ICD-10 offers long-overdue updates to medical terminology and disease classification. Seamless exchange of data across all healthcare platforms (i.e., interoperability).Better insight for optimizing grouping and reimbursement processes.Greater opportunity for evidence-based practice.So, what about ICD-10 makes it so much better than ICD-9? Well, the massive number of codes means that medical providers-including rehab therapists-can more accurately document clinical information, including patient diagnoses. And then, just when we thought ICD-10 had finally broken through the bureaucratic red tape and that the implementation extensions were over, 2014 became 2015. Then, there were the delays: the original deadline for transitioning to the new code set was October 1, 2013. So, why did it take so long for the US to follow suit? Well, the complexity of our healthcare system, the competing interest groups that hold influence over our healthcare decision-makers, and a lot-a lot-of red tape made it tough for the US to get ICD-10 off the ground. Canada adopted the new code set in 2000, and from there, several European countries as well as Thailand, Korea, China, and South Africa adopted ICD-10 in its original, modified, or translated form. Half of the Australian states implemented ICD-10 in 1998, and the rest of the country followed in 1999. Yes, it took almost a decade to create ICD-10, and it has taken more than a decade for the US to actually put the final version of the code set to use.Īustralia was one of the first countries to adopt ICD-10. ![]() The World Health Organization (WHO)-the public health sector of the United Nations that focuses on international health and outbreaks-started developing the ICD-10 coding system in 1983, but didn’t actually finish it until 1992. Additionally, ICD-10 codes do not impact guidelines regarding the the KX modifier. The transition to ICD-10 does not affect the use of CPT codes. Note: ICD-10 codes are completely separate from CPT codes. Whereas ICD-9 codes consist of three to five characters with a decimal point (e.g., 813.15), ICD-10 codes contain three to seven characters in an alpha-numeric combination (e.g., M96.831). In addition to offering a much larger selection of codes, ICD-10 features an entirely new code structure. As a result, the new code set contains about five times as many codes as its predecessor (approximately 69,000 to ICD-9’s 13,000). Compared to ICD-9-which is more than 30 years old-ICD-10 allows for a much greater level of specificity in coding patient diagnoses. This list should assist providers who are unsure if additional characters are needed, such as the addition of a 7th character in order to arrive at a valid code.All HIPAA-covered providers-including rehab therapists-now must report ICD-10 codes instead of ICD-9 codes in order to receive reimbursement for their services. The codes are listed in tabular order (the order found in the ICD-10-CM code book). This file will be useful for physician offices and other providers who want to check to make sure that they are reporting all characters in a valid ICD-10-CM code. See the file named “icd10cm_codes_2016.txt” in the ZIP file for the list. The following is communication from CMS.ĬMS has posted a complete list of the 2016 ICD-10-CM valid codes and code titles in the 2016 Code Descriptions in Tabular Order ZIP file on the 2016 ICD-10-CM and GEMs web page. And count down with us in the coming days for tips and information to help you be ready. For the most updated communication from CMS visit their ICD-10 online pages. 1, 2015 as the new compliance date for health care providers, health plans, and health care clearinghouses to transition to ICD-10, the tenth revision of the International Classification of Diseases. ![]() Department of Health and Human Services (HHS) issued the rule finalizing Oct. ICD-10 Deadline is set for October 1, 2015.
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