ICD-10 Code Transition
In order to maintain HIPAA compliance on claim submissions, providers are required to transition from using ICD-9-CM (International Classification of Diseases, 9th Edition, Clinical Modifications) diagnosis codes to ICD-10-CM diagnosis codes as of Oct. 1, 2013.
The transition date is a federal government mandate that is firm and not changeable. Every provider must comply. As of Oct. 1, 2013, ICD-9 diagnosis (and procedure) codes can no longer be used; the new codes are required in order to obtain payment. The change does not affect CPT coding for outpatient services.
The Centers for Medicare and Medicaid Services (CMS) recommends that providers implement ICD-10 readiness plans to determine the preparedness of both their internal staff and their affiliated external vendors such as billing services, clearinghouses, and practice management software companies. The new code sets can require changes in providers’ practice software, business operations and workflows, training, and procedural materials.
To learn more about the code transition and timelines, visit the official CMS ICD-10 website. Additional resources are available at the American Health Information Management Association (AHIMA) website and at the Gateway EDI claims clearinghouse website.
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