The 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)
- 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)
- 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