ICD-10

The U.S. Department of Health and Human Services has confirmed in a final rule that October 1, 2015, will be the deadline for the implementation of the International Classification of Diseases, 10th Revision (ICD-10). The final rule requires the use of ICD-9 through September 30, 2015.

We will continue to communicate information to our provider network as it becomes available. Go to www.cms.gov/icd10 for information about ICD-10.

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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