ICD-10 Transition Guide Now Available for Healthcare Providers

ICD-10 Transition Guide Released

The impending transition from ICD-9 to ICD-10 diagnostic coding sets has healthcare providers concerned over the confusion that may result when they switch from roughly 18,000 codes to nearly 150,000.

The Centers for Medicare & Medicaid Services (CMS) is attempting to alleviate some of the anxiety for the October 2013 deadline by publishing a guide to implementing ICD-10.

The seven-page guide provides information on general reporting, necessary actions, claims submission and how to handle claims that occur during the transition to the new code set.

The healthcare community has been buzzing about the complexity of the new coding system. While ICD-9 gave descriptions of diagnoses and procedures, ICD-10 gets much more granular, noting things like specific bone broken, artery receiving stent or how an injury occurred.

Some providers welcome the more detailed descriptions, but many feel the numerous codes for how and where an injury occurred border on ridiculous. Check out some of the more surprising codes and decide for yourself.

ICD-10 by the Numbers
69,000 diagnoses codes, up from roughly 14,000
72,000 procedure codes, up from about 4,000
195 codes for suturing artery, up from 1
312 codes involving animals (including “bitten by turtle” and “struck by turtle”)
72 codes linked to bird-related injuries
27 codes associated with water-skiing injuries (including three for burning water-skis)
3 codes related to walking into a lamppost
1 code for knitting or crochet incidents

The detailed, elaborate new code set will certainly take some time for providers to get used to, which is why it’s essential that the CMS proactively publish resources like the transition guide.

The new code system was created by the CMS and Centers for Disease Control and Prevention based on the World Health Organization’s system, which has been in use for more than a decade in several countries.

It may seem like you have plenty of time to prepare for ICD-10, but October 2013 will be here before you know it. If you don’t start preparing now, ICD-10 could sneak up on you like a lamppost (ICD-10 code: W2202XA).

Will ICD-10 help deliver a better standard of care or just make things more confusing? Share your opinion.


Shawn McKee

Shawn McKee is a writer and editor who has covered health and healthcare for nearly a decade. He is the senior manager of content marketing at CareCloud and you can read more of his work on Power Your Practice and at CareCloud.com.

Comments

  • http://www.veetechnologiesusa.com/services/insurance/edi-5010.html Angela – Vee Technologies


    Great
    read!  This fantastic article clearly identifies and outlines
    the realities of the upcoming EDI / ICD-10 / HIPAA 4010 to 5010
    conversion challenges. I work with a U.S. based strategic
    services company (headquartered in NY and with operations in
    India).  At the moment we are working with over 20
    payer/provider companies, most of which we have already
    successfully converted them to 5010.  Even with our 10+
    years of experience in the healthcare back office space, I’ve seen
    that with each conversion that new lessons are learned by our team on
    client specific peculiarities…and our process is now well
    matured. However, as time is growing short we are starting to
    see more and more companies literally rushing now to ensure that they
    are ready to start submitting their claims electronically using the
    X12 Version 5010 and NCPDP Version D.0 standards by the January 1st
    2012 deadline.  We’ll keep checking back to see if you have
    any updates and suggestions for the industry.  Cheers, Angela
    Carson, Head of Communication at Vee Technologies