ICD-10 is Coming! Are you ready?

ICD-10The compliance date for implementation of the International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding system (ICD-10-CM/PCS) is October 1, 2013.  There are two parts to the ICD-10-CM/PCS:

  • ICD-10-CM (Diagnosis Codes) – The diagnosis classification system developed by the by the Centers for Disease Control (CDC) and Prevention for us in all the U.S. health care treatment settings.
    • 3-7 digits
    • Digit 1 is alpha
    • Digit 2 is numeric
    • Digits 3-7 are alpha or numeric (alpha digits are not case sensitive)
        • Examples:
          • A78 – Q fever
          • A69.21 – Meningitis due to Lyme disease
          • S52.131a – Displace fracture of neck of right radius, initial encounter for closed fracture
  • ICD-10-PCS (Procedural Codes) – The procedure classification system developed by CDC for Medicare & Medicaid Services (CMS) for use in the U.S. for inpatient hospital settings ONLY.
    • 7 digits
    • Each digit is either alpha or numeric (alpha digits are not case sensitive and letters 0 and I are not used to avoid confusion with numbers 0 and 1)
        • Examples:
          • 0FB03ZX – Excision of liver, percutaneous approach, diagnostic
          • 0DQ10ZZ – Repair upper esophagus, open approach

Note: Physicians, outpatient facilities , and hospital outpatient departments should continue to use CPT codes for Medicare fee-for-service claims.

ICD-10-CM/PCS provides significant improvements through greater information and the ability to expand in order to capture additional advancements in clinical medicine.  A number of other countries have already moved to ICD-90, including:

  • United Kingdom (1995);
  • France (1997);
  • Australia (1998);
  • Germany (2000); and
  • Canada (2001).

Click the link to see the ICD10 compliance timeline: ICD10 Compliance Timeline

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