ICD-10-CM/PCS
ICD-10 Compliance Date
On April 1, 2014, the Protecting Access to Medicare Act of 2014 (PAMA) (Pub. L. No. 113-93) was enacted, which said that the Secretary may not adopt ICD-10 prior to October 1, 2015. Accordingly, the U.S. Department of Health and Human Services expects to release an interim final rule in the near future that will include a new compliance date that would require the use of ICD-10 beginning October 1, 2015. The rule will also require HIPAA covered entities to continue to use ICD-9-CM through September 30, 2015.
July ICD-10 End-to-End Testing Canceled: Additional Testing Planned for 2015
CMS planned to conduct ICD-10 testing during the week of July 21 through 25, 2014, to give a sample group of providers the opportunity to participate in end-to-end testing with Medicare Administrative Contractors (MACs) and the Common Electronic Data Interchange (CEDI) contractor. The July testing has been canceled due to the ICD-10 implementation delay. Additional opportunities for end-to-end testing will be available in 2015.
The ICD-10 code sets contain more than 155,000 codes and accommodate a host of new diagnoses and procedures. The Centers for Medicare & Medicaid Services (CMS) website provides a dedicated ICD-10 web page which offers a variety of resources to assist providers with the ICD-10 implementation. Below are just some of the resources available on the CMS ICD-10 website.
ICD-10 Testing Week
To help you prepare for this transition, CMS announced a national testing week for current direct submitters (providers and clearinghouses) from March 3 through March 7, 2014. For more information, refer to the "ICD-10 Testing Week: March 3-7, 2014" and the "ICD-10 Checklist" Web pages.
CMS ICD-10-CM/PCS Resources
- 2014 ICD-10-CM and General Equivalence Mappings (GEMs)
- CMS ICD-10 Medscape Modules (videos)
- CMS Sponsored ICD-10-CM/PCS Calls
- FAQs: ICD-10 Transition Basics
- General Equivalence Mappings Frequently Asked Questions Booklet
- ICD-10 Checklist
- ICD-10-CM Classification Enhancements
- ICD-10-CM/PCS The Next Generation of Coding
- Medicare Fee-for-Service Provider Resources
- MLN Connects Videos (Enter ICD-10 in "Filter On" field)
- National Provider Calls and Events
- Online ICD-10 Implementation Guide
- Provider Resources
- Talking to Your Customers About ICD-10 and Version 5010: Tips for Software Vendors
- Talking to Your Vendors About ICD-10: Tips for Medical Practices
- The ICD-10 Transition: An Introduction
Medicare Learning Network (MLN) Matters Articles
- Medicare Fee-For-Service (FFS) Claims Processing Guidance for Implementing International Classification of Diseases, 10th edition (ICD-10) – A Re-Issue of MM7492 – SE1408
- Changes to the Laboratory National Coverage Determination (NCD) Softward for ICD-10 Codes – MM8494
- Institutional Services Split Claims Billing Instructions for Medicare Fee-For-Service (FFS) Claims that Span the International Classification of Diseases, 109th Edition (ICD-10) Implementation Date – SE1325
- International Classification of Diseases 10th Edition (ICD-10) Conversion from ICD-9 and Related Code Infrastructure of the Medicare Shared Systems as They Relate to the Centers for Medicare & Medicaid Services (CMS) National Coverage Determinations (NCDs) – MM8109
- International Classification of Diseases, 10th Revision (ICD-10) Testing with Providers through the Common Edits and Enhancements Module (CEM) and Common Electronic Data Interchange (CEDI) – MM8465
- Medicare Fee-For-Service (FFS) Claims Processing Guidance for Implementing International Classification of Diseases, 10th Edition (ICD-10) – MM7492
- Partial Code Freeze Prior to ICD-10 Implementation – SE1240
- The ICD-10 Clinical Modification/Procedure Coding System (CM/PCS) – The Next Generation of Coding – SE0832
- Updated ICD-10 Implementation Information – SE1239
ICD-10-CM/PCS Resources Offered By Other Organizations
- AAPC (American Academy of Professional Coders)
- AHIMA (American Health Information Management Association)
- HIMSS (Health Information and Management Systems Society)
- WEDI (Workgroup for Electronic Data Interchange)
- WHO (World Health Organization)
Updated: 05.15.14