Q&A blog post by SNOMED International Technical Specialist Peter Groves Williams, who explains the proposed change, its potential benefits, the feedback process and timelines, and the issues that may need to be considered in such an update. You can also find the full proposal here.

Last Reviewed: April 7, 2020