ICD-9 to ICD – 10
CMS Version 5010
These two transitions will require system and business changes throughout the health care industry. ICD-10 will affect coding for everyone covered by the Health Insurance Portability and Accountability Act (HIPAA), not just those who submit Medicare claims.
According to CMS effective October 1,2013
US Health care industry need to change ICD-9 to ICD – 10 for medical diagnosis and inpatient procedure codingLinks to CMS Version 5010 information
These two transitions will require system and business changes throughout the health care industry. ICD-10 will affect coding for everyone covered by the Health Insurance Portability and Accountability Act (HIPAA), not just those who submit Medicare claims.
According to CMS effective October 1,2013
US Health care industry need to change ICD-9 to ICD – 10 for medical diagnosis and inpatient procedure coding
Links to CMS Version 5010 information
About the ICD-10 Transition on October 1, 2013
ICD-10 codes must be used on all HIPAA transactions, including outpatient claims with dates of service, and inpatient claims with dates of discharge on and after October 1, 2013. Otherwise, your claims and other transactions may be rejected, and you will need to resubmit them with the ICD-10 codes. This could result in delays and may impact your reimbursements, so it is important to start now to prepare for the changeover to ICD-10 codes.
This change does not affect CPT coding for outpatient procedures.
Version 5010
Version 5010 is the new version of the X12 standards for HIPAA transactions; version D.0 is the new version of the National Council for Prescription Drug Program (NCPDP) standards for pharmacy and supplier transactions; and version 3.0 is a new NCPDP standard for Medicaid pharmacy subrogation.
January 1st 2012, version 4010/4010A1 to Version 5010, this electronic transaction include functions like
Claims
Eligibility inquiries
Remittance advice
Unlike the older version, version 5010 will accept ICD-10, the version change will occur well before October 1, 2013
Comments
Post a Comment