The biggest change to coding in 30 years is here: the implementation of the ICD-10-CM code set.
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
- All physicians covered by the Health Insurance Portability and Accountability Act must switch to ICD-10 by Oct. 1, 2015.
- For all claims with dates of service on or after Oct. 1, 2015, you must use ICD-10. The change affects commercial payers and Medicare and Medicaid.
- Under the grace period announced July 6, CMS will not deny claims submitted in the proper “family” codes, but you must use ICD-10 codes beginning Oct. 1.
- Because of the detail included in the new codes, it's rare case when an ICD-9 code translates directly to an ICD-10 code.
If you have any further questions, email ICD10@aao.org.