Health Information Management

HHS dates for ICD-10 and version 5010 spark controversy

APCs Weekly Monitor, November 21, 2008

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The debate over implementation of ICD-10 sharpened as the comment period ended in October and publication of the final rule, expected by December, grows near.

The controversy centers on two dimensions of the proposed timetable: the implementation of the new HIPAA electronic transaction form 5010 on April 1, 2010, and the implementation of ICD-10-CM and ICD-10-PCS 18 months after that. The questions relate to the cost and complexity of the transition.

Among the G7 nations, only the United States still uses ICD-9 for diagnostic purposes. But it has used ICD-10 for U.S. mortality reporting since 1999. Several countries use adaptations of the World Health Organization’s International Classification of Health Interventions for procedure coding. ICD-10-PCS is a domestic adaptation for inpatient use. CPT will remain the standard for outpatient procedures.

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