ICD-10-CM/PCS Final Rule

The Centers for Medicare & Medicaid Services has released a final rule for replacing the 30-year-old ICD-9-CM code set with ICD-10-CM and ICD-10-PCS. A second rule related to the HIPAA transaction standards – X12 version 5010 and NCPDP version D.0 establish earlier effective dates, with the latest being January 1, 2013. The HIPAA transactions software must be updated to accommodate the use of the ICD-10-CM and ICD-10-PCS code sets.

 Final Rules Published in the Federal Register

• Modifications to the Health Insurance Portability and Accountability Act (HIPAA) Electronic Transaction Standards
• HIPAA Administrative Simplification: Modifications to Medical Data Code Set Standards To Adopt ICD–10–CM and ICD–10–PCS

Comments and Analysis

• Analysis of Final Rule for the Adoption of the ICD-10-CM and ICD-10-PCS Code Sets (February 2009)
• Analysis of Final Rule, January 16, 2009, Modifications to the HIPAA Electronic Transaction Standards (February 2009)
• AHIMA Comments on the Adoption of ICD-10 Classifications
• AHIMA Comments on Modifications to HIPAA Electronic Transaction Standards
• AHIMA Comments on the Nachimson Report: “The Impact of Implementing ICD-10 on Physician Practices and Clinical Laboratories”
• AHIMA's Analysis of the Proposed Rule: HIPAA Administrative Simplification: Modification to Medical Data Code Set Standards to Adopt ICD-10-CM and ICD-10-PCS
• AHIMA's Analysis of the Proposed Rule, August 22, 2008, Health Insurance Reform; Modifications to the Health Insurance Portability and Accountability Act (HIPAA) Electronic Transaction Standards