Countdown to ICD-10 Compliance
ICD-10 Industry Resources
- Identify symptoms, conditions, problems, complaints or other reasons for medical services or procedures being provided
- Translate written information in a patient's chart into a form that can be submitted electronically for reimbursement
- Identify provided procedures and services
- Establish current world mortality code for death records
The federal government mandated implementation of the new ICD-10 code set by October 1, 2014. The new code set provides more detail in diagnosis and hospital procedure codes used by doctors, hospitals and insurers.
ICD-10-CM/PCS (International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System) consists of two parts:
- ICD-10-CM for diagnosis coding
- ICD-10-PCS for inpatient procedure coding
ICD-10-CM is for use in all U.S. health care settings. Diagnosis coding under ICD-10-CM uses 3 to 7 digits instead of the 3 to 5 digits used with ICD-9-CM, but the format of the code sets is similar. ICD-10-PCS is for use in U.S. inpatient hospital settings only. ICD-10-PCS uses 7 alphanumeric digits instead of the 3 or 4 numeric digits used under ICD-9-CM procedure coding. Coding under ICD-10-PCS is much more specific and substantially different from ICD-9-CM procedure coding.
The transition to ICD-10 is occurring because ICD-9 produces limited data about patients' medical conditions and hospital inpatient procedures. ICD-9 is 30 years old, has outdated terms, and is inconsistent with current medical practice. Also, the structure of ICD-9 limits the number of new codes that can be created, and many ICD-9 categories are full. (©www.cms.gov/ICD10).
Any business process or technology that stores, processes, or utilizes medical/diagnosis/procedure codes is affected on some level. Learn more about ICD-10:
- Latest News
- CMS ICD-10 Industry Email Updates
- CMS ICD-10 Implementation Timelines
- CMS Implementation Planning
View the ICD-10 Introduction (pdf) fact sheet and FAQs (pdf) to get a general overview on ICD-10.
See official resources designed to help providers, payers, vendors, and non-covered entities (pdf) with the transition to ICD-10 on October 1, 2014.
- Provider Resources
- Medicare Fee-for-Service Provider Resources
- Medicaid Resources
- Payer Resources
- Vendor Resources
- Statute and Regulations
- 2013 ICD-10-CM and GEMs
- 2013 ICD-10 PCS and GEMs
- 2013 ICD-10-CM and GEMs
- 2013 ICD-10-PCS and GEMs
- ICD-9-CM Coordination and Maintenance Committee Meetings
- ICD-10 MS-DRG Conversion Project
- CMS Sponsored ICD-10 Teleconferences
- American Academy of Professional Coders
The North Carolina Healthcare Information and Communications Alliance, Inc (NCHICA) formed the ICD-10 Taskforce in February 2009 to assist members in their ICD-10 implementation efforts. Below are links to NCHICA webpages dedicated to ICD-10.
Industry experts agree: ICD-10 implementation must begin immediately in order for hospitals, health plans, vendors and other stakeholders to meet the October 1, 2014 compliance deadline.