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ICD-10 Institutional Newsletters

Date: June 3, 2013

Subject: Basic ICD-10 Facts

The Transition Institutional Providers’ ICD-10 Resource

Basic ICD-10 Facts

With the implementation of ICD-10, coders will no longer bill ICD-9 diagnosis codes for dates of service after September 30, 2014. However, this doesn’t mean you will never use an ICD-9 diagnosis code again. If you bill a new or corrected claim after October 1, 2014 for a date of service prior to October 1, 2014, you will need to use an ICD-9 diagnosis code. So, the questions are:

  • Do you have a billing system that will accommodate dual diagnosis code sets?
  • How will this impact your software vendor as well as your clearinghouse?

October 1, 2014 is fast approaching. There is less than 500 days before ICD-10 is fully implemented. It is time to quit asking questions and instead focus on getting specific answers regarding ICD-10 implementation plans from your software vendors and clearinghouses.  You should be asking and getting answers from your vendors to the following questions:

  • What are you doing to prepare for the transition to ICD-10?
  • Will there be delays during the implementation?
  • When will you be ready for end to end testing?*
    *End to end testing is defined as a focus process within a defined area, using new or revised applicable products, operating rules or transactions, throughout the entire business and/or clinical exchange cycle, for the purpose of measuring operational predictability and readiness.

Implementation time is NOW!

For more information on ICD-10 and ICD-10-PCS  visit the CMS website at
www.cms.gov/Medicare/coding/ICD-10.

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