• Background

    The biggest change to coding in 30 years is coming: the implementation of the ICD-10-CM code set. ICD-10 now takes effect Oct. 1, 2015.

    With ICD-10, the health care system moves from ICD-9’s 14,500-code set to nearly 70,000 codes. Most individual codes are also longer: ICD-10 codes are three to seven characters, vs. ICD-9’s three to five characters.

    Failure to convert to ICD-10 could jeopardize almost all of your practice's payments, as commercial and federal payers will deny all ICD-9 claims.

    What You Need to Know

    What to Do

    • Start by contacting your vendors: practice management and/or EHR systems, clearinghouses or billing services, and all the health plans you contract with. Ask about their plans for ICD-10 conversion and compliance.
    • Develop an education plan for you and your staff.
    • Develop an end-to-end test plan. Check out the end-to-end testing periods provided by CMS.