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January 25, 2018

Four Tests Added to List of CLIA Waived Tests

In early January, the Centers for Medicare and Medicaid Services (CMS) announced new waived tests... Learn More

New and Revised Vaccine Codes Added to 2018 CPT Code Book

The American Medical Association (AMA) added and revised several vaccine CPT codes for its 201... Learn More

OIG Recommends Measures for Curbing Opioid Misuse and Fraud

Office of Inspector General testimony before the House Committee on Ways and Means in January ... Learn More

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Medical Coding News Archives

Date Set for ICD-10-CM and ICD-10-PCS Implementation

January 27, 2009:

October 1, 2013, is the new compliance date for use of ICD-10-CM and ICD-10-PCS (inpatient services only) code sets for all covered entities, according to a final rule published January 16 in the Federal Register. A 60-day delay in the effective date of the rule is a requirement of the original Health Insurance Portability and Accountability Act (HIPAA) regulations to allow Congress and the Administration a chance to review the rules.

The new code sets, which will replace the 30-year-old ICD-9-CM code set, are greatly expanded from the current ICD-9 code sets. They allow a higher quality of reporting, pay-for-performance, biosurveillance, and other critical activities, according to the Department of Health and Human Services.

A second rule published the same day sets the compliance dates for modifications to the HIPAA transaction standards—X12 version 5010 and the National Council for Prescription Drug Programs (NCPDP) standard version D.0. (used for electronic pharmacy-related transactions). These updates include the standards for claims and remittance advice. The modifications included necessary data element changes to accommodate the longer ICD-10-CM and ICD-10-PCS codes. January 1, 2012, is the compliance date for use of versions 5010 and D.0, transaction standards for all health plans, including small health plans, health care clearinghouses, and covered health care providers.

Anita C. Hart RHIA, CCS, CCS-P
Product Manager


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