Archive for September, 2010

ICD-10 Updates

Tuesday, September 21st, 2010

Changes to the current ICD-9 coding system are quickly upon us! Effective October 1, 2013 ALL providers must bill with the new Medicare ICD-10 coding system. The new codes provide greater detail, and are longer than the current ICD-9 codes and contain both alpha and numeric characters. There will be no delays or grace periods after the 10/01/13 effective date!  While the task of conversion may seem like a daunting one, there are many tools and resources available to help in this transition period. Medicare has developed GEMs (General Equivalence Mappings) to assist in the process of converting data from ICD-9-CM to ICD-10.

For more information about GEMs visit the CMS website at http://www.cms.gov/ICD10and click on “ICD-10-CM” or “ICD-10-PCS” to find the most recent GEMs.  In addition to GEMs, other valuable resources are available on the website as well such as updates, timelines, implementation planning, reports and summaries from CMS meetings, and more! Also, visit http://www.cms.gov/ICD10/06_MedicareFeeForServiceProviderResources.asp#TopOfPage for additional Fee-for-Service provider resources.  Although integration testing has already begun, Medicare will be ready to support test-to-test production effective January 1, 2011. After the 5010 implementation concludes on January 1, 2012, all providers must be able to submit and receive compliant HIPAA version 2010 electronic transactions. To ensure your practice is prepared, make sure to contact your system vendor and make sure that your license includes regulation updates, that their upgrades will include acknowledgement transactions 277CA & 999, and that the upgrade will include a “readable” error report from these transactions.