Important ICD-10 Information

Nancy Leveille and Karen Morris in Clinical & Quality

NYSHFA received the following update from AHCA/NCAL regarding ICD-10:

Just last week, the Health and Human Services, Centers for Medicare & Medicaid Services (CMS) Administrator Marilyn Tavenner told the Healthcare Information and Management Systems Society (HIMSS) technology conference that the International Classification of Diseases, 10th Edition (ICD-10) will go into effect this fall on October 14, 2014, with no further delays. This explains CMS’ recent release of a series of Medicare Learning Network (MLN) Matters that provide important information for providers getting ready for the transition from Medicare Fee for Service (FFS) International Classification of Diseases, 9th Edition (ICD-9) to ICD-10.

On February 6th, CMS released a revised version of MM7492 (now, SE1408), Medicare Fee-For-Service (FFS) Claims Processing Guidance for Implementing International Classification of Diseases, 10th Edition (ICD-10) – A Re-Issue of MM7492, which states that all entities covered under the Health Insurance Portability and Accountability Act (HIPAA) (including nursing facilities) are required to use the ICD-10 code sets in standard transactions adopted under HIPAA. Obtain a complete copy of SE1408.

On February 27th, CMS released a revised version of MM8465, International Classification of Diseases, 10th Revision (ICD-10) Testing with Providers through the Common Edits and enhancements Module (CEM) and Common electronic Data Interchange (CEDI), which discusses CMS’ plans for front-end ICD-10 testing between Medicare Administrative Contractors (MACs) and their trading partners (e.g., providers and suppliers). According to MM8465, CMS is in the process of implementing ICD-10, and it is requiring all Medicare MACs to implement an ICD-10 testing week with providers and suppliers. This testing week will give providers access to the MACs for testing with real-time help desk support. The event will be conducted virtually and will be posted on each MAC website as well as the CMS website. The testing week will be March 3rd through March 7th. Obtain a complete copy of MM8465.

Lastly, also in February, CMS released a MLN Connects video on ICD-10 Coding Basics to ensure that providers are ready to transition to ICD-10 on October 1, 2014. On the video, Sue Bowman from the American Health Information Management Association (AHIMA) provides a basic introduction to ICD-10 coding, and focuses on the similarities and differences between ICD-10 and ICD-9; ICD-10 code structure; and coding processes and examples.

To receive notification of upcoming MLN Connects videos and calls and the latest Medicare program information on ICD-10, subscribe to the weekly MLN Connects™ Provider eNews. Also, visit the CMS ICD-10 website for the latest news and resources to help you prepare for the October 1, 2014, deadline. Further, to obtain a great resource written specifically for LTC providers, go to AHCA’s bookstore and order ICD-10 Essentials for Long-Term Care: Your Guide to Preparation and Implementation (product 8296) and the IDC-10 CM 2014 Edition (product 8026).


  NYSHFA CONTACTS: Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20
  Karen Morris, RN, MS
Director, Clinical & Quality Services
518-462-4800 x15