Starting with dates of service on October 1, 2015, and later, claims will require an International Classification of Diseases (ICD), 10th Revision, Clinical Modification (CM)/Procedure Coding System (PCS), medical diagnosis and/or inpatient procedure code. While October 1, 2015, is fast approaching, there is still time to transition to ICD-10. Centers for Medicare & Medicaid Services (CMS) provide many free tools and resources at www.cms.gov/icd10.
The ICD-10 Quick Start Guide outlines 5 steps health care professionals should take to prepare for ICD-10.
On August 7, 2015, CMS posted a complete list of the 2016 ICD-10-CM valid codes and code titles in the 2016 Code Descriptions in Tabular Order ZIP file on the 2016 ICD 10-CM and General Equivalence Mappings (GEMs) web page. Access the file named “icd10cm_2016.txt” in the ZIP file for the list. A similar list of the 2016 ICD-10-PCS valid codes and code titles is available in the 2016 PCS Long and Abbreviated Titles ZIP file on the 2016 ICD-10 PCS and GEMs web page. See the file named “icd10pcs_codes_2016.txt” in the ZIP file for the list.
Use of Unspecified Codes in ICD-10-CM Resources:
- MLN Matters® Article SE1518, “Information and Resources for Submitting Correct ICD-10 Codes to Medicare”
- ICD-10 Basics MLN Connects National Provider Call - Call Materials from August 22, 2013
- More ICD-10 Coding Basics MLN Connects Call - Call Materials from June 4, 2014
- ICD-10 Coding Basics MLN Connects Video - January 2014
- Coding for ICD-10-CM: More of the Basics MLN Connects Video - December 2014
- Visit the ICD-10 Medicare Fee-For-Service Provider Resources web page for a complete list of Medicare Learning Network educational materials.
To keep up to date on ICD-10, visit the CMS ICD-10 website and Roadto10.org for the latest news and resources. You can also sign up for CMS ICD-10 Industry Email Updates.