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ICD-10 Medical Policy Revisions

In preparation for the health care industry's conversion to the 10th version of the International Classification of Diseases code set (ICD-10), Blue Cross and Blue Shield of North Carolina (BCBSNC) is in the process of reviewing our online medical policies to identify those that contain ICD-9 code information, and we're making updates to the policies identified to also include ICD-10 diagnosis codes.

Many of the policies listed refer to an ICD-10 compliance date of October 1, 2014. The recent passage of H.R. 4302 "Protecting Access to Medicare Act of 2014" allows for a delay in the implementation of ICD-10, which can now be no earlier than October 1, 2015. Due to this delay, the current medical policies referencing ICD-9 codes will remain in effect until the new compliance date in 2015, or will be updated if a new compliance date is confirmed by the Centers for Medicare & Medicaid Services.

The medical policies listed below were updated to include ICD-10 diagnosis code information. We will continue reviewing our medical policies to make any necessary ICD-10 code updates and will add updated policies to the list below on an ongoing basis.

Providers who use practice management systems that contain ICD-9 code information are encouraged to review the list of medical policies below, and make any applicable ICD-10 code set updates within their management systems, including clinical and financial applications where codes are housed and accessed for reporting.

Updated ICD-10 Medical Policies:

Search for medical policies and guidelines and get policy updates that are not specific to changes for ICD-10.