CMS has made available the updated ICD-10-CM and ICD-10-PCS Code lists for 2017. These codes take effect on October 1, 2016. This is the first update to the initial set of ICD-10 codes that first went into effect on October 1, 2015.
ICD-10 requires health professionals to code to the highest degree of specificity. CMS stated that for the first year (October 1, 2015 – September 30, 2016), it would not audit claims for lack of diagnosis code specificity. Readers should note that this one-year grace period will definitively end on October 1, 2016. Though claims won’t be affected on the front end, CMS will begin to use its authority to audit claims based on lack of specificity in October 2016.
The 2017 General Equivalence Mappings (GEMs) will be posted in August 2016 and the Official Coding Guidelines and the Present on Admission (POA) Exempt List will be available soon as well.
The updated code sets can be downloaded via:
As always, ADVOCATE will keep you up to date on this and all issues impacting radiology as they become available.
Kirk Reinitz, CPA