ICD-10

On April 1, 2014, President Barack Obama signed the Protecting Access to Medicare Act of 2014, H.R. 4302. Among the many provisions in the 45-page bill is a delay in the conversion to the International Classification of Diseases, 10th Revision (ICD-10) by at least one year. Section 212 of the bill reads, “The Secretary of Health and Human Services may not, prior to October 1, 2015, adopt ICD-10 code sets as the standard for code sets under section 1173(c) of the Social Security Act (42 U.S.C. 1320d–2(c)) and section 162.1002 of title 45, Code of Federal Regulations.”

IBC is awaiting further clarification from the Centers for Medicare & Medicaid Services (CMS) regarding the delay of the ICD-10 conversion. We have discontinued external testing activities and will reassess our resumption schedule toward the end of 2014. We will continue to ensure that our organization is fully compliant and ready for ICD-10 conversion when the new compliance date is confirmed.

We will continue to provide information to our provider network as it becomes available. Please visit www.cms.gov/icd10 for more about the delay.

What Will Change

  • Diagnosis codes (ICD-10-CM) and procedure codes (ICD-10-PCS) will have more digits than ICD-9 codes; CPT® and HCPCS codes will not be affected.
  • The number of codes will increase significantly from roughly 14,000 codes to 170,000 codes.
  • The new ICD-10 codes:
    • use updated and more precise medical terminology;
    • enable laterality;
    • allow for the ability to add new codes;
    • include greater specificity (including a greater number of digits);
    • provide more detailed clinical information about conditions, diseases, and injuries.

The implementation of ICD-10 will result in more accurate coding, which will improve the ability to measure health care services, enhance the ability to monitor public health, improve data reporting, and reduce the need for supporting documentation when submitting claims.

Resources

Frequently Asked Questions

Please refer to the following document for additional information about the transition to ICD-10.

Putting ICD-10 into Practice: Coding exercises and scenarios

Throughout 2013, our Partners in Health UpdateSM newsletter featured a series of articles titled Putting ICD-10 into Practice: Coding exercises and scenarios in preparation for the transition to ICD-10. Each month we published coding exercises and scenarios to help you put into practice the new guidelines and conventions you learned about in the ICD-10 Spotlight: Know the codes series. The booklet below includes all of these coding exercises and scenarios for your reference.

ICD-10 Spotlight: Know the Codes Booklet

Throughout 2012, our Partners in Health Update newsletter ran a series of articles titled ICD-10 Spotlight: Know the codes, which featured various examples of how ICD-9 codes translate to ICD-10 codes. These articles explored various coding conventions, general guidelines, and chapter-specific guidelines in ICD-10. We’ve compiled all the articles into the below booklet for your reference.


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