Tiptastic Tuesday: ICD-10 Transition Basics

On October 1, 2014, the ICD-9 code sets used to report medical diagnoses and inpatient procedures will be replaced by ICD-10 code sets.

  • Everyone covered by HIPAA must transition to ICD-10. This includes providers and payers who do not deal with Medicare claims as well as state Medicaid programs.
  • The switch to ICD-10 does not affect CPT coding for outpatient procedures. Like ICD-9 procedure codes, ICD-10 PCS codes are for hospital inpatient procedures only.
  • ICD-10 codes are different from ICD-9 codes and have a completely different structure. Currently, ICD-9 codes are mostly numeric and have 3 to 5 digits. ICD-10 codes are alphanumeric and contain 3 to 7 characters. ICD-10 is more robust and descriptive with “one-to-many” matches in some instances.
  • Providers should plan to test their ICD-10 systems early, to help ensure compliance. Beginning steps in the testing phase should include internal testing of ICD-10 systems, coordination with payers to assess readiness and a project plan launch by data management and IT teams.

To access the ICD-10-CM, ICD-10-PCS code sets and the ICD-10-CM official guidelines  free of charge, click here.

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One thought on “Tiptastic Tuesday: ICD-10 Transition Basics

  1. Pingback: Monday Morning Recap | hmsabc

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