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ICD-10: What You Need to Know

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, the Federal agency responsible for use of ICD-10 in the U.S., has developed a clinical modification of the classification for morbidity purposes.

Originally, the transition from ICD-9 to ICD-10 was set to take place on Oct. 1, 2014. However, the Protecting Access to Medicare Act of 2014 delayed ICD-10 implementation for one year. In July 2014, HHS released a rule finalizing Oct. 1, 2015, as the new ICD-10 implementation date.  

Additional Resources
Starting Oct. 1, 2015, all covered entities will be required to implement the new ICD-10 code set, which is composed of two parts:
  1. ICD-10 Clinical Modification (ICD-10-CM): For use in all settings (Diagnosis Coding)
  2. 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.

Research ICD-10 Codes and Guidelines

 

Medicare Learning Network® Product Updates

The “ICD-10-CM/PCS Billing and Payment Frequently Asked Questions” Fact Sheet (ICN 908974) was revised and is now available in hard copy format. This fact sheet is designed to provide education on the International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS). It includes the following information: ICD-10-CM/PCS billing and payment Frequently Asked Questions and resources.

The “ICD-10-CM/PCS The Next Generation of Coding” Fact Sheet (ICN 901044) was revised and is now available in hard copy format. This fact sheet is designed to provide education on the International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS). It includes the following information: ICD-10-CM/PCS compliance date; use of external cause and unspecified codes in ICD-10-CM; continued use of Current Procedural Terminology codes; ICD-10-CM/PCS – an improved classification system; ICD-10-CM/PCS examples; structural differences between International Classification of Diseases, 9th Edition, Clinical Modification and ICD-10-CM/PCS; and resources.

The “ICD-10-CM/PCS Myths and Facts” Fact Sheet (ICN 902143) was revised and is now available in hard copy format. This fact sheet is designed to provide education on the International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS). It includes the following information: ICD-10-CM/PCS compliance date, use of external cause and unspecified codes in ICD-10-CM, responses to myths on ICD-10-CM/PCS, and resources.

The “ICD-10-CM Classification Enhancements” Fact Sheet (ICN 903187) was revised and is now available in hard copy format. This fact sheet is designed to provide education on the International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS). It includes the following information: ICD-10-CM/PCS compliance date; use of external cause and unspecified codes in ICD-10-CM; benefits of ICD-10-CM; similarities and differences between International Classification of Diseases, 9th Edition, Clinical Modification and ICD-10-CM; new features in ICD-10-CM; additional changes in ICD-10-CM; and resources.

The “General Equivalence Mappings Frequently Asked Questions” Booklet (ICN 901743) was revised and is now available in hard copy format. This booklet is designed to provide education on the conversion of International Classification of Diseases, 9th Edition, Clinical Modification (ICD-9-CM) codes to International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS) and the conversion of ICD-10-CM/PCS codes back to ICD-9-CM. It includes the following information: use of external cause and unspecified codes in ICD-10-CM, background, Frequently Asked Questions, and resources.

To access a new or revised product available for order in a hard copy format, go to MLN Products and scroll down to the bottom of the web page to the “Related Links” section and click on the “MLN Product Ordering Page.”

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