- Copyright © 2011 by the American Academy of Pediatrics
By now, you should be aware that as of Oct. 1, 2013, the International Classification of Diseases will be updated from the 9th version clinical modification (ICD-9-CM) to the 10th version (ICD-10-CM). That means you no longer should submit ICD-9-CM codes for services provided on or after Oct. 1, 2013, because the claims will be rejected by your clearinghouse or payer.
Instead, the ICD-10-CM code set must be used.
According to the Centers for Medicare & Medicaid Services (CMS), no grace period will be offered, and the Oct. 1, 2013, deadline is firm.
To ease the transition, it was recommended to the ICD Coordination & Maintenance committee to freeze both the I-9 and I-10 code sets. The committee agreed, and the last annual update to the I-9 and I-10 code sets will take place on Oct. 1, 2011. On Oct. 1, 2012, there will be only limited updates to ICD-9-CM and ICD-10 code sets to capture new technology and new diseases. On Oct. 1, 2013, the same applies for the ICD-10-CM code set.
Another change already under way is the platform by which ICD-10-CM codes can be submitted electronically to carriers. Since the current electronic version is not set up to handle the ICD-10 code structure, CMS is implementing the 5010 transaction. See the July issue of AAP News for details on this transition (http://aapnews.aappublications.org/cgi/content/full/32/7/20).
CMS officials are urging all practices to begin their preparations as soon as possible. It is important to develop a timeline for implementation. Resources are available to help your practice become better prepared (see below).
Look to the October issue of AAP News for more information on the ICD-10-CM conversion.
Resources to help prepare for the transition to ICD-10-CM include:
AAP pediatric coding webinar, ICD-10-CM Transition – It’s not a Myth, It’s Coming! http://www.aap.org/pcorss/webinars/coding/
Preparing for ICD-10-CM: Make the Transition Manageable, https://catalog.ama-assn.org/Catalog/product/product_detail.jsp?productId=prod1400078
Principles of ICD-10-CM Coding, https://catalog.ama-assn.org/Catalog/product/product_detail.jsp?productId=prod1840030
Principles of ICD-10-CM Coding Workbook, https://catalog.ama-assn.org/Catalog/product/product_detail.jsp?productID=prod1840032
AAP pediatric coding webinar
The coding webinar Addressing Carrier Repayment Demands, at noon CT on Aug. 16, will examine how to challenge inappropriate repayment claims and minimize their occurrence. The webinar will be presented by Kathleen Cain, M.D., FAAP.
To register, visit www.aap.org/webinars/coding.