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Healthcare News: CMS published ICD-10 Special Edition Medlearn Matters articles

JustCoding News: Inpatient, October 24, 2012

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CMS has published two ICD-10-related Special Edition Medlearn Matters articles that may be of interest to providers and serve as tools to assist with implementation.

The first is Special Edition Medlearn Matters article SE1239. SE1239 reiterates the new implementation date of October 1, 2014, and states that the compliance date is firm and not subject to change.
 
The article also provides an overview of the benefits of ICD-10-CM/PCS as well as ICD-10-CM/PCS code use and structure. It provides general steps for implementation and reminds providers to use the General Equivalence Mappings (GEM) as a tool to convert data from ICD-9-CM to ICD-10-CM/PCS and vice versa. However, the article reminds providers that the GEMs are not a substitute for learning ICD-10-CM/PCS.
 
The second is Special Edition Medlearn Matters article SE1240. SE1240 clarifies the partial code freeze prior to ICD-10-CM/PCS implementation and provides the following timeline for updates:
 
  • The last regular, annual updates to both ICD-9-CM and ICD-10-CM/PCS code sets were made October 1, 2011.
  • On October 1, 2012 and October 1, 2013, only limited code updates to both the ICD-9-CM and ICD-10-CM/PCS code sets will take place to capture new technologies and diseases.
  • On October 1, 2014, only limited code updates to ICD-10-CM/PCS code sets to capture new technologies and diagnoses as required by section 503(a) of Pub. L. 108-173 will be made. There will be no updates to ICD-9-CM, as it will no longer be used for reporting.
  • On October 1, 2015, regular updates to ICD-10-CM/PCS will begin.
SE1240 also states that the ICD-9-CM Coordination and Maintenance Committee will meet twice a year during the partial freeze. The public will be asked to comment on the potential creation of any new diagnosis or procedure codes to denote new technology or diseases. CMS states that “any code requests that do not meet the criteria will be evaluated for implementation within ICD-10 on and after October 1, 2015, once the partial freeze has ended.”
 
In addition, note that on October 4, CMS and the National Center for Health Statistics (NCHS) released the 2013 guidelines for coding and reporting using the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM). View the 2013 guidelines.



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