CMS officials have reiterated on many occasions that there will be no more delays on the implementation date for ICD-10, and that the transition will be enforced as scheduled on October 1, 2014.
ICD-10-CM will contain diagnostic codes used in all health care settings and will replace the existing 14,000 codes in ICD-9-CM Volumes 1 and 2 with 69,000 new codes. The increased number of codes is due to a higher level of code specificity in ICD-10, such as laterality, encounter description, routine vs. delayed healing and union vs. malunion information.
ICD-10-PCS will be used for inpatient procedure coding in the hospital setting. It replaces ICD-9-CM Volume 3 with 87,000 new codes.
Make sure you’re prepared!
Creating an ICD-10 implementation plan and communicating early with vendors are crucial to a successful ICD-10 transition. CMS has created a road map on how to prepare for small, medium and/or large practice transitions, as well as a comprehensive list of questions to ask vendors.
March 3–7, 2014 is ICD-10 Test Week
CMS has announced that all of its Medicare Administrative Carriers will implement an ICD-10 testing week with their trading partners. The testing week will be March 3 through March 7, 2014.
Contact your vendors and confirm that they will have systems in place so that your practice can participate, and refer to the CMS MLN Matters notification about the testing week for additional details.
EDISS ICD-10 Webinar March 20
The Electronic Data Interchange Support Services (EDISS) department will be conducting an ICD-10 webinar on March 20 that is designed to give providers and billing staff the opportunity to ask EDI related questions directly to EDISS staff.
The transition to ICD-10 will involve all aspects of medical practice and as such will require training for coding and billing staff as well physicians and other clinical staff and office staff.
The OMA has developed a comprehensive educational program that will provide targeted trainings at various stages of the ICD-10 implementation timeline, as well as newsletters, case studies and an ICD-10 hotline.
Get Your ICD-10 Coding Questions Answered!
The OMA's ICD-10 E-mail Hotline is now live! OMA members or their staff may contact the OMA about their specific ICD-10 coding questions and receive responses from a coding professional dedicated to addressing these issues. E-mail icd10@theOMA.org or click the button below to contact the Hotline.
OMA Member Benefits
The following fast, easy, and affordable Ready10 tools will help your practice ensure a successful transition to ICD-10:
- The web-based Ready10™ Translator converts ICD-9 codes to more specific ICD-10 codes in seconds. This proprietary crosswalk tool is accessible from any computer and features multiple code lookups, bi-directional conversion, print capabilities, and the ability to save favorites and create flash cards to serve as documentation training tools for your entire staff.
- The Ready10™ Basic delivers everything you need to prepare and manage your practice through the transition – all in one place. It’s a user-friendly, comprehensive step-by-step road map for the ICD-10 transition that works as a web-based “virtual consultant” and includes all the tools needed for a smooth transition.
- The Ready10™ Pro includes everything from the Ready10 Basic package plus five hours of personalized, expert consulting, plus review of 50 charts to see how your current documentation practices stack up to ICD-10’s increased specificity. With the help of Ready10 Pro, your entire practice will be fully engaged and ready for the transition.
Learn more and order these valuable resources today at www.cpticdpros.com/OMA.
ICD-10 coding books from the AMA can help with your implementation and planning. Publications include the ICD-10-CM 2014: The Complete Official Draft Code Set, ICD-10-CM Mappings 2014 and Advanced Anatomy and Physiology for ICD-10-CM. OMA members receive a discounted rate. Order online at www.theOMA.org/store or contact Kimberly Weitman at (503) 619-8000 or kimberly@theOMA.org for more information.
Managing Your Transition to ICD-10 Newsletter
This periodic OMA newsletter provides ICD-10 information including fact sheets, coding case studies, GEMS updates, preparation tips and hands-on exercises to assist in your practice's preparation.
- Issue No. 9 - January 17, 2014
ICD-10 Countdown: Focus on Education
- Issue No. 8 - December 12, 2013
ICD-10 Testing and Documentation
- Issue No. 7 - November 7, 2013
Addressing the Documentation Gap to Support ICD-10-CM
- Issue No. 6 - September 12, 2013
ICD-10 Mapping and GEMS: new updates
- Issue No. 5 - March 20, 2013
Applying our 5010 lessons to ICD-10 preparation
- Issue No. 4 - August 3, 2012
The health care industry has not stopped preparing for ICD-10, have you?
- Issue No. 3 - January 9, 2012
Budgeting for ICD-10
- Issue No. 2 - September 28, 2011
ICD-10-CM: Impact to the Code Assignment Process
- Issue No. 1 - September 8, 2011
Medicine In Oregon Magazine (ICD-10 articles)
- Things You Should Know about ICD-10
By Joy Conklin, interviewing Nancy Fisher; Summer 2013
- The Physicians Role in Better Health Information
By Joseph Nichols; Winter 2013
- New OMA Member Benefit Can Help with ICD-10
By Denny Flint; Spring 2013
- It’s Time to Get Moving on ICD-10
By Stanley Nachimson; Fall 2012
- Is Your Documentation Ready for ICD-10?
By Carol WIntermute; Summer 2011
- ICD-10 Web page
- AMA Preparation Tool: Assess Your Documentation in Preparation for ICD-10
- AMA Preparation Tool: Determine Your Training Needs for ICD-10
- AMA Preparation Tool: Talk To Your Vendor about ICD-10 Updates
- DMAP GEMS in Oregon Data
- According to DMAP’s website, they expect to begin testing in early 2014. Further, DMAP does not plan to support ICD-9 codes for dates of service after the ICD-10 compliance date, and they plan to closely follow communications from CMS on this. For details, visit www.oregon.gov/oha/healthplan/Pages/providers.aspx and type "ICD-10" in the Search box.
- ICD-10 Web page
- FAQs: ICD-10 Transition Basics
- CMS’ Provider Dedicated Resources Web page
- Introduction to ICD-10: A Guide for Providers (CMS eHealth University)
- ICD-10 Myths & Facts
- ICD-10-CM/PCS: The Next Generation of Coding
- Fact Sheet SE1325: Institutional Services Split Claims billing instructions
- MLN Connects Videos
- ICD-10 Coding Basics: Sue Bowman from the American Health Information Management Association (AHIMA) provides a basic introduction to ICD-10 coding, including similarities and differences from ICD-9; ICD-10 code structure; and coding process and examples.
- Log-in to the provider portal to access ICD-10 information within the website.