Embracing ICD-10

On October 1, 2013, medical coding in the U.S. health care industry will change to The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10), as classified by the World Health Organization (WHO) from ICD-9. ICD-10 allows for more than 68,069 diagnosis codes vs. 14,025 with ICD-9, and permits the tracking of many new diagnoses. Work on ICD-10 began in 1983 and was completed in 1992.

The transition will require business and systems changes throughout the health care industry. Everyone who is covered by the Health Insurance Portability and Accountability Act (HIPAA) must make the transition, not just those who submit Medicare or Medicaid claims.

The first ICD-10-related compliance date is January 1, 2012, when standards for electronic health transactions change from Version 4010/4010A1 to Version 5010. Unlike Version 4010, Version 5010 accommodates the ICD-10 code structure. This change occurs before the ICD-10 implementation date to allow adequate testing and implementation time.

The compliance dates are firm and not subject to change. If you or your billing provider are not ready, your claims will not be paid. Preparing now can help you avoid potential reimbursement issues. ADVOCATE has met all interim and planning guidelines and will be ready for the conversion. ADVOCATE will continue to keep you up-to-date on the latest ICD-10 developments.

As more information becomes available, ADVOCATE will continue to keep you up to date.

With best regards,
Debby Crow CPC, RCC
Coding Manager