HHS Proposes Adoption of ICD-10 Code Sets and Updated Electronic Transaction Standards

After more than a decade of waiting, the process to adopt and implement a replacement for the 30-year-old ICD-9-CM code set has moved significantly ahead with this notice of proposed rule making. 

Webinar

"ICD-10 Implementation: What's Next?" is a complimentary Webinar covering the notice of proposed rule making, AHIMA's initial interpretation, important dates, impact on the industry, and next steps in the transition. AHIMA has prepared for ICD-10 implementation since 1987. Take advantage of our knowledge and expertise. HIM professionals in all settings, including coders, medical personnel, researchers, educators, health IT professionals, CIOs, CFOs, COOs, healthcare managers, home and hospice care professionals, insurance and non-provider setting leadership, consultants, and vendors will benefit from this Webinar. Download the Webinar's Resource Book.			Click to go to Webcast
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News

On August 22, the Centers for Medicare and Medicaid Services (CMS) issued a notice of proposed rule making (NPRM) that would replace the ICD-9-CM code sets now used to report health care diagnoses and procedures with greatly expanded ICD-10 code sets, effective October 1, 2011. In a separate proposed regulation, HHS has proposed adopting the updated X12 standard, Version 5010, and the National Council for Prescription Drug Programs standard, Version D.0, for electronic transactions, such as health care claims. Version 5010 is essential to use of the ICD-10 codes.

The NPRM calls for the adoption of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) for diagnosis coding, and the International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) for inpatient hospital procedure coding. The new codes would replace the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Volumes 1 and 2, and the International Classification of Diseases, Ninth Revision, Clinical Modification (CM) Volume 3 for diagnosis and procedure codes, respectively. The NPRM also calls for an implementation date of October 1, 2011. Comments on the proposed rule are due October 21, 2008.

Click on the links to view the full text of the proposed rules, as published in the Federal Register:

Modification to Medical Data Code Set Standards to Adopt ICD–10–CM and ICD–10–PCS

Modifications to the Health Insurance Portability and Accountability Act (HIPAA) Electronic Transaction Standards

AHIMA will also publish an analysis of the proposed rules.

Benefits

Once ICD-10 is implemented, the trend of deteriorating health data will reverse to allow the healthcare industry to accommodate a robust 21st century classification system. Major health initiatives including quality measurement, pay-for-performance, medical error reduction, public health reporting, biosurveillance, actuarial premium setting, cost analysis, and service reimbursement will significantly improve upon ICD-10 implementation.

More Information

AHIMA has considerable resources related to ICD-10 throughout this Web site, and additional tools such as audio seminars, Webinars, and publications are currently being developed.

Search for ICD-10 vendors at The HIM Marketplace.

Use the navigation menu to the left for frequently asked questions, a detailed guide to prepare for implementation, and other valuable resources.

Founded in 1928 to improve the quality of medical records, AHIMA is a not-for-profit (501c6) professional association committed to advancing the HIM profession in an increasingly electronic and global environment through leadership in advocacy, education, certification, and lifelong learning. AHIMA offers fee-based education materials and training programs to its 51,000 members and the healthcare industry on a broad spectrum of HIM topics including ICD-10. Revenue from these products allow AHIMA to continue its mission to advance quality healthcare through quality information.

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