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Basic Overview About ICD-10 (reference: http://www.roadto10.org/icd-10-basics/)

The ICD-9 code sets used to report medical diagnoses and inpatient procedures will be replaced by ICD-10 code sets on October 1, 2015. ICD-10 consists of two parts:

  • ICD-10-CM diagnosis coding which is for use in all U.S. health care settings.
  • ICD-10-PCS inpatient procedure coding which is for use in U.S. hospital settings.

ICD-10 will affect diagnosis and inpatient procedure coding for everyone covered by the Health Insurance Portability Accountability Act (HIPAA), not just those who submit Medicare or Medicaid claims:

  • Claims for services provided on or after the compliance date should be submitted with ICD-10 diagnosis codes.
  • Claims for services provided prior to the compliance date should be submitted with ICD-9 diagnosis codes.

The change to ICD-10 does not affect CPT coding for outpatient procedures.

We will be adding to this list of ICD-10 resources frequently:

http://www.cms.gov/Medicare/Coding/ICD10/Downloads/ICD10QuickStartGuide20150622.pdf

http://www.cms.gov/Medicare/Coding/ICD10/Latest_News.html

http://www.cms.gov/Medicare/Coding/icd10/

http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Data-and-Systems/ICD-Coding/ICD-10-Changes-from-ICD-9.html

http://www.cdc.gov/nchs/icd/icd10cm_pcs_background.htm

http://www.cdc.gov/nchs/icd/icd10cm.htm

http://www.roadto10.org/

http://www.roadto10.org/icd-10-basics/

http://www.roadto10.org/ancillary-webcasts/

http://www.ama-assn.org/ama/pub/physician-resources/solutions-managing-your-practice/coding-billing-insurance/hipaahealth-insurance-portability-accountability-act/transaction-code-set-standards/icd10-code-set.page

https://www.aapc.com/icd-10/faq.aspx

 

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