Medical billing consulting-ICD-10 & 5010: What about ICD-10?
Posted by Patrick Ales on Mon, May 02, 2011 @ 08:00 AM
ICD-10 is not only a HIM or claims problem. It has the potential to improve all mega-processes of Healthcare. If you look, ICD-9 is everywhere. ICD-10 migration creates a "ripple effect".
The development of WHO’s ICD-10 code system was based on the realization that the great expansion in the use of the ICD necessitated a thorough rethinking of its structure and an effort to devise a stable and flexible classification that would not require fundamental revision for many years to come.
ICD-10-CM is a US clinical modification of the WHO’s ICD-10 and is maintained by the National Center for Health Statistics (NCHS). It is a morbidity classification system that classifies diagnoses and other reasons for healthcare encounters. The diagnosis code structure is alphanumeric, with codes comprised of 3-7 characters.
ICD-10-PCS is a procedural coding system developed under contract by the Center for Medicare & Medicaid Services (CMS) as a replacement of the ICD-9-CM procedural coding system for hospital reporting of inpatient procedures. It has a 7-character alphanumeric code structure.
About the ICD-10 Transition on October 1, 2013
ICD-10 codes must be used on all HIPAA transactions, including outpatient claims with dates of service, and inpatient claims with dates of discharge on and after October 1, 2013. Otherwise, your claims and other transactions may be rejected, and you will need to resubmit them with the ICD-10 codes. This could result in delays and may impact your reimbursements, so it is important to start now to prepare for the changeover to ICD-10 codes.
This change does not affect CPT coding for outpatient procedures.
If you need assistance with the implementation of these new standards for ICD-10/5010, MedPro Solutions is here to assist you. Contact us for information on how we can help.
To learn more about these regulations, visit CMS at http://www.cms.gov/home/regsguidance.asp.
