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What's Up Wednesday
A monthly teleconference regarding the transition to ICD-10, hosted by Pennsylvania’s Blue Plans.
In 2009, the U.S. Department of Health and Human Services (HHS) adopted a rule to replace the currently used International Classification of Diseases, 9th Revision (ICD-9) to the next generation of ICD-10 code sets by October 1, 2013. In August 2012, HHS officially changed the ICD-10 compliance date to October 1, 2014.
- October 1, 2014: All outpatient claims with a date of service on or after October 1, 2014, must be submitted with ICD-10 codes and all inpatient claims with discharge dates on or after October 1, 2014, must be submitted with ICD-10 codes. Claims that are submitted with non-compliant ICD-9 codes after this date will be rejected.
How to Prepare
All providers should be in compliance with HIPAA 5010 transaction and code set requirements as a prerequisite for the conversion to ICD-10. Physician practices and facilities should create an ICD-10 implementation plan that includes an awareness campaign and an education strategy. In addition, Independence Blue Cross urges you to complete an impact assessment of the ICD-10 transition.
In coordination with the other Pennsylvania Blue Plans, we have recently started a monthly teleconference for health care professionals — called What’s Up Wednesday — regarding the transition to ICD-10. What’s Up Wednesday will feature special guests and ICD-10 experts who will lead discussions to help you get ready for the October 1, 2014 compliance date. All providers, clearinghouses, information trading partners, and information networks are encouraged to participate. Visit the What's Up Wednesday web page for more information, including a schedule of all calls scheduled for the remainder of 2013, as well as materials for the upcoming call.
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.
Please visit this site frequently for updated information on ICD-10.
Frequently Asked Questions About ICD-10
Please refer to the following document for additional information about the transition to ICD-10.
Putting ICD-10 into Practice: Coding exercises and scenarios
In preparation for the transition to ICD-10, throughout 2013, our Partners in Health UpdateSM newsletter will feature a series of articles titled Putting ICD-10 into Practice: Coding exercises and scenarios. Each month this feature will help you put into practice the new guidelines and conventions you learned about last year. We’ve created the below booklet for your convenience. We will continue to add the monthly Putting ICD-10 into Practice: Coding exercises and scenarios articles to this booklet so that all the examples are in one place for your reference.
ICD-10 Spotlight: Know the Codes Booklet
In preparation for the transition to ICD-10, throughout 2012, our Partners in Health UpdateSM newsletter ran a series of articles titled ICD-10 Spotlight: Know the codes, which featured various examples of how ICD-9 codes will 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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