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January 25, 2018


Four Tests Added to List of CLIA Waived Tests

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OIG Recommends Measures for Curbing Opioid Misuse and Fraud

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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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