In 2009, the U.S. Department of Health and Human Services (HHS) announced that it would adopt the International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10) as the new code set for reporting morbidities. The National Center for Health Statistics (NCHS), the Federal agency responsible for use of ICD-10 in the U.S., has developed a clinical modification of the classification for morbidity purposes.
The Final Rule naming the replacement of ICD-9 with ICD-10 established the requirement to use only ICD-10 for encounters and discharges starting Oct. 1, 2014. However, the Protecting Access to Medicare Act of 2014 delayed ICD-10 implementation from Oct. 1, 2014 to as early as Oct. 1, 2015. The ACC will closely follow what the Centers for Medicare and Medicaid Services (CMS) and industry are saying going forward regarding what practices should do now for ICD-10. ACC will release additional information as soon as it becomes available.
Once CMS sets a new deadline, all covered entities will be required to implement the new ICD-10 code set, which is composed of two parts:
- ICD-10 Clinical Modification (ICD-10-CM): For use in all settings (Diagnosis Coding)
- ICD-10 Procedural Code Set (ICD-10-PCS): For inpatient procedures (used by hospitals only)
ICD-10 implementation will significantly change the way coding is done; the code-set will grow from its current 14,315 diagnosis codes to more than 69,099 codes. Since these changes will require significant effort to implement, it is necessary to start preparations in your office now.
Please refer to the additional resources on this page to help your practice get ready for the change. For immediate research into the ICD-10 codes and guidelines, visit the CDC website by clicking the button below.