Healthcare providers around the country have been preparing for this Thursday, October 1, when the ICD-9 code sets used to report medical diagnoses and inpatient procedures will be replaced by ICD-10 code sets.
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 U.S. Centers for Medicare & Medicaid Services (CMS) has created a special website called RoadTo10.org that bills itself as the “one-stop source for all things ICD-10.”
Also, for any provider in the Passport network who has questions about the ICD-10, you can contact Provider Services at (800) 578-0775, or contact your provider relations specialist. To see other “eNews” mailings that get shared with providers, please click here.